slots e12 not offered not offered not offered not offered standard standard not offered not offered not offered not offered bed hanger mount e21 optional not offered optional optional not offered not offered not offered not offered not offered not offered quick release mount ( 1 ) e22 standard standard standard standard standard standard standard standard not offered not offered 1 x lithium - ion battery e24 standard optional optional optional not offered not offered not offered not offered not offered not offered battery operation ( 13 ) e25 standard optional optional optional optional optional not offered not offered not offered not offered 2 x lithium - ion battery e26 not offered not offered optional optional optional optional not offered not offered not offered not offered performance extensior e30 not ottered not offered not offered not offered not offered not offered not offered not offered not offered optional interfaces serial intcrface / mib ready ( 2 ports ) j13 optional optional optional optional optional optional optional ( 8 ) optional ( 9 ) optional ( 10 ) optional ( 11 ) parallel printer interface j14 not offered not offered optional optional optional optional optional ( 8 ) optional ( 9 ) optional ( 10 ) optional bis ready ( 1 port ) j16 not offered not offered optional optional not offered not offered not offered not offered not offered not offered additional msl interface ( mp90 ) j19 not offered not offered not offered not offered not offered not offered not offered not offered not offered optional wireless network adaptor kit j20 not offered not offered not offered not offered not offered not offered optional optional optional optional additional msl interface ( mp60 - mp70 ) j21 not offered not offered not offered not offered not offered not offered optional optional not offered not offered ps / 2 interface ( 2 ports ) j22 not offered not offered optional optional optional optional optional ( 6 ) optional ( 9 ) optional ( 13, 16 ) optional ( 12 ) remote speed point and alarm device if j23 not offered not offered optional optional optional optional @topic:19


# # # issue the blood pressure ( bp ) cuff on the bedside physiologic monitor is faulty. # # # impact the monitor will not be able to accurately measure the patient's blood pressure, which could lead to incorrect treatment decisions. # # # possible causes the cuff may be punctured, torn, or otherwise damaged. the cuff may also be the wrong size for the patient, which could also lead to inaccurate readings. # # # recommendations the bme should replace the cuff with a new one. the bme should also check to make sure that the cuff is the correct size for the patient. @topic:3


# # # issue restraining rail on the bed is not locking. # # # impact - patient safety : patients may be at risk of falling or self - harm due to the loose railing. - hospital efficiency : staff may need to allocate additional resources to monitor and care for patients who are not fully secured. # # # possible causes - damaged latching mechanism - loose screws - misalignment of the railing - broken railing # # # recommendations - * * verify the latching mechanism * * : ensure the latch is not broken or damaged, and that the hook and loop closures are secure. - * * tighten loose screws * * : check for loose screws throughout the railing and tighten them using the appropriate tools. - * * realign the railing * * : adjust the position of the railing so that it fits snugly against the bed frame and latches properly. - * * replace broken parts * * : if any parts of the railing, such as the latch or railing itself, are broken or damaged, they should be replaced immediately. - * * regular maintenance * * : implement a regular maintenance schedule to inspect and assess the function of all bed components, including the restraining rails. - * * staff training * * : ensure that staff are trained on the proper use and maintenance of the bed and its components. @topic:6


# # # issue - the temperature sensor is showing an error message. # # # impact - the monitor is unable to accurately measure the patient's temperature. # # # possible causes - the temperature sensor is damaged. - the temperature sensor is not properly connected. - the temperature sensor is not calibrated. # # # recommendations - replace the temperature sensor. - check the connection between the temperature sensor and the monitor. - calibrate the temperature sensor. @topic:20


see " changing settings for a captured 12 - lead ecg " on page 147 ). to capture the last 10 seconds of ecg data, select the capture waves pop - up key. the pop - up key is active as soon as enough wave data is available ; until then a progress bar is displayed in the title bar of the pop - up keys. a preview of the captured data appears on the screen ( unless your monitor is connected to an information center with software release earlier than revision m - then the captured data is automatically stored and sent to the information center ). the title bar of the pop - up keys will now show the current filter setting and, if you are using easi lead placement, an easi indicator ( see " easi ecg lead placement " on page 145 ). you can at any time return to the realtime 12 - lead ecg view by selecting the show waves pop - up key. from there, you return to the preview window by selecting the review 12 lead pop - up key and d marked with * from the list. 46 6 ecg, arrhythmia, st and qt monitoring select the setup 12 lead pop - up key to choose settings for filter, gain, etc., if changes are needed. alchanges apply to both the display and the printed 12 - lead report. the changes are only applied temporarily and will not be stored. if you want to change the default settings, see " setting up the 12 - lead ecg " on page 149. ow pass filter sets the low pass filter for the waveforms. choices are 40 hz, 100 hz and 150 hz. ac filter gain switches the ac ( line frequency ) filter on or off. defines the gain used for the waveforms. choices are 2. 5 mm / mv, 5 mm / mv, 10 mm / mv and 20 mm / mv. chest gain defines the @topic:8


# # # issue - equipment malfunction # # # impact - inability to monitor patient parameters # # # possible causes - loose connection in module # # # recommendations - ensure that modules are securely connected @topic:2


##hg 30 mmhg — 180 mmhg 10 mmhg — 150 mmhg 20 mmhg — 160 mmhg 30 mmhg — 130 mmhg 10 mmhg — 100 mmhg 20 mmhg — 120 mmhg the accuracy is + 5 mmhg, with standard deviation no greater than 8 mmhg. nbp processing uses an oscillometric technique to provide needed measurements at selected intervals. this technique uses an inflatable sphygmomanometer cuff similar to those used by clinicians in routine measurements. at the default initial inflation pressure, a motorized pump inflates the cuff to approximately 160 mmhg ( adult mode ) initially, at which point the pressure effectively stops the flow of blood. then, under monitor control, the pressure in the cuff is gradually reduced, while a pressure transducer detects the pressure and transmits the parameter signal to the nbp input circuitry. as the pressure is reduced, blood flows in the previously occluded artery, and changes the measurements made by the transducer. the point at which oscillation increases sharply is defined as systolic pressure. as the cuff continues to deflate, the oscillation amplitude increases to a maximum, and then decreases. the peak oscillation amplitude is defined as the mean arterial pressure. the point at which the system detects a rapid decrease in oscillation is defined as the diastolic pressure. power supply module the monitor contains a medical grade power supply module and circuitry that converts ac lines ( 100 v to 240 v ) to dc ( 15 v ). power consumption is < 25 w. power management the power management module contains : e lit battery — 10. 8 vtoll. 1v — 2200 mah e smart battery charger + dc / dc converter the power management circuitry charges a li - ion battery through a smart battery charger. both the battery @topic:17


# # # issue - the electric bed cannot be adjusted. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned properly for medical procedures. # # # possible causes - the user may have accidentally pressed the lock button. - the electrical connection may be loose. - the motor may be faulty. # # # recommendations - check to see if the lock button is pressed. if it is, release the button. - check the electrical connection to the bed. make sure that it is plugged in and that the cord is not damaged. - if the electrical connection is secure, the motor may be faulty. call a qualified technician to repair or replace the motor. @topic:6


# # # issue electric hospital bed is not adjusting. # # # impact - patient may not be able to get into or out of bed. - patient may be uncomfortable or in pain due to the bed not being in the correct position. - staff may not be able to provide proper care to the patient due to the bed not being in the correct position. # # # possible causes - electrical fault in the control box - faulty motor or gear mechanism - broken or loose wires or connections - worn or damaged components # # # recommendations - check the electrical connections and wiring. - test the motor and gear mechanism. - inspect the control box for any damage or loose components. - replace any worn or damaged components. - clean the bed and lubricate all moving parts. - test the bed to ensure that it is functioning properly. @topic:1


# # # issue - the bed's railings are not locking properly, posing a safety hazard for patients. # # # impact - patients may fall out of bed, resulting in serious injuries. - staff may be injured while attempting to restrain patients who are not properly secured in bed. # # # possible causes - broken or damaged locking mechanisms - misalignment of the railings - worn or torn straps or belts - improper installation of the railings # # # recommendations - * * inspect the locking mechanisms : * * check for any broken or damaged parts that may be preventing the railings from locking securely. - * * align the railings : * * ensure that the railings are properly aligned and that there are no gaps or obstructions that could prevent them from fitting snugly into the locking mechanisms. - * * replace worn or torn straps or belts : * * if the straps or belts that secure the railings are worn or torn, they should be replaced to ensure a secure fit. - * * reinstall the railings : * * if the railings were recently installed, they may not have been properly secured. reinstall the railings according to the manufacturer's instructions. @topic:6


# # # issue - central monitor does not print. # # # impact - unable to obtain printed copies of patient data and records. # # # possible causes - printer cable is disconnected or damaged. - printer hardware malfunction. - software configuration issues. # # # recommendations 1. * * check the printer cable : * * - ensure that the printer cable is securely connected to both the central monitor and the printer. - inspect the cable for any visible damage or fraying. if necessary, replace the cable. 2. * * verify printer hardware : * * - power cycle the printer by turning it off and on again. - check the printer for any error messages or status indicators. - ensure that the printer has toner or ink and that it is not jammed. 3. * * examine software configuration : * * - confirm that the central monitor is correctly configured to communicate with the printer. - check the printer driver and software settings to ensure they are up - to - date and compatible with the monitor. 4. * * contact manufacturer support : * * - if the issue persists after following the above steps, contact the manufacturer of the central monitor for further assistance. they may provide additional troubleshooting guidance or arrange for service. @topic:28


##314 2 handle, extender block 3 71438 2 adapter, iv pole 4 s30283b 2 accessory carrier 5 s20998b 2 leaf 6 71265 2 bar, foot extension 7 s30315a 4 extension pad 8 71082 2 bumper 9 qd0663 2 push nut 10 s30534l 2 fixing device 11 vi0554a 8 screw 12 154275 1 weldment, foot extension, 13 vi0608a 2 screw 14 72858 1 assembly, foot extension 15 vi0613a 2 screw careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 81 head siderail — d model and newer beds chapter 5 : parts list head side rail — d model and newer beds chapter 5 : parts list table 5 - 31. head siderail — d model and newer beds item number part number quantity description 1 72290 1 label, blank, speaker cover 2 72862 4 or 8 screw hi - lo 3 71090 1 speaker cover 4 71091 1 gasket, cover 5 70746 1 speaker 6 28562 4 nut 7 128804 1 siderail, rh ( scale beds ) 129656 1 siderail, lh ( scale beds ) 71019 1 siderail, rh ( non - scale beds ) 71062 1 siderail, lh ( non - scale beds ) 8 71536 1 membrane switch, nurse call 71795 1 label, nurse call, blank 9 4214102 4 screw 10 131573 1 scale display, with bed exit, rh 128803 1 scale display, with bed exit, lh 131572 1 scale display, without bed exit, rh 131571 1 scale display, without bed exit, lh 13823 @topic:26


# # # issue - equipment not adjusting properly # # # impact - inability to use the equipment for its intended purpose - potential discomfort or harm to patients - inconvenience to healthcare providers # # # possible causes - faulty remote control - loose or damaged wiring - malfunctioning motor or actuator - software or firmware issues - user error # # # recommendations - inspect the remote control and wiring for any visible damage or loose connections. - test the remote control by pressing the buttons and observing the response of the equipment. - check the motor or actuator for any signs of wear or tear. - update the software or firmware if necessary. - train users on the proper operation of the equipment. @topic:7


( 33 ) probe not responsive. probe repeat the measurement. not characterized / calibrated. if the problem persists, replace the temperature probe. 866 ( 34 ) temp probe error ( 34 ) probe not repeat the measurement. characterized / calibrated. if the problem persists, replace the temperature probe. 866 ( 45 ) temp probe error ( 45 ) measurement below verify ambient temperature of 50°f. allowable temperature values | tf conditions are valid and problem and far below the low persists, replace the temperature probe. ambient limits.. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 866 ( 46 ) temp probe error ( 46 ) measurement above verify ambient temperature of 50 f. allowable temperaimre values | tf conditions are valid and problem and far above the high persists, replace the temperature probe. ambient limits. : if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 866 ( 52 ) temp probe error ( 52 ) temperature probe not replace the temperature probe. characterized / calibrated. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 866 ( 63 ) temp probe error ( 63 ) probe well missing or not reseat or replace the well. installed properly. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 866 ( 70 ) temp probe error ( 70 ) problem reading the shut down ( see “ shutting down the temperature probe eeprom. | system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature probe. troubleshooting 4 - 20 suresigns vs @topic:20


# # # issue - malfunctioning spo2 sensor. # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - * * sensor degradation : * * the spo2 sensor may have deteriorated over time due to wear and tear or exposure to harsh conditions. - * * loose connections : * * the sensor cable may not be securely connected to the device or patient, [UNK] [UNK] [UNK] [UNK] 不 良 。 - * * outdated software : * * the device's software may not be up to date, affecting sensor functionality. # # # recommendations - * * replace sensor : * * replace the faulty spo2 sensor with a new one. - * * check connections : * * ensure that the sensor cable is firmly connected to the device and patient. - * * update software : * * if necessary, update the device's software to the latest version to optimize sensor performance. - * * regular maintenance : * * regularly inspect and maintain the device and sensors to prevent future failures. @topic:4


# # # issue - keyboard is unresponsive # # # impact - the central station monitor cannot be controlled properly. # # # possible causes - faulty keyboard - loose connection between the keyboard and the monitor - software issue # # # recommendations - replace the keyboard - check the connection between the keyboard and the monitor - update the software @topic:27


alarm device m8025a item condition range temperature range operating 0 to 55°c ( 32... 130°f ) storage - 20 to 60°c ( - 4... 140°f ) humidity range operating 95 % rh max. at 40°c ( 100°f ) storage 85 % rh max. at 50°c ( 120°f ) altitude range operating - 500 to 4. 600 m ( - 1600... 15000 ft ) storage - 500 to 13. 100 m ( - 1600... 43000 ft ) monitor performance specifications mp20 / 30, mp40 / 50, mp60 / 70 / 80 / 90 power specifications power consumption mp60 / 70 / 80 / 90 : < 145 w mp20 / 30, mp40 / 50 : < 100 w line voltage 100 to 240 v - mp60 / mp70 / mp80 / mp90 current 1. 6 to 0. 7 a mp20 / mp30 / mp40 / mp50 current 1. 8 to 1. 0 a frequency 50 / 60 hz - 419 38 installation and specifications monitor performance specifications mp20 / 30, mp40 / 50, mp60 / 70 / 80 / 90 battery specifications mp40 / mp50 operating time ( with 2 new, fully charged batteries ) basic monitoring configuration : 5 hours ( brightness set to optimum, mms connected, nbp measurement every 15 minutes ) extended monitoring configuration : 4 hours ( brightness set to optimum, mms and mms extension connected, nbp every 15 minutes, recorder, pressure, temperature modules connected ) charge time when monitor is off : 4 hours when monitor is in use : 5 to 12 hours, depending on monitor configuration battery specifications mp20 / mp30 operating time ( with 2 new, fully charged batteries ) basic monitoring configuration : 5 hours ( brightness set to optimum, mms connected, n @topic:10


# # # issue - bedside monitor is not able to maintain its angle and falls down. # # # impact - patient safety is compromised as vital signs may not be monitored accurately. - prolonged use of a malfunctioning monitor can lead to patient discomfort or injury. # # # possible causes - * * loose mounting : * * the monitor may not be properly secured to the bedside table or wall mount. - * * worn or damaged components : * * the locking mechanism or other parts responsible for holding the monitor in place may be worn or damaged. - * * improper installation : * * the monitor may have been installed incorrectly, causing it to be unstable. # # # recommendations - * * secure the monitor : * * check all mounting screws and tighten them as necessary. - * * inspect components : * * examine the locking mechanism and other components for any signs of wear or damage. replace damaged parts if found. - * * reinstall the monitor : * * if necessary, remove the monitor from the mount and reinstall it carefully, following the manufacturer's instructions. @topic:12


# # # issue - equipment failure - monitor is deteriorating - device is located on 3e floor # # # impact - patient monitoring may be affected - clinical workflow may be disrupted - patient safety may be compromised # # # possible causes - age of the equipment - lack of proper maintenance - environmental factors # # # recommendations - replace the monitor - schedule regular maintenance for all medical devices - ensure that the device is used in a controlled environment @topic:2


# # # issue - * * spo2 not linking with the monitor * * # # # impact - inability to accurately monitor a patient's blood oxygen saturation levels # # # possible causes - * * defective spo2 sensor : * * the sensor may be damaged or malfunctioning, which could prevent it from accurately detecting the patient's oxygen levels. - * * loose or disconnected cables : * * the cables connecting the spo2 sensor to the monitor may be loose or disconnected, which could interrupt the signal transmission. - * * software glitch : * * a software glitch in the monitor or the spo2 sensor may prevent the two devices from communicating properly. - * * battery issues : * * a weak or dead battery in the spo2 sensor may affect its performance and prevent it from linking with the monitor. - * * incompatible equipment : * * the spo2 sensor and the monitor may not be compatible, leading to connectivity issues. # # # recommendations - * * inspect the spo2 sensor : * * check the sensor for any damage or visible defects. also, ensure that the sensor is properly connected to the patient's finger or earlobe. - * * verify cable connections : * * inspect the cables connecting the spo2 sensor to the monitor for any loose or disconnected connections. ensure that the cables are securely plugged into the appropriate ports. - * * restart the monitor and the spo2 sensor : * * power cycle both the monitor and the spo2 sensor to reset any potential software glitches. - * * check battery levels : * * verify that the battery in the spo2 sensor is fully charged or replace it if necessary. - * * ensure equipment compatibility : * * confirm that the spo2 sensor and the monitor are compatible by checking the specifications of both devices. @topic:4


# # # issue - malfunctioning blood pressure cuff # # # impact - inability to accurately measure blood pressure # # # possible causes - leak in the blood pressure cuff - faulty connection between the cuff and the monitor - damage to the cuff or tubing - low battery or power supply issues # # # recommendations - replace the blood pressure cuff - check the connections between the cuff and the monitor - inspect the cuff and tubing for any damage - ensure that the battery or power supply is functioning properly - calibrate the monitor according to the manufacturer's instructions @topic:14


# # # issue - adjustable bed head not functioning # # # impact - inability to adjust the patient's head position for comfort or medical procedures # # # possible causes * * hardware issues : * * - broken or malfunctioning motor - faulty relay - damaged wiring - power supply problems * * software issues : * * - malfunctioning control unit - software bugs or glitches * * mechanical issues : * * - obstructions or debris in the bed mechanism - loose or broken components # # # recommendations * * troubleshooting steps : * * - inspect the bed for any visible damage or obstructions - test the motor and relay using a multimeter - check the wiring for breaks or loose connections - verify the power supply to the bed - perform a software update or reset * * repairs : * * - replace the motor or relay if necessary - repair or replace damaged wiring - resolve any software issues - clean and lubricate the bed mechanism - tighten or replace loose components * * preventive measures : * * - regularly inspect and maintain the bed to identify potential issues early - train staff on proper use and maintenance of the bed - implement a routine preventative maintenance program to minimize downtime - consider using a bed with a backup power supply to prevent interruptions in functionality @topic:1


# # # issue - * * drawer of medical cart cannot be opened * * # # # impact - * * inability to access medical supplies stored in the drawer. * * - * * delay or interruption in medical procedures. * * # # # possible causes - * * solenoid malfunction * * - solenoid may be jammed or stuck due to wear and tear, dirt, or corrosion. - * * electrical issue * * - faulty wiring or loose connections can prevent the solenoid from receiving power. - * * mechanical obstruction * * - foreign objects or debris may be blocking the drawer from opening. # # # recommendations - * * inspect solenoid * * - check for any visible damage or obstruction. - * * clean and lubricate solenoid * * - spray wd - 40 or a similar lubricant into the solenoid and work the drawer back and forth to free up any stuck parts. - * * check electrical connections * * - ensure that all wires are securely connected and there are no loose contacts. - * * clear any mechanical obstructions * * - remove any objects or debris that may be preventing the drawer from opening. - * * if the above steps do not resolve the issue, contact a qualified medical equipment technician. * * @topic:21


# # # issue - * * component failure : * * the failure of the equipment is likely due to the replacement of the remote control panel and buttons by xovic. this may have caused compatibility issues or other problems that led to the equipment malfunctioning. # # # impact - * * equipment downtime : * * the failure of the equipment has resulted in downtime, which means that it is not available for use by medical staff. this can impact patient care and productivity. # # # possible causes - * * incompatibility of replacement parts : * * the replacement parts installed by xovic may not have been compatible with the original equipment. this could have caused electrical issues or other problems that led to the failure. # # # recommendations - * * use manufacturer - approved parts : * * when replacing parts on medical equipment, it is always important to use manufacturer - approved parts. this will help to ensure compatibility and reduce the risk of failure. - * * proper installation : * * parts should be installed by qualified technicians to ensure proper functioning. - * * regular maintenance : * * regular maintenance can help to identify and address potential issues before they lead to failure. @topic:12


# # # issue - knee motor is not adjustable # # # impact - patient cannot achieve optimal positioning for surgery or treatment # # # possible causes - faulty knee motor - loose or damaged connections - software malfunction # # # recommendations - replace or repair knee motor - inspect and tighten connections - update or reinstall software @topic:9


# # # issue bed was stuck and not adjustable at the foot end. # # # impact patients may experience discomfort or pain if they are unable to adjust the bed to a comfortable position. # # # possible causes - remote control battery may be low or dead. - the unlock button may be stuck or broken. - there may be a problem with the motor or electrical system. # # # recommendations - check if the remote control is working properly and replace the batteries if necessary. - check if the unlock button is stuck and try to release it. - test the bed with a different remote control to see if the problem is with the remote or the bed. - inspect the electrical system for any loose wires or connections. - call for a biomedical engineer if the problem cannot be resolved by the steps above. @topic:1


the optical module was disconnected during data storage. reconnect the optical module for at least 20 seconds. 92 technical alarm messages ( inops ) 4 patient alarms and inops inop message, indication source what to do < s0 2 label > equip malf numeric displays inop tone so 2 the s0 2 / sv0 2 module or optical module is faulty. unplug and replug the optical module and s0 2 / sv0 2 module. exchange the modules. if the inop persists, contact your service personnel. s0 2 incompatible inop tone so 2 the s0 2 module or optical module is not supported. contact your service personnel. < s0 2 label > in - vivo cal so 2 the in - vivo calibration is not yet complete. lab values must be stored to the optical module to complete the calibration. either continue with the next steps of the current calibration or recall the previous calibration. < s0 2 label > light intens numeric is replaced by -? - inop tone. so 2 the intensity changed considerably since the last light intensity calibration. this may indicate that the catheter tip is positioned against a blood vessel wall or that there is low blood flow. reposition the catheter ( and perform a light intensity calibration ). < s0 2 label > low light numeric is replaced by -? - inop tone. so 2 the optical signal levels are too low. check that the catheter is either in the optical reference or inserted into the patient. check the catheter - to - optical module connection. if inop persists, try another catheter and optical module. < s0 2 label > no optmod numeric is replaced by -? - inop tone. so 2 connect the optical module. if the in @topic:17


m8048a ) mx600 / the 8 - slot flexible module rack ( fms - 8 ) lets you use up to eight plug - in physiological measurement mx700 / modules. for the mx800, you can connect two fmss to use up to 10 measurement modules. the maximum number of specific module types that can be used simultaneously in an fms - 8 is : five pressure modules, four temperature modules, four vuelink or intellibridge modules ( any when two fmss are used, in total a maximum of 10 pressure modules can be used. connect the fms to the monitor via the measurement link cable ( msl ). use the msl connector on the left - hand side to connect an additional mms. use the connector on the right to connect to the x1 multi - measurement module 1 1 2 3 multi - measurement module 2 mount flexible module rack fms - 8 3 4 power on led 5 4 5 4 - slot flexible module rack ( fms - 4 ) mx600 / the 4 - slot flexible module rack ( fms - 4 ) lets you use up to four plug - in physiological measurement mx800 19 1 introduction the maximum number of specific module types that can be used simultaneously in an fms - 4 is : four pressure modules, four temperature modules, four vuelink or intellibridge modules ( any connect the fms to the monitor via the measurement link cable ( msl ). use the msl connector on the left - hand side ( if you have the appropriate option ) to connect an additional mms. use the connector on the back to connect to the monitor. measurement modules mx500 / you can use up to three plug - in modules in the optional module slots. available modules are : mx550 invasive blood pressure ( m1006b • emperature ( m1029 • oxygen saturation of arterial @topic:10


103. 5 x 110 mm 1. 4 x 4. 0 x 4. 3 in 300 g ( 10. 6 oz ) 865383 without cables intellivue nmt module environmental specifications the monitor may not meet the performance specifications given here if stored or used outside the specified temperature and humidity ranges. when the monitor and related products have differing environmental specifications, the effective for the combined products is that range which is common to the specifications for all products. range range 458 40 specifications mx400 / 450 / 500 / 550 monitor ondition range item temperature range 0 to 40 °c ( 32 to 104 °f ) operating 0 to 35°c ( 32 to 95°f ) when charging the 0 to 35°c ( 32 to 95°f ) if an x2 is mounted on the rear. 0 to 35°c ( 32 to 95°f ) if intellivue instrument telemetry wireless network is connected. - 20 to 60°c ( - 4 to 140°f storage 15 % to 95 % relative humidity ( rh ) ( non condensing ) humidity range operating 5 % to 95 % relative humidity ( rh ) ( non condensing ) storage altitude rang - 500 m to 3000 m ( 10000 ft ) perating - 500 m to 4600 m ( 15000 ft ) ip21 torage mx600 / 700 / 800 monitor x600 / 700 / 800 mocondition item range 0 to 40°c ( 32 to 100°f ) temperature range peratin0 to 35°c ( 32 to 95°f ) when equipped with the ipc - 20 to 60°c ( - 4 to 140°f ) storage 15 % to 95 % relative humidity ( rh ) ( non condensing ) humidity range operating 5 % to 95 % relative humidity ( rh ) storage ltitude rang - 500 m to 3000 m ( - 1600 @topic:10


# # # issue - telemetry is not transmitting data to the central monitor. # # # impact - this could lead to a patient's vital signs not being monitored properly, which could result in a delay in diagnosis and treatment. # # # possible causes - the telemetry unit may be faulty. - the central monitor may be faulty. - the cables connecting the telemetry unit to the central monitor may be loose or damaged. - the telemetry unit may not be properly configured. # # # recommendations - check the telemetry unit and the central monitor to make sure that they are both working properly. - check the cables connecting the telemetry unit to the central monitor to make sure that they are properly connected and undamaged. - configure the telemetry unit according to the manufacturer's instructions. - if the problem persists, contact the manufacturer for assistance. @topic:16


current state, the settings and the log from the ssc sepsis protocol will be transferred with the mms to the new monitor. should it be necessary, you can select the phase at the new monitor manually with main setup then protocol watch followed by manual transition. the transfer of data and settings must be enabled in configuration mode. aution it is not possible to transfer ssc sepsis protocol data from a monitor with release f. 0 software to another monitor with release g. 0 software or above, and vice versa. 1 select main setup then protocolwatch followed by suspend for 24 hours. select confirm. 2 the protocol will resume activity after 24 hours with severe sepsis screening. severe sepsis screening as soon as an adult patient is connected to the monitor, and heart rate or pulse is being measured, the protocol begins to observe heart rate, temperature and respiration rate values in the background. if temperature or respiration rate is not being measured continuously, a pop - up window appears at 4 - hour intervals to ask for manually measured values. these values are all compared to the screening if any one of the values fulfills the screening criteria, the first severe sepsis screening window the measured value which has fulfilled the criteria is shown highlighted. there are check boxes for the infection signs and symptoms listed, if the monitor has measured values which meet the screening criteria, and • check the box if you can confirm that this sign or symptom is present and new. if the patient is mechanically ventilated, the mechanically ventilated box must be checked. if you have manually measured temperature or respiration rate, you can enter the values using the enter rr and enter temp select confirm when the check boxes reflect the current patient status. select remind 15 min if you want to delay filling out this screen. ( when you enter the screen manually this key will be a cancel key, as no action is required in @topic:8


# # # issue monitor not connecting to central # # # impact unable to send patient information to central systems, such as electronic health records ( ehrs ) and patient monitoring systems. # # # possible causes - loose lan cable connection - damaged lan cable - faulty lan port on the monitor - network configuration issues - firewall settings blocking the connection # # # recommendations - check the lan cable connection at both ends and ensure it is secure. - if the lan cable is loose, tighten it and check if the connection is restored. - replace the lan cable if it is damaged or faulty. - test the lan port on the monitor using another device, such as a laptop, to ensure it is working properly. - check the network configuration settings and ensure that the monitor is assigned the correct ip address and subnet mask. - check firewall settings to ensure that the monitor is not being blocked from accessing the network. @topic:16


# # # issue - the electric bed is being used as a backup. # # # impact - the bed may not be safe or reliable for patient use. - the bed may not have the necessary features or functionality for patient care. # # # possible causes - the primary bed is not available or is being repaired. - the backup bed is not properly maintained or inspected. - the backup bed is not suitable for the patient's needs. # # # recommendations - inspect the backup bed to ensure it is safe and reliable for patient use. - ensure the backup bed has the necessary features and functionality for patient care. - use the backup bed only when the primary bed is not available or is being repaired. - regularly maintain and inspect the backup bed to ensure it is in good working condition. @topic:9


# # # issue - remote control not working properly # # # impact - inability to adjust the height of the bed # # # possible causes - * * electrical issues : * * - faulty wiring in the remote control or the bed. - loose connections. - power supply issues. - * * mechanical issues : * * - worn - out or damaged buttons on the remote control. - malfunctioning motor or actuator in the bed. - * * software issues : * * - glitches in the software controlling the bed's functions. # # # recommendations - * * electrical troubleshooting : * * - check the wiring and connections in the remote control and the bed. - test the power supply. - * * mechanical inspection : * * - examine the buttons on the remote control for damage. - inspect the motor and actuator in the bed for any signs of wear or malfunction. - * * software updates : * * - if software issues are suspected, check for available software updates from the manufacturer. - * * replacement : * * - if repairs cannot be made, consider replacing the remote control or the entire bed, depending on the cause of the failure. @topic:7


# # # issue - cause of failure : teaching the use of bed alarm # # # impact - the bed alarm may not be used correctly, which could lead to a patient falling out of bed. # # # possible causes - the biomedical engineer may not have properly instructed the staff on how to use the bed alarm. - the staff may not have been properly trained on how to use the bed alarm. # # # recommendations - the biomedical engineer should provide proper instruction to the staff on how to use the bed alarm. - the staff should be properly trained on how to use the bed alarm. @topic:26


# # # issue - device malfunction causing failure to adjust # # # impact - inability to use the device effectively for patient care # # # possible causes - faulty remote control wiring # # # recommendations - inspect and repair or replace the remote control wiring - reset the device to restore functionality @topic:7


# # # issue equipment failure due to torn cuff. # # # impact - patient monitoring may be inaccurate or unavailable. - delays in diagnosis or treatment. - patient safety may be compromised. # # # possible causes - cuff was not regularly inspected for damage. - cuff was not properly secured during use. - cuff was subjected to excessive stress or strain. - cuff material was defective. # # # recommendations - regularly inspect cuffs for damage. - properly secure cuffs during use. - avoid subjecting cuffs to excessive stress or strain. - use only cuffs that are approved for use with the specific device. - train staff on proper use and maintenance of cuffs. @topic:5


# # # issue the medical cart is not displaying the name of the medication when a barcode is scanned. # # # impact this issue can lead to delays in medication administration, as the nurse will have to manually look up the medication in the system. it can also lead to errors in medication administration, as the nurse may not be able to correctly identify the medication without the name being displayed. # # # possible causes - the scanner is not properly calibrated. - the barcode on the medication is damaged or unreadable. - the software on the medical cart is not up to date. - there is a problem with the communication between the scanner and the medical cart. - the database of medication names is not properly configured. # # # recommendations - calibrate the scanner. - check the barcode on the medication for damage or unreadable characters. - update the software on the medical cart. - check the communication between the scanner and the medical cart. - configure the database of medication names correctly. @topic:23


# # # issue - cuff is damaged and worn out. # # # impact - inaccurate blood pressure readings - discomfort to the patient - potential for misdiagnosis # # # possible causes - prolonged use - repeated inflation and deflation - exposure to moisture and chemicals - improper storage # # # recommendations - replace the cuff with a new one. - ensure that the equipment is used and stored according to the manufacturer's instructions. - inspect the cuff regularly for signs of wear and tear. - train healthcare staff on the proper use and maintenance of the equipment. @topic:3


2 - 5. page 4 - 8 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 3 power supply ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 3 power supply ( a model beds ) tools required : 13 mm socket ratchet extension, 6 " removal 1. set the brakes. 2. raise the head section to the high position. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. remove the two screws ( a ) and washers ( b ) securing the cover ( c ) to the power supply ( d ) ( see figure 4 - 3 on page 4 - 9 ). figure 4 - 3. power supply careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 9 4. 3 power supply ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures 5. remove the cover ( c ). 6. note the routing and connection of the cables in the power supply. 7. disconnect the ac power cable ( e ) from the fuse board ( f ) ( see figure 4 - 4 on page 4 - 10 ). figure 4 - 4. cable routing i h k 8. disconnect the cables ( h ) from the power supply rc. board ( i ). 9. disconnect the two ground wires ( g ) from the fuse board ( f ). 10. disconnect the battery cable ( j ) from power supply p. c. board ( i ). 11. disconnect the transformer power supply cable ( f ) from the interface p. c. board @topic:26


# # # issue : equipment failure ( monitor shutdown ) # # # impact : diagnostic and monitoring capabilities affected, patient safety compromised # # # possible causes : - * * loose main cable : * * the scenario indicates that a loose main cable was identified and addressed. - * * power supply failure : * * malfunctions in power supply components or external power sources can cause the equipment to shut down. - * * software issues : * * software glitches, updates, or conflicts can lead to system failures. - * * hardware malfunction : * * faulty circuit boards, sensors, or other hardware components can cause unexpected shutdowns. # # # recommendations : - * * proper cable connections : * * ensure that all cables are securely connected, especially critical power cables. - * * power supply inspection : * * check for any loose connections, damaged wires, or faulty power supplies. - * * software updates : * * apply software updates as recommended by the manufacturer to address bugs and improve stability. - * * hardware troubleshooting : * * perform diagnostics to identify and replace faulty components if necessary. - * * regular maintenance : * * establish a regular maintenance schedule to inspect and test equipment for potential issues. @topic:11


sp0 2, is connected to a host monitor with the same measurement already active, the sp0 2 measurement on the x2 or mp5 is deactivated and the meas. deactivated inop is displayed. the measurement can only be reactivated if the x2 or mp5 is disconnected from the host monitor. the label conflict can be resolved on the host monitor like any other label conflict. to resolve a label conflict : 1 select the measurement selection key or select main setup - > measurement selection to display the measurement selection window. 2 select the device whose label you want to correct. 3 use the measurement selection pop - up keys to resolve the conflict. select either : - change label : to assign a different label to the conflicting label - de - activate : to disable the conflicting device. it retains its label for future use but becomes invisible to the monitor, as though it had been unplugged. when the device has been deactivated the question marks under the measurement selection key will be replaced by xxx. - setup measurement label > : to enter the setup menu for the measurement and change the conflicting device ’ s label to a different label. - modify driver ( vuelink / intellibridge only ) : - to modify the device driver setup to disable the conflicting device ’ s label. label compatibility when a new measurement is introduced, or new labels for an existing measurement, these labels will not be shown on older information centers, and consequently not on the overview screen sourced from the information center. when a patient is transferred from a monitor with these new labels to one with an older software revision, the labels will be replaced with a generic label for that measurement. if it is critical that the measurement labels are available at the information center and after transfers, the older monitors and the information center must be upgraded to the appropriate software revision. mp20 / 30 / 40 / 50 / @topic:10


* * issue : * * the screen of the bdms 01 medical cart is blank when the device is not in use. * * impact : * * the blank screen prevents healthcare professionals from using the device to access patient information, monitor vital signs, or administer medications, which can delay or hinder patient care. * * possible causes : * * - * * power supply issue : * * the power supply to the screen may be interrupted, causing it to shut off. this could be due to a faulty power cable, loose connection, or internal electrical failure. - * * screen hardware malfunction : * * the screen itself may be defective, leading to a blank display. this could be due to a damaged lcd panel, faulty backlight, or other hardware issues. - * * software issue : * * the operating system or device drivers may be experiencing a software glitch that is preventing the screen from displaying properly. - * * settings issue : * * the power - saving settings may be configured to turn off the screen after a period of inactivity. * * recommendations : * * 1. * * check the power supply : * * ensure that the power cable is securely connected to both the device and the power outlet. check for any damage to the cable or the power outlet. 2. * * inspect the screen hardware : * * examine the screen for any physical damage, such as cracks or scratches. check for loose connections or damaged components inside the device. 3. * * troubleshoot the software : * * restart the device and check if the screen issue persists. if it does, update the operating system and device drivers to the latest versions. 4. * * adjust power - saving settings : * * go to the power management settings and modify them to prevent the screen from turning off automatically when not in use. 5. * * contact the manufacturer : * * if all @topic:13


# # # issue - difficulty selecting functions on the touchscreen # # # impact - inaccurate or delayed patient monitoring - frustration and inconvenience for healthcare providers # # # possible causes - * * improper calibration * * : the touchscreen may not have been calibrated correctly during the repair, resulting in inaccurate touch detection. - * * hardware malfunction * * : the touchscreen may have physical damage or a defective component that is interfering with its functionality. - * * software glitch * * : a software issue may be preventing the touchscreen from responding correctly to inputs. - * * user error * * : the user may be unfamiliar with the device or may not be using it correctly. # # # recommendations - * * recalibrate the touchscreen * * : ensure that the touchscreen is calibrated according to the manufacturer's instructions. - * * inspect the hardware * * : check for any visible damage or loose connections. if necessary, replace any faulty components. - * * update the software * * : if available, install the latest software updates to address any software glitches. - * * provide user training * * : ensure that all users are properly trained on the device's operation to minimize user error. @topic:2


# # # issue - screen is blank - no vital sign readings # # # impact - inability to monitor patient's vital signs - delays in diagnosis and treatment # # # possible causes - faulty wiring or loose connections - damaged or malfunctioning monitor - power supply issues # # # recommendations - check and tighten all connections between the monitor and its modules - test the monitor with a known - good power supply - if the issue persists, contact the manufacturer for further troubleshooting and repair @topic:2


# # # issue - battery failure # # # impact - the bed may not be able to function properly, which could pose a safety hazard to the patient. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged due to improper handling or storage. - the battery may not have been properly installed. # # # recommendations - replace the battery with a new one. - inspect the battery for any damage. - ensure that the battery is installed properly. @topic:9


oxygen tank holder attaches to the bed in a vertical position. the oxygen tank holder accommodates one e - size oxygen ta nk with a regulator. the mounting points are located at each corner of the bed and pennit the affixed oxygen tank holders to pivot. warning : if the oxygen tank holder is placed at the foot end of the bed, make sure the knee up / down controls are locked out. failure to do so can cause caregiver, patient, or visitor injury if the foot section fully lowers and the holder becomes dislodged from the bed. installation 1. install the mounting bar vertically into an equipment socket at any corner of the bed. 2. place one e - size oxygen tank in the holder. 3. tighten the holder thumbscrew. note : the thumbscrew keeps the oxygen tank from rotating in the holder. removal 1. loosen the thumbscrew that holds the ta nk securely in the holder. 2. lift the tank out of the holder. 3. lift up on the tank holder, and remove it from the equipment socket. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 7 - 3 7. 3 iv pole — p2217 chapter 7 : accessories 7. 3 iv pole — p2217 tools required : none the iv pole is a removable, telescopic pole that installs at any of the four comers of the system in the holes provided. warning : do not exceed iv rod weight capacity, personal injury or equipment damage could result. warning : when lowering the upper section of an iv rod, always grasp and hold the upper section of the pole before pulling the release knob. failure to do so could cause personal injury or equipment damage. installation install the iv rod in an equipment socket at any corner of the bed. removal reverse the installation procedure to remove the iv rod. page @topic:26


# # # issue - the cause of failure is not clear from the given information. # # # impact - the impact of the failure is not clear from the given information. # # # possible causes - the battery may have been installed incorrectly. - the battery may be defective. - the battery may not be compatible with the device. # # # recommendations - verify that the battery is installed correctly. - test the battery to ensure that it is functioning properly. - replace the battery with a compatible battery. @topic:11


the charging time when the battery led turns green i. e. the battery is > 90 % charged, switch on the monitor and open the battery status window. check that the battery fully charged message is displayed. 3 disconnect the monitor from ac power, and let the monitor run until the battery is empty and the monitor switches itself off 4 reconnect the monitor to ac power and charge the battery until it is full for use or charge to 50 % for storage. battery conditioning with an externai charger you can use the 865432 smart battery conditioner for external battery conditioning. for details please see the ifu for the smart battery conditioner. use only the 865432 smart battery conditioner. after installation, testing or repair before handing the patient monitor over to the end - user, make sure it is configured appropriately and that it is in monitoring mode. ensure that the user receives the current revision of the monitor documentation. 102 4 troubleshooting introduction this section explains how to troubleshoot the monitor if problems arise. links to tables that list possible monitor difficulties are supplied, along with probable causes, and recommended actions to correct the difficulty. how to use this section use this section in conjunction with the sections testing and maintenance and tarts. to remove and replace a part you suspect is defective, follow the instructions in the section repair and disassembly. the theoy of operation section offers information on how the monitor functions. who should perform repairs only qualified service personnel should open the monitor housing, remove and replace components, or make adjustments. if your medical facility does not have qualified service personnel, contact philips ’ response center or your local philips representative. warning high voltage - voltages dangerous to life are present in the instrument when it is connected to the mains power supply. do not perform any disassembly procedures ( other than server and extension removal ) with power applied to @topic:11


##8001a / m8002a ) patient monitor has a 10 - inch tft lcd flat panel svga display. the standard input devices for the mp30 are the touchscreen and integrated navigation point ; the mp20 is supplied with an integrated navigation point only. up to six waves can be shown on mp20 / mp30 screens ( usa - up to four waves ). 12 ecg traces can be shown on the 12 - lead ecg screen. the mp20 / mp30 can be connected to one of the multi - measurement modules ( mms ) and any one of the mms extensions. there is an optional built - in recorder. the flexible module rack ( m8048a ) and all plug - in modules cannot be used with the mp20 / mp30. with an optional interface board bispectral index ( bis ) monitoring is possible. mp20 junior and mp20l are options of mp20 ( m8001a ) and are included in the descriptions of mp20 in these instructions for use. 2 introducing the intellivue family 1 basic operation mp20 / mp30 major parts and keys mp20 / mp30 left side 1 color - coded alarm lamps 2 alarms off lamp 3 model indicator 4 ecg out 5 navigation point 6 part number and serial number 7 mounting quick - release lever ( when this is pressed the monitor is not fixed on the mounting ) mp20 / mp30 front panel 1 2 3 4 5 6 7 on / standby switch on / standby led error led battery status led ac power operation led “ read the documentation ” symbol mounting quick - release lever ( when this is pressed the monitor is not fixed on the mounting ) mp20 / mp30 led colors and their meanings on / standby led green when monitor is switched on error led red if there is a problem with the monitor battery led green, yellow, and red. see the @topic:10


# # # issue - equipment : nibp monitor - brand : ge healthcare - model : dinamap procare 100 - cause of failure : error code e83 # # # impact - the nibp monitor cannot measure blood pressure accurately. # # # possible causes - the connector is loose. - the pressure transducer is faulty. - the software is corrupted. # # # recommendations - check the connector and tighten it if necessary. - replace the pressure transducer. - reinstall the software. @topic:15


# # # issue : adaptor charge has a problem. # # # impact : physiologic monitor is not able to be used. # # # possible causes : - the adaptor charge is not the correct type for the monitor. - the adaptor charge is not properly connected to the monitor. - the adaptor charge is damaged. # # # recommendations : - check that the adaptor charge is the correct type for the monitor. - make sure that the adaptor charge is properly connected to the monitor. - replace the adaptor charge if it is damaged. @topic:11


# # # issue - monitor is unable to measure blood pressure ( bp ) and displays an " unplug " error message. # # # impact - patient's bp cannot be accurately monitored, leading to potential patient safety risks and inaccurate clinical decision - making. # # # possible causes - * * malfunctioning internal air pump : * * the air pump responsible for inflating the bp cuff may have failed, preventing the monitor from taking accurate readings. - * * loose or disconnected air hose : * * the air hose connecting the air pump to the bp cuff may have become loose or disconnected, causing the monitor to detect an " unplug " error. - * * defective bp cuff : * * the bp cuff itself may be damaged or defective, preventing it from sealing properly and allowing for accurate bp measurements. - * * software error : * * a software issue within the monitor may be causing the " unplug " error to appear even when the air pump and air hose are functioning properly. # # # recommendations - * * replace the internal air pump : * * if the air pump is determined to be faulty, it should be replaced with a new one to restore the monitor's bp measurement functionality. - * * inspect and reconnect the air hose : * * ensure that the air hose is securely connected to both the air pump and the bp cuff. if the hose is damaged or frayed, it should be replaced. - * * test the bp cuff : * * use a different bp cuff to check if the issue persists. if the bp measurements are accurate with a different cuff, the original cuff may be defective and should be replaced. - * * update software : * * if the issue is suspected to be software - related, contact the manufacturer or authorized service provider to inquire about software updates or patches that may resolve the problem. @topic:14


# # # issue - lcd monitor has fallen from its stand, resulting in a low position. # # # impact - the monitor cannot be manually adjusted to a higher position. # # # possible causes - the cause of failure is not specified in the provided input. however, possible causes may include : - loose or damaged screws holding the monitor to the stand - faulty or damaged stand - physical impact or trauma # # # recommendations - the technician has already performed the following actions : - removed all mounting screws - reattached the monitor to the stand - adjusted the monitor's position - tightened the mounting screws - verified that the monitor is functioning properly - to prevent similar incidents in the future, it is recommended to : - regularly inspect the mounting screws and tighten them as necessary - use a stable and secure stand - handle the monitor with care and avoid physical impact @topic:2


# # # issue - plug on the back of the central monitor is loose. # # # impact - the central monitor screen goes black. # # # possible causes - the plug was not properly connected. - the plug was damaged. - the socket on the back of the central monitor was damaged. # # # recommendations - check the plug to make sure it is properly connected. - if the plug is damaged, replace it. - if the socket on the back of the central monitor is damaged, contact the manufacturer for repair. @topic:2


# # # issue * device is shutting down frequently # # # impact * interruption of patient monitoring * potential patient safety risks # # # possible causes * auto sleep setting was enabled * software bug * hardware failure # # # recommendations * disable auto sleep setting * update software to the latest version * contact manufacturer for technical support @topic:11


# # # issue - electric bed footrest is stuck in the up position. # # # impact - the patient may be unable to get into or out of bed comfortably. - the patient may be at risk of falling if they try to get out of bed with the footrest up. # # # possible causes - mechanical failure of the footrest mechanism - electrical failure of the footrest motor - software glitch in the bed's computer # # # recommendations - reset the bed's computer. - check the footrest mechanism for any obstructions or damage. - test the footrest motor to see if it is functioning properly. - contact the bed's manufacturer for further assistance if needed. @topic:1


# # # issue - unable to establish a link between the bedside monitor and the central monitoring system. # # # impact - limited visibility and remote monitoring of patient vital parameters. - reduced efficiency in patient monitoring and management. # # # possible causes - malfunctioning central monitoring server - incorrect configuration of ci ( communication interface ) address on the bedside monitor - network connectivity issues between the bedside monitor and the central server - software or firmware compatibility issues between the bedside monitor and the central server # # # recommendations - verify the functionality of the central monitoring server. - ensure that the correct ci address is configured on the bedside monitor. - check network connectivity between the bedside monitor and the central server. - update software or firmware on both the bedside monitor and the central server if necessary. @topic:16


# # # issue - equipment failure : bed, electric # # # impact - inability to adjust bed position - potential patient discomfort or injury # # # possible causes - loose remote control cable # # # recommendations - * * immediate actions : * * - inspect and tighten the remote control cable - verify bed functionality - * * preventive measures : * * - regularly inspect the remote control cable for signs of wear or damage - ensure proper training and handling of the bed to prevent cable damage @topic:7


# # # issue - cuff size 11 velcro is worn out, causing the cuff to pop off and making it impossible to measure blood pressure. # # # impact - inability to accurately measure patient's blood pressure. # # # possible causes - cuff size 11 may not be the appropriate size for the patient. - velcro may have been damaged during use or cleaning. - cuff may have been stored improperly. # # # recommendations - verify that cuff size 11 is the correct size for the patient. - replace the cuff if it shows signs of wear and tear. - ensure that the cuff is stored properly to prevent damage. - train staff on proper use and care of blood pressure cuffs. @topic:3


# # # issue the power cord of the casmed 740 physiologic vital signs monitor was damaged. # # # impact the monitor was not able to function properly. # # # possible causes * physical damage to the cord ( e. g., cuts, abrasions, etc. ) * electrical failure within the cord * loose connection at either end of the cord # # # recommendations * replace the damaged power cord with a new one. * ensure that the new cord is securely connected to both the monitor and the power source. * regularly inspect the power cord for any signs of damage. @topic:2


# # # issue the lock on the bed's side rails is loose. # # # impact the patient may fall out of the bed if the lock is not fixed. # # # possible causes * the lock is not properly tightened. * the lock is damaged. * the side rails are not properly aligned. # # # recommendations * tighten the lock. * replace the lock if it is damaged. * adjust the side rails so that they are properly aligned. @topic:6


# # # issue - the xltek protektor 64 channel failed to join the hospital's domain. # # # impact - * * impact 1 : * * the medical device could not be accessed by the hospital's clinical staff. - * * impact 2 : * * patient data could not be stored securely on the hospital's network. # # # possible causes - * * possible cause 1 : * * the device was not properly configured to join the domain. - * * possible cause 2 : * * the hospital's network was not properly configured to allow the device to join the domain. - * * possible cause 3 : * * a software issue on the device or the network prevented the device from joining the domain. # # # recommendations - * * recommendation 1 : * * verify that the device is properly configured to join the domain. - * * recommendation 2 : * * verify that the hospital's network is properly configured to allow the device to join the domain. - * * recommendation 3 : * * contact the device manufacturer or the hospital's it department for assistance with troubleshooting the software issue. @topic:16


##s, an applied part leakage current test must be performed before it is used again for monitoring. 202 5 repair and disassembly ) mms extensions - exchanging the top cover, msl fiex cabie and the duai link bar this section describes the exchange procedures for : • the top cover with new release mechanism • the dual link bar incl. the msl flex cable. for all mms extension ( mse ) types ( m3012a, m3014a, m3015a, m3016a ). dual link bar msl connector ( msl flex cable inside the dual link bar ) top cover 41 exchange procedures note please follow the disassembly and reassembly steps closely. tools required : a thin - bladed screwdriver and a thick - bladed screwdriver, esd mat and wrist strap warning • do not open the mse while it is connected to a monitor. • parts inside the instrument may be contaminated with bacteria. protect yourself from possible infection by wearing examination gloves during this procedure. note once you have reassembled the mse, you must perform a performance check on it. please refer to the " testing and maintenance " chapter of this service guide. 203 [ 5 repair and disassembly ] removing the front cover 1 position the thin - bladed screwdriver in the small slot provided for this purpose. the front cover ( bezel ) then clicks away from the extension. remove the front cover note there might be a slight resistance when you remove the front cover. removing the mounting pin 1 position the mse on the dual link bar with the measurement connector hardware facing upwards and the arm of the dual link bar away from you. there are four long mounting pins threaded into the mse in each of the four corners under the cover. locate the heads of the two long mounting pins on the top housing @topic:19


# # # issue - the bed is making a loud noise # # # impact - the noise may be disturbing to patients and staff - the noise may indicate a problem with the bed that could lead to failure # # # possible causes - the bed may not have been properly lubricated - the bed may have a loose or damaged part - the bed may be overloaded # # # recommendations - lubricate the bed according to the manufacturer's instructions - inspect the bed for any loose or damaged parts - ensure that the bed is not overloaded @topic:9


# # # issue - equipment malfunction due to broken cable. # # # impact - patient monitoring may be compromised, leading to potential delays in diagnosis and treatment. # # # possible causes - physical damage to the cable due to mishandling or wear and tear. - loose connections at the cable terminals. - internal cable defects due to manufacturing or material issues. # # # recommendations - * * inspect cables regularly : * * check for any signs of damage, loose connections, or wear. - * * proper handling and storage : * * ensure cables are handled carefully and stored in a designated area to prevent damage. - * * preventive maintenance : * * schedule regular equipment maintenance to identify and address potential issues before they cause failure. - * * replace damaged cables : * * if a cable is found to be damaged, it should be replaced with a compatible replacement immediately. - * * use high - quality cables : * * invest in durable and reliable cables that meet industry standards. - * * train staff on proper usage : * * educate staff on how to handle and store equipment to minimize the risk of cable damage. @topic:2


must ensure that it is used in such an environment. emissions test compuanc e avoiding electromagnetic interference radio frequency ( rf ) emissions group 1 the monitor uses rf energy only for its internal function. therefore, its rf emissions are very low and are not likely to cause any interference in nearby electronic equipment rf emissions cispr 11 class a the monitor is suitable for use in all establishments other than domestic and those directly connected to the public low - voltage power supply network that supplies buildings used for domestic purposes harmonic emissions lec 61000 - 3 - 2 n / a voltage fluctuations lec 61000 - 3 - 3 n / a warning the monitor should not be used next to or stacked with other equipment. if you must stack the monitor, you must check that normal operation is possible in the necessary configuration before you start monitoring patients. 245 [ 7 installation instructions ] installation checklist use this checklist to document your installation. please file this installation record step task check box when task done 1 perform initial inspection of delivery, unpack and check the shipment o 2 mount the monitor as appropriate for your installation o 3 connect the monitor to ac mains using the supplied power cord o 4 perform visual, power on and functional test blocks o 5 perform safety tests, if required by local laws and regulations o 6 load paper into the recorder, if present o 7 check / set the time and date o 8 check that the country - specific default settings are appropriate o 9 perform system test as necessary o unpacking the equipment your equipment will arrive in a carton similar to the ones pictured below. all components of the monitoring system are consolidated into a single packing crate. the user documentation is provided in a separate package. the contents of the monitoring system crate depend on the options you have purchased. in addition to the monitor it can contain the following : • mms and user manuals • parameter modules • mms extensions and accessories in the unlikely @topic:10


# # # issue - electric bed is unable to adjust its height. # # # impact - patients may not be able to get in or out of bed safely. - caregivers may have difficulty providing care to patients. # # # possible causes - the keypad cable is pinched by the side rails. # # # recommendations - re - route the keypad cable so that it is not pinched by the side rails. - test the bed to ensure that it is functioning properly. @topic:32


# # # issue - central monitor is not printing # # # impact - inability to print patient data or reports # # # possible causes - paper jam - ink cartridge empty - printer driver not installed properly - printer cable loose or damaged - power supply issue - software issue - computer settings not configured correctly # # # recommendations - check for paper jam and clear if necessary - check ink cartridge level and replace if empty - install or update printer driver - ensure printer cable is securely connected - check power supply and ensure it is providing adequate voltage - update software or troubleshoot any software issues - verify computer settings and ensure they are configured correctly for printing @topic:28


# # # issue the cuff of the physiologic monitor ( bedside ) by philips, model intellivue mp70 ( m8007a ) is not staying attached. # # # impact this issue can lead to inaccurate readings, which can compromise patient safety. # # # possible causes - the cuff may be too loose or too tight. - the cuff may be damaged or defective. - the monitor may be malfunctioning. - the cuff may not be compatible with the monitor. # # # recommendations - check that the cuff is the correct size for the patient. - inspect the cuff for any signs of damage, such as tears or holes. - replace the cuff if it is damaged or defective. - test the monitor to ensure that it is functioning properly. - verify that the cuff is compatible with the monitor. @topic:5


# # # issue - the electric bed is not functioning properly. # # # impact - the bed cannot be adjusted up or down, making it difficult for patients to get in and out of bed. - the bed cannot be raised or lowered to assist with patient care, such as bathing or dressing. # # # possible causes - the bed frame is damaged. - the bed motor is not working properly. - the bed controls are not functioning properly. - the bed rails are damaged or missing. # # # recommendations 1. * * inspect the bed frame. * * look for any cracks, dents, or other damage. if the frame is damaged, it will need to be replaced. 2. * * test the bed motor. * * try to raise and lower the bed using the controls. if the motor is not working properly, it will need to be repaired or replaced. 3. * * check the bed controls. * * make sure that the controls are properly connected and that the buttons are working properly. if the controls are not functioning properly, they will need to be repaired or replaced. 4. * * inspect the bed rails. * * make sure that the bed rails are properly attached and that they are not damaged. if the bed rails are damaged or missing, they will need to be replaced. @topic:9


# # # issue - the monitor is failing to power on. # # # impact - the monitor cannot be used to monitor patient vital signs. # # # possible causes - the battery is not properly connected. - the power supply is not functioning properly. - the monitor's internal circuitry is damaged. # # # recommendations - check the battery connection and ensure that it is secure. - inspect the power supply and ensure that it is providing power to the monitor. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:2


# # # issue the cause of failure is not clearly defined. # # # impact the technician is unable to determine the reason the bed is not working properly. # # # possible causes - the technician may not have the necessary training or experience to diagnose the problem. - the bed may have a manufacturing defect. - the bed may have been damaged during transport or installation. - the bed may not be compatible with the hospital's electrical system. # # # recommendations - the technician should consult with a more experienced technician or engineer to diagnose the problem. - the technician should check the bed's manual for troubleshooting tips. - the technician should contact the manufacturer of the bed for assistance. - the technician should check the hospital's electrical system to ensure that it is compatible with the bed. @topic:9


canada. operation is subject to the following two conditions : ( 1 ) this device manot cause harmful interference, and ( 2 ) this device must accept any interference received, including interference that may cause undesired operation. any changes or modifications to this equipment not xpressly approved by philips medical systems may cause harmful radiofrequency interference and void your authority to operate this equipment. the radio device used in this product is in compliance with the essential requirements and other relevant provisions of directive 1999 / 5 / ec ( radio equipment and telecommunications terminal equipment directive ). class 2 radio equipment. member states may apply restrictions on putting this device into service or placing it on the market. this product is intended to be connected to the publicly available interfaces ( pai ) and used throughout the eea. intellivue instrument telemetry wmts ( us only ) fcc radio compliance : this device complies with part 15 of the fcc rules. operation is subject to the following two conditions : ( 1 ) this device may not cause harmful interference, and ( 2 ) this device must accept any interference received, including interference that may cause undesired operation. operation of this equipment requires the prior coordination with a frequency coordinator designated by the fcc for the wireless medical telemetry service. 463 40 specifications monitor performance specifications mx400 / 450 / 500 / 550 performance specifications | mx400 / 450 / 500 / 550 power specifications power consumption 70 w averagine voltag00 to 240 v current 1. 2 to 0. 5 a 0 / 60 hfrequency battery specifications basic monitoring configurations 5 hours mx400 operating time ( with one fully harged battery ) ( brightness is set to optimum, mms connected, nbp extended monitoring configuration : 3. 5 hours ( brightness set to optimum, mms and mms extension connected, nbp every 15 minutes, recorder, pressure @topic:10


# # # issue cuff bp leak # # # impact - inaccurate blood pressure readings - patient discomfort - potential for patient harm if blood pressure is not accurately monitored # # # possible causes - cuff is old and worn - cuff is not properly inflated - cuff is damaged - blood pressure tubing is kinked or damaged - blood pressure sensor is malfunctioning # # # recommendations - replace cuff with a new one - ensure that cuff is properly inflated - inspect cuff for damage and replace if necessary - inspect blood pressure tubing for kinks or damage and replace if necessary - test blood pressure sensor and replace if malfunctioning @topic:3


radio x x 1 contact hillrom customer care to purchase the optional respiration rate software license : 7000 - rrp masimo mx5 rrp csm license. 2 configurations 73re, 73rt, 73rx, 74re, 74rt, 74rx, 75re, 75rt, and 75rx come with masimo spo2 and rrp. 3 this configuration comes with either masimo, nonin, or nellcor. 4 contact hillrom customer care to purchase the optional bluetooth low energy software license : 108060ble csm 7300 ble license. standard with this model. model. hardware upgrade available only for this model. hardware upgrade available only on a service manual nstall optionall internal option installations entail opening the device case and performing some disassembly. because this process requires disconnecting internal components, welch allyn requires that the device undergo a full functional test after reassembly and before placing the device back in service. before installing a new option, read information about removing the option in " disassembly and repair. " after familiarizing yourself with the process, follow the instructions in the disassembly section. upgrading software with the welch allyn service tool the connex spot monitor and the welch allyn service tool ( wast ) interact through ethernet over usb technology, enabling the monitor to function as a usb device with both a network and an ip address. this connection separates logically into two distinct interfaces : a generic usb serial connection and a remote network driver interface specification ( rndis ) network interface, which is a microsoft windows driver. most interactions between the wast and the connex spot monitor take place over the generic usb serial connection. in contrast, software upgrades require the rndis interface for the device to connect the wast and download the firmware. during software upgrade, @topic:10


* * possible causes * * * * * original equipment manufacturer ( oem ) defect : * * the original spring may have been defective or not properly manufactured. * * * wear and tear : * * over time, the spring may have become weak or damaged due to repeated use. * * * improper installation : * * the spring may have been incorrectly installed during previous maintenance or repairs. * * * environmental factors : * * extreme temperatures, humidity, or vibrations could have affected the spring's integrity. * * * user error : * * the equipment may have been handled or used improperly, putting excessive strain on the spring. * * recommendations * * * * * use high - quality oem parts : * * always use genuine oem parts to ensure compatibility and durability. * * * regular maintenance : * * regularly inspect the equipment, including the springs, for wear or damage. * * * proper installation : * * ensure that the spring is properly installed and tightened according to the manufacturer's instructions. * * * environmental control : * * store and use the equipment in a controlled environment to minimize environmental impact. * * * training : * * provide adequate training to users on the proper handling and use of the equipment to prevent unnecessary stress on the spring. @topic:6


. note ill be heard • pump 258 15 monitoring airway flow, volume and pressure if the purge does not sufficiently clear the flow tubing lines, the flow sensor should be replaced • with each purge cycle, a zero calibration is automatically performed • adult mode the system automatically purges the sensor tubing every ten minutes or less, depending on system conditions. in adult mode, the system will purge both sides of the line, one at a time, during each purge cycle. the higher the pressure, the more frequent the purging. this action anticipates increased moisture migration into the sensor tubing due to the increase in circuit ressure. neonatal and pediatric modes the automatic purge cycles used in the neonatal or pediatric mode is fixed at every three minutes regardless of circuit pressure. only one side of the sensor tubing will be purged during each purge cycle. unlike the adult purge mode, the neonatal or pediatric purge mode does not use the full force of the internal pump, but rather pressurizes an internal reservoir which is used for the purge. this minimizes the pressure delivered to the ventilator circuit, but does deliver a sufficient pressure to purge the sensotubing. anual purginoccasionally, purging may be required in between the automatic purge cycles. the manual purge mabe used as often as needed. check the orientation of the flow sensor if repeated manual purge cycles become necessary. o manually purge, press the purge button on the module ( marked by on international versions of the module ) or select purge in the setup spirometry window to initiate a combined purge and zero cycle. gas compensation temperature and the proportions of individual gases influence the flow measurement. if values seeinaccurately high or low, check that the monitor is using the appropriate gas compensation. gas compensation can be done using either manually entered gas concentrations or gas concentrations from @topic:17


# # # issue - headrest adjustment failure # # # impact - patient discomfort - difficulty in positioning patient for procedures - delays in patient care # # # possible causes - faulty relay - damaged headrest adjustment mechanism - misalignment of headrest assembly - electrical fault in control circuit - software glitch # # # recommendations - verify the relay replacement and ensure proper operation. - inspect the headrest adjustment mechanism for damage or wear. - calibrate the headrest assembly to ensure proper alignment. - check electrical connections and test control circuit for continuity. - update software if necessary. @topic:1


# # # issue equipment malfunction due to incorrect settings. # # # impact - delayed or inaccurate patient monitoring - potential for adverse patient outcomes - increased workload for clinical staff - reduced trust in the equipment # # # possible causes - incorrect settings for auto nbp interval - lack of user training or understanding of the equipment - software or hardware malfunction # # # recommendations - verify and correct the auto nbp interval settings according to the manufacturer's specifications. - provide adequate training to users on the proper operation and use of the equipment. - troubleshoot and resolve any underlying software or hardware malfunctions. - implement regular maintenance and calibration schedules to prevent future issues. - consider using automation tools or checklists to ensure accurate settings and reduce human error. @topic:2


# # # issue - the remote control of the electric bed cannot be used to adjust the headrest up and down. # # # impact - the patient's headrest cannot be adjusted to a comfortable position. # # # possible causes - the cable connecting the remote control to the bed is loose or damaged. - the remote control is defective. - the bed's motor or control system is malfunctioning. # # # recommendations - check the cable connecting the remote control to the bed for damage or loose connections. - if the cable is damaged, replace it. - if the cable is loose, tighten the connections. - if the remote control is defective, replace it. - if the bed's motor or control system is malfunctioning, contact the manufacturer for repair or replacement. @topic:1


# # # issue - swapped ear thermometer # # # impact * inaccurate temperature readings * potential for misdiagnosis and incorrect treatment # # # possible causes * mistake during equipment maintenance or repair * misidentified or misplaced ear thermometer * improperly labeled ear thermometer * * note * * : it is also possible that the cause of failure is not listed in the provided information. # # # recommendations - ensure proper equipment labeling and tracking - conduct regular equipment inspections and maintenance - train staff on proper equipment handling and storage procedures - establish clear protocols for equipment repair and replacement @topic:20


* * issue : * * central monitor has failed. * * impact : * * the central monitor is a critical piece of equipment in the hospital, and its failure can have a significant impact on patient care. * * possible causes : * * * power supply interruption * equipment malfunction * software error * user error * * recommendations : * * * check the power supply to the central monitor. * inspect the central monitor for any signs of damage. * update the software on the central monitor. * provide training to users on the proper use of the central monitor. @topic:2


# # # issue - battery replacement # # # impact - device malfunction or failure # # # possible causes - incorrect battery type or capacity - improper battery installation - battery not fully charged - battery not compatible with device # # # recommendations - use the correct battery type and capacity as specified by the device manufacturer. - follow the device manufacturer's instructions for battery installation. - charge the battery fully before use. - ensure that the battery is compatible with the device. @topic:11


. 7. 18. press the knee down control until knee section is in the horizontal position. press the dining chair® position control. the head section and knee section rise until the required position is reached. yes no i - > go to rap 2. 5. 19. press the bed flat control. the head section, knee section and foot section return to the horizontal position. yes no i - > go to rap 2. 5. 20. press the bed up control until the intennediate position is reached, and then operate the trendelenburg control. the sleep surface gradually tilts to maximum trendelenburg without any problem or abnormal noise. yes no i - > go to rap 2. 8. 21. press the reverse trendelenburg control. and then press or the audible careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 7 function checks chapter 2 : troubleshooting procedures the sleep surface gradually tilts to maximum reverse trendelenburg without any problem or abnonnal noise. yes no i - > go to rap 2. 8. 22. plug the bed into an appropriate power source. set the brakes to the neutral position. an audible alarm can be heard. yes no i - > go to rap 2. 9. 23. set the brakes. the audible alann stops sounding. yes no i - > go to rap 2. 9. 24. press the head up control until the section reaches the high position. note : someone should be lying on the bed so that this test can be carried out conclusively. pull one of the cpr control handles. the head section descends quickly to the mid position, then slows until the horizontal position is reached. the movement occurs without any problem or abnonnal noise. repeat for the other cpr control handle. yes no i - > go to rap 2 @topic:9


# # # issue - bed is unable to adjust downwards - noise is present during operation - original bed was not returned to the ward # # # impact - patient discomfort - potential safety hazard - inconvenience for staff and patients # # # possible causes - mechanical failure of bed mechanism - electrical fault - improper installation or assembly - obstruction or interference with bed movement - incorrect configuration or settings # # # recommendations - inspect bed mechanism for signs of damage or wear - check electrical connections and wiring for any loose or broken wires - verify that the bed is properly installed and assembled according to manufacturer's instructions - remove any obstructions or interference that may be hindering bed movement - ensure that the bed is correctly configured and that all settings are appropriate @topic:1


# # # issue - the bed's side rails are not locking properly. # # # impact - this could pose a safety hazard to patients, as they could fall out of bed if the side rails are not properly secured. # # # possible causes - the locking mechanism on the bed may be damaged or malfunctioning. - the side rails may be misaligned or damaged. - the bed may be overloaded, which could put stress on the locking mechanism. # # # recommendations - inspect the bed's locking mechanism for any damage or malfunction. - check the alignment of the side rails and make sure they are not damaged. - weigh the bed to make sure it is not overloaded. - if the locking mechanism is damaged or malfunctioning, replace it. - if the side rails are misaligned or damaged, realign them or replace them. - if the bed is overloaded, remove some of the weight from the bed. @topic:6


# # # issue - broken leg rest. # # # impact - the issue with the leg rest may make it difficult for the patient to get into and out of the bed. it can also be uncomfortable for the patient. # # # possible causes - the leg rest may have been damaged due to improper use or maintenance. - the leg rest may have been made of a material that is not durable enough to withstand the weight of the patient. - the leg rest may have been designed in a way that makes it susceptible to damage. # # # recommendations - replace the leg rest with a new one that is made of a more durable material and is designed to withstand the weight of the patient. - train staff on how to properly use and maintain the bed. - inspect the bed regularly for any signs of damage. @topic:6


# # # issue * * equipment failure due to unauthorized borrowing. * * # # # impact * the hospital may experience a shortage of essential medical equipment. * the patient may experience discomfort or delayed treatment. # # # possible causes * the equipment was borrowed without authorization. * the equipment was not properly maintained or operated. # # # recommendations * implement a strict policy on equipment borrowing. * train staff on the proper use and maintenance of equipment. * establish a regular maintenance schedule for all equipment. @topic:12


: this shows the remaining battery power. it representing 20 % of the total power. if three and a half sections are filled, as in this example, this indicates that 70 % battery power remains. if no batteries are detected, the battery gauge is grayed - out. if no data is available from the batteries, question marks are shown in the gauge. monitoring time available : below the battery power gauge a time is displayed. this is the estimated monitoring time available with the current battery power. note that this time fluctuates depending on the system load ( the display brightness and how many measurements and recordings you carry out ), the age of the battery, and the remaining capacity of the battery. ) 3 : 40 hrs mp20 / 30 / 40 / 50 t is divided into sections, each 371 35 using batteries battery power indicators battery malfunction symbols : if a problem is detected with a battery, these symbols alternate with the symbol indicating the position of the battery affected. they may be accompanied by an inop message or by a battery status message in the monitor information line providing more details. symbols indicating critical situations are colored red. battery status symbols battery malfunction symbols 0 h = h a 10 10 01 battery is present battery compartments are empty battery requires maintenance incompatible battery ( battery 1 ) battery malfunction ( battery 1 ) battery 2 is missing, insert battery ( mp40 / 50 only ) y [ 1 1 01 battery is empty battery not charging as the temperature is above or below the specified range ( red ) battery temperature too high battery 2 has no power left mp20 / 30 / if both batteries are malfunctioning or incompatible, the monitor will switch off automatically for 40 / 50 safety reasons, if it is not connected to ac power. battery status window ♦ to access the battery status window and its associated pop - up keys, select the battery status information on the screen, @topic:11


# # # issue : bedside electric bed ( huntleigh 25800 e / l ) has a faulty bed rail. # # # impact : patient safety hazard. the bed rail is an important safety feature that prevents the patient from falling out of bed. if the bed rail is faulty, the patient could be at risk of injury. # # # possible causes : - the bed rail may have been damaged during use. - the bed rail may have been improperly installed. - the bed rail may be defective. # # # recommendations : - inspect the bed rail for any damage. if the bed rail is damaged, it should be replaced. - ensure that the bed rail is properly installed. - contact the manufacturer of the bed if the bed rail is defective. @topic:6


# # # issue - sat cable ( spo2 cable ) deterioration # # # impact - the vital signs monitor becomes inaccurate. # # # possible causes - continuous use of the sat cable without regular maintenance. - improper storage of the sat cable. # # # recommendations - inspect the sat cable regularly to check its condition. - replace the sat cable if it is damaged or deteriorated. - store the sat cable in a clean and dry environment when not in use. @topic:4


##respective of the model or type ), whether the patient should be monitored closely or immobilized and whether the patient helpers should be left in position, in order to ensure that patients use the bed in complete safety. certain national health authorities have issued guidelines risks to patients and the reduction of these hazards, as indicated below. it is recommended that patients at risk be identified in each establishment or ward so that the safety measures most appropriate to their particular needs can be implemented. one measure which has already proved effective is to draw up a protocol specifying : situations and conditions for siderail use and authorized mattress type or model, 1. 2. for all patient monitoring procedures, both for restrained and unrestrained patients, including during intervals, circumstances under which patients must be restrained according to the instructions and recommendations of the manufacturer of the said 3. the siderails are designed to help reduce the risk of patients falling out of bed accidentally. they are not designed to restrain or immobilize the patient. restraining straps or other devices must not be fastened to the half - length siderails ( e. g., straps ). recommendations for the mattresses hill - rom shall not be held liable for any problems occurring if the mattress used is not included in the list of equipment recommended by hill - rom ( see " references of recommended mattresses " page 29 ). use of a mattress thicker than the thickness recommended in " references of recommended mattresses ” page 29 may reduce the effectiveness of the siderails. thicker mattresses can increase the risk of falling and narrower mattresses can increase the risk of patients becoming trapped. in such cases, the patient must be monitored closely. the mattress label page 27 recommends the mattresses to be used for the best conditions of safety for the use of the hill - [UNK] 900, as assessed by the " hospital bed safety workgroup " guide and the standard en 6060 @topic:9


# # # issue - equipment malfunction # # # impact - nibp monitor is unable to measure blood pressure accurately, which can lead to incorrect diagnosis and treatment. # # # possible causes - damaged air hose - worn o - ring # # # recommendations - replace the damaged air hose. - replace the worn o - ring. - test the nibp monitor to ensure that it is functioning properly. @topic:15


# # # issue - device not connected to vsm ( vital signs monitor ) # # # impact - inability to transmit patient vital signs data to the central monitoring system - limited visibility into patient status for healthcare providers - potential delays in detection and response to critical events # # # possible causes - misconfiguration or malfunction of the vsm system - improper setup of the device's wifi connectivity - software or firmware issues with the device - physical damage to the device or its cables # # # recommendations - * * recheck vsm settings and configuration : * * ensure that the vsm system is enabled and properly configured. - * * verify wifi connectivity : * * confirm that the device is connected to the correct wifi network and that the signal strength is adequate. - * * update firmware and software : * * install any available updates to the device's firmware or software. - * * inspect for physical damage : * * check the device, cables, and connections for any signs of damage or wear. - * * consult vendor support : * * reach out to the manufacturer or vendor for technical assistance if the issue persists. @topic:16


# # # issue the electric bed experienced a failure due to a loose latch on the safety rail. # # # impact the loose latch prevented the safety rail from functioning properly, posing a potential safety hazard to patients. # # # possible causes * * 1. wear and tear : * * over time, the latch may become loose due to frequent usage and movement. * * 2. improper installation : * * the latch may have been incorrectly installed or tightened during assembly. * * 3. damage : * * the latch may have sustained damage from accidental impacts or excessive force. # # # recommendations to prevent similar failures in the future, the following recommendations are made : * * 1. regular inspections : * * conduct regular inspections of the bed and its components, including safety rails and latches. * * 2. proper maintenance : * * ensure that the latch is properly tightened and adjusted according to the manufacturer's specifications. * * 3. staff training : * * train staff on the proper operation and maintenance of the electric bed, emphasizing the importance of secure latches. * * 4. immediate reporting : * * promptly report any loose or damaged latches to maintenance personnel for repair or replacement. @topic:6