# # # issue - sat not detecting signal # # # impact - monitoring of patient vital signs is affected, potentially leading to delayed or missed diagnoses and treatment. # # # possible causes - * * faulty sat cable : * * the cable connecting the sat probe to the intellivue mp70 ( m8007a ) monitor may be damaged or malfunctioning, preventing the transmission of signals. - * * malfunctioning sat probe : * * the sat probe itself may be faulty, resulting in its inability to detect and measure oxygen saturation levels. - * * configuration issues : * * incorrect settings or calibration of the monitor or sat probe may prevent the proper detection of signals. - * * electrical interference : * * electromagnetic interference from nearby devices or equipment can disrupt the sat signal transmission. - * * damaged monitor input port : * * the input port on the intellivue mp70 ( m8007a ) monitor may be damaged, preventing it from receiving signals from the sat probe. # # # recommendations 1. * * replace sat cable : * * replace the existing sat cable with a new one to eliminate the possibility of a faulty cable. 2. * * troubleshoot sat probe : * * check the sat probe for any physical damage or loose connections. if necessary, replace the probe with a new one. 3. * * verify configuration settings : * * ensure that the monitor and sat probe are properly configured and calibrated according to the manufacturer's guidelines. 4. * * eliminate electrical interference : * * identify and remove any potential sources of electromagnetic interference in the vicinity of the monitor and sat probe. 5. * * inspect monitor input port : * * examine the input port on the intellivue mp70 ( m8007a ) monitor for signs of damage or debris. if necessary, clean or repair the port @topic:4


* * issue : * * - faulty ekg lead causing abnormal readings * * impact : * * - inaccurate patient monitoring - potential for misdiagnosis or delayed treatment * * possible causes : * * - broken or damaged ekg lead wires - loose connections - dirty or corroded electrodes * * recommendations : * * - replace the faulty ekg lead. - inspect all ekg lead wires for damage or fraying. - clean and maintain the electrodes regularly. - ensure proper connection between the ekg lead and the patient. - perform routine preventive maintenance to identify and address potential issues early on. @topic:18


# # # issue - broken spo2 cable # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - physical damage to the cable, such as being stepped on or pinched - wear and tear over time - manufacturing defect # # # recommendations - inspect the cable regularly for any damage - handle the cable with care - replace the cable if it becomes damaged - use high - quality cables from reputable manufacturers @topic:4


# # # issue - themedical cart is unable to boot into the windows operating system. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - the medical cart's boot device is not properly configured. - the medical cart's boot device is damaged. - the medical cart's motherboard is damaged. # # # recommendations - check the medical cart's boot device configuration. - replace the medical cart's boot device. - contact the medical cart manufacturer for further assistance. @topic:13


* * issue : * * monitor is not linking with the central system. * * impact : * * the failure of the monitor to link with the central system can impact the ability of medical professionals to monitor the patient's vital signs and make informed decisions about their care. * * possible causes : * * 1. * * incorrect ci address : * * the ci address is a unique identifier that allows the monitor to communicate with the central system. if the ci address is incorrect, the monitor will not be able to establish a connection. 2. * * server issues : * * the central system server may be experiencing technical difficulties that prevent it from communicating with the monitor. 3. * * network connectivity : * * the network connection between the monitor and the central system may be disrupted, preventing the exchange of data. 4. * * software glitches : * * software glitches within the monitor or the central system can cause communication errors, resulting in the inability to link. 5. * * hardware failure : * * physical damage to the monitor or the central system, such as a faulty component or loose connection, can prevent successful communication. * * recommendations : * * 1. * * verify ci address : * * ensure that the ci address configured in the monitor matches the address assigned by the hospital's it department. 2. * * check server status : * * contact the it team to verify the status of the central system server and resolve any technical issues. 3. * * inspect network connection : * * examine the physical network connections between the monitor and the central system to ensure they are secure and functioning properly. 4. * * restart devices : * * restart both the monitor and the central system to clear any temporary software glitches. 5. * * contact manufacturer : * * if the issue persists after trying the above steps, contact the manufacturer of the monitor for technical @topic:16


# # # issue - damaged ekg cable causing telemetry ekg module failure # # # impact - interruption of patient monitoring - delay in diagnosis and treatment - risk to patient safety # # # possible causes - physical damage to the cable due to : - user mishandling - wear and tear over time - exposure to harsh conditions - manufacturing defects - poor maintenance and care of equipment # # # recommendations - regular inspection and maintenance of ekg cables - proper handling and storage of cables - immediate replacement of damaged cables - training of staff on proper cable handling - establishment of a preventive maintenance schedule for all ekg equipment and accessories @topic:18


# # # issue - the medical cart's screen is displaying a reboot message. # # # impact - the medical cart cannot be used until the issue is resolved. # # # possible causes - the medical cart's operating system may have crashed. - the medical cart's hardware may be faulty. - the medical cart's power supply may be intermittent. - the medical cart's software may be out of date. # # # recommendations - reboot the medical cart. - check the medical cart's hardware for any damage. - check the medical cart's power supply for any loose connections. - update the medical cart's software to the latest version. - if the issue persists, contact the medical cart's manufacturer for further assistance. @topic:13


# # # issue : windows boot failure on medical cart # # # impact : - inability to use the medical cart due to boot failure # # # possible causes : - corrupted boot files - hardware failure ( e. g., faulty hard drive ) - software conflicts - bios settings preventing proper boot sequence # # # recommendations : - * * run diagnostics : * * perform hardware diagnostics to identify any potential hardware issues, such as a failing hard drive. - * * repair boot files : * * use system recovery tools to repair or replace corrupted boot files. - * * check bios settings : * * verify that the bios is configured to boot from the correct device ( e. g., hard drive ). - * * resolve software conflicts : * * identify and resolve any software conflicts that may be interfering with the boot process. - * * reinstall windows : * * if all other troubleshooting measures fail, consider reinstalling the windows operating system to restore the boot functionality. * * additional considerations : * * - ensure that any repairs or troubleshooting is performed by qualified biomedical engineers or technicians. - keep a detailed record of the troubleshooting steps and any repairs made for future reference. - consider implementing a regular maintenance schedule to prevent future boot failures and ensure the optimal performance of the medical cart. @topic:13


# # # issue - pump failure in a philips suressigns vs2 physiological monitor. # # # impact - inability to monitor vital signs accurately, potentially leading to delayed or inaccurate treatment. # # # possible causes - malfunctioning pump motor - loose or disconnected wires - obstruction in the air pathway - electrical fault - software issue # # # recommendations - * * inspect the pump motor and connections : * * ensure that the motor is functioning properly and that all connections are secure. - * * check the air pathway : * * ensure that there are no blockages or obstructions in the air intake or exhaust tubing. - * * inspect the electrical system : * * check for loose connections, damaged wires, or faulty components. - * * update software : * * if available, check for any software updates that may resolve the issue. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer for further troubleshooting assistance. @topic:15


all print requests which are stored in the print database are shown “ grayed out ” on the reports job list and will not be deleted with the delete all reports key. caution the reports job list includes privacy information, in the form of the patient name with the related report title and date. it is advisable to provide controlled access to this data to ensure confidentiality. printing manually those jobs shown in black will be printed automatically when a matching printer is available. if the auto print dbs setting is host only or never, some or all reports will not be printed automatically and will be shown in grey. any jobs shown in grey must be printed manually ; to do this, 1 in the reports job list, select the required report 2 select print report. selecting print all reps, will send all reports to the printer. printer status messages printer status message possible causes and suggested action print job queued for < printer name > the report has been placed in the queue for the named printer. print job could not be queued the printer queue is full and the monitor cannot accept another report request. wait until some more reports have been printed, then try again, or a report has been triggered that uses a paper size unavailable with the target printer. try another printer, if available, or change the paper size of the print request. cancelling all print jobs delete all reports has been selected in the report menu, or the operating mode has been changed from monitoring mode to demonstration or service mode. cancelling the active print job the current report is being cancelled as the result of a user request. 337 27 printing patient reports sample report printouts printer status message possible causes and suggested action cancelling n print j obs due to patient discharge when a patient is discharged, all queued reports are cancelled except those stored in the print database. “ n ” is the number of reports cancelled. deleted n print j ob @topic:28


# # # issue - knob of the monitor is missing # # # impact - the monitor cannot be used properly # # # possible causes - the knob might have been knocked off accidentally - the knob might have been loose and came off on its own # # # recommendations - replace the knob with a new one - tighten the knob securely to prevent it from coming off again @topic:2


# # # issue - ineffective measurement of blood pressure using the propaq lt monitor # # # impact - inability to obtain accurate patient vital data - potential for delayed or incorrect medical diagnosis and treatment # # # possible causes - leak in the bp cuff # # # recommendations - replace bp cuff - recalibrate monitor - ensure proper patient positioning and cuff placement - inspect tubing for any kinks or damage - check the connection between the cuff and the monitor - update or reset the software on the monitor - check the manufacturer's recommendations for maintenance and troubleshooting @topic:14


the respective medical electrical system parts is not exceeded under normal conditions. -. avoid increase of equipment leakage currents when non - medical electrical equipment within the medical electrical system is used. this only works if the equipment leakage current of the respective medical electrical system parts is not exceeded under normal conditions. use additional protective earth connection, separation device or additional non - conductive enclosures. - within the patient environment it is important to limit electrical potential differences between different parts of a system. if necessary, use potential equalization equipment ( equipotential cable ) or additional protective earth connections. - medical electrical equipment used in medical rooms must be connected to potential equalization equipment ( equipotential cable ) to avoid electrical potential differences. check your local requirements for details. 64 required protective measures at system installation for any it equipment ( iec60950 ) operated in patient vicinity ensure that the equipment leakage current does not exceed the limits described in iec 60601 - 1. use a separation device to ensure compliance. after installation of it equipment in patient vicinity, an enclosure leakage current test is required. it equipment ( iec 60950 ) device inside of patient vicinity separation device or other protective measure | e v - medically used room 65 case 1 : medical device combined with medical device if you combine a medical device with another medical device ( incl. philips specified displays ) to form a medical electrical system according to iec60601 - 1 - 1, no additional protective measures are required. the medical electrical devices may be located in or outside the patient vicinity in a medically used room. this is valid as long as the medical devices are connected to separate mains outlets. no system test is required. me device me device ( iec 60601 - 1 ) ( iec 60601 - 1 ) device | : se - e | meo f device inside or h functional p b insideor outside of @topic:10


# # # issue * keyboard failure on a medical cart. # # # impact * the medical cart cannot be used for patient care. # # # possible causes * insufficient battery power. # # # recommendations * replace the batteries in the keyboard. * ensure that the keyboard is properly connected to the medical cart. * if the issue persists, the keyboard may need to be replaced. @topic:27


# # # issue - remote control malfunction # # # impact - inability to operate the bed electrically # # # possible causes - damaged remote control # # # recommendations - replace the remote control @topic:7


* * issue : * * bed not adjusting * * impact : * * patient discomfort, delayed procedures * * possible causes : * * - faulty adjustment mechanism - electrical issues - mechanical obstruction - software malfunction * * recommendations : * * - * * test adjustment mechanism : * * ensure that the adjustment buttons or levers are functioning properly. test the bed through its full range of motion. - * * check electrical connections : * * inspect the power cord, wall outlet, and any control panels for damage or loose connections. - * * examine for obstructions : * * inspect the bed frame and adjusters for any items or debris that may be blocking movement. - * * review software settings : * * if the bed has advanced features, check the software settings to ensure that they are configured correctly. - * * consider age and wear : * * if the bed is older or has been heavily used, consider the possibility of worn - out components that need replacement. - * * contact manufacturer : * * if the problem cannot be identified or resolved, contact the manufacturer for technical support or troubleshooting guidance. @topic:1


# # # issue - the bedside physiologic monitor is not displaying accurate readings. # # # impact - the inaccurate readings could lead to incorrect patient diagnosis and treatment. # # # possible causes - the most likely cause of the failure is a faulty sensor cable. the sensor cable is responsible for transmitting the patient's vital signs to the monitor. if the cable is damaged or loose, it can cause the monitor to display incorrect readings. # # # recommendations - the technician should replace the sensor cable and test the monitor to ensure that it is functioning properly. - the technician should also check the other cables and connections on the monitor to make sure that they are secure. @topic:20


# # # issue - motor failure # # # impact - inability to use the electric bed # # # possible causes - worn or damaged motor - electrical fault - overload # # # recommendations - replace the motor - check the electrical connections - inspect the bed for any signs of damage or overload @topic:9


# # # issue - adaptor airway failure # # # impact - inability to measure end - tidal carbon dioxide ( etco2 ), which is a key parameter for monitoring respiratory status. # # # possible causes - cal co2 failed, indicating a problem with the carbon dioxide sensor or its calibration. other possible causes include : - faulty electrical connections - damage to the adaptor or sensor - misalignment of the sensor # # # recommendations - replace the adaptor airway - recalibrate the carbon dioxide sensor - inspect the electrical connections and ensure they are secure - check for any damage to the adaptor or sensor and replace if necessary - ensure the sensor is properly aligned @topic:4


value for the max error. the max error tracks the maximum possible deviation of the estimated charge of a battery from the actual charge. if a battery is charged or discharged partially, or if it is charged while the monitor is being used, the accuracy of the “ reference points ” for the fully discharged and fully charged states decreases, causing an increase in the value for the max error ( see diagram, below ). when the max error rises over a certain limit, a message is displayed prompting the user to condition the battery, as described in “ conditioning batteries ” on page 68. you can reset the value for the max error before the battery needs conditioning, by performing the steps described in ” conditioning batteries ”. the minimum value of the max error after conditioning is 2 %. conditioning batteries battery conditioning can either be performed in the monitor or with an external battery charger. battery conditioning in the monitor caution do not use a monitor being used to monitor patients to condition batteries. the monitor switches off automatically when the batteries are empty. 68 touchscreen calibration 3 testing and maintenance you should condition a battery when its “ battery requires maintenance ” symbol shows on the screen. if conditioning is not performed immediately the monitor will still function according to specifications. however, the displayed time to empty and time to full will show increasing inaccuracy. do not interrupt the charge or discharge cycle during conditioning. to condition a battery, 1 insert the battery into a monitor connected to mains power. 2 charge the battery until it is completely full. switch the monitor off to decrease the charging time when the battery led turns green i. e. the batteries are > 90 % charged, switch on the monitor and open the battery status window. check that the batteries fully charged or battery 1 / battery 2 fully charged message is displayed. 3 disconnect the monitor from mains power, and let the monitor run until the battery is empty and the @topic:11


# # # issue : - the electric bed ( beds, electric ) is not adjustable. # # # impact : - the patient may not be able to get into or out of bed comfortably or safely. - the patient may not be able to be positioned properly for procedures or treatments. - the bed may not be able to be moved or adjusted to accommodate the patient's needs. # # # possible causes : - loose wiring or connections. - a damaged motor or gearbox. - a problem with the control panel or software. - a fault in the power supply. # # # recommendations : - check all wiring and connections and ensure they are tight and secure. - inspect the motor and gearbox for any damage or wear. - check the control panel and software for any errors or faults. - test the power supply to ensure it is providing the correct voltage and amperage. - if the problem persists, contact the manufacturer for further assistance. @topic:1


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* * issue : * * equipment malfunction due to incorrect co2 readings * * impact : * * compromised patient monitoring and inaccurate data for medical decision - making * * possible causes : * * * * * damaged sampling line : * * the malfunctioning sampling line caused a drop in pressure during measurement, leading to inaccurate co2 readings. * * * equipment calibration error : * * the device may require recalibration to ensure accurate measurements. * * * sensor malfunction : * * the sensor responsible for co2 detection may have malfunctioned, resulting in incorrect readings. * * recommendations : * * * * * replace sampling line : * * the damaged sampling line should be replaced with a new, undamaged line to restore proper pressure and accurate co2 readings. * * * calibrate the equipment : * * schedule a calibration check to ensure the device is accurately measuring co2 levels. * * * inspect the sensor : * * visually inspect the co2 sensor for any signs of damage or contamination that could affect its performance. * * * consider software updates : * * check for and install any available software updates that may address issues related to co2 measurement accuracy. * * * monitor performance : * * regularly monitor the equipment's performance and document any inconsistencies or deviations from expected readings. @topic:4


* * issue : * * monitor not displaying accurate spo2 values. * * impact : * * inability to accurately monitor patient's oxygen saturation levels, which can lead to delayed or ineffective medical interventions. * * possible causes : * * * * * defective spo2 cable : * * the cable that connects the spo2 sensor to the monitor may be damaged or malfunctioning, preventing accurate signal transmission. * * * faulty spo2 sensor : * * the sensor itself may have failed, resulting in incorrect readings. * * * inherent error : * * spo2 monitors inherently have a margin of error, which can be exacerbated by factors such as patient movement or interference from other medical devices. * * recommendations : * * 1. * * replace the spo2 cable : * * if the cable is suspected to be defective, it should be replaced with a new one of the same type. 2. * * check the spo2 sensor : * * verify that the sensor is properly attached to the patient and that it is functioning correctly. clean the sensor if necessary to remove any dirt or debris. 3. * * consider environmental factors : * * ensure that the monitor is not placed in an environment where it is subject to electromagnetic interference or excessive movement. 4. * * calibrate the monitor : * * if the issue persists, the monitor may need to be calibrated to ensure accurate readings. 5. * * consult the manufacturer : * * if the problem cannot be resolved, contact the manufacturer of the monitor for further troubleshooting assistance. @topic:4


# # # issue - defected cup bp # # # impact - patient's blood pressure cannot be monitored accurately. # # # possible causes - damaged or faulty cup bp component - incorrect installation of cup bp - incompatible cup bp with the monitor # # # recommendations - replace the cup bp with a new one. - ensure that the cup bp is correctly installed and connected. - verify that the cup bp is compatible with the monitor. - perform regular maintenance and calibration of the monitor and cup bp. @topic:14


# # # issue - vital sign monitor suresings vs4 from philips fails to turn on. # # # impact - inability to monitor vital signs of patients, potentially leading to delayed or incorrect treatment. # # # possible causes - continuous usage of the device without proper shutdown can lead to : - battery depletion - overheating - internal component failure # # # recommendations - implement regular maintenance and shutdown schedules for medical devices to prevent continuous usage and potential failures. - train staff on proper use and maintenance of medical devices. - regularly check for overheating or other signs of excessive wear and tear on devices. - consider using a power management system to automatically shut down devices when not in use. @topic:11


# # # issue - deterioration of the cuff # # # impact - the monitor may not be able to accurately measure vital signs. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged by being pinched or stretched. - the cuff may have been exposed to chemicals or other harsh substances. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of damage. - avoid exposing the cuff to chemicals or other harsh substances. @topic:5


# # # issue - the patient monitor is not turning on. # # # impact - the patient's vital signs cannot be monitored, which could lead to a delay in diagnosis and treatment. # # # possible causes - the power cord is not plugged in. - the power switch is not turned on. - the battery is dead. - the power supply is faulty. - the motherboard is faulty. # # # recommendations - check that the power cord is plugged in and the power switch is turned on. - if the battery is dead, replace it with a new one. - if the power supply is faulty, replace it with a new one. - if the motherboard is faulty, the monitor will need to be repaired or replaced. @topic:2


yes philips disposable sensors. not available in the usa. m1904b identical to oximax max - a yes yes option a01 : use adapter cable m1943a or m1943al. option a02 : must use adapter cable m1943nl. m1903b identical to oximax max - p yes yes m1902b identical to oximax max - i yes yes m1901b identical to oximax max - n yes yes philips disposable sensors. available worldwide. m1131a adult / pediatric finger sensor, 0. 45m cable ( patient size > 20 kg ) yes no use adapter cable m1943a or m1943al. m1132a infant finger or toe sensor, 0. 9m cable ( patient size 3 - 10 kg ) yes no use adapter cable m1943a or m1943al. m1133a adult / infant / neonatal, 0. 9m cable foot or hand for neonates < 3 kg big toe or thumb for patients between 10kg and 20kg any finger except thumb for patients > 40kg yes no use adapter cable m1943a or m1943al. nellcor disposable sensors ( must be ordered from nellcor ) oximax max - a adult finger sensor ( patient size > 30 kg ) yes yes option a01 : use adapter cable m1943a or m1943al. option a02 : must use adapter cable m1943nl. oximax max - al oximax max - a with long cable yes yes oximax max - p pediatric foot / hand sensor ( patient size 10 - 50 kg ) yes yes oximax max - i infant foot / hand sensor ( patient size 3 - 20 kg ) yes yes oximax max @topic:8


). make sure that the mode, ssid, country and security settings in the setup wlan menu match your installation configuration problem using wpa enterprise or wpa2 enterprise 1. check the connection status. ( main setup - > network - > wlan diagnostics - > conn. status ) if the state only shows ‘ scanning ’, make sure that the mode, ssid, country and security settings in the setup wlan menu match your installation. 119 [ 4 troubleshooting ] symptoms cause of failure failure isolation and remedy 2. check the connection status. if the device shows the state ‘ authenticating ’, your ssid, mode, country and security settings are correct. you already have a wlan connection to your access point, but the device fails to authenticate, check your authentication server and wlan controller error log. 3. as an investigation step, disable the certificatecheck. ( main menu - > network - > wlan setup - > certificatecheck ) if authentication is now possible, proceed with step 4. otherwise double check your authentication server configuration, wlan controller configuration and the user credentials ( user name, password, anonymous identity ). note : if the previously used credential settings were wrong, the device is perhaps on the exclude hst of your wlan controller. resolve this issue on your wlan controller. note : do not forget to re - enable the certificate check. 120 4 troubleshooting symptoms cause of failure failure isolation and remedy 4. check the time setting of the device ( main setup - > date, time ). if not correctly set, the used certificates are detected as invalid. adjust to the correct time. 5. check the installed ca certificate using the support tool. - task - > clone from medical device - open the cloned file using configuration - > configuration editor - in configuration editor check configuration - > hardware - > network - @topic:16


# # # issue - inability to adjust the bed # # # impact - immobility or discomfort for patients - difficulty for healthcare professionals to provide care # # # possible causes - malfunctioning control board - faulty wiring - damaged motor - loose connections # # # recommendations - * * inspect the control board : * * check for visible damage, burnt components, or loose connections. - * * test wiring : * * use a multimeter to verify continuity and ensure proper connections. - * * examine the motor : * * check for any mechanical issues, such as seized bearings or damaged coils. - * * tighten connections : * * inspect all electrical connections to ensure they are secure. - * * contact the manufacturer or a certified biomedical engineer : * * for further diagnosis and possible replacement of faulty components. @topic:9


from the patient monitor. 800 an intellivue x2 can be connected to your monitor, where it acts as a multi - measurement module, acquiring measurements for the host monitor. when the x2 is disconnected from the original host monitor, it continues to monitor the patient as a fully independent, battery powered patient monitor, eliminating the need for a separate transport monitor. on connection to a new host monitor, the x2 resumes its role as multi - measurement module, ensuring fully continuous monitoring. major parts and keys mx400 / 450 / 500 / 550 the mx400 / 450 / 500 / 550 monitors have the same parts, controls and indicators. here the mx400 is shown. color coded alarm lamps 123 larms off lam1 power on / standby switch with intellivue 456 bed bedt bed < 4 waves 11 : 22 bad doe, john alarms off shan rhythm $ 90 120 dj silence pleth spo $ 95 monitor is not fixed on the 4 alams off mounting ) bp 121 / 81 160 ( 97 ) smaroff abp service number and serial 7 keys resp umber main evice typnbp aute 15 min93 nep 8 121 / 79 ( 88 ) 1009 124 / 80 24 / 77 ( 87 ) 10 : 30 456 bes 160 10 : 45 120 / 30 ( 89 ) temp 38. 1 10 122 / 40 ( 09 ) 124 / 10 ( 89 ) ( 89 ) 11 : 00 1105 philips mx400 + 3 3 4 5 6 7 8 17 1 introduction mx600 / 700 olor coded alarm lamplarms off lamp 123 2 power on / staintegrated led : green - on / rror 186410 1 jod 15 : 40 profix adult icu split screen a alarms off kkkkkk 645 mounting quick - release le ( when this is pressed the monitor is @topic:10


# # # issue - the bedside physiologic monitor is not detecting the patient's blood oxygen saturation ( sat ). # # # impact - the clinical team will not be able to accurately monitor the patient's oxygenation status, which could lead to adverse events. # # # possible causes - the sat probe is not properly connected to the patient. - the sat probe is not functioning properly. - the monitor is not properly configured to detect sat. - the patient is not receiving a sufficient amount of oxygen. # # # recommendations - verify that the sat probe is properly connected to the patient, by checking that the probe is securely attached to the patient's finger or earlobe and that the cable is not kinked or damaged. - if the sat probe is properly connected, replace the probe with a new one. - if the sat probe is functioning properly, check the monitor to ensure that it is properly configured to detect sat. - if the patient is not receiving a sufficient amount of oxygen, provide supplemental oxygen as prescribed by the physician. @topic:4


. restart the monitor and the apm. if the problem is still present, check thcable connections from the monitor to apm. if the problem still present, replace the apm. if the message persists, replace the main pcba on the monitor. the apm battery is not recharging apm not functional. 1c100b the apm usb changes from unplugged to plugged aftemonitor startup information apm not functional. restart the monitor and the apm. if the problem is still present, check the cable connections from the monitor to apm. if the problem still present, retry the software update. if still present, replace the apm. if the message persists, replace the main pcba on the monitor. device is operating in ac power cord has been information status message ; press ok information button to dismiss. isconnected. sleep mode unavailable. intervals monitoring is in sleep mode is not allowed when intervals are in progress information sleep mode unavailable. an alarm sleep mode is not allowed when alarms are active information clear all active alarms. service manual troubleshooting 215 alarm priority ossible causmessage lockout is not allowed without enter patient information ctive patient information information unavailable. missing patient context. power cable is disconnected. 1c1011 the apm communication cable is plugged in while the apm usb cable is disconnected restart the monitor and the apm. if the problem is still present, check the cable connections from the monitor to apm. if the problem still present, retry the software update. if still present, replace the apm. if the message persists, replace the main 216 troubleshooting welch [UNK] connex® spot monitor 1connex direct introduction follow these steps to : set up an active directory connection for clinician authentication. set up an ntp connection for date / time synchronization @topic:16


). 4 - 98 fuses ( b model and newer beds ). 4 - 101 fifth wheel. 4 - 105 head - end brake / steer pedal. 4 - 108 auxiliary outlet. 4 - 110 safeview™ alerts. 4 - 114 configure the siderails for the safe bed condition. 4 - 119 chapter 5 : parts list service parts ordering. 5 - 1 exchange policy. 5 - 3 in - warranty exchanges. 5 - 3 out - of - warranty exchanges. 5 - 3 warranty. 5 - 4 recommended spare parts. 5 - 6 base frame — a model beds. 5 - 10 articulating frame — a model beds. 5 - 14 foot extension — a model beds. 5 - 16 head siderail — a model beds. 5 - 18 foot siderail — a model beds. 5 - 22 footboard and headboard — a model beds. 5 - 24 plastic sleep deck — a model beds. 5 - 25 motor control box — a model beds. 5 - 26 cpr cables — a model beds. 5 - 28 control cables — a model beds. 5 - 30 interface control box — a model beds. 5 - 32 base frame — b and c model beds. 5 - 34 careassist® and careassist® es bed service manual ( man330 rev 4 ) page ix articulating frame — b model beds. 5 - 38 foot extension — b model beds. 5 - 42 head siderail — b model beds. 5 - 44 head siderail mounting — b model beds. 5 - 48 foot siderail — b model beds. 5 - 50 footboard and headboard — b model beds. 5 - 52 plastic sleep deck — b model beds. 5 - 53 motor control box — b model beds. 5 - 54 cpr cables — b model beds. 5 - 56 control cables — b model beds. 5 - @topic:26


# # # issue - spo2 values not being displayed # # # impact - inability to accurately monitor patient's oxygen saturation levels # # # possible causes - loose cable connection # # # recommendations - ensure that the cable is securely connected to both the monitor and the patient's finger - replace the cable if necessary - verify that the monitor is properly configured and calibrated @topic:4


- up window appears at hourly intervals to ask for a manually measured value. monitoring the sepsis resuscitation bundle recommendations when you select the lower area of the protocolwatch screen, the sepsis resuscitation bundle window appears. if you do not have the protocolwatch screen displayed, the sepsis resuscitation bundle window lly once an hour. select the enter lact key to enter a lactate value. when you have entered a value, or if a lactate value box is checked. check the take blood cultures box when you have taken blood cultures. check the administer intravenous antibiotics box when you have started broad - spectrum antibiotic therapy. the remaining three recommendations are automatically compared to the sepsis resuscitation bundle criteria, if the measurements are available on the monitor. a box is checked when the corresponding recommendation has been fulfilled. depending on your configuration, continuously measured cvp values may be disregarded if they exceed a set limit. whether this is so, and which limit is applied, is set in the monitor's configuration mode. if you have manually measured scvo2 or cvp, you can enter the values using the enter scvo2 and enter cvp keys. the box is checked automatically if the value fulfills the recommendation. the boxes for map, scvo2 / svo2 and cvp can also be checked manually ( for cases where the monitor does not measure them ) but only when the timer has reached 4 hours to ensure that these values are achieved and maintained mid - term. check these boxes if the recommendation has been fulfilled. to see more details about the recommendations, select the show details key. select confirm when the check boxes reflect the current treatment status. 353 27 protocolwatch during the sepsis resuscitation bundle you can open the sepsis resuscitation bundle window at any time to check the status or to make @topic:8


# # # issue - monitor displays " cuff not secure " alert # # # impact - inaccurate vital signs measurements # # # possible causes - deteriorated hook and loop fastener on the cuff # # # recommendations - replace the cuff with a new one with intact hook and loop fastener @topic:5


# # # issue - broken blood pressure cuff connector # # # impact - inability to accurately measure blood pressure # # # possible causes - physical damage to the connector - wear and tear over time - improper use of the equipment # # # recommendations - inspect the blood pressure cuff and connector for any signs of damage before each use. - handle the equipment with care, avoiding excessive force or bending. - follow the manufacturer's instructions for proper use and maintenance of the equipment. @topic:3


equipment - performance / product - security / index. wpd manufacturer disclosure statement for medical device security - mds2 you can view the manufacturer disclosure statements for medical device security ( mds² ) for specific devices at http : / / www. healthcare. philips. com / main / support / equipment - performance / product - security / index. wpd the intellivue mx400 / mx450, mx500 / mx550, and mx600 / mx700 / mx800 patient monitor offers a monitoring solution optimized for the high - end surgical, cardiac, medical and neonatal care environments. combining patient surveillance and data management, it allows multi - measurement monitoring by linking separate modules. the mx600 uses the navigation knob as primary input device 16 1 introduction and the mx400 / mx450, mx500 / mx550, and mx700 / mx800 use the touch screen as primary inpudevice. all monitors have a remote control for convenient access to the five main keys and numeric data input. the monitor stores data in trend, event, and calculation databases. you can see tabular trends ( vital signs ) and document them on a printer. you can view measurement trend graphs, with up to three measurements combined in each graph, to help you identify changes in the patient's physiological condition. you can view fast - changing measurement trends with beat to beat resolution and see up to four high resolution trend segments. event surveillance enhances documentation and review of physiologically significant events by automatically detecting and storing up to 50 user - defined clinical vents over a 24 hour period. 800 mx600 / 700 / with the optional integrated pc, you have computer functionality directly in the monitor. you can use standard applications ( e. g. web browsers ), connect to the hospital network or intranet, and run a second independent display with content from @topic:10


the bed, the foot control pendant * or the half - siderail * keypads. these lockout units are used to inhibit or enable selectively the electrical functions of the bed. selective lock - out * to inhibit an electric function using a side lockout unit * or the foot control pendant *, press the symbol of the corresponding function. - 1 to inhibit an electric function from a half - siderail keypad *, press and hold the lock symbol, then press the function to be inhibited. - 1 、 the indicator light of the corresponding function comes on to indicate that the function is locked out ( 1 ). locking out the thigh section adjustment control will also lock out the autocontour when the adjustable head section function is disabled. to unlock an electric function using a side lockout unit * or the foot control pendant *, press the symbol of the corresponding function. -. to unlock an electric function from a half - siderail keypad *, press and hold the lock symbol, then press the function to be enabled. - 0 the indicator light of the corresponding function goes off to indicate that the function is enabled ( 0 ). the selective locking out of functions is intended mainly to prevent accidental use that may cause injury or worsen a patient's conditions ( e. g. for patients with hip replacements, disable the adjustable thigh section function ). [UNK] out a function does not affect the cpr. bed not in lowered position indicator an indicator light on the control pendant *, foot control pendant *, the control unit on a flexible arm * or the caregiver half - siderail control * goes off when the bed is in the lowered position. this position is recommended when atients are left unattended. ight lighta night light under the caregiver unit can be used to quickly see whether the bed is in the low position at night for greater safety. @topic:9


# # # issue * bed is not adjusting properly. # # # impact * patients may be unable to use the bed comfortably or safely. * staff may be unable to move patients safely. # # # possible causes * remote control is not functioning properly. * bed motor is not functioning properly. * bed frame is damaged. * bed is not properly assembled. # # # recommendations * inspect remote control for damage or loose connections. * inspect bed motor for damage or loose connections. * inspect bed frame for damage. * ensure bed is properly assembled. * if problem persists, contact qualified biomedical engineer. @topic:1


# # # issue - cuff deterioration. # # # impact - the cuff is an essential component of the monitor as it is used to measure the patient's blood pressure. a deteriorated cuff can lead to inaccurate blood pressure readings, which can have serious consequences for the patient's health. # # # possible causes - the cuff may have been damaged due to improper use or storage. - the cuff may have been exposed to excessive heat or moisture. - the cuff may have been punctured or torn. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for any signs of damage. - store the cuff in a cool, dry place. - avoid exposing the cuff to excessive heat or moisture. - do not puncture or tear the cuff. @topic:3


6. * * contact manufacturer : * * if the issue persists after following these steps, contact the equipment manufacturer for technical support. @topic:12


# # # issue - the physiologic central station monitor is showing an incorrect time. # # # impact - the incorrect time on the monitor could lead to misinterpretation of patient data and incorrect treatment decisions. # # # possible causes - * * the monitor may not have been set up properly. * * - * * the monitor's time zone settings may be incorrect. * * - * * the clock battery may need to be replaced. * * - * * the monitor may be experiencing a software glitch. * * # # # recommendations - * * check connecting the monitor to a different power source. - check the monitor's time settings and ensure that they are correct. * * - * * replace the clock battery. * * - * * contact the manufacturer for assistance. * * @topic:29


# # # issue the medical cart ( bdms 01 ) cannot log in to the user interface. # # # impact the medical cart cannot be used for its intended purpose, which may disrupt patient care. # # # possible causes the medical cart may have been disconnected from the server, or the computer name may have been changed. # # # recommendations to resolve the issue, the following steps should be taken : - check the network connection to ensure that the medical cart is connected to the server. - if the medical cart is connected to the server, check the computer name to ensure that it is correct. - if the computer name is incorrect, change it to the correct name. - after making the necessary changes, restart the medical cart and try to log in again. @topic:13


services. this connection may be through a normal wired connection or through a wireless connection. the monitor supports the connection of an internal wireless adapter ( # j35 ). switching between wired and wireless networks is automatically triggered by the plugging or unplugging of the network cable. the philips clinical network protocols function very similarly to the protocols used on the internal lan. after configuration, the monitoring system sends the digitized patient signals including wave data, numerical data and status information onto the network. control data representing user interactions can be exchanged between the monitoring system and a central station bi - directionally. additional protocols are supported for networked applications, for example for the other bed overview function, which allows viewing of monitoring data from other patients on the network. for plug and play operation, the monitoring system uses the standard bootp protocol to automatically acquire a network address. ambient light sensor 22 the monitor adjusts its display brightness depending on the ambient light level. therefore an ambient light sensor is integrated in the front bezel of the display. 2 theory of operation ) although there is an automatic brightness adjustment, it is still possible for the user to change the brightness. as shown in the figure above, the user can select between different brightness level curves. if a constant brightness is desired, it is possible to deactivate the automatic brightness control via the config mode of the monitor. without automatic brightness control, the user can select between different constant brightness levels as shown below. microstream c02 c02 sample rate : 20 samples / second calculation of end tidial c02 ( etc02 ) the m3015a / b mms extensions use microstream® non - dispersive infrared ( ndir ) spectroscopy to continuously measure the amount of c02 during every breath, the amount of c02 present at the end of exhalation ( etc02 ), the amount @topic:10


# # # issue - not measuring nibp ( non - invasive blood pressure ) # # # impact - inability to obtain accurate blood pressure readings, affecting patient monitoring and diagnosis. # # # possible causes : - * * leak in cuff : * * cuff leak can cause inaccurate pressure readings, as it allows air to escape during inflation. - * * malfunctioned pressure sensor : * * the pressure sensor may malfunction, leading to inaccurate readings or failure to measure nibp. - * * electrical faults : * * short circuits or other electrical issues can disrupt the proper functioning of the device. - * * software issues : * * software glitches or outdated versions may interfere with the device's ability to measure nibp. - * * damaged tubing : * * leakage or damage in the tubing connecting the cuff to the device can also result in cuff leak and inaccurate readings. # # # recommendations : - * * check cuff for leakage : * * ensure the cuff is properly inflated and free of leaks. - * * inspect pressure sensor : * * calibrate or replace the pressure sensor if necessary. - * * troubleshoot electrical system : * * check for loose connections, shorts, or other electrical issues. - * * update software : * * ensure the device is running the latest software version. - * * replace tubing : * * replace damaged or leaking tubing with new, compatible tubing. @topic:15


# # # issue - inaccurate vital signs readings # # # impact - delayed diagnosis and treatment - incorrect medication dosage - patient discomfort and anxiety - increased risk of adverse events # # # possible causes - * * incorrect cuff size : * * using a cuff that is too small can result in artificially inflated blood pressure readings. - * * defective cuff connector : * * a faulty connection between the cuff and the monitor can lead to intermittent or inaccurate readings. - * * patient movement : * * movement during the measurement can affect the accuracy of the readings. - * * equipment malfunction : * * the monitor itself may be malfunctioning, leading to inaccurate readings. # # # recommendations - * * use the correct cuff size : * * determine the appropriate cuff size based on the patient's arm circumference. - * * inspect the cuff connector : * * ensure that the connector is securely attached to both the cuff and the monitor. - * * minimize patient movement : * * instruct the patient to remain still during the measurement. - * * calibrate the equipment : * * regularly calibrate the monitor according to the manufacturer's specifications. @topic:14


# # # issue - cuff failure # # # impact - inaccurate blood pressure readings # # # possible causes - deterioration of the cuff due to age and use # # # recommendations - replace the cuff @topic:3


# # # issue - the patient transport monitor is not displaying spo2 readings. # # # impact - this could lead to inaccurate or incomplete patient monitoring, which could have serious consequences. # # # possible causes - the spo2 sensor is not properly connected to the patient. - the spo2 sensor is defective. - the patient transport monitor is not properly calibrated. - the patient transport monitor is not receiving power. # # # recommendations - check the spo2 sensor connection. - replace the spo2 sensor. - calibrate the patient transport monitor. - check the power supply to the patient transport monitor. @topic:4


# # # issue - equipment : ac plug is loose. # # # impact - the device may not function properly or may be a safety hazard. # # # possible causes - the ac plug may have been jostled or bumped, causing it to come loose. - the ac plug may not have been properly inserted into the outlet. # # # recommendations - check that the ac plug is properly inserted into the outlet. - tighten the ac plug by hand to ensure it is secure. - if the ac plug is still loose, contact a qualified technician to inspect and repair the device. @topic:12


# # # issue - lcd monitor does not turn on when plugged in. # # # impact - inability to use the monitor for patient care. # # # possible causes - * * faulty power supply : * * the power supply unit may not be providing sufficient power to the monitor. - * * loose or damaged power cord : * * the power cord may be loose or damaged, preventing the monitor from receiving power. - * * defective display : * * the display panel itself may be defective, preventing the monitor from displaying an image. - * * inactivity timeout : * * the monitor may have an inactivity timeout feature that automatically turns off the display after a period of inactivity. - * * user error : * * the monitor's power button may not have been pressed long enough to turn on the display. # # # recommendations - * * check power supply : * * ensure that the power supply unit is properly connected and providing sufficient power. - * * inspect power cord : * * examine the power cord for any visible damage or loose connections. replace the cord if necessary. - * * test display : * * connect the monitor to a known - working power source and display device. if the display remains blank, the display panel may be defective. - * * disable inactivity timeout : * * check the monitor's settings and disable any inactivity timeout features. - * * retrain users : * * instruct users on the proper procedure for turning on the monitor, ensuring they press the power button long enough. @topic:2


two or more electrodes are not connected. check in the eeg impedance / montage window which electrodes are affected and reconnect the electrodes. input signal is too high in one or both channels. this is usually caused by interfering signals such as line noise or electrosurgery. eeg1 overrangeeg2 overrange eegno transduceinop tone the trunk cable is disconnected from the eeg plug - in module. reconnect the trunk cable. silencing this inop switches the measurement off. 97 4 patient alarms and inops bis inops what to do bis cable incompanop tone the semi - reusable sensor cable connected is unknown or not supported by your software revision. replace it with a philips - supported sensor cable. bis cable usagnop tone the semi - reusable sensor cable has exceeded the maximum number of uses. replace the cable. bis dsc disconnecnop tone dsc is not properly connected or either dsc or bis engine may be faulty. make sure that the dsc is properly connected to the bis engine. if inop persists, replace dsc with a known good one of the same type. if inop persists replace bis engine. silencing this inop switches the measurement off. bis dsc incompatnop tone dsc is not supported by the bis engine or new dsc connected to an old bis engine. a software upgrade may be required. contact your service personnel. bis dsc malfunct electrocautery used during self - test or malfunction in the dsc hardware. make sure not to use electrocautery during the self - test procedure. disconnect and reconnect the dsc to the bis engine. if the inop persists, replace the dsc or contact your service personnel. bis dsc @topic:22


# # # issue - ground fault detected in the ac power cord. # # # impact - the monitor may not be able to operate safely or may not provide accurate readings. - if the ground fault is not corrected, the equipment may become a shock hazard to patients or staff. # # # possible causes - the ac power cord may be damaged. - the ac power outlet may not be properly grounded. - the monitor may have an internal ground fault. # # # recommendations - replace the ac power cord. - ensure that the ac power outlet is properly grounded. - have the monitor inspected by a qualified biomedical engineer to identify and correct any internal ground faults. @topic:2


# # # issue - ekg lead ii is not displaying # # # impact - inability to monitor patient's heart activity effectively # # # possible causes - faulty lead wire or connection - loose or damaged electrodes - setting error in the monitor configuration - equipment malfunction # # # recommendations * * hardware check : * * - inspect the lead wire for any visible damage or breaks. - ensure that the lead wire is securely connected to both the patient and the monitor. - check that the electrodes are properly attached to the patient's skin and are not loose or damaged. * * monitor setting verification : * * - verify the monitor settings to ensure that the lead ii is selected and enabled. - check the monitor's display to ensure it is not in a test mode that could disable certain leads. * * additional troubleshooting : * * - perform a test ekg with a known working simulator to isolate the issue to the monitor or the patient interface. - contact the equipment manufacturer for technical support and guidance. @topic:18


* * issue : * * central monitor failure, causing a device shutdown. * * impact : * * - interruption of patient monitoring during critical procedures - loss of vital patient data - delay in diagnosis and treatment * * possible causes : * * - * * power issue : * * - faulty power supply or electrical connection - voltage fluctuations - * * hardware failure : * * - malfunctioning cpu or other electronic components - overheating due to dust accumulation or poor ventilation - * * software issue : * * - system crashes or software malfunctions - * * operator error : * * - incorrect handling or accidental device damage * * recommendations : * * - * * power troubleshooting : * * - inspect power cables and connections for damage - verify appropriate voltage supply - * * hardware inspection : * * - clean and inspect cpu and heatsink for dust and debris - check for loose or damaged components - * * software troubleshooting : * * - reset the system or reinstall software if necessary - check for system updates or patches - * * operator training : * * - instruct staff on proper device handling and maintenance procedures - * * preventive maintenance : * * - schedule regular cleaning and inspections to identify potential issues early on - ensure proper ventilation to prevent overheating @topic:2


# # # issue - equipment not powering on # # # impact - patient monitoring and care may be compromised - alarm systems may not be functional - data collection may be interrupted # # # possible causes - power supply issues - hardware failure ( e. g., motherboard, power supply ) - software issues ( e. g., corrupted firmware ) - user error ( e. g., improper handling or operation ) # # # recommendations - check power supply and ensure it is properly connected - inspect device for any visible damage or loose connections - update firmware or software to the latest version - contact manufacturer for technical support or replacement - ensure proper training and handling of equipment by users @topic:11


* * issue : * * * damaged connection cable between the electrical box and the motor. * * impact : * * * the medical device ( bed, electric ) is non - functional due to a disrupted connection between the motor and the electrical box. * * possible causes : * * * * * incorrect handling : * * the cable may have been mishandled, resulting in damage or a loose connection. * * * external force : * * the cable may have been exposed to external force, such as being pulled or pinched, causing damage. * * * wear and tear : * * over time, the cable may have degraded or become brittle, leading to a breakage. * * recommendations : * * * conduct a thorough inspection of the cable to identify the damaged portion. * replace the damaged cable with a suitable replacement that meets the original specifications. * ensure proper handling and storage of the cable to prevent future damage. * consider implementing additional protective measures, such as cable management systems, to reduce the risk of external force. * schedule regular maintenance and inspection of the medical device to monitor the condition of the cable and prevent similar failures. @topic:9


# # # issue - cuff leak on a vital signs monitor. # # # impact - inaccurate blood pressure readings, which could lead to incorrect medical decisions. # # # possible causes - mechanical : - damaged or loose cuff - faulty valve in the cuff - electrical : - wiring problems - malfunctioning sensor # # # recommendations - inspect the cuff for any damage or loose connections. - replace the cuff if it is damaged. - check the wiring and connectors for any loose or damaged connections. - replace any faulty components as necessary. - calibrate the monitor to ensure accurate readings. - train staff on proper use and maintenance of the monitor. @topic:3


# # # issue - broken remote wire # # # impact - inability to adjust the bed using the remote control # # # possible causes - wear and tear due to prolonged use - damage caused by improper handling or storage # # # recommendations - regular inspection and maintenance of the bed and accessories to prevent any damage - proper training of staff on proper use and storage of the bed to minimize risk of damage @topic:7


# # # issue - the medical cart displays the message " please wait " during boot up. # # # impact - the medical cart may not be usable until the issue is resolved. # # # possible causes - the medical cart's software may be corrupted. - the medical cart's hardware may be faulty. # # # recommendations - bme should try to restart the medical cart. - bme should try to update the medical cart's software. - bme should contact the medical cart manufacturer for further assistance. @topic:13


# # # issue the philips m3150a central station monitor's printer is unable to print values. # # # impact the inability to print values from the monitor may hinder the accurate documentation and monitoring of patient data. # # # possible causes - paper jam in the printer # # # recommendations - * * verified : * * the paper jam in the printer was cleared, and the printer is now operating correctly. - * * further checks : * * - ensure the printer is properly connected to the monitor and has sufficient paper. - check the printer settings to ensure they are configured correctly. - if the issue persists, contact the equipment manufacturer for further troubleshooting and repair. @topic:28


# # # issue intermittent values on spo2 cable # # # impact inaccurate spo2 readings, potentially leading to incorrect patient monitoring and treatment decisions # # # possible causes - damaged or faulty spo2 cable - loose or intermittent connection between the cable and the monitor - interference from other electrical devices # # # recommendations - verify the integrity of the spo2 cable by examining it for any damage or breaks. - ensure a secure connection between the cable and the monitor by tightening any loose plugs or connectors. - check for potential sources of electrical interference, such as nearby medical devices or power lines, and relocate the monitor if necessary. @topic:4


branding blank 9 small parts kit 1 small parts kit 2 190 ulti - measurement server parts 6 parts part number 12 nc part number description m8043a 989803135881 external battery charger multi - measurement server parts the primary support strategy for the multi - measurement server is a unit exchange. however, some exchange parts are available : the mms top cover, the msl connector assembly and the front bezel. in order to determine which exchange parts need to be ordered check the serial number and the option string of the mms as described below. figure 11 m3001a multi - measurement server mms part number overview and identification identify the correct mms part number by checking the serial number prefix and the option string on the label on the rear of the mms housing. the following picture shows the label of an m3001a. use the table below to determine the hardware revision and the required exchange part. philips prod. no. : m3001a 0p!. ( a01c06 sn : ( de512 > 4068 b1iiiii1iirii made in germany option m3001a option description # a01 philips fast sp02 # a02 nellcor oximax compatible # a03 masimo set technology ( # c00 ) standard # c06 add pressure / temp # 02 add 12 lead ecg ( only older revisions - see table below # 08 add pressure / temp and 12 lead ecg 191 6 parts multi - measurement server parts hardware revision possible mms software revision serial number prefix sw of monitor the mms is connected to option string exchange mms ( for 12nc information please refer to tables in the following sections ) h¥a a. o to e. o de227 a. o, a. l ~, c06, c12, c18 m300 @topic:19


# # # issue - motor adjustment is not working # # # impact - inability to properly position the device for patient use # # # possible causes - faulty motor - damaged motor controller - mechanical interference with motor movement # # # recommendations - replace the motor - inspect and repair the motor controller - check for any obstructions or damage to the motor assembly @topic:9


# # # issue broken medical cart shelf # # # impact * inability to use the medical cart to transport medical supplies and equipment * potential for injury to patients or staff if the cart collapses * loss of productivity # # # possible causes * excessive weight on the shelf * rough handling of the cart * manufacturing defect * age and wear of the cart # # # recommendations * inspect the cart regularly for any damage or wear * do not overload the shelves * handle the cart carefully * report any damage to the cart to the appropriate maintenance personnel * consider replacing the cart if it is old or has been damaged @topic:31


test, test and inspection matrix. report the highest value. ( xi ). test expected test results applied part leakage current test ( single fault condition - mains on applied part ) xi < = 50 | la ( cf ) note all values for current and voltage are the root mean square ( r. m. s. ) values, unless otherwise stated. in case of an it - power system, this safety test measurement requires a special measuring circuit, for example with its own integrated tn - system or use of an external isolation transformer attached to the safety test device. reference : allowable values for lec 60601 - 1 : 1998 and ul 60601 - 1 measurements protective earth resistance ( between the protective earth terminal and any accessible metal part which is protectively earthed, w / o power cord ) : loomohms protective earth resistance of power cord : loomohms enclosure leakage current ( lec 60601 - 1 and ul60601 - 1 ) : 100 pa ( n. c. ) enclosure leakage current : ( lec 60601 - 1 ) : 500 pa ( s. f. c ) enclosure leakage current ( ul 60601 - 1 ) : 300 pa ( s. f. c ) patient leakage current : ( lec 60601 - 1 and ul60601 - 1 ) : 100 pa ( n. c. ) for be patient leakage current : ( tec 60601 - 1 and ul60601 - 1 ) : 500 pa ( s. f. c. ) for bf patient leakage current : ( lec 60601 - 1 and ul60601 - 1 ) : 10 pa ( n. c. ) for cf patient leakage current : ( tec 60601 - 1 and ul60601 - 1 ) : 50 pa ( s. f. c @topic:10


force the ipc to power down. 2 if you switch the monitor off and then on again immediately, the ipc will continue running and will not be shut down. • in some situations, shutting down the ipc can take a little time. the monitor will go into standby mode until the shutdown is complete. by touching the touchscreen, you can bring the monitor back into operating mode. if you do this, the ipc will restart when the shutdown is complete. if the shutdown cannot be completed within a certain time, a window will open giving the reason : for example, that a file has not been saved, or that updates are being installed. you can then decide whether to wait ( for example, in the case of the updates ) or to take action ( for example by saving the unsaved file ). you will also have the option to force shutdown, if necessary. • using your monitor with a monitor in companiomode when you connect an x2 in companion mode to a host monitor, an integrated system is formed for monitoring a single patient. the following general observations and considerations apply to such a the host monitor is the " master " of the system, and you have full control over all the system's • functions you can operate on a monitor in companion mode are restricted to measurements originating in that device. if you try to operate controls that are disabled, you are prompted by the n companion mode. • depending on how it is configured, your host monitor can determine whether the user interface of a connected monitor in companion mode is completely disabled or not, and what is displayed on the screen ( a standard main screen, or a blank screen indicating companion mode ). this is controlled by two monitor settings that are applied to the monitor in companion mode on connection. you can change the settings in configuration mode. global settings such as line frequency, qrs sound and @topic:10


* * issue : * * cracked monitor screen * * impact : * * equipment malfunction, potentially affecting patient safety and workflow * * possible causes : * * * * * user error : * * mishandling or accidental damage by a user, such as dropping or bumping the device. * * * defective part : * * a manufacturing defect or material failure in the monitor screen. * * * environmental factors : * * exposure to extreme temperatures, humidity, or vibration. * * recommendations : * * * * * preventive measures : * * * provide proper training to users on handling and care of the equipment. * establish protocols for safe transport and storage of the device. * conduct regular inspections and maintenance to detect potential issues early. * * * corrective actions : * * * repair or replace the damaged monitor screen as soon as possible. * investigate the cause of failure to prevent recurrence, such as reviewing user logs or performing a quality control check on incoming equipment. * * * consideration of user error : * * * determine if the user error was preventable and provide additional training or supervision to prevent future incidents. * assign the associated costs to the responsible department or individual to encourage accountability and improve device handling practices. @topic:2


c. o. key will also enable the automatic start of consecutive measurements. 3 when you hear a ready tone and see the message inject now!, inject the solution into the right atrial port of the swan - ganz catheter. the optimal injection rate is 2. 5 ml / second. at the end of the measurement the thermodilution curve, cardiac output, index values and curve alerts ( if necessary ) are displayed and a message will appear wait before starting new measurement or in auto mode prepare for next injection or press stop. 4 when you see the inject now! message, repeat the procedure until you have completed the measurements you want to perform. you can perform a maximum of six measurements before editing. if you perform more than six measurements without rejecting any, the oldest will 234 13 monitoring cardiac output it is important to identify and reject erroneous measurements ( called " trials " ), as the monitor uses all the measurement trial values you do not reject to calculate the averaged cardiac output. review the trials. irregular trials or trials marked with a "? " should be reviewed carefully. consider the similarity of the values and the shape of the c. o. curve. a normal c. o. curve has one smooth peak and returns to the temperature baseline level after the peak. 1 reject unsatisfactory trials : use the select trial pop - up key to move between trials, then select the accept reject pop - up key to accept or reject trials. if you are using a touch screen you can accept or reject trials directly by tipping on the trial curve. discard conspicuously different values. the background of rejected trials is red and the background of accepted trials is green. the monitor recalculates the average values after you reject or accept trials. 2 if all values are different from each other, there may be true hemodynamic instability caused, for example @topic:17


# # # cause of failure : faulty spo2 cable # # # issue - inability to measure spo2 levels with the physiologic monitor ( bedside ) device. # # # impact - compromised patient monitoring and potentially delayed or inaccurate diagnosis. # # # possible causes - physical damage to the spo2 cable, such as cuts, tears, or loose connections. - faulty spo2 sensor at the end of the cable, including damaged or misaligned light - emitting diodes ( leds ) and photodiodes. - interference with the spo2 signal due to external factors, such as ambient light or electromagnetic fields. # # # recommendations * * troubleshooting steps : * * 1. * * inspect the spo2 cable : * * check for any physical damage or loose connections along the entire length of the cable. 2. * * replace the spo2 cable : * * if any damage is found, replace the cable with a new one from the same manufacturer. 3. * * check the spo2 sensor : * * examine the sensor head for any visible damage or misalignment. if necessary, replace the sensor head. 4. * * reduce signal interference : * * ensure that there are no external light sources or electromagnetic devices near the patient or monitor that could interfere with the spo2 signal. * * preventive measures : * * 1. * * handle the spo2 cable with care : * * avoid excessive bending or twisting of the cable, and disconnect it properly after use. 2. * * regularly inspect the spo2 cable and sensor : * * perform routine inspections to check for any signs of damage or wear. 3. * * follow manufacturer's guidelines : * * refer to the device manual for proper handling and maintenance procedures. @topic:4


##2 is disconnected from the monitor it may take over 15 seconds until their data is displayed at the information center. pairing of a host monitor and a telemetry device, with all the related functionality, is only possible when the host monitor is using a wired lan connection or a wireless lan interface ( but not using the intellivue instrument telemetry interface ). the x2 can also be manually paired to a host monitor without a direct connection, as described in " indirect connection - manual pairing " on page 307. refer also to " use models with telemetry " on page 309 for further related use modes. 308 22 using a telemetry device and a monitor ( piic only ) unpairing the monitor and telemetry device if the patient will no longer be monitored with the telemetry device, or only with the telemetry device and no longer with the monitor, you need to end the device pairing. after unpairing, the information center will receive data exclusively from the monitor or from the telemetry device : select the unpair to mon. smartkey to end pairing and have the information center receive the select the unpair to tele smartkey to end pairing and have the information center receive the measurement data from the telemetry device or note the smartkeys and pop - up keys for unpairing appear only on the monitor which is directly involven pairing. se models with telemetrthe standard use model combining a monitor and a telemetry device involves pairing the two devices so that the data measured by the telemetry device appears on the monitor screen - and at the information center in the same patient sector as the monitor data. the following variations are ossible : 1 the monitor is paired with a telemetry transceiver - indirect connection - an x2 is declared as a telemetry device and paired with an mx400 @topic:10


# # # issue - cuff leak # # # impact - inaccurate blood pressure readings # # # possible causes - cuff tear # # # recommendations - replace cuff @topic:3


selected for ppv is not providing a pulsatile signal. ppv chk sources ppv the arterial pressure source selected for ppv is unplugged or switched off. when this inop has displayed for 1 minute ppv will be switched off. < pressure label > artifact numeric questionable press a non - physiological event is detected ( for example, a flush or blood sample ). a resulting high limit alarm will be suppressed. < pressure label > deactivated inop tone press a pressure measurement label in the measurement device or extension has been deactivated, either by connecting a temp transducer in the shared press / temp socket, or by deactivating the label in the measurement selection window. the measurement automatically disappears from the display. to switch the measurement on again, either reconnect a pressure transducer or reactivate the measurement label in the measurement selection window. < pressure label > equip malf numeric is replaced by -? - inop tone. press contact your service personnel. the pressure hardware is faulty. < pressure label > no transducer numeric is replaced by -? - inop tone. press make sure that the pressure transducer is connected to the measurement device or module. if you silence this inop, the measurement will be switched off. < pressure label > noisy signal pulse numeric is replaced by -? - inop tone. press this inop can only arise when a pressure is selected as the pulse source. it occurs when the pulse detector finds a pulse rate above 350bpm. this is usually caused by movement artifact or electrical interference. < pressure label > non - pulsatile pulse numeric is replaced by -? - inop tone. press this inop can only arise when a pressure is selected as the pulse source. it occurs when the pulse rate being measured is less than 25 beats @topic:17


# # # issue the spo2 cable is damaged and has exposed wires. # # # impact the damaged spo2 cable is unsafe to use and could pose a potential electrical hazard to patients. # # # possible causes - prolonged use and wear of the spo2 cable - physical damage to the cable - manufacturing defects # # # recommendations - replace the damaged spo2 cable immediately. - inspect the other spo2 cables regularly for signs of damage. - store the spo2 cables properly to prevent damage. - ensure that the spo2 cables are not exposed to excessive moisture or heat. - perform regular maintenance on the spo2 cables to ensure they are in good working condition. @topic:4


# # # issue - wood barrier cannot be lowered # # # impact - patient safety is compromised due to the inability to lower the wood barrier, making it difficult to access or move the patient safely. # # # possible causes - faulty motor or electrical connection - mechanical obstruction preventing the wood barrier from lowering - damaged or misaligned components within the bed mechanism # # # recommendations - * * inspect motor and electrical connections : * * check for loose or damaged wires, faulty connectors, or a malfunctioning motor. - * * examine mechanical components : * * look for any obstructions, such as bent or broken parts, that may impede the movement of the wood barrier. ensure that all moving parts are properly aligned and lubricated. - * * test and troubleshoot : * * operate the bed to test the function of the wood barrier and identify any abnormal noises or resistance. if possible, compare the behavior to a functioning bed of the same model. - * * refer to manufacturer's instructions : * * if the issue cannot be resolved through basic troubleshooting, consult the manufacturer's manuals or seek assistance from qualified biomedical engineers. - * * document repair and testing : * * keep a detailed record of the inspection, repair, and testing procedures, including any replacement parts installed. @topic:6


information on accessories. they are not available from philips. 398 recorder accessories 37 accessories description product number ( order number ) philips s0 2 optical module 989803151591 pulsion : cevox fiberoptic probe family ( scv0 2 ) contact pulsion for part numbers of compatible probes edwards : philips - compatible versions of the presep catheter ( scv0 2 ) or swan - ganz oximetry catheter ( sv0 2 ) families contact edwards for part numbers of compatible catheters recorder accessories description part no. for ml 116b recorder : 10 rolls of paper 40477a 80 rolls of paper 40477b for integrated recorder ( mp20 / mp30 ) : 10 rolls of paper m4816a 80 rolls of paper m4817a battery accessories description part no. battery charger and conditioner ( requires size adapter 4512 610 17451 to charge m4607a battery ) m8043a size adapter for m4607a battery 4512 610 17451 399 37 accessories battery accessories 400 38 installation and specifications the specifications in this section apply to the mp20, mp30, mp40, mp50, mp60, mp70, mp80 and mp90 patient monitors, unless otherwise stated. the monitors are not user installable. they must be installed by qualified service personnel. intended use the monitors are intended to be used for monitoring and recording of, and to generate alarms for, multiple physiological parameters of adults, pediatrics, and neonates. the devices are to be used by trained health care professionals. the monitors are intended for use in hospital environments ; the mp20 / mp30 / mp40 / mp50 monitors are additionally intended for use in transport situations within hospital environments. the x2 is additionally intended for use during patient transport both inside and outside of hospital environments. @topic:10


# # # issue - cuff failure on a vital signs monitor. # # # impact - inability to accurately measure blood pressure. # # # possible causes - cuff puncture or damage due to improper use or storage. - cuff tubing or connectors compromise. - cuff bladder leaks. - cuff size discrepancy with patient's arm size. # # # recommendations - inspect the cuff for any visible damage or punctures. - ensure proper cuff selection based on the patient's arm size. - train staff on proper handling and storage techniques for cuffs. - replace the cuff if it is damaged or worn out. - perform regular maintenance and inspections of the equipment, including the cuff. @topic:5


# # # issue monitor not linking with central monitor # # # impact loss of visibility and control over patient data, increased risk of misdiagnosis. # # # possible causes - incorrect or mismatched ip address and cl address between monitor and central monitor - firewall or network configuration issues - software or firmware malfunction # # # recommendations 1. verify and ensure that the ip address and cl address of the monitor match the ip address of the central monitor. 2. check firewall and network settings to ensure communication is not being blocked. 3. update software or firmware to the latest version to address any potential bugs or compatibility issues. 4. contact the manufacturer or consult with technical experts for further troubleshooting and support. @topic:16


# # # issue - central monitor not displaying values # # # impact - inaccurate patient monitoring - delayed or incorrect treatment decisions - potential harm to the patient # # # possible causes - incorrect time setting - faulty or damaged monitor - faulty or damaged cable - faulty or damaged sensor - software issue - power supply issue # # # recommendations - verify the time setting and adjust if necessary - inspect the monitor for any physical damage or loose connections - replace any damaged cables or sensors - update the software if necessary - check the power supply and ensure it is providing adequate voltage - if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair @topic:2


# # # issue the bedside physiologic monitor is not functioning properly due to a faulty red ekg lead. # # # impact the monitor is used to track vital signs such as heart rate and rhythm. a faulty ekg lead can result in inaccurate readings, which can lead to misdiagnosis and improper treatment. # # # possible causes - the ekg lead may be damaged or broken. - the connections between the lead and the monitor may be loose or faulty. - the monitor itself may be malfunctioning. # # # recommendations - inspect the ekg lead for any damage or breaks. - check the connections between the lead and the monitor to ensure they are secure. - test the monitor with a known - good ekg lead to rule out a problem with the monitor itself. - if the issue persists, contact the manufacturer for further troubleshooting or repair. @topic:18


# # # issue - the telemetry electrocardiography monitor is not working properly. # # # impact - the monitor cannot be used to monitor patient's heart activity, which can lead to delayed diagnosis and treatment. # # # possible causes - the monitor's frequency is not set correctly. - the monitor's battery is dead. - the monitor's sensors are not properly connected. - the monitor's software is not up to date. # # # recommendations - check the monitor's frequency and adjust it to the correct setting. - replace the monitor's battery. - check the monitor's sensors and make sure they are properly connected. - update the monitor's software. @topic:16


# # # issue - unable to power on medical cart # # # impact - inability to use medical cart for patient care # # # possible causes - loose electrical connection in power cord or plug - faulty power cord or plug - internal electrical fault in medical cart # # # recommendations - check and tighten any loose connections in the power cord or plug. - replace the power cord or plug if it is faulty. - contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair of any internal electrical faults. @topic:13


# # # issue the bed is not adjustable. # # # impact the patient may not be able to get into or out of bed, or may be uncomfortable in bed. # # # possible causes - the remote control is not working. - the bed motor is not working. - the bed frame is damaged. # # # recommendations - replace the remote control. - repair or replace the bed motor. - repair or replace the bed frame. @topic:1


# # # issue - unreliable power supply for bedside physiologic monitors # # # impact - loss of patient monitoring data - delays in patient care - patient safety concerns # # # possible causes - battery failure - power surge - electrical fault # # # recommendations - replace the battery immediately - inspect the power supply and wiring for any damage - consider using a surge protector to prevent future power surges @topic:11


# # # issue : unable to adjust knee flexion # # # impact : patient discomfort, delayed treatment, potential harm # # # possible causes : - * * faulty motor : * * the new motor installed by bme may be malfunctioning. - * * malfunctioning control box : * * the replacement control box from mst + med could be defective. - * * mechanical blockage : * * there may be an obstruction preventing the knee from flexing properly. - * * electrical fault : * * a loose connection or damaged wiring could be causing an electrical problem. - * * user error : * * the operator may be unaware of the correct procedure for adjusting the knee flexion. # # # recommendations : - * * verify motor function : * * test the new motor to ensure it is operating correctly. - * * inspect control box : * * examine the control box for any loose connections or other issues. - * * check for mechanical blockage : * * remove any obstructions that may be preventing the knee from moving. - * * trace electrical connections : * * inspect wiring for damage or loose connections. - * * review user manual : * * ensure that the operator is trained on the correct procedure for adjusting the knee flexion. - * * consult with manufacturer : * * if the issue persists, contact the manufacturer of the device for further guidance and repair. @topic:9


# # # issue - cuff deteriorated # # # impact - monitor may not be able to accurately measure vital signs, such as blood pressure. # # # possible causes - cuff may have been used excessively or not properly maintained. - cuff may have been exposed to moisture or other environmental factors that caused it to deteriorate. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - store the cuff in a cool, dry place when not in use. @topic:5


# # # issue - wood bed rails are loose and cannot descend # # # impact - patient safety hazard - inconvenience to patient care # # # possible causes - nuts and bolts securing the rail to the bed frame are loose - rail is bent or damaged - rail mechanism is jammed # # # recommendations - inspect the rail and hardware for damage or loose connections. - tighten any loose nuts or bolts. - replace any damaged components. - lubricate the rail mechanism if necessary. - test the rail to ensure it is functioning properly. @topic:6


# # # issue - the bed is not able to print. # # # impact - the bed cannot be used for patient care. # # # possible causes - control failure. # # # recommendations - replace control. @topic:28


* * issue : * * philips suresigns vs2 + physiological vital signs monitor malfunction * * impact : * * inability to accurately monitor vital signs of patients * * possible causes : * * * * * cuff degradation : * * prolonged use, exposure to harsh environments, or improper storage can compromise the integrity of the cuff, leading to inaccurate measurements. * * recommendations : * * * replace the degraded cuff with a new one to restore accurate vital signs monitoring. * implement regular preventive maintenance schedules to inspect and test the cuff for any signs of wear or damage. * train staff on proper cuff handling and storage techniques to minimize degradation. @topic:15


# # # issue the nibp monitor is experiencing intermittent blood pressure ( bp ) readings. # # # impact this issue can lead to inaccurate blood pressure measurements, which can have a significant impact on patient care. # # # possible causes - loose or damaged connections in the blood pressure cuff or tubing - faulty sensor in the blood pressure cuff - malfunction of the nibp monitor's internal components - signal interference from other electronic devices # # # recommendations - check and tighten all connections in the blood pressure cuff and tubing. - inspect the blood pressure cuff for any damage or tears. - replace the blood pressure cuff if it is damaged or torn. - calibrate the nibp monitor according to the manufacturer's instructions. - move the nibp monitor away from other electronic devices that may be causing signal interference. @topic:15


# # # issue - the telemetry monitor is unable to capture signals. # # # impact - this issue can affect the accuracy of patient monitoring, potentially leading to adverse health outcomes. # # # possible causes - * * defective sensors : * * the sensors responsible for capturing the patient's vital signs may be damaged or malfunctioning. - * * faulty wiring : * * incorrect connections between the sensors and the monitor can disrupt signal transmission. - * * loose connections : * * loose cables or connectors can cause intermittent signal loss. - * * software issues : * * bugs or errors in the monitor's software can interfere with signal processing. - * * electrical interference : * * electromagnetic noise from nearby equipment can interfere with the monitor's ability to capture signals. # # # recommendations - * * inspect the sensors : * * check if the sensors are properly attached to the patient and if they are functioning correctly. - * * examine the wiring : * * verify that the cables connecting the sensors to the monitor are secure and undamaged. - * * secure any loose connections : * * tighten any loose cables or connectors to ensure a stable connection. - * * update the software : * * if there are any available software updates, install them to address potential software - related issues. - * * minimize electrical interference : * * ensure that the monitor is placed away from sources of electromagnetic noise, such as x - ray machines or defibrillators. @topic:2


overview purpose and scope this service manual is a reference for periodic preventive maintenance and corrective service procedures for the welch allyn connex spot monitor. it is intended for use only by trained and qualified service personnel. corrective service is supported to the level of field - replaceable units. these include circuit - board assemblies and some subassemblies, case parts, and other parts. warning when performing a service procedure, follow the instructions exactly as presented in this manual. failure to do so could damage the monitor, invalidate the product warranty, and lead to serious personal injury. caution no component - level repair of circuit boards and subassemblies is e repair procedures described in this manual. a find instructions for functional testing and performance verification in the welch allyn service tool this manual applies only to this device. for servicing of any other vital signs monitor, see the service manual for the specific device. service work not described in this manual must be performed by qualified service personnel at the factory or at an authorized welch allyn service center. related documents when using this manual, refer to the following : connex® spot monitor instructions for use ( on the user documentation cd ) • welch allyn service tool : https : / / www. hillrom. com / en / services / welch - allyn - service - tool / welch allyn service tool installation and configuration guide : https : / / www. hillrom. com / en / services / welch - allyn - service - tool / welch allyn braun thermoscan® pro 6000 themometer instructions for use cd welch allyn braun thermoscan® pro 6000 charging station instructions for use cd • welch allyn 9600 plus calibration tester directions for use https : / / assets. hillrom. com / is / content / hillrom / 80020333litpdfpdf hillrom website : hill @topic:10


# # # issue - wheels of the patient transport monitor are stuck # # # impact - the patient transport monitor cannot be moved easily, which can delay patient care. # # # possible causes - the wheels may be dirty or obstructed. - the wheel bearings may be worn or damaged. - the brakes may be engaged. # # # recommendations - clean the wheels and remove any obstructions. - inspect the wheel bearings for wear or damage. - disengage the brakes. @topic:24


# # # issue - the telemetric electrocardiography monitor ( philips intellivue mx40 ) is not detecting signals. # # # impact - accurate monitoring of patient's heart activity is crucial for timely medical intervention and appropriate treatment. without proper signal detection, the monitor cannot provide reliable information, potentially compromising patient care. # # # possible causes - * * defective sensors : * * the electrodes or sensors responsible for detecting electrical signals from the patient's heart may be faulty. - * * loose connections : * * poor connections between the sensors, cables, or monitor can disrupt signal transmission. - * * software malfunctions : * * software bugs or glitches can interfere with the monitor's ability to process and display signals. - * * electromagnetic interference ( emi ) : * * external sources of electromagnetic radiation, such as nearby medical equipment or electronic devices, can interfere with the monitor's signal detection. - * * patient positioning : * * incorrect electrode placement or patient movement can affect signal quality. # # # recommendations - * * inspect and test sensors : * * ensure that the sensors are properly attached to the patient and that the cables are intact and securely connected. - * * check connections : * * verify that all cables and connectors are firmly secured and free of any damage. - * * update software : * * if available, install any recommended software updates to address potential bugs or compatibility issues. - * * minimize emi : * * identify and mitigate sources of electromagnetic interference in the vicinity of the monitor. - * * optimize patient positioning : * * ensure that the patient is positioned comfortably with the electrodes properly placed according to manufacturer guidelines. @topic:18


if possible. - * * update the monitor driver : * * if the monitor is using a software driver, ensure that the driver is up to date. you can download the latest driver from the manufacturer's website. @topic:2


##a wave is not labeled l and there is no learning ecg rhythm status message. in addition, alarm timeout periods are maintained, stored arrhythmia templates are maintained for the operative lead, and all alarms switched on are active. arrhythmia relearn and lead fallback lead fallback triggers an automatic arrhythmia relearn. warning if arrhythmia learning takes place during ventricular rhythm, the ectopics may be incorrectly learned as the normal qrs complex. this may result in missed detection of subsequent events of v - tach and v - fib. for this reason you should : • take care to initiate arrhythmia relearning only during periods of predominantly normal rhythm and when the ecg signal is relatively noise - free • be aware that arrhythmia relearning can happen automatically • respond to any inop messages ( for example, if you are prompted to reconnect electrodes ) • be aware that a disconnected easi electrode triggers an arrhythmia relearn on all leads • always ensure that the arrhythmia algorithm is labeling beats correctly. arrhythmia alarms arrhythmia alarms can be switched on and off and the alarm settings changed just like other measurement alarms, as described in the alarms section. special alarm features which apply only to arrhythmia are described here. the different alarms detected and generated by the monitor depend on the level of arrhythmia analysis that is enabled. for a complete list of arrhythmia alarms and inops, see the alarms chapter. the monitor detects arrhythmia alarm conditions by comparing ecg data to a set of pre - defmed criteria. an alarm can be triggered by a rate exceeding a threshold ( for example, hr > xx ), @topic:8


# # # issue - equipment : philips intellivue mx450 bedside physiologic monitor - description : the monitor is not linking with the central monitor. # # # impact - patient safety : this issue can potentially compromise patient safety if the monitor is not able to accurately and reliably display patient vital signs. - clinical efficiency : the issue can disrupt clinical workflow and make it more difficult for healthcare providers to monitor patients. # # # possible causes * * * incorrect ci address : * * the ci ( central interface ) address is the unique identifier that allows the monitor to connect to the central monitoring system. if the ci address is incorrect, the monitor will not be able to link with the central monitor. * * * network connectivity issue : * * the monitor may not be able to link with the central monitor due to a network connectivity issue. this could be caused by a problem with the network cable, the network switch, or the network configuration. * * * hardware malfunction : * * in some cases, the issue may be caused by a hardware malfunction within the monitor. # # # recommendations * * * check the ci address : * * verify that the ci address assigned to the monitor is correct. if the ci address is incorrect, correct it and reboot the monitor. * * * troubleshoot the network connectivity : * * check the network cable for any damage or loose connections. if the network cable is not the issue, try connecting the monitor to a different network port or network switch. * * * contact technical support : * * if the issue cannot be resolved by following the above steps, contact the manufacturer's technical support team for further assistance. they may be able to provide additional troubleshooting tips or arrange for a service technician to repair the monitor. @topic:16