* * issue : * * oxygen analyzer not functioning correctly * * impact : * * inaccurate oxygen level readings, leading to potential patient safety concerns * * possible causes : * * - * * deteriorated oxygen sensor : * * this is a common cause of failure in oxygen analyzers as sensors degrade over time due to aging and exposure to various gases. - * * electrical faults : * * loose connections, damaged wires, or faulty electronic components can disrupt the analyzer's proper operation. - * * calibration issues : * * incorrect calibration can result in inaccurate readings, potentially leading to misdiagnosis or improper treatment. - * * gas leakage : * * leaks in the analyzer system can affect the accuracy of oxygen measurements. - * * environmental factors : * * extreme temperatures or exposure to corrosive gases can damage the sensor or other components of the analyzer. * * recommendations : * * 1. * * replace oxygen sensor : * * if the sensor has deteriorated, replace it with a new one to restore accurate measurements. 2. * * check electrical connections : * * inspect and tighten all electrical connections, replace damaged wires, and ensure proper grounding. 3. * * calibrate analyzer : * * calibrate the analyzer regularly using certified calibration gases and following the manufacturer's instructions. 4. * * check for gas leakage : * * use a leak detector to identify any leaks in the system and address them promptly. 5. * * protect from environmental hazards : * * ensure the analyzer is operated within the specified environmental conditions and protected from extreme temperatures or exposure to corrosive gases. 6. * * monitor performance : * * regularly monitor the analyzer's performance and maintain a log of readings to detect any potential issues early on. @topic:4


system from infections. - * * software compatibility checks : * * verify that all software installed on the computer is compatible with the operating system and hardware. - * * proper configuration : * * configure software and hardware according to manufacturer's instructions to minimize potential conflicts. - * * physical inspection : * * inspect the computer for any signs of damage or wear and tear, and address any issues promptly. @topic:12


# # # issue - vital signs monitor unable to measure oxygen saturation ( spo2 ) due to defective pulse oximetry ( spo2 ) cable. # # # impact - inability to accurately monitor patient's oxygen saturation levels, which is crucial for timely intervention in critical care situations. # # # possible causes - damage to the spo2 cable : this can occur due to excessive bending, stretching, or physical trauma. - loose connections : poor contact between the cable and the monitor or patient sensor can lead to intermittent or no signal transmission. - malfunctioning sensor : the spo2 sensor itself may have become faulty, affecting its ability to detect and measure oxygen saturation. - software glitches : occasionally, software issues within the monitor can interfere with spo2 measurements. # # # recommendations - inspect the entire spo2 cable for any visible damage or loose connections. replace the cable if necessary. - ensure proper connection of the cable to both the monitor and the patient sensor. - test the functionality of the spo2 sensor by using a different cable or sensor. - check and update the monitor's software if any updates are available. - refer to the manufacturer's instructions for further troubleshooting and repair procedures. @topic:4


not functional. 350037 radio not functional. 350038 certificate information absent. the device queries certificate status for a certificate that isn't installed on the radio. check the radio configuration. if the very low problem is still present, reset the radio to factory defaults. if the problem persists, check for software update and apply it. if still present, ce the radio. radio not functional. 350039 invalid sequence number. the device queries certificate status fragment that does not exist. check the radio configuration. if the very low problem is still present, reset the radio to factory defaults. if the roblem persists, check for software service manual troubleshooting 205 alarm priority ossible causmessage update and apply it. if still present, eplace the radio. check the radio configuration. if the very low problem is still present, reset the radio to factory defaults. if the problem persists, check for software update and apply it. if still present, ce the radio. invalid radio configuration. cckm not allowed. there is an attempt to use cckm when not in wpa - personal or wpa2 - modes reconfigure an5003c radio not functional. send failure. the radio failed to 35003d to the host check for a software update and apply it. if still present, replace the radio. unable to store global configuration settings to the p file check for a software update and apply it. if still present, replace thradio. radio not functional. 5003e radio not functional. configuration hookup. there is 35003f an internal software error on the radio check for a software update and apply it. if still present, replace the radio not functional. 350041 check the radio configuration. if the very low problem is still present, reset the unable to configure dhcp 60 radio @topic:16


# # # issue - the ekg cable was found to be broken. # # # impact - the patient's ekg signal could not be accurately monitored. # # # possible causes - the ekg cable may have been damaged due to : - physical stress, such as being pulled or pinched - exposure to chemicals or moisture - age or wear and tear # # # recommendations - replace the ekg cable with a new one. - inspect the ekg cable regularly for signs of damage. - handle the ekg cable with care to avoid damage. @topic:18


# # # issue - cuff on the bedside physiologic monitor is damaged. # # # impact - patient's vital signs cannot be accurately monitored. # # # possible causes - cuff is old and worn. - cuff is not properly inflated. - cuff is not the correct size for the patient. - cuff is damaged due to improper handling. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated. - use the correct size cuff for the patient. - handle the cuff with care to avoid damage. @topic:5


# # # issue - equipment is not functioning due to lack of power. # # # impact - patients may not be able to receive necessary treatment or monitoring. # # # possible causes - damage to the connedtor cable between the control and remote unit. - faulty remote unit. - problem with the power supply to the control unit. # # # recommendations - replace the damaged connedtor cable. - troubleshoot the remote unit and replace if necessary. - check the power supply to the control unit and ensure it is functioning properly. @topic:7


* * issue : * * - malfunctioning bed restraint bar * * impact : * * - patient safety hazard due to potential falls - discomfort or injury to patient - reduced mobility and independence * * possible causes : * * - * * loose or damaged fittings : * * screws or bolts holding the bar in place may have loosened or broken. - * * wear and tear : * * over time, the bar may become worn or damaged from regular use. - * * defective materials : * * the bar may have been manufactured with defective materials, making it prone to breakage. - * * improper maintenance : * * neglecting regular inspections and maintenance can contribute to the bar's deterioration. - * * patient tampering : * * patients may attempt to adjust or remove the bar, causing damage. * * recommendations : * * * * immediate actions : * * - isolate the bed to prevent further use. - secure the patient from falling. - contact a qualified biomedical engineer for immediate repair. * * preventive measures : * * - implement a regular inspection and maintenance schedule for bed restraints. - use high - quality materials and ensure proper installation during manufacturing. - educate staff and patients on the importance of proper use and handling of bed restraints. - provide training to staff on how to identify and report any potential issues with bed restraints. - encourage patients to report any discomfort or movement restrictions related to the bar. @topic:6


# # # issue - spo2 sensor failure on philips intellivue mp70 bedside physiologic monitor # # # impact - inability to accurately measure patient's oxygen saturation levels # # # possible causes - defective o2 sensor - loose or damaged sensor connection - faulty sensor cable - monitor software or hardware malfunction # # # recommendations - replace the o2 sensor - inspect and ensure proper connection of the sensor and cable - troubleshoot the monitor for any software or hardware issues - consult with the manufacturer or a qualified biomedical engineer for further assistance @topic:4


# # # issue - broken spo2 cable # # # impact - inability to monitor patient's blood oxygen saturation levels - potential for patient harm # # # possible causes - physical damage to the cable ( e. g., cuts, tears, punctures ) - electrical failure - software incompatibility - improper installation or maintenance # # # recommendations - replace the broken spo2 cable with a new one - inspect the cable for any other damage or wear and tear - ensure that the cable is properly installed and connected - perform regular maintenance and testing on the monitor and cable - train staff on proper use and maintenance of the equipment @topic:4


# # # issue - nibp monitor malfunction due to loose bp cuff screw. # # # impact - inaccurate blood pressure readings or device failure. # # # possible causes - the screw securing the bp cuff to the monitor may have become loose due to : - normal wear and tear during use. - improper handling of the device. - trauma or accidental impact. # # # recommendations - * * immediate action : * * - retighten the loose screw to secure the bp cuff properly. - ensure the device is operating as intended before returning it to service. - * * preventive maintenance : * * - regularly inspect the device for any loose components or signs of damage. - handle the device carefully during transportation and storage. - train staff on proper handling and maintenance procedures. @topic:15


# # # issue - equipment : monitors, physiologic, vital signs - make : philips - model : suresigns vs2 + - description : battery failure due to aging. # # # impact - the device is unable to operate without a functioning battery. - this can lead to patient safety concerns if the device is needed in an emergency situation. # # # possible causes - the battery has reached the end of its lifespan. - the battery has been damaged or mishandled. - the device is not properly maintaining the battery. # # # recommendations - replace the battery with a new one. - inspect the device for any signs of damage or mishandling. - ensure that the device is properly maintaining the battery. @topic:11


# # # issue - keypad not working # # # impact - bed cannot be adjusted # # # possible causes - keypad is shorted # # # recommendations - replace the keypad @topic:25


# # # issue - monitor not linking to the central monitor # # # impact - inability to monitor patient vitals remotely - delay in care delivery - increased risk of medical errors # # # possible causes - incorrect ip address or subnet mask - firewall or security settings blocking communication - physical cable damage or loose connections - software or firmware issues # # # recommendations - verify the ip address and subnet mask of the monitor - check the firewall settings on the monitor and central server - inspect the physical cable and connections - update software and firmware to the latest version @topic:16


# # # issue the central monitor ( hewlett packard m3150a ) is displaying a time that is slower than the hospital's standard time. # # # impact this issue could potentially affect the accuracy of patient monitoring and documentation. # # # possible causes * the monitor's internal clock battery may need to be replaced. * the monitor's time zone setting may be incorrect. * the monitor may be connected to a network that is not synchronized with the hospital's standard time. # # # recommendations * replace the monitor's internal clock battery. * verify the monitor's time zone setting and adjust it as necessary. * ensure that the monitor is connected to a network that is synchronized with the hospital's standard time. @topic:29


# # # issue - malfunctioning remete, a part of the bed, electric device. # # # impact - limited functionality of the bed, electric device. - potential patient discomfort or safety hazards. # # # possible causes - wear and tear from regular use. - electrical or mechanical failure. - damage due to improper handling or storage. - inability to adequately secure the remote with standard methods. # # # recommendations - * * immediate actions : * * - secure the remote using appropriate methods to prevent further damage. - assess the functionality of the remote and the bed, electric device to ensure safe operation. - * * long - term solutions : * * - conduct regular maintenance and inspections to identify and address potential issues. - ensure staff are trained on proper use and handling of the device. - replace the remete as soon as possible to restore full functionality. - consider alternative methods of remote control, such as touch screens or bluetooth connections, to reduce the risk of physical damage. @topic:7


# # # issue - central time not accurate # # # impact - inaccurate patient monitoring data # # # possible causes - * * hardware malfunction : * * faulty clock or timing circuit - * * software bug : * * error in the software that controls the timekeeping function - * * user error : * * incorrect time setting or synchronization # # # recommendations - * * hardware : * * - verify that the clock or timing circuit is functioning properly. - if necessary, replace the faulty component. - * * software : * * - update the software to the latest version. - contact the manufacturer for technical support if the issue persists. - * * user : * * - ensure that the time is set correctly. - synchronize the device with a reliable time source, such as a network time server. @topic:29


# # # issue - cuff damage # # # impact - inaccurate blood pressure measurement - delay in patient care # # # possible causes - cuff over - inflation - cuff puncture - cuff aging and deterioration # # # recommendations - regular cuff inspection and replacement as needed - proper cuff inflation technique - avoid excessive use of the cuff - ensure that the cuff is the correct size for the patient @topic:3


# # # issue discolored lcd monitor display. # # # impact inaccurate patient monitoring and / or diagnosis due to compromised display accuracy. # # # possible causes - hardware defect in the lcd display panel - graphics card or video cable issue - software driver issue - power supply fluctuations or surges # # # recommendations - * * troubleshooting : * * - verify that the issue is not caused by a loose or damaged video cable connection. - update graphics card drivers to the latest version. - check the power supply to ensure stable voltage levels. - * * hardware inspection : * * - inspect the lcd display for any physical damage or loose connections. - replace the lcd panel if necessary. - * * software verification : * * - check if the issue persists in different software applications. - reinstall the operating system or display driver software if needed. - * * professional consultation : * * - if the above steps do not resolve the issue, contact a qualified biomedical engineer or the device manufacturer for further diagnosis and repair. @topic:2


* * issue * * the cause of failure for the bedside physiologic monitor is not specified in the input. * * impact * * the unspecified cause of failure could lead to uncertainties in diagnosing and treating patients, potential delays in patient care, and additional workload for biomedical engineers. * * possible causes * * based on the available information, possible causes of failure could include : - hardware malfunction ( e. g., faulty sensors, display issues ) - software glitches ( e. g., bugs or corrupted files ) - battery problems ( e. g., low battery, charging issues ) - user error ( e. g., improper handling or settings ) - environmental factors ( e. g., power outages, temperature fluctuations ) * * recommendations * * to determine the exact cause of failure, the biomedical engineer should : - thoroughly inspect the monitor, including both hardware and software components. - check the battery status and connections. - review the user logs and maintenance records. - perform diagnostic tests to identify any hardware or software issues. - consult with the manufacturer or other experts for additional troubleshooting. @topic:2


# # # issue - medical cart ( bdms 01 ) is not working properly. - the medcart program is frozen on the program's lock screen. # # # impact - the medical cart cannot be used to transport patients or equipment. - this can delay patient care and cause inconvenience to staff. # # # possible causes - the medcart program is not properly installed or updated. - there is a hardware issue with the medical cart. - the medcart has been locked by a user and the key is not available. # # # recommendations - check the medcart program installation and update it if necessary. - inspect the medical cart for any hardware issues. - contact the medical cart manufacturer or a qualified technician to unlock the cart. * * additional information * * the technician who fixed the medical cart noted that the program was frozen on the lock screen. this indicates that the root cause of the issue may be related to the medcart program. possible causes for the program to freeze on the lock screen include : - corrupted program files - insufficient memory - malware infection to prevent this issue from recurring, it is important to keep the medcart program up to date and to scan the cart regularly for malware. @topic:13


# # # issue - remote control malfunction # # # impact - inability to adjust bed height and position # # # possible causes - internal component failure - battery depletion - software glitch # # # recommendations - replace remote control - check and replace batteries if necessary - contact manufacturer for software update or troubleshooting assistance @topic:7


steps were followed correctly. if necessary, consult the manufacturer's instructions for proper use of the equipment. 5. * * contact manufacturer support : * * if the issue persists, contact the manufacturer of the monitor for further assistance and technical support. @topic:2


# # # issue - remote control malfunction # # # impact - unable to adjust the bed's position remotely. # # # possible causes - broken wire in the remote control. # # # recommendations - repair the broken wire or replace the remote control. @topic:7


in force. some devices, particularly older ones that do not comply with the electromagnetic compatibility standards, may however undergo interference or may themselves interfere with the working of this product. the users of such devices are responsible for ensuring that any malfunctions will not endanger the patient or any other person. use of this equipment adjacent to or stacked with other equipment should be avoided because it could result in improper operation. if such use is necessary, this equipment and the other equipment should be observed to verify that they are operating normally. ensure that the power cord is unplugged and hooked to the bed before moving the bed ( see " securing the power cable " page 84 ). only duly qualified and authorized staff should carry out electrical maintenance. never clean or service the bed without unplugging it from the mains power supply and disconnecting the battery. the battery backup must never be left in direct contact with fire, placed in liquid, or discarded in a refuse bin. in the event of the battery being damaged, see " end - of - life equipment " page 91. this label indicates that the bed must never be used with an oxygen tent or in explosive atmospheres ( presence of inflammable gases or vapors ). use only nasal tubes and oxygen masks. for reasons of safety, masks and tubes should always be kept at a higher level than the mattress support platform. always lock out the hilow function before any cleaning or maintenance operations. if the bed is equipped with a battery, and the bed is stored for long periods of time, the battery must be charged every 3 months. failure to do so could result in general precautions for the place of use it is advisable not to use the bed under the following conditions : in hospital wards other than the intended ward ( see " intended use " page 3 ), climatic conditions outside the corresponding ranges recommended by hillrom, in hyperbari @topic:9


##le. config ( 2 ) " if you download it a second time. if this happens, rename the file by deleting the parentheses ; then it will appear in the list. the remainder of this section instructs you how to do the following : edit a configuration file • copy a configuration file create a new configuration file install a configuration file • edit a configuration file to edit a saved configuration file, complete the following steps : access the configuration tool at http : / / config. welchallyn. com. 1. 2. log in with a username and password. 3. click list configurations on the navigation bar. locate the configuration file to be edited in the list, and click the table to launch the editor. 4. device configuration and setup welch [UNK] connex® spot monitor 104 under progress summary, locate the section you want to edit ( clinical, informatics, it, or biomed ) and click the specific step you want to edit. 5. review the selections in each step and modify them as desired. 6. 7. click save and continue to accept the changes or back to return to the previous screewithout saving. clicking save and continue automatically moves you to the next step in that section of the progress summary. when you reach the last step in a section, cllicking save and continue returns you to the progress summary. 8. click list configurations on the navigation bar to see a new date stamp in the updated column for your configuration file. 9. copy or restore a saved configuration file to copy or restore a saved configuration file, complete the following steps : access the configuration tool at http : / / config. welchallyn. com. 1. 2. log in with a username and password. 3. click list configurations on the navigation bar. locate the configuration file to be copied in the list, and click the @topic:10


# # # issue - failure of the physiologic vital signs monitor # # # impact - inability to accurately monitor patient's vital signs # # # possible causes - loose screws securing the monitor's components # # # recommendations - regularly inspect and tighten any screws or bolts securing the monitor's components - train biomedical engineers on the proper maintenance of physiologic vital signs monitors - implement a preventive maintenance program to identify and address potential issues early on @topic:2


# # # issue - cuff leak on ge healthcare dash 2000 physiologic bedside monitor # # # impact - inaccurate blood pressure readings # # # possible causes - damaged or worn cuff - improper cuff placement # # # recommendations - replace the cuff - ensure proper cuff placement @topic:3


# # # issue - degraded hook and loop fasteners ( velcro ) # # # impact - inability to maintain desired position or support for the patient or medical device # # # possible causes - extended use without cleaning or maintenance - exposure to excessive moisture or heat - improper storage or handling # # # recommendations - regularly inspect and clean hook and loop fasteners to remove any debris or contaminants. - avoid exposing hook and loop fasteners to extreme temperatures or moisture. - store and handle devices with hook and loop fasteners carefully to prevent damage. @topic:5


# # # issue - cuff blood pressure ( bp ) deterioration # # # impact - inaccurate bp measurements # # # possible causes - natural wear and tear over time - improper storage or handling - exposure to extreme temperatures or moisture # # # recommendations - regular preventive maintenance to inspect and replace worn or damaged parts - proper storage and handling according to manufacturer's recommendations - training of healthcare providers on proper use and maintenance of equipment @topic:3


# # # issue - the bed is malfunctioning and adjusting up and down on its own. # # # impact - patient safety is at risk as the bed could move unexpectedly and cause injury. - the bed may also be rendered unusable, disrupting patient care. # # # possible causes - * * electrical fault : * * a malfunctioning electrical component, such as a faulty motor or wiring, could be causing the bed to move on its own. - * * mechanical defect : * * a mechanical component, such as a broken gear or loose connection, could be preventing the bed from staying in place. - * * software issue : * * a glitch in the bed's software could be causing it to malfunction. # # # recommendations - * * inspect the electrical components : * * check the motor, wiring, and other electrical components for any signs of damage or malfunction. replace any faulty components as necessary. - * * inspect the mechanical components : * * check the gears, belts, and other mechanical components for any signs of wear, damage, or misalignment. lubricate or adjust the components as necessary. - * * update the software : * * if a software issue is suspected, contact the manufacturer for updates or patches that may resolve the problem. - * * monitor the bed's performance : * * after making repairs, monitor the bed's performance closely to ensure that the issue has been resolved. @topic:1


# # # issue - cuff connector not locking onto the air hose # # # impact - inability to accurately measure blood pressure # # # possible causes - damaged or misaligned cuff connector - obstruction in the air hose - software issue with the monitor # # # recommendations 1. inspect the cuff connector for any visible damage or misalignment. 2. check the air hose for any obstructions, such as kinks or blockages. 3. power cycle the monitor and ensure that the software is up to date. 4. if the issue persists, contact the manufacturer for further assistance. @topic:14


# # # issue - bed is dirty and not ready for use. # # # impact - patients may not be able to use the bed, which can delay their care. - the bed may not be safe to use, which could put patients at risk. # # # possible causes - the bed has not been cleaned properly. - the bed has been damaged. - the bed is not properly assembled. # # # recommendations - clean the bed thoroughly. - inspect the bed for damage. - reassemble the bed if necessary. - if the bed is still not ready for use, contact the manufacturer for assistance. @topic:9


# # # issue - scanner failure # # # impact - inability to monitor vital signs accurately # # # possible causes - * * continuous equipment usage without shutdown * * : overuse of the monitor without allowing it to power down can strain the scanner and lead to malfunction. # # # recommendations - * * regular equipment maintenance * * : schedule regular servicing and maintenance to prevent equipment failure. - * * proper usage * * : adhere to manufacturer's instructions for equipment usage, including appropriate shutdown and power cycling. - * * training and vigilance * * : train staff on proper equipment handling and encourage regular monitoring of device status to detect potential issues early on. - * * alternative monitoring * * : consider temporary alternative monitoring methods ( e. g., manual vital signs monitoring ) to ensure patient safety during equipment downtime. @topic:2


# # # issue - oxygen saturation sensor cable is broken. # # # impact - the nibp monitor cannot accurately measure oxygen saturation levels. # # # possible causes - the cable may have been accidentally pulled or damaged. - the cable may have been exposed to excessive heat or moisture. - the cable may have been defective. # # # recommendations - replace the oxygen saturation sensor cable. - inspect the cable for any damage. - ensure that the cable is not exposed to excessive heat or moisture. @topic:4


problems occurring if the mattress used is not included in the list of equipment recommended by hill - rom ( see " references of recommended mattresses " page 22 ). despite the protective height above the mattress and the top of the siderail, patients can still potentially fall or become trapped in the spaces around the mattress. use of a mattress thicker than the thickness recommended in " references of recommended mattresses " page 22 may reduce the effectiveness of the siderails. thicker mattresses can increase the risk of falling and shorter or narrower mattresses can increase the risk of patients becoming trapped. in such cases, the patient must be monitored closely. as assessed by the " hospital bed safety workgroup " guide and the standard en 60601 - 2 - 52, the mattress label on page 20 lists the mattresses recommended for use on the hill - rom 900 accella to offer the safest conditions. the therapeutic benefits of the other age 6 therapeutic mattresses listed in page 20 outweigh the residual risk of entrapment or fall incurred by their use. other mattresses may be used, but the manufacturer must always be consulted to make sure that the bed / mattress / siderail combination does not affect the bed's erformance, its suitability for use or its safety characteristics. a if the bed is fitted with an electrically powered air mattress, the power cord must be routed so as to prevent it from being cut by the moving parts of the bed. users must check the compatibility of the patient's weight and the accessories placed on the bed and the mattress system in view of the specifications of the medical bed and the mattress system. if the mattress power cord is unplugged, it is advisable to store it on the support provided by the mattress supplier. recommendations for the function lockouts the electrical function management control prevents any unintended bed movements that might cause injury to the patient. 2 a @topic:9


# # # issue - the electric bed cannot be adjusted. # # # impact - patients may not be able to get into or out of bed. - patients may not be able to adjust the bed to a comfortable position. - caregivers may have difficulty providing care to patients. # # # possible causes - electrical failure - mechanical failure - user error # # # recommendations - check the electrical connections to the bed. - inspect the bed for any mechanical damage. - train users on how to properly operate the bed. @topic:1


# # # issue monitor battery is unable to hold a charge, resulting in the device shutting down when unplugged despite the battery indicating a full charge. # # # impact - interruption of patient monitoring during transport or in case of power outages. - potential safety hazard if the device is not properly functioning during critical patient care situations. # # # possible causes - battery degradation due to age or improper maintenance - malfunctioning battery charging system within the device - faulty connections between the battery and the device # # # recommendations - * * replace the battery : * * if the battery has reached the end of its lifespan or is otherwise damaged, it should be replaced with a new one that is compatible with the device. - * * service the charging system : * * if the battery is new or recently replaced, the device's charging system should be inspected and serviced to ensure it is functioning properly. - * * check connections : * * inspect the connections between the battery and the device to ensure they are secure and free of corrosion or damage. - * * monitor battery performance : * * regularly check the battery status and performance to identify any potential issues early on. - * * proper battery maintenance : * * follow the manufacturer's guidelines for battery maintenance, such as proper charging and storage practices, to extend the battery's lifespan and prevent premature failure. @topic:11


# # # issue - bed is not adjusting up and down # # # impact - patient discomfort - difficulty providing care # # # possible causes - damaged remote control - faulty electrical connection - malfunctioning motor - obstructed gears # # # recommendations - replace damaged remote control - inspect electrical connections and repair as necessary - test motor functionality and replace if faulty - clean and lubricate gears to remove obstructions @topic:1


# # # issue - gas module g5 not turning on # # # impact - inability to monitor patient's respiratory parameters - potential delays in diagnosis and treatment - increased risk to patient safety # # # possible causes - loose connection in the electrical port on the back of the gas module g5 - faulty electrical port on the gas module g5 - faulty gas module g5 # # # recommendations - check the electrical port on the back of the gas module g5 and ensure that it is securely connected. - if the electrical port is securely connected, replace the gas module g5. - if the gas module g5 has been replaced and the issue persists, contact the manufacturer for further troubleshooting assistance. @topic:20


# # # issue - patient transport monitor philips intellivue mp20 ( m8001a ) is not able to measure blood pressure ( bp ). # # # impact - inaccurate bp measurement can lead to incorrect diagnosis and treatment. # # # possible causes - damaged air hose. # # # recommendations - replace the damaged air hose. @topic:15


# # # issue - faulty cuff # # # impact - inaccurate blood pressure readings - potential patient safety hazard # # # possible causes - cuff bladder leak - damaged cuff tubing - improper cuff size - cuff not properly attached to the blood pressure monitor # # # recommendations - replace the faulty cuff with a new one - ensure that the cuff size is appropriate for the patient - properly attach the cuff to the blood pressure monitor - regularly inspect and maintain the blood pressure monitor and its accessories @topic:3


* * issue : * * loose bolts on hospital bed rails * * impact : * * compromised patient safety, as loose rails could cause patients to fall or get injured. * * possible causes : * * * * * insufficient tightening of bolts during assembly : * * this could occur during initial installation or after maintenance work. * * * ageing and wear : * * over time, bolts and nuts on movable parts can become loose due to repeated stress and vibration. * * * material defects : * * the bolts or nuts may have been manufactured with defects that weaken their ability to hold the rails in place. * * recommendations : * * * * * regular inspection and maintenance : * * regularly inspect hospital beds for loose bolts, especially on movable parts like rails and headboards. tighten any loose bolts as needed. * * * proper tightening : * * when assembling or repairing a hospital bed, ensure that bolts are adequately tightened according to manufacturer specifications. * * * use of thread - locking materials : * * consider using thread - locking compounds or lock washers to prevent bolts from loosening over time. * * * training of maintenance staff : * * provide training to maintenance personnel on proper inspection and tightening procedures for hospital bed components. * * * regular replacement of worn components : * * aged or worn bolts and nuts should be replaced with new ones to ensure proper functionality and patient safety. @topic:6


# # # issue : bed not adjusting # # # impact : patient discomfort, delayed care # # # possible causes : - * * electrical fault : * * loose connections, damaged wires, faulty switch - * * mechanical failure : * * broken gears, worn - out motor, malfunctioning actuator - * * software glitch : * * corrupted firmware, incorrect calibration # # # recommendations : - * * inspect electrical connections : * * ensure all wires are securely plugged in and there are no loose terminals. - * * check mechanical components : * * examine gears, bearings, and motor for damage or wear. - * * update software : * * install the latest firmware and perform a system calibration. - * * test functionality : * * operate the bed multiple times to verify proper adjustment. - * * consult manufacturer : * * if the issue persists, contact the manufacturer for technical support and possible replacement of defective parts. @topic:1


symbol at the top right of the monitor screen gives you an indication of the current volume. to change the volume, select the volume symbol and then select the required volume from the pop - up selection. ♦ if you want to see a numerical indication of the current alarm volume on a scale from zero to 10, or change the setting, select the alarm volume smartkey. the volume scale pops up. the current setting is indented. to change the setting, select the required number on the scale. any settings that are inactive ( “ grayed out ” ) have been disabled in the monitor ’ s configuration mode. alarm volume when the alarm volume is set to zero ( off ), the alarm volume symbol reflects this. if you switch the alarm volume off, you will not get any audible indication of alarm conditions. there is no alarm volume indication on the screen of an x2 or mp5 when connected to a host monitor ( companion mode is indicated ). minimum volume for no central monitoring inop if your monitor is connected to an information center, and the connection is interrupted, the inop message no central monit. will appear within 30 seconds, accompanied by an inop tone. to help ensure that this inop, and any other active alarm, is not overlooked, the inop and alarm tones may be configured to have a minimum volume. in this case, inop and alarm tones will sound even if the monitor alarm volume is set to zero. minimum volume for severe yellow or red inops severe yellow or red inops require action to ensure the well - being of the patient. therefore the minimum volume for the inop tone is set to at least alarm volume 8, irrespective of the current alarm volume setting. the inop tone will sound even if the monitor alarm volume is set to zero. the severe inops for which this applies are : cuff not deflated ( configur @topic:10


# # # issue - spo2 module malfunction # # # impact - inability to accurately monitor patient's blood oxygen saturation levels # # # possible causes - software glitch - hardware defect - wiring issue - sensor issue - interference from other equipment # # # recommendations - * * troubleshooting : * * - verify that the spo2 sensor is properly connected and secured. - check if the spo2 module is enabled in the monitor's settings. - restart the monitor to reset any software issues. - * * maintenance : * * - if troubleshooting does not resolve the issue, contact the manufacturer for technical support. - perform regular preventive maintenance checks to identify and address potential problems early on. - * * equipment replacement : * * - if the spo2 module is beyond repair, consider replacing the entire monitor or just the specific module. @topic:4


the average of the two. the average variation in pulse pressure is calculated over periods of 32 seconds. warning this monitor can calculate ppv from beat - to - beat values of any arterial pulsatile pressure. the circumstances under which the calculation of a ppv value is clinically meaningful, appropriate and reliable must be determined by a physician. • the clinical value of the derived ppv information must be determined by a physician. according to recent scientific literature, the clinical relevance of ppv information is restricted to sedated patients receiving controlled mechanical ventilation and mainly free from cardiac arrhythmia. ppv calculation may lead to inaccurate values in the following situations : • at respiration rates below 8 rpm - during ventilation with tidal volumes lower than 8 ml / kg for patients with acute right ventricular dysfunction ( " cor pulmonale " ). - the ppv measurement has been validated only for adult patients • to select an arterial pressure as ppv source : in the main setup menu, select measurements. 1 in the setup ppv menu, select abp, art, ao, bap, p or fap as the arterial pressure source. 2 caution older multi - measurement modules cannot supply a beat - to - beat arterial pressure value. in this case the monitor shows a no ppv from mms or no ppv from fms inop. 221 there are two methods to store iap measurement readings in the monitor : with manual entry or using a pressure waveform. note for both methods, to be able to use the label iap, it must be made available for manual entry in configuration mode. for more details on manually entered measurements, see " entering measurements manually " on page 46. anual entrthis method uses a reading from an independent iap measurement device, for example a bladder anually transcribes the iap reading to the monitor. 1 @topic:17


# # # issue - equipment : respiratory gas analyzer ( cap10 ) - issue : unable to connect to wifi # # # impact - the device is unable to transmit patient data to the central monitoring system, which could delay or compromise patient care. # # # possible causes - faulty wifi module in the device - incorrect or incomplete wifi configuration on the device - interference from other wifi devices in the area - it network issues - incorrect or incomplete wifi password # # # recommendations - check the device's wifi module for any physical damage or loose connections. - verify the wifi configuration on the device and ensure it matches the hospital's network settings. - scan the area for other wifi devices that may be causing interference and relocate the device if necessary. - contact the it department to troubleshoot any network issues. - verify the wifi password and ensure it is entered correctly on the device. - if the issue persists, notify the manufacturer for further troubleshooting and possible repair or replacement of the device. @topic:16


# # # issue - defective oxygen saturation ( oxy sat ) cable # # # impact - inability to accurately monitor patient's oxygen saturation levels # # # possible causes - cable damage due to : - physical stress ( e. g., bending, pulling ) - chemical exposure - age - related deterioration # # # recommendations - replace the defective cable with a new one from stock. - regularly inspect and maintain all cables to prevent future failures. - train staff on proper handling and storage of cables to minimize damage. @topic:4


# # # issue - network issues # # # impact - bme unable to access the network - device unable to scan into system # # # possible causes - network cables not properly connected - network switch malfunction - firewall settings blocking connection # # # recommendations - check network cables and connections - test network switch - adjust firewall settings to allow connection @topic:16


# # # issue - equipment is not available for use. # # # impact - patient care may be delayed or compromised. - hospital staff may be unable to perform their duties effectively. # # # possible causes - equipment was not returned after being loaned to another department. - equipment was not properly documented when it was loaned out. - equipment was not stored properly after it was returned. # # # recommendations - establish a clear policy for loaning out medical equipment. - require staff to document when equipment is loaned out and returned. - ensure that equipment is stored properly when it is not in use. @topic:12


# # # issue - non - functional switch # # # impact - inability to operate the device properly - potential patient safety hazard # # # possible causes - mechanical failure of the switch - malfunctioning of the electrical circuit associated with the switch - accidental damage to the switch - wear and tear over time # # # recommendations - inspect the switch for any visible damage or loose connections. - test the electrical circuit associated with the switch using a multimeter. - if the switch is mechanically damaged, replace it with a new one. - if the electrical circuit is malfunctioning, troubleshoot the circuit and repair or replace any faulty components. - regularly inspect and maintain the device to prevent future switch failures. @topic:12


# # # issue : - cuff bp deterioration, resulting in inaccurate bp readings # # # impact : - inability to accurately monitor patient's bp # # # possible causes : - degradation of cuff material over time - damaged cuff from improper handling or storage - malfunction in the cuff's inflation mechanism # # # recommendations : - replace deteriorated cuff bp with a new one - ensure proper handling and storage of the equipment - regularly inspect and calibrate the equipment to prevent future failures @topic:3


all patient data is deleted. make sure that you have printed out any required reports before discharging. check that a functioning local or central printer is available before you use end case. to discharge a patient, 1 select the patient name field or select the admit / dischrge smartkey to open the patient demographics window and associated pop - up keys. 2 select the pop - up key for either : - end case - to print any configured end case reports or vital signs recording, discharge the patient and clear the patient database, then enter standby mode. if an end case smartkey is configured for your monitor, you can also select this instead and then confirm. to see which end case reports are set up for your monitor, select main setup - > reports - > auto reports. for each auto report, if end case report is set to on, this report will be printed when you select end case. see the section on autoreports for information on setting up end case reports. - dischrge patient - to discharge the patient without printing any reports. new patient check the monitor can be configured to ask you in certain situations : • after a specified power - off period • after a specified standby period • when no basic vitals ( hr, rr, pulse, sp0 2, nbp ) have been measured for a specified period whether a new patient is now being monitored. the pop - up window is entitled is this a new patient?. the monitor offers a yes key to discharge the previous patient and begin monitoring a new patient and a no key to continue monitoring with the current patient data and settings. the time periods for the three conditions can be configured independently. 104 transferring patients 5 managing patients transferring patients to save you from having to enter the same patient data multiple times and enable patient transfer without loss of data, information can be shared between multi - measurement modules ( mms ), patient @topic:10


* * issue : * * - bed scale is not displaying weight * * impact : * * - inaccuracy in patient weight measurement, which can affect treatment decisions and documentation. * * possible causes : * * * * 1. loose or disconnected wires : * * - the wires connecting the bed scale to the main unit or power source may be loose or disconnected. this can prevent the scale from receiving power or transmitting weight data. * * 2. faulty load cell : * * - the load cell is the sensor that measures the patient's weight. if the load cell is faulty, it may not be able to accurately detect the weight. * * 3. power supply issues : * * - the bed scale may not be receiving sufficient power. this can be due to a faulty power cord, damaged outlet, or power surge. * * 4. software glitch : * * - the software that operates the bed scale may have experienced a glitch, causing it to malfunction. * * 5. overweight patient : * * - the bed scale may not be calibrated to accommodate patients exceeding a certain weight limit. * * recommendations : * * * * 1. check wires : * * - inspect the wires connecting the bed scale to the main unit and power source. ensure they are securely plugged in and not damaged. * * 2. calibrate load cell : * * - if the load cell is suspected to be faulty, it may need to be recalibrated or replaced. this requires specialized equipment and expertise. * * 3. troubleshoot power supply : * * - verify that the power cord is undamaged and securely connected to a working outlet. check for any tripped circuit breakers or fuses. * * 4. software update or reset : * * - contact the manufacturer or a qualified biomedical engineer to update or reset the bed scale's @topic:25


##c 60601 - 1 - 2 : • electrostatic discharge ( esd ) • electrical fast transients / bursts • surges • voltage interruptions 307 [ 10 specifications ] • electro surgery ( esu ) parameter essential performance au after electrostatic discharge, fast transients / bursts, surges and electro surgery interference the equipment returns to previous operation mode within 30 seconds ( tcp02 / tcpc02 : 60 seconds ) without operator intervention and without loss of any stored data. after voltage interruptions the equipment returns to previous operating mode without operator intervention and without loss of any stored data. mdd classification according to the council directive 93 / 42 / eec ( medical devices directive ) the device classification is ilb, according to rule 10. safety and reguiatory information for details about safety and regulatory information, refer to the instructions for use. 308 11 intellivue mx400 - 550 product structure please refer to the following documents on incenter or lms for product structure information : document 12nc mx portable options us 452299103561 mx portable options row ( non - us ) 452299103551 mx portable upgrades us 452299103541 ms portable upgrades row ( non - us ) 452299103531 309 [ 11 intellivue mx400 - 550 product structure ] 310 part number 453564497981 published in germany 06 / 2014 philips @topic:10


# # # issue - wooden bed rails are not able to be lifted up # # # impact - patient safety : patients may be at risk of falling if they are unable to raise the bed rails. - staff efficiency : staff may be required to spend additional time manually lifting the bed rails, which can be inefficient. # # # possible causes - the wooden bed rails are obstructed by something, such as bedding or other objects. - the mechanism that lifts the bed rails is not functioning properly. - the motor that powers the bed rails is not working. # # # recommendations - check for any obstructions that may be preventing the bed rails from lifting up. - inspect the mechanism that lifts the bed rails for any damage or wear and tear. - test the motor that powers the bed rails to ensure that it is functioning properly. - if the issue cannot be resolved, contact a qualified biomedical engineer for further assistance. @topic:6


# # # issue - equipment failure # # # impact - reduced patient care efficiency - increased workload for medical staff - negative impact on patient comfort # # # possible causes - electrical malfunction - mechanical problems - user error - lack of maintenance # # # recommendations - scheduled maintenance and inspections - proper training for medical staff - manufacturer support for troubleshooting and repairs - preventive measures such as surge protectors and power conditioning devices - redundant systems to avoid prolonged downtime - regular cleaning and sterilization to prevent infection @topic:12


# # # issue - lock not functioning properly. # # # impact - the medical cart may not be able to be locked securely, which could lead to equipment or supplies being stolen or misplaced. - the medical cart may not be able to be moved safely, which could lead to injuries or damage to the cart or its contents. # # # possible causes - the lock mechanism may be damaged or worn out. - the lock may not be properly aligned with the door or frame. - there may be a foreign object obstructing the lock mechanism. # # # recommendations - inspect the lock mechanism for damage or wear. if necessary, replace the lock. - align the lock with the door or frame. - remove any foreign objects that may be obstructing the lock mechanism. - test the lock to ensure that it is functioning properly. @topic:21


* * cause of failure : cuff bp torn and worn * * * * issue : * * * worn and torn cuff bp prevents accurate blood pressure readings. * * impact : * * * inaccurate blood pressure readings can lead to delayed diagnosis, incorrect treatment, and patient harm. * inability to use the device for vital signs monitoring. * * possible causes : * * * prolonged use and wear - and - tear * chemical or environmental exposure * improper storage or handling * manufacturing defects * * recommendations : * * * perform regular inspections of cuffs for signs of wear and tear. * replace cuffs that are torn, worn, or damaged. * ensure proper storage and handling of cuffs. * adhere to manufacturer's recommendations for cleaning and maintenance. * train staff on proper handling and use of equipment. * consider using cuffless blood pressure monitors for certain applications. @topic:3


# # # issue - the bed's side rails are damaged and the head of the bed cannot be adjusted. # # # impact - the patient may be at risk of falling out of the bed. - the patient may be uncomfortable due to the inability to adjust the head of the bed. # # # possible causes - the side rails may have been damaged due to excessive force or misuse. - the head of the bed may not be able to be adjusted due to a mechanical failure. # # # recommendations - the side rails should be replaced. - the head of the bed should be repaired or replaced. @topic:6


# # # issue : - sphygmomanometer cuff failure # # # impact : - the sphygmomanometer cannot be used to measure blood pressure accurately, which could lead to incorrect medical decisions. # # # possible causes : - the cuff material may have deteriorated over time due to wear and tear or exposure to harsh conditions, such as moisture or chemicals. - the cuff may have been damaged during use, such as being punctured or torn. - the cuff may not be the correct size for the patient, which can put excessive strain on the material and lead to its failure. # # # recommendations : - regularly inspect the cuff for signs of wear and tear, and replace it if necessary. - handle the cuff carefully to avoid damaging it. - use the correct size cuff for the patient. - train staff on proper use and maintenance of the sphygmomanometer. @topic:3


# # # issue - unresponsive vital signs monitor button # # # impact - inability to operate the monitor and monitor vital signs # # # possible causes - faulty button - damaged wiring - software malfunction # # # recommendations - * * immediate : * * - verify power connection - check equipment for any visible damage - * * short - term : * * - contact the equipment manufacturer for troubleshooting and repair - * * long - term : * * - regularly inspect the equipment for any signs of wear or damage - consider upgrading to a newer model or brand @topic:2


# # # issue - vital signs monitor not measuring bpm and o2sat accurately. # # # impact - inaccurate patient vital signs monitoring, which could lead to delayed diagnosis and treatment. # # # possible causes - sensor misalignment. # # # recommendations - ensure that the sensor and probe are properly aligned. @topic:20


# # # issue : - headrest cannot be lowered. # # # impact : - inability to adjust the bed for patient comfort or medical procedures. # # # possible causes : - * * faulty headrest mechanism : * * mechanical failure in the headrest adjusting mechanism, preventing it from lowering. - * * damaged gears or cables : * * worn or broken gears or cables that transmit power from the motor to the headrest. - * * electrical issue : * * interruption in the electrical supply or malfunctioning motor that powers the headrest adjustment. - * * loose connections : * * disconnected or loosened wires or connectors within the bed's electrical system. - * * software glitch : * * a software malfunction in the bed's control system may prevent the headrest from lowering. # # # recommendations : - * * mechanical inspection : * * thoroughly inspect the headrest mechanism for any visible damage or mechanical issues. - * * electrical troubleshooting : * * check the electrical connections, motor, and power supply to ensure they are functioning properly. - * * software reset : * * reset the bed's control system by unplugging and replugging it, or by following the manufacturer's instructions for software troubleshooting. - * * replace faulty parts : * * if necessary, replace any damaged or faulty gears, cables, or other components that are causing the issue. - * * calibrate system : * * perform a system calibration to ensure the headrest adjusts properly within the designated range. - * * call for professional repair : * * if the issue persists or requires specialized repair, contact a qualified biomedical engineer or technical support from the manufacturer. @topic:1


# # # issue - time is not accurate. # # # impact - inaccurate timekeeping can lead to errors in documentation, medication administration, and other time - sensitive tasks. # # # possible causes - faulty timekeeping component - incorrect time setting - interference from external sources such as electromagnetic fields # # # recommendations - replace the faulty timekeeping component. - ensure that the time is set correctly according to the hospital's standard operating procedures. - investigate and mitigate any sources of electromagnetic interference that may be affecting the equipment. @topic:29


# # # issue - battery failure in a physiologic monitor ( bedside ) manufactured by welch allyn, model propaq lt. # # # impact - the monitor may not function properly or may shut down unexpectedly, potentially affecting patient monitoring and care. # # # possible causes - battery degradation due to aging or excessive use. - battery charging issues or improper charging procedures. - battery not securely connected or seated properly. - battery terminal corrosion or damage. # # # recommendations - regularly inspect and replace batteries according to manufacturer's recommendations. - follow proper charging procedures and ensure sufficient charging time. - check battery connections and terminals for any signs of damage or corrosion. - consider using high - quality, long - lasting batteries designed for medical devices. - have the battery tested or replaced by a qualified technician if any issues are suspected. @topic:11


codes by a registered, professional, structural and / or mechanical engineer. ensure that this commitment has been met before assembling mounts. connections the following figure shows the cable and interface board connections. 227 7 installation instructions installing the monitor ( m8003a or m8004a ) parallel n _ r ( > ♦ • - - € > • • < > • • ■ parallel printer remote device mib / rs232 1 = 0 alarm o i _ r j - j - l!!!!!!!!!!! 3 o ] r y o b 1 _ _ r flexible nurse input device ps / 2 call relay i / o boards & intellivue 802. 11 bedside adapter standa rd advanced docking i o m — xj - 5 z m xi o 5 | z : * ®i r ~ ifl docking $ u network wireless network l / f network basic nurse call relay slave video out wireless network l / f network docking l / f system interface board figure 23 mp40 / mp50 cable and interface board connections intellivue 802. 11 bedside adapter 228 installing the monitor ( m8003a or m8004a ) 7 installation instructions installing interface boards if you add interface boards to your monitor, you must insert them into the device according to the following rules : slot 1 • the following boards can be inserted into slot 1 : - system interface board standard - system interface board advanced - docking system interface board • the following boards can be inserted into either slot 2 or slot 3 : - ps / 2 ( input device ) interface - remote interface - parallel printer - nurse call relay - mib / rs232 - intellivue 802. 11 bedside adapter note only one of each of the boards listed above can be installed at a time except the mib / rs232 board, of which a second board is @topic:19


# # # issue : - blood pressure ( bp ) connector screw malfunction # # # impact : - inability to accurately measure blood pressure # # # possible causes : - * * screw damage : * * the screw may have been overtightened or damaged during previous maintenance or use. - * * wear and tear : * * the screw may have become worn out over time due to repeated use or exposure to harsh conditions. - * * corrosion : * * the screw may have corroded due to exposure to moisture or chemicals. - * * loose connection : * * the screw may have become loosened, causing a poor connection between the bp cuff and monitor. # # # recommendations : - inspect the screw for any visible damage or wear. - replace the damaged screw with a new one. - ensure that the screw is properly tightened and secured. - lubricate the screw with silicone grease or a similar lubricant to prevent future corrosion. - regularly inspect and maintain the bp monitor to prevent similar issues. @topic:14


# # # issue the cuff large in the philips suresigns vs4 vital signs monitor is deteriorating and losing its ability to adhere properly. # # # impact this deterioration can lead to inaccurate blood pressure readings, which could have serious consequences for patient care. # # # possible causes the cuff large may be deteriorating due to : - age - wear and tear - improper storage - exposure to extreme temperatures # # # recommendations the following steps should be taken to address this issue : - replace the cuff large with a new one. - inspect the cuff large regularly for signs of deterioration. - store the cuff large in a cool, dry place. - avoid exposing the cuff large to extreme temperatures. @topic:5


# # # issue - the remote control for the huntleigh enterprise 5000 electric bed is not working. the lights on the remote are flashing, but it is not responding to commands. # # # impact - the patient cannot adjust the bed's position, which could be uncomfortable or even dangerous. # # # possible causes - the remote control may be damaged. - the remote control may not be paired with the bed. - the batteries in the remote control may be dead. - there may be a problem with the wiring between the remote control and the bed. # # # recommendations - check the remote control for any damage. if the remote is damaged, it will need to be replaced. - try pairing the remote control with the bed again. - replace the batteries in the remote control. - check the wiring between the remote control and the bed. if there is a problem with the wiring, it will need to be repaired. @topic:7


documentation accompanying the calibration equipment for more details. warning dispose of empty — or partially empty — calibration gas containers in accordance with the manufacturer ’ s instructions and local regulations. c0 2 gas measurement calibration check to check the calibration of the coo gas measurement : 1. open the system admin section of the system menu. see “ accessing the system admin menu " on page 5 - 2. 2. rotate the wheel until the diagnostics button is highlighted, then press the wheel. the system diagnostics menu appears. 3. select the maintenance » button and press the wheel. a password window appears. 4. enter 1 - 2 - 9 in the password window. 5. the complete system diagnostics menu, including maintenance, appears. 6. select c02 test from the menu. 6 - 14 performance verification testing performing verification tests the c02 test menu appears. c02 test 7. connect one end of the filterline tubing to the co 2 inlet on the monitor ; leave the other end unconnected. 8. in the c02 test window, rotate the wheel to highlight start calibration check and press the wheel. a confirmation window appears telling you to connect the gas to the co 2 module. 9. connect the other end of the filterline tubing to the gas controller equipment inlet with a 5 % gas concentration. 10. open the valve on the gas controller equipment to allow 5 % co 2 gas to flow into the monitor. 11. rotate the wheel to yes in the confirmation window and press the wheel to begin checking the calibration. the monitor checks the calibration and when the calibration check completes, the c02 test window displays a message. for example : c02 calibration check successful. c02 rate : 5. 1. note — the calibration check can take @topic:17


# # # issue - the bed cannot be adjusted. # # # impact - the patient cannot be positioned comfortably. - the medical staff cannot perform procedures efficiently. # # # possible causes - the remote control is not functioning properly. - the bed's electrical system is malfunctioning. - the bed's mechanical system is malfunctioning. # # # recommendations - check the remote control for damage or loose connections. replace the remote control if necessary. - check the bed's electrical system for loose connections or damaged wires. repair or replace any damaged components. - check the bed's mechanical system for loose screws or worn gears. tighten or replace any loose components. @topic:1


# # # issue - the remote for the huntleigh contoura 360 bed, electric is not working. # # # impact - the medical device cannot be adjusted or controlled using the remote. # # # possible causes - * * remote faulty * * : the remote may be defective or damaged, causing it to not communicate with the medical device. - * * radio frequency interference * * : external sources of radio frequency interference could disrupt the communication between the remote and the device. - * * software malfunction * * : a software issue in the remote or the device may prevent the remote from functioning correctly. # # # recommendations - * * inspect remote * * : carefully examine the remote for any visible damage or loose connections. replace the remote if necessary. - * * eliminate interference * * : ensure there are no nearby sources of radio frequency interference that could affect the remote's signal. - * * update software * * : contact the equipment manufacturer to inquire about software updates that may resolve software - related issues affecting the remote. - * * reset device * * : resetting the medical device may help to resolve any software glitches that could be interfering with the remote's functionality. - * * professional repair * * : if the above steps do not resolve the issue, consult with a qualified biomedical engineer to investigate and repair the remote or the medical device. @topic:7


# # # issue - the ekg cable is not measuring properly. # # # impact - the patient's heart rate and rhythm cannot be accurately monitored. - this could lead to delayed diagnosis or treatment of heart problems. # # # possible causes - the ekg cable is damaged. - the ekg cable is not properly connected to the bedside monitor. - the bedside monitor is not functioning properly. # # # recommendations - inspect the ekg cable for any damage. if the cable is damaged, replace it. - make sure the ekg cable is properly connected to the bedside monitor. - check the bedside monitor for any error messages. if there are any error messages, follow the instructions on the screen to resolve the issue. - if the bedside monitor is not functioning properly, contact a qualified technician for repair or replacement. @topic:18


of this manual. figure 3 - 2. siderail interface p. c. board — p / n 72207 and 71514 ( beds without the safe view™ alerts or the navicare® patient safety module ) refer to fold - out fo 3 - 2 at the rear of this manual. figure 3 - 3. caregiver control refer to fold - out fo 3 - 3 at the rear of this manual. figure 3 - 4. caregiver signal conditioning refer to fold - out fo 3 - 4 at the rear of this manual. figure 3 - 5. bed control board power and phase control refer to fold - out fo 3 - 5 at the rear of this manual. figure 3 - 6. bed control board power management refer to fold - out fo 3 - 6 at the rear of this manual. figure 3 - 7. bed control board battery management refer to fold - out fo 3 - 7 at the rear of this manual. figure 3 - 8. bed control board clock and divider refer to fold - out fo 3 - 8 at the rear of this manual. figure 3 - 9. bed control board relay, fet and drivers refer to fold - out fo 3 - 9 at the rear of this manual. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 3 - 21 electrical system wiring diagram chapter 3 : theory of operation figure 3 - 10. bed control board pld and connector refer to fold - out fo 3 - 10 at the rear of this manual. figure 3 - 11. bed control board motor current limiter ( a, b and c model beds ) refer to fold - out fo 3 - 11 at the rear of this manual. figure 3 - 12. bed wiring schematic ( a model beds ) refer to fold - out fo 3 @topic:9


# # # issue - knob control not functioning # # # impact - inability to use the medical device effectively # # # possible causes 1. loose knob control head 2. faulty internal components 3. software malfunction # # # recommendations 1. tighten the knob control head 2. inspect and replace internal components as necessary 3. update software or perform troubleshooting to address any software issues @topic:12


# # # issue - cuff is worn out, resulting in high readings. # # # impact - inaccurate vital signs readings, which can lead to incorrect medical decisions. # # # possible causes - cuff is old and has been used extensively. - cuff has been damaged or punctured. - cuff is not the correct size for the patient. # # # recommendations - replace cuff with a new one. - inspect cuff regularly for damage. - use the correct size cuff for the patient. @topic:5


# # # issue - the electric hospital bed is not adjustable. # # # impact - patients may not be able to get into or out of bed comfortably. - nurses and other caregivers may have difficulty caring for patients in bed. # # # possible causes - the remote control is broken. - the bed's electrical system is malfunctioning. - the bed's mechanical system is malfunctioning. # # # recommendations - replace the remote control. - inspect the bed's electrical system for loose connections or damaged wires. - inspect the bed's mechanical system for broken or worn parts. @topic:1


- in recorder ( mx400 / 450 only ) • has an integrated 3 - slot rack ( mx500 / 550 only ) note the 802. 11 bedside adapter ( wlan ) and iit are mutually exclusive. 13 [ 2 theory of operation front t srr board 1 t srr board 2 speaker power switch i board \ \ \ 1 1 1 z'side usb ecgout | i! 1 1 y y y bottom antenna t board i antenna 1 | i antenna 2 | i antenna 3 | iit 802. 11 ; > bedside adapter standard system if board battery lan video usb main board msl board recorder board ■o * 2 ( 0 b ( d o x3 o o mms rear advanced system if board legerxj : board to board connection - cable connection mx400 hardware building blocks 14 2 theory of operation ] touch screen | alarm led lcd panel 12 " v \ \ \ board - 1 - 1 / / / t srr board 1 backlight n. • s. \ \ 1 1 / / panel / / y adapter c. board srr board 2 front speaker power switch i board \ \ \ 1 1 1 z'side usb ecgoul | i! 1 1 y y y bottom antenna t board i antenna 1 | i antenna 2 | i antenna 3 | irr 802. 11 ; > bedside adapter standard system if board battery lan video usb main board msl board recorder board ■o * 2 ( 0 b ( d o x3 o o mms rear advanced system if board legerxj : board to board connection - cable connection mx450 hardware building blocks 15 [ 2 theory of operation front touch screen | alarm led lcd panel 12715 ’ v \ \ \ board - 1 - i / / / t srr board 1 backlight • s. \ \ i 1 / / panel / / y adapter c. board sr @topic:19


# # # issue - medical cart bdms 01 is not charging. # # # impact - the medical cart cannot be used, which may delay patient care. # # # possible causes - the charging port is broken. - the charger is not working. - the battery is dead. # # # recommendations - check the charging port for damage. if the charging port is broken, it will need to be replaced. - try a different charger. if the charger is not working, it will need to be replaced. - check the battery. if the battery is dead, it will need to be replaced. - if the issue is not resolved, contact the manufacturer for further assistance. # # # additional recommendations to avoid future failures : - handle the medical cart carefully to avoid damaging the charging port. - use the correct charger for the medical cart. - charge the battery regularly to prevent it from dying. @topic:13


# # # issue - the printer connected to the central station monitor is not functioning. # # # impact - the ability to print patient ekg data is impaired. # # # possible causes - damaged or loose printer cable - printer driver issues - paper jam or low paper supply - printer hardware malfunction # # # recommendations 1. check the printer cable connections and ensure they are secure. 2. verify that the correct printer driver is installed and up - to - date. 3. inspect the printer for any paper jams or low paper supply and address accordingly. 4. if the issue persists, contact the manufacturer for further troubleshooting and potential repair. @topic:28


# # # issue water trap of the module gas g7 used with the monitor is full of water. # # # impact the module gas may fail easily. # # # possible causes - water trap was not drained regularly. - water trap was not replaced when it was full. - water trap was damaged. # # # recommendations - drain the water trap regularly. - replace the water trap when it is full. - inspect the water trap for damage and replace it if necessary. @topic:2


# # # issue * bed electric, huntleigh, model contoura 360, fails to lock in the lot wheel position. # # # impact * inability to securely position the bed, compromising patient safety and hindering medical procedures. # # # possible causes * * * defective locking mechanism : * * the mechanism responsible for locking the lot wheels may have malfunctioned due to wear and tear, improper maintenance, or manufacturing defects. * * * broken or loose cables : * * electrical cables connecting the locking mechanism to the bed's control panel may have become damaged or loose, interrupting the signal. * * * software glitch : * * a software error in the bed's control system could prevent the locking mechanism from functioning properly. # # # recommendations * * * inspect the locking mechanism : * * physically examine the mechanism for any obvious signs of damage, looseness, or corrosion. * * * verify cable connections : * * ensure that all electrical cables connecting the locking mechanism to the control panel are securely connected and not damaged. * * * test software functionality : * * run diagnostic tests to check for any software errors or glitches that may be affecting the locking mechanism. * * * replace faulty components : * * if necessary, replace any defective components or cables to restore the locking mechanism's functionality. * * * regular maintenance : * * implement a regular maintenance schedule to prevent future failures by inspecting the locking mechanism and cables for wear and tear or damage. @topic:6


# # # issue - cuff and tubing of the vital signs monitor are degraded. # # # impact - the vital signs monitor may not be able to accurately measure blood pressure and other vital signs. - the cuff and tubing may become a source of infection if it is not replaced. # # # possible causes - the cuff and tubing may have been damaged due to wear and tear. - the cuff and tubing may have been exposed to chemicals or other substances that have degraded them. - the cuff and tubing may not have been properly cleaned or disinfected. # # # recommendations - replace the cuff and tubing of the vital signs monitor. - inspect the vital signs monitor regularly for signs of wear and tear. - clean and disinfect the vital signs monitor regularly. @topic:5


point where the release mechanism on the head motor begins to move from the neutral position. 3. stop at the point where the release mechanism begins to move from the neutral position. 4. tighten the two jam nuts ( l ). 5. to make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 - 5. page 4 - 22 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 7 knee section motor chapter 4 : removal, replacement, and adjustment procedures 4. 7 knee section motor tools required : 13 mm socket ratchet extension e - ring installation tool t25 torx® 1 screwdriver removal 1. set the brakes. 2. raise the sleep surface to the highest position. 3. raise the head section to the highest position. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 4. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 5. remove the seat and knee sections. 6. for a model beds, do as follows, otherwise go to step 7. a. remove the two screws ( a ) and washers ( b ) securing the power supply cover ( c ) to the power supply ( d ) ( see figure 4 - 11 on page 4 - 24 ). b. remove the power supply cover ( c ). 1. torx® is a registered trademark of acument intellectual properties, llc. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 23 4. 7 knee section motor chapter 4 : removal, replacement, and adjustment procedures figure 4 - 11. power supply 7. for b model beds, do as follows : a. remove the two screw @topic:26


in any of this event group ’ s measurements. if the trigger is at least three par., the monitor captures events when three or more trigger thresholds from this event group ’ s measurements are violated. with enhanced condition you can not only select a minimum number of triggers to trigger an event but define which specific measurement triggers these must be. for example, at least two param. will cause an event to be captured if a trigger occurs in any two of this event group ’ s measurements - with enhanced condition you can select that only when triggers are in hr and sp0 2 an event will be captured. the trigger condition for event groups is set in the monitor ’ s configuration mode. if you use alarm limits as event triggers, the event capture is triggered automatically when your patient ’ s values violate set alarm limits, or when a specified alarm condition, such as apnea, occurs. no events of this kind are triggered if alarms are switched off. changing alarm limits changes the event trigger definitions. the asterisk symbols beside the trigger tell you about the alarm triggers : * * * indicates a high priority ( red ) alarm * * indicates a lower priority ( yellow ) alarm. this category includes short yellow arrhythmia alarms, which may be configured to be shown as one star alarms ( * ) on your monitor. triggers without asterisk symbols are user - defined triggers. if you set user - defined threshold triggers, you can define event triggers that are independent of alarm limits. you must set a threshold value and a threshold time for the trigger. if you set the trigger threshold time to 12 seconds, the monitor triggers an event if the threshold is violated for more than 12 seconds. if you set on measurement triggers, you can set aperiodic measurements ( such as nbp ) or procedures ( such as cardiac output ) to trigger an event whenever they start. 295 24 event surveillance event triggers @topic:8


rs232 board can support external touch display, data import, data export ). monitor applications the monitor applications provide additional system functionality over the basic measurement and monitoring capabilities. this includes for example trending, report generating, event storage or derived measurements. in general, the monitor applications use the data provider system service to access the measurement data. application interfaces to the other system services allow the application to visualize data, to store data over extended periods of time or to output data to other devices. internal lan ( measurement link ) the monitor and multi - measurement modules communicate using an ieee802. 3 / ethernet lan in the measurement link ( msl ). this network is used to distribute data between the components, for example : • digitized patient signals including wave data, numerical data and status information ( typically from the measurement server to a display unit ) 21 [ 2 theory of operation ] • control data representing user interactions ( typically from the display unit to a measurement server ) • shared data structures, for example representing patient demographical data and global configuration items the internal lan allows plug and play configuration of the monitoring system. the system automatically detects plugging or unplugging of measurement servers and configures the system accordingly. the components on the internal lan are time - synchronized to keep signal data consistent in the system. dedicated hardware support for synchronization eliminates any latency of the network driver software. the integrated lan provides deterministic bandwidth allocation / reservation mechanisms so that the real - time characteristic of signal data and control data exchange is guaranteed. this applies to the data flow from the measurement server to the monitor ( for example measurement signal data ) and the data flow from the monitor to a measurement server ( for example to feed data to a recorder module ). philips clinical network the monitoring system may be connected to the philips clinical network, for example to provide central monitoring capabilities or other network services @topic:10


92 93 94 95 96 97 98 99 100 % the title line of the window shows the label of the trended measurement and the resolution of the data ; in the spo2 histogram above, 1 second realtime samples. the horizontal axis shows the range and unit of the displayed measurement. the vertical axis shows the of time. range on the columns in the foreground show how much of the time the measured values fell into this the scale. for example, in the histogram above, the spo2 value was between 93 and 94 % during 20 % of the last 12 hours. the display of the percentage value above each column, can be switched on or off by selecting the histogram. the arrow mark over a column shows that the currently measured value is also in this range. the columns are displayed in the same color as the measurement data. the columns in the background show the cumulative percentage value : each of the foreground columns is added to the sum of those columns to the left of it. the cumulative columns can be switched off using the curve on / off pop - up key. a question mark is displayed if less than two - thirds of the data are valid samples. the pop - up keys in the window can be used to change the measurement, the time period and the range. you can also print out a histogram report. the spo2 and system pulse histograms can use trended data or realtime data with 1 second samples. you can set two cursors that span a " corridor ", for example to divide a histogram into in - range and out - of - range areas. or you can set both cursors to the same value and use them as one cursor to divide the histogram into an upper and a lower segment. 314 3 trends y - the cursors are represented by a vertical line @topic:8


. silencing an alarm does not reset its timeout period, so you will not get a realarm for the same condition or lower on the chain until the timeout expires. arrhythmia alarm chaining may be when arrhythmia analysis is switched on, multiple alarm conditions present. announcing all othe detected alarm conditions would be confusing, and might hide a more serious condition. for this reason, arrhythmia alarms are prioritized in three alarm " chains " : pvc alarms ; beat detection alarms, and rate alarms. be aonly the highest priority alarm condition in each chain is announced. lower priority alarms in the same chain will not be announced while an alarm is active or during the configured timeout period. 162 6 ecg, arrhythmia, st and qt monitoring if alarm conditions of equal severity from different chains are detected, the alarm condition that occurred most recently is announced. see " ecg and arrhythmia alarm overview " on page 149 for information on which alarms are included in the different arrhythmia options. see " arrhythmia alarm timeout periods " on page 161 alarm timeouts work. red arrhythmia alarms asystole ↓ vent fib / tach - tach extreme tachy / extreme brady yellow arrhythmia alarms pvc alarms chain rate alarms chain beat detection afib / endafib larms chain non - sustain vt / vent rhythm ↓ pause svt first level ihr / endihr timeout run pvcs acer noperiod ( timeout 1st ) hr high / captured / pacer not pacing / hr low " ↓ missed beat r - on - t pvcs timeout period ( timeout vent trigeminy pvcs > xx / min 2nd ) multiform pvcs " if hr high / @topic:8


values ( for example abp or rm. to change the presentation style, 1 select main setup then select trends. select global style and choose 2 • band to fill the area between the trend lines, for example, between the systolic and diastolic • 240 abp 50 this sample abp trend shows the continuously - measured values for the systolic, diastolic and mean defining the column interval using the nbp measurement you can have the nbp measurement determine the interval between the columns on the vital signs trend. each nbp measurement will generate a column in the trend table. the values for the other measurements are added to the column to provide a complete vital signs set for the nbp measurement time. 17 3 trends to use the nbp measurement to determine the column interval : select main setup then trends. 1 in the trends menu, select setup vitalsigns. 2 in the vital signs menu, select column and then nbp from the pop - up menu. 3 making settings for histograms to make settings for histograms, first display the trends window by selecting main setup then trends. to set the default for the measurement data to be used in the histogram, in the trends window, select setup histogram. 1 select data source. 2 select either 3 realtime data, and then a realtime spo2 or pulse, or • trended data and then select the required measurement from the trended data list. • to set the default period for the histogram, in the trends window, select setup histogram. 1 select select period and select the required time period from the list. 2 to set the unit for the selected measurement data source, in the trends window, select setup histogram. 1 select unit and select a unit from the list. 2 switching cumulative value columns on and off to @topic:8


* * issue : * * monitor failed * * impact : * * patient monitoring is disrupted * * possible causes : * * * * * battery failure : * * the new battery may be defective or not compatible with the device. * * * improper battery installation : * * the battery may not have been installed correctly, causing a connection issue. * * * battery charging issue : * * the battery may not have been charged for the recommended 8 hours, affecting its performance. * * * device malfunction : * * the monitor may have a separate issue that is unrelated to the battery change. * * recommendations : * * * * * verify battery compatibility : * * ensure the new battery is the correct type and voltage for the device. * * * inspect battery installation : * * check that the battery is securely connected and properly seated in the compartment. * * * monitor battery charging : * * ensure the battery is charged for the specified duration before use. * * * test device with alternative battery : * * if possible, try using a known - good battery to eliminate any issues with the device itself. * * * contact manufacturer : * * if the issue persists, contact the manufacturer for technical support and guidance. @topic:11


# # # issue : equipment failure due to undetermined cause # # # impact : equipment unavailable for use, leading to potential delays or disruptions in patient care. # # # possible causes : * * 1. malfunction or defect in the equipment : * * this could include issues with internal components, such as sensors, circuitry, or software. * * 2. environmental factors : * * exposure to extreme temperatures, humidity, or electromagnetic interference can affect equipment performance. * * 3. improper use or handling : * * mishandling or using the equipment beyond its intended purpose can lead to damage or failure. * * 4. lack of maintenance : * * neglecting regular maintenance and calibration can increase the risk of equipment failure. * * 5. user error : * * incorrect operation or programming of the equipment can cause malfunction. # # # recommendations : * * 1. evaluate the equipment thoroughly : * * conduct a comprehensive assessment to identify the root cause of the failure, including visual inspection, testing, and analysis of maintenance records. * * 2. consult manufacturer documentation : * * refer to the manufacturer's instructions or technical manuals for troubleshooting and repair guidelines. * * 3. seek professional assistance : * * if unable to resolve the issue independently, contact the manufacturer or a qualified biomedical engineer for assistance. * * 4. implement a preventive maintenance plan : * * establish a regular schedule for equipment checks, cleaning, and calibration to minimize the risk of future failures. * * 5. educate users : * * provide training and guidelines for proper use and handling of the equipment to prevent accidental damage or misuse. @topic:12


# # # issue the cause of failure for the bedside physiologic monitor is a deteriorated cuff. # # # impact a deteriorated cuff can lead to inaccurate blood pressure readings, which can have serious consequences for the patient. # # # possible causes - age : cuffs degrade over time due to repeated use and exposure to moisture and chemicals. - usage : excessive or improper use can accelerate cuff degradation. - storage : improper storage conditions, such as exposure to extreme temperatures or humidity, can damage the cuff. - quality : poor - quality cuffs are more likely to deteriorate quickly. # # # recommendations to prevent cuff failure, it is important to : - replace cuffs regularly according to the manufacturer's recommendations. - use cuffs properly and avoid excessive inflation. - store cuffs in a clean and dry environment. - choose high - quality cuffs from reputable manufacturers. @topic:5


# # # issue * the ear thermometer has been switched. # # # impact * the ear thermometer may not be accurate. * the patient may not receive the correct treatment. # # # possible causes * the ear thermometer was not properly calibrated. * the ear thermometer was not properly cleaned. * the ear thermometer was not properly stored. * the ear thermometer was damaged. # # # recommendations * calibrate the ear thermometer according to the manufacturer's instructions. * clean the ear thermometer according to the manufacturer's instructions. * store the ear thermometer according to the manufacturer's instructions. * inspect the ear thermometer for damage. if the ear thermometer is damaged, replace it. @topic:20


* * issue : * * medical cart ( bdms 01 ) displays a " - 1 " error message. * * impact : * * the medical cart is inoperable until the error is resolved. * * possible causes : * * * faulty or corrupted software / firmware * malfunctioning electronic components * loose or damaged connections * environmental factors ( e. g., extreme temperatures, humidity ) * * recommendations : * * * * * reset the medical cart : * * perform a hard reset by disconnecting the device from power, waiting a few seconds, and then reconnecting it. * * * update the software / firmware : * * check if software or firmware updates are available from the manufacturer and install them. * * * inspect the electronic components : * * look for any signs of damage or overheating. use a multimeter to test the components for continuity and resistance. * * * check connections : * * ensure that all cables and connectors are properly secured and undamaged. * * * check the environment : * * make sure that the medical cart is operating within the specified temperature, humidity, and other environmental parameters. * * * contact the manufacturer : * * if the issue persists, contact the manufacturer for technical support or a replacement part. @topic:13


# # # issue - central no link # # # impact - monitoring data from the monitor may not be available to the central monitoring system. - this could lead to delays in diagnosis and treatment. # # # possible causes - the monitor may not be properly configured. - the central monitoring system may be down. - there may be a problem with the network connection between the monitor and the central monitoring system. # # # recommendations - check the monitor's configuration to ensure that it is properly configured to connect to the central monitoring system. - check the status of the central monitoring system to ensure that it is up and running. - check the network connection between the monitor and the central monitoring system to ensure that it is functioning properly. @topic:16


# # # issue - wooden bed rails are loose, causing a safety hazard for the patient. # # # impact - the patient may fall out of bed, resulting in injury. - the patient may be unable to get out of bed safely. # # # possible causes - the wooden bed rails are not properly secured. - the wooden bed rails are damaged. - the bed frame is damaged. # # # recommendations - inspect the bed rails and bed frame for damage. - tighten any loose screws or bolts. - replace any damaged bed rails or bed frame. @topic:6


# # # issue - cuff of the blood pressure monitor is damaged # # # impact - the blood pressure monitor cannot be used to accurately measure blood pressure. # # # possible causes - the cuff may have been damaged due to : - wear and tear - improper use - ageing - over inflation # # # recommendations - replace the damaged cuff with a new one of the appropriate size. - inspect the cuff regularly for signs of damage. - replace the cuff if it shows any signs of damage. - use the cuff properly according to the manufacturer's instructions. - avoid over inflation of the cuff. @topic:3


# # # issue - display color distortion # # # impact - inability to accurately view medical data and images # # # possible causes - faulty display panel - incorrect color calibration - graphics card issue - loose connections # # # recommendations - replace display panel - calibrate display colors - test graphics card - inspect and tighten connections @topic:2


# # # issue - unable to access the device's software program # # # impact - the medical cart cannot be fully utilized for patient care - delays in patient care and treatment - frustration and inconvenience for medical staff - potential safety hazards if the cart is not functioning properly # # # possible causes - * * software malfunction or corruption * * : the device's software may have encountered an error or become corrupted during operation, preventing it from loading or running properly. - * * hardware failure * * : a faulty component within the device, such as a memory chip or processor, could be causing the failure to enter the program. - * * network issue * * : if the device requires a network connection to access its software, a problem with the network could prevent access. - * * user error * * : the user may have inadvertently entered incorrect login credentials or performed an action that caused the device to lock out or fail to load the software. # # # recommendations - * * restart the device * * : power off the medical cart and then restart it. this may clear any temporary software errors or glitches. - * * check network connectivity * * : ensure that the device is properly connected to the network and that there are no issues with internet connectivity. - * * update software * * : if available, check for software updates for the device. installing the latest software version may resolve any software bugs or compatibility issues. - * * inspect hardware * * : visually inspect the device for any loose connections, damaged cables, or other hardware issues. if any problems are found, contact the manufacturer or a qualified technician. - * * reset the device * * : if all else fails, consider resetting the device to its factory default settings. this will erase all data and settings, so be sure to back up any important information before proceeding. - * * contact the manufacturer or @topic:13


and technology network best complete ( wa - sa ) practices start 80018745 received customer po? yes - configure device with configuration send customer the device configuration to load onto devices collect network coordinate project meetings tool ( include custom data, if required ) no - data ppendix a device in - servictraining connected devictraining ( clinical / field service ) ( account manager ) yes configure host side hl7 interface to receive device messages per 60080809 load device configuration onto a test device execute mapping and integration testing testing welch allyn appendix b passed? - no - project sign - off go - live omplete service manual connex direct 243 roubleshootinossible causproblem the device is not connected to a network and therefore does not have an ip address verify that the device has an ip address : settings > advanced > " ip address ". date / time " test network connection " failed the device does not have a properly configured ntp review the ntp server configuration and make sure ntp is properly configured. server the device does not have a properly configured ntp verify the date / time configuration on the device : settings advanced > general a. " enable ntp " is checked. address appears in the " domain " field ( domain, fqdn, or ip address ). the device does not have internet connectivity connect the device to the internet. ( an internet connection is required when the ntp server is outside the local network. verify that the networically, udp 123. your network firewall is locking udp port 123 the path to ntp server cannot be reached the path to ntp server annot be reached server " test network connection " failed the device is not connected to a network and therefore does not have an ip address verify that the device has an ip address : settings > advanced @topic:16