# # # issue - lcd monitor has a scratch on the lower left side of the screen. # # # impact - the scratch may be aesthetically unpleasing and could potentially interfere with the display of medical information. # # # possible causes - the monitor may have been mishandled or bumped, causing the scratch. - the monitor may have been cleaned with an abrasive cleaner, which could have scratched the surface. # # # recommendations - the monitor should be handled with care to avoid further damage. - the monitor should be cleaned with a soft, non - abrasive cloth and a mild cleaning solution. - if the scratch is severe, the monitor may need to be replaced. @topic:2


* * issue : * * cuff failure * * impact : * * inability to accurately monitor patient's vital signs, such as blood pressure. * * possible causes : * * * * * cuff wear and tear : * * over time, the cuff may become stretched or damaged, affecting its ability to seal around the patient's arm and provide an accurate reading. * * * cuff size mismatch : * * using an incorrect cuff size can lead to inaccurate readings or discomfort for the patient. * * * malfunctioning valve : * * a faulty valve within the cuff can prevent it from inflating or deflating properly, resulting in inaccurate readings. * * * air leaks : * * holes or tears in the cuff can cause air leaks, affecting its ability to maintain pressure during inflation. * * * electrical issues : * * faulty wiring or loose connections can disrupt the electrical circuit and prevent the cuff from functioning correctly. * * recommendations : * * * * * regular cuff maintenance : * * inspect cuffs for signs of wear or damage, and replace them if necessary. * * * use the correct cuff size : * * follow manufacturer's guidelines to determine the appropriate cuff size for the patient's arm circumference. * * * check for valve functionality : * * inflate the cuff and listen for air leaks or resistance. if the valve is not working properly, the cuff should be replaced. * * * inspect for air leaks : * * seal the cuff around the patient's arm and inflate it. if air leaks are detected, the cuff should be inspected and repaired or replaced. * * * troubleshoot electrical issues : * * check connections and wiring to ensure proper electrical operation. if electrical faults are suspected, contact qualified medical equipment repair technicians. @topic:3


# # # issue - scanner is not working and is blinking a green light. # # # impact - the device is not available for use, which could delay or prevent patient care. # # # possible causes - scanner is not properly connected to the power source. - scanner is not properly connected to the monitor. - software issue - hardware issue # # # recommendations - verify that the scanner is properly connected to the power source. - verify that the scanner is properly connected to the monitor. - restart the scanner. - contact the manufacturer for further troubleshooting and repair. @topic:23


# # # issue the vga cable used to connect the bedside physiologic monitor is faulty. # # # impact the faulty vga cable prevents the monitor from displaying data, rendering it unusable. # # # possible causes * physical damage to the cable, such as cuts, crimps, or breaks * loose or disconnected connectors * electrical interference or electromagnetic noise * compatibility issues with the monitor or other connected devices # # # recommendations * replace the faulty vga cable with a new one that meets the manufacturer's specifications. * inspect the cable for any visible damage or loose connections. * ensure that the cable is not routed near sources of electrical interference or electromagnetic noise. * verify that the cable is compatible with the monitor and any other connected devices. * if the problem persists, consult the manufacturer for further troubleshooting assistance. @topic:2


# # # issue - battery indicator displays - 1 % # # # impact - unable to accurately determine the battery level - potential for unexpected power loss # # # possible causes - * * battery malfunction : * * the battery may be faulty and unable to provide the correct voltage. - * * sensor failure : * * the sensor responsible for monitoring the battery level may be malfunctioning and providing incorrect readings. - * * software glitch : * * software errors can occasionally lead to incorrect battery percentage readings. # # # recommendations - * * perform a thorough battery check : * * use a battery tester to verify the battery's health and replace it if necessary. - * * inspect the sensor : * * check the sensor for any loose connections or damage. clean the sensor contacts if necessary. - * * update the software : * * if the error persists, contact the manufacturer for software updates that may resolve the issue. @topic:13


# # # issue - propaq device has a broken ekg cable and does not turn on due to a missing ac power cord. # # # impact - the propaq device cannot be used for patient monitoring. # # # possible causes - the ekg cable may have been damaged due to improper handling or storage. - the ac power cord may have been lost or stolen. # # # recommendations - replace the damaged ekg cable. - obtain a new ac power cord for the propaq device. - ensure that the ekg cable and ac power cord are properly stored and maintained to prevent future damage or loss. @topic:18


# # # issue : - the medical cart equipment from bdms, model bdms 01, is experiencing a failure. - the issue manifests as a black screen, rendering the device inoperable. # # # impact : - healthcare professionals cannot use the medical cart, which may hinder patient care and disrupt hospital operations. # # # possible causes : - * * hardware failure : * * the display panel, motherboard, or other hardware components may have malfunctioned. - * * software issues : * * the operating system or application software may have crashed or become corrupted. - * * power supply problems : * * the electrical supply to the medical cart may be unstable or insufficient. - * * user error : * * the device may have been mishandled or operated incorrectly by healthcare staff. # # # recommendations : - * * troubleshooting : * * - restart the medical cart and check if the issue persists. - inspect the power supply and ensure it is providing stable electricity. - check if any cables or connections are loose or damaged. - * * technical inspection : * * - if troubleshooting does not resolve the issue, contact the manufacturer or a qualified biomedical engineer to diagnose and repair the device. - * * preventative maintenance : * * - establish a regular maintenance schedule for the medical cart to proactively identify and address potential issues. - * * user training : * * - provide training to healthcare staff on the proper use and maintenance of the medical cart to minimize the risk of user errors. @topic:13


# # # issue the solenoid coil inside the drawer of the medical cart is sticking, making it difficult to open and close. # # # impact this issue can significantly hinder the functionality and efficiency of the medical cart, potentially affecting patient care. # # # possible causes - friction between the solenoid coil and its housing, causing it to stick - accumulation of dirt, debris, or other particles in the drawer, obstructing the movement of the solenoid coil - electrical issues with the solenoid coil, such as a faulty connection or a damaged winding # # # recommendations 1. * * clean and lubricate * * : thoroughly clean the drawer and the solenoid coil to remove any dirt or debris. apply a suitable lubricant to reduce friction and ensure smooth movement. 2. * * inspect and test * * : carefully inspect the solenoid coil for any visible damage or loose connections. test the coil using a multimeter or other diagnostic tools to ensure its proper functionality. 3. * * replace solenoid coil * * : if the solenoid coil is damaged or malfunctioning, it may need to be replaced with a new one. ensure that the replacement coil is compatible with the medical cart and meets the necessary specifications. 4. * * adjust drawer position * * : check if the drawer is misaligned or incorrectly positioned. adjust the drawer's position if necessary to ensure proper alignment and smooth operation of the solenoid coil. 5. * * contact manufacturer * * : if the issue persists after following the above recommendations, contact the manufacturer for further troubleshooting and technical support. @topic:21


# # # issue - spo2 cable failure # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - physical damage to the cable - loose connections - electrical faults # # # recommendations - inspect the cable for any visible damage - ensure that the connections are secure - test the cable with a known - good monitor - replace the cable if necessary @topic:4


# # # issue - ekg lead unable to measure values. # # # impact - inability to monitor patient's heart activity accurately. # # # possible causes - * * damaged black wire * *, as indicated by the technician's report. # # # recommendations - replace the damaged black lead with a new one. - recheck if the issue is resolved by verifying that the equipment can measure values accurately. - inspect the other ekg leads for potential damage or loose connections. - ensure proper cleaning and maintenance of the ekg equipment and leads to prevent future failures. @topic:18


values can also be viewed in the form of a histogram. the sp0 2 histograms can be trend histograms or realtime histograms with 1 second samples. car seat assessment record in event surveillance, in the ner group, you can run a car seat assessment record ( car ). this is a special period of event surveillance for neonates during a car seat test. during the car period a realtime sp0 2 histogram is also generated with 1 second samples. 45 2 what ’ s new? what ’ s new in release f. o? intellivue xds solution ( mp60 - 90 ) using the intellivue xds solution it is possible to view an independent monitor screen on an external display. the xds solution consists of a medical grade pc - based hardware platform, xds application software and the xds connectivity option on the monitor. depending on the configuration you can also operate the monitor from the external display. the xds must be connected to the same local area network ( lan ) as the monitor. it is also possible to use an existing pc, connected to the same lan, to host the xds application software. new fields in the admission form a middle name field is now available in the admission form - whether it appears is configurable. two additional id fields, lifetime id and encounter id, can also be configured to appear and their names can be customized to fit hospital requirements. sp0 2 enhancements • additional sp0 2 labels - sp0 2 pr and sp0 2 po labels have been added. • new manual measurement mode when telemetry devices are connected via a short range radio link. • signal quality indicator displayed with the sp0 2 numerics. ecg enhancements • new * / * * af ib yellow alarm when an atrial fibrillation waveform is detected @topic:8


# # # issue - malfunctioning blood pressure ( bp ) pump in philips intellivue mp70 bedside physiologic monitor. # # # impact - inability to accurately measure blood pressure, compromising patient monitoring and treatment. # # # possible causes - * * pump bp failure : * * the bp pump module within the mp70 monitor has failed and is unable to generate the necessary pressure for accurate bp readings. - * * electrical issues : * * faulty wiring or electrical connections within the pump module could prevent it from functioning properly. - * * software malfunction : * * software bugs or errors in the monitor's control system can disrupt the pump's operation. # # # recommendations - * * replace pump bp : * * as per the description, the pump bp should be replaced with a new one. this involves removing the faulty pump module and installing the replacement. - * * check electrical connections : * * inspect all electrical connections within the pump module and the monitor to ensure they are secure and functioning correctly. - * * update software : * * if software malfunctions are suspected, update the monitor's software to the latest version to address any known bugs or issues. - * * additional troubleshooting : * * conduct further tests and diagnostics to isolate the specific cause of failure, such as measuring voltage and resistance in the pump module or using diagnostic software to check for errors. @topic:15


* * issue : * * - monitor screen not turning on * * impact : * * - inability to monitor patient's vital signs * * possible causes : * * - * * loose power cord : * * the power cord may not have been securely plugged into the outlet or the device. - * * faulty power supply : * * the power supply within the device may have malfunctioned. - * * burned - out backlight : * * the backlight that illuminates the screen may have failed. - * * circuit board failure : * * a malfunction within the circuit board responsible for powering the screen could cause it to remain dark. - * * software glitch : * * a software error may prevent the screen from displaying properly. * * recommendations : * * - * * reseat power cord : * * ensure that the power cord is securely plugged into both the outlet and the device. - * * check power supply : * * use a multimeter to test the power supply and verify proper voltage output. - * * inspect backlight : * * examine the screen for signs of physical damage or discoloration, which could indicate a faulty backlight. - * * troubleshoot circuit board : * * perform diagnostic tests to identify any damaged components or loose connections on the circuit board. - * * update software : * * install any available software updates from the manufacturer that may address the issue. - * * contact manufacturer : * * if troubleshooting does not resolve the problem, contact the manufacturer for further assistance or replacement parts. @topic:2


# # # issue - remote control of the electric bed is malfunctioning. # # # impact - the patient may have difficulty adjusting the bed's position, which can affect their comfort and safety. - the nursing staff may have difficulty moving the patient in and out of the bed, which can delay their care. # # # possible causes - the remote control may be damaged due to physical trauma, such as being dropped or hit. - the remote control may have a loose or damaged battery. - the remote control may have a faulty circuit board or other electronic components. # # # recommendations - inspect the remote control for any visible damage. - check the battery and replace it if necessary. - contact the manufacturer or a qualified technician to repair or replace the remote control. @topic:7


# # # issue - the cause of failure is not specified. # # # impact - the impact of the failure is not known. # # # possible causes - the equipment may have been damaged during use. - the equipment may have been used incorrectly. - the equipment may have a manufacturing defect. # # # recommendations - the equipment should be inspected by a qualified technician to determine the cause of failure. - the equipment should be repaired or replaced as necessary. - the user should be trained on the proper use of the equipment. @topic:12


# # # issue monitor malfunctioning # # # impact - affects patient care - wasted time and resources # # # possible causes - user error ( incorrectly using the device ) - equipment defect - environmental factors ( e. g., power surge ) # # # recommendations - ensure proper training for users on how to use the device correctly - perform regular maintenance and calibration on the device - use the device in a controlled environment to minimize exposure to potential hazards @topic:12


# # # issue the provided input does not specify any failure that occurred during the biomedical engineer's inspection and testing of the joimax tower endospine device. the input only states that the device was inspected and tested, and that it was found to be functioning normally. # # # impact since no failure was identified, there is no specific impact to report. # # # possible causes n / a # # # recommendations as the provided input does not indicate any failure, there are no specific recommendations to make at this time. @topic:12


# # # issue - battery not charging # # # impact - monitor may not be able to be used during a power outage - battery will not provide backup power in the event of a power failure # # # possible causes - battery is not properly seated in the battery compartment - battery is damaged - battery charger is not functioning properly - problem with the monitor's charging circuit # # # recommendations - remove the battery and reinsert it, making sure that it is properly seated in the battery compartment - inspect the battery for any damage - try using a different battery charger - contact the manufacturer or a qualified technician to troubleshoot the problem @topic:11


# # # issue - the bed's side rails are unable to be lowered. # # # impact - patient safety is compromised as the bed cannot be adjusted to a safe and comfortable position. - patient care is hindered as the bed cannot be easily moved or accessed. # # # possible causes - the bed's side rails are obstructed by an object or debris. - the bed's side rails are damaged or broken. - the bed's side rail release mechanism is malfunctioning. # # # recommendations - inspect the bed's side rails for any obstructions or damage. - test the bed's side rail release mechanism to ensure it is functioning properly. - if the bed's side rails are damaged or the release mechanism is malfunctioning, contact a qualified biomedical engineer to repair or replace the defective components. @topic:6


# # # issue central monitor is not displaying any image on the screen. # # # impact the medical staff is unable to monitor patient vital signs and make informed decisions about their care. # # # possible causes - faulty power supply - damaged display panel - loose connection between the display panel and the main unit - software issue # # # recommendations - check the power supply and ensure that it is providing the correct voltage to the monitor. - inspect the display panel for any physical damage or loose connections. - update the software to the latest version, if available. - if the problem persists, contact the equipment manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:2


##231 1 scale display, ppm, rh 138230 1 scale display, ppm, lh 138233 1 display, ppm only, rh 138232 1 display, ppm only, lh 11 131724 1 display axel, weldment, short, lh 129658 1 display axel, weldment, long, rh 12 129441 1 pivot insert 13 49199 1 spring 14 73004 1 cable assembly 15 133197 1 assembly, scale display pc. board careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 45 head siderail — b model beds chapter 5 : parts list item number part number quantity description 16 71647 1 label, caregiver control, bed function, lh 131686 1 label, caregiver control, bed function and nurse call, lh 71538 1 label, caregiver control, bed function, bed exit, and nurse call, lh 71645 1 label, caregiver control, bed function, bed exit, lh 71646 1 label, caregiver control, bed function, rh 131687 1 label, caregiver control, bed function and nurse call, rh 71535 1 label, caregiver control, bed function, bed exit, and nurse call, rh 71644 1 label, caregiver control, bed function, bed exit, rh 17 vi0601a 12 or 24 screw 18 72581 1 support, siderail p. c. board 19 72656 4 standoff, p. c. board mount 20 125939 1 siderail signal conditioning p. c. board, rh 71514 1 siderail signal conditioning p. c. board, lh 21 72820 @topic:26


# # # issue - keyboard and mouse not working # # # impact - inability to use the medical cart for patient care # # # possible causes - faulty keyboard or mouse - loose connection between the keyboard / mouse and the medical cart - software issue with the medical cart - power issue with the medical cart # # # recommendations - check the connections between the keyboard / mouse and the medical cart. if loose, tighten the connections. - try using a different keyboard or mouse. - restart the medical cart. - contact the manufacturer of the medical cart for troubleshooting assistance. @topic:27


# # # issue - broken knob # # # impact - inability to adjust settings on the monitor - potential patient safety hazard # # # possible causes - loose nut securing the knob - damaged knob - internal component failure # # # recommendations - check and tighten the nut - inspect the knob for damage and replace if necessary - test the monitor to ensure proper operation @topic:2


# # # issue - spo2 sensor is not measuring accurately. # # # impact - patient's oxygen saturation levels may not be accurately monitored. # # # possible causes - damaged or loose spo2 sensor cable. - sensor is not properly placed on the patient's finger. - patient is moving excessively. - interference from other medical devices. # # # recommendations - inspect the spo2 sensor cable for any damage or looseness. - reposition the sensor on the patient's finger to ensure a secure fit. - ensure that the patient is still and not moving excessively. - check for any nearby medical devices that may be causing interference. @topic:4


# # # issue - the electric bed cannot be adjusted upward. # # # impact - patients may be unable to get in or out of bed safely. - patients may be uncomfortable if they are unable to adjust the bed to a comfortable position. # # # possible causes - the motor that raises the bed may be faulty. - the switch that controls the motor may be faulty. - the wiring that connects the motor to the switch may be faulty. - the bed frame may be bent or damaged, which is preventing the bed from being raised. - the weight of the patient and / or equipment on the bed may be too heavy for the motor to lift. # # # recommendations - inspect the motor, switch, and wiring for any damage or loose connections. - check the bed frame for any bends or damage. - weigh the patient and / or equipment on the bed to ensure that it is not too heavy for the motor to lift. - replace any faulty parts. - make sure that the bed is connected to a power source and that the power switch is turned on. @topic:1


* * issue : * * device time is inaccurate. * * impact : * * the inaccurate device time could lead to incorrect documentation of patient data, which could have implications for patient care and safety. * * possible causes : * * - * * clock battery : * * the clock battery may be dead or dying, causing the device to lose track of time. - * * power outage : * * a power outage can reset the device's clock, resulting in an inaccurate time display. - * * software glitch : * * a software glitch can cause the device's clock to malfunction, leading to an inaccurate time display. - * * hardware failure : * * a hardware failure, such as a faulty clock circuit board, can cause the device's clock to malfunction, leading to an inaccurate time display. * * recommendations : * * - * * replace the clock battery : * * if the clock battery is dead or dying, replace it with a new one. - * * check the power supply : * * ensure that the device is properly connected to a power source and that there are no power outages. - * * restart the device : * * restarting the device may resolve any software glitches that are causing the clock malfunction. - * * contact the manufacturer : * * if the issue persists after trying the above steps, contact the manufacturer for further troubleshooting and repair. @topic:29


# # # issue - inability to adjust the bed up or down # # # impact - patient discomfort or immobility - difficulty performing medical procedures - increased risk of falls or injuries # # # possible causes - locked bed frame - faulty electrical components - mechanical malfunction # # # recommendations - check if the bed frame is locked and unlock it if necessary. - inspect the electrical cords, plugs, and connections for any damage or loose connections. - examine the mechanical components for any signs of wear, damage, or misalignment. - consult the manufacturer's instructions or a qualified biomedical engineer if the issue persists. @topic:1


# # # issue cuff on patient transport monitor is not deflating. # # # impact patient's blood pressure cannot be accurately measured. # # # possible causes - cuff bladder is damaged. - air leak in the cuff tubing. - air leak in the cuff bladder. - cuff is too large or too small for the patient. - problem with the cuff pressure sensor. - problem with the monitor's cuff control circuitry. # # # recommendations - check the cuff bladder for damage. - check the cuff tubing for air leaks. - check the cuff bladder for air leaks. - ensure that the cuff is the correct size for the patient. - check the cuff pressure sensor. - check the monitor's cuff control circuitry. @topic:3


# # # issue the medical cart is experiencing a failure where the screen is not displaying. # # # impact the medical cart cannot be used to perform its intended functions, which may delay or prevent patient care. # # # possible causes - * * overheating of the main computer : * * the biomedical engineer ( bme ) found that the medical cart had been in constant use, which caused the main computer to overheat. this overheating may have damaged the computer or its components, including the display. # # # recommendations the possible causes of the failure is : - * * overheating of the main computer : * * the bme should ensure that the medical cart is not being used excessively or in an environment that is too hot. the bme should also check the cooling system of the medical cart to ensure that it is functioning properly. - * * damaged display : * * the bme should inspect the display for any physical damage. if the display is damaged, it will need to be replaced. - * * software issue : * * the bme should check for any software updates that may be available for the medical cart. a software update may resolve the issue. @topic:13


# # # issue - plugged - in head of bed is loosen # # # impact - electric bed is not functioning # # # possible causes - the head of bed was not plugged in properly - the plug was damaged - the outlet was not working # # # recommendations - ensure that the head of bed is plugged in properly - check the plug and outlet for damage - if the problem persists, contact a qualified technician @topic:9


* * possible causes : * * - incorrect wiring during the swap of the icg monitor ( beacon ) and 4k monitor ( fsn ) - compatibility issues between the 4k monitor and the connected devices ( bmc18159 / 7, bmc18159 / 8, bmc16258, bmc16252, bmc16253, bmc16254, bmc16255, bmc18159 / 4 ) - damage to the 4k monitor or connected devices during the installation or testing process - software or firmware issues with the 4k monitor or connected devices @topic:16


# # # issue - cuff bp ( blood pressure ) deterioration # # # impact - impaired monitoring of vital signs accuracy and reliability # # # possible causes - wear and tear due to frequent use or age - related deterioration - improper handling or storage - mechanical failure or faulty components # # # recommendations - regular inspection and maintenance schedules - proper handling and storage techniques - calibrations and quality checks to ensure accuracy - replacement of cuff bp or affected components when necessary @topic:3


# # # issue - defective weight scales render the centuris bed inoperable. # # # impact - inability to accurately measure patient weight. - potential safety hazard if patients are not properly weighed before medical procedures or treatments. - interruption of patient care. # # # possible causes - failure of weight sensors or electronics within the weight scales. - physical damage to the weight scales. - incorrect calibration or maintenance. # # # recommendations - replace all four defective weight scales ( bmc9215, bmc15602, bmc15608, and the one without an id code ). - inspect and test all other weight scales on the centuris bed to ensure proper functionality. - implement a regular maintenance schedule to monitor and calibrate the weight scales. - train staff on proper use and handling of the weight scales to prevent damage. - consider purchasing a backup weight scale for use in case of future failures. @topic:25


# # # issue - spo2 sensor is not working # # # impact - inability to accurately monitor patient's oxygen saturation levels # # # possible causes - * * damaged spo2 sensor cable : * * the cable that connects the spo2 sensor to the monitor may be damaged, causing the sensor to not receive power or data. - * * faulty spo2 sensor : * * the spo2 sensor itself may be faulty, preventing it from accurately measuring oxygen saturation levels. - * * software issue : * * there may be a software issue with the monitor that is preventing it from properly communicating with the spo2 sensor. # # # recommendations - * * inspect the spo2 sensor cable : * * check the cable for any visible damage or loose connections. replace the cable if necessary. - * * replace the spo2 sensor : * * if the cable is intact, replace the spo2 sensor with a new one. - * * check for software updates : * * contact the manufacturer of the monitor to check for any available software updates. install the updates if available. - * * contact technical support : * * if the issue persists, contact the manufacturer's technical support for further assistance. @topic:4


# # # issue cuff degradation # # # impact inaccurate blood pressure measurements # # # possible causes - cuff has reached the end of its lifespan - cuff has been exposed to harsh conditions ( e. g., heat, moisture ) - cuff has been improperly used or stored # # # recommendations - replace cuff with a new one - inspect cuff regularly for signs of wear and tear - store cuff in a cool, dry place - train staff on proper cuff use and storage @topic:3


8 kv in the air the floor must be made of wood, concrete or tiles. if the floor is covered with a synthetic material, relative umidity must be less than 30 %. the quality of the main power supply must be that of a typical commercial or ospital environment. fast transients in bursts iec 61000 - 4 - 4 2 kv for the power supply 2 kv for the power supply 1 kv for the input / output lines 1kv for the input / output lines the quality of the main power supply must be that of a typical commercial or ospital environment. voltage surges iec 61000 - 4 - 5 1 kv differential mode 1 kv differential e 2 kv commomode 2 kv commomode 3 a / m the magnetic field at the frequency of the mains supply must be characteristic of a typical commercial r hospital environment. the frequency of the mains ( 50 / 60 hz ) iec 61000 - 4 - 8 < 5 % ut - fo10 ms < 5 % ut - fo10 ms the quality of the main power supply must be that of a typical commercial or hospital environment. if the user of the hill - [UNK] 900 requires that the bed remain functional during outages of the mains power supply, it is advisable • interruptions and voltage variations 40 % ut - fo100 ms • 40 % ut - for 100 ms. iec 61000 - 4 - 11 [UNK] 70 % ut - for 70 % ut - for • 00 m00 m • < 5 % ut - for 5 [UNK] < 5 % ut - for 5 s to power the hill - [UNK] 900 using a ups or a battery. note : uτ is the nominal value of the supply voltage applied during the test. manufacturer's guide and declaration - electromagnetic immunity the hill - [UNK] 900 is designed for use in the electromagnetic environment specified below. users must ensure that the @topic:10


# # # issue the input describes a biomedical engineer ( bme ) troubleshooting a welch allyn 71wx vital signs monitor that is not taking accurate blood pressure readings. the bme identified the issue as a leak in the blood pressure cuff and replaced it with a new one. however, the device is still not functioning correctly. # # # impact the failure of the vital signs monitor to take accurate blood pressure readings can have a significant impact on patient care. accurate blood pressure readings are essential for diagnosing and managing a variety of medical conditions, including hypertension, hypotension, and sepsis. incorrect blood pressure readings can lead to incorrect diagnoses and inappropriate treatment, which can have serious consequences for patients. # # # possible causes there are several possible causes for the vital signs monitor to not take accurate blood pressure readings, even after replacing the cuff. these include : - a leak in the blood pressure tubing - a problem with the blood pressure sensor - a problem with the monitor's software - a problem with the monitor's power supply # # # recommendations to resolve the issue, the bme should perform the following steps : 1. check the blood pressure tubing for any leaks. if a leak is found, the tubing should be replaced. 2. check the blood pressure sensor to make sure that it is properly connected and functioning correctly. 3. check the monitor's software to make sure that it is up to date and functioning correctly. 4. check the monitor's power supply to make sure that it is providing the correct voltage and amperage. 5. if the above steps do not resolve the issue, the bme should contact the manufacturer of the vital signs monitor for further assistance. @topic:15


# # # issue - the drawer of the medical cart is experiencing problems with rebounding. # # # impact - this issue could affect the usability and efficiency of the medical cart. # # # possible causes - the drawer could be obstructed or damaged, preventing it from rebounding correctly. - the rebound mechanism within the drawer may be malfunctioning. # # # recommendations - inspect the drawer for any obstructions or damage. if any issues are found, they should be resolved. - test the rebound mechanism of the drawer to ensure that it is functioning properly. if any problems are discovered, the mechanism should be repaired or replaced. @topic:21


# # # issue - burned plug # # # impact - equipment failure # # # possible causes - loose plug # # # recommendations - replace the burnt plug - ensure that the plug is securely inserted into the socket - inspect the equipment regularly for any signs of damage @topic:12


##s configurations could prevent the device from booting properly. @topic:13


# # # issue suresigns vs4 physiological vital signs monitor cannot connect to the vsm ( vital signs management ) system. # # # impact the monitor cannot be used to display patient's vital signs. # # # possible causes - insufficient network connectivity. - issue with vsm settings. - hardware failure of the monitor. # # # recommendations - check network connectivity and ensure that the vsm is accessible from the monitor. - contact vsm support to troubleshoot any issues with the system settings. - if the issue persists, contact the monitor manufacturer to diagnose and repair any hardware faults. @topic:22


# # # issue - the bed is not adjustable. # # # impact - the patient cannot be positioned properly for the procedure. - the medical staff cannot perform the procedure properly. # # # possible causes - the electrical cord is damaged. - the motor is not working. - the control panel is not working. - the bed frame is damaged. # # # recommendations - check the electrical cord for damage. - replace the motor. - replace the control panel. - replace the bed frame. regarding the given input, the cause of failure is not specified. the technician only stated that the bed is not adjustable due to a broken wire, which has been repaired. it is possible that the broken wire was the only cause of the bed's malfunction, but it is also possible that there are other underlying issues that have not been addressed. to ensure that the bed is fully functional and safe to use, the technician should perform a thorough inspection and testing of the bed. this includes checking the electrical system, the motor, the control panel, and the bed frame. the technician should also consult with the manufacturer's documentation to ensure that the bed is being used and maintained properly. @topic:1


##c 60601 - 1 ) ( lec 60950 ) device inside or outside of patient vicinity device inside or outside of patient vicinity medically used room me device ( lec 60601 - 1 ) display, either ( lec 60950 ) or medical grade device inside or outside of patient vicinity medically used room if the combined devices forming the medical electrical system are connected to the same multiple portable socket outlet, ensure that the resulting protective earth leakage current and equipment leakage current do not exceed the limits of lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16. the medical electrical devices or it equipment may be located in or outside the patient vicinity in a medically used room. avoid using multiple portable socket outlets. if the limits of lec / en 60601 - 1 - 1 58 3 testing and maintenance ] or lec / en 60601 - 1 + a1 ed. 3 clause 16 are exceeded, additional protective measures are required, e. g. a separation device or the connection of each device to separate mains. me device me device ( lec 60601 - 1 ) ( lec 60601 - 1 ) device inside or outside of patient vicinity functional connection it equipment outside of patient vicinity device inside or outside of patient vicinity separiation dtvice, if 3 1 hecessdry 1 multiple portable socket outlet mains medically used room for any it equipment ( iec60950 - 1 ) operated in patient vicinity ensure that the equipment leakage current does not exceed the hmits described in lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16. use a separation device to ensure compliance. after installation of it equipment in patient vicinity, an equipment leakage current test is required @topic:10


flowmeter for details on how to make a correct flow reading. part 1 1. go into service mode and select setup co2 menu. 2. connecta filterline to the microstream co ; input to start the pump running. 3. check the ambient pressure and the cell pressure shown in the monitor's status line. the cell pressure should be approximately 20 mmhg lower than ambient pressure. 4. connect the flowmeter outlet to the filterline inlet using a flexible connecting tube. 5. block the mco ; outlet using your fingertip and observe the flowmeter display. the value on the flowmeter ( x1 ) should decrease to between 0 and 4 ml / min, accompanied by an audible increase in pump noise. if the value is within the tolerance limits, continue with part 2 of the leakage check. 6. if the value is outside the tolerance limits, there is a leakage between the pump outlet and the mco, outlet. 7. open the mms extension or mp5 and check the tubing connections at the pump outlet and the extension gas outlet. if the connections are good, then there is a leakage in the tubing and you must exchange the mms extension or the mco, assembly of the mp5 respectively. part 2 1. disconnect the flowmeter from the part 1 setup and connect the flowmeter inlet to the m30154a gas outlet or the mp5 mco ; » gas outlet. 2. leave the filterline connected to the m3015a inlet or the mp5 mco » inlet.. 3. block the inlet of the filterline using your fingertip and observe the flowmeter display. the value on the flowmeter ( x2 ) should decrease to between 0 and 4 ml / min, accompanied by an audible increase in pump noise. the cell pressure shown in the status line on the display should decrease to between @topic:17


# # # issue - the cuff of the mp5sc monitor is deteriorated. # # # impact - the monitor may not be able to accurately measure vital signs. # # # possible causes - age and use of the cuff - exposure to harsh chemicals or environments # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - avoid exposing the cuff to harsh chemicals or environments. @topic:5


# # # issue remote control not functioning properly, specifically the inability to adjust the bed's height. # # # impact inability to adjust the bed's height can hinder patient care and comfort, as well as hinder the healthcare provider's ability to effectively position the patient. # # # possible causes - malfunctioning remote control - faulty wiring - software glitches - battery issues - mechanical problems with the bed's motor or frame # # # recommendations 1. * * inspect the remote control : * * check if the buttons are stuck or damaged, and ensure that the batteries are properly inserted and have sufficient power. 2. * * examine the wiring : * * look for any loose connections or damaged wires between the remote control and the bed. 3. * * update software : * * if the bed has a software interface, check for any available updates that may address the issue. 4. * * replace batteries : * * even if the batteries appear to be charged, try replacing them with new ones to eliminate battery - related problems. 5. * * test the bed's motor and frame : * * manually adjust the bed's height using the manual override or a backup remote to determine if the issue lies with the remote control or the bed's mechanical components. 6. * * seek professional repair : * * if the issue cannot be resolved through the above steps, contact a qualified biomedical engineer or the manufacturer for further diagnosis and repair. @topic:7


* * issue : * * no link central monitor * * impact : * * the bedside monitor is unable to transmit patient data to the central monitoring system, which can lead to delayed or missed patient care. * * possible causes : * * * * * incorrect ci address : * * the ci ( central interface ) address is the ip address of the central monitoring server. if the ci address is incorrect, the bedside monitor will not be able to communicate with the server. * * * network connectivity : * * the bedside monitor and central monitoring server must be connected to the same network. if there is a network issue, such as a firewall blocking traffic, the bedside monitor will not be able to communicate with the server. * * * server issues : * * if the central monitoring server is down or experiencing problems, the bedside monitor will not be able to communicate with it. * * recommendations : * * * * * verify ci address : * * check the ci address in the bedside monitor and make sure it matches the ip address of the central monitoring server. * * * troubleshoot network connectivity : * * check if the bedside monitor and central monitoring server are connected to the same network and that there are no firewalls or other network issues blocking traffic. * * * restart server : * * if the central monitoring server is experiencing problems, restart it to see if that resolves the issue. * * * contact vendor support : * * if you are unable to resolve the issue on your own, contact the vendor of the bedside monitor or central monitoring system for assistance. @topic:16


# # # issue - the electric bed cannot be adjusted. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned comfortably. # # # possible causes - the remote control is not working. - the bed motor is not working. - the bed frame is broken. # # # recommendations - check the remote control batteries. - check the power cord to the bed. - check the bed motor for any loose connections. - inspect the bed frame for any cracks or breaks. - call a qualified biomedical engineer to repair the bed. @topic:1


# # # issue - remote control is not working properly. # # # impact - the patient may not be able to use the bed properly. # # # possible causes - the remote control may be damaged. - the batteries in the remote control may be dead. - there may be a problem with the receiver in the bed. # # # recommendations - inspect the remote control for any damage. - replace the batteries in the remote control. - check the receiver in the bed for any problems. - calibrate the remote control. @topic:7


# # # issue * * cuff for vital signs monitor is damaged and needs to be replaced. * * # # # impact * * the vital signs monitor cannot be used to measure vital signs accurately. * * # # # possible causes * * the cuff may have been damaged due to : * * - * * wear and tear * * - * * accidental damage * * - * * defective materials * * # # # recommendations * * to prevent future failures, the following recommendations should be implemented : * * - * * inspect the cuff regularly for signs of damage. * * - * * replace the cuff if it is damaged. * * - * * use the cuff only for its intended purpose. * * - * * follow the manufacturer's instructions for care and use of the cuff. * * @topic:5


# # # issue - * * equipment : * * electric bed - * * band / model : * * hill - rom / care assist es220 - * * description : * * bed not responding to adjustment controls # # # impact - patient discomfort and inconvenience - difficulty in providing care - potential safety hazard # # # possible causes - * * lock malfunction : * * bed may be accidentally locked, preventing adjustments. - * * electrical issues : * * faulty wiring or electrical components may disrupt power to the adjustment mechanisms. - * * control panel failure : * * malfunction in the control panel or its connection to the adjustment system may prevent input from being processed. - * * mechanical failure : * * wear and tear or damage to adjustment components ( e. g., motors, gears ) may hinder movement. # # # recommendations * * troubleshooting and repair : * * - * * verify lock status : * * check if the bed is locked. if so, release the lock and attempt to adjust. - * * inspect electrical connections : * * check the power cord, plugs, and any visible wiring for damage or loose connections. - * * test control panel : * * manually press buttons on the control panel to verify functionality. if unresponsive, consider replacing the control unit. - * * examine adjustment components : * * inspect motors, gears, and other mechanical components for damage, wear, or binding. lubricate or repair as necessary. * * preventive maintenance : * * - * * regular inspections : * * periodically inspect the bed and its components for signs of wear or damage. - * * staff training : * * ensure staff is adequately trained on the proper use and maintenance of the bed. - * * maintenance protocol : * * establish a regular maintenance schedule involving cleaning, lubrication, and component testing. - * @topic:9


# # # issue - the bed cannot be adjusted up or down. # # # impact - the patient cannot be positioned comfortably or safely. - the bed cannot be used for its intended purpose. # # # possible causes - the lock is engaged. - the motor is not working. - the gears are stripped. # # # recommendations - check the lock and make sure it is disengaged. - test the motor by pressing the up and down buttons. - if the motor is not working, check the power supply and the motor connections. - if the gears are stripped, the bed will need to be repaired or replaced. @topic:6


# # # issue : hold button not functioning on nibp monitor # # # impact : inability to pause or hold blood pressure measurements # # # possible causes : * * * faulty button switch : * * the physical button itself may be damaged or not making proper contact. * * * defective internal components : * * the circuit board or other internal components responsible for registering the button press may have malfunctioned. * * * software glitch : * * a software error could prevent the system from recognizing the button input. * * * loose connections : * * poor connections between the button and the internal circuitry can cause intermittent or complete failure. * * * damaged wire harness : * * the cable connecting the button to the main unit may be severed or have faulty insulation. # # # recommendations : * * * inspect the button : * * physically examine the button for any visible damage or debris. * * * test other buttons : * * check if other buttons on the monitor are responding properly to rule out a general system issue. * * * verify internal connections : * * open the device and visually inspect the connections between the button and the circuit board. * * * check for software updates : * * install any available software updates from the manufacturer to address potential software glitches. * * * replace faulty components : * * if the button switch or other components are damaged, they should be replaced with genuine spare parts. * * * reassemble and test : * * after addressing the potential causes, reassemble the device and test the hold button functionality to ensure proper operation. @topic:15


# # # issue - cuff is deteriorated. # # # impact - the monitor may not be able to accurately measure vital signs. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged. # # # recommendations - the cuff should be replaced. - the monitor should be tested to ensure that it is working properly. @topic:5


# # # issue * * loose bed rail button * * # # # impact - patient safety hazard - inconvenience for patients and staff # # # possible causes - manufacturer defect - excessive use - rough handling - deterioration of materials due to age or wear # # # recommendations - replace the loose button with a new one from the manufacturer. - inspect all other bed rail buttons for tightness and replace any loose ones. - implement a regular maintenance schedule to prevent similar issues in the future. - report the issue to the manufacturer for further investigation and potential product design improvements. @topic:1


the transfer of patients to examination wards. the hill - [UNK] 900 beds with electric comfort trendelenburg / reverse trendelenburg or without trendelenburg / reverse trendelenburg are variable - height beds designed for intensive, general and ambulatory care or care during long hospital stays for adult patients ( en 60601 - 2 - 52, application environments 2, 3 and 5 ). they are designed with the needs of the whole medical team in mind and facilitate the use of monitoring equipment and the transfer of patients to examination wards, etc. the hill - [UNK] 900 l1900b0 and l1900b2 beds : can be fitted with batteries providing protection against power outages as an option. • fitted with ø 150mm casters can be used to transfer patients. • the hill - [UNK] 900 l1900b3 beds : are equipped with batteries providing protection against power outages. • fitted with ø 125 mm double - band casters or ø 150 mm casters can be useto transfer patients. • are equipped with a patient position detection system. • • age 3 bed model and country of use certain bed features or accessories may be available or not, depending on the destination country. these features are identified with an asterisk ( * ) and the accessories are identified by two asterisks ( * * ). to identify your bed model, its serial number sn ( hrpxxxxxxxxx ) and its date of manufacture, refer to the identification label ( see " overview " page 14 ). your l1900bx bed is made up of a chassis / sleep surface, with a ref reference starting with cs900b0 or cs900b2 or cs900b3 and two endboards ( a headboard and a footboard ). 500 2 h500 france ref : cs900b0xxxxxx or cs900b @topic:9


# # # issue - unable to charge the battery of the physiologic monitor ( bedside ) device from philips, model suresigns vs2. # # # impact - the device may not be able to function properly or may shut down due to insufficient battery power. # # # possible causes - faulty battery - faulty charging port - damaged or loose charging cable - software issues # # # recommendations - check the battery for any physical damage or leakage. - clean the charging port and charging cable to remove any debris or corrosion. - try using a different charging cable and power source. - restart the device to resolve any software issues. - contact the manufacturer or a qualified technician if the issue persists. @topic:11


device using the device uration tools. failed to authenticate a user 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. scanned clinician id is not he proper barcode verify the clinician id scanned is a valid clinician id barcode. verify the clinician id scanned is in the user authentication scanned clinician id is not contained in the user authentication database 46 connex direct welch [UNK] connex® spot monitor ossible causproblem the device does not have a properly configured active irectory server connection verify the server configuration on the device : settings > advanced > network > active directory : a. " enable active directory " is selected. b. the proper domain name appears in the " domain name " field. c. the proper group name s in the " group " field. d. you are using the proper clinician id type, it matchewhat you are scanning, and the clinician is in the active directory. e. you are using the propeauthentication user name. verify that the user id entered is accurate and a valid id in the active directory. user id entered is not valid server authentication failed load the proper root certificate on the server and the proper ca root certificate in the device using the device onfiguration tools. failed to send vitals 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. the device does not have a properly configured hl7 connection verify the server configuration on the device : settings > advanced network > server : a. server connectivity = direct emr connection.. host ip is selected. c. the proper address appears n the host address ( fqdn or ip address ). d. the proper @topic:16


# # # issue electric bed remote failure # # # impact inability to adjust bed position, compromising patient comfort and safety # # # possible causes - electrical fault in the remote - mechanical damage - software malfunction # # # recommendations - replace the remote - inspect the bed control unit for any loose connections or damage - update the software if available - educate staff on proper handling and maintenance of the electric bed @topic:7


# # # issue - battery failure # # # impact - the patient's vital signs may not be accurately monitored, which could lead to a delay in diagnosis and treatment. # # # possible causes - the battery was not properly installed. - the battery is not compatible with the device. - the battery is old and needs to be replaced. # # # recommendations - ensure that the battery is properly installed. - verify that the battery is compatible with the device. - replace the battery if it is old or damaged. @topic:11


# # # issue the cause of failure in the biomedical engineering input is that the technician used old parts that could still be used and replaced the cuff bp, but the wire connecting the cuff bp at the sliding joint still cannot be measured. # # # impact the impact of this failure is that the vital signs monitor cannot be used to measure blood pressure accurately. this could lead to incorrect or delayed diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes the possible causes of this failure include : - the old parts that were used were not compatible with the vital signs monitor. - the cuff bp was not replaced correctly. - the wire connecting the cuff bp was not connected properly. # # # recommendations the following recommendations are made to prevent this type of failure from occurring in the future : - only use parts that are compatible with the vital signs monitor. - replace the cuff bp according to the manufacturer's instructions. - connect the wire connecting the cuff bp securely. - test the vital signs monitor to ensure that it is working properly before using it on a patient. @topic:5


# # # issue - base loose # # # impact - the monitor may not be stable and could fall, causing injury to the patient or staff. # # # possible causes - the screws that hold the base to the monitor may be loose. - the base may be damaged. - the monitor may be too heavy for the base. # # # recommendations - tighten the screws that hold the base to the monitor. - if the base is damaged, replace it. - if the monitor is too heavy for the base, use a heavier base. @topic:12


# # # issue the probe o2 on the welch allyn propaq lt monitor is loose. # # # impact the loose probe o2 may cause inaccurate readings or intermittent readings. # # # possible causes - the probe o2 may have been dislodged during transport or handling. - the probe o2 may have become loose due to wear and tear. - the probe o2 may have been improperly connected. # # # recommendations - ensure that the probe o2 is properly connected. - if the probe o2 is loose, tighten it by gently rotating it clockwise. - if the probe o2 is damaged, replace it with a new one. - regularly inspect the probe o2 for any signs of wear or damage. @topic:4


* * issue : * * - * * equipment : * * monitors, bedside, physiologic - * * brand : * * philips - * * model : * * intellivue mp70 ( m8007a ) - * * description : * * department requests bp connector - * * reported cause of failure : * * department requested bp connector * * possible causes : * * * * 1. missing or damaged bp connector : * * - the bp connector may have been lost or accidentally damaged during use. * * 2. improper maintenance : * * - the bp connector may not have been properly cleaned or disinfected after use, leading to corrosion or contamination. * * 3. manufacturer defect : * * - there may have been a manufacturing defect in the bp connector, causing it to malfunction or fail prematurely. * * recommendations : * * * * 1. verify the issue : * * - check the device thoroughly to confirm that the request for a bp connector is accurate. * * 2. replace the bp connector : * * - replace the missing or damaged bp connector with a new one. * * 3. improve maintenance procedures : * * - establish and enforce proper cleaning and disinfection protocols for all medical devices, including the bp connector. * * 4. investigate manufacturer defect : * * - if a manufacturer defect is suspected, contact the manufacturer to report the issue and request a potential replacement or repair. * * 5. provide feedback to the department : * * - inform the department about the cause of failure and recommend any changes in handling or maintenance procedures to prevent similar issues in the future. @topic:2


# # # issue : keyboard on medical cart is not functioning properly, specifically the numeric keypad is not responding. # # # impact : * inability to enter numerical data accurately and efficiently, which can lead to delays in patient care and documentation. * potential errors in data entry, affecting the accuracy and reliability of patient records. # # # possible causes : * * * hardware failure : * * malfunction or damage in the keyboard itself, including faulty keys or internal components. * * * software glitch : * * errors in the operating system or application software that prevent the keyboard from functioning properly. * * * physical damage : * * physical trauma to the keyboard, such as spills, drops, or excessive force applied. * * * electrical fault : * * issues with the power supply or wiring that disrupt the keyboard's functionality. * * * keyboard settings : * * incorrect keyboard settings or configurations may disable certain keys or functions, including the numeric keypad. # # # recommendations : * * * inspect the keyboard : * * visually inspect the keyboard for any physical damage or loose components. * * * restart the device : * * restart the medical cart to refresh the operating system and software. * * * update software : * * check for any available software updates for the medical cart and install them if necessary. * * * test the keyboard : * * use the keyboard tester utility or a simple typing program to test all keys, including the numeric keypad. * * * replace the keyboard : * * if other troubleshooting steps fail, consider replacing the keyboard with a compatible model. * * * contact manufacturer : * * if the issue persists after replacing the keyboard, contact the manufacturer for technical support and potential warranty claims. @topic:27


# # # issue - broken bed alarm control cord # # # impact - bed alarm will not function properly, which could result in a patient fall or other safety hazard. # # # possible causes - cord was accidentally cut or damaged during maintenance or repair. - cord was pinched or crimped, causing it to break. - cord was exposed to excessive heat or cold, causing it to become brittle and break. - cord was pulled or yanked, causing it to break. # # # recommendations - inspect the cord for any visible damage, such as cuts, crimps, or breaks. - if the cord is damaged, replace it with a new one. - ensure that the cord is properly routed and secured to prevent it from being pinched or crimped. - avoid exposing the cord to excessive heat or cold. - handle the cord with care to avoid pulling or yanking it. @topic:26


# # # issue - bed alarm not working # # # impact - patient safety risk - increased workload for staff # # # possible causes - faulty bed alarm jack - loose or damaged wiring - power supply issues - software malfunction # # # recommendations - inspect the bed alarm jack for damage or loose connections. - check the wiring for loose or damaged connections. - verify that the bed is properly connected to a power source. - update or troubleshoot the bed alarm software. * * additional considerations : * * - the technician should consult with the manufacturer's instructions for specific troubleshooting steps. - the technician should document all repairs and maintenance procedures in the medical device maintenance record. - regular maintenance and inspections can help prevent similar failures in the future. @topic:26


# # # issue - inability to adjust the electric hospital bed # # # impact - patient discomfort - difficulty providing care to the patient # # # possible causes - electrical wiring issue - faulty motor - broken switch - loose connection # # # recommendations - perform a thorough electrical inspection and repair any faulty wiring. - check the motor for any signs of damage or wear and tear. - inspect the switch for any loose connections or damage. - ensure all connections are tight and secure. # # # additional notes - the cause of failure in this case is not directly related to the issue of the shorted wire that was previously addressed. the inability to adjust the bed now is likely due to a separate issue that needs to be investigated and resolved. - it is important to conduct regular maintenance and testing of medical equipment to prevent potential failures and ensure patient safety. @topic:1


# # # issue - raug gantuang tempat tidur tidak bisa diturunkan # # # impact - pasien tidak dapat keluar masuk tempat tidur dengan aman dan nyaman - perawat dan staf medis kesulitan memindahkan pasien # # # possible causes - raug gantuang macet atau rusak - kabel atau konektor yang menghubungkan raung gantuang ke tempat tidur rusak - motor penggerak raung gantuang rusak - sistem kontrol elektronik yang mengendalikan raung gantuang rusak # # # recommendations - periksa raung gantuang apakah ada kerusakan atau hambatan - periksa kabel dan konektor yang menghubungkan raung gantuang ke tempat tidur - periksa motor penggerak raung gantuang - periksa sistem kontrol elektronik yang mengendalikan raung gantuang - hubungi produsen atau teknisi servis yang berkualifikasi jika diperlukan @topic:12


# # # issue - the bed is making noise. # # # impact - the noise can be disruptive to patients and staff. - it could indicate a more serious problem with the bed. # # # possible causes - the nuts holding the bed together could be loose. - there could be a lack of lubrication on the moving parts of the bed. - one of the components of the bed could be damaged. # # # recommendations - check the nuts and bolts holding the bed together and tighten any that are loose. - lubricate the moving parts of the bed. - if the noise persists, contact a qualified technician to diagnose and repair the problem. @topic:9


# # # issue - monitor unable to measure patient parameters # # # impact - patient monitoring and data collection is compromised. - clinical decisions may be delayed or made without accurate information. # # # possible causes - sensor malfunction - loose or damaged cables - incorrect equipment configuration - power supply issues - software glitches # # # recommendations - check sensor connections and replace if necessary. - ensure cables are securely connected to the monitor and patient. - verify that the equipment is configured correctly for the patient's condition. - inspect power supply and ensure it is stable. - contact the manufacturer for software updates or troubleshooting assistance. @topic:22


/ mib ( rs232 ) interface cards, type rj45 or flexible nurse call interface card or combination of both ( optional ) 1 ac power input 2 protective earth screw hole 3 4 measurement link connectors ( msl ) 5 ( two standard in mx800, one standard in mx600 / 700 ) usb rear connectors ( for remote control, keyboard, pointing devices, printer ) 6 serial rs232 connector 7 nurse call 8 wired network connector 9 video out connector ( digital / analog ) 10 the following connectors are only present with the ipc usb rear connectors ( for keyboard, pointing devices, printer ) 11 audio in / out 12 local area network 13 video out connector ( digital / analog ) 14 the following connectors are only present with the independent display interface serial rs232 connector for touch 15 video out connector ( digital / analog ) 16 54 40 specifications left side of the monitor 1 ecg sync output / analog ecg nnector usb side connector ( only presenith the ipc ) 1 1 monitor mounting precautions mount the monitor using either the philips quick mount or fix mount solution or another approved mounting solution. select the mounting equipment and the mounting position so that no patient, operator or other person can be harmed by a monitor removed intentionally or released accidentally from the mount. when using the quick mount, be aware of the danger of accidental activation of the quick mount release button when lifting or moving items located under the monitor, such as pole mounts, etc. if in doubt, use the philips fix mount solution to avoid such situations. refer to the respective intellivue monitor service manual, installation instructions chapter, for more details. 455 40 specifications caution never carry never carry a monitor by the handle when equipment is attached below it with the quick mount. to transport such equipment combinations, always support the equipment from below. • only use the bed hanger for the mx @topic:19


# # # issue - bed not adjusting up and down # # # impact - inability to adjust patient positioning # # # possible causes - faulty switch assembly - electrical short in the switch - mechanical failure in the bed frame # # # recommendations - replace the switch assembly - inspect the wiring for any shorts or breaks - service the bed frame to ensure proper functionality @topic:1


# # # issue - cuff failure # # # impact - inaccurate patient blood pressure readings - potential harm to patient if untreated # # # possible causes - damaged or worn cuff - cuff not properly inflated - cuff not the appropriate size for the patient # # # recommendations - inspect the cuff for any damage or wear - ensure that the cuff is properly inflated - use the appropriate size cuff for the patient - replace the cuff if it is damaged or worn @topic:3


desaturation. 16 stored events : a ( d ) : 2 ( 1 ) b ( d ) : 7 ( 1 ) ab ( d ) : 1 ( 1 ) d : 6 m : 0 299 24 event surveillance viewing events event summary window ( advanced event surveillance only ). the event summary window shows the number of stored events in each event group and the total number of events in the database. vertical bars mark events on a timeline showing the position of the stored events in the event database. the symbol next to the group name indicates the activation and notification status : standard 6 iii 1 | a > neuro 1 1 a > hemo 2 1 1 ventil. 2 1 ^ arrhy / st 0 ner 0 total 11 1 1 1 iii 1 1 i 15 : 00 19 : 00 23 : 00 3 : 00 7 : 00 11 : 00 symbol meaning ■ group activated, notification set to * * * alarm l group activated, notification set to * * alarm c group activated, notification set to * alarm group activated, notification set to screen prompt [UNK] group is activated, notification is switched off no symbol group not activated selecting the event summary window calls up the events pop - up keys. parts of the event summary window can also be embedded in screens so that they are always visible, for example the total row showing the total number of events with the bars on the timeline or the column showing all the groups with the activation and notification status. event review window ♦ to enter the event review window, select the graphic event summary, if available, or select the events pop - up key show review. when you open the event review window, it automatically shows the event group with the most recent event. ♦ to view other event groups, select the pop - up key review group and select the group from the list. 300 viewing events 24 event surveillance event bars : each event bar represents one event. the height @topic:8


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the medical cart cannot be turned on. # # # impact - the medical staff is unable to use the medical cart to transport patients and medical supplies. # # # possible causes - power supply issues : - faulty power cord or outlet - internal electrical issues within the cart - battery issues : - depleted battery - faulty battery - battery not properly connected - software or firmware issues : - corrupted software - outdated firmware - mechanical issues : - loose connections - damaged components # # # recommendations - troubleshooting steps : - check the power cord and outlet. - check the battery and ensure it is properly connected and charged - restart the system - reset the system to factory settings - if the issue persists, contact the manufacturer for further assistance or schedule a repair @topic:13


technical support, or arrange for repair. @topic:12


# # # issue : cuff bp ( blood pressure ) failure # # # impact : vital signs monitoring compromised # # # possible causes : - cuff bp fabric deteriorated causing cuff to become loose - velcro strap damaged leading to inability to secure cuff on patient's arm # # # recommendations : - replace deteriorated cuff bp - repair or replace damaged velcro strap - ensure proper fit of cuff on patient's arm @topic:3


, or an incorrect line is attached. check the connection. if necessary, connect another sample line ( use only the approved accessories ). if you silence this inop, the measurement will be switched off.!! co2 occlusion!!! co2 occlusion umeric is replaced by -? - nop tone the sample line or exhaust tube is blocked. check the tubing, then disconnect and reconnect the sample line. if the inop persists, connect a new sample line. the co2 value is higher than the measurement range. if you suspect a false high value, contact youservice personnel. co2 overrange umeric is replaced by -? inop tone the pump has been switched off for fifteen minutes. to switch it on again, select pump on in the setup co2 menu. co2 pump off numeric is replaced by -? - co2 purging the filterline is being purged to remove an occlusion in the line or airway adapter. if the occlusion is removed, the inop will disappear. if not, the inop co2 occlusion is displayed. numeric is replaced by -? inop tone co2 sens warmup numeric is replaced by -? - microstream co2 : inop tone mainstream co2 : no inop tone wait until the sensor reaches operating temperature and the inop disappears. the software in the measurement extension does not match the software in the mms. contact youservice personnel. co2 upgrade fw - numeric is replaced by -? inop tone calibration on the first calstick cell is complete. place the transducer on the other calstick cell and start the cal2 calibration cycle. co2 wait cal2 numeric is replaced by -? - co2 zero failed an error @topic:17


# # # issue - equipment malfunction due to battery failure # # # impact - interruption of patient monitoring - inaccurate or incomplete patient data - potential patient safety concerns # # # possible causes - battery depletion - battery malfunction - improper battery installation # # # recommendations - regularly monitor battery levels and replace batteries when necessary - ensure proper battery installation and follow manufacturer's guidelines - consider using rechargeable batteries or alternative power sources to minimize the risk of battery failure - train staff on proper battery handling and maintenance @topic:11


##2 pcba 105933 7 105931 srv kit csm, masimo spo2 pcba 8 srv kit csm, nellcor spo2 pcba 105932 9 22 field replaceable units welch [UNK] connex® spot monitor 92 material number service kit description number 105925 srv kit csm, main pca, and lcd frame 10 srv kit csm, power harness 11 105930 105938 srv kit csm, newmar antenna pcba 12 srv kit csm, newmar radio pcba 105936 13 srv kit csm, bluetooth radio pcba 105937 14 05926 srv kit csm, masimo spo2 insert 15 srv kit csm, nellcor spo2 insert 16 105927 srv kit csm, no spo2 insert 17 105928 srv kit csm, nonin spo2 insert 18 105929 srv kit hw a - f, lcd with touchscreen 19a 108241 19b srv kit csm, combined lcd with touchscreen new 105922 srv kit csm, lcd bezel 20 srv kit csm, front housing 105921 21 22 105941 srv kit csm, braun thermoscan pro 6000 module² 23 05940 05943 rv kit csm, apm wor24 srv kit 9 cell lithium ion battery 25 batt99 srv kit csm, apm work surface, battery door 26 105972 connex spot power supply 7000 - ps 27 * not available for direct purchase. 1 when using the 108121 ( srv kit csm, combined lcd with touchscreen new ), you are required to upgrade your device with the newer 409703 - 18 csm main board, the @topic:19


# # cause of failure : cuff degradation # # # issue : - deterioration of the cuff component in the blood pressure monitor. # # # impact : - inaccurate blood pressure measurements, potentially leading to incorrect patient monitoring and treatment decisions. # # # possible causes : - wear and tear due to regular use : repeated inflation and deflation of the cuff can weaken the material over time. - exposure to moisture or chemicals : fluids or cleaning agents can damage the cuff material, affecting its elasticity and performance. - improper storage : storing the cuff incorrectly can lead to deformation or damage, impacting its functionality. # # # recommendations : - regular inspection and maintenance : periodic checks of the cuff for any signs of deterioration, such as cracks or leaks. - proper handling and storage : using the cuff according to the manufacturer's instructions and storing it in a clean, dry environment. - prompt replacement : if the cuff shows signs of damage or degradation, it should be promptly replaced with a new one to ensure accurate blood pressure measurements. @topic:3


# # issue - faulty plug on the hospital bed # # impact - the hospital bed is unable to be used, which could impact patient care. # # possible causes - the plug may have been damaged during transport or use. - the plug may have been improperly installed. - the plug may have worn out over time. # # recommendations - replace the faulty plug with a new one. - ensure that the plug is properly installed. - inspect the plug regularly for wear and tear. @topic:9


# # # issue - ekg signal on the central monitor displays " no signal " # # # impact - inability to monitor the patient's ekg, which can lead to delayed or incorrect diagnosis and treatment. # # # possible causes - damaged lan cable with scratched and tarnished brass terminals - poor lan connection due to loose or improperly crimped connectors # # # recommendations - replace the damaged lan cable. - ensure that the lan connectors are properly crimped and secure. @topic:18


# # # issue - cuff on vital signs monitor is deteriorated. # # # impact - vital signs monitor cannot take accurate measurements. # # # possible causes - cuff is old and has been used extensively. - cuff has been exposed to moisture or chemicals. - cuff has been damaged physically. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - store the cuff in a dry and clean environment. - handle the cuff with care to avoid damage. @topic:5


# # # issue - snab lock failure # # # impact - inability to secure patient to the monitor or transport device # # # possible causes - mechanical failure of the snab lock - wear and tear - improper use or handling # # # recommendations * * 1. inspect the snab lock : * * - check for any visible damage or wear - ensure that all components are securely tightened * * 2. test the snab lock : * * - attempt to secure a patient to the device - verify that the snab lock engages securely and does not release unintentionally * * 3. replace the snab lock : * * - if the snab lock is damaged or malfunctioning, replace it with a new one - follow the manufacturer's instructions for replacement @topic:12


# # # issue - the cover button of the beds, electric, ob & gyn equipment from seers medical ( model sm8563 ) has come loose. # # # impact - the loose button may affect the proper functioning of the equipment. # # # possible causes - improper handling or use of the equipment. # # # recommendations - ensure proper handling and use of the equipment. - inspect the equipment regularly and tighten any loose components as needed. - contact the manufacturer or a qualified biomedical technician for repairs if necessary. @topic:32


# # # issue - bed cannot be adjusted downward. # # # impact - patient discomfort or inability to use the bed properly. # # # possible causes - * * locked bed controls : * * the bed's controls may be locked, preventing downward adjustments. - * * electrical problems : * * faulty wiring or a power outage could prevent the bed from functioning correctly. - * * mechanical issues : * * broken or jammed components, such as rusted gears or damaged motors, may hinder downward movement. - * * software issues : * * a software bug or malfunction could interfere with the bed's control system. - * * operator error : * * the user may be attempting to adjust the bed incorrectly, causing it not to respond as expected. # # # recommendations - * * check bed controls : * * ensure that the bed's controls are unlocked and functioning properly. - * * inspect electrical connections : * * verify that the bed is properly connected to a power source and that there are no loose or damaged wires. - * * examine mechanical components : * * inspect gears, motors, and other mechanical components for damage or obstructions that may be preventing downward movement. - * * update software : * * if software issues are suspected, check for any available firmware updates and install them. - * * educate users : * * provide clear instructions to users on how to operate the bed correctly and avoid any improper adjustments. @topic:1


, including heart rate, pvc rate, rhythm, and ectopics. the monitor uses the user - selected primary and secondary ecg leads for single - lead or multi - lead arrhythmia analysis. during arrhythmia analysis, the monitor continuously optimizes ecg signal quality. this is important for arrhythmia analysis. the monitor continuously filters the ecg signal to remove baseline wander, muscle artifact, and signal irregularities. also, if the patient paced status is set to yes, pace pulses are filtered out to avoid processing them as qrs beats. • detects beats, for example, qrs complexes, identifying them for further analysis. • measures signal features such as r - wave height, width, and timing. • creates beat templates, and classifies and labels beats to aid in rhythm analysis and alarm detection. examines the ecg signal for ventricular fibrillation, asystole, and noise. •. arrhythmia options your monitor has either the basic or the enhanced arrhythmia option. both options provide rhythm and ectopic status messages and beat labeling. the number of rhythms being classified, events being detected, and alarms generated differs according to the option. the alarms available with the different options are listed in the section " ecg and arrhythmia alarm overview " on page 149, the rhythm and ectopic messages detected are listed in " arrhythmia status messages " on page 157. where can i find more information? see the application notes on st and arrhythmia supplied on your documentation dvd for detailed information on the arrhythmia algorithm and its clinical application. in the setup arrhy menu, select arrhythmia to toggle between on and off. 1 2 select the confirm pop - up key which appears at the bottom of the screen @topic:8


# # # issue - monitor is not displaying any image. # # # impact - inability to monitor patient's vital signs. # # # possible causes - loose power cord. # # # recommendations - verify that the power cord is securely connected to both the monitor and the power outlet. @topic:2


# # # issue : - physiologic monitor is not securely attached to its base. # # # impact : - the monitor may fall, causing injury to patients or staff. - this can affect patient monitoring and treatment. # # # possible causes : - the base mounting screws are loose. - the base is not properly attached to the monitor. - the monitor is too heavy for the base. # # # recommendations : - tighten the base mounting screws. - ensure that the base is securely attached to the monitor. - if the monitor is too heavy for the base, use a heavier base or a different mounting solution. @topic:2


# # # issue - spo2 sensor cable is damaged and exposed # # # impact - compromised patient monitoring - inaccurate spo2 readings - potential for electrical hazards # # # possible causes - physical damage to the cable ( e. g., pulling, bending ) - wear and tear over time - improper storage - manufacturing defects # # # recommendations - regularly inspect the spo2 sensor cable for signs of damage - replace the cable immediately if any damage is found - handle the cable carefully to avoid damage - store the cable in a safe and dry location - follow manufacturer's instructions for use and maintenance @topic:4


# # # issue - * * knob malfunction * * # # # impact - inability to adjust settings on the physiologic monitor # # # possible causes - * * mechanical failure : * * the knob may be physically broken or damaged, preventing it from rotating. - * * electrical failure : * * there may be an electrical issue within the monitor that is preventing the knob from functioning properly. - * * software issue : * * a software glitch or bug may be causing the knob to not respond to input. # # # recommendations - * * mechanical inspection : * * visually inspect the knob for any visible damage or breakage. - * * electrical testing : * * use a multimeter to check for any electrical issues within the monitor. - * * software update : * * check for available software updates for the monitor and apply them if necessary. - * * replacement : * * if the issue cannot be resolved through inspection, testing, or software updates, the knob may need to be replaced. @topic:2


# # # issue - the monitor is not linking to the central server. # # # impact - the monitor cannot display patient data or receive commands from the central server. # # # possible causes - the network cable is not properly connected to the monitor. - the network cable is damaged. - the network port on the monitor is damaged. - the central server is not responding. # # # recommendations - check the network cable connection at both ends. - replace the network cable if it is damaged. - contact the biomedical engineer to check the network port on the monitor. - contact the it department to check the central server. @topic:16


# # # issue - unable to accurately measure body temperature # # # impact - incorrect patient vital signs may lead to delayed or incorrect diagnosis and treatment # # # possible causes - probe contamination or damage # # # recommendations - clean or replace the probe - ensure the probe is properly attached to the patient @topic:20


electromagnetic compatibility ( emc ) when using medical electrical equipment. you must operate your monitoring equipment according to the emc information provided in this book. portable and mobile radio frequency ( rf ) communications equipment can affect medical electrical equipment. accessories compliant with emc standards all accessories listed in the accessories section comply, in combination with the intellivue patient monitors, with the requirements of iec 60601 - 1 - 2 : 2001 + al : 2004. warning using accessories other than those specified may result in increased electromagnetic emission or decreased electromagnetic immunity of the monitoring equipment. electromagnetic emissions the monitor is suitable for use in the electromagnetic environment specified in the table below. you must ensure that it is used in such an environment emissions test compliance avoiding electromagnetic interference radio frequency ( rf ) emissions group 1 the monitor uses rf energy only for its internal function. therefore, its rf emissions are very low and are not likely to cause any interference in nearby electronic equipment rf emissions cispr 11 class a the monitor is suitable for use in all establishments other than domestic and those directly connected to the public low - voltage power supply network that supplies buildings used for domestic purposes harmonic emissions iec 61000 - 3 - 2 n / a voltage fluctuations iec 61000 - 3 - 3 n / a avoiding electromagnetic interference ( resp and bis ) the respiration ( resp ) and bis measurements are very sensitive measurements that measure very small signals. technological limitations do not allow higher immunity levels than 1 v / m for radiated rf electromagnetic fields and 1 vrms for conducted disturbances induced by rf fields. electromagnetic fields with field strengths above 1 v / m and conducted disturbances above 1 vrms may cause erroneous measurements. therefore philips recommends that you avoid using electrically radiating equipment in the close proximity of these measurements. warning the monitor should not be used next to or stacked with other equipment. if you must stack the monitor, you must check that normal operation is possible in the necessary configuration @topic:10


# # # issue - telemetric ecg monitor not connecting to the central monitoring system. # # # impact - inability to remotely monitor patient's ecg data, potentially leading to delayed or missed interventions. # # # possible causes - incorrect telemetry settings, as identified by the biomedical engineer ( bme ). # # # recommendations - verify and correct telemetry settings to ensure proper connection with the central monitoring system. - retest the device and monitor performance to ensure successful data transmission. - document the troubleshooting process and any corrective actions taken for future reference. - consider training staff on proper device configuration and monitoring procedures to prevent similar issues in the future. @topic:18


# # # issue bp ( blood pressure ) cuff is not inflating. # # # impact inaccurate blood pressure readings, delayed treatment. # # # possible causes - kinked air hose. - faulty air hose. - problem with the blood pressure cuff. - problem with the monitor. # # # recommendations - check the air hose for kinks or damage. unkink the air hose if necessary. - replace the air hose if it is damaged. - check the blood pressure cuff for damage or blockages. clean the cuff if it is dirty. - check the monitor for error codes. reset the monitor if necessary. - if the problem persists, contact the manufacturer for further troubleshooting and repair. @topic:14


# # # issue the technician replaced the metal footboard with a plastic one. # # # impact the plastic footboard may not be as durable as the original metal one, which could lead to safety risks for patients. # # # possible causes the technician may have replaced the footboard without consulting with the manufacturer or following proper procedures. # # # recommendations - the technician should consult with the manufacturer before making any modifications to medical equipment. - the manufacturer's instructions should be followed when repairing or replacing medical equipment. - regular inspections and maintenance should be performed on medical equipment to ensure that it is functioning properly. @topic:9


# # # issue - bed adjustment is not working # # # impact - the patient cannot be positioned properly for medical procedures, leading to discomfort and potential injuries. - the healthcare staff cannot operate the bed efficiently, resulting in delays in patient care and reduced productivity. # # # possible causes - mechanical failure of the bed adjustment mechanism, such as broken gears or cables. - electrical failure in the control system or power supply. - software bugs or glitches in the bed's computer system. # # # recommendations - inspect the bed's mechanical components and replace any damaged parts. - check the electrical connections and power supply to ensure proper functionality. - update the bed's software to eliminate any potential bugs or glitches. - contact the manufacturer for technical support and guidance. @topic:1


# # # issue - module gas g5 not reading values # # # impact - inability to monitor patient's gas levels, leading to potential safety risks. # # # possible causes - loose connection between the signal cable and the module g5. # # # recommendations - * * immediate action : * * - ensure the signal cable is securely plugged into the module g5. - test the device to verify functionality. - * * preventive measures : * * - perform regular inspections of all cables and connections to identify any potential loose connections. - consider implementing a maintenance schedule to ensure timely repairs and replacements of cables and connectors. - provide training to staff on proper handling and maintenance of medical devices to minimize the risk of loose connections in the future. @topic:20


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 # # # impact - medical personnel may not be able to use the cart to its full capacity, as the keyhole is loose and the key may not fit properly. # # # possible causes - the keyhole may have been damaged due to improper use or excessive force. - the key may have become bent or damaged. - the mechanism that locks the keyhole in place may have malfunctioned. # # # recommendations - inspect the keyhole for any damage. if there is any damage, replace the keyhole. - if the key is bent or damaged, replace the key. - if the mechanism that locks the keyhole in place is malfunctioning, replace the mechanism. @topic:27


# # # issue - ekg lead off alarm # # # impact - the ekg machine is unable to accurately monitor the patient's heart rhythm. # # # possible causes - disconnected ekg lead - damaged ekg lead - loose connection between the ekg lead and the ekg machine - faulty ekg machine # # # recommendations - check the ekg lead for any disconnections or damage. - if the ekg lead is damaged, replace it with a new one. - ensure that the ekg lead is securely connected to the ekg machine. - if the ekg machine is faulty, contact the manufacturer for repair or replacement. @topic:18


# # # issue : - cuff bp monitor on bed 6 is not able to measure blood pressure. # # # impact : - inability to monitor patient's blood pressure accurately. # # # possible causes : 1. * * loose connection : * * the input mentions that the technician found loose wires at the connection points. this loose connection could have interrupted the signal transmission between the cuff and the monitor, leading to the failure. 2. * * damaged cuff : * * the cuff used to measure blood pressure might be damaged, affecting its ability to inflate and measure pressure accurately. 3. * * faulty monitor : * * the intellivue x2 ( m3002a ) monitor itself could be faulty, leading to incorrect or no readings. 4. * * software issue : * * there could be a software issue within the monitor that is interfering with the bp measurement process. # # # recommendations : 1. * * secure connections : * * ensure that all connections between the cuff, tubing, and monitor are securely fastened to eliminate loose connections. 2. * * check cuff integrity : * * inspect the cuff for any visible damage, leaks, or abnormalities. replace the cuff if necessary. 3. * * troubleshoot the monitor : * * perform a thorough inspection and troubleshooting of the intellivue x2 ( m3002a ) monitor to identify any issues. check for error codes or messages, and follow the manufacturer's troubleshooting guide. 4. * * update software : * * if the issue persists, check for any available software updates for the monitor. updating the software can address bugs or introduce new features that may resolve the problem. 5. * * contact manufacturer support : * * if the above steps do not resolve the issue, contact the manufacturer of the equipment for technical support and guidance. @topic:15


# # # issue - the bed's guardrails are not locking. # # # impact - the patient may fall out of bed and injure themselves. # # # possible causes - the guardrails are not properly aligned. - the locking mechanism is not working correctly. - the bed is not level. - the patient is too heavy for the bed. # # # recommendations - check the alignment of the guardrails and make sure that they are properly engaged. - inspect the locking mechanism for any damage or wear. - level the bed. - if the patient is too heavy for the bed, use a bariatric bed instead. @topic:6


# # # issue - remote control is loose. # # # impact - the remote control cannot be used to adjust the head of the bed. # # # possible causes - the remote control is not properly attached to the bed. - the remote control is damaged. # # # recommendations - check that the remote control is properly attached to the bed. - if the remote control is damaged, replace it. @topic:7


# # # issue - remote was broken into two pieces. # # # impact - the bed could not be controlled remotely. # # # possible causes - the remote was dropped. - the remote was hit by a heavy object. - the remote was exposed to excessive heat or moisture. # # # recommendations - handle the remote with care. - store the remote in a safe place when not in use. - do not expose the remote to excessive heat or moisture. @topic:7


* * issue : * * equipment calibration failure * * impact : * * inaccurate patient vital signs readings, leading to potential misdiagnosis or delayed treatment. * * possible causes : * * * * hardware malfunction : * * * faulty sensors or transducers * damaged cables or connectors * internal component failure * * environmental factors : * * * extremes of temperature, humidity, or barometric pressure * electromagnetic interference * vibration or shock * * software error : * * * corrupted software or firmware * misconfiguration * software bugs * * user error : * * * improper calibration techniques * inadequate training or understanding * misuse or mishandling of the equipment * * recommendations : * * * * troubleshooting and repair : * * * verify calibration procedures and ensure they are followed correctly. * inspect for loose connections, damaged cables, or loose components. * test sensors and transducers using calibration standards. * replace faulty components or equipment as necessary. * * environmental control : * * * ensure appropriate operating conditions for the equipment. * protect the equipment from extreme environmental conditions. * implement electromagnetic interference suppression measures. * minimize vibration and shock exposure. * * software maintenance : * * * update software and firmware regularly. * perform regular software diagnostics to identify potential issues. * ensure proper software configuration and settings. * * staff training : * * * provide comprehensive training on proper equipment calibration and troubleshooting techniques. * ensure that users understand the importance of accurate vital signs readings. * establish clear guidelines for equipment handling and maintenance. * * regular monitoring : * * * establish a regular calibration and maintenance schedule. * perform periodic checks to verify equipment performance. * monitor equipment usage logs to identify potential patterns or trends. @topic:2


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : battery error ( - 1 ) and grayed - out screen, preventing user interaction. # # # impact - interruption of medical cart functionality, hindering patient care and workflow. # # # possible causes - battery malfunction or low charge - software glitch or corruption - hardware failure ( e. g., loose connections, faulty components ) # # # recommendations - * * immediate actions : * * - check and replace the battery if necessary. - restart the device to reset the software. - * * further investigations : * * - examine the device's diagnostics to identify specific error codes. - inspect the hardware components for any visible damage or loose connections. - consult with the manufacturer or technical support for additional troubleshooting and repair guidance. - * * preventive measures : * * - implement regular maintenance and inspection schedules to prevent equipment failures. - ensure proper battery charging and replacement protocols. - consider software updates or upgrades to address potential glitches. @topic:13