the operator in such cases. 24 monitor theory of operation 2 theory of operation display & operator the display and operator interface manager performs the following tasks : interface - screen presentation of real - time and stored physiological measurement data, alarm condition data and status information received from the mdse interface manager, the alarm service or other intellivue patient monitoring system modules screen presentation of operating controls ( control windows ) processing of operating control commands received from hif control interface. the module verifies and interprets the received commands and forwards them to other software modules of the intellivue patient monitoring system display unit or measurement parameters. sound generation ( issues audible alarm signals and generates audible information signals, for example qrs and spo2 tones, operator audible feedback ) interfaces lan the lan interface implements the physical layer of ieee 802. 3. the lan interface performs manchester encoding / decoding, receive clock recovery, transmit pulse shaping, jabber, link integrity testing, reverse polarity detection / correction, electrical isolation, and esd protection. electronically separated interfaces are used for communication to the measurement parameters and to the network. display controller the display controller interface consists of a video controller, video ram and the controlling software. the display controller interface processes the high level display commands ( character and graphic generation, wave drawing ) and translates them into pixels, which are written into the video ram where the video controller chip generates the video synchronization signals and the pixel stream for the color lcd display. hif control the hif ( human interface control ) interface scans the human interface devices for operator controls ( touch screen ), formats the collected data and sends it to the display and operating interface. sync out ( ecg ) a pulse signal is provided on the sync out connector to allow synchronisation with other medical devices. iit the built - in iit module allows operation of the mp2 / x2 monitors within intelli @topic:10


# # # issue - cuff leak # # # impact - inaccurate blood pressure measurement # # # possible causes - cuff damage - cuff tubing leak - loose cuff connection # # # recommendations - inspect cuff for any damage or leaks - replace cuff if necessary - ensure cuff is properly connected to device and tubing @topic:3


the systolic and diastolic readings indicate the noise of nbp channels 1 and 2 respectively. when static pressure is applied, the reading in nbp channel 1 should be below 50. the value in parentheses indicates the actual pressure applied to the system. 1. connect the manometer and the pump with tubing to the nbp connector on the mms and to the expansion chamber. in service mode, select the setup nbp menu. select close valves : on raise the pressure to 280 mmhg with the manometer pump. wait 10 seconds for the measurement to stabilize. compare the manometer values with the displayed values. document the value displayed by the monitor ( x1 ). es. i x99 4e a ie d if the difference between the manometer and displayed values is greater than 3 mmhg, calibrate the mms. if not, proceed to the leakage test. 9. tocalibrate the mms, select close valves off then calibrate nbp and wait for the instrument to pump up the expansion chamber. wait a few seconds after pumping stops until enterprval is highlighted and then move the cursor to the value shown on the manometer. if one of the following prompt messages appears during this step, check whether there is leakage in the setup : - nbp unable to calibrate — cannot adjust pressure - nbp unable to calibrate — unstable signal 10. press confirm. if the inop nbp equipment malfunction message occurs in monitoring mode, go back to service mode and repeat the calibration procedure. nbp leakage test the nbp leakage test checks the integrity of the system and of the valve. it is required once every two years and when you repair the monitor or replace parts. 1. if you have calibrated, repeat steps @topic:17


the picture below. 2 slowly turn the connector counterclockwise with an allen wrench until it is released. note when releasing the connector be careful not to remove its transparent cover. 186 5 repair and disassembly ) 3 verify that the connector contains all 4 metal balls in the transparent cover. if a ball is missing, it may have fallen into the nbp connector chamber. 4 insert the new connector using the same wrench, turn it clockwise and tighten the connector carefuuy 5 perform a visual check of the new connector once it is assembled. verify that the hole in the silicone cover is round and not oval or otherwise deformed because this can cause leakage. perform the nbp performance test as outlined in chapter ‘ ‘ testing and maintenance ”. 187 [ 5 repair and disassembly ] removing the front cover 1 position the thin - bladed screwdriver in the small slot provided for this purpose. remove the front cover by pulling it away from the mms until it snaps off. there may be a slight resistance when removing the front cover. removing the mounting pin 1 position the mms with the connectors facing towards you. there are four long mounting pins threaded into the mms in each of the four corners under the cover. locate the heads of the two long mounting pins on the top cover and only remove these. 2 use the thin - bladed screwdriver to lift the pins gently out, far enough that they can be removed manually. 188 5 repair and disassembly ) note without these long mounting pins, the mms will not function properly removing the top cover begin by gently pulling the top cover away from the mms. the top cover is press - latched at the mms connector. there might be a resistance due to the rubber sealing. remove the cover slowly, without hitting or touching the inside of the mms. @topic:19


# # # issue : - the blood pressure cuff on the philips suresigns vm4 monitor is squeezing continuously. # # # impact : - incorrect blood pressure readings. - discomfort for the patient. - damage to the blood pressure cuff or monitor. # # # possible causes : - * * faulty sensor : * * the sensor that detects when the cuff is inflated or deflated may be malfunctioning. - * * defective pressure bulb : * * the bulb that inflates the cuff may be leaking or not releasing pressure properly. - * * damaged hose : * * the hose that connects the cuff to the monitor may have a leak, allowing air to escape. - * * software glitch : * * the monitor's software may have a bug that is causing the cuff to squeeze continuously. # # # recommendations : - * * inspect the sensor : * * ensure that the sensor is properly connected and clean. - * * check the pressure bulb : * * inflate the cuff manually by squeezing the bulb. if the cuff deflates slowly or not at all, replace the bulb. - * * examine the hose : * * inspect the hose for any cracks or leaks. replace the hose if necessary. - * * restart the monitor : * * unplug the monitor and then plug it back in. this may clear any software glitches. - * * contact technical support : * * if the issue persists, contact philips technical support for further assistance. @topic:14


# # # issue - knee not adjusting # # # impact - inability to position the patient for procedures or treatments. # # # possible causes - motor failure - circuitry issue - mechanical obstruction # # # recommendations - check the motor connections and wiring. - inspect the motor for damage or signs of wear. - examine the circuitry for any loose connections or shorts. - perform a mechanical inspection of the knee joint and surrounding areas for any obstructions or binding. - consult with the manufacturer or a qualified medical equipment technician for further diagnosis and repair. @topic:9


# # # issue cuff leak # # # impact unable to measure patient's blood pressure accurately. # # # possible causes - cuff is old and worn out. - cuff has been punctured or torn. - cuff is not properly inflated. # # # recommendations - replace the cuff with a new one. - inspect the cuff for any damage. - ensure that the cuff is properly inflated according to the manufacturer's instructions. @topic:3


# # # issue printer offline # # # impact inability to print patient data or reports # # # possible causes - loose printer cover # # # recommendations - ensure that the printer cover is securely closed @topic:28


# # # issue - cuff leak # # # impact - unable to use the device for patient monitoring # # # possible causes - cuff is damaged or punctured # # # recommendations - replace the cuff with a new one @topic:5


# # # issue - remote cover fell off. # # # impact - patient discomfort or injury - inaccurate or delayed diagnosis or treatment - increased risk of infection - financial loss # # # possible causes - poor design or manufacture of the remote - rough handling or improper use - excessive wear and tear # # # recommendations - inspect the remote regularly for signs of wear and tear. - handle the remote with care. - report any damage to the remote to the appropriate personnel immediately. - use a protective case or cover for the remote. - train staff on the proper use and maintenance of the remote. @topic:7


. after cleaning and disinfection, check the equipment carefully. do not use if you see signs of deterioration or damage. if you need to return any equipment to philips, decontaminate it first. observe the following general precautions : • always dilute according to the manufacturer ’ s instructions or use lowest possible concentration. • do not allow liquid to enter the case. • do not immerse any part of the equipment or any accessories in liquid. • do not pour liquid onto the system. • never use abrasive material ( such as steel wool or silver polish ). • never use bleach. warning if you spill liquid on the equipment, battery, or accessories, or they are accidentally immersed in liquid, contact your service personnel or philips service engineer. do not operate the equipment before it has been tested and approved for further use. the general care and cleaning information given here meets the requirements of aspect medical systems for their bis measurement devices. 365 34 care and cleaning cleaning the monitor cleaning the monitor clean with a lint - free cloth, moistened with warm water ( 40°c / 104°f maximum ) and soap, a diluted non - caustic detergent, tenside, ammonia - or alcohol - based cleaning agent. do not use strong solvents such as acetone or trichloroethylene. take extra care when cleaning the screen of the monitor because it is more sensitive to rough cleaning methods than the housing. do not permit any liquid to enter the monitor case and avoid pouring it on the monitor while cleaning. do not allow water or cleaning solution to enter the measurement connectors. wipe around, not over, connector sockets. caution to clean the touch - enabled display, disable the touch operation by switching off the monitor during the cleaning procedure, or by selecting and holding the main screen key until the padlock symbol appears on it, indicating that touch operation @topic:10


# # # issue * the keypad on the beds, electric, care assist es220 weighing scale is not working. # # # impact * the weighing scale is unable to be used, which may impact patient care. # # # possible causes * * * electrical failure : * * a problem with the electrical system of the weighing scale could cause the keypad to malfunction. * * * software glitch : * * a bug in the weighing scale's software could also cause the keypad to stop working. * * * physical damage : * * the keypad may have been damaged physically, either accidentally or intentionally. # # # recommendations * * * check the electrical connections : * * ensure that the weighing scale is properly plugged in and that all connections are secure. * * * update the software : * * if there is a software update available for the weighing scale, install it. * * * inspect the keypad : * * look for any signs of physical damage to the keypad, such as scratches or dents. * * * contact the manufacturer : * * if the problem cannot be resolved, contact the manufacturer of the weighing scale for assistance. @topic:25


# # # issue - cuff of the bedside physiologic monitor is not original. # # # impact - the monitor may not be able to accurately measure the patient's vital signs. - the patient may not receive the correct treatment if the monitor is not providing accurate readings. # # # possible causes - the cuff was accidentally switched with the cuff from another monitor. - the cuff was replaced with a non - original cuff. # # # recommendations - check the cuff to make sure that it is the original cuff for the monitor. - if the cuff is not the original cuff, replace it with the correct cuff. - inspect the cuff for any damage. if the cuff is damaged, replace it. - train staff on the importance of using the correct cuffs for monitors. - implement a system for tracking and inventorying cuffs to prevent them from being switched or lost. @topic:5


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : drawer cannot be opened, and the display shows " incorrect location ". the location has been corrected by bme, and the equipment is now functioning normally. # # # impact - the medical cart cannot be used to store or transport medical supplies or equipment. # # # possible causes - the drawer is not properly aligned. - the drawer latch is damaged or broken. - the location setting is incorrect. # # # recommendations - check the alignment of the drawer and ensure that it is properly seated in the tracks. - inspect the drawer latch for damage or breakage. replace the latch if it is damaged or broken. - verify that the location setting is correct. @topic:21


# # # issue the bed cannot be adjusted up or down. # # # impact the patient may not be able to get into or out of bed, or may be uncomfortable in the bed. # # # possible causes - the electrical plug is not connected properly. - the control box is not receiving power. - the motor is not working. - the control panel is not working. # # # recommendations 1. check the electrical plug to make sure it is connected properly. 2. check the control box to make sure it is receiving power. 3. check the motor to make sure it is working. 4. check the control panel to make sure it is working. 5. if the problem persists, contact a qualified biomedical engineer. @topic:1


# # # issue battery failure # # # impact patient's vital signs cannot be monitored accurately, which could lead to a delay in diagnosis and treatment. # # # possible causes - the battery has reached the end of its lifespan. - the battery is not properly seated in the device. - the battery contacts are corroded. # # # recommendations - replace the battery with a new one. - check that the battery is properly seated in the device. - clean the battery contacts. @topic:11


# # # issue - the screws that secure the basket are loose. # # # impact - the basket may fall off, which could cause injury to the patient or damage to the equipment. # # # possible causes - the screws may have been overtightened or undertightened during assembly. - the screws may have been damaged during use. - the screw holes in the basket may be stripped. # # # recommendations - the screws should be tightened to the correct torque. - the screws should be replaced if they are damaged. - the screw holes in the basket should be repaired if they are stripped. @topic:24


# # # issue - broken electrical wire # # # impact - the equipment may not function properly or may be unsafe to use. # # # possible causes - the wire may have been damaged by wear and tear, or it may have been pinched or cut. - the wire may have been made of poor - quality materials or may not have been properly installed. # # # recommendations - inspect the wire for damage and replace it if necessary. - ensure that the wire is properly installed and protected from damage. - use high - quality materials when replacing the wire. @topic:12


# # # issue - keyboard not connecting properly via bluetooth # # # impact - the medical cart's functionality is impaired, affecting patient care. # # # possible causes - incorrect bluetooth channel setting - faulty keyboard or bluetooth module - interference from other wireless devices # # # recommendations - ensure the keyboard is set to the correct bluetooth channel ( 2. 4g channel ) - replace the keyboard or bluetooth module if necessary - check for any nearby wireless devices that may be interfering and move them away if possible @topic:27


# # # issue - mainboard failure in a philips intellivue mp70 ( m8007a ) bedside physiologic monitor. # # # impact - the monitor is unable to function properly, potentially affecting patient monitoring and care. # # # possible causes - * * lacquered module : * * the cause of failure is stated as " lacquered module up unsubport, " which may indicate a problem with the module's coating or finish. this could have led to degradation or malfunction of the component. # # # recommendations 1. * * replace mainboard : * * the technician repaired the monitor by replacing the faulty mainboard with a new one. 2. * * software update : * * after replacing the mainboard, the technician installed new software to ensure proper functionality of the device. 3. * * further investigation : * * to prevent similar issues in the future, it is recommended to investigate the cause of the lacquered module failure and implement measures to prevent it from occurring again. @topic:2


# # issue - remote control is faulty # # impact - bed cannot be adjusted ( head and feet ) # # possible causes - damage to the remote control circuitry - poor electrical connection between the remote control and the bed - low battery in the remote control # # recommendations - replace the remote control with a new one ( as done by the technician ) - ensure that the electrical connection between the remote control and the bed is secure - check the battery in the remote control and replace if necessary @topic:7


# # # issue cuff is not staying attached to the patient. # # # impact this issue can lead to inaccurate vital sign readings, which can be dangerous for patients. # # # possible causes - the cuff may be the wrong size for the patient. - the cuff may be damaged or worn out. - the cuff may not be attached to the patient properly. # # # recommendations - check the size of the cuff and make sure it is the correct size for the patient. - inspect the cuff for any damage or wear and tear. if the cuff is damaged, it should be replaced. - make sure the cuff is attached to the patient properly. the cuff should be snug but not too tight. @topic:5


# # # issue - wifi signal cannot connect to the vsm system # # # impact - data cannot be transmitted to the vsm system # # # possible causes - vsm not linked # # # recommendations - link the vsm @topic:16


# # # issue - vital signs monitor is unable to measure blood pressure ( bp ). # # # impact - inability to obtain accurate bp readings, potentially delaying or compromising patient care. # # # possible causes - loose connection at the cuff or monitor. # # # recommendations - tighten the loose connection to ensure proper cuff inflation and pressure measurement. @topic:14


# # # issue - battery failure in the philips suresigns vs2 monitor, physiologic, vital signs # # # impact - inability to monitor vital signs of patients # # # possible causes - battery replacement completed < 8 hours prior to use - improper installation of the battery - battery not charging properly - battery end of life # # # recommendations - ensure batteries are charged for the recommended 8 hours prior to use - check battery connections - perform a battery test - consider replacing the battery if it is end of life @topic:11


# # # issue - oxygen sensor ( go - 15 ) malfunction # # # impact - inability to accurately measure oxygen levels - potential harm to patients if oxygen levels are not monitored correctly # # # possible causes - sensor damage or malfunction - electrical issues with the sensor or equipment - improper calibration or maintenance of the sensor # # # recommendations - replace the malfunctioning sensor with a new one - inspect the electrical connections between the sensor and the equipment - calibrate and maintain the sensor according to the manufacturer's instructions - train staff on proper use and maintenance of the equipment @topic:4


# # # issue - * * monitor is not linking with the central monitor * * # # # impact - * * loss of vital patient data * * - * * delayed or inaccurate medical decisions * * # # # possible causes - * * incorrect ci address * * - * * faulty cable or connection * * - * * software error * * # # # recommendations - * * verify the ci address and ensure it matches the central monitor * * - * * check and replace cables and connections as necessary * * - * * update software or contact the manufacturer for support * * @topic:16


* * issue : * * the lock on the bed's rails is broken. * * impact : * * the bed cannot be used safely, as the rails may not be able to prevent the patient from falling out. * * possible causes : * * - the lock may have been damaged during use. - the lock may have been improperly installed. - the lock may have been made of defective materials. * * recommendations : * * - replace the lock with a new one. - inspect the bed for any other damage. - train staff on how to properly use and maintain the bed. - consider purchasing a new bed with a more durable lock. @topic:6


# # # issue - bed is not adjusting # # # impact - patient discomfort - difficulty with patient care - potential safety hazard # # # possible causes - loose or disconnected remote control - faulty remote control - malfunctioning bed motor - faulty wiring - electrical failure # # # recommendations - inspect the remote control for any loose or disconnected cables. - check the remote control for any damage or malfunction. - inspect the bed motor for any signs of wear or damage. - check the wiring for any loose connections or damage. - ensure that the bed is properly connected to a power source. # # additional notes # # # possible causes explanation * o - ring was not inserted correctly or is not the correct size. * remote control is not seated properly in the socket. * remote control battery is dead or low. * bed motor is not receiving power or is malfunctioning. * wiring is loose or damaged, preventing power from reaching the bed motor. * electrical failure in the bed or power source. # # # recommendations explanation * inspect the o - ring to ensure it is of the correct size and is inserted correctly. * ensure that the remote control is fully seated in the socket. * replace the remote control battery. * check the bed motor for any signs of wear or damage and replace if necessary. * inspect the wiring for any loose connections or damage and repair or replace as necessary. * ensure that the bed is properly connected to a power source and that the power source is functioning properly. @topic:7


# # # issue the biomedical engineer ( bme ) checked the monitor and found that there was no adult cuff. a new cuff was sent to the department. # # # impact the monitor could not be used to measure blood pressure without a cuff. # # # possible causes - the user may have lost or misplaced the cuff. - the cuff may have been damaged. - the cuff may not have been compatible with the monitor. # # # recommendations - the user should be instructed on how to properly care for and use the cuff. - the cuff should be inspected regularly for damage. - the cuff should be replaced if it is damaged or if it is not compatible with the monitor. @topic:5


# # # issue - spo2 cable is broken. # # # impact - inability to accurately measure patient's oxygen saturation levels. # # # possible causes - physical damage to the cable, such as cuts or abrasions. - wear and tear over time. - improper storage or handling of the cable. - manufacturing defects. # # # recommendations - replace the damaged spo2 cable with a new one. - inspect the cable regularly for any signs of damage. - store and handle the cable carefully to prevent damage. - check the manufacturer's recommendations for proper cable care and maintenance. @topic:4


132 modified 12 - lead 127 new lead setup 123 pacemaker failure 132 rate adaptive pacemakers 133 unfiltered 122 wave size 121 ecg analog ( sync ) output 406, 409, 410 ecg analog output 406 ecg cable for operating room 132 ecg cables, connecting 117 ecg connector 117 ecg display 118 ecg electrode colors 124 ecg electrode placement during electro - surgery 132 ecg gain in recordings 325 in reports 333 ecg lead labels 124 ecg lead placement choosing easi / standard 123 ecg leads monitored 123 ecg output 424 ecg report 342 lead layout 333 ecg safety information 132 ecg source tracking 269 ecg wave autosize 121 calibration bar 121 ectopic status messages ( arrhythmia monitoring ) 138 editing c. o. measurements ( picco method ) 205 editing c. o. measurements ( rh method ) c. o. saving measurements ( rh method ) 208 eeg accessories 397 monitor configuration and upgrade 256 eeg monitoring 249 buffer time 253 changing filter frequencies 255 changing wave scale 254 changing wave speed 255 choosing electrode montages 251 csas 253 electrical interference 256 electrode - to - skin impedance 252 gridlines 254 impedance quality indicators 252 impedance / montage window 250 international 10 - 20 electrode placement system 251 safety information 256 setting report buffer time 255 setting screen buffer time 254 setup 250 skin preparation 250 switching numerics on and off 254 eeg wave changing scale 262 electrical input symbol 403 electrical interference during eeg monitoring 256 electrical output symbol 403, 404 electrode montage eeg 251 electrode placement ( ecg ) 117 conventional 12 - lead 127 modified 12 - lead 127 electrode placement ( resp ) 165 with abdominal breathing 166 with lateral chest expansion 166 electrode - to - skin impedance ( bis ) 261 electrode - to - skin impedance ( eeg ) 252 electromyographic activity numeric ( bis ) @topic:8


# # # issue - ekg lead wire failure # # # impact - inaccurate or unreliable ekg readings - inability to monitor patient's vital signs - potential for patient harm # # # possible causes - broken or damaged lead wire - loose connection between lead wire and monitor - electrical interference # # # recommendations - inspect lead wire for damage and replace if necessary - ensure that lead wire is securely connected to monitor - check for electrical interference and eliminate sources as possible @topic:18


# # # issue - spo2 cable is defective # # # impact - the monitor is unable to read spo2 values # # # possible causes - the cable may be damaged. - the cable may be loose. - the cable may be incompatible with the monitor. # # # recommendations - check the cable for damage. - tighten the cable connections. - replace the cable if it is damaged or incompatible. @topic:4


# # # issue - cuff is deteriorated. # # # impact - cuff cannot inflate fully. # # # possible causes - cuff is old and has been used extensively. - cuff has been damaged. # # # recommendations - replace the cuff with a new one. @topic:5


# # # issue battery replacement failed. # # # impact the patient transport monitor may not be able to function properly if the battery is not replaced correctly. # # # possible causes - the technician did not properly connect the battery to the monitor. - the battery is not the correct type for the monitor. - the battery is defective. # # # recommendations - ensure that the battery is properly connected to the monitor. - verify that the battery is the correct type for the monitor. - replace the battery with a new one if it is defective. @topic:11


# # # issue - failure of bedside physiologic monitor # # # impact - inability to accurately monitor patient's vital signs ( oxygen saturation levels ) # # # possible causes - * * defective spo2 cable * * ( identified in the input ) - faulty sensor or probe - loose connections - software or firmware issues - power supply problems # # # recommendations - * * replace the spo2 cable * * immediately. - if the issue persists, troubleshoot further by checking connections, sensor, and software updates. - perform regular maintenance and calibration of the monitor to prevent future failures. - consider using redundant monitoring systems to ensure data accuracy and patient safety. @topic:4


* * issue : * * broken ac plug * * impact : * * device cannot be charged, rendering it inoperable. * * possible causes : * * * * * physical damage : * * the plug may have been stepped on, pulled, or otherwise damaged due to mishandling or accidental impact. * * * age and wear : * * over time, the plug's connections can become loose or corroded, leading to failure. * * * manufacturing defect : * * a flaw in the plug's manufacturing process may have caused a structural weakness that led to breakage. * * recommendations : * * * * * preventative maintenance : * * regularly inspect the ac plug for damage and replace it if necessary to prevent future failures. * * * handle equipment carefully : * * ensure that the device and its accessories are handled with care to avoid physical damage. * * * use surge protectors : * * utilize surge protectors to protect the device from electrical surges that can damage sensitive components. * * * train staff : * * educate staff on proper handling and maintenance techniques to minimize the risk of equipment damage. * * * consider using wireless charging : * * implement wireless charging solutions to eliminate the need for ac plugs and reduce the potential for breakage. @topic:12


# # # issue - the medical cart is unable to boot into windows. # # # impact - the medical cart is unable to be used for its intended purpose. # # # possible causes - the boot option is not properly configured. - the boot drive is not properly connected. - the boot drive is damaged. - the operating system is damaged. # # # recommendations - disable boot options that are not being used. - reseat the boot drive. - replace the boot drive. - reinstall the operating system. @topic:13


# # # issue : the spo2 sensor on the philips suresings vs2 + vital signs monitor is malfunctioning. # # # impact : inability to accurately monitor patient's oxygen saturation levels, which can lead to delayed or inaccurate treatment decisions. # # # possible causes : - * * faulty sensor : * * the spo2 sensor itself may be damaged or malfunctioning, preventing it from accurately detecting oxygen saturation levels. - * * damaged cable : * * the cable connecting the sensor to the monitor may be damaged, causing intermittent or complete loss of signal. - * * software error : * * a software issue within the monitor may prevent it from properly communicating with the spo2 sensor or processing the received data. - * * electrical interference : * * external electrical sources, such as nearby medical devices or power lines, may interfere with the sensor's operation. - * * patient factors : * * factors such as skin pigmentation, motion artifacts, or poor circulation can affect the accuracy of spo2 readings. # # # recommendations : - * * verify sensor integrity : * * inspect the spo2 sensor for any visible damage or defects. replace the sensor if necessary. - * * check cable connections : * * ensure that the cable connecting the sensor to the monitor is securely plugged in and undamaged. - * * update software : * * if a software update is available for the monitor, install it to address any potential bugs or issues related to spo2 functionality. - * * identify and eliminate electrical interference : * * move the monitor and sensor away from potential sources of electrical interference. - * * consider patient factors : * * be aware of factors that can affect spo2 readings, such as skin pigmentation, motion artifacts, or poor circulation. adjust the sensor placement or use alternative monitoring methods as necessary. - * * @topic:4


* * issue : * * * brake bed not tightened * * impact : * * * potential safety hazard for patients and staff * malfunction of the medical device * * possible causes : * * * incorrect installation or maintenance * loose screws or bolts * excessive wear and tear * manufacturing defects * * recommendations : * * * * * immediate actions : * * * tighten the brake bed bolts securely * conduct a thorough inspection of the medical device to ensure its safe operation * * * preventive measures : * * * establish regular inspection and maintenance schedules * train staff on proper installation and maintenance procedures * use high - quality components and ensure proper assembly * * * further investigation : * * * inspect the cause behind the loose bolts ( e. g., vibration, misuse, defective parts ) * consult the manufacturer for technical assistance if necessary @topic:9


# # # issue - cuff on the monitor is leaking. # # # impact - patients'blood pressure cannot be monitored accurately. - this could lead to delays in diagnosis and treatment, which could have serious consequences. # # # possible causes - the cuff may be old and worn. - the cuff may have been damaged. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - inspect the cuff for any damage. - make sure that the cuff is the correct size for the patient. - train staff on how to properly use and maintain the monitor. @topic:3


# # # issue - icon is missing on the medical cart. # # # impact - the medical cart may not be easily identifiable or may not display the correct information. # # # possible causes - the icon may have been accidentally deleted or corrupted. - the software may not be configured correctly. - there may be a hardware issue with the medical cart. # # # recommendations - check the software configuration to make sure that the icon is enabled. - if the icon is still missing, try restarting the medical cart. - if the icon is still missing after restarting, contact the manufacturer for assistance. @topic:13


# # # issue - * * equipment : * * vital signs monitor - * * band : * * philips - * * model : * * suresigns vs2 + - * * problem : * * failure due to wheel damage. # # # impact - the vital signs monitor may not be able to accurately measure and display patient vital signs such as blood pressure, heart rate, and oxygen saturation. # # # possible causes - * * hair or other debris : * * accumulation of hair or debris on the wheels can interfere with their proper function, causing them to become stuck or damaged. this can prevent the monitor from accurately measuring and displaying patient vital signs. # # # recommendations - * * regular cleaning : * * regular cleaning and maintenance of the vital signs monitor is essential to prevent the accumulation of hair or other debris on the wheels. the frequency of cleaning will depend on the usage and environment in which the monitor is used. - * * inspection : * * during routine cleaning and maintenance, inspect the wheels for any signs of damage or wear. if any damage is found, the wheels should be replaced immediately to prevent further issues. - * * proper handling : * * care should be taken when handling and transporting the vital signs monitor to avoid damaging the wheels. ensure that the monitor is placed on a stable and level surface during use. @topic:24


# # # issue - battery degradation in the vital signs monitor. # # # impact - inability to power the device and provide accurate patient data. # # # possible causes - extended use of the device without proper battery maintenance. - exposure to extreme temperatures or humidity. - overcharging or discharging the battery. # # # recommendations - replace the degraded battery with a new one as soon as possible. - implement a regular battery maintenance schedule to ensure optimal performance. - avoid exposing the device to extreme conditions. - ensure proper charging practices to prevent overcharging or discharging the battery. @topic:11


# # # issue the lcd monitor is intermittently blacking out. # # # impact the monitor is essential for displaying patient information and vital signs. the intermittent blackouts could lead to delays in patient care or even misdiagnosis. # # # possible causes * faulty cable * faulty monitor * power supply issue # # # recommendations * * * replace the cable : * * the technician has already ruled out the cable as the cause of the issue, but it is still worth replacing it to eliminate any potential problems. * * * test the monitor : * * the technician can test the monitor by connecting it to a different power source or using a different cable. if the monitor still blacks out, it is likely faulty. * * * check the power supply : * * the technician can check the power supply to the monitor to ensure that it is providing the correct voltage and amperage. * * * contact the manufacturer : * * if the technician is unable to resolve the issue, they can contact the manufacturer of the monitor for further assistance. @topic:2


# # # issue - * * legs not locking securely. * * # # # impact - * * reduced stability and safety for the patient. * * # # # possible causes - * * loose nuts : * * the nuts holding the legs in place may have become loose, allowing the legs to move freely. - * * damaged locking mechanism : * * the locking mechanism itself may be damaged, preventing the legs from engaging properly. # # # recommendations - * * tighten the nuts : * * if the nuts are loose, they should be tightened to the manufacturer's specifications. - * * inspect the locking mechanism : * * if the locking mechanism is damaged, it should be replaced. - * * regular maintenance : * * regular maintenance should be performed on the bed to check for loose nuts and other problems that could lead to the legs not locking securely. @topic:6


# # # issue - monitor not displaying ekg graph when connected to ekg lead. # # # impact - inability to monitor patient's ekg. # # # possible causes - faulty trank cable. # # # recommendations - replace trank cable and verify ekg graph is displayed correctly. @topic:18


the geographical area within a radius of 20 km from the center of ny - alesund. france outdoor use is limited to 10 mw eirp within the band 2454 to 2483. 5 mhz. note effective isotropic radiated power ( eirp ). note some countries restrict the use of 5 - ghz bands. the 802. 11a radio in the monitor uses only the channels indicated by the access point with which the radio associates. the hospital it department must configure access points to operate with approved domains. bluetooth module implementation category feature wireless specification bluetooth. 1 + edr service manual frequency 2. 402 - 2. 480 ghz maximum transmit power class 1 + 8 dbm from antenna receive sensitivity - 89 dbm circa 100 meters range data rates host interface usb full speed usb 2. 0 our configurable lines gpio ( 1. 8v / 3. 3v configurable by vdd _ pads host controller interface over usb id proxy mode human interface device 64k bits eeprom 2 - wire three wire csr schemes supported ( unity - 3, unity - 3e, and unity + ) 802. 11 ( wifi ) coexistence supply upply voltage 5v ± 10 % idle mode ~ 5 ma power current onsumpfile transfer ~ 58 ma antenna optiointernal multilayer ceramic antenna with up to 41 % efficiency imensions 8. 5 x 13 x 1. 6 mm ( bt800 module ) physical 16 × 43 × 11 ( bt820 usb dongle ) 30 °c to 85 °c environmental operating - 40 °c to 85 °c storage lead - free and rohs compliant lead free miscellaneous yeawarranty controller subsystem approved bluetooth fcc / ic / ce all bt800 series 142 appendix welch [UNK] connex® spot monitor note factory defaults are the settings in the device when it @topic:10


# # # issue - fetal monitor values are not displaying on the central monitor. # # # impact - clinicians cannot monitor fetal vital signs during pregnancy. # # # possible causes - the central monitor is not properly calibrated. - the cable connecting the fetal monitor to the central monitor is damaged. - the fetal monitor is not functioning properly. # # # recommendations - calibrate the central monitor according to the manufacturer's instructions. - replace the cable connecting the fetal monitor to the central monitor. - troubleshoot the fetal monitor to identify and repair any malfunctions. @topic:22


# # # issue - spo2 sensor malfunction # # # impact - inaccurate or missing spo2 data, which is essential for monitoring patient's oxygen saturation levels and detecting potential respiratory issues. # # # possible causes - * * defective sensor : * * the spo2 sensor itself may be faulty or damaged, leading to inaccurate readings or complete failure. - * * damaged cable : * * the cable connecting the sensor to the monitor may be damaged or loose, resulting in signal loss or interference. - * * software issues : * * software glitches or errors in the monitor can affect the proper functioning of the spo2 sensor. - * * electrical issues : * * power supply fluctuations or surges can damage the sensor or its components. # # # recommendations - * * replace sensor : * * the defective spo2 sensor should be replaced with a new one to ensure accurate and reliable readings. - * * inspect cable : * * the cable connecting the sensor to the monitor should be inspected for any damage or loose connections. if necessary, replace the cable. - * * software updates : * * ensure that the monitor's software is up - to - date to minimize any software - related issues. - * * electrical maintenance : * * regular electrical maintenance and inspections should be conducted to prevent power supply issues that could damage the sensor. @topic:4


# # # issue - raug ghan teiang kin mai dai ( bed rails fail to elevate ) # # # impact - patient safety is compromised. - inconveniences for the patient and healthcare staff. # # # possible causes - the lock was dislodged. # # # recommendations - the lock was replaced and the rails were tested to ensure proper function. @topic:6


# # # issue : hardware not connected to medcart # # # impact : - the medical cart may not function properly. - the medical cart may not be able to be used for its intended purpose. # # # possible causes : - the cable connecting the hardware to the medcart may be loose or disconnected. - the hardware may be damaged. - the software on the hardware may be corrupted. # # # recommendations : - check the cable connecting the hardware to the medcart to make sure it is securely connected. - if the cable is securely connected, try restarting the hardware. - if the hardware still does not work, contact the manufacturer for assistance. @topic:13


# # # issue * the electric bed is locked. # # # impact * the bed cannot be adjusted, which can impact patient care and comfort. # # # possible causes * the bed may have been locked inadvertently by a patient or staff member. * the bed's locking mechanism may be malfunctioning. # # # recommendations * check if the bed is locked by a patient or staff member. if so, unlock the bed. * if the bed is not locked by a patient or staff member, inspect the bed's locking mechanism for any damage or malfunction. * if the locking mechanism is damaged or malfunctioning, contact the manufacturer for repair or replacement. @topic:6


# # # issue - monitor is not linking with the central bme system. # # # impact - the monitor cannot send data to the central bme system, which can affect patient care. # # # possible causes - server issues - incorrect ci address # # # recommendations - check the server to ensure it is functioning properly. - set the ci address in the monitor to the correct value. @topic:16


system display unit, measurement servers or flexible module server interfaces • sound generation ( issues audible alarm signals and generates audible information signals, for example qrs and sp0 2 tones, operator audible feedback ) lan the lan interface implements the physical layer of ieee 802. 3. the lan interface performs manchester encoding / decoding, receive clock recovery, transmit pulse shaping, jabber, link integrity testing, reverse polarity detection / correction, electrical isolation, and esd protection. electronically separated interfaces are used for communication to the measurement servers or flexible module server and to the network. centronics the centronics interface implements the standard signaling method for bi - directional parallel peripheral devices according to ieee 1284 - 1. the interface is used as a parallel interface to a standard printer with electrical isolation and esd protection. 35 2 theory of operation monitor theory of operation functional block description display controller the display controller interface consists of a video controller chip, video ram and the controlling software. the display controller interface processes the high level display commands ( character and graphic generation, wave drawing ) and translates them into pixels, which are written into the video ram where the video controller chip generates the video synchronization signals and the pixel stream for the color lcd display. hif control the hif ( human interface control ) interface scans the human interface devices for operator controls ( touch screen, speed point, and ps / 2 devices ), formats the collected data and sends it to the display and operating interface. ecg - out marker - in the ecg out / marker in interface receives the ecg waveform directly from the ecg / resp arrhythmia st - segment physiological algorithm via an rs - 422 serial interface and converts the digital ecg signal to an analog ecg signal. in addition, the ecg out controller receives from a connected device the marker information and forwards this data to the ecg / resp ar @topic:10


tidal c0 2 high alarm limit has been exceeded. numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. * * etc0 2 low co?, resp, acm the end tidal c0 2 value has fallen below the low alarm limit. numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. * * et0 2 high 0 2, agm the end tidal 0 2 high alarm limit has been exceeded. numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. * * et0 2 low 0 2, agm the end tidal 0 2 value has fallen below the low alarm limit. numeric flashes, and low limit is highlighted, yellow alarm lamp, alarm tone. * / * * / * * * event : < grp > event surveillance an event has occurred and the event notification is configured to alarm. < grp > is the event group event group name flashes, yellow or red alarm lamp and alarm tone * / * * / ★ * * event at information center event surveillance an event has occurred and the event notification is configured to alarm. check on the monitor for more details on event group. ( on monitor ) event group name flashes, yellow or red alarm lamp and alarm tone ★★★extreme brady ecg the bradycardia limit has been exceeded. numeric flashes and alarm limit is highlighted, red alarm lamp, alarm tone. ★★★extreme tachy ecg the tachycardia limit has been exceeded. numeric flashes and alarm limit is highlighted, red alarm lamp, alarm tone. 72 patient alarm messages 4 patient alarms and inops alarm message from condition indication * * hr high ecg the heart rate high alarm limit has been exceeded. numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. if configured to short yellow, the sound switches @topic:8


# # # issue the monitor is not charging. # # # impact the monitor cannot be used to monitor vital signs, which could lead to a patient's condition worsening. # # # possible causes - the ac power cord is not properly connected. - the ac power cord is damaged. - the battery is not properly connected. - the battery is damaged. - the charging circuit is faulty. # # # recommendations - check the ac power cord is properly connected. - replace the ac power cord if it is damaged. - check the battery is properly connected. - replace the battery if it is damaged. - contact a qualified biomedical engineer to repair the charging circuit if it is faulty. @topic:11


other beds in the care group. • see the alarm status of all the beds in the care group on each monitor screen. there are two main types of care groups : • standard care group ( bed - based care group ) - up to 12 patients monitored by up to 4 information centers • unit group ( unit - based care group ) - for a complete unit with up to 64 patients monitored by up to 4 information centers monitors must be assigned to these care groups at the information center. there is a third care group which can be assigned locally at the bedside. this is the my central care group which includes all beds ( up to 16 ) from the information center your bed is connected to. this care group setting is typically used in facilities with only one information center. the selection of beds is automatic and cannot be changed. the functions available with care groups depend on the information center revision your monitors are connected to. see your information center instructions for use for further details. understanding the care group overview bar the care group monitors ’ status is shown in symbol form in the care group overview bar. flashing symbols indicate active alarms, symbols that are not flashing indicate alarms that have been acknowledged. selecting a bed symbol calls up the window for that bed or a setup window to select this. ill 5 managing patients care groups bed 1 bed 3 bed 4 bed 5 i'bed 7 bed 8 bedll bed 12 bed 13 bed 14 the care group overview bar must be configured to display on the monitor screen. if it is not visible on your monitor, select a screen which has been configured to show the bar. care group symbols ( four alternative display possibilities depending on space available ) j § mill im11i11 hm11 no data from this bed the alarms are on but there are no currently active alarms at this monitor bed 8 bed 8 the highest priority alarm at this monitor is a standard inop bed 5 bed 5 the highest priority alarm at @topic:10


c. board configured, scale only 12 130628 1 box 13 vi0395 4 screw 14 4476703 1 utv adapter, zenith 92 4776701 1 utv adapter, standard analog 15 129741 1 assembly, sidecom® communication system p. c. board 16 132934 5 standoff 17 132628 1 p. c. board, motor control 18 3976301 5 standoff 19 132935 2 standoff 20 132093 1 bracket 21 vi0608a 2 screw 22 7061002 2 fuse, 2. 5a, 5 x 20 mm 23 133251 2 fuse, 5a, 0. 25 " x 1. 25 " careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 55 cpr cables — b model beds chapter 5 : parts list cpr cables — b model beds figure 5 - 22. cpr cables — b model beds table 5 - 22. cpr cables — b model beds item number part number quantity description 1 71527 1 weldment, cpr bracket and spacer 2 132082 6 rivet 3 71520 1 cpr cable 4 71526 1 weldment, cpr bracket and spacer, rh 5 510499 2 nut 6 71660 2 handle, cpr, red page 5 - 56 careassist® and careassist® es bed service manual ( man330 rev 4 ) cpr cables — b model beds chapter 5 : parts list notes : careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 57 control cables — b model beds chapter 5 : parts list control cables — b model beds figure 5 - 23. control cables — b model beds 171 page 5 - @topic:26


or relocating the reference equipment. b. the field level must be less than 3 v / m above the frequency band 150 khz to 80 mhz. recommended separation distances recommended separation distances between portable and mobile rf communications ll - [UNK] 900 the hill - [UNK] 900 is designed for use in an electromagnetic environment in which interference due to radiated rf is monitored. the user of the hill - [UNK] 900 can contribute to the prevention of electromagnetic interference by keeping the hill - rom® 900 bed at the recommended distances from portable and mobile rf equipment ( transmitters ) as shown below, according to the maximum power output of the communication equipment. maximum assigned power output of the separating distance versus the frequency of the transmitter m transmitter 150 khz to 80 mhz 80 mhz to 800 mhz 800 mhz to 2. 5 ghz w = 2, 23 √√p = 1, 16√√ /, 12 0, 12 0, 01 0, 24 0, 74 0, 1 0, 37 0, 37 2, 33 1 1, 12 1, 12, 33, 67 10 3, 67 11, 6 23, 3 100 11, 6 for transmitters with a maximum power output that is not in the list above, the recommended separation distance in meters ( m ) can be calculated using the equation that applies to the frequency of the transmitter, where p is the maximum output power of the transmitter in watts w ) assigned by the manufacturer of the transmitter. note : at 80 mhz and 800 mhz, the separating distance in the upper frequency band applies. note : these recommendations may not apply to certain situations. the propagation of electromagnetic waves is affected by absorption and reflection due to structures, objects and persons. @topic:10


# # # issue - connector failure # # # impact - inability to monitor patient's vital signs accurately # # # possible causes - wear and tear due to frequent use - chemical degradation - physical damage # # # recommendations - regular inspection and maintenance of connectors - use of high - quality connectors - proper handling and storage of equipment @topic:2


# # # issue - non - functional thermometer # # # impact - inability to monitor patient's temperature accurately - potential for inaccurate medical diagnosis and treatment - increased risk of patient discomfort or harm # # # possible causes - broken or malfunctioning sensor within the thermometer - loose or disconnected wires or cables - software or firmware issues - battery failure - incorrect calibration or user error # # # recommendations - verify the issue by testing the thermometer with a known - good patient or using a diagnostic tool. - check for loose or disconnected wires or cables and ensure they are properly secured. - inspect the sensor for any damage or debris and clean it gently if necessary. - update the software or firmware if it is outdated. - replace the battery if it is low or dead. - calibrate the thermometer according to the manufacturer's instructions. - refer to the user manual for additional troubleshooting steps. - if the issue persists, contact the manufacturer for support or arrange for a qualified biomedical engineer to inspect and repair the device. @topic:20


# # # issue : defective blood pressure cuff # # # impact : - inaccurate blood pressure readings - potential for incorrect medical treatment decisions # # # possible causes : - * * cuff damage * * : the cuff may have been damaged during use or storage, leading to leaks or punctures. - * * defective manufacturing * * : the cuff may have been defective from the manufacturer, resulting in material or design flaws. - * * incorrect cuff size * * : using an incorrect cuff size can cause inaccurate readings and potentially damage the cuff. - * * poor patient positioning * * : incorrect patient positioning during blood pressure measurement can strain the cuff and cause leaks. - * * cuff inflation issues * * : problems with the cuff inflation mechanism, such as over - inflation or under - inflation, can damage the cuff. - * * environmental factors * * : extreme temperatures, humidity, or exposure to chemicals can degrade the cuff material. # # # recommendations : - * * replace the cuff * * : replace the defective cuff with a new one of the correct size. - * * check inflation mechanism * * : ensure that the cuff inflation mechanism is functioning properly and inflating the cuff to the correct pressure. - * * train staff * * : provide training to staff on proper cuff maintenance and handling techniques to prevent damage. - * * regular maintenance * * : implement a regular maintenance schedule for all blood pressure monitors to identify and address potential issues early on. - * * monitor cuff performance * * : monitor the performance of the cuff over time to identify any signs of deterioration or damage. @topic:3


# # # issue - cause of failure is not identified. # # # impact - the biomedical engineer cannot determine the cause of the failure, preventing them from repairing the equipment effectively. # # # possible causes - the provided information does not specify the cause of failure. - the cause of failure may be related to the equipment's functionality, history of use, or maintenance procedures. # # # recommendations - the technician should perform further diagnostic testing to identify the specific cause of the failure. - the technician should consult with the manufacturer's documentation and technical support for guidance on troubleshooting and repair procedures. - the technician should consider the equipment's history of use and any recent maintenance or repairs that may have affected its performance. - the technician should document the cause of failure once it has been identified to prevent similar issues in the future. @topic:12


# # # issue the medical cart's med admin settings were configured with the incorrect device code. # # # impact incorrect device code could lead to incorrect or delayed medication administration. # # # possible causes the default device code may have been set to the code of another department. # # # recommendations verify the default device code and ensure it matches the device being used. update the device code if necessary. @topic:13


# # # issue - battery failure # # # impact - inaccurate or unreliable blood pressure readings - potential patient harm due to incorrect treatment decisions # # # possible causes - battery reaching end of life - battery not properly charged or maintained - battery damaged or not compatible with the device # # # recommendations - replace the battery with a new one that is compatible with the device - ensure the battery is properly charged and maintained according to the manufacturer's instructions - inspect the battery for any damage or corrosion and replace if necessary @topic:11


# # # issue - the bed is making a loud noise. # # # impact - the noise may be disruptive to patients and staff. # # # possible causes - the bed is not locked. - the bed is not properly lubricated. - there is a mechanical problem with the bed. # # # recommendations - lock the bed. - lubricate the bed. - call a biomedical engineer to inspect the bed. @topic:9


# # issue - cuff of the monitor is leaking and cannot be fixed. # # impact - the monitor cannot accurately measure blood pressure. # # possible causes - the cuff may be damaged or old. - the cuff may not be properly connected to the monitor. # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly connected to the monitor. @topic:3


# # # issue - the medical cart's power is not turning on. # # # impact - the medical cart cannot be used, which can delay or prevent patient care. # # # possible causes - the power cord is not plugged in or is damaged. - the power switch is not turned on. - the fuse is blown. - the internal circuitry is damaged. # # # recommendations - check that the power cord is plugged in and undamaged. - turn on the power switch. - replace the fuse if it is blown. - contact a qualified technician to repair the internal circuitry if necessary. @topic:13


* * issue : * * test monitor unable to read module bis * * impact : * * inability to monitor patient's brain activity accurately * * possible causes : * * * * * incompatible monitor : * * the test monitor may not be compatible with the specific module bis being used. * * * defective module bis : * * the module bis may be defective or damaged, preventing the monitor from reading its data. * * * communication error : * * there may be a communication error between the monitor and the module bis, such as a loose connection or faulty cable. * * * software issue : * * a software issue in either the monitor or the module bis may be preventing the data from being transferred correctly. * * * human error : * * the technician may have made an error during the setup or testing process, such as using the wrong settings or connecting the devices incorrectly. * * recommendations : * * * * * verify monitor compatibility : * * check that the test monitor is compatible with the specific module bis being used. * * * inspect module bis : * * inspect the module bis for any physical damage or loose connections. replace the module bis if necessary. * * * check connections : * * ensure that all connections between the monitor and the module bis are secure and using the correct cables. * * * update software : * * check for any software updates available for both the monitor and the module bis. install any necessary updates to ensure compatibility. * * * retest : * * reconnect the devices and retest the communication between the monitor and the module bis. * * * contact manufacturer : * * if the issue persists, contact the manufacturer of the equipment for further technical assistance. @topic:22


# # # issue - hardware timer error 2902 # # # impact - the monitor may be unable to display accurate physiological data. - this could lead to patient harm if the monitor is unable to provide accurate warnings or alarms. # # # possible causes - a hardware component, such as the timer chip, may have failed. - the software may be corrupted. - there may be a loose connection between the hardware components. # # # recommendations - replace the failed hardware component. - reinstall the software. - check the connections between the hardware components. @topic:2


# # # issue - equipment : monitor, physiologic, vital signs - band : philips - model : suresigns vs2 + - description : battery has expired and needs to be replaced # # # impact - the monitor will not be able to function properly without a working battery. - this could lead to inaccurate or missing patient data, which could have serious consequences. # # # possible causes - the battery has reached the end of its lifespan. - the battery has been damaged. - the battery is not being properly charged. # # # recommendations - replace the battery with a new one. - inspect the battery for any damage. - make sure that the battery is being properly charged. @topic:11


* * issue : * * - spo2 sensor cable malfunction * * impact : * * - inability to monitor patient's oxygen saturation levels * * possible causes : * * - damaged or loose spo2 sensor cable - insufficient power supply to the sensor - malfunctioning sensor unit in the monitor - compatibility issues between the sensor and the monitor * * recommendations : * * - * * replace the spo2 sensor cable : * * this is the most likely cause of failure, and replacing the cable should resolve the issue. - * * check the power supply : * * ensure that the monitor is receiving adequate power and that the sensor is properly connected. - * * test the sensor unit : * * if replacing the cable and checking the power supply do not resolve the issue, the sensor unit in the monitor may be faulty and require repair or replacement. - * * verify sensor compatibility : * * confirm that the spo2 sensor is compatible with the intellivue x2 ( m3002a ) monitor. - * * monitor performance : * * after replacing or repairing the sensor, monitor its performance to ensure it is providing accurate and reliable readings. @topic:4


# # # issue the deflurance setting on the intellivue mp40 ( m8003a ) monitor is set to 5, but the device is reading 3. # # # impact this discrepancy could lead to incorrect dosing of deflurance, which could have serious consequences for the patient. # # # possible causes * * possible causes of this issue include : * * - a problem with the device's sensor - a problem with the device's software - a problem with the device's calibration # # # recommendations * * recommendations to resolve this issue include : * * - inspect the device's sensor for any damage or obstruction. - update the device's software to the latest version. - calibrate the device according to the manufacturer's instructions. - if the issue persists, contact the manufacturer for further assistance. @topic:20


# # # issue - the central monitor ( model m3150a ) is not functioning properly. # # # impact - the device is unable to control the seat sector. # # # possible causes - the device may be malfunctioning due to a hardware issue. - the device may not be properly configured. - the device may be damaged due to improper handling or storage. # # # recommendations - troubleshoot the hardware to identify any potential issues. - check the device configuration to ensure it is set up correctly. - inspect the device for any physical damage. - contact the manufacturer for technical support if necessary. @topic:2


# # # issue the electric bed is missing the safety rails. # # # impact patients could fall out of the bed, especially if they are sedated or confused. this could cause serious injuries or even death. # # # possible causes - the safety rails could have been removed for cleaning and not put back in place. - the safety rails could have been damaged and not replaced. - the bed could have been purchased without safety rails. # # # recommendations - ensure that all electric beds have safety rails in place. - regularly inspect safety rails for damage and replace them if necessary. - if a bed does not have safety rails, do not use it for patients who are at risk of falling out of bed. @topic:6


# # # issue - equipment failure due to broken plug # # # impact - disruption of patient monitoring - potential safety hazard # # # possible causes - physical damage to the plug - excessive force applied to the plug - poor maintenance and handling of equipment # # # recommendations - inspect equipment regularly for damage. - use proper handling techniques to prevent damage to plugs and cables. - ensure that equipment is properly grounded and protected from electrical surges. - train staff on proper equipment handling and maintenance procedures. @topic:12


ce conformity mark applicable radio equipment was applied to the l1900b4 bed with smartcare * or smartsync * module for the first time in 2018. ce nf s 90 - 312 ( 1984 ), en 60601 - 1 ( 2007 ) & a1 ( 2013 ) / iec 60601 - 1 ( 2005 ) & a1 ( 2012 ), en 60601 - 1 - 2 ( 2015 ) / iec 60601 - 1 - 2 ( 2014 ), en 60601 - 1 - 6 ( 2010 ) / iec 60601 - 1 - 6 ( 2010 ), en 60601 - 1 - 9 ( 2008 ) & a1 ( 2013 ) / iec 60601 - 1 - 9 ( 2008 ) & a1 ( 2013 ), en 60601 - 2 - 52 ( 2010 ) / iec 60601 - 2 - 52 ( 2009 ), application environments 1, 2 and 5, according to version. • en 45501 ( 2015 ) * the hill - rom 900 accella beds are nf medical - lits compliant • authorization n° : nf178 - 01 / 01 medical - lits nf178 - 01 / 01 www. lne. fr certified characteristics : electrical safety precautions, mechanical safety precautions, electromagnetic compatibility, aptitude for use.. • the hill - rom 900 accella bed meets the " nf environnement - ameublement " institut technologique fcba 77420 champs - sur - marne ameublement france www. nf - environnement - ameublement. com www. fcba. fr the nf environnement marking guarantees performance and ecology : [UNK] / durability • health / safety • environment visit the website for more information www. nf - environnement - ameublement. com the nf en @topic:10


battery status via the led power indicator, icons on the screen, and status messages appearing in the device status area of the display. the apm battery indicates the ercent of total charge to user on the front of the work surface as follows : percent of total charge number of leds 0 - 19 1 2 20 - 39 3 40 - 59 60 - 79 4 5 80 - 95 96 - 100 6 the battery status indicator on the device displays the remaining total charge of both batteries combined if the configuration has both an internal battery and an extended battery in the apm. battery information may be collected using the service tool. new batteries are shipped from the manufacturer with a 40 percent charge to extend shelf life. after installing a new battery in the device, you must plug the device into ac power to wake up the battery. if ac power is not applied to the device, the new battery appears discharged. the device status area displays a low - battery status message when 30 minutes of power remain and again when 5 minutes remain. the 30 - minute message is a very low priority technical alarm. the alarm message appears on a cyan background in the device status area. this alarm is dismissable by the user, and all functions of the device remain available. the 5 - minute message is a high priority technical alarm that appears on a red background in the device status area, is not dismissable, and prevents acquiring vitals measurements or performing any other function until the device is plugged in to ac power. if ac power is not applied to the device after it triggers the high priority technical alarm, the device will shut down at or close to 0 minutes of remaining battery charge. battery charging is provided by the device's power supply. the power reserve threshold is determined by the device's software. for a complete list of battery specifications, see the device's instructions for use. service manual overview 17 follow best practices to @topic:11


# # # issue telemetric physiologic monitors from ward 5h were being used in ward 6h. # # # impact this issue can lead to inconvenience and disruption of patient care, as the monitors are not available for use in their intended location. # # # possible causes one possible cause of this issue is that the monitors were not properly returned to ward 5h after being lent out. this could have been due to a lack of communication or coordination between the two wards. # # # recommendations to resolve this issue and prevent it from recurring, the following recommendations should be implemented : - establish a clear protocol for borrowing and returning medical equipment between wards. - ensure that all staff are aware of this protocol and follow it accordingly. - regularly audit the location of medical equipment to ensure that it is being used in its intended location. @topic:12


# # # issue - the bed, electric, huntleigh contoura 360 is experiencing issues with adjusting. # # # impact - patients and healthcare professionals may not be able to use the bed properly, which can lead to discomfort, pain, and other health issues. # # # possible causes - faulty remote control : the remote control may not be sending the correct signals to the bed, preventing it from adjusting properly. - faulty bed motor : the motor responsible for adjusting the bed may have failed, preventing it from moving. - electrical issues : there may be a problem with the electrical connections to the bed, preventing it from receiving power. - mechanical issues : there may be a mechanical issue with the bed, such as a broken gear or damaged frame, preventing it from adjusting. # # # recommendations - check the remote control for any signs of damage or malfunction. replace the remote control if necessary. - inspect the bed motor for any signs of damage or wear. replace the motor if necessary. - inspect the electrical connections to the bed for any loose or damaged wires. repair or replace the electrical connections as necessary. - inspect the bed frame and gears for any signs of damage or wear. repair or replace the damaged or worn parts as necessary. - if the problem persists, contact the manufacturer or a qualified technician for further assistance. @topic:1


ecg primary lead, secondary lead, va lead 1, vb lead 1, lead placement arrhythmia analysis mode, asystole threshold, pause threshold, vtach hr, vtach run, pvcs / min, vent. rhythm, svt hr, svt run, pvcs / min on / off, pacer not capture on / off, pacer not pace on / off, non - sustain on / off, vent. rhythm on / off, run pvcs on / off, pair pvcs on / off, missed beat on / off, pause on / off, r - on - t on / off, vent. bigeminy on / off, vent. trigeminy on / off, multiform pvcs on / off, irregular hr on / off, svt on / off, afib on / off st st analysis on / off, st alarm on / off, iso point, j point, st point, st priority list, single st alarm limit, multi st alarm limit qt qt analysis on / off, qt lead, qtc high alarm on / off, aqtc alarm on / off, qtc high limit, aqtc high limit, qtc formula 2, qt baseline spq 2 t sp0 2 alarms on / off, sp0 2 alarm limits nbp alarm suppression on / off, pulse ( sp0 2 ) on / off 1. va and vb leads are reset to default ( v2, v5 ) if the configured va or vb lead for the telemetry device is not one of vi through v6. 2. these setting will only be synchronized when the information center supports qt analysis for telemetry. warning • not all settings are synchronized ; after changing the ecg source, always check that the settings are appropriate. • va and vb leads @topic:8


# # # issue - loose screws on equipment footrest # # # impact - equipment instability - potential for injury to patients or staff # # # possible causes - overuse or excessive force on the equipment - loose or missing nuts - damaged threads on the footrest or screws # # # recommendations - inspect equipment footrests regularly for loose or missing screws or nuts. - tighten loose screws using the appropriate tools. - replace damaged screws or nuts promptly. - train staff on proper equipment use to prevent excessive force. - consider using locking nuts or thread - locking compound to prevent screws from loosening. @topic:6


# # # issue - ec80 is not linking to icca - port 1 is damaged # # # impact - the patient's vital signs may not be accurately monitored. - the device may not be able to communicate with other devices on the network. # # # possible causes - the ec80 module may be faulty. - the icca port may be damaged. - the lan cable may be damaged. - the port 1 may be damaged. # # # recommendations - replace the ec80 module. - replace the icca port. - replace the lan cable. - replace the port 1. @topic:16


# # # issue - monitor not connecting to bed # # # impact - unable to monitor patient's vital signs - delay in patient care # # # possible causes - loose or damaged cables - faulty port on the monitor or bed - software glitch - incompatible equipment # # # recommendations - ensure that the cables are properly connected and secure - inspect the ports on the monitor and bed for any damage - restart the monitor and bed to clear any software glitches - verify that the monitor and bed are compatible with each other - contact the manufacturer for further troubleshooting or repair @topic:16


# # # issue - bed is not adjustable. # # # impact - patients may not be able to be positioned comfortably or safely. - nursing staff may have difficulty caring for patients. # # # possible causes - electrical issue - mechanical issue - software issue # # # recommendations - inspect the bed for any obvious electrical or mechanical issues. - check the software to ensure that it is up to date. - if the issue cannot be resolved, contact the manufacturer for assistance. @topic:1


# # # issue - nibp monitor ( dinamap pro 300 ) is not functioning. # # # impact - inability to measure blood pressure accurately. # # # possible causes - * * board failure : * * the bme team has identified that the board is faulty. - * * lack of available spare parts : * * the manufacturer has discontinued production of the board, making it impossible to obtain a replacement. # # # recommendations - * * contact an alternative provider : * * explore options for obtaining a compatible board from a different vendor. - * * consider upgrading the nibp monitor : * * if a suitable board cannot be sourced, it may be necessary to purchase a new nibp monitor to ensure continued functionality. - * * regular maintenance and preventive care : * * to minimize the risk of future failures, ensure that the nibp monitor undergoes regular maintenance and preventive care. @topic:15


# # # issue - ekg lead intermittently fails to measure patient values or provides inaccurate readings. # # # impact - inability to accurately monitor patient's cardiac activity, leading to potential delays in diagnosis and treatment. # # # possible causes - * * electrode detachment or poor contact : * * loose or disconnected electrodes can result in intermittent signal acquisition. - * * damaged wire or connector : * * broken or frayed wires can cause signal interference or loss. - * * electrode contamination : * * dirt, sweat, or other contaminants on the electrodes can impede signal transmission. - * * software issue : * * software glitches or updates can affect the device's ability to interpret and display ekg signals. - * * internal hardware malfunction : * * component failures within the ekg lead can cause signal distortion or loss. # # # recommendations - inspect the ekg lead for loose or damaged wires and connectors. replace as necessary. - ensure proper attachment of electrodes to the patient's skin, cleaning the electrodes and skin thoroughly beforehand. - check for contamination on the electrodes and clean if necessary. - update the device's software to the latest version, if available. - if the issue persists, contact the manufacturer's technical support for further troubleshooting and potential repairs. @topic:18


# # # issue * bed electric huntleigh contoura 390 in room 6d - 30 has a faulty bed rail that is unable to lock. # # # impact * patients may be at risk of falling out of bed due to the faulty bed rail. * hospital staff may be at risk of injury when trying to move patients in and out of bed. # # # possible causes * the bed rail may have been damaged during use. * the bed rail may have been installed incorrectly. * the bed rail may have a manufacturing defect. # # # recommendations * inspect the bed rail for any visible damage. * check that the bed rail is installed correctly according to the manufacturer's instructions. * contact the manufacturer of the bed rail to report the issue and request a replacement. @topic:6


* * issue : * * motor head of the bed has a loud noise and cannot be operated when pressed. * * cause of failure : motor head cannot be adjusted. * * * * possible causes : * * - motor failure - electrical wiring issues - control board malfunction * * recommendations : * * - replace the motor - check and repair electrical wiring - inspect and replace the control board if necessary @topic:9


- the functional earth conductor is required for emc purposes. it has no protective function against electrical shock. the protection against electrical shock is provided by double and / or reinforced insulation. s ( 2 ) : equipment leakage current test - normal condition ( optional ) this test can be performed upon request by the customer. test to perform : 57 measuring circuit for the measurement of equipment leakage current - direct method according to iec / en 62353. this test measures the functional earth leakage current. it tests normal and reversed polarity. perform the test with s1 closed ( normal condition ). there is no exposed metal part or functional earth connector which can be used to attach a test lead. this safety test is based on iec / en 60601 - 1, iec / en 62353, ul2601 - 1 ed. 2 / ul60601 - 1 : 2003 and csa 601. 1 - m90. report the highest value ( x1 ). expected test results equipment leakage current test x1 < = 100uua ( normal condition - with mains cable ) note all values for current and voltage are the root mean square ( r. m. s. ) values, unless otherwise stated. s ( 3 ) : equipment leakage current test - single fault condition ( optional ) this test can be performed upon request by the customer. test to perform : l ( n ) ba q [ 3 ca ei ol " ll e e nen n gi a d x n ( l ) 58 measuring circuit for the measurement of equipment leakage current - direct method according to iec / en 62353. this test measures the functional earth leakage current. it tests normal and reversed polarity. perform the test with s1 open ( single fault condition ). there is no exposed metal part or functional earth connector which can be used to attach a test lead. this safety test @topic:10


mount assembly, head 2 71372 1 siderail cable 3 s40029a 2 siderail arm, painted 4 s10951b 1 pivot pin, outer arm, upper 5 s10956b 2 pivot pin, outer, lower 6 rm74478a 2 washer, nylon 7 rm74803a 6 e - clip 8 72862 3 screw 9 151632 1 cover, siderail center ann 10 s10952b 1 pivot pin, center ann, upper 11 71086 1 enclosure, center arm 12 71085 1 handle, siderail 13 s20950f 1 siderail mount, painted 14 71436 1 cover, head 15 155007 1 head siderail mounting bracket, painted 16 72991 2 assembly, spring guide, head 17 72791 1 spring, siderail dampening, head 18 71654 1 siderail center arm assembly, painted 19 s10953b 1 pivot pin, center arm, lower 20 vi0601a 6 screw 21 151315 1 siderail reed switch assembly, f model beds 22 6561406 2 screw careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 87 foot side rail — d model and newer beds chapter 5 : parts list foot siderail — d model and newer beds figure 5 - 33. foot siderail — d model and newer beds page 5 - 88 careassist® and careassist® es bed service manual ( man330 rev 4 ) foot siderail — d model and newer beds chapter 5 : parts list table 5 - 33. foot siderail — d model and newer beds item number part number quantity description 1 s10953b 1 pivot pin, center ann, lower 2 155008 1 weldment, foot siderail @topic:26


# # # issue the electric bed from huntleigh ( model : enterprise 8000 ) is not functioning properly. specifically, the bed is unable to adjust its height or position. # # # impact this issue can have a significant impact on patient care. a bed that cannot be adjusted can make it difficult for patients to get in and out of bed, which can lead to falls and other injuries. additionally, an uncomfortable bed can make it difficult for patients to rest and recover. # # # possible causes there are several possible causes for this issue, including : * * * electrical problems : * * the bed may not be receiving power, or there may be a problem with the wiring. * * * mechanical problems : * * the bed's motors or gears may be damaged or worn out. * * * software problems : * * the bed's software may be corrupted or outdated. # # # recommendations to troubleshoot this issue, the technician should : * * * check the electrical connections. * * make sure that the bed is plugged into a working outlet and that the power cord is not damaged. * * * inspect the bed's motors and gears. * * look for any signs of damage or wear. * * * update the bed's software. * * the manufacturer may have released a software update that addresses this issue. if the technician is unable to resolve the issue, they should contact the manufacturer for assistance. @topic:1


# # # issue * * * device not working properly after replacement of cuff * * # # # impact * * * patient monitoring may be compromised * * # # # possible causes * * * cuff was not replaced correctly * * * * * cuff is defective * * * * * monitor is not compatible with the new cuff * * # # # recommendations * * * verify that the cuff was replaced correctly * * * * * inspect the cuff for any defects * * * * * check the compatibility of the monitor and cuff * * * * * if necessary, replace the cuff or monitor * * @topic:5


, e. g. usage of a separation device or additional protective earth connection. the medical electrical devices or it equipment may be located in or outside the patient vicinity. after system installation incl. protective measures, a system test is required to ensure that the resulting equipment leakage current does not exceed the limits of iec 60601 - 1 - 1. me device me device ( iec 60601 - 1 ) i ( iec 60601 - 1 ) | functional | connection separation dbvice, if decessdry medically used room non - medically used room 72 me device | it equipment ( iec 60601 - 1 ) i ( iec 60950 ) device e | e : functional | ~ | device inside or | me ~ a | connection », " iia outside of | li si j — — f = | gs outside of patient d : ee ie ms m patient vicinit lal : ce oie a lea si « j vicini y e mme r jg outside of e | [ enl y separation dbvice, if! rlecessdry - * c medically used room : non - medically used room 73 if you combine a medical device with a medical or non - medical device to form a medical electrical system according to iec60601 - 1 - 1 using two separate protective earth connections and one of the devices is located in a non - medically used room creating a potential voltage difference, additional protective measures are required, e. g. usage of a separation device or additional protective earth connection. the medical electrical devices or it equipment may be located in or outside the patient vicinity. after system installation incl. protective measures, a system test is required to ensure that the resulting equipment leakage current does not exceed the limits of iec 60601 - 1 - 1. device inside or outside of e patient vicinity proctective earth @topic:10


# # # issue - screen displays a purple reboot screen # # # impact - device is unusable # # # possible causes - software issue - hardware issue # # # recommendations - * * software issue : * * - check for software updates and install any available updates. - restart the device. - * * hardware issue : * * - inspect the device for any loose connections or damage. - contact the manufacturer for further assistance. @topic:13


# # # issue - no waveform display on monitor # # # impact - inability to monitor patient's vital signs # # # possible causes - faulty or disconnected cables - loose connections or broken wires - software or firmware issues - hardware failure within the monitor # # # recommendations - check and ensure all cables are securely connected - inspect wires for any damage or breaks - update software or firmware if available - contact manufacturer for further troubleshooting or repair @topic:2


# # # issue the bed rail lock is not engaging. # # # impact the patient may be able to fall out of bed. # # # possible causes * the lock mechanism is not engaging properly. * the lock mechanism is broken. * the lock mechanism is not properly adjusted. # # # recommendations * inspect the lock mechanism for any damage. * adjust the lock mechanism according to the manufacturer's instructions. * replace the lock mechanism if it is broken. @topic:6


the patient cable. 2 configure the patient simulator as follows : injection temperature : 2 °c computation const : 0. 542 ( edward's catheter ) flow : 5 1 / min 3 check displayed value against the simulator configuration. 4 expected test result : c. o. = 5 + / - 1 1 / min. service tool procedure, version 1 this procedure applies for service tool m1012 - 61601 in combination with c. o. modules without option cio and m3012a mms extensions with option c05. 1 in monitoring mode, connect the c. o. interface cable to the module. 2 connect one side of the service tool to the injectate receptacle of c. o. interface cable and the other side to catheter cable receptacle. 3 enter the c. o. procedure window and check the results. the expected test result is : - tblood = 37. 0°c + / - 0. 1 °c service tool procedure, version 2 this procedure applies only for service tool m1012 - 61601 in combination with c. o. modules with option cio and for the m3012a mms extension with option cio. 52 3 testing and maintenance tests 1 in monitoring mode, connect the c. o. interface cable to the module. 2 connect one side of the service tool to the injectate receptacle of the c. o. interface cable and the other side to the catheter cable receptacle. 3 enter c. o. procedure window and check results for : - method of measurement - arterial catheter constant - tblood the expected results are : - transpulmonary - 341 - tblood = 37. 0°c + / - 0. 1°c 4 make sure the main alarms are switched on. 5 disconne @topic:17


# # # issue - cuff leak # # # impact - inability to obtain accurate blood pressure readings # # # possible causes - cuff is damaged or worn - air leak in the tubing - problem with the pressure transducer # # # recommendations - replace the cuff - check the tubing for leaks and replace if necessary - calibrate the pressure transducer @topic:3


# # # issue - the bed cannot be adjusted. # # # impact - the patient may not be able to be positioned comfortably. - the bed may not be able to be used for its intended purpose. # # # possible causes - the control box is faulty. - the electrical system is faulty. - the mechanical system is faulty. # # # recommendations - replace the control box. - check the electrical system and repair any faults. - check the mechanical system and repair any faults. @topic:1


# # # issue - printer not printing # # # impact - inability to print patient records, test results, or other important documents. # # # possible causes - printer cable is loose or disconnected. - printer is out of paper or toner. - printer driver is not installed or corrupted. - printer spooler service is not running. - printer is jammed. - printer hardware is faulty. # # # recommendations - check the printer cable connections and ensure they are secure. - replace the printer paper and toner cartridges if necessary. - reinstall the printer driver and restart the computer. - restart the printer spooler service. - clear any paper jams from the printer. - contact the manufacturer or a qualified technician if the problem persists. @topic:28


# # # issue the bed, electric ( huntleigh, enterprise 8000 ) is not adjusting properly. # # # impact the inability to adjust the bed can cause discomfort and inconvenience for patients. additionally, it can make it difficult for healthcare professionals to provide care. # # # possible causes there are several possible causes for the bed's inability to adjust, including : - * * electrical problems : * * a loose or damaged electrical connection can prevent the bed from adjusting. - * * mechanical problems : * * a malfunctioning motor or gearbox can also prevent the bed from adjusting. - * * hydraulic problems : * * a leak in the bed's hydraulic system can cause the bed to lose power and not adjust properly. - * * software problems : * * a software glitch can also cause the bed to malfunction. # # # recommendations to troubleshoot the issue, the biomedical engineer should : - * * inspect the electrical connections : * * ensure that all electrical connections are tight and secure. - * * check the motor and gearbox : * * listen for any unusual noises or vibrations that could indicate a problem. - * * inspect the hydraulic system : * * check for any leaks or damage to the hoses or cylinders. - * * update the software : * * if the bed has software, check for any updates that could resolve the issue. @topic:1


# # # issue : equipment malfunction due to faulty ekg lead wire # # # impact : - interruption of patient monitoring - delay in diagnosis and treatment - incorrect patient data # # # possible causes : - * * faulty lead wire : * * damage to the red lead wire, resulting in poor signal transmission - * * improper connection : * * loose or damaged connections between the lead wire and the monitor - * * defective monitor : * * malfunction within the monitor itself, leading to incorrect readings # # # recommendations : - * * replace the damaged lead wire : * * replace the faulty red lead wire with a new one. - * * check connections : * * inspect and ensure secure connections between the lead wire and the monitor. - * * troubleshoot the monitor : * * perform diagnostic tests to rule out any issues with the monitor. - * * document the issue : * * record the cause of failure and any corrective actions taken for future reference. - * * regular maintenance and inspection : * * implement regular maintenance and inspection schedules to prevent similar failures. @topic:18


. 5. * * provide proper training to operators : * * educate healthcare professionals on proper use and handling of the medical cart to minimize operator errors and ensure optimal performance. @topic:31


# # # issue - broken latch on the bed rail # # # impact - safety hazard for patients and staff - patient may be able to fall out of bed # # # possible causes - patient is too heavy for the bed - bed rail is not properly installed - latch is defective # # # recommendations - inspect the bed rail and latch for damage - make sure the bed rail is properly installed - replace the latch if it is damaged - have the bed inspected by a qualified technician @topic:6


# # # issue cuff bp not providing accurate readings due to leakage. # # # impact - inaccurate patient vital sign measurements - delayed or incorrect diagnosis and treatment # # # possible causes - cuff bp leakage : the cuff may be damaged or not properly inflated, leading to inaccurate pressure readings. - equipment malfunction : the monitor or cuff may be malfunctioning, causing the readings to be incorrect. - patient factors : the patient's movements or position may affect the cuff's ability to provide accurate readings. # # # recommendations - replace the cuff bp with a new one. - ensure that the cuff is properly placed and inflated on the patient's arm. - check the monitor and cuff for any damage or malfunction. - monitor the patient's vital signs regularly and make sure that the readings are within normal limits. @topic:3


# # # issue - drawers not bouncing back # # # impact - difficulty in using the medical cart effectively - potential for patient harm if medical supplies are not easily accessible # # # possible causes - loose solenoid mounting screws # # # recommendations - tighten the solenoid mounting screws @topic:21


* * issue : * * - linaccessible drawer in medical equipment * * impact : * * - inability to use the drawer for storage or access to medical supplies or equipment. * * possible causes : * * - mechanical failure of the drawer or its operating mechanism, such as broken gears, damaged rails, or jammed components. - electrical malfunction, such as a faulty switch or wiring that prevents the drawer from opening. - physical obstruction, such as a foreign object or debris blocking the drawer's path. - software glitch or programming error that affects the control of the drawer's opening function. * * recommendations : * * - inspect the drawer and its operating mechanism for visible damage or obstructions. - check the electrical connections and wiring for loose or damaged components. - reset the equipment or software, if applicable, to clear any potential glitches or errors. - contact the equipment manufacturer or a qualified technician for further diagnosis and repair. @topic:21


# # # issue - cuff leakage resulting in inaccurate measurement # # # impact - inability to obtain accurate patient vital signs # # # possible causes - cuff size mismatch ( too small for a child ) # # # recommendations - ensure proper cuff size selection based on patient's age and arm circumference - regularly inspect and calibrate the monitor to prevent further failures @topic:5


# # # issue - cuff of bedside physiologic monitor is deteriorated. # # # impact - the monitor may not be able to accurately measure patient's vital signs. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged by improper use or storage. # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - store the cuff properly when not in use. - train staff on proper use of the cuff. @topic:5


* * issue : * * bed remote control not responding to adjustments. * * impact : * * patient discomfort and inconvenience due to inability to adjust bed position. * * possible causes : * * * * * loose connections : * * electrical connections between the remote control and the bed may have become loose, interrupting communication. * * * faulty remote control : * * the remote control itself may have a hardware or software malfunction, preventing it from sending or receiving signals. * * * defective bed circuitry : * * the receiver or other electronic components in the bed that receive signals from the remote control may be damaged or malfunctioning. * * * interference : * * electromagnetic interference from other devices in the hospital environment may be disrupting the communication between the remote control and the bed. * * * battery depletion : * * the remote control's batteries may be low or dead, preventing it from transmitting signals to the bed. * * recommendations : * * 1. * * check connections : * * ensure that all cables and connections between the remote control and the bed are secure and undamaged. 2. * * reset the remote control : * * follow the manufacturer's instructions to reset the remote control to its default settings. 3. * * inspect the bed : * * examine the bed's electrical components, including the receiver, for signs of damage or malfunction. 4. * * test for interference : * * move the bed away from other devices that could be causing electromagnetic interference and retest the remote control. 5. * * replace batteries : * * install new batteries in the remote control to ensure adequate power supply. 6. * * consult with the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the bed for further troubleshooting and possible repairs. @topic:7


# # # cause of failure - battery deterioration # # # impact - inability to accurately monitor vital signs, which can lead to delayed diagnosis and treatment, and potentially life - threatening consequences. # # # possible causes - battery degradation over time - improper charging or storage practices - manufacturing defects # # # recommendations - regular monitoring and replacement of batteries according to manufacturer's specifications - proper charging and storage procedures to prolong battery life - implementing a preventative maintenance program to catch potential battery issues before failure occurs - using high - quality, reliable batteries from reputable manufacturers - training medical staff on proper use and maintenance of battery - powered medical devices @topic:11


# # # issue - unable to adjust the hill - rom electric bed in room bih - 607. # # # impact - patient discomfort and inability to position properly. - delays in patient care and treatment. # # # possible causes - equipment malfunction due to mechanical or electrical issues. - user error in operating the bed. - incorrect settings or programming. - loose or damaged cables or connectors. # # # recommendations - * * troubleshooting : * * - verify that the bed is plugged in and the power switch is turned on. - inspect cables and connectors for damage or loose connections. - check the control panel for any error messages or indications. - * * repair : * * - if mechanical or electrical issues are suspected, contact a qualified biomedical engineer or technician for repair. - * * user training : * * - ensure that staff is adequately trained on how to operate the bed correctly. - * * maintenance : * * - establish a regular maintenance schedule to inspect and service the bed to prevent future failures. @topic:9