# # # issue - cuff of the vital signs monitor is damaged # # # impact - inability to accurately measure vital signs such as blood pressure, heart rate, and oxygen saturation levels # # # possible causes - normal wear and tear from repeated use - improper storage or handling of the cuff - use of the cuff on a patient with an unusually large or small arm circumference # # # recommendations - regularly inspect the cuff for signs of damage or wear - store the cuff in a dry and cool place when not in use - use the appropriate size cuff for the patient - replace the cuff if it is damaged or no longer fits properly @topic:5


# # issue - leakage current is exceeding the acceptable limits. # # impact - leakage current can create a shock hazard for patients and healthcare professionals. # # possible causes - damaged or faulty wiring - faulty or damaged components - loose connections - incorrect settings # # recommendations - inspect the equipment for any visible damage or loose connections. - use a leakage current tester to measure the leakage current and compare it to the acceptable limits. - if the leakage current exceeds the acceptable limits, disconnect the equipment from power and contact the manufacturer or a qualified biomedical engineer for repair. - ensure that the equipment is properly grounded and that the power cord is in good condition. - regularly inspect and test the equipment to ensure that it is functioning properly and safely. @topic:12


# # # issue monitor cannot connect to nibp cuff. # # # impact patient monitoring is compromised. # # # possible causes * nibp cuff and cable are not compatible. * nibp cuff or cable is damaged. * monitor port is damaged. # # # recommendations * verify that the nibp cuff and cable are compatible with the monitor. * inspect the nibp cuff and cable for damage. * inspect the monitor port for damage. * replace the nibp cuff, cable, or monitor as necessary. # # additional notes the technician should also check the following : * the nibp cuff is the correct size for the patient. * the nibp cuff is properly inflated. * the nibp cable is securely connected to the cuff and monitor. @topic:15


# # # issue - keypad failure # # # impact - inability to use the bed controls - inconvenience for patients and staff # # # possible causes - physical damage to the keypad ( e. g., spills, impact ) - electrical failure ( e. g., short circuit, loose connections ) - software malfunction # # # recommendations - inspect the keypad for physical damage and clean any debris - check electrical connections and tighten any loose wires - update the software if available - if the issue persists, contact the manufacturer for further troubleshooting and repair @topic:25


# # # issue - equipment : physiologic monitor - band : philips - model : m1205a # # # impact - the equipment is not functioning properly due to a faulty battery. # # # possible causes - the battery has reached the end of its lifespan and needs to be replaced. - the battery has been damaged or mishandled. - the battery is not compatible with the equipment. # # # recommendations - replace the battery with a new one that is compatible with the equipment. - ensure that the battery is properly installed and connected. - follow the manufacturer's instructions for battery maintenance and replacement. - consider using a battery backup system to prevent data loss in the event of a power outage. @topic:11


# # # issue - electric bed not adjusting # # # impact - patient discomfort - difficulty performing medical procedures - increased workload for staff # # # possible causes - faulty remote control - loose or damaged electrical connections - malfunction in the bed control unit - software errors # # # recommendations - replace the remote control - inspect and tighten any loose electrical connections - troubleshoot and repair any issues with the bed control unit - update software if necessary - provide training to staff on the proper use and maintenance of the bed @topic:1


# # # issue - medical cart cannot scan barcode to open the medicine drawer. # # # impact - delay in medication administration. - incorrect medication dispensing. # # # possible causes - barcode scanner failure. - communication error between barcode scanner and medical cart. - software glitch. - mechanical issue with the medicine drawer. # # # recommendations - check the barcode scanner for any damage or misalignment. - ensure the barcode scanner is properly connected to the medical cart. - restart the medical cart to reset any software glitches. - inspect the medicine drawer for any obstructions or mechanical issues. - contact the manufacturer for further troubleshooting and repair assistance if necessary. @topic:23


# # # issue - equipment : beds, electric - band : huntleigh - model : contoura 360 # # # impact - the head and foot of the bed cannot be adjusted up and down. # # # possible causes - * * electrical failure : * * the electrical components of the bed may have failed, preventing the motors from functioning properly. - * * mechanical failure : * * the mechanical components of the bed, such as the gears or cables, may have become damaged or worn out, preventing the bed from moving. - * * software failure : * * the software that controls the bed's movement may have malfunctioned. # # # recommendations - * * electrical failure : * * - check the power supply to the bed. - inspect the electrical connections and wiring for loose or damaged components. - test the motors for continuity and resistance. - * * mechanical failure : * * - inspect the gears and cables for damage or wear. - lubricate the moving parts of the bed. - adjust the tension on the cables. - * * software failure : * * - reset the software to the factory default settings. - update the software to the latest version. - if the software cannot be repaired, the bed may need to be replaced. @topic:1


# # # issue - co2 zero failed # # # impact - unable to obtain accurate co2 measurements # # # possible causes - obstruction in the co2 sensor pathway - malfunctioning co2 sensor - incorrect calibration # # # recommendations - clean the co2 sensor and tubing - replace the co2 sensor if necessary - calibrate the monitor according to the manufacturer's instructions @topic:4


# # # issue - device is not turning on # # # impact - delays in patient care - inaccurate or incomplete patient data - safety concerns # # # possible causes # # # # internal factors - power supply issues ( e. g., loose connections, faulty wiring ) - mechanical failures ( e. g., broken switches, jammed components ) - software malfunctions ( e. g., corrupted firmware, bugs ) # # # # external factors - environmental factors ( e. g., power surges, temperature fluctuations ) - user error ( e. g., improper handling, incorrect settings ) # # # recommendations # # # # troubleshooting steps - check power connections and ensure they are secure. - inspect the device for any visible damage or loose components. - attempt to restart the device or reset it to factory settings. - consult the device manual or manufacturer's website for specific troubleshooting instructions. # # # # preventive measures - regular maintenance and inspection to detect potential issues early. - proper handling and storage to prevent damage. - user training to ensure correct operation and avoid misuse. - ensuring adequate power supply and stable environmental conditions. - regular software updates and firmware upgrades to address known issues and vulnerabilities. @topic:12


5 15 10 10 δ extreme low 5 15 140 / 80 ( 10005 / 75 ( 75190 / 100 ( 125 ) high clamp ( mean high clamp ) 80 / 45 ( 6565 / 45 ( 6560 / 35 ( 45 ) 45 / 15 ( 30 ) ow clamp ( mean lclamp ) scale 150 100 100 mean onlno no no filter 12 hz 12 hz 12 hz eeertifact suppr0 se0 se0 semmhg unit mmhg red mhg color red red pulse settings for all arterial pressures except p1 to p4 ulse ( < press label > ) on on for all other pulse default settings, refer to the pulse default settings table. h30 ( deviations from h10 / h20 / h40 ) vp, rap, lapsettings adult adult pedi pedi neo neo alarms from mean mean mean 0 / 2 ( 414 / 6 ( 10 ) 0 / 2 ( 4 / - 4 ( 0 / - 4 ( 0 / - 4 ( 0ow limit alarms on on on extreme alarms disabled disabled disabled δ extreme high 5 5 5 δ extreme low 5 5 5 sys. high clamp / dia. 20 / 10 ( 15 ) 5 / 5 ( 105 / 5 ( 10high clamp ) 0 / - 5 ( - 5 ) 0 / - 5 ( - 5 ) 0 / - 5 ( - 5 ) low clamp ( mean low clamp ) scale 30 30 30 15 41 default settings appendix h30 ( deviations from h10 / h20 / h40 ) cvp, rap, lap, uvp settings edult dult pedi pedi neo mean only eeefilter 12 hz 12 hz 12 hz yes yes yes rtifact suppr60 sec mmhg 0 se0 seunit mmhg mmhg color cyan ( light cyan ( light lulu @topic:8


i - > go to rap 2. 4. 10. press the knee down control. the knee section goes down to the low position without stopping or the audible alarm sounding. yes no i - » go to rap 2. 4. 11. press the head up control. the head section rises to the high position without stopping or the audible alann sounding. yes no i - > go to rap 2. 5. 12. press the head down control. the head section goes down to the low position without stopping or the audible alarm sounding ( do not consider the knee section motor ). yes no i - > go to rap 2. 5. 13. press the head up control, ( verifying automatic contour ) the head section and knee section rise simultaneously, then the knee section stops at an angle approaching 17° while the head section continues to rise to its highest position. yes no i - > go to rap 2. 5. 14. press the head down control. the head section goes down, then the knee section continues to drop when the head section reaches low position. yes no i - > go to rap 2. 5. page 2 - 6 careassist® and careassist® es bed service manual ( man330 rev 4 ) function checks chapter 2 : troubleshooting procedures 15. unplug the power from the power source, and test the functions checked in step 12 to step 14. the bed functions operate properly. yes no i - > go to rap 2. 6. 16. press the knee up control until it reaches the high position the foot up control. the foot section rises to the high position without stopping alann sounding. yes no i - > go to rap 2. 7. 17. press the foot down control. the foot section drops to the low position without stopping or the audible alann sounding. yes no i - > go to rap 2. @topic:9


# # # issue - monitor not measuring blood pressure # # # impact - inability to accurately monitor patient's blood pressure # # # possible causes - worn cuff # # # recommendations - replace cuff @topic:14


# # # issue the electric bed ( beds, electric ) manufactured by stiegelmeyer ( model : seta em4 ) is not functioning properly. # # # impact the bed is currently inoperable, which is impacting patient care. # # # possible causes the biomedical engineer ( bme ) has identified the following possible causes for the bed's failure : - the control box is damaged. - the bed's wiring is faulty. - the bed's motor is not functioning properly. # # # recommendations the bme recommends the following steps to troubleshoot and repair the bed : 1. check the control box for any visible damage. if the control box is damaged, it will need to be replaced. 2. inspect the bed's wiring for any loose connections or damage. if the wiring is faulty, it will need to be repaired or replaced. 3. test the bed's motor to ensure that it is functioning properly. if the motor is not functioning properly, it will need to be replaced. @topic:9


# # # issue - leg locks not engaging - tears in mattress # # # impact - patient safety hazard - inability to use bed # # # possible causes - damaged leg locks - worn or torn mattress - improper maintenance # # # recommendations - replace damaged leg locks - repair or replace torn mattress - implement a regular maintenance schedule @topic:6


# # # issue : - ekg graph not displaying on the monitor screen. # # # impact : - inability to monitor patient's heart activity, leading to potential safety concerns. # # # possible causes : - * * incorrect settings : * * the ekg function may not be enabled or properly configured. - * * hardware malfunction : * * faulty cables, electrodes, or sensors could prevent the monitor from receiving or displaying the ekg signal. - * * software glitch : * * a software issue in the monitor may interfere with the ekg functionality. # # # recommendations : - * * check settings : * * verify that the ekg function is enabled and the settings are correct. - * * inspect hardware : * * examine cables, electrodes, and sensors for any visible damage or loose connections. replace any faulty components. - * * restart monitor : * * if possible, restart the monitor to refresh the software and resolve any temporary glitches. - * * contact manufacturer support : * * if the above steps do not resolve the issue, consult the equipment manufacturer for further troubleshooting assistance or repairs. @topic:18


* * issue : * * bed not adjusting head down * * impact : * * patient discomfort, limited mobility * * possible causes : * * * * * control system malfunction : * * the control system that operates the bed's head adjustment may have experienced a failure, preventing the bed from moving as intended. this could be due to software or hardware issues within the control system. * * * electrical problems : * * faulty wiring, loose connections, or other electrical issues can disrupt the flow of power to the motor responsible for head adjustment, preventing the bed from functioning correctly. * * * mechanical failure : * * the mechanical components of the bed, such as gears, actuators, or the motor itself, may have worn out or become damaged, causing the bed to fail to adjust properly. * * * user error : * * improper operation or incorrect settings within the control system could lead to the bed not functioning as intended, causing the head adjustment to fail. * * recommendations : * * * * * inspect the control system : * * check for software errors, loose connections, or damaged components within the control system that may be causing the failure. * * * test electrical connections : * * ensure that all electrical wiring is properly connected and secure, and that there are no loose or damaged wires that could interrupt power flow. * * * examine mechanical components : * * inspect gears, actuators, and the motor for signs of wear, damage, or improper alignment that could affect the bed's ability to adjust. * * * review user manual : * * refer to the manufacturer's instructions to ensure that the bed is being operated correctly and that all necessary settings are configured properly. * * * consult technical support : * * if the issue cannot be resolved through the recommended steps, contact the manufacturer or authorized service provider for further troubleshooting and potential repair or replacement. @topic:1


# # # issue - damaged spo2 cable # # # impact - inability to accurately measure oxygen saturation levels, which can lead to delayed or incorrect treatment decisions. # # # possible causes - physical damage to the cable, such as cuts or tears - wear and tear over time - improper storage or handling - electrical malfunction within the cable # # # recommendations - inspect the cable regularly for any signs of damage. - replace the cable immediately if any damage is found. - handle and store the cable carefully to avoid damage. - ensure proper electrical connections are made. - contact the manufacturer or a qualified technician if the cable continues to malfunction after replacement. @topic:4


auth.. copyright ( c ) 1997 microsoft corp. digicert assured id root ca igicert global foot ca certum trust verisign clas sectigo ( form microsoft tir help > local nonremovable certificates lecamachine > msiehistorylournal client authenticati... digicert client authenticati... digicert glo client authenticati.. digicert glo client authenticati... digicert > certificate enrollment requests 1 / 15 / 2038 > smart card trusted roots 1 / 15 / 2038 11 / 9 / 2031 igicert global roodigicert global root g3 igicert high assurance ev ro... digicert high assurance ev root.. < dd a certificate to a store 10. follow the certificate import wizard and provide the ca root certificate file path. note an example ca root certificate is shown below. ertificate general details certification path certificate information this certificate is intended for the following purpose ( s ) : • ensures software came from software publisher • protects software from alteration after publication • protects e - mail messages • ensures the identity of a remote computer • allows data to be signed with the current time all issuance policies issued to : digicert assured id root ca issued by : digicert assured id root ca valid from 11 / 9 / 2006 to 11 / 9 / 2031 issuer statement ok import / install a ca root certificate onto the device ( includes csm, cvsm, and ciws ) use the wa csm configuration tool web application to install or import a ca root certificate onto the device. the config file ( * - signed. waconfig ) is generated by the configuration tool. see " log into the configuration tool " and " configure a ca root certificate using the configuration tool ". create @topic:10


# # # issue the monitors, bedside, physiologic, manufactured by invivo research and model 3150 mri, was decommissioned due to discontinued production of its spare parts. # # # impact the decommissioning of this equipment may lead to : - inability to monitor patient's physiological parameters - reduced efficiency in providing patient care - increased downtime due to lack of spare parts # # # possible causes the cause of failure is directly attributed to the discontinuation of spare parts production for the specific equipment model. this could be due to : - end of product life cycle - lack of demand for spare parts - technological advancements rendering the equipment obsolete # # # recommendations to address this issue, the following recommendations are suggested : - * * explore alternative equipment options : * * investigate and procure alternative equipment models that offer similar or enhanced functionality and are readily available with spare parts. - * * consider equipment rental or leasing : * * if purchasing new equipment is not feasible, consider renting or leasing to avoid long - term commitment to obsolete technology. - * * establish a spare parts inventory : * * maintain a sufficient stock of critical spare parts for essential equipment to mitigate the impact of discontinued production. - * * engage with the manufacturer : * * contact the manufacturer to inquire about alternative solutions, upgrades, or support options for the discontinued equipment. - * * review equipment maintenance strategy : * * regularly evaluate the equipment maintenance strategy to identify potential risks associated with aging equipment and implement proactive measures to extend their lifespan. @topic:2


configuration before you start monitoring patients. 448 safety and performance tests 38 installation and specifications electromagnetic immunity the monitor is suitable for use in the specified electromagnetic environment. the user must ensure that it is used in the appropriate environment as described below. immunity test iec 60601 - 1 - 2 test level compliance level electromagnetic environment guidance electrostatic discharge ( esd ) iec 61000 - 4 - 2 ±6 kv contact ±8 kv air ±6 kv contact ±8 kv air floors should be wood, concrete, or ceramic tile. if floors are covered with synthetic material, the relative humidity should be at least 30 %. electrical fast transient / burst iec 61000 - 4 - 4 ±2 kv for power supply lines ±1 kv for input / output lines ±2 kv for power supply lines ±1 kv for input / output lines mains power quality should be that of a typical commercial and / or hospital environment surge iec 61000 - 4 - 5 ± 1 kv differential mode ±2 kv common mode ± 1 kv differential mode ±2 kv common mode mains power quality should be that of a typical commercial and / or hospital environment voltage dips, short interruptions and voltage variations on power supply input lines iec 61000 - 4 - 11 < 5 % uy ( > 95 % dip in uy ) for 0. 5 cycles 40 % uy ( 60 % dip in uy ) for 5 cycles 70 % uy ( 30 % dip in uy ) for 25 cycles < 5 % uy ( > 95 % dip in uy ) for 5 sec < 5 % uy ( > 95 % dip in uy ) for 0. 5 cycles 40 % uy ( 60 % dip in uy ) for 5 cycles 70 % uy ( 30 % dip in uy ) for 25 cycles < 5 % uy ( > 95 % dip in uy ) for 5 sec mains power quality should @topic:10


# # # issue - bed does not adjust down # # # impact - patient discomfort - increased risk of falls - difficulty with patient care # # # possible causes - malfunctioning relay in the control box # # # recommendations - replace the relay in the control box - test the bed to ensure proper function @topic:1


# # # issue - the bed is not adjustable. # # # impact - patients may not be able to get into or out of the bed. - patients may not be able to be positioned comfortably in the bed. # # # possible causes - loose wires - faulty motor - broken gears - software glitch # # # recommendations - check all wires and connections to ensure they are secure. - test the motor to see if it is functioning properly. - check the gears for any damage. - update the software to the latest version. @topic:1


# # # issue - * * button came loose from the cover panel. * * # # # impact - * * unable to perform cpr ( cardiopulmonary resuscitation ) if needed. * * # # # possible causes - * * loose screw ( s ) * * - * * faulty button mechanism * * - * * poor maintenance or handling of the equipment * * # # # recommendations - * * tighten the screws securing the button to the cover panel. * * - * * inspect the button mechanism for any damage or wear. * * - * * train staff on proper handling and maintenance of the equipment to prevent future occurrences. * * - * * regularly inspect and tighten screws on all equipment to prevent similar failures. * * @topic:32


# # # issue - drawer not bouncing # # # impact - difficulty in accessing equipment and supplies # # # possible causes - solenoid coil friction # # # recommendations - inject wd40 into the solenoid coil - test the barcode scanner to observe drawer bounce @topic:21


# # # issue - broken keypad # # # impact - inability to operate the bed functions - potential patient safety hazard due to inability to adjust bed settings # # # possible causes - physical damage to the keypad - electrical malfunction - software glitch # # # recommendations - replace the keypad - inspect the electrical connections and wiring - update the software if necessary - train staff on proper use and maintenance of the bed @topic:25


# # # issue : - medical cart's wheels are stuck. # # # impact : - the cart cannot be moved smoothly, which can affect patient care. # # # possible causes : - hair or other debris may have gotten stuck in the wheels. # # # recommendations : - remove the debris from the wheels and lubricate them with spray. @topic:24


# # # issue - battery failure # # # impact - equipment downtime - inability to monitor patient vital signs # # # possible causes - battery life expired - battery not properly maintained - battery not compatible with the equipment # # # recommendations - replace the battery with a new one of the same type and capacity. - regularly inspect and maintain the battery according to the manufacturer's instructions. - ensure that the battery is compatible with the equipment before replacing it. @topic:11


# # # issue : - cuff bp connector broken # # # impact : - inability to measure blood pressure # # # possible causes : - physical damage ( e. g., improper handling, mishandling ) - mechanical failure ( e. g., wear and tear, fatigue ) - design flaw ( e. g., weak joint design, poor material selection ) # # # recommendations : - inspect the equipment regularly for any signs of damage or wear. - handle the equipment with care, avoiding rough handling. - ensure proper handling and storage of the equipment to prevent damage. - consider using protective covers or cases to minimize the risk of physical damage. - check for any loose connections or damaged cables. - if the connector is damaged, it should be replaced immediately. - if the damage is due to design flaws, consider contacting the manufacturer for a replacement or repair. - train staff on proper handling and maintenance of the equipment to prevent future failures. @topic:14


# # # issue - knee adjustment failure # # # impact - inability to properly position the patient for medical procedures or examinations # # # possible causes - malfunctioning motor - damaged remote control - faulty wiring or connections # # # recommendations - replace the knee motor and remote control as necessary - inspect and test the wiring and connections to ensure proper functionality - calibrate the device to ensure accurate knee adjustment @topic:9


# # # issue - unable to raise or lower bed rails. # # # impact - patient safety concerns, as rails provide protection against falls. - inconvenience and discomfort for patients and staff. # # # possible causes - * * loose caster wheels : * * caster wheels may have become detached from the rail track, preventing the bed rails from moving. - * * damaged rail track : * * the rail track itself may have been damaged, causing the caster wheels to jam. - * * obstruction : * * objects or debris may be blocking the movement of the rail track or caster wheels. - * * electrical malfunction : * * the electric motor or control system responsible for rail movement may have failed. # # # recommendations 1. * * inspect caster wheels : * * check if any caster wheels have detached from the rail track. if so, reattach them securely. 2. * * examine rail track : * * inspect the rail track for any damage, such as dents, bends, or breaks. if damaged, it may need to be replaced. 3. * * clear obstructions : * * remove any objects or debris that may be interfering with the movement of the rail track or caster wheels. 4. * * check electrical system : * * verify that the electric motor and control system are functioning correctly. use a multimeter to test voltage and continuity. 5. * * lubricate moving parts : * * apply a light lubricant to the caster wheels and rail track to reduce friction and ensure smooth movement. 6. * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the bed for further assistance. @topic:6


use, or single patient use only. reuse may compromise device functionality and system use a potential hazard. philips'approval : use only philips - approved accessories. using non - philips - approved accessories may compromise device functionality and system performance and cause a potential hazard. packaging : do not use a sterilized accessory if its packaging is damaged. this symbol indicates that the cables and accessories are designed to have special protection against electric shocks ( particularly regarding allowable leakage currents ), and are defibrillator proof. the following cables may not all be available in all countries. please check availability with your local hilips supplier. recommended cables trunk cables for use with : length part no.. 7 3 - electrode cable set m1669a 3 - electrode cable set, or. 7 89803170171. 7 m1668a 5 - electrode cable set 5 - electrode cable set, or 6 - electrode cable set. 7 989803170181 m1667a. 7 39 accessories length for use with : part no. 10 - electrode cable set ( 5 + 5 ). 7 m1663a 10 - electrode cable set ( 6 + 4 ). 7 m1665a 3 - electrode cable sets ength description aami part no. iec part no.. 0 or grabber shielded m1675a m1678a. 0 cu grabber shieldem1671a m1672a icu shielded m1673a m1674a 1. 0 m cu clip non - shielded. 45 m1622a - -. 7 icu clip non - shielded m1624a m1626a engtiec part no. escription aami part no.. 0 icu grabber shielded 989803173121 989803174201. 84 989803173141 5 - @topic:10


# # # issue - incorrect removal of bed end # # # impact - equipment damage # # # possible causes - technician failed to follow proper removal procedures - end of bed was not properly secured before removal # # # recommendations - ensure that all technicians are trained on proper equipment removal procedures - develop and implement a standard operating procedure for equipment removal - regularly inspect equipment to ensure that it is properly secured @topic:9


# # # issue - equipment : bed, electric - band : seers medical - model : sm8563 - issue : bed adjustment produces excessive noise # # # impact - patient discomfort or inconvenience - reduced device usability - potential for further technical issues # # # possible causes - insufficient lubrication - loose or worn components - electromechanical system malfunction - environmental factors ( e. g., temperature, humidity ) # # # recommendations - thoroughly lubricate all moving parts - inspect and tighten any loose components - perform diagnostic testing on the electromechanical system - ensure the device is operating within recommended environmental conditions @topic:9


# # # issue - battery degradation # # # impact - reduced device functionality - risk of potential patient harm # # # possible causes - normal wear and tear over time - overcharging or undercharging the battery - extreme temperatures - certain medical device usage patterns # # # recommendations - regularly monitor battery life and replace as needed - follow proper charging and storage instructions - ensure that medical devices are used in accordance with their intended purpose - consider using battery management systems to optimize battery life and prevent overcharging or undercharging @topic:11


# # # issue the * * physiologic monitor ( philips intellivue mp40 ( m8003a ) ) * * is failing due to test..................................................................... test system. # # # impact the failure of this device can have a significant impact on patient care. this device is used to monitor vital signs, such as blood pressure, heart rate, respiratory rate, and oxygen saturation. if the device is not functioning properly, it can result in inaccurate readings, which can lead to incorrect diagnoses and treatment decisions. # # # possible causes * inadequate testing during development or production * software or hardware bugs * environmental factors, such as extreme temperatures or humidity * human error, such as improper installation or maintenance # # # recommendations * conduct thorough testing during development and production to identify and fix any potential issues. * use high - quality components and materials in the design and construction of the device. * provide adequate training to users on proper installation and maintenance procedures. * implement regular maintenance and inspection schedules to identify and address any potential issues before they cause a failure. @topic:22


# # # issue - the lcd monitor is not displaying a clear image. # # # impact - the doctor will not be able to accurately diagnose the patient. # # # possible causes - the input signal to the monitor is not strong enough. - the input signal to the monitor is not clean. - the monitor is not properly calibrated. # # # recommendations - check the input signal to the monitor. make sure that it is strong enough and clean. - calibrate the monitor. - replace the monitor if necessary. @topic:2


# # # issue - electric bed is not able to adjust up and down. # # # impact - patients may not be able to get in or out of bed safely or comfortably. - nurses and other caregivers may have difficulty providing care to patients in bed. # # # possible causes - motor has become detached from the bed and fallen to the floor. - motor wires have become disconnected. # # # recommendations - reattach the motor to the bed. - reconnect the motor wires. - test the bed to ensure that it is working properly. @topic:1


# # # issue - cuff bp failure in intellivue mx700 bedside physiologic monitor. # # # impact - blood pressure measurements may be inaccurate or unavailable. # # # possible causes - cuff bp is deteriorated ( icu7 ) # # # recommendations - replace cuff bp with a new one. @topic:14


# # # issue - equipment : bed, electric - band : hill - rom - model : 900b - description : the bed cannot be adjusted. # # # impact - the patient cannot be positioned comfortably. - the patient may be at risk for injury. # # # possible causes - the remote control is damaged. - the electrical system is malfunctioning. - the mechanical system is malfunctioning. # # # recommendations - inspect the remote control for damage. - inspect the electrical system for loose connections or damaged wires. - inspect the mechanical system for broken or jammed parts. @topic:1


# # # issue : probe temporarily unavailable due to faulty sensor # # # impact : temporary loss of functionality to measure spo2 levels # # # possible causes : probe malfunctioning and unable to transmit data ; faulty cable connection # # # recommendations : - replace the faulty sensor - ensure the cable connection is secure and free from damage - consider having a spare probe on hand for future emergencies - inform the appropriate personnel of the issue and timeline for resolution @topic:4


# # # issue remote control for hospital bed is broken. # # # impact patient cannot adjust bed settings, which can lead to discomfort or pain. # # # possible causes - physical damage to the remote control, such as a crack or broken button. - loose or disconnected internal components. - electrical malfunction within the remote control. # # # recommendations - inspect the remote control for any visible damage. - check the connection between the remote control and the bed. - replace the remote control if it is damaged or not functioning properly. - contact the manufacturer for further troubleshooting assistance. @topic:7


# # # issue : remote control buttons not working # # # impact : - inability to operate the bed, electric from a distance - inconvenience for patients and healthcare providers # # # possible causes : - * * electrical fault : * * broken wires, loose connections, or malfunctioning components in the remote control or the bed unit. - * * physical damage : * * buttons stuck, worn out, or damaged due to mishandling or impact. - * * software glitch : * * software bugs or corrupted firmware in the remote control or the bed unit. - * * battery failure : * * remote control batteries may be exhausted or low, affecting button functionality. - * * interference : * * external electromagnetic interference from other devices can disrupt remote control signals. # # # recommendations : - * * inspect and test the remote control : * * - check for physical damage, loose connections, or broken wires. - test the buttons for proper functioning. - * * check the bed unit : * * - ensure the bed unit is powered on and receiving signals from the remote control. - inspect for any visible damage or loose connections. - * * replace batteries : * * - check if the remote control batteries are functioning correctly. replace them if necessary. - * * reset the remote control : * * - if possible, try resetting the remote control to clear any software glitches. - * * contact manufacturer : * * - for complex issues or if the above steps do not resolve the problem, contact the manufacturer of the bed and remote control for technical support. - * * consider replacement : * * - if the remote control is beyond repair, consider replacing it with a new one to ensure proper functionality of the bed unit. @topic:7


* * issue : * * display failure * * impact : * * inability to monitor patient data and operate the medical device * * possible causes : * * - faulty display panel - loose or damaged display cable - malfunctioning graphics card or motherboard - power supply issues - software glitches * * recommendations : * * 1. * * inspect the display panel : * * check for any physical damage, cracks, or discoloration. 2. * * check display cable connections : * * ensure that the display cable is securely connected to both the display panel and the motherboard. 3. * * test the graphics card : * * use a diagnostic tool to verify if the graphics card is functioning properly. 4. * * power supply troubleshooting : * * check if the power supply is providing adequate voltage to the device. 5. * * software updates and troubleshooting : * * check for any pending software updates or patches that may resolve display issues. 6. * * contact the manufacturer : * * if the problem persists, contact the manufacturer for technical support and replacement parts if necessary. @topic:2


6 x 3. 9 in. environmental specifications the monitor may not meet the performance specifications given here if stored or used outside the specified temperature and humidity ranges. when the monitor and related products have differing environmental specifications, the effective range for the combined products is that range which is common to the specifications for all products. 416 emc and radio regulatory compliance 38 installation and specifications monitor mp40, mp50, mp60, mp70, mp80, mp90 item condition range temperature range operating 0 to 35°c ( 32 to 95°f ) non - operating - 20 to 60°c ( - 4 to 140°f ) monitor mp60, mp70 in conjunction with intellivue 802. 11 bedside adapter ( option # j35 ) temperature range operating 0 to 30°c ( 32 to 86°f ) monitor mp20, mp30 item condition range temperature range operating oto 40°c ( 32 to 104°f ) operating when charging battery or when equipped with intellivue instrument telemetry 0 to 35°c ( 32 to 95°f ) non - operating - 20 to 60°c ( - 4 to 140°f ) monitor mp20, mp30, mp40, mp50, mp60, mp70, mp80, mp90 item condition range humidity range operating 20 % to 85 % relative humidity ( rh ) ( non condensing ) non - operating 5 % to 85 % relative humidity ( rh ) altitude range operating - 500 m to 3000 m ( 10000 ft ) non - operating - 500 m to 12000 m ( 40000 ft ) x2 ( m3002a ) and external power supply ( m8023a ) item condition range temperature range operating oto 40°c ( 32 to 104°f ) storage including transportation - 20 to 60°c ( - 4 to 140°f ) temperature range when charging the @topic:19


# # # issue - damage to the equipment due to improper handling during transportation. # # # impact - downtime of the equipment, which may impact patient care. - safety hazard if the equipment is damaged beyond repair. - financial loss due to the cost of repairing or replacing the equipment. # # # possible causes - insufficient cushioning or support during transportation. - lack of proper training for staff transporting the equipment. - obstructions or uneven surfaces in the transportation path. - overexertion by staff transporting the equipment. # # # recommendations - ensure that the equipment is properly cushioned and supported during transportation. - provide staff with adequate training on proper handling and transportation techniques. - inspect the transportation path for any obstructions or uneven surfaces. - use appropriate equipment ( e. g., dollies, carts ) to transport the equipment. - ensure that staff are not overexerted when transporting the equipment. @topic:12


# # # issue - the blood pressure monitor on the philips intellivue mp2 ( m8102a ) patient transport monitor is not working. # # # impact - the medical staff will not be able to accurately measure the patient's blood pressure, which could lead to delayed or incorrect treatment. # # # possible causes - the blood pressure cuff may be damaged or not properly connected. - the blood pressure sensor may be faulty. - the monitor may be malfunctioning. # # # recommendations - check the blood pressure cuff for damage and ensure that it is properly connected. - replace the blood pressure sensor if it is faulty. - troubleshoot the monitor to identify and fix any malfunctions. @topic:15


# # # issue - central monitor is not working. # # # impact - monitoring patient's vital signs is crucial, and a non - functional central monitor can lead to delayed detection and treatment of critical conditions. # # # possible causes - * * power supply failure : * * unstable or inadequate power supply can cause the central monitor to malfunction. check the power source for any loose connections or fluctuations. - * * ups battery failure : * * if the ups ( uninterruptible power supply ) battery is not functioning properly, it may not be able to provide backup power to the central monitor during power outages. - * * hardware malfunctions : * * internal components of the central monitor, such as sensors or circuit boards, may have failed or become damaged. - * * software issues : * * software bugs or glitches can cause the central monitor to behave erratically or shut down unexpectedly. - * * environmental factors : * * extreme temperatures, humidity, or dust can impact the performance and longevity of the central monitor. # # # recommendations - * * troubleshoot power supply : * * inspect power cables and connections, and ensure a stable power source. replace the ups battery if necessary. - * * check for hardware faults : * * inspect the central monitor physically for any visible signs of damage or loose components. contact the manufacturer for assistance if hardware repair is required. - * * update software : * * check for any available software updates or patches that can resolve known software issues. - * * maintain optimal environment : * * ensure the operating environment meets the manufacturer's specifications for temperature, humidity, and cleanliness. - * * regular maintenance : * * establish a regular maintenance schedule to detect and address potential problems before they escalate into failures. @topic:2


# # # issue - probe for measuring ear temperature came off. # # # impact - the monitor, physiologic, vital signs, philips, suresigns vs4 is unable to accurately measure ear temperature. # # # possible causes - the probe may have been accidentally knocked off. - the probe may have been damaged during cleaning or disinfection. - the probe may have reached the end of its lifespan. # # # recommendations - inspect the probe for any damage. - replace the probe if it is damaged. - clean and disinfect the probe regularly according to the manufacturer's instructions. - train staff on the proper handling and care of the probe. @topic:20


# # # issue - wheels stuck # # # impact - the monitor may not be able to be moved easily, which could impede its use in patient care. # # # possible causes - hair wrapped around the wheel axle - dirt or debris build - up on the wheels or axles - bent or damaged wheels or axles # # # recommendations - clean the wheels and axles of the monitor to remove any dirt or debris. - inspect the wheels and axles for any damage. - if the wheels or axles are damaged, replace them with new ones. - test the monitor to ensure that the wheels are moving smoothly. @topic:24


# # # issue - the physiologic monitor is rebooting after being turned on. # # # impact - the monitor cannot be used to monitor patient vital signs. - this could lead to a delay in diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes - the software on the monitor is corrupted or out - of - date. - there is a hardware problem with the monitor. - there is a problem with the power supply to the monitor. # # # recommendations - the technician should upgrade the software on the monitor to the latest version. - the technician should check the hardware on the monitor for any loose connections or damaged components. - the technician should check the power supply to the monitor to make sure that it is providing the correct voltage and amperage. @topic:2


# # # issue - motorized bed head not adjustable # # # impact - patient discomfort and immobility - nurse efficiency and patient safety - hospital reputation # # # possible causes - motor failure - gearbox failure - control panel malfunction - wire harness damage - loose connections # # # recommendations - inspect the motor and gearbox for damage or wear. - check the control panel for loose connections or faulty switches. - examine the wire harness for cuts or breaks. - tighten any loose screws or bolts. - replace faulty components as necessary. - test the bed thoroughly after repairs. @topic:1


# # # issue - the bed rail is stuck on the left side of room 8. # # # impact - the patient may be at risk of falling out of bed. # # # possible causes - the bed rail may be dirty or obstructed. - the bed rail may be damaged. - the bed rail may not be properly installed. # # # recommendations - clean or remove any obstructions from the bed rail. - inspect the bed rail for damage. - reinstall the bed rail if necessary. @topic:6


40 mm 40 mm x 17 mm faceplates m3081a # c06 m3081 - 68708 453563484541 msl face plate us version ( pair of connector boxes ) n / a n / a n / a m3081a # c07 m3081 - 68707 453563484531 msl face plate non - us version ( pair of connector boxes ) n / a n / a n / a insertion tool n / a m3086 - 43801 453563484771 msl insertion too ;! n / a n / a n / a a built on demand.. mounting table 7 m3001 multi - measurement server mounts product option number part number 12nc part no. description m3080a # a01 m8007a # e20 n / a m4046 - 62501 453563469731 wall mounting plate mount for back of mp60 / 70 remote displays ( m8031a ) space requirements size ( w x d x h ) with mounting bracket : 333mm x 408mm x 83mm ( 13. 1 ” x 16 ” x 3. 4 ” ) with desk stand : 387mm x 408mm x 175mm ( 15. 2 ” x 16 ” x 6. 9 ” ) weight with mounting bracket : 4900g ( 10. 8lb ) with desk stand : 6900g ( 15. 2lb ) 253 8 site preparation remote device site requirements environmental requirements temperature operating : 5 to 45°c ( 41 to 113°f storage : - 20 to 60°c ( - 4 to 140°f ) humidity operating : 95 % rh max @ 40°c ( 104°f ) storage : 85 % rh max @ 50°c ( 122°f ) altitude operating : @topic:19


# # # issue - * * drawer does not close * * # # # impact - * * medical personnel may be unable to access medical supplies and equipment. * * # # # possible causes - * * solenoid nut has come loose. * * # # # recommendations - * * tighten the solenoid nut and test the drawer to ensure that it closes properly. * * @topic:21


inop charge batt 1 / batt 2 is issued to indicate that pre - charging is required. to avoid this condition charge batteries to 50 % for storage. note that the battery malfunction inop will eventually be issued if the pre - charging does not restore battery communication within about 10 minutes. battery malfunction -. communication between the battery and the battery board could not be established within about 10 minutes or battery internal data indicates malfunction. please see the “ troubleshooting ” section for remedies. note if both batteries are malfunctioning or incompatible or require pre - charging and the monitor is not connected to ac power, it will switch off automatically for safety reasons. 65 3 testing and maintenance battery handling, maintenance and good practices battery status window ♦ to access the battery status window and its associated pop - up keys, select the battery status information on the screen, or select main setup - > battery. capacity, remaining tells you how much power is left in each battery. capacity, full charge tells you how much power each battery can hold when fully charged. time to empty tells you approximately how long you can continue to use the monitor with these batteries. note that this time fluctuates depending on the system load ( how many measurements and recordings you carry out ), the age of the battery, and the remaining capacity of the battery. the time indication is blanked after unplugging ac or after changing batteries for about 30 seconds ( during calculation of the time to empty ) time to full is shown in place of time to empty if the monitor is connected to ac power, and tells you how much time is left until the batteries are charged to 90 %. please allow indication to stabilize for 3 to 3 minutes after beginning the charging cycle. if batteries are charged over 90 % batteries full ( > 90 % ) is displayed until they are charged to 100 %. then bat @topic:11


# # # issue : vital signs monitor failure due to malfunctioning cuff # # # impact : - inability to accurately monitor patient's vital signs - delayed or inaccurate diagnosis and treatment - potential patient harm # # # possible causes : - * * cuff failure : * * the cuff may have become loose, damaged, or otherwise unable to seal properly around the patient's limb, resulting in inaccurate pressure readings. # # # recommendations : - * * replace the cuff : * * the bme has already identified the cuff as the cause of failure and has replaced it. this should resolve the issue. - * * regular maintenance : * * regularly inspect and calibrate the monitor and its components, including the cuff, to ensure proper functioning and early detection of any potential issues. - * * patient education : * * instruct patients on proper cuff placement and maintenance to prevent premature wear and tear. @topic:5


recent data and are updated as new data is stored. a timescale along the bottom or the top of the screen shows you where you are in the trends database. the preview column on the right - hand side shows the latest available measurement value. the preview column is updated every five minutes or whenever an nbp or other aperiodic measurement is completed. a question mark (? ) beside a value means that the data may not be reliable, due perhaps to an inop condition in the measurement. your monitor screen may look slightly different to the examples shown in this chapter. 11 3 trends rends pop - up keywhen you open the graphic, tabular or histogram trends window, a selection of pop - up keys appears to the stored trend data and carry out trends - related tasks. pop - up keyselect group you.... op - up list of groups up for viewing. see a pop - up list of available data resolution settselect interval print a tabular trends report or make a tabular trend recording of the data in the current window. the report will use the current trend interval settings. print a graphic trends report or histogram report of the data in the current window. the report will use the current trend interval settings. rint move the cursor one step to the left or right to navigate through the trends database timeline. move the cursor one page to the left or right to navigate through the trends jump to the beginning or the end of the trends database to see the most formation stored. n scroll up and down the screen to see measurement trends that do not fit in open the current trend view in tabular form. the displayed time period anresolution stay the same. ital signopen the current trend view in graphic form. the displayed time period and resolution stay the same. select a realtime spo2 or @topic:8


# # # issue - unable to measure spo2 ( oxygen saturation ) values # # # impact - accurate monitoring of patient's oxygen levels is essential for proper medical care and decision - making. # # # possible causes - * * defective o2sat sensor : * * the sensor responsible for measuring spo2 values may be faulty or damaged. - * * loose or damaged sensor cable : * * the cable connecting the o2sat sensor to the monitor may be loose, damaged, or have poor electrical conductivity. - * * software or firmware malfunction : * * the monitor's software or firmware may be malfunctioning, affecting the sensor's functionality. # # # recommendations - * * replace o2sat sensor : * * if the sensor is confirmed to be defective, it should be replaced with a new one. - * * inspect and tighten sensor cable : * * the sensor cable should be inspected for any damage or loose connections. loose connections can be tightened to ensure proper signal transmission. - * * update monitor software or firmware : * * if the issue persists after sensor and cable verification, check for any available software or firmware updates for the monitor. updates may include fixes for known issues related to spo2 monitoring. - * * further investigation : * * if none of the above solutions resolve the issue, further investigation may be necessary to identify and address any underlying hardware or software problems. @topic:4


# # # issue - electrical fault preventing power supply to the bed, electric. # # # impact - the device cannot operate without power, potentially affecting patient care. # # # possible causes - faulty power cord or plug - damaged electrical wiring - loose or disconnected wire connections - malfunctioning power supply unit # # # recommendations - inspect and test the power cord and plug for any damage or loose connections. replace if necessary. - trace the electrical wiring for any signs of damage, fraying, or breaks. repair or replace as required. - check all wire connections to ensure they are secure and not corroded. tighten or clean as needed. - if the issue persists, consider testing or replacing the power supply unit. @topic:9


# # # issue - cuff ( part of blood pressure monitor ) is damaged. # # # impact - the blood pressure monitor cannot accurately measure blood pressure. # # # possible causes - the cuff may have been damaged due to : - wear and tear - improper use - exposure to moisture or chemicals # # # recommendations - replace the damaged cuff with a new one. - inspect the cuff regularly for signs of damage. - handle the cuff with care and avoid exposing it to moisture or chemicals. @topic:3


# # # issue - time and date incorrect # # # impact - inaccurate patient data - incorrect time - stamping of medical records - reduced accuracy of medical diagnosis and treatment # # # possible causes - misconfigured device - battery failure - power outage # # # recommendations - verify device configuration - replace battery if necessary - check power supply and ensure stability @topic:29


parameters. since the tcgas module is calibrated regularly it also does not require a separate performance test. 84 3 testing and maintenance ] nurse call relay performance test the nurse call relay performance test can be performed at the modular jack 6p6c connector. this test checks the operation of the nurse call relay. the nurse call relay test is recommended for customer sites where the nurse call is in use. the nurse call relay functions as follows : • standard operation — connector contact 1 - 2 open ; 1 - 5 closed. • alarm condition — connector contact 1 - 2 closed ; 1 - 5 open. tools required : ohmmeter. 1 plug a 6p6c modular plug into the nurse cad relay connector. 2 connect the ohmmeter. 3 when no alarm occurs, connector contacts 1 - 2 are open and connector contacts 1 - 5 are closed. when an alarm occurs, connector contacts 1 - 2 are closed and connector contacts 1 - 5 are open. normally closed : normally open ; common : wiring diagram cable rj11 6 / 6 open end male block _ ^ yellow _ 2 rod _ ^ - 3 n. c. - 4 n. c. - 6 n. c. 4 the expected test result is ; alarm condition - connector contacts 1 - 2 are closed and connector contacts 1 - 5 are open. test expected test results nurse call relay performance test alarm condition — connector contacts 1 - 2 are closed and connector contacts 1 - 5 are open multi - port nurse call connector test ( flexible nurse call ) this test checks the operation of the flexible nurse call relay. the nurse cad relay test is recommended for customer sites where the nurse cad is in use. the following diagram and table show the pins and relay identifiers of the connector : front vieuj 85 [ 3 testing and maintenance ] pin cable color coding relay 1 black r2 - closure 2 brown r2 - middle 3 red r2 @topic:10


##ing ( for example, if the respiratory loop does not close ). you can measure : • pressure - volume loops • pressure - flow loops • volume - flow loops. note that you cannot store loops from different patients and different source devices in the same list as they are patient and device specific. this prevents you from inadvertently comparing information from different patients. viewing loops in the loops display, the current loop is drawn in white, and up to six stored loops are color - coded to match their timestamps. the currently - used source device is shown in the window title. to view respiratory loops permanently on your screen, • select the current screen name to open the change screen menu, then select a screen configured to display the loops screen element. select the loops screen element to access the loops pop - up keys. 359 32 respiratory loops capturing and deleting loops to open the loops window, and its associated pop - up keys, ♦ select main setup - > loops, or select the loops smartkey, if configured. in the loops window, in addition to the stored loops, two realtime airway waves and up to nine available numerics from the source device can be shown. loops capture select select print loop setup loop loop size loop type device capturing and deleting loops up to six loops of each kind can be stored for reference. to capture the current loop and display it in the loops window, ♦ select the capture loop pop - up key. the monitor will prompt you to save the loop for reference, either in addition to or in place of previously stored loops. status messages at the bottom of the window provide information on the loop capture process. to delete loops from the reference list, ♦ select the select loop pop - up key to view the list of stored loops and delete the loops from the list. showing / hiding loops colored rectangles beside the loops timestamps and @topic:8


complex to a less complex screen layout, some measurements may not be visible but are still monitored in the background. if you switch to a more complex screen with, for example, four invasive pressure waves but you have only two pressures connected to the monitor, the “ missing ” two pressures are either left blank or the available space is filled by another measurement. switching to a different screen 1 to switch to a different screen, select the current screen name in the monitor info line, or select the change screen smartkey. 2 choose the new screen from the pop - up list. changing a screen ’ s content if you do not want to change the entire screen content, but only some parts of it, you can substitute individual waves, numerics, high - res waves, or trends. be aware that these changes cannot be stored permanently in monitoring mode. to change the selection of elements on a screen, 1 select the element you want to change. 2 from the menu that appears, select change wave, change numeric, or change hirestrend, and then select the wave or numeric you want, or select the high - resolution trend wave you want from the list of available waves. if you do not see change numeric in the menu, this screen may be configured to always display the numeric beside its wave. changing the wave will automatically change the numeric. the changed screen is shown with an asterisk in the monitor info line. 28 connecting additional displays to the monitor 1 basic operation in the change screen menu, the changed screen is shown linked to the original screen and marked with an asterisk. up to three modified screens can be accessed via the change screen menu. to recall screens, either ♦ select the name of the screen in the change screen menu or ♦ use the previous / next arrows at the top of the change screen menu to move back and forth in the screen history. the ten @topic:8


# # # issue mainboard failure resulting in inability to charge the device, rendering it inoperable. # # # impact - interruption of vital signs monitoring for patients. - potential delays in diagnosis and treatment. - increased workload for healthcare providers. # # # possible causes - overheating due to improper ventilation or excessive use. - voltage fluctuations or power surges. - liquid spills or moisture damage. - physical damage due to mishandling or accidents. - manufacturing defects. # # # recommendations - regular preventive maintenance and cleaning to ensure proper ventilation and reduce overheating. - use of surge protectors to guard against voltage fluctuations. - proper handling and storage of equipment to prevent physical damage. - adherence to manufacturer's specifications regarding operating conditions and usage. - communication with the manufacturer regarding potential defects or design improvements. @topic:11


# # # issue physiological monitor spo2 sensor is not measuring accurately # # # impact patient's oxygen saturation levels may not be accurately monitored, which could lead to incorrect treatment decisions. # # # possible causes - faulty spo2 sensor cable - loose or damaged connection between sensor and monitor - malfunctioning sensor on the monitor itself # # # recommendations - replace the spo2 sensor cable and test the monitor to ensure proper functioning. - inspect the connection between the sensor and monitor for any loose or damaged wires, and tighten or replace as necessary. - contact the manufacturer or a qualified technician to troubleshoot and repair or replace the malfunctioning sensor on the monitor. @topic:4


# # # issue - * * remote control failure * * # # # impact - * * inability to operate the bed * * - * * patient discomfort or inconvenience * * # # # possible causes - * * physical damage to the remote control * * - * * electrical malfunction * * - * * battery failure * * - * * software glitch * * # # # recommendations - * * inspect the remote control for physical damage. * * - * * test the batteries and replace them if necessary. * * - * * check the electrical connections and ensure they are secure. * * - * * update the software on the remote control if available. * * - * * if the issue persists, contact the manufacturer for support. * * @topic:7


# # # issue - spo2 cable failure # # # impact - patient monitoring may be inaccurate or unavailable. # # # possible causes - physical damage to the cable, such as cuts or breaks - loose connections - faulty cable # # # recommendations - inspect the cable for physical damage and replace if necessary. - ensure that all connections are secure. - test the cable with a compatible device to verify functionality. - regularly inspect and maintain the cable to prevent future failures. @topic:4


# # # issue - cuff leak in the philips suresings vs4 vital signs monitor. # # # impact - the device may not be able to accurately measure vital signs, such as blood pressure, pulse rate, and respiratory rate. this could lead to inaccurate diagnosis and treatment decisions. # # # possible causes - damage to the cuff or tubing - loose connections - faulty sensor # # # recommendations - replace the cuff and tubing. - check all connections for tightness. - calibrate the sensor according to the manufacturer's instructions. @topic:15


# # # issue - cuff of the bedside physiologic monitor is deteriorating. # # # impact - the patient's blood pressure ( bp ) readings may be inaccurate or unavailable. # # # possible causes - the cuff may be old and / or has been used excessively. - the cuff may have been exposed to moisture or other environmental factors that have caused it to deteriorate. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - store the cuff in a dry, clean environment when not in use. @topic:3


* * issue : * * monitors, patient transport equipment failure * * impact : * * equipment is unable to perform intended function * * possible causes : * * * * * leaking cuff : * * the cuff used to measure blood pressure is leaking, causing inaccurate readings. * * recommendations : * * * * * replace cuff : * * the leaking cuff should be replaced with a new one. * * * retest equipment : * * after replacing the cuff, the equipment should be retested to ensure it is functioning properly. @topic:14


# # # issue - bed is not functioning. # # # impact - patient care may be delayed or compromised. # # # possible causes - * * remote control is missing. * * - control box is faulty. # # # recommendations - find and replace the missing remote control. - if the control box is faulty, replace it with a new one or use it as a spare part for another bed. - assign the task to bme chaiwat on 27 / 10 / 2022. @topic:32


# # # issue - the electric bed is not working. # # # impact - patients may not be able to use the bed, which could delay their treatment. # # # possible causes - the bed may have been damaged during transport. - the bed may have been overloaded. - the bed may have been improperly assembled. - the bed may have a manufacturing defect. # # # recommendations - inspect the bed for damage. - check the bed's weight capacity. - make sure the bed is assembled correctly. - contact the manufacturer if you suspect a manufacturing defect. @topic:9


##ist® es bed service manual ( man330 rev 4 ) plastic sleep deck — d model and newer beds chapter 5 : parts list plastic sleep deck — d model and newer beds figure 5 - 35. plastic sleep deck — d model and newer beds table 5 - 35. plastic sleep deck — d model and newer beds item number part number quantity description 1 71038 1 sleep surface, backrest 2 71037 1 sleep surface, seat 3 71036 1 sleep surface, knee 4 71035 1 sleep surface, foot 5 71515 8 rivet, plastic 6 34400 2 tape strip, bed exit careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 91 motor control box — d and e model beds chapter 5 : parts list motor control box — d and e model beds chapter 5 : parts list table 5 - 36. motor control box — d and e model beds item number part number quantity description 1 vi0601a 7 screw 2 132547 1 cover assembly, battery compartment 3 qd1642a 2 battery, 12 v 4 132219 2 washer 5 128816 1 transformer, north america 128829 1 transformer, international 6 137613 1 assembly, siderail interface p. c. board 7 127865 1 label, blank 8 132546 1 cover 9 132094 1 power cord mount 10 70611 1 line filter 11 150139 1 pc. board assy, scale and ppm, 400 lb ( d model bed ) 150140 1 pc. board assy, ppm only, 400 lb ( d model bed ) 150141 1 p. c. board assy, scale only, 400 lb ( d model bed ) 148822 1 p. c. board assy, scale and ppm, 500 lb ( e model bed ) 1488 @topic:26


# # # issue the electric ob & gyn bed, model a9932 / 8 / 3fs, manufactured by huntleigh, cannot be locked properly. # # # impact this issue can pose a significant safety hazard to patients and staff. an unlocked bed can move unexpectedly, putting the patient at risk of falling or injury. additionally, the inability to lock the bed can hinder medical procedures and staff's ability to provide proper care. # # # possible causes several factors can contribute to the failure of a bed to lock properly, including : - * * mechanical issues : * * the locking mechanism may be worn or damaged, preventing it from engaging properly. - * * electrical issues : * * faulty wiring or electrical components can interfere with the bed's locking function. - * * software issues : * * in beds with electronic controls, software glitches or bugs can disrupt the locking mechanism. # # # recommendations to effectively address this issue, the following steps are recommended : - * * visual inspection : * * the technician should thoroughly inspect the bed's locking mechanism for any visible signs of damage or wear. - * * electrical testing : * * the technician should use specialized equipment to check the bed's electrical wiring and components for any faults or malfunctions. - * * software updates : * * if the bed has electronic controls, the technician should check for any available software updates and install them as necessary. - * * replacement of faulty components : * * if the inspection or testing reveals any damaged or faulty components, the technician should replace them with genuine parts. - * * patient and staff education : * * the technician should educate patients and staff on the importance of locking the bed properly and assisting them in doing so. @topic:6


monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 124 ) nbp equip malfunc ( 124 ) the 12 - volt supply voltage value is too high or low. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 128 ) nbp equip malfunc ( 128 ) offset of pressure sensor | is out of range. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 129 ) nbp equip malfunc ( 129 ) offset of pressure sensor 2 is out of range. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 130 ) nbp equip malfunc ( 130 ) response of pressure sensor 2 to test signal is out of range. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 131 ) nbp equip malfunc ( 131 ) the difference between the two pressure channels is too large. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing @topic:20


# # # issue : - equipment malfunction : the electric bed is unable to adjust its position. # # # impact : - patient discomfort : the patient may experience discomfort due to the bed's inability to adjust to their desired position. - delay in patient care : the malfunctioning bed can hinder the efficient provision of patient care, leading to potential delays in treatment or recovery. - loss of revenue : the hospital may incur financial losses if the bed needs expensive repairs or replacement. # # # possible causes : - loose ac power cord : the ac power cord supplying electricity to the bed may have become loose, interrupting the power supply to the electrical system. - faulty electrical components : internal electrical components, such as switches, motors, or circuit boards, could have malfunctioned, causing the bed to lose functionality. - mechanical issues : mechanical components in the bed's adjustment mechanism, such as gears or actuators, may have become damaged or misaligned, affecting the bed's ability to move. # # # recommendations : - troubleshooting and repair : - check the power cord connection and ensure it is securely plugged into the electrical outlet. - inspect internal electrical components for any visible damage or loose connections. - diagnose and repair any faulty electrical components using appropriate tools and techniques. - mechanical inspection and maintenance : - examine the bed's mechanical components for signs of damage or misalignment. - lubricate moving parts and ensure they operate smoothly without excessive noise or resistance. - perform regular maintenance checks to identify and address potential issues before they lead to failure. - follow manufacturer's guidelines : - adhere to the manufacturer's recommended maintenance and troubleshooting procedures to ensure the bed is operated and maintained correctly. - use only authorized repair parts to ensure compatibility and reliability. - staff training : - provide training to hospital staff on proper operation and maintenance @topic:9


# # # issue - the monitor is not able to measure blood pressure ( bp ). # # # impact - the clinicians will not be able to monitor the patient's bp, which is a critical vital sign. # # # possible causes - the nibp module is faulty. - the cuff is not properly inflated. - the patient is moving too much during the measurement. - there is an issue with the electrical connection between the monitor and the cuff. - pressure tubing may have a leak. - software related issue # # # recommendations - replace the nibp module. - check the cuff for leaks and make sure it is properly inflated. - ask the patient to remain still during the measurement. - check the electrical connection between the monitor and the cuff. - replace the pressure tubing. - update or reinstall the software. @topic:15


# # # issue the philips suresigns vs3 monitor, physiologic, vital signs device is not functioning properly. # # # impact the device is unable to accurately measure vital signs, which could lead to incorrect treatment decisions. # # # possible causes - the cuff may be damaged or leaking. - the cuff may not be the correct size for the patient. - the tubing may be kinked or blocked. - the sensor may be malfunctioning. # # # recommendations - replace the cuff. - check the cuff size for the patient. - inspect the tubing for kinks or blockages. - test the sensor. @topic:15


then remove the weight. 4. raise the head section to the highest position. 5. remove the four screws ( a ) that attach the battery cover ( b ) to the power supply ( c ) ( see figure 6 - 1 on page 6 - 15 ). 6. remove the battery cover ( b ). 7. for c model and newer beds, make sure the load cells are connected to the correct connector on the scale pc. board as follows : a. lift up on each corner of the weigh frame. b. make sure the indicator on the scale pc. board comes on for the correct position : pi is left head, p2 is left foot, p3 is right foot, and p4 is right head. c. make corrections as necessary. 8. lower the head section. 9. put 25 lb ( 11 kg ) of weight in the center of the bed. do not put the calibration weight on the bed at this time. shock hazard : the potential for electrical shock exists with electrical equipment. failure to follow facility protocols may cause death or serious personal injury. 10. press and release the calibration switch ( d ) on the scale pc. board ( e ). the display changes to 45. 0. note : if the scale pc. board was changed, the scale display will only show kilograms until the scale is calibrated and the display has been changed to pounds ( lb ). 1. torx® is a registered trademark of acument intellectual properties, llc. page 6 - 14 careassist® and careassist® es bed service manual ( man330 rev 4 ) 6. 1 scale calibration chapter 6 : general procedures figure 6 - 1. scale calibration switch careassist® and careassist® es bed service manual ( man330 rev 4 ) page 6 - 15 6. 1 scale calibration @topic:25


# # # issue - the hook and loop fastener ( velcro ) on the monitor is not adhering properly. # # # impact - the monitor may not be able to be securely attached to the patient, which could lead to inaccurate readings or disconnection. # # # possible causes - the hook and loop fastener may be worn or damaged. - the hook and loop fastener may not be properly aligned. - the surface of the monitor or the patient's skin may be dirty or wet. # # # recommendations - inspect the hook and loop fastener for wear or damage. if necessary, replace it. - make sure the hook and loop fastener is properly aligned. - clean the surface of the monitor and the patient's skin before attaching the monitor. @topic:2


# # # issue - medical cart cannot be turned on # # # impact - the medical cart cannot be used for transporting patients or for storing medical supplies # # # possible causes - power cord is not plugged in - power switch is not turned on - internal electrical failure # # # recommendations - check that the power cord is plugged into an electrical outlet - turn on the power switch - if the issue persists, contact a biomedical engineer to troubleshoot the internal electrical failure @topic:13


# # # issue - central monitor's time is incorrect. # # # impact - inaccurate time may affect patient care and medical records. # # # possible causes - faulty bios battery # # # recommendations - replace the bios battery and reset the time. @topic:29


# # # issue - the bed is making a loud noise when adjusted. # # # impact - the noise may be disruptive to patients and staff. - the noise may indicate a problem with the bed's mechanics. # # # possible causes - * * the bed's gears are not properly lubricated. * * the gears may need to be cleaned and lubricated with a compatible lubricant. - * * the bed's motor is not working properly. * * the motor may need to be replaced. - * * the bed's frame is damaged. * * the frame may need to be repaired or replaced. # # # recommendations - * * check the bed's lubrication. * * clean and lubricate the gears with a compatible lubricant. - * * inspect the bed's motor. * * if the motor is not working properly, it may need to be replaced. - * * inspect the bed's frame. * * if the frame is damaged, it may need to be repaired or replaced. @topic:9


# # # issue - central station keyboard not printing # # # impact - inability to enter data or control the central station # # # possible causes - faulty keyboard - loose or damaged connections - software issue # # # recommendations 1. * * check the keyboard for any physical damage or loose connections * *. ensure that the keyboard is properly plugged into the central station. 2. * * try using a different keyboard * *. if the problem persists, the issue may be with the central station itself. 3. * * restart the central station * *. this may resolve any software issues that may be causing the keyboard to malfunction. 4. * * contact the manufacturer for further support * *. if the above steps do not resolve the issue, the central station may need to be repaired or replaced. @topic:27


# # # issue - keyboard not working # # # impact - inability to use medical cart for data entry or other functions # # # possible causes - keyboard is not properly connected - keyboard is damaged - keyboard driver is not installed or corrupted - interference from other wireless devices - battery is dead ( if applicable ) # # # recommendations - check the keyboard connection and make sure it is secure - inspect the keyboard for any physical damage - update or reinstall the keyboard driver - remove any other wireless devices that may be causing interference - replace the batteries if the keyboard uses them @topic:27


# # # issue - * equipment : * monitor, patient transport - * band : * philips - * model : * intellivue mp40 ( m8003a ) - * description : * module lock breakage # # # impact - the device is non - functional. - patient monitoring is affected. # # # possible causes - * design flaw : * the module lock may have been designed with insufficient strength to withstand repeated use. - * manufacturing defect : * the module lock may have been damaged during the manufacturing process. - * misuse : * the device may have been dropped or mishandled, causing the module lock to break. - * wear and tear : * the module lock may have become worn or damaged over time due to repeated use. # # # recommendations - * redesign the module lock : * the manufacturer should redesign the module lock to improve its strength and durability. - * improve quality control : * the manufacturer should implement stricter quality control measures to prevent damaged module locks from being released into the market. - * provide user training : * the manufacturer should provide training to users on how to properly handle the device to prevent the module lock from breaking. - * regular maintenance : * the device should be regularly inspected and serviced to identify any potential problems with the module lock. @topic:2


# # # issue the issue is that the propaq lt monitor is giving an alarm alert error when it is turned on. # # # impact the impact of this issue is that the monitor cannot be used to monitor patients. # # # possible causes 1. the alarm alert error could be caused by a number of factors, including : - a problem with the monitor's hardware - a problem with the monitor's software - a problem with the monitor's power supply - a problem with the monitor's battery - a problem with the monitor's cables # # # recommendations the following recommendations may help to resolve the issue : 1. check the monitor's power supply to make sure that it is working properly. 2. check the monitor's battery to make sure that it is charged. 3. check the monitor's cables to make sure that they are securely connected. 4. try restarting the monitor. 5. if the issue persists, contact the manufacturer of the monitor for further assistance. @topic:2


* * issue : * * equipment failure due to faulty ac plug * * impact : * * * interruption of patient monitoring and transport services * potential safety hazard due to electrical sparking and odor * * possible causes : * * * damaged or frayed ac plug wiring * loose or improperly secured plug connection * overheating or electrical overload * manufacturing defect in the plug or equipment * * recommendations : * * * replace the ac plug with a new one to eliminate the source of the problem. * inspect the equipment thoroughly for any other signs of damage or electrical faults. * ensure that the new ac plug is properly secured and does not allow for loose connections. * consider upgrading or replacing old or defective equipment to prevent further failures. * implement regular maintenance and inspection schedules to detect and address potential issues early on. * train staff on proper handling and maintenance of medical equipment to avoid damage. @topic:12


# # # issue * ecg cable ( green ) is broken # # # impact * the monitor may not be able to display ecg data. # # # possible causes * the cable may have been physically damaged, such as by being pinched or cut. * the cable may have been exposed to excessive heat or moisture. * the cable may be defective. # # # recommendations * replace the ecg cable. * inspect the cable for any physical damage. * check the cable for any exposure to heat or moisture. * test the cable to ensure that it is functioning properly. @topic:18


# # # issue - * * wheel coming off the base * * # # # impact - * * equipment malfunction * * - * * potential safety hazard * * # # # possible causes - * * uneven threading * * - * * loose bolts or nuts * * - * * wear and tear * * # # # recommendations - * * inspect all wheels regularly for any signs of damage or wear. * * - * * tighten bolts and nuts to the manufacturer's specifications. * * - * * replace any damaged or worn wheels immediately. * * - * * use threadlocker on bolts and nuts to prevent loosening. * * - * * follow manufacturer's instructions for proper maintenance and operation. * * @topic:24


# # # issue - telemetric electrocardiography monitor ( intellivue mx40 ) is not connecting to the system. # # # impact - the monitor is unable to transmit electrocardiography data to the system, which may affect patient care. # # # possible causes - loose or disconnected cables - incorrect network configuration - software issues - hardware failure # # # recommendations 1. * * check cables and connections : * * ensure that all cables are securely connected to the monitor and the system. 2. * * verify network configuration : * * check that the monitor and the system are on the same network and have the correct ip addresses and subnet masks. 3. * * restart the monitor and the system : * * power off the monitor and the system and restart them. this may resolve any software issues. 4. * * inspect the monitor : * * look for any physical damage or loose components. if any abnormalities are observed, contact the manufacturer for further assistance. 5. * * update software : * * ensure that the monitor and the system have the latest software updates installed. 6. * * contact technical support : * * if the issue persists, contact the manufacturer's technical support team for further troubleshooting and repair. @topic:16


# # # issue - bed not adjusting # # # impact - patient discomfort - difficulty in providing care - prolonged hospital stays # # # possible causes - faulty remote control - problem with the bed's electrical system - mechanical issue with the bed's motor or gears # # # recommendations - replace the remote control. - inspect the bed's electrical system and repair any faults. - lubricate or replace the bed's motor or gears as necessary. @topic:1


# # # issue thermoscan has a crack. # # # impact the thermoscan cannot be used to measure temperature accurately. # # # possible causes - the thermoscan was dropped or hit. - the thermoscan was exposed to extreme heat or cold. - the thermoscan was not properly maintained. # # # recommendations - replace the thermoscan. - inspect the thermoscan regularly for signs of damage. - handle the thermoscan with care. - store the thermoscan in a safe place. @topic:20


cuff and hose “ spo, test ” on page 3 - 13 adult spo, transducer “ nbp test ” on page 3 - 14 e a reference manometer ( including hand pump and valve ) with an accuracy 0. 2 % e an expansion chamber ( volume 250 ml + 10 % ) e appropriate tubing “ predictive temperature test ” on page 3 - 18 e suresigns temperature probe e suresigns temperature calibration key ( part number 4535 640 33691 ) “ safety tests ” on page 3 - 19 a multimeter “ nurse call relay test ” on page 3 - 21 e a patient simulator e an ohmmeter e a phono connector test recording authorized philips personnel report test results back to philips to add to the product development database. hospital personnel, however, do not need to report results. the following table describes what to record on the service record after you complete the tests in this chapter. performance verification testing suresigns vs4 service guide 3 - 3 accessing the system menu note — p = pass, f = fail, x = measured value as defined in tests in this chapter. test what to record visual v : p or v : f power - on po : p or po : f nbp nbp : p / x1 / x2 / x3 or nbp : f / x1 / x2 / x3 safety s ( 1 ) : p / x1 / x2 or s ( 1 ) : f / x1 / x2 s ( 2 ) : p / x7 or s ( 2 ) : f / x1 s ( 3 ) : p / x7 or s ( 3 ) : f / x1 accessing the system menu use the system menu to configure the monitor, view system information, shut down the monitor, and access the system admin @topic:10


# # # issue - excessive noise during vertical movement of the electric bed # # # impact - discomfort or disturbance to patients and staff - potential distraction during patient care procedures # # # possible causes - lack of lubrication in the sliding mechanism - misalignment or damage to components - worn or damaged parts # # # recommendations - lubricate the sliding mechanism regularly with appropriate grease. - inspect the bed for misalignment or damage and correct as necessary. - replace any worn or damaged parts to ensure optimal performance. @topic:9


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : drawer cannot be closed. # # # impact - this issue has the following impact : - the medical cart cannot be used for its intended purpose. # # # possible causes - this issue is likely caused by one or more of the following causes : - the solenoid is not properly seated in the drawer. - the screws that hold the solenoid in place are loose. - the solenoid is defective. # # # recommendations - to resolve this issue, the following actions should be taken : - ensure that the solenoid is properly seated in the drawer. - tighten the screws that hold the solenoid in place. - if the solenoid is defective, replace the solenoid. @topic:21


# # # issue - equipment : beds, electric - band : hill - rom - model : care assist es - description : ac cord is loose. # # # impact - device cannot be operated. # # # possible causes - loose connection between ac cord and device. - loose connection between ac cord and wall outlet. - damaged ac cord. # # # recommendations - ensure that the ac cord is securely connected to the device. - ensure that the ac cord is securely connected to the wall outlet. - inspect the ac cord for any damage. if damage is found, replace the ac cord. @topic:9


pulse rate sources ( e. g., sp02 and invasive pres - sures ). the module implements automatic fail - backs when selected signal sources are not available. drug calc the drug calc application aids in calculating drug dosages for patients. egm egm ( extensible gas module ) interface aneasthesia gas measurement devices. the egm module interfaces the m1013a or m1019a gas analyzer devices. the egm module retrieves the measurement data and controls the external device. it provides numerical data, wave form data and alarm data for the gas parameters measured by the attached analyzers. pv loops the pv loops application compares graphic representations of airway waves to help detect changes in the patient airway condition. interface managers mdse the mdse ( medical data service element ) interface manager is responsible for the exchange of real - time data between the intellivue patient monitoring system display unit and the measurement servers as well as between the intellivue patient monitoring system display unit and other devices attached to the network. mdse establishes and maintains a data communication link between the devices. it provides configuration information about the remote device to applications in the local device and it allows the exchange of measurement data and status information between the devices. 27 [ 2 theory of operation ] functional block description printer the printer interface manager provides a high level interface to a printer. it provides means to : • establish a connection to the printer • transfer data to the printer • get status of the printer • close connection to the printer the printer interface manager also supervises the connection to the printer and whether the printer accepts data ( for example paper out ). the printer interface manager notifies the operator in such cases. display & operator interface the display and operator interface manager performs the following tasks : • screen presentation of real - time and stored physiological measurement data, alarm condition data and status information @topic:10


# # # issue the bed is not adjusting to a stable position. # # # impact the patient may be uncomfortable or at risk of injury if the bed is not stable. # # # possible causes 1. the remote control is faulty - the buttons on the remote control may not be working properly, or the remote control may not be sending the correct signals to the bed. 2. the bed's electrical system is faulty - the bed's electrical system may not be providing enough power to the motors that adjust the bed, or the electrical system may be shorting out. 3. the bed's mechanical system is faulty - the bed's motors, gears, or other mechanical components may be worn out or damaged. # # # recommendations 1. check the remote control for any damage or malfunction. if the remote control is damaged, it will need to be replaced. 2. inspect the bed's electrical system for any loose connections or shorts. if any loose connections are found, they should be tightened. if any shorts are found, the electrical system will need to be repaired. 3. inspect the bed's mechanical system for any worn out or damaged components. if any worn out or damaged components are found, they will need to be replaced. @topic:1


oct 11 7 : 04 6 current lead 1 iso / j - point mode for current snippet 2 3 iso / j - point mode for baseline snippet 1 mv calibration bar 4 current st snippet and st baseline snippet overlapped 5 6 timestamp of most recently stored baseline snippet 7 all available st numerics for current snippet and baseline snippet the st point, j - point and iso point can be hidden using the hide points pop - up key. ste view window the ste view window shows a current st snippet and ste numeric with an st baseline snippet. the two snippets are in different colors, so that you can differentiate between them easily. in the upper left corner the current lead is shown. on the right side all available ste numerics are shown. the date and time of the st baseline snippet is shown at the bottom of the window. 167 6 ecg, arrhythmia, st and qt monitoring ste view 0. 0 iso ste 0. 0 0. 0. 0 v0. 1 avl 0. 0 0. 0 0. 0 v1 v2 0. 1 v3 0. 0 v4 0. 0 imv v5 0. 0 v6 0. 0 st baseline from 27 oct 11 7 : 04 the ste view window opens with the pop - up keys current baseline / overlap ( to select viewing mode ), show points / hide points, record ste, st view, st map, setup st and arrow keys for vailable leads. the st point, j - point and iso point can be hidden using the hide points pop - up key. updating st baseline snippets st analysis requires valid samples to measure and store a snippet. st snippets and st values are updated every minute. if @topic:8


# # # issue - cuff bp cuff is degraded. # # # impact - the device is not able to measure blood pressure accurately. # # # possible causes - the cuff has been used for an extended period of time. - the cuff has been damaged. # # # recommendations - replace the cuff. @topic:3


# # # issue - broken connector # # # impact - the monitor may not be able to display patient data accurately. - the monitor may not be able to communicate with other medical devices. # # # possible causes - the connector may have been damaged during use. - the connector may have been loosened over time. - the connector may have been improperly tightened. # # # recommendations - replace the connector. - inspect the connector regularly for damage. - tighten the connector securely. - train staff on how to properly use and maintain the monitor. @topic:2


# # # issue - the cause of failure is not clear. # # # impact - the bed may not be able to be operated properly. - the patient may not be able to use the bed comfortably. # # # possible causes - the remote may have been damaged during shipping. - the remote may have been defective. - the technician may not have properly repaired the remote. # # # recommendations - the technician should inspect the remote to determine the cause of the failure. - if the remote is damaged, the technician should replace it. - if the remote is defective, the technician should contact the manufacturer for a replacement. - the technician should ensure that the remote is properly repaired. @topic:7


bis one or more electrodes have no skin contact and therefore impedances cannot be measured. check the sensor montage and press the electrode pads firmly. if this inop persists, replace the sensor ( s ) in question, using correct skin preparation. bis overcurrent inop tone bis unplug and replug the bis module or, f or the mp20 / mp30, disconnect and reconnect the bisx from the interface board. if the inop persists, contact your service personnel. bis sensor disconn inop tone bis the sensor is not properly connected to the patient interface cable ( pic ) and / or the pic is not properly connected to the dsc or bisx, or the sensor or pic or dsc or bisx may be faulty. check all the connections. disconnect and reconnect the sensor, pic, dsc, bisx. if the inop persists, replace the sensor. if the inop persists, replace pic. if inop persists, contact your service personnel. silencing this inop switches the measurement off. bis sensor incompt inop tone bis unsupported sensor connected or sensor type unknown or not supported by your software revision. replace the sensor, using only philips supported sensors. 79 4 patient alarms and inops technical alarm messages ( inops ) inop message, indication source what to do bis sensor malfunc inop tone bis malfunction in the sensor hardware, most often caused by liquids permeating into the connectors or patient interface cable ( pic ) or dsc or bisx may be faulty. replace the sensor. manually initiate a cyclic impedance check. make sure all electrodes pass the test. make sure that the both sides of the pic connector ( between pic and sensor ) are dry. if you are not sure that the connector is @topic:22


# # # issue - wet telemetry device # # # impact - device malfunction # # # possible causes - water spill or immersion # # # recommendations - inspect the device for any signs of water damage. - clean and dry the device thoroughly. - replace any damaged components. - ensure that the device is properly sealed to prevent future water damage. @topic:2


# # # issue * * medical cart * * manufactured by * * bdms * * model * * bdms 01 * * cannot be rebooted. # # # impact the * * medical cart * * is an essential tool for medical procedures, such as transporting patients and medical equipment. if the cart cannot be rebooted, it could lead to delays and disruption of medical services. # # # possible causes - battery failure - software corruption - hardware malfunction - user error # # # recommendations 1. check battery and replace if necessary. 2. restart the cart by turning it off and on. 3. reset the control box by following the manufacturer ’ s instructions. 4. if the cart still does not reboot, contact the manufacturer / bdms for further assistance. 5. ensure that the user is properly trained on how to use the cart. @topic:13


# # # issue - vital signs monitor's screen flickering intermittently. # # # impact - inability to accurately monitor vital signs, which could delay diagnosis and treatment. # # # possible causes - faulty power supply board. # # # recommendations - replace faulty power supply board. @topic:2


causes, contact the manufacturer for further troubleshooting or to request a repair. @topic:12


# # # issue - ac power cord is broken. # # # impact - the bed is unable to receive power, rendering it unusable. # # # possible causes - physical damage to the cord, such as : - kinking or bending the cord excessively - pinching the cord between heavy objects - dropping or stepping on the cord - electrical fault within the cord, such as : - loose or damaged wires - short circuit - overheating # # # recommendations - inspect the ac power cord for any visible damage. - if the cord is damaged, replace it with a new one that meets the manufacturer's specifications. - ensure that the cord is not kinked, bent excessively, pinched, or exposed to excessive heat. - regularly inspect the cord for any signs of wear or damage. - use a surge protector to protect the bed from power surges. @topic:9


# # # issue the patient monitor is displaying vital sign readings that are higher than normal. # # # impact this could lead to incorrect diagnosis and treatment decisions, which could have serious consequences for the patient. # # # possible causes * * * equipment malfunction : * * the monitor may not be properly calibrated or there may be a problem with the sensors. * * * patient condition : * * the patient may have a medical condition that is causing their vital signs to be elevated. * * * environmental factors : * * the temperature or humidity in the room may be affecting the monitor's readings. # # # recommendations * recalibrate the monitor and check the sensors to ensure that they are working properly. * assess the patient's medical condition to rule out any underlying causes for the elevated vital signs. * adjust the environmental factors in the room to ensure that they are within the recommended range for the monitor. @topic:15


# # # issue - battery failure # # # impact - inability to monitor vital signs accurately - reduced patient safety - increased risk of adverse events # # # possible causes - battery life has expired - battery is not properly seated in the device - battery is damaged - battery is not compatible with the device # # # recommendations - replace the battery with a new one - ensure the battery is properly seated in the device - inspect the battery for any damage - verify that the battery is compatible with the device @topic:11