# # # issue - the electric bed ( beds, electric ) from hill - rom ( band : hill - rom ), model care assist es230, is experiencing noise and vibrations during movement. # # # impact - the noise and vibrations may cause discomfort to patients and disrupt their sleep. in addition, the vibrations could potentially damage the bed or other equipment in the room. # # # possible causes - the cause of the noise and vibrations is not explicitly stated in the input. however, given that the bme ( biomedical engineer ) has already repaired the bed's structural support frame, it is possible that the noise and vibrations are caused by a different issue, such as : - loose or damaged components - misalignment of the bed's components - electrical issues # # # recommendations - the bme should thoroughly inspect the bed to identify the source of the noise and vibrations. - once the cause has been identified, the bme should repair or replace the affected components as necessary. - the bme should also test the bed to ensure that it is operating properly and safely before returning it to service. @topic:9


# # # issue - the temperature sensor on the philips suresigns vs4 vital signs monitor is measuring high. # # # impact - this could lead to inaccurate patient temperature readings, which could have a negative impact on patient care. # # # possible causes - the sensor itself could be faulty. - the wiring to the sensor could be damaged. - the software that processes the sensor data could be malfunctioning. # # # recommendations - the bme should contact the manufacturer of the monitor to schedule a service call. - the bme should also inspect the wiring to the sensor for any damage. - the bme should check the software on the monitor to ensure that it is up to date. @topic:20


# # # issue - head of the bed cannot be adjusted upwards. # # # impact - patient discomfort and potential safety hazard. # # # possible causes - * * mechanical failure : * * faulty actuators, gears, or cables. - * * electrical failure : * * broken wires, loose connections, or malfunctioning control panel. - * * software glitch : * * incorrect firmware or software settings. # # # recommendations - * * mechanical inspection : * * check the actuators, gears, and cables for wear, damage, or misalignment. - * * electrical testing : * * inspect the wiring, connections, and control panel for any damage or loose connections. - * * software update : * * verify the firmware version and update it if necessary. - * * troubleshooting : * * perform a systematic diagnostic test to isolate the specific component causing the issue. - * * repair or replacement : * * replace faulty components if necessary, such as actuators, gears, or cables. @topic:1


# # # issue - ordering spare parts for a faulty physiologic monitor ( intellivue mp70 ) from philips. # # # impact - equipment downtime, affecting patient care and slowing down medical procedures. # # # possible causes - the parts being ordered are not compatible with the specific model of the monitor. - the hospital is ordering from an unauthorized distributor or supplier, receiving counterfeit or low - quality parts. - miscommunication or errors when placing the order, leading to incorrect or incomplete parts being sent. - inadequate stock management, resulting in a shortage of necessary parts. # # # recommendations - verify the compatibility of the parts with the equipment model before ordering. - ensure that orders are placed through authorized channels to avoid counterfeit or faulty parts. - double - check the order details and ensure that all necessary parts are included. - implement a robust inventory management system to maintain adequate stock levels and prevent shortages. - train staff on proper ordering procedures and equipment compatibility to minimize future errors. @topic:2


# # # issue - drawer is stuck and cannot be opened # # # impact - prevents access to equipment and supplies stored in the drawer # # # possible causes - drawer slides are binding or sticking - limit switch is not functioning properly # # # recommendations - lubricate drawer slides - inspect limit switch and replace if necessary @topic:21


# # # issue - medical cart's monitor is not displaying anything. # # # impact - medical staff cannot monitor patients'vital signs or access patient information. # # # possible causes - loose hdmi cable connection. # # # recommendations - reseat the hdmi cable into the monitor and the medical cart. @topic:13


# # # issue battery not charging # # # impact inability to monitor vital signs of the patient # # # possible causes - battery is faulty - charging port is damaged - software issue # # # recommendations - replace the battery - inspect the charging port for any damage and repair if necessary - update the software if available - contact vendor for technical support @topic:11


# # # issue medical cart boots slowly. # # # impact slow boot time affects the efficiency and productivity of medical staff. # # # possible causes - excessive junk files in the device. # # # recommendations - delete junk files regularly to prevent slow boot times. @topic:13


# # # issue - faulty ekg cable # # # impact - inaccurate or intermittent patient monitoring - potential safety hazard # # # possible causes - physical damage to the cable, such as a break in the insulation or a loose connection - electrical interference from other devices - malfunctioning ekg machine # # # recommendations * * immediate actions : * * - replace the faulty ekg cable with a new one. - inspect the ekg machine and other nearby equipment for any signs of interference. * * long - term solutions : * * - implement regular maintenance and inspection schedules for all ekg equipment. - train staff on proper handling and storage of ekg cables. - consider using shielded ekg cables to minimize interference. @topic:18


# # # issue - spo2 cable is degraded. # # # impact - inaccurate oxygen level readings. # # # possible causes - physical damage to the cable. - degradation of the cable's electrical components. - loose connections. # # # recommendations - replace the spo2 cable ( s / n : in44922845 ). - inspect the cable for any signs of damage. - ensure that the cable is properly connected to the monitor and patient. - regularly monitor the cable's performance and replace it as needed. @topic:4


# # # issue - no link to central monitor # # # impact - the device cannot be monitored or controlled remotely. # # # possible causes - loose lan cable - defective lan cable - faulty network port on the device - faulty network port on the central monitor # # # recommendations - check the lan cable and ensure it is securely connected to both the device and the central monitor. - if the lan cable is loose, replace it with a new one. - test the network port on the device by connecting it to a different lan cable and / or a different network port on the central monitor. - if the network port on the device is faulty, contact the manufacturer for service. - if the network port on the central monitor is faulty, contact the it department for assistance. @topic:16


# # # issue - cuff bp failure # # # impact - inaccurate blood pressure readings - delays or interruptions in patient care # # # possible causes - normal wear and tear - improper use or handling - electrical or mechanical issues - ageing of the material # # # recommendations - regular maintenance and inspection of cuff bp - proper use and handling according to manufacturer's instructions - prompt replacement of worn or damaged parts - training and education for users on proper handling and maintenance @topic:3


* * issue : * * mindray beneview t1 patient transport monitor is unable to measure blood pressure. * * impact : * * the monitor is not able to be used for patient monitoring. * * possible causes : * * - defective cuff : the cuff used to measure blood pressure may be punctured or worn, which can prevent accurate pressure readings. - faulty sensor : the sensor responsible for detecting blood pressure may be malfunctioning, leading to inaccurate readings or no readings at all. - loose or disconnected cables : the cables connecting the cuff to the monitor may be loose or disconnected, which can interrupt the signal transmission and cause the monitor to fail. - software error : the software responsible for processing the blood pressure readings may contain bugs or errors that can interfere with the monitor's operation. * * recommendations : * * - * * inspect the cuff : * * examine the cuff for any punctures or tears. replace the cuff if any damage is found. - * * check the sensor : * * clean the sensor and ensure it is properly connected. if the problem persists, the sensor may need to be replaced. - * * inspect the cables : * * examine the cables for any loose connections or damage. tighten or replace any loose cables. - * * update the software : * * check if any software updates are available for the monitor. install the updates to address any software - related issues. - * * contact the manufacturer : * * if the issue persists after troubleshooting, contact the manufacturer for further assistance and potential repairs. @topic:15


# # # issue beds, electric : hill - rom care assist es is not weighing patients accurately. # # # impact patients'weights may be recorded incorrectly, leading to potential inaccuracies in medical care. # # # possible causes * * 1. calibration issue * * - the scale may not have been calibrated correctly, resulting in inaccurate weight readings. - the calibration may have been performed incorrectly, leading to erroneous results. * * 2. load cell malfunction * * - the load cells, which measure the weight, might be malfunctioning or damaged. * * 3. electrical issue * * - faulty wiring or a loose connection could disrupt the electrical signals necessary for accurate weight measurements. * * 4. software error * * - a software bug or glitch may be causing the device to malfunction. # # # recommendations * * 1. recalibrate the scale * * - ensure proper calibration procedures are followed using a calibrated weight. - verify the calibration results by performing multiple weight measurements. * * 2. inspect the load cells * * - check if the load cells are damaged or loose. - replace or repair any faulty load cells as necessary. * * 3. check electrical connections * * - inspect the wiring and connections for any breaks or loose contacts. - tighten or repair any loose connections and replace damaged wiring. * * 4. update or troubleshoot software * * - check for software updates and install any available patches. - contact the manufacturer's technical support to resolve any software issues. * * 5. additional considerations * * - ensure the patient is standing in the center of the scale. - verify that the scale is placed on a stable, level surface. - rule out any external factors that may be interfering with the weighing process. @topic:25


# # # issue - medical cart cannot be turned on # # # impact - patients may not receive timely treatment or care - delays in patient care - negative impact on patient outcomes # # # possible causes - battery failure - power supply issue - electrical fault - software glitch # # # recommendations - * * check battery : * * ensure the battery is properly connected and charged. replace the battery if necessary. - * * inspect power supply : * * verify that the power cord is securely plugged into the cart and outlet. reset the circuit breaker or fuse if tripped. - * * troubleshoot electrical faults : * * inspect for loose wires, damaged components, or corrosion. contact a qualified electrician for repairs. - * * restart the system : * * power down the cart and restart it. this may resolve software glitches. - * * contact manufacturer : * * seek technical support from the manufacturer if the issue persists. they may provide instructions for further troubleshooting or recommend repairs. @topic:13


# # # issue - bed is unable to adjust # # # impact - patient discomfort - delays in patient care - safety concerns # # # possible causes - mechanical failure - electrical failure - software issue - user error # # # recommendations - inspect the bed for any visible damage or loose connections, and test the functionality of the controls. if any mechanical issues are found, contact the manufacturer for repairs. - check the electrical connections for any loose or damaged wires, and make sure the power is turned on. if any electrical issues are found, contact the manufacturer for repairs. - check the software version and update it if necessary. if any software issues are found, contact the manufacturer for assistance. - ensure that the user is properly trained on how to operate the bed, and is following all safety instructions. @topic:1


# # # issue - unable to obtain accurate vital sign measurements due to faulty blood pressure cuff. # # # impact - inability to monitor patient's vital signs, including blood pressure, pulse rate, and oxygen saturation. - delays in diagnosis and treatment, potentially leading to adverse events. # # # possible causes - * * age and wear : * * cuffs made of elastic materials can deteriorate over time, losing their ability to adhere securely. - * * environmental factors : * * exposure to extreme temperatures, humidity, or chemicals can damage the cuff's material. - * * improper cleaning : * * harsh cleaning solutions or inadequate drying can weaken the cuff's adhesive properties. - * * overinflation : * * excessive inflation of the cuff can overstretch the material and weaken its adherence. - * * manufacturing defect : * * occasionally, cuffs may be defective from the manufacturer, affecting their durability. # # # recommendations - * * regular maintenance : * * inspect cuffs regularly for signs of wear and tear, such as fraying, cracking, or discoloration. - * * proper cleaning and storage : * * follow manufacturer's guidelines for cleaning and storing cuffs to prevent damage. - * * use of compatible cuffs : * * ensure that the cuff is compatible with the monitor and patient's arm circumference. - * * patient education : * * instruct patients on proper use and care of the cuff to prevent overinflation. - * * replacement : * * replace damaged or ineffective cuffs promptly to ensure accurate vital sign measurements. @topic:5


failure to do so could cause personal injury or equipment damage. 6. place the jack stands under the articulating frame. 7. lower the articulating frame onto the jack stands. jg shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 8. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 9. remove the power supply cover. 10. disconnect the head hilow column cable from the power supply pc. board. 11. install the vise - grips® into the head hilow channel ( see figure 4 - 18 on page 4 - 35 ). 1. vise - grip® is a registered trademark of american tool companies, inc. page 4 - 34 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 10 foot hilow column ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures figure 4 - 18. foot hilow column careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 35 4. 10 foot ftilow column ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures 12. remove the foot frame cover ( a ). 13. remove the cable cover ( b ) from the central rail. 14. disconnect the foot hilow column cable from the extension cable inside the central rail. 15. remove the cover ( c ) from the bottom of the foot hilow column ( d ). 16. disconnect the brake detection switch cable ( e ). 17. remove the four screws ( f ) and washers ( g ) securing the foot hilow column ( d ) to the bed frame ( h ). 18. remove the brake @topic:26


# # # issue - motor at the foot end is not functioning properly. # # # impact - the bed cannot be adjusted up or down at the foot end. # # # possible causes * * 1. electrical failure : * * - malfunctioning motor - damaged wiring - faulty power supply * * 2. mechanical failure : * * - broken or jammed gears - worn or damaged bearings - obstructed movement pathway * * 3. control system issue : * * - malfunctioning control panel - software error - communication problems between components # # # recommendations - inspect wiring and electrical connections for damage or loose connections. - test the motor using a multimeter to check for continuity and resistance. - examine gears, bearings, and other mechanical components for signs of wear or damage. - check the control panel for any error messages or malfunctions. - update software or reprogram the control system if necessary. - replace faulty components as needed. @topic:9


# # # issue - the bed remote is malfunctioning, preventing its use. # # # impact - inability to adjust the bed settings, affecting patient comfort and safety. # # # possible causes - * * power supply issue : * * insufficient power supply from the electrical outlet or faulty wiring in the ward. - * * remote malfunction : * * damage to the remote's internal components or circuitry. - * * bed receptacle fault : * * faulty or loose connection between the bed receptacle and the power supply. # # # recommendations - * * verify power supply : * * ensure that the bed is plugged into a functioning electrical outlet and check the ward wiring for any damage. - * * inspect remote : * * examine the remote for any visible damage or loose connections. replace the remote if necessary. - * * check bed receptacle : * * verify if the connection between the bed receptacle and the power supply is secure. tighten any loose connections or replace the receptacle if damaged. - * * bme inspection : * * contact the biomedical engineering ( bme ) team for further troubleshooting and repair if the issue persists after checking the power supply, remote, and bed receptacle. @topic:7


# # # issue - cuff deterioration leading to failure of vital signs monitor. # # # impact - inability to accurately monitor patient's vital signs. - potential delays in diagnosis and treatment. - compromised patient safety. # # # possible causes - natural aging and wear and tear. - excessive use or mishandling. - environmental factors ( e. g., humidity, temperature ). - manufacturer defects. # # # recommendations - regular inspection and maintenance of equipment, including cuff replacement as needed. - proper handling and storage of equipment. - adherence to manufacturer's guidelines for use and maintenance. - regular calibration and testing of equipment to ensure accuracy. - staff training on proper use and care of equipment. @topic:5


# # # issue * printer not working # # # impact * unable to print patient data or other important documents # # # possible causes * paper stuck in printer # # # recommendations * remove stuck paper and restart printer @topic:28


* * issue * * : remote control of electric bed is malfunctioning. * * impact * * : inability to adjust the bed's position, affecting patient comfort and mobility. * * possible causes * * : * * * design flaw * * : mechanical or electrical defects in the remote control itself. * * * wear and tear * * : prolonged use or mishandling leading to component failure. * * * battery issues * * : low or dead batteries in the remote control. * * * faulty connection * * : poor connection between the remote control and the bed's receiver. * * * other * * : power surges, liquid spills, or accidental damage. * * recommendations * * : * * * troubleshooting * * : check for obvious issues such as loose connections or dead batteries. * * * remote control replacement * * : if troubleshooting fails, replace the remote control with a new or refurbished unit. * * * bed repair * * : if the problem persists, inspect the bed's receiver and associated wiring for damage or malfunction. * * * preventative maintenance * * : implement regular inspections and maintenance schedules for all medical devices to proactively identify and address potential failures. * * * use of compatible parts * * : ensure that replacement parts used for repairs are compatible and approved for the specific device model. * * * staff training * * : train staff on proper handling and maintenance procedures for medical equipment to minimize the risk of damage. @topic:7


# # # issue the patient monitor is unable to measure oxygen saturation ( o2 sat ). # # # impact this could lead to incorrect or delayed treatment for patients who require oxygen monitoring, such as those with respiratory problems or undergoing anesthesia. # # # possible causes - * * bent cable : * * the cable connecting the monitoring device to the patient's finger or ear may be bent, which can disrupt the signal transmission and prevent accurate readings. - * * loose connection : * * the cable may not be securely connected to the monitoring device or the patient, which can also cause signal interference. - * * defective sensor : * * the sensor responsible for measuring o2 sat may be malfunctioning or damaged, resulting in inaccurate readings. - * * software error : * * a software glitch or bug in the monitoring device may prevent it from correctly interpreting the sensor data. # # # recommendations - * * inspect and straighten the cable : * * check the cable for any visible bends or kinks, and gently straighten it. - * * ensure secure connections : * * make sure the cable is firmly attached to both the monitoring device and the patient. - * * test the sensor : * * use a test device or consult the manufacturer's instructions to verify the functionality of the sensor. - * * update software : * * if a software error is suspected, check for any available software updates and install them on the monitoring device. - * * contact the manufacturer or a qualified technician : * * if the issue persists, contact the manufacturer of the monitoring device or a qualified biomedical engineer for further troubleshooting and repair. @topic:4


* * cause of failure * * : painting the bed rails * * possible causes * * : * the paint used was not compatible with the material of the bed rails, causing it to flake or peel. * the paint was not applied properly, leaving gaps or thin spots that allowed corrosion to occur. * the bed rails were not cleaned or prepared properly before painting, resulting in poor adhesion of the paint. * the painted bed rails were not given adequate time to dry before being put back into use, allowing moisture to become trapped and cause corrosion. * * recommendations * * : * use paint specifically designed for the material of the bed rails. * follow the manufacturer's instructions for preparing and applying the paint. * allow the painted bed rails to dry completely before putting them back into use. * regularly inspect the bed rails for signs of wear or corrosion and repaint as needed. @topic:6


# # # issue the temperature readings from the philips suresigns vs4 vital signs monitor are lower than normal. # # # impact this can lead to inaccurate temperature readings, which can affect patient care. # # # possible causes * * * faulty temperature probe : * * the temperature probe may be damaged or not properly connected to the monitor. * * * software error : * * the monitor's software may be experiencing a bug that is causing it to read temperatures incorrectly. * * * calibration error : * * the monitor may not have been properly calibrated recently. * * * environmental factors : * * the temperature in the room where the monitor is located may be too cold, which can affect the accuracy of the readings. # # # recommendations * * * check the temperature probe : * * inspect the temperature probe for any damage. ensure that it is properly connected to the monitor. * * * update the software : * * check for any available software updates for the monitor. install the latest updates to fix any bugs that may be causing the issue. * * * calibrate the monitor : * * regularly calibrate the monitor according to the manufacturer's instructions. this will ensure that the readings are accurate. * * * check the environment : * * ensure that the temperature in the room where the monitor is located is within the recommended range. @topic:20


# # # issue - the philips intellivue mp20 ( m8001a ) patient monitor is not functioning properly. # # # impact - the monitor is unable to accurately measure patient parameters, which could lead to incorrect treatment decisions. - the monitor's display is not working properly, which could make it difficult for healthcare providers to monitor the patient's condition. # # # possible causes - * * hardware failure : * * the monitor's hardware may have failed, which could be due to a number of factors, such as a power surge, a short circuit, or a physical impact. - * * software failure : * * the monitor's software may have crashed or become corrupted, which could be due to a number of factors, such as a virus, a bug, or a power outage. - * * user error : * * the monitor may have been damaged by a user, such as by dropping it or spilling liquid on it. # # # recommendations - * * troubleshoot the hardware : * * check the monitor's power supply, cables, and connections. if any of these components are damaged, they should be replaced. - * * update the software : * * check if the monitor's software is up to date. if it is not, it should be updated. - * * perform a factory reset : * * this will restore the monitor to its default settings. - * * contact the manufacturer : * * if the above steps do not resolve the issue, the manufacturer should be contacted for further assistance. @topic:2


# # # issue * cracked wheel cover on the right front wheel of the huntleigh contoura 360 electric bed # # # impact * the bed is experiencing a jerking motion when pushed, causing discomfort to the patient and inconvenience to healthcare staff # # # possible causes * * * manufacturing defect : * * the wheel cover may have been defective from the time of manufacture. * * * wear and tear : * * the wheel cover may have become damaged over time due to heavy use or improper handling. * * * impact damage : * * the wheel cover may have been cracked due to an accidental collision or impact. * * * improper maintenance : * * the wheel cover may not have been properly maintained, leading to corrosion or premature wear. # # # recommendations * * * inspect the wheel : * * thoroughly inspect the right front wheel and its components, including the cover, bearings, and mounting hardware. * * * replace the wheel cover : * * if the wheel cover is cracked or damaged, it should be replaced with a new one to restore the bed's functionality. * * * examine the other wheels : * * check the remaining wheels for any signs of wear, damage, or insufficient lubrication. * * * ensure proper maintenance : * * regularly clean and lubricate all moving parts of the bed to prevent future failures. * * * train staff on proper handling : * * educate healthcare staff on the correct techniques for handling and maneuvering the bed to minimize accidental damage. * * * consider warranty coverage : * * if the wheel cover is still under warranty, contact the manufacturer for repairs or a replacement. @topic:9


# # # issue - cuff bp failure # # # impact - inability to accurately measure blood pressure # # # possible causes - cuff bp degradation due to : - wear and tear - improper storage - exposure to extreme temperatures or humidity # # # recommendations - replace the cuff bp with a new one - calibrate the monitor after replacing the cuff bp - regularly inspect and maintain the cuff bp to prevent future failures @topic:3


the configuration, you may need to select confirm to complete the change. pausing alarms infinitely is the same as switching them off. to switch individual measurement alarms on or off 1 select the measurement numeric to enter its setup menu. 2 select alarms to toggle between on and off. the alarms off symbol is shown beside the measurement numeric. while alarms are paused or off ♦ the red alarms paused lamp on the monitor front panel is lit. ♦ in the alarm field, the monitor displays the message alarms paused or alarms off, together with the alarms paused symbol and the remaining pause time in minutes and seconds, or alarms off symbol. m alarms paused 1 : 28 a alarms off a'pause alarms 60 alarm limits 3 alarms • no alarms are sounded and no alarm messages are shown. • inop messages are shown but no inop tones are sounded. the only exceptions are the inops cuff not deflated, cuff overpress and inops relating to empty, missing and malfunctioning batteries. these inops switch the alarms on, and the inop tones are sounded, even if alarms are paused or off. you need to remove the inop condition first before you can switch the alarm tones off again. • the nurse call relay is not active. if a no sensor or no transducer inop is present and alarms are paused or switched off, the measurement in question is switched off. restarting paused alarms • to manually switch on alarm indication again after a pause, select the permanent key pause alarms ( or alarms off ) again. alarm indication starts again automatically after the pause period expires. if the monitor is configured to stay paused infinitely, you must select alarms off again to restart alarm indication. resetting arrhythmia alarm timeouts • to reset the arrhythmia alarm timeout period, select the alarms off or pause alarms permanent key and then reselect it. @topic:10


# # # issue - remote is damaged # # # impact - bed cannot be adjusted # # # possible causes - physical damage to the remote - electrical malfunction - software glitch # # # recommendations - replace the remote - check for loose connections or damaged wires - update the software @topic:7


# # # issue - spo2 sat readings are intermittent or not being measured. # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - buildup of debris at the cable connection. # # # recommendations - clean the cable connection to remove any debris and ensure proper contact. @topic:4


# # # issue - oxygen saturation ( o2 sat ) sensor failure on a propaq lt bedside physiologic monitor. # # # impact - inaccurate or no o2 sat readings, which can have critical implications for patient monitoring and clinical decision - making. # # # possible causes - * * sensor malfunction : * * - technical defects in the sensor itself, such as faulty wiring or damaged components. - * * cable damage : * * - physical damage to the sensor cable, leading to signal loss or interference. - * * connector problems : * * - loose or corroded connections between the sensor and the monitor. - * * software errors : * * - software glitches or incompatibilities that disrupt communication between the sensor and the monitor. - * * environmental factors : * * - extreme temperatures, humidity, or exposure to electromagnetic interference can affect sensor performance. # # # recommendations - * * troubleshooting : * * - verify that the sensor is properly connected to the monitor and cable. - perform a sensor test using a test instrument or a known - good patient. - * * repair or replacement : * * - if troubleshooting fails, the sensor or cable may need to be repaired or replaced. - * * regular maintenance : * * - establish a regular maintenance schedule to inspect and clean the sensor and cable for signs of damage or wear. - * * staff training : * * - educate staff on proper sensor handling and maintenance practices to minimize the risk of damage. - * * consider redundancy : * * - implement backup monitoring systems or dual sensors to ensure continuous o2 sat monitoring in case of sensor failure. @topic:4


. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 6 - 9 preventive maintenance chapter 6 : general procedures function procedure automatic contour make sure the knee section rises up to mid - height when the head section is raised from the low position, and that it lowers automatically when the head section lowers and the head section reaches the low position. replace the actuator or defective unit if necessary. foot section motor raise the knee section to the mid - height position. inspect the foot actuator. make sure the pins and retaining rings are present. fully raise and the foot section. make sure there is no friction or abnormal noises and that no audible overload indication can be heard during the movement. replace as necessary. dining chair® position make sure the chair, head section, thigh section and foot section functions are not locked out. activate the chair function and make sure the three sections to the required position. return the sleep deck to the flat position. troubleshoot as required. trendelenburg / reverse trendelenburg activate the trendelenburg function. make sure there is no friction or abnormal noises and that no audible overload indication can be heard during the movement. activate the reverse trendelenburg function. make sure there is no friction or abnormal noises and that no audible overload indication can be heard during the movement. replace as necessary. battery make sure that the bed is unplugged from its power source. operate all the functions using the caregiver controls. charge the batteries or replace them if necessary. check the date indicated on the batteries, replace the battery if the date is over three years. scale system calibrate the scale. refer to “ scale calibration ” on page 6 - 14. bed exit system ensure the bed exit system works properly. replace worn or defective parts as needed. page 6 - 10 careassist® @topic:9


# # # issue - drawers cannot be opened - medcart program shows a key stuck icon - scanner is not working # # # impact - unable to access medical supplies and equipment stored in the drawers - inaccurate or delayed patient care due to difficulty in tracking keys - limited functionality of the medcart, affecting overall efficiency and workflow # # # possible causes * * drawers cannot be opened : * * - key not fully inserted or not aligned correctly with the solenoid - solenoid malfunction or misalignment * * medcart program shows a key stuck icon : * * - misaligned or damaged sensor that detects key status - software issue or firmware error * * scanner is not working : * * - loose or damaged connections - faulty scanner hardware or software # # # recommendations - inspect the key and solenoid for proper alignment and functionality. - adjust or replace the key sensor if necessary. - check the software or firmware version and update if required. - ensure secure connections and test the scanner operation. - refer to manufacturer's instructions or seek professional technical assistance for further troubleshooting. @topic:21


# # # issue - cuff deterioration # # # impact - inaccurate blood pressure measurements # # # possible causes - cuff is old and worn out - cuff has been damaged by chemicals or cleaning agents - cuff has been exposed to excessive heat or cold # # # recommendations - replace the cuff with a new one - inspect the cuff regularly for signs of wear and tear - store the cuff in a cool, dry place @topic:3


# # # issue - equipment not powering on # # # impact - device is unavailable for patient use. # # # possible causes - power supply issue - circuit board failure - battery failure # # # recommendations - check power cord and ensure it is securely connected to both the device and the power outlet. - check for any loose or damaged wires or connections within the device. - if the device has a battery, check if it needs to be replaced. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:12


. for detailed information about errors and error codes, see “ error codes ” on page 4 - 11. to view the error log : step 1 access the system diagnostics menu. see “ accessing the system diagnostics menu ” on page 3 - 10. select the error log button. the error log window appears, displaying a list of log entries. each error log entry includes a timestamp, a unique error code, a description of the error, and an optional block of error information. error log time code description 12 / 07 / 12 06 : 12 : 44 866 temp probe error ( 63 ) 12 / 15 / 12 13 : 22 : 04 833 spo equip malfunc ( 2 ) ( return _ ) to view the entire list of errors, select the list to activate scrolling. to print the error log to the optional recorder, select the print button. to export the error log to a usb flash drive : e insert a compatible usb flash drive in the usb port on the rear of the monitor. ¢ in the error log window, select the export button. the error log is saved to the usb flash drive as an. xls file. troubleshooting suresigns vs4 service guide clearing patient data clearing patient data the clear data option clears all patient data in memory. it does not clear calibration and hardware configuration data. whenever you return a monitor for service, you should clear patient data first. to clear all patient data : step 1 open the maintenance options of the system diagnostics menu. see “ accessing maintenance options ” on page 3 - 11. select the clear data button. a confirmation window appears. in the confirmation window, select the yes button. the monitor clears the patient data and error log, and then restarts. troubleshooting suresigns vs4 service guide 4 - 37 clearing patient data troubleshooting 4 - @topic:22


# # # issue the bed, electric, manufactured by universal quality, model uq2000b, failed due to its old age and prolonged use. # # # impact the failure of the bed, electric has a direct impact on patient care, as it is essential for providing a comfortable and stable environment for patients during medical procedures. the failure of the bed can lead to discomfort, pain, and potential injuries to patients. additionally, the failure of the bed can disrupt the workflow of healthcare professionals, leading to delays in patient care and reduced efficiency. # # # possible causes - * * prolonged use : * * the bed, electric, has been in use for an extended period, which has taken a toll on its components and materials. over time, the bed's frame, motors, and other components may have weakened or worn out, making it more susceptible to failure. - * * lack of maintenance : * * proper and regular maintenance is crucial for prolonging the lifespan of any medical device. however, in this case, it appears that the bed, electric, may not have received adequate maintenance, leading to its premature failure. # # # recommendations - * * regular maintenance : * * to prevent similar failures in the future, it is essential to establish a comprehensive maintenance plan for all medical devices, including the bed, electric. this plan should include regular inspections, cleaning, and necessary repairs or replacements of worn - out components. - * * replacement : * * due to the old age and prolonged use of the bed, electric, it may be prudent to consider replacing it with a newer model. newer models may incorporate advancements in technology and design, offering improved functionality, durability, and safety features. - * * training : * * healthcare professionals should receive proper training on the operation and maintenance of medical devices, including the bed, electric. this training will equip them @topic:9


wpa - enterprise and wpa2 - enterprise with either protected eap ( peap ) or tunneled tls ( ttls ) as authentication methods. 40 bit or 104 bit. the number of hex chars for the wep key depends on the wep key size chosen. for a 40 bit wep key size the wep key must be 10 hex chars long, for a 104 bit key the wep key must be 26 hex chars long. win be shown as after the user entered the key. defines the transmit wep key index. this entry must match the wep key index configured at the infrastructure device, i. e. on a wlan access point, and ranges from 1 to 4. note for mx400 / 450 / 500 / 550, only wep key index 1 can be used. wep key indices 2 - 4 can be configured, but will be ignored. in wpa ( psk ) or wpa2 ( psk ) mode this entry defines the pre - shared - secret or password with 8 to 63 alpha - numeric characters. will be shown as after the password is entered. in wpa - enterprise or wpa2 - enterprise mode the following read only fields are available. the configuration can only be performed via the intellivue support tool : authentication method can be either protected eap ( peap ) or tunneled tls ( ttls ). peap and ttls can be used with several different inner authentication methods. peap with mschapv2 and ttls with pap, chap, mschap or mschapv2 this setting describes the peap protocol version to be used while authenticating against the authentication server. valid values are either default, version 0 and version 1. if set to default the decision is up to the wireless adapter. version 0 or 1 forces the @topic:10


# # # issue - the display on the central monitor is malfunctioning. # # # impact - the monitor cannot be used to display patient data or medical images, which can hinder patient care. # # # possible causes - * * hardware * * - loose connections - faulty display module - power supply issues - * * software * * - corrupted drivers - operating system errors - * * other * * - external interference ( e. g., electromagnetic fields ) - improper configuration # # # recommendations - * * hardware * * - * * check and tighten connections. * * ensure all cables are properly seated and secure. - * * examine the display module. * * look for any physical damage or loose components. - * * verify the power supply. * * ensure the monitor is receiving adequate power and that the power cord is not damaged. - * * software * * - * * update drivers. * * install the latest drivers for the display module and operating system. - * * reinstall the operating system. * * if software corruption is suspected, a fresh os installation may be necessary. - * * other * * - * * move the monitor away from potential sources of interference. * * this may include medical equipment, electrical devices, or even the patient's bed. - * * reset the monitor to factory settings. * * this can often resolve configuration issues. - * * contact the manufacturer for support. * * if the issue persists, seek assistance from the manufacturer or a qualified technician. @topic:2


# # # issue solenoid spring failure, causing two drawers on the right side ( middle and bottom ) of a medical cart to not open automatically. # # # impact the issue affects the functionality of the medical cart, making it difficult to access medical supplies and equipment stored in the affected drawers. # # # possible causes * wear and tear of the solenoid spring over time * manufacturing defect in the solenoid spring * overloading of the drawers with excessive weight # # # recommendations * replace the solenoid spring with a new one to restore the drawers'automatic opening function. * inspect the solenoid spring regularly for signs of wear or damage. * avoid overloading the drawers to prevent excessive strain on the solenoid spring. * if the issue persists after replacing the solenoid spring, further investigation of the electrical system or mechanical components may be necessary. @topic:21


##ration * 90 noise check ¢ 91 pump check * 90 252 ixodd ] co2 gas measurement calibration check ¢ 91 co2 pump / co2 scrubber replacement * 93 companion mode problems * 119, 133 compatibility with information center * 115 compatibilty with mms * 114 compatible devices * 19 conditioning a battery * 108 conditioning batteries * 109 configuration mode entering * 212 configuration settings for cscn routed bedside monitors ( rbm ) * 214 configuration tasks * 212 configuring ip address, subnet mask and default gateway * 214 configuring routed bedside monitors support ¢ 215 configuring srr channels * 218 configuring the equipment label « 213 connecting non - medical devices * 230 connecting power * 210 connecting the monitor to ac mains * 209 country - specific default settings « 239 d damage claims * 202 data acquisition * 20 data flow * 20 data provider system service * 21 date, setting * 215 default settings « 239 default settings appendix * 239 disassembly procedures for the m3015a mms extension ( hw rev. a ) * 178 display and user interface service * 21 display brightness * 107 display brightness setting * 107 display is blank ° 119, 121 e ecg performance * 80 ecg sync performance test ° 81 ecg sync pulse * 221 ecg / resp performance check * 80 ecg / resp performance test ° 80 electrical and safety requirements ( customer or philips ) ° 229 electrical requirements ° 229 electromagnetic interference ( srr ) * 201 environmental requirements * 228 evaluation of test results e 35, 100 exchange and replacement parts * 189 exchange parts listing * 195 exchange parts list e 195 exchange procedures * 167 exchanging the loudspeaker * 153 exchanging the main housing * 163 exchanging the nbp airguide / iit or wlan assembly ¢ 148 exchanging the nbp pump * 146 exchanging the silicon pads * 165 extensions * @topic:10


# # # issue - motor failure in bed, electric, huntleigh contoura 360 # # # impact - inability to use the device for patient care - possible patient discomfort or safety concerns # # # possible causes - overuse or improper use of the device - electrical issues - mechanical wear and tear # # # recommendations - perform regular maintenance and calibration of the device - ensure proper training and supervision of staff using the device - implement a preventative maintenance program to identify and address potential issues before they lead to failure @topic:9


# # # issue - damaged shelves and keyboard tray on the medical cart # # # impact - this issue can impact the functionality and safety of the medical cart. damaged shelves may not be able to support the weight of equipment, which could lead to accidents. a damaged keyboard tray may make it difficult for users to access and operate the cart's controls. # # # possible causes - the shelves and keyboard tray may have been damaged due to excessive weight or force being applied to them. - the shelves and keyboard tray may have been damaged due to normal wear and tear. - the shelves and keyboard tray may have been damaged due to a manufacturing defect. # # # recommendations - inspect the shelves and keyboard tray for any damage. - if the shelves or keyboard tray are damaged, replace them. - if the shelves or keyboard tray are not damaged, but are showing signs of wear and tear, take steps to prevent further damage. - contact the manufacturer of the medical cart if you believe the shelves or keyboard tray are damaged due to a manufacturing defect. @topic:31


# # # issue - faulty remote control cable # # # impact - the patient may not be able to control the bed, which could lead to discomfort or injury. # # # possible causes - the cable may have been damaged during use or handling. - the cable may have been chewed by a rodent. - the cable may have been pinched or crimped. # # # recommendations - replace the remote control cable. - inspect the cable for any damage and replace it if necessary. - protect the cable from damage by using a cable protector or by routing it away from potential hazards. @topic:7


##99 m4605a battery specifications the battery lifetime is 3 years from manufacturing date or 500 charge / discharge cycles. m4605a battery specifications physical specifications 149 mm ( 5. 866 in ) x 89 mm ( 3. 504 in ) x 19. 8 mm ( 0. 78 in ) w x d x h 490 g ( 1. 08 lb ) per battery weight performance specifications ominal voltag0. 8 volt rated capacity at discharge c / 5 6000 mah continuous discharge capability 6. 5 a environmental specifications temperature range ischarge 0 to 50°c ( 32 to 1charge 0 to 50°c ( 32 to 122°f ) storage and transportation : - 20 to 65°c ( - 4 to 140°f ) humidity range operating : 15 % to 95 % relative humidity ( rh ) storage and transportation : 5 % to 95 % relative humidity ( rh ) battery type smart battery 10. 8 v, 6000 mah, lithium ion safety electromagnetic compatibility ( emc ) complies with the requirements for fcc type b computing device, and en 61000 - 4 - 2 and en 61000 - 3 - 2 communication standard complies with the smbus specification v 1. 1 measurement specifications see the appendix on default settings for a list of the settings the monitor is initially shipped with. complies with iec 60601 - 2 - 25 : 1993 + a1 : 1999 / en 60601 - 2 - 25 : 1995 + a1 : 1999, iec 60601 - 2 - 27 : 2005 / en 60601 - 2 - 27 : 2006, iec 60601 - 2 - 51 : 2003 / en 60601 - 2 - 51 : 2003 and aami ec11 / ec13 : 1991 / 2002. 475 40 specifications ecg / arrhythmia / st performance specifications adult / pedi : 15 to @topic:11


hz eyes rtifact suppr0 se0 se0 senit mmhg magenta mmhg magenta mmhg magenta color cardiac output default settings c. o. settings h30 ( deviations from h10 / h20 / h40 ) adult pedi dult pedi neo neo auto - calibration on on on tblood highlimit 39. 0°c 9. 0°c 39. 0°c tblood low limit 36. 0°c 36. 0°c 36. 0°c tblood alarms on on on emperature °c °c °c yellow olor green green yellow yellow green cco / cci settings cco clarms fcco cco from abp abp abp color green green green cco alarms on n on cco high limit 3. 7 1 / min 1. 3 l / min 8. 5 1 / min cco low limit 4. 0 1 / min 2. 6 1 / min 0. 3 1 / min cci alarms on on on 5. 2 1 / min / m² 4. 3 1 / min / m² 4. 3 1 / minmin / m² cci high limit cci low limit 517 41 default settings appendix o2 default settingh30 ( deviations from h10 / h20 / h40 ) o2 settings adulpedi adult pedi neo neo etco2 low 30 30 30 25 25 25 etco2 hig50 50 50 60 60 60 mco2 hig4 4 4 o2 alarms on on on unit mmhg mmhg mmhg scale 0 mmh0 mmh0 mmh50 50 50 off off off imco2 on on on 2o corr. ( onloff off off m3015a / m3016a ) oxygen corr. ( only 16 % 16 % 16 % m3014 @topic:8


# # # issue - equipment : bed, electric - band : hill - rom - model : 900b - description : the bed cannot be adjusted due to lack of power. # # # impact - the patient cannot be positioned comfortably or safely. - the bed cannot be used for its intended purpose. # # # possible causes - faulty power cord or outlet - loose or disconnected wire - faulty fuse or circuit breaker - malfunctioning control panel - motor failure # # # recommendations - check the power cord for damage and ensure that it is securely plugged into a working outlet. - inspect the wires for any loose connections or damage. - check the fuse or circuit breaker and replace it if necessary. - inspect the control panel for any loose connections or damage. - if the motor is not working, it may need to be replaced. # # # additional notes - the issue was resolved by the building maintenance technician. - the technician checked the power and resolved the issue. - the bed was tested and is now functioning properly. @topic:9


# # # issue - loose restraint bolt # # # impact - patient safety hazard # # # possible causes - loose restraint bolt due to improper assembly or over - tightening. - bolt failure due to material defect or excessive wear. - vibration or frequent movement of the bed causing the bolt to loosen. - inadequate maintenance or inspection of the bed. # # # recommendations - tighten the restraint bolt to the correct torque specified by the manufacturer. - inspect the bed regularly for loose bolts or other signs of wear. - replace the restraint bolt if it is damaged or excessively worn. - use a thread locker or anti - vibration washer to prevent the bolt from loosening. - ensure that the bed is not exposed to excessive vibration or movement. - train staff on the proper assembly and maintenance of the bed. @topic:6


# # # issue - equipment : bed, electric - band : hill - rom - model : basic care, p1440a - description : the bed cannot be adjusted up or down due to a faulty motor. # # # impact - the bed is unable to be used for patient care. # # # possible causes - faulty motor - damaged motor controller - loose or disconnected wires # # # recommendations - replace the faulty motor. - inspect and repair the motor controller. - check and tighten all loose or disconnected wires. @topic:9


# # # issue - faulty wheel on the monitor cart # # # impact - limited mobility of the monitor, making it difficult to use and transport - potential safety hazard if the monitor is not securely positioned # # # possible causes - wear and tear due to frequent use - damage caused by impact or collision - manufacturing defect # # # recommendations - replace the faulty wheel with a new one to restore mobility and ensure the monitor's stability - inspect the monitor cart regularly to identify any other potential issues and address them promptly - train staff on proper handling and maintenance of the monitor cart to prevent future damage @topic:24


# # # issue the ekg cable of the philips intellivue x2 ( m3002a ) patient transport monitor on bed 5 was malfunctioning, causing the monitor to not display patient data. # # # impact the malfunctioning ekg cable prevented the monitor from accurately displaying patient vital signs, such as heart rate and rhythm, which could have serious consequences for patient care. # # # possible causes * damaged ekg cable * loose connection between the ekg cable and the monitor * defective ekg cable * issue with the monitor itself # # # recommendations * inspect the ekg cable for any visible damage or loose connections. * if no visible damage is found, try replacing the ekg cable with a known - good cable. * if the issue persists, check the monitor for any error codes or other indications of a malfunction. * if the issue cannot be resolved, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:18


malfunctioned. lcd assembly ” on page 5 - 44. 1025 system error ( 1025 ) could not load shut down ( see “ shutting down the resourcedll. dll. monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. troubleshooting suresigns vs4 service guide 4 - 25 error codes code description possible cause action 1026 system error ( 1026 ) could not load data from flash. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 1027 system error ( 1027 ) could not start the front end. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the front end assembly. see “ removing the front end assembly ” on page 5 - 24. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 1028 system error ( 1028 ) could not stop the front end. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the front end assembly. see “ removing the front end assembly ” on page 5 - 24. if the problem persists, replace the main board. see “ removing the main board assembly ” on page 5 - 18. 1029 system error ( 1029 ) could not allocate enough memory. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main @topic:22


# # # issue - name of the patient disappeared from the medcart program. # # # impact - the medical team cannot access the patient's medical information, which could lead to delays in diagnosis and treatment. # # # possible causes - the name of the patient may have been entered incorrectly into the medcart program. - the medcart program may have crashed or encountered an error. - there may be a hardware or software issue with the medcart computer. - the network connection between the medcart computer and the hospital's server may be down. # # # recommendations - verify that the name of the patient was entered correctly into the medcart program. - restart the medcart program. - check the hardware and software of the medcart computer for any issues. - verify that the network connection between the medcart computer and the hospital's server is working properly. - contact the it department for assistance if the problem cannot be resolved. @topic:13


# # # issue the cuff of the philips suresigns vs2 monitor is damaged. # # # impact the monitor cannot accurately measure vital signs. # # # possible causes - the cuff may have been over - inflated. - the cuff may have been used on a patient with an abnormally large or small arm. - the cuff may have been exposed to extreme heat or cold. - the cuff may have been pierced or torn. # # # recommendations - replace the damaged cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - do not over - inflate the cuff. - do not use the cuff on patients with abnormally large or small arms. - do not expose the cuff to extreme heat or cold. - avoid piercing or tearing the cuff. @topic:15


# # # * * issue : * * head is out of adjustment # # # * * possible cause : * * the underlying cause of this failure was not specified in the provided information. # # # * * recommendations : * * further troubleshooting is necessary to determine the underlying cause of the head being out of adjustment. once the cause is identified, appropriate corrective actions can be taken to prevent future occurrences. possible causes could include : * worn or damaged gears or bearings * loose or disconnected components * misalignment of components * improper assembly or installation troubleshooting steps : * inspect the head adjustment mechanism for any visible signs of damage or wear. * check for any loose or disconnected components. * verify the alignment of the head and related components. * review the assembly and installation instructions to ensure proper procedures were followed. @topic:1


# # # issue - the finger clip is not holding the finger properly. # # # impact - the patient's vital signs may not be accurately measured. - the patient may experience discomfort or pain. # # # possible causes - the finger clip is not properly attached to the monitor. - the finger clip is not the correct size for the patient's finger. - the patient's finger is not properly inserted into the finger clip. - the finger clip is damaged. # # # recommendations - check to make sure the finger clip is properly attached to the monitor. - choose the correct size finger clip for the patient's finger. - instruct the patient to properly insert their finger into the finger clip. - inspect the finger clip for damage and replace it if necessary. @topic:14


if possible, move the monitor away from these devices or use shielded cables to minimize interference. - * * refer to the manufacturer's documentation : * * consult the device manual or technical support to troubleshoot the issue and obtain specific recommendations for the particular model and brand of vital signs monitor. @topic:16


# # # issue - buttons are unresponsive. # # # impact - the bed cannot be adjusted, which can lead to discomfort or injury for the patient. # # # possible causes - the buttons may be dirty or damaged. - the wires connecting the buttons to the control board may be loose or broken. - the control board may be defective. # # # recommendations - clean the buttons with a mild detergent and a soft cloth. - inspect the wires connecting the buttons to the control board for any damage. - if the wires are damaged, replace them. - if the control board is defective, replace it. @topic:7


# # # issue cuff deterioration on the philips suresigns vs4 vital signs monitor. # # # impact inaccurate blood pressure readings, potentially leading to delayed or improper treatment decisions. # # # possible causes - cuff wear and tear due to repeated use - exposure to harsh chemicals or cleaning agents - prolonged storage under extreme temperatures or humidity - improper cuff size or fitting # # # recommendations - regularly inspect cuffs for signs of damage or deterioration - replace cuffs as per manufacturer's guidelines or when visible signs of wear are detected - store cuffs in a clean and dry environment - ensure proper cuff size and fitting to avoid over - inflation or under - inflation - train staff on proper cuff handling and maintenance techniques @topic:5


# # # issue - cuff is damaged # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be punctured or torn. - the cuff may be too small or too large for the patient. - the cuff may not be properly inflated. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - properly inflate the cuff before taking a blood pressure measurement. @topic:3


# # # issue - battery failure in philips suresigns vs2 + monitor # # # impact - inability to monitor vital signs accurately, which can lead to delayed diagnosis or treatment. # # # possible causes - battery not properly installed or connected. - battery life cycle expired. - battery damaged due to mishandling or improper storage. - electrical fault in the battery or monitor. # # # recommendations - verify that the battery is properly installed and connected. - check the battery life cycle and replace the battery if necessary. - inspect the battery for any damage. - ensure that the battery is stored and handled properly. - contact the manufacturer for further troubleshooting or repair. @topic:11


# # # issue : * * cause of failure : setting filter ekg * * # # # impact : - inability to accurately monitor electrocardiogram ( ekg ) signals. - incorrect diagnosis and treatment due to unreliable ekg data. # # # possible causes : - incorrect filter settings on the bedside monitor. - faulty or malfunctioning filter components. - user error in setting the filter parameters. # # # recommendations : - ensure that the ekg filter settings are appropriate for the patient's condition and the clinical need. - refer to the manufacturer's instructions for recommended filter settings. - verify the integrity of the filter components and replace if necessary. - train users on the proper use and maintenance of the bedside monitor's ekg filter. - implement a regular maintenance schedule to prevent future filter - related failures. @topic:18


# # # issue - vital sign monitor is displaying high readings # # # impact - falsely elevated vital sign readings can lead to misdiagnosis and inappropriate treatment # # # possible causes - degradation of the cuff # # # recommendations - replace cuff - recalibrate monitor @topic:14


# # # issue - the bed lock is stuck. # # # impact - the bed cannot be moved or adjusted. # # # possible causes - the lock mechanism is jammed. - the lock is not lubricated properly. - the lock is broken. # # # recommendations - check the lock mechanism for any obstructions. - lubricate the lock with a silicone - based lubricant. - if the lock is broken, replace it. @topic:6


# # # issue - gas module parameter values not displaying # # # impact - inability to monitor gas parameters, potentially leading to patient harm # # # possible causes - loose signal cable to gas module # # # recommendations - tighten the signal cable connecting the gas module - verify correct operation by testing and monitoring the parameter values @topic:20


# # # issue - headrest not adjusting up and down # # # impact - patient discomfort - difficulty in positioning the patient - decreased patient safety # # # possible causes - jammed or broken headrest adjustment mechanism - faulty or damaged actuator - electrical issues with the headrest control switch - locked headrest button # # # recommendations * * diagnostics * * - check the operation of the headrest adjustment buttons - inspect the headrest adjustment mechanism for any visible damage or obstructions - verify the electrical connections to the actuator and control switch - unlock the headrest button if it is locked * * resolution * * * * - if the headrest adjustment mechanism is jammed or broken : * * - perform necessary repairs or replace the adjustment mechanism - lubricate the headrest adjustment mechanism - check for any foreign objects that may be obstructing the movement * * - if the actuator is faulty or damaged : * * - replace the actuator - check for any loose or damaged connections * * - if there are electrical issues : * * - check for any loose or damaged wires - inspect the control switch for any damage or wear - replace any faulty electrical components * * - if the headrest button is locked : * * - unlock the headrest button by pressing it in and releasing it * * preventive maintenance * * - regularly inspect the headrest adjustment mechanism for any signs of wear or damage - lubricate the headrest adjustment mechanism as recommended by the manufacturer - ensure that the headrest button is not locked during patient use @topic:1


# # # issue : bed, electric is not functioning properly. # # # impact : patients and healthcare providers may be unable to use the bed for medical procedures or patient care. # # # possible causes : - power supply issue - control box malfunction - wiring issue # # # recommendations : - check the power supply to ensure it is functioning properly. - inspect the control box for any loose connections or damage. - examine the wiring for any breaks or shorts. @topic:9


# # # issue : monitor not linking # # # impact : patient transport is delayed or patient cannot be monitored # # # possible causes : - software issues - hardware issues - cable issues - network issues # # # recommendations : - check software version and update if necessary. - inspect hardware for any damage or loose connections. - ensure all cables are properly connected and replace if necessary. - verify network connectivity and troubleshoot any issues @topic:16


##esthetics. use an exhaust tube to remove the sample gas to a scavenging system. attach it to the sidestream sensor at the outlet connector. mx600 / 700 / the m3016a mainstream co2 extension measures partial pressure of carbon dioxide in a patient's 800 expired gas using the mainstream method. when using the appropriate accessories you can use the mainstream co2 measurement with ventilated adults, pediatric and neonatal patients. warning infra - red radiation : do not expose the airway adapter or m1460a transducer to infra - red radiation during use. this may cause incorrect readings. 246 attach the transducer connector to the co2 connector on the m3016a extension. 1 wait 20 minutes, allowing the transducer to reach its operating temperature and a stable thermal condition. 2 perform an accuracy check and then, if necessary, calibrate the transducer. 3 checking transducer accuracy warning check transducer accuracy at least once a week or if you doubt the co2 readings. 1 look at the calibration value displayed in the setup co2 menu next to start cal1. is it the same as the value on the calstick? if not, calibrate the transducer now. 2 place the transducer on the low cell of the calstick ( labeled 0. 0 mmhg or " zero " ). the reading on the screen should be zero within ±1 mmhg within one minute. 3 place the transducer on the high cell of the calstick. the reading on the screen should be within + 1 mmhg of the value on the calstick within one minute. 4 if both readings are in range, you can leave calibration mode and begin monitoring. if either of the sducer. 5 1 check that the windows on the calstick are clean and clear. @topic:17


# # # issue monitor displays oxygen saturation value intermittently ( flickering ) on mindray no. 1 monitor. # # # impact accurate oxygen saturation monitoring is crucial for patient care. intermittent readings can lead to delayed or incorrect treatment decisions. # # # possible causes * * internal issue : * * * malfunctioning oxygen saturation sensor * loose or damaged internal wiring * * external issue : * * * loose or damaged hanger * faulty ekg or o2 saturation monitor cables * malfunctioning bp cuff or tubing # # # recommendations * * internal investigation : * * * check oxygen saturation sensor for proper connection and integrity. * inspect internal wiring for damage or loose connections. * * external inspection : * * * ensure hanger is securely attached and not loose. * replace ekg and o2 saturation monitor cables if necessary. * inspect bp cuff and tubing for cracks, tears, or blockages. * * additional troubleshooting : * * * try using a different patient monitor to isolate the issue. * clean the oxygen saturation sensor and recalibrate the monitor. * contact the manufacturer for technical support if the issue persists after internal and external troubleshooting. @topic:4


# # # issue - the bedside physiologic monitor is not functioning properly. # # # impact - the patient's vital signs cannot be accurately monitored. - the patient may not receive the appropriate medical care. # # # possible causes - the monitor is not receiving power. - the monitor is not properly connected to the patient. - the monitor is not functioning properly due to a hardware or software issue. - the monitor is being used in an environment that is not suitable for its operation. # # # recommendations - check the power supply to the monitor. - ensure that the monitor is properly connected to the patient. - contact a qualified biomedical engineer to troubleshoot the monitor. @topic:2


studies against arterial blood sample reference measured with a co - oximeter. pulse oximeter measurements are statistically distributed. only about two - thirds of the measurements can be expected to fall within the specified accuracy compared to co - oximeter measurements. display update period : typically 2 seconds maximum : 30 seconds max. with nbp inop suppression on : 60 seconds a functional tester cannot be used to assess the accuracy of a pulse oximeter monitor. however, if there is independent demonstration that a particular calibration curve is accurate for the combination of a pulse oximeter monitor and a pulse oximeter sensor, then a functional tester can measure the contribution of a monitor to the total error of a monitor / sensor system. the functional tester can then measure how accurately a particular pulse oximeter monitor is reproducing that calibration curve. performance verification testing 6 - 7 performing verification tests ecg / respiration performance before you start : see “ required test equipment " for a list of the equipment that you need to perform this test. this test checks the performance of the ecg and respiration measurements. to perform the ecg test : 1. connect the ecg patient cable to the ecg connector on the side of the monitor. 2. connect the other end of the ecg patient cable to the patient simulator. 3. configure the patient simulator to : - ecg sinus rhythm - eir = 80 bpm, or a rate of your choice. 4. verify that the displayed ecg wave and hr value ( + / - 2bpm ) on the monitor correlate to the values you selected on the patient simulator. for example, if you selected 80 bpm, the displayed value on the patient monitor should be between 78 - 82 bpm. 5. redo, the test, selecting several heart rates on the patient simulator : 160, 80, 100 @topic:17


# # # issue - keypad malfunction. # # # impact - inability to operate the bed using the keypad. # # # possible causes - keypad circuit damage due to a short circuit. # # # recommendations - inspect the keypad circuit for any visible damage, such as burnt or broken components. - test the keypad to determine the extent of the malfunction. - repair or replace the keypad as necessary. @topic:25


# # # issue : cuff bp leak # # # impact : patient safety risk, inaccurate blood pressure measurements # # # possible causes : - cuff bp damage or deterioration due to age or usage - improper cuff placement or sizing - cuff bp manufacturing defect # # # recommendations : - replace the cuff bp with a new one - ensure proper cuff placement and sizing according to patient's arm circumference - verify the integrity of the cuff bp by visual inspection and testing - regularly inspect and maintain the cuff bp to prevent future leaks @topic:3


# # # issue - monitor enters standby mode unexpectedly. # # # impact - interruption of patient monitoring. # # # possible causes - hibernate function enabled - software glitch - hardware malfunction ( e. g., faulty power supply, motherboard ) # # # recommendations - 1. * * disable hibernate function : * * - consult the manufacturer's instructions or technical support to disable the hibernate function. - 2. * * update software : * * - install any available software updates from the manufacturer. - 3. * * check power supply : * * - ensure that the monitor is receiving adequate power. replace the power cord or adapter if necessary. - 4. * * inspect motherboard : * * - contact a qualified technician to inspect the motherboard for loose connections or damaged components. - 5. * * perform hardware diagnostics : * * - if possible, run diagnostic tests on the monitor to pinpoint the source of the issue. - 6. * * contact manufacturer : * * - if all else fails, reach out to the manufacturer for technical support and potential warranty coverage. @topic:2


# # # issue - module measuring spo2 is defective. # # # impact - the monitor cannot be used. # # # possible causes - the module may have been damaged during use. - the module may have failed due to a manufacturing defect. - the module may have reached the end of its useful life. # # # recommendations - replace the module with a new one. - contact the manufacturer for support. - consider purchasing a new monitor. @topic:4


# # # issue - cuff deterioration # # # impact - incorrect blood pressure readings - patient discomfort or injury - equipment downtime # # # possible causes - normal wear and tear - excessive use - improper storage or handling # # # recommendations - regular inspection and maintenance of the nibp monitor - replacement of the cuff at the recommended intervals - proper storage and handling of the equipment - training of staff on proper use of the equipment @topic:15


# # # issue - bed alarm cable is obstructed by the bed rail, resulting in a loose connection. # # # impact - bed alarm is not functioning properly, which can compromise patient safety. # # # possible causes - misalignment of the bed rails - kinks or damage to the bed alarm cable - excessive movement of the bed # # # recommendations - reposition the bed rails to ensure that they do not obstruct the bed alarm cable. - inspect the bed alarm cable for any damage and replace it if necessary. - secure the bed alarm cable to prevent excessive movement. @topic:26


# # # issue - medical cart displaying patient list from incorrect department # # # impact - patient safety concerns as medical information may be compromised - patient care may be delayed due to incorrect patient information # # # possible causes - incorrect configuration file - mislabeled medical equipment - software glitch # # # recommendations - verify the configuration file and ensure it is updated with the correct department code - check the medical equipment labeling to confirm it matches the correct department - contact the manufacturer for software updates if necessary - implement regular maintenance and testing procedures to identify and resolve potential issues early on @topic:13


# # # issue the cause of failure is not clearly explained in the given input. # # # impact unknown. # # # possible causes - the technician may not have understood the request from the department. - the technician may not have the correct equipment or parts to fix the device. - the device may be damaged beyond repair. # # # recommendations - the technician should clarify the request from the department. - the technician should check if they have the correct equipment and parts to fix the device. - if the device is damaged beyond repair, the technician should inform the department and recommend a replacement. @topic:12


# # # issue - malfunctioning vital signs monitor # # # impact - inability to accurately monitor patient's vital signs - potential delays in diagnosis and treatment # # # possible causes * * * faulty power button : * * the microswitch responsible for turning the monitor on and off may have failed. * * * defective cuff : * * the cuff used to measure blood pressure may have become damaged or worn out, resulting in inaccurate readings. * * * other component failures : * * internal components, such as sensors or the display unit, may have malfunctioned. # # # recommendations * * * inspect the power button : * * check if the microswitch is loose or damaged. if so, replace the switch. * * * replace the cuff : * * replace the existing cuff with a new one to ensure accurate blood pressure measurements. * * * troubleshoot internal components : * * if the power button and cuff are not the cause of the failure, further troubleshooting may be required to identify and repair the malfunctioning component. @topic:15


# # # issue - the display on the propaq lt monitor is exhibiting flickering. # # # impact - this flickering can make it difficult to read vital patient information, which could impact patient care. # # # possible causes - * * defective display : * * the display panel itself may be faulty, causing the flickering. - * * faulty backlight : * * the backlight that illuminates the display may be malfunctioning, resulting in uneven brightness and flickering. - * * loose cable connections : * * loose or damaged cables connecting the display to the monitor's motherboard can cause signal interference and flickering. - * * software issue : * * a software glitch or corruption can also cause display issues, including flickering. # # # recommendations - * * inspect the display : * * examine the display for any physical damage or signs of malfunction. - * * check cable connections : * * ensure that all cables connecting the display to the monitor are securely plugged in and undamaged. - * * update software : * * if applicable, check for and install any available software updates for the monitor. - * * replace faulty components : * * if the issue persists after performing the above steps, it may be necessary to replace the faulty display panel or other affected components. - * * contact manufacturer : * * if the cause of failure cannot be determined, reach out to the manufacturer for technical support and potential replacement parts. @topic:2


# # # issue the steel locks for the bed rails have broken, causing the rails to not lock in place. # # # impact this could pose a safety hazard for patients, as they could fall out of bed if the rails are not properly secured. # # # possible causes * * * excessive wear and tear : * * the steel locks may have become damaged over time due to repeated use. * * * improper maintenance : * * the bed may not have been properly maintained, leading to the locks becoming damaged. * * * defective materials : * * the steel locks may have been made from defective materials, which made them more susceptible to breakage. # # # recommendations * * * replace the steel locks : * * the broken steel locks should be replaced with new ones to ensure the safety of patients. * * * regular maintenance : * * the bed should be inspected and maintained regularly to prevent future failures. * * * use high - quality materials : * * when replacing the steel locks, ensure that they are made from high - quality materials that are less likely to break. @topic:6


# # # issue - loose wheel on a physiologic vital signs monitor. # # # impact - the monitor may be unstable and difficult to move. - the monitor may be damaged if it is dropped. - the patient may be injured if the monitor falls on them. # # # possible causes - the wheel was not properly tightened during assembly. - the wheel was damaged during use. - the wheel was not compatible with the monitor. # # # recommendations - ensure that the wheels are properly tightened during assembly. - inspect the wheels regularly for damage. - use only compatible wheels with the monitor. @topic:24


# # # issue - cuff blood pressure ( cuff bp ) is worn and deteriorated, causing the velcro strap to fail to tighten around the patient's arm for blood pressure measurement. # # # impact - inability to accurately measure blood pressure, which can delay or compromise patient care. # # # possible causes - cuff bp may have been subjected to excessive wear and tear. - cuff bp may have been improperly stored or handled. - cuff bp may have been used on patients with excessive body hair or limb deformities, causing undue stress on the velcro strap. # # # recommendations - replace the worn cuff bp with a new one. - ensure proper storage and handling of cuff bp according to manufacturer's instructions. - consider using alternative methods of blood pressure measurement for patients with excessive body hair or limb deformities. - conduct regular inspections of cuff bp to identify any signs of wear or deterioration. - train staff on proper use and maintenance of cuff bp. @topic:3


# # # issue - nibp monitor ( invivo research, model 1400r - 220 ) is unable to measure blood pressure due to a leak in the cuff. # # # impact - inability to accurately measure blood pressure, which is a critical parameter for patient monitoring and diagnosis. # # # possible causes - * * defective cuff : * * the cuff may have a hole or tear, causing air to leak out and preventing accurate pressure measurement. - * * loose cuff connection : * * the cuff may not be properly connected to the nibp monitor, allowing air to escape. - * * damaged tubing : * * the tubing connecting the cuff to the nibp monitor may be damaged, allowing air to leak out. - * * faulty pressure sensor : * * the pressure sensor in the nibp monitor may be malfunctioning, resulting in inaccurate pressure readings. # # # recommendations - * * inspect the cuff : * * examine the cuff for any holes or tears. if found, replace the cuff. - * * tighten cuff connection : * * ensure that the cuff is securely connected to the nibp monitor. - * * check tubing : * * inspect the tubing for any damage or kinks. replace the tubing if necessary. - * * test pressure sensor : * * run a diagnostic test on the nibp monitor to assess the functionality of the pressure sensor. if the test indicates a malfunction, replace the pressure sensor. @topic:15


# # # issue : * equipment is not functioning properly. # # # impact : * patient care may be delayed or compromised. * staff may be unable to perform their duties effectively. * hospital revenue may be lost. # # # possible causes : * the equipment is not properly calibrated. * the equipment is not being used correctly. * the equipment is faulty. * the equipment has not been properly maintained. # # # recommendations : * calibrate the equipment. * train staff on how to use the equipment correctly. * repair or replace the equipment. * implement a preventive maintenance program. @topic:12


# # # issue - blood pressure monitor is not functioning properly. # # # impact - inability to accurately measure patient's blood pressure. # # # possible causes - faulty board - depleted battery backup # # # recommendations - replace the faulty board. - replace the depleted battery backup. @topic:15


# # # issue - the cause of failure is not clear from the given input. # # # impact - the impact of the failure is not clear from the given input. # # # possible causes - the cause of failure could be due to a hardware or software issue. - the issue could also be due to a user error. # # # recommendations - the following recommendations are made to resolve the issue : - check the hardware and software of the device to ensure that they are functioning properly. - train the user on how to properly use the device. @topic:12


# # # issue - the electric bed cannot be adjusted. # # # impact - patients may not be able to get into or out of bed safely or comfortably. - bed may not be able to be positioned properly for medical procedures. # # # possible causes - shorted circuit board - broken wire in the cord connecting the keypad to the bed - faulty keypad - power outage # # # recommendations - replace the shorted circuit board. - replace the broken wire in the cord connecting the keypad to the bed. - replace the faulty keypad. - check for power outages and ensure that the bed is plugged into a working outlet. * * additional notes : * * - the biomedical engineer ( bme ) should also check for any other potential problems with the bed, such as loose screws or bolts. - the bme should also make sure that the bed is properly calibrated and tested before returning it to service. @topic:32


# # # issue - cuff connector became detached # # # impact - inability to monitor patient vital signs accurately - potential for patient harm # # # possible causes - mechanical failure of the cuff connector - improper maintenance or handling of the equipment - excessive wear and tear # # # recommendations - inspect the cuff connector regularly for signs of damage or wear - handle and store the equipment carefully - follow manufacturer's instructions for maintenance and calibration - replace the cuff connector if it becomes damaged or worn @topic:5


( d ) from the back of the pod ( b ). 9. remove the pod back ( e ). 10. note the routing of the cable ( f ). 11. disconnect the cable ( f ) from the p. c. board ( g ). 12. disconnect the p. c. board ( g ) from the switch panel cable ( h ). 1. torx® is a registered trademark of acument intellectual properties, llc. page 4 - 80 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 25 scale control pod p. c. board ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures figure 4 - 34. p. c. board replacement careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 81 4. 25 scale control pod p. c. board ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures replacement 1. connect the new p. c. board ( g ) to the switch panel cable ( h ). 2. connect the cable ( f ) to the p. c. board ( g ). 3. do the cable routing as noted earlier. 4. install the pod back ( e ). 5. install the four screws ( d ) to attach the pod back ( e ) to the pod ( b ). 6. install the pod ( b ) into the siderail ( c ). 7. slide the pod ( b ) toward the foot end of the siderail ( c ) so the weldment engages the groove in the siderail. 8. install the spacer ( a ). 9. do the “ function checks ” on page 2 - 5. page 4 - 82 careassist® and careassist® @topic:26


# # # issue - the remote control unit for the electric bed is malfunctioning. # # # impact - the patient may be unable to operate the bed, which could lead to discomfort or safety concerns. # # # possible causes - the remote control unit may be damaged due to physical impact, liquid spillage, or electrical surge. - the remote control unit may be malfunctioning due to a software or hardware issue. - the remote control unit may be incompatible with the bed unit. # # # recommendations - inspect the remote control unit for any visible damage or liquid spills. - test the remote control unit with a different bed unit to determine if it is compatible. - reset the remote control unit if possible. - replace the remote control unit if necessary. @topic:7


# # # issue : - bed guard came off due to loose nuts. # # # impact : - patient safety hazard as the bed guard is meant to prevent falls. # # # possible causes : - inadequate tightening of nuts during initial assembly or maintenance. - vibration or movement of the bed causing the nuts to loosen over time. - corrosion or wear of the nuts. # # # recommendations : - ensure proper tightening of all nuts during assembly and maintenance. - regularly inspect the bed guard and nuts for looseness or damage. - replace nuts as needed to ensure secure attachment of the bed guard. - consider using locknuts or other measures to prevent loosening. @topic:6


# # # issue - battery level dropped below 1 %. # # # impact - device unable to scan. # # # possible causes - * * battery depletion * * : the battery may have depleted due to normal use or a fault. - * * faulty battery * * : the battery may have a manufacturing defect or have become damaged. - * * power supply issue * * : the device may not be receiving power from the power supply. # # # recommendations - * * replace the battery * * : if the battery is depleted or faulty, it should be replaced with a new one. - * * check power supply * * : ensure that the device is properly connected to a power source. - * * contact manufacturer * * : if the issue persists, contact the manufacturer for further assistance. @topic:23


# # # issue the central monitor in the icu6 was experiencing issues with connecting to the system. # # # impact the issue prevented the central monitor from displaying patient data, which could have led to delays in patient care. # # # possible causes the technician who installed the central monitor may not have properly connected the device to the network. # # # recommendations the technician should verify that the central monitor is properly connected to the network and that the network is functioning properly. the technician should also check the central monitor's settings to ensure that it is configured to communicate with the system. @topic:16


# # # issue - equipment not interfacing with the hospital's central monitoring system. # # # impact - the equipment cannot transmit patient data to the central monitoring system, which could result in delayed or missed diagnoses. # # # possible causes - the equipment is not properly configured - the hospital's central monitoring system is experiencing technical difficulties - there is a communication problem between the equipment and the central monitoring system # # # recommendations - check the equipment's configuration settings to ensure that it is correctly configured to interface with the central monitoring system. - contact the hospital's it department to check the status of the central monitoring system and resolve any technical difficulties. - test the communication between the equipment and the central monitoring system to identify and resolve any communication issues. @topic:16


# # # issue - misuse of medical equipment # # # impact - the incorrect use of medical equipment can lead to serious patient harm or even death. # # # possible causes - lack of training or understanding of how to use the equipment - mislabeling or incorrect identification of equipment - using equipment for purposes other than it was intended - inadequate maintenance or calibration of equipment - failure to follow manufacturer's instructions # # # recommendations - provide comprehensive training and education to all staff who use medical equipment. - ensure that equipment is properly labeled and identified. - only use equipment for its intended purpose. - perform regular maintenance and calibration of equipment according to manufacturer's instructions. - establish clear policies and procedures for the use of medical equipment. - monitor the use of equipment to identify any potential problems. - take appropriate disciplinary action against staff who misuse medical equipment, and monitor use of medical equipment to identify any potential problems. @topic:12


# # # issue - cuff of the philips intellivue mx700 bedside physiologic monitor failed. # # # impact - monitor is unable to accurately measure blood pressure. # # # possible causes - cuff may be damaged or worn out. - cuff may not be the correct size for the patient. - cuff may be improperly attached to the patient. # # # recommendations - replace the cuff with a new one that is the correct size for the patient. - ensure that the cuff is properly attached to the patient. - train staff on how to properly use and maintain the monitor. @topic:14


# # # issue the bed is not able to be adjusted. # # # impact the patient may not be able to get into or out of the bed safely. the patient may also be uncomfortable if the bed is not in the correct position. # # # possible causes - the bed's motor may be damaged. - the bed's control panel may be damaged. - the bed's wiring may be damaged. - the bed's battery may be dead. # # # recommendations - check the bed's motor for damage. if the motor is damaged, it will need to be replaced. - check the bed's control panel for damage. if the control panel is damaged, it will need to be replaced. - check the bed's wiring for damage. if the wiring is damaged, it will need to be repaired. - check the bed's battery for power. if the battery is dead, it will need to be replaced. @topic:1


* * issue : * * nibp monitor ( philips suresigns vs2 + ) malfunction due to foreign object ( hair ) obstructing its functionality. * * impact : * * inaccurate blood pressure readings, potentially leading to misdiagnosis or inappropriate medical interventions. * * possible causes : * * 1. * * lack of cleaning and maintenance : * * inadequate cleaning and maintenance protocols may allow hair or other foreign objects to accumulate in the monitor's components. 2. * * poor user handling : * * careless handling of the monitor, such as dragging it across surfaces, can introduce hair or other debris into its crevices. 3. * * design flaw : * * the monitor's design may create gaps or openings that facilitate the entry of foreign objects. * * recommendations : * * 1. * * enforce strict cleaning and maintenance schedules : * * establish regular cleaning and maintenance intervals to prevent the buildup of foreign objects. 2. * * train staff on proper handling : * * provide training to staff on the proper handling of medical equipment to minimize the risk of introducing foreign objects. 3. * * consider design improvements : * * work with the manufacturer to evaluate the monitor's design and identify any potential areas where foreign objects could accumulate. @topic:15


# # # issue - cuff bp deterioration # # # impact - incorrect blood pressure readings # # # possible causes - age and wear of the cuff - improper storage or handling - patient factors ( e. g., obesity, hypertension ) # # # recommendations - replace the cuff bp regularly ( every 1 - 2 years ) - store and handle the cuff properly ( e. g., in a cool, dry place ) - monitor patients for factors that may contribute to cuff deterioration ( e. g., weight gain, high blood pressure ) @topic:3


menus and lists of parameter variables. power supply module the monitor contains a medical grade power supply module and circuitry that converts ac lines ( 100 v — 240 v ) to dc ( 15 v ). the power consumption is 75 va. power management the power management module contains : + li " battery - i111v — 7200 mah ¢ smart battery charger e dc / dc converter the power management circuitry charges a li - ion battery through a smart battery charger. both the battery and the ac / dc power module can power the system through several dc / dc converters that provide various voltage outputs required by various chips. isolated transformers provide the power to the front ends floating area. theory of operation suresigns vs4 service guide a - 5 block diagram components recorder the recorder contains the following elements : e digital thermal head array assembly e printing width — 48 mm on 58 mm paper — resolution : time axis = 16 dots / mm at the speed of < 25 mm / sec, 8 dots / mm at 50 mm / sec voltage axis = 8 dots / mm e motor ( paper drive ) and driver circuitry e paper out / door open detector e selectable print speed : 6. 25, 12. 5, 25, 50 mm / s print head control logic is implemented on the main board. the microprocessor sends data to the recorder via a local bus. nbp assembly and circuitry the nbp assembly and circuitry contain the following elements : °. pump e valves ( 2 - valve system of dump and safety valve ) e manifold e filter e pressure measurement and control circuitry pressure data is converted to digital format and conveyed to the processor. the nbp pump uses an oscillometric method that employs stepwise pressure deflation. the measurement software eliminates most ambient noise and motion interference. applications are neonatal, pediatric and adult patients. @topic:10


* * issue : * * nibp monitor not measuring blood pressure * * impact : * * inability to accurately monitor patient's blood pressure, leading to potential health risks. * * possible causes : * * * * * connector issues : * * faulty connection between the monitor and the blood pressure cuff can prevent accurate readings. * * * component failure : * * malfunctioning of the sensor, display, or other components within the monitor can lead to inaccurate measurements. * * * software errors : * * bugs or glitches in the monitor's software can cause incorrect readings or system malfunctions. * * * electrical problems : * * insufficient power supply or faulty wiring can disrupt the monitor's operation. * * * calibration issues : * * improper calibration can lead to inaccurate readings. * * * improper user operation : * * incorrect setup or use of the monitor can result in inaccurate or unreliable measurements. * * recommendations : * * * * * inspect and test connectors : * * ensure that the connectors between the monitor and the blood pressure cuff are secure and free of damage. * * * perform component check : * * check the functionality of the sensor, display, and other critical components within the monitor. * * * update software : * * install any available software updates to address potential bugs or glitches. * * * inspect electrical connections : * * verify the power supply and wiring to ensure they are providing adequate power without any interruptions. * * * calibrate the monitor : * * follow the manufacturer's instructions to ensure accurate readings. * * * review user manual : * * ensure proper setup and operation of the monitor to minimize user error. @topic:15


# # # issue - battery failure in the invivo research 3150 mri monitor # # # impact - inability to accurately monitor vital signs, potentially compromising patient safety. # # # possible causes - * * battery degradation : * * batteries naturally deteriorate over time and repeated use, leading to reduced capacity and performance. - * * overuse or misuse : * * excessive or improper usage can accelerate battery degradation. - * * environmental factors : * * extreme temperatures, humidity, or vibrations can affect battery life. - * * manufacturing defects : * * battery manufacturers can also experience quality control issues. # # # recommendations - * * regular maintenance : * * perform routine battery checks to monitor capacity and identify potential failures early on. - * * replace batteries : * * follow manufacturer's guidelines for battery replacement intervals to ensure optimal performance. - * * use proper handling techniques : * * avoid dropping or exposing batteries to extreme conditions. - * * consider continuous power supply : * * explore alternative power sources, such as wall outlets or backup batteries, to minimize interruptions in monitoring. - * * train staff : * * educate healthcare professionals on proper battery handling and maintenance procedures to prevent premature failure. @topic:11