recording chapter. recording strip code event types patient information and medical record no. event total per event group event groups total events in v database 90min green, sarah 37549201 23 jan 02 10 : 43 icu 37 1 standard : combi : 0 single : 2 manual : 1 ( total : f 3 ) neuro : combi : 0 single : 0 manual : 2 ( total : 2 ) hemo : combi : 0 single : 0 manual : 2 ( total : 2 ) ventil : combi : 0 single : 1 manual : 1 ( total : 2 ) arrhy / st : combi : 0 single : 0 manual : 1 ( total : 1 ) ner : a ( d ) : 0 ( 0 ) b ( d ) : 2 ( 1 ) ab ( d ) : 1 ( 1 ) d : 0 m : 2 ( total : 5 ) all groups : combi : 0 single : 5 manual : 9 ( total : 15 ) in graphic event review recordings, events are represented by bars, and each event group is printed on a separate standard channel. the timeline reflects the period stored in neuro the database, either 24 hours ( divided into 4 hour sections ) or 8 hours ( divided into one - hour sections ). 1 l 1 09 : 0 11 : ( ) 15 : 0 1! 303 24 event surveillance documenting events in tabular event review recordings, the events stored in the event database # time group parameter 1 parameter 2 panne ter 3 are shown in chronological order, 1 23 jan 07 : 56 02 neuro resp bis low 51 < 60 abp with a number and time - stamp. 2 23 jan 07 : 59 02 stand ard hr ( pulse ) tachy 201 > 180 st - ii sp0 2 3 23 jan 08 : 02 02 neuro resp high 7 6 > 60 bis abp 4 23 jan 08 : 12 @topic:8


# # # issue - equipment failure due to cuff degradation # # # impact - inaccurate or unreliable patient vital sign monitoring # # # possible causes - extended use and wear of cuff - improper storage or handling - exposure to extreme temperatures or humidity # # # recommendations - replace cuff with a new one of appropriate size ( 25 - 35cm ) - adhere to manufacturer's guidelines for cuff maintenance and storage - periodically inspect cuff for signs of wear or damage @topic:5


# # # issue - equipment not functioning due to faulty spo2 cable. # # # impact - loss of spo2 monitoring during patient transport, which could lead to a delay in detecting and treating any potential oxygenation issues or cardiopulmonary emergencies. # # # possible causes - wear and tear from repeated use or mishandling of the spo2 cable. - loose or damaged connections between the cable and equipment. # # # recommendations - regular inspection and testing of the spo2 cable for loose connections and any signs of damage. - training of staff on proper handling techniques for the spo2 cable. - availability of spare spo2 cables for immediate replacement in case of damage. - consideration of utilizing high - quality and durable spo2 cables to minimize future failures. @topic:4


# # # issue - motor failure in the huntleigh contoura 360 electric bed. - the bed's motor is unable to function properly. # # # impact - the bed cannot be adjusted, compromising patient safety and comfort. - delays in patient transfer and care. # # # possible causes - * * electrical issues : * * loose connections, faulty wiring, or electrical component failure. - * * mechanical issues : * * wear and tear, improper lubrication, or damage to the motor. - * * improper maintenance : * * lack of regular inspections, cleaning, and lubrication. - * * overuse or overloading : * * exceeding the bed's weight capacity or operating it continuously without rest. - * * age - related deterioration : * * natural degradation of the motor components over time. # # # recommendations * * to prevent future failures : * * - * * regular maintenance : * * implement a comprehensive maintenance schedule, including inspections, cleaning, and lubrication. - * * proper use : * * train staff to operate the bed correctly, including weight limits and usage guidelines. - * * early detection : * * monitor for any unusual noises, vibrations, or performance issues. - * * preventive replacement : * * consider replacing aging or heavily used motors proactively to avoid unexpected failures. * * to resolve the current issue : * * - * * diagnosis : * * conduct thorough electrical and mechanical tests to identify the exact cause of failure. - * * repair or replacement : * * based on the diagnosis, replace or repair the faulty motor. - * * testing : * * thoroughly test the bed's functionality, including all adjustments and safety features, before returning it to service. @topic:9


# # # issue - bed's headrest cannot be adjusted. # # # impact - inability to adjust the patient's headrest, affecting comfort and potentially hindering medical procedures. # # # possible causes - * * remote control malfunction : * * the newly installed remote control may not be functioning properly. - * * electrical connection issues : * * loose or damaged electrical connections between the remote control, bed, and power source. - * * bed motor failure : * * the motor responsible for adjusting the headrest may have malfunctioned. - * * mechanical obstruction : * * there may be an obstruction preventing the headrest from moving, such as loose bed linens or debris. # # # recommendations - * * test remote control : * * verify that the newly installed remote control is functioning correctly by testing its buttons with another compatible bed. - * * inspect electrical connections : * * check all electrical connections between the remote control, bed, and power source for looseness or damage. - * * diagnose motor function : * * run a diagnostic test on the bed's motor using the manufacturer's instructions to determine if it is operating properly. - * * clear mechanical obstructions : * * inspect the bed and surrounding area for any obstructions that may be interfering with the headrest's movement. @topic:1


# # # issue the connex spot monitor, a vital signs monitor manufactured by welch allyn, is providing inaccurate readings for systolic and diastolic blood pressure, with values lower than expected. # # # impact the inaccurate readings compromise the accuracy of patient monitoring and could lead to delayed or incorrect treatment decisions. # # # possible causes * * 1. calibration issue : * * - incorrect calibration of the device using an inappropriate calibration method or equipment. * * 2. sensor malfunction : * * - damaged or faulty pressure sensor inside the device, leading to incorrect pressure measurements. * * 3. cuff leakage : * * - leaking blood pressure cuff, resulting in loss of pressure and incorrect readings. * * 4. equipment compatibility : * * - compatibility issues between the monitor and the patient cable, causing signal interference and incorrect measurements. # # # recommendations * * 1. recalibrate device : * * - re - calibrate the monitor using the appropriate calibration equipment and method, following the manufacturer's instructions. * * 2. inspect and replace sensor : * * - inspect the pressure sensor for damage or defects. if necessary, replace the sensor with a new one. * * 3. check cuff integrity : * * - examine the blood pressure cuff for leaks or damage. replace the cuff if any issues are found. * * 4. verify compatibility : * * - ensure that the patient cable is compatible with the monitor. if necessary, replace the cable with a compatible one. * * 5. user training : * * - provide training to users on the proper use and handling of the monitor to prevent future issues. @topic:15


# # # issue - hard to press the power button. # # # impact - the monitor cannot be turned on or off properly. - this can lead to delays in patient care or even dangerous situations if the monitor is not able to be turned off in an emergency. # # # possible causes - the power button is worn out or damaged. - the keypad is not properly connected to the monitor. - there is a problem with the monitor's software. # # # recommendations - replace the power button. - reseat the keypad. - update the monitor's software. @topic:2


required. device inside or outside of patient vicinity me device ( lec 60601 - 1 ) 95 ■ r 120i80 : » ii ‘ / rs functional connection equipment outside of patient vicinity it equipment ( lec 60950 ) separlation dfevice, if riecessdry device inside or outside of patient vicinity'^ multiple portable socket outlet mains medically used room 59 [ 3 testing and maintenance ] case 3 : medical device combined with a medicai or non - medicai device with one device in a non - medicaiiy - used room if you combine a medical device with a medical or non - medical device to form a medical electrical system according to lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16 using a common protective earth connection and one of the devices is located in a non - medically used room, additional protective measures are required, e. g. usage of a separation device or additional protective earth connection. the medical electrical devices or it equipment may be located in or outside the patient vicinity. after system installation incl. protective measures, a system test is required to ensure that the resulting equipment leakage current does not exceed the limits of lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + al ed. 3 clause 16. me device ( lec 60601 - 1 ) me device ( lec 60601 - 1 ) mains i separiation dfevice. if hecessdry 7 mains common protective earth i medically used room non - medically used room 60 3 testing and maintenance ] me device ( lec 60601 - 1 ) it equipment ( lec 60950 ) device inside or outside of patient vicinity common protective earth device inside or outside of patient @topic:10


##emetry installation experts. configuring srr channels hardware setting : main setup - > hardware - > srr channel srr channel settings only apply for monitors that have a short range radio interface installed. they must be set to match the hospital ’ s wireless infrastructure. srr channel settings are hardware settings and will typically be set by service personnel at installation. refer to your configuration guide for details. 218 srr channel settings configuration implications channel use this setting to configure the srr channel the monitor should use. srr provides a total of 16 channels in the ism ( 2. 4 ghz ) band. the channels are labeled 11 to 26. up to two srr connections can be established per channel. the ism band is not exclusively reserved for srr applications. it is also used by, for example, wireless lan ( wlan ) and the intellivue telemetry network ( except for the us ). for this reason, depending on the hospital ’ s existing wireless infrastructure, a number of srr channels might already be occupied by other wireless applications. to achieve the best srr performance possible, follow these recommendations : - usage of wlan together with srr may cause interferences. each wlan network uses at least four of the 16 srr channels. if the use of wlan cannot be avoided, limit the number of channels used for the wlan infrastructure to a minimum. - usage of bluetooth devices together with srr may cause interferences. bluetooth devices automatically change channels regardless of whether a channel is already used by another component of the wireless infrastructure and therefore interfere with srr connections. - usage of cordless phones using the ism band in the vicinity of srr devices may cause interferences. - usage of wireless pc keyboards or mice using the ism band in the vicinity of srr devices may cause interferences. to assign srr channels @topic:10


# # # issue the nibp monitor ( dinamap procare 100 ) is displaying error codes e83 and e00. # # # impact the monitor cannot be used to measure blood pressure, which can delay or prevent patient care. # # # possible causes * * * e83 : * * * the pressure cuff is not connected correctly. * the pressure cuff is damaged. * the pressure hose is damaged. * the air compressor is not functioning properly. * * * e00 : * * * the monitor is not calibrated. * the monitor has a hardware fault. # # # recommendations 1. check the pressure cuff connections and ensure that the cuff is not damaged. 2. replace the pressure cuff if it is damaged. 3. replace the pressure hose if it is damaged. 4. check the air compressor and ensure that it is functioning properly. 5. calibrate the monitor if it has not been calibrated recently. 6. contact the manufacturer for support if the monitor has a hardware fault. @topic:15


# # # issue cuff leak on philips intellivue mp20 ( m8001a ) bedside physiologic monitor. # # # impact the patient's blood pressure cannot be accurately measured, which could lead to delayed or incorrect treatment. # # # possible causes * the cuff may have been damaged during use or storage. * the cuff may not be the correct size 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. * inflate the cuff properly according to the manufacturer's instructions. * if the problem persists, contact the manufacturer for further troubleshooting. @topic:3


# # # issue - motor adjustment head is not moving # # # impact - inability to adjust the bed height or position # # # possible causes - motor failure - wiring issue - control board malfunction # # # recommendations - inspect the motor for any visible damage or signs of wear. - check the wiring connections to and from the motor to ensure they are secure and not damaged. - test the control board to verify that it is sending the correct signals to the motor. - if the motor is found to be faulty, it should be replaced. - if the wiring is damaged, it should be repaired or replaced. - if the control board is found to be defective, it should be repaired or replaced. @topic:1


# # # issue - the bed's locking mechanism is not functioning properly, rendering it unusable. # # # impact - the bed cannot be used for patient care, which could disrupt patient care and lead to delays in treatment. # # # possible causes - the locking mechanism could be damaged or worn out. - the locking mechanism could be obstructed by debris or foreign objects. - the locking mechanism could be misaligned. - the locking mechanism could be improperly adjusted. # # # recommendations - inspect the locking mechanism for damage or wear. - clean the locking mechanism to remove any debris or foreign objects. - check the alignment of the locking mechanism. - adjust the locking mechanism as necessary. - if the problem persists, replace the locking mechanism. @topic:6


# # # issue - the cause of failure is not clear. # # # impact - medical devices need to be reliable and functional to provide proper patient care. when medical devices fail, it can have a negative impact on patient safety. # # # possible causes * * the following are some possible causes of failure for medical devices : * * - * * design flaws : * * medical devices may have design flaws that make them prone to failure. these flaws can be caused by inadequate engineering, poor materials, or faulty manufacturing. - * * manufacturing defects : * * medical devices may have manufacturing defects that make them prone to failure. these defects can be caused by improper assembly, poor quality control, or inadequate testing. - * * environmental factors : * * medical devices may be exposed to environmental factors that cause them to fail. these factors include extreme temperatures, humidity, and vibration. - * * operator error : * * medical devices may be used incorrectly by operators, which can cause them to fail. this can be caused by inadequate training, poor documentation, or human error. - * * improper maintenance : * * medical devices may not be properly maintained, which can cause them to fail. this can be caused by inadequate training, poor documentation, or lack of resources. # # # recommendations * * the following are some recommendations for preventing medical device failures : * * - * * use high - quality medical devices from reputable manufacturers. * * - * * follow the manufacturer's instructions for use and maintenance. * * - * * train operators on the proper use and maintenance of medical devices. * * - * * inspect medical devices regularly for signs of damage or wear. * * - * * keep medical devices in a clean and dry environment. * * - * * report any problems with medical devices to the manufacturer and / or the fda. * * @topic:12


# # # issue - broken power plug prong # # # impact - the medical device cannot be plugged into an electrical outlet, rendering it inoperable. # # # possible causes - the power plug prong was bent or damaged during use. - the power plug prong was not properly inserted into the electrical outlet. - the electrical outlet is not functioning properly. # # # recommendations - inspect the power plug prong for damage. if the prong is bent or damaged, it should be replaced. - ensure that the power plug prong is properly inserted into the electrical outlet. - test the electrical outlet to ensure that it is functioning properly. @topic:12


# # # issue - no control box # # # impact - inability to operate the bed - patient safety hazard # # # possible causes - control box was stolen or misplaced - control box was damaged or malfunctioning - control box was not properly installed or connected # # # recommendations - check the hospital's inventory for a replacement control box - contact the manufacturer to order a replacement control box - ensure that the control box is properly installed and connected - train staff on the proper operation and maintenance of the bed @topic:32


# # # issue - * * machine displaying no reading when vitals are acquired * * # # # impact - inability to obtain accurate vitals # # # possible causes - damaged or malfunctioning cuff - loose or disconnected tube connections - faulty sensor in the device - software or firmware issue # # # recommendations - replace the cuff with a new one - check and tighten all tube connections - contact the manufacturer for further diagnostics and repair @topic:5


# # # issue - cuff bp damaged # # # impact - inability to accurately measure blood pressure. # # # possible causes - cuff bp material is worn out. - cuff bp was not properly stored or handled. - cuff bp was used on the wrong patient. # # # recommendations - replace the cuff bp with a new one. - store and handle the cuff bp according to the manufacturer's instructions. - ensure that the cuff bp is used on the correct patient. @topic:3


# # # issue : bed not working # # # impact : patient care is impacted # # # possible causes : - control box missing # # # recommendations : - replace the control box @topic:1


# # # issue the moter used to adjust the head of the electric bed is malfunctioning. # # # impact the bed cannot be adjusted to the desired position, which can be uncomfortable and inconvenient for the patient. # # # possible causes - the moter may be damaged due to wear and tear. - the moter may be receiving insufficient power. - the moter may be incorrectly wired. # # # recommendations - * * check the moter for damage. * * if the moter is damaged, it will need to be replaced. - * * check the power supply to the moter. * * make sure that the moter is receiving the correct voltage and amperage. - * * check the wiring to the moter. * * make sure that the wires are securely connected and that there are no breaks in the wires. @topic:1


, it must be powered correctly, as indicated by lit leds on the front panel. the following table shows the start - up and power on sequences. user action expected result plug the ac power cord or battery ( or both ) into an unpowered monitor. press the on / standby key. the screen displays color bars for about five seconds. the lcd turns off for three seconds and the charging led lights ( when a battery is available ). the philips screen appears and a tone sounds. the date / time menu appears. after you acknowledge the date / time menu, the main screen appears. troubleshooting suresigns vs2 * and vsi service guide 4 - 3 start - up and power sequences user action expected result press the on / standby key on a monitor ( with ac and / or battery ) that is off. the screen displays color bars for about five seconds. the lcd is off for three seconds and the charging led lights ( when battery available ). the philips screen appears and a tone sounds. the main screen appears. software reset ( system or user ). the screen displays color bars for about five seconds. the lcd turns off for three seconds and the charging led lights ( when battery available ). the philips screen appears and a tone sounds. the main screen appears. plug ac into a monitor that is off ( battery only ). press the on / standby key. the screen displays color bars for about five seconds. the lcd turns off for three seconds and the charging led lights ( when battery available ). the philips screen appears and a tone sounds. the main screen appears. press the on / standby key when the monitor is in standby mode ( ac and / or battery ). a tone sounds. the main screen appears. press the on / standby key when the monitor is on ( ac and / or battery ). the philips screen appears and the lcd @topic:16


size 20 kg ) use m1943a or m1943al adaptecable. 1131a use m1943a or 1943al adapteable. m1132a infant finger or toe sensor, 0. 9 m cable e 3 - 10 kg ) yes no use m1943a or m1943al adaptecable. m1133a adult / infant / neonatal, 0. 9 m cable no foot or hand for neonates < 3 kg big toe or thumb for patients between 10 kand 20 kg any finger except thumb for patients > 40 kg use m1943a or m1943al adaptecable. m1134a adhesive - free, adult / infant / neonatal, 0. 9 m cable yes no foot or hand for neonates < 3 kg big toe or thumb for patients between 10 kg and 20 kg any finger except thumb for patients 40 k1not available in the usa nellcor sensors nellcor sensors must be ordered from nellcor / covidien. product number description comments ximax maxa adult finger sensor ( patient size > 30 kg ) es yes m1943a or m1943al oximax maxal oximax maxa with long cable es es pediatric foot / hand sensor ( patient size 10. oximax maxp yes es option a02 : must us1943nl adapter 0 kginfant foot / hand sensor ( patient size 3 - ximax myes es cable. 0 kgoximax maxn adult finger or neonatal foot / hand sensor ( patient size 40 kg or < 3 kg ) yes es 31 39 accessories product number description comments axfast oximax maxr oximax sc - a forehead sensor ( patient size ≥ 10 kg ) adult nasal sensor ( patient size > 50 kg ) adult softcare sensor ( patient size > 40 kg ) noximax scneo - @topic:8


housing and only remove these. 2 use the thin - bladed screwdriver to lift the pins gently out far enough so they can be removed manually. 204 5 repair and disassembly ) 3 remove the two pins and set them aside for refitting. note without these long mounting pins the mse will not function properly. removing the dual link bar the dual link bar consists of three parts as shown below. follow the specific steps carefully to remove the link bar. caution do not try to remove the link bar with force as this can damage the msl flex cable 1 position the mse with the measurement connector hardware facing towards you. 205 [ 5 repair and disassembly ] 2 hold the link bar as shown below while pressing gently on part b, insert a thick - bladed screwdriver between the msl connector and part a. twist the screwdriver to the left and at the same time slide part b to the right, so it is released at the top. 3 repeat step 2 at the bottom. 4 slide part b to the right. if part b fails to move to the side, please repeat steps 2 and 3. 206 5 repair and disassembly ) 5 now the msl flex connector can be moved to the right. note make sure that the movement of the screwdriver does not pinch the msl flex cable. 6 insert the thin - blade screwdriver behind the release mechanism of part c. carefuuy twist the screwdriver, then press gently so that part c drops down. 7 lift part a upwards. it is fixed in a dovetail. be careful with the msl flex. removing the top cover begin by gently puking away the top cover from the mse. the top cover is press - latched at the link bar end. remove it slowly, without hitting or touching the inside of the mse. 207 [ @topic:19


# # # issue - the electric bed ( model uq2000b ) cannot be adjusted up or down. # # # impact - patient care is impacted as the bed cannot be adjusted to the appropriate height for patient comfort and safety. # # # possible causes - * * remote control failure : * * the remote control may be faulty, preventing signals from being sent to the bed. - * * wiring issue : * * there may be damaged or loose wiring between the remote control and the bed. - * * motor issue : * * the motor responsible for adjusting the bed's height may have failed or become jammed. - * * control board issue : * * the control board that receives signals from the remote control and operates the motor may be malfunctioning. # # # recommendations - * * inspect the remote control : * * check the battery, buttons, and connections. replace the remote if necessary. - * * check the wiring : * * inspect the cables and connections between the remote control and the bed. tighten any loose connections or replace damaged cables. - * * test the motor : * * try moving the bed manually to see if the motor is functioning properly. if not, it may need to be repaired or replaced. - * * examine the control board : * * contact the manufacturer or a qualified technician for further troubleshooting and repair of the control board. - * * regular maintenance : * * to prevent similar issues in the future, establish a regular maintenance schedule for the bed, including inspections of the remote control, wiring, motor, and control board. @topic:1


# # # issue - drawer not bouncing back # # # impact - drawer cannot be used properly to store medical supplies and equipment. # # # possible causes - friction in the drawer track due to lack of lubrication # # # recommendations - lubricate the drawer track with wd - 40 or a suitable lubricant, and check if the drawer is able to bounce back smoothly. if the issue persists, further examination of the track and drawer mechanism may be necessary. @topic:21


# # # issue : - cuff is deteriorated. # # # impact : - equipment cannot perform blood pressure measurement. - patient's blood pressure may not be accurately monitored. # # # possible causes : - cuff is old and has lost its elasticity. - cuff has been overinflated or overused. - cuff has been improperly cleaned or stored. # # # recommendations : - replace the old cuff with a new cuff. - inspect the cuff regularly for signs of wear and tear. - do not overinflate the cuff. - clean the cuff according to the manufacturer's instructions. - store the cuff in a cool, dry place when not in use. @topic:3


# # # issue - cuff of the bedside physiologic monitor 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 old or worn out. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - inspect the cuff regularly for signs of damage. - train staff on how to properly use and maintain the cuff. @topic:5


# # # issue - inability to adjust the bed's height # # # impact - difficulty in patient positioning and comfort # # # possible causes - * * internal wiring damage : * * - multiple broken wires within the bed's electrical system - * * faulty electrical components : * * - malfunctioning motor, switch, or control panel # # # recommendations - * * repair : * * replace the damaged wiring and any faulty electrical components. - * * maintenance : * * regular inspections and preventive maintenance to identify and address potential wiring issues before they lead to failure. - * * staff training : * * ensure staff are aware of proper bed operation and maintenance procedures to prevent damage. @topic:1


* * issue : * * - vital signs monitor not functioning properly * * impact : * * - patient's vital signs cannot be accurately monitored - may lead to delays in diagnosis and treatment - could compromise patient safety * * possible causes : * * - ac power plug damaged - loose or faulty electrical connections - internal component failure - software malfunction * * recommendations : * * - replace or repair damaged ac power plug - inspect and tighten all electrical connections - check for and replace any failed internal components - update software if necessary - perform regular preventive maintenance to identify and address potential issues before they cause failure @topic:2


* * issue : * * co2 measurement failure * * impact : * * inability to accurately monitor respiratory function and provide appropriate medical interventions. * * possible causes : * * * * * sensor contamination : * * the sensor may be dirty or contaminated, preventing it from detecting carbon dioxide levels accurately. * * * faulty sensor : * * the sensor itself may be defective or damaged, resulting in incorrect readings. * * * electrical issues : * * loose connections or faulty wiring may interfere with the signal transmission between the sensor and the monitor. * * * calibration error : * * the monitor may not be calibrated correctly, leading to incorrect readings. * * * software errors : * * corrupted or malfunctioning software can disrupt the monitor's ability to process and display data accurately. * * recommendations : * * * * * clean filter : * * ensure the sensor filter is regularly cleaned to remove contaminants and maintain sensor performance. * * * sensor replacement : * * if cleaning the filter does not resolve the issue, the sensor may need to be replaced. * * * electrical inspection : * * inspect wiring and connections to ensure proper signal transmission. * * * monitor calibration : * * calibrate the monitor according to manufacturer's guidelines to ensure accurate readings. * * * software diagnosis : * * perform software diagnostics to identify and resolve any software - related issues. @topic:4


# # # issue - button control failure # # # impact - inability to adjust the bed's position # # # possible causes - faulty button or wiring - malfunctioning control circuit - software bugs # # # recommendations - inspect and test the button and wiring for any defects - examine the control circuit for any burnt or damaged components - update the device software if necessary @topic:7


# # # issue - battery status indicator shows red # # # impact - device may not be able to operate on battery power in the event of a power outage # # # possible causes - loose battery # # # recommendations - ensure that the battery is properly seated in the device @topic:11


# # # issue - central monitor failure # # # impact - inability to monitor patient vital signs - risk to patient safety # # # possible causes - loose plug # # # recommendations - ensure that all plugs are securely connected - regularly inspect equipment for loose connections @topic:2


# # # issue the barcode scanner on the medical cart is reported as malfunctioning, as the drawer is not opening. # # # impact - inability to access medical supplies stored in the drawer. - delay in patient care. # # # possible causes - loose or disconnected wiring or cables connecting the barcode scanner to the drawer. - malfunctioning barcode scanner. - dirty or blocked barcode scanner lens. - damaged drawer mechanism. - software issues. # # # recommendations - inspect the wiring connections between the barcode scanner and the drawer. tighten any loose connections or replace damaged cables. - clean the barcode scanner lens using a soft, lint - free cloth and rubbing alcohol. - inspect the drawer mechanism for any damage or obstructions. lubricate if necessary. - check for software updates or reinstall the software associated with the barcode scanner. - if the issue persists, contact the manufacturer for further assistance. @topic:23


# # # issue - the cause of failure field is filled with an irrelevant message. # # # impact - this makes it difficult for technicians to quickly and easily identify the actual cause of the failure. # # # possible causes - the technician may not have had the necessary information to fill in the cause of failure field. - the technician may have misunderstood the issue and entered an incorrect cause of failure. # # # recommendations - the technician should be provided with clear guidelines on how to fill in the cause of failure field. - the technician should review the device's documentation to ensure that they have a good understanding of the issue. - the technician should consult with a more experienced technician if they are unsure of the cause of failure. @topic:12


# # # issue - equipment : medical cart - model : bdms 01 # # # impact - the medical cart is unable to be used due to a power failure. # # # possible causes - the battery is dead. - the battery is not making good contact with the contacts in the cart. - the battery charger is not working properly. - the power outlet that the cart is plugged into is not working properly. - the power supply to the cart is interrupted. - the cart's power switch is turned off. - the cart's circuit breaker is tripped. - the cart's fuse is blown. # # # recommendations - check the battery level and charge the battery if necessary. - check the battery contacts and make sure they are clean and making good contact with the contacts in the cart. - check the battery charger and make sure it is working properly. - check the power outlet that the cart is plugged into and make sure it is working properly. - check the power supply to the cart and make sure it is uninterrupted. - check the cart's power switch and make sure it is turned on. - check the cart's circuit breaker and make sure it is not tripped. - check the cart's fuse and make sure it is not blown. @topic:13


# # # issue - battery status indicator shows red light despite being charged. # # # impact - incorrect battery status indication may lead to unexpected device shutdown during critical patient monitoring. # # # possible causes - loose battery connection. # # # recommendations - bme technician identified and resolved the issue by securely inserting the battery into the device, resulting in normal battery charging and functionality. @topic:11


# # # issue the issue is that the locking mechanism on the hospital bed is failing, causing the bed to move unexpectedly. # # # impact the impact of this issue is that it could cause injury to patients or staff. if the bed moves while a patient is being transferred, it could cause the patient to fall. if the bed moves while a staff member is cleaning or adjusting it, it could cause the staff member to be injured. # # # possible causes the possible causes of this issue include : - * * loose or missing bolts or screws. * * this is the most common cause of locking mechanism failure. the bolts or screws that hold the locking mechanism in place can become loose or missing over time, causing the locking mechanism to fail. - * * damaged locking mechanism. * * the locking mechanism itself can become damaged over time, making it unable to function properly. this damage can be caused by wear and tear, or by impact from an object. - * * faulty electrical connections. * * the locking mechanism is controlled by an electrical system, and a faulty electrical connection can prevent the locking mechanism from functioning properly. # # # recommendations the following recommendations can help to prevent locking mechanism failure : - * * inspect the locking mechanism regularly. * * the locking mechanism should be inspected regularly for loose or missing bolts or screws, and for any signs of damage. any loose bolts or screws should be tightened, and any damaged components should be replaced. - * * lubricate the locking mechanism. * * the locking mechanism should be lubricated regularly to help reduce wear and tear. - * * use the locking mechanism properly. * * the locking mechanism should always be used when the bed is being moved or adjusted. - * * train staff on how to use the locking mechanism properly. * * staff should be trained on how to use the locking mechanism properly, and on how to inspect @topic:6


# # # issue - the equipment is not displaying a signal. # # # impact - the equipment is not functional and cannot be used to monitor the patient's vital signs. # # # possible causes - the equipment is not properly configured. - the equipment is not connected to the correct patient. - the equipment is not receiving a signal from the patient. - the equipment is malfunctioning. # # # recommendations - check the equipment's configuration. - check the equipment's connections. - check the patient's vital signs to ensure that they are being transmitted to the equipment. - contact the equipment manufacturer if the problem persists. @topic:2


# # # issue - central monitor is showing the incorrect time. # # # impact - incorrect patient monitoring data - delays in patient care # # # possible causes - the central monitor's clock is not set to the correct time. - the central monitor's clock is not synchronized with the hospital's time server. - the central monitor's clock battery is dead. - the central monitor's clock is damaged. # # # recommendations - check the central monitor's clock settings and ensure that they are set to the correct time. - synchronize the central monitor's clock with the hospital's time server. - replace the central monitor's clock battery. - if the above steps do not resolve the issue, contact the manufacturer of the central monitor for further assistance. @topic:29


989803140231 lnop adtx adult sensor ( > 30 kg ) yes no n / a lnop pdt pediatric sensor ( 10 - 50 kg ) yes no 989803140261 lnop pdtx pediatric sensor ( 10 - 50 kg ) yes no n / a lnop inf - l infant toe sensor ( 3 - 20 kg ) yes no 989803140311 lnop neo - l neonatal sensor ( < 3kg ) or adult adhesive sensor ( > 40 kg ) yes no 989803140291 lnop neopt - l neonatal pre - term sensitive skin sensors ( < 1kg ) yes no 989803140301 masimo lncs disposable adhesive sensors. lncs adtx adult finger sensor ( > 30 kg ) yes no 989803148231 lncs pdtx pediatric finger sensor ( 10 - 50 kg ) yes no 989803148241 lncs inf - l infant toe sensor ( 3 - 20 kg ) yes no 989803148251 lncs neo - l neonatal foot sensor ( < 3 kg ) or adult finger sensor ( > 40 kg ) yes no 989803148271 391 37 accessories sp0 2 accessories product number description compatible with : philips part number opt. a01 opt. a02 lncs neopt - l neonatal pre - term sensitive skin sensor ( < 1 kg ) yes no 989803148261 adapter cable for masimo sensors. lnop mp12 lnop mp series patient cable ( 3. 6 m ) adapter cable for masimo lnop sensors yes no 451261000761 lnc mp10 lncs mp series patient cable @topic:8


# # # issue - the medical cart is not turning on. # # # impact - the medical cart cannot be used to transport patients or equipment. - this can delay patient care and cause inconvenience to staff and patients. # # # possible causes - the power cord is not plugged in. - the power switch is not turned on. - the battery is dead. - the circuit breaker has tripped. - there is a loose connection in the wiring. - the motherboard is damaged. # # # recommendations - check that the power cord is plugged in and that the power switch is turned on. - replace the battery if it is dead. - reset the circuit breaker if it has tripped. - inspect the wiring for any loose connections. - if the motherboard is damaged, it will need to be replaced. @topic:13


, consider replacing or upgrading the device to a more reliable model. @topic:12


# # # issue - icon of medical cart bdms 01 is missing. # # # impact - the medical staff may not be able to identify the device or use it effectively, which could lead to delays or errors in patient care. # # # possible causes - software glitch - hardware malfunction - user error # # # recommendations - restart the device. - check the software for updates. - inspect the hardware for any loose connections or damage. - reset the device to factory settings. - contact the manufacturer for support. @topic:13


# # # issue : * * battery replacement failure * * # # # impact : * * bed electric malfunction * * # # # possible causes : - * * incorrect battery type or specifications : * * the batteries used may not be compatible with the bed's electrical system, leading to improper operation. - * * faulty battery installation : * * the batteries may not have been properly connected or may have loose contacts, causing electrical interruptions. - * * damaged battery cells : * * the newly installed batteries may have been defective or damaged during installation, affecting their ability to power the bed. - * * other electrical issues : * * the bed's electrical system may have additional faults that are preventing the new batteries from operating properly. # # # recommendations : - * * verify battery compatibility : * * ensure that the batteries used are of the correct type and specifications for the bed's electrical system. - * * inspect battery connections : * * check all battery connections for tightness and proper alignment to ensure a good electrical contact. - * * test battery health : * * use a battery tester or voltmeter to verify that the newly installed batteries are functioning properly and have sufficient voltage. - * * troubleshoot electrical system : * * if the battery replacement does not resolve the issue, further investigation is required to identify and repair any underlying electrical problems in the bed. @topic:32


# # # issue - the remote control unit of the hill - rom centuris electric hospital bed has failed and needs to be repaired. # # # impact - patients may be unable to control the bed's functions, such as raising and lowering the head and foot sections, which could cause discomfort or inconvenience. # # # possible causes - worn or damaged electrical components in the remote control unit - loose or disconnected wiring within the remote control unit - malfunctioning buttons or switches on the remote control unit # # # recommendations - replace the remote control unit with a new one. - inspect the wiring within the remote control unit for any loose or damaged connections and repair or replace as needed. - clean or replace the buttons and switches on the remote control unit as necessary. - test the remote control unit thoroughly to ensure it is functioning properly before returning it to use. @topic:7


# # # issue : * * cpr swing strap loose * * # # # impact : * * unable to perform cpr effectively * * # # # possible causes : - wear and tear over time - improper tension adjustment - damage or breakage of the strap # # # recommendations : - * * adjust strap tension : * * tighten the cpr swing strap to ensure a snug fit and proper operation. - * * inspect strap : * * check for any signs of damage or fraying. replace the strap if necessary. - * * lubricate bearings : * * apply a small amount of lubricant to the bearings at the pivot points of the strap to reduce friction and improve durability. - * * regular maintenance : * * schedule periodic inspections and maintenance of the bed to prevent similar issues and ensure optimal functionality. @topic:6


# # # issue the electric bed ( bed, electric ) manufactured by hill - rom ( model : 900b ) is malfunctioning. specifically, the bed is unable to adjust its position. # # # impact patients and medical staff may be inconvenienced or even endangered if the bed cannot be adjusted properly. for example, patients may be unable to get in or out of bed, or they may be at risk of falls if the bed is not at the correct height. # # # possible causes the cause of the failure is not explicitly stated in the provided input. however, some possible causes include : - malfunctioning motor - broken or damaged gears - electrical problems # # # recommendations to resolve the issue, the biomedical engineer should : - inspect the bed to identify the source of the problem. - repair or replace any damaged components. - test the bed to ensure that it is functioning properly. @topic:9


# # # * * issue : * * base of the monitor mount has come loose. # # # * * impact : * * - the monitor may not be stable or secure, which could pose a safety hazard to the patient or healthcare provider. - the monitor may not be able to be positioned correctly for optimal viewing, which could affect the quality of patient care. # # # * * possible causes : * * - the base of the monitor mount may not have been properly tightened during installation. - the base of the monitor mount may have been damaged or weakened over time due to wear and tear or mishandling. - the monitor may be too heavy for the base to support. # # # * * recommendations : * * - inspect the base of the monitor mount for any signs of damage or wear and tear. - tighten the screws or bolts that secure the base to the monitor. - if the base is damaged, replace it with a new one. - ensure that the monitor is not too heavy for the base to support. - handle the monitor with care to avoid damaging the base. @topic:12


# # # issue - module mms function spec is faulty. # # # impact - inability to use the physiologic monitor for patient monitoring. # # # possible causes - faulty manufacturing of the module. - damage to the module during transportation or storage. - improper installation or maintenance of the module. # # # recommendations - replace the faulty module with a new one. - inspect the module for any visible damage. - ensure that the module is properly installed and maintained. - retest the monitor to ensure that it is functioning properly before returning it to service. @topic:22


# # # issue - * * faulty power plug : * * the previous power plug was defective and caused the device to malfunction. # # # impact - * * device malfunction : * * the bedside physiological monitor was unable to function properly, potentially affecting patient monitoring and care. # # # possible causes - * * age or wear and tear : * * the power plug may have become damaged over time due to wear or degradation. - * * improper handling : * * the power plug may have been mishandled or disconnected improperly, causing damage. - * * electrical surge : * * a power surge could have damaged the original power plug. # # # recommendations - * * regular inspection : * * regularly inspect power cords and plugs for signs of damage or wear. - * * proper handling : * * handle power cords and plugs carefully to avoid damage. - * * use surge protectors : * * install surge protectors to protect devices from electrical surges. - * * replace defective plugs promptly : * * if a power plug is found to be defective, replace it immediately to prevent further issues. @topic:12


# # # issue sat failure in nibp monitor ( ge healthcare, dinamap pro 300 ) # # # impact - accuracy of blood pressure measurements may be compromised - monitoring of patient's vital signs may be interrupted - delays in diagnosis and treatment # # # possible causes - damage to the sat sensor - faulty wiring or connections - software malfunction # # # recommendations - replace the sat sensor - inspect and repair any damaged wiring or connections - update the device's software - perform regular maintenance and calibration on the device - train staff on proper use and maintenance of the device @topic:15


# # # issue * request for registration # # # impact * delay in use of medical device * inaccurate medical records * potential for patient harm # # # possible causes * incomplete or incorrect documentation * inadequate training of staff * lack of communication between departments * system errors # # # recommendations * ensure that all necessary documentation is complete and accurate before submitting a request for registration. * provide adequate training to staff on the registration process. * improve communication between departments to ensure that all necessary information is shared. * investigate and address any system errors that may be contributing to the problem. @topic:12


# # # issue * cuff of the physiological vital sign monitor is deteriorated. # # # impact * inaccurate or unreliable vital sign readings. * discomfort or injury to the patient if the cuff is too tight or loose. # # # possible causes * * * normal wear and tear : * * the cuff is subjected to repeated use and can become stretched, torn, or frayed over time. * * * improper use : * * the cuff may be put on too tightly or too loosely, which can damage the material. * * * exposure to harsh chemicals or cleaning agents : * * these substances can weaken the cuff's material. # # # recommendations * * * regular inspection : * * check the cuff for signs of wear or damage on a regular basis. * * * proper use : * * ensure that the cuff is fitted correctly and not overinflated. * * * careful cleaning : * * use mild detergents and avoid harsh chemicals or cleaning agents. * * * replacement : * * if the cuff is damaged beyond repair, it should be replaced promptly. @topic:5


# # # issue - vital signs monitor is not working. # # # impact - the patient's vital signs cannot be monitored. - this could lead to delayed or incorrect treatment. # # # possible causes - cuff is not properly connected. - cuff is damaged. - monitor is not turned on. - monitor is not properly calibrated. # # # recommendations - check if the cuff is properly connected. - replace the cuff if it is damaged. - turn on the monitor. - calibrate the monitor. @topic:15


% or 1 bpm, whichever is greater resolution 1 bpm sensors wavelength range : 500 to 1000 nm emitted light energy : < 15 mw information about the wavelength range can be especially useful to clinicians ( for instance, when photodynamic therapy is performed ) pulse oximeter calibration range 70 % to 100 % sp0 2 alarm specifications range adjustment delay s p o 2 adult : 50 to 100 % pedi / neo : 30 to 100 % 1 % steps ( 0, 1, 2, 3,... 30 ) + 4 seconds desat adult : 50 to low alarm limit pedi / neo : 30 to low alarm limit 1 % steps pulse 30 to 300 bpm adult : 1 bpm steps ( 30 to 40 bpm ) 5 bpm steps ( 40 to 300 bpm ) pedi / neo : 1 bpm steps ( 30 to 50 bpm ) 5 bpm steps ( 50 to 300 bpm ) max. 14 seconds tachycardia difference to high limit 0 to 50 bpm 5 bpm steps max. 14 seconds clamping at 150 to 300 bpm 5 bpm steps bradycardia difference to low limit 0 to 50 bpm 5 bpm steps max. 14 seconds clamping at 30 to 100 bpm 5 bpm steps nbp complies with iec 60601 - 2 - 30 : 1999 / en60601 - 2 - 30 : 2000. nbp performance specifications measurement ranges systolic adult : 30 to 270 mmhg ( 4 to 36 kpa ) pedi : 30 to 180 mmhg ( 4 to 24 kpa ) neo : 30 to 130 mmhg ( 4 to 17 kpa ) diastolic adult : 10 to 245 mmhg ( 1. 5 to 32 kpa ) pedi : 10 to 150 mmhg ( 1. 5 to 20 kpa ) neo : 10 to @topic:17


# # # issue - medical cart is indicating a - 1 % battery level. # # # impact - the medical cart may not be able to power medical devices or equipment, which could lead to patient safety issues. # # # possible causes - battery is not properly connected or is faulty. - battery is not charging properly. - electrical issue with the medical cart. # # # recommendations - check the battery connections and ensure they are secure. - replace the battery if it is faulty. - inspect the medical cart for any electrical issues and repair or replace as necessary. @topic:13


# # # issue - equipment : beds, electric - band : huntleigh - model : enterprise 5000 - description : the bed lock cannot be adjusted. # # # impact - the patient may not be able to get in or out of bed safely. - the patient may be uncomfortable or in pain if the bed cannot be adjusted to a comfortable position. # # # possible causes - the remote control is not working properly. - the bed lock is not working properly. - the bed frame is damaged. # # # recommendations - check the remote control to make sure that it is working properly. - check the bed lock to make sure that it is not damaged. - check the bed frame to make sure that it is not damaged. @topic:1


##телю или специалисту по обслуживанию для дальнеишеи диагностики и ремонта в случае необходимости. @topic:25


the main board on the main board assembly. ac power connector ` a r | a® battery board connector ` e repairing the monitor suresigns vs4 service guide 5 - 43 removing the lcd assembly 5 lift the board out of the slot in the metal frame and remove it. removing the lcd assembly caution perform this procedure in a dust - free environment to avoid damage to the lcd display. after replacing the lcd, you must reset the lcd usage hours. for more information about resetting the lcd usage hours, see “ viewing and resetting tracked parameters ” on page 4 - 34. to remove the lcd assembly : step 1 separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 5 - 12. repairing the monitor 5 - 44 suresigns vs4 service guide removing the lcd assembly 2 remove the six torx t10 screws that hold the lcd assembly and frame in place. 3 i lip ssa ribbon cable jj 4 repairing the monitor suresigns vs4 service guide 5 - 45 removing the lcd assembly 5 gently peel the adhesive strip from the lcd frame and lift the wireless board ribbon cable away from the lcd frame to expose the grounding screw. note — save the adhesive strip to use when you reassemble the front panel. 6 remove the grounding screw with a phillips screwdriver. 7 gently peel the membrane switch ribbon cable from the foam adhesive and lift the lcd assembly out of the front case. a om _ ribbon cable repairing the monitor 5 - 46 suresigns vs4 service guide removing the navigation wheel assembly board remove the four phillips screws from the lcd frame. remove the lcd from the lcd frame. removing the navigation wheel assembly board to remove the navigation wheel assembly board : step 1 separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 5 - @topic:19


them to ensure that they are appropriate for your individual patient and their clinical condition. once applied, autolimits are shown on the monitor screen just like manually - set alarm limits. if the autolimits are not appropriate for your patient, you must set alarm limits manually. the limits remain unchanged until the alarm limits pop - up keys appear with the alarm limits and measurement alarm limits windows. 70 3 alarms select the print limits pop - up key to print an overview of all alarm limits on a connected printer. select the record limits pop - up key to send a recording of the alarm limits to a recorder. • you can see which alarms and inops are currently active in the respective alarms and inops fields athe top of the screen. to see the currently active alarms and inops listed in one place, select any of the alarm status areas on the monitor screen. the alarm messages window pops up. all alarms are erased from the alarm messages window when you discharge a patient, or if you n mode. alarm messages window the alarm messages window shows all the currently active alarms and inops sorted by priority, beginning at the top with the most recent. inops are shown on the left hand side and patient alarms are shown on the right hand side. any active red alarms are shown first, followed by yellow alarms. acknowledged alarms or inops are shown with the check mark symbol. the alarm messages window pop - up keys appear when the window is opened. if alarm pause extension is disabled, the pause pop - up keys are inactive ( " grayed - out " ). selecting the review alarms alarms window. if you do not immediately understand an inop or alarm message, refer to its help text. in the alarm messages window, select the message. this calls up a help window with an explanation of the message and, where appropriate, a suggested solution for the problem. • if the alarm or inop @topic:8


# # # issue - equipment malfunction : the medical cart's solenoid mechanism is malfunctioning. # # # impact - the medical cart's drawers cannot be closed securely. # # # possible causes - loose solenoid mounting screws # # # recommendations - ces ( the technician ) tightened the solenoid mounting screws and tested the drawer's open and close function, confirming that the issue has been resolved. @topic:21


# # # * * issue : * * oxygen saturation ( spo2 ) measurement failure on philips intellivue x2 ( m3002a ) patient transport monitor. # # # * * impact : * * accurate and reliable spo2 monitoring is crucial for patient safety, as it provides insight into oxygenation levels. failure to obtain accurate readings can compromise patient care and decision - making. # # # * * possible causes : * * 1. * * loose or damaged sensor cable : * * the connection between the sensor and the monitor may be faulty, leading to intermittent or unreliable readings. 2. * * dirty or obstructed sensor : * * patient movement, moisture, or other factors may obstruct the sensor, preventing it from accurately detecting the oxygenation signal. 3. * * electrical interference : * * electromagnetic noise from nearby equipment or power sources can disrupt the sensor's signal. 4. * * faulty sensor : * * the sensor itself may be defective, leading to incorrect or no readings. 5. * * software or firmware issue : * * bugs or glitches in the monitor's software or firmware can affect sensor functionality. 6. * * hardware malfunction : * * internal components within the monitor may have failed, impacting sensor operation. # # # * * recommendations : * * 1. * * inspect and secure the sensor cable : * * ensure the cable is properly connected and free from damage. 2. * * clean and reposition the sensor : * * gently clean the sensor and position it on the patient's finger or earlobe, ensuring proper alignment. 3. * * check for electrical interference : * * identify and eliminate any potential sources of electromagnetic noise near the monitor. 4. * * consider replacing the sensor : * * if cleaning does not resolve the issue, the sensor should be replaced. 5 @topic:4


# # # issue - equipment : electric bed - brand : huntleigh - model : enterprise 8000 - problem : bed cannot be adjusted # # # impact - patients may not be able to get into or out of bed safely. - caregivers may be injured trying to move patients in and out of bed. # # # possible causes - the ac cord may be damaged. - the power outlet may not be working. - the bed motor may be malfunctioning. - the bed frame may be bent or broken. # # # recommendations - replace the ac cord. - check the power outlet. - test the bed motor. - inspect the bed frame for damage. @topic:1


# # # issue - the bed is not able to move up or down. # # # impact - the patient cannot be properly positioned for medical procedures. - the healthcare staff cannot access the patient easily. - the bed is not safe for the patient to use. # # # possible causes - the bed's electrical system is not functioning properly. - the bed's mechanical system is not functioning properly. - the bed's hydraulic system is not functioning properly. - the bed's controls are not functioning properly. - the bed's software is not functioning properly. # # # recommendations - check the bed's electrical system for any loose connections or damaged wires. - check the bed's mechanical system for any loose or damaged parts. - check the bed's hydraulic system for any leaks or blockages. - check the bed's controls for any loose or damaged buttons or switches. - check the bed's software for any updates or patches that may be needed. @topic:1


# # # issue - battery replacement on philips intellivue mp40 ( m8003a ) patient transport monitors. # # # impact - the patient transport monitors are unable to operate without a functioning battery. this could lead to delays in patient care or even patient harm if the monitors are not able to provide critical information during transport. # # # possible causes - the battery has reached the end of its lifespan. - the battery is not properly connected to the monitor. - there is a problem with the monitor's charging system. # # # recommendations - replace the battery with a new one of the same specifications ( 10. 8v 6ah x 2 ). - ensure that the battery is properly connected to the monitor. - inspect the monitor's charging system for any problems. @topic:11


# # # issue - failed to open the drawer and the program displays the key shape. # # # impact - unable to access medical supplies stored in the drawer. - potential delay or disruption in patient care. # # # possible causes - solenoid ( electromagnet that controls the drawer lock ) is stuck due to friction or wear. - misalignment of the keyhole on the back of the device. # # # recommendations - * * immediate actions : * * - inject wd - 40 or a similar lubricant into the solenoid to reduce friction. - manually adjust the keyhole alignment by rotating or repositioning the device. - * * preventive measures : * * - regularly inspect the solenoid and keyhole for signs of wear or misalignment. - apply lubricant to the solenoid periodically to prevent friction. - ensure proper alignment during device installation and maintenance. @topic:21


# # # issue : - railings are not locking properly # # # impact : - patient safety risk - inconvenience during patient care # # # possible causes : - spring is worn out or damaged - locking mechanism is malfunctioning - railings are misaligned # # # recommendations : - replace the spring - inspect and repair or replace the locking mechanism - realign the railings and ensure they fit securely @topic:6


e e 4 - 1 start - up sand : power - sequences dieen n a a pmg r ru bee tang se, se aa ee 4 - 2 troubleshooting tables. ic. s2. ccccsccc. eecccsace r a cide vevdueteds ceveesgs de tentes a i ie i 4 - 3 power provlemset ata tert atari se atel a esta ae mah teeth e aes 4 - 4 display problems ’, sic. cscccscccevescedecevsseidecestverien sesso de dace vgedaden dee secon deta tute a e een ee er 4 - 4 alann prodlemises : tii ssencescseentue item a eeee a e hare eeteare 4 - 5 inbp problems ’ a esis onr sie eg kick a e estan cs a r eos sees 4 - 6 temperature measurement problems............... cccsccecceseceseeseceeceecesceseeneceseeeeeeseecaecaeesaecseeaeenseeeenseens 4 - 7 spo > ; measurement problems : ni aneri ini aee hole isin ein as thai oi ees mie re 4 - 8 navigation wheel, touch screen, and key problems............. ccccceccessceseeeseecceseeeseescecaeceeeseenseeseens 4 - 9 recorder problems inresa iniru es oe outa et a sages rape shee veges a speed oa rea gas chet 4 - 9 nurse ; callsproblemsy.. cio : ae a aa e aee a en tete, @topic:10


# # # issue - the telemetry electrocardiography monitor is not working properly. # # # impact - the monitor cannot be used to monitor patients'heart rhythms. # # # possible causes - the monitor's telemetry frequency was set incorrectly. # # # recommendations - the monitor's telemetry frequency should be set to the correct value. @topic:18


# # # issue - the bed, electric from huntleigh ( model : contoura 360 ) has been reported as failed. - the cause of failure is identified as " loaned to 12d room 10 ". # # # impact - the bed is not available for use in its intended location, which may disrupt patient care. - the hospital may have to rent or purchase a replacement bed, which could lead to additional costs. # # # possible causes - the bed was not properly maintained or serviced. - the bed was used in a manner that was not intended, such as being overloaded or moved without proper care. - the bed was damaged during transport or storage. - a component of the bed failed due to normal wear and tear or a manufacturing defect. # # # recommendations - the bed should be inspected by a qualified technician to determine the exact cause of failure. - the bed should be repaired or replaced as necessary. - the hospital should review its policies and procedures for maintaining and using medical equipment to prevent similar failures from occurring in the future. - the hospital should consider implementing a tracking system for medical equipment to ensure that it is properly accounted for and used in its intended location. @topic:9


# # # issue - battery change failure # # # impact - the device may not be able to function properly without a working battery. - this could lead to delays in patient care or even patient safety issues. # # # possible causes - the battery may not be compatible with the device. - the battery may not be properly installed. - the battery may be damaged. - the device may be malfunctioning. # # # recommendations - first, check that the battery is compatible with the device. - second, make sure that the battery is properly installed. - third, check for any damage to the battery. - if the battery and installation are correct, then the device may be malfunctioning and should be sent for repair. @topic:11


* * issue : * * monitor, central station not working due to no power to red plug. * * impact : * * - interruption of patient monitoring. - loss of critical patient data. * * possible causes : * * - loose or damaged red plug connection. - faulty wiring or circuit board. - power supply failure. * * recommendations : * * - check and tighten the red plug connection. - inspect the wiring and circuit board for any visible damage or loose connections. - contact the manufacturer or a qualified technician to diagnose and repair the faulty component. @topic:2


27 ) temp module malfunc ( 27 ) battery or power supply voltage exceeds maximum value. replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 867 ( 28 ) temp module malfunc ( 28 ) battery or power supply voltage below minimum value replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 867 ( 47 ) temp module malfunc ( 47 ) internal calibration resistor ( rcal ) on the board is damaged. shut down and restart the monitor. if the problem persists, replace the suresigns vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 48 ) temp module malfunc ( 48 ) internal calibration resistor ( rcal ) is damaged. shut down and restart the monitor. if the problem persists, replace the suresigns vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 49 ) temp module malfunc ( 49 ) internal circuit validation resistor ( ptb ) is damaged. shut down and restart the monitor. if the problem persists, replace the suresigns vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 50 ) temp module malfunc ( 50 ) internal circuit validation resistor ( ptb ) is damaged. shut down and restart the monitor. if the problem persists, replace the suresigns vm4 temperature module. see “ removing the suresigns vm4 temperature module ” on page 8 - 8. 867 ( 51 ) temp module malfunc ( 51 @topic:22


. dischrge patient - to discharge the patient without printing any reports. removing a monitor stops using the monitor for the current patient and frees up the monitor anclears the patient demographics in the monitor. erases all patient measurement data ( such as trend, event, and calculation data ) from the monitor and devices assigned to the monitor. this ensures that data from a previous patient are not mixed with data from a new patient. resets all monitor and measurement settings as well as the active screen to the settings defined in the default profile. if the monitor is locked to the bed and is connected to an information center, the remove function is not available and you will have to discharge the patient. to remove a monitor open the equipment window - either directly in main setup or by selecting the bed label in the information line. 1 select the monitor. 2 select the remove monitor pop - up key3 new patient check the monitor can be configured to ask you whether a new patient is now being monitored in certain situations : after a specified power - off period. after a specified standby period • 110 5 managing patients and equipment when no basic vitals ( hr, rr, pulse, spo2, nbp ) have been measured for a specified period the pop - up window is entitled is this a new patient?. the monitor offers a yes key to stop monitoring for the previous patient and begin monitoring a new patient and a no key to continue monitoring with the current patient data and settings. the time periods for the three conditions can be configured independently. to save you from having to enter the same patient data multiple times and enable patient transfer without loss of data, information can be shared between multi - measurement modules ( mms ), patient formation centers. patient demographic information is shared between connected mmss, patient monitors, and information centers measurement settings and calibration data can be uploaded from an mms to a patient @topic:10


# # # issue - the bed is not adjustable. # # # impact - the patient may not be able to be positioned comfortably or safely. - the healthcare team may not be able to perform procedures or treatments effectively. # # # possible causes - the remote control is not working properly. - the wiring harness is damaged. - the motor is not functioning properly. - the control board is not functioning properly. # # # recommendations - check the remote control batteries and replace them if necessary. - inspect the wiring harness for any damage and repair or replace as necessary. - test the motor by applying power directly to it. if the motor does not run, it will need to be replaced. - inspect the control board for any damage or loose connections. if the control board is damaged, it will need to be replaced. @topic:1


# # issue - bed is not adjusting # # impact - patient discomfort - difficulty providing care - potential for injury # # possible causes - damaged wiring - faulty motor - obstructed sensors # # # recommendations - inspect wiring for damage and repair or replace as needed - test motor for proper operation - check for any obstructions in the sensor path and remove them - refer to the manufacturer's instructions for specific troubleshooting and repair procedures @topic:1


# # # issue - the medical cart's screen reboots due to continuous use without rest. # # # impact - the medical cart may be unavailable for use until it is rebooted. - the reboot may cause data loss or corruption. # # # possible causes - the medical cart is being used for extended periods of time without being turned off. - the medical cart's software is not up to date. - the medical cart's hardware is malfunctioning. # # # recommendations - turn off the medical cart when it is not in use. - update the medical cart's software regularly. - contact a biomedical engineer to inspect the medical cart if it continues to reboot. @topic:13


# # # issue - cuff bp nihon adult is deteriorated. - velcro is damaged, causing the cuff to not stay on the patient's arm. # # # impact - blood pressure measurements may be inaccurate or unavailable. - patient discomfort. # # # possible causes - cuff bp nihon adult is old and worn. - velcro has been damaged due to excessive use or improper care. - damaged cuff bp nihon adult been used by multiple patients # # # recommendations - replace the cuff bp nihon adult with a new one. - inspect the cuff bp nihon adult regularly for signs of wear and tear. - clean the cuff bp nihon adult according to the manufacturer's instructions. - instruct staff on proper use and care of the cuff bp nihon adult. @topic:3


# # # issue - battery drain # # # impact - device malfunction, reduced usage time # # # possible causes - battery wear and tear - inadequate charging # # # recommendations - replace battery - ensure proper charging practices @topic:11


example, by severe cardiac arrhythmia. save average c. o. values. to close a measurement series, you must save the average values by selecting the pop - up key save c. o.. this sends the average c. o. numeric to be displayed on thmain screen, and stores the averaged values in the trends and calculations databases. 3 documenting c. o. measurements you can document c. o. measurements on the default printer or recorder. 1 in the procedure window, select the pop - up key print / record. from the pop - up list, choose : 2 print results to print the contents of the procedure window record results to record the contents of the procedure window record trial to send an individual trial curve to the recorder. - the greater the injectate volume and the colder the temperature, the more accurate the measurement. reduced injectate volume or higher injectate temperature may reduce the specified accuracy. for adult patients, to ensure the greatest measurement accuracy, use a cold injectate ( < 8°c ) of 10 ml volume, if not contra - indicated by the patient's condition. your choice of injectate volume should be based on the injectate temperature and the patient's cardiac output. guidelines for right heart thermodilution c. o. injectate if you are using the right heart thermodilution method, the use of injectate with a temperature less than 8°c lower than the blood temperature may cause incorrect values for the thermodilution. guidelines for picco c. o injectate if you are using the picco method, the use of injectate with a temperature that is not at least 12°c lower than the blood temperature may cause incorrect values for the thermodilution and cco 35 13 monitoring cardiac output injectate volume, patient weight and @topic:17


# # # issue - inability to adjust bed - malfunctioning control box # # # impact - impaired patient mobility - reduced patient comfort and safety - increased workload for nursing staff # # # possible causes - power supply issue - faulty control box - wiring problems - software glitches # # # recommendations - * * power supply check : * * verify that the electrical outlet is functioning properly and that the bed is securely plugged in. - * * control box troubleshooting : * * replace the control box with a known - working unit to isolate the issue. if the problem persists, the control box may need to be repaired or replaced. - * * wiring inspection : * * examine the wiring harness for any breaks, loose connections, or insulation damage. repair or replace damaged wires as necessary. - * * software update : * * if available, update the software on the control box to resolve potential glitches. - * * contact manufacturer : * * if the above steps do not resolve the issue, contact the equipment manufacturer for further support and potential warranty coverage. @topic:1


# # # issue - malfunctioning spo2 sensor cable # # # impact - incorrect or unreliable spo2 readings - patient monitoring accuracy compromised - potential patient safety risks # # # possible causes - broken or damaged spo2 cable wires - loose connections or poor contact between cable and sensor - cable insulation issues - exposure to liquids or other contaminants # # # recommendations - replace the faulty spo2 cable with a new one - ensure proper connection between cable and sensor - inspect cable for any visible damage or defects - handle and store cable carefully to prevent damage - regularly inspect and maintain spo2 monitoring system and peripherals - train staff on proper handling and maintenance procedures - consider using wireless spo2 sensors to reduce cable - related issues @topic:4


# # # issue - cuff leak # # # impact - inability to accurately measure vital signs ( e. g., blood pressure, heart rate, oxygen saturation ) - potential for inaccurate readings and delayed or inappropriate treatment - increased risk of adverse patient outcomes # # # possible causes - cuff damage ( e. g., tears, punctures ) - improper cuff placement or sizing - cuff deterioration due to age or usage - valve malfunction in the cuff or connecting tubing - air leak in the cuff or connecting tubing # # # recommendations - * * immediate : * * replace the cuff with a new or known - working one. recalibrate the device if necessary. - * * short - term : * * inspect the cuff and connecting tubing for damage. ensure proper cuff placement and sizing. - * * long - term : * * establish a regular maintenance schedule for all vital signs monitors and accessories. train staff on proper cuff use and maintenance. - * * consider : * * using a cuffless blood pressure monitor, if available, to reduce the risk of cuff - related failures. - * * further investigation : * * if the issue persists despite replacing the cuff, inspect the device for any underlying electrical or mechanical faults. @topic:3


filter mats the air filters are located on the right and left side of the battery conditioner. perform the procedure below for each side. 1. remove the 2 screws securing the filter cover and take off the cover. 2. remove the filter mat and clean the dust out by shaking. 3. re - insert the mat and refit the cover and screws. replacing the fan 1. turn the battery conditioner upside down and remove the 5 screws at the bottom with a t20 screwdriver. 183 2. lift the bottom cover up at the front and pull it off. 3. unplug the fan connector from the main board. 184 5. when replacing the fan make sure the connector is plugged in correctly as shown in the photograph below. e | nr 185 parts note - for part numbers of interconnecting cables, please consult the site preparation and installation instructions sections. for network - related parts, please see the m3185a philips clinical network documentation. x2imp2 handle kit 451261021051 x2 / mp2 handle kit m3002 - 64100 ( mp2 & x2 ) branding covers included ) 187 x2 / mp2 exchange parts 188 exchange and replacement parts 6 parts exchange and replacement parts 8 451261020901 x2 / mp2 main board m3002 - 68550 15 451261020921 x2 / mp2 msl power board m3002 - 68580 2 451261020751 ecg - 5id / fast spo2 pca m3001 - 68557 451261020771 ecg - 5ld / masimo set spo2 pca m3001 - 68553 26 451261020811 ecg - 121d / fast spo2 pca m3001 - 68559 26 451261020 @topic:19


telemetry device to the same patient, resulting in the information from both devices being combined in one sector at the information center. this is called " pairing " and when a telemetry device and a monitor are paired, the measurement data from the telemetry device will be displayed on the monitor screen. any philips telemetry device ( only for indirect connections, see below ). • a trx / trx + intellivue telemetry system transceiver. • an x2 multi measurement module with a telemetry interface, declared as a telemetry device and with a telemetry equipment label. • for complete user information, including accessory listings and specifications, for the m4841a / m4851a trx / trx + intellivue telemetry transceiver, refer to the instructions for use provided with the device. how can you combine devices? with an indirect connection, using standard telemetry transmission - the data are sent to the monitor via the information center and arrive with a delay of several seconds at the monitor. with a direct connection to the monitor an x2 is connected via msl cable to the monitor, or - a telemetry transceiver with a short range radio adapter is assigned to an x2 which is connected ( companion mode ) to an mx400 / 450, mx500 / 550, or mx600 / 700 / 800 host monitor the data arrive with a minimal delay on the monitor screen. indirect connection - manual pairing the telemetry device can be paired with the monitor at the information center or at the monitor. for detailed information regarding pairing and configuration at the information center, see the information center instructions for use. to pair the monitor with a telemetry device at the monitor : select main setup then measurements 1 307 22 using a telemetry device and a monitor ( piic only ) @topic:10


# # # issue - the medcart program displays a key icon due to an incorrect alignment of the rear keyhole. # # # impact - the medical cart cannot be used as intended. # # # possible causes - the keyhole on the rear of the medical cart is misaligned. # # # recommendations - realigns the rear keyhole to the correct position. - tests the medical cart to ensure proper functionality after realignment. @topic:27


# # # issue - power supply and battery failure # # # impact - the device may not be able to function properly, which could lead to patient safety risks. # # # possible causes - age of the device - overuse of the device - lack of proper maintenance # # # recommendations - replace the power supply and battery as soon as possible. - perform regular maintenance on the device to ensure that it is functioning properly. - train staff on the proper use of the device to prevent overuse and damage. @topic:11


# # # issue - broken iv pole # # # impact - the broken iv pole poses a safety hazard to patients and staff, as it could fall and cause injury. additionally, the broken pole may not be able to support the weight of iv bags, which could lead to medication errors. # # # possible causes - the pole was not properly assembled or installed. - the pole was overloaded with weight, either from iv bags or other equipment. - the pole was made of a defective material that failed under normal use. - the pole was not properly maintained, leading to corrosion or other damage. # # # recommendations - ensure that the pole is properly assembled and installed according to the manufacturer's instructions. - limit the weight that is placed on the pole to the manufacturer's specified capacity. - inspect the pole regularly for any damage or defects. - use a different type of pole that is more durable or that can better support the weight of iv bags. @topic:12


# # # issue - the remote control for the electric bed is not functioning correctly. # # # impact - patients may not be able to adjust the bed's position, which could lead to discomfort or pain. - nurses and other healthcare staff may have to manually adjust the bed, which could be time - consuming and inefficient. # # # possible causes - the remote control may be damaged or malfunctioning. - the batteries in the remote control may be dead. - the wireless receiver in the bed may be damaged or malfunctioning. - there may be a problem with the wiring or electrical connections between the remote control and the bed. # # # recommendations - replace the remote control. - replace the batteries in the remote control. - test the wireless receiver in the bed. - check the wiring and electrical connections between the remote control and the bed. @topic:7


wheel speaker the speaker is driven by an amplifier and audio codec that interfaces to the ^ processor. the speaker provides the monitor ’ s audio during alarm conditions. the ^. processor outputs different audio tones specified by different alarm priorities and conditions. navigation wheel the navigation wheel is a rotating, push - switch wheel. the associated wheel circuitry generates a pulse when pressed and generates a digitally encoded pair of quadrature signals whose relative magnitudes and polarities represent the angular position of the wheel. these outputs are connected to the ^ processor where they are interpreted as required for the functions involved. successive angular positions determine the direction of wheel rotation. in addition to the functions performed in conjunction with the keypad, the wheel operates in conjunction with the display to select menus and lists of parameter variables. a - 6 theory of operation block diagram components power supply module the suresigns vm patient monitor contains a medical grade power supply module and circuitry that converts ac lines ( 100 - 240v ) to dc ( 15v ). power consumption is 75 va. power management the power management module contains : • li + battery - 11. 1 v - 7200 mah • smart battery charger • 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. recorder the recorder contains these components : • digital thermal head array assembly • printing width - 48mm on 58mm paper - resolution : time axis = 16 dots / mm at the speed of < 25mm / sec, 8 dots / mm at 50 mm / sec voltage axis = 8 dots / mm • motor ( paper drive ) and driver circuitry • paper out / door open detector • select @topic:10


# # # issue - monitor battery failure # # # impact - monitor may not be able to operate without a functioning battery. # # # possible causes - battery may have reached the end of its service life. - battery may have been damaged. - battery may not be properly connected. # # # recommendations - replace the battery. - inspect the battery for damage. - ensure that the battery is properly connected. @topic:11


# # # issue - equipment : vital signs monitor ( philips suresigns vs4 ) - symptom : not connecting to wi - fi # # # impact - inability to remotely monitor patient vitals - potential for data loss or inaccuracy # # # possible causes - * * wi - fi network issues : * * - weak signal strength - incorrect network configuration - * * monitor hardware issues : * * - faulty wi - fi module - software glitches - * * user error : * * - incorrect wi - fi credentials entered - monitor not placed in an area with adequate wi - fi coverage # # # recommendations - * * troubleshooting wi - fi network : * * - verify signal strength and network connectivity - reset router or contact it support - * * verifying monitor settings : * * - ensure wi - fi is enabled on the monitor - check wi - fi credentials - perform a factory reset if necessary - * * checking monitor hardware : * * - inspect wi - fi module for any visible damage - contact manufacturer or authorized service provider for repairs or replacements - * * training staff : * * - provide clear instructions on proper wi - fi setup and monitor usage - establish regular maintenance procedures to prevent similar issues @topic:16


soon as the connection is established or restored. if a previously stored 12 - lead ecg is waiting to be sent to the information center, it will be overwritten when a new 12 - lead ecg is stored and can then not be sent to the information center. 47 6 ecg, arrhythmia, st and qt monitoring print a dedicated 12 - lead ecg report by selecting the print report pop - up key. when you are working with an information center ix that provides 12 - lead analysis, the report contains the 12 - lead analysis results as well as measurement values ( e. g. st values, qt values, hr ) which are also downloaded from the information center ix. if you work with an information center which does not provide any 12 - lead analysis results, the report only contains the measurement values. in this case, however, the values are based on the real - time measurements made at the bedside. consequently, the measurement values in the report might differ in the two cases, due to the slightly different algorithm approaches of patient monitor ( real - time measurement ) and information center ix ( diagnostic interpretation of 12 - lead capture ). downloading analysis results ( piic ix only ) download analysis results from the intellivue information center by selecting show analysis. return to the previous screen by selecting hide analysis. reviewing previewed or stored 12 - lead captures to view 12 - lead captures previewed or stored on the monitor or 12 - lead captures stored at the intellivue information center ( piic ix only ), select review 12 lead. you can then select from a list of 12 - lead captures available for the current patient. the 12 - lead captures in the list may be marked with a symbol, for example an open or closed padlock to indicate unlocked or locked status or a * to indicate preview status. information center remote export ( piic ix only ) @topic:8


# # # issue - bedside, physiologic monitor ( philips intellivue mp70 ( m8007a ) ) displayed ekg lead failure. # # # impact - ekg readings were unreliable or unavailable. # # # possible causes - * * faulty ekg lead wire. * * the lead wire could have been damaged or frayed, causing poor signal transmission. - * * loose connection. * * the lead wire may not have been securely connected to the monitor or the patient. - * * electromagnetic interference. * * nearby electrical equipment could have interfered with the ekg signal. # # # recommendations - * * replace the ekg lead wire : * * the old lead wire was deemed defective and replaced with a new one. - * * ensure proper connection : * * make sure the lead wire is firmly connected to both the monitor and the patient. - * * minimize electrical interference : * * identify and eliminate any potential sources of electromagnetic interference in the vicinity of the monitor and the patient. @topic:18


* * issue * * * equipment failure * * impact * * * inability to measure spo2 ( oxygen saturation ) * delayed diagnosis and treatment * patient safety * * possible causes * * * faulty spo2 sensor or cable * malfunction of the device * user error * * recommendations * * * inspect the spo2 sensor and cable for damage or defects. * perform a test to verify the functionality of the device. * ensure proper training of users on the operation of the device. * replace faulty components as necessary. * calibrate the device regularly to ensure accurate measurements. @topic:4


# # # issue - medical cart key cannot be inserted due to misalignment of the keyhole sensor. # # # impact - inability to access or use the medical cart, potentially delaying or hindering patient care. # # # possible causes - misalignment of the keyhole sensor, preventing it from detecting the key properly. # # # recommendations - adjust the keyhole sensor to ensure proper alignment with the key, allowing for smooth insertion and operation of the medical cart. @topic:27


# # cause of failure : bed side rail loose # # # issue - bed side rail is loose, posing a safety hazard to patients and staff. # # # impact - patients may accidentally fall out of bed, resulting in injuries. - staff may be injured while assisting patients in and out of bed. # # # possible causes - worn or damaged screws or bolts - loose or missing nuts - improper installation or assembly - excessive force applied to side rails - structural damage to bed frame or side rail brackets # # # recommendations - inspect side rails regularly for loose screws, bolts, or nuts. - tighten or replace loose hardware as needed. - ensure that side rails are correctly installed and assembled according to manufacturer's instructions. - handle side rails with care and avoid excessive force. - report any structural damage to the bed frame or side rail brackets to the maintenance department. - train staff on proper handling and adjustment of bed side rails to prevent further loosening. - consider purchasing side rails with anti - loosening mechanisms or locking features for enhanced safety. @topic:6


# # # issue - the telemetric electrocardiography monitor ( philips m2601b ) is not powering on. # # # impact - the monitor is essential for monitoring patient's electrocardiogram ( ecg ) in real - time. - without a functioning monitor, healthcare professionals may not have access to critical patient data, potentially delaying diagnosis and treatment. # # # possible causes - power supply failure - malfunctioning board power supply - electrical connection issues - hardware defect in the monitor # # # recommendations - * * power supply check : * * ensure that the monitor is properly plugged into a functioning power outlet and that the power cord is not damaged. - * * board power supply replacement : * * if the board power supply has been replaced, verify that it is compatible with the monitor and that it is correctly installed. - * * electrical connection inspection : * * inspect all electrical connections within the monitor, including cables, connectors, and fuses, for any loose or damaged components. - * * hardware diagnosis : * * if the above steps fail to resolve the issue, it may be necessary to perform a hardware diagnosis to identify the specific component that has failed. this may involve disassembling the monitor and testing individual components using specialized equipment. @topic:16


# # # issue - the patient transport monitor is unable to measure blood pressure. # # # impact - the monitor cannot be used to monitor the patient's vital signs, which could lead to a delay in diagnosis and treatment. this could have a negative impact on the patient's health. # # # possible causes - the blood pressure cuff is not connected properly. - the blood pressure sensor is faulty. - the monitor's software is not working properly. - the monitor's hardware is not working properly. # # # recommendations - check to make sure that the blood pressure cuff is connected properly. - replace the blood pressure sensor. - update the monitor's software. - contact the manufacturer for assistance. @topic:15


# # # issue - motor failure # # # impact - inability to adjust the height of the bed, which can affect patient comfort and safety # # # possible causes - prolonged use without proper maintenance - overload due to excessive weight on the bed - electrical malfunction # # # recommendations - regular maintenance and inspection of the motor and other components - ensuring that the bed is not overloaded - troubleshooting the electrical system to check for any malfunctions @topic:9


# # # issue - battery failure # # # impact - interruption of patient monitoring # # # possible causes - battery reached end of life - battery not properly installed - battery not compatible with device # # # recommendations - replace battery with new compatible battery - ensure battery is properly installed - check battery compatibility with device @topic:11


# # # issue - worn cuff # # # impact - incorrect vital signs readings - patient discomfort - device malfunction # # # possible causes - normal wear and tear - improper cleaning or maintenance - excessive use # # # recommendations - regularly inspect the cuff for any signs of wear or damage. - clean the cuff according to the manufacturer's instructions. - replace the cuff if it shows any signs of deterioration. - train staff on the proper use and maintenance of the device. @topic:5


patient for 24 hours. 244 preparing to monitor with the ml021a wide module 17 monitoring intravascular oxygen saturation • if any significant change in light intensity occurs that the monitor cannot correct automatically. setting up the in - vivo calibration check for : • proper positioning of the catheter in the patient. • relatively stable oxygen saturation in patient. • that the sv0 2 light intensity indicator covers at least two divisions above the midpoint. making the in - vivo calibration 1 be prepared to draw a blood sample from the patient. 2 in the setup sv0 2 menu, select start in - vivocal. 3 to clear the distal lumen, draw off and discard at least 2 ml of blood before taking the sample. 4 draw a blood sample from the distal port of the catheter and flush the line according to standard hospital practice. 5 obtain laboratory analysis of the sample using direct measurements. 6 select calibrationvalue and select from the list the value received from the lab. 7 complete the calibration by selecting store in - vivocal ( even if the stored calibration value did not change ) and select confirm. this updates the data stored in the optical module. selecting recall previousc recalls the previously stored calibration value. if the calibration fails, check that the light intensity indicator is indicating a stable medium to high level. repeat the calibration. 245 17 monitoring intravascular oxygen saturation preparing to monitor with the ml oil a narrow module preparing to monitor with the ml oil a narrow module in addition to the module, you need a philips so 2 optical module and a compatible fiber optic probe or catheter. use only the accessories listed as applicable for the intended measurement location in the accessories section. connecting the optical module 1 connect the optical module to the s0 2 module. allow the optical module to warm up before you @topic:17


# # # issue - * * bed not adjusting * * # # # impact - * * patient discomfort and safety * * - * * delayed or interrupted patient care * * # # # possible causes - * * remote control cable loose or disconnected * * - * * malfunctioning remote control * * - * * electrical issue with bed motor * * - * * software issue with bed controller * * # # # recommendations - * * troubleshooting : * * - connect the remote control cable securely. - replace the remote control if necessary. - check for loose electrical connections or damaged wires. - * * repair : * * - contact the manufacturer or a qualified service technician to repair the bed motor or controller. - * * preventive maintenance : * * - regularly inspect the bed and remote control for any signs of damage or wear and tear. - clean and maintain the bed according to the manufacturer's instructions. @topic:7


# # # issue - cuff damage - missing connecting head # # # impact - inability to measure blood pressure # # # possible causes - cuff deterioration due to prolonged use or improper handling - misplacement or loss of connecting head # # # recommendations - replace damaged cuff - locate and reattach missing connecting head - perform thorough inspection and testing of device to ensure proper functionality @topic:3


window ♦ to open the window, in the setup eeg menu, select show montage, or select the eeg montage smartkey. the window may be configured to look slightly different on your monitor. electrode locations on the patient ’ s head. the symbols represent the electrode - to - skin impedance. wiring and impedance values for the selected montage i eeg impedance / montage x + - - + eeg 1 eeg 2 1 1 lrnhm 1 1 imp. limit : 5kohm ■eeg 1 : f3 - p3 eeg 2 : f4 - p4 montage a 250 using the eeg impedance / montage window 18 monitoring eeg choosing an eeg electrode montage 1 to activate one of the five pre - configured electrode montages, select the arrow beside the label in the eeg impedance / montage window and choose a montage from the list. 2 attach the electrodes as illustrated in the eeg impedance / montage window. the five default electrode montage configurations can be modified and renamed in configuration mode. montage name eeg1 + eeg1 - label 1 eeg2 + eeg2 - label2 montage a fpl t3 fpl - t3 fp2 t4 fp2 - t4 montage b ol t3 01 - t3 02 t4 02 - t4 montage c f3 c3 f3 - c3 f4 c4 f4 - c4 montage d c3 p3 c3 - p3 c4 p4 c4 - p4 montage e fpl t5 fpl - t5 fp2 t6 fp2 - t6 the electrode locations are labeled according to the international 10 - 20 electrode placement system. changing the impedance limit the impedance limit can be set for all electrodes simultaneously @topic:8


# # # issue - the electric bed is not adjusting. # # # impact - the bed cannot be used to care for patients. # # # possible causes - the bed is not connected to power. - the bed's motor is not working. - the bed's controller is not working. - the bed's hand control is not working. - the bed's wiring is damaged. # # # recommendations - * * verify that the bed is connected to power. * * - * * check the bed's motor for any signs of damage. * * - * * check the bed's controller for any signs of damage. * * - * * check the bed's hand control for any signs of damage. * * - * * inspect the bed's wiring for any signs of damage. * * - * * if the bed is still not adjusting, contact a qualified biomedical engineer. * * @topic:9