to extend the life of the battery the following practices help to extend the life of the battery and the device. warning safety risk. when handling and storing lithium - ion batteries : avoid mechanical or electrical abuse. batteries may explode or cause burns if disassembled, crushed, or exposed to fire or high temperatures. do not short or install with incorrect polarity. whenever possible, keep the monitor plugged in to charge the battery. remove the battery when storing the device for an extended amount of time. replace batteries that trigger a low battery status message when fully charged. do not use damaged or leaking batteries.. store batteries with a 30 to 50 percent charge. • store batteries within the temperature range indicated for each period : о for storage less than 30 days : maintain temperature between - 4 °f and 122 °f ( - 20 °c and 50 °c ). for storage between 30 days and 90 days : maintain temperature between - 4 °f and 104 °f ( - 20 °c and 40 °c ). о for storage more than 90 days up to 2 years : maintain temperature between - 4 °f and 95 °f ( - 20 °c and 35 °c ). о recycle batteries where ever possible. in the united states call 1 - 877 - 723 - 1297 for information about recycling your lithium - ion battery or go to the call2 recycle website at http : / / cle. org for additional information. when recycling is not an option dispose of batteries in an environmentally safe manner consistent with local regulations. factors affecting battery operating time the following table presents settings and conditions that affect the battery operating time and recommendations to maximize battery life. recommended setting display brightness setting 5 sleep mode setting 1 minute automatic power - down setting 15 minutes welch [UNK] connex® spot monitor 18 overview 19 19 controls, indicators, and connectors note your model might not contain all of these features. front - left view 2 3 4 es @topic:11


selected scale. adjust scale to display complete wave. airway volume signal exceeds range of selected scale. adjust scale to display complete wave. alarming is suppressed for the spirometry module. measurement is at its limit, e. g. ambient pressure out of : range. gas compensation is set to gas analyzer but not all gases necessary for compensation are measured by a gas monitor. some of the fall - back values provided by the user are used. measurement spiro incompatible module revision not compatible with the host monitor software revision. contact your service module failure detected. contact your service personnel. no breath was detected for more than 25 seconds. breath derived numerics are not available. piro no senno sensor detected. make sure the correct sensor is attached to the breathing circuit. 99 4 patient alarms and inops inop message, cat. what to do mismatch of patient size configured in the host monitor and sensor type plugged into the module. check the instructions on selecting the correct sensor in the chapter on " spirometry ". the purge operation could not be completed successfully. check for kinked sensor tubings, hard occlusions and make sure that the pump is running and all valves are switching. spiro purging spiro unkn. sensor spiro upgrade a purge operation is in progress - no data update on the screen. wait until purge is complete. an unknown sensor id code was detected. use only the sensors listed in the " accessories " chapter. the module is running a firmware upgrade. wait until upgrade is completed before resuming onitoring. nmt inops nmt alarm suppresnmt cable disconn nop tone nmt alarms are suppressed until the tof count reaches zero for the first time. no patient cable is connected to the nmt measurement module. silencing this inop switches the nmt measurement off. nm @topic:17


# # # issue - cuff of the bedside physiologic monitor is deteriorated. # # # impact - the accuracy of the blood pressure measurement may be affected. # # # possible causes - the cuff may have been used excessively. - the cuff may have been stored improperly. - the cuff may have been damaged. # # # recommendations - replace the cuff with a new one. - store the cuff in a cool, dry place. - inspect the cuff regularly for signs of damage. @topic:3


) chapter 3 : theory of operation the battery charge level is controlled. in this way, a flashing indicator and an audible low battery alarm by buzzer are activated during movement if the battery voltage drops ( this is a continuous beep of several seconds that is heard each time a control is pressed ). after connecting to the power outlet, the indicator continues to flash until the battery has charged. battery operation is automatically stopped 30 seconds after the end of the last movement. battery characteristics table 3 - 9. battery backup characteristics description specification components two 12 v, 1. 2 ah batteries voltage 24 vdc maximum charging time 12 hours discharging time ( storage ), battery connected to bed minimum 10 days discharging time ( storage ), battery not connected to bed 3 months the batteries are sealed lead acid, connected in series, and protected by a 10 a fuse on the connection wires. the battery type has no memory effect and can be charged regularly without any particular constraints. the capacity of the battery backup after full charging is at least three raise and lower cycles for hilow, head section, knee section and foot section with the maximum safe working load 400 lb ( 182 kg ) on the bed. control logic and specific functions combined activations of the motor provide the following functions : • dining chair® position • automatic contour • trendelenburg and reverse trendelenburg function lockout management page 3 - 14 careassist® and careassist® es bed service manual ( man330 rev 4 ) electrical system ( b model and newer beds ) chapter 3 : theory of operation patient pendant or caregiver siderail control unit interfacing indication of bed not in low position ( see “ detection of bed not in low position ” on page 3 - 9 ) indication of bed connected to ac power but brakes not set ( see “ detection of bed connected to ac power but brakes not set ” on page 3 - 17 @topic:9


data flow are explained below. data provider service data flow data acquisition monitoring data ( for example patient measurement data in the form of waves, numerics and alerts ) is acquired from a variety of sources : - measurement block the integrated measurements convert patient signals to digital data and apply measurement algorithms to analyze the signals. - external measurement devices data can be also acquired from devices connected to the monitor. software modules dedicated to such specific devices convert the data received from an external device to the format used internally. - server systems on the philips clinical network to enable networked applications, data can be acquired from server systems attached to the philips clinical network, for example a philips information center 19 data provider system service all data that is acquired from integrated measurements or external measurement devices is temporarily stored by a dedicated data provider system service. all monitor applications use this central service to access the data in a consistent and synchronized way rather than talking to the interfaces directly. this service makes the applications independent of the actual type of data acquisition device. the amount of data stored in the data provider system service varies for the different data types. for example several seconds of wave forms and the full set of current numerical values are temporarily stored in ram. persistent data storage system service some applications require storage of data over longer periods of time. they can use the persistent data storage system service. dependent on the application requirements, this service can store data either in battery backed - up ( buffered ) memory or in flash memory. the buffered memory will lose its contents if the monitor is without power ( not connected to mains ) for an extended period of time. the flash memory does not lose its contents. the trend application for example stores vital signs data in a combination of flash memory and buffered memory, while the system configuration information ( profiles ) is kept purely in flash memory. display and user interface service applications can use high level commands to display monitoring data or status @topic:10


# # # issue - monitor, central station device manufactured by hewlett packard and model m3150a was malfunctioning. # # # impact - the device could not function properly due to a failing battery. # # # possible causes - * * battery failure * * : the battery that powers the device may have reached the end of its lifespan and was no longer able to provide sufficient power to operate the device. # # # recommendations - * * replace the battery * * : the technician replaced the old battery with a new one, resolving the issue. @topic:11


its components. if the boot phase does not proceed as described below go to boot phase failures for troubleshooting information. monitor boot phase : for these steps it is assumed that the monitor is powered correctly and the + 3, 3 v system board supply voltage is okay. this is indicated by the green power on led. time ( sec. ) after power on event 0 when the power on / off button is pressed, the green power on led and the red error led switch on immediately. 3 the alarm leds are switched on with low intensity. colors : left ledxyan ; middle led : red ; alarm suspend led ( right ) : red. red error led is switched off. 5 boot screen with the philips logo appears on the display. test sound is issued. 9 all alarm leds are switched off. 10 alarm leds are tested in the following sequence : cyan on - off ( left led only ) yellow on - off ( left & middle led ) red on - off ( all leds ) 77 4 troubleshooting troubleshooting guide time ( sec. ) after power on event 15 - 30 boot screen with the philips logo disappears fixed screen elements ( for example smart keys, alarm fields ) appear on the screen. first measurement information appears on the screen, user input devices ( for example mouse, touch, navigation point ) are functional 78 troubleshooting guide 4 troubleshooting troubleshooting tables the following tables list troubleshooting activities sorted according to symptoms. click on the links below to view a particular table. how to use the troubleshooting tables the possible causes of failure and the remedies listed in the troubleshooting tables should be checked and performed in the order they appear in the tables. always move on to the next symptom until the problem is solved. boot phase failures integrated display is blank integrated touch display not functioning external display is blank ( slave display ) external @topic:16


# # # issue - bed not working # # # impact - delay in patient care - inconvenience to patients and staff # # # possible causes - electrical fault - mechanical failure - software issue - power supply issue - user error # # # recommendations - check the power supply and ensure it is properly connected. - inspect the bed for any visible damage or loose connections. - if possible, try to reset the bed by turning it off and then back on. - contact the manufacturer or a qualified technician for further assistance. * * additional information * * - a backup bed is available for use while the faulty bed is being repaired. @topic:9


# # # issue - ekg lead wire is internally broken and damaged, resulting in an inability to capture ekg lead values. # # # impact - inability to accurately monitor patient's cardiac activity, potentially leading to delayed or missed diagnosis and treatment. # # # possible causes - * * wear and tear : * * prolonged use and repeated bending or stretching of the lead wire can cause internal damage to the conductors. - * * improper handling : * * careless handling, such as dropping or pulling on the lead wire, can result in internal damage. - * * manufacturing defects : * * rarely, lead wires may have manufacturing defects that lead to internal breakage or damage. # # # recommendations - * * regular inspection : * * regularly inspect lead wires for any signs of damage or wear. - * * proper handling : * * handle lead wires with care, avoiding excessive bending or pulling. - * * maintenance schedule : * * establish a regular maintenance schedule for ekg equipment, including inspection and replacement of lead wires as needed. - * * training and education : * * ensure that staff is properly trained on the correct handling and care of ekg lead wires. - * * consider using wireless telemetry : * * wireless telemetry systems can eliminate the risk of lead wire breakage and damage due to physical contact. @topic:18


# # # issue - the philips suresigns vs4 monitors, physiologic, vital signs are failing to send data through the vsm system. # # # impact - this failure could lead to incorrect or incomplete patient data being recorded, which could have a negative impact on patient care. # # # possible causes - * * configuration errors : * * the vs4 monitors may not be properly configured to send data to the vsm system. - * * hardware problems : * * there may be a problem with the hardware of the vs4 monitors or the vsm system. - * * software problems : * * there may be a problem with the software of the vs4 monitors or the vsm system. - * * network problems : * * there may be a problem with the network connection between the vs4 monitors and the vsm system. # # # recommendations - * * check the configuration of the vs4 monitors : * * make sure that the monitors are properly configured to send data to the vsm system. - * * check the hardware of the vs4 monitors and the vsm system : * * make sure that there are no loose connections or damaged components. - * * check the software of the vs4 monitors and the vsm system : * * make sure that the software is up - to - date and that there are no known bugs. - * * check the network connection between the vs4 monitors and the vsm system : * * make sure that the network is connected and that there are no firewall or other network restrictions that are preventing the data from being sent. @topic:22


, pap, cvp, icp, cpp, bis, cco, awp, anesthetic agents, delta spo2, ino2 measurement samples are taken at a resolution of four samples resolution update speed information trigger condition and time, event classification and associated detailed view of episode data events 4 minutes of high resolution trend or 20 minutes of numerics trend @ 12 sec. resolution or 15 seconds of 4 waves @ 125 samples / sec. ( snapshot ) including all current numerics, alarms and inops capacity ( max. ) larm signaless than 4 seconds the system alarm delay is processing time the system needs for any alarm to be indicated on the monitor, after the measurement has triggered the alarm. less than 5 seconds delay for alarm availability on the this is the time needed after alarm indication on the monitor until the larm signal is available on the network, to the intellivue information center or for transmission to other systems. 1, 2, 3 minutes or infinite, depending on configuration ause duration xtended alarm pausound pressure range 5 or 10 minutes in. 0 db ( amax. 45 - 85 db ( a ) all alarms / inops, main alarms on / off, alarm silence and time of occurrence eview alarms information capacity range 300 items from : january 1, 1997, 00 : 00 to : december 31, 2080, 23 : 5etter than 4 seconds per day real time clock accuracy hold time infinite if powered by ac ; otherwise at least 24 hours 467 40 specifications mx600 / 700 / 800 uffered memorhold time active settings, trends, patient data, realtime reports, events, review alarms contents x2 performance specifications x2 ( m3002a ) performance specifications power consumptiopower specifications 12 w averag < 30 w while battery is loading 36 to 60 v dc floating operating @topic:8


main setup - > trends - > trend groups 2 select the trend group and then the measurement you want to move and use the sort up / sort down pop - up keys. trend interval the trend interval defines the resolution of trend data shown on the screen. high - resolution data is especially suited for neonatal applications, where the clinical situation may change very quickly. in adult monitoring, where the patient ’ s status typically changes more gradually, a longer trend may be more informative. to set the trend resolution, in the vital signs or graphical trends window, ♦ select the select interval pop - up key and then select the required interval from the list. trend priority the monitor stores trend information for all monitored measurements, if configured to do so. ( data from vuelink or intellibridge modules cannot be included in trends when the label is a free - text label. ) if your configuration restricts the number of measurements trended, you must choose which measurements will be included. a priority list is used to select the trended measurements. to see the measurement priority list for trending, 1 in the main setup menu, select trends. 2 select trend priority. to add measurements to the priority list, 1 select the pop - up key add and choose from the pop - up list of available measurements. 2 use the sort up and sort down pop - up keys to change the priority order. trend parameter scales parameter scales define how the trend waveform will appear on the screen and in trend reports. separate scales can be set for adult, pediatric, and neonatal patient trends. to change the trend parameter scales settings, either use the scale setting in the segment menu or : 1 in the main setup menu, select trends. 2 select parameter scales. 276 documenting trends 21 trends 3 select the measurement or parameter you want to change from the list. 4 select the pop - up key change to call up the scale menu. @topic:8


* * issue : * * the blood pressure ( bp ) sensor is not taking accurate measurements. * * impact : * * this could lead to inaccurate readings of the patient's blood pressure, which could have serious consequences. * * possible causes : * * - loose wires - faulty sensor - software issue - interference from other electronic devices - incorrect calibration * * recommendations : * * - check the connections between the bp sensor and the monitor to make sure they are secure. - replace the bp sensor if it is faulty. - update the software on the monitor if there is a newer version available. - move the monitor away from other electronic devices that could be causing interference. - calibrate the monitor according to the manufacturer's instructions. @topic:15


* * issue : * * - printer not printing * * impact : * * - unable to obtain printouts of patient data, reports, and other necessary documents. * * possible causes : * * - paper jam within the printer mechanism. * * recommendations : * * - check for any visible obstructions or debris within the printer's paper path. - clear any jammed paper gently, taking care not to tear it. - if the paper jam persists, consult the manufacturer's instructions or seek technical assistance. @topic:28


# # # issue - the bed is not adjustable. # # # impact - the patient cannot be positioned comfortably or safely. # # # possible causes - the remote control is not working properly. - the bed motor is not working properly. - the bed frame is damaged. - the bed is not properly assembled. # # # recommendations - check the remote control batteries and replace them if necessary. - check the bed motor for any signs of damage or wear and tear. - check the bed frame for any signs of damage. - check the bed assembly instructions to ensure that the bed is assembled properly. @topic:1


# # # issue temperature sensor malfunction # # # impact unable to accurately measure patient's temperature, which can lead to improper medical decisions and compromised patient care. # # # possible causes 1. * * faulty temperature probe : * * the probe may be damaged or have a loose connection, resulting in inaccurate temperature readings. 2. * * calibration error : * * the sensor may be out of calibration, leading to incorrect temperature measurements. 3. * * software glitch : * * a bug in the software controlling the sensor may cause it to malfunction. 4. * * electrical interference : * * electromagnetic interference from other devices in the vicinity may disrupt the sensor's functionality. 5. * * operator error : * * incorrect handling or maintenance of the sensor may have caused its failure. # # # recommendations 1. * * inspect the temperature probe : * * check the probe for any visible damage or loose connections. if necessary, replace the probe with a new one. 2. * * calibrate the sensor : * * regularly calibrate the sensor according to the manufacturer's instructions to ensure accuracy. 3. * * update software : * * if available, install software updates for the sensor to address any known bugs. 4. * * check for electrical interference : * * identify and eliminate any potential sources of electromagnetic interference in the surrounding area. 5. * * train operators : * * provide training to operators on proper handling and maintenance procedures for the sensor. @topic:20


on the monitor, and then touch accept in touch ok on the monitor screen. 5. touch the keyboard icon in the name this connection : field and begin to type the name to a 6. after preferred name is entered, touch save. the new name appears in the bluetooth device list of paired devices. connect devices with bluetooth wireless technology and download data in the bluetooth connection screen, select a laptop from the list of paired devices. 1. the bluetooth icon in the device status area quickly blinks on and off as the monitor and laptop are connecting. when the monitor and the laptop connect, an information message briefly appears that names the connected laptop. when the message disappears, the name of the connected laptop appears on the top left of the screen, and the bluetooth connected icon appears in thconnection area. as the laptop downloads data, the progress indicator spins in the connection area. 2. the bluetooth connection remains active until the download is complete. after a successful download, the system clears data from the monitor and disconnects the monitor from the laptop. 3. repeat the process as needed, or touch cancel to dismiss the bluetooth connection screen. rename a device ( applies only to standard bluetooth ) you can rename a paired device from a system or generic name to a specific name. select the arrow button to the right of the device name you want to edit in the bluetooth device list. 1. touch the keyboard icon in the name this connection : field and begin to type the name to a enter the name, touch ok on the keyboard screen, and then touch save. 2. bluetooth wireless technology 39 service manual bluetooth low energy ( ble ) workflow for more information, contact your sales representative. use the welch allyn product configuration tool ( version 1. 9. 0, or later ) to allow and enable the bluetooth low energy ( b @topic:10


of the smaller pulmonary arteries, the inflated balloon occludes the artery allowing the monitor to record changes in the intrathoraic pressures that occur throughout the respiration cycle. the pulmonary wedge pressure is the left ventricular end diastolic pressure ( preload ). the most accurate pawp values are obtained at the end of the respiration cycle when the intrathoraic pressure is fairly constant. use the ecg waveform to determine the waveform of the wedge pressure. you can use the respiration waveform as a reference when assessing the pawp waveform, to ensure constant measurement timing relative to the respiratory cycle. the monitor displays the pawp value for up to 24 hours or until you admit a new patient. warning the pressure receptor in the catheter records pressure changes that occur only in front of the occlusion. even though the catheter tip is in the pulmonary artery, the receptor records pressure changes transmitted back through the pulmonary circulation from the left side of the heart. while performing the wedge procedure, the monitor switches off the pressure alarms for pulmonary artery pressure ( pap ). 196 editing the wedge 12 monitoring invasive pressure due to a slight measurement delay, you should not use sidestream c0 2 as a direct reference for determining the end expiratory point in the pressure curve. to start the wedge procedure, 1 in the main setup menu, select wedge to display the wedge procedures window. 2 prepare and check the pressure line according to your hospital policy. 3 use the reference wave 1 and 2 popup keys to select any ecg or respiratory wave as reference waves. 4 select change speed if you want to change the speed of the displayed wave. the speed can also be changed in the screen for editing the wedge. 5 select change scale to change the wave scale of the pap. the same scale will be used in the screen for editing the wedge. @topic:17


# # # issue e 83 error on nibp monitor # # # impact the nibp monitor is not functioning properly and cannot be used to measure blood pressure. # # # possible causes - cuff not properly connected - pressure hose is kinked or blocked - pressure transducer is damaged - software error # # # recommendations - inspect the cuff and pressure hose for any damage or blockages. - replace the cuff if it is damaged. - ensure that the transducer is properly connected to the pressure hose and that the software is up to date. @topic:15


# # # issue - cuff bp ( blood pressure ) on the bedside physiologic monitor is damaged. # # # impact - accurate blood pressure readings may not be obtained. # # # possible causes - cuff bp is old and worn. - cuff bp has been damaged during use. # # # recommendations - replace the cuff bp with a new one. - inspect the cuff bp regularly for signs of wear and tear. @topic:3


# # # issue - defective cuff blood pressure ( cuff bp ) # # # impact - inability to accurately measure blood pressure # # # possible causes - cuff bp velcro straps are worn and deteriorated - cuff bp housing is damaged or broken # # # recommendations - replace the cuff bp - replace the cuff housing if necessary - inspect the cuff bp regularly for signs of wear or damage - ensure the cuff bp is properly maintained and cleaned according to manufacturer's instructions @topic:3


for example, with patients who have an aortic graft. 212 c. o. / cco safety information 13 monitoring cardiac output caution during the cardiac output measurement procedure the blood temperature alarms are inactive. this is indicated by a crossed - out alarm symbol next to the temperature numeric. making alarms inactive during this procedure prevents false alarms. the alarms are automatically reactivated when you have completed the measurement procedure. 213 13 monitoring cardiac output c. o. / cco safety information 214 14 monitoring carbon dioxide warning • measurements from an mms extension connected to an x2 are not available when the x2 is running on battery power. they are only available when the x2 is running on external power, either when connected to a host monitor or the external power supply ( m8023a ). • only one c0 2 measurement at a time is supported. use the c0 2 measurement to monitor the patient ’ s respiratory status and to control patient ventilation. there are two methods for measuring carbon dioxide in the patient ’ s airway : • mainstream measurement uses a c0 2 sensor attached to an airway adapter directly inserted into the patient ’ s breathing system. this method is available using the m3014a capnography extension and the m3016a mainstream c0 2 extension, or the x2 with the optional c0 2 measurement. • sidestream measurement takes a sample of the respiratory gas with a constant sample flow from the patient ’ s airway and analyzes it with a remote c0 2 sensor built into the measurement system. philips offers the sidestream c0 2 measurement in the m3014a capnography extension or the x2 with the optional c0 2 measurement, and the microstream method of sidestream c0 2 measurement in the m3015a microstream c0 2 extension. in both cases, the measurement principle is infrared transmission, where the intensity of @topic:17


frame connector with the attached and bent msl flex. be careful not to damage the msl flex when pushing the frame connector downwards. 5 position the connector correctly and push it into place. refitting the dc / dc board note this step only has to be done on hw a / b 154 multi - measurement server ( mms ) disassembly 5 repair and disassembly position the dc / dc board and press it down gently. make sure it is connected properly to both connectors indicated in the picture. refitting the cover n ote to change the top cover of a hw rev c mms ( s / n prefix de610xxxxx ) you have to attach the two cushions which are part of the top cover assembly. these two cushions secure the connection of the msl flex and the nbp flex. note perform the following two steps only on an mms hw rev c 1 stick the two cushions onto the marked positions inside the top cover. 2 position the top cover, then press it back into place until you hear a click or there is no longer a gap between the two covers. 155 5 repair and disassembly multi - measurement server ( mms ) disassembly 3 the cover has a rubber seal, press the cover firmly together. 4 holding the bottom cover firmly in place, slide the two long mounting pins completely back into the mms. make sure there is no gap between the top and bottom cover. refitting the front cover to refit the front cover, press it back into place over the measurement connector hardware until you hear a click. final inspection perform a final inspection to ensure that : 156 measurement server extensions - exchanging the top cover and the dual link bar 5 repair and disassembly • the msl connector is positioned correctly • there are no gaps between the msl connector and the cover • @topic:19


the mainstream method, unplug and replug the transducer or try another transducer. if the inop persists, contact your service personnel. c0 2 failed cal numeric is replaced by -? - inop tone. co 2 make sure that the cal cell was changed between cali and cal2. repeat the calibration. if the inop reappears, try another transducer. if the inop persists, contact your service personnel. c0 2 no sensor numeric is replaced by -? - inop tone. co 2 there is no c0 2 sensor connected. if you silence this inop the c0 2 measurement will be switched off. c0 2 no transduc numeric is replaced by -? - inop tone. co 2 there is no c0 2 transducer connected. if you replace the transducer, the new transducer must be calibrated. if you silence this inop the c0 2 measurement will be switched off. c0 2 no tubing numeric is replaced by -? - inop tone. co 2 either the sample line is disconnected, or an incorrect line is attached. check the connection. if necessary, connect another sample line ( use only the approved accessories ). if you silence this inop, the measurement will be switched off. (!! /!!! ) c0 2 occlusion numeric is replaced by a inop tone. co 2 the sample line or exhaust tube is blocked. check the tubing, then disconnect and reconnect the sample line. if the inop persists, connect a new sample line. c0 2 overrange numeric is replaced by -? - inop tone. co 2 the c0 2 value is higher than the measurement range. if you suspect a false high value, contact @topic:17


# # issue - the blood pressure ( bp ) monitor is not measuring bp. # # impact - accurate bp measurements are essential for patient care. without a functioning bp monitor, clinicians may not be able to accurately assess a patient's condition or provide appropriate treatment. # # possible causes * * hardware : * * - * * faulty cuff connection : * * the connection between the bp cuff and the monitor may be loose or damaged, preventing accurate pressure readings. - * * defective cuff : * * the bp cuff may have tears or leaks, affecting its ability to inflate and measure pressure. * * software : * * - * * calibration error : * * the monitor may not be properly calibrated, resulting in inaccurate readings. * * usage : * * - * * incorrect cuff size : * * using a cuff that is too small or too large can affect the accuracy of bp readings. - * * improper cuff placement : * * the cuff should be placed correctly on the upper arm to ensure an accurate reading. # # recommendations * * hardware : * * - * * inspect the cuff connection : * * ensure that the connection between the cuff and the monitor is secure and not damaged. - * * replace the cuff : * * if the cuff is damaged or has leaks, it should be replaced. * * software : * * - * * calibrate the monitor : * * follow the manufacturer's instructions to calibrate the monitor and ensure accurate readings. * * usage : * * - * * use the correct cuff size : * * refer to the manufacturer's guidelines to determine the appropriate cuff size for the patient. - * * place the cuff properly : * * position the cuff snugly on the upper arm, about 1 - 2 inches above the elbow crease, with the arrow pointing towards the brachial artery. @topic:14


will trigger the nurse call signal, but low will not. the options are : low, medium, high. low default nbp auto interval specifies the interval at which the nbp module automatically measures a patient ’ s bp. the options are : off, 1, 3, 5, 10, 15, 30, 60, 90 minutes. off default initial nbp inflation pressure : specifies the default cuff inflation pressure for nbp. options are : adult pediatric neonate 80 - 240 mmhg, 20 mmhg steps 80 - 240 mmhg, 20 mmhg steps 60 - 120 mmhg, 20 mmhg steps 160 mmhg 140 mmhg 100 mmhg trend display timeout specifies how long patient trend data is displayed on the monitor screen. the options are : 1, 2, 3, 5 minutes, no timeout. 3 minutes 5 - 4 configuring the monitor accessing the system admin menu button description default upgrade software displays the confirmation window for upgrading the monitor software. — save current alarm settings as default specifies that the monitor use the current alarm settings as the default settings. — restore factory default alarm settings specifies that the monitor use the factory alarm settings as the default settings. — allow alarm disable specifies whether a user is allowed to disable monitor alarms. checking the box allows a user to disable alarms. checked allow audio off specifies whether a user is allowed to turn off the alarm audio on the monitor. checking the box allows a user to turn off the audio. checked demo mode specifies whether the monitor operates in demo mode. demo mode allows the monitor to be demonstrated without actually monitoring parameters. checking the box activates demo mode. unchecked return returns the monitor to the system menu. — configuring the monitor 5 - 5 selecting a language selecting a language you can configure a variety of languages on the monitor. the default language is english @topic:8


# # # issue - medical cart malfunction # # # impact - inability to access patient data and administer care effectively. # # # possible causes - computer not activated properly. # # # recommendations - ensure that the computer is properly activated by pressing the correct button. - provide clear instructions to users on how to activate the computer. - regularly inspect the equipment to ensure it is functioning properly. @topic:13


# # # issue - short signal cable # # # impact - the device cannot be used properly. # # # possible causes - the user moved the monitor. # # # recommendations - replace the short cable with a longer one. @topic:2


# # # issue spo2 sensor error # # # impact the monitor cannot accurately measure the patient's blood oxygen saturation levels. # # # possible causes - faulty spo2 sensor - loose or damaged spo2 cable - problem with the monitor itself # # # recommendations - replace the spo2 sensor. - inspect the spo2 cable for any damage or loose connections. - if the issue persists, the monitor may need to be serviced by a qualified technician. @topic:4


##8 bed rail hook assembly not shown 4535 640 24581 c0 2 module 24 4535 640 24591 vm4 / vm6 fan assembly 30 4535 640 31021 vm8 fan assembly 30 4535 640 24611 vm4 / vm6 front panel without lcd 2 4535 640 24601 vm8 front panel without lcd 2 4535 640 24621 main frame 10 4535 640 24651 vm4 temperature module 23 4535 640 24661 vm4 temperature sheath holder 23a 4535 640 24681 vm4 / vm6 / vm8 speaker 29 4535 640 31241 vm4 / vm6 cable - navigation wheel pcb 5 4535 640 31231 vm8 cable - navigation wheel pcb 5 4535 640 31481 small parts kit : - rubber feet ( 4 ) 25 - 1600 ma fuses ( 2 ) — - battery case cover ( 1 ) 17 - navigation wheel ( 1 ) 1 - t10 torx screws ( 6 ) — - m4 x 0. 7 10 mm screws ( 2 ) — - m4 x 0. 7 12 mm screws ( 6 ) — - d spring 1a - ground strip ( 1 ) ib - power cord retaining clip ( 1 ) 21a replacement parts 9 - 3 spare parts 9 - 4 replacement parts spare parts figure 9 - 2 rear case assembly, view 1 replacement parts 9 - 5 spare parts figure 9 - 3 rear case assembly, view 2 9 - 6 replacement parts spare parts replacement parts 9 - 7 spare parts figure 9 - 5 rear case assembly, top view 9 - 8 replacement parts power supply cords power supply cords the following table lists the power supply cord part number and description. description part number power cord ( 903 ), 2. 4 m taiwan, us, canada, latin america, singapore, caribbean, laos 8120 - @topic:19


# # # issue - monitor is not displaying any signals. # # # impact - patient monitoring is unavailable. - patient's vital signs cannot be accurately monitored. # # # possible causes - the signal cable is damaged. - the monitor is not turned on. - the monitor's power supply is faulty. - the patient's sensor is not connected correctly. - the sensor is defective. # # # recommendations - replace the signal cable. - check if the monitor is turned on. - check the monitor's power supply. - check the patient's sensor connections. - replace the sensor if it is defective. @topic:2


# # # issue - the equipment is not properly attached to its base. # # # impact - the equipment may not be able to function properly. - the equipment may be damaged. # # # possible causes - the equipment was not properly attached to the base when it was originally installed. - the base is not properly secured. - the equipment has been moved or jostled, causing it to become detached from the base. # # # recommendations - check to make sure that the equipment is properly attached to the base. - if the base is not properly secured, tighten the screws or bolts that are holding it in place. - if the equipment has been moved or jostled, reattach it to the base following the manufacturer's instructions. @topic:12


# # # issue - no lens cover on buttons and display ( not critical ) # # # impact - the device does not have a lens cover on its buttons and display, compromising its aesthetic appearance and durability. # # # possible causes - the lens cover may have been lost or damaged during use or handling. - the device may have been delivered without the lens cover. # # # recommendations - order and install a replacement lens cover to restore the device's appearance and protect its buttons and display. # # # additional notes - the device is currently functional despite the missing lens cover. - the recommendation to replace the lens cover is not urgent but should be addressed to maintain the device's optimal condition. @topic:12


# # # issue - location of the department is incorrect # # # impact - the medical cart may be misplaced or difficult to find during an emergency. # # # possible causes - the medical cart was not properly labeled or marked with the correct department. - the medical cart was moved to a different department without being updated in the tracking system. # # # recommendations - ensure that all medical carts are properly labeled and marked with the correct department. - update the tracking system when medical carts are moved to a different department. @topic:13


# # # issue - unable to display images from olympus laparoscope. # # # impact - inability to perform surgical procedures requiring laparoscopic visualization. # # # possible causes - * * faulty lcd monitor : * * the lcd monitor may not be receiving or processing the video signal correctly. - * * defective cabling : * * the cables connecting the monitor to the laparoscope may be damaged or loose, causing signal loss. - * * incompatible signal : * * the video signal from the laparoscope may not be compatible with the monitor's specifications. - * * software or firmware error : * * the software or firmware running the monitor may have encountered an error that prevents it from displaying images. # # # recommendations - * * troubleshooting the lcd monitor : * * - inspect the monitor for any physical damage or loose connections. - check the power supply and ensure the monitor is receiving electricity. - * * testing the cables : * * - disconnect and reconnect the cables connecting the monitor to the laparoscope. - replace any damaged or loose cables. - * * verifying signal compatibility : * * - consult the manufacturer's specifications for both the monitor and the laparoscope to ensure they are compatible. - * * updating software or firmware : * * - check for any available software or firmware updates for the monitor and install them if necessary. - * * contacting olympus support : * * - if the problem persists after following the above steps, contact olympus technical support for further assistance. @topic:2


# # # issue - bed is not adjustable # # # impact - patient discomfort - prolonged hospitalization - delay in treatment # # # possible causes - * * electrical fault : * * damaged wiring, loose connections, or faulty components in the electrical system. - * * mechanical failure : * * worn or broken gears, motors, or other mechanical parts. - * * software error : * * malfunctioning software that controls the bed's operation. - * * operator error : * * improper use or maintenance of the bed. # # # recommendations - * * electrical diagnosis : * * check for electrical continuity, insulation resistance, and grounding. replace any faulty components. - * * mechanical inspection : * * examine the bed's gears, motors, and other mechanical parts for damage or wear. repair or replace as needed. - * * software update : * * install the latest software updates to ensure optimal performance and address any bugs. - * * operator training : * * provide thorough instructions and training to staff on the proper use and maintenance of the bed. @topic:9


# # # possible causes 1. network configuration issue # # # recommendations 1. check network connectivity and reconfigure if necessary. @topic:16


# # issue - the left - side keypad on a hill - rom care assist es electric bed is not functioning, preventing the bed from being raised or lowered from that side. # # impact - inability to adjust the bed's height from the left side can cause inconvenience and discomfort for patients. - it can hinder proper positioning of patients during medical procedures or examinations. - the malfunctioning keypad can also pose a safety risk if the bed cannot be adjusted quickly in an emergency situation. # # possible causes - defective keypad : the keypad itself may be damaged or malfunctioning, preventing it from registering inputs. - electrical issues : loose connections or a faulty wire harness can disrupt the electrical signals between the keypad and the bed's control unit. - control unit failure : the bed's control unit may be experiencing an issue that prevents it from responding to inputs from the keypad. # # recommendations - * * replace the keypad : * * if the keypad is damaged or malfunctioning, it should be replaced with a new one to restore functionality. - * * inspect electrical connections : * * check the electrical connections between the keypad, control unit, and bed frame for any loose or damaged wires. tighten any loose connections and replace damaged wires as necessary. - * * test the control unit : * * if the electrical connections are intact, test the control unit to ensure that it is receiving and processing inputs from the keypad. if the control unit is faulty, it may need to be repaired or replaced. @topic:25


# # # issue - motor failure in the huntleigh mb - acc73 electric bed # # # impact - inability to adjust the bed's height or position, which can compromise patient comfort and safety. # # # possible causes - * * motor overload : * * the motor may have been subjected to excessive weight or force, causing it to overheat and fail. - * * electrical faults : * * a short circuit or other electrical fault could have damaged the motor's windings or connections. - * * mechanical failure : * * worn or damaged gears, bearings, or other mechanical components could have caused the motor to malfunction. # # # recommendations - * * inspect the motor : * * check for any visible signs of damage, such as burns or loose connections. - * * test the electrical system : * * ensure that the bed is receiving adequate power and that all connections are secure. - * * examine the mechanical components : * * look for any abnormalities in the gears, bearings, or other mechanical parts. - * * consult the manufacturer's documentation : * * refer to the service manual or technical specifications to diagnose and repair the issue. - * * seek professional assistance : * * if the issue cannot be resolved internally, contact the manufacturer or an authorized service provider for further troubleshooting and repair. @topic:9


# # possible cause of failure - theft or misplacement - the bp cuff may have been stolen or misplaced by a patient or staff member. - equipment malfunction - the bp cuff may have malfunctioned, causing it to become detached from the monitor. - lack of security measures - inadequate security measures may have allowed unauthorized access to the equipment, leading to theft or damage. @topic:3


# # # issue - bed not adjusting # # # impact - patient discomfort - inability to perform procedures # # # possible causes - loose ac plug # # # recommendations - ensure ac plug is securely inserted @topic:1


# # # issue - defective counector # # # impact - the nibp monitor may not be able to connect to the patient's blood pressure cuff due to the damaged connector. this could prevent the technician from obtaining accurate blood pressure readings, which could delay or hinder patient care. # # # possible causes - the counector may have been damaged due to mishandling, improper cleaning, or wear and tear over time. - the counector may also have been damaged due to a manufacturing defect. # # # recommendations - the technician should replace the damaged counector with a new one. - the technician should inspect the counector regularly for any signs of damage and replace it if necessary. - the technician should ensure that the counector is properly cleaned and maintained to prevent future damage. - the manufacturer should investigate the cause of the counector failure and implement corrective measures to prevent future occurrences. @topic:15


exceeds the v - tach heart rate limit but not the v - tach run limit, a yellow non - sustain vt alarm is generated. 144 about st monitoring 6 ecg, arrhythmia, st and qt monitoring about st monitoring the monitor performs st segment analysis on normal and atrially paced beats and calculates st segment elevations and depressions. this information can be displayed in the form of st numerics and snippets on the monitor. all available leads can be monitored continuously. the ecg waveform does not need to be displayed on the monitor for st segment analysis. st analysis is always performed using a dedicated fdter which ensures diagnostic quality. if you are monitoring ecg using an ecg filter mode other than diagnostic, the st segment of the ecg wave may look different from the st segment of the st snippet for the same wave. for diagnostic evaluation of the st segment, always switch to diagnostic filter mode or use the st snippet. warning some clinical conditions may make it difficult to achieve reliable st monitoring, for example : • if you are unable to get a lead that is not noisy • if arrhythmias such as atrial fib / flutter are present, which may cause an irregular baseline • if the patient is continuously ventricularly paced • if the patient has left bundle branch block. you should consider switching st monitoring off if these conditions are present. this monitor provides st level change information ; the clinical significance of the st level change information should be determined by a physician. st segment monitoring is intended for use with adult patients only and is not clinically validated for use with neonatal and pediatric patients. for this reason, the recommended - and default - setting for st monitoring in neonatal and pediatric modes is st analysis : off. switching st on and off ♦ to switch all st monitoring on or off, @topic:8


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - issue : device not operational due to login failure. # # # impact - the medical cart is not operational, which may delay patient care. # # # possible causes - incorrect login credentials - network connectivity issues - system software glitch # # # recommendations - verify login credentials and ensure they are correct. - check network connectivity and ensure the device is connected to the hospital's network. - contact the device manufacturer or it support for further troubleshooting and possible software updates. # # # additional notes - the issue was caused by a recent change in login credentials by the it department, which required the bme team to update the device's login information. - after updating the login credentials, the device was able to be used normally again. @topic:13


##ymptom touch the screen. the device is in sleep mode. the device is powered on but he display is blank. a hardware component has failed. run the host calibration sequence from the service replace the lctouchscreen. luetootthe monitor cannot connect with a bluetooth device. pair the monitor to the device. ensure that the monitor anthe device are within range. the bluetooth device driver has not been installed roperly. pc service for the device has perform a bluetooth radio unctional check. configure monitor to nverify local network settings. ensure that the monitor and the device are within range. perform a bluetooth radio functional check. perform a bluetooth radio functional check. a hardware component has failed. 160 troubleshooting welch [UNK] connex® spot monitor ossible caussymptom the software has failed. ireless radio configure monitor to nthe monitor cannot connect with a wireless network. verify local network settings. ensure that the monitor and the device are within range. perform a newmar radio functional check. a hardware component has failed. perform a newmar radio functional check. replace re. the software has failed. the hardware or software between the host retry software update. and the newmar radio is incompatible. attempt to upgrade the software failed. replace neboard. the monitor lost communication with thnetwork or a timing issue occurred durinhe upgrade. retry software update. replace nn board. the newmar radio malfunctioned. service manual troubleshooting 161 ossible caussymptom the main board malfunctioned. ethernet the monitor cannot connect to a connectivity issue occurred. the network. verify local network settings. verify that the port on the network is configured anfunctional. perform an ethernet functional check. perform an ethernet functional check. a hardware failure occurred. a software @topic:16


# # issue medical cart is freezing and unable to log in. # # impact the medical cart is not able to be used to transport or store medical supplies and equipment. this can lead to delays in patient care and increased risk of infection. # # possible causes 1. software issue 2. hardware issue 3. power issue 4. user error # # recommendations 1. * * software issue : * * - update the software to the latest version. - restart the medical cart. - check the event logs for any errors. 2. * * hardware issue : * * - inspect the medical cart for any loose connections or damaged components. - clean the medical cart to remove any dust or debris. - test the medical cart with a different power cord. 3. * * power issue : * * - check the power outlet to make sure it is working. - try plugging the medical cart into a different outlet. - use a surge protector to protect the medical cart from power surges. 4. * * user error : * * - make sure the user is following the correct log in procedure. - train the user on how to use the medical cart. @topic:13


s1 ) low position ( double - band 125 " diameter casters ) ( h ) low position ( double band 150° diameter casters ) ( h ) low position ( 150° diameter casters ) ( h ) 2158 mm 2158 mm 2358 mm 499 mm² 631 mm² 393 mm 386 mm 431 mm 439 mm high position ( double - band 125 " diameter casters ) ( h ) high position ( double band 150° diameter casters ) ( h ) 0° diameter casters ) ( h ) 47 m00 mm 808 mm chassis clearance ( double - band 125° diameter casters ) ( c ) chassis clearance ( double band 150° diameter casters ) ( c ) 150 mm² 195 mm² 203 mm² + 65° chassis clearance ( 150° diameter casters ) ( c ) head section incline - 3° to - 22°ª - 17 % + 17° - 7° trendelenburg / reverse trendelenburg boost patient position mechanism electric cpr - return adjustable head section ( t1 ) t15 s t2 < 30 250 kg and sleep surface ( t2 ) to flat position safe working load ( swl ) maximum patient weight 185 - 215 kg l1900b4 bed weight ( no mattress or accessories ) 70 ktotal weight authorized during moving 20 kmaximum temperature of the applied parts at 40°c 6. 5° c unweighted peak acoustic pressure levels 120 db weighted maximum measured acoustic pressure 2 dba a. these are average values, which may vary according to manufacturing tolerances. b. dimensions in mm. c. maximum incline in relation to the sleep surface d. swl 250 kg / the maximum patient weight varies according to the mattress and accessories used - 185 kg as per en60601 - 2 - 52 ( intensive and acute care ) - 215 kg as per en60601 - @topic:9


# # # issue central monitor is not turning on. # # # impact nurses are unable to monitor patient's vital signs. # # # possible causes - central monitor not plugged in - power outlet not working - central monitor power switch not turned on - central monitor internal hardware failure # # # recommendations 1. ensure central monitor is plugged into a working power outlet. 2. turn on central monitor power switch. 3. if central monitor still does not turn on, contact biomedical engineer for further troubleshooting. @topic:2


# # # issue the anarecord program is unable to print patient results. # # # impact physicians and nurses cannot access critical patient information, which can delay diagnosis and treatment. # # # possible causes - hub switch for the main lan cable to the printer is loose. - the printer is not securely connected to the lan cable. # # # recommendations - tighten the loose hub switch. - ensure that the printer is securely connected to the lan cable. - test the printer to verify that it is printing correctly. @topic:28


# # # issue * the electric bed is unable to adjust. # # # impact * downtime for the bed, which can delay patient care. * potential safety hazard if the bed cannot be adjusted to a safe position for the patient. # # # possible causes * * * board failure : * * the board that controls the bed's adjustment is faulty. * * * electrical connection issue : * * there is a loose or damaged electrical connection between the board and the rest of the bed. * * * software glitch : * * the software that controls the bed's adjustment is not functioning properly. * * * mechanical issue : * * there is a mechanical problem with the bed's adjustment mechanism. # # # recommendations * * * check the board : * * test the board to see if it is faulty. if it is, replace the board. * * * inspect the electrical connections : * * check all of the electrical connections between the board and the rest of the bed. tighten any loose connections and repair any damaged connections. * * * update the software : * * if the software is not functioning properly, update it to the latest version. * * * contact the manufacturer : * * if the problem cannot be fixed by following the above steps, contact the manufacturer of the bed for assistance. @topic:1


# # # issue - unable to measure oxygen saturation ( spo2 ) via the spo2 cable. # # # impact - inability to accurately monitor patient's spo2 levels, which can lead to health risks. # # # possible causes - * * faulty spo2 cable : * * the input states that a new spo2 cable was replaced, suggesting that the original cable may have been faulty. - * * incorrect device configuration : * * the cause of failure mentions that the device name " bmc _ mtd09621 " is not recognized by the system, indicating a possible configuration error. - * * defective device : * * while not explicitly stated, the inability to measure spo2 despite replacing the cable suggests that the device itself may be malfunctioning. # # # recommendations - * * confirm device configuration : * * verify that the device is correctly configured and that it recognizes the connected spo2 cable. - * * test with an alternative spo2 cable : * * use a different spo2 cable to rule out any issues with the current cable. - * * inspect device for damage : * * physically inspect the device for any visible damage or loose connections that could affect its functionality. - * * consider device repair or replacement : * * if the issue persists despite troubleshooting, consider repairing or replacing the defective device to ensure accurate patient monitoring. @topic:4


roller and over the plastic shelf far enough so it goes around the roller and comes out above it. 6 drape the paper over the end of the door and close the door. the paper should be visible and draped down in front of the door. multi - measurement server ( mms ) disassembly please follow the disassembly and reassembly steps below closely. do not disassemble the mms past the point described in the procedures below. tools required • thin - bladed screwdriver • esd mat and wrist strap warning • do not open the mms while it is connected to a monitor. • parts inside the instrument may be contaminated with bacteria. protect yourself from possible infection by wearing examination gloves during this procedure. removing the front cover 1 position the thin - bladed screwdriver in the small slot provided for this purpose. remove the front cover by pulling it away from the mms until it snaps off. there may be a slight resistance when removing the front cover. 149 5 repair and disassembly multi - measurement server ( mms ) disassembly removing the mounting pin 1 position the mms with the connectors facing towards you. there are four long mounting pins threaded into the mms in each of the four corners under the cover. locate the heads of the two long mounting pins on the top cover and only remove these. 2 use the thin - bladed screwdriver to lift the pins gently out, far enough that they can be removed manually. 3 remove the two pins and set them aside for refitting. note without these long mounting pins, the mms will not function properly 150 multi - measurement server ( mms ) disassembly 5 repair and disassembly removing the top cover begin by gently pulling the top cover away from the mms. the top cover is press - latched at the @topic:19


# # # issue - beds, electric, hill - rom, care assist es100's keypad cable is damaged. # # # impact - the keypad may not function properly, making it difficult to operate the bed. # # # possible causes - the cable may have been damaged due to : - physical wear and tear - exposure to liquids - electrical surge # # # recommendations - replace the damaged cable with a new one. - inspect the bed for any other damage that may have occurred as a result of the cable failure. - test the bed to ensure that it is functioning properly. @topic:25


# # # issue - * * defective spo2 sensor cable * * # # # impact - * * inaccurate or no spo2 readings * * - spo2 ( blood oxygen saturation ) monitoring is critical for assessing a patient's respiratory status and overall health. - inaccurate or missing readings can lead to delayed or incorrect diagnoses, as well as potential harm to the patient. # # # possible causes - * * damaged cable : * * - physical damage to the cable, such as cuts, punctures, or crushing, can compromise its functionality. - * * loose or disconnected connections : * * - improper connection between the cable and the monitor or sensor can result in signal loss. - * * defective sensor : * * - a malfunctioning sensor itself can also cause inaccurate or no readings, even with a functional cable. # # # recommendations 1. * * replace the spo2 sensor cable : * * - the primary solution is to replace the faulty cable with a new, functional one. - ensure the replacement cable is compatible with the monitor and meets the required specifications. 2. * * inspect and secure connections : * * - carefully check all connections between the cable, monitor, and sensor to ensure they are secure and making proper contact. 3. * * test the spo2 readings : * * - after replacing the cable or securing connections, conduct a thorough test to verify that the spo2 readings are accurate and stable. 4. * * calibrate the monitor ( if necessary ) : * * - in some cases, the monitor may require calibration after a component replacement. follow the manufacturer's instructions to perform proper calibration. 5. * * monitor performance and document maintenance : * * - regularly monitor the performance of the spo2 system and document any maintenance or repairs performed. - this documentation can help track issues and ensure timely @topic:4


. ♦ to enter the setup printers menu, in the reports menu, select setup printers. printing a test report a test report can be printed in configuration mode, refer to the service guide for details. 335 27 printing patient reports switching printers on or off for reports switching printers on or off for reports you can enable or disable printer status to switch individual printers on or off for report printouts. 1 in the setup printers menu, select printer and then select the name of the device you want to switch on or off for reports printing from the pop - up list. 2 select printer status to toggle between the settings enabled and disabled. if you set this to disabled, no reports will be printed to the named printer. if the monitor detects that no printer of a particular type is available, the enabled / disabled setting will automatically be set to disabled and “ grayed out ”. dashed lines on reports if a section of a wave on a report is drawn with dashed lines, this tells you that a setting that affects the appearance of the wave on the screen was changed while the report was printing. for example, if you change the wave scale while a report is printing, the wave scale and wave size are changed immediately on the monitor screen and on the report. to indicate that the scale information printed at the beginning of the report no longer matches the currently used scale, the wave will be printed using dashed lines, starting from the moment the change took place. some examples of settings that cause dashed lines in reports if changed during printing are : filter mode, ecg lead placement, wave scale, measurement unit, paced / non - paced setting, and measurement mode. note that as ecg waves are drawn with a fixed gain on reports ( either 10 mm / mv or 20 mm / mv ), changing the ecg wave scale will not cause dashed - line reports. to avoid dashed lines on reports, wait 15 seconds @topic:28


# # # issue the display screen on the nibp monitor is loose and requires tightening. # # # impact the loose display screen can make it difficult to read the monitor's readings, which could lead to errors in patient care. # # # possible causes the display screen may have become loose due to : - wear and tear over time - rough handling - loose screws or brackets - faulty manufacturing # # # recommendations to fix the loose display screen, the technician should : 1. tighten the screws or brackets that hold the display screen in place. 2. inspect the display screen for any damage or cracks. 3. test the monitor to ensure that the display screen is working properly. 4. document the repair and any necessary follow - up actions. @topic:2


# # # issue equipment : medical cart manufacturer : bdms model : bdms 01 failure description : cannot connect to wi - fi # # # impact - the medical team is unable to access patient records and medical information remotely. - this can lead to delays in patient care and treatment. - it can also increase the risk of errors in patient care. # # # possible causes - the wi - fi network is not functioning properly. - the medical cart is not configured correctly to connect to the wi - fi network. - the medical cart has a hardware or software issue that is preventing it from connecting to the wi - fi network. # # # recommendations - check the wi - fi network to ensure that it is functioning properly. - reconfigure the medical cart to connect to the wi - fi network. - contact the manufacturer of the medical cart for technical support. @topic:13


# # # issue - equipment : bed, electric - band : huntleigh - model : enterprise 5000 - description : bme inspected and found that the remote cable was loose. the remote plug was tightened and the equipment is now functioning normally. # # # impact the bed was unable to be adjusted up or down. # # # possible causes - the remote cable was loose. # # # recommendations - the remote cable should be checked and tightened regularly to prevent future failures. @topic:7


# # # issue * the provided input doesn't specify the cause of failure for the medical device. # # # impact * without knowing the specific cause of failure, it's difficult to determine the appropriate corrective actions to prevent future failures. * this can lead to recurring issues, downtime of critical medical equipment, and potential risks to patient safety. # # # possible causes * the provided input doesn't provide any information about the possible causes of failure. # # # recommendations * the biomedical engineer should investigate the device thoroughly to determine the root cause of the failure. this may involve performing diagnostic tests, reviewing maintenance records, and consulting with the manufacturer. * once the cause of failure is identified, the engineer can recommend appropriate corrective actions to prevent future failures. these actions may include replacing faulty components, updating software, or implementing new maintenance procedures. * it's also important to document the cause of failure and the corrective actions taken in the device's maintenance records for future reference. @topic:12


# # # issue - electric bed remote is not working # # # impact - the patient may not be able to adjust the bed to a comfortable position. - the patient may not be able to get in or out of bed safely. # # # possible causes - the remote control is not properly connected to the bed. - the remote control is not turned on. - the remote control is damaged. - the batteries in the remote control are dead. # # # recommendations - make sure the remote control is properly connected to the bed. - turn on the remote control. - inspect the remote control for any damage. - replace the batteries in the remote control. # # # root cause - the root cause of the failure was that the remote control cord was broken. the bme soldered the cord and tested the remote control. the remote control is now working properly. @topic:7


# # # issue : cuff degraded * the cuff is worn and needs to be replaced. # # # impact : * the monitor may not be able to accurately measure vital signs. * the patient may not be receiving the correct treatment. # # # possible causes : * the cuff may have been used too often. * the cuff may have been exposed to heat or moisture. * the cuff may have been damaged by a sharp object. # # # recommendations : * replace the cuff with a new one. * inspect the cuff regularly for signs of wear and tear. * store the cuff in a cool, dry place. @topic:5


* * issue : * * medical cart is not booting up. * * impact : * * the medical cart cannot be used to transport and monitor patients, which could delay their care. * * possible causes : * * * hard drive failure * power supply failure * battery failure * software corruption * motherboard failure * * recommendations : * * * * * check the hard drive : * * ensure that the hard drive is properly connected and that it is not damaged. * * * check the power supply : * * ensure that the power supply is properly connected and that it is providing adequate power. * * * check the battery : * * ensure that the battery is properly charged and that it is not damaged. * * * reinstall the software : * * if the software is corrupted, it may need to be reinstalled. * * * replace the motherboard : * * if the motherboard is damaged, it may need to be replaced. @topic:13


# # # issue : - probe / vs2 on physiologic monitor ( bedside ) by philips, model suresigns vs2 is faulty. # # # impact : - the device is unable to accurately measure spo2 ( oxygen saturation ) levels. # # # possible causes : - * * deterioration of probe spo2 wire due to usage. * * # # # recommendations : - replace the probe spo2 wire. - regularly inspect and maintain the device to prevent similar issues in the future. @topic:4


# # # issue * * bed is unable to adjust. * * # # # impact * * patients may be unable to be positioned comfortably or safely. * * # # # possible causes * * * broken remote control * * * * * damaged wiring * * * * * malfunctioning motor * * * * * power outage * * # # # recommendations 1. * * inspect the remote control for any visible damage. * * if the remote control is damaged, it will need to be replaced. 2. * * check the wiring for any breaks or damage. * * if the wiring is damaged, it will need to be repaired or replaced. 3. * * test the motor by manually adjusting the bed. * * if the motor is not functioning properly, it will need to be repaired or replaced. 4. * * check for any power outages. * * if there is a power outage, the bed will not be able to adjust. @topic:1


* * issue : * * - central monitor unable to capture ekg signals * * impact : * * - inability to monitor patient's heart activity effectively * * possible causes : * * * * * hardware failure : * * - damaged or faulty ekg sensor - malfunctioning motherboard - incompatible software * * * software issues : * * - corrupted or outdated software - software bugs or glitches * * * age - related degradation : * * - deterioration of electronic components over time - lack of support for older hardware configurations * * * external interference : * * - magnetic fields or radio frequency interference from nearby devices - loose connections or cables * * recommendations : * * * * * troubleshooting : * * check for obvious issues such as loose cables or damaged sensors. * * * software updates : * * ensure that the monitor is running the latest software version. * * * hardware inspection : * * inspect the monitor's internal components for any signs of damage or failure. * * * replacement : * * if repairs are not feasible or cost - effective, consider replacing the monitor with a newer model. * * * preventative maintenance : * * conduct regular inspections and maintenance to minimize the risk of future failures. @topic:18


# # # issue - printer is not printing. # # # impact - inability to print medical data and reports, which can delay patient care. # # # possible causes - paper jam. - print queue errors. - faulty printer hardware. - software issues. - network connectivity problems. # # # recommendations - * * check for paper jams : * * remove any stuck paper from the printer. - * * clear the print queue : * * cancel any pending print jobs. - * * restart the printer : * * turn off the printer and then turn it back on. - * * update the printer software : * * install the latest printer drivers and firmware updates. - * * check network connectivity : * * ensure that the printer is connected to the network and that the network is functioning properly. - * * contact the manufacturer : * * if the issue persists, contact the printer manufacturer for further assistance. @topic:28


# # issue - spo2 cable breakage resulting in exposed wires # # impact - inability to accurately monitor patient's oxygen saturation levels - potential for electrical shock or fire hazard # # possible causes - wear and tear due to repeated use or improper handling - manufacturing defect - damage caused by external factors ( e. g., being stepped on, pulled accidentally ) # # recommendations - regularly inspect spo2 cables for signs of damage and replace if necessary - handle cables with care to avoid excessive stress or bending - ensure proper storage and transportation of equipment to prevent damage - train staff on the importance of proper cable handling and maintenance - consider using more durable or reinforced spo2 cables for high - use areas @topic:4


* * issue : * * unknown cause of failure for monitors, physiologic, multipurpose, mri safe / conditional equipment. * * impact : * * the device's status is currently listed as " stand by, " hindering its usage for patient care. * * possible causes : * * the provided information does not specify why the device had to be placed in a " stand by " mode. possible causes could include : - equipment malfunction or technical issues - software bugs or configuration problems - user error or improper handling of the device - external factors, such as power outages or interference * * recommendations : * * to determine the exact cause of failure, the following steps are recommended : - review the device's history, usage logs, and maintenance records to identify any patterns or deviations. - conduct thorough testing and diagnostics to isolate the root cause of the issue. - consult with the equipment manufacturer or authorized service provider for technical expertise and troubleshooting assistance. - implement preventative measures to avoid recurrence of the issue, such as regular maintenance, staff training, and robust quality control protocols. @topic:2


# # # issue - spoiled spo2 cable. # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - physical damage to cable ( e. g., cuts, kinks ) - manufacturing defects - wear and tear over time - improper storage or cleaning # # # recommendations - replace spo2 cable with a new one. - inspect spo2 cables regularly for any signs of damage. - ensure proper storage and cleaning of spo2 cables. - train staff on proper handling of spo2 cables. - consider using wireless or disposable spo2 sensors to reduce cable - related issues. @topic:4


# # # issue - limit switch failure # # # impact - equipment cannot be used # # # possible causes - wear and tear - poor maintenance - manufacturing defect # # # recommendations - regular maintenance and inspection of limit switches - replacement of faulty limit switches - proper training of staff on the use and care of equipment - regular calibration and testing of equipment @topic:12


6 select calibration value and select from the list the value received from the lab. select hct [ % ] ( or hb [ mmol / l ] or hb [ g / dl ] depending on the set up ) and enter the corresponding value from the laboratory analysis. 7 to change the setup for entering the hb / hct, see “ changing the lab value required for entry " if you need to enter a new correction factor, select catheter factor. 8 enter the correction factor. 9 10 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 last cal recalls the previously stored calibration value. if the calibration fails, check that the light intensity indicator is indicating a stable medium to high level. changing the lab value required for entry you can change the lab value required to be entered : hb [ g / dl ], hb [ mmol / l ] or hct [ % ]. in the setup < so2 label > menu, select hb / hct entry. 1 2 select further information for both modules if you have any doubts about the correctness of the measurement value, take a blood sample and have it analyzed using standard laboratory procedures. oxygen extraction is the difference between the measured spo2 and svo2 values. if monitoring spo2 and svo2, the monitor can calculate this value and display it as a numeric. you arto switch oxygen extraction calculation on or off, in the setup sp - vo2 menu, select sp - vo2 and. if more than one spo2 value is available, you must choose which value is used in the calculation. in the setup sp - vo2 menu, select spo2 source and select the required source. @topic:17


# # # issue - central telemetry monitor is not displaying signals. # # # impact - patient monitoring is compromised, affecting patient safety and care quality. # # # possible causes - loose connection in the mainframe causing signal disruption. # # # recommendations - the medical device manufacturer's technical support was contacted to investigate and resolve the issue. - the technician identified a loose connection in the mainframe, which was tightened to restore signal transmission. - the device was tested and confirmed to be functioning normally. @topic:16


##olutio1 cmh2o 490 40 specifications spirometry performance specifications 20 to 0 cmh2negative inspiratory pressure numeric cmh2resolution 0 to 120 cmh2o mean airway pressure angcmh2resolution. to 120 cmh2plateau pressure angumeric cmh2resolution positive end - expiratory range 0 to 99 cmh2ressure numeric cmh2resolution ( peep ) 400 to 800 mmhg barometric pressure range numeric ( pbmmhresolution 0. 3 to 25 1 / min ( neonatal ) eak inspiratory flow range numeric ( pif1 to 100 1 / min ( pediatric2 to 180 1 / min ( adult ) 0. 1 1 / min ( neonatal ) 1 1 / min ( pediatric / adult ) 0. 3 to 25 1 / min ( neonatal ) esolution peak expiratory flow angumeric ( pef1 to 100 1 / min ( pediatric2 to 180 1 / min ( adult ) 0. 1 1 / min ( neonatal ) 1 1 / min ( pediatric / adultresolution nspiration to ang1 : 0. 2 to 9. 9 resolution 0. 1 ( i : e ) cardiac output / continuous cardiac output c. o. / cco performance specifications c. o. ( right heartrange ccuracy 0. 1 to 20. 0 1 / min instrument specification ( electrical ) : ±3 % or 0. 1 1 / min cation : ±5 % or 0. 2 1 / min instrument specification ( electrical ) : ±2 % or 0. 1 1 / min system specification : ±3 % or 0. 1 1 / min repeatability c. o. ( transpulmonary ) range instrument specification ( electrical ) : ±4 @topic:17


# # # issue - the wheels on the arjohuntleigh sara combilizer are damaged. # # # impact - the medical device cannot be used as intended. # # # possible causes - the wheels may have been damaged due to : - wear and tear - improper use - lack of maintenance # # # recommendations - replace the damaged wheels with new ones. - inspect the medical device regularly for any signs of damage. - train staff on the proper use and maintenance of the medical device. @topic:24


* * issue : * * - the patient transport monitor is intermittently unable to monitor patient vital signs, displaying " battery error " * * impact : * * - inability to accurately monitor patient vital signs during transport, potentially compromising patient safety * * possible causes : * * - battery malfunction - faulty battery calibration - electrical connection issues - hardware failure within the monitor * * recommendations : * * - replace the battery with a new one. - recalibrate the battery using the manufacturer's instructions. - inspect electrical connections for looseness or damage. - contact the manufacturer for further troubleshooting and potential repair or replacement of the monitor. @topic:11


# # # issue - motor failure in bed, electric ( uq2000e - p ) # # # impact - device malfunction, potentially affecting patient care # # # possible causes - wear and tear due to frequent use or overloading - electrical fault or power surge - manufacturing defect - improper maintenance or mishandling # # # recommendations - regularly inspect and maintain the device according to manufacturer's guidelines - use the device within its intended parameters and avoid overloading - ensure proper electrical connections and grounding - train staff on correct handling and maintenance procedures - consider using a surge protector to protect against power fluctuations - investigate potential manufacturing defects with the manufacturer @topic:9


##sscbin case nr e a i a i a ba vndusels 3 - 19 expected test result : na era raana gal ara paras aa eaea e eees at ee tans te anen ers 3 - 19 expected : test results ccsccccescs iie nenii n e ea e e ee 3 - 20 ground inte arity ee e e a evade sates t ne ee dae a ee e 3 - 20 expected : test results : osc : ics ccsoecesecad tres ieceediccccbel pie io e eke ee e eet eeee t e 3 - 20 patient leakage current with mains voltage........... ccccccsssssssescesecesceseeeecesceseeeeecaeeeeeeaeeeecaeenaeeneens 3 - 21 expected ’ test results fice. sccc. cesnccccegecalasees cei ct cccience cod eggeven e ee e dg tence dsteeeee dh 3 - 21 nurse : call - relay test cx eins, cietnedicistent cue teats steen ge a a an eee ee eet 3 - 21 calibrating the : touch seretse iini ii e e r r r e i vivesteest 3 - 22 4 troubleshooting when you cannot correct a problem......... s. sseesssesssssseeesseeeesersesetsterestenessestssestsessenesseeeeseesesessesesset 4 - 1 viewing system information........... [UNK] 4 - 1 diagnosing a problem : nccrne i a e e cde a e iae e aeree eee ge e @topic:10


# # # issue - failure of the cuff component in the physiologic, vital signs monitor ( model 740 ) manufactured by casmed. # # # impact - the device is unable to accurately monitor vital signs, potentially leading to delayed diagnosis and treatment. # # # possible root causes - * * normal wear and tear : * * the cuff is a consumable component, and prolonged use can lead to deterioration. - * * improper storage : * * cuffs should be stored properly to prevent damage from moisture, heat, or sunlight. - * * defective materials : * * manufacturing defects or substandard materials used in the cuff can contribute to its premature failure. # # # recommendations - * * regular maintenance : * * scheduled inspections and preventive maintenance can help identify potential cuff issues early on. - * * adequate training : * * staff should be trained on proper handling and storage of cuffs to prevent damage. - * * oem recommendations : * * follow manufacturer guidelines for recommended replacement intervals and storage conditions for cuffs. - * * quality inspection : * * implement quality control measures to ensure that cuffs used in devices meet specifications. - * * consider alternative cuff designs : * * explore using cuffs made from more durable materials or with improved design features to reduce the likelihood of premature failure. @topic:5


prepare to clean the equipment caution some cleaning agents are not appropriate for all components of the device. use only approved cleaning agents, and observe restrictions noted for some components in the following table. using unapproved cleaning agents may cause damage to components. a 98 cleaning requirements welch [UNK] connex® spot monitor caution do not use bleach solutions of any kind when cleaning metal electrical contacts. they will damage the device. select a cleaning agent from the following table. section 1. approved for all connex spot monitor components cleaning agent additional information accel intervention accel tb caviwipes clinell universal wipes xiver tb sani - cloth® plus section 2. not approved for all connex spot monitor components note the following cleaning agents are not approved for cleaning connex spot monitors equipped with the braun thermoscan pro 6000. cleaning agent additional information bacillol af wipes not approved for use on the display cleancide clinitex detergent wipes not approved for use on the display clorox dispatch wipes not approved for use on the display clorox fuzion not approved for use on the display clorox healthcare bleach germicidal cleaner mikrozid af wipenot approved for use on the display xivir 1 wipenot approved for use on the display oxivir plus 1 : 40 solution not approved for use on the display service manual leaning requirements cleaning agenadditional information reynard neutral detergent wipes not approved for use on the display reynard premier disinfectant wipes not approved for use on the display sani - cloth active wipes not approved for use on the display not approved for use on the display sani - cloth bleach sani - cloth prime wipes not approved for use on the display not approved for use on the display dilution rate of 1 / 2 oz per gallon of @topic:10


# # # issue * the patient transport monitor, model suresings vs2, manufactured by philips, is not functioning correctly. # # # impact * the monitor is essential for monitoring a patient's vital signs during transport. * the failure of the monitor could delay or prevent the patient from receiving appropriate medical care. # # # possible causes * the most likely cause of the failure is a problem with the blood pressure cuff. * the cuff may be damaged or may not be properly connected to the monitor. * other possible causes include a problem with the monitor's electronics or software. # # # recommendations * the technician should inspect the blood pressure cuff and ensure that it is properly connected to the monitor. * if the cuff is damaged, it should be replaced. * if the cuff is not damaged, the technician should check the monitor's electronics and software for any problems. @topic:15


# # # issue : bed cannot be adjusted # # # impact : patient discomfort, delayed treatment # # # possible causes : - * * electrical fault : * * faulty wiring, loose connections, or damaged electrical components can prevent the bed from receiving power or responding to commands. - * * mechanical failure : * * broken or jammed gears, cables, or motors can hinder the bed's ability to move. - * * control system malfunction : * * issues with the control panel, remote control, or other electronic components can interfere with the bed's operation. - * * hydraulic system issues : * * if the bed is hydraulically powered, leaks or blockages in the hydraulic lines can affect its functionality. # # # recommendations : - * * troubleshoot electrical connections : * * check for loose wires, damaged plugs, or blown fuses. ensure that the bed is properly connected to a power source. - * * inspect mechanical components : * * look for signs of wear, damage, or obstruction in the bed's gears, cables, and motors. lubricate moving parts as needed. - * * test control system : * * verify that the control panel, remote control, and buttons are functioning correctly. clean or replace any faulty components. - * * check hydraulic system : * * inspect the hydraulic lines for leaks or blockages. replenish or replace hydraulic fluid as necessary. - * * consult manufacturer's guidelines : * * refer to the manufacturer's instructions for specific troubleshooting and repair procedures for the particular bed model. @topic:1


# # # issue - scanner not firing. # # # impact - inability to use the medical cart effectively. # # # possible causes - faulty contacts on the scanner or charging station. - damaged power cable or adapter. - software or firmware issues with the scanner. - mechanical failure of the scanner's firing mechanism. # # # recommendations 1. * * inspect the contacts on the scanner and charging station. * * ensure they are clean and free of corrosion or damage. clean the contacts with a cotton swab moistened with isopropyl alcohol if necessary. 2. * * check the power cable and adapter. * * ensure they are in good working condition and securely connected. replace the cable or adapter if damaged. 3. * * update the scanner's software or firmware. * * the latest updates may address bugs or glitches that could be causing the scanner to malfunction. 4. * * inspect the scanner's firing mechanism. * * look for any visible damage or obstructions. if the firing mechanism appears damaged, contact the manufacturer for repair or replacement. @topic:23


* * issue : * * broken shelf on medical cart * * impact : * * * equipment instability and potential for spills or damage to medical supplies * difficulty accessing medical supplies and equipment * reduced efficiency of medical procedures * * possible causes : * * * poor handling or excessive weight on the shelf * manufacturer defect or inadequate design * corrosion or wear over time * structural damage from previous repairs or accidents * * recommendations : * * * inspect the shelf regularly for any signs of damage or wear * limit the weight placed on the shelf * avoid stacking heavy objects on the shelf * report any damage or concerns to the manufacturer or maintenance department promptly * consider replacing the shelf with a more durable or reinforced model @topic:31


# # # issue - broken wheel lock # # # impact - impaired mobility of the medical device - potential safety hazard for patients and staff # # # possible causes - wear and tear due to frequent use - improper maintenance or lubrication - manufacturing defect # # # recommendations - regular inspection and maintenance of the device, including the wheel locks - proper lubrication and tightening of the wheel locks as needed - reporting any issues with the wheel locks to the appropriate personnel for prompt repair or replacement - consider using higher quality or more durable wheel locks to prevent future failures @topic:24


# # # issue - probe toco not working. # # # impact - inability to monitor fetal heart rate and uterine contractions. # # # possible causes - broken or damaged probe toco. - electrical issues with the device. - software malfunction. - human error ( e. g., improper use or handling of the device ). # # # recommendations - inspect the probe toco for any visible damage or defects. - test the electrical connections and ensure they are secure. - check for any software updates or patches that may resolve the issue. - review the user manual for proper operating procedures and ensure that the device is being used correctly. - contact the manufacturer or a qualified technician for further troubleshooting and repair if necessary. @topic:20


# # # issue : - inability to adjust the bed # # # impact : - patient discomfort and safety risks - difficulty in providing necessary care # # # possible causes : * * 1. electrical system failure : * * - malfunctioning power supply - defec * * 2. mechanical component failure : * * - damaged gears or actuators - broken or misaligned components * * 3. control unit malfunction : * * - faulty control panel or software - broken wiring or loose connections * * 4. user error : * * - incorrect operation or handling of the bed # # # recommendations : * * 1. electrical system inspection : * * - check power supply and connections - test for voltage and continuity * * 2. mechanical component inspection : * * - visually inspect gears, actuators, and other components - check for wear or damage * * 3. control unit troubleshooting : * * - reset the control panel and check for error codes - inspect wiring and connections * * 4. user error assessment : * * - observe the user's operation of the bed - provide training or guidance if necessary * * 5. manufacturer support : * * - contact the manufacturer for technical assistance or parts replacement @topic:9


# # # issue - fixed bed rail # # # impact - the patient could fall out of bed. # # # possible causes - the bed rail was not properly lubricated. - the bed rail was damaged. # # # recommendations - lubricate the bed rail regularly. - inspect the bed rail for damage and replace it if necessary. @topic:6


# # # issue the electric hospital bed ( huntleigh enterprise 5000 ) is not adjusting in height. # # # impact patients and healthcare providers may have difficulty using the bed, which could lead to discomfort, safety issues, or delays in care. # # # possible causes * * * electrical issue : * * there could be a problem with the power supply, wiring, or electrical components within the bed. * * * mechanical issue : * * the bed's motors, gears, or hydraulic system may not be functioning properly. * * * control issue : * * the bed's control panel or software may be malfunctioning, preventing it from receiving or executing commands to adjust the height. * * * operator error : * * the bed may not be adjusted properly or there may be a misunderstanding about how to operate the controls. # # # recommendations * * * electrical troubleshooting : * * check the power supply, wiring, and electrical components for any loose connections, damage, or shorts. * * * mechanical inspection : * * inspect the bed's motors, gears, and hydraulic system for any signs of wear, damage, or obstruction. * * * control diagnostics : * * test the bed's control panel and software to ensure that they are functioning correctly and receiving commands to adjust the height. * * * operator training : * * provide clear instructions to the user on how to properly adjust the bed's height. * * * further assessment : * * if the above steps do not resolve the issue, consider contacting the manufacturer or a qualified technician for further diagnosis and repair. @topic:1


# # # issue monitor is not alarming. # # # impact patient's vital signs may not be monitored properly. # # # possible causes - the alarm settings are not configured correctly. - the sensors are not properly connected to the patient. - the monitor is not functioning properly. # # # recommendations - verify the alarm settings are correct. - ensure the sensors are properly connected to the patient. - perform a system test on the monitor. - replace the monitor if necessary. # # # additional notes - the user manual for the monitor may provide additional troubleshooting steps. - a biomedical engineer should be consulted if the issue cannot be resolved. @topic:22


loops window, select print loop. loops report central report a / b / c these are reports configured at the information center. monitors connected via the intellivue instrument telemetry wireless network can have these reports available. in the main setup select reports then central report a, central report b or central report c. 370 29 printing patient reports to stop reports printing, in the reports medelete report to stop the current print job delete all repts to cancel all queued report printouts scheduled rep. to select off and switch off scheduled reports. setting up reports as the content of context - linked reports, such as cardiac output, calculations, and wedge, is defined by the content of the procedure window these reports do not need to be set up, however a target printer can be configured in the setup reports menu. the content you define in the individual setup reports menus will be used in all reports of this type : for example, if you set a print speed of 50 mm / sec in the ecg reports menu, every ecg report will be printed at this speed, irrespective of format. ecg report layout and auto reports settings must be defined in configuration mode. setting up ecg reports the settings you choose in the ecg reports menu apply for all ecg - a and ecg - b reports printed. to set up ecg reports, select main setup, reports, then ecg reports. note the report layout configured for monitor, either internat or cabrera. this setting is inactive ( " grayed - out " ) in monitoring mode and can only be changed in configuration mode. your 1 ouselect ecg gain and set the required ecg gain to define how ecg waves will appear on the ecg 2 select speed and select the report print speed. 3 4 select annotation and switch to on if the printed ecg wave should be ann @topic:8


# # # issue - nbp overpressure # # # impact - equipment malfunction - inaccurate patient data - delayed or incorrect diagnosis - potential harm to patient # # # possible causes - user error : using non - standard materials ( e. g., rubber bands ) to secure equipment - equipment defect : malfunctioning pressure sensor or valve - environmental factors : extreme temperatures or humidity # # # recommendations - * * train users on proper equipment use. * * emphasize the importance of using approved methods to secure equipment and avoiding non - standard materials. - * * regularly inspect and maintain equipment. * * perform routine checks to ensure proper function of pressure sensors and valves. - * * establish clear procedures for troubleshooting and reporting equipment issues. * * provide staff with clear guidelines on how to identify and respond to overpressure events. - * * consider using pressure - limiting devices. * * these devices can help prevent overpressure events by automatically regulating the flow of air or liquid. - * * educate patients on the importance of proper use. * * inform patients of the potential risks associated with using non - standard materials and encourage them to report any concerns. @topic:15


# # # issue - faulty camera control # # # impact - inability to use the medical device # # # possible causes - hardware failure of the camera control - software malfunction - loose connections - electrical issues # # # recommendations - replace the faulty camera control - update the software to the latest version - inspect and tighten any loose connections - check the electrical connections and ensure they are secure @topic:12


x m1872b, and 5 x m1873b soft, single patient, iso 80369 - 1 compliant connector : 5 x m1866s, 10 x m1868s, 20 x m1870s, 10 x m1872s, 5 x m1873s 989803167551 invasive pressure accessories these transducers and accessories are designed to have special protection against electric shocks ( particularly regarding allowable leakage currents ), and are defibrillator proof. if you are using the m3012a hemodynamic mms extension, and you want to measure temperature and invasive pressure at the same time, we recommend that you use the pressure transducer cpj840j6, with a round module connector piece, and not a transducer with a square connector. pressure transducers with square connectors may make it difficult to connect the adjacent temperature t the same time. 426 9 accessories transducer, accessories, sensor kits art no. | cpj840j6 reusable pressure transducer 5 μv / v / mmhg sensitivity sterile disposable pressure domes for cpj840j6 ( pack of 50 ) transducer holder for cpj840j6 ( pack of 4 ) cpj84022 cpj84046 iv pole mount for cpj840j6 pj84447 monitoring line set for cpj840j6 cpj84026 m1567a single channel disposable sensor kit ( 20 ) - ( eu / efta only ) dual channel disposable sensor kit ( 20 ) ( eu / efta only ) m1568a transducer holder for m1567 / 8a ( eu / efta only ) m2271a iv pole mount @topic:8