# # # issue - failure of the electric bed due to a faulty remote control cord. # # # impact - inability to adjust the bed's position, compromising patient comfort and safety. # # # possible causes - physical damage to the cord, such as fraying or cuts. - loose connections at the cord's terminals. - malfunction of the remote control unit. # # # recommendations - * * replace the damaged remote control cord : * * use a compatible replacement cord specified by the manufacturer to ensure proper functioning. - * * inspect the remote control unit : * * check for any loose connections or damage to the buttons and circuitry. - * * test the bed's functionality : * * once the cord is replaced, thoroughly test the bed's operation to ensure it can be adjusted as intended. - * * document the maintenance : * * keep a record of the failure and the steps taken to resolve it for future reference. @topic:7


# # # issue - bed cannot be adjusted # # # impact - patient discomfort and potential for injury - delays in patient care # # # possible causes - power outlet malfunction # # # recommendations - verify that the power outlet is functioning properly and securely connected to the bed. - if the power outlet is faulty, contact the hospital's maintenance department for repairs. - ensure that the bed is plugged into a dedicated outlet that is not overloaded with other devices. - regularly inspect the power outlet and cord for damage or loose connections. - consider surge protection devices to protect the bed from electrical fluctuations. @topic:1


# # # issue : physiologic monitor ( bedside ) from welch allyn ( model : propaq lt ) cannot measure blood pressure ( bp ). # # # impact : healthcare professionals cannot monitor a patient's blood pressure accurately, potentially leading to incorrect medical decisions or delayed treatment. # # # possible causes : 1. * * faulty bp transducer / cuff : * * the transducer or cuff used to measure bp may be malfunctioning or damaged. 2. * * blockage in pressure line : * * a blockage, such as a kink or occlusion, in the pressure line connecting the transducer to the cuff can prevent the transfer of pressure signals. 3. * * improper cuff placement : * * the bp cuff may not be positioned correctly on the patient's arm, leading to inaccurate readings. 4. * * software issue : * * a software glitch or bug in the monitor's programming may interfere with the bp measurement function. 5. * * electrical fault : * * a loose connection or component failure within the monitor can cause electrical issues affecting bp measurement. # # # recommendations : 1. * * inspect and replace bp transducer / cuff : * * check the transducer and cuff for any visible damage or wear. replace them if necessary. 2. * * clear pressure line blockage : * * inspect the pressure line for any kinks or obstructions. clear any blockages to ensure proper pressure transmission. 3. * * verify cuff placement : * * ensure that the bp cuff is snugly fit on the patient's upper arm, with the arrow indicator aligned with the brachial artery. 4. * * update software : * * check for available software updates for the monitor and install them if necessary to address any software - related issues. 5. * * troubleshoot electrical fault : @topic:14


* * issue : * * lock malfunction * * impact : * * the medical cart is no longer secure, posing a safety risk to patients and staff. * * possible causes : * * * wear and tear due to frequent use * damage from impact or mishandling * corrosive substances or fluids spilling onto the lock mechanism * manufacturer defect * inadequate maintenance or lubrication * * recommendations : * * * replace the damaged lock immediately with a new one from the manufacturer. * ensure regular maintenance and lubrication of the cart, including the lock mechanism. * handle the cart carefully to prevent damage from bumps or impacts. * inspect the lock periodically for any signs of wear or damage. * clean and disinfect the cart regularly to prevent corrosion. * report any issues or malfunctions with the lock to the appropriate authorities promptly. * consider installing security features, such as an alarm or tracking system, to prevent unauthorized access or theft of the cart. @topic:27


# # # issue - broken black wire in the ekg cable. # # # impact - ekg waveform not displayed on the monitor. # # # possible causes - the ekg cable was not properly connected. - the ekg cable was damaged. # # # recommendations - replace the ekg cable with a new one. - ensure that the ekg cable is properly connected. @topic:18


# # # issue - broken bed lock bolt # # # impact - patient safety hazard - bed cannot be safely used # # # possible causes - bolt was not properly tightened - bolt was damaged - bolt was not replaced after maintenance # # # recommendations - inspect bed locks regularly and tighten as needed - replace bed locks if they are damaged - ensure that bed locks are replaced after maintenance @topic:6


# # # issue - * * none specified * * # # # impact - technicians unable to diagnose and repair medical equipment. # # # possible causes - the input does not provide any information about the cause of failure, so it is difficult to identify the exact cause. - the equipment may be faulty, damaged, or not properly maintained. - the technician may not be qualified or trained to troubleshoot and repair the equipment. # # # recommendations - if the equipment is faulty, damaged, or not properly maintained, it should be repaired or replaced. - the technician should be qualified and trained to troubleshoot and repair the equipment. - the hospital should have a policy and procedure for troubleshooting and repairing medical equipment. @topic:12


# # # issue - the bedside physiologic monitor does not turn on. # # # impact - monitoring vital parameters of assigned patients may not be possible while the device is not functional. # # # possible causes - faulty power supply board and mosfet. # # # recommendations - replace the faulty power supply board and mosfet as per the manufacturer's guide and industry standards. - consider inspecting and testing the power cord to ensure it is securely connected and in good condition. - if the issue persists, seek further troubleshooting from the manufacturer's technical support or a qualified biomedical engineering service provider. @topic:2


( 40000 ft. ) battery storage - 20 to 50°c ( - 4 to 122°f ) electrical and safety requirements ( customer or philips ) safety requirements if the m40 / mp50 monitor is to be used in internal examinations on the heart or brain ensure that the monitor is connected to an equipotential grounding system. grounding the mp40 / mp50 monitor must be grounded during operation ( class i equipment according to iec 60601 - 1 ). if a three - wire receptacle is not available then the hospital electrician must be consulted to ensure that proper grounding is available on installation. never attempt to use a three - wire to two - wire adapter with the mp40 / mp50 monitor. warning each component must be individually grounded for safety and interference suppression purposes. electrical requirements line voltage connection the mp40 / mp50 monitor uses < 100 w ( 1. 8 to 1. 0 a ). line voltage the mp40 / mp50 monitor may be operated on ac line voltage ranges of 100 to 240v ( 50 / 60 hz ). remote device site requirements the system can be installed with one or more combinations of the following remote devices. multi - measurement server remote display remote alarm device remote extension device ( with or without speedpoint ) where more than one site is used for locating equipment ( a remote installation ), the following sections should be considered for each device : • space requirements 250 remote device site requirements 8 site preparation • environmental requirements • mounting • electrical and safety requirements • cabling options and conduit size requirements connecting non - medical devices the standard iec - 60601 - 1 - 1 applies to any combination of medical and non - medical devices, where at least one is a medical device. therefore iec - 60601 - 1 - 1 must still be met after all devices are connected. warning do not use a device in the patient vicinity if @topic:10


# # # issue the bed did not have a bed alarm cable. # # # impact the bed could not be used safely without a bed alarm cable. # # # possible causes * the bed alarm cable was not installed during the initial setup of the bed. * the bed alarm cable was damaged or lost. * the user removed the bed alarm cable. # # # recommendations * ensure that the bed alarm cable is installed during the initial setup of the bed. * inspect the bed alarm cable regularly for damage and replace it if necessary. * educate users on the importance of the bed alarm cable and the consequences of removing it. @topic:26


# # # issue - the remote control of the electric bed is damaged. # # # impact - the bed cannot be adjusted using the remote control. # # # possible causes - the remote control may have been dropped or damaged in some way. - the batteries in the remote control may be dead. - there may be a problem with the connection between the remote control and the bed. - the bed's control unit may be faulty. # # # recommendations - check the batteries in the remote control and replace them if necessary. - inspect the remote control for any damage. if there is any damage, the remote control will need to be replaced. - check the connection between the remote control and the bed. make sure that the connection is secure. - if the above steps do not resolve the issue, the bed's control unit may need to be replaced. @topic:7


# # # issue the philips intellivue x2 ( m3002a ) patient transport monitor cannot connect to the network. # # # impact the monitor cannot be used to track and display patient data, which could delay or compromise patient care. # # # possible causes * * * hardware failure : * * a faulty network interface card or other hardware component could prevent the monitor from connecting to the network. * * * software configuration error : * * the monitor's software may not be properly configured to connect to the hospital's network. * * * network connectivity issue : * * there may be a problem with the hospital's network that is preventing the monitor from connecting. # # # recommendations * * * inspect the network interface card and other hardware components for any damage or loose connections. * * * * * check the monitor's software configuration to ensure that it is set up to connect to the hospital's network. * * * * * contact the hospital's it department to investigate any potential network connectivity issues. * * @topic:16


displayed limit. repeat to set the low yellow alarm limit. then 3 alarms if you set the yellow alarm limit outside the red alarm limit, the monitor will automatically adapt the when an st measurement is in the alarm limits window there are also two pop - up keys available labeled all st narrow / all st wide. with these keys you can set auto limits for all st leads. alarm limits can also be changed at the intellivue information center ix. about automatic alarm limits the monitor can automatically set alarm limits suited to your individual patient, using the automatic alarm limits function ( autolimits ). this tells the monitor to adapt the alarm limits of selected measurements to the measured vital signs within a defined safe limit. the monitor calculates safe autolimits for each patient based on the measured values from the last 12 seconds. the wide and narrow limits have a fixed relationship to the measured value within the non - pathological range. outside of this range, no auto limits are calculated. to set values outside of the non - pathological range, limits must be changed manually, based on the clinician's judgment about the specific patient. ide alarm lim1 narrow alarm limits 2 3 alarm limits 1 measurement value 4 2 3 2 1 4 limits narrow sets limits close to the currently measured values for situations where it is critical for you to be informed about small changes in your patient's vital signs. limits wide sets limits further away from the currently measured values for situations where small use the keys in the measurement alarm limits window to apply autolimits for individual measurements. these keys are not available if autolimits have been disabled for the measurement in the monitor's configuration mode. autolimits are not available for all measurements. the list of measurements for which autolimits can be used is defined in the monitor's configuration mode. use the measurement alarm limits window to check autolimits before you apply them @topic:8


# # # issue - battery failure due to end of life # # # impact - the device may be unable to function properly or may have reduced performance. # # # possible causes - the battery has reached the end of its expected lifespan ( 10. 8 v lithium ion ). # # # recommendations - replace the battery with a new one of the same type. @topic:11


# # # issue - equipment : monitor, physiologic, central station - band : hewlett packard - model : m3150a - description : the monitor is not displaying any image. # # # impact - the monitor is not able to display patient data, which can delay or hinder patient care. # # # possible causes - the video signal cable is loose or damaged. - the monitor's power supply is not working properly. - the monitor's internal components have failed. # # # recommendations - check the video signal cable and make sure it is securely connected to both the monitor and the computer. - if the video signal cable is damaged, replace it with a new one. - if the monitor's power supply is not working properly, replace it with a new one. - if the monitor's internal components have failed, the monitor will need to be repaired or replaced. @topic:2


* * issue : * * monitor screen is black / unresponsive * * impact : * * inability to monitor patient's vital signs, potentially leading to delayed or inaccurate treatment * * possible causes : * * * * 1. power failure : * * - check if the monitor is connected to a power source and that the power switch is turned on. - inspect the power cord for any damage or loose connections. * * 2. display panel malfunction : * * - the display panel may have failed or become disconnected within the monitor. - this can be a hardware issue requiring replacement or repair. * * 3. motherboard failure : * * - the motherboard is the central processing unit of the monitor. - a malfunction in the motherboard can lead to the display screen not receiving signals from the input sources. * * 4. graphics card failure : * * - the graphics card is responsible for processing and displaying images on the monitor. - a failed graphics card can cause the display to become black or distorted. * * 5. software issue : * * - outdated or corrupted software can lead to display problems. - ensure that the monitor software is up to date and free from any errors. * * recommendations : * * * * 1. troubleshooting power supply : * * - verify power connections and ensure the monitor is receiving adequate power. - if the power cord or power switch is faulty, replace them as needed. * * 2. contacting technical support : * * - for internal display panel or motherboard failures, contact the manufacturer's technical support team for assistance. - they can provide more advanced troubleshooting steps or facilitate repairs. * * 3. software updates : * * - check the manufacturer's website for software updates for the monitor. - install the latest updates to address any software - related display issues. @topic:2


# # # issue - the bed was borrowed for training purposes. # # # impact - the bed was not available for patient use. # # # possible causes - the bed was not returned after training. - the bed was damaged during training. # # # recommendations - establish a policy for borrowing medical equipment for training purposes. - ensure that equipment is returned promptly after training. - inspect equipment for damage after training. @topic:9


# # # issue medical cart cannot boot properly. # # # impact the medical cart cannot be used for its intended purpose, which may delay or compromise patient care. # # # possible causes - bios settings are incorrect. - efi boot order is incorrect. - the operating system is corrupted. - the hard drive has failed. - the motherboard has failed. # # # recommendations - check the bios settings and make sure that the boot order is correct. - reinstall operating system. - replace the hard drive. - replace the motherboard. @topic:13


settings may have changed or become corrupt. check the settings. cl spo2 disconnecnop tone the spo2 pod has lost the connection to the monitor. cl spo2 no cradle nop tone cl spo2 removnop tone the temperature of the battery in the spo2 pod is too high. remove the spo2 pod from the patient and contact service personnel. cl spo2 serv batnop tone the battery in the spo2 pod has reached the end of its useful life. it can no longer be charged. contact ry. clspo2 license req the spo2 pod requires a valid software license for operating. 104 managiwhen the monitor is used together with an intellivue information center, a variety of services are provided to manage the interconnections between patients, equipment, hospital beds, caregivers, and so on. many services can be used both at the monitor and at the information center, resulting in a more efficient workflow. which services are available will depend on which information center you have. the philips intellivue information center ix ( piic ix ) provides more services and functionality than the philips intellivue information center ( piic ). in these instructions for use, information that is only valid for one of the information centers will be marked with a corresponding side heading, for example piic ix for a list of the differences between the two information centers, see " information center compatibility " on page 132. atient conceptfor a patient to be part of the system their identification data must be entered into the system. a patient can then be assigned to a bed, have equipment assigned directly to him, and have a location set when he is not currently in the bed. equipment concepts depending on how equipment is used in your facility, there are various ways to associate devices with patients, @topic:10


# # # issue - inability to adjust the bed rails. # # # impact - compromised patient safety, as the inability to adjust the bed rails may lead to falls or injuries. # # # possible causes - obstruction of the bed rail adjustment mechanism by external factors. # # # recommendations - ensure that the bed rails are not obstructed by any objects, such as cords or cables. - regularly inspect the bed rail adjustment mechanism for any signs of damage or obstruction. - train staff on the proper use and maintenance of the bed rails. @topic:6


# # # issue - vital signs monitor cuff failure # # # impact - inability to accurately measure vital signs ( e. g., blood pressure, pulse rate, respiratory rate ) - delays in patient diagnosis and treatment - increased risk of adverse events # # # possible causes - cuff damage ( e. g., cracked or torn ) - incorrect cuff size or placement - malfunctioning air hose or pump - software or hardware issues # # # recommendations - inspect the cuff for damage and replace if necessary - ensure the cuff is the correct size and is properly placed on the patient - check the air hose and pump for leaks or blockages - perform software updates and hardware diagnostics - contact the device manufacturer for assistance if the issue cannot be resolved locally @topic:5


wheel until the demo mode checkbox is highlighted and press the wheel to insert a check in the demo mode box. 3. rotate the wheel to highlight return and press the wheel to select it. 5 - 14 configuring the monitor configuring the network and exporting data a confirmation window asks if you want to enter demo mode and clear all patient trending data. 4. in the confirmation window, rotate the wheel to yes, and press the wheel again to select it. demo mode activates, and a small demo banner appears in the top waveform pane. 0123456789 adult v / min ecg n pace detect off | demo | 85 $ pvc 2 mmhg © 22 : 24? 122 / 85 k ( 98 ) sp0 2 jvjvjwvjl sp0 2 % 100 q o ™ 90 y o s & perf4. 0 etc ( jy _ _ imc0 2 mmhb 50 a, > 4 gj 30 ho 1 \ / ~ \ / ~ \ x $ v min oo 30 j j & 10 vy vy vy t ^ c o 33 : 34 x is 37. 3 it ibdi - nt 1 f \ a ftltmt 08 / 15 / 2005 22 : 30 : 13 5. to exit demo mode, press the power button to turn the monitor off. the monitor resets all patient trend data. configuring the network and exporting data the network configuration menu controls how the monitor connects to a network and how and where monitor data is exported. for more information on the communications protocol, see the suresigns vm series patient monitor hl7 parameter data interface programmer's guide. to configure the network and enable data export settings : 1. rotate the navigation wheel until the system icon is highlighted, then press the @topic:8


# # # issue - unable to log into med admin program. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - the network connection is not stable. - the med admin program is not installed correctly. - the user id or password is incorrect. - the user does not have the correct permissions to log into the program. - the program is experiencing a bug. # # # recommendations - check the network connection and make sure that the medical cart is connected to the correct network. - reinstall the med admin program. - reset the user id and password. - contact the system administrator to grant the user the correct permissions. - report the bug to the software vendor. @topic:13


the the table. 4. either accept or enter a new name for the copied file in the copy configuration dialog, thelick copy. 5. 6. observe your new configuration file on the list configurations tab. download a configuration file to install on another device note before you use a usb flashdrive to download a configuration file, ensure the flashdrive is free from malware and unnecessary data. to download a saved configuration file, complete the following steps : from the configuration tool 1. access the configuration tool at http : / / config. welchallyn. com. 2. log in with a username and password. click list configurations on the navigation bar. 3. locate the configuration file to be downloaded in the list, and click the of the table. n the right sid4. the configuration file downloads to the tray on your pc. 5. using the dropdown menu on the right side of the downloaded file, select show in folder. windows explorer opens the downloads folder with the most recent download selected. 6. copy the downloaded configuration file to a usb flash drive. see " install a configuration file " for instructions to load this configuration on another device. 7. service manual device configuration and setup 105 create a new configuration file to create a new configuration file, complete the following steps : 1. access the configuration tool at http : / / config. welchallyn. com. 2. log in with a username and password. 1. click new configuration on the navigation bar. 3. select connex spot monitor as the product you would like to configure. 4. enter a user - friendly name for your configuration, then click continue. 5. the configuration tool advances to the product use location screen. select your location type, then click save and continue. 6. the progress summary screen appears. under progress summary, click the first step you want to con @topic:10


# # # issue - the technician was dispatched to fix a bed, but upon arrival, determined that the actual faulty device was not a bed. # # # impact - misdiagnosis of the problem can lead to unnecessary time and resources being spent on the wrong repair. - patient care may be delayed or compromised if the correct equipment is not fixed or replaced promptly. # # # possible causes - lack of clear or complete information on the work order - miscommunication between the person reporting the problem and the technician - incomplete or inaccurate inspection of the equipment by the technician # # # recommendations - improve the communication of equipment issues, ensuring that the correct information is provided to the technician. - implement a standardized equipment inspection process to ensure that all relevant details are captured before a work order is created. - provide training to technicians on how to identify and distinguish between different types of medical devices efficiently. @topic:12


is moved to another monitoring location using a transport monitor and re - admitted disconnect the x1 from the original monitor and silence the resulting unplugged inop. 1 if you are sure that the patient will not be returning to this monitor, you should perform a discharge or end - case. this prevents data from the next patient accidentally being mixed up with 2 connect the x1 to the transport monitor and move the patient. at the new monitoring location, remove the x1 from the transport monitor and connect it to the 3 if prompted, re - admit the patient to the new monitor : in the select patient window, select the patient in the x1 to retain the data in the x1. this will upload the patient demographics, and, if configured, the measurement settings and trend data stored in the x1 to the monitor. verify that the settings for patient category and paced mode are correct. 4 scenario : a patient is moved to another monitoring location using the x2 and re - admitted at the new monitor. disconnect the x2 from the original host monitor and silence the resulting unplugged inop. if you are sure that the patient will not be returning to this monitor, you should perform a discharge or end - case. this prevents data from the next patient accidentally being mixed up s data. wi1 ith 2 move the patient using the x2 as the transport monitor. 3 1 5 managing patients and equipment if prompted, re - admit the patient to the new monitor : in the select patient window of the new monitor, select the patient in the x2 to retain the data in the x2. this will upload the patient demographics, and, if configured, the measurement settings and trend data stored in the x2 to the monitor. verify that the settings for patient category and paced mode are correct. 4 data upload from an mms the multi - measurement @topic:10


# # # issue - bed is not adjusting up or down # # # impact - patient may not be able to be positioned properly - staff may have difficulty accessing the patient - prolonged use of the bed in an incorrect position can lead to discomfort and pain for the patient # # # possible causes - * * loose connections : * * the power cord or cables connecting the bed to the controller may be loose or disconnected. - * * faulty motor : * * the motor that powers the bed's adjustment mechanism may be faulty or burned out. - * * damaged controller : * * the controller that sends signals to the motor may be damaged or malfunctioning. - * * faulty remote : * * the remote control used to operate the bed may be faulty or sending incorrect signals. - * * obstructions : * * there may be objects or debris blocking the bed's movement. # # # recommendations - * * check connections : * * ensure that all power cords and cables are securely connected. - * * inspect the motor : * * visually inspect the motor for any signs of damage or overheating. listen for any unusual noises coming from the motor. - * * test the controller : * * use a multimeter to test the continuity and functionality of the controller. - * * replace the remote : * * if the remote is suspected to be faulty, replace it with a new or known - good remote. - * * clear obstructions : * * remove any objects or debris that may be blocking the bed's movement. @topic:1


# # # issue - sat cannot be measured. # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - faulty probe - malfunctioning board - software glitch - connection issues # # # recommendations - check the probe and ensure it is properly connected. - replace the board if necessary. - contact the manufacturer for software updates. - inspect the connections and ensure they are secure. @topic:4


# # # issue the technician has identified that the cause of failure for the welch allyn connex spot monitor is that the device was not properly explained to the user. # # # impact this could have a negative impact on the patient's health, as the user may not be able to use the device correctly. this could lead to incorrect readings, which could result in the patient receiving incorrect treatment. # # # possible causes - the technician may not have had enough time to properly explain the device to the user. - the user may not have understood the instructions given by the technician. - the device may be too complex for the user to understand. # # # recommendations - the technician should make sure that they have enough time to properly explain the device to the user. - the technician should use clear and concise language when explaining the device to the user. - the technician should make sure that the user understands the instructions given by the technician. - the technician should provide the user with written instructions that they can refer to later. - if the device is too complex for the user to understand, the technician should make sure that the user has access to someone who can help them use the device. @topic:22


* * issue : * * * equipment : monitor, bedside, physiologic * band : invivo research * model : precess * malfunction : battery failure * * impact : * * * reduced functionality of the monitor * inability to accurately monitor patient's vital parameters * potential compromise of patient safety * * possible causes : * * * battery degradation over time due to : * natural aging process * repeated charging and discharging cycles * battery manufacturing defect * incorrect charging procedure or use of unauthorized chargers * * recommendations : * * * * * regular battery maintenance : * * perform periodic inspections and replace batteries when necessary, following manufacturer's guidelines. * * * battery quality control : * * ensure that batteries are obtained from reputable suppliers and meet the device's specifications. * * * proper charging practices : * * follow the recommended charging procedure and use only authorized chargers. * * * training and supervision : * * educate technicians on proper battery handling and replacement techniques. * * * investigate underlying causes : * * examine the circumstances surrounding the battery failure to identify any potential systemic issues or contributing factors. @topic:11


years note the eeg parameter does not require performance testing. see “ eeg, sv02 ( s02 ) and tcgas performance tests ” on page 84 for details. when to perform tests this table tells you when to perform specific tests. the corresponding test procedures are described in the following sections all tests listed below must be performed on the monitor itself and any attached mms / x2 and parameter modules. table 2 when to perform tests service event tests required ( when performing...... complete these tests ) installation installation of a monitor in combination with a medical or non - medical device connected to the same multiple socket outlet. perform visual inspection, power on and system tests installation of a monitor with no display connected to the video output perform visual inspection and power on test installation of a monitor with a medical display specified by philips perform visual inspection and power on test installation of a monitor with an off - the - shelf display ( non - compliant with lec 60601 - 1 ) perform visual inspection, power on and system test ( per each affected video port ) installation of a monitor with inteuivue g1 / g5, connected to separate mains sockets. perform visual inspection and power on tests installation of a monitor with an inteuibridge connection to another medical device ( compliant with lec 60601 - 1 ), connected to separate mains sockets. perform visual inspection and power on tests installation of a monitor with recorder module m1116c perform visual inspection, power on and recorder performance test installation of a monitor with it equipment e. g. printer, pc connected via a functional connection usb. perform visual inspection, power on and system tests 33 [ 3 testing and maintenance ] service event ( when performing... tests required... complete these tests ) installation of monitor with intellivue 802. 11 bedside adapter perform visual inspection, power on and int @topic:10


# # # issue - vital signs monitor cuff not adhering properly # # # impact - patient vital sign measurements may be inaccurate or unavailable # # # possible causes - * * cuff material deterioration : * * over time, the cuff material can become worn or damaged, reducing its ability to adhere to the patient's skin. - * * cuff size mismatch : * * an incorrect cuff size can prevent proper adherence to the patient's arm. - * * loose velcro strips : * * worn or damaged velcro strips can weaken the cuff's grip on the patient's skin. - * * skin conditions : * * in patients with certain skin conditions ( e. g., eczema, dermatitis ), the cuff may not adhere well to the skin. # # # recommendations - * * inspect the cuff regularly : * * monitor the condition of the cuff material and velcro strips for any signs of wear or damage. - * * ensure proper cuff size : * * verify that the cuff size is appropriate for the patient's arm circumference. - * * tighten or replace velcro strips : * * if the velcro strips are loose, tighten or replace them to ensure a secure fit. - * * consider skin conditions : * * for patients with skin conditions, use a hypoallergenic cuff or apply a protective layer ( e. g., gauze ) between the cuff and the patient's skin. @topic:5


# # # issue - the nibp ( non - invasive blood pressure ) monitor's pump is not stopping # # # impact - inaccurate blood pressure readings - patient discomfort - potential for injury if the cuff is inflated too tightly # # # possible causes - faulty pump motor - electrical malfunction - software issue - air leak in the cuff or tubing - obstruction in the cuff or tubing # # # recommendations 1. * * check the cuff and tubing for air leaks or obstructions. * * if there is a leak, the pump will continue to run in an attempt to inflate the cuff. 2. * * inspect the pump motor for signs of damage. * * if the motor is faulty, it will need to be replaced. 3. * * check the electrical connections to the pump. * * a loose or damaged connection can cause the pump to malfunction. 4. * * update the software on the monitor. * * a software issue could be causing the pump to run continuously. 5. * * contact the manufacturer for further assistance. * * if you are unable to resolve the issue on your own, the manufacturer may be able to provide technical support. @topic:15


# # # issue - the beds, electric ( hill - rom 900 accella ) was alarming every 30 minutes. # # # impact - the frequent alarming was likely disruptive to patients and staff, particularly at night. - it may have caused unnecessary anxiety or distress to patients. - it may have interfered with patient care and staff productivity. # # # possible causes - improper configuration of the bed's settings, such as the bed exit alarm being activated when it should not be. - a faulty sensor or other component within the bed. - electrical interference from other devices in the vicinity of the bed. # # # recommendations - * * immediate action : * * - check the bed's settings to ensure they are configured correctly, particularly the bed exit alarm. - perform a thorough inspection of the bed for any loose connections or damaged components. - * * further investigation : * * - if the problem persists after checking the settings and inspecting the bed, perform diagnostic tests to identify the faulty component. - * * long - term solution : * * - if the bed is found to be faulty, replace the faulty component or the entire bed if necessary. - implement regular maintenance and inspection schedules to prevent similar issues in the future. - * * additional recommendations : * * - provide training to staff on the proper use and configuration of the bed to prevent similar issues from occurring in the future. - consider installing a monitoring system to track bed alarms and alert staff to potential problems promptly. @topic:26


# # # issue - installation of lcd monitor at icg station # # # impact - not specified # # # possible causes - the lcd monitor is not compatible with the icg station. - the lcd monitor is not installed correctly. - the cables connecting the lcd monitor to the icg station are not properly connected. - the icg station is not functioning properly. - the bme technician did not install monitor to the right equipment. the monitor should be installed to bmc18159, bmc18159 / 1, bmc18159 / 3, bmc18159 / 4, bmc18159 / 5, bmc18159 / 6, bmc18159 / 7, bmc18159 / 8, bmc18159 / 9 instead of icg station. # # # recommendations - verify that the lcd monitor is compatible with the icg station. - ensure that the lcd monitor is installed correctly. - check that the cables connecting the lcd monitor to the icg station are properly connected. - test the icg station to ensure that it is functioning properly. - make sure the monitor is installed to the right equipment. @topic:16


information, see " maintenance and service " in the device's instructions for use. this section covers the following topics : perform periodic checks • replace the monitor battery • replace the apm work surface battery. cleaning requirements note service - related cleaning is addressed in the service manual as well. service manual overview 15 the welch allyn service tool the welch allyn service tool is available in the following editions : standard unlicensed : accompanies your device. • gold : required to perform complete functional verification and calibration. this edition requires an additional license. for more information about acquiring this license, contacwelch allyn. note to qualify for the gold license, you must attend the welch allyn technical training course or complete online training for the device. clinicians and technical service personnel can use the service tool to manage and maintain supported welch allyn products. you can use the service tool to do the following : review device information. when connected to the device, the service tool lists installed modules, installed firmware and hardware versions, warranty and repair information, statusnd usage history. receive notifications when periodic maintenance is needed. the service tool can help you manage and maintain your entire inventory of supported welch allyn products. through the remote service function, the service tool can connect to welch allyn customer service. with this functionality you can automatically receive firmware updates and feature upgrades for our supported products, including software upgrades for the service tool. install updates and upgrades. the service tool can read the firmware version for each module and check for available updates or upgrades. note for the welch allyn service tool to support updates and upgrades, adjust your firewall settings to permit access for ip address 169. 254. 10. 10 ( the local feed server for the software upgrade process ). create a work list. the work list provides information about service actions - referred to as work orders that are waiting @topic:10


# # # issue the bed's side rails cannot be raised. # # # impact the patient may fall out of bed. # # # possible causes 1. the side rails are not properly locked into place. 2. the side rails are damaged. 3. the bed's motor is not working properly. # # # recommendations 1. check to make sure that the side rails are properly locked into place. 2. inspect the side rails for any damage. 3. test the bed's motor to make sure that it is working properly. 4. if the problem persists, contact a qualified biomedical engineer. @topic:6


# # # issue - battery status is red # # # impact - device may not be able to function in case of power outage # # # possible causes - battery is not charging properly - battery is old and needs to be replaced - battery is not compatible with the device # # # recommendations - check the battery charger and make sure it is working properly - replace the battery if it is old or damaged - contact the manufacturer for assistance if the problem persists @topic:11


# # issue - the bed, electric, ob & gyn from manufacturer huntleigh ( model : gynae 1 ) cannot adjust its height up or down. # # impact - the medical personnel cannot use the bed, electric, ob & gyn to properly position the patient, which may affect the patient's comfort and safety. # # possible causes - * * electrical fault : * * - issue with the power supply or wiring - faulty motor or control board - * * mechanical issue : * * - broken or jammed gears or shafts - physical obstruction preventing movement - * * software issue : * * - bug or glitch in the software controlling the bed's adjustments - * * operator error : * * - incorrect usage or handling of the bed # # recommendations 1. * * electrical troubleshooting : * * - check the power supply and connections to the bed - inspect the motor, control board, and wiring for damage or loose connections 2. * * mechanical inspection : * * - examine the gears, shafts, and other mechanical components for damage or obstructions - lubricate moving parts if necessary 3. * * software diagnostics : * * - check for updates or patches to the software controlling the bed - reset or reconfigure the bed's settings 4. * * operator training : * * - ensure medical personnel are properly trained on the correct usage and handling of the bed 5. * * maintenance schedule : * * - establish a regular maintenance schedule to identify and address potential issues early on 6. * * replacement : * * - if the issue cannot be resolved through the above steps, consider replacing the faulty component or the entire bed @topic:1


. 3. * * adequate staffing : * * ensure that there is sufficient qualified staff available to monitor and troubleshoot any issues with the central monitoring system promptly. @topic:12


# # # issue - battery failure in philips suresigns vs2 + vital signs monitor # # # impact - inability to monitor patient's vital signs accurately and continuously - potential risk to patient safety # # # possible causes - * * battery degradation over time : * * all batteries have a limited lifespan and will eventually degrade, losing their ability to hold a charge. - * * excessive use or improper charging : * * frequent use or incorrect charging practices can shorten battery life. - * * defective battery : * * a manufacturing defect could cause the battery to malfunction or degrade prematurely. # # # recommendations - * * replace the battery : * * the most immediate solution is to replace the faulty battery with a new one. - * * check battery health regularly : * * implement a regular maintenance schedule to monitor battery health and replace them before they fail. - * * follow proper charging practices : * * ensure that the monitor is charged correctly according to the manufacturer's instructions. - * * consider using a backup power source : * * in critical situations, a backup power source, such as an uninterruptible power supply ( ups ), can provide temporary power if the battery fails. - * * investigate underlying issues : * * if battery failures are recurring, further investigation is necessary to identify and address any underlying system issues or operational practices that may be contributing to premature battery degradation. @topic:11


# # # issue - the laparoscopic monitor is unable to display images on its second screen. # # # impact - the surgeon will be unable to utilize the second screen for additional visualization, which may hinder the surgical procedure. # # # possible causes - faulty extention line - mismatched pin configuration on the extension line - issues with the internal circuitry of the monitor # # # recommendations - verify the integrity of the extention line by replacing it with a known - good one. - ensure that the pin configuration of the extention line matches the specifications of the monitor. - contact the manufacturer or an authorized service provider to inspect and diagnose the monitor's internal circuitry. @topic:2


# # # issue : articulating arm of lcd monitor is loose. # # # impact : - monitor may not be able to be positioned properly. - monitor may be at risk of falling. # # # possible causes : - loose screws or bolts. - worn or damaged components. - misalignment of the arm. # # # recommendations : - inspect the arm for loose screws or bolts and tighten as needed. - check for any worn or damaged components and replace as necessary. - realign the arm according to the manufacturer's instructions. @topic:2


c0 2 cal verification using 2nd cal gas perform all checks in the same session. barometric pressure check and calibration check the barometric pressure value in the microstream c0 2 extension as follows : 1 go into service mode and select setup c0 2 menu. 2 connect a filterline to the microstream c0 2 input. this activates the pump in the microstream c0 2 extension. 3 the status line at the bottom of the screen displays “ c02 pressure reading ( ambient / cell ) xxx / yyy ” where xxx is the ambient pressure and yyy is the measured cell pressure. check whether the ambient pressure value ( xl ) matches ( within the acceptable tolerance of ±12mm hg ) the reference 43 3 testing and maintenance preventive maintenance procedures value you have received. if so, proceed to the leakage check. if the value is not correct, calibrate as follows. a. select c0 2 then select barom. press to activate a table of values. b. select the value in the table which matches the reference value received from a reliable local source ( airport, regional weather station or hospital weather station ). ( the values are displayed with a resolution of 2 mmhg up to 500 mmhg and a resolution of 1 mmhg from 500 mmhg to 825 mmhg. ) note : the selected value must be within ±10 % of the current measured ambient pressure, otherwise an error message will occur at restarting the monitor. c. confirm the barometric pressure setting. d. check that the ambient pressure displayed in the status line at the bottom of the screen is the same as the value which you selected from the list in step b. leakage check the leakage check consists of checking the tubing between : • the pump outlet and the measurement server extension outlet and • the pump inlet and filterline inlet. check @topic:17


# # # issue - insufficient number of cuffs and connectors for bedside physiologic monitors # # # impact - inability to properly monitor patient vital signs, leading to potential complications and delayed treatment # # # possible causes - increased patient volume - misplacement or loss of cuffs and connectors - inadequate inventory management # # # recommendations - increase the inventory of cuffs and connectors to ensure adequate supply - implement a regular inventory check system to identify and address shortages promptly - train staff on proper handling and storage of cuffs and connectors to minimize loss and misplacement @topic:5


disconnection from the host monitorevent surveillance is enabled again in the monitor in companion mode, and new events are detected. • 53 1 introduction 54 what's new? this section lists the most important new features and improvements to the monitor and its user interface introduced with each release. further information is provided in other sections of this bookyou may not have all of these features, depending on the monitor configuration purchased by your hospital. what's new in release k. 1 ( for mx400 / 450 / 500 / 550 mx500 / mx550 in this release the mx500 / mx550 patient monitors join the intellivue monitor family. the monitors the hospital environment. the mx500 has a 12 - inch display and the mx550 has a 15 - inch display. both models have three integrated plug - in module slots for up to three measurement modules, or the intellibridge interface module ( 865115 ), or recorder module ( m1116b / c ). the mx500 / 550 have the option to be operated with a single, user - replaceable battery. ec10 intellibridge interface board mx400 / 450 / the functionality of the intellibridge ec10 plug - in module - interfacing data from a connected 500 / 550 external device into the monitor - is now available in an embedded board. the connector for the optional interface board is accessed at the rear of the monitor. wireless remote control mx400 / 450 / the remote control, previously only available with a usb cable connection, can now also be used 500 / 550 wirelessly, with a short - range radio connection, as with the models mx600 - 800. what's new in release k. 0 mx400 / mx450 in this release the mx400 / mx450 patient monitors join the intellivue monitor family. the monitors are optimized for transport within @topic:10


# # # issue - machine not measuring values accurately # # # impact - faulty readings may cause incorrect diagnosis and treatment # # # possible causes - * * cuff damage * * : worn or damaged cuff may not inflate properly, leading to inaccurate readings. # # # recommendations - * * inspect the cuff * * : ensure the cuff is intact and not damaged. - * * calibrate the machine * * : regular calibration is necessary to ensure the machine is measuring values accurately. - * * replace the cuff * * : if the cuff is damaged, replace it with a new one to eliminate the issue. @topic:5


# # # issue - sensor spo2 has dirt stains. # # # impact - spo2 sensor may not work properly. # # # possible causes - the sensor may have been exposed to dirt or dust. - the sensor may have been mishandled or damaged. # # # recommendations - clean the sensor with a soft cloth and alcohol. - inspect the sensor for any damage. - replace the sensor if necessary. # # # additional information - the light source in the spo2 sensor may be weak or damaged. this can be caused by a number of factors, including : - age of the sensor - exposure to heat or moisture - electrical damage - if the light source is damaged, the sensor will need to be replaced. @topic:4


# # # issue - equipment malfunction # # # impact - patient discomfort - interruption of medical care # # # possible causes - equipment wear and tear - improper maintenance - user error # # # recommendations - regular equipment maintenance - staff training on proper equipment use - prompt repair of equipment malfunctions @topic:12


and alarms from other intermittent measurements. when such an alarm is acknowledged the alarm s. if the alarm condition is no longer present, all alarm indicators stop and the alarm is reset. switching off the alarms for the measurement in alarm, or switching off the measurement itself, also acknowledging : an inop that results from a disconnected transducer switches off the associated measurement, unless the monitor is configured to not allow this. the only exception is ecg / resp : acknowledging a disconnect inop for ecg leads does not switch off the ecg and resp measurements. acknowledging a disconnect inop at the information center switches off the audible inop indicator but does not switch off the measurement. unplugging an mms or a plug - in module automatically switches off its measurements. alarm reminder if alarm reminder is configured on for your monitor, you will get an audible remindconditions that remain active after you have acknowledged the alarm. this reminder 1 may take the form of a repetition of the alarm tone for a limited time, or an unlimited repetition of the alarm tone ( this is the same as a new alarm ). alarm reminder is not available for standard, light blue inops but for in configuration mode, you can set the interval between silencing the alarm and sounding the reminder tone to one, two, or three minutes. the alarm reminder behavior at the information center is different to that at the monitor. refer to the information center instructions for use for further information. if you want to temporarily prevent alarms from sounding, for example while you are moving a patient, you can pause alarms. depending on your monitor configuration, alarms are paused for one, two, or three minutes, or infinitely. infinite alarm pause is equivalent to switching the alarms off. to view the alarm pause setting chosen for your unit, 1 select main setup, alarms, then alarm settings 2 check the alarms off setting @topic:8


# # # issue - malfunctioning remote control. # # # impact - inability to adjust the bed's elevation. - patient discomfort or inconvenience. - delay in patient care. # # # possible causes - damaged or frayed wiring in the remote control cable. - faulty electrical connections within the remote control. - software or firmware issues in the remote control. - battery failure or low battery power. - interference from other electrical devices or nearby equipment. # # # recommendations - * * inspect the remote control cable : * * check for any visible damage or fraying along the cable's length. replace if necessary. - * * clean the electrical connections : * * gently clean the electrical contacts on both the remote control and the bed unit using a soft cloth or contact cleaner. - * * check the batteries : * * ensure that the remote control batteries are fresh and have adequate power. replace if necessary. - * * update software or firmware : * * consult the manufacturer's instructions for any available software or firmware updates for the remote control. - * * eliminate electrical interference : * * move any nearby electrical devices or equipment to a different location or switch them off. - * * consider a replacement remote control : * * if all other troubleshooting steps fail, consider replacing the remote control with a new one. @topic:7


# # # issue - faulty bed alarm cable # # # impact - impaired bed alarm functionality, compromising patient safety # # # possible causes - * * wear and tear : * * prolonged use or excessive strain on the cable can lead to damage. - * * accidental damage : * * mishandling or mishandling the cable can cause physical breaks or cuts. - * * manufacturing defect : * * faulty materials or workmanship during production can result in defective cables. # # # recommendations - * * regular inspections : * * conduct routine inspections of bed alarm cables to identify any signs of damage or wear. - * * proper use and handling : * * train staff on proper handling and usage of bed alarm systems to prevent accidental damage. - * * preventive maintenance : * * schedule periodic maintenance to replace or repair aging or damaged cables before they fail. - * * quality control : * * implement quality control measures during procurement to ensure the acquisition of reliable and durable bed alarm cables. - * * vendor selection : * * partner with reputable vendors known for providing high - quality medical equipment and components. @topic:26


# # # issue the beds, electric equipment ( model : ka - 64000, brand : paramount bed ) experienced a failure due to a broken internal wire. # # # impact * equipment was unable to operate properly. * interrupted patient care due to the unavailability of the equipment. * wasted time and resources due to the need for repairs. # # # possible causes * wear and tear over time. * improper handling or maintenance. * electrical surge or power fluctuation. # # # recommendations * inspect the equipment regularly for any signs of damage or wear. * handle the equipment with care and follow the manufacturer's instructions. * ensure that the equipment is connected to a stable power source with proper voltage and amperage. * train staff on proper use and maintenance of the equipment. * have a maintenance plan in place to perform regular checks and repairs. * keep a record of maintenance and repairs for future reference. @topic:9


# # # issue : * * spring failure in bed mechanism * * # # # impact : - patient safety hazard due to compromised bed functionality - inconvenience and discomfort for patients # # # possible causes : - wear and tear over time - improper handling or overloading - manufacturer defect # # # recommendations : - regular maintenance and inspection to identify potential issues - proper use and handling of equipment according to manufacturer's guidelines - replacement of faulty springs and timely repair - investigation into the cause of spring failure to prevent recurrence @topic:9


# # # issue - bp readings are not accurate on the suresigns vs2 + philips monitor # # # impact - patient safety risk due to inaccurate blood pressure readings - increased workload for healthcare professionals due to the need for manual blood pressure measurements - potential for delayed or incorrect diagnosis and treatment # # # possible causes - faulty sensor - loose connections - software glitch - miscalibration - user error # # # recommendations - check and calibrate the sensor - inspect connections for any loose wires - update the software if available - follow the manufacturer's operating instructions - train users on proper operation of the device - perform regular maintenance and calibration on the device @topic:15


# # # issue - bed head cannot be adjusted # # # impact - patient discomfort - difficulty performing medical procedures # # # possible causes - faulty electrical components - mechanical failure - user error # # # recommendations - * * electrical components : * * - check for loose connections or damaged wires. - test electrical circuits using a multimeter. - replace faulty components as necessary. - * * mechanical failure : * * - inspect gears, motors, and linkages for damage or wear. - lubricate moving parts. - adjust or replace components as needed. - * * user error : * * - ensure that the bed is properly plugged in. - instruct users on proper operation of the bed. - * * other possible causes : * * - power outage - software glitch - firmware update required @topic:1


# # # issue - battery failure in philips suresigns vs4 vital signs monitor. # # # impact - inaccurate patient vital signs measurements. - interruption of patient care. - increased risk of patient harm. # # # possible causes - * * battery degradation over time : * * batteries have a limited lifespan and eventually lose their ability to hold a charge. - * * excessive battery usage : * * frequent use of the monitor or prolonged use on battery power can accelerate battery depletion. - * * improper charging practices : * * incorrect charging techniques, such as overcharging or undercharging, can damage the battery and shorten its lifespan. - * * environmental factors : * * extreme temperatures or high humidity can affect battery performance and longevity. # # # recommendations - * * regular battery maintenance : * * regularly check battery levels and replace batteries when necessary. - * * proper charging practices : * * follow the manufacturer's instructions for charging the battery to avoid damage. - * * environmental control : * * store and operate the monitor in a suitable environment to minimize battery degradation. - * * consider additional power sources : * * use an external power adapter or backup battery to reduce reliance on the internal battery. - * * monitor battery performance : * * track battery usage and identify any unusual discharge patterns to anticipate future failures. - * * train staff on proper battery handling : * * ensure that all staff using the monitor are aware of best practices for battery care. @topic:11


* * issue : * * - the bed, electric, hill - rom, centuris is not functioning due to a failed control panel and keypad. * * impact : * * - the medical device is unavailable for patient use. * * possible causes : * * - the control panel and keypad may have failed due to : - internal mechanical failure - electrical failure - damage from external factors ( e. g., spills, impacts ) * * recommendations : * * - * * immediate : * * - verify the issue by checking the power supply and connections. - if possible, attempt to reset the device by following the manufacturer's instructions. - * * short - term : * * - contact the manufacturer or authorized service provider to report the issue and arrange for repair or replacement. - ensure that the device is kept in a safe and secure location while waiting for servicing. - * * long - term : * * - implement regular maintenance and inspection schedules to proactively identify and address potential issues. - consider using surge protectors or other protective measures to minimize the risk of damage from electrical fluctuations or surges. - train staff on proper handling and usage of the device to prevent accidental damage. @topic:32


# # # issue - cuff of the vital signs monitor is deteriorated. # # # impact - the vital signs monitor cannot be used to accurately measure blood pressure. # # # possible causes - cuff may be old and worn out. - cuff may have been damaged by being over - inflated or by being punctured. # # # recommendations - the cuff should be replaced with a new one. - the technician should inspect the cuff for any signs of damage before using it. - the technician should be trained on how to properly inflate and deflate the cuff. @topic:5


or zero key initiates a zero procedure for the connected pressure transducer when nd held for a second nbp start / stop key - starts or stops nbp 6 measurements silence : acknowledges all active alarms by switching off audible alarm indicators and 7 x2 multi - measurement module ( m3002a ) the x2 multi - measurement module ( mms ) can simultaneously monitor 3 -, 5 -, 6 - or 10 - lead ecg ( including arrhythmia and st monitoring ), respiration, spo2, nbp and either invasive pressure and has a color touchscreen display. the x2 has the added capability to operate as a stand - alone monitor, and can be powered by a rechargeable battery. this makes it particularly suited to transport situations. when the x2 is disconnected from the original host monitor, it continues to monitor the patient as a stand - alone monitor running on battery power, eliminating the need for a separate transport monitor. when the x2 is connected to a new host monitor, it resumes its role as mms, ensuring fully continuous monitoring. for details of using the x2 as a stand - alone monitor, refer to the intellivue x2 instructions for use. when connected to a host monitor ( companion mode is indicated ), the x2 takes power from the host, including that required for battery charging. the x2 can also be powered by ac mains when not connected to a host monitor using the optionally available external power supply ( m8023a ). see the intellivue x2 instructions for use for details. 22 1 introduction x2 overview 1 power and battery indicators ( see " x2 controls and indicators " on page 23 ) hilip2 0 9ntellivue xw3. 5 - inch tft lcd touchscreen qvga display 3 21 / 8ala @topic:10


95. 3 testing and maintenance reporting of test results } test and inspection matrix noninvasive blood pressure performance tests temperature performance test all other performance tests safety ( 4 ) system ( sys 1 - 2 ) 96 power on the unit. does the self - test complete successfully perform the accuracy test performance leakage test performance linearity test performance valve test perform the temperature performance test perform the remaining parameter performance tests, 1f applicable perform safety test ( 4 ) : patient leakage current - single fault condition, mains on applied part. i visual perform visual pass or fail v : p or v : f inspection inspection if yes, power on test 1s passed x ] = value displayed by monitor difference < = 3mmhg x2 = leakage test value x2 < 6 mmhg x3 = value displayed by monitor difference < = 3nmhg x4 = value < 10 mmhg x1 = 40°c + 0. 2°c or 100°f + 0. 4? f see expected results in test procedures maximum leakage current ( x1 ) : « 250 ua po : p or po : f pn : p / x1 or pn : f / x1 pn : p / x2 or pn : f / x2 pn : p / x3 or pn : f / x3 pn : p / x4 or pn : f / x4 pt : p / x1 or pt : f / x1 s ( 4 ) : p / x1 or s ( 4 ) : f / x1 perform the system test according to subclause 19. 201 of iec / en 60601 - 1 - 1, if applicable, after forming a system equipment leakage current : sysl < = 100 ua ( normal condition ) sys2 < = 300ua ( single fault condition sys : psysi / @topic:10


cradlinop tone the nbp pod is not in its cradle. the temperature of the battery in the nbp pod is too high. remove the cableless measurement device from the patient and contact service personnel. cl nbp remove inop ton0 4 patient alarms and inops what to do cl nbp serv batnop tone the battery in the nbp pod has reached the end of its useful life. it can no longer be charged. contact your service personnel to replace the battery. cl spo2 batt empty the remaining battery time of the spo2 pod is below 30 minutes. charge the battery.!! cl spo2 batempty!!! cl spo2 btempty corresponding inop tone cl spo2 batt incmp the battery in use with the spo2 pod is incompatible. replace it with one approved for use with the nop toncl spo2 batt loinop tone cl spo2 batt malf inop tone there is a malfunction in the spo2 pod's battery system. contact your service personnel. the temperature of the battery in the spo2 pod is critically high. check that the pod is not covered oexposed to a heat source. if the inop persists, remove the pod from the patient and contact your service personnel. cl spo2 batt temnop tone cl spo2 check batnop tone the battery in the spo2 pod is nearing the end of its useful life. only 50 charge / discharge cycles remain. contact your service personnel to replace the battery. cl spo2 chk chrgif the interface between the spo2 pod and the charging station is not working properly. try cleaning the contacts and reposition the pod on the charging station. the spo2 pod's settings @topic:11


# # # issue - touch screen is not registering input accurately. # # # impact - inability to use the monitor to view patient data or adjust settings. - delays in patient care. - frustration for healthcare providers. # # # possible causes - electrical interference from nearby devices - damaged or loose connectors - software issues - faulty touch screen sensor # # # recommendations - ensure that the monitor is not placed near other electrical devices. - inspect the connectors for damage or loose connections. - update the monitor's software to the latest version. - replace the touch screen sensor if necessary. @topic:2


# # # issue - the leakage current of the vital signs monitor is exceeding the acceptable limit. # # # impact - leakage current can pose a safety hazard to patients and healthcare providers. - it can cause electrical shock, burns, and other injuries. # # # possible causes - damaged or loose wiring - faulty components within the monitor - improper grounding # # # recommendations - * * immediate actions : * * - unplug the monitor from the power outlet. - isolate the monitor from patients and healthcare providers. - * * troubleshooting : * * - inspect the wiring for damage or loose connections. - test the components within the monitor using appropriate diagnostic tools. - check the grounding system to ensure proper conductivity. - * * repair : * * - replace damaged or loose wiring. - replace faulty components. - ensure proper grounding of the monitor. - * * preventive maintenance : * * - conduct regular inspections of the monitor to identify potential issues early on. - train healthcare providers on the proper use and maintenance of the monitor. @topic:2


# # # issue - bed cannot be adjusted # # # impact - patients may not be able to get into or out of bed safely. - patients may not be able to be positioned comfortably. - staff may have to manually adjust the bed, which can be difficult and time - consuming. # # # possible causes - * * defective remote control : * * this is the most common cause of a bed not being able to be adjusted. the remote control may be damaged or may have lost its connection to the bed. - * * malfunctioning bed : * * the bed itself may be malfunctioning. this could be due to a mechanical problem or an electrical problem. - * * improper setup : * * the bed may not have been properly set up. this could be due to an incorrect connection of the remote control or a loose connection of the bed to the power outlet. # # # recommendations - * * inspect the remote control : * * check the remote control for any damage. if the remote control is damaged, it will need to be replaced. - * * test the bed : * * try to adjust the bed using the remote control. if the bed does not adjust, there may be a problem with the bed itself. - * * check the connections : * * make sure that the remote control is properly connected to the bed and that the bed is properly connected to the power outlet. - * * contact a qualified technician : * * if you are unable to fix the problem yourself, you should contact a qualified technician. @topic:1


, it should be deflated and then re - inflated. - * * use the correct cuff size : * * the cuff should be the appropriate size for the patient's arm. if the cuff is too small or too large, it should be replaced with the correct size. - * * instruct the patient to remain still : * * ask the patient to remain still during the blood pressure measurement. if the patient moves, the cuff may move and result in an inaccurate reading. - * * calibrate the blood pressure monitor : * * the blood pressure monitor should be calibrated regularly to ensure that it is providing accurate readings. the calibration should be performed according to the manufacturer's instructions. @topic:14


# # # issue - the ear thermometer is difficult to detach. # # # impact - the thermometer cannot be properly used or cleaned. - this could lead to inaccurate readings or the spread of infection. # # # possible causes - the thermometer is not properly attached to the monitor. - the thermometer is damaged. - the monitor is not properly functioning. # # # recommendations - check that the thermometer is properly attached to the monitor. - inspect the thermometer for any damage. - if the thermometer is damaged, replace it. - if the monitor is not properly functioning, contact the manufacturer. @topic:20


# # # issue - equipment : bed, electric - band : huntleigh - model : contoura 360 # # # impact - the equipment is not available for use, which can delay patient care or cause inconvenience. # # # possible causes - the equipment may have been borrowed by another department or unit and not returned. # # # recommendations - check with other departments or units to see if they have borrowed the equipment. - if the equipment has been borrowed, ask when it will be returned. - if the equipment is not expected to be returned soon, consider renting or purchasing a replacement. @topic:9


# # # issue - the head of the bed cannot be adjusted. # # # impact - the patient may not be able to be positioned comfortably. - medical staff may be injured while trying to adjust the bed. # # # possible causes - * * cause of failure : * * the cable tie used to secure the back panel lock is damaged. - the back panel lock is damaged. - the head motor is malfunctioning. - the control panel is malfunctioning. # # # recommendations - replace the cable tie used to secure the back panel lock. - inspect the back panel lock for damage and replace if necessary. - inspect the head motor for damage and replace if necessary. - inspect the control panel for damage and replace if necessary. @topic:1


# # # issue - bed was not able to adjust. # # # impact - patient is unable to use the bed. - staff is unable to reposition the patient. # # # possible causes - * * remote control is not connected. * * - * * remote control is not functioning properly. * * - * * bed is not functioning properly. * * # # # recommendations - * * check the remote control connection. * * - * * test the remote control. * * - * * inspect the bed for any damage. * * - * * contact the manufacturer for further assistance. * * @topic:1


##s or 7000 - ms3 mobile stand meeting these criteria : section d 4400 - mbs or 7000 - ms3 mobile stand manufactured after 02 / 2022 * olater 7000 - ps power supply manufactured before 02 / 202power supply model : menb1035a1500f02 * see the model number and label for further information. examine your mobile stand and power supply to determine which subsection you should follow to complete disassembly and assembly procedures. many service kits are backward - compatible and / or interchangeable, while others are compatible with only one or two of the stand and power supply combinations. section a, remove the power supply from the mobile stand this section applies to csm devices with a 4400 - mbs or 7000 - ms3 mobile stand meeting these 4400 - mbs or 7000 - ms3 mobile stand manufactured before 02 / 2022 * or earlier. • power supply model : menb1035a1500f02 service manual note see the model number and label for further information. power down the device. 1. disconnect the power cable from the device and disconnect the power cord from the wall. with one hand holding the power supply, remove the 2 phillips screws that attach the power 2. 3. note set the screws aside for reassembly. 4. remove the power supply unit. recycle or dispose of the power supply unit in an environmentally safe manner consistent witlocal regulations. section a, attach the power supply to the stand this section applies to csm devices with a 4400 - mbs or 7000 - ms3 mobile stand meeting these criteria : 4400 - mbs or 7000 - ms3 mobile stand manufactured before 02 / 2022 * or earlier • power supply model : menb1035a1500f02. 80 disassembly and repair @topic:19


* * issue : * * ac power cord plug broken * * impact : * * the medical device cannot be powered on. * * possible causes : * * * * * physical damage : * * the plug may have been accidentally damaged or stepped on. * * * electrical fault : * * the plug may have shorted internally, causing the pins to break. * * * manufacturing defect : * * there may have been a flaw in the plug's design or materials. * * recommendations : * * * * * replace the ac power cord : * * install a new ac power cord that is compatible with the medical device. * * * inspect the device and environment : * * check the medical device for any other damage and examine the surrounding environment for potential hazards. * * * review manufacturer's instructions : * * refer to the medical device's user manual for proper installation and maintenance procedures. * * * train staff on proper handling : * * educate staff on the importance of handling power cords carefully and reporting any potential damage. * * * establish a regular maintenance schedule : * * perform routine inspections and maintenance of the medical device to prevent future failures. @topic:12


# # # issue - the bed is not adjustable. # # # impact - the patient cannot be positioned comfortably or safely. - the healthcare provider cannot perform necessary procedures. # # # possible causes - the bed's control panel is not functioning properly. - the bed's motor is not working. - the bed's mechanical components are jammed. # # # recommendations - inspect the bed's control panel for any loose connections or damaged components. - test the bed's motor by manually adjusting the bed's position. - if the bed's mechanical components are jammed, try to free them by gently moving the bed's components. - if the problem cannot be resolved, contact the bed's manufacturer for further troubleshooting and repair. @topic:1


# # # issue - keyboard input issue # # # impact - inability to use the medical cart due to keyboard malfunction # # # possible causes - faulty keyboard or keyboard connector - numlock key is accidentally enabled # # # recommendations - inspect the keyboard and its connector for any damage or loose connections - attempt to disable the numlock key by pressing the " numlock " key on the keyboard or by using the " fn " + " numlock " key combination - if the issue persists, replace the keyboard or refer to the manufacturer's instructions for further troubleshooting @topic:27


# # # issue - cuff leakage # # # impact - inaccurate blood pressure measurements - patient safety concerns # # # possible causes - damaged or defective cuff - cuff not properly attached to the device or patient - patient movement or restlessness - other factors that can cause cuff leakage, such as kinks or tears in the tubing # # # recommendations - replace the cuff with a new one - ensure that the cuff is properly attached to the device and the patient - monitor the patient for movement or restlessness that could interfere with the cuff seal - check the tubing for any kinks or tears that could cause cuff leakage @topic:3


# # # issue the central station monitor is restarting frequently. # # # impact the frequent restarting of the central station monitor can lead to interruptions in patient care, as well as data loss. # # # possible causes * * 1. ups battery failure * * the ups battery may have failed, causing the central station monitor to lose power and restart. * * 2. software issues * * a software issue on the central station monitor may be causing it to restart frequently. * * 3. hardware issues * * a hardware issue on the central station monitor may be causing it to restart frequently. # # # recommendations * * 1. replace the ups battery * * replace the ups battery with a new one. * * 2. update the software * * update the software on the central station monitor to the latest version. * * 3. contact the manufacturer * * if the issue persists, contact the manufacturer of the central station monitor for further assistance. @topic:2


# # # issue - electrical cord damage # # # impact - interruption of patient care - potential safety hazard # # # possible causes - wear and tear - accidental damage - improper handling # # # recommendations - inspect electrical cords regularly for damage - replace damaged cords immediately - use caution when handling electrical cords - keep cords away from potential hazards @topic:12


# # # issue - ekg cable is broken and the insulation is damaged # # # impact - patient monitoring may be inaccurate or unavailable - patient safety may be compromised # # # possible causes - normal wear and tear - cable was damaged during use - cable was pinched or crushed # # # recommendations - replace the ekg cable - inspect the cable regularly for damage - handle the cable with care - train staff on proper use of the cable @topic:18


. make sure it does not get stuck between the covers. 1 position top cover, then press the bottom cover back into place until a click is heard. 2 the cover has a rubber seal. press the covers firmly together and make sure there is no gap between the top and bottom cover. 3 holding the bottom cover firmly in place, slide the two long mounting pins completely back into the msb. assembling the dual link bar caution do not try to assemble any part of the link bar with force as this can damage the msl flex cable. 211 [ 5 repair and disassembly ] 2 make sure the msl flex connector is positioned in the correct slot ( see indicated slots below ). then push it gently into part a. 3 making sure the msl flex cable lies flat in part a of the assembly, place part b into the dovetail and close the open link bar. 212 5 repair and disassembly ) 4 turn the mse around and insert part c into the bottom part of the link bar. when you hear a click, part c is correctly inserted. 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 : • the link bar is positioned correctly • there are no gaps between the link bar parts • there is no gap between the top and bottom cover 213 [ 5 repair and disassembly ] testing to ensure that the mse is functioning correctly, you must perform a performance check on it. please refer to the " testing and maintenance " chapter of this service guide. warning when you disassemble / assemble an mms extension, an applied part leakage current test must be performed before it is used again for monitoring. smart battery conditioner lg1480 ( 865432 ) you should clean both air @topic:19


a electrostatic sensitive usb port as device handling y spo, connector charging led spo2 ca temperature connector ac power led ef iv suresigns vs2 * and vsi service guide symbol description symbol description ices - 001 canadian ism aa ethernet port requirement e compliance with weee csa mark y standard $ h. [ = = = ] $ us 100 - 240v ~ 50 / 60hz 120va + + t 1. 0 a 250v power label nurse call connector caution, consult accompanying documents ingress protection to vertically falling water drops defibrillator proof type cf applied part rf interference eufp ( environmentally - friendly use period — china ) temperature limitation atmospheric pressure limitation equipotential ground post ce marking and identifier for radio korean radio mark industry canada label for radio fcc label for radio suresigns vs2 * and vsi service guide regulatory and safety specifications declaration c € the suresigns vs2 * and vsi vital signs monitors are class iib devices and comply with the 0123 requirements of the council directive 93 / 42 / eec of 14 june 1993 concerning medical devices and carry ce - marking accordingly. the radio device used in the suresigns vs2 * and vsi vital signs monitors are in compliance with the c € o essential requirements and other relevant provisions of directive 1999 / 5 / ec ( radio equipment and telecommunications terminal equipment directive ). authorized eu representative philips medizin systeme boblingen gmbh hewlett - packard str. 2 71034 boblingen germany rx only caution united states federal law restricts this device to sale by or on the order of a physician. e ee em safety standards parameter specification vs2 * : en / iec 60601 - 1, en / iec60601 - 1 - 2, en / iec 60601 - 2 - 30, en / iec 60601 @topic:10


# # # issue - spo2 sensor malfunction # # # impact - inaccurate spo2 readings - potential for patient harm due to undetected oxygen desaturation # # # possible causes - damaged or faulty spo2 sensor - loose or disconnected sensor cable - improper sensor placement - patient interference with sensor # # # recommendations - replace the spo2 sensor with a new one - ensure the sensor cable is securely connected to the bedside monitor - check that the sensor is properly placed on the patient's finger or toe - instruct the patient to avoid moving or removing the sensor @topic:4


# # issue - the bed is not adjustable. # # impact - the patient cannot be positioned correctly for treatment. - the staff cannot access the patient easily. # # possible causes - the electric motor is not working. - the control panel is not functioning. - the bed frame is damaged. # # recommendations - check the electrical connections to the motor. - test the control panel to ensure that it is working properly. - inspect the bed frame for any damage. - if the problem cannot be resolved, replace the motor, control panel, or bed frame as necessary. @topic:1


# # # issue - equipment not functioning properly due to faulty spo2 extension cable. # # # impact - delay in patient monitoring and diagnosis. - potential inaccuracies in patient data. - reduced efficiency of medical staff. # # # possible causes - wear and tear of the spo2 extension cable due to repeated use. - improper handling or storage of the cable. - manufacturing defects in the cable. # # # recommendations - regular inspection and maintenance of spo2 extension cables to identify and replace any damaged or faulty cables. - proper training of medical staff on the handling and storage of medical equipment. - collaboration with the manufacturer to address potential manufacturing defects and improve cable durability. @topic:4


# # # issue - cuff is damaged # # # impact - the bedside physiologic monitor may not be able to accurately measure a patient's blood pressure, which could lead to incorrect treatment decisions. # # # possible causes - the cuff may have been damaged during use or storage. - the cuff may have been exposed to excessive heat or moisture. - the cuff may have been pierced or torn. # # # recommendations - inspect the cuff for any damage. - replace the cuff if it is damaged. - store the cuff in a cool, dry place. - avoid exposing the cuff to excessive heat or moisture. - do not pierce or tear the cuff. @topic:3


# # # issue - equipment failure due to improper maintenance. # # # impact - delay in patient care, potential patient harm. # # # possible causes - technician opened a work order prior to inspecting the equipment on - site. - technician did not verify the status of the battery before opening the work order. - technician did not follow proper maintenance procedures for the equipment. # # # recommendations - technicians should inspect equipment on - site before opening a work order. - technicians should verify the status of the battery before opening a work order. - technicians should follow proper maintenance procedures for all equipment. - hospital should provide training on proper maintenance procedures for all technicians. - hospital should develop a system for tracking equipment maintenance to ensure that all equipment is properly maintained. @topic:12


# # # issue - the monitor, physiologic, vital signs equipment from philips ( model : suresigns vs4 ) is not powering on. # # # impact - the device is essential for monitoring vital signs, and its failure could negatively impact patient care. # # # possible causes - * * battery terminals may be dirty. * * corrosion or debris on the battery terminals can prevent the flow of electricity, causing the device to fail to power on. - * * battery may be depleted. * * if the battery is not properly charged or has reached the end of its life, it may not be able to provide enough power to operate the device. - * * internal component failure. * * a malfunctioning component within the device could prevent it from powering on. # # # recommendations - * * check the battery terminals. * * clean the terminals with a soft cloth or brush to remove any dirt or debris. ensure that the battery is properly seated in the device. - * * test the battery. * * use a battery tester to determine if the battery has sufficient charge. replace the battery if necessary. - * * inspect the device for damage. * * look for any visible signs of damage, such as cracks or dents. if damage is found, contact the manufacturer for repair. - * * refer to the manufacturer's instructions. * * the manufacturer's instructions may provide additional troubleshooting steps or information on common causes of failure. @topic:2


# # # issue - equipment not functioning properly ( i. e., not adjustable ) # # # impact - inability to properly position patient - potential patient discomfort or injury - delays in patient care # # # possible causes - * * electrical failure * * ( e. g., damaged wiring, faulty electrical components ) - * * mechanical failure * * ( e. g., broken or worn gears, malfunctioning motors ) - * * hydraulic failure * * ( e. g., leaks, loss of pressure ) - * * software failure * * ( e. g., corrupted programming, software bugs ) - * * user error * * ( e. g., using the equipment incorrectly, overloading the equipment ) # # # recommendations - * * electrical failure : * * inspect wiring for damage, check electrical components for proper function, and ensure correct power supply. - * * mechanical failure : * * inspect gears and motors for wear or damage, lubricate moving parts, and check for proper alignment and calibration. - * * hydraulic failure : * * check for leaks, ensure proper hydraulic fluid level, and inspect hydraulic components for damage. - * * software failure : * * reset the equipment, check for software updates, and contact the manufacturer for technical support. - * * user error : * * provide training and ensure proper use of the equipment, including maximum weight capacity and operating instructions. @topic:12


m _ nmt cbl inteuivue nmt patient cable * not orderable via sps. must be ordered through supplies. smart battery charger part numbers part number 12nc description m8043 - 68000 453563498911 bat smart battery conditioner ( lg1480 ) m8043 - 60010 451261001281 emch repl kit 2 air - fan + 2 filter - mats m8043 - 60011 451261001291 fltr repl. kit : 2 filter - mats external display part numbers part number 12nc description 865299 865299 19 in. tft touch ( s ) xga display 453564116741 453564116741 assy - pwr - e539821 power brick - 12v 453564179151 453564179151 iv dspl 19 " medical grade w touch m8031 - 64001 451261001931 iv assy pwr supply holder 15 ” / 19 ” displ 241 [ 6 parts ] test and service tools table 3 utp lan crossover part number 12nc description m3199 - 60101 453563337371 pic cbl ni 3ft crossover utp m3199 - 60102 453563337381 ni cbl utp crossover 12ft table 4 grounding part number 12nc description 8120 - 4808 453563199211 cms cbl ext gnd assy ( gnd lug con ) 8120 - 2961 453563198651 cms cbl ext gnd assy ( crocodile cup ) table 5 test cables part number 12nc description 453564331451 453564331451 cbl nmt safety test 45126102608 @topic:19


* * issue : * * boot failure of medical cart * * impact : * * inability to use the medical cart for patient care, potentially delaying or compromising treatment. * * possible causes : * * - hardware failure ( e. g., faulty motherboard, damaged power supply ) - software corruption ( e. g., corrupted operating system, bios settings ) - loose or disconnected cables or connectors - power surge or outage * * recommendations : * * - * * inspect the hardware : * * look for any visible damage or loose components. - * * test the power supply : * * ensure that it is providing sufficient power to the device. - * * reset bios settings : * * load the default settings to rule out any configuration issues. - * * reinstall the operating system : * * if software corruption is suspected, reinstall the operating system from a backup or manufacturer's image. - * * check for loose cables or connectors : * * ensure that all cables and connectors are securely plugged in. - * * perform a power cycle : * * disconnect the device from power, wait a few minutes, and then reconnect it to reset the system. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer for further troubleshooting and support. @topic:13


* * issue : * * equipment malfunction due to damaged ac power cord. * * impact : * * interruption of equipment functionality, potential safety hazards. * * possible causes : * * the cause of failure is not specified in the input. however, possible causes may include : - physical damage to the power cord due to mishandling or excessive wear and tear. - electrical surge or power overload. - faulty connections or loose wiring within the control box. * * recommendations : * * - replace the damaged power cord with a new one. - inspect the control box and wiring for any visible damage or loose connections. - test the equipment to ensure proper functionality after repair. - follow the manufacturer's instructions for proper equipment handling and maintenance to prevent future issues. - consider implementing a routine maintenance program to identify and address potential problems before they cause equipment failure. @topic:12


# # # issue the issue is that the philips intellivue mp40 ( m8003a ) bedside physiologic monitor failed after a software upgrade by sovic. # # # impact the impact of the failure is that the monitor is no longer able to be used to monitor patients'vital signs. this could lead to a delay in the diagnosis and treatment of patients, which could have a negative impact on their health. # # # possible causes the most likely cause of the failure is that the software upgrade was not properly installed. this could have caused the monitor to malfunction or become unstable. another possible cause is that the monitor was not properly maintained prior to the software upgrade. this could have made the monitor more susceptible to failure. # # # recommendations the following recommendations are made to prevent a similar failure from occurring in the future : * ensure that all software upgrades are properly installed and tested before being put into use. * regularly maintain medical devices to keep them in good working order. * have a backup plan in place in case of a device failure. @topic:2


# # # issue - cuff ( blood pressure measuring component ) of the suresings vs3 monitor is deteriorating. # # # impact - inaccurate blood pressure readings, potentially leading to delayed or incorrect medical decisions. - potential patient safety risks and dissatisfaction. # # # possible causes - repeated use and age - related wear and tear on the cuff material. - exposure to extreme temperatures, humidity, or chemicals. - improper storage or handling. # # # recommendations - regular inspection and maintenance of the cuff to identify signs of deterioration. - prompt replacement of the cuff when it reaches the end of its lifespan or shows signs of damage. - proper storage and handling of the cuff according to the manufacturer's guidelines. - training of staff on proper use and handling of the monitor and its components. @topic:5


# # # issue - the physiologic monitor is not measuring blood pressure accurately. # # # impact - this could lead to incorrect patient diagnosis and treatment. # # # possible causes - the blood pressure cuff may not be properly inflated or seated. - the cuff may be the wrong size for the patient. - the leads may not be properly connected. - the monitor may be malfunctioning. - the patient may be hypovolemic or in shock. # # # recommendations - check the blood pressure cuff and ensure that it is properly inflated and seated. - if the cuff is not the right size for the patient, replace it with the correct size. - check the leads and ensure that they are properly connected. - if the monitor is malfunctioning, replace it with a working monitor. - if the patient is hypovolemic or in shock, treat the underlying condition. @topic:14


# # # issue * cuff of the vital signs monitor is damaged. # # # impact * the vital signs monitor may not be able to accurately measure blood pressure. # # # possible causes * the cuff may have been damaged due to : * normal wear and tear * improper use * accidental damage # # # recommendations * replace the damaged cuff. * inspect the monitor regularly for any other signs of damage. * train staff on proper use of the monitor. @topic:5


# # # issue - burnt - out control box # # # impact - equipment malfunction - patient safety hazard - service disruption # # # possible causes - power surge - electrical short circuit - overheating - liquid spillage - ageing components # # # recommendations - replace the control box with a new or refurbished one. - inspect the device for any other signs of damage or wear. - review the device's operating history and service records. - consider investing in a preventive maintenance program to identify and address potential issues before they cause failures. - train staff on proper equipment handling and use to minimise the risk of damage. - ensure that the equipment is used in accordance with the manufacturer's instructions and safety guidelines. @topic:12


# # # issue - print not working # # # impact - inability to print patient information and medical data # # # possible causes - faulty print head - clogged print nozzles - incorrect print settings - loose connection between printer and central monitor - software error in the central monitor # # # recommendations - inspect the print head for any visible damage or debris. clean the print nozzles using the manufacturer's recommended cleaning solution. - verify that the print settings are correct for the type of paper being used. - ensure that the printer is securely connected to the central monitor and that all cables are in good condition. - restart the central monitor and check if the print function is restored. - if the issue persists, contact the manufacturer's technical support for further assistance. @topic:28


# # # issue the cuff of the vital signs monitor is not holding pressure due to worn velcro. # # # impact the vital signs monitor cannot accurately measure blood pressure. # # # possible causes - the cuff is old and the velcro has worn out. - the velcro has been damaged by moisture or heat. - the cuff is not the correct size for the patient. # # # recommendations - replace the cuff with a new one. - if the cuff is damaged, inspect it for moisture or heat damage and repair or replace it as necessary. - ensure that the cuff is the correct size for the patient. @topic:3


# # # issue - bed not adjusting # # # impact - patient discomfort - difficulty providing care # # # possible causes - locked remote control - damaged remote control - faulty bed motor - electrical issue # # # recommendations - check if the remote control is locked and unlock it if necessary. - check the remote control for any damage and replace it if necessary. - inspect the bed motor for any signs of damage and repair or replace it if necessary. - check the electrical connections and ensure they are secure. @topic:1


* * issue : * * nibp ( non - invasive blood pressure ) function is not working on the philips intellivue mp70 ( m8007a ) physiologic monitor. * * impact : * * accurate and timely blood pressure monitoring is crucial for patient care, and its absence can compromise patient safety. * * possible causes : * * * * * faulty nibp module or sensor : * * the nibp module or sensor responsible for measuring blood pressure may have malfunctioned or become damaged. this can prevent the device from obtaining accurate readings. * * * damaged tubing or cables : * * the tubing or cables connecting the nibp sensor to the monitor may be damaged or disconnected, disrupting the signal transmission. * * * software error : * * a software glitch or corruption within the monitor's operating system may have affected the nibp function. * * * electrical failures : * * power surges, voltage fluctuations, or internal electrical faults can damage components within the monitor, including the nibp module. * * recommendations : * * * * troubleshooting : * * * check the nibp sensor and tubing for any visible damage or loose connections. * verify the software version of the monitor and check for any updates. * reset the monitor to factory settings to eliminate any software issues. * * repairs : * * * if troubleshooting steps do not resolve the issue, the nibp module or sensor may need to be replaced. * consult the manufacturer's service guidelines or contact a qualified technician for professional repairs. * * preventive maintenance : * * * regularly inspect and maintain the nibp module, tubing, and cables to prevent future failures. * ensure the monitor is placed in a stable environment with proper ventilation and power supply. * train staff on proper device handling and maintenance @topic:15