either movement or bones. correct lead placement is always important for accurate diagnosis. especially in the precordial leads, which are close to the heart, qrs morphology can be greatly altered if an electrode is moved away from its correct location. ecg leads monitored if you are using these leads are available : resp is measured between electrodes : a 3 - electrode set i, ii, iii ra and ll a 5 - electrode set i, ii, iii, avr, avl, avf, v and mcl ra and ll a 6 - electrode set i, ii, iii, avr, avl, avf, va, vb ra and ll a 10 - electrode set i, ii, iii, avr, avl, avf, vi, v2, v3, v4, v5, v6 ra and ll an easi 5 - electrode set i, ii, iii, avr, avl, avf, vi, v2, v3, v4, v5, v6 i and a changing lead sets to change the ecg lead set, • when adding leads : place the additional electrodes as required - the monitor automatically recognizes the new lead placement. • when removing leads : there are two possibilities - removing the complete chest leads block or removing individual leads. if you unplug the chest lead block from the trunk cable connector, the monitor will automatically recognize the new lead placement. remove individual leads by removing the electrodes. the monitor will issue a lead of f inop message ; select new lead setup in the setup ecg menu and the inop message will disappear. 123 6 ecg, arrhythmia, st and qt monitoring ecg lead fallback ecg lead fallback if fallback is configured on and there is a leads off inop in the primary lead ( and in the secondary lead, if @topic:8


# # # issue - loose ac outlet on the control box of the electric bed. # # # impact - potential interruption or malfunction of the bed's electrical functions, including patient comfort and safety features. # # # possible causes - improper installation or maintenance of the control box - wear and tear over time - electrical surges or power outages # # # recommendations - inspect and tighten the ac outlet on the control box regularly. - ensure proper grounding of the bed and control box. - check for any damage or corrosion on the outlet or wiring. - consider using a surge protector to prevent damage from power fluctuations. - train staff on proper installation and maintenance procedures. @topic:9


##c upgradnop tone dsc update currently being carried out. this inop will disappear when the dsc update is finished. do not disconnect the dsc during the update. no action is needed. bis electr. discnop tone one or more electrodes are not connected to the semi - reusable sensor cable. check all electrode connections. bis engine disconnop tone bis engine not connected or module cable defective. make sure that the module cable is properly connected. if inop persists, replace the module cable. silencing this inop switches the measurement off. bis engine incompnop tone bis engine software is not supported. a software upgrade may be required. contact your service personnel. mp20 / 30 bis engine not supported. malfunction in the bis engine hardware. disconnect and reconnect the bis engine. if the inop engine. nop tonbis equip malf nop tone there is a malfunction in the bis hardware. unplug and replug the bis module. if the inop persists, contact your service personnel. bis high impedance impedance of one or more electrode ( s ) is above the valid range, most often caused by bad skin preparation. check the sensor montage and press the electrode pads firmly. if this inop persists, replace the sensor ( s ) in question using correct skin preparation. inop tone may sound if inop persists, contact your service personnel. the cyclic impedance check is running. it will stop automatically if all impedances are within the valirange. if any electrodes do not pass the impedance test, check the sensor montage and press the electrode pads firmly. bis impedancecheck inop tone may sound to manually stop the cyclic impedance check, select sensor check off in the setup bis menu. bis iso @topic:22


# # # issue - the bed is reported as defective and not repairable. # # # impact - the bed is not usable and cannot be used to provide patient care. # # # possible causes - the bed may have been damaged due to improper use or maintenance. - the bed may have a manufacturing defect. # # # recommendations - the bed should be replaced. - the hospital should review its policies and procedures for the use and maintenance of medical equipment. @topic:9


# # # issue : cuff malfunction # # # impact : inaccurate vital signs measurements # # # possible causes : - cuff leak - cuff tubing damage - cuff bladder failure # # # recommendations : - inspect the cuff for visible damage or leaks. - check the cuff tubing for kinks or tears. - replace the cuff bladder if necessary. - calibrate the monitor according to the manufacturer's instructions. @topic:5


# # # issue - battery has deteriorated # # # impact - the monitor may not be able to provide accurate readings. - the monitor may not be able to operate for an extended period of time. - the monitor may be a hazard if it is not able to provide accurate readings. # # # possible causes - the battery may have been damaged by overcharging or overdischarging. - the battery may have been exposed to extreme temperatures. - the battery may have been in use for an extended period of time. # # # recommendations - replace the battery with a new one. - calibrate the monitor after the battery has been replaced. - avoid overcharging or overdischarging the battery. - do not expose the battery to extreme temperatures. - replace the battery every 2 - 3 years. @topic:11


# # # issue the bed, electric, huntleigh, contoura 360 is not adjusting properly. # # # impact the bed is not able to be adjusted to the appropriate height or position for the patient, which can cause discomfort or injury. # # # possible causes - * * malfunctioning motor * * : the motor that powers the bed's adjustment mechanism may be faulty, preventing it from moving the bed up or down. - * * damaged gears or chains * * : the gears or chains that transmit power from the motor to the bed's frame may be damaged, preventing the bed from moving smoothly. - * * electrical issues * * : there may be a problem with the bed's electrical system, such as a loose connection or a faulty switch, which is preventing the motor from receiving power. - * * software issues * * : the bed's software may be malfunctioning, preventing the bed from responding to adjustment commands. # # # recommendations - * * inspect the motor * * : check the motor for any signs of damage or wear. if the motor is damaged, it will need to be replaced. - * * inspect the gears and chains * * : check the gears and chains for any signs of damage or wear. if the gears or chains are damaged, they will need to be replaced. - * * inspect the electrical system * * : check the bed's electrical system for any loose connections or faulty switches. if there is a problem with the electrical system, it will need to be repaired. - * * update the software * * : if the bed's software is malfunctioning, it may need to be updated. the software update can be obtained from the manufacturer's website. @topic:1


# # # issue : - physiologic monitor ( mobile ) philips suresigns vs2 + measures low values. # # # impact : - the accuracy of the patient's vital sign readings may be compromised, leading to potential misdiagnosis or inappropriate treatment. # # # possible causes : - * * faulty sensor : * * the sensor responsible for measuring the vital signs may be malfunctioning, leading to inaccurate readings. - * * electrical issues : * * loose connections, damaged wires, or faulty electrical components within the device can interfere with signal transmission, resulting in low readings. - * * software bugs : * * software glitches or outdated firmware can cause the device to process and display data incorrectly, leading to erroneous readings. - * * calibration error : * * improper calibration of the device can result in incorrect measurements. - * * environmental factors : * * extreme temperatures, humidity, or electromagnetic interference can affect the accuracy of the device's sensors. # # # recommendations : - * * verify sensor integrity : * * check the sensor for any physical damage or loose connections. clean the sensor and ensure it is properly attached to the patient. - * * inspect electrical connections : * * examine the device's cables, connectors, and power supply for any signs of damage or loose connections. - * * update software : * * ensure that the device is running the latest software version and apply any necessary updates. - * * calibrate the device : * * perform a thorough calibration of the device according to the manufacturer's instructions. - * * eliminate environmental interference : * * ensure that the device is operated in a suitable environment, free from extreme temperatures, humidity, or electromagnetic interference. @topic:20


# # # issue - monitors 9 and 11 are swapped. # # # impact - incorrect patient monitoring. # # # possible causes - misconfiguration of the central station. - physical connection error between the monitors and the central station. # # # recommendations - verify the configuration of the central station to ensure that the monitors are correctly assigned to the appropriate patient rooms. - inspect the physical connections between the monitors and the central station to ensure that they are secure and undamaged. - if the issue persists, contact the manufacturer for further assistance. @topic:16


perform calibration procedures to ensure accurate bp measurements. @topic:15


reports template you want the report selected in step 2 to use. the selection of templates listed depends on the report type selected. 2 each template includes patient demographic data, and each realtime report also includes alarm and inop information. in addition, the templates include : visiblewaves : all waves currently visible, in the order they appear on the screen. all waves : all measured waves. rt waves : all currently measured realtime waves, according to the monitor's priority list. hires waves : all measured hires waves. oxycrg waves : the oxycrg / neonatal event review waves. graph trend : trend information in graphic form. ecg reports : ecg3x4, ecg6x2, ecg12x1, ecg4x2, ecg8x1, ecg12x1 ( 2p ) eeg reports : eeg report. episode : a single patient event episode. review : an overview of patient events alarm limits : a list of all currently set alarm limits. select report size to set the paper size to be used for the report : unspecified to use the default size for the template chosen, universal, a4, letter, lrg universal, a3, or ledger. the list of available sizes depends on the report type selected. 3 select orientation to set the orientation of the report printout : unspecified to use the default size for the template chosen, landscape or portrait. 4 select target device and choose which printer the print job will be sent to : unspecified to use the default printer, or choose from the list of printer names defined at the information center or in the monitor's configuration mode ( for example, remote 1 or database ). 5 some settings may be inactive ( " grayed - out " ) in this menu for reports that can only be started in a checking printer settings the printer settings for your monitor @topic:8


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 # # # impact - unable to use the medical cart due to a dead battery. # # # possible causes - the battery was not charged. - the battery is old and needs to be replaced. - there is a problem with the battery charger. - there is a problem with the electrical outlet. # # # recommendations - check the battery to make sure it is charged. - if the battery is old, replace it with a new one. - check the battery charger to make sure it is working properly. - check the electrical outlet to make sure it is working properly. @topic:13


* * issue : * * mouse on central station not working * * impact : * * bme cannot perform restral test on the new machine * * possible causes : * * * faulty mouse * loose or damaged cable connecting the mouse to the central station * issue with the central station's mouse port * software or driver issue on the central station * power supply issue to the central station * * recommendations : * * * check the mouse for any visible damage or debris. if the mouse is damaged, it will need to be replaced. * make sure the cable connecting the mouse to the central station is securely plugged into both devices. if the cable is loose or damaged, it will need to be replaced. * check the mouse port on the central station for any signs of damage or debris. if the port is damaged, the central station will need to be repaired or replaced. * update the software and drivers for the central station. this can be done by downloading the latest updates from the manufacturer's website. * check the power supply to the central station. make sure the central station is plugged into a working power outlet and that the power switch is turned on. if the power supply is issue, the central station will need to be repaired or replaced. @topic:30


# # # issue - the cause of failure is missing in the provided input. # # # impact - the impact of the failure cannot be determined without knowing the cause. # # # possible causes - the cuff size may not be compatible with the monitor. - the cuff may be defective. - the monitor may be defective. # # # recommendations - verify the compatibility of the cuff size with the monitor. - inspect the cuff for any defects. - inspect the monitor for any defects. @topic:5


# # # issue - the connector on the signal cable snapped off inside the input of the laparoscopic monitor. # # # impact - the laparoscopic monitor was unable to receive a signal from the signal cable. # # # possible causes - the connector on the signal cable was not properly inserted into the input on the laparoscopic monitor. - the connector on the signal cable was damaged. - the input on the laparoscopic monitor was damaged. # # # recommendations - ensure that the connector on the signal cable is properly inserted into the input on the laparoscopic monitor. - inspect the connector on the signal cable for damage. - inspect the input on the laparoscopic monitor for damage. - replace the signal cable if the connector is damaged. - replace the laparoscopic monitor if the input is damaged. @topic:2


# # # issue - cuff ( blood pressure measurement device ) of the patient transport monitor ( intellivue mp20 ) is malfunctioning. # # # impact - accurate blood pressure measurements cannot be obtained. - this may lead to incorrect diagnosis and treatment decisions for patients. # # # possible causes - cuff is physically damaged or worn out. - cuff is not properly connected to the monitor. - monitor is malfunctioning. # # # recommendations - * * inspect the cuff for any visible damage or wear. * * if the cuff is damaged, it should be replaced with a new one. - * * ensure that the cuff is properly connected to the monitor. * * the cuff should be snugly wrapped around the patient's upper arm, and the air hose should be securely connected to the monitor. - * * test the monitor to ensure that it is functioning properly. * * the monitor should be able to inflate and deflate the cuff, and it should display accurate blood pressure readings. - * * if the problem persists, contact the manufacturer for further troubleshooting assistance. * * @topic:14


printer * 131 printing battery status * 106 procedures for local staff « e 226 procedures for philips personnel * 228 pump check * 90 r reassembling the nbp pump chassis * 144 reassembly of the display * 141 reassembly procedure * 150, 154, 157 recommended frequency * 30 recording battery status * 106 refit procedures for the mms extension * 182 refitting the co2 scrubber * 182 refitting the extension bottom cover * 183 refitting the front cover * 177, 183 refitting the pump ° 182 refitting the top cover * 175 reliability ° 10 removing the battery * 138 removing the co2 scrubber * 180 removing the display / exchanging the srr board * 139 removing the dual link bar * 169 removing the ecg sync pulse out connector * 158 removing the extension bottom cover * 179 removing the front cover * 168, 178 removing the handle * 138 removing the main board * 159 removing the measurements * 162 removing the mounting pin * 168 removing the nbp pump assembly * 142 removing the power board * 155 removing the pump ° 181 removing the rear housing * 161 removing the side cover * 139 removing the top cover * 172 repacking * 202 repair and disassembly * 137 repairs * 10 qualified personnel * 113 replacement level major subassembly * 114 pcb « 114 replacement level supported * 114 replacement parts. see spare parts * 115 replacing a battery * 106 replacing batteries * 106 replacing the fan * 184 replacing the flex cable assembly * 172 reporting of test results ° 35, 98 required protective measures at system installation * 68 reset time counters ° 93 respiration performance * 80 responsibility of the manufacturer * 10 roles & responsibilities ° 226 s s ( 1 ) detachable power cord protective earth test ( optional ) * 60 s ( 2 ) equipment leakage current test - normal condition ( optional ) * 61 s ( 3 ) equipment leakage current test - single @topic:19


frame when you lower the head, knee, and foot sections. page 4 - 112 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 38 safeview™ alerts chapter 4 : removal, replacement, and adjustment procedures 4. 38 safeview™ alerts tools required : t25 torx® 1 screwdriver wire cutters needle nose pliers antistatic strap weight, 50 lb ( 23 kg ) minimum removal and replacement 1. set the brakes. 2. fully extend the foot section. 3. raise the bed to the high position. 4. raise the head section to the highest position. shock hazard : failure to unplug the bed from its power source could cause injury or equipment damage. 5. unplug the bed from its power source. let the bed sit for 60 seconds so the battery will time out. 6. remove the two screws ( a ) from the retainers ( c ) ( see figure 4 - 51 on page 4 - 115 ). 7. remove the retainers ( c ). 8. remove the three screws ( d ) that attach the power supply cover ( e ) to the power supply ( f ). 9. remove the power supply cover ( e ). 1. torx® is a registered trademark of acument intellectual properties, llc. page 4 - 114 careassist® and careassist® es bed service manual ( man330 rev 4 ) careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 115 4. 38 safeview™ alerts chapter 4 : removal, replacement, and adjustment procedures figure 4 - 52. lights installation m3 30 4 212 13. do as follows to remove each light assembly bracket ( h ) from the bed : a. remove the three screws ( i ) that attach the light @topic:26


# # # issue the issue is that the bed's side rail cannot be raised. # # # impact the impact of this issue is that the patient may fall out of bed, which could cause serious injury. # # # possible causes the possible causes of this issue are : - the spring that locks the side rail in place may be missing or broken. - the side rail may be bent or damaged. - the mechanism that raises the side rail may be jammed. - bme may not put it original site # # # recommendations the recommendations for resolving this issue are : - check if the spring that locks the side rail in place is missing or broken. if it is, replace the spring. - check if the side rail is bent or damaged. if it is, replace the side rail. - check if the mechanism that raises the side rail is jammed. if it is, clear the jam. @topic:6


# # # issue - wooden bed rails are stiff # # # impact - patient safety hazard, as stiff bed rails can prevent patients from getting in and out of bed safely. # # # possible causes - the bed rails may be dirty or dusty, which can cause them to stick. - the bed rails may be old and worn, which can make them more difficult to move. - the bed rails may be damaged, which can prevent them from moving smoothly. # # # recommendations - clean and lubricate the bed rails regularly. - inspect the bed rails for damage and replace them if necessary. - make sure that the bed rails are properly installed and adjusted. @topic:6


# # # issue - bed does not adjust properly. # # # impact - patient discomfort or injury. - inefficient use of bed resources. # # # possible causes - faulty button - electrical issues - mechanical problems # # # recommendations - replace the faulty button. - inspect and repair electrical connections. - inspect and lubricate mechanical components. - ensure proper maintenance and calibration of the bed. - provide training to staff on proper use and maintenance of the bed. @topic:1


# # # issue - battery not charging # # # impact - medical cart cannot be used # # # possible causes - dirty board # # # recommendations - clean the board # # # additional notes - the technician also found that the scanner was not working. it is unclear if this is related to the battery issue. @topic:23


# # # issue equipment : monitor, bedside, physiologic band : philips model : intellivue mp70 ( m8007a ) description : bme found that the unit does not turn on due to the lack of power source from the receptacle. the issue was reported to the facilities department for repair. cause of failure : power failure # # # impact the monitor is essential for monitoring the patient's vital signs. the failure of the monitor could result in a delay in the detection and treatment of potential complications. # # # possible causes - electrical power outage - faulty receptacle - power cord damage # # # recommendations - verify that the power cord is properly connected to the receptacle and the monitor. - reset the circuit breaker or fuse for the receptacle. - contact the facilities department to report the issue. - obtain a replacement unit from the biomedical engineering department if the issue cannot be resolved. @topic:2


# # # issue - cuff failure # # # impact - inaccurate blood pressure readings - potential for patient harm # # # possible causes - * * cuff degradation : * * over time, the cuff material can deteriorate, leading to leaks or inaccurate readings. - * * excessive use : * * frequent cuff inflation and deflation can accelerate cuff wear and tear. - * * improper storage : * * storing the cuffs in extreme temperatures or humidity can damage the materials. # # # recommendations - * * regular cuff inspection and replacement : * * cuffs should be inspected regularly and replaced according to the manufacturer's guidelines. - * * proper use : * * avoid overusing the cuff and ensure that it is properly inflated and deflated. - * * appropriate storage : * * store the cuffs in a cool, dry environment, away from excessive heat or moisture. - * * training : * * educate healthcare staff on proper cuff use and maintenance to minimize cuff failure. @topic:3


* * issue : * * blood pressure monitor is not functioning properly. * * impact : * * inaccurate or unreliable blood pressure readings, which can lead to delayed or inappropriate treatment. * * possible causes : * * * * * leaking connection : * * the description mentions that the biomedical engineer ( bme ) found a leaking connection during their inspection. this can cause the pressure in the cuff to fluctuate, resulting in inaccurate readings. * * * malfunctioning sensor : * * the monitor's sensor may be faulty, leading to incorrect pressure measurements. * * * electrical issues : * * loose wires or damaged components within the monitor can disrupt its functionality. * * * software bugs : * * software errors or glitches can affect the monitor's operation and lead to incorrect readings. * * recommendations : * * * * * repair leaking connection : * * the bme should ensure that all connections between the monitor, cuff, and patient are secure and not leaking. * * * inspect sensor : * * test the sensor to verify its accuracy and replace it if necessary. * * * check electrical components : * * visually inspect wires and connections for any damage or loose connections. repair or replace faulty components as needed. * * * update software : * * check for any available software updates for the monitor and install them if necessary. * * * monitor performance : * * regularly check the monitor's performance to ensure it is providing accurate and reliable readings. @topic:15


# # # issue - monitor not displaying # # # impact - inability to monitor patient's vital signs # # # possible causes - loose or disconnected cable between the module and the monitor - faulty monitor - software malfunction # # # recommendations - ensure that the cable between the module and the monitor is securely connected - check if the monitor is receiving power and is turned on - if the issue persists, contact the manufacturer for support or replacement @topic:2


# # # issue - monitor philips intellivue x2 ( m3002a ) on bed 1 - 8 is not linking to the screen. # # # impact - * * medical professionals : * * difficulty accessing real - time patient information. - * * patients : * * potential delays in diagnosis and treatment. # # # possible causes - * * lan cable : * * shortage or damage - * * monitor : * * hardware or software issues - * * network issue : * * firewall, connection problems, etc # # # recommendations - * * verify the lan cable : * * ensure the cable is firmly connected to both the monitor and the network. check the cable for any visible damage. replace if necessary. - * * restart the monitor : * * turn off the monitor, wait for the power to discharge, and turn it back on. - * * check the network connection : * * ensure the hospital network is operational. contact the it department if necessary. - * * inspect the monitor : * * check if the monitor has any physical damage. look for loose connections, damaged buttons, or a blank screen. - * * update the monitor software : * * ensure the monitor is running the latest software version. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer or a certified technician for further troubleshooting and repair. @topic:16


# # # issue - equipment not available for use # # # impact - patient care may be delayed or compromised # # # possible causes - equipment is being used by another department - equipment is not working properly - equipment has been stolen or lost # # # recommendations - contact the department that is using the equipment to arrange for its return - if the equipment is not working properly, contact the manufacturer or a qualified technician - if the equipment has been stolen or lost, file a police report @topic:12


# # # issue - cuff is damaged. # # # impact - the patient may not be able to be properly monitored. # # # possible causes - the cuff may have been damaged during use. - the cuff may have been damaged during storage. - the cuff may have been damaged by a patient. # # # recommendations - replace the cuff. - inspect the cuff regularly for damage. - store the cuff in a safe place. @topic:5


starting with white. this description is displayed in red text across the top of the screen. vertical bars ( inverse ) alternating black and white vertical bars, starting with black. this description is displayed in red text across the top of the screen. solid white the screen background is white. white is displayed in black text that moves across the screen. solid red the screen background is red. red is displayed in black text that moves across the screen. solid green the screen background is green. green is displayed in black text that moves across the screen. solid blue the screen background is blue. blue is displayed in black text that moves across the screen. to exit the test, press or rotate the wheel. testing the speaker the audio test plays a sample sound at each of the decibel levels. to perform the speaker test : step 1 in the system diagnostics menu, select the audio test button to start the test. a window appears confirming that the monitor is entering the audio test and displays the text : listen for three short tones. verify three short tones at different decibel levels. when the test completes, the window closes. troubleshooting suresigns vs4 service guide 4 - 33 testing the battery led testing the battery led to test the battery led : e inthe system diagnostics menu, turn the wheel to highlight the led test button, and then press the wheel to select the test. a window opens and displays the expected led behavior during the test. if the charging led is functioning as expected, the following sequence occurs : — lights in yellow for five seconds — lights in green for five seconds — flashes in yellow for five seconds — flashes in green for five seconds the ac power led remains green during the test. if you do not get the expected results, see “ power problems ” on page 4 - 4. viewing and resetting tracked parameters the monitor tracks the usage of some parameters and displays them @topic:22


ce | | — [ addixlithiumlonbatery ed | | | ada2 xlithum - lon battery ced | | [ power and network adapter | e27 | upanion mode il : vue | [ short range radio | m ) | j24gsmathoppng s ecg sync signal cable sc9 srl connect cable - 25. 0 m i jocumen c4 provide pape documents d01 | isposables ost 3 & 5 lead ecg bundles lc acc. bundle icu - a ami 3 - ld lcacc bundle icu - iec 3 - ld lc acc. bundle icu - a ami 5 - ld lc acc. bundle icu - iec 5 - ld 1?. lead i ue bundle h01 accessory bundle c121 ecg h02 accessory bundle c121 ecg h03 accessory bundle c121 ecg | h04 accessory bundle c121 ecg h = zm s 3 a t = au t en | | hy | li z jl | + e eonat fell v ue bundles accessories bundle neonatal - aami -. e h14 [ accessories bundle neonatal - iec | hi5 | | [ 3 lead accessories bundle icu - aami | — | 3 lead accessories bundle icu - iec | [ 3 lead accessories bundle or - aami h20 near patient application alain e team ae " ac less pries co2 mainstream sensor noi | n02 n03 zle use infant airwa tl a 7 n i ajiliuc see eul „ e alt te | hrs tear d non - intubated adult ( ssco2 ) | non - intubated pediatric ( ssco2 ) intubated infant ( ssco2 n15 a 7 = = | fnendntubated adult o @topic:8


# # # issue : mindray no. 4 oxygen saturation ( spo2 ) sensor instability # # # impact : inaccurate spo2 readings, affecting patient monitoring and clinical decision - making. # # # possible causes : - faulty spo2 sensor ( mindray no. 4 ) - loose or damaged sensor cable - interference from external light sources - poor skin contact with the sensor # # # recommendations : - replace the faulty spo2 sensor with a new one. - inspect the sensor cable for any damage or loose connections. - ensure the sensor is securely attached to the patient's finger or earlobe. - minimize external light sources that could interfere with the sensor's readings. @topic:4


# # # issue - monitor not linking to central system # # # impact - inability to monitor patient data centrally - delays in treatment - increased risk of medical errors # # # possible causes - incorrect ci address set in monitor - server issues - firewall or network configuration issues - software bugs # # # recommendations - verify and correct ci address in monitor - check server status and resolve any issues - review firewall and network configuration to ensure proper communication - update software to the latest version to address any bugs @topic:16


# # # issue - * * error message on device * * # # # impact - * * device failure * * - * * inability to use device for patient monitoring * * - * * potential harm to patient if device is not functioning properly * * # # # possible causes - * * hardware failure ( e. g., faulty board ) * * - * * software glitch * * - * * loose connections * * - * * battery issues * * # # # recommendations - * * check connections and cables to ensure they are secure * * - * * test battery and replace if necessary * * - * * update device firmware or software if available * * - * * contact manufacturer for technical support * * - * * consider replacing device if deemed beyond repair * * @topic:11


of | e = connection l ee o outside of patient : zs am — — — — — - a patient vicinity a 35 " em o = 35 = i vicinity medically used room me device philips specified ( iec 60601 - 1 ) display device | fe = b pu. device inside or — ms - | functional | inside or outside of es = m connection 111 outside of patient | ek = | — — — | patient vicinity e enen n — e — a vicinity medically used room 66 if the combined medical devices are connected to the same multiple portable socket outlet an enclosure leakage current test of the entire device combination on the multiple portable socket outlet is required to ensure that the resulting protective earth leakage current and equipment leakage current does not exceed the limits of iec 60601 - 1 - 1. avoid using multiple portable socket outlets. the medical electrical devices may be located in or outside the patient vicinity in a medically used room. if the limits are exceeded, additional protective measures are required, e. g. a separation device or the connection of each device to separate mains. me device me device ( iec 60601 - 1 ) ( iec 60601 - 1 ) device pm e | ia hu device inside or e say | l 1 men m inside or outside of | ~ functional n e oo outside of patient - = connection lr r patient vicinity a = - = vicinity _ ) separation dbvice, if decessdry multiple portable socket outlet | ais | medically used room 67 case 2 : medical device combined with a non - medical device if you combine a medical device with a non - medical device to form a medical electrical system according to iec60601 - 1 - 1, additional protective measures are required, e. g. usage of a separation device. the medical electrical devices or the it equipment may be located in or outside the patient vicinity @topic:10


# # # issue - the bed's electric lock plug has detached. # # # impact - the patient may be able to freely move the bed, posing a safety risk. # # # possible causes - the lock plug may not have been properly inserted or secured. # # # recommendations - ensure that the lock plug is properly inserted and secured. - inspect the lock plug and other components of the bed regularly to ensure that they are in good working condition. @topic:6


* * * issue : * * remote control is not functioning properly. * * * impact : * * patient cannot adjust the bed's position. * * * possible causes : * * * faulty remote control * loose or damaged wiring * internal electrical issues within the bed * * * recommendations : * * * inspect the remote control for any obvious damage or loose connections. * check the wiring between the remote control and the bed for any breaks or damage. * if the issue persists, further investigation of the bed's electrical system may be necessary. @topic:7


# # # issue - keypad failure on left side of bed # # # impact - patient safety hazard - reduced functionality of bed # # # possible causes - faulty wiring - damaged keypad - hardware failure # # # recommendations - replace damaged wiring - repair or replace damaged keypad - inspect and test electrical system regularly to prevent future failures @topic:25


# # # issue the intellivue mx750 bedside physiologic monitor is not working properly when used with the icca system. # # # impact this issue could impact patient care by causing delays in diagnosis and treatment. # # # possible causes - the lan cables may not be properly connected. - the icca system may not be configured correctly. - the intellivue mx750 monitor may be defective. # # # recommendations - check the lan cables to ensure that they are properly connected. - contact the icca system administrator to check the configuration of the system. - contact philips to troubleshoot the intellivue mx750 monitor. @topic:16


# # # issue : electric bed not adjusting properly. # # # impact : - patients may not be able to be positioned comfortably or safely. - medical staff may have difficulty accessing patients or performing procedures. # # # possible causes : - * * delay relay issue : * * the delay relay may be faulty, causing the bed to not adjust when the control buttons are pressed. - * * power supply issue : * * the bed may not be receiving power, or the power supply may be insufficient. - * * control panel issue : * * the control panel may be faulty, preventing the user from adjusting the bed. - * * mechanical issue : * * there may be a mechanical issue with the bed, such as a broken gear or motor. # # # recommendations : 1. * * check the delay relay : * * test the delay relay to ensure that it is functioning properly. replace the relay if necessary. 2. * * check the power supply : * * ensure that the bed is receiving power and that the power supply is sufficient. check the power cord and connections. 3. * * check the control panel : * * inspect the control panel for any obvious damage or loose connections. clean the control panel and buttons. 4. * * inspect the mechanical components : * * look for any broken gears, motors, or other mechanical components. lubricate moving parts as necessary. @topic:1


# # # issue - bed cannot be adjusted # # # impact - patient cannot be positioned properly for treatment or comfort - nursing staff cannot perform necessary care tasks - delays in patient care # # # possible causes - electrical issue with the bed - mechanical issue with the bed - user error # # # recommendations - inspect the electrical connections and wiring for any loose or damaged components. - check the power supply to the bed and ensure that it is working properly. - test the bed's functionality using the manual controls to rule out any mechanical issues. - refer to the manufacturer's instructions for troubleshooting and repair procedures. - contact the manufacturer or a qualified biomedical engineer for further assistance if necessary. @topic:1


# # # issue - the spo2 sensor cable was found to be faulty by the bme. - the phillip x2 bed 7 o2 sat cable was not able to measure the oxygen saturation. # # # impact - the patient's oxygen saturation levels could not be accurately monitored. # # # possible causes - the spo2 sensor cable may have been damaged or defective. - the o2 sat cable may not have been properly connected to the patient or the monitor. - the monitor may have been malfunctioning. # # # recommendations - the spo2 sensor cable was replaced with a new one from stock. - the o2 sat cable was checked and reconnected to the patient and the monitor. - the monitor was tested and found to be functioning properly. @topic:4


# # # issue - cause of failure is not specified in the input. # # # impact - the impact of the failure is not known. # # # possible causes - the failure could be due to a number of factors, including : - a faulty connector - a faulty pressure sensor - a software glitch # # # recommendations - the following steps are recommended to troubleshoot the failure : - inspect the connector for any damage or loose connections. - inspect the pressure sensor for any damage or leaks. - check the software for any updates or patches that may be available. - if the issue persists, contact the manufacturer for further assistance. @topic:15


# # # issue - defective lead ekg and lead ekg trunk cables # # # impact - intermittent or inaccurate patient monitoring - delays in patient care - increased patient discomfort - potential for adverse events # # # possible causes - normal wear and tear - damage to cables during cleaning or handling - improper storage of cables - incompatible cables with the patient monitoring system # # # recommendations - inspect cables regularly for signs of damage or wear - handle cables with care during cleaning and transportation - store cables in a clean and dry environment - ensure that cables are compatible with the patient monitoring system - replace defective cables promptly - train staff on proper handling and storage of cables @topic:18


* * issue : * * unavailable medical equipment * * impact : * * delay in patient care and inconvenience to patients and healthcare providers. * * possible causes : * * - software or hardware issues with the medical device - lack of maintenance or improper servicing - power issues or electrical faults - environmental factors such as temperature or humidity - human error or incorrect usage * * recommendations : * * - conduct thorough troubleshooting and diagnostic tests to identify the root cause of the failure. - repair or replace faulty components as necessary. - establish a regular maintenance schedule for the equipment to prevent future breakdowns. - provide proper training to users to ensure correct operation and maintenance. - implement backup systems or redundant equipment to minimize impact in case of failure. - conduct risk assessments to identify potential failure modes and develop mitigation strategies. @topic:12


* * issue : * * * oxygen saturation ( spo2 ) reading from the device is not detected in the anesthesia case. * * impact : * * * inability to accurately monitor patient's oxygen saturation during anesthesia, which is crucial for patient safety. * * possible causes : * * * * * faulty sensor : * * the spo2 sensor could be damaged or malfunctioning, resulting in inaccurate readings. * * * improper sensor placement : * * the spo2 sensor may not be properly positioned on the patient's finger, affecting signal acquisition. * * * electrical interference : * * external sources of electrical noise or electromagnetic interference could disrupt the sensor's operation. * * * patient factors : * * certain patient conditions, such as poor peripheral circulation or thick skin, can make it difficult to obtain accurate spo2 readings. * * recommendations : * * * * * inspect the sensor : * * check the spo2 sensor for any physical damage or contamination. * * * verify sensor placement : * * ensure that the sensor is properly positioned on the patient's fingertip and that the sensor's light sources and detectors are aligned properly. * * * eliminate electrical interference : * * identify and eliminate any possible sources of electrical noise or electromagnetic interference in the vicinity of the device. * * * assess patient factors : * * consider any potential patient factors that may contribute to the inaccurate readings, such as poor peripheral circulation or thick skin. * * * consider alternative monitoring methods : * * in cases where accurate spo2 readings cannot be obtained from the fingertip, explore alternative monitoring sites, such as the earlobe or forehead. @topic:4


# # # issue - patient's inability to adjust bed's head position # # # impact - discomfort and potential pressure injuries - difficulty for healthcare providers to access patient # # # possible causes - mechanical failure in bed's head adjustment mechanism - electrical malfunction in bed's control panel - malfunctioning of the new remote control unit # # # recommendations - inspect bed's head adjustment mechanism for any visible damage or obstructions - check electrical connections and wiring in the bed's control panel - test the new remote control unit with a different bed to verify its functionality - if necessary, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repairs @topic:1


# # # issue : equipment failure due to loose ac power cord lock. # # # impact : - interruption of patient care due to non - functional equipment. - potential safety hazard if the loose cord causes an electrical fault. # # # possible causes : - wear and tear on the locking mechanism. - improper handling of the equipment. - inadequate maintenance or inspection. # # # recommendations : - regularly inspect and maintain the equipment to ensure the locking mechanism is secure. - train staff on proper handling procedures to prevent damage to the cord lock. - provide clear instructions for connecting and disconnecting the ac power cord. - consider using a locking power cord to prevent accidental disconnection. @topic:12


# # # issue - the philips suresigns vs2 physiological vital signs monitor is unable to measure oxygen saturation ( sat ) levels. - the monitor is also emitting a beeping sound. # # # impact - inability to accurately monitor patient's oxygen saturation levels, which can lead to serious complications if not detected and treated promptly. # # # possible causes - faulty spo2 soft finger probe - loose or damaged cables - malfunction of the monitor's sensors or circuitry - incorrect settings or calibration of the monitor # # # recommendations - verify that the spo2 soft finger probe is properly connected and functioning. - inspect the cables for any damage or loose connections. - check the monitor's settings and ensure that they are calibrated correctly. - if the issue persists, contact philips technical support for further troubleshooting and repair. @topic:4


# # # issue - missing cuff connector # # # impact - inability to measure blood pressure. # # # possible causes - cuff connector was not properly attached during assembly. - cuff connector was damaged during use. - cuff connector was lost or misplaced. # # # recommendations - ensure that the cuff connector is properly attached during assembly. - handle the cuff connector with care during use. - keep track of the cuff connector to prevent it from being lost or misplaced. @topic:3


# # # issue - the cuff of the welch allyn connex spot monitor is damaged. # # # impact - the monitor cannot measure vital signs accurately. # # # possible causes - the cuff may have been damaged due to : - physical wear and tear - improper use or maintenance - exposure to extreme temperatures or humidity # # # recommendations - replace the damaged cuff with a new one. - regularly inspect the cuff for signs of damage or wear. - properly use and maintain the monitor as per the manufacturer's instructions. - store the monitor in a cool, dry place when not in use. @topic:5


# # # issue * * monitor displays abnormal blood pressure values * * # # # impact * inaccurate vital sign readings * potential misdiagnosis and inappropriate treatment * delays in patient care due to troubleshooting # # # possible causes * faulty blood pressure cuff * incorrect cuff size * air leak in the cuff or tubing * malfunctioning blood pressure sensor * software issues # # # recommendations * * * replace blood pressure cuff : * * verify that the blood pressure cuff is the correct size for the patient and is in good condition. * * * check for air leaks : * * inspect the cuff, tubing, and connections for any visible air leaks. * * * calibrate blood pressure sensor : * * follow manufacturer's instructions to calibrate the blood pressure sensor to ensure accurate readings. * * * update software : * * if available, check for software updates that may address any known issues. * * * contact manufacturer : * * if the aforementioned troubleshooting steps do not resolve the issue, contact the equipment manufacturer for technical support. @topic:14


# # # issue - the philips suresings vs4 vital signs monitor cannot be charged due to a broken ac plug. # # # impact - the monitor cannot be used to monitor patient vital signs. # # # possible causes - the ac plug may have been stepped on, kicked, or otherwise damaged. - the ac plug may have been pulled out of the outlet with excessive force. - the ac plug may have been damaged by a power surge. # # # recommendations - replace the damaged ac plug with a new one. - inspect the power cord for any other damage and replace it if necessary. - ensure that the ac plug is inserted securely into the outlet. - consider using a surge protector to protect the monitor from power surges. @topic:11


or incinerate the batteries, to avoid the risk of fire and burns. keep batteries out of the reach of children and in their original package until you are ready to use them. if battery leakage should occur, use caution in removing the battery. avoid contact with skin. refer to qualified service personnel. 376 36 maintenance and troubleshooting warning schedule : failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards. contact : if you discover a problem with any of the equipment, contact your service personnel, philips, or your authorized supplier. inspecting the equipment and accessories you should perform a visual inspection before every use, and in accordance with your hospital ’ s policy. with the monitor switched off : 1 examine unit exteriors for cleanliness and general physical condition. make sure that the housings are not cracked or broken, that everything is present, that there are no spilled liquids and that there are no signs of abuse. 2 if the mms and mms extensions are mounted on the monitor, make sure that they are locked into place and do not slide out without releasing the locking mechanism. 3 inspect all accessories ( cables, transducers, sensors and so forth ). if any show signs of damage, do not use. 4 switch the monitor on and make sure the backlight is bright enough. check that screen is at its full brightness. if the brightness is not adequate, contact your service personnel or your supplier. inspecting the cables and cords 1 examine all system cables, the power plug and cord for damage. make sure that the prongs of the plug do not move in the casing. if damaged, replace it with an appropriate philips power cord. 2 inspect the measurement link cable and ensure that it makes good connection with the mms and the fms. make sure that @topic:10


# # # issue - medical cart did not stop rebooting. # # # impact - medical staff cannot use the cart to transport medical supplies and equipment. # # # possible causes - * * software issue : * * the medical cart's operating system or software may be corrupted or outdated. - * * hardware issue : * * the medical cart's motherboard, power supply, or other hardware components may be faulty. - * * user error : * * the medical staff may have inadvertently caused the cart to reboot by pressing the wrong buttons. - * * power surge : * * a sudden increase in electrical power can damage the cart's components and cause it to reboot. - * * loose connections : * * loose cables or connectors can interfere with the cart's power supply and cause it to reboot. # # # recommendations - * * software update : * * update the medical cart's operating system and software to the latest version. - * * hardware inspection : * * inspect the medical cart's hardware components for any signs of damage or wear and tear. replace any faulty components. - * * user training : * * provide proper training to the medical staff on how to use the medical cart correctly. - * * power surge protection : * * install a power surge protector to prevent sudden increases in electrical power from damaging the cart. - * * regular maintenance : * * perform regular maintenance on the medical cart to identify and address any potential problems before they become major issues. @topic:13


measurements over a five minute period, then the monitor returns to the previous mode. use only on supervised patients.. 04 reference method the measurement reference method can be auscultatory ( manual cuff ) or invasive ( intra - arterial ). for further information, see the application note supplied on the monitor documentation dvd. in neonatal mode, to comply with safety standards, invasive is always used as the reference method. this setting cannot be changed and is not visible in any operating mode. in adult and pediatric mode, to check the current setting, select main setup then measurements followed by nbp, and check whether the reference setting is set to auscultatory or invasive. this hanged in configuration mode. 1 connect the cuff to the air tubing. plug the air tubing into the red nbp connector. avoid compression or restriction of tubes. air must pass unrestricted through the tubing. 2 warning kinked or otherwise restricted tubing can lead to a continuous cuff pressure, causing blood flow interference and potentially resulting in injury to the patient. make sure that you are using a philips - approved correct sized cuff and that the bladder inside the 3 a wrong cuff size, and a folded or twisted bladder, can cause inaccurate measurements. the width of the cuff should be in the range from 37 % to 47 % of the limb circumference. the inflatable of the cuff should be long enough to encircle at least 80 % of the limb. part 4 apply the cuff to a limb at the same level as the heart. if it is not, you must use the measurement correction formula to correct the measurement. the marking on the cuff must match the artery location. do not wrap the cuff too tightly around the limb. it may cause discoloration, and ischemia of the extremities. warning inspect the application site regularly to ensure skin quality and inspect the extre @topic:17


# # # issue - the nibp monitor is not functioning. # # # impact - the nibp monitor is a medical device used to monitor a patient's blood pressure. a non - functional nibp monitor can lead to inaccurate or missed blood pressure readings, which can have serious consequences for the patient. # # # possible causes - the provided information states that the * * power supply is damaged * * and the * * manufacturer no longer produces replacement parts for the equipment * *. this suggests that the power supply is the most likely cause of failure. # # # recommendations - replace the nibp monitor with a new one. @topic:15


* * issue : * * bed ( hill - rom 900b ) not adjustable * * impact : * * patients and healthcare professionals may be unable to use the bed effectively for patient care. * * possible causes : * * - * * remote control or wiring failure : * * the remote control or the wiring connecting it to the bed may be malfunctioning, preventing the adjustment of the bed. - * * internal motor or mechanical failure : * * the bed's internal motor or mechanical components may have failed, causing the inability to adjust the bed. - * * power supply issue : * * the bed may not be receiving adequate power, which could prevent the adjustment function from working. - * * software malfunction : * * software errors or glitches within the bed's operating system could lead to the inability to adjust the bed. * * recommendations : * * - * * check remote control and wiring : * * inspect the remote control and wiring for any visible damage or loose connections. replace if necessary. - * * inspect internal motor and mechanics : * * examine the bed's internal components for any signs of damage or wear. lubricate or replace parts as needed. - * * verify power supply : * * ensure that the bed is receiving adequate power by checking the power cord and electrical outlets. - * * troubleshoot software : * * if software malfunctions are suspected, reset or update the bed's software according to the manufacturer's instructions. - * * contact manufacturer : * * if the issue persists or the cause cannot be identified, contact the manufacturer for further assistance. @topic:1


# # # issue - equipment : nibp monitor ( non - invasive blood pressure monitor ) - brand : casmed - model : 740 - description : the device is not functioning due to a lack of power. # # # impact - inaccurate or delayed blood pressure measurements - potential safety concerns for patients if blood pressure is not monitored properly - reduced efficiency in clinical workflow # # # possible causes - faulty power cord or loose connection - internal power supply failure - electrical surge or power outage # # # recommendations - check the power cord and ensure it is securely connected to both the device and the power outlet. - inspect the power cord for any damage or frayed wires. - verify that the power outlet is providing power by testing with another device. - if the power cord and outlet are functioning properly, contact a qualified biomedical engineer to troubleshoot and repair the internal power supply of the device. - regularly inspect and maintain biomedical equipment, including nibp monitors, to prevent future failures. @topic:15


# # # issue - electrical short in the bed control panel cable # # # impact - bed unable to adjust - potential for further electrical problems # # # possible causes - damage to the cable during installation or use - loose or frayed wires - defective cable # # # recommendations - replace the damaged cable - inspect all other cables for signs of damage or wear - train staff on proper handling and maintenance of medical equipment @topic:1


# # # issue - cuff bp unmeasurable # # # impact - blood pressure cannot be measured accurately, which can lead to incorrect treatment decisions. # # # possible causes - cuff leak - cuff is not the correct size for the patient - cuff is not properly inflated - air leak in the tubing - problem with the monitor or transducer # # # recommendations - replace the cuff if it is leaking. - verify that the cuff is the correct size for the patient. - inflate the cuff properly according to the manufacturer's instructions. - check the tubing for any air leaks. - if the problem persists, contact the manufacturer of the monitor or transducer for further troubleshooting. @topic:14


* * issue : * * remote control down button does not work * * impact : * * patient cannot adjust the bed height * * possible causes : * * - faulty switch connection - damaged switch - software glitch - electrical wiring issue * * recommendations : * * 1. inspect the switch connection for any loose wires or corrosion. 2. replace the down button switch if it is damaged. 3. check for software updates and install if available. 4. inspect the electrical wiring for any damage or loose connections. 5. test the remote control after each repair to ensure functionality. 6. document the repair in the equipment maintenance log. @topic:7


# # # issue : mouse not working # # # impact : unable to operate the device # # # possible causes : - hardware issue : - faulty mouse or mouse cable - damaged mouse port on the device - software issue : - incorrect or corrupt mouse driver - operating system compatibility issues # # # recommendations : - hardware troubleshooting : - check if the mouse is properly connected to the device. - replace the mouse or mouse cable with a known - working one. - check the mouse port on the device for any damage or debris. - software troubleshooting : - update or reinstall the mouse driver. - ensure that the operating system is compatible with the mouse. - check if there are any software conflicts causing the mouse to malfunction. - other considerations : - check if the batteries ( if applicable ) are low or need to be replaced. - clean the mouse and mouse sensor to remove any dust or debris. - if the issue persists, contact the manufacturer or a qualified technician for further assistance. @topic:30


# # # issue : defective ekg lead # # # impact : - inaccurate or no ecg monitoring - delayed or missed diagnosis - potential harm to the patient # # # possible causes : - physical damage to the lead, such as cuts or tears - poor maintenance or handling - manufacturing defects # # # recommendations : - inspect the lead regularly for signs of damage. - handle the lead carefully, avoiding excessive bending or pulling. - follow the manufacturer's recommended maintenance schedule. - replace the lead if it is damaged or malfunctioning. @topic:18


* * cause of failure : * * * * possible causes : * * - insufficient or no power supply : check power outlet, cables, and connections. - faulty power button : the power button may be damaged or not functioning properly. - circuitry issues : a failure in the electrical circuitry can prevent the device from powering on. - software or firmware failure : a corrupted or outdated software or firmware can lead to boot - up problems. - mechanical malfunction : a jammed or broken internal component can interfere with power distribution. * * recommendations : * * - inspect and test power supply, cables, and connections for any damage or loose connections. - replace the power button if it is found to be faulty. - contact the manufacturer or a qualified technician to diagnose and repair internal circuitry issues. - update software or firmware if necessary, following the manufacturer's instructions. - check for any jammed or broken components and replace or repair as needed. @topic:11


— — sietig ’ nc 47 bis : use clamp adapter cable and m1034 - 61650 bis sensor simulator. 1600. 0 wiring schematic clamp divider plug banana 48 vuelink : wiring schematic plug 12 - pin plug banana male conductor coloring 4 blue 3 oink l reni 7 1 5 yellow 6 brawn 4 red b o a 9 mc, 10 11 12 7 n. csn m. c. 4 = 220 ohm 49 intellibridge : 12345878 wiring schematic plug r. j - 45 plug banana conductor coloring blue jre gink green m w rj = ellaw brown red n cnc 50 eeg : wiring schematic plug 12 - contact plug banana mole conductor coloring 4 blue 2 3 4 1 5 6 7 8 a b c d : n c4. — — — — — — — — — a58held nc, 51 svo2 ( m1021a ) : wiring schematic plug 19 - contact plug banana male conductor coloring 1 n. c. 2 blue 3 - re gre 4 n. l. 5n. l. 6 a aink 7 ea jr seti — > 4 b8 nh, c. typ. on. c. £e 10 < a yellow t ae brown 12 « — dk ile 13 ik 14 k nn 15 16 17 18 ik 19 « tk | | ground « ae | shield 52 scvo2 ( m1011a ) : wiring schematic ( 3 ) plug 8 - contact ; plug banana male? conductor coloring 1 « uk ^ blue 2 « dk _ je 3 ak | dink l < green | | 5 fellow 6 brown 7 k h deb o e | u 53 tcpo2 / tcpco2 : | wiring schematic plug 20 - contact plug banana male @topic:10


# # # issue - cuff pressure knob is not rotating. # # # impact - inability to measure blood pressure accurately. # # # possible causes - * * mechanical issue : * * the knob or its internal mechanism may be damaged, preventing it from rotating smoothly. - * * electrical issue : * * there may be a fault in the electrical connections or circuitry that controls the knob's rotation. - * * software issue : * * a software glitch or bug could interfere with the functionality of the knob. - * * faulty cuff : * * the cuff itself may be defective, causing resistance to the cuff pressure knob's rotation. - * * environmental factors : * * external factors, such as excessive heat or humidity, may affect the performance of the cuff pressure knob. # # # recommendations - * * inspection : * * visually inspect the cuff pressure knob and its surroundings for any signs of damage or wear. - * * testing : * * perform a functional test to determine if the knob is responding properly. - * * troubleshooting : * * conduct electrical and software diagnostics to identify any potential faults. - * * replacement : * * if necessary, replace the cuff pressure knob or any other affected components. - * * calibration : * * calibrate the device to ensure accurate blood pressure measurements after repairs. - * * environmental control : * * ensure that the device is operated within the recommended environmental parameters. @topic:14


# # # issue - the bed cannot be adjusted. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned properly for treatment. # # # possible causes - the remote control cord is broken. - the control panel is not functioning properly. - the motor is not working. # # # recommendations - replace the remote control cord. - repair or replace the control panel. - repair or replace the motor. @topic:1


# # # issue - display quality is not clear when using 12g bnc cable. # # # impact - affects the accuracy of medical imaging. # # # possible causes - the 12g bnc cable may be defective or damaged. - the display port cable may be loose or not properly connected. - there may be signal interference from other devices. # # # recommendations - replace the 12g bnc cable with a display port cable. - ensure that the display port cable is securely connected. - use an hdmi splitter to reduce signal interference. @topic:2


sample. your monitor may be configured to suppress these non - physiological artifacts for a specified duration ( artifact suppr. is configured to 30 sec, 60 sec, or 90 sec ). during artifact suppression, the monitor shows the inop message < press label > artifact, and a question mark is shown beside the pressure numerics. pressure alarms and the < press label > no pulse inop are suppressed during the configured period. the cpp alarms are not suppressed. warning make sure you set alarm limits for the correct label. the alarm limits you set are stored for that particular label only. changing the label may change the alarm limits. you can monitor for alarm conditions in systolic, diastolic and mean pressure, either singly or in parallel. only one alarm is given at a time, in this order of priority : mean, systolic, diastolic. in the setup < press label > menu, select alarms from and choose the source. enu optiopressure value monitored systolic sys. diastolic dia. mean mean systolic and diastolic in parallediastolic and mean in parallel systolic and mean in parallel dia & mean ys & mean all three pressures in parallesys & dia & mean select and set the high limit and low limit for the pressure ( s ) you have selected. extreme alarm limits for pressure the extreme pressure alarms, extreme high and extreme low, can be made available for your monitor in configuration mode and are additional to the standard high and low limit alarms. they are generated by the active pressure alarm source, and are setup in configuration mode by adding a set value ( the a value ) to the high and low alarm limits. this value can be set for each pressure label 18 4 2 3 6 5 xtreme low lim1 2 3 extreme high limit 4 a extreme low 5 δ extreme high @topic:17


* * issue : * * * * cuff was not provided for the monitoring system. * * * * impact : * * * patient monitoring may be incomplete or inaccurate. * delays in diagnosis and treatment. * possible adverse patient outcomes. * * possible causes : * * * the cuff was not included in the initial equipment delivery. * the cuff was removed or lost during maintenance or repair. * the cuff is damaged or defective. * * recommendations : * * * verify that the cuff is included in the equipment package before installation or repair. * inspect the cuff for damage or defects before use. * store and handle the cuff carefully to prevent damage or loss. * regularly calibrate the monitoring system to ensure accurate readings. @topic:5


* * issue : * * request for equipment loan * * impact : * * potential delay in patient care if the equipment is not available. * * possible causes : * * - emergency or urgent need for equipment in another department. - equipment is currently in use or under repair. - equipment is not available due to shortage or malfunction. * * recommendations : * * - check the availability of the equipment in the hospital's equipment management system. - contact the department that currently has the equipment to inquire about its availability. - explore alternative arrangements, such as renting or borrowing equipment from another hospital or vendor. - if the equipment is not available, inform the requesting department and provide an estimated time for when it can be made available. @topic:12


# # # issue - monitor not linking with central monitor # # # impact - inability to monitor patient's vital signs remotely - delayed or inaccurate medical interventions - increased risk of patient complications # # # possible causes - loose ethernet cable connection between monitor and network - incorrect ci address ( configuration information ) on monitor - network connectivity issues on central monitor or hospital network # # # recommendations - ensure ethernet cable is securely connected between monitor and network - verify and correct ci address on monitor to match host configuration - troubleshoot network connectivity on central monitor and hospital network ( e. g., check cables, restart devices ) - consult with it support or biomedical engineering team if issue persists @topic:16


* * issue : * * equipment malfunction due to battery depletion * * impact : * * potential disruption of patient monitoring and transport, leading to delays in care or patient safety concerns * * possible causes : * * - battery has reached its end of life and requires replacement - battery has been used beyond its specified lifespan - battery has been improperly charged or discharged - battery has been damaged due to mishandling or environmental factors * * recommendations : * * - replace the battery with a new one of the same specifications ( 10. 8v, 6ah, x 2 ) - ensure proper charging and discharging procedures are followed - handle batteries with care and avoid exposing them to extreme temperatures or moisture - regularly monitor battery life and replace them before they reach depletion @topic:11


# # # issue : broken spo2 cable # # # impact : - inability to monitor patient's oxygen saturation levels - potential for inaccurate readings or delayed detection of changes in oxygen saturation # # # possible causes : - physical damage to the cable ( e. g., cuts, kinks ) - wear and tear over time - faulty manufacturing # # # recommendations : - regularly inspect spo2 cables for any signs of damage or wear - replace cables if they appear damaged or if they are no longer functioning properly - ensure that cables are properly stored and handled to prevent damage - consider using wireless spo2 monitors to reduce the risk of cable damage @topic:4


# # # issue - the spo2 probe cable is damaged, resulting in intermittent or inaccurate readings. # # # impact - compromised patient monitoring, as accurate and continuous spo2 measurements are essential for assessing oxygenation status and making appropriate clinical decisions. # # # possible causes - physical damage to the cable : kinks, cuts, or compression can disrupt signal transmission. - connector issues : loose or damaged connectors can cause intermittent or no signal. - equipment compatibility : the cable may not be compatible with the specific monitor or patient interface device. - manufacturing defect : faulty cables can fail prematurely. # # # recommendations - replace the damaged cable with a compatible, high - quality cable. - inspect the cable and connectors regularly for any signs of damage. - ensure proper handling and storage of the cable to prevent kinks or compression. - follow manufacturer's guidelines for use and maintenance of the equipment and accessories. - consider using wireless or disposable spo2 probes to minimize cable - related issues. @topic:4


# # # issue the input is missing the cause of failure for the equipment. # # # impact the technician will not be able to identify the root cause of the problem and may not be able to fix the equipment properly. # # # possible causes the technician may have forgotten to enter the cause of failure, or they may not have been able to determine the cause of failure. # # # recommendations the technician should enter the cause of failure for the equipment in the input. if they are unable to determine the cause of failure, they should consult with a more experienced technician or biomedical engineer. @topic:12


# # # issue - broken bed rail # # # impact - patient safety hazard - inconvenience to patient and staff - potential for injury # # # possible causes - normal wear and tear - accidental damage - manufacturing defect # # # recommendations - replace the broken bed rail immediately. - inspect all other bed rails for signs of damage. - train staff on proper use of bed rails. - consider purchasing bed rails with a higher weight capacity or durability. @topic:6


log window shows logged events which caused a reboot of the system component ( monitor or measurement server ). the first column in the log identifies the event class ( “ c ” : caused a cold start, “ h ” : caused a hot start, ‘ ‘ n ” : no retstart, for information only ). column 3 and 4 identify the event source and event code. column 4 counts the number of occurrences of the event. the last column shows the time and date of the last occurrence of the event. the following pop - up keys overlay the smartkeys : clear statlog revision 866060 m3001a clear statlog this key clears the currently displayed status log revision this key switches to the revision screen of the currently displayed system component 866060 ( mx400 ), 866062 ( mx450 ), 866064 ( mx500 ), 866066 ( mx550 ) this key switches to the monitor revision window m3001a this key switches to the multi measurement server ( mms ) revision window 136 4 troubleshooting note • if an event occurs repeatedly, contact your philips service representative. • it is possible, using the support tool, to download the status log and send it to your philips service representative as a file ( for example via e - mail ). • log files generated by the monitors and measurement modules are used for system troubleshooting and do not contain protected health information. list of error codes there are no error codes at this point. troubleshooting with the support tool using the support tool you can : • access the full status log which can be saved as a file • reload software • identify defective devices • reset touch screen calibration for details on how to perform these tasks see the support tool user manual. troubleshooting the individual measurements or applications for problems isolated to an individual parameter or application such as event review @topic:22


# # # issue - the base of the philips suresigns vs2 vital signs monitor has become detached due to loose screws. # # # impact - the monitor is not operational and cannot be used to monitor patient vital signs. # # # possible causes - inadequate tightening of screws during initial assembly. - vibration or movement of the monitor during transport or use, causing the screws to loosen. - wear and tear over time, leading to the screws becoming loose. # # # recommendations - inspect the monitor regularly for loose screws and tighten them as necessary. - ensure proper handling and transportation of the monitor to minimize vibration and impact. - replace worn or damaged screws with new ones. - consider using lock washers or thread - locking compound to enhance screw retention. - train staff on the importance of equipment maintenance and the consequences of loose screws. @topic:2


# # # issue - abnormal noise from the footrest adjustment motor, potentially indicating a mechanical issue. # # # impact - potential disruption to patient care if the bed's functionality is compromised. - discomfort or safety concerns for patients using the bed. # # # possible causes - worn or damaged components in the motor or transmission system. - misalignment of mechanical parts. - insufficient lubrication of moving parts. - electrical faults in the motor control circuit. # # # recommendations - * * inspect the motor and transmission system * * : visually examine the motor, gears, and other mechanical components for signs of wear, damage, or misalignment. - * * check lubrication * * : ensure that all moving parts are properly lubricated according to the manufacturer's guidelines. - * * test electrical connections * * : verify that the electrical connections to the motor are secure and that there are no loose wires or damaged insulation. - * * consult with the manufacturer * * : if the problem cannot be identified through initial troubleshooting, contact the manufacturer for further guidance or support. - * * regular maintenance schedule * * : establish a regular maintenance schedule to prevent recurrence of such issues and ensure long - term reliability of the equipment. @topic:9


##ometer should now display the actual ambient pressure ). 74 3 testing and maintenance ] 3 now slowly draw at the syringe, as if filling the syringe, until the pressure ( as displayed on the digital barometer ) drops to approximately 350 mbar below ambient pressure. then close the line to the syringe at the 3 - way stopcock to syringe ( circled in picture below ). 4 let the reading on the digital barometer stabilize for a moment and then perform the leakage check : for 30 seconds the change of the pressure reading should be less than 20 mbar. 5 if the leakage test is not passed, check all connections once more and repeat the test. test expected test results leakage check reading on the digital barometer change is less than 20 mbar for 30 seconds ( pass / fail ) note to ensure the integrity of the leakage test kit ( ml 013 - 64002, 451261014851 ) the following kit leak test procedure must be performed : a. form a loop with the leakage test kit as shown in the picture below. b. connect the syringe to the 3 - way stopcock and the digital barometer to the open tubing. c. draw at the syringe until the digital barometer shows approximately 350 mbar below ambient pressure. d. close the 3 - way stopcock to the syringe and wait 5 - 10 seconds. in this time, the overall pressure should stabilize. e. after 1 minute, check the pressure. the pressure should not increase more than 8 mbar in 1 minute for the test to pass. 75 [ 3 testing and maintenance ] £ if this test fails, exchange the leakage test kit. barometric pressure check and calibration note the m3015a with hw rev c and the m3015b do not require calibration of the @topic:17


##® and careassist® es bed service manual ( man330 rev 4 ) preventive maintenance chapter 6 : general procedures function procedure siderails make sure the head and foot siderails are not bent or twisted. make sure the latch mechanism operates correctly. an audible click must be heard. remove the siderail cover, and make sure the mounting screws are tight. inspect the cable routing for pinching, binding, and damage. make sure all functions on the caregiver control operate correctly. repair or replace the siderail as necessary. foot extension operate the foot extension to make sure the movement is correct and that it locks properly into the different positions when the lever is released. repair or replace the foot extension as required. pivot points make sure the articulations of the bed operate without making any noise ( high low column bearings, head and thigh sections ). lubricate as necessary. casters check for cuts, wear and quality of the tread, etc. replace if necessary. fifth wheel check for cuts, wear and quality of tread, etc. make sure that the fifth wheel moves and turns correctly. replace the fifth wheel if necessary. braking and steering check the brakes to see whether the bed moves when the brake bar or the lh / rh brake pedals are pressed. repair as necessary. make sure the steering mechanism works correctly. replace or adjust the steering control elements of the steering caster if necessary. replace the caster if necessary. plug the bed into an appropriate power source and set the brakes to neutral. make sure the alarm is heard. set the brakes on the bed. make sure the alarm stops sounding. accessories check the proper operation of any accessories installed on the bed. replace any missing or damaged parts. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 6 - 11 preventive maintenance chapter 6 : @topic:9


# # # issue - the medical cart is not functioning properly due to a reboot issue. # # # impact - the medical cart is an essential piece of equipment in the hospital, and its malfunction can disrupt patient care. # # # possible causes - the reboot issue could be caused by a software glitch, a hardware failure, or a power surge. # # # recommendations - the bme should investigate the cause of the reboot issue and take steps to prevent it from happening again. - the bme should also provide training to the staff on how to use the medical cart properly. @topic:13


# # # issue - noisy hospital bed during adjustments # # # impact - patient discomfort - disturbance to other patients and staff - potential equipment failure # # # possible causes - loose or worn joints - insufficient lubrication - damaged components # # # recommendations - inspect joints for wear or damage - lubricate joints with appropriate lubricant - replace damaged components @topic:9


# # # issue electric bed not responding to adjustment controls # # # impact patients may be unable to adjust their bed's position, which can lead to discomfort and pressure sores. # # # possible causes - loose connections - malfunctioning control unit - damaged actuator - software issue # # # recommendations - * * check connections : * * ensure that all electrical connections are secure. unplug and re - plug the bed to reset any loose connections. - * * inspect control unit : * * examine the control unit for any signs of damage or malfunction. check for loose buttons or wires. - * * test actuator : * * manually move the bed's actuators to determine if they are functioning properly. - * * update software : * * contact the manufacturer to check for any software updates that may address the issue. @topic:1


# # # issue : - equipment : bed, electric - make : huntleigh - model : enterprise 8000 # # # impact : - unable to adjust the bed. # # # possible causes : - * * control box error : * * a malfunction or software glitch within the control box, which manages the electrical operations of the bed, can prevent it from adjusting properly. - * * electrical fault : * * faulty wiring, loose connections, or damaged components in the electrical circuit can disrupt power supply to the bed's motors, rendering it unable to move. - * * motor failure : * * a mechanical issue or electrical fault affecting the motors responsible for adjusting the bed's height or position can cause failure. - * * sensor malfunction : * * sensors that detect bed position or movement may not be functioning properly, resulting in inaccurate adjustments or a lack of response to user commands. # # # recommendations : - * * reset the control box : * * resetting the control box can potentially clear any software errors that might be causing the issue. - * * inspect electrical connections : * * check for loose or damaged wiring, and ensure that connections are secure. replace any faulty components as necessary. - * * test the motors : * * conduct a diagnostic test to determine if the motors are receiving power and functioning properly. repair or replace any malfunctioning motors. - * * calibrate sensors : * * recalibrate the sensors using the manufacturer's instructions to ensure accurate bed positioning and movement. - * * professional service : * * if the issue persists after attempting these troubleshooting steps, contact a qualified biomedical engineer for further assessment and repair. @topic:1


# # # issue : battery failure # # # impact : monitor or patient transport device not functioning properly # # # possible causes : - battery reaching end of life - battery improperly installed - battery not compatible with device - device charging system malfunctioning # # # recommendations : - replace battery with a new, compatible battery - ensure battery is properly installed - inspect device charging system for any issues - contact manufacturer for further assistance if problem persists @topic:11


use that accompany these accessories. for more detailed information, see the care and cleaning chapter in the suresigns vm series patient monitors instructions for use. 3 - 2 performing routine maintenance charging the battery charging the battery the monitor operates on an 11. 1 v lithium ion. smart battery, at 7200 ah. battery power lasts a minimum of four hours of continuous monitoring ( with no printing ), and one nbp measurement every 15 minutes. a complete battery recharge requires less than four hours. you can recharge the battery while the monitor is in use. the battery can require a full discharge / charge cycle to restore full capacity. if the monitor operates for less than one hour on a fully charged battery before the low battery alarm occurs, you should replace the battery. for information on replacing the battery, see chapter 8, repairing the monitor. any time the monitor is connected to ac power, the battery is being charged. when you first receive the monitor, the battery charge may be low. connect the monitor to an ac power source before using it on battery power alone. the charging led on the front panel provides the charging status of the battery. [ | ^ the color of the led indicates how much charge remains on the battery : • green : the battery is completely or nearly completely charged • flashing green : the battery has a medium charge • yellow : the battery has a low charge • flashing yellow : the battery has almost no charge the battery status pane on the bottom of the monitor lcd screen also indicates battery status. l mu returning the monitor for service if it is necessary to return the monitor for service, call the philips response center or your local philips representative for a returned materials authorization ( rma ) number. have all equipment serial numbers available when calling. after receiving an rma number, mark the shipping carton and any shipping documents with the rma number. before returning any equipment @topic:11


# # # issue the spo2 sensor on the patient transport monitor is not working. # # # impact the patient's vital signs cannot be monitored accurately. # # # possible causes 1. the spo2 sensor cable is damaged 2. the spo2 sensor is not properly connected to the monitor 3. the spo2 sensor is not properly calibrated # # # recommendations 1. inspect the spo2 sensor cable for any damage. if the cable is damaged, replace it. 2. make sure that the spo2 sensor is properly connected to the monitor. 3. calibrate the spo2 sensor according to the manufacturer's instructions. @topic:4


# # # issue - cuff is damaged # # # impact - vital signs monitor may not be able to accurately measure blood pressure. - this could lead to incorrect diagnosis and treatment. # # # possible causes - cuff may have been damaged due to wear and tear. - cuff may have been damaged due to improper use. - cuff may have been damaged due to a manufacturing defect. # # # recommendations - replace the cuff with a new one. - inspect the cuff for any signs of damage before using it. - follow the manufacturer's instructions for using the cuff. @topic:3


to 3000m ( 10000 ft. ) storage : - 500m to 4600m ( 15000 ft. ) 292 8 site preparation ^ ) electrical and safety requirements ( customer or philips ) safety requirements if the 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 monitor must be grounded during operation ( class i equipment according to lec 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 monitor. warning each component must be individually grounded for safety and interference suppression purposes. electrical requirements line voltage connection the mx400 / 450 / 500 / 550 monitor uses < 70 w average. line voltage the mx400 / 450 / 500 / 550 monitor may be operated on ac line voltage ranges of 100 to 240v, 50 / 60 h2. remote device site requirements the system can be installed with one or more combinations of the following remote devices. multi - measurement module remote display remote control where more than one site is used for locating equipment ( a remote installation ), the following sections should be considered for each device : • space requirements • environmental requirements • mounting • electrical and safety requirements • cabling options and conduit size requirements connecting non - medical devices the standards iec / en - 60601 - 1 - 1 and lec / en 60601 - 1 + a1 ed. 3 clause 16 apply to any combination of medical and non - medical electrical devices, where at least one is a medical electrical 293 [ 8 site preparation ] device. therefore iec / en - 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16 must stiu @topic:10


# # # issue unable to delete patient records from the program. # # # impact inability to remove outdated or incorrect patient records can lead to errors in patient care, data privacy concerns, and increased risk of medical errors. # # # possible causes - software malfunction or bug - corruption in the database - insufficient user permissions - network connectivity issues - user error # # # recommendations - * * software update : * * check for any available software updates and install them if necessary. - * * data verification : * * verify the integrity of the database and ensure there are no corrupted or missing entries. - * * permission check : * * confirm that the user has appropriate permissions to delete patient records. - * * network troubleshooting : * * rule out any network connectivity problems that may be hindering access to the database. - * * user training : * * provide training to users on the proper procedure for deleting patient records. - * * technical assistance : * * if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:13


# # # issue - monitor screen is not displaying ( black screen ). # # # impact - the monitor cannot display vital signs information. - this can affect patient care by delaying or preventing the clinician from monitoring the patient's condition. # # # possible causes - * * faulty power supply * * : the monitor may not be receiving power, or the power supply may be faulty. - * * loose or damaged cables * * : the cables connecting the monitor to the patient and to the power supply may be loose or damaged. - * * faulty monitor display * * : the monitor display itself may be faulty, preventing it from displaying information. - * * software or firmware issue * * : a software or firmware issue may be preventing the monitor from displaying information. # # # recommendations - * * check the power supply * * : ensure that the monitor is properly connected to a power source and that the power supply is functioning correctly. - * * inspect the cables * * : inspect the cables connecting the monitor to the patient and to the power supply for any loose connections or damage. replace any damaged cables. - * * reset the monitor * * : unplug the monitor from the power source and then plug it back in. this may reset the monitor and restore functionality. - * * contact the manufacturer * * : if the above steps do not resolve the issue, contact the manufacturer of the monitor for further assistance. @topic:2


# # # issue cuff nibp ( color blue ) malfunction during measurement, not inflating properly. # # # impact accurate blood pressure measurement is not possible. # # # possible causes - cuff size is inappropriate. - cuff is damaged or leaking. - air hose is kinked or blocked. # # # recommendations - ensure that the cuff size is appropriate for the patient's arm circumference. - inspect the cuff for any damage or leaks. - check the air hose for any kinks or blockages. @topic:15


# # # issue - equipment not measuring accurately # # # impact - incorrect or misleading patient data - delayed or inadequate treatment - potential harm to patient # # # possible causes - loose module in the device - malfunctioning module - faulty wiring or connections - software glitches or bugs - user error # # # recommendations - ensure that all modules are properly seated and fastened - replace any malfunctioning modules - inspect and test all wiring and connections - update software or install bug fixes - train users on proper operation and maintenance procedures @topic:2


cannobe paused or switched off unless the monitor is connected to ains power. charge batt 1 now charge batt 2 now inop tone place the batteries in a different monitor or in a battery charger. if the same inop is shown, contact battery must be charged. connect the monitor to mains power or exchange the battery. there is a problem with the battery charger in the monitor. connect the monitor to mains power and inop tone, battery led may check batt temnop tone the temperature of one or both batteries is too high. check that ventilation openings ( if applicable ) are not blocked and monitor is not exposed to heat. check the msl connection between x2 / mp2 and the battery extension for damage or loose connections. check also if a second x1 or x2 has been connected accidentally ( e. g. in companion mode ). chk msl connection extbat empty!! extbat empty!! extbat empty the estimated battery - powered operating remaining time is less than 10 minutes. replace the battery in the battery extension immediately. if the condition persists and the monitor is not connected to mains power, this inop is re - issued two minutes after you acknowledge it. inop tone, bduring this inop, alarms cannot r switched off. extbat incompat the battery in the battery extension cannot be used. replace with the correct battery as specified in extbat low the estimated battery - powered operating time remaining is less than 20 minutes. extbat malfunction the monitor cannot determine the status of the battery in the battery extension. if this inop persists, replace the faulty battery in the battery extension. if the condition persists and the monitor is not connected to mains power or a host monitor, this inop is re - issued two minutes after you during this in @topic:11


you want to monitor by selecting its temperature label. the label is a unique identifier for each type of temperature. when you choose a label, the monitor uses that label's stored color and alarm settings. 211 11 monitoring temperature in the setup < temp label > menu, select label. 1 2 ectal temperaturnon - specific temperature label temp rect rterial temperaturkin temperaturtart tcore tesoph tskin venous temperature core temperature tven esophageal temperature nasopharyngeal temperature tnaso extended temperature label set the following additional labels are available if label set is set to full. this setting can only be changed note that if your monitor is connected to an information center, the additional labels in the extended label set may not be correctly displayed. see the configuration guide for monitor for more your information. on - specific temperatmbient temperaturtamb erebral temperaturtympanic temperature ttymp esical temperaturtvesic the monitor can calculate and display the difference between two temperature values by subtracting the second value from the first. the difference is labeled atemp. in the main setup menu, select measurements. 1 elect atemp2 in the setup atemp menu, select first temp. 3 select the appropriate label for the measurement source. 4 select second temp. 5 select the appropriate label for the second measurement source. 6 212 12 warning measurements from an mms extension connected to an x2 are not available when the x2 is running on its own battery power. they are only available when the x2 is powered by external power : when connected to a host monitor, to the external power supply ( m8023a ) or to the battery extension ( 865297 ). caution do not use a monitor with an m1006a pressure module as an additional monitor for @topic:17


# # # issue - nibp auto test is set to 15 minutes instead of the desired 5 minutes. # # # impact - delayed detection of changes in patient's vital signs, potentially leading to adverse outcomes. # # # possible causes - incorrect configuration of the device's repeat time setting. - faulty or malfunctioning nibp module. # # # recommendations - * * verify the repeat time setting : * * - navigate to config > > nibp > > repeat time > > profiles. - ensure that the desired interval ( e. g., 5 minutes ) is selected. - * * test the nibp module : * * - perform a manual nibp measurement. - observe the results and compare them to previous recordings. - if the nibp readings are inaccurate or inconsistent, contact the manufacturer for technical support. - * * troubleshooting : * * - check for loose connections or damaged cables. - reset the device to factory settings and reconfigure it. - contact the equipment supplier or manufacturer for further assistance. @topic:15


# # # issue the physiologic monitor is not able to measure blood pressure ( bp ). # # # impact this issue can impact the patient's care by preventing the medical team from accurately monitoring their blood pressure, which is a critical vital sign. # # # possible causes there are several possible causes for this issue : - the blood pressure cuff is not properly inflated. - the blood pressure cuff is too loose or too tight. - the blood pressure cuff is not positioned correctly on the patient's arm. - the blood pressure cuff is not connected properly to the monitor. - the monitor is not properly calibrated. - there is a problem with the monitor's bp transducer. - there is a problem with the monitor's software. # # # recommendations the following steps can be taken to resolve this issue : - check the blood pressure cuff to make sure that it is properly inflated, positioned, and connected. - calibrate the monitor according to the manufacturer's instructions. - if the problem persists, replace the bp transducer. - if the problem persists, update the monitor's software. @topic:14


* * issue : * * patient bed not adjusting * * impact : * * patient discomfort, difficulty with medical procedures * * possible causes : * * * * * faulty remote control : * * the remote control that operates the bed may be malfunctioning, preventing the adjustment of the bed. * * * electrical issues : * * there may be electrical problems with the bed itself or the power supply, causing the bed to become unresponsive to remote control commands. * * * mechanical issues : * * the bed's mechanical components, such as the motors or hydraulics, may be malfunctioning, preventing the bed from moving. * * recommendations : * * * * * test the remote control : * * ensure that the remote control is functioning by testing it on other beds or using a multimeter to check its electrical continuity. * * * inspect electrical connections : * * check all electrical connections, including those at the power source, bed, and remote control, to ensure they are secure and not damaged. * * * lubricate mechanical components : * * apply lubricant to the bed's moving parts, such as the motors and hydraulics, to ensure smooth operation. * * * replace malfunctioning components : * * if the remote control, electrical components, or mechanical parts are found to be faulty, they should be replaced with исправные ones. @topic:1


# # # issue - the equipment ( monitor, physiologic, vital signs ) is reporting a low battery error. # # # impact - the equipment may not be able to function properly if the battery is not replaced. # # # possible causes - the battery may be reaching the end of its lifespan. - the battery may not be making proper contact with the equipment. - there may be a problem with the equipment's charging system. # # # recommendations - replace the battery with a new one. - check the connection between the battery and the equipment. - contact the manufacturer for assistance if the problem persists. @topic:11


# # # issue cuff of vital sign monitor is damaged. # # # impact unable to measure blood pressure accurately. # # # possible causes - physical damage to the cuff, such as tears or holes. - leakage of air from the cuff, causing inaccurate readings. - malfunction of the cuff's electronic components. # # # recommendations - replace the damaged cuff with a new one. - ensure the cuff is properly attached to the patient and the monitor. - calibrate the monitor after replacing the cuff to ensure accurate readings. @topic:3