front bezel, swedish not shown m3016 - 44139 453563332511 m3016a front bezel, finnish not shown m3016 - 44140 453563332521 m3016a front bezel, japanese not shown m3016 - 44144 453563332531 m3016a front bezel, portuguese not shown m3016 - 44145 453563332541 m3016a front bezel, greek not shown m3016 - 44147 453563332551 m3016a front bezel, russian not shown m3016 - 44150 453563332561 m3016a front bezel, polish not shown m3016 # a02 ( press / temp without mainstream c0 2 ) m3016 - 44161 453563482951 m3016a front bezel, english ( also for french, danish, traditional chinese and simplified chinese ) not shown m3016 - 44163 453563482961 m3016a front bezel, german not shown m3016 - 44164 453563482971 m3016a front bezel, dutch not shown m3016 - 44165 453563482981 m3016a front bezel, spanish not shown m3016 - 44166 453563482991 m3016a front bezel, italian not shown m3016 - 44167 453563483001 m3016a front bezel, norwegian not shown m3016 - 44168 453563483011 m3016a front bezel, swedish not shown m3016 - 44169 453563483021 m3016a front bezel, finnish not shown m3 @topic:19


# # # issue - the cause of failure is the faulty plug in the philips suresigns vs4 vital signs monitor. # # # impact - the faulty plug can cause the monitor to malfunction or even fail completely, leading to inaccurate readings or even patient harm. # # # possible causes - the plug may have been damaged due to normal wear and tear, or it may have been improperly installed or used. # # # recommendations - the plug should be replaced with a new one that is compatible with the monitor. - the monitor should be inspected regularly to ensure that all electrical connections are secure. - the monitor should be used in accordance with the manufacturer's instructions. @topic:2


# # # issue - the spo2 cable has failed. # # # impact - the patient may not be able to be monitored properly. # # # possible causes - the spo2 cable may be damaged. - the spo2 cable may not be properly connected. - the spo2 sensor may be malfunctioning. # # # recommendations - replace the spo2 cable. - check the connection of the spo2 cable. - calibrate the spo2 sensor. @topic:4


# # # issue the biomedical engineer ( bme ) observed a creaking sound when moving the joints of the medrad veris 8600 mri physiologic monitor. # # # impact the creaking sound could indicate a problem with the monitor's joints or cables, which could lead to inaccurate readings or equipment failure. # # # possible causes * * * loose or damaged joints : * * the joints may have become loose or damaged over time due to wear and tear or improper handling. * * * damaged cables : * * the cables connecting the monitor's components may have become damaged, causing intermittent contact and resulting in creaking noises. * * * incorrectly connected cables : * * the cables may have been connected incorrectly, putting strain on the joints and causing them to creak. # # # recommendations the bme should perform the following steps to troubleshoot and resolve the issue : * * * inspect the joints : * * visually examine the joints for any signs of damage, such as cracks, breaks, or loose screws. tighten any loose screws and replace any damaged components. * * * inspect the cables : * * check the cables for any visible damage, such as cuts, tears, or exposed wires. replace any damaged cables. * * * reconnect the cables : * * disconnect and reconnect the cables to ensure they are properly seated. ensure that the cables are not pinched or kinked. * * * test the monitor : * * once the repairs are complete, test the monitor by moving the joints and observing for any creaking sounds. if the issue persists, further investigation may be necessary. @topic:2


# # # issue - missing remote control # # # impact - inconvenience to healthcare providers - potential delays in patient care - reduced efficiency # # # possible causes - remote control was lost or misplaced - remote control was damaged - remote control was never provided with the equipment # # # recommendations - check with the manufacturer or supplier to determine if a replacement remote control is available - explore alternative methods of controlling the equipment, such as a wired remote or mobile app - consider adding a policy or procedure to ensure that all remote controls are accounted for and properly stored @topic:7


backlight pcb - lcd 9 4535 640 20261 backpack base 13 989803144631 suresigns vm monitor lithium ion battery 22 4535 640 20271 battery connector pcb 11 4535 640 20281 vm4 / vm6 cable - lcd backlight 6 4535 640 24561 vm8 cable - lcd backlight 6 4535 640 20291 cable - dc in 26 4535 640 20301 vm4 / vm6 cable - lcd signal in 4 4535 640 24571 vm8 cable - lcd signal in 4 4535 640 20311 cover without recorder 14 4535 640 20331 vm4 front end assembly 19 4535 640 20351 vm6 / vm8 front end assembly 19 4535 640 20361 vm4 / vm6 lcd assembly 3 4535 640 24511 vm8 lcd assembly 3 4535 640 20381 navigation wheel pcb 7 4535 640 20421 vm4 / vm6 handle with o - ring 31 4535 640 20321 vm8 handle with o - ring 31 4535 640 20431 lan ( communications ) pcb 12 4535 640 20451 main pcb 20 4535 640 20461 nbp pump / valve assembly with filter 16 4535 640 41171 nbp filter replacement 16a 4535 640 20471 power supply module 27 4535 640 20511 vm4 / vm6 rear case 18 9 - 2 replacement parts spare parts part number description item 4535 640 24531 vm8 rear case 18 4535 640 20521 recorder assembly 15 4535 640 20531 sp0 2 pcb 31 4535 640 24541 vm4 / vm6 lcd frame 8 4535 640 24501 vm8 lcd frame 8 4535 640 24551 vm6 / vm8 @topic:19


# # # issue - loose bed rails # # # impact - patient safety hazard - increased risk of falls # # # possible causes - wear and tear - improper assembly - loose screws or bolts # # # recommendations - inspect bed rails regularly for signs of wear or damage - tighten screws and bolts as needed - replace bed rails if they are damaged or worn @topic:6


# # # issue - drawer cannot be closed # # # impact - impaired functionality of medical cart - potential for accidents or injuries - inconvenience for healthcare professionals # # # possible causes - misalignment of drawer rails - broken or missing drawer handle - damage to drawer hinges - accumulation of debris or foreign objects # # # recommendations * * troubleshooting : * * - inspect drawer rails for obstructions or misalignment. adjust if necessary. - check drawer handle for damage or looseness. tighten or replace as needed. - examine drawer hinges for wear or damage. repair or replace if required. - clean drawer thoroughly to remove any debris or foreign objects. * * maintenance : * * - establish regular maintenance schedule for medical carts. - train staff on proper use and care of medical carts. - conduct periodic inspections to identify any potential issues early on. * * additional considerations : * * - if the above recommendations do not resolve the issue, it may indicate a more complex mechanical failure requiring further investigation by a qualified biomedical engineer. - document all troubleshooting and repair steps taken for future reference. @topic:21


a lead - off condition if one of the electrode connections is disrupted • detect the presence of pacemaker signals within the qrs waveform complex of the ecg • generate a synchronization pulse for external use with defibrillators note — the defib sync pulse output is available at a connector on the back of _ | | the monitor. ibp the invasive blood pressure ( ibp ) measurement produces real - time waveforms and numeric values for systolic, diastolic, and mean arterial blood pressure. ibp measurements use an a / d converter. the a / d converter interfaces to the ^. processor through an spi connection in the front end interface. an isolation transformer and opto - coupler provide the required isolation between isolated and grounded sections of the monitor. software algorithms filter typical artifacts like respiratory variation and pressure changes caused by flushing the line or drawing blood samples. temperature the suretemp® temperature module - suresigns vm4 option - is a fully integrated li processor - based thermistor thermometer that takes oral, axillary, and rectal temperatures for all patient populations. suresigns vm4 patient monitor models provide two types of temperature measurement : • predictive • monitored predictive measurements in predictive mode, the monitor measures the patient ’ s temperature for approximately 4 seconds ( oral temperature ), and then displays the final measurement and the time that the measurement occurred. note — axillary and rectal measurements take approximately 16 seconds. theory of operation a - 9 block diagram components the predictive measurement starts when you remove the temperature probe from the holder. an hourglass appears in the numeric pane until the temperature measurement is complete. monitored measurements in monitored mode, the monitor measures the patient ’ s temperature continuously and displays the temperature in the numeric pane as long as the probe is in contact with @topic:8


clipped, you can change the size of one or all of the ecg waves on the screen. changing the adjustment factor only changes the visual appearance of the ecg wave on the screen. it does not affect the ecg signal analyzed by the monitor. comparing the wave size to the 1 mv calibration bar on the ecg wave segment can help you to get an idea of the true ecg signal strength. if you choose a fixed adjustment factor, the 1 mv calibration bar will be the same size for all the displayed ecg waves. if you choose autosize, or an individual size using the size up / size down keys, the calibration bar may be a different size for each wave. to change the size of an individual ecg wave 1 select the wave segment you want to change. this calls up the lead menu for this segment. 2 in the lead menu, select size up to increase wave size or size down to decrease the size. selecting autosize lets the monitor choose the optimal adjustment factor for all displayed ecg waves. to change the size of all the ecg waves to change the size of all the ecg waves on the screen by a fixed adjustment factor, 1 in the setup ecg menu, select adjust size. 2 select the required adjustment factor from the line of pop - up keys. - size xo. 5 to halve the wave size - size xl to display the wave without zoom - size x2 to double the wave size - size x4 to multiply the wave size by four - previous size : to return one step to the previous size - auto size : to let the monitor choose the optimal adjustment factor for all the ecg waves. changing the volume of the qrs tone the qrs tone is derived from either the hr or pulse, depending on which is currently selected as the alarm source. the qrs volume can be @topic:8


# # # issue spo2 waveform is not displayed on the monitor screen. # # # impact * inability to monitor oxygen saturation levels during mri procedures. * potential for delayed or incorrect interventions in situations where oxygen saturation levels need to be closely monitored. # # # possible causes * faulty spo2 sensor * loose connections between the sensor and the monitor * software bugs or glitches * hardware failure within the monitor # # # recommendations * check and make sure the spo2 sensor is properly attached to the patient's finger or ear. * inspect the sensor and cable for any visible damage or loose connections. * restart the monitor to eliminate any software issues. * if the problem persists, contact the manufacturer for technical support or consider replacing the monitor or spo2 sensor. @topic:4


# # # issue - loose base # # # impact - the device may not be stable and could fall over, causing injury to the patient or staff. - the device may not be able to be used properly, which could delay or prevent treatment. # # # possible causes - the base may not have been properly attached to the device. - the base may have been damaged. - the device may have been subjected to excessive force or vibration. # # # recommendations - inspect the base of the device for any damage. - reattach the base to the device, making sure that it is securely fastened. - if the base is damaged, it should be replaced. - avoid subjecting the device to excessive force or vibration. @topic:12


# # # issue - the bed is not working. # # # impact - the patient cannot be moved or positioned. - the patient may be uncomfortable or in pain. - the staff may be unable to provide proper care to the patient. # # # possible causes - the remote control cord is loose or damaged. - the bed's power cord is not plugged in. - the bed's motor is not working. - the bed's control panel is not working. # # # recommendations - check the remote control cord for damage and reconnect it if necessary. - check the bed's power cord and plug it in if necessary. - call for a qualified technician to repair the bed's motor or control panel, if necessary. @topic:7


* * issue : * * the capnocheck plus capnograph, manufactured by bci, has been decommissioned. * * impact : * * * the device is no longer available for use in patient care. * patients may experience delays or disruptions in their care. * healthcare providers may need to use alternative methods to monitor patient's respiratory status. * * possible causes : * * * the device may have reached the end of its useful life. * the device may have experienced a malfunction or failure that could not be repaired. * the device may have been recalled by the manufacturer due to safety concerns. * * recommendations : * * * remove the device from service immediately and label it as decommissioned. * notify the manufacturer and relevant authorities about the decommissioned device. * contact the manufacturer to determine if any replacement or alternative devices are available. * conduct a risk assessment to identify any potential risks to patients or staff related to the decommissioning of the device. * implement appropriate mitigation strategies to address any identified risks. * provide training to healthcare providers on the use of alternative methods to monitor patient's respiratory status. @topic:20


the active directory. 1. touch the dropdown menu in the clinician id type field. the device performs a match by using the selected option when the clinician logs into the device. • the setting for the clinician id type is based on the facility policy. the facility policy determines how employees are expected to log into a device and what is encoded in a barcode if using barcodes. userprincipalname " ( user examples : " samaccountname " ( account name ) 24 connex direwelch [UNK] connex® spot monitor ser nama string attribute that contains the user account name and dns domain account name. xamples : < useraccountname > @ < domainname > serviceuser @ hillrom. com a single - value attribute that is the user account name only. examples : < useraccountname > serviceuser is the user's employee id stated on the active directory server. examples : mployee id < employeeid > 1234567890 authentication user name authentication username is the name of a user with authority to perform clinician searches on the active directory server. this is an alpha - numeric string. 1. touch the keyboard in the authentication user name text field. examples : username @ domainname. com administrator @ hillrom. com authentication password authentication password is the password of the authentication username. this is an alpha - 1. touch the keyboard in the authentication password text field. example : p @ ssw @ rd! 23 search subtree the search subtree searches for a clinician in an " organizational unit " ( ou ). an organizational unit ( ou ) is a subdivision within an active directory into which you can place users, groups, computers, and other organizational units. the search subtree field should be empty if you are just querying for a clinician in @topic:10


# # # issue the input indicates that the equipment is functioning normally. # # # impact there is no impact as the equipment is working as expected. # # # possible causes - the equipment was never faulty and the technician's presence was unnecessary. - the technician's intervention accidentally fixed a minor issue that was not previously noticed. # # # recommendations - the technician should verify the equipment's functionality and ensure that it is operating within the expected parameters before concluding the repair. - if the equipment is indeed functioning normally, the technician should document the visit and any observations made. @topic:12


# # # issue : * * battery failure * * # # # impact : * * interruption of patient monitoring or transport * * # # # possible causes : * * - normal end of battery life : * * the batteries reached their end of life and needed to be replaced as part of routine maintenance. * * - overuse or underuse : * * batteries can deteriorate prematurely if they are overused or not used often enough. * * - environmental factors : * * extreme temperatures or humidity can impact battery life. * * - manufacturing defects : * * there may have been a defect in the battery's manufacturing that led to premature failure. # # # recommendations : * * - regular battery replacement : * * adhere to the manufacturer's guidelines for battery replacement to ensure optimal performance. * * - proper storage and use : * * store batteries in a cool, dry place and follow manufacturer's instructions for charging and usage. * * - monitor battery health : * * regularly check battery levels and replace them when they start to degrade. * * - explore alternative battery options : * * consider using rechargeable batteries or batteries with extended life cycles to minimize downtime. @topic:11


# # # issue : - failure of electric bed due to faulty remote control cable. # # # impact : - patient discomfort and inconvenience due to inability to adjust bed position. - potential safety hazard if bed malfunctions during patient transfer or positioning. - increased workload for healthcare staff to manually adjust the bed. # # # possible causes : - wear and tear of the remote control cable over time. - damage to the cable due to mishandling or improper storage. - electrical faults or loose connections within the cable. # # # recommendations : - regular inspection and maintenance of remote control cables to identify and address any potential issues. - careful handling and storage of remote control cables to prevent damage. - use of high - quality cables and connectors to ensure durability and reliability. - training of healthcare staff on proper handling and maintenance procedures for remote control cables. - availability of spare cables for prompt replacement in case of failure. @topic:7


# # # issue - display interference in the form of flickering lines on the aida monitor when connected to a specific storz laparoscopic monitor. # # # impact - compromised image quality during surgical procedures. # # # possible causes - loose rs232 connection between the aida monitor and the storz laparoscopic monitor. # # # recommendations - ensure that the rs232 connection between the two devices is secure and not loose. @topic:2


# # # issue : equipment failure due to inability to obtain readings. # # # impact : - delay in patient monitoring and diagnosis. - increased risk of complications or adverse events. - wasted time and resources for healthcare professionals. # # # possible causes : - faulty sensor or transducer. - loose or disconnected cables or connectors. - software glitches or hardware malfunctions. - environmental factors ( e. g., power surges, electromagnetic interference ). - user error or improper operation. - depleted battery or power supply issues. - damaged or worn - out components. - sensor drift or calibration issues. # # # recommendations : - verify that the physiologic monitor is properly connected and powered. - check for loose or damaged cables, connectors, or sensors. - inspect the equipment for any visible signs of damage or wear and tear. - restart the equipment and software to reset any potential glitches. - recalibrate the sensor or transducer according to the manufacturer's instructions. - replace any faulty or damaged components, such as the sensor or cables. - ensure that the equipment is operating within its specified environmental conditions. - train users on proper operation and maintenance procedures. - update software or firmware if necessary. - consult the manufacturer's technical support or a qualified biomedical engineer for further troubleshooting. @topic:2


* * issue : * * broken bed lock plate * * impact : * * patient safety hazard, as the bed may not be able to lock securely and could move unexpectedly. * * possible causes : * * - * * improper use : * * overweight patient, excessive force applied to the bed, or using the bed in an unintended manner. - * * wear and tear : * * normal wear and tear over time can weaken the lock plate. - * * manufacturing defect : * * a flaw in the design or materials used in the lock plate. * * recommendations : * * - * * inspection : * * regularly inspect the bed lock plate for any signs of damage or wear. - * * maintenance : * * replace the lock plate as needed, following the manufacturer's instructions. - * * training : * * train staff on proper use of the bed, including safe patient handling techniques. - * * quality control : * * implement quality control measures during manufacturing to ensure the reliability of the lock plate. @topic:6


# # # issue * the electric bed cannot adjust its height. # # # impact * patient discomfort or immobility * delays in patient care * increased workload for healthcare staff # # # possible causes * * * electrical issues : * * * faulty control box * loose or damaged wires * power outage * * * mechanical issues : * * * motor failure * broken gears or cables * obstructed movement * * * software issues : * * * firmware errors * corrupted data # # # recommendations * * * troubleshooting : * * * check for power supply and connections. * inspect the control box for damage or loose connections. * manually move the bed to check for obstructions. * * * repair or replacement : * * * if the control box is faulty, it may need to be repaired or replaced. * in case of mechanical issues, replace the affected components. * * * software updates : * * * check for any available firmware updates and install them if necessary. * * * preventative maintenance : * * * regular cleaning and inspection of the bed and its components. * avoid overloading the bed to prevent strain on the motor. * ensure proper training for healthcare staff on the bed's operation and maintenance. @topic:9


# # # issue - * * oxygen saturation ( spo2 ) error : * * the device is unable to accurately measure the patient's blood oxygen saturation levels. # # # impact - this error can lead to inaccurate monitoring of the patient's vital signs, potentially compromising patient safety. # # # possible causes - * * defective sensor : * * the spo2 sensor may be damaged or malfunctioning, causing incorrect readings. - * * loose connections : * * improper connections between the sensor and the device can result in signal interference and unreliable readings. - * * environmental factors : * * extreme temperatures or humidity can affect the accuracy of the sensor. # # # recommendations - * * replace the sensor : * * replace the defective spo2 sensor with a new one. - * * check connections : * * ensure that all connections between the sensor and the device are secure and free of any loose cables. - * * calibrate the device : * * calibrate the device according to the manufacturer's instructions to ensure accurate readings. - * * inspect the sensor : * * examine the sensor for any physical damage, such as cracks or loose wires, which may indicate a need for replacement. - * * monitor readings : * * observe the spo2 readings over time to ensure consistency and reliability. @topic:4


# # # issue the patient monitor's screen is black. # # # impact the monitor cannot be used to display patient data, which could delay or prevent medical treatment. # # # possible causes * * - power supply failure : * * check the power cord and power outlet to ensure a secure connection and adequate power supply. * * - display panel malfunction : * * the display panel may have failed, requiring replacement or repair. * * - cable connection issue : * * the cable connecting the display panel to the monitor may be loose or damaged. * * - system board failure : * * the system board that controls the monitor's functions may have malfunctioned. * * - software error : * * a software error or glitch could cause the display to malfunction. # # # recommendations * * - power supply troubleshooting : * * verify the power cord and outlet, replace the cord if necessary. * * - display panel inspection : * * examine the display panel for physical damage or loose connections. * * - cable inspection : * * ensure that the display cable is securely connected at both ends. * * - system board diagnosis : * * perform diagnostic tests to determine if the system board is faulty. * * - software update : * * if a software error is suspected, update the monitor's firmware or software. @topic:2


# # # issue - monitor display is not showing # # # impact - inability to monitor patient's vital signs # # # possible causes - faulty module in the monitor # # # recommendations - replace the faulty module - test the monitor to ensure it is functioning properly before returning it to service @topic:2


# # # issue - unable to adjust the bed using the keypad # # # impact - difficulty in patient positioning and care - reduced patient comfort and safety # # # possible causes - faulty keypad - broken cable connecting the keypad to the board # # # recommendations - replace the faulty keypad - replace the broken cable - ensure proper maintenance and regular inspection of the bed and its components @topic:25


# # # issue - inability to adjust the hospital bed using the remote control. # # # impact - restricted mobility and discomfort for patients. - inconvenience and potential safety hazards for healthcare staff. # # # possible causes - * * faulty remote control : * * the remote may have internal issues or damage that prevents it from communicating with the bed's control system. - * * malfunctioning control unit : * * the unit responsible for receiving and interpreting signals from the remote control may be defective. - * * loose or disconnected wiring : * * connections between the remote control, control unit, and bed may have come loose or disconnected, disrupting communication. - * * power supply issues : * * insufficient power supply to the bed or control unit can hinder the adjustment functionality. - * * software or firmware glitches : * * the software or firmware operating the control system may have encountered errors that affect the adjustment function. # # # recommendations - * * inspect the remote control : * * check for any physical damage or loose buttons. replace the remote if necessary. - * * test the control unit : * * verify the integrity of the control unit by manually adjusting the bed using the physical controls on the bed itself. if manual adjustment works, the control unit is likely functioning correctly. - * * check wiring connections : * * examine all cables and connectors between the remote, control unit, and bed. ensure they are securely attached and undamaged. - * * troubleshoot the power supply : * * confirm that the bed and control unit are receiving adequate power. inspect power outlets and cords for any issues. - * * update software or firmware : * * if software or firmware updates are available for the control unit, install them to address potential glitches. @topic:7


# # # issue the contour 390 bed is unable to be adjusted. # # # impact this issue may prevent the patient from being properly positioned for treatment or procedures. # # # possible causes - * * electrical issue : * * there may be a problem with the electrical system that is preventing the bed from adjusting. this could be due to a loose wire, a faulty circuit board, or a damaged power cord. - * * mechanical issue : * * there may be a mechanical issue that is preventing the bed from adjusting. this could be due to a broken gear, a jammed motor, or a hydraulic leak. - * * control issue : * * there may be a problem with the control system that is preventing the bed from adjusting. this could be due to a faulty switch, a damaged keypad, or a corrupted software program. # # # recommendations 1. inspect the electrical system for any loose wires, faulty circuit boards, or damaged power cords. 2. inspect the mechanical system for any broken gears, jammed motors, or hydraulic leaks. 3. inspect the control system for any faulty switches, damaged keypads, or corrupted software programs. 4. replace any damaged or faulty components. 5. retest the bed to ensure that it is functioning properly. @topic:1


# # # issue - the med cart program is stuck in the key configuration screen. # # # impact - the medical cart cannot be used to transport medications or other medical supplies. # # # possible causes - the key sensor is not aligned correctly. - the key sensor is damaged. - the med cart program is experiencing a software error. # # # recommendations - check the alignment of the key sensor and adjust it if necessary. - inspect the key sensor for damage and replace it if necessary. - restart the med cart program. - contact the manufacturer for technical support if the problem persists. @topic:27


# # # issue : spo2 cable may have been damaged, causing the device to malfunction. # # # impact : - inaccurate or unreliable spo2 readings. - patient monitoring and care may be compromised. # # # possible causes : - damaged or severed spo2 cable. - improper handling or storage of the device. - electrostatic discharge ( esd ). # # # recommendations : - inspect the spo2 cable for any visible damage or cuts. - replace the damaged cable with a new one. - ensure proper handling and storage of the device, following manufacturer's guidelines. - implement esd protection measures in the work area. - train personnel on proper equipment handling and maintenance procedures. @topic:4


# # # issue - beds, electric, hill - rom, care assist es230 bed alarm does not alarm outside the counter. # # # impact - the bed alarm not alarming outside the counter may result in patients not receiving timely assistance in case of an emergency, putting their safety at risk. # # # possible causes - the bed alarm cable may be damaged, specifically the jack head. # # # recommendations - replace the damaged bed alarm cable, ensuring a secure connection between the bed and the alarm system. - regularly inspect the bed alarm system, including the cable and connections, to identify any potential issues early on. @topic:26


# # # issue the remote control for the electric bed is displaying a continuous red light and is unresponsive. # # # impact the bed cannot be adjusted using the remote control, which may impact patient care and comfort. # # # possible causes * * 1. power supply issue : * * * check if the bed is properly plugged into a power outlet. * inspect the power cord for any damage or loose connections. * * 2. control unit malfunction : * * * the control unit that receives signals from the remote may be malfunctioning. * check if the control unit is securely connected to the bed frame and that the connections are not loose. * * 3. remote control issue : * * * the remote control itself may be defective or have a low battery. * try replacing the batteries or using a different remote. * * 4. software glitch : * * * the bed's software may experience a glitch that causes the continuous red light. * contact the manufacturer or service technician for software troubleshooting or updates. # # # recommendations * * 1. troubleshooting : * * * unplug and replug the bed's power cord. * restart the remote control by removing and reinserting the batteries. * check the connections and reseat any loose components. * * 2. contact manufacturer or service technician : * * * if troubleshooting does not resolve the issue, contact the manufacturer or a qualified service technician for further diagnosis and repair. * * 3. medical equipment safety : * * * ensure that all medical equipment is regularly inspected and maintained to prevent future failures. * follow manufacturer's instructions and guidelines for proper use and handling of devices. @topic:7


# # # issue the lcd monitor is displaying a yellow tint. # # # impact this can be a significant issue as it can affect the accuracy of the medical images being displayed. # # # possible causes - * * faulty backlight : * * the backlight is responsible for illuminating the lcd panel. if the backlight is faulty, it can cause the image to appear yellow. - * * connection issue : * * a loose or damaged connection between the monitor and the computer can also cause the image to appear yellow. - * * panel issue : * * a faulty lcd panel can also cause the image to appear yellow. - * * setting issue : * * in some cases, the monitor's settings may be set incorrectly, which can cause the image to appear yellow. # # # recommendations 1. * * check the backlight : * * make sure that the backlight is turned on and is functioning properly. if the backlight is faulty, it will need to be replaced. 2. * * check the connections : * * inspect the cables connecting the monitor to the computer for any loose or damaged connections. if there are any loose or damaged connections, they will need to be repaired or replaced. 3. * * check the panel : * * if the backlight and connections are both functioning properly, then the issue may be with the lcd panel itself. in this case, the panel will need to be replaced. 4. * * check the settings : * * make sure that the monitor's settings are set correctly. if the settings are incorrect, they can be adjusted to correct the yellow tint. @topic:2


inop, alarms cannot witched off unless the monitor is connected tains power. extbat missing there is no battery in the battery extension!! insert battery severe yellow inop tonx2 / mp2 only : there is no battery in the battery compartment. you cannot operate the monitor on ac mains or battery extension while the battery compartment is open ( not sealed with a battery ). load during this inop, alarms cannot d or switched off. msl power high the power consumption of the devices connected to the battery extension is too high. if this situation continues, the battery extension will be switched off. contact your service personnel. the power consumption of the devices connected to the battery extension was too high for too long. the battery extension has been switched off. contact your service personnel. sl power off mms, mms extensions and fms inops inop message, indication what to do fms unplugged make sure that the flexible module rack is connected to the monitor. all fms measurements are off while the fms is unplugged. nop ton85 4 patient alarms and inops nop message, indication what to do fms unsupportenop tone the flexible module rack is not supported by your monitor. contact your service personnel. mms ext. unpluggenop tone the mms extension has been disconnected from the multi - measurement module. mms ext. unpowered the mms extension cannot operate while the multi - measurement module is running on battery inop tonmms ext. unsupp the mms extensions not supported by your monitor. contact your service personnel. nop tonmms ext. equip malf loss of communication between the multi - measurement module and the mms extension. contact nop tonmms unplugged make sure that the multi - measurement module is connected to @topic:16


in the setup recording menu. you can create templates for one delayed recording, one alarm recording, three realtime recordings ( two for mp20 / 30 ), and one high resolution recording. all ecg waves recordings do not need to be configured, they always use the changing recordings templates changes the settings that will be used each time a recording of this name is triggered. select the main setup permanent key to call up the main setup menu. 1 select recordings to enter the setup recording menu. 2 select the name of the template you want to create or change. each recording name is linked to a recording type, delayed, alarm, realtime, and hi - res trends. recording names can be changed in the monitor's configuration mode. 3 4 design the template by selecting each menu item and entering the information for the template. recorder : choose which recorder the recording will print to ( local, central 2 - ch, or central 4 - ch recorder, or printer ( for realtime reports in alarm recording only ) ). • • channel 1, channel 2, etc. : choose which waveform to record in each channel. if the wave • assigned to a recording channel in a particular template is not available when a recording is triggered, the channel is left blank on the recording strip. the pop - up list of available ( currently monitored ) waves differs according to the recording type : realtime, delayed and alarm recordings : the list shows all the currently available waves. high - resolution recordings : the list shows all the available high - resolution waves. - in addition to the currently available waves, you can choose from several other settings which make an automatic allocation when the recording starts : alarm par will always record the measurement in alarm in the chosen recorder channel primary lead will always record the current primary lead in the chosen recorder channel secondrylead will always record the current secondary lead in the chosen recorder channel any agent will @topic:8


model beds chapter 5 : parts list table 5 - 3. articulating frame — a model beds item number part number quantity description 1 s30531k 4 bearing 2 ca0018 1 knee section kit 3 qd0589 2 end cap 4 vi0609a 8 bolt 5 rm74478a 2 washer, nylon 6 71994 2 spacer 7 s20992a 2 leaf ( plate, ground continuity ) 8 v10610a 2 screw 9 s10959a 6 pin, pivot 10 138884 1 motor, head section 11 ve0138c 1 motor, thigh section 12 rm74478a 2 washer, nylon 13 ve0139c 1 motor, foot section 14 rm74803a 6 ring, elastic ( e - clip ) 15 vi0361 5 nut 16 qd1545a 4 stop 17 ca0001 1 weldment, intermediate frame 18 40421 6 mount, cable tie 19 72854 1 backrest weldment 20 s30555k 1 cover, short cable tray 21 s30548k 1 cover, long cable tray 22 71494 2 weldment, drainage hook 23 vi0020 1 screw 24 vi0609a 2 screw 25 si1002a 1 axis ( pivot pin, cpr ) 26 ca0020 1 bracket 27 72494 1 gas spring 28 rm74804a 1 e - clip 29 vi0616a 4 washer careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 15 foot extension — a model beds chapter 5 : parts list page 5 - 16 careassist® and careassist® es bed service manual ( man330 rev 4 ) foot extension — a model beds chapter 5 : parts list table 5 @topic:26


# # # issue - medical cart cannot boot into windows # # # impact - inability to use the medical cart for patient care # # # possible causes - faulty hardware ( e. g., power supply, motherboard, hard drive ) - corrupted software ( e. g., operating system, device drivers ) - bios settings ( e. g., incorrect boot order ) # # # recommendations - * * hardware : * * - check power supply connections and ensure the cart is receiving power. - remove and reseat all hardware components ( e. g., ram, hard drive ). - run hardware diagnostics to identify any potential issues. - * * software : * * - attempt to boot the cart into safe mode to check if the issue is related to third - party software. - reinstall the operating system if necessary. - update device drivers for all hardware components. - * * bios settings : * * - check the boot order to ensure that the hard drive is set as the primary boot device. - reset the bios to default settings. - * * additional troubleshooting steps : * * - check for any physical damage to the cart, such as dents or scratches. - contact the manufacturer or a qualified biomedical engineer for further assistance. @topic:13


# # # issue - battery exhausted # # # impact - monitor turned off - unable to monitor patient's vital signs - delay in patient care # # # possible causes - battery degradation over time - battery not properly charged - battery drain due to excessive use # # # recommendations - replace the battery with a new one - ensure the battery is properly charged before use - monitor battery life and replace it when necessary - consider using an uninterruptible power supply ( ups ) to prevent power loss during battery replacement @topic:11


# # # issue : - bed electric lock failure # # # impact : - patient safety hazard ( falls, entrapment ) - inconvenience to patient and staff - increased risk of infection spread - reputational damage to hospital # # # possible causes : - loose or broken lock mechanism - faulty electrical wiring - excessive load on the lock - improper installation or maintenance # # # recommendations : - inspect and tighten all bolts and screws regularly. - check electrical connections for any loose or damaged wires. - ensure that the bed is not overloaded. - follow manufacturer's instructions for installation and maintenance. - train staff on proper use and handling of the bed. - if the lock fails again, contact a qualified biomedical engineer for further diagnosis and repair. @topic:6


# # # issue - battery failure # # # impact - inability to use the nibp monitor for blood pressure measurement. # # # possible causes - battery has reached the end of its lifespan. - battery has not been properly maintained or charged. - electrical issue with the battery or the monitor. # # # recommendations - replace the battery with a new one. - check the battery connections and ensure they are clean and secure. - calibrate the monitor according to the manufacturer's instructions. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:11


# # # issue monitor is not displaying readings # # # impact clinicians are unable to monitor patient's vital signs # # # possible causes - the monitor is not properly connected to the patient - there is a problem with the monitor's power supply - the monitor's software is not functioning properly # # # recommendations - check the monitor's connections and ensure that it is properly connected to the patient - check the monitor's power supply and ensure that it is receiving power - restart the monitor and check if the issue persists - contact the manufacturer for further troubleshooting @topic:2


# # # issue - printer not working # # # impact - inability to print patient data, reports, and other essential documents # # # possible causes - * * hardware failure * * - faulty print head - damaged cables or connectors - power supply issues - * * software problems * * - incorrect printer driver installation or configuration - corrupted software on the central monitor - * * configuration errors * * - incorrect printer settings or network configurations - * * paper or ink issues * * - paper jams - empty or low ink cartridges # # # recommendations - * * hardware troubleshooting * * - inspect and replace any damaged cables or connectors - check power supply and ensure that the central monitor is receiving adequate power - contact the hp service center for further hardware diagnostics and repair - * * software troubleshooting * * - reinstall or update the printer driver - check for software updates on the central monitor and install them as necessary - reset the printer to factory settings if necessary - * * configuration troubleshooting * * - verify that the printer is properly connected to the network and the central monitor - configure the printer settings and network configurations according to the manufacturer's instructions - * * paper and ink troubleshooting * * - clear any paper jams - replace empty or low ink cartridges with new ones @topic:28


# # # issue - cuff bp ( blood pressure ) leaking # # # impact - blood pressure cannot be measured accurately # # # possible causes - damaged cuff bp - loose connections # # # recommendations - replace cuff bp - check and tighten connections @topic:3


# # # issue - the bed cannot be lowered or raised. # # # impact - the patient cannot be moved to the desired position for treatment or comfort. - the staff cannot access the patient for care. # # # possible causes - the relay that controls the motor for the bed is not working. - the motor is not working. - the wiring between the controller and the motor is damaged. - the controller is not working. # # # recommendations - check the relay and replace it if necessary. - check the motor and replace it if necessary. - check the wiring between the controller and the motor and repair or replace it as necessary. - check the controller and replace it if necessary. @topic:1


# # # issue - touchscreen malfunction # # # impact - difficulty in accessing and using the vital signs monitor # # # possible causes - faulty touchscreen panel - miscalibration of touchscreen - software glitch # # # recommendations - replace the touchscreen panel if damaged. - recalibrate the touchscreen to ensure proper sensitivity. - update the monitor software if available. @topic:2


patient weight varies according to the mattress and accessories used - 155 kg as per en60601 - 2 - 52 ( acute care or intensive care ) - 185 kg as per en60601 - 2 - 52 ( other environments ). k. swl 250 kg / the maximum patient weight varies according to the mattress and accessories 185 kg as per en60601 - 2 - 52 ( acute care ) - 215 kg as per en60601 - 2 - 52 ( other environments ). i. l1900b2 models with half - siderails electrical characteristics characteristic 00v * 20v * 30v100v ac 230v ac voltage 120v ac frequency 50 / 60 hz 50 / 60 hz 50 / 60 hz power supply unit maximum power load 300 va 300 va 300 va power supply unit fuse rating 2 x 2. 5 at 2 x 2. 0 at 2 x 1. 25 at electric shock protection class i class according to iec 60601 - 1 protection against harmful ingress of ipx4 water ( according to iec 60529 ) intermittent operation 10 % ( 2min / 18min ) * a. do not operate electrical functions continuously for more than 2 minutes in any 18 minute period when the bed is loaded at the safe working load value as this may damage electrical components. the power supply of the actuator is temporarily cut off if the load factor is exceeded when using the hilow. conditions required to connect the nurse call system for more information about the connections required to use the nurse call function, please refer to the side com® communication system design and application manual ( ds059 ). overview l1900b0 a d f f b - k g pm r n om hill - rom h ame ame item item a j half siderails headboard footboard b k 2 sockets for i. v. pole and patient lectric emergencl c @topic:9


# # # issue : the lcd monitor cannot be connected to the device. # # # impact : the user is unable to view the output from the device on an external monitor. # # # possible causes : - the dvi cable is damaged. - the dvi port on the device is damaged. - the dvi cable is not properly seated. # # # recommendations : - inspect the dvi cable for damage. if the cable is damaged, replace it. - inspect the dvi port on the device for damage. if the port is damaged, contact the manufacturer for repair. - ensure that the dvi cable is properly seated in the port. if the cable is not properly seated, remove it and then re - insert it. @topic:2


# # # issue - cuff failure # # # impact - inability to obtain accurate vital signs measurements # # # possible causes - cuff deterioration due to : - age and repeated use - exposure to moisture or chemicals - lack of proper maintenance # # # recommendations - regular inspection and maintenance of cuffs - prompt replacement of deteriorated cuffs - use of high - quality cuffs designed for specific patient populations and monitoring needs @topic:5


# # # issue - medical cart is not powering on. # # # impact - the medical cart cannot be used to transport patients or equipment. # # # possible causes - the battery is not charged. - the power cord is not plugged in. - the power switch is not turned on. - the battery is not making good contact with the terminals. - the electrical system is faulty. # # # recommendations - check the battery charge level and charge the battery if necessary. - ensure that the power cord is plugged into a working outlet. - turn on the power switch. - inspect the battery terminals and clean them if necessary. - contact a qualified biomedical engineer to troubleshoot the electrical system if necessary. @topic:13


# # # issue - equipment malfunction - vital signs monitor display freeze # # # impact - inability to monitor patient's vital signs - delays in medical interventions - potential patient harm # # # possible causes - loose battery terminal connections - electrical faults - software glitches - hardware issues # # # recommendations - ensure secure battery terminal connections - inspect electrical connections and wiring - update software if available - contact manufacturer for further troubleshooting or repair @topic:11


# # # issue - medical cart equipment failure # # # impact - the medical cart is unavailable for use, which could potentially impact patient care. # # # possible causes - * * hardware failure : * * a component within the medical cart may have failed, such as the motherboard, power supply, or hard drive. - * * software failure : * * the medical cart software may have become corrupted or damaged, causing the system to malfunction. - * * user error : * * the medical cart may have been mishandled or misused by a user, resulting in damage. - * * electrical fault : * * a power surge or other electrical fault may have caused damage to the medical cart. # # # recommendations - * * hardware failure : * * if the cause of the failure is determined to be hardware, the failed component should be replaced. - * * software failure : * * the medical cart software should be reinstalled or repaired. - * * user error : * * the user should be retrained on the proper use and handling of the medical cart. - * * electrical fault : * * the electrical system should be inspected and repaired as necessary. * * additional recommendations : * * - * * regular maintenance : * * follow the manufacturer's recommended maintenance schedule to ensure that the medical cart is in good working order. - * * training : * * ensure that all users are properly trained on the use and maintenance of the medical cart. - * * documentation : * * keep a log of all maintenance and repairs performed on the medical cart. this will help to identify any recurring issues and improve preventive maintenance. @topic:13


# # # issue - keyboard not fully functional # # # impact - impairs data entry and patient information management - delays patient care and documentation - frustrates healthcare professionals # # # possible causes - faulty switches or keys - loose or disconnected wiring - software glitch - corroded or damaged components # # # recommendations - replace keyboard with new one as per quoted warranty ( 1 year ) - inspect and test all connections to ensure proper functioning - update software if necessary - clean and inspect keyboard components for signs of damage or corrosion @topic:27


# # # issue : medical cart is not connecting to the hospital's wi - fi network. # # # impact : - the medical cart cannot be used for patient care. - the medical cart cannot be tracked using the hospital's tracking system. # # # possible causes : - the medical cart's wi - fi antenna is damaged. - the medical cart's wi - fi driver is not installed or is not working properly. - the hospital's wi - fi network is not working properly. - the hospital's wi - fi network is not secure. - the wrong password is entered. - the medical cart may not be able to access the internet. # # # recommendations : - check the medical cart's wi - fi antenna for damage. - reinstall the medical cart's wi - fi driver. - check the hospital's wi - fi network for any outages or issues. - if all of the above steps fail, contact the hospital's it department for assistance. - make sure the password is correct. - check the medical cart's internet connection. @topic:13


* * issue : * * medical device failure during transportation * * impact : * * - potential patient safety risk - disruption of surgical procedures - loss of productivity - financial costs * * possible causes : * * - * * improper handling : * * mishandling during transportation can damage the device's delicate components. - * * equipment defect : * * latent defects in the device may manifest during transportation, leading to failure. - * * environmental factors : * * extreme temperatures, humidity, or vibrations during transportation can affect the device's performance. - * * inadequate training : * * technicians may not have received proper training on how to handle and transport the specific device safely. - * * lack of preventive maintenance : * * regular maintenance and inspections can help identify potential issues before they become critical. * * recommendations : * * - establish clear guidelines and training for handling and transporting medical devices. - regularly inspect and maintain devices to ensure they are in good working order. - monitor environmental conditions during transportation to prevent damage. - use appropriate packaging and cushioning to protect devices from shocks and vibrations. - consider transporting devices in specialized vehicles with controlled temperature and humidity. - conduct post - transportation inspections to identify any potential damage or issues. - seek assistance from experienced technicians or engineers if necessary. @topic:12


# # # issue - cuff velcro is damaged and cannot lock the arm # # # impact - patient monitoring may be interrupted or inaccurate # # # possible causes - regular wear and tear - improper use or storage - age or overuse - poor cuff design # # # recommendations - inspect the cuff regularly for any damage or wear - store the cuff in a cool, dry place - replace the cuff if it becomes damaged or worn - follow the manufacturer's instructions for use and storage - consider using a cuff that is designed for the patient's specific needs and usage patterns @topic:5


earth caused by external main voltage on applied part with switch s5 open and closed. each polarity combination possible is tested using s2 and s6. this test is applicable for every measurement input. battery handling, maintenance and good practices this section provides some information on how to handle and maintain the batteries in order to get the best usage from them. additionally, some good working practices are also given regarding the correct disposal of the batteries. this section only applies if a battery board is installed in the monitor. the monitor requires two batteries for operation. both batteries ’ charging status should ideally be the same and should not differ more than 50 %. if your monitor is connected to an intellivue information center, you should make sure that the iic uses the text catalog revision b. l or later, otherwise battery inops may not display correctly on the iic. consult your iic documentation for instructions on upgrading the text catalog. about the battery the rechargeable lithium - ion batteries used in the monitor are regarded as smart batteries because they have built - in circuitry. ( this circuitry communicates battery - status information to the monitor. ) to get the most out of the batteries, observe the following guidelines : • condition the batteries only upon maintenance request prompt on display. • if a battery shows damage or signs of leakage, replace it immediately. do not use a faulty battery in the monitor. • capabilities of integrated battery charger : 12. 6v, 5 amps mx. actual current / voltage : depends on smart battery request and monitor configuration the approximate charging time is 4 hours with the monitor switched off and up to 12 hours during monitor operation, depending on the monitor configuration. • battery disposal — batteries should be disposed of in an environmentally - responsible manner. consult the hospital administrator or your local philips representative for local arrangements. do not dispose of the battery in normal waste containers. • battery @topic:11


# # # issue - monitor not displaying vital signs # # # impact - clinicians unable to monitor patient's vital signs # # # possible causes - faulty cuff # # # recommendations - replace the cuff @topic:5


# # # issue > battery replacement required due to device not functioning after being unplugged # # # impact > inability to use device during transport or in emergency situations # # # possible causes - battery failure due to age or use - problem with device's power system - issue with device's software or firmware # # # recommendations - replace battery as per vendor recommendation - perform thorough testing of device's power system and replace faulty components if necessary - ensure that device's software and firmware are up to date @topic:11


# # # issue - cracked frame # # # impact - the cracked frame can compromise the structural integrity of the monitor, making it more susceptible to damage from bumps or drops. it can also make it difficult to clean and disinfect the monitor, which could lead to infection control issues. # # # possible causes - the frame may have been damaged during shipping or handling. - the monitor may have been dropped or bumped. - the frame may have been weakened by environmental factors, such as heat or cold. # # # recommendations - replace the cracked frame. - inspect the monitor for any other damage. - handle the monitor with care to avoid further damage. - store the monitor in a safe place when not in use. @topic:2


# # # issue - the wooden bed rails are loose on both sides. # # # impact - the loose bed rails could cause the patient to fall out of bed, resulting in injury. # # # possible causes - the nuts and bolts that secure the bed rails may have become loose over time. - the bed rails may have been damaged or bent, preventing them from being properly secured. - the bed frame may be damaged or bent, causing the bed rails to be misaligned. # # # recommendations - tighten the nuts and bolts that secure the bed rails. - inspect the bed rails for any damage or bending. - if the bed rails are damaged or bent, replace them. - inspect the bed frame for any damage or bending. - if the bed frame is damaged or bent, repair or replace it. @topic:6


# # # issue equipment failure due to loose ac plug # # # impact malfunction of the medical device, potentially affecting patient care and safety # # # possible causes - inadequate maintenance or improper handling of the equipment - loose connection due to wear and tear or vibration - damaged or faulty ac plug or socket # # # recommendations - regular maintenance and inspection of medical devices, including checking for loose connections - proper training of personnel on proper handling and maintenance of equipment - use of high - quality components and materials that are designed to withstand the intended use - troubleshooting and repair by qualified biomedical engineers or technicians @topic:12


# # # issue monitor screen is black. # # # impact the monitor is unable to display patient data, which could lead to delayed or incorrect treatment decisions. # # # possible causes * power supply failure * loose or damaged cables * faulty display panel * software or firmware issue # # # recommendations 1. * * check the power supply. * * make sure that the monitor is properly plugged into a power outlet and that the power cord is not damaged. 2. * * check the cables. * * inspect the cables that connect the monitor to the central station and the patient. make sure that the cables are securely connected and that there is no damage to the cables. 3. * * restart the monitor. * * turn the monitor off and then back on. this may clear a software or firmware issue. 4. * * contact the manufacturer. * * if the above steps do not resolve the issue, contact the manufacturer of the monitor for further assistance. @topic:2


# # # * * issue * * - bed alarm is not alerting outside the room # # # * * impact * * - patients may not receive timely assistance in case of an emergency # # # * * possible causes * * - faulty bed alarm cable # # # * * recommendations * * - replace the bed alarm cable @topic:26


# # # issue - the medical cart's monitor has both horizontal and vertical lines on it. # # # impact - the medical cart cannot be used properly. # # # possible causes - the medical cart was bumped into a door by a nurse named thiraphorn. - the impact caused the monitor to crack internally. # # # recommendations - the bme department has received a quote for a new monitor from the company. - the bme department has received the monitor from the company and has installed and tested it. - the monitor is now working properly. - the cost of the new monitor will be covered by the department because the damage was caused by user error. @topic:13


# # # issue the issue is that the medical device, a casmed 740 vital signs monitor, cannot be turned off. # # # impact this issue could have serious consequences if the device is not able to be turned off in an emergency situation. for example, if the device is malfunctioning and is emitting harmful radiation, it would be necessary to be able to turn it off quickly to protect patients and staff. # # # possible causes there are several possible causes for this issue, including : * a problem with the power supply * a problem with the on / off switch * a problem with the control board * a problem with the software # # # recommendations to troubleshoot this issue, the biomedical engineer should : 1. check the power supply to make sure that it is providing the correct voltage and amperage. 2. check the on / off switch to make sure that it is functioning properly. 3. check the control board for any signs of damage or loose connections. 4. check the software for any updates or patches that may be available. if the biomedical engineer is unable to resolve the issue, they should contact the manufacturer for assistance. @topic:2


, the led flashes red at a repetition rate of approximately 1. 5 flashes per second. when the batteries are empty, the monitor switches off automatically ( including the green on - off / standby led on the front panel ). attempts to restart the monitor ( by pressing the on - off / standby ) causes the red led to emit a single flash. ( the flash may have a delay of up to 2. 5 sec after pressing the on - off / standby key ). in this case either recharge the batteries ( externally or internally ) or exchange the batteries. note if the batteries become too warm or too cold, they will not begin the recharging cycle until the battery temperature is within range. 63 3 testing and maintenance battery handling, maintenance and good practices battery status on the main screen battery status information can be configured to display permanently on all screens. it shows the status of each of the batteries and the combined battery power and battery time remaining. these symbols are displayed if a battery board is installed, no matter whether batteries are inserted or not. battery status symbols : these symbols tell you the status of the batteries detected and which battery compartment they are in, either 1 or 2. battery power gauge : this shows the remaining battery power in the combined batteries. it is divided into sections, each representing 20 % of the total power. if three and a half sections are shaded, as in this example, this indicates that 70 % battery power remains. if no batteries are detected, the battery gauge is greyed out. battery malfunction symbols : if a problem is detected with one of the batteries, these symbols alternate with the battery number to indicate which battery is affected. they may be accompanied by an inop message or by a battery status message in the monitor information line ( if battery window is open ) providing more details. battery status symbols battery malfunction symbols 0 — a ■ @topic:11


# # # issue : hub switch has frozen and is unable to record data # # # impact : - inability to monitor patient's vital signs - loss of critical patient data # # # possible causes : - hardware failure - software glitch - network connectivity issues - power supply problems # # # recommendations : - * * restart the system : * * power cycle the hub switch by turning it off and on again. - * * check network connectivity : * * ensure that the hub switch is properly connected to the network and that there are no loose cables. - * * update software : * * if available, download and install the latest software updates for the hub switch. - * * replace the hub switch : * * if the issue persists, the hub switch may need to be replaced. - * * contact technical support : * * if the issue cannot be resolved by the above steps, contact the manufacturer's technical support for assistance. @topic:2


# # # issue - remote control wire broken # # # impact - bed cannot be adjusted # # # possible causes - physical damage to the wire ( e. g., cuts, tears ) - loose connections or faulty wiring in the remote control or bed # # # recommendations - replace the broken wire. - inspect the remote control and bed for any loose connections or faulty wiring. - regularly check the condition of the remote control and wire to prevent future failures. @topic:7


# # # issue - broken and damaged bp line # # # impact - inaccurate bp readings - delays in patient care - risk of patient harm # # # possible causes - wear and tear over time - improper handling or storage - manufacturer defect # # # recommendations - inspect the bp line regularly for signs of damage. - handle and store the bp line carefully as per the manufacturer's instructions. - use only high - quality bp lines from reputable manufacturers. - train staff on the importance of proper bp line care and handling. @topic:3


# # # issue - * * battery failure * * in a philips intellivue mx700 bedside physiologic monitor # # # impact - * * device malfunction * * and potential patient safety hazard due to unreliable monitoring # # # possible causes - * * ups ( uninterruptible power supply ) * * malfunction # # # recommendations - * * replace the faulty ups * * to ensure uninterrupted power supply and prevent battery failure. - * * regularly monitor and maintain * * the ups to prevent future failures. - * * consider adding backup batteries * * or a redundant power source to enhance device reliability. @topic:11


# # issue - knee adjustment is not working. # # impact - inability to properly position the patient for examination or treatment. # # possible causes - * * mechanical failure : * * the knee adjustment mechanism may be jammed or broken. - * * electrical failure : * * the electrical components that control the knee adjustment may be malfunctioning. - * * software error : * * the software that controls the knee adjustment may have a bug. - * * operator error : * * the operator may not be properly trained on how to use the knee adjustment. # # recommendations - * * mechanical failure : * * inspect the knee adjustment mechanism for any visible damage or obstructions. if necessary, disassemble the mechanism and repair or replace any damaged components. - * * electrical failure : * * check the electrical connections to the knee adjustment motor. if necessary, replace any faulty connections or components. - * * software error : * * contact the manufacturer of the device for troubleshooting assistance. they may be able to provide a software update or patch to fix the bug. - * * operator error : * * ensure that the operator is properly trained on how to use the knee adjustment. @topic:9


# # # issue - scanner of medical cart is intermittently malfunctioning, experiencing power interruptions. # # # impact - intermittent power issues can disrupt scanner functionality, potentially affecting patient care and diagnostic accuracy. # # # possible causes - * * loose or dirty connections : * * corrosion or debris on the battery terminals or charging contacts can hinder proper electrical connection, causing power interruptions. - * * faulty battery : * * a damaged or depleted battery may not hold a charge or provide adequate power to the scanner. - * * charging circuit malfunction : * * issues with the charging circuit, such as a faulty charger or a malfunctioning voltage regulator, can prevent the battery from charging properly. - * * scanner component failure : * * internal components within the scanner itself, such as a faulty sensor or circuit board, can cause power interruptions and scanner malfunction. # # # recommendations - * * thoroughly clean and inspect connections : * * inspect the battery terminals and charging contacts for corrosion or debris. clean the contacts with a soft cloth and isopropyl alcohol to ensure a secure electrical connection. - * * test the battery : * * use a battery tester to verify the battery's capacity and health. if the battery is found to be faulty, replace it with a new one. - * * examine the charging circuit : * * check the charger and voltage regulator for any signs of damage or malfunction. if necessary, replace the affected components. - * * diagnose scanner components : * * conduct further diagnostic tests on the scanner's internal components, such as sensors and circuit boards, to identify and replace any faulty or damaged elements. @topic:23


. align the feet on the mp2 / x2 with the locating shoes ( 1 ) on the mounting plate and slide the mp2 / x2 onto the mounting plate. 5. ensure that the cable is securely fixed to the mp2 / x2. once fixed, do not remove the cable from the mms clamp. 207 mounting the monitor onto the rollerstand 1. the monitor can be attached to the rollerstand as shown below. for details see the ifu provided with the rollerstand. mounting the mms mount to the fms ( m8048a ) 1. connect the mms mount to the fms and snap it into place. 2. insert and tighten the screw at the bottom of the fms 208 connecting the monitor to ac mains the monitor is an electrical class ii device in which the protection against electric shock does not rely on basic insulation and a protective earth conductor but on double and / or reinforced insulation. host monitor as power source when connected to a host monitor, via the measurement link ( msl ) cable or when directly attached to the host, the x2 obtains its power from the host, including that needed for battery charging. note that the x2 will operate and charge its battery even when attached to a host monitor running on battery power. x2 attached to mp70 msl cable connects to host monitor or power supply ( m8023a ) 209 external power supply m8023a ( standard with mp2, optional with x2 ) the optional wide - range external power supply ( m8023a ) allows you to operate the monitor from an ac ( alternatin g current ) power source of 100 v to 240 v ( 4 10 % ) and 50 to 60 hz ( + 5 % ). the external power supply also charges the monitor ’ s battery. the monitor has a wide - range external power supply ( m80234a @topic:19


# # # issue - medical cart icon missing from desktop # # # impact - inability to access medical cart software # # # possible causes - user error ( e. g., accidentally deleted the icon ) - software glitch - antivirus software interference # # # recommendations - check the recycle bin for the missing icon. - reinstall the medical cart software. - disable any antivirus software temporarily. - check for any pending software updates. @topic:13


# # # issue - main board failure - battery degradation - co2 filter damage - charging cable loss # # # impact - inaccurate or unreliable readings from the device, potentially compromising patient safety. - downtime of the equipment, resulting in reduced patient monitoring capabilities. - high repair costs due to obsolete parts and extensive damage. # # # possible causes - * * main board failure : * * age - related deterioration, power surges, or other electrical issues. - * * battery degradation : * * reduced capacity and lifespan over time due to repeated charging and discharging cycles. - * * co2 filter damage : * * physical wear and tear, improper handling, or exposure to moisture. - * * charging cable loss : * * mishandling, accidental disconnection, or theft. # # # recommendations - * * regular maintenance and inspection : * * perform routine checks on the device's functionality, including battery testing and filter replacement. - * * proper handling and storage : * * handle the device with care to avoid damage and store it in a safe and dry environment. - * * planned replacement : * * consider replacing the device with a newer model before it reaches the end of its expected lifespan. - * * spare parts availability : * * ensure access to spare parts and consumables for timely repairs. - * * training and awareness : * * educate users on proper device handling and maintenance to prevent damage and extend the lifespan. @topic:11


# # # issue equipment : bed, electric band : huntleigh model : contoura 360 description : bme determined that the bed was not adjustable. bme replaced the remote control and tested the bed. the test was successful. cause of failure : bed was not adjustable. # # # impact the patient may not be able to be positioned correctly in the bed. this could lead to discomfort, pain, or injury. # # # possible causes - the remote control may be malfunctioning. - the bed may not be properly plugged in. - the bed may be damaged. # # # recommendations - replace the remote control. - ensure that the bed is properly plugged in. - inspect the bed for damage. @topic:1


# # # issue - equipment is turned off or not responding. # # # impact - patient monitoring may be interrupted. # # # possible causes - power outage - loose or disconnected power cord - faulty power supply - internal hardware failure - software malfunction # # # recommendations - check if the power cord is properly connected to the equipment and to a power outlet. - ensure that the power outlet is functioning properly by plugging in another device. - if the equipment is still not responding, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:12


cardiac output ( c. o. ) measurement invasively measures cardiac output and other hemodynamic parameters using a technique called thermodilution. this can be used to determine the flow rate of a system by introducing a cold solution into the system and measuring the resulting drop in temperature at a downstream site. the temperature change is displayed as a curve in the c. o. procedure window, and the monitor calculates the c. o. value from this curve. the c. o. value is inversely proportional to the area under the curve. as cardiac output varies continuously, a series of measurements must be carried out to achieve a reliable c. o. average value. always use the average of multiple thermodilution easurements for therapy decisions. the measurements can be carried out using the right heart thermodilution method or the picco method ( transpulmonary thermodilution ). the right heart method is available with • c. o. module m1012a - labeled as c. o., standard and option # c10 - labeled as cco / c. o. m3012a hemodynamic measurement extension module, options # c05 and # c10 - m3014a capnography measurement extension module, option # c05 and # c10 the picco method is available with - c. o. module m1012a - labeled as c. o., option # c10 - labeled as cco / c. o. m3012a hemodynamic measurement extension module, option # c10 - m3014a capnography measurement extension module, option # c10 the picco method additionally lets you measure continuous cardiac output ( cco ) by performing pulse contour analysis on the blood pressure waveform. 225 13 monitoring cardiac output this table illustrates the hemodynamic @topic:17


* * issue : * * * equipment is displaying a black screen. * * impact : * * * the medical cart is not usable, which may delay patient care. * * possible causes : * * * power supply issue * display panel failure * software malfunction * loose or damaged cable connections * overheating * graphics card failure * * recommendations : * * 1. check the power supply and make sure it is providing power to the medical cart. 2. inspect the display panel for any damage or loose connections. 3. restart the medical cart and check if the issue persists. 4. update the software to the latest version if available. 5. check all cable connections to ensure they are secure and not damaged. 6. allow the medical cart to cool down if it has been overheated. 7. if the issue persists, contact the manufacturer for further assistance. @topic:13


# # # issue the medical cart is not dispensing medication. # # # impact patients may not be receiving their medications on time, which could lead to negative health outcomes. # # # possible causes * the cart's hardware is not connected properly. * the cart's software is not functioning properly. * the cart's medication dispenser is not functioning properly. # # # recommendations * check the cart's hardware connections to ensure that they are secure. * restart the cart's software. * contact the cart's manufacturer for assistance. @topic:13


* * issue : * * central monitor freezing * * impact : * * disruption of patient monitoring and potential delay or error in medical decision - making * * possible causes : * * - * * software glitches : * * bugs or corrupted files in the monitor's software can lead to freezing. - * * hardware malfunction : * * faulty components, such as the processor or memory, can cause the monitor to crash. - * * electrical interference : * * power surges or fluctuations can damage the monitor's electronics. - * * overheating : * * if the monitor is operated in a poorly ventilated area or is subject to excessive heat, it may overheat and malfunction. - * * insufficient memory or storage : * * the monitor may freeze if it runs out of memory or storage space. - * * incorrect configuration : * * improper settings or calibration can cause the monitor to malfunction. * * recommendations : * * - * * restart the monitor : * * if possible, restart the monitor. this can resolve minor software glitches. - * * check software version : * * ensure that the monitor is running the latest software version. updates may include bug fixes or performance enhancements. - * * inspect hardware : * * look for any loose connections, damaged components, or signs of overheating. - * * check power supply : * * verify that the monitor is receiving proper power. use a surge protector to prevent damage from power fluctuations. - * * increase memory or storage : * * if necessary, upgrade the monitor's memory or storage to prevent memory - related issues. - * * consult manufacturer : * * if the issue persists, contact the manufacturer for technical support. they may provide troubleshooting steps or repair instructions. @topic:2


# # # issue the cause of failure in the given input to the biomedical engineer is not specified. # # # impact the impact of the failure is not specified. # # # possible causes possible causes of the failure could include : - * * hardware failure * * - * * software failure * * - * * user error * * - * * environmental factors * * # # # recommendations recommendations to address the failure could include : - * * troubleshooting the hardware * * - * * updating the software * * - * * providing training to users * * - * * improving the environmental conditions * * @topic:12


# # issue cannot adjust the head of the bed. # # impact the patient cannot be positioned comfortably. # # possible causes - the bed is locked. - the motor is not working. - the control panel is not working. - the wiring is damaged. # # recommendations - check if the bed is locked. - check the motor and control panel. - check the wiring. - replace any damaged parts. @topic:1


# # # issue - mouse not connecting via bluetooth to computer # # # impact - inability to use mouse with computer # # # possible causes - bluetooth button on mouse not pressed and held until connection established # # # recommendations - press and hold bluetooth button on mouse until connection is established @topic:30


# # # issue central monitor screen goes black. # # # impact the central monitor cannot be used to display patient data. # # # possible causes 1. unstable connection between the power plug and socket due to loose connection. 2. power cable is damaged or faulty. 3. inverter board or power supply has failed. 4. faulty display panel. 5. issue with the graphics card or motherboard. # # # recommendations 1. reseat the power plug to ensure a secure connection. 2. inspect the power cable for signs of damage and replace if necessary. 3. check the inverter board and power supply for any loose connections or damaged components. replace if necessary. 4. check the display panel for any physical damage or loose internal connections. replace if necessary. 5. contact customer support or a qualified technician to troubleshoot the issue further. @topic:2


# # # issue the nibp monitor is unable to measure oxygen saturation. # # # impact oxygen saturation monitoring is important for assessing a patient's respiratory status. inaccurate measurements can lead to delayed or inappropriate treatment, which can have serious consequences. # # # possible causes * * 1. faulty extension hose : * * the oxygen extension hose may be damaged or kinked, preventing the monitor from receiving an accurate signal. * * 2. loose connections : * * the connections between the extension hose and the monitor or patient may be loose, resulting in poor signal transmission. * * 3. malfunctioning sensor : * * the oxygen saturation sensor may be malfunctioning or improperly calibrated, giving inaccurate readings. * * 4. patient factors : * * the patient's condition may be affecting the accuracy of the oxygen saturation measurement. for example, movement or shivering can interfere with the signal. # # # recommendations * * 1. check the extension hose : * * inspect the extension hose for any damage or kinks. replace the hose if necessary. * * 2. secure connections : * * ensure that all connections between the extension hose, monitor, and patient are tight and secure. * * 3. calibrate the sensor : * * regularly calibrate the oxygen saturation sensor according to the manufacturer's instructions. * * 4. assess patient factors : * * consider the patient's condition and position when taking oxygen saturation measurements. minimize movement and shivering to ensure accurate readings. * * 5. consult the manufacturer : * * if the issue persists, consult the manufacturer's technical support for further troubleshooting and repair guidance. @topic:4


# # # issue - the keypad on the hill - rom centuris electric bed is not fully functional, with one side not responding to input. # # # impact - the affected bed cannot be operated as intended, potentially impacting patient care and comfort. # # # possible causes - faulty keypad or keypad ribbon cable - loose or damaged connections - software issues - incorrect settings # # # recommendations - * * verify the issue : * * ensure the keypad is truly non - functional by testing all buttons on both sides. - * * inspect the keypad : * * examine the keypad for any visible damage or loose components. - * * check the ribbon cable : * * visually inspect the ribbon cable connecting the keypad to the control board for any breaks or damage. - * * test the keypad ribbon cable : * * use a multimeter to test the continuity of the keypad ribbon cable. - * * check connections : * * ensure all cables and connectors between the keypad, control board, and power supply are securely connected. - * * update the software : * * if possible, check for any available software updates and install them. - * * reset the system : * * disconnect the bed from power for a few minutes and then reconnect to reset the system. - * * calibrate the keypad : * * if the issue persists, calibrate the keypad according to the manufacturer's instructions. - * * replace the keypad : * * if the issue cannot be resolved through troubleshooting, the keypad may need to be replaced. - * * refer to the manufacturer : * * consult the hill - rom technical support team if the issue cannot be resolved locally. @topic:25


# # # issue - telemetry ekg module detached # # # impact - telemetry ekg module not able to collect patient data - patient data not transmitted to the monitoring system - patient data not available for review by the medical team - patient care may be compromised # # # possible causes - sticker adhesive failed - equipment not properly attached to the patient - equipment knocked or bumped # # # recommendations - use a stronger adhesive sticker - ensure proper equipment attachment to the patient - place equipment in a secure location where it will not be knocked or bumped @topic:18


# # # cause of failure : worn cuff # # # issue : - cuff is unable to inflate properly to measure blood pressure accurately. # # # impact : - incorrect blood pressure readings. - delays in patient monitoring and treatment. # # # possible causes : - cuff size not appropriate for patient. - cuff material aging and degradation. - defective air bladder within the cuff. # # # recommendations : - replace worn cuff with a new one of the appropriate size. - regularly inspect and test cuffs for any signs of deterioration. - maintain proper storage and handling of cuffs to extend their lifespan. # # # additional considerations : - ensure that the cuff is properly positioned and tightened on the patient's arm. - check for any leaks or obstructions in the cuff's air hose. - calibrate the monitor regularly to ensure accurate measurements. @topic:3


* * issue : * * cuff is damaged * * impact : * * patient monitoring may be inaccurate or unavailable. * * possible causes : * * - cuff is old and worn out - cuff has been damaged by mishandling - cuff is not compatible with the monitor - other issue with the monitor * * recommendations : * * - replace the cuff with a new one - inspect the cuff for damage before using it - ensure that the cuff is compatible with the monitor - check other parts of the monitor for issues @topic:5


# # # issue - the remote control wire is damaged. # # # impact - the bed cannot be controlled remotely. # # # possible causes - the wire may have been damaged by : - physical wear and tear - pulling or twisting - exposure to heat or chemicals # # # recommendations - replace the damaged wire. - inspect the bed and other equipment for any other damaged wires or cables. - train staff on proper handling and maintenance of medical equipment. @topic:7


# # # issue - request to replace the normal sized bp cuff # # # impact - accurate blood pressure measurements may not be possible with an incorrect cuff size. # # # possible causes - the current bp cuff is not the correct size for the patient. # # # recommendations - replace the bp cuff with the correct size for the patient. verify the correct cuff size is being used. @topic:3


manual troubleshooting 213 alarm riority ossible causmessage bt connection was established, but wacp connection not possible bluetooth device disconnected noneinformation the bluetooth disconnected pm messagelarm possible causmessage priority apm not functional. 1c1001 the apm is detected as connected but there is no communication through the pm serial port restart the monitor and the apm. if the problem is still present, check thcable connections from the monitor to apm. if the problem still present, replace the apm. if the message persists, replace the main pcba on the monitor. apm not functional. 1c100b the apm battery is installed, but does not communicate with the monitor perform diagnostic checks on the monitor. if the problem is still present, replace the apm battery. if the problem still present, replace the apm. if the message persists, replace the main pcba on the monitor. apm battery is absent the apm battery is not installed ensure than an apm battery is installed, and install one if it is missing. if the problem is still present, perform diagnostic checks on the monitor. if the problem is still present, replace the apm. if the message persists, replace the main pcba on the monitor. the apm is unplugged from restart the monitor and the apm. if the problem is still present, check thcable connections from the monitor to apm. if the problem still present, replace the apm. if the message persists, replace the main pcba on the monitor. the apm is disconnected. 1c1002 the monitor while the monitor is powered on restart the monitor and the apm. if the problem is still present, check thcable connections from the monitor to apm. if the problem still present, replace the apm. if the @topic:16


##m / 1. 6m m1682a m1683a 10 - electrode ( 5 + 5 ) cable sets description length aami part no. iec part no. icu grabber, chest, shielded 1. 0m m1976a m1978a icu snap, chest, shielded 1. 0m m1602a m1604a or grabber, chest, shielded 1. 0m m1979a m1984a for limb leads see 5 - electrode cable sets 10 - electrode ( 6 + 4 ) cable sets description length aami part no. iec part no. icu grabber, chest, shielded 1. 0m m1532a m1533a icu snap, chest, shielded 1. 0m m1537a m1538a or grabber, chest, shielded 1. 0m m1557a m1558a for limb leads see 6 - electrode cable sets 382 ecg / resp accessories 37 accessories one - piece cables description length aami part no. iec part no. 3 - lead grabber, icu 1. 0m 989803143181 989803143171 5 - lead grabber, icu 1. 0m 989803143201 989803143191 radio - translucent cables pack of five single wires, radio - translucent, 0. 9m, m1649a set combiners and organizers set combiners and organizers part no. set combiner 3 - electrode m1501a 5 - electrode m1502a set organizer for shielded leadsets - grabber and snap 3 - electrode m1503a 4 - electrode m1664a 5 - electrode m1504a 6 - electrode m1679a set organizer for non - shielded lead sets - miniclip 3 - electrode m1636 @topic:10


# # # issue ruptured cuff and air hose on a philips suresigns vs2 + vital signs monitor. # # # impact the device is unable to take accurate blood pressure measurements. # # # possible causes * cuff was not properly seated on the patient's arm. * cuff was over - inflated. * cuff or air hose was punctured or torn. * air hose was not properly connected to the cuff. # # # recommendations * inspect the cuff and air hose for any damage. * replace the cuff and / or air hose if necessary. * ensure that the cuff is properly seated on the patient's arm and that the air hose is properly connected to the cuff. * calibrate the device according to the manufacturer's instructions. * send the cuff to the manufacturer for inspection and repair. @topic:15


# # # issue - equipment not functioning properly. - monitor battery failure. - cuff bp failure. # # # impact - patient monitoring may be compromised. - inaccurate or incomplete data collection. - delays in diagnosis and treatment. # # # possible causes - battery depletion due to age or improper charging. - physical damage to the cuff bp. - software or hardware malfunction. # # # recommendations - regular maintenance and testing of equipment to identify potential issues early on. - timely replacement of worn - out or damaged components. - proper training of staff on device operation and maintenance. - establishment of a preventative maintenance schedule to minimize equipment downtime. @topic:5


# # # issue - unable to display patient information on medical cart monitor # # # impact - delays in patient care due to lack of patient information # # # possible causes - database error - communication issue between medical cart and server - software malfunction # # # recommendations - consult with it support to troubleshoot database issues - check network connectivity between medical cart and server - contact the manufacturer for software updates or troubleshooting assistance @topic:13


# # # issue - equipment not adjusting properly # # # impact - inability to use the equipment for its intended purpose # # # possible causes - damaged wiring - faulty adjustment mechanism - software glitch # # # recommendations - * * check the wiring : * * ensure that all wires are properly connected and not damaged. replace any damaged wires. - * * inspect the adjustment mechanism : * * examine the adjustment mechanism for any signs of damage or wear. lubricate or replace the mechanism as necessary. - * * update the software : * * check for any available software updates and install them. this may resolve any software glitches causing the adjustment issue. - * * contact the manufacturer : * * if the issue persists after following the above steps, contact the manufacturer for further troubleshooting assistance or repair. @topic:24


d ). careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 105 4. 35 fifth wheel chapter 4 : removal, replacement, and adjustment procedures replacement 1. do the removal procedure in reverse order. 2. do the “ function checks ” on page 2 - 5. adjustment 1. put the brake / steer pedals to the neutral position. make sure the 5th wheel rotates. 2. put the brake / steer pedals to the steer position. make sure the 5th wheel locks inline with the bed frame. if it does not then do step 3. 3. adjust the control cables as follows : a. loosen the jam nut ( e ) on the control cable ( f ) ( see figure 4 - 46 on page 4 - 107 ). figure 4 - 46. cable adjustment b. twist the control cable ( f ) counterclockwise to decrease cable tension, or clockwise to increase cable tension. c. tighten the jam nut ( e ). d. repeat step 1 and 2 to make sure the 5th wheel operates correctly. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 107 4. 36 head - end brake / steer pedal chapter 4 : removal, replacement, and adjustment procedures 4. 36 head - end brake / steer pedal tools required : 13 mm wrench removal 1. set the foot end brakes. 2. raise the bed to its highest position. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. remove the screws ( a ) and washers ( b ) from the brake pedal ( c ). ( see figure 4 - 47 on page 4 @topic:26


# # issue - technician is receiving an incomplete or unclear ticket. # # impact - technician may be unable to properly diagnose and repair the medical device. - this could lead to delays in patient care and increased costs. # # possible causes - the person submitting the ticket may not be aware of the necessary information to include. - the hospital may not have a standardized process for submitting tickets. # # recommendations - the hospital should develop a standardized process for submitting tickets. - the process should include a checklist of the necessary information that must be included on the ticket. - the hospital should provide training to staff on how to properly submit tickets. @topic:12


# # # issue - electric bed is not adjustable # # # impact - patient discomfort - difficulty in providing care - increased risk of falls # # # possible causes - broken wire in the electrical system - faulty motor - control panel malfunction - power supply issue # # # recommendations - inspect the electrical system for any broken wires and repair or replace as necessary. - test the motor to ensure it is functioning properly. - check the control panel for any loose connections or damaged components. - ensure that the power supply is adequate and that the bed is properly plugged in. @topic:1


# # # issue - physiologic monitor ( bedside ) device is not functioning properly. # # # impact - the device is unable to accurately measure leakage ground and resistance, which could pose a safety hazard to patients and staff. # # # possible causes - equipment : - the device may be faulty or damaged. - the device may not be properly calibrated or maintained. - environment : - the device may be operating in an environment that is not suitable for its intended use. - the device may be affected by electrical interference or other factors. - human error : - the device may have been неправильно использован or operated. - the device may not have been properly installed or configured. # # # recommendations - equipment : - inspect the device for any damage or defects. - calibrate and maintain the device according to the manufacturer's instructions. - environment : - ensure that the device is operating in an environment that is suitable for its intended use. - identify and eliminate any sources of electrical interference or other factors that may be affecting the device. - human error : - train staff on the proper use and operation of the device. - ensure that the device is properly installed and configured. @topic:2


# # # issue - the bed is not able to 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 comfortably. - the patient may be at risk for pressure sores. # # # possible causes - the remote control is not working. - the bed's motor is not working. - the bed's frame is damaged. - the bed's hydraulics are not working. # # # recommendations - check the remote control's batteries. - if the remote control's batteries are good, then check the bed's motor. - if the bed's motor is working, then check the bed's frame for damage. - if the bed's frame is not damaged, then check the bed's hydraulics. @topic:1


# # # issue : leakage current exceeding standard limits # # # impact : - electrical shock hazard to patients and healthcare professionals - equipment malfunction or damage - patient discomfort or injury # # # possible causes : - damaged or defective ac power cord - faulty electrical connections within the monitor - internal component failure # # # recommendations : - * * replace the ac power cord : * * replace the existing ac power cord with a new, undamaged cord. - * * inspect electrical connections : * * ensure that all electrical connections within the monitor are secure and free of corrosion or damage. - * * test internal components : * * use appropriate diagnostic tools to test the internal components of the monitor for any abnormalities or failures. - * * contact the manufacturer : * * if the issue persists after following the above recommendations, contact the manufacturer for further troubleshooting and support. @topic:2


# # # issue ecg cable failure # # # impact patient monitoring is compromised # # # possible causes - damaged cable - loose or dirty connections - faulty sensor # # # recommendations - replace the ecg cable - inspect and clean the connections - test the sensor @topic:18


# # # issue - ekg lead not displaying all waveforms # # # impact - inability to accurately monitor patient's heart activity # # # possible causes - damaged ekg lead - loose connection between lead and monitor - software glitch # # # recommendations - inspect ekg lead for damage and replace if necessary - ensure lead is securely connected to monitor - contact manufacturer for software troubleshooting @topic:18


##gnosing and repairing the equipment. - * * document the issue : * * keep a record of the problem, including the symptoms, troubleshooting steps taken, and any error messages encountered. this documentation will be helpful for future reference and communication with technical support. @topic:12