( resp ) 166 auto ecg wave gain ( recordings ) 325 auto window ( care groups ) 116 autofilter 122 automatic arrhythmia relearn 139 automatic default setting 33 automatic nbp repeat time 181 autosize ecg wave 121 average trend events 293 awrr alarm limits 224 awrr alarms c02 224 b backlight maintenance interval 378 balloon inflation, wedge measurement 197 baseline st map, updating 154 st, updating 147 basic arrhythmia option 130, 133 basic event surveillance 291 setup 296 battery and display brightness 375 battery compartment location 369, 370 battery reports 373 battery status recording 373 battery status window 372 charge status 373 ii conditioning 375 conserving power 375 indicators 370 recharging 370 replacing 374 safety information 376 symbol 404 battery eject symbol 404 battery operation mp20mp30 369 mp40mp50 369 battery performance optimizing 374 beat labels arrhythmia 136 bis bis engine software revision 263 cables, securing 263 continuous impedance check 260 cyclic impedance check 260 filters 262 ground check 260 impedance indicators 261 monitoring 257 monitoring setup 258 numeric 257 numerics on / off 262 safety information 263 smoothing rate changing 261 updating software 263 window 261 bispectral index monitoring 257 blood pressure. see also nbp ( non - invasive ) or press ( invasive ) brightness smartkey 40 brightness, adjusting 40 bsa formula ( trends ) 286 buffer ( eec ) 253 buffer ( eec ) on reports 255 buffer ( eec ) on screen 254 bursts numeric ( bis ) 257 c c. i. 200 c. o. 199 accessories 393 calibrating measurements ( picco ) 206 curve alert messages 210 documenting measurements 208 editing measurements ( picco ) 205 editing measurements ( rh method ) 208 flow - through method 207 hemocalc window 202 hemodynamic parameters available @topic:8


# # # issue - difficult to maneuver the bedside physiologic monitor due to impaired wheel mobility. # # # impact - delays in patient monitoring and treatment. - potential for patient discomfort or injury if the monitor cannot be moved smoothly. # # # possible causes - obstruction of wheel movement, such as hair, debris, or a foreign object. # # # recommendations - inspect the wheels for any obstructions and remove them. - ensure the wheels are properly aligned and lubricated. - implement regular maintenance checks to prevent future wheel mobility issues. @topic:24


# # # issue - network issue # # # impact the device was not able to connect to the network, which meant that it could not send or receive data. this could have resulted in the device not being able to function properly. # # # possible causes - the network cable may have been loose or disconnected - the network switch may have been malfunctioning - the device may have been configured incorrectly # # # recommendations - check the network cable and ensure that it is securely connected - check the network switch and ensure that it is functioning properly - check the device configuration and ensure that it is correct @topic:16


# # # issue the philips m3150a central station physiological monitor, mounted on the wall in the trauma room, is unable to measure blood pressure ( bp ). # # # impact this malfunction prevents healthcare providers from accurately monitoring patients'blood pressure, which is a critical vital sign for assessing and managing their overall health. # # # possible causes - * * faulty sensor : * * the sensor used to measure bp may be damaged or malfunctioning, leading to inaccurate readings or no readings at all. - * * electrical issues : * * loose connections, power supply problems, or electrical interference can disrupt the monitor's ability to function correctly. - * * software errors : * * bugs or glitches in the monitor's software can cause unexpected behavior, including the inability to measure bp. - * * mechanical issues : * * damage to the monitor's hardware components, such as the display or buttons, can prevent it from operating as intended. # # # recommendations - * * inspect the sensor : * * check the integrity of the bp sensor, ensuring it is properly connected and functioning. - * * troubleshoot electrical issues : * * verify that the power supply is stable and all connections are secure. inspect the monitor for any signs of electrical damage. - * * update software : * * if possible, update the monitor's software to the latest version, which may resolve software bugs or compatibility issues. - * * perform a hardware diagnostic : * * run a diagnostic test on the monitor to identify any hardware malfunctions that may be causing the bp measurement failure. - * * contact the manufacturer : * * if the issue cannot be resolved through troubleshooting, consult with the philips technical support team for further assistance and possible repair or replacement. @topic:15


# # # issue - battery failure # # # impact - inaccurate or unreliable vital signs readings - reduced patient safety # # # possible causes - age of battery - overuse or frequent charging - improper charging or storage - battery damage due to physical impact or mishandling # # # recommendations - regular battery replacement based on manufacturer's recommendations - use of high - quality batteries - proper charging and storage procedures - inspection and testing of battery before use - training of staff on proper handling and maintenance of medical devices @topic:11


2. 4 ghz ism internal wireless adapter туре intellivue 802. 11 bedside adapteieee 802. 11a / b / g technology 2. 4 ghz and 5 ghz band odulation techniqudsss ( cck, dqpsk, dbpsk ), ofdm ( bpsk, qpsk, 16 - qam, 64 - qam ) effective radiated power ( max. mx400 - mx550 : 16 dbm ( 35 mw ) mx600 - mx800 : 17 dbm ( 50 mw ) урinternal srr interface technology ieee 802. 15. 4 2. 4 ghz ism ( 2. 400 - 2. 483 ghz ) modulation techniqusss ( o - qpskffective radiated powemax. 0 dbm ( 1 mw ) measurement link ( msl ) odu out ( proprietary ) connectorvoltage 56 v ±10 % mx600 / 700 / 800 power 45 w ower sync5 v cmos level ; 78. 125 khz ( typ. ) an signalieee 802. 3 10 - base - t compliant erial signalrs - 422 complianodu out ( proprietary ) measurement link ( msl ) connectors voltage x400 / 450 / 500 / 550 48 v ±10 % power 12 w 5 v cmos level ; 78. 125 khz ( typ. ) ower syncan signalieee 802. 3 10 - base - t compliant erial signalrs - 422 complianvideo interface ( standard ) dvi ( digital and analog, single link ) connector digital video signals nalog video signals 0. 7 vpp @ 75 2 hsync / vsync signals ttl dc signaldc powe5 v + / - 5 % @ 0 - 55 ma 471 40 specifications | mx400 @topic:10


# # # issue - keypad malfunction on hill - rom care assist es electric bed # # # impact - inability to operate bed functions effectively, compromising patient care and safety # # # possible causes - broken or damaged wiring within the keypad - faulty keypad components - electrical surge or power fluctuation - physical damage to the keypad, such as impact or liquid spillage - loose connections between the keypad and the bed's control system # # # recommendations * * immediate actions : * * - replace the faulty keypad with a new one to restore functionality. - inspect the wiring and connections between the keypad and the bed's control system for any signs of damage or loose connections. - perform a thorough functional test to ensure the bed is operating properly. * * preventive measures : * * - regularly inspect and maintain the bed, including the keypad, to detect and address any potential issues early on. - ensure proper handling and storage of the bed to prevent physical damage to the keypad. - provide training to staff on the proper use and handling of the bed to minimize accidental damage. - consider installing surge protectors or uninterruptible power supplies to protect the bed's electrical components from power fluctuations. @topic:25


* * issue : * * * touch screen does not function properly. * * impact : * * * inability to monitor vital signs and adjust ventilator settings. * reduced patient safety and timely medical interventions. * * possible causes : * * * loose control touch screen wiring. * damaged touch screen digitizer. * software glitches or outdated firmware. * malfunctioning electronic components within the monitor. * * recommendations : * * * reseat the control touch screen wiring to ensure proper connection. * inspect the touch screen digitizer for any cracks, scratches, or other damage. calibrate the screen if necessary. * check for software updates or firmware upgrades that may resolve touch screen issues. * troubleshoot electronic components of the monitor for potential defects or failures. * if troubleshooting fails, consider replacing the touch screen or the entire physiologic monitor. * * additional notes : * * * ensure the monitor is powered off before attempting any repairs or troubleshooting. * refer to the manufacturer's user manual for specific instructions on troubleshooting and repair procedures. * regular maintenance and quality checks of medical equipment are crucial to prevent such failures and ensure patient safety. @topic:2


* * issue : * * the headboard of an electric bed in room 27 of ward 7d2 has failed. * * impact : * * the bed is no longer fully functional and may not be safe for patient use. * * possible causes : * * - the headboard may have been damaged due to improper handling or use. - there may be a mechanical failure in the headboard mechanism. - the headboard may have been subjected to excessive force or weight. * * recommendations : * * - the headboard should be inspected by a qualified technician to determine the cause of the failure. - the headboard should be repaired or replaced as necessary. - the staff should be instructed on the proper handling and use of the bed. - the bed should be regularly inspected and maintained to prevent future failures. @topic:9


# # # issue - the bed's side rails cannot be locked into place, posing a safety hazard to patients. # # # impact - patients could fall out of bed, resulting in serious injury or death. - the hospital could be held liable for any injuries sustained by patients due to the malfunctioning bed. # # # possible causes - the spring that holds the side rails in place has come loose. - the locking mechanism is broken or damaged. - the bed frame is bent or damaged, causing the side rails to not fit properly. - the bed is not being operated correctly. # # # recommendations - inspect the bed to identify the cause of the failure. - replace any damaged or worn parts. - adjust the bed frame, if necessary. - train staff on the proper operation of the bed. @topic:6


# # # issue the biomedical engineer is unable to determine the cause of failure for the bed, electric due to the insufficient information provided in the given input. # # # possible causes - the bed may have been damaged during transport or improper handling. - the bed may have been used improperly or overloaded. - the bed may have a manufacturing defect. # # # recommendations - gather more information about the circumstances in which the bed was used, including any incidents or accidents that may have occurred. - inspect the bed for any visible damage or defects. - consult with the manufacturer of the bed to determine if there are any known issues or recalls associated with the model. - perform a thorough testing of the bed to identify any functional issues. - document the findings and any corrective actions taken. @topic:9


# # # issue - ekg signal is noisy # # # impact - inaccurate ekg readings - difficulty diagnosing and monitoring patient's condition # # # possible causes - loose or damaged ekg cable - electrical interference from other devices - patient movement # # # recommendations - replace or repair the ekg cable - ensure that the ekg cable is properly connected to the patient and the monitor - move the ekg cable away from other electrical devices - ask the patient to remain as still as possible during the ekg recording @topic:18


* * issue : * * computer on medical cart not turning on * * impact : * * medical cart cannot be used for patient care * * possible causes : * * * power outage * faulty power cord * loose connection in the power supply * failed power supply * failed motherboard * * recommendations : * * * check the power source ( e. g., verify that the power outlet is working and that the power cord is securely plugged in ) * replace the power cord if it is damaged * inspect the power supply for any loose connections or damage * contact the manufacturer for further technical support if the power supply is suspected to be faulty * contact the manufacturer for further technical support if the motherboard is suspected to be faulty @topic:13


# # # issue - broken ground wire on ac power cord # # # impact - device may not be properly grounded, increasing the risk of electrical shock. - device may not function properly. # # # possible causes - physical damage to the power cord, such as cuts or crimps. - loose or corroded connection between the power cord and the device. - manufacturing defect. # # # recommendations - replace the ac power cord with a new one that is in good condition. - inspect the device for any other damage that may have occurred due to the broken ground wire. - contact the manufacturer if the problem persists or if there is any concern about the safety of the device. @topic:12


. missing release file. there is an internal software error on the radio with a missing file check for a software update and apply it. if still present, replace the radio. 350027 not ready. displays when logging verbosity is turned on check for a software update and apply it. if still present, replace the radio. radio not functional. 350028 check for a software update and apply it. if still present, replace the radio. radio not functional. 350029 disconnected. there is a software communication issubetween the host and the radio. socket connection is down check the radio configuration. if the very low problem is still present, reset the radio to factory defaults. if the problem persists, check for software update and apply it. if still present, eplace the radio. invalid radio configuration. reconfigure and try gain. 35002a invalid parameter. there is a software issue on the monitor while trying to configure radio check for a software update and apply it. if still present, replace the. radio not functiotimeout. there is a software communication issue between the host and the radio 204 troubleshooting welch [UNK] connex® spot monitor alarm ossible causmessage riority radio not functional. 35002c socket error. there is a software check for a software update and communication issue between apply it. if still present, replace the the host and the radio radio. adio. check for a software update and apply it. if still present, replace the radio. radio not functional. cannot parse dhcp lease. 35002e there is an internal software error on the radio ( error reading and converting dhcp lease file ) invalid certificate password. the radio is misconfigured with a password that does not match the certificate. invalid radio check the radio configuration. if the very @topic:16


# # # issue - the cause of failure is not specific. # # # impact - the biomedical engineer is unable to identify the root cause of the equipment failure. - the equipment may continue to fail, which could put patients at risk. # # # possible causes - the technician may not have the necessary training or experience to troubleshoot the equipment. - the equipment may be defective. - the issue may be intermittent and difficult to diagnose. # # # recommendations - the biomedical engineer should receive additional training on troubleshooting the equipment. - the equipment should be sent to the manufacturer for repair. - the biomedical engineer should monitor the equipment closely for any signs of failure. @topic:12


# # # issue - insulation on the lead ekg cable is deteriorating and exposing the wires. # # # impact - patient feels unsafe using the device. - risk of electric shock. # # # possible causes - * * normal wear and tear over time. * * ekg cables are constantly being moved and manipulated, which can cause the insulation to wear down. - * * improper storage. * * if the ekg cable is not stored properly, it can be exposed to moisture or other environmental factors that can damage the insulation. - * * defective cable. * * in some cases, the insulation on the ekg cable may be defective from the manufacturer. # # # recommendations - * * replace the ekg cable. * * the most effective way to resolve this issue is to replace the damaged ekg cable with a new one. - * * inspect the device regularly. * * regularly inspect the ekg cable and other parts of the device for any signs of damage. - * * follow the manufacturer's instructions for storage and use. * * to prevent future damage, it is important to follow the manufacturer's instructions for storage and use of the device. @topic:18


# # # issue bed is not adjusting # # # impact patient discomfort, delayed treatment # # # possible causes - loose plug - faulty wiring - broken motor # # # recommendations - check and tighten the plug - inspect the wiring for damage - test the motor to ensure it is functioning properly @topic:1


# # # issue - equipment is not functioning properly ( bed is not adjusting ) # # # impact - patient discomfort and / or safety hazard # # # possible causes - remote control cord is damaged - internal electrical or mechanical failure # # # recommendations - inspect the remote control cord for damage and repair or replace if necessary - test the bed for proper operation and adjust as needed - if the issue persists, contact the manufacturer or a qualified technician for further troubleshooting and repair @topic:7


##merics on the screen to enter setup ecg. 1 select 12lead. 2 the setup 12 lead window opens for you to make the default settings. 3 for a description of the available settings, see " changing settings for a captured 12 - lead ecg " on ecg and arrhythmia alarm overview the ecg and arrhythmia alarms available depend on which measurements are switched on, and the monitor. cardiotach alarms are available when hr is on and the active alarm source is ecg, but • basic arrhythmia alarms are available when arrhythmia is switched on enhanced arrhythmia alarms are available when arrhythmia is switched on and the enhanced has been enabled for your monitor monitor description arrhythmia configuration alarm rrhythmia basic arrhythmia enhanced rrhythmia off * * asystolno qrs detected for a period > the threshold x x x * * * vent fib / tach fibrillatory waveform ( sinusoidal wave between 2 - 10 hz ) for 4 consecutive seconds x x x * * vtaca run of pvcs ≥ the v - tach run limit nd heart rate > the v - tach hr limit * * extreme tachheart rate the extreme tachy alarm limit x x 149 6 ecg, arrhythmia, st and qt monitoring description arrhythmia configuration alarm rrhythmia basic enhanced rrhythmia rrhythmia off * * extreme bradheart rate the extreme brady alarm limit x x x * hr higx x x ( see note ) ( see note ) * hr lox x x ( see note ) ( see note ) * * non - sustain vt a run of pvcs < the v - tach run limit and ventricular heart rate > the v - @topic:8


# # # issue monitor not linking to the central monitor. # # # impact inability to monitor patient's vital signs remotely, leading to potential delays in detecting critical changes. # # # possible causes - incorrect ci address configuration - faulty cables or connectors - software malfunction - hardware failure # # # recommendations - * * verify ci address configuration * * : ensure that the ip address and port settings on the monitor match those configured in the central monitoring system. - * * inspect cables and connectors * * : examine all cables and connectors for damage or loose connections. replace any defective components. - * * update software * * : check for any available software updates for the monitor and central monitoring system. install the latest versions to address potential software bugs. - * * contact manufacturer support * * : if the issue persists, contact the manufacturer of the monitor for technical assistance and possible hardware replacement. @topic:16


* * issue : * * n / a ( no issue specified in the input ) * * impact : * * n / a ( no impact specified in the input ) * * possible causes : * * - loose base plate screws * * recommendations : * * - tighten all four screws on the base plate securely @topic:12


# # # issue : - cuff leakage, causing inaccurate blood pressure measurements and extended measurement time. # # # impact : - compromised patient safety due to inaccurate vital sign readings. - delays in patient care due to prolonged measurement attempts. # # # possible causes : - * * cuff damage : * * physical damage to the cuff material, such as tears or punctures. - * * aging and wear : * * gradual deterioration of the cuff material over time, leading to leaks. - * * improper cuff application : * * incorrect placement of the cuff on the patient's arm, resulting in poor sealing. - * * defective valve : * * malfunction of the valve mechanism within the cuff, allowing air to escape. # # # recommendations : - * * regular inspection : * * periodic visual and functional inspections of the cuffs to identify any damage or leaks. - * * preventive maintenance : * * implement a maintenance schedule to proactively replace aging cuffs before they fail. - * * proper training : * * ensure proper training of healthcare professionals on correct cuff application techniques. - * * calibration and validation : * * regularly calibrate and validate the sphygmomanometer and cuffs to maintain accuracy and reliability. - * * use of high - quality cuffs : * * procure cuffs from reputable manufacturers and use cuffs that are specifically designed for the intended patient population. @topic:3


# # # issue - the bed's side rail is stuck and cannot be retracted or extended. # # # impact - the patient may be at risk of falling out of bed. - the patient may be unable to get in or out of bed. - the patient may be uncomfortable due to the side rail being in the way. # # # possible causes - the side rail is damaged or bent. - the side rail is not properly lubricated. - the side rail motor is not working properly. - the side rail is obstructed by something. # # # recommendations - inspect the side rail for damage or bending. - lubricate the side rail. - test the side rail motor. - remove any obstructions that may be preventing the side rail from moving. @topic:6


display settings. - * * contact technical support : * * if the issue persists after following the above steps, contact the manufacturer's technical support for further assistance. @topic:2


# # # issue - cuff bp ( blood pressure ) is worn out, causing the finger cuffs to not fit properly, resulting in inaccurate measurements. # # # impact - inaccurate blood pressure readings can lead to incorrect patient assessments and treatment decisions. # # # possible causes - cuff bp may be damaged or worn out due to : - prolonged use - improper handling or storage - exposure to extreme temperatures or humidity # # # recommendations - replace the cuff bp and cuff bp connector to ensure proper fit and accurate readings. - regularly inspect and maintain medical devices, including cuff bp, to prevent premature failure. - train staff on proper handling and storage of medical equipment to extend its lifespan. @topic:3


# # # issue the electric bed ( huntleigh contoura 360 ) is not adjusting properly. # # # impact the bed's inability to adjust may hinder patient positioning, comfort, and care. # # # possible causes - * * remote control malfunction : * * the remote control could be faulty, hindering signal transmission to the bed's control unit. - * * control unit failure : * * the control unit, which receives signals from the remote and actuates the bed's motors, may have malfunctioned. - * * motor malfunction : * * one or more of the motors responsible for adjusting the bed's position may have failed. - * * obstruction in the bed's mechanism : * * debris or other foreign objects may be obstructing the smooth movement of the bed's components. - * * electrical connections : * * loose or faulty electrical connections between the remote control, control unit, motors, and power source can disrupt signal transmission and power supply. # # # recommendations to troubleshoot and resolve the issue, the following steps are recommended : - * * inspect the remote control : * * check for any physical damage or loose buttons. replace the batteries if necessary. - * * examine the control unit : * * inspect the control unit for any visible damage or loose connections. test the unit with a different remote control to rule out remote control issues. - * * check the motors : * * manually move the bed's components to assess the functionality of the motors. listen for any unusual noises or grinding sounds. - * * clear any obstructions : * * remove any visible debris or foreign objects that may be hindering the bed's movement. - * * inspect electrical connections : * * ensure that all electrical connections between the remote control, control unit, motors, and power source are secure and free of damage. @topic:7


sure, here is a possible explanation for the cause of failure in the given input to a biomedical engineer : # # # issue - no signal # # # impact - the patient's ekg cannot be monitored. # # # possible causes - the ekg electrodes are not properly attached to the patient. - the ekg cable is not properly connected to the telemetry ekg module. - the telemetry ekg module is not properly connected to the monitoring system. - the telemetry ekg module is malfunctioning. # # # recommendations - check the ekg electrodes and make sure they are properly attached to the patient. - check the ekg cable and make sure it is properly connected to the telemetry ekg module. - check the telemetry ekg module and make sure it is properly connected to the monitoring system. - if the problem persists, the telemetry ekg module may need to be replaced. * * additional notes * * - it is also important to consider the patient's condition and any other factors that may be contributing to the problem. - a thorough investigation is necessary to determine the root cause of the failure and to ensure that the problem does not recur. - preventive maintenance can help to prevent these types of failures from occurring in the future. i hope this information is helpful. please let me know if you have any other questions. @topic:18


# # # issue - ekg leads not displaying waveforms # # # impact - inability to monitor patient's ekg activity accurately # # # possible causes - faulty ekg leads - disconnected or damaged ekg leads - problems with the monitor or its internal components # # # recommendations - replace the ekg leads with new ones. - check the connections between the ekg leads and the monitor to ensure they are secure. - inspect the monitor for any signs of damage or malfunction. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:18


# # # issue - battery failure # # # impact - device shutdown # # # possible causes - depleted battery - battery not properly connected - incorrect battery type # # # recommendations - replace the battery with a new one of the same type and capacity. - ensure that the battery is properly connected. - check the device's user manual for the correct battery type. @topic:11


# # # issue bed is not able to adjust. # # # impact patient may not be able to get into or out of bed safely. patient may be uncomfortable due to improper bed positioning. # # # possible causes - loose remote control cord - electrical issue - mechanical issue # # # recommendations 1. check the remote control cord for looseness and reconnect if necessary. 2. inspect the electrical connections for any loose or damaged wires. 3. contact a qualified technician to inspect the mechanical components of the bed for any issues. @topic:7


# # # issue - cuff is damaged # # # impact - interruption of blood pressure monitoring # # # possible causes - cuff is old and worn - cuff is not properly inflated - cuff is punctured - external force or damage # # # recommendations - replace the cuff with a new one - inspect the cuff regularly for any signs of damage - ensure cuff is properly inflated - protect the cuff from external force or damage @topic:3


# # # issue - defective remote control # # # impact - inability to operate the electric bed remotely, leading to inconvenience and inefficiency for healthcare providers and patients. # # # possible causes - physical damage to the remote control - electrical component failure within the remote control - software malfunction or firmware issues - battery depletion or malfunction # # # recommendations - inspect the remote control for any visible damage or signs of wear and tear. - check the battery level and replace if necessary. - attempt to restart the remote control by removing and reinserting the batteries. - consult the manufacturer's manual for troubleshooting instructions. - contact a qualified biomedical engineer if the issue persists after troubleshooting steps. @topic:7


# # # issue - equipment : monitor, telemetric, electrocardiography - band : philips - model : intellivue trx - description : bme ( biomedical engineer ) found that the device was not connecting to the system due to a configuration issue. after checking and reconfiguring the rf code, the device started working normally. - cause of failure : the device was beeping continuously and not receiving any signals. # # # impact - the device was not able to monitor the patient's electrocardiography ( ecg ) signals, which could have led to a delay in diagnosis and treatment. # # # possible causes - the rf configuration was incorrect, preventing the device from communicating with the monitoring system. - the device's antenna was damaged or not properly connected, resulting in poor signal reception. - a software glitch or hardware malfunction within the device caused it to behave abnormally. # # # recommendations - check and reconfigure the rf code settings to ensure proper communication with the monitoring system. - inspect the device's antenna for any damage or loose connections and repair or replace it if necessary. - perform a thorough diagnostic test on the device to identify any software or hardware issues and address them accordingly. - regularly maintain and calibrate the device to prevent similar issues from occurring in the future. @topic:16


* * issue : * * cause of failure is not properly documented. * * impact : * * - difficulty in identifying the root cause of the failure. - increased downtime and repair costs. - potential safety hazards if the failure is not properly addressed. * * possible causes : * * - technician's lack of knowledge or training in documenting the cause of failure. - lack of a clear procedure for documenting the cause of failure. - equipment malfunction or software error that prevents the cause of failure from being recorded. * * recommendations : * * - provide proper training to technicians on the importance of documenting the cause of failure and the correct procedures for doing so. - implement a standardized procedure for documenting the cause of failure, including specific fields for the technician to fill out. - invest in equipment and software that allows for accurate and efficient documentation of the cause of failure. @topic:12


# # # issue - battery is not charging # # # impact - monitor cannot be used wirelessly - battery may drain quickly # # # possible causes - battery is not properly seated in the charger - battery is defective - charger is defective # # # recommendations - reseat the battery in the charger - try a different battery - contact the manufacturer for further assistance @topic:11


the time between the beginning of the q - wave and the end of the t - wave. it measures the total duration of the depolarization ( qrs duration ) and repolarization ( st - t ) phases of the ventricular action potential. qt interval monitoring can assist in the detection of prolonged qt interval syndrome. the qt interval has an inverse relationship to heart rate. faster heart rates shorten the qt interval and slower heart rates prolong the qt interval. therefore there are several formulas used to correct the qt interval for heart rate. the heart rate corrected qt interval is abbreviated as qtc. the monitor uses as a default the bazett correction formula and the alternative fridericia formula can be selected in configuration mode. for qt interval monitoring to be effective, basic or enhanced arrhythmia monitoring should be turned on. qt measurement algorithm the qt values are updated every five minutes except in the initial phase ( first five minutes ) where they are updated once per minute. normal or atrial paced beats and beats with a similar morphology are averaged to form a representative waveform for further processing. normal beats followed by a premature qrs will be excluded from the measurements to prevent the premature beat from obscuring the end of the t - wave. if the algorithm cannot form a representative waveform, for example because the morphology of the beats is too varied, a cannot analyze qt inop will be generated after 10 minutes. this is also the case if normal beats have been falsely labelled so that the algorithm does not have enough valid beats to make qt measurements. no qt value is calculated if the qt - hr is > 150 bpm ( adult ) or > 180 bpm ( pedi / neo ). because of the different algorithm approaches, a qt / qtc measurement from a diagnostic 12 - lead program may differ @topic:8


the measurement values are incorrect. multi - measurement module and module maintenance nbp calibration at least once every two years, or as specified by local laws. microstream c0 2 calibration and performance test at least once a year or after 4000 operating hours. mainstream and sidestream c0 2 calibration check ( m3014a ) at least once a year, or if you suspect the measurement values are incorrect. battery maintenance battery see the section on maintaining batteries 378 troubleshooting 36 maintenance and troubleshooting troubleshooting if you suspect a problem with an individual measurement, read the instructions for use and doublecheck that you have set up the measurement correctly. if you suspect an intermittent, system - wide problem call your service personnel. you may be asked for information from the status log. to view the status log, 1 in the main setup menu, select revision. 2 select a pop - up key according to the status log you want to consult, for example, to check the status log for the mms, select the m3001a pop - up key. 3 view the status log by selecting status log from the monitor revision window. disposing of the monitor warning to avoid contaminating or infecting personnel, the environment or other equipment, make sure you disinfect and decontaminate the monitor appropriately before disposing of it in accordance with your country ’ s laws for equipment containing electrical and electronic parts. for disposal of parts and accessories such as thermometers, where not otherwise specified, follow local regulations regarding disposal of hospital waste. you can disassemble the monitor, mms, fms and modules as described in the service guide. you will find detailed disposal information on the following web page : http : / / www. medical. philips. com / main / company / sustainability / recycling / patient _ monitoring / the recycling @topic:22


# # # issue the medical cart manufactured by bdms, model bdms 01, is unable to boot into windows and remains stuck at the bios screen. # # # impact the inability of the medical cart to boot into windows renders it unusable for its intended clinical purposes, which may interfere with patient care and workflow efficiency. # # # possible causes the following possible causes could contribute to the failure : 1. * * bios settings : * * the bios settings may be misconfigured or outdated, preventing the device from booting properly. 2. * * hard disk drive ( hdd ) failure : * * the hdd may be damaged or have developed bad sectors, causing the windows boot process to fail. 3. * * corrupted operating system ( os ) files : * * critical os files may have become corrupted or modified, hindering the boot process. 4. * * malware infection : * * malware, such as viruses or spyware, can interfere with the boot process and cause system instability. 5. * * hardware component failure : * * faulty ram, graphics card, or other hardware components can lead to boot issues. # # # recommendations to address the failure, consider the following recommendations : 1. * * reset bios settings : * * restore the bios settings to default values and ensure they are configured correctly for the device. 2. * * check hdd health : * * run diagnostic tests on the hdd to identify any issues or potential failures. consider replacing the hdd if necessary. 3. * * repair os files : * * utilize the windows recovery environment or a bootable usb drive to repair corrupted os files. 4. * * scan for malware : * * run an antivirus scan to detect and remove any malware that may be causing the boot issues. 5. * * troubleshoot hardware components : @topic:13


# # # issue - loose cuff # # # impact - inaccurate blood pressure readings # # # possible causes - worn or damaged cuff - improper fitting of cuff # # # recommendations - replace cuff - ensure cuff is properly fitted @topic:3


# # # issue - the cpr squeeze set at the head of the bed became loose. # # # impact - the cpr squeeze set may not function properly in an emergency situation. # # # possible causes - the nuts holding the cpr squeeze set in place may have become loose over time. - the cpr squeeze set may have been damaged during use. # # # recommendations - the bme should inspect the cpr squeeze set regularly and tighten any loose nuts. - the bme should replace the cpr squeeze set if it is damaged. - the hospital should consider purchasing a new cpr squeeze set if the current one is old or damaged. @topic:6


# # # issue - the bed is not adjustable. # # # impact - the bed cannot be used by patients. # # # possible causes - the bed's control panel is not functioning properly. - the bed's electrical system is not functioning properly. - the bed's mechanical system is not functioning properly. - the bed's hydraulic system is not functioning properly. # # # recommendations - the technician should inspect the bed's control panel and electrical system. - the technician should inspect the bed's mechanical system. - the technician should inspect the bed's hydraulic system. - the technician should replace any defective parts. - the technician should test the bed to ensure that it is functioning properly. @topic:1


# # # issue - broken cuff bp joint # # # impact - inability to accurately measure blood pressure # # # possible causes - excessive wear and tear - improper handling or storage - manufacturing defect # # # recommendations - inspect cuff bp joints regularly for signs of wear or damage - handle and store equipment carefully according to manufacturer's instructions - contact ge healthcare for further assistance if necessary @topic:3


# # # issue - the nibp monitor is displaying an " alarm sat error bp " message. - the blood pressure reading is inaccurate. # # # impact - the inaccurate blood pressure reading could lead to incorrect medical decisions being made. # # # possible causes - the cuff may be the wrong size for the patient. - the cuff may not be properly inflated. - the cuff may be leaking air. - the blood pressure sensor may be malfunctioning. - the nibp monitor may be malfunctioning. # # # recommendations - check the cuff size and ensure that it is the correct size for the patient. - check the cuff inflation pressure and ensure that it is correct. - check the cuff for leaks. - inspect the blood pressure sensor for any damage. - inspect the nibp monitor for any damage. - if the problem persists, contact the manufacturer for further troubleshooting assistance. @topic:15


# # # issue - loose bed rail # # # impact - patient safety hazard - patient discomfort - staff inconvenience # # # possible causes - worn or damaged hardware - improper installation - excessive force applied to the bed rail # # # recommendations - inspect bed rails regularly for signs of wear or damage. - ensure bed rails are properly installed according to manufacturer's instructions. - train staff on proper use of bed rails to avoid excessive force. @topic:6


# # # issue - broken spo2 cable # # # impact - the patient's spo2 readings may be inaccurate or unavailable, which could lead to delayed or incorrect treatment. # # # possible causes - the cable may have been damaged during use or storage. - the cable may have been accidentally cut or pinched. - the cable may have become loose or disconnected from the monitor or the patient's finger. # # # recommendations - inspect the cable for any visible damage, such as cuts, nicks, or fraying. - ensure that the cable is securely connected to the monitor and the patient's finger. - replace the cable if it is damaged or if the problem persists. @topic:4


# # # issue : broken base flange of philips suresings vs2 + monitor # # # impact : - inaccurate or unavailable vital signs measurements - potential patient safety concerns # # # possible causes : - rough handling or accidental damage - manufacturing defect # # # recommendations : - inspect the monitor thoroughly for any other damage - contact the manufacturer or authorized service provider for repair or replacement - implement proper handling and storage procedures to prevent future damage - train staff on proper use and maintenance of the monitor @topic:2


remove the main board assembly. see “ removing the main board assembly ” on page 5 - 18. 3 squeeze the power cord retaining clip and remove it from the bolts. 4 disconnect the ac - in cable from the main board assembly. repairing the monitor suresigns vs4 service guide 5 - 39 removing the ac power connector 3 remove the two ac power connector screws. — s equipotential grounding post f i — e ay 6 use a 10 mm wrench to remove the washer from the equipotential grounding post and disconnect the cable from the lug. 7 slide the ac power connector out of the mounting bracket. repairing the monitor 5 - 40 suresigns vs4 service guide removing the communications ( lan ) board removing the communications ( lan ) board to remove the communications board : step 1 separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 5 - 12. 2 remove the main board assembly. see “ removing the main board assembly ” on page 5 - 18. 3 remove the two torx t10 screws and washers holding the communications board to the main board assembly. repairing the monitor suresigns vs4 service guide 5 - 41 removing the battery connector board 4 pull the lan board away from the 26 - pin connector on the main board and remove it. a. rio ) + ce vr102 l102 d sr removing the battery connector board to remove the battery connector board : step 1 separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 5 - 12. 2 remove the main board assembly. see “ removing the main board assembly ” on page 5 - 18. repairing the monitor 5 - 42 suresigns vs4 service guide removing the battery connector board 3 disconnect the battery board connector from the @topic:19


# # # issue - equipment : laparoscopic - monitor - band : nds - model : sc - wu23 - a1511 # # # impact - the equipment is not functioning properly due to a loose connection in the high volt cable. # # # possible causes - cable damage or wear - improper handling or storage of the equipment - manufacturing defect # # # recommendations - inspect the cable for damage or wear and replace if necessary. - ensure proper handling and storage of the equipment to prevent future damage. - if the issue persists, contact the manufacturer for further troubleshooting or repair. @topic:2


# # # issue - blood pressure ( bp ) monitor not reading values # # # impact - delay in patient care - incorrect or missed patient diagnoses - reduced efficiency in healthcare delivery # # # possible causes - cuff leakage - faulty sensor - software malfunction - battery failure - damaged cables or connections # # # recommendations - * * immediate actions : * * - replace the bp cuff to address the specific issue identified. - verify that the connection between the cuff and the monitor is secure. - check the battery level and replace if necessary. - * * further investigation : * * - perform a comprehensive inspection of the monitor, including sensors, cables, and display. - check for software updates or calibration issues. - consult with the manufacturer or technical support team for additional troubleshooting guidance. - * * preventive measures : * * - establish regular maintenance schedules for all medical devices. - train healthcare professionals on proper device operation and maintenance techniques. - consider implementing a quality assurance program to monitor device performance and identify potential issues early on. @topic:15


# # # issue - the insulation surrounding the spo2 cable is damaged, leading to a possible risk of electrical shock or interference with the signal integrity. # # # impact - inaccurate or disrupted physiological data readings - potential electrical hazard to patients or medical personnel # # # possible causes - physical damage due to improper handling or storage ( e. g., pinching, stretching, or kinking ) - aging and degradation of insulation material - exposure to harsh chemicals or solvents # # # recommendations - replace the damaged spo2 cable with a new one to ensure proper operation and safety. - inspect other cables and equipment for similar damage to prevent further issues. - train staff on proper handling and maintenance of medical devices to minimize the risk of damage. - implement regular preventive maintenance and testing schedules to identify potential problems early on. @topic:4


# # # issue - broken shelf on the back of the medical cart # # # impact - the medical cart is not able to be used to transport medical supplies and equipment. - this can cause delays in patient care and can put patients at risk. # # # possible causes - the shelf was overloaded with supplies and equipment. - the shelf was not properly secured to the cart. - the shelf was made of a material that was not strong enough to support the weight of the supplies and equipment. # # # recommendations - inspect the shelves of the medical cart regularly for damage. - do not overload the shelves with supplies and equipment. - make sure that the shelves are properly secured to the cart. - use shelves that are made of a material that is strong enough to support the weight of the supplies and equipment. @topic:31


# # # issue - broken cuff on nibp monitor # # # impact - inability to accurately measure blood pressure - potential for incorrect diagnosis and treatment # # # possible causes - cuff may have been damaged due to improper handling or storage - cuff may have been overinflated, causing it to burst - cuff may have been used on a patient with an unusually large or small arm circumference, causing it to stretch or tear # # # recommendations - inspect the cuff regularly for signs of damage - handle the cuff with care and avoid overinflation - use the appropriate cuff size for the patient's arm circumference - replace the cuff if it is damaged or worn @topic:15


# # # issue : - screen replacement required # # # impact : - device is inoperable without a functioning screen. # # # possible causes : - screen damage due to impact or mishandling. - electrical failure or malfunction within the screen assembly. # # # recommendations : - replace the damaged screen with a new one. - inspect the device for any other potential damage or issues. - perform thorough testing to ensure the device is fully functional after the screen replacement. - train staff on proper handling and storage of the device to prevent future screen damage. @topic:2


# # # issue - cuff of the sphygmomanometer is damaged # # # impact - sphygmomanometer may not take accurate blood pressure readings. - inaccurate blood pressure readings can lead to incorrect diagnosis and treatment. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged by improper use, such as being over - inflated or not properly secured. - the cuff may have been damaged by exposure to chemicals or other environmental factors. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - use the cuff properly according to the manufacturer's instructions. - store the cuff in a clean, dry place. @topic:3


# # # issue : - no video signal displayed on monitor # # # impact : - inability to view patient data or images, affecting patient care and diagnostic procedures. # # # possible causes : - * * faulty image processor ( bmc11912 ) : * * the technician's description indicates that the image processor was not turned on by the user, which could have prevented the monitor from receiving video signals. - * * cable connection issues : * * verify that the video cables are securely connected between the image processor and the monitor. any loose or damaged connections could disrupt the signal transmission. - * * monitor settings : * * ensure that the monitor is properly configured to receive the video input from the image processor. check the display settings and make sure the correct input source is selected. - * * input device issues : * * the issue could stem from the input device ( e. g., camera, ultrasound machine ) that is sending the video signals to the image processor. verify that the input device is functioning properly and is delivering the video signals successfully. - * * hardware failure : * * in rare cases, a hardware malfunction in the monitor itself could be the cause of the lack of video display. this may require further troubleshooting or replacement of the monitor. # # # recommendations : - * * verify image processor activation : * * ensure that both image processors in room 1 are turned on, as both are required for complete image display on both monitors. - * * check cable connections : * * inspect the video cables for any damage or loose connections. replace or repair any faulty cables as necessary. - * * confirm monitor settings : * * verify the display settings on the monitor to ensure that the correct video input source is selected. - * * test input device : * * connect a different input device to the image processor to determine if the problem is with the original input device or @topic:2


# # # issue : - unable to measure oxygen saturation ( oxygensat ) using the welch allyn propaq lt patient transport monitor. # # # impact : - accurate monitoring of oxygen saturation is essential for patient safety, particularly during transport. without reliable data, clinicians may not be able to make informed decisions regarding patient care. # # # possible causes : - * * sensor malfunction : * * the sensor used to measure oxygen saturation may be defective or damaged. - * * loose or disconnected sensor : * * the sensor may not be properly connected to the patient or the monitor. - * * interference : * * external factors, such as motion or electromagnetic interference, can affect the sensor's readings. - * * software or hardware issue : * * the monitor's software or hardware may be malfunctioning, leading to incorrect readings. # # # recommendations : - * * check sensor : * * inspect the sensor for any visible damage or defects. ensure it is properly connected to the patient and the monitor. - * * test sensor : * * use a diagnostic tool or test the sensor with a known good patient to verify its functionality. - * * isolate interference : * * remove any potential sources of interference, such as nearby electrical devices or motion. - * * restart monitor : * * power down and restart the monitor. this can resolve software glitches or temporary hardware issues. - * * contact manufacturer : * * if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:4


# # # issue - motorized knee adjustment failure # # # impact - inability to properly position the patient for examination or treatment # # # possible causes - loose connection between motor and remote control # # # recommendations - ensure secure connection between motor and remote control @topic:9


# # # issue - monitor ( philips intellivue mp40 ) unable to mute alarms. # # # impact - inability to silence alarms in the hospital setting can cause noise pollution, disruption of patient care, and staff frustration. # # # possible causes - software malfunction - hardware failure ( e. g., faulty speaker or button ) - user error ( e. g., incorrect settings ) - power supply issues # # # recommendations - * * check the device's settings : * * verify that the mute function is enabled in the configuration menu. - * * inspect the hardware : * * examine the speaker, buttons, and any other components related to the alarm system. - * * restart the monitor : * * power off the device and restart it. this can sometimes resolve software glitches. - * * check power supply : * * ensure the monitor is properly plugged into a stable power source. - * * consult with the manufacturer : * * if the issue persists, contact the manufacturer for guidance or troubleshooting assistance. - * * update software : * * if available, check for and install any software updates for the monitor. - * * calibrate the device : * * run a calibration procedure to ensure the alarm system is functioning as intended. @topic:26


# # # issue - cuff of the vital signs monitor is defective. # # # impact - the vital signs monitor may not be able to accurately measure blood pressure, heart rate, and other vital signs. - this could lead to incorrect patient care decisions. # # # possible causes - the cuff may have been damaged during use. - the cuff may have been improperly inflated. - the cuff may be the wrong size for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated according to the manufacturer's instructions. - use the correct size cuff for the patient. @topic:5


# # # issue - broken ekg connector # # # impact - inability to monitor patient's ekg - potential for incorrect or incomplete patient data - delays in patient care # # # possible causes - connector damaged due to improper handling - connector damaged due to faulty design - connector damaged due to age or wear # # # recommendations - replace the broken ekg connector - ensure proper handling of the ekg connector - inspect the ekg connector regularly for signs of damage - consider upgrading the device to a newer model with a more durable ekg connector @topic:18


##metry with neonates for measurement of co2 and spirometry with neonates, the use of the m3014a mainstream co2 extension, the m1014a spirometry module and the m2782a combined co2 / flow sensor is recommended. the m1923a filterline h set infant / neonatal used for microstream co2 measurement with the m3015a extension is not compatible with the m2786a infant / neonatal flow sensor for the spirometry measurement ( m1014a ). tcgas accessories this symbol indicates that the specified transducer ( but not its membranes ) is designed to have special protection against electric shocks ( particularly regarding allowable leakage currents ), and is defibrillator proof. 439 9 accessories description art no1918a accessory kit for m1918a ( o - ring remover, absorbent paper, electrolyte solution, 12 replacement membranes ) 15209 - 60010 application kit for m1918a ( 4x25 disposable fixation rings, contact fluid ) 15209 - 60020 1918b1 989803159898031519611 15210 - 60010 5210 - 64010 accessory kit for m1918b ( 10 replacement membranes, electrolyte solution ) application kit for m1918b ( 4x25 disposable fixation rings, contact fluid ) calibration as bottles calibration gas - 6 gas bottles ( europe and japan only ) 2205replacement tubing ( 5 tubes ) calibration unit 5210b radiometer tcc3 calibration unit ( available from radiometer ) n / a ¹may not be available in all countries due to pending regulatory clearance eeg accessories description trunk cable 2. 7 m. m2268a trunk cable, 1. 0 m 2269 @topic:17


# # # issue - the medical device is not functioning properly after a battery change. # # # impact - the device is unable to accurately monitor vital signs, which could lead to patient harm. # # # possible causes - the battery was not properly installed. - the battery is defective. - the device has a hardware or software issue. # # # recommendations - check that the battery is properly installed. - replace the battery with a new one. - contact the manufacturer for technical support. @topic:11


# # # issue - the patient bed is making a loud noise when it is adjusted. # # # impact - the noise may be disruptive to patients and staff. - the noise may make it difficult for patients to sleep or rest. # # # possible causes - the bed frame may be loose. - the motor that adjusts the bed may be faulty. - the remote control for the bed may be malfunctioning. # # # recommendations - inspect the bed frame for any loose connections. tighten any loose screws or bolts. - check the motor that adjusts the bed for any signs of damage. if the motor is damaged, it will need to be replaced. - test the remote control for the bed to make sure that it is functioning properly. if the remote control is not working properly, it will need to be replaced. @topic:9


# # # issue * * co2 sensor failure * * # # # impact the vital signs monitor cannot accurately measure carbon dioxide ( co2 ) levels in patients. this can lead to inaccurate diagnoses and treatment decisions. # # # possible causes - * * board failure : * * the co2 sensor board may have malfunctioned due to : - electrical surges - loose connections - component failure - * * sensor malfunction : * * the co2 sensor itself may have failed due to : - contamination - wear and tear - manufacturer defect # # # recommendations - * * replace the board : * * replace the co2 sensor board with a new or refurbished one. - * * test the sensor : * * once the new board is installed, test the co2 sensor to ensure it is functioning properly. - * * regular maintenance : * * implement regular maintenance and calibration schedules to prevent future failures. - * * contact manufacturer : * * if the issue persists, contact the manufacturer for technical support or warranty repairs. @topic:4


* * issue : * * - failure of the head motor in the huntleigh contoura 390 electric bed * * impact : * * - the bed is not fully functional and cannot be used for patient care. * * possible causes : * * - malfunctioning of the motor itself - damage to the wiring or electrical connections - software or control system issues - excessive use or inadequate maintenance - electrical surge or power outage * * recommendations : * * 1. * * troubleshooting and diagnosis : * * - inspect the motor, wiring, and electrical connections for any visible damage or loose connections. - check if the bed has been overloaded or subjected to excessive stress. - verify that the software and control system are functioning properly. 2. * * repair or replacement : * * - if the motor is damaged, it may need to be repaired or replaced. - loose or damaged wiring and electrical connections should be fixed or replaced. - software or control system issues should be addressed by a qualified technician. 3. * * maintenance and preventive measures : * * - implement regular maintenance and inspection schedules to identify potential problems early on. - ensure that the bed is used within its designated weight capacity and according to the manufacturer's instructions. - provide adequate power supply and protection from electrical surges. - train staff on proper use and handling of the bed. 4. * * documentation and reporting : * * - document the cause of failure, repairs performed, and any recommendations for preventive maintenance. - report the incident to the hospital's equipment management team and manufacturer as appropriate. @topic:9


* * issue : * * - incorrect battery installation or handling - faulty battery - incomplete charging - electrical system malfunction * * impact : * * - reduced device functionality - interruption of patient monitoring - potential safety hazard * * possible causes : * * - battery not properly inserted or connected - battery terminals damaged or corroded - battery not compatible with the device - battery not fully charged before use - loose connections or damaged cables in the electrical system * * recommendations : * * - ensure proper battery installation and handling according to manufacturer's instructions - inspect battery terminals and replace if damaged or corroded - use only batteries recommended for the device - fully charge the battery before use - inspect electrical connections and cables for damage or loose connections @topic:11


confirm reception of the call. • [UNK] if the bed detects a connection fault ( cable not connected or fault ), a discontinuous signal sounds if the nurse call control is activated. elp with cafixed iv pole ( ad294a ) the iv pole is mounted in the angle supports. safe working load : refer to the value indicated on the iv pole telescopic iv pole a ensure that the iv pole is positioned facing towards the bed and not outwards as shown in the following illustrations. using the iv pole ( ad298a ) to adjust the height or angle of the iv pole : 3 r using the iv pole ( ad299a ) to adjust the height or angle of the iv pole : 31 5 linen holder * the linen holder must not be used to support luggage or as a seat, even for young children. safe working load : 15 kg '. 15kδ 1. the safe working load specifications allow for a substantial safety margin. l1900b2 half - siderails hill - rom mono - oxygen cylinder holder ( ac959a - ad101a - ad102a ) safe working load : 15 kg ( " ) the oxygen cylinder holder is designed to accept an oxygen cylinder and must only be fitted on the patient helper supports at the head end of the bed outside the sleep surface. it can be rotated through 80°. each type of holder corresponds to a cylinder model and must never be used with a different cylinder. see below. ac959a for cylinder model b5 ( 0140 ) ad101a for cylinder model d ad102a for cylinder model e ( 0100 ) a the following recommendations are designed to prevent any possible incidents so that this accessory can be used in optimum safety conditions for both the patient and nursing staff. check that the cylinder is correctly positioned at the base of the cylinder holder. @topic:9


icu grabber m1981a 5 - electrode one piece cables aami 5 - electrode one piece cables length aami part no. iec 5 - electrode one piece cables iec part no. or grabber 2. 5m m1975a or grabber m1985a icu snap 2. 5m m1977a icu grabber m1986a set combiners and organizers set combiners and organizers part no. set combiner 3 - electrode m1501a 5 - electrode m1502a set organizer shielded 3 - electrode m1503a shielded 5 - electrode m1504a bedsheet clip m1509a 384 nbp accessories 37 accessories nbp accessories these cuffs and tubings are designed to have special protection against electric shocks ( particularly regarding allowable leakage currents ), and are defibrillator proof. you can use them during electrosurgery. adult / pediatric multi - patient comfort cuffs and disposable cuffs patient category limb circumference bladder width disposable cuff part no. reusable cuff part no. tubing adult ( thigh ) 42 to 54 cm 20 cm m1879a m1576a m1598b ( 1. 5m ) or m1599b ( 3m ) large adult 34 to 43 cm 16 cm m1878a m1575a adult 27 to 35 cm 13 cm m1877a m1574a small adult 20. 5 to 28 cm 10. 5 cm m1876a m1573a pediatric 14 to 21. 5 cm 8 cm m1875a m1572a infant 10 to 15 cm 5. 5 cm m1874a m1571a reusable cuff kits cuff kits part no. infant, pediatric, small adult, adult m1577a small adult, adult, large adult @topic:8


# # # issue - the electric bed was not returned to the correct floor. # # # impact - the incorrect location of the bed could have caused delays or confusion in patient care. # # # possible causes - the technician who transported the bed may have been given incorrect instructions. - the technician may have been unfamiliar with the layout of the hospital. - there may have been a communication error between the technician and the person who requested the bed to be moved. # # # recommendations - ensure that clear and accurate instructions are given to technicians when transporting equipment. - provide technicians with training on the layout of the hospital. - implement a system for tracking the location of equipment. @topic:9


# # # issue - cuff leaking # # # impact - inaccurate blood pressure measurements # # # possible causes - cuff is torn or damaged - cuff is not properly inflated - cuff is too small or too large for the patient's arm # # # recommendations - replace the cuff - ensure that the cuff is properly inflated - use the correct cuff size for the patient's arm @topic:3


# # # issue the bed, electric, huntleigh, contoura 360 is not adjusting properly. # # # impact the bed cannot be adjusted to the desired position, which can be uncomfortable for the patient and make it difficult for the caregiver to provide care. # # # possible causes - the control box is not functioning properly. - the control panel is not communicating with the motor. - the motor is not functioning properly. - the bed frame is damaged. # # # recommendations - replace the control box. - check the connections between the control panel and the motor. - replace the motor. - inspect the bed frame for damage. @topic:1


# # # issue the exact issue with the medical device is not specified in the given input. # # # impact the impact of the issue is not known. it is possible that the device is not functioning properly, which could have a negative impact on patient care. # # # possible causes the input suggests that the device is currently on loan to another department ( 5c ). it is possible that the device was damaged while on loan or that it is not being used properly. # # # recommendations the technician should investigate the issue further to determine the exact cause of failure. once the cause of failure is known, the technician can make recommendations for repairs or replacement. @topic:12


# # # issue - the bedside physiologic monitor is displaying a distorted image on its screen. # # # impact - inability to accurately monitor patient's vital signs. # # # possible causes - * * faulty display : * * the display panel may be damaged or malfunctioning, causing the distorted image. - * * loose or damaged internal wiring : * * loose or damaged connections within the monitor can disrupt the transmission of signals, resulting in visual distortions. - * * software glitch : * * software errors or bugs can affect the monitor's functionality and cause display issues. # # # recommendations - * * inspect display panel : * * check for physical damage or loose connections. - * * examine internal wiring : * * ensure that all internal cables and connectors are securely fastened and undamaged. - * * update software : * * if available, install the latest software updates to address potential software - related issues. - * * contact manufacturer : * * if the issue persists after troubleshooting, contact the manufacturer for technical support. @topic:2


# # # issue - unable to use the bed due to a dead battery. # # # impact - patient care may be delayed or compromised. - staff may have to manually adjust the bed, which is time - consuming and inefficient. # # # possible causes - the backup battery was not replaced when the primary battery died. - the backup battery is not functioning correctly. - the battery terminals are corroded or loose. # # # recommendations - replace the backup battery. - ensure that the battery terminals are clean and tight. - test the bed to ensure that it is functioning properly. @topic:9


# # # issue - the bed is not able to be adjusted up or down. # # # impact - the patient may not be able to get in or out of bed. - the patient may not be able to be positioned comfortably. # # # possible causes - the motor or gear that moves the bed may be broken. - the electrical system may be malfunctioning. - the control panel may be damaged. - the battery may be dead. # # # recommendations - inspect the motor, gear, and electrical system for any damage. - check the control panel for any loose connections or damage. - replace the battery if it is dead. - if the problem cannot be identified, contact the manufacturer for assistance. @topic:1


# # # issue * * * equipment : * * bed, electric * * * band : * * stiegelmeyer * * * model : * * seta em4 * * * description : * * bme inspected the equipment and found that the bed guard was broken, so they used spare parts from a decommissioned unit to replace it. after testing, the equipment was working normally. * * * cause of failure : * * bed guard broken # # # impact using a spare part from a decommissioned unit may compromise the overall safety and reliability of the equipment. # # # possible causes * mechanical damage due to improper handling or use * corrosion or wear over time * poor maintenance or lack of regular inspections # # # recommendations * replace the broken bed guard with a new one from the original manufacturer. * regularly inspect and maintain the equipment to prevent future failures. * ensure that spare parts are sourced from reputable suppliers and are compatible with the equipment model. * consider implementing a preventive maintenance program to identify and address potential issues before they lead to failures. @topic:9


* * issue : * * * missing blood pressure ( bp ) cuff from the patient transport monitor. * * impact : * * * the monitor cannot be used to measure patient's blood pressure, potentially compromising patient care. * * possible causes : * * * the cuff was misplaced or lost during transport. * the cuff was borrowed by another department without proper documentation. * the cuff is damaged or malfunctioning. * * recommendations : * * * train staff on the importance of keeping medical devices complete and in good condition. * implement a system for tracking and inventorying medical equipment. * regularly inspect medical devices for missing or damaged components. * establish protocols for borrowing equipment between departments, including documentation and return deadlines. @topic:5


# # # issue - ecg has interfere # # # impact - inaccurate ecg readings - delayed diagnosis and treatment - patient discomfort # # # possible causes - loose or damaged ecg leads - faulty ecg sensor - electrical interference from other medical devices - patient movement # # # recommendations - inspect and tighten all ecg leads - replace faulty ecg sensor - move the patient away from other medical devices - instruct the patient to remain still during ecg recording @topic:18


# # # issue - spo2 signal is not displayed, showing " spo2 searching " # # # impact - patient's spo2 level cannot be monitored accurately, which can lead to delayed or missed detection of critical conditions. # # # possible causes - faulty spo2 cable # # # recommendations - replace the spo2 cable with a new one. @topic:4


# # # issue - the electric bed's motor is not functioning, preventing it from adjusting the leg height. # # # impact - the faulty bed restricts the patient's comfort and mobility, impeding their overall well - being and recovery. # # # possible causes - * * overload : * * excessive weight or improper use of the bed may have strained the motor, leading to its failure. - * * electrical fault : * * a short circuit or loose connection within the motor or its wiring could have caused the malfunction. - * * wear and tear : * * prolonged use over time may have resulted in mechanical wear on the motor components, reducing its functionality. # # # recommendations - * * inspection : * * thoroughly inspect the motor, wiring, and other components for any visible damage or loose connections. - * * electrical troubleshooting : * * use a multimeter to check for continuity and insulation in the motor and its wiring. - * * motor replacement : * * if the motor is found to be faulty, consider replacing it with a new one to restore the bed's functionality. - * * preventive maintenance : * * implement regular maintenance schedules to lubricate and inspect the bed's mechanical components, including the motor, to minimize wear and extend its lifespan. @topic:1


# # # issue knob came off. # # # impact monitor cannot be used to monitor patient's physiologic parameters. # # # possible causes - knob was not tightened properly during assembly. - knob was damaged during use. - knob was not seated properly on the shaft. # # # recommendations - ensure that the knob is tightened properly during assembly. - inspect the knob regularly for damage. - ensure that the knob is seated properly on the shaft. @topic:12


# # # issue - electric bed is not adjustable at the foot end. # # # impact - the patient's comfort and mobility may be compromised. if the foot end of the bed cannot be raised or lowered, it may be difficult for the patient to get in or out of bed, or to position themselves comfortably. - it may be difficult to perform certain medical procedures, such as taking blood pressure or administering medication. # # # possible causes - delay ( a type of electrical component ) has failed. - motor has failed - control panel has failed - wiring has become loose or damaged. # # # recommendations - inspect the delay and replace if necessary - replace the motor if faulty. - inspect the control panel and replace if necessary. - check and tighten wiring connections. - ensure that the bed is properly grounded. - have the bed serviced by a qualified technician. @topic:1


# # # issue - blood pressure ( bp ) readings are intermittently getting stuck or freezing on the propaq lt monitor. # # # impact - this can lead to inaccurate bp readings, which could have serious consequences for patient care. # # # possible causes - faulty cuff or cuff connection - faulty monitor or internal components # # # recommendations - replace the cuff and connection - test the monitor with a different cuff and connection - if the problem persists, the monitor may need to be replaced or repaired by a qualified technician @topic:14


# # # issue - the cardiac output unit's display is not working. # # # impact - the cardiac output unit cannot be used to monitor the patient's cardiac output. # # # possible causes - the display may be faulty. - the connection between the display and the cardiac output unit may be loose or damaged. - the power supply to the display may be interrupted. # # # recommendations - inspect the display for any damage or loose connections. - check the power supply to the display. - if the display is damaged or the power supply is interrupted, replace the display or repair the power supply. @topic:2


* * issue : * * display on lcd monitor shows a yellow tint. * * impact : * * affects accurate visualization of patient data and medical images. * * possible causes : * * * * * faulty color calibration : * * the r, g, b balance in the monitor's settings may not be properly calibrated, resulting in a yellow tint. * * * damaged or aged display panel : * * the lcd panel itself may be malfunctioning or degrading over time, causing an imbalance in color reproduction. * * * external interference : * * electromagnetic interference from nearby devices or electrical components can affect the color balance of the monitor. * * * inconsistent or unstable power supply : * * fluctuations in voltage or frequency can cause color distortion in lcd monitors. * * * software or driver issues : * * outdated or corrupted software or drivers can disrupt the monitor's functionality, including color reproduction. * * recommendations : * * * * * recalibrate the monitor : * * adjust the r, g, b settings using the monitor's color calibration tools. * * * inspect and replace display panel : * * if recalibration does not resolve the issue, the display panel may need to be inspected for damage or replaced. * * * check for external interference : * * identify and eliminate sources of electromagnetic interference in the vicinity of the monitor. * * * ensure stable power supply : * * use a voltage regulator or surge protector to ensure a consistent power supply to the monitor. * * * update software and drivers : * * keep the monitor's software and drivers up to date to prevent compatibility issues and potential color distortions. * * * contact technical support : * * if the problem persists after troubleshooting, consider contacting the manufacturer or a qualified technician for further assistance. @topic:2


# # # issue * * - * * the physiologic monitor ( intellivue mp70 ) is not providing accurate readings. # # # impact * * - * * inability to accurately monitor vital patient parameters, such as heart rate, blood pressure, and oxygen saturation. * * - * * potential delays in diagnosis and treatment, which can impact patient outcomes. # # # possible causes * * - * * * * faulty sensor : * * the sensor used to measure the patient's vital parameters may be defective or damaged, leading to inaccurate readings. * * - * * * * electrical issues : * * there may be a loose connection or malfunction in the electrical wiring of the device, which can interfere with its ability to function properly. * * - * * * * software glitch : * * the software running the device may contain a bug or error that is causing it to malfunction. * * - * * * * environmental interference : * * the device may be exposed to electromagnetic interference or other environmental factors that can affect its performance. # # # recommendations * * - * * * * verify sensor integrity : * * ensure that the sensor is properly connected and not damaged. if necessary, replace the sensor with a known - good one. * * - * * * * inspect electrical connections : * * check all electrical connections to the device to ensure that they are secure and free of damage. tighten any loose connections. * * - * * * * update software : * * if available, update the software on the device to the latest version to address any known bugs or issues. * * - * * * * minimize environmental interference : * * if possible, move the device to a location with less electromagnetic interference. consider using shielded cables or grounding the device to reduce noise. * * - * * * * contact the manufacturer : * * @topic:20


# # # issue - oxygen saturation ( spo2 ) readings from the patient monitor are inconsistent. # # # impact - inaccurate spo2 readings can lead to delayed or incorrect treatment decisions. # # # possible causes - faulty oxygen saturation sensor or cable - interference from other medical devices - patient movement or improper positioning - low battery in the patient monitor # # # recommendations - replace the oxygen saturation sensor or cable. - check for any other medical devices that may be interfering with the patient monitor. - ensure that the patient is properly positioned and not moving excessively. - replace the batteries in the patient monitor if they are low. @topic:4


# # # issue - unresponsive display # # # impact - inability to monitor patient vitals # # # possible causes - faulty display unit - loose or damaged lan cable - software glitch # # # recommendations - inspect the display unit for any physical damage or loose connections. - replace the lan cable if necessary. - perform a software update or restart the device. - contact the manufacturer for further troubleshooting assistance. @topic:2


. check mouse device inop tone. monitor perform a visual and functional check of the mouse input device. contact your service personnel. check msl voltage inop tone monitor / multi - measuremt module there is a problem with the voltage of the measurement link ( msl ). contact your service personnel. 82 technical alarm messages ( inops ) 4 patient alarms and inops inop message, indication source what to do check network conf inop tone monitor the monitor is receiving network topology information from more than one source, e. g. the database server and an application server. contact your service personnel. check nurse relay inop tone monitor there is a problem with the connection to the nurse relay. contact your service personnel.!! check pairing inop tone monitor there is a problem with device pairing. check that the monitor and telemetry device are correctly paired. check screen res inop tone monitor the screen you have selected uses a resolution which is not supported by the display. the monitor will show a generic screen instead until you select a different screen. contact your service personnel if you want the screen deleted from the profile ( s ) to avoid this in future. check settings inop tone monitor if this inop appears, check the monitor and patient settings before you resume monitoring. if the settings are unexpected, there may be a problem with the monitor software. contact your service personnel. check speedpoint inop tone. monitor perform a visual and functional check of the speedpoint input device. contact your service personnel. check touch input inop tone monitor perform a visual and functional check of the touch input device. contact your service personnel. check waves inop tone monitor the options purchased with this monitor may not support the number of waves required to show the selected screen, so some waves or high resolution trends are missing from the screen. select a different screen with fewer waves. contact your service personnel if you want the @topic:22


# # # issue - oxygen saturation ( spo2 ) readings are inaccurate or unavailable. # # # impact - delayed or incorrect diagnosis and treatment of respiratory conditions. # # # possible causes - disconnected or damaged spo2 sensor cable. - interference from external light sources. - movement or vibration of the patient's finger. - nail polish or other obstructions on the patient's finger. # # # recommendations - check the spo2 sensor cable for breaks or damage and replace if necessary. - ensure that the sensor is properly placed on the patient's fingertip and that there is no interference from external light sources. - minimize movement or vibration of the patient's finger during the spo2 measurement. - remove any nail polish or other obstructions from the patient's finger. @topic:4


all alarms switched on are active. 59 6 ecg, arrhythmia, st and qt monitoring lead fallback triggers an automatic arrhythmia relearn. warning if arrhythmia learning takes place during ventricular rhythm, the ectopics may be incorrectly learned as he normal qrs complex. this may result in missed detection of subsequent events of v - tach and v - ib. or this reason you should : take care to initiate arrhythmia relearning only during periods of predominantly normal rhythm and when the ecg signal is relatively noise - free • be aware that arrhythmia relearning can happen automatically • respond to any inop messages ( for example, if you are prompted to reconnect electrodes ) • be aware that a disconnected easi electrode triggers an arrhythmia relearn on all leads always ensure that the arrhythmia algorithm is labeling beats correctly.. arrhythmia alarms can be switched on and off and the alarm settings changed just like other measurement alarms, as described in the alarms section. special alarm features which apply only to e. the different alarms detected and generated by the monitor depend on the level of arrhythmia analysis that is enabled. for a complete list of arrhythmia alarms and inops, see the " alarms " chapter. the monitor detects arrhythmia alarm conditions by comparing ecg data to a set of pre - defined criteria. an alarm can be triggered by a rate exceeding a threshold ( for example, hr > xx ), an abnormal rhythm ( for example, ventricular bigeminy ), or an ectopic event ( for example, pair pvcs ). yellow arrhythmia alarms yellow arrhythmia alarms are short yellow alarms specific to arrhyt @topic:8


# # # issue - blood pressure ( bp ) cuff not inflating # # # impact - inaccurate blood pressure readings - potential delays in patient care # # # possible causes - air hose kinked or folded - air leak in the bp cuff or tubing - faulty bp cuff or tubing - malfunctioning bp monitor # # # recommendations - inspect the air hose for kinks or folds and straighten as needed. - check for air leaks by listening for hissing sounds or using a stethoscope. - replace the bp cuff or tubing if damaged or leaking. - reset or restart the bp monitor and recalibrate if necessary. - contact the manufacturer or a qualified technician for further assistance if the issue persists. @topic:3


# # # issue : broken blood pressure ( bp ) line # # # impact : - inability to accurately monitor patient's blood pressure # # # possible causes : 1. physical damage to the bp line 2. kinking or occlusion of the bp line 3. faulty connection at the bp cuff or monitor # # # recommendations : 1. replace the damaged bp line 2. ensure that the bp line is not kinked or occluded 3. check the connections at the bp cuff and monitor to ensure they are secure 4. if the issue persists, consult with the manufacturer or a qualified biomedical engineer for further troubleshooting @topic:14


# # # issue - bed is not adjusting. # # # impact - patient safety and comfort may be compromised due to inability to adjust bed height, position, or angle. - medical staff may experience difficulty in providing proper care to the patient. # # # possible causes - mechanical failure of bed motor, actuators, or control mechanisms. - electrical failure of relays, diodes, or wiring. - software malfunction or hardware issues with the bed controller. # # # recommendations - * * 1. inspect and test electrical components : * * check for loose connections, damaged wires, and faulty electrical components such as relays and diodes. replace any damaged components as needed. - * * 2. troubleshoot mechanical issues : * * inspect motors, actuators, and other mechanical parts for blockages, wear and tear, or alignment problems. lubricate and adjust components as necessary. - * * 3. verify software and controller functionality : * * ensure that the software and controller are up - to - date and functioning properly. reset the controller if necessary and reconfigure any settings that may have been altered. - * * 4. monitor bed performance : * * after repairs, observe the bed's performance and adjust any settings as needed to ensure optimal functionality and patient comfort. @topic:1


patient data ” on page 4 - 37. the speaker is faulty. replace the speaker. see “ replacing the speaker ” on page 5 - 15. clear the error message by performing the speaker test. see “ testing the speaker ” on page 4 - 31. audible alarms do not sound. the monitor is in audio pause mode or audio off mode. confirm that audio alarms are enabled. the connection to the speaker is faulty. ensure that the connection to the speaker is correct. the speaker is faulty. replace the speaker. see “ replacing the speaker ” on page 5 - 15. the main board malfunctioned. replace the main board. see “ replacing the main board ” on page 5 - 22. troubleshooting suresigns vs2 * and vsi service guide 4 - 7 troubleshooting tables nbp problems symptom possible cause action the nbp cuff does not inflate. the tube or cuff is bent or twisted. straighten the tube or cuff. the tube or cuff is leaking air. replace the cuff and ensure that there is no air leakage in the tube. the nbp module malfunctioned. replace the nbp module. see “ removing the nbp module ” on page 5 - 15. replace the main board. see “ replacing the main board ” on page 5 - 22. nbp measurements are not displayed. wrong cuff size or incorrect cuff placement. use the correct cuff size and ensure proper cuff placement. the tube is bent or twisted or there is air leakage in the air tube or cuff. ensure that the tube is straight and not kinked. replace the cuff and ensure that there is no air leakage in the tube. a problem external to the monitor occurred. ensure that all external blood pressure reading requirements are met and that the patient is not moving excessively. for more information about taking nbp measurements @topic:15


# # # issue - battery failure # # # impact - inability to use the device effectively - potential patient harm if the device is used without a functioning battery # # # possible causes - battery reached the end of its lifespan - battery not properly maintained - battery damaged due to physical trauma or environmental factors # # # recommendations - replace the battery with a new one - ensure that the battery is properly maintained according to the manufacturer's instructions - handle the device with care to avoid damaging the battery @topic:11


# # # issue - ekg lead failure # # # impact - inability to monitor the patient's ecg # # # possible causes - broken or damaged ekg lead - loose connection between the ekg lead and the monitor - faulty ekg monitor # # # recommendations - inspect the ekg lead for any visible damage or breaks. - reseat the ekg lead into the monitor. - test the ekg monitor with a different ekg lead. - if the problem persists, contact the manufacturer for service. @topic:18


# # # issue - inability to obtain accurate oxygen saturation ( spo2 ) measurements. # # # impact - compromised patient monitoring and decision - making. - potential for underestimation or overestimation of oxygenation status, leading to delayed or inappropriate interventions. # # # possible causes - * * spo2 sensor failure : * * - deterioration of the sensor cable or probe - malfunction of the sensor's internal components # # # recommendations - * * equipment inspection : * * - inspect the spo2 sensor cable and probe for visible damage, such as tears or kinks. - check the sensor's connections to ensure they are secure. - * * sensor replacement : * * - if any damage is found, or if the sensor has been in use for an extended period, replace the sensor with a new one. - * * calibration verification : * * - once the new sensor is installed, perform a calibration verification to ensure accurate readings. - * * regular maintenance : * * - follow the manufacturer's recommended maintenance schedule for the spo2 sensor, including periodic replacement and cleaning. - * * environmental monitoring : * * - ensure that the environment where the spo2 sensor is used is free from excessive moisture, dust, or other contaminants that could interfere with the sensor's performance. @topic:4


# # # issue - cuff leak # # # impact - inaccurate vital sign readings - potential harm to patient if incorrect readings lead to improper treatment # # # possible causes - worn cuff - damage to cuff - improper connection between cuff and monitor # # # recommendations - replace cuff - inspect cuff for damage - ensure proper connection between cuff and monitor - calibrate monitor according to manufacturer's instructions @topic:5


# # # issue - cuff of nibp monitor is torn. # # # impact - inaccurate or inability to measure blood pressure. # # # possible causes - prolonged use without proper maintenance. - accidental damage or mishandling. - material defects or wear and tear. # # # recommendations - regular inspection and maintenance of the nibp monitor and its components, including the cuff. - proper storage and handling of the equipment to prevent damage. - use a cuff that is appropriate for the patient's size and condition. - replace the cuff if it shows signs of excessive wear or damage. - train staff on proper use and maintenance of the nibp monitor. @topic:15


# # # issue - broken electrical plug pin on the vital signs monitor ( philips suresigns vs4 ). # # # impact - the monitor may not function correctly or may not be able to power on. - interruption of patient monitoring and potential adverse patient outcomes. # # # possible causes - * * physical damage : * * damage to the plug or cord due to mishandling, such as dropping or pulling. - * * electrical failure : * * faulty wiring or a short circuit in the plug or cord. - * * corrosion : * * exposure to moisture or other corrosive substances. - * * wear and tear : * * prolonged use and repeated insertions and removals can weaken the plug. # # # recommendations - * * inspection : * * thoroughly inspect the plug and cord for any visible damage, corrosion, or loose connections. - * * replacement : * * if the plug or cord is damaged beyond repair, replace it with a new one. - * * preventive maintenance : * * regularly inspect and test the monitor and its accessories to prevent future failures. - * * training : * * ensure staff are properly trained on the correct handling and maintenance of medical equipment. - * * environmental control : * * keep the monitor and its accessories in a clean, dry environment to minimize the risk of corrosion. - * * use of surge protectors : * * install surge protectors to protect against voltage spikes that can damage electrical components. @topic:2


) nbp equip malfunc ( 109 ) unable to write nbp configuration data to non - volatile memory. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 110 ) nbp equip malfunc ( 110 ) unable to write nbp configuration data to non - volatile memory. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 111 ) nbp equip malfunc ( 111 ) calibration data checksum error. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 112 ) nbp equip malfunc ( 112 ) unable to write calibration data to non - volatile memory. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 113 ) nbp equip malfunc ( 113 ) unable to verify calibration data written to non - volatile memory. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 114 ) nbp equip malfunc ( @topic:22


# # # issue - disconnect caused pressure leak on device # # # impact - patient may not get accurate nibp reading, leading to delayed diagnosis and treatment. # # # possible causes - damaged or faulty connector - inappropriate connection of the connector - excessive force applied to the connector # # # recommendations - inspect and replace damaged connectors. - ensure proper alignment and connection of connectors. - handle connectors with care and avoid excessive force. @topic:15


( see “ removing the battery ” on page 8 - 4 ). 3. remove one torx t10 screw from the temperature module. 4. remove three torx t10 screws and washers from the bottom of the rear cover. 8 - 8 repairing the monitor repairing the monitor without disassembly 5. pull the module away from the rear of the monitor case and disconnect the temperature connector attached to the front end pcb. removing the suresigns vm8 c0 2 module to remove the c0 2 module : 1. remove the ac cord from the rear of the monitor. 2. remove the battery from the monitor ( see “ removing the battery ” on page 8 - 4 ). 3. remove four torx t10 screws and washers from the coo module cover ( 3 bottom, one top ). repairing the monitor 8 - 9 disassembling the monitor for repairs disassembling the monitor for repairs this section describes how to disassemble the monitor in order to replace internal parts. separating the front and rear case assemblies in order to open the monitor to install internal replacement parts, you must first separate the front and rear case assemblies. to separate the front and rear case assemblies : 1. disconnect the ac power cable from the back of the monitor. 2. remove the battery from the monitor ( see “ removing the battery ” on page 8 - 4 ). 3. remove any lines from the patient monitoring and communication connectors. warning the metal edges on the inside of the front case assembly are sharp. use extreme caution when handling the separated monitor assemblies. 8 - 10 repairing the monitor disassembling the monitor for repairs 4. tip the monitor and remove the four torx t20 screws ( two top, two bottom ) holding together the front and rear case assemblies. repairing the monitor 8 - 11 disas @topic:19


# # # issue : electrical short circuit # # # impact : malfunction of the bed, potential safety hazard # # # possible causes : * damage to the power cord or electrical wiring inside the bed * loose connections or damaged electrical components * external factors, such as liquid spills or physical impact # # # recommendations : * inspect the power cord and electrical wiring for any visible damage or loose connections. * check the electrical components inside the bed for any loose connections or damage. * test the bed's electrical system to ensure proper functionality. * ensure that the bed is used in a safe and appropriate environment, free from excessive moisture or physical impact. * provide regular maintenance and inspections to prevent future issues. @topic:9


# # # issue - malfunctioning electric bed ( huntleigh contoura 390 ) in room 21. # # # impact - limited patient mobility and comfort. - potential safety hazard for patients and staff. # # # possible causes - faulty electrical components ( e. g., wiring, motor ). - mechanical issues ( e. g., broken or loose parts ). - user error ( e. g., incorrect operation or maintenance ). # # # recommendations - * * immediate actions : * * - remove patients from the bed and relocate them to a safe location. - isolate the bed and disconnect it from the power source. - * * investigation and resolution : * * - inspect the bed thoroughly for any visible damage or loose connections. - use diagnostic tools to identify specific electrical or mechanical faults. - consult the manufacturer's service manual or contact a qualified technician for guidance. - * * corrective actions : * * - replace or repair faulty components as necessary. - adjust or tighten loose parts to ensure proper operation. - train staff on correct operation and maintenance procedures. - * * preventive measures : * * - implement a regular maintenance schedule for all medical equipment. - encourage staff to report any concerns or issues promptly. - consider investing in remote monitoring systems to detect potential problems before they escalate. @topic:9


# # # issue - headboard lock failure # # # impact - impaired patient safety and comfort # # # possible causes - worn or damaged rubber locking boots # # # recommendations - replace the rubber locking boots @topic:6