the bed is used in this environment. iec 60601 severity compliance portable and mobile rf communications equipment must not be used at a distance, including the cables, from the hill - [UNK] 900 that is less than the recommended separation distance. this distance is calculated using the formulae applicable according to the frequency of the transmitter. conducted rf iec 61000 - 4 - 6 3 v recommended separation distance √√ / p 3 vrms 150 khz to 80 mhz radiated rf iec 61000 - 4 - 3 v / m 3 v / m d = 1, 16√√p 80 mhz to 800 mhz d = 2, 23 √√p 800 mhz to 2. 5 ghz where p is the maximum output power of the transmitter in watts ( w ) assigned by the manufacturer of the transmitter and d is the recommended separation distance in meters ( m ). the field levels emitted by fixed rf transmitters, as determined by an electromagnetic measurement of the site, must be below the level of compliance in each frequency band. interference may occur close to devices identified with the following symbol : 80 mhz to 2. 5 ghz note 1 : at 80 mhz and 800 mhz, the separating distance in the upper frequency band applies. note 2 : these recommendations may not apply to certain situations. the propagation of electromagnetic waves is affected by absorption and reflection due to structures, objects and persons. a. the field levels of fixed transmitters, such as radio telephone bases ( cell / wireless ) and terrestrial mobile radios, amateur radios and am, fm and tv communication radios cannot be theoretically evaluated precisely. site measurements are required in order to obtain the electromagnetic environment due to fixed rf transmitters. if the field level measured in the working environment of the hill - [UNK] 900 is greater than the above applicable levels of compliance, the operation of the hill - [UNK] 900 must be checked. if any anomalies are detected, additional measures must be taken, such as redirecting or @topic:10


# # # issue - faulty spo2 cable # # # impact - inaccurate or unreliable pulse oximetry readings - potential patient harm due to incorrect medical decision - making # # # possible causes - physical damage to the cable, such as cuts or tears - electrical malfunction within the cable - compatibility issues between the cable and the monitoring device - age or wear and tear of the cable # # # recommendations to prevent similar failures in the future, the following recommendations should be implemented : - regularly inspect spo2 cables for any signs of damage or wear. - replace damaged or worn cables promptly. - ensure compatibility between spo2 cables and monitoring devices. - consider using high - quality, durable spo2 cables that are designed for extended use in healthcare settings. - implement a regular maintenance and testing schedule for spo2 cables to ensure their proper functionality. @topic:4


# # # issue - unlocked bed frame # # # impact - patient safety hazard - discomfort for patient - inability to use bed for medical procedures # # # possible causes - worn or damaged locking mechanism - improper assembly or maintenance - excessive force applied to the bed frame # # # recommendations - inspect the locking mechanism for damage or wear - ensure proper assembly and maintenance of the bed frame - train staff on proper use and handling of the bed frame - regularly monitor and service the bed frame to prevent future failures @topic:6


# # # * * issue : * * medical cart equipment failure due to power issues. # # # * * impact : * * the equipment is not operational, potentially impacting patient care and workflow. * * possible causes : * * * * 1. power supply issues : * * - faulty power cord or outlet - loose connections within the equipment - electrical surges or power outages * * 2. battery failure : * * - dead or depleted battery - battery not properly connected or charged * * 3. power management system malfunction : * * - circuit board or component failure - software bugs or glitches # # # * * recommendations : * * * * 1. inspect power supply : * * - ensure the power cord is securely plugged into a working outlet. - check for any loose connections or damage to the cord. - try using a different outlet or power source. * * 2. test battery : * * - if the equipment uses a battery, remove and inspect it. - clean any corrosion on the terminals and ensure it is securely reconnected. - if possible, charge the battery using the recommended charger. * * 3. troubleshooting : * * - refer to the equipment manual for specific troubleshooting steps. - check for any visible damage or loose components. - if possible, perform a factory reset or software update. * * 4. contact manufacturer : * * - if the above steps do not resolve the issue, contact the equipment manufacturer for support. - provide detailed information about the failure, including any error messages or observations. @topic:13


# # # issue - unable to operate xds program on the intellivue x2 ( m3002a ) monitor. # # # impact - inability to access and interpret patient data. - delays in patient monitoring and treatment. - potential risk to patient safety. # # # possible causes - corrupted xds software installation. - hardware malfunction within the monitor. - software conflict with other installed programs on the monitor. # # # recommendations - * * verify software integrity : * * re - install the xds software and ensure its compatibility with the monitor model and operating system. - * * run diagnostics : * * perform diagnostic tests on the monitor's hardware to identify any potential malfunctions. - * * check software compatibility : * * confirm that there are no other conflicting software programs installed on the monitor that may be interfering with xds functionality. - * * contact manufacturer : * * consult with the manufacturer of the monitor for technical support and troubleshooting guidance. - * * consider hardware replacement : * * if all software troubleshooting fails, consider replacing the monitor if hardware issues are suspected. @topic:2


# # # issue - cuff of the vital signs monitor is damaged. # # # impact - inability to accurately measure blood pressure. - incorrect or unreliable patient data. # # # possible causes - wear and tear from repeated use. - improper storage or handling. - cuff not properly attached or inflated. # # # recommendations - replace damaged cuff. - ensure cuff is properly attached and inflated before use. - regularly inspect and maintain equipment to prevent future damage. @topic:5


# # # issue - battery not charging # # # impact - the medical cart may not be able to be used if the battery is not charging. # # # possible causes - faulty battery - faulty charger - faulty connection between the battery and the charger - user error # # # recommendations - check the battery and charger for any damage. - try using a different charger. - check the connection between the battery and the charger. - ensure that the user is following the correct charging procedures. @topic:13


# # # issue - broken ac power cord plug # # # impact - medical device is inoperable # # # possible causes - wear and tear - physical damage - faulty manufacturing # # # recommendations - replace the ac power cord - inspect the power cord regularly for any damage - ensure that the power cord is not placed in a high - traffic area where it could be damaged - train staff on the proper handling of medical devices @topic:12


# # # issue - medical cart's program is showing - 1 % battery. # # # impact - the medical cart may not be able to function properly or may shut down unexpectedly. # # # possible causes - the medical cart's battery may be malfunctioning. - the medical cart's software may be corrupted. - the medical cart may be experiencing a hardware issue. # # # recommendations - restart the medical cart. - check the medical cart's battery connections. - update the medical cart's software. - contact the medical cart manufacturer for support. @topic:13


# # # issue - lead wire failure # # # impact - inaccurate patient monitoring data - potential for patient harm # # # possible causes - physical damage to the lead wire, such as a cut or pinch - electrical fault in the lead wire - corrosion or oxidation of the lead wire # # # recommendations - inspect the lead wire for any signs of physical damage. - test the lead wire with a multimeter to check for electrical continuity. - clean the lead wire with an appropriate cleaner to remove any corrosion or oxidation. - replace the lead wire if it is damaged or faulty. @topic:18


* * issue : * * cannot connect * * impact : * * the medical cart is unable to be used, which can delay patient care. * * possible causes : * * * the cable is loose or damaged. * the port on the medical cart or the device is damaged. * the software on the medical cart or the device is not compatible. * * recommendations : * * * check the cable connections and make sure they are secure. * inspect the cable for any damage. * check the ports on the medical cart and the device for any damage. * update the software on the medical cart and the device to the latest version. @topic:13


patients properly so that you can identify your patient on recordings, reports, and networked devices. during admission you enter data that the monitor needs for safe and accurate operation. for example, the patient category setting determines the algorithm the monitor uses to process and calculate some measurements, the safety limits that apply for some measurements, and the alarm limit ranges. note it is strongly recommended that the same patient data fields be configured to be mandatory at the monitor and the information center. when no patient is admitted o admit a patient1 select the patient name field or select the patient demogr. smartkey to open the patient 2 select admit patient. 106 5 managing patients and equipment the enter patient demographics window appears. you can enter data as normal, using the keyboard or a barcode scanner, or, with piic ix, use the find patient key to search for patient data in connected systems as described in " using " find patient " to search for patient data " on enter the patient information : select each field and use the keyboard or barcode scanner or choose from the pop - up list of alternatives to input information. 3 piic ix when you enter data, the information center will automatically check for corresponding data and will i suggest an appropriate action based on what it finds. you can select confirm to accept the ct it. last name : enter the patient's last name ( family name ). first name : enter the patient's first name. middle name ( if configured to appear ) : enter the patient's middle name. lifetime id, encounter id : whether these fields appear and how they are labeled can be configured for your hospital. one or both fields may be displayed and the labels may read : mrn, case id, visit number, or other alternatives. enter the appropriate data for the fields displayed. patient cat. : choose the patient category, either adult, pedi, or neo. paced mode : choose @topic:10


##2 273, 274, 441 inop 59 so / iec standard trunk cables 419, 422 limit, spo2 479 status messages 157 active alarms 59 nbp source 209 address, philips 444 patient messages 75 ing 64 understanding the display 156 523 calibration 210, 219, 273, 274, 276 impedanbp 210 monitoring setup 286 numerics 206 pressure transdusvo2 light intensity 274 n / off 290 ultiple 16svo2, pre - insertion 273 calibration status indicators ( c. o ) 232 safety information 152, 188, 239 ng rate 290 pvc - related alarms 164. sinus and sv rhythm ranges 478, 479 switching on / off 70 timeout periods 161 arrhythmia monitoring 152 window 68 mainstream 25 blood pressure. see also nbp ( non - invasive ) or press ( invasive ) 203 bsa formula ( trends ) 328 icrostream 25 and defibrillation 152 carbon dioxide, see co2 241, 255 arrhythmia options 149 arrhythmia relearning 145 buffer ( eeg ) on reports 284 cardiac output 225, 378 buffer ( eeg ) on screen 282 how the measurement workwith easi inop 145 c arterial catheter constant ( picco ) 230 cardiac overlay 185, 187 rterial pressure source 22and resp detection modes 187 when measuring resp 185 cardiotach alarms 149. i. 22arterial pulsation 19c. o. 225 accessories 242, 256 arterial values 263 calibrating measurements ( picco ) 232 curve alert messages 236 documenting measurements 235 editing measurements ( picco ) 232 editing measurements ( rh method ) 235 flow - through method 233 artifact suppression ( pressure ) 218 care groups 131 alarm notification 131 indow 131 aspect medical systems inc 445 atrial fibrillation and flutter 155 catheter 274 audible @topic:8


r - r interval < 1 / 3 numeric flashes, yellow alarm lamp, ible alarm compensatory pause of 1. 25 * ( the average r - r interval ), or two such vs without compensatory pause occurring within 5 minutes of each other. ( when hr 100, 1 / 3 r - r interval is too short for beat detection ) * rr hignumeric flashes and high limit ihighlighted, yellow alarm lamp, alarm tone the respiration rate has exceeded the high larm limit. resp * rr lothe respiration rate has dropped below the low numeric flashes and low limit is alarm limit. highlighted, yellow alarm lamp, alarm tone resp * run pvcs high ecg / arrhythmia a run of > 2 pvcs. numeric flashes, yellow alarm lamp, hort yellow audible alarm * * < so₂ label > high numeric flashes and high alarm limit is highlighted, yellow alarm lamp, alarm tone vo2 / sthe the measured intravascular oxygen saturation has exceeded the high limit. * * < so₂ label > low the measured intravascular oxygen saturation has fallen below the low limit. numeric flashes and low alarm limiis highlighted, yellow alarm lamp, alarm tone svo2 / so2 * * < spo2 label > high spo2 the arterial oxygen saturation has exceeded the numeric flashes and high limit is high alarm limit. highlighted, yellow alarm lamp, alarm tone the arterial oxygen saturation has fallen below numeric flashes and low limit ithe low alarm limit. highlighted, yellow alarm lamp, alarm tone * * < spo2 label > low spo2 numeric flashes, yellow alarm lampalarm tone * * st multi < n >, < n > two contiguous st leads < n > and < n > have exceeded elevation or depression limits for @topic:8


# # # issue electric bed is not adjusting. # # # impact patients may not be able to get in or out of bed, or may be uncomfortable if the bed is not in the correct position. # # # possible causes - loose plug in the control box - faulty motor - broken gears - damaged wiring # # # recommendations - check the plug in the control box and make sure it is secure. - if the plug is secure, test the motor by manually adjusting the bed. - if the motor is not working, check the gears and wiring for damage. - if the gears or wiring are damaged, replace them. @topic:1


# # # issue - cuff leakage # # # impact - inaccurate blood pressure readings # # # possible causes - damaged or worn cuff - loose or disconnected connections - faulty cuff valve - software or hardware malfunction # # # recommendations - replace the cuff with a new one - check and tighten all connections - inspect the cuff valve for damage - perform software and hardware diagnostics to rule out any malfunctions @topic:3


# # # issue - remote cord is disconnected. # # # impact - patient cannot adjust the bed position. # # # possible causes - the remote cord may have become disconnected due to : - wear and tear - accidental dislodgement - improper handling # # # recommendations - ensure that the remote cord is securely connected. - inspect the cord for any damage or loose connections. - replace the cord if necessary. - educate staff on proper handling of the bed and remote cord. @topic:7


surface : depending on the controls, press the key ( a ) and the required function a ( b ) or ( c ) at the same time, or directly press ( b ) or ( c ), release the button when the required angle is attained. this function can be used without a mains power supply thanks to the battery. electric emergency trendelenburg ( shock ) * 1 this function is mandatory for intensive care beds. hill - rom cpr to activate the emergency trendelenburg, press the yellow button and release the button when the required angle is reached. this function can be used without a mains power supply thanks to the battery. chair positionthe chair position * helps patients to recover by gradually returning to the vertical position without having to leave the bed.. 1 2 place sleep surface flat this function flattens the sleep surface and descends the bed into the lowered ing a single button. 1 2 bed exit aid * this function makes it easier for the patient to get out of the bed by raising the head section and flattening the thigh section by pressing a single button. mechanical adjustable foot section * the foot section can be placed in four different positions and is held in place by mechanical notches. to raise the foot section : click to lower the foot section : click patient helpers * * fixed patient helper - ad810a safe working load : 75 kg ( " ) do not position the patient helper at the outside of the bed. see incorrect position shown below. the patient helper can be fitted into either of the two square sockets at the head of the bed. incorrect position correct position safe working load : 75 kg ( " ) the adjustable patient helper can be placed in three positions. 1. the safe working load specifications for normal use allow for a substantial safety margin. 00 electric bed user manual patient helper positioning the patient helper in the patient transfer position is designed to @topic:9


# # # issue - remote control not functioning properly # # # impact - hinders patient care - delays treatment - frustration for healthcare professionals # # # possible causes - faulty remote control - malfunction of the bed's electrical system - software glitch in the bed's control unit # # # recommendations - check the remote control for physical damage or loose connections - test the bed's electrical system to ensure it is functioning properly - contact the manufacturer of the bed for technical support or to obtain a replacement remote control - update the software on the bed's control unit, if available @topic:7


# # # issue - solenoid stuck, preventing drawer from unlocking and opening # # # impact - drawer is inaccessible, potentially affecting patient care # # # possible causes - mechanical issue with solenoid - electrical issue with solenoid - contamination or debris interfering with solenoid operation # # # recommendations - inspect solenoid for any visible damage or debris - test solenoid continuity and resistance - clean solenoid contacts and lubricate moving parts - replace solenoid if necessary @topic:21


problem persists, replace the battery. see “ to remove the battery : ” on page 5 - 3. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 817 fpga fifo overrun nbp software error. informational message. no action required. 818 ( 2 ) nbp equip malfunc ( 2 ) nbp power - on self test failed because the a / d converter is inoperative, or the pressure transducer offset is too large. replace the nbp module. see “ removing the nbp module ” on page 5 - 15. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. troubleshooting 4 - 12 suresigns vs2 * and vsi service guide error codes code error message possible cause action 818 ( 15 ) nbp equip malfunc ( 15 ) nbp abnormal, unrecoverable system errors with internal firmware. replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 25 ) nbp equip malfunc ( 25 ) nbp hardware has malfunctioned because there is no data. replace the nbp module. see “ removing the nbp module ” on page 5 - 15. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 101 ) nbp equip malfunc ( 101 ) task overrun. 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. @topic:22


# # # issue - cuff of the bedside physiologic monitor is malfunctioning # # # impact - the faulty cuff may lead to inaccurate patient monitoring readings, which can impact patient safety and clinical decision - making. # # # possible causes - normal wear and tear of the cuff material over time - cuff being subjected to excessive pressure or tension during use - cuff not being properly maintained or calibrated # # # recommendations - replace the faulty cuff with a new one. - ensure proper maintenance and calibration of the monitor and cuff. - train staff on the proper handling and use of the monitor and cuff to prevent future damage. - consider implementing a regular inspection and maintenance schedule for the monitor and cuff to identify and address any potential issues early on. @topic:5


# # # issue - the electric bed ( huntleigh mb - acc73 ) is not adjustable. # # # impact - patients may not be able to be positioned comfortably or safely in the bed. - medical staff may have difficulty accessing patients and providing care. # # # possible causes - * * remote control failure * * : the remote control is responsible for sending signals to the bed to adjust its position. if the remote control is malfunctioning, the bed will not be able to adjust. - * * electrical issue * * : an electrical issue in the bed or the power supply can prevent the bed from adjusting. # # # recommendations - * * check the remote control * * : ensure that the remote control is powered on and that the batteries are fresh. try using a different remote control to rule out a problem with the remote itself. - * * inspect the electrical connections * * : check the power cord for damage and ensure that it is securely plugged into both the bed and the power outlet. inspect the electrical connections within the bed for any loose or damaged wires. - * * contact the manufacturer * * : if the issue cannot be resolved by troubleshooting, contact the manufacturer of the bed for further assistance. @topic:1


# # # issue - malfunctioning hi - low column # # # impact - patient safety compromised - patient discomfort - staff inconvenience # # # possible causes - * * loose or damaged connections : * * over time, the electrical connections between the hi - low column and other components can become loose or damaged, leading to intermittent or complete failure. - * * faulty motor or actuator : * * the motor or actuator responsible for raising and lowering the hi - low column may malfunction, either due to mechanical failure or electrical issues. - * * software glitches : * * the software that controls the hi - low column may encounter glitches or bugs that can cause it to behave erratically or fail altogether. - * * overloading : * * if the bed is overloaded beyond its weight capacity, it can put excessive strain on the hi - low column, resulting in damage or failure. # # # recommendations - * * inspect electrical connections : * * carefully examine all electrical connections related to the hi - low column, ensuring they are secure and free of damage. - * * test motor and actuator : * * use diagnostic tools to verify the proper functioning of the motor and actuator responsible for hi - low movements. if any abnormalities are detected, consider replacement. - * * update software : * * check for any software updates available for the bed control system. installing the latest updates can resolve software - related issues and improve functionality. - * * monitor weight limits : * * strictly adhere to the bed's weight capacity guidelines to prevent overloading and potential damage to the hi - low column. @topic:9


# # # issue the philips suresigns vs2 vital signs physiologic monitor has a detached fabric cuff due to damaged velcro. # # # impact the device cannot be used to accurately measure vital signs. # # # possible causes - the velcro on the cuff has become damaged over time. - the cuff has not been properly secured to the patient. - the device has been dropped or otherwise damaged. # # # recommendations - inspect the cuff for damage and replace if necessary. - ensure that the cuff is properly secured to the patient before use. - handle the device with care to avoid damage. @topic:5


* * issue : * * bed head does not adjust * * impact : * * patient discomfort, difficulty with patient care * * possible causes : * * 1. * * motor failure : * * the motor that powers the head adjustment mechanism has failed and needs to be replaced. 2. * * electrical fault : * * a loose connection or damaged wire in the electrical system is preventing power from reaching the motor. 3. * * mechanical problem : * * the head adjustment mechanism is damaged or obstructed, preventing the bed from moving. 4. * * control board malfunction : * * the control board that sends signals to the motor may be defective or damaged. 5. * * software glitch : * * a software glitch in the control system may be preventing the bed from responding to adjustment commands. * * recommendations : * * 1. * * inspect and troubleshoot the electrical system : * * ensure that all connections are secure and that there are no damaged wires. 2. * * test the motor : * * use a voltmeter or multimeter to check the motor's continuity and resistance. replace the motor if it is faulty. 3. * * examine the mechanical system : * * check for any obstructions or damage to the head adjustment mechanism. lubricate any moving parts as necessary. 4. * * diagnose the control board : * * use a diagnostic tool or consult a qualified technician to identify any issues with the control board. replace the board if necessary. 5. * * update software : * * if a software glitch is suspected, consult with the manufacturer or a qualified technician to obtain and install any necessary software updates. @topic:1


* * issue : * * cuff failure * * impact : * * inaccurate blood pressure readings, which could lead to incorrect treatment decisions. * * possible causes : * * * cuff size is incorrect for the patient. * cuff is old and worn, or has not been properly maintained. * cuff is damaged, such as a hole or tear. * cuff is not properly connected to the monitor. * * recommendations : * * * use the correct cuff size for the patient. * inspect the cuff regularly for wear and tear, and replace it if necessary. * follow the manufacturer's instructions for cleaning and maintaining the cuff. * ensure that the cuff is properly connected to the monitor. @topic:3


# # # issue - remote control for adjusting the bed position is not functional. # # # impact - patients may experience difficulty adjusting the bed to a comfortable or practical position. # # # possible causes - faulty remote control - loose or disconnected connection between the remote control and the bed - electrical malfunction within the bed or remote control # # # recommendations - replace the remote control if it is found to be defective. - check and ensure all connections between the remote control and the bed are secure. - consult with an electrician to investigate potential electrical malfunctions within the bed or remote control. @topic:7


# # # issue - battery failure in nibp monitor ( casmed 740 ) # # # impact - the nibp monitor may be unable to provide accurate or reliable blood pressure measurements. - this could lead to incorrect medical decisions being made, which could have serious consequences for the patient's health. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged by external factors, such as heat or moisture. - the battery may have been improperly installed or connected. # # # recommendations - replace the battery with a new one of the correct type and capacity. - inspect the battery compartment for any damage or corrosion. - ensure that the battery is securely installed and connected. - if the battery failure persists, contact the manufacturer for further troubleshooting and repair. @topic:11


# # # issue - damaged lead wire # # # impact - monitor cannot accurately display patient's vital signs # # # possible causes - physical damage to the lead wire, such as cuts, tears, or punctures - corrosion or oxidation of the lead wire - loose connections between the lead wire and the patient or monitor # # # recommendations - inspect the lead wire for any signs of damage. - clean and disinfect the lead wire if it is corroded or oxidized. - tighten any loose connections. - replace the lead wire if it is damaged beyond repair. @topic:18


# # # issue physiologic monitor is displaying inaccurate readings. # # # impact inaccurate readings can lead to misdiagnosis and inappropriate treatment. # # # possible causes - incorrect calibration of the monitor - defective sensor - electrical interference - software error # # # recommendations - recalibrate the monitor according to the manufacturer's instructions. - replace the sensor if it is defective. - check for electrical interference from other devices in the vicinity. - update the software to the latest version. @topic:20


# # # issue - the lcd monitor is not working properly. # # # impact - the monitor cannot be used to display patient data. # # # possible causes - the monitor is not receiving power. - the monitor is not connected to the computer. - the monitor is not properly configured. # # # recommendations - check the monitor's power cord and make sure it is properly plugged into an outlet. - check the monitor's cable and make sure it is properly connected to the computer. - check the monitor's settings and make sure they are properly configured. @topic:2


# # # issue - replaced backup battery of an electric bed. # # # impact - the bed may not be able to operate during a power outage. # # # possible causes - the new battery is not properly connected. - the new battery is not compatible with the bed. - the bed's electrical system is not functioning properly. # # # recommendations - verify that the new battery is properly connected. - ensure that the new battery is compatible with the bed. - test the bed's electrical system to ensure that it is functioning properly. @topic:9


# # # issue - electrocardiography monitor not working # # # impact - inability to monitor patient's heart activity accurately # # # possible causes - equipment not properly tuned after being borrowed from another department ( 5h ) # # # recommendations - ensure that equipment is properly tuned and calibrated after being borrowed or serviced - implement a system to track equipment usage and ensure timely return and proper maintenance @topic:16


, in accordance with medical procedures in your hospital. setting the tcgas site timer the site timer helps reduce the risk of skin burn by ensuring that the transducer is used at one site for no longer than a predefined period. it reminds you when this period expires. 1 in the setup tcgas menu, select site time. 2 choose the time you want the transducer to remain on the measurement site. the optimum time depends on the transducer temperature and your patient ’ s skin sensitivity. the site timer starts automatically when you remove the calibrated transducer from the calibration chamber. if you return the transducer to the chamber and then remove it again, the site time continues to count down the remaining time ; it does not start a new time period. the time remaining before the site timer expires appears in the status line which is visible as long as the setup tcgas menu is open. when the time expires, the monitor sounds a tone and a displays a change site inop. the monitor either switches off the transducer heating or continues monitoring, depending on its configuration. although you can reuse the transducer for up to two hours after the heating is switched off, without making a new calibration, you are recommended to recalibrate before applying it to a patient. after two hours without heat, you must recalibrate. during the initial few minutes of use, the monitor eliminates false alarms by temporarily suppressing tcgas alarms. it displays the “ stabilizing ” inop. after you apply the transducer to the skin, the instrument reading slowly assumes a steady value. the reading stabilizes when the measurement site is warm and local hyperemization is complete. this takes 10 to 20 minutes for the tcp02 reading and three to seven minutes for tcpc0 2. @topic:17


# # # issue the cause of failure is not clearly defined in the given input. # # # impact the impact of the failure is not specified, however, it is likely that the device is not functioning properly and may require repairs or replacement. # # # possible causes the input mentions that the bp air hose ( hs30 - 16 - 15 ) and connector ( bp - 12 ) were borrowed, but it is unclear how this led to the failure of the device. further investigation is required to determine the root cause of the failure. # # # recommendations - conduct a thorough investigation to determine the root cause of the failure. - check if the borrowed equipment was compatible with the device and properly installed. - implement measures to prevent similar failures from occurring in the future, such as ensuring proper equipment compatibility and installation procedures. - document the failure and any corrective actions taken in the device's maintenance record. @topic:12


# # # issue the cause of failure is not clearly defined in the given input. # # # impact the impact of the failure is not specified. # # # possible causes * the technician may have incorrectly set the frequency or code for the telemetry device. * the telemetry device may have a faulty component. * external interference may be affecting the telemetry device. # # # recommendations * the technician should verify the settings for the telemetry device and ensure that they are correct. * the technician should inspect the telemetry device for any loose connections or damaged components. * the technician should use a spectrum analyzer to check for external interference and take appropriate steps to mitigate it. @topic:16


# # # issue - unable to close the drawer # # # impact - inconvenience and inefficiency for healthcare professionals accessing medical supplies stored in the drawer # # # possible causes - loose nut in the drawer slot # # # recommendations - tighten or replace the loose nut to ensure proper alignment and functionality of the drawer @topic:21


settingh30 ( deviations from h10 / h20 / h40 ) adult pedi nebp settingadult neo pedi neo mode manual sys. uto auto larms frosys. sys. 60 / 90 ( 1100 / 60 ( 7080 / 90 ( 110120 / 70 ( 90 ) 0 / 20 ( 24ow limit 0 / 50 ( 6070 / 40 ( 50 ) 70 / 50 ( 65 ) alarms on on on on min 3 min 3 min 10 min 10 min 10 min pulse ( nbpon on on mmhg unit mmhg off mmhg off off one toon synchronize synchronize synchronize notsynchron notsynchron. notsynchron start time d d d 0 mmhvp pressure reference aging time color 0 mmh0 mmh10 min red 10 min red 10 min red magenta magenta magenta temperature default settings h30 ( deviations from h10 / h20 / h40 ) temp settings dupedi adult neo pedi neo low limit 36 36 36 35 35 35 39 39 39 alarms [UNK] unit [UNK] 35... 43 green 35... 43 green range 35... 43 green color 514 41 default settings appendix invasive pressure default settings abp, p, p1, p2, p3, p4, h30 ( deviations from h10 / h20 / h40 ) ap, art, ao, fap, badult dult pedi neo pedi neo settings alarms from sys. sys. sys. 160 / 90 ( 1100 / 60 ( 70180 / 90 ( 110120 / 70 ( 90 ) 0 / 50 ( 70ow limit 70 / 40 ( 50 ) 55 / 20 ( 3670 / 50 ( 70 ) alarms on on extreme alarms disabled disabled disabled δ extreme high 5 @topic:8


from the board. to connect a coaxial connector, align the connector over the mount on the board and press to fhy connector ( self - lock mechanism ) : the device uses self - lock mechanism cable connectors. a self - lock mechanism enables the cover to close by one - touch operation. caution do not use excessive force when releasing pressure on the connector. excessive force may result in breaking the locking mechanism. to remove a self - lock mechanism aution remove a flex cable only after the fhy connector latcs open. lift the latching piece of the connector up off the the connector body. remove the cable. 1. 2. lift the latching piece of the connector up off from the connector body. 1. 2. insert the flex cable into the connector. push down on the latching piece connector until it locks into place. 3. 46 disassembly and repair welch [UNK] connex® spot monitor the following flow chart provides an overview of the complete disassembly of the device. most disassembly activities require that you complete a subset of the steps detailed here. the flow chart indicates the steps which must be completed in sequence to remove a particular component. because a different sequence of preliminary steps is required to remove certain components, you should use this flow chart as a reference at the start of every disassembly and component eplacement procedure. ower down remove monitor from stand remove nonin board emove batterreplacing kit 105942 only ) remove speaker remove back housing i ( replacing kit 105936, 105937, 105938 only ) remove braun configuration with remove wireless radio board etemperature remove sure temp module? remove bluetooth no board remove speaker separate pca from front housing remove sp02 insert emove nonin board remove bezel remove masimo board configuration with spo @topic:19


# # # issue - * * unable to measure blood pressure ( bp ) * * # # # impact - * * patient care * * : accurate bp measurements are essential for assessing patient status and making appropriate treatment decisions. inability to measure bp can delay or compromise patient care. - * * workflow * * : delays in bp measurement can disrupt patient flow and impact scheduling. # # # possible causes - * * equipment failure : * * - cuff bp leak ( as mentioned in the input ) - sensor malfunction - power supply issues - * * operator error : * * - incorrect cuff placement - cuff size not appropriate for patient - * * patient factors : * * - irregular heartbeat - arterial calcification or stenosis - * * environmental factors : * * - excessive noise or motion interferring with signal transmission # # # recommendations * * troubleshooting and repair : * * - * * confirm cuff bp leak : * * inspect the cuff and tubing for any visible leaks or damage. - * * check sensor and power supply : * * ensure the sensor is properly connected and receiving power. - * * rule out operator error : * * review proper cuff placement technique and ensure an appropriate cuff size is being used. * * patient management : * * - * * assess patient's condition : * * determine if the patient is clinically stable and if there are any signs of hemodynamic instability. - * * consider alternative methods of bp measurement : * * if the monitor is not functional, use a manual sphygmomanometer or other alternative method of bp measurement. * * preventive measures : * * - * * regular maintenance : * * perform regular maintenance and calibration of the equipment to ensure optimal performance. - * * staff training : * * train staff on proper equipment operation and troubleshooting techniques. - * * patient education : * * inform patients about @topic:14


# # # issue - monitor not linking to central # # # impact - inability to monitor patient data remotely - increased workload for healthcare professionals - potential for patient safety risks # # # possible causes - incorrect ci address configuration - server issues - network connectivity problems - software glitches # # # recommendations - verify and correct ci address configuration - check server status and resolve any issues - troubleshoot network connectivity - update software if necessary - consult with the manufacturer for further troubleshooting assistance @topic:16


in config mode and altered in service mode. this is required, for example, when a slave display with touchscreen is installed. to alter the configuration of an mib port select main setup then hardware then interfaces. note be aware that if you change a port assignment this assignment is not reset upon boot up. if the mib / rs232 board is removed and replaced with a different type of board the settings are deleted. if the mib / rs232 board is then refitted, you must reconfigure the mib / rs232 port. the configuration of mib / rs232 is not cloned between services. installing the docking station make the power connection and the lan connection to the docking station as shown in the photograph below. power connection lan connection 231 7 installation instructions installing remote devices installing remote devices this section provides instructions for philips products. installation instructions for devices not sold by philips must be provided by the device manufacturer. mounting the 15 ” remote display ( m8031a ) the philips m8031a color flatscreen display can be used with the mp40 / mp50 monitor as a slave display. a bracket is supplied with the display to connect it to a variety of philips mounting devices. a - removing the desktop stand ( if installed ) : 1 remove the covers from the screws on the back of the flatscreen display 2 remove the four screws from the back cover of the display and detach the cover. 3 remove the four screws from the desktop stand and detach the desktop stand. b - attaching the bracket : 1 place the bracket on the back of the display with the slits facing upwards. 2 attach the bracket to the display with four m4x8 screws. 3 attach the desired mounting device to bracket. note do not mount the display in a position where liquid could spill onto it. connections connect the cables to the @topic:19


# # # issue * the bed's side rails are not lowering properly. # # # impact * the patient may not be able to get out of bed safely. * the patient may be at risk of falling. # # # possible causes * the side rails are obstructed by something. * the side rails are not properly lubricated. * the side rail motor is not working properly. # # # recommendations * check to make sure that there is nothing obstructing the side rails. * lubricate the side rails with a silicone - based lubricant. * if the side rail motor is not working properly, it will need to be replaced. @topic:6


# # # issue - remote of the bed is broken. # # # impact - inability to operate the bed remotely, which can affect patient care and comfort. # # # possible causes - physical damage to the remote, such as dropping, impact, or excessive force. - electrical malfunction or component failure within the remote. - compatibility issues between the remote and the bed unit. # # # recommendations - inspect the remote for physical damage and repair or replace as necessary. - test the remote's functionality with the bed unit to ensure compatibility. - inspect the wiring and connections between the remote and the bed unit for any loose or damaged components. - consider providing backup remotes or alternative control methods for the bed in case of remote failure. @topic:7


# # # issue - battery health is degrading. # # # impact - the device may not be able to function properly if the battery is not replaced. # # # possible causes - the battery is old. - the battery is not being properly charged. - the battery is being used in a way that is not recommended by the manufacturer. # # # recommendations - replace the battery as soon as possible. - ensure that the battery is being properly charged. - use the battery in accordance with the manufacturer's recommendations. @topic:11


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 # # impact - the medical cart is not able to connect to the hardware. # # possible causes - * * hardware : * * - the connection between the medical cart and the hardware is loose or damaged. - the hardware is not turned on or is not properly configured. - * * software : * * - the medical cart software is not properly installed or configured. - there is a software bug that is preventing the medical cart from connecting to the hardware. # # recommendations - * * hardware : * * - check the connection between the medical cart and the hardware and make sure it is secure. - turn on the hardware and make sure it is properly configured. - * * software : * * - reinstall the medical cart software. - contact the manufacturer of the medical cart for assistance in troubleshooting the software bug. @topic:13


# # # issue the velcro on the cuff of the bedside physiologic monitor is not adhering. # # # impact the cuff is not able to be properly secured to the patient, which may lead to inaccurate readings. inaccurate readings of patient vital signs can lead to incorrect diagnoses, treatments, or patient harm. # # # possible causes - the velcro on the cuff may be worn or damaged. - the velcro on the cuff may not be properly aligned. - the cuff may be too large or too small for the patient. - the cuff may be wet or dirty. # # # recommendations - inspect the velcro on the cuff for any signs of wear or damage. if the velcro is damaged, the cuff should be replaced. - make sure that the velcro on the cuff is properly aligned. the velcro should be hooked together at all points around the circumference of the cuff. - check that the cuff is the correct size for the patient. the cuff should be snug but not too tight. - clean the cuff if it is wet or dirty. a clean cuff will help the velcro to adhere better. @topic:5


# # # issue : * medical equipment failure due to loose remote control case. # # # impact : * interruption of patient care. * loss of patient data. * potential for patient safety hazards. # # # possible causes : * * * manufacturing defect : * * the remote control case was not designed or manufactured correctly, allowing it to become loose. * * * wear and tear : * * over time, the remote control case may become loose due to repeated use. * * * improper handling : * * the remote control may have been dropped or bumped, causing the case to become loose. * * * unauthorized repairs : * * previous repairs to the remote control may have been done incorrectly, leaving the case loose. # # # recommendations : * * * inspect remote control cases regularly : * * check all remote control cases for any signs of looseness or damage. * * * proper handling : * * handle remote controls with care to avoid dropping or bumping them. * * * authorized repairs only : * * only allow authorized technicians to perform repairs on medical equipment. * * * replace loose remote control cases : * * if a remote control case becomes loose, replace it immediately to prevent further issues. * * * maintain a record of repairs : * * keep a log of all repairs performed on medical equipment, including the date, technician, and nature of the repair. @topic:7


# # # issue - the bedside physiologic monitor's display is not displaying data. # # # impact - inability to monitor patient's vital signs. - potential for patient safety risk. # # # possible causes - * * manufacturer issue : * * a known defect in the display unit or monitor. - * * power issue : * * the monitor's power supply is not connected properly or is malfunctioning. - * * loose or disconnected cables : * * the cables connecting the display unit to the monitor or the patient are loose or disconnected. - * * software issue : * * a software glitch or firmware update error can cause display issues. - * * hardware failure : * * a faulty or damaged circuit board or component within the monitor can lead to display problems. # # # recommendations - * * inspect the power source : * * ensure that the monitor is plugged into a functioning power outlet and that the power cord is securely connected to the monitor. - * * check the cables : * * verify that all cables connected to the display unit and patient are securely plugged in and undamaged. - * * reset the monitor : * * unplug the monitor from the power source for a few minutes and then plug it back in to reset it. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer for technical support and further troubleshooting. - * * send for repair : * * if the issue cannot be resolved remotely, arrange for the monitor to be sent to an authorized repair center for diagnosis and repair. @topic:2


# # # issue - bed alarm not set up for bed exit # # # impact - patient safety hazard, as patient could fall out of bed without triggering an alarm # # # possible causes - technician did not receive proper training on how to set up the bed alarm - bed alarm settings were accidentally reset - bed alarm is malfunctioning # # # recommendations - ensure that technicians are properly trained on how to set up the bed alarm - implement a system to ensure that bed alarm settings are not accidentally reset - regularly test the bed alarm to ensure that it is functioning properly @topic:26


# # # issue monitor moved from room 21 to room 32. # # # impact the monitor is not available for use in room 21. # # # possible causes the monitor was moved without proper authorization. the monitor was not properly secured in the new location. the monitor was damaged during the move. # # # recommendations * * to prevent this issue from happening again, the following recommendations should be followed : * * * ensure that all equipment moves are authorized by the appropriate personnel. * properly secure all equipment during moves. * inspect all equipment for damage after moves. @topic:2


# # # issue - central monitor time is incorrect. # # # impact - inaccurate patient monitoring data. - misdiagnosis or incorrect treatment due to incorrect time information. # # # possible causes - clock battery is dead or low. - problem with the real - time clock ( rtc ) module. - software glitch. - loose or damaged wire connections. - power supply issue ( e. g., power outage or surge ). # # # recommendations * * immediate actions : * * - check and replace the clock battery if necessary. - reset the rtc module. - power cycle the device. * * further investigations : * * - inspect wire connections for any loose or damaged wires. - contact the manufacturer for technical support if the issue persists. - consider updating the software if available. - ensure proper power supply and protection against power outages and surges. * * preventive measures : * * - perform regular maintenance and inspections to identify potential issues early on. - establish protocols for time synchronization and calibration. - use uninterruptible power supplies ( ups ) to protect against power outages. - train staff on proper operation and troubleshooting procedures. @topic:29


# # # issue * damaged ekg lead # # # impact * inaccurate or unreliable ekg readings * potential for patient harm # # # possible causes * * * manufacturing defect : * * the lead may have been damaged during manufacturing. * * * mishandling : * * the lead may have been dropped, pulled, or otherwise mishandled, causing damage to the wires or connectors. * * * wear and tear : * * over time, the lead may become damaged due to repeated use and cleaning. * * * defective connector : * * the connector on the lead may be loose or damaged, causing intermittent contact and signal loss. # # # recommendations * * * inspect the lead : * * carefully inspect the lead for any visible damage, such as tears, cuts, or broken wires. * * * test the lead : * * use a lead tester to verify the integrity of the lead and ensure that it is transmitting accurate signals. * * * replace the lead : * * if the lead is damaged or defective, it should be replaced with a new one. * * * handle the lead with care : * * avoid dropping, pulling, or otherwise mishandling the lead to prevent damage. @topic:18


# # # issue - broken bed rails # # # impact - patient safety hazard # # # possible causes - defective or damaged bed rails - improper installation or maintenance - excessive force applied to the bed rails - age or wear and tear # # # recommendations - inspect bed rails regularly for signs of damage or wear - ensure bed rails are properly installed and maintained - avoid applying excessive force to the bed rails - replace bed rails if they become damaged or worn @topic:6


# # # issue - the spo2 sensor is malfunctioning. # # # impact - the patient's oxygen saturation levels cannot be accurately measured. - this could lead to incorrect treatment decisions being made. # # # possible causes - the sensor is faulty. - the sensor is not properly connected to the monitor. - the monitor is not properly calibrated. - there is interference from other devices. # # # recommendations - inspect the sensor for any damage. - ensure that the sensor is properly connected to the monitor. - calibrate the monitor according to the manufacturer's instructions. - check for any other devices that may be interfering with the sensor. @topic:4


# # # issue - cuff of philips suresings vs2 + vital signs monitor is degraded and needs to be replaced. # # # impact - the monitor may not be able to accurately measure vital signs, such as blood pressure, oxygen saturation, and temperature. - this could lead to incorrect diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes - the cuff may have been overinflated or underinflated, which can damage the material. - the cuff may have been exposed to extreme temperatures, which can also damage the material. - the cuff may have been used too frequently, which can wear out the material over time. # # # recommendations - the cuff should be replaced with a new one. - the cuff should be inflated and deflated according to the manufacturer's instructions. - the cuff should be stored in a cool, dry place when not in use. @topic:15


# # # issue - wheel of the base of the vital signs monitor is stuck. # # # impact - the vital signs monitor cannot be moved easily. # # # possible causes - lack of lubrication in the wheel joints. - accumulation of dirt and debris in the wheel joints. # # # recommendations - apply lubricant spray to the wheel joints. - remove any dirt and debris from the wheel joints. @topic:24


to the monitor. all mms measurements are off while the mms is unplugged. inop tone mms unsupportenop tone the multi - measurement module is not supported by your monitor. contact your service personnel. mms / fms unsupportinop tone the multi - measurement module is not supported by the monitor. contact your service personnel. no ppv from fms the measurement device does not supply a beat - to - beat arterial pressure value. contact your service personnel. no ppv from mms the measurement device does not supply a beat - to - beat arterial pressure value. contact your service inop message, indication dsp malfunc. what to do there is a problem with the independent display. check the msl coupling cable then contact youservice personnel. indep. dsp notsupp. the monitor does not support a second main display. the monitor software is incompatible. contact there is a problem with the intelligent display. check the msl coupling cable then contact youservice personnel. intell. dsp missing intell. dsp unsupp. the monitor has lost contact with the connected intelligent display. contact your service personnel. the monitor does not support the connected intelligent display. the monitor software is incompatible. inop message, indication what to do c lead off the c electrode ( aami : v electrode ) has become detached from the patient or the lead set has been changed. reattach the electrode or select new lead setup in the setup ecg menu to confirm the hr numeric is replaceby -? - for 10 seconds. inop tone cannot analyze ecg the arrhythmia algorithm cannot reliably analyze the ecg data. check the ecg signal quality of the selected primary and secondary leads. if necessary, improve lead position or reduce patient motion. if you have arrh @topic:22


# # # issue - motor failure # # # impact - unable to adjust the knee position of the bed # # # possible causes - worn or damaged motor - electrical issues - mechanical issues # # # recommendations - replace the motor - check for electrical issues - check for mechanical issues @topic:9


# # # issue : - unable to adjust the bed. # # # impact : - patient discomfort and safety concerns. - delays in patient care. # # # possible causes : - * * mechanical failure : * * broken or jammed mechanisms in the bed frame, gears, or motors. - * * electrical failure : * * faulty wiring, loose connections, or damaged electrical components. - * * control system failure : * * malfunctioning sensors, switches, or software that controls bed adjustments. - * * operator error : * * incorrect operation or improper handling of the bed. - * * insufficient maintenance : * * lack of regular inspections, lubrication, or cleaning, leading to component wear and tear. # # # recommendations : - * * troubleshooting and repair : * * - inspect the bed visually for any obvious mechanical damage. - check electrical connections and wiring for loose or broken components. - test sensors, switches, and software to identify control system issues. - * * replacement or repair of components : * * - if mechanical components are damaged, they may need to be replaced. - electrical components may also require replacement or repair. - * * enhanced maintenance : * * - establish a regular schedule for bed inspections and maintenance. - lubricate moving parts and ensure proper cleaning to prevent wear and tear. - * * training and education : * * - provide training to staff on proper bed operation and handling techniques. - * * consultation with manufacturer : * * - if the problem persists, contact the manufacturer for technical support or guidance. @topic:9


choose the high alarm limit. • select low limit then choose the low alarm limit. • warning high oxygen levels mconsideration do not set the high alarm limit to 100 %, which is equivalent to switching the high 199 9 monitoring spo2 the desat alarm is a high priority ( red ) alarm notifying you of potentially life threatening drops in in the setup spo2 menu, select desat limit. 1 2 pleth wave the pleth wave is autoscaled to maximum display size. it decreases only when the signal quality becomes marginal. it is not directly proportional to the pulse volume. if you need an indication of lume, use the perfusion indicator. 1 minimum size for reliable spo2 value 1 perfusion numeric the perfusion numeric ( perf ) gives a value for the pulsatile portion of the measured signal caused by as pulse oximetry is based on the pulsatile nature of the signal, you can also use the perfusion numeric as a quality indicator for the spo2 measurement. above 1 is optimal, between 0. 3 - 1 is acceptable. below 0. 3 is marginal ; reposition the sensor or find a better site. perfusion change indicator the perfusion change indicator is a graphic symbol which shows the change in the perfusion value, relative to a reference value which you can set. • when a reference value has been set, the perfusion change indicator is displayed next to the perfusion numeric. 1 in the setup spo2 menu, select pulse ( spo2 ) to enter the setup pulse menu. 2 in the setup pulse menu, select system pulse and select the correct spo2 label from the pop - up list. 0 9 monitoring spo2 if tone modulation is on, the qrs tone pitch lowers when the spo2 level drops. remember, the qrone is derived from @topic:17


kv contact ± 8 kv air ± 6 kv contact ± 8 kv air floors should be wood, concrete, or ceramic tile. if floors are covered with synthetic material, the relative humidity should be at least 30 %. radiated rf iec 61000 - 4 - 3 3 vrms 80 mhz to 2. 5 ghz 3 vrms 80 mhz to 2. 5 ghz portable and mobile rf communica¬ tions equipment should not be used at close distances to the pi 170 bed. ( see note 2 ) careassist® and careassist® es bed service manual ( man330 rev 4 ) page 1 - 7 specifications chapter 1 : introduction guidance and manufacturer's declaration — electromagnetic emissions the careassist® and careassist® es bed model p1170 is intended for use in the electromagnetic environment specified below. the customer or the user of the model p1170 should make sure it is used in such an environment. immunity test iec 60601 test level compliance level electromagnetic environment — guidance electrical fast transient / burst iec 61000 - 4 - 4 ± 2 kv on power supply lines ± 1 kv on input / output lines ± 2 kv on power supply lines ± 1 kv on input / output lines mains power quality should be that of a typical commercial or hospital environment. surge iec 61000 - 4 - 5 ± 1 kv differential mode ( line - line ) ± 2 kv common mode ( line - ground ) ± 1 kv differential mode ( line - line ) ± 2 kv common mode ( line - ground ) mains power quality should be that of a typical commercial or hospital environment. conducted rf iec 61000 - 4 - 6 3 vrms 150 khz to 80 mhz 3 vrms 150 khz to 80 mhz portable and mobile rf communica¬ tions equipment ( cell phones ) should not be used at close distances to the pi 170 bed. ( see note 2 ) power frequency magnetic fields @topic:10


# # # issue - equipment failure due to improper grounding # # # impact - potential electrical hazards to patients and staff - inaccurate vital signs measurements - equipment malfunction # # # possible causes - damaged or disconnected grounding wire - lack of proper grounding in the electrical outlet - faulty equipment design # # # recommendations - replace the grounding wire - ensure proper grounding in the electrical outlet - inspect the equipment for any other potential grounding issues - perform regular maintenance on the equipment to prevent future failures @topic:12


rear view 221 6 parts remote extension device part numbers 222 remote extension device part numbers 6 parts 223 6 parts remote extension device part numbers 224 7 installation instructions the information contained in this chapter should enable the mp40 / mp50 to be installed ready for use ( the preparation and planning should be adhered to as specified in the site preparation section ). configuration of the system is explained in the configuration guide. unpacking the equipment your equipment will arrive in a carton similar to the ones pictured below. all components of the monitoring system are consolidated into a single packing crate. the contents of this crate depend on the options you have purchased. in addition to the monitor it can contain the following : • mms and user manuals • parameter modules • measurement server extensions and accessories figure 21 accessory and monitor packaging in the unlikely event of a defect on arrival, please keep the packing materials until you have completed the initial inspection. 225 7 installation instructions initial inspection initial inspection mechanical inspection open the shipping container ( s ) and examine each part of the instrument for visible damage, such as broken connectors or controls, or scratches on the equipment surfaces. if the shipping carton / container is undamaged, check the cushioning material and note any signs of severe stress as an indication of rough handling in transit. this may be necessary to support claims for hidden damage that may only become apparent during subsequent testing. electrical inspection the instrument has undergone extensive testing prior to shipment. safety testing at installation is not required ( except in situations where devices are interconnected forming a system, see “ connecting non - medical devices ” on page 251 ). an extensive self check may be performed. this recommendation does not supercede local requirements. all tests are described in the testing and maintenance section of this manual. claims for damage and repackaging claims for damage when the equipment is received, if physical damage is evident or if the monitor does not meet the specified @topic:10


# # # issue - the back cushion of the electric bed is unable to be adjusted down because it has slid too low. # # # impact - the patient may be uncomfortable or unable to get into a comfortable position. # # # possible causes - the back cushion may have been over - adjusted, causing it to slide out of place. - the back cushion may be worn or damaged, causing it to slip out of place. # # # recommendations - inspect the back cushion for any damage or wear. if it is damaged, it will need to be replaced. - if the back cushion is not damaged, it may need to be re - adjusted. to do this, follow these steps : - turn off the power to the bed. - remove the bolts that hold the back cushion in place. - slide the back cushion into the correct position. - tighten the bolts to secure the back cushion in place. - turn on the power to the bed and test the back cushion to make sure it is working properly. @topic:1


# # # issue - alarm speaker not working # # # impact - inability to alert users of critical events # # # possible causes - faulty alarm speaker - loose or damaged wiring - malfunctioning amplifier - software issue # # # recommendations 1. check the alarm speaker for any physical damage or debris. 2. inspect the wiring connecting the speaker to the amplifier and nibp monitor for any loose or damaged connections. 3. verify that the amplifier is functioning properly by using a diagnostic tool or replacing it with a known - good unit. 4. update the software on the nibp monitor to the latest version, if available. 5. contact the manufacturer's technical support for further assistance. @topic:26


# # # issue - boot windows failure # # # impact - inability to use the medical cart for patient care. # # # possible causes - corrupted windows operating system files - hardware failure ( e. g., hard drive, motherboard ) - bios settings preventing windows from booting - virus or malware infection - insufficient system resources ( e. g., ram, cpu ) # # # recommendations 1. * * check bios settings : * * ensure that the bios is configured to boot from the correct hard drive and that the boot order is set correctly. 2. * * troubleshoot hardware : * * run hardware diagnostics to identify any potential hardware issues. if necessary, replace the faulty hardware. 3. * * repair windows : * * use the windows repair tool to scan and repair any corrupted system files. if the repair tool fails, reinstall windows. 4. * * check for virus or malware : * * run a virus and malware scan to identify and remove any infections that may be interfering with windows boot. 5. * * add system resources : * * if the medical cart is running low on system resources, consider upgrading the ram or cpu to improve performance. @topic:13


# # # issue - the buttons were locked. # # # impact - the bed cannot be operated properly. # # # possible causes - the button lock feature was accidentally activated. - the button or wiring may be faulty. # # # recommendations - check if the button lock feature is activated and turn it off if necessary. - inspect the button and wiring for any signs of damage. - replace the button or wiring if necessary. @topic:7


# # # issue - motor for adjusting the head up and down is not working. # # # impact - the patient cannot be positioned properly for surgery or other procedures. # # # possible causes - the motor is faulty. - the control box is faulty. - the wiring is faulty. - the power supply is faulty. # # # recommendations - replace the motor. - replace the control box. - check the wiring for continuity and replace any faulty wires. - check the power supply for proper voltage and amperage output. @topic:1


# # # issue - lcd monitor displaying inaccurate colors # # # impact - compromised image quality and diagnostic accuracy # # # possible causes - incorrect color calibration settings - faulty display panel or components - video signal interference - graphics card or image processing issues # # # recommendations * * troubleshooting steps : * * 1. recalibrate the monitor's color settings according to the manufacturer's instructions. 2. inspect the display panel for any physical damage or abnormalities. 3. check the video cables and connections for loose or damaged components. 4. update the graphics card drivers and verify the image processing software configurations. * * corrective actions : * * - replace the display panel or components if necessary. - verify and correct any video signal interference issues. - reinstall or upgrade the image processing software as recommended. * * preventive measures : * * - establish regular maintenance schedules for monitor calibration and cleaning. - use surge protectors to prevent power surges and voltage fluctuations. - ensure proper ventilation and temperature control to avoid overheating. @topic:2


summary, if available, or select the events event review a ( d ) : 0 ( 0 ) b ( d ) : 1 ( 1 ) ab ( d ) : 2 ( 1 ) d : 1 m : 0 ( total : 4 ) hr brady 120 95 110 40 spo₂ desat 80 7185 50 esp apne40 apnea 10 manual 3 : 39 ner 10 : 00 14 : 00 22 : 00 2 : 00 18 : 00 6 : 00 when you open the event review window, it automatically shows the event group with the most ecent event. 41 26 event surveillance to view other event groups, select the pop - up key review group and select the group from the list. • event episode window to enter the event episode window, select the pop - up key show episode. depending on the event group settings, the event episode window shows either 20 miaverage trend event information, four minutes of high - resolution event information, or 15 seconds of follow - on event values 1 event episode x 210 hr tbhr 2 trigger event values, 180 highlighted brady 5110 1 - 150 timeline, showing 3 120 90 60 spo2 100 spe ctive event grou4 90 desat 71 - 85 80 70 60 resp resp 4 : 23 apnea ( 31 sec ) 2 - 3. 6 maner + 2 min - 2 min 4 : 23 the event values to the left of the measurement channels show the trigger threshold set and the maximum amount by which this limit was exceeded. in this example, desat 71 < 85 tells you that 71 was the lowest spo2 value measured during the event time and that the desat trigger threshold was set to 85 when the event was triggered. if the event was manually triggered, the event value boxes display " manual ". to annotate an event, in the event episode window, select the pop - up key select @topic:8


# # # issue - computer is stuck on reboot due to ssd card problem. # # # impact - inability to use the medical cart due to a malfunctioning computer. this could lead to delays in patient care or treatment. # # # possible causes - ssd card failure due to wear and tear or manufacturing defects - software glitches or corrupted files on the ssd card - physical damage to the ssd card, such as a loose connection or a damaged port # # # recommendations - replace the ssd card with a new one as soon as possible. - check for any software updates or bug fixes that may resolve the issue. - inspect the ssd card and its connections for any physical damage. - consider regular maintenance and periodic inspections of the medical cart to prevent future failures. - train staff on proper use and handling of the medical cart to minimize the risk of damage. @topic:13


# # # issue - battery level decreased by 1 %. # # # impact - reduced battery life, which could lead to the device shutting down unexpectedly. # # # possible causes - defective battery - battery not properly connected - software issue - hardware issue # # # recommendations - replace the battery. - check the battery connections. - update the software. - contact the manufacturer for further troubleshooting. @topic:11


# # # issue - remote control is not working properly. # # # impact - the patient cannot adjust the bed's head position. # # # possible causes - the remote control's batteries are dead. - the remote control is not connected to the bed properly. - the remote control's wiring is damaged. # # # recommendations - check the remote control's batteries and replace them if necessary. - make sure that the remote control is connected to the bed properly. - inspect the remote control's wiring for any damage and repair or replace it as necessary. @topic:7


supply module sirena stewie n yes a - 4 power management nda aae di a ee a - 4 speaker? < 0 ating value gas sha de awe eee by mur aiea dine ee a - 4 nurse call contacts... e2iay eis tei ee da a - 5 front panel assembly anns sarge nas ssa ere alee sy se ee es ae a a - 5 navigation wheel vs2 on a a io a - 5 recorder ( vsz online isro eae tepe ii o ate sander teawel a - 5 spo > module oia yee eed. pieces rede penta a denn ws bese ee an er eee a - 6 temperature module - serner k a phas ee ae as a - 6 predictive measurements o cocca cocia etica erie reia e na e n een ea ea a - 6 monitored measurements.... oonu nunn nannan a - 6 wireless module : 0 il a - 6 b. electromagnetic compatibility contents - 3 suresigns vs2 " and vsi service guide contents - 4 suresigns vs2 " and vsi service guide 1 overview this guide includes information for both the suresigns vs2 * and vsi vital signs monitors. any differences are described where appropriate. the screen illustrations represent a fully configured suresigns vs2 * monitor. the menus on your monitor may appear differently if you have a model with different options or a suresigns vsi monitor. intended audience this guide is for biomedical engineers or technicians responsible for maintaining, troubleshooting, and repairing philips patient monitoring systems. navigation controls the following table describes how to use the navigation controls on the vs2 * and vsi monitors : action vs2 * vsi select rotate the wheel to highlight an item @topic:10


# # # issue : bed makes noise # # # impact : - discomfort or annoyance to patients - difficulty in monitoring or providing care - reduced quality of sleep for patients - possible damage to bed or other equipment # # # possible causes : - lack of lubrication - worn or damaged gears - loose or misaligned parts - electrical issues # # # recommendations : - check lubrication and apply lubricant as needed - inspect gears for wear or damage and replace if necessary - tighten or align loose or misaligned parts - check electrical connections and ensure proper grounding - test bed operation to ensure proper functionality @topic:9


# # # issue - failure of the nibp monitor to provide accurate oxygen saturation ( o2sat ) readings # # # impact - incorrect monitoring of patient's oxygen status, potentially leading to delayed or incorrect treatment - compromised patient safety # # # possible causes - deterioration of the o2sat cable due to : - normal wear and tear - excessive bending or kinking - exposure to harsh cleaning chemicals # # # recommendations - routine inspection of o2sat cables for signs of damage or wear - replacement of o2sat cables as per manufacturer's recommendations - proper handling and storage of o2sat cables to prevent damage - training of staff on the importance of o2sat cable maintenance @topic:4


# # # issue - cuff bp leak # # # impact - unable to accurately measure blood pressure # # # possible causes - faulty cuff bp # # # recommendations - replace faulty cuff bp @topic:3


# # # issue - equipment : welch allyn connex spot monitor - description : instrument not responding, no display. # # # impact - inability to monitor patient's vital signs accurately. # # # possible causes - * * flat or faulty battery : * * the battery may be depleted or damaged, causing the monitor to malfunction. - * * loose connections : * * electrical connections within the monitor may have become loose, interrupting power supply. - * * electrical fault : * * an internal electrical fault could be preventing the monitor from functioning properly. # # # recommendations 1. * * battery replacement : * * check the battery and replace it if necessary. ensure the battery is inserted correctly and securely. 2. * * connection inspection : * * inspect all electrical connections within the monitor and tighten any loose wires. 3. * * contact manufacturer : * * if the issue persists after checking the battery and connections, contact the manufacturer for further assistance. they may be able to remotely troubleshoot the issue or provide technical support. 4. * * send for repair : * * in case of a possible electrical fault, the monitor should be sent to an authorized repair center for professional diagnosis and repair. @topic:16


# # # issue - medical cart экран не включается # # # impact - затрудняется использование медицинскои тележки для оказания медицинскои помощи пациентам. # # # possible causes - неисправность оборудования - сбои программного обеспечения - перегоревшии предохранитель - обрыв провода # # # recommendations - проверить наличие питания на медицинскои тележке. - перезагрузить медицинскую тележку. - проверить предохранители и заменить перегоревшие. - проверить наличие повреждении проводов и устранить их. - обратиться к производит @topic:30


key configuration alarms off / pause alarms - pauses alarm indicators. exact behavior depends on pause alarms permanent key configuration main screen - closes all open menus and windows and return to the main screen. back - takes you back one step to the previous menu. navigation point knob to use the navigation point, rotate it left or right. with each click, the highlight jumps to the neighboring screen element. the element under the cursor is highlighted. when you reach the screen element you want, press the knob to select the element. using a mouse or trackball if you are using a mouse or trackball, select screen elements by clicking on them ( press and release the left mouse button ). while you are moving the mouse, a cursor appears and a highlight shows your current position. moving windows you can move windows and menus using the touchscreen or a mouse. to move a window, 1 select the title of the window and keep your finger on the title, or the mouse button pressed. 2 move your finger on the touchscreen, or move the mouse, to move the window. 3 take your finger off the screen, or release the mouse button, to place the window in the final position. the new position is only active until the window or menu is closed. not all locations on the screen can be a target position, a window cannot overlap the monitor info line, the alarms and inops or the status line. using keys the monitor has four different types of keys : permanent keys a permanent key is a graphical key that remains on the screen all the time to give you fast access to functions. 22 operating and navigating 1 basic operation av o pause alarms - pauses alarm indicators. pause duration depends on monitor configuration. if pause duration is infinite, this key is labeled alarms off. select again to immediately re - enable alarm indicators. silence - acknowledges all active alarms by switching off audible alarm indicators @topic:10


# # # issue - * * defective equipment : * * the laparoscopic monitor from nds ( model sc - wu23 - a1511 ) has a detached rubber seal. # # # impact - * * inoperable equipment : * * the monitor cannot be used for laparoscopic procedures until the seal is replaced. - * * delays and cancellations of surgeries : * * without a functional monitor, scheduled surgeries may need to be postponed or canceled, impacting patient care and hospital operations. # # # possible causes - * * improper handling or maintenance : * * the seal may have become detached due to rough handling, improper cleaning, or lack of regular maintenance. - * * material degradation : * * the seal may have deteriorated over time due to exposure to harsh cleaning chemicals or sterilization processes. - * * manufacturing defect : * * the seal may have been defective from the time of manufacture, leading to premature failure. # # # recommendations - * * assessment and repair : * * contact the manufacturer or an authorized repair specialist to assess the condition of the monitor and determine the feasibility of repair. - * * replacement : * * if repair is not possible or cost - effective, consider purchasing a new laparoscopic monitor that meets the hospital's needs and requirements. - * * improved maintenance protocol : * * implement a comprehensive maintenance protocol for all medical devices, including regular inspections, cleaning, and lubrication to prevent similar failures in the future. @topic:2


. invasive pressure changes wave cursor - a cursor is now available on the realtime pressure wave to allow you to define a position and store the corresponding value. reduced alarm limit steps in lower ranges - the alarm limits setting in 2 mmhg steps is now possible in ranges up to 50 mmhg ( previously up to 30 mmhg ). new patient check the monitor can be configured to ask you in certain situations : after a specified power - off period, after a specified standby period and when no basic vitals ( hr, rr, pulse, sp0 2, nbp ) have been measured for a specified period, whether a new patient is now being monitored. by selecting the yes pop - up key you can discharge the previous patient and reset settings. new smart keys a smartkey is available for new lead setup when a new ecg lead set with fewer leads than previously is being used. better visibility of gridlines the brightness of the gridlines on the realtime waves has been increased for better visibility. what ’ s new in release e. o? protocol watch - ssc sepsis protocol protocolwatch is a clinical decision support tool. it allows you to run a clinical protocol which can monitor developments in the patient ’ s condition. the ssc sepsis protocol runs on the protocolwatch application and is used in screening for severe sepsis and monitoring its treatment. telemetry data enhancements when a telemetry device is paired with the monitor, you can now change settings such as heart rate alarms or relearn arrhythmia for the telemetry device at the monitor. when the ecg source changes certain relevant settings will be synchronized between the monitor and the telemetry device to provide settings continuity. telemetry alarms and inops will also be indicated on the monitor, in addition to the main indication at the information center. 48 what ’ s new in @topic:8


# # # issue : spo2 sensor is not able to provide accurate readings. # # # impact : this could lead to inaccurate monitoring of patient's oxygen saturation levels, potentially leading to delayed or incorrect treatment. # # # possible causes : - * * damaged or faulty spo2 sensor : * * the sensor may be physically damaged or malfunctioning, preventing it from accurately detecting oxygen saturation levels. - * * loose or disconnected sensor : * * the sensor may not be properly connected to the patient's finger or toe, resulting in poor contact and inaccurate readings. - * * interference from external light sources : * * strong light sources, such as surgical lamps or sunlight, can interfere with the sensor's ability to detect oxygen saturation levels. - * * patient movement or motion : * * excessive patient movement or motion can affect the sensor's ability to maintain stable contact with the patient's skin, resulting in inaccurate readings. - * * electromagnetic interference : * * other nearby electronic devices or equipment may emit electromagnetic interference that can disrupt the sensor's operation. # # # recommendations : - * * inspect and replace the spo2 sensor : * * check for any visible damage or defects on the sensor. if the sensor is damaged, replace it with a new one. - * * ensure proper connection : * * make sure the sensor is securely connected to the patient's finger or toe and that the cable is not kinked or damaged. - * * minimize external light interference : * * shield the sensor from strong light sources by using a drape or other [UNK] [UNK] [UNK]. - * * control patient movement : * * instruct the patient to remain still during spo2 monitoring to avoid motion artifacts. - * * check for electromagnetic interference : * * identify any potential sources of electromagnetic interference and move them away from the patient or the monitoring equipment. @topic:4


temp. see the sections in this instructions for use on pressure and temp for more information. if you connect an mms from a monitor using a full label set to an intellivue monitor using a restricted label set or an m3 / m4 monitor, any additional labels switch to labels available in the target monitor. this may cause a label conflict with other monitored measurements. be aware that connecting a monitor using the full label set to an information center with certain software revisions may affect the availability of measurement information from the additional labels on the information center. see the information center documentation and your monitor ’ s configuration guide for information on label set compatibility. changing measurement labels ( e. g. pressure ) to change a measurement label of a measurement with multiple labels ( invasive pressure, temperature, or sp0 2 ), 1 enter the wave menu of the measurement. 2 select label. 3 choose a label from the list. the monitor automatically applies the scale, color, etc. settings stored in the profile for the label you select. you can change scale settings in monitoring mode, but color can only be changed in the monitor ’ s configuration mode. any labels already being used in the monitor are shown “ grayed - out ” in the list and cannot be selected. give me an example let ’ s imagine you used a press module to monitor your previous patient ’ s cvp. now you want to use the same module to measure abp with a new patient. you ’ ve set up your arterial line. when you connect the pressure transducer to the module, the pressure shown on the screen still uses the cvp color and wave scale and is labeled cvp. to rectify this, just change the pressure label to abp. now the pressure has the correct color, the wave is shown in the correct scale, and the appropriate alarm limits for abp are active. resolving label conflicts each label must @topic:17


# # # issue - cuff bp ( blood pressure ) deterioration with leakage # # # impact - inaccurate blood pressure readings # # # possible causes - cuff bp damage or leakage # # # recommendations - replace cuff bp @topic:3


# # # issue : spring on bed rail sticking, causing difficulty in adjusting the rail. # # # impact : patient safety and comfort may be compromised due to improper positioning of the bed rail. # # # possible causes : - lack of lubrication or presence of dirt and debris on the spring mechanism. - wear and tear over time, leading to reduced spring tension. - misalignment or damage to the spring or its mounting hardware. # # # recommendations : - * * lubricate the spring regularly : * * apply a lubricant such as wd40 to the spring and its moving parts to reduce friction and ensure smooth operation. - * * inspect and clean the spring mechanism : * * remove any dirt, debris, or corrosion that may hinder spring movement. - * * check for misalignment : * * ensure that the spring is properly aligned and securely fastened to the bed rail. - * * replace the spring if necessary : * * if the spring is damaged or worn beyond repair, it should be replaced to restore proper function. - * * monitor and maintain the bed rail regularly : * * perform periodic inspections and maintenance to identify and address any potential issues promptly. @topic:6


# # # issue monitor not linking # # # impact patient monitoring may be compromised. # # # possible causes - incorrect settings on the monitor - faulty cable or connection - software issue - hardware issue # # # recommendations - check the settings on the monitor and ensure they are correct. - inspect the cable and connection for any damage or loose connections. - contact the manufacturer for technical support. - if the issue persists, the monitor may need to be replaced. @topic:16


# # # issue - the spo2 cable is damaged. # # # impact - the patient's oxygen saturation levels cannot be accurately monitored. - this could lead to a delay in diagnosis or treatment, which could have serious consequences. # # # possible causes - the spo2 cable is old and worn. - the spo2 cable has been damaged by being pulled or twisted. - the spo2 cable has been exposed to excessive heat or moisture. # # # recommendations - replace the spo2 cable. - inspect the spo2 cable regularly for signs of damage. - avoid pulling or twisting the spo2 cable. - protect the spo2 cable from excessive heat or moisture. @topic:4


# # # issue - keypad on bed is loose # # # impact - bed cannot be adjusted properly, which could lead to patient discomfort or injury # # # possible causes - adhesive holding the keypad in place has deteriorated - keypad was not properly installed - bed has been subjected to excessive force or vibration # # # recommendations - inspect the keypad and adhesive for damage or deterioration - reattach the keypad using a strong adhesive - ensure that the bed is installed in a stable location and is not subjected to excessive force or vibration @topic:25


##ber to remove the c0 2 scrubber, do the following : 1 locate the c0 2 scrubber in the extension. 2 being careful not to touch anything else in the extension, use tweezers to pull the body of the c0 2 scrubber out of the bracket. 3 holding the body of the c0 2 scrubber with your fingers, carefully disconnect the extension intake tube from the scrubber end and remove the c0 2 scrubber from the extension. 170 disassembly procedures for the m3015a measurement server extension ( hw rev. a ) 5 repair and disassembly 4 dispose of the c0 2 scrubber according to local legal requirements for low volume chemical waste. note now that it is exposed, do not allow anything to fall into the infrared lamp assembly. removing the pump to remove the pump, do the following : 1 locate the pump in the extension. 2 being careful not to touch anything else in the extension, unscrew the screw holding the pump bracket in position. lift the top part of the bracket away and lift out the pump. 3 gently disconnect the flow tubing attached to the extension from the pump. note be sure to note which tube attaches to the inlet and which tube attaches to the outlet. 4 gently disconnect the power lead which attaches the pump to the extension. 5 remove the pump. note after replacing the pump, reset the displayed value displayed using the reset pumpoptime selection ( service mode > c0 2 setup ). when the pumpoptime has been reset an inop will be generated : “ c0 2 occlusion ”. to clear this inop you must perform a flow check and store the flow in service mode ( select “ store flow ” ) refit procedures for the measurement server extension tools required : • a thin - bladed screwdriver. • a @topic:19


# # # issue : - monitor is not powering or displaying properly. # # # impact : - inability to monitor vital signs, which can compromise patient safety. # # # possible causes : - * * hardware failure : * * - damaged or faulty motherboard ( pcb ) - power supply issues - faulty display - * * software issues : * * - glitches or corruption in the operating system - incompatible updates - * * environmental factors : * * - power surges or fluctuations - extreme temperatures or humidity - * * user error : * * - improper handling or maintenance # # # recommendations : - * * troubleshooting : * * - check power connections and power supply - reset the device - update software if available - * * inspection and repair : * * - inspect the device for physical damage or loose components - if hardware failure is suspected, contact the manufacturer or a qualified technician - * * maintenance : * * - follow recommended maintenance schedules - ensure proper storage and handling - * * replacement : * * - if the device cannot be repaired, consider replacing it with a newer or compatible model @topic:2


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the device shows a battery level of - 1 % # # # impact - the device battery level is not accurately displayed, which may lead to unexpected downtime if the battery is actually low. # # # possible causes - the battery sensor is faulty. - the battery is not properly connected to the device. - the device software is not properly calibrated. # # # recommendations - replace the battery sensor. - check the battery connection and ensure it is secure. - update the device software to the latest version. @topic:13


# # # issue - equipment malfunction : the electric bed is not adjusting as intended. # # # impact - patient discomfort or safety hazard : inability to adjust the bed can cause discomfort or potential harm to the patient. - interruption of patient care : the malfunctioning bed may hinder patient examinations, treatments, or transfers. - increased workload for staff : manual adjustments may be required, increasing the workload for nurses or technicians. # # # possible causes - mechanical failure : malfunctioning motors, gears, or other mechanical components within the bed frame. - electrical fault : faulty wiring, loose connections, or damaged electrical components. - software error : glitches or bugs in the software controlling the bed's functions. - overload : excessive weight or improper use of the bed can strain its mechanisms. - improper maintenance : lack of regular inspections, cleaning, or lubrication can lead to component failures. # # # recommendations - * * immediate actions : * * - ensure patient safety and comfort by providing alternative arrangements for the patient. - isolate the bed from use to prevent further issues. - notify the maintenance department or biomedical engineering team. - * * troubleshooting and repair : * * - conduct a thorough inspection of the bed, including mechanical and electrical components. - use diagnostic tools to identify the source of the malfunction. - repair or replace faulty components as necessary. - update software if required. - * * preventive measures : * * - establish a regular maintenance schedule for the bed, including inspections, cleaning, and lubrication. - train staff on proper use and weight limits for the bed. - conduct performance testing before putting the bed back into service. @topic:9


the slot in the bezel. 74 disassembly and repair welch [UNK] connex® spot monitor place the bezel onto the 6 bosses on the housing. 2. this section applies only to devices with an apm stand. remove the apm work surface from the stand before removing the apm work surface, power down the monitor, disconnect the power and communication cables from the monitor, and disconnect the power cord from the wall. 1. using a 3mm hex key, remove the 4 screws from the stand bracket and put them aside. note save the screws for reassembly. 2. lift the apm work surface off the stand. 3. if replacing the apm, remove the battery and put aside for reassembly. reassembly notes kit item : service manual note reassembly is the not the reverse of disassembly. attach the apm work surface to the stand take the 4 screws used to attach the apm work surface to the stand and partially screw them into the apm work surface with your fingers. do not tighten. 1. lower the screws into the stand bracket keyholes. 2. slide the apm work surface backward on the stand bracket. 3. 4. tighten the 4 screws using a 3mm hex key. insert the battery. 5. remove the apm work surface battery before removing the apm work surface battery, power down the monitor and disconnect the note you do not have to remove the apm work surface from the stand to remove the apm work surface battery. loosen the captive screw on the bottom of the apm work surface that secures the batterdoor. 1. 76 disassembly and repair welch [UNK] connex® spot monitor remove the battery door and put it aside. 2. 3. gently lift the @topic:19


# # # issue monitor not linking # # # impact interruption of patient monitoring # # # possible causes - faulty cable connection - configuration error - hardware failure # # # recommendations - * * check cable connections : * * ensure that the cable is securely connected to both the monitor and the lan port. test the cable with another device to verify its functionality. - * * verify configuration settings : * * check the network settings on both the monitor and the network to ensure they are correct. - * * inspect hardware : * * look for any visible damage or loose components on the monitor or the lan port. if any hardware issues are detected, contact the equipment manufacturer or a qualified technician for repair. - * * restart the monitor : * * turn off the monitor and unplug it from the power source. wait for a few minutes and then plug it back in and turn it on. this may resolve any temporary software glitches. - * * update software : * * if available, check for software updates for the monitor and install them as recommended by the manufacturer. software updates may resolve bugs or compatibility issues. - * * contact support : * * if the issue persists after trying all of the above steps, contact the equipment manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:16


# # # issue : - spo2 sensor malfunction # # # impact : - inability to accurately monitor patient's oxygen saturation levels # # # possible causes : - * * electrical malfunction : * * failure of the sensor's electrical components, such as wires, connectors, or circuit boards - * * optical malfunction : * * damage to the sensor's optical components, such as the led emitter or photodetector - * * environmental factors : * * excessive moisture, temperature, or electromagnetic interference can disrupt the sensor's operation - * * patient factors : * * improper sensor placement or movement can lead to intermittent or inaccurate readings - * * software issues : * * compatibility problems or software bugs can cause the sensor to malfunction # # # recommendations : - * * inspect the sensor : * * verify if there is any visible damage or loose connections. - * * clean the sensor : * * remove any debris or contaminants that may be obstructing the optical components. - * * check the cables : * * ensure that the cables connecting the sensor to the monitor are secure and undamaged. - * * test with a different sensor : * * if available, try using a new sensor to eliminate the possibility of a faulty sensor. - * * calibrate the monitor : * * verify that the monitor is properly calibrated. - * * consult the manufacturer : * * if the problem persists, contact the manufacturer for technical support and troubleshooting guidance. @topic:4