oad clone file to intellibridge ec10 window and select the clone file. then click go. 4 when you are finished with the configuration, make sure to click logout on the tab bar. 287 [ 7 installation instructions ] viewing system information 1 in the eclo configuration screen, select the system tab. this screen allows you to view log files and other system information. 2 when you are finished with the configuration, make sure to click logout on the tab bar. handing over the monitor if you are handing over the monitor to the end - users directly after configuration, make sure that it is in monitoring mode. ensure that the users have access to the following materials : • training program in the philips learning center ( www. theonlinelearningcenter. com ) - for self¬ training on the monitor before use • instructions for use ( delivered with the monitor ) - for more detailed questions during use. warning an users must complete the training program and read the instructions for use before working with the monitor. these training materials ( in combination with this service guide ) can also be used to train service personnel on how to use and service monitor. please refer to the testing and maintenance section of this service guide to determine the respective safety and performance tests to be performed before handing over the monitor to the customer. 288 8 site preparation introduction this section describes the procedures you should follow to plan and prepare a site for an intellivue monitor installation. it describes : • site planning. • roles and responsibilities for local and philips personnel. • remote installation planning. site planning the careful planning of the site for the intellivue monitor is essential for its safe and efficient operation. a. consulting schedule should be established between the customer and philips sales and support representatives, to ensure that allpreparations are completed when the system is delivered. the site planning phases prior to equipment installation are : location : planning @topic:10


# # # issue - slow device performance, resulting in delayed or unreliable patient monitoring. # # # impact - delays in patient care - inaccurate or incomplete patient data - increased risk of patient complications # # # possible causes - insufficient system resources ( e. g., ram, cpu ) - outdated or corrupted software - network connectivity issues - hardware malfunctions - interference from other devices or equipment - inadequate maintenance or calibration # # # recommendations - verify and upgrade system resources as needed - update and patch software regularly - ensure stable network connectivity - inspect and maintain hardware components regularly - calibrate the device according to manufacturer specifications - identify and eliminate sources of interference - consult the manufacturer or a qualified service technician for further assistance @topic:2


beats per minute or the amplitude is less than three mmhg. check the catheter and connections to the patient. < pressure label > overrange numeric is replaced by -? - inop tone. press make sure that the measurement has been properly prepared and zeroed, and that the transducer is level with the heart. if this inop persists, try another transducer. possible causes are a measured pressure outside the allowed pressure range, or a broken wire to the transducer. < pressure label > reduce size press increase the scale for the pressure wave. 90 technical alarm messages ( inops ) 4 patient alarms and inops inop message, indication source what to do cpressure label > unplugged inop tone. press a pressure measurement label has been deactivated, either by unplugging a module, or by deactivating the label in the measurement selection window. the measurement automatically disappears from the display. to switch the measurement on again, either replug the module or reactivate the measurement label in the measurement selection window. < pressure label > zero + check cal numeric is replaced by press perform a zero and check the calibration of the transducer. < ptemp label > check probe numeric is replaced by -? - inop tone. predictive temp check that the probe holder is correctly installed and that a compatible probe is in use. if the inop does not clear, remove the probe from the holder then replace it. if the inop still does not clear, disconnect and reconnect the probe. < ptemp label > deactivated inop tone. predictive temp the predictive temperature has been deactivated. < ptemp label > equip malf numeric is replaced by -? - inop tone. predictive temp the predict @topic:17


# # # issue : inability to secure drawers on medical cart # # # impact : - patient safety hazard due to unsecured medical supplies and equipment - reduced efficiency and workflow disruption # # # possible causes : - * * hardware malfunction : * * drawer locking mechanisms ( e. g., latches, hinges ) may be damaged or worn out - * * misalignment : * * drawer channels or guiding rails may be misaligned, preventing drawers from locking properly - * * insufficient lubrication : * * lack of lubrication can cause friction and inhibit smooth operation of the locking mechanism - * * improper assembly : * * cart components may have been assembled incorrectly, resulting in drawer misalignment or locking issues # # # recommendations : - * * hardware inspection : * * check the locking mechanisms, hinges, and latches for any visible damage or wear. - * * alignment check : * * ensure that drawer channels and guiding rails are aligned correctly. - * * lubrication : * * apply suitable lubricant to the locking mechanisms and any moving parts. - * * reassembly : * * if necessary, disassemble and reassemble the cart components to correct any alignment issues. - * * user training : * * train staff on proper handling and storage practices to avoid overloading drawers or excessive force on the locking mechanism. - * * regular maintenance : * * schedule regular inspections and maintenance to identify and address potential issues before they lead to failure. @topic:21


* * issue : * * ecg lead failure * * impact : * * loss of ecg monitoring, which can lead to delayed or incorrect diagnosis and treatment. * * possible causes : * * * * * normal wear and tear : * * ecg leads are frequently used and subjected to bending and stretching, which can eventually cause the wires to break. * * * damage during transport or storage : * * improper handling of the device or its accessories can damage the ecg leads. * * * loose connection : * * the ecg lead may not be properly connected to the patient or the monitor, which can lead to intermittent or complete loss of signal. * * * electrical interference : * * external electrical sources, such as nearby power lines or medical equipment, can interfere with the ecg signal and cause lead failure. * * * defective lead : * * manufacturing defects or component failure can also lead to ecg lead failure. * * recommendations : * * * * * regularly inspect ecg leads : * * inspect the leads for any signs of damage, such as cracked insulation or frayed wires. * * * handle with care : * * avoid bending or kinking the ecg leads during transport or storage. * * * ensure secure connections : * * ensure that the ecg lead is firmly connected to both the patient and the monitor. * * * minimize electrical interference : * * keep the device away from potential sources of electrical interference. * * * replace defective leads : * * if a lead is found to be defective, replace it immediately with a compatible lead. @topic:18


# # # issue - medical cart cannot scan hn ( health number ) # # # impact - delays in patient registration and treatment - increased risk of errors in patient identification # # # possible causes - software issue - hardware issue ( e. g., scanner malfunction ) - user error # # # recommendations - restart the system. - check the scanner connections and cables. - update the software. - contact a biomedical engineer for further diagnosis and repair. @topic:23


# # # issue - malfunctioning bed # # # impact - inability to adjust the bed, affecting patient comfort and safety # # # possible causes - damaged hilow column # # # recommendations - replace the damaged hilow column @topic:1


# # # issue - lcd monitor is not displaying an image. # # # impact - inability to monitor patient vital signs. # # # possible causes - loose connection in the splitter box. # # # recommendations - ensure that all connections are secure and properly seated. @topic:2


# # # issue probe of thermoscan is not being able to be pressed out sometimes. # # # impact - device cannot perform its intended function of measuring temperature. - delays in patient care. - inaccurate temperature readings which can lead to incorrect diagnosis and treatment. # # # possible causes - spring that holds the probe may be damaged or misaligned. - probe may be obstructed by dirt or debris. - electrical issue with the device. # # # recommendations - replace the spring that holds the probe. - clean the probe and the area where it is inserted. - test the device with a new probe. - if the problem persists, contact the manufacturer for further assistance. @topic:20


# # # issue - remote control for adjusting the knee on the bed is not functioning. # # # impact - the bed cannot be adjusted to the desired position for the patient. # # # possible causes - the remote control is damaged. - the wiring between the remote control and the bed is faulty. - the bed's control unit is malfunctioning. # # # recommendations - replace the remote control. - check the wiring between the remote control and the bed for any damage. - if the wiring is intact, the bed's control unit may need to be repaired or replaced. @topic:1


* * issue : * * * o2sat connector and probe are damaged * * impact : * * * inability to accurately measure oxygen saturation levels ( spo2 ) * * possible causes : * * * physical damage to the connector or probe during handling or use * wear and tear due to prolonged use * corrosion or oxidation * electrical faults * * recommendations : * * * inspect the connector and probe for any visible damage or loose connections. * replace the faulty connector or probe as needed. * ensure proper handling and storage of the equipment to prevent further damage. * regularly inspect and maintain the equipment according to manufacturer's guidelines. * consider implementing a preventive maintenance program to identify and address potential issues before they cause failures. @topic:4


* * issue : * * cuff failure in physiologic monitor * * impact : * * * interruption of patient monitoring * potential for inaccurate readings * risk to patient safety * * possible causes : * * * worn or damaged cuff * air leak in cuff * electrical fault in cuff sensor * * recommendations : * * * replace the faulty cuff with a new one. * inspect all other cuffs regularly and replace them if any signs of damage are observed. * ensure proper handling and storage of cuffs to prevent damage. * consider training staff on proper cuff maintenance and handling techniques. * investigate the electrical system of the monitor to rule out any underlying faults. @topic:5


# # # issue test failure after installing the icg unit with the fsn screen # # # impact the icg unit cannot be used properly, which may affect surgical procedures. # # # possible causes * incorrect wiring or cabling * compatibility issues between the icg unit and the fsn screen * software or firmware issues * hardware failure in the icg unit or the fsn screen # # # recommendations * verify the wiring and cabling connections. * check the compatibility of the icg unit and the fsn screen. * update the software or firmware on the icg unit and the fsn screen. * perform a thorough inspection of the icg unit and the fsn screen for any signs of hardware damage. * if the issue persists, contact the manufacturer for technical support. @topic:2


front end assembly in the monitor, you must enter a new temperature and ibp calibration value into the main pcb ( vm6 and vm8 only ). calibrating temperature important — the factory ’ calibration gain / offset values for ibp and temperature are on a label on the front end board. use these values to recalibrate the monitor a fter you change the main pcb and / or front end assembly. to calibrate temperature after changing the main pcb and / or front end assembly : 5 - 18 configuring the monitor calibrating the monitor 1. in the system diagnostics menu, rotate the wheel to highlight the temp calibration button, then press the wheel. the temp calibration menu appears. 2. to calibrate the temperature, rotate the wheel to select gain and then press the wheel and rotate it to select a value from the menu. 3. press the wheel to save the data. 4. rotate the wheel to offset and then press the wheel and rotate it to select a value from the menu. 5. press the wheel to save the data. 6. after adding calibration values for both gain and offset, rotate the wheel to select apply and press the wheel. a confirmation window appears advising that the system will reboot. 7. in the confirmation window, rotate the wheel to select yes. calibrating ibp to calibrate ibp after changing the main pcb : 1. in the system diagnostics menu, rotate the wheel to highlight the ibp calibration button, then press the wheel. configuring the monitor 5 - 19 calibrating the monitor the ibp calibration menu appears. ibp calibration 2. to calibrate the ibp measurement, rotate the wheel to select gain and then press the wheel and rotate it to @topic:22


# # # issue - malfunctioning vital signs monitor # # # impact - incorrect or unreliable patient vital signs measurements - potential delays in patient diagnosis and treatment # # # possible causes - * * broken spo2 cable clamp : * * the clamp that holds the spo2 sensor on the patient's finger has snapped. this can occur due to : - excessive force applied to the clamp - repeated bending or twisting of the cable - wear and tear over time # # # recommendations - * * replace the broken spo2 cable : * * the defective cable should be replaced with a new one to ensure proper sensor attachment and accurate readings. - * * handle equipment with care : * * avoid putting excessive force on the spo2 clamp or cable to prevent further damage. - * * regular maintenance : * * perform routine inspections and preventive maintenance on the vital signs monitor to identify any potential issues early on and address them promptly. @topic:4


# # # issue - cuff bp is damaged. # # # impact - unable to measure blood pressure accurately. # # # possible causes - cuff bp is old or worn out. - cuff bp is not properly inflated. - cuff bp is not the correct size for the patient. # # # recommendations - replace cuff bp with a new one. - ensure that cuff bp is properly inflated. - use the correct size cuff bp for the patient. @topic:3


# # # issue - battery of the medical cart is at - 1 %. # # # impact - the medical cart may not be able to function properly, which could affect patient care. # # # possible causes - continuous usage of the medical cart, which may have caused the battery to overheat and become damaged. # # # recommendations - regularly inspect the medical cart's battery to ensure that it is in good condition. - avoid using the medical cart for extended periods of time without recharging the battery. - if the battery becomes damaged, it should be replaced immediately. @topic:13


# # # issue - the bed's electric spring is dislodged. - the remote control is malfunctioning. # # # impact - the bed is unable to adjust its head position. - the bed is unsafe for patient use due to the dislodged spring. # # # possible causes - * * electrical fault : * * the electrical wiring or components of the bed may be faulty, causing the spring to malfunction. - * * mechanical failure : * * the spring may have become dislodged due to wear and tear or improper handling. - * * software error : * * the bed's software may be experiencing a glitch or malfunction, preventing it from adjusting its head position. - * * faulty remote control : * * the remote control may be damaged or have a low battery, preventing it from sending signals to the bed. # # # recommendations - * * electrical inspection : * * inspect the bed's electrical wiring and components for any signs of damage or loose connections. - * * mechanical examination : * * examine the spring and its mounting mechanism for any damage or wear and tear. replace or repair as necessary. - * * software update : * * check for any available software updates for the bed and install them if necessary. - * * replace remote control : * * if the remote control is damaged or has a low battery, replace it with a new one to restore functionality. @topic:1


# # # issue extention lead failure # # # impact monitor is unable to display patient's physiological parameters accurately. # # # possible causes - physical damage to the extension lead, such as cuts or breaks in the cable. - loose connections between the extension lead and the monitor or patient cables. - electrical interference from other devices or equipment. # # # recommendations - inspect the extension lead for any visible damage. - check the connections between the extension lead and the monitor or patient cables. - ensure that the extension lead is not placed near any sources of electrical interference. - replace the extension lead if it is damaged or defective. @topic:18


# # # issue - medical cart drawer cannot be closed. # # # impact - inability to securely store and transport medical supplies and equipment. # # # possible causes - loose solenoid mounting bolts. # # # recommendations - tighten the solenoid mounting bolts. @topic:21


# # # issue - equipment : bed, electric - band : huntleigh - model : contoura 390 - issue : unable to adjust bed height ( up and down ) # # # impact - patient discomfort and safety - difficulty providing care # # # possible causes - malfunctioning motor - damaged or loose wiring - faulty control panel - software glitch # # # recommendations - * * inspect the motor : * * check for any signs of damage, overheating, or loose connections. ensure that the motor is receiving power and is properly connected to the drive system. - * * examine wiring : * * inspect the wiring harness for any breaks, loose connections, frayed insulation, or corrosion. ensure that all wires are securely fastened and have adequate slack. - * * test the control panel : * * perform a thorough check of the control panel, including buttons, switches, and indicators. test the functionality of each control using the manufacturer's instructions. - * * check for software updates : * * determine if there are any available software updates for the bed. install any updates that may resolve the issue. - * * calibrate the bed : * * perform a calibration procedure to ensure that the bed is adjusting to the correct height and that the control panel is accurately displaying the height. @topic:1


double - width module ( wide ) and is labeled svo2. 1 m1011a so svo₂ m1021a 2 cal so svo 2 arning injected dyes, such as methylene blue, or intravascular dyshemoglobin may lead to inaccurate measurements. do not monitor oxygen saturation during infusion of i. v. fat emulsion or other turbid substances through the distal lumen of the opticath catheter. these liquids might temporarily modify the blood scattering and absorption characteristics at the catheter tip. this interferes with the optical measurement of oxygen saturation. after infusion is complete, you can again monitor oxygen saturation accurately. during injection of the bolus for thermodilution cardiac output measurements, the svo2 explosion hazard : do not use in the presence of flammable anesthetics or gases, such as a flammable anesthetic mixture with air, oxygen or nitrous oxide. use of the devices in such an environment may present an explosion hazard. 271 17 monitoring intravascular oxygen saturation do not use probes / catheters when they, or the packaging, are damaged. always select the correct label for the measurement location and the catheter / probe in use. this is especially important when protocol watch is in use, to ensure that the correct limits are used for the criteria applied. caution use the modules with philips approved accessories only. refer to the instructions for use providewith the accessory. always select a measurement label before inserting a catheter / probe. use the svo2 label when the catheter / probe will be located in the pulmonary artery ( measuring mixed venous oxygen saturation ). this is the only label which allows the measurement value to be used to calculate oxygen extraction ( see " calculating oxygen extraction " on page 277 ) and in the @topic:17


# # # issue the bed cannot be adjusted. # # # impact the patient may not be able to be positioned comfortably, which could lead to pain or discomfort. # # # possible causes - the bed's control panel may be malfunctioning. - the bed's motors may be malfunctioning. - the bed's power cord may be disconnected. - the bed's battery may be dead. - the bed's software may be malfunctioning. - the bed's buttons may be locked. # # # recommendations - check the bed's control panel for any signs of damage or malfunction. - check the bed's motors for any signs of damage or malfunction. - check the bed's power cord to make sure that it is securely plugged into an electrical outlet. - check the bed's battery to make sure that it is fully charged. - check the bed's software for any updates or patches that need to be installed. - check the bed's buttons to make sure that they are not locked. @topic:1


# # # issue - cuff blood pressure velcro is damaged. # # # impact - inability to measure blood pressure accurately. # # # possible causes - excessive use or wear and tear - improper handling or storage - manufacturing defect # # # recommendations - replace the cuff blood pressure velcro immediately. - inspect the device regularly for signs of damage or wear. - handle and store the device properly to minimize damage. - contact the manufacturer for further assistance or replacement parts if necessary. @topic:3


# # # issue - cuff is leaking # # # impact - inaccurate blood pressure readings - patient discomfort - device downtime # # # possible causes - cuff bladder is damaged - cuff hose is cracked or leaking - cuff connection to device is loose # # # recommendations - replace the cuff - inspect the cuff hose and connections for damage - ensure the cuff is properly connected to the device @topic:3


* * issue : * * * broken cover on a bedside physiologic monitor ( intellivue mp70 ) * * impact : * * * possible damage to the internal components of the monitor due to exposure to the elements or accidental impacts. * * possible causes : * * * accidental impact or mishandling of the equipment. * material defect or wear and tear over time. * * recommendations : * * * replace the broken cover immediately to protect the internal components and ensure proper functionality. * inspect the monitor thoroughly for any other possible damage caused by the broken cover. * consider using a protective case or cover to prevent future damage. * train staff on proper handling and care of the equipment to minimize the risk of accidental breakage. @topic:2


# # # issue - battery failure # # # impact - patient monitoring may be interrupted. - alarms may not be generated or may not be accurate. - data may be lost. # # # possible causes - battery is not properly installed. - battery is not compatible with the device. - battery is old or damaged. - device is not properly charging the battery. # # # recommendations - ensure that the battery is properly installed. - verify that the battery is compatible with the device. - replace old or damaged batteries. - ensure that the device is properly charging the battery. @topic:11


* * issue : * * - equipment failure during transportation from orbgh to orbht * * impact : * * - interruption of medical procedures or patient care - delay in patient care - increased risk of patient harm - financial loss due to equipment damage or repair costs * * possible causes : * * - improper handling or packaging during transportation - excessive vibration or shock during transport - poor maintenance or servicing of the equipment prior to transportation - technical issues with the equipment that were not detected during pre - transportation inspection * * recommendations : * * - follow proper handling and packaging procedures for medical equipment transportation - ensure that equipment is properly secured to prevent movement and damage during transport - perform thorough pre - transportation inspections to identify and address any potential issues - regularly maintain and service medical equipment to ensure optimal performance and prevent failures - train staff on proper handling and transportation of medical equipment @topic:12


# # # issue - caster oscillation # # # impact - the malfunction of medical device # # # possible causes - missing or damaged caster lock - worn or damaged casters - misalignment of the caster assembly - excessive weight on the equipment - uneven floor surface # # # recommendations 1. inspect the caster lock for damage or missing parts. replace if necessary. 2. check the casters for wear or damage. replace if necessary. 3. ensure that the caster assembly is properly aligned. 4. reduce the weight on the equipment by removing unnecessary items. 5. level the floor surface to prevent uneven distribution of weight on the casters. @topic:24


# # # issue the electric bed, model 900b from hill - rom, is not able to adjust its height. # # # impact * the patient may not be able to get in or out of the bed. * the patient may not be able to reach the bedside table or other objects. * the bed may not be able to be moved to a different location. # # # possible causes * the motor that adjusts the bed's height may be faulty. * the electrical connections to the motor may be loose or damaged. * the control panel that operates the motor may be malfunctioning. # # # recommendations * inspect the motor and electrical connections for any damage. * test the control panel to ensure that it is functioning properly. * if the motor or control panel is found to be faulty, replace it. * if the electrical connections are loose or damaged, tighten or repair them. @topic:1


# # # issue cuff leak # # # impact - inaccurate blood pressure measurements - patient safety concerns # # # possible causes - defective cuff - cuff not properly attached - cuff not inflated to the correct pressure # # # recommendations - check the cuff for any visible damage or defects. - ensure that the cuff is properly attached to the patient. - inflate the cuff to the correct pressure according to the manufacturer's instructions. - if the problem persists, replace the cuff. @topic:3


# # issue - bed cannot be adjusted downwards # # impact - patient discomfort - difficulty in providing care - potential for injury # # possible causes - electrical fault - mechanical failure - software issue - hydraulic leak # # recommendations # # # electrical fault - check power supply to the bed - ensure all electrical connections are secure - inspect the electrical components for any damage or loose wires # # # mechanical failure - inspect the bed frame and components for any damage or misalignment - check the adjustors and gears for smooth operation - lubricate all moving parts as necessary # # # software issue - update the software to the latest version - reset the bed to factory settings - contact the manufacturer for technical assistance # # # hydraulic leak - inspect the hydraulic lines for any leaks or damage - tighten any loose connections - replace any damaged lines or components - ensure proper hydraulic fluid levels @topic:1


# # # issue monitor not linking to central monitor and vital signs not displaying correctly on some monitors. # # # impact inaccurate or incomplete patient monitoring, which can delay or compromise patient care. # # # possible causes - incorrect configuration of the monitor or central station - loose or damaged cables - software or firmware issues - hardware failure of the monitor or central station # # # recommendations - check and reconfigure the monitor and central station settings according to manufacturer's instructions. - inspect and replace any loose or damaged cables. - update the software or firmware of the monitor and central station to the latest version. - contact the manufacturer for further troubleshooting and repair if necessary. @topic:16


# # # issue : patient is unable to adjust the hospital bed from their side # # # impact : - patient discomfort and frustration - increased risk of falls - difficulty for nursing staff to perform patient care # # # possible causes : - faulty keypad - broken wiring - malfunctioning control unit # # # recommendations : - inspect the keypad for any visible damage or corrosion - check the wiring connections for loose or broken wires - test the control unit by manually adjusting the bed from the staff side - if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair @topic:32


engine not connected or module cable defective. make sure that the module cable is properly connected. if inop persists, replace the module cable. silencing this inop switches the measurement off. 78 technical alarm messages ( inops ) 4 patient alarms and inops inop message, indication source what to do bis engine incompt inop tone bis bis engine software is not supported. a software upgrade may be required. contact your service personnel. mp20 / 30 - bis engine not supported. bis engine malfunc inop tone bis malfunction in the bis engine hardware. disconnect and reconnect the bis engine. if the inop persists, replace bis engine. bis equip malf inop tone bis there is a malfunction in the bis hardware. unplug and replug the bis module. if the inop persists, contact your service personnel. bis high impedance inop tone may sound bis impedance of one or more electrode ( s ) is above the valid range, most often caused by bad skin preparation. check the sensor montage and press the electrode pads firmly. if this inop persists, replace the sensor ( s ) in question using correct skin preparation. if inop persists, contact your service personnel. bis impedance chck inop tone may sound bis the cyclic impedance check is running. it will stop automatically if all impedances are within the valid range. if any electrodes do not pass the impedance test, check the sensor montage and press the electrode pads firmly. to manually stop the cyclic impedance check, select cyclic check off in the setup bis menu. bis isoelectrc eeg bis no discernible eeg activity is detected for longer than one minute. check the patient. check that the electrodes are properly connected. bis lead off inop tone may sound bis @topic:22


instructions to test the functionality of the battery sensor. replace the sensor if found faulty. 5. * * contact manufacturer : * * if the issue persists after troubleshooting the above steps, contact the manufacturer for technical assistance and possible repair or replacement of the nibp monitor. @topic:11


# # # issue - cause of failure is not specified in the given input. # # # impact - the lack of information regarding the cause of failure hinders the ability to determine the appropriate repair or maintenance actions. # # # possible causes - the cause of failure could be related to : - manufacturer defect - wear and tear - improper handling or maintenance - power surge - environmental factors - software or firmware issues # # # recommendations - obtain additional information from the technician or medical staff to determine the cause of failure. - consult the manufacturer's documentation or service manual for troubleshooting guidance. - perform a thorough inspection of the equipment to identify any potential issues. - consider sending the equipment to an authorized service center for professional repair. - implement preventive maintenance measures to minimize future failures. @topic:12


# # # issue - the bed's side rails are not locking into place. # # # impact - the patient could fall out of bed if the side rails are not locked. # # # possible causes - the side rails are not properly aligned with the bed frame. - the side rails are damaged or worn. - the locking mechanism is not working properly. # # # recommendations - inspect the side rails and bed frame for any damage or misalignment. - replace any damaged or worn side rails. - inspect the locking mechanism for any damage or wear. - replace any damaged or worn locking mechanism components. - test the side rails to ensure that they are locking into place properly. @topic:6


# # # issue - the medical cart's drawer cannot be opened. # # # impact - the medical cart cannot be used to transport medical supplies and equipment. # # # possible causes - the drawer is jammed. - the drawer latch is broken. - the drawer slides are misaligned. # # # recommendations - check the drawer for any obstructions. - inspect the drawer latch for any damage. - realign the drawer slides. @topic:21


# # # issue - remote control is malfunctioning due to broken wires. # # # impact - inability to adjust bed settings remotely, which may hinder patient comfort and safety. # # # possible causes - wear and tear leading to wire breakage - improper handling or storage of the remote control - manufacturing defect # # # recommendations - repair the broken wires by soldering or replacing the affected cables. - inspect the remote control for any other signs of damage or wear. - handle and store the remote control with care to prevent further damage. - consider using a wired remote control as a more reliable alternative. @topic:7


for diagnostic recording of rhythm and detailed morphology of complex cardiac complexes ( according to aami ec 11 ). st segment monitoring is intended for use with adult patients only and is not clinically validated for use with neonatal and pediatric patients. the transcutaneous gas measurement ( tcgas ) is restricted to neonatal patients only. bis is intended for use under the direct supervision of a licensed health care practitioner or by personnel trained in its proper use. it is intended for use on adult and pediatric patients within a hospital or medical facility providing patient care to monitor the state of the brain by data acquisition of eeg signals. the bis may be used as an aid in monitoring the effects of certain anesthetic agents. use of bis monitoring to help guide anesthetic administration may be associated with the reduction of the incidence of awareness with recall in adults during general anesthesia and sedation. the ssc sepsis protocol, in the protocolwatch clinical decision support tool, is intended for use witadult patients only. the integrated pulmonary index ( ipi ) is intended for use with adult and pediatric ( 1 to 12 years ) patients only. the ipi is an adjunct to and not intended to replace vital sign monitoring. the derived measurement pulse pressure variation ( ppv ) is intended for use with sedated patients receiving controlled mechanical ventilation and mainly free from cardiac arrhythmia. the ppv measurement has been validated only for adult patients. 443 40 specifications the intellivue nmt module is intended to be used as an objective neuromuscular transmission monitor, using accelerometry for measuring the muscle contraction following an electrical stimulation of a peripheral nerve. the nmt module is intended to be used with adult and pediatric patients. estricted availabilitfollowing new features and functionality may not be available in all geographies : smart alarm delays • intellivue information @topic:8


# # # issue - bed ( electric ) is not able to adjust. # # # impact - patients and staff may not be able to use the bed for necessary adjustments. # # # possible causes # # # # mechanical : - damaged or loose motor - broken or malfunctioning actuator - obstructed gears or pulleys - worn - out or damaged cables - excessive wear and tear on the bed frame or rails # # # # electrical : - faulty power supply or wiring - loose or damaged electrical connections - control panel malfunction - software or firmware issues # # # # other : - misalignment or obstructions in the bed's travel path - inadequate or improper maintenance # # # recommendations - * * inspect and test the bed's electrical and mechanical components : * * check for any loose connections, damaged wires, or worn - out parts. - * * lubricate and clean moving parts : * * ensure that all gears, pulleys, and cables are properly lubricated and free of dirt or debris. - * * reset the control panel or restart the software : * * this can sometimes resolve minor software glitches or communication issues. - * * calibrate the bed's sensors and actuators : * * ensure that the bed is adjusting accurately and smoothly. - * * replace damaged or worn - out parts : * * if necessary, replace any faulty motors, actuators, or cables. - * * perform regular maintenance : * * schedule regular inspections and maintenance to identify and address potential issues before they become significant failures. - * * consult the manufacturer's guidelines : * * refer to the equipment manual for specific troubleshooting and repair procedures. @topic:1


# # # issue - patient monitor's spo2 readings are inaccurate. # # # impact - incorrect spo2 readings can lead to improper medical treatment decisions. # # # possible causes - * * most likely : * * - defective spo2 sensor cable. - * * less likely : * * - faulty monitor. - loose connection between sensor and monitor. # # # recommendations - * * immediate : * * - replace the spo2 sensor cable. - verify that readings are now accurate. - * * as soon as possible : * * - check the monitor for any other issues that could be causing inaccurate readings. - inspect the spo2 sensor and cable for any damage or wear and tear. - * * long - term : * * - establish a regular maintenance schedule for all patient monitors, including periodic checks of spo2 sensors and cables. @topic:4


# # # issue monitor not measuring ecg values # # # impact - inaccurate patient monitoring - incomplete patient data - delayed diagnosis and treatment # # # possible causes - faulty ecg cable or sensor - loose connections in the ecg lead wires - damage to the ecg input port on the monitor - software glitch or hardware malfunction in the monitor # # # recommendations - check the ecg cable and sensor for damage or loose connections. - reseat the ecg lead wires firmly into the monitor input port. - perform a system test to verify the integrity of the ecg input port. - update the monitor software if available and necessary. - if the issue persists, contact the manufacturer's technical support for further diagnosis and repair. @topic:18


* * issue : * * the electric bed manufactured by huntleigh, model enterprise 8000, is unable to adjust its height or position. * * impact : * * this failure prevents the bed from being used to provide appropriate and comfortable positioning for patients, which can impact their recovery and overall well - being. * * possible causes : * * * * * electrical fault : * * the remote control used to adjust the bed may be malfunctioning due to electrical issues, such as short circuits or damaged wires. * * * mechanical failure : * * the mechanical components responsible for adjusting the bed's height and position, such as motors, gears, or hydraulic systems, may have failed. * * * software issue : * * the bed's software or control system may have encountered a glitch or corruption that prevents it from receiving or executing commands from the remote control. * * * user error : * * the bed may not be set up or operated correctly by the user, leading to its inability to adjust. * * recommendations : * * * * * electrical inspection : * * conduct an electrical inspection of the remote control and the bed's electrical connections to identify any potential faults or damage. * * * mechanical inspection : * * inspect the mechanical components involved in the bed's adjustment mechanism for any signs of wear, damage, or obstruction. * * * software reset : * * if possible, reset the bed's software or control system to restore its default settings and eliminate any software issues. * * * user instructions verification : * * review the user instructions for the bed and ensure proper setup and operation. * * * consultation with manufacturer : * * if the issue cannot be resolved through the above steps, contact the manufacturer for technical support or replacement parts. @topic:1


# # # issue the medical cart is rebooting unexpectedly. # # # impact - the medical cart may not be available for use when needed. - the medical cart may lose data or settings. # # # possible causes - * * software issue : * * the medical cart software may be experiencing a bug or glitch that is causing it to reboot. - * * hardware issue : * * a hardware component in the medical cart, such as the power supply or motherboard, may be failing and causing the cart to reboot. - * * environmental issue : * * the medical cart may be located in an area with extreme temperatures or humidity, which could be causing the cart to overheat or malfunction. # # # recommendations - * * software issue : * * update the medical cart software to the latest version. if the issue persists, contact the manufacturer for support. - * * hardware issue : * * test the medical cart hardware to identify the failing component. replace the failing component and test the cart again. if the issue persists, contact the manufacturer for support. - * * environmental issue : * * move the medical cart to a more suitable location with moderate temperatures and humidity. @topic:13


# # # issue - battery charges fail in monitors, patient transport equipment from philips ( model : intellivue mp40 ( m8003a ) ) # # # impact - the equipment cannot be used for patient transport due to battery failure. # # # possible causes - battery degradation over time ( as indicated by the battery's start date of 01 / 09 / 2021 ) - battery charging system malfunction ( e. g. faulty charger or internal circuitry ) # # # recommendations - replace the failed battery with a new one ( as per the bme's action of ordering 2 new batteries on 24 / 10 / 2023 ) - check and test the battery charging system ( e. g. charger, charging port, internal circuitry ) to identify and rectify any underlying issues. - regularly monitor battery health and replace batteries as needed to prevent future failures. @topic:11


# # # issue * intermittent blood pressure ( bp ) measurement. # # # impact * inaccurate or delayed bp readings, which can impact patient care and treatment decisions. # # # possible causes * * 1. air leak in air hose : * * * the air leak in the air hose can cause pressure fluctuations in the system, leading to unreliable bp readings. * * 2. faulty transducer : * * * a faulty transducer may not accurately convert the pressure signal into an electrical signal, resulting in incorrect bp measurements. * * 3. occluded cuff : * * * an occluded cuff can prevent the proper inflation and deflation of the cuff, affecting the accuracy of bp readings. * * 4. loose connections : * * * loose connections between the sensor and the monitor can cause signal loss or interference, leading to intermittent bp measurements. # # # recommendations * * 1. replace air hose : * * * replace the air hose to eliminate air leaks and ensure accurate pressure readings. * * 2. test transducer : * * * test the transducer using a simulator or other diagnostic methods to verify its functionality. if faulty, replace the transducer. * * 3. check cuff : * * * inspect the cuff for any signs of damage or occlusion. clean or replace the cuff as necessary. * * 4. tighten connections : * * * inspect all connections and tighten any loose cables or ports. * * 5. recalibrate monitor : * * * recalibrate the monitor according to the manufacturer's instructions to ensure accurate bp readings. @topic:14


# # # issue : * * monitor not functioning properly * * # # # possible cause ( s ) : - internal hardware failure - software glitch - faulty or loose connections # # # recommendations : - contact the manufacturer for technical support - check all cables and connections for any damage or loose connections - reset the monitor by unplugging it from the power source and waiting a few minutes before plugging it back in - update the monitor's software if updates are available - if the issue persists, consider replacing the monitor @topic:2


# # # * * issue * * the bedside physiologic monitor is unable to inflate the blood pressure cuff. # # # * * impact * * - inability to monitor blood pressure accurately - delay in patient care - increased risk of adverse events # # # * * possible causes * * * * hardware : * * - faulty cuff or air hose - damaged air pump - electrical connection issues * * software : * * - malfunctioning software - incorrect settings * * environmental : * * - low air pressure * * user error : * * - improper cuff placement or inflation procedure # # # * * recommendations * * 1. * * check the cuff and air hose : * * inspect the cuff for any leaks or damage. ensure that the air hose is securely connected to the monitor and the cuff. 2. * * test the air pump : * * manually inflate the cuff using a syringe or manual inflator. if the cuff does not inflate, replace the air pump. 3. * * inspect electrical connections : * * check all electrical connections between the monitor, cuff, and air hose. ensure that the power cord is securely plugged in. 4. * * update software : * * if available, check for and install any software updates for the monitor. 5. * * verify settings : * * check the monitor's settings to ensure that the cuff inflation settings are correct. 6. * * inspect air pressure : * * rule out any issues with the hospital's air pressure by checking other devices that use pressurized air. 7. * * re - inflate the cuff : * * ensure proper cuff placement and inflation procedure as per manufacturer's instructions. 8. * * contact technical support : * * if the issue persists after following the above steps, contact the manufacturer's technical support for further assistance. @topic:14


# # # issue : - physiologic monitor ( bedside ) not functioning properly # # # impact : - patient care may be compromised if the device is not functioning properly. - delay in diagnosis and treatment. - patient discomfort. # # # possible causes : - module not working - software or hardware issue - loose connections - power supply issue - environmental factors ( e. g., temperature, humidity ) - operator error # # # recommendations : - contact the manufacturer for technical support. - check the device's user manual for troubleshooting steps. - inspect the device for any loose connections or damage. - ensure that the device is connected to a reliable power source. - check the environmental conditions to ensure that they are within the recommended range. - train operators on the proper use and maintenance of the device. - consider preventive maintenance to identify and address potential issues before they cause a failure. @topic:2


# # # issue - equipment malfunction # # # impact - inability to accurately monitor patient's blood pressure - potential for incorrect treatment decisions - patient discomfort # # # possible causes - defect in hardware or software - improper calibration or maintenance - damage due to physical impact or liquid exposure - user error # # # recommendations - * * hardware : * * - inspect the device for any visible damage, such as loose connections or broken components. - perform a thorough diagnostic test using the manufacturer's recommended procedures. - replace any defective hardware components as necessary. - * * software : * * - update the device software to the latest version if available. - reset the device to its factory settings and reconfigure it according to the manufacturer's instructions. - * * calibration : * * - ensure that the device is calibrated regularly according to the manufacturer's specifications. - use a certified calibration device and follow the calibration procedure carefully. - * * maintenance : * * - clean the device and its accessories regularly according to the manufacturer's instructions. - inspect the cuff for any signs of damage or wear, and replace it if necessary. - perform preventive maintenance tasks as recommended by the manufacturer. - * * user error : * * - train users on the proper operation and maintenance of the device. - ensure that users follow the manufacturer's instructions and sops. @topic:15


intellivue f dm. john 17 jul 2013 1s : 4 < b proflli adur • 4 wavtt ] 60 ‘ 60 pl « h sp ^ pori ^ - jvajvjvjvjv ^ yvj ', 98 ‘ 2 - 1 125 / 76 ( 87 ) 124 / 7 $ ( 87 ) aw 123r7t ( t $ ) l2s / 77 ( 8 » ) i24 / : 2. _., 124 / 77 ( 17 ) 114 / 76 ( 89 ) “ 26? “ 16 8 12s / 7 ( vjo. 1 h aii oh 44 viv siwh step vv - - 0 -? = t? stop. ftoc■ ^ > vltoli aiwitf al tmid ohdito * p staft4w 80 ® to mein 1 mato setup seme a philips service guide intellivue patient monitor mx400 / mx450 / mx500 / mx550 release k. 2x. xx patient monitoring philips table of contents 1 introduction 5 who should use this guide 5 how to use this guide 5 abbreviations 5 responsibility of the manufacturer 6 passwords 6 safety information 7 2 theory of operation n integrated monitor theory of operation 11 3 testing and maintenance 31 introduction 31 terminology and definitions 31 recommended frequency 32 when to perform tests 33 testing sequence 36 visual inspection 36 safety tests 37 system test 52 preventive maintenance procedures 63 performance assurance tests 63 reporting of test results 90 other regular tests 93 touchscreen calibration 93 disabung / enabling touch operation 94 printer test report 94 battery handling, maintenance and good practices 95 after installation, testing or repair 102 4 troubleshooting 103 introduction 103 how to use this section 103 who should perform repairs 103 replacement level supported 103 software revision check 104 software compatibility matrix 104 obtaining replacement parts 104 troubleshooting guide 104 @topic:10


* * issue : * * key has been canceled incorrectly. * * impact : * * the monitor may not be able to perform its intended functions properly. * * possible causes : * * * * * user error : * * the technician may have accidentally canceled the key. * * * software glitch : * * a software bug may have caused the key to be canceled without user input. * * * hardware failure : * * a hardware component, such as the keypad, may have malfunctioned, causing the key to be canceled. * * recommendations : * * * * * verify the issue : * * check if the key has indeed been canceled. * * * retrain the user : * * if user error is suspected, provide training on the correct procedures for canceling keys. * * * check for software updates : * * install any available software updates that may address the issue. * * * inspect the hardware : * * check the keypad and other hardware components for any damage or malfunction. * * * contact the manufacturer : * * if the issue persists, contact the manufacturer for technical support. @topic:27


# # # issue monitor is not measuring vital signs # # # impact - inability to provide accurate patient monitoring - delays in patient care - increased risk of patient complications # # # possible causes - * * hardware failure : * * faulty sensors, loose connections, or damaged components - * * software issues : * * glitches, bugs, or outdated software - * * environmental factors : * * excessive heat, humidity, or electromagnetic interference - * * operator error : * * improper calibration or maintenance # # # recommendations - * * calibrate the monitor : * * perform a calibration check to ensure accuracy. - * * inspect connections : * * check all cables, wires, and connectors for damage or loose connections. - * * update software : * * install the latest software updates to address any bugs or glitches. - * * optimize environmental conditions : * * ensure the monitor is operating in a suitable temperature and humidity range. - * * train operators : * * provide proper training to ensure proper calibration, maintenance, and troubleshooting procedures. - * * regular maintenance : * * schedule preventive maintenance checks to identify and address potential issues before they cause failure. @topic:22


# # # issue - printer is producing excessive noise while printing. # # # impact - disruption to workflow due to noisy operation. # # # possible causes - * * faulty print head : * * the print head may be damaged or misaligned, causing it to collide with the paper or other internal components during printing. - * * worn drive belt : * * the belt that drives the print head may be worn or loose, resulting in inconsistent movement and excessive noise. - * * loose gears : * * gears within the printer's mechanism may have become loose, causing abnormal operation and noise. - * * foreign objects : * * small objects or debris may have become lodged within the printer, interfering with the printing process and causing noise. # # # recommendations - * * inspect the print head : * * check for any damage or misalignment. clean the print head if necessary. - * * tighten or replace the drive belt : * * inspect the belt for wear or looseness. tighten or replace the belt if needed. - * * check for loose gears : * * inspect the printer's gears for looseness or damage. tighten or replace any loose gears. - * * clear any foreign objects : * * open the printer and remove any small objects or debris that may have become lodged inside. @topic:28


* * issue : * * the electric bed manufactured by huntleigh, model 25800 e / l, is experiencing an issue where it is unable to adjust its height. * * impact : * * this issue prevents healthcare professionals from using the bed to provide optimal care to patients, which can lead to discomfort, pain, and delays in treatment. * * possible causes : * * * * * malfunctioning remote control : * * the remote control used to operate the bed may be faulty, preventing it from sending signals to the bed's control unit. * * * electrical system failure : * * there may be an issue with the bed's electrical system, such as a loose connection or a damaged component, that is inhibiting the power flow. * * * mechanical malfunction : * * the mechanical components responsible for adjusting the bed's height, such as the motors or actuators, may be malfunctioning due to wear and tear or a mechanical defect. * * recommendations : * * * * * check remote control : * * ensure that the remote control is functioning properly by testing it on a different bed or replacing the batteries. * * * inspect electrical connections : * * inspect all electrical connections and cables for any loose or damaged connections. tighten or replace any loose connections as necessary. * * * diagnose electrical system : * * use diagnostic tools, such as a multimeter, to test the bed's electrical system. identify any faulty components and repair or replace them. * * * examine mechanical components : * * inspect the bed's mechanical components, including the motors, actuators, and gears, for any signs of damage or wear. replace any damaged components as needed. * * * refer to manufacturer : * * if the issue cannot be resolved through the above steps, consult the bed's manufacturer for further assistance and support. @topic:1


* * issue : * * cuff damage in philips mp5sc * * impact : * * inability to measure patient's blood pressure accurately * * possible causes : * * * age and wear of the cuff material * improper handling or storage * exposure to extreme temperatures or moisture * manufacturer defect * * recommendations : * * * inspect the cuff for any visible damage, such as tears or cracks. * replace the cuff if it shows signs of wear or damage. * store the device and cuff in a cool, dry environment. * ensure proper handling and avoid excessive bending or stretching of the cuff. * contact the manufacturer for any further instructions or support regarding the cuff replacement. @topic:3


annotated with beat labels. see the " ecg, arrhythmia, st and qt monitoring " chapter for a list of beat labels. pace pulse marks are automatically printed beside the wave for paced patients. setting up vital signs and graphic trend reports the settings you choose in the vital signs report and graphical trend report menus apply for all vital signs and graphic trend reports printed. to set up vital signs and graphic trend reports, select main setup, reports, then vital signs rep. or graph trend rep.. 1 select trend group and select the group you want to print on the report. the groups availabldepend on your monitor's trend configuration. monitor's trend configuration. select period and select the period of time for which trend data should be printed on the report. if automatic period is configured to on, all trend data for the current patient will be printed, h trend period is selected. 2 select interval ( vital signs reports only ) and select the resolution of the trend data printed 3 71 29 printing patient reports auto reports print automatically when a specified trigger occurs. there are two types of auto reportsscheduled reports, which print at predefined intervals, and end case reports, which print when a patient is discharged using the end case function. an auto report can be both a scheduled report and an end case report. to set up auto reports, select main setup, reports, then auto reports and select the auto report you want to set up ( a, b, c, or d ). 1 select report and assign a report type to the auto report. 2 select end case report and switch to on if you want the selected report to print automatically when you select end case to discharge a patient. 3 switch end case report to off if the report is a scheduled report only. select scheduled rep. and toggle to on if you want the selected report @topic:8


* * issue : * * - equipment : unable to adjust the knee. * * impact : * * - inability to properly position the patient for examination or treatment. * * possible causes : * * - faulty remote control : the remote control may not be functioning properly, preventing the adjustment of the knee. - loose connection : the jack that connects the remote control to the control box may have become loose, causing an interruption in communication. * * recommendations : * * - * * remote control : * * inspect and test the remote control to determine if it is faulty. if defective, replace it with a new one. - * * connection : * * check the connection between the remote control and the control box. ensure the jack is securely plugged in and there is no damage to the cable. - * * further investigation : * * if the above recommendations do not resolve the issue, further investigation may be necessary. this could involve examining the internal components of the equipment for any potential issues. @topic:9


# # # issue - the medical cart's drawer cannot be opened. # # # impact - the medical staff cannot access the contents of the drawer, which may contain essential medical supplies or equipment. # # # possible causes * * 1. faulty solenoid : * * the solenoid, which is responsible for unlocking the drawer, may be malfunctioning. this could be due to a mechanical failure, electrical failure, or software issue. * * 2. damaged drawer latch : * * the latch that holds the drawer closed may be damaged, preventing the solenoid from releasing it. this could be due to wear and tear, impact damage, or improper handling. # # # recommendations * * 1. inspect the solenoid : * * visually inspect the solenoid for any signs of damage, such as loose connections, broken wires, or burnt components. test the solenoid using a multimeter to ensure that it is receiving power and functioning properly. * * 2. check the drawer latch : * * examine the drawer latch for any visible damage or misalignment. ensure that the latch is securely attached to the drawer and that it moves smoothly when the solenoid is activated. * * 3. reset the system : * * if the solenoid and latch appear to be functioning properly, try resetting the system by unplugging the medical cart for several minutes and then plugging it back in. this may resolve any software issues that could be preventing the drawer from opening. * * 4. contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the medical cart for further troubleshooting and repair assistance. @topic:21


# # # issue the biomedical engineer ( bme ) has found that the electric bed is damaged beyond repair. # # # impact the bed is no longer functional and cannot be used to care for patients. # # # possible causes the bed may have been damaged due to : - a manufacturing defect - normal wear and tear - improper use - an accident # # # recommendations the bme recommends that the bed be replaced. @topic:9


# # # issue - monitor screen not turning on. # # # impact - inability to monitor patient's vital signs. # # # possible causes - faulty power supply or cable. - damaged or loose power switch. - internal hardware malfunction. # # # recommendations - check the power supply and cable for any damage or loose connections. - ensure the power switch is securely connected and functioning properly. - contact the device manufacturer for further troubleshooting and potential repairs. @topic:2


# # # issue the physiologic monitor from philips, model intellivue mp70 ( m8007a ), has failed due to a defective speed knob. # # # impact the failure of the speed knob has rendered the physiologic monitor inoperable, preventing it from accurately monitoring vital signs and providing necessary alarms. this could have severe implications for patient care, as the monitor is essential for the early detection and treatment of critical conditions. # # # possible causes the failure of the speed knob could be attributed to several factors, including : - * * manufacturing defects : * * the speed knob may have been produced with inherent flaws or inconsistencies, leading to its premature failure. - * * physical damage : * * the speed knob could have been subjected to excessive force or mishandling, causing it to break or malfunction. - * * incompatible replacement part : * * the newly installed speed knob may not be compatible with the physiologic monitor, resulting in operational issues. - * * aging and wear : * * the speed knob may have simply reached the end of its expected lifespan and failed due to aging or wear and tear. # # # recommendations to address the issue and prevent similar failures in the future, the following recommendations are proposed : - * * thorough inspection : * * a comprehensive inspection of the physiologic monitor should be conducted to identify any other potential issues or aging components that require attention. - * * proper handling : * * all medical equipment, including the speed knob, should be handled with care and in accordance with the manufacturer's instructions to minimize the risk of damage. - * * genuine replacements : * * only genuine and compatible replacement parts from authorized suppliers should be used when necessary to ensure proper functionality and prevent potential conflicts. - * * regular maintenance : * * a regular maintenance schedule should be established @topic:2


assurance perform basic performance assurance tests for the respective monitoring system component. full performance assurance perform all accuracy and performance test procedures listed in the following sections. if a particular measurement is in question, perform the measurement performance test only. upgrades software upgrades hardware upgrades hardware upgrades where intellivue instrument telemetry ( iit ) is installed hardware upgrades where intellivue 802. 11 bedside adapter is installed hardware upgrades where short range radio ( srr ) is installed installation of interfaces or hardware upgrades where the power supply or parameter boards need to be removed. combining or exchanging system components perform visual inspection, power on test and basic performance assurance test unless otherwise specified in the upgrade installation notes shipped with the upgrade. perform visual inspection, power on test and basic performance assurance test unless otherwise specified in the upgrade installation notes shipped with the upgrade. perform visual inspection, power on test, basic performance assurance test and iit communication test perform visual inspection, power on test, basic performance assurance test and intellivue 802. 11 bedside adapter communication test perform visual inspection, power on test, basic performance assurance test and srr communication test perform visual inspection, power on test, basic performance tests and all safety tests perform the system test for the respective system components * m3015a with the old hardware rev. a ( i. e. serial no. deo20xxxxx ) also require the pump and scrubber replacement procedures. note it is the responsibility of the facility operator or their designee to obtain reference values for recurring safety and system tests. these reference values are the results of the first test cycles after an installation. you may also purchase this service from philips. 33 testing sequence note 34 summary of the recommended sequence of testing : see when to perform tests select the test see visual test ( see " before each use " on visual inspection page 35 ). fety t sale veer see safety test procedures ( on @topic:10


# # # issue - cuff leaking on the connex spot monitor # # # impact - vital signs monitoring may be inaccurate or unavailable, leading to patient safety concerns. # # # possible causes - damage to the cuff or tubing - worn or deteriorated cuff material - improper cuff inflation or deflation - manufacturing defect # # # recommendations * * immediate actions : * * - replace the leaking cuff with a new one. - verify that the replacement cuff is properly inflated and deflated. - monitor the patient's vital signs closely to ensure accuracy. * * long - term actions : * * - inspect cuffs regularly for signs of damage or wear. - establish a maintenance schedule to replace cuffs as needed. - consider using non - latex cuffs to reduce the risk of allergic reactions. - train staff on proper cuff inflation and deflation procedures. - report the issue to the manufacturer and request an investigation to determine the root cause and prevent recurrence. @topic:3


# # # issue - broken spo2 sensor cable # # # impact - inaccurate or no spo2 readings # # # possible causes - physical damage to the cable - cable failure due to excessive bending or twisting - connector issues # # # recommendations - inspect the cable for any visible damage. - ensure the cable is not being excessively bent or twisted. - clean the connectors and ensure they are firmly connected. - replace the cable if necessary. - regularly inspect and maintain the cable to prevent future failures. @topic:4


# # # issue the electric bed's side rails are not moving up or down. # # # impact the bed cannot be adjusted to a safe and comfortable position for the patient. # # # possible causes * the motor that moves the side rails is not working. * the electrical wiring to the motor is damaged. * the control panel is not functioning properly. * the side rails are obstructed by something. # # # recommendations * check the motor for power and proper operation. * inspect the electrical wiring for damage and continuity. * test the control panel to ensure it is sending the correct signals to the motor. * remove any obstructions that may be blocking the side rails. @topic:6


introduction caution : do not use silicone - based lubricants. equipment damage could occur. caution : to prevent component damage, make sure that your hands are clean, and only handle the p. c. board by its edges. caution : when handling electronic components, wear an antistatic strap. failure to do so could cause component damage. caution : for shipping and storage, place the removed p. c. board in an antistatic protective bag. equipment damage can occur. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 1 - 11 safety tips chapter 1 : introduction beds with an auxiliary outlet shock hazard : this bed has two power cords. disconnect both power cords before you service the bed electrical enclosure or auxiliary outlet enclosure. only facility - authorized persons should service the bed electrical enclosure or auxiliary outlet enclosure. injury or equipment damage could occur. warning : the auxiliary outlet ground line is separate from the bed ground line. the auxiliary outlet does not have battery back - up. use for non - life support medical equipment only. failure to do so could cause injury or equipment damage. warning : do not use oxygen enriched sources near the auxiliary outlet. failure to do could cause injury or equipment damage. warning : do not connect both power cords to the same wall outlet. connect the power cords to different outlets on separate circuits. failure to do so could cause equipment damage or the facility power breakers to turn off. do not use the auxiliary outlet for life support equipment. connect life support equipment directly into the facility power supply. page 1 - 12 careassist® and careassist® es bed service manual ( man330 rev 4 ) warning and caution labels chapter 1 : introduction warning and caution labels figure 1 - 5. warning and caution labels n v / i \ safe working load do not throw away no oxygen tents < § > do not stack ground @topic:9


# # # issue - cannot enable 3d mode using the front panel button. # # # impact - inability to perform 3d medical imaging procedures. # # # possible causes - faulty front panel button or associated circuitry. - software or firmware issue preventing 3d mode activation. - internal hardware malfunction affecting 3d processing. # # # recommendations - * * troubleshooting : * * - check the front panel button for any physical damage or loose connections. - reset the device to its factory settings. - update the software or firmware if available. - * * diagnostic testing : * * - use a diagnostic tool or software to test the functionality of the front panel button and associated circuitry. - check the internal logs or error messages for any indications of a hardware issue. - * * repairs : * * - if troubleshooting and diagnostic testing cannot resolve the issue, the equipment may require repair. - contact the manufacturer or an authorized service provider for further assistance. @topic:2


# # # issue - mouse not functioning # # # impact - inability to use medical cart for intended purposes # # # possible causes - mouse hardware failure - mouse driver issue - mouse connection issue - software conflict # # # recommendations - test the mouse on a different device to isolate the issue - update or reinstall the mouse driver - inspect the mouse connection and reconnect it if necessary - check for software conflicts and resolve any incompatibilities - if the issue persists, contact the manufacturer for further troubleshooting and potential replacement @topic:30


the materials used in the locking mechanism. @topic:6


# # # issue - the medical cart reboots unexpectedly. # # # impact - the medical cart may be unavailable for use during the reboot process. - this could disrupt patient care and delay procedures. # # # possible causes - software bugs - hardware malfunctions - power supply issues - network connectivity problems # # # recommendations - update the software to the latest version to fix any known bugs. - inspect the hardware for any loose connections or damaged components. - check the power supply and ensure that it is providing the correct voltage and amperage. - test the network connectivity to ensure that the medical cart can communicate with other devices and systems. @topic:13


together ower isolation none rs232 ( standardconnector rj45 ( 8 - pin ) power none basic insulation ( reference voltage : 250 v ; test voltage : 1500 v ) rj45 ( 8 - pin ) isolation rs232 ( independent display connector nterface optionpower none isolation none basic nurse call relay connector modular jack 6p6c, active open and closed contact contact < = 100 ma, < = 24 v dc basic insulation ( reference voltage : 250 v ; test voltage : 1500 v ) < [ configured latency + 0. 5 ] sec isolation delay flexible nurse call relay connector 20 pin mdr ( mini d - ribbon ), active open and closed contacts < = 100 ma, < = 24 v dc contact basic insulation ( reference voltage : 250 v ; test voltage : 1500 v ) < [ configured latency + 0. 5 ] sec isolation elay connector rj45 ( 8 - pin ) board 1200 bd, 2400 bd, 4800 bd, 9600 bd, 19200 bd, 38400 bd, 57600 bd, or 115200 bd signaling speed speed haracter bits 5 - 8 1 or 2 even or odd parity generation and checking parity power 5 v±5 % @ 0 - 100 ma double insulation ( reference voltage : 250 v ; test voltage : 4000 isolation v ) 470 40 specifications mx400 / 450 / 500 / 550 / 600 / 700 / 800 internal wmts adapter intellivue instrument туре technology compatible with philips intellivue telemetry system ( its ), cellular infrastructure ( usa only ) wmts, 1395 - 1400 mhz and 1427 - 1432 mhz internal ism adapter intellivue instrument туре compatible with philips intellivue telemetry system ( its ), cellular infrastructure technology except usa ) 2 @topic:19


266 7 installation instructions ] clinical network ( wired and wireless ) creating a network solution to support patient monitoring system data is a significant undertaking. the network must be designed to support real - time transmission of patient waveforms, data, and alarms on an uninterrupted and continuous basis. philips can deploy a patient monitoring system in one of two ways : 1 some customers prefer to purchase a patient monitoring system that includes a philips - provided network switching infrastructure. these systems are known as a philips - supplied clinical network ( pscn ). 2 other customers prefer to run their patient monitoring system on the hospital ’ s existing network infrastructure. these types of systems are known as a customer - supplied clinical network ( cscn ). please refer to the appropriate pscn / cscn documentation when connecting bedside devices to an intellivue information center via pscn or cscn infrastructure. for creating network solutions which connect to other systems than an intellivue information center please refer to the documentation of the respective systems. warning in order to maintain the galvanic isolation of the intellivue monitor, it is essential that utp ( unshielded twisted pair ) lan cables is used to connect the intellivue monitor to other devices. intellivue instrument telemetry ( iit ) frequency coordination ( usa only ) : frequency coordination is a registration and coordination process for wireless medical telemetry devices used in the u. s. a. which operate in the fcc - allocated wireless medical telemetry service ( wmts ) bands ( 608 - 614 mhz, 1395 - 1400 mhz, 1427 - 1432 mhz ). the mx400 - mx550 # j45 operates in both of the 1395 - 1400 and 1427 - 1432 mhz bands. under u. s. federal communications commission ( fcc ) rules, authorized healthcare providers @topic:10


# # # issue - defective ac power plug. # # # impact - the bed, electric cannot be powered on. - the bed, electric cannot be used for patient care. # # # possible causes - the ac power plug is damaged or loose. - the ac power cord is damaged or loose. - the ac power outlet is not working. # # # recommendations - replace the ac power plug. - replace the ac power cord. - check the ac power outlet to ensure that it is working. @topic:9


# # # issue - defective air hose bp connector. # # # impact - interruption of patient monitoring or transport. - compromised patient safety. # # # possible causes - normal wear and tear. - damage during handling or storage. - manufacturing defect. # # # recommendations - regularly inspect air hose bp connectors for damage or wear. - replace defective connectors promptly. - handle and store air hose bp connectors with care. - consider using reinforced or shielded connectors to reduce the risk of damage. @topic:15


# # # issue - bed is not adjusting. # # # impact - patient may not be able to get into or out of bed. - patient may be uncomfortable. - caregivers may have difficulty providing care. # # # possible causes - remote control is not functioning. # # # recommendations - replace the remote control. @topic:1


is greater accurac10, 20, 40, 60, 80, 100, 120 cmh2o scales scale default 20 cmh2o ( neonatal ) 40 cmh2o ( pediatric ) 40 cmh2o ( adult ) 2 to 120 breaths / min range numeric ( rrspir ) resolution breath / min 0. 01 to 5 1 / min ( neonatal ) 0. 06 to 30 1 / min ( pediatric0. 4 to 60 1 / min ( adult ) inspired minute volume range numeric ( mvin ) 0. 01 1 / min ( neonatal / pediatric. 1 1 / min ( adult ) resolution 0. 01 to 5 1 / min ( neonatal ) expired minute volume range 0. 06 to 30 1 / min ( pediatric ) umeric ( mvexp0. 4 to 60 1 / min ( adult ) 0. 01 1 / min ( neonatal / pediatric ) resolution 0. 1 1 / min ( adultinspired volume umeric ( tvin ) 5 to 100 ml ( neonatal ) 30 to 400 ml ( pediatric ) range 200 to 3000 ml ( adult ) 1 ml ( neonatal / pediatric10 ml ( adult ) resolution 5 to 100 ml ( neonatal ) angumeric ( tvexp30 to 400 ml ( pediatric ) 200 to 3000 ml ( adult ) 1 ml ( neonatal / pediatric10 ml ( adult ) resolution 0 to 500 ml / cmh2o lung compliance range numeric ml / cmh2esolution airway resi0 to 500 cmh2o / 1 / s ( neonatal ) range 0 to 250 cmh2o / 1 / s ( pediatric ) 0 to 100 cmh2o / 1 / s ( adult ) 1 cmh2o / 1 / s resolution to 120 cmh2peak inspiratorrange ressure numeric ( pip ) resol @topic:17


# # # issue - drawer 3 cannot be locked # # # impact - the medical cart may not be able to securely store medical supplies or equipment. - this could lead to lost or damaged supplies, or could pose a safety hazard. # # # possible causes - the lock mechanism may be broken or damaged. - the drawer may be misaligned, preventing the lock from engaging properly. - there may be an obstruction in the lock mechanism. # # # recommendations - inspect the lock mechanism for any visible damage or signs of wear. - if the lock is damaged, it will need to be replaced. - if the drawer is misaligned, it will need to be adjusted so that the lock can engage properly. - if there is an obstruction in the lock mechanism, it will need to be removed. @topic:21


# # # issue - bed not adjusting on the right side of the patient # # # impact - patient discomfort - difficulty performing procedures - increased risk of falls # # # possible causes - disconnected remote control wire - faulty remote control - loose or damaged electrical connections - malfunctioning motor or control box - software or firmware issues # # # recommendations - inspect remote control wire and connections - test remote control functionality - check and tighten electrical connections - troubleshoot motor or control box - update software or firmware if necessary @topic:7


# # # issue * defective ekg lead wire # # # impact * intermittent or inaccurate ekg readings * inability to monitor patient's heart rhythm accurately * increased risk of missed or delayed diagnosis # # # possible causes * physical damage to the lead wire ( e. g., cuts, nicks, tears ) * connector problems ( e. g., loose or corroded ) * internal electrical failure * improper handling or storage of the lead wire * use of incompatible lead wire with the monitor # # # recommendations * * * replace the defective lead wire : * * the damaged lead wire should be replaced with a new one of the same model and brand. * * * inspect other lead wires : * * check for any signs of damage or wear on the other lead wires connected to the monitor. * * * proper handling and storage : * * ensure that the lead wires are handled and stored carefully to prevent damage. * * * regular maintenance : * * perform regular preventive maintenance checks on the monitor and lead wires to identify potential problems early. * * * use compatible components : * * only use lead wires that are compatible with the specific monitor model. * * * train staff : * * educate staff on the proper use and maintenance of ekg lead wires. @topic:18


. b. by hillrom digital health gateway. with a combined mattress mattress battery charge level " p - max mode status • • on / off mode deflate mode status. • current therapeutic mode attress error co. mcm mode status a. by hillrom digital health gateway note : hill - rom cannot guarantee the information sent over wi - fi. medical decisions must be made on the basis of the information and alerts shown on the bed by the built - in quipment. note : if the bed is moved out of the room ( battery mode ), the wi - fi is deactivated and the bed does not send any more information to the facility's communications system. meaning of the wi - fi connection information on the gci i - fi off wi - fi on with a weak wi - fi signal wi - fi on with an intermediate wi - fi signal wi - fi on with a strong wi - fi signal bed located ng - 09 - 1bed located and patient identified g - 09 - 1λ if the bed switches to battery mode, it is no longer assigned, but remains paired for 3 minutes ( smartcare ) or 1 minute ( hillrom digital health gateway ). after this time, it is necessary to proceed with a new assignment. ote : the bed is located manually with the hillrom digital health gateway. if the wi - fi function was not activated on first use of the bed, connection may not be possible. in this case, contact the supplier of the communications system to solve the problem. smartcare system * the smartcare system ( mediascreen solution powered by telecom sante ) sends informations to caregivers ( see " list of information that can be sent by wi - fi " page 53 ). refer to the smartcare system instructions for use for more detailed information abouthe use of this system. value features frequency bands in which the radio equipment operates maximum @topic:10


# # # issue the nibp monitor ( casmed model 740 ) is not functioning properly due to a change in the cuff. # # # impact the device is unable to accurately measure blood pressure. # # # possible causes the cuff may be the wrong size or not properly attached. # # # recommendations the technician should check the size of the cuff and make sure it is properly attached. if the cuff is the wrong size, it should be replaced with the correct size. @topic:15


in the other two groups. changing the wave group speed the wave speed group setting defines the speed of all the waves in the group. to change the wave speed of a wave speed group, 1 select main setup - > user interface 2 select global speed, respiratoryspeed, or eeg speed as required 3 select a value from the list of available speeds. changing wave speed for a channel to change the wave speed of an individual wave channel, 1 enter the wave menu for a measurement by selecting its wave. 2 select change speed. 3 to set the speed to the wave group speed, select respiratoryspeed, eeg speed, or global speed. to set an individual channel speed, select a numeric value from the list of available speeds. this overrides the wave group speed setting and set the speed for the individual wave channel on the monitor screen. the wave channel speed is independent of the wave ( label ) depicted in the channel, if you change the wave, the new wave will retain the set channel speed. freezing waves you can freeze waves on the screen and measure parts of the wave using cursors. the waves are frozen with a history of 20 seconds so that you can go back and measure what you have seen. freezing an individual wave to freeze a wave, 1 enter the wave menu for the measurement by selecting the wave on the screen. 2 select freeze wave. the realtime wave is replaced with the frozen wave. freezing all waves to freeze all waves on the screen, 34 freezing waves 1 basic operation 1 select the freeze waves smartkey. all realtime waves are replaced with frozen waves. measuring frozen waves to measure a frozen wave, 1 select the frozen wave. if you are using touch, this automatically positions the vertical cursor. the cursor can be repositioned by touching the required point on the wave, or 2 using the speedpoint or another pointing device or @topic:8


# # # issue - inability to lock medical cart drawers # # # impact - compromised security of medical equipment and supplies - increased risk of tampering or theft # # # possible causes - faulty or damaged lock mechanism - key not properly inserted or turned - drawer not fully closed before attempting to lock - user error in locking procedure # # # recommendations - inspect lock mechanism for any damage or defects - ensure key is fully inserted and turned correctly - verify that drawer is completely closed before locking - provide training to users on proper locking procedures - consider installing additional security measures ( e. g., alarms, motion sensors ) to mitigate risk @topic:21


##idemiologist. for comprehensive details on cleaning agents and their efficacy refer to " guidelines for prevention of transmission of human immunodeficiency virus and hepatitis b virus to health care and public - safety workers " issued by the u. s. department of health and human services, public health service, centers for disease control, atlanta, georgia, february 1989. see also any local policies that apply within your hospital, and country. general points keep your monitor, modules, multi - measurement module, mms extensions, flexible module rack, cables and accessories free of dust and dirt. after cleaning and disinfection, check the equipment carefully. do not use if you see signs of deterioration or damage. if you need to return any equipment to philips, decontaminate it first. observe the following general precautions : always dilute cleaning agents according to the manufacturer's instructions or use lowest possible • do not allow liquid to enter the case.. do not immerse any part of the equipment or any accessories in liquid. • • ystemnever use abrasive material ( such as steel wool or silver polish ). • never use bleach except in an approved product listed in this chapter. • warning if you spill liquid on the equipment, battery, or accessories, or they are accidentally immersed in liquid, contact your service personnel or philips service engineer. do not operate the equipment before it has been tested and approved for further use. the general care and cleaning information given here meets the requirements of covidien llc for their bis measurement devices. 411 37 care and cleaning cleaning the equipment soap, a clean with a lint - free cloth, moistened with warm water ( 40°c / 104°f maximum ) and non - caustic detergent, tenside, ammonia - or alcohol - based cleaning agent. do not use strong such as acetone or trichloroethy @topic:10


# # # issue - the electric bed is not able to adjust its height. # # # impact - patients may have difficulty getting in and out of bed. - nurses and other healthcare professionals may have difficulty performing their duties. # # # possible causes - electrical fault in the bed's motor or control system - mechanical failure in the bed's hydraulic system - loose or damaged wires - software glitch - incorrect settings # # # recommendations - check the bed's electrical connections and fuses, and reset the bed's circuit breaker if necessary. - inspect the bed's hydraulic system for leaks or damage. - tighten any loose wires or replace any damaged wires. - update the bed's software to the latest version. - check the bed's settings to ensure that they are correct. - contact the bed's manufacturer for further assistance. @topic:1


# # # issue - equipment malfunction : medical cart not turning on # # # impact - interruption of patient care - delays in treatment - increased patient discomfort # # # possible causes - faulty power supply or battery - circuit board malfunction - software glitch - user error # # # recommendations - inspect power cable, ensure proper connection to power outlet - check battery for full charge - restart the device by unplugging it from the power source and then plugging it back in - contact the manufacturer for technical support - review user manual for troubleshooting instructions - train medical staff on proper equipment operation and maintenance - consider using a backup medical cart in case of failure @topic:13


* * issue : * * motor failure in bed, electric equipment. * * impact : * * the equipment is unable to function properly, potentially impacting patient care. * * possible causes : * * * * * overuse or overloading : * * the equipment may have been used excessively or beyond its intended capacity, leading to premature motor failure. * * * improper maintenance : * * lack of regular maintenance, such as lubrication or cleaning, can contribute to motor wear and tear. * * * design flaws : * * the motor may have inherent design issues or defects that make it susceptible to failure. * * * electrical faults : * * power surges or other electrical problems can damage the motor or its components. * * * environmental factors : * * extreme temperatures, humidity, or vibration can adversely affect the motor's performance. * * * age and wear : * * as equipment ages, its components may naturally deteriorate and become more prone to failure. * * recommendations : * * * * * regular maintenance : * * establish a comprehensive maintenance schedule that includes regular inspection, lubrication, and cleaning. * * * proper usage : * * ensure that the equipment is used according to the manufacturer's guidelines and within its intended capacity. * * * environmental control : * * monitor and maintain appropriate temperature, humidity, and vibration levels in the operating environment. * * * electrical safety checks : * * perform regular electrical safety checks to identify and address any potential electrical hazards. * * * equipment upgrades : * * if design flaws are suspected, consider upgrading the equipment with improved motor components or designs. * * * replacement : * * in cases where the motor is irreparable, it may be necessary to replace it with a new one. * * * training : * * provide proper training to staff on the correct operation and maintenance of the equipment to prevent over @topic:9


# # # issue * cuff failure # # # impact * inaccurate blood pressure readings * patient discomfort * delays in patient care # # # possible causes * cuff wear and tear due to frequent use * exposure to moisture or chemicals * improper storage or handling # # # recommendations * regularly inspect cuffs for signs of damage or deterioration * use appropriate cuff size for patient's arm circumference * store and handle cuffs properly * calibrate the nibp monitor regularly to ensure accuracy * * additional notes : * * * the technician should also check the nibp monitor for any other potential issues that may be contributing to cuff failure. * the technician should document the cause of failure in the medical device maintenance log for future reference. @topic:5


# # # issue - equipment not powering on # # # impact - lack of monitoring of vital signs, potential patient safety concerns # # # possible causes - battery failure due to power surge - faulty power supply - internal component failure # # # recommendations - replace battery - check power supply and connections - contact manufacturer for further diagnostics and repair @topic:11


# # # issue - the etco2 value is not displayed. # # # impact - inability to monitor the patient's respiratory status. # # # possible causes - the filter line is clogged with water. - the filter line has not been replaced after 12 hours of use. # # # recommendations - replace the filter line with a new one. - instruct the user to replace the filter line every 12 hours of use. - ensure that the user has access to new filter lines. @topic:4


# # # issue - the monitor has fallen off the transport cart. # # # impact - the monitor is no longer mobile. - the monitor may be damaged. # # # possible causes - the latches that secure the monitor to the cart have failed. - the monitor has been dropped or bumped. # # # recommendations - inspect the latches that secure the monitor to the cart. if they are damaged, replace them. - if the monitor has been dropped or bumped, inspect it for damage. if there is any damage, do not use the monitor until it has been repaired. @topic:12


# # # issue - the equipment ( bed, electric ) is not able to be adjusted in height or lowered. # # # impact - the patient may not be able to get in or out of bed safely or comfortably. - the medical staff may not be able to position the patient properly for treatment or procedures. # # # possible causes - the button that controls the adjustment of the bed is not working properly. - the motor that powers the adjustment of the bed is not working properly. - the electrical wiring to the bed is damaged. - the hydraulic fluid in the bed is leaking. - a mechanical component of the bed is broken. # # # recommendations - * * check the button that controls the adjustment of the bed. * * if the button is not working properly, it will need to be replaced. - * * check the motor that powers the adjustment of the bed. * * if the motor is not working properly, it will need to be repaired or replaced. - * * check the electrical wiring to the bed. * * if the electrical wiring is damaged, it will need to be repaired or replaced. - * * check the hydraulic fluid in the bed. * * if the hydraulic fluid is leaking, it will need to be refilled or the leak will need to be repaired. - * * check the mechanical components of the bed. * * if a mechanical component of the bed is broken, it will need to be repaired or replaced. @topic:1


# # # issue - scanner fails to charge # # # impact - unable to use medical cart effectively # # # possible causes - faulty scanner - worn - out or loose charging cable - damaged charging port on the medical cart - software issue # # # recommendations - troubleshoot the scanner by testing it with a different charging cable and power source. - inspect the charging cable and port on the medical cart for any damage. - update the software on the medical cart and scanner. - contact the manufacturer or a qualified technician for further assistance. @topic:23


# # # issue - broken wire # # # impact - the patient's vital signs may not be accurately monitored. - the patient may not receive the appropriate medical care. - the hospital may be liable for damages if the patient is injured or dies as a result of the broken wire. # # # possible causes - the wire may have been damaged during installation. - the wire may have been damaged by a patient or visitor. - the wire may have been damaged by a medical device. # # # recommendations - inspect the wire for damage before using it. - secure the wire so that it is not damaged by patients or visitors. - keep the wire away from medical devices that could damage it. - replace the wire if it is damaged. @topic:18


# # # issue - faulty spo2 cable # # # impact - inability to accurately measure oxygen saturation levels # # # possible causes - physical damage to the cable, such as cuts or tears - loose connections - internal component failure # # # recommendations - inspect the cable for any visible damage and replace if necessary. - ensure that all connections are secure. - contact the manufacturer for technical support if the issue persists. @topic:4


# # # issue : - monitor is unable to perform picture - in - picture ( pip ) mode. - monitor displays horizontal lines on the screen. - monitor screen flickers and displays a pink tint. # # # impact : - inability to view multiple images simultaneously, limiting diagnostic capabilities. - impaired image quality, potentially impacting patient care decisions. - visual discomfort and potential for patient injury due to flickering screen. # # # possible causes : - * * faulty internal signal cable : * * the cable responsible for transmitting images to the display may be damaged or malfunctioning. # # # recommendations : - * * replace signal cable : * * the technician should replace the internal signal cable to restore pip functionality and resolve the horizontal lines. - * * contact manufacturer : * * the technician should contact the manufacturer to inquire about the availability of replacement parts, as the model is obsolete and production has ceased. - * * consider replacement : * * if replacement parts are unavailable, the technician should recommend replacing the monitor due to its age and the lack of support from the manufacturer. @topic:2


# # # issue - malfunctioning patient monitor due to intermittent signal loss. # # # impact - inaccurate or delayed patient data could lead to incorrect diagnosis or treatment decisions. # # # possible causes - * * defective lead wire : * * damaged or faulty lead wires can result in signal interruptions. - * * loose connections : * * poorly connected lead wires or sensors can cause intermittent signal loss. - * * malfunctioning sensor : * * a faulty sensor can fail to transmit reliable data. - * * power issues : * * intermittent power supply to the monitor or sensors can cause signal loss. - * * software glitches : * * software bugs or errors can disrupt the monitor's functionality. # # # recommendations * * immediate actions : * * - replace the lead wire with a known - good one. - inspect all connections to ensure proper contact. - test the patient monitor with a different set of sensors. * * long - term actions : * * - establish a regular maintenance schedule to inspect and test equipment. - train staff on proper handling and usage of medical devices. - consider investing in high - quality, durable equipment to minimize the risk of future failures. @topic:2


# # # issue - the backup battery of the electric bed had to be replaced. # # # impact - the bed may not be able to be used if the power goes out. # # # possible causes - the backup battery may have reached the end of its lifespan. - the backup battery may have been damaged by a power surge. # # # recommendations - the backup battery should be replaced regularly, according to the manufacturer's recommendations. - the bed should be plugged into a surge protector to protect it from power surges. @topic:9


# # # issue - wooden bedside rail is not elevating # # # impact - patient safety hazard : patient could fall out of bed if bedside rail is not in place. # # # possible causes - malfunctioning motor - broken or disconnected wire - faulty switch - software issue # # # recommendations - inspect the motor and wire connections for any damage. - check the switch for proper functionality. - update the software if necessary. @topic:6


# # # issue - the remote control is faulty and cannot adjust the head of the bed. # # # impact - patients may be unable to adjust the position of their bed, which can lead to discomfort and inconvenience. # # # possible causes - the remote control may be damaged or defective. - the connection between the remote control and the bed may be faulty. - the bed's control unit may be malfunctioning. # # # recommendations - replace the remote control. - check the connections between the remote control and the bed. - contact the equipment manufacturer for further troubleshooting and support. @topic:1