# # # issue monitor not linking # # # impact - inability to monitor patient's vital signs - delay in diagnosis and treatment - increased risk of adverse events # # # possible causes - loose or damaged cables - faulty monitor - software issues - network connectivity problems # # # recommendations 1. * * check cables : * * ensure that all cables are properly connected and undamaged. 2. * * restart monitor : * * power cycle the monitor to reset it. 3. * * contact support : * * if the issue persists, contact the manufacturer's technical support for assistance. 4. * * troubleshoot network : * * verify that the network is functioning properly. 5. * * update software : * * ensure that the monitor has the latest software updates installed. 6. * * replace monitor : * * if all troubleshooting steps fail, consider replacing the faulty monitor. @topic:16


# # # issue - parameter values are missing on the philips intellivue mp40 ( m8003a ) patient transport monitor. # # # impact - the missing parameter values may compromise the accuracy of patient monitoring and potentially lead to incorrect treatment decisions. # # # possible causes - * * loose module connection : * * the module responsible for collecting and displaying the parameter values may not be securely connected, resulting in intermittent signal loss. # # # recommendations - * * re - seat the module : * * disconnect the module and firmly reconnect it to ensure a secure connection. - * * inspect the module and connectors : * * visually inspect the module and its connectors for any signs of damage or corrosion that could affect the connection. - * * update software : * * the issue may be resolved by updating the software on the monitor. check with the manufacturer for any available updates. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer for further troubleshooting and repair options. @topic:22


# # # issue * cuff bp leaks. # # # impact * the blood pressure monitor will not provide the accurate blood pressure reading * can cause hypo or hyper tension to patient # # # possible causes * cuff bp is damaged. * cuff bp is not properly attached to the monitor. * cuff bp is not the correct size for the patient. # # # recommendations * replace the cuff bp. * ensure that the cuff bp is properly attached to the monitor. * use the correct size cuff bp for the patient. @topic:3


##ito2. 3. wipe the sides, front, and rear of the monitor. avoid residual film buildup on the lcd screen. after cleaning and disinfecting, wipe the lcd 4. screen with a clean cloth dampened with water, and then wipe the screen dry with a dry clean cloth. 5. wipe the bottom of monitor. 6. wipe the apm work surface. 7. 8. wipe the ac power cord and the apm work surface power / usb cable assembly. 9. wipe the stand from top to bottom. dry the equipment allow all components except the lcd screen to air dry. 1. 2. wipe the lcd screen dry with a clean cloth. store the device store the device according to facility guidelines to keep the device clean, dry, and ready for service. accessories include components like blood pressure cuffs and hoses, spo2 sensors and cables, thermometers, and the barcode scanner. follow accessory manufacturer's instructions for cleaning and disinfection. for cleaning the wallboard and vesa mount, use only 70 percent isopropyl alcohol solution applied for the braun thermoscan pro 6000 thermometer, use only the approved cleaning agents published in the manufacturer's instructions for cleaning. unapproved cleaning agents can damage the device and interfere with data transmission. clean the braun thermoscan pro 6000 contacts debris that accumulates on the braun thermoscan pro 6000 electrical contacts can interfere with data transmission. welch allyn recommends cleaning the contacts on the thermometer and the dock once every 4 months to maintain optimal performance. service manual leaning requirementcaution do not use bleach solutions of any kind when cleaning metal electrical contacts. they will damage the device. a 1. slightly dampen a cotton swab with 70 % isopropyl alcohol. 2. remove the thermometer from the dock and clean the @topic:10


# # # issue the bed's 3r wheel in the p11 room is not locking. # # # impact this issue could lead to the bed becoming unstable and potentially causing injury to the patient or staff. # # # possible causes - the wheel lock may be damaged - the wheel may be worn - there may be an obstruction preventing the wheel from locking # # # recommendations - inspect the wheel lock for damage. if the wheel lock is damaged, it should be replaced. - inspect the wheel for wear. if the wheel is worn, it should be replaced. - check for any obstructions that may be preventing the wheel from locking. if there are any obstructions, they should be removed. @topic:6


# # # issue - the vital signs monitor is not functioning properly. # # # impact - the patient's vital signs cannot be accurately monitored. # # # possible causes - the batteries may be dead. - the monitor may be malfunctioning. # # # recommendations - replace the batteries. - if the batteries do not resolve the issue, the monitor may need to be repaired or replaced. @topic:2


# # # issue the nibp monitor from ge healthcare ( model dinamap pro 300 ) is failing to measure blood pressure accurately. # # # impact this failure can lead to incorrect blood pressure readings, which could result in improper treatment or delayed diagnosis. # # # possible causes - the patient is moving during the measurement, causing the sensor to lose contact with the skin. - the sensor is not properly positioned on the patient's arm. - the sensor is defective. - the monitor is not calibrated correctly. # # # recommendations - ensure that the patient is still and does not move during the measurement. - make sure that the sensor is properly positioned on the patient's arm, according to the manufacturer's instructions. - inspect the sensor for any damage or defects. - calibrate the monitor regularly, according to the manufacturer's instructions. @topic:15


* * issue : * * cause of failure is not clear. * * impact : * * unable to determine the root cause of equipment malfunction. * * possible causes : * * * misinterpretation of test results * incomplete or erroneous information provided * lack of technical expertise * system configuration errors * * recommendations : * * * review test results thoroughly and consult with a senior technician or medical professional. * verify that all necessary information is available, including error logs and system settings. * ensure that the equipment is tested by a qualified technician. * reconfigure the system based on manufacturer's specifications or troubleshoot potential software glitches. @topic:12


# # # issue - cuff of vital signs monitor is damaged and cannot be used. # # # impact - inability to accurately monitor vital signs. # # # possible causes - cuff is damaged due to : - wear and tear over time - improper use or storage - exposure to extreme temperatures or humidity # # # recommendations - replace the damaged cuff with a new one. - train staff on proper use and storage of the vital signs monitor. - regularly inspect the cuff for any signs of damage. - consider implementing a preventive maintenance program to catch potential issues early on. @topic:5


# # # issue - battery drains quickly # # # impact - device may turn off unexpectedly, leading to loss of patient data or interruption of care. # # # possible causes - * * battery is at the end of its lifespan : * * batteries have a limited lifespan and will eventually need to be replaced. - * * battery is not properly seated : * * if the battery is not properly seated in its compartment, it may not make good contact with the terminals and will not be able to power the device properly. - * * battery is damaged : * * a damaged battery may not be able to hold a charge or may leak, which could damage the device. - * * device is drawing too much power : * * if the device is drawing too much power, it may drain the battery quickly. this could be due to a problem with the device's circuitry or a faulty component. # # # recommendations - * * replace the battery : * * if the battery is at the end of its lifespan, it should be replaced with a new one. - * * reseat the battery : * * if the battery is not properly seated, it should be removed and reseated. - * * inspect the battery for damage : * * if the battery is damaged, it should be replaced with a new one. - * * have the device inspected by a qualified technician : * * if the battery is not damaged and the device is still draining the battery quickly, it should be inspected by a qualified technician to identify and repair the problem. @topic:11


# # # issue - cuff of vital signs monitor is damaged # # # impact - inability to accurately measure blood pressure # # # possible causes - cuff is old and worn - cuff is not the correct size for the patient - cuff is not properly inflated # # # recommendations - replace the cuff with a new one - ensure that the cuff is the correct size for the patient - properly inflate the cuff before taking a blood pressure reading @topic:5


# # # issue the electric bed, model enterprise 8000, manufactured by huntleigh, is not adjustable. # # # impact patients may not be able to get into or out of bed, or may not be able to be positioned comfortably. this could lead to discomfort, pain, and pressure sores. # # # possible causes * * * electrical problems : * * the bed may not be receiving power, or there may be a problem with the wiring. * * * mechanical problems : * * the bed's motors or gears may be damaged or worn out. * * * control problems : * * the bed's controls may be malfunctioning. # # # recommendations * * * check the power supply : * * make sure that the bed is plugged into a working outlet and that the power switch is turned on. * * * inspect the wiring : * * look for any damaged or loose wires. * * * check the motors and gears : * * listen for any unusual noises or vibrations. if you find any damaged or worn parts, replace them. * * * check the controls : * * make sure that the controls are working properly. if you find any problems, contact the manufacturer. @topic:1


# # # issue - touchscreen is unresponsive. # # # impact - inability to use the monitor to display patient data or adjust settings. # # # possible causes - malfunctioning touchscreen panel - loose connections between the touchscreen and the motherboard - software or firmware issues - damage to the motherboard or other electronic components # # # recommendations - clean the touchscreen panel with a soft, dry cloth. - check the connections between the touchscreen and the motherboard. - update the software or firmware if available. - if the issue persists, contact a qualified biomedical engineer for further diagnosis and repair. @topic:2


# # # issue the medical cart is unable to boot into the windows operating system. # # # impact the cart cannot be used for medical purposes. # # # possible causes - the boot settings in the bios are incorrect. - the hard drive is damaged. - the operating system is corrupted. # # # recommendations - ces should check the boot settings in the bios and set them to the appropriate values. - ces should test the hard drive for errors. - ces should reinstall the operating system if necessary. @topic:13


# # # issue - equipment failure : the ear thermometer's cover is broken. # # # impact - inability to accurately measure patient's temperature. # # # possible causes - rough handling or dropping of the device. - improper storage or cleaning. - manufacturing defect. # # # recommendations - handle the device with care and avoid dropping it. - store and clean the device according to the manufacturer's instructions. - contact the manufacturer if the device continues to malfunction after replacing the cover. @topic:20


# # # issue - remote control buttons not functioning properly # # # impact - inability to adjust bed position - reduced patient comfort and mobility # # # possible causes - loose remote control cable connection - faulty remote control - electrical system issues within the bed # # # recommendations - check and secure the remote control cable connection - inspect the remote control for any signs of damage or malfunction - test the electrical system within the bed to ensure proper functionality - if the issue persists, contact the manufacturer for further troubleshooting and repair @topic:7


control, selecting primary / secondary lead, relearning arrhythmia, and selecting the arrhythmia analysis mode. the equipment label of the paired device is also shown here. viewing and silencing telemetry alarms at the bedside when a telemetry device is paired with the monitor, telemetry alarms will also be indicated on the monitor, in addition to the main indication at the information center. if configured, a generic tele alarm message will appear in the alarm status area with standard alarm tones. the tele alarm message will have the color and * or! coding corresponding to the severity of the alarm. the specific alarm message ( for example * hr low ) will appear in the telemetry data window. if configured, alarms generated from a paired telemetry device can be silenced at the bedside. either the monitor silence key is configured to silence both monitor and telemetry alarms ( must be configured at the information center ) or the silence bed pop - up key will be available : 1 select the telemetry screen element. 2 select the silence bed pop - up key. depending on your information center configuration, the silence bed key may silence both telemetry alarms and bedside alarms. warning even when the telemetry data is not visible on the screen, you may be silencing telemetry and monitor alarms, if the information center and monitor are so configured. suspending telemetry alarms when you select pause alarms or alarms off at the monitor, the alarms are off or paused for the bedside measurements. when you switch alarms off or pause alarms at the information center, both telemetry and monitor alarms are affected. refer to the information center instructions for use for more details on the suspend / pause alarms behavior of the information center and telemetry device. using standby when you select standby mode at the monitor, the bedside goes into @topic:10


board. see “ removing the main board ” on page 5 - 31. the monitor turns on and the opening screen and / or color bar starts, but then freezes. the main board malfunctioned. replace the main board. see “ removing the main board ” on page 5 - 31. alarm problems symptom possible cause action a flashing red and white box with the message audio failed appears on the screen. the speaker malfunctioned. clear the error message by performing the speaker test or clearing the error log. see “ testing the speaker ” on page 4 - 33 or “ clearing patient data ” on page 4 - 37. the connection to the speaker is a faulty. ensure that the connection to the speaker is correct. clear the error message by performing the speaker test or clearing the error log. see “ testing the speaker ” on page 4 - 33 or “ clearing patient data ” on page 4 - 37. the speaker is faulty. replace the speaker. see “ removing the fan and speaker ” on page 5 - 22. audible alarms do not sound. the monitor is in audio pause mode or audio off mode. confirm audio alarms are enabled. the connection to the speaker is faulty. ensure that the connection to the speaker is correct. the speaker malfunctioned. replace the speaker. see “ removing the fan and speaker ” on page 5 - 22. the main board malfunctioned. replace the main board. see “ removing the main board ” on page 5 - 31. the auto set alarm limits button is unavailable. auto set alarm limits function is only available when the monitor is in nbp interval mode or continuous spo, mode. ensure that the monitor is in nbp interval mode or continuous spo, mode. see the suresigns vs4 instructions for use. suresigns vs4 service guide troubleshooting 4 - 5 troubleshooting @topic:22


the alarm settings are appropriate for your patient before you start you can usually see the alarm limits set for each measurement next to the measurement numeric othe main screen. 12085 50 if your monitor is not configured to show the alarm limits next to the numeric, or if the numeric is so small that the limits cannot be displayed, you can see them in the appropriate measurement setup menu. select the measurement numeric to enter the menu and check the limits. 67 3 alarms the alarm limits overview window lists the currently set alarm limits for all measurements. if an apnea alarm delay time is set, this is also shown. the alarms off symbol is shown beside the l of any measurement whose alarm switched off. to open the alarm limits window, either select any alarm field to open the alarm messages window, then select the alarm limits pop - up key, or select the alarm limits smartkey, if configured. larm limits 60 120 hr 50 show st limits 480 500 qtc 60 aqtc 95 100 po3 96 120 $ 160 nbps 90 16 apd 0 10 cvpm 0 10 icpm off 0 2 measurement labels, with alarms off symbol where appropriate 1 23 current alarm limits graphic view of current yellow and red alarm limits and currently monitored measurement value. off indicates the measurement is switched off select show st limits to expand the list of st leads and view the currently set alarm limits. selecting hide st limits hides the list again. with the alarm limits window to perform common tasks : you can use the open all al. on / all al. off all lim. narrow / all lim. wide to set narrow or wide alarm autolimits for all measurements. print limits / record limits to print a list of all current alarm limit settings on a connected these pop - up keys are not available in the window for changing individual alarm limits which you he measurement label in the alarm limits window. set limits @topic:8


# # # issue - user unable to log in to the medical cart. # # # impact - the medical cart cannot be used for patient care. # # # possible causes - * * incorrect login credentials : * * the user may have entered the wrong username or password. - * * account lockout : * * the user's account may have been locked out after multiple failed login attempts. - * * network connectivity issues : * * the medical cart may not be able to connect to the network, preventing the user from logging in. - * * software glitch : * * a software error may be preventing the user from logging in. # # # recommendations 1. * * verify login credentials : * * ensure that the user is entering the correct username and password. 2. * * reset account : * * if the account has been locked out, reset the password by following the hospital's password reset procedure. 3. * * check network connectivity : * * make sure that the medical cart is connected to the hospital's network and that there are no connectivity issues. 4. * * restart the medical cart : * * restarting the medical cart may resolve software glitches that are preventing the user from logging in. 5. * * contact bme or it support : * * if the issue persists, contact the hospital's biomedical engineering or it support team for further assistance. @topic:13


* * issue : * * bed cannot be adjusted up or down * * impact : * * patient care may be compromised due to inability to adjust bed position for comfort or medical procedures. * * possible causes : * * * * * remote control malfunction : * * the remote control may be faulty, preventing it from sending signals to the bed. * * * connection issues : * * there may be loose or damaged connections between the remote control and the bed or within the bed's electrical system. * * * electrical component failure : * * an electrical component within the bed, such as a motor or circuit board, may have failed. * * * mechanical issue : * * there may be a mechanical problem with the bed's adjustment mechanism, such as a broken spring or jammed gear. * * recommendations : * * * * * inspect remote control : * * check for any loose batteries, broken buttons, or damage to the housing. * * * test connections : * * ensure that all connections between the remote control and the bed are secure and undamaged. * * * troubleshoot electrical components : * * check for any blown fuses or other electrical issues. use a multimeter to measure voltage and resistance if necessary. * * * examine mechanical components : * * inspect the bed's adjustment mechanism for any visible damage or obstructions. attempt to manually move the bed up or down to identify any potential mechanical issues. * * * replace faulty components : * * if any faulty components are identified, replace them with genuine parts. * * * reassemble and test : * * once repairs are made, reassemble the bed and test its functionality thoroughly to ensure optimal performance. @topic:1


* * issue : * * system vsm failure after testing * * impact : * * inability to use the vsm system for patient monitoring * * possible causes : * * * * * hardware failure : * * a hardware component in the vsm system may have failed during testing, such as a sensor or a communication module. * * * software bug : * * a software bug in the vsm system may have caused the system to malfunction during testing. * * * user error : * * the technician may have made a mistake during testing, such as connecting the vsm system incorrectly or using it improperly. * * * environmental factors : * * external factors such as power outages, surges, or extreme temperatures may have affected the vsm system during testing. * * recommendations : * * * * * troubleshoot hardware : * * inspect the vsm system for any visible damage or loose connections. use diagnostic tools to test individual hardware components. * * * update software : * * check for any available software updates for the vsm system and install them if necessary. * * * review user manual : * * ensure that the technician is familiar with the correct operation procedures for the vsm system. * * * check environment : * * ensure that the vsm system is operating in a stable environment with adequate power and temperature control. * * * contact manufacturer : * * if troubleshooting steps fail to resolve the issue, contact the manufacturer of the vsm system for assistance or to report a potential failure. @topic:16


# # # issue - drawer does not close properly # # # impact - the drawer could open unexpectedly, causing medications to fall out. - this could pose a safety hazard to patients and staff. - it could also lead to medication errors. # # # possible causes - the solenoid nut is loose. - the solenoid is malfunctioning. - the drawer is misaligned. - the drawer tracks are obstructed. # # # recommendations - tighten the solenoid nut. - replace the solenoid if it is malfunctioning. - realign the drawer. - clear any obstructions from the drawer tracks. @topic:21


# # # issue - blood pressure monitor not measuring accurately # # # impact - inaccurate blood pressure readings can lead to misdiagnosis and incorrect treatment decisions. # # # possible causes - cuff leak - cuff bladder defect - connection issues - electrical problems - software or calibration errors - external factors ( e. g., patient movement or environmental interference ) # # # recommendations - inspect cuff for any damage or leaks. - ensure cuff is properly connected to monitor and patient arm. - check for any loose or damaged electrical connections. - perform a recalibration of the monitor. - consult the manufacturer's guidelines for troubleshooting and repair instructions. - if necessary, replace the cuff or other faulty components. - ensure proper patient positioning and minimize external interference during measurement. @topic:14


# # # issue - telemetric device not locking with the monitor # # # impact - patient monitoring may be interrupted - incorrect or incomplete patient data may be recorded - patient safety may be compromised # # # possible causes - loose or damaged connections - incompatible software or firmware - hardware malfunction in either the telemetric device or the monitor - * * ekg cable is not properly connected or damaged * * # # # recommendations - ensure that all connections are secure and undamaged - verify that the software and firmware on both devices are compatible - contact the manufacturer for troubleshooting assistance - * * check the ekg cable for damage and replace if necessary * * @topic:16


periods are cleared • stored arrhythmia templates are cleared • asystole, vfib, and hr alarms ( when there are enough beats to compute the hr ) are active. no other alarms are active. initiating arrhythmia relearning manually 1 to initiate relearning manually, in the setup arrhythmia menu, select relearn arrhy. - while the monitor is learning, the delayed arrhythmia wave displays the beat label l and the rhythm status message learning ecg. - next, the monitor determines the dominant rhythm. the beats are labeled n, and the rhythm status message changes to learning rhythm. 2 after relearning is complete, you should check the delayed arrhythmia wave to ensure that the algorithm is labeling the beats correctly. 3 if beats are still not classified correctly, check that the ecg is optimized for arrhythmia monitoring. you may need to select a different lead or change the electrodes or electrode positions if there is excessive noise, unstable voltage, low amplitude, or large p - or t - waves. 138 arrhythmia alarms 6 ecg, arrhythmia, st and qt monitoring automatic arrhythmia relearn arrhythmia relearning is initiated automatically whenever : • ecg monitoring is switched on • the ecg lead or lead label of the primary / secondary lead is changed manually, or when fallback occurs • a leads off inop condition ( that has been active for > 60 seconds ) ends. if you are monitoring multi - lead arrhythmia and there is a change in one lead only, relearning happens only in the affected lead. during this learning phase, the system will continue monitoring using the other lead. therefore, the delayed arrhythmia @topic:8


# # # issue the biomedical engineer ( bme ) was unable to link the philips suresigns vs4 monitor to the vsm system. # # # impact the bme was unable to test the monitor's ability to scan patient en numbers and measure vital signs, such as blood pressure and spo2. this prevented the bme from determining if the monitor was functioning properly. # # # possible causes * the vsm system may not be compatible with the philips suresigns vs4 monitor. * the vsm system may not be properly configured. * the philips suresigns vs4 monitor may be malfunctioning. * the bme may not have the proper training or experience to link the monitor to the vsm system. # # # recommendations * verify that the vsm system is compatible with the philips suresigns vs4 monitor. * check the vsm system configuration to ensure that it is set up correctly. * inspect the philips suresigns vs4 monitor for any damage or defects. * consult with a more experienced bme to assist with linking the monitor to the vsm system. @topic:22


# # # issue * * battery failure * * # # # impact * * monitor or patient transport device may not function properly or may shut off unexpectedly. * * # # # possible causes * * battery has reached the end of its lifespan. * * the specified battery is a 10. 8 v lithium ion battery, and it is recommended to replace it annually. # # # recommendations * * replace the battery with a new 10. 8 v lithium ion battery. * * @topic:11


# # # issue - cuff bp ( blood pressure ) connector detached # # # impact - the blood pressure cuff cannot be used to measure blood pressure accurately, which can lead to incorrect patient monitoring and treatment. # # # possible causes - the cuff connector may have been damaged during use or handling. - the cuff connector may have been improperly attached to the cuff. # # # recommendations - inspect the cuff connector for damage. if the connector is damaged, replace the cuff. - ensure that the cuff connector is properly attached to the cuff. - follow the manufacturer's instructions for connecting the cuff to the monitor. @topic:14


# # # issue - ekg room 3 is not linking with the central monitor. # # # impact - the central monitor cannot receive ekg data from room 3, which could lead to delays in patient care. # # # possible causes - the ekg machine in room 3 may not be properly connected to the network. - the network may be experiencing problems. - the central monitor may not be properly configured to receive data from room 3. # # # recommendations - check the connections between the ekg machine in room 3 and the network. - test the network to ensure that it is functioning properly. - check the configuration of the central monitor to ensure that it is set up to receive data from room 3. @topic:16


# # # issue medical cart cannot connect to hardware. # # # impact the medical cart cannot be used for its intended purpose, which could potentially delay or disrupt patient care. # # # possible causes - the hardware is not properly connected to the medical cart. - the hardware is not functioning properly. - the software on the medical cart is not functioning properly. # # # recommendations - check the connections between the hardware and the medical cart. - test the hardware on a different medical cart or computer. - update the software on the medical cart. - if the problem persists, contact the manufacturer of the medical cart or the hardware. @topic:13


# # # issue - touch screen unresponsive or inaccurate # # # impact - inability to use bedside monitor to track patient vital signs - potential delays in patient care - increased patient discomfort and anxiety # # # possible causes - touch screen malfunction - software or firmware issues - physical damage to touch screen - calibration issues # # # recommendations - calibrate touch screen according to manufacturer's instructions - verify software and firmware updates are current - inspect touch screen for physical damage - replace touch screen if necessary @topic:2


pressure, temperature modules connected ) when monitor is off : approx. 3 hours when monitor is in use : approx. 5 hours mx450 operating time ( with one fully charged battery ) basic monitoring configurations 4 hours ( brightness is set to optimum, mms connected, nbp measurement every 15 minutes ). extended monitoring configuration : 3 hours ( brightness set to optimum, mms and mconnected, nbp every 15 minutes, recorder, pressure, when monitor is off : approx. 3 hours when monitor is in use : approx. 5 hours mx 500 operating time ( with one fubattery ) basic monitoring configurations 3 hours ( brightness is set to optimum, mms connected, nbp very 15 minutes ). extended monitoring configuration : 2. 5 hours ( brightness set to optimum, mms and mms extension connected, nbp every 15 minutes, recorder, pressure, emperature modules cwhen monitor is off : approx. 3 hours when monitor is in use : approx. 5 hours mx 550 operating time ( with one fully charged battery ) basic monitoring configurations 2. 5 hours ( brightness is set to optimum, mms connected, nbp measurement every 15 minutes ). extended monitoring configuration : 2 hours ( brightness set to optimum, mms and mconnected, nbp every 15 minutes, recorder, pressure, temperature modules connected ) when monitor is off : approx. 3 hours when monitor is in use : approx. 5 hours 464 40 specifications | mx400 / 450 / 500 / 550 audible feedback for user input sounds prompt tone 4 different alarm sounds. remote tone for alarms on other beds in network tone for timer expired available for standard waves 6. 25 mm / s, 12. 5 mm / s, 25 mm / s, 50 mm / s display wave speeds with ±5 % accuracy ( guaranteed only for integrated displays6. 25 @topic:10


# # # issue - cuff deterioration # # # impact - inaccurate blood pressure measurements - patient discomfort # # # possible causes - age and wear - repeated use - improper storage # # # recommendations - regularly inspect and replace cuffs as needed - use cuffs that are appropriate for the patient's size and condition - store cuffs in a cool, dry place @topic:3


# # # issue the cause of failure for the central monitor is not listed in the provided input. # # # impact the impact of the failure is not listed in the provided input. # # # possible causes one possible cause of failure could be the installation of the bed side monitor. the installation of the bed side monitor may have caused a power surge or other electrical issue that damaged the central monitor. # # # recommendations the recommendation for preventing this type of failure would be to ensure that the bed side monitor is properly installed and that there are no power surges or other electrical issues that could damage the central monitor. @topic:2


# # # issue - cuff of the bedside physiologic monitor is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged by being over - inflated or by being exposed to sharp objects. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of damage. - do not over - inflate the cuff. - do not expose the cuff to sharp objects. @topic:5


# # # issue - connector is lost. # # # impact - the device cannot be used. # # # possible causes - the connector was not properly secured. - the connector was damaged. - the connector was lost during maintenance. # # # recommendations - ensure that the connector is properly secured before using the device. - inspect the connector for damage before each use. - store the connector in a safe place when not in use. @topic:12


# # # issue the bed cannot be adjusted downwards. # # # impact the patient may not be able to get in or out of bed safely or comfortably. # # # possible causes - the locking mechanism is malfunctioning. - the motor is not working properly. - the controller is not sending the correct signal to the motor. # # # recommendations - inspect the locking mechanism for any damage or obstructions. - test the motor by manually moving the bed up and down. - check the controller for any loose connections or damaged components. - replace any damaged or malfunctioning parts. @topic:1


# # # issue the cuff of the vital signs monitor is damaged. # # # impact the monitor cannot accurately measure blood pressure. # # # possible causes - the cuff may be old and worn out. - the cuff may have been punctured or torn. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - inspect the cuff regularly for signs of wear and tear. @topic:5


recommended actions to correct the difficulty. how to use this section use this section in conjunction with the sections testing and maintenance and parts. to remove and replace a part you suspect is defective, follow the instructions in the section repair and disassembly. the theory of operation section offers information on how the monitor functions. who should perform repairs only qualified service personnel ( biomedical engineers or technicians ) should open the monitor housing, remove and replace components, or make adjustments. if your medical facility does not have qualified service personnel, contact philips'response center or your local philips representative. warning high voltage - voltages dangerous to life are present in the instrument when it is connected to the mains power supply or to a host monitor. do not perform any disassembly procedures ( other than server removal ) with power applied to the instrument. failure to adhere to this warning could cause serious injury or death. 109 replacement level supported the replacement level supported for this product is to the printed circuit board ( pcb ) and major subassembly level. once you isolate a suspected pcb, follow the procedures in the repair and disassembly section, to replace the pcb with a known good pcb. check to see if the symptom disappears and that the monitor passes all performance tests. if the symptom persists, swap back the replacement pcb with the suspected malfunctioning pcb ( the original pcb that was installed when you started troubleshooting ) and continue troubleshooting as directed in this section. software revision check some troubleshooting tasks may require that you identify the software revision of your monitor. you can find the software revision along with other information, such as the system serial number, in the monitor revision screen. to access the monitor revision screen : 1. enter the main setup menu and select revision 2. select product 3. select software revision 4 select the @topic:16


# # # issue - the medical cart is not connecting to the server. # # # impact - the medical cart cannot be used to access patient data or perform other tasks. # # # possible causes - the medical cart is not properly configured. - the server is not available. - there is a problem with the network connection. # # # recommendations - check the medical cart's configuration settings. - contact the server administrator to ensure that the server is available. - check the network connection to the medical cart. @topic:13


# # # issue * blood pressure ( bp ) cuff degradation # # # impact * inaccurate bp readings * potential for patient harm if bp is not accurately measured # # # possible causes * normal wear and tear * improper storage or handling * exposure to extreme temperatures or moisture * use with incompatible devices # # # recommendations * regularly inspect the bp cuff for signs of wear or damage, such as cracks, tears, or fraying. * follow the manufacturer's instructions for storage and handling. * avoid using the cuff in extreme temperatures or high - moisture environments. * ensure that the cuff is compatible with the device it is being used with. * replace the cuff if it shows signs of degradation or if it is no longer providing accurate readings. @topic:3


# # # issue - the bed, electric equipment is not functioning properly. # # # impact - the failure of the equipment may have a negative impact on the patient's health. - the failure of the equipment may also disrupt the workflow of the hospital. # # # possible causes - the equipment may have been damaged due to improper use. - the equipment may have been damaged due to a power surge. - the equipment may have failed due to a manufacturing defect. # # # recommendations - the equipment should be inspected by a qualified technician to determine the cause of the failure. - the equipment should be repaired or replaced if necessary. - the hospital should implement a preventive maintenance program to help prevent future equipment failures. @topic:9


# # # issue - central monitor not linking # # # impact - inability to monitor patient's vital signs centrally # # # possible causes - incorrect ci address setting on the monitor - server issues - network connectivity problems # # # recommendations - check the ci address setting on the monitor and ensure it is correct - troubleshoot the server to identify and resolve any issues - verify network connectivity between the monitor and the central system @topic:16


# # # issue - the electric bed's wheels are not locking properly. # # # impact - the bed may move unexpectedly, posing a safety risk to patients and staff. # # # possible causes - the locking mechanism may be damaged or malfunctioning. - the wheels may be worn or damaged. - the bed may not be properly assembled or adjusted. # # # recommendations - inspect the locking mechanism for damage or malfunction. - check the wheels for wear or damage. - ensure the bed is properly assembled and adjusted according to the manufacturer's instructions. @topic:6


# # # issue : - loose base mounting for the carbon dioxide ( co2 ) sensor. # # # impact : - the co2 sensor may not be securely attached to the device, potentially leading to inaccurate readings or device malfunction. # # # possible causes : - * * loose screws or bolts : * * the screws or bolts that secure the base mount to the device or the co2 sensor may have become loose over time, causing the base to detach. - * * damaged base mount : * * the base mount itself may be cracked or damaged, compromising its ability to securely hold the co2 sensor in place. - * * improper assembly : * * the base mount or co2 sensor may not have been assembled correctly during previous maintenance or repairs, resulting in a loose connection. - * * external forces : * * external forces, such as accidental bumps or vibrations, may have dislodged the base mount from its proper position. # # # recommendations : - * * tighten screws or bolts : * * inspect the base mount and ensure that all screws or bolts are securely tightened. - * * inspect base mount : * * examine the base mount for any cracks or damage. if necessary, replace the damaged base mount. - * * verify assembly : * * check that the base mount and co2 sensor are assembled correctly according to the manufacturer's instructions. - * * minimize external forces : * * avoid subjecting the device to excessive bumps or vibrations that could dislodge the base mount. @topic:4


the battery reduces the max error value, and in turn, increases the accuracy of the relative charge. philips recommends that you condition the battery by fully discharging and recharging it when the max error is 10 % or greater. step 1 open the battery info window. see “ viewing battery information ” on page 2 - 2. 2 disconnect the monitor from the power source. 3 select recondition. the relative charge percentage will decrease to 0 %. 4 when the monitor shuts down, connect the monitor to the power source and allow the battery to recharge to 100 %. 5 repeat step 1 through step 4. note — jf the battery does not recharge after four reconditioning cycles, replace it. replacing the battery replace the battery if the following conditions occur : after reconditioning, if the monitor operates for less than one hour on a fully charged battery before the low battery alarm occurs. after reconditioning, if the max error does not exceed 2 %. if the battery does not recharge to full capacity after four reconditioning cycles. for information about replacing the battery, see “ removing the battery ” on page 5 - 3. warning dispo se of used batteries in an environmentally responsible manner. do not dispose of the battery in normal waste containers. consult your hospital administrator to find out about local arrangements. performing routine maintenance 2 - 4 suresigns vs4 service guide maintaining the battery battery messages and alarms the condition of the battery is reported by technical alarms and error codes. technical alarms the following battery technical alarms appear in the message area : e low batt — remaining battery power is less than 30 %. ¢ extreme low batt — remaining battery power is less than 21 %. error codes an error code ( for example, 257 system error, indicating battery charger power failure ) appears in the error log. to @topic:11


# # # issue - bed, electric equipment cannot be adjusted up or down. # # # impact - patients may not be able to receive proper care if the bed cannot be adjusted to a comfortable position. - staff may have to manually adjust the bed, which could be time - consuming and inefficient. # # # possible causes - the headboard or footboard may be loose or damaged. - the motor or gears may be malfunctioning. - the electrical system may be faulty. # # # recommendations - inspect the headboard and footboard for any loose or damaged parts. - check the motor and gears for any signs of damage. - check the electrical system for any loose wires or faulty connections. - if any problems are found, contact a qualified biomedical engineer to repair the equipment. @topic:1


# # # issue - remote cord is broken # # # impact - the patient cannot use the bed controls. - the bed cannot be moved or adjusted. # # # possible causes - the remote cord has been damaged by wear and tear. - the remote cord has been chewed by a rodent. - the remote cord has been caught in a door or window. - the remote cord has been pulled out of the wall. # # # recommendations - replace the remote cord. - check the remote cord for damage on a regular basis. - protect the remote cord from rodents and other animals. - keep the remote cord out of reach of children. - train the patient on how to use the bed controls. @topic:7


# # # issue - the electric bed is not adjusting. # # # impact - patients may not be able to get into or out of bed safely or comfortably. - nursing staff may have difficulty positioning patients for care. - the bed may not be able to be used for its intended purpose, which could lead to delays in patient care. # # # possible causes - electrical issue - mechanical issue - control panel issue - user error # # # recommendations - check the electrical connections to ensure that the bed is receiving power. - inspect the mechanical components of the bed for any damage or wear. - check the control panel for any loose connections or damaged buttons. - ensure that the user is trained on how to operate the bed properly. @topic:1


# # # issue equipment malfunction due to a leak in the joint # # # impact interruption of vital signs monitoring, leading to potential risks for patients. # # # possible causes - * * loose or damaged joint : * * improper installation or wear and tear over time. - * * defective joint material : * * manufacturing defects or inferior quality materials. - * * pressure buildup : * * excessive pressure within the system due to blockages or improper use. # # # recommendations - * * inspect and tighten the joint : * * ensure proper seating and tightness of all connections. - * * replace worn or damaged parts : * * identify and replace any joints or components that show signs of wear or damage. - * * calibrate the equipment : * * verify the accuracy of readings by performing a calibration check. - * * monitor pressure levels : * * regularly check pressure levels within the system to identify any abnormalities. - * * follow manufacturer guidelines : * * adhere to the recommended operating procedures and maintenance schedule for the equipment. @topic:5


# # # issue - malfunctioning of the spo2 sensor. # # # impact - inaccurate or unreliable spo2 readings. - misdiagnosis or delayed diagnosis due to inaccurate spo2 data. - potential risks to patient safety if spo2 levels are not accurately monitored. # # # possible causes - physical damage to the spo2 sensor cable. - internal component failure within the spo2 sensor. - electrical interference from other medical devices. - improper placement or connection of the spo2 sensor to the patient. - outdated or malfunctioning firmware in the physiologic monitor ( bedside ). # # # recommendations - replace the damaged spo2 sensor cable. - inspect the spo2 sensor for any visible damage or defects. - check the firmware version of the physiologic monitor ( bedside ) and update if necessary. - ensure proper placement and connection of the spo2 sensor to the patient, following the manufacturer's instructions. - rule out any electrical interference from nearby medical devices that could affect the spo2 readings. - if the issue persists, escalate to a more experienced technician or an authorized service representative for further troubleshooting and repairs. @topic:4


# # # issue - electric bed is not adjustable. # # # impact - patient care may be compromised if the bed cannot be adjusted to an appropriate height or position for the patient's needs. # # # possible causes - the remote control may be malfunctioning. - the connection between the remote control and the bed may be faulty. - the bed's control panel may be damaged. - the bed's motor may be malfunctioning. # # # recommendations - check the remote control for any damage or loose connections. - ensure that the connection between the remote control and the bed is secure. - inspect the bed's control panel for any damage or loose connections. - test the bed's motor by manually adjusting the bed. - if the issue persists, contact the manufacturer of the bed for further troubleshooting and repair. @topic:1


# # # issue - cuff deterioration # # # impact - inaccurate vital signs monitoring - patient discomfort - potential for patient harm # # # possible causes - prolonged use - improper storage - exposure to extreme temperatures - physical damage # # # recommendations - regular inspection and maintenance of vital signs monitors - proper storage of cuffs in a cool, dry place - avoidance of exposure to extreme temperatures - careful handling of cuffs to prevent physical damage - replacement of cuffs as needed @topic:5


# # # issue - inability to measure spo2 ( oxygen saturation ) values. # # # impact - compromised patient monitoring and assessment. # # # possible causes - faulty spo2 sensor cable. # # # recommendations - replace the spo2 sensor cable as necessary. * * additional considerations : * * - if the issue persists after replacing the cable, further troubleshooting may be necessary by a qualified technician. - regular maintenance and calibration of the monitoring equipment is essential to ensure accurate readings. @topic:4


# # # issue - equipment not functioning due to missing control box. # # # impact - the bed is currently not usable. # # # possible causes - the control box may have been misplaced or stolen. - the control box may have been damaged or malfunctioned. # # # recommendations 1. locate and retrieve the control box, if possible. 2. replace the damaged or malfunctioning control box. 3. inspect the equipment to ensure that it is functioning properly. 4. implement a preventive maintenance plan to ensure that the equipment is regularly inspected and maintained to prevent future failures. @topic:32


##63498911 exchange smart battery charger replacement kit : air fan & 2 filter mats replacement kit : 2 filter mats 197 198 installation instructions installation should be carried out by qualified service personnel, either by the hospital ’ s biomedical department, or by philips support. if you have purchased a “ customer - installable bundle ", it is assumed that your own hospital personnel will install and, if necessary, configure the monitor. you can contact philips support for assistance if required ; any assistance will be associated with additional costs. for mechanical and electrical installation, you need technically qualified personnel with a knowledge of english. additionally, for monitor configuration, you need clinically qualified personnel with a knowledge of the use environment. warning - monitor configuration settings must be specified by authorized hospital personnel. - as the first step in preparing the monitor for use, follow the installation instructions given in this chapter. out - of - hospital transport - standards compliance the mp2 patient monitor and the x2 multi - measurement module / patient monitor, with the following measurements and interfaces : - ecg / respiration, nbp, spo ;, pressure, temperature, co ; ( only mainstream sensor m2501a ) - lan, battery 199 can be used in a transport environment such as a road ambulance, airplane or helicopter. for this purpose the monitor fulfils the following additional mechanical, emc and environmental requirements : - shock tests according to iec tr 60721 - 4 - 7, class 7m3. test procedure according to iec / en 60068 - 2 - 27 ( peak acceleration up to 100 g ). - random vibration according to iec tr 60721 - 4 - 7, class 7m3. test procedure according to iec / en 60068 - 2 - 64 ( rms acceleration 5 g ). - sinusoidal vibration according to iec tr 60721 - 4 - 7, @topic:10


# # # issue # # # # patient access and availability of equipment # # # impact - restricted access to required medical equipment within the unit - may delay essential patient care # # # possible causes - equipment is not available due to current loan to another unit # # # recommendations - expedite return of loaned equipment from 6d2 - explore alternative equipment options if return is delayed - consider implementing a tracking system to monitor equipment usage and availability @topic:12


# # # issue * the foot actuator assembly in the hill - rom care assist es220 bed is faulty. # # # impact * the bed may not be able to move up or down, or may move erratically. * this could pose a safety hazard to patients and staff. # # # possible causes * the foot actuator assembly may be damaged or defective. * the wiring to the foot actuator assembly may be loose or damaged. * the control board for the bed may be faulty. # # # recommendations * the foot actuator assembly should be replaced. * the wiring to the foot actuator assembly should be inspected and repaired or replaced as necessary. * the control board for the bed should be tested and replaced if necessary. @topic:1


# # # issue - cuff of the vital signs monitor is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure, which could lead to incorrect treatment decisions. # # # possible causes - the cuff may have been damaged during use. - the cuff may have been exposed to extreme temperatures or moisture. - the cuff may have been used on a patient with excessively large or small arms. # # # recommendations - replace the damaged cuff with a new one. - inspect the cuff regularly for signs of damage. - store the cuff in a cool, dry place. - use the cuff only on patients with arms that are within the manufacturer's specified size range. @topic:5


# # # issue - the electric bed is not working. # # # impact - the patient cannot be moved or positioned safely. # # # possible causes - the bed is not plugged in. - the power cord is damaged. - the bed motor is faulty. - the bed controls are not working. # # # recommendations - check that the bed is plugged in and that the power cord is not damaged. - if the bed is plugged in and the power cord is not damaged, then the bed motor or controls may be faulty. - contact a qualified biomedical engineer to repair the bed. @topic:9


##36a 5 - electrode m1638a bedsheet clip m1509a replacement red cover for trunk cable ( for 5 - electrode cable sets ) 989808148861 supported cables trunk cables length 3 - electrode cable set 5 - electrode cable set aami part no. iec part no. aami part no. iec part no. 0. 9m m1540c m1550c m1560c m1570c 2. 7m m1500a m1510a m1520a m1530a 383 37 accessories ecg / resp accessories 3 - electrode cable sets description length aami part no. iec part no. or 1. 0m m1601a m1611a icu grabber shielded 1. 0m m1603a m1613a icu snap shielded 1. 0m m1605a m1615a icu clip non - shielded 0. 45m m1608a m1618a icu clip non - shielded 0. 7m m1609a m1619a 5 - electrode cable sets description length aami part no. iec part no. or grabber shielded 1. 0m / 1. 6m m1621a m1631a icu grabber shielded 1. 0m / 1. 6m m1623a m1633a icu snap shielded 1. 0m / 1. 6m m1625a m1635a icu clip non - shielded 0. 7m / 1. 3m m1629a m1639a 3 - electrode one piece cables aami 3 - electrode one piece cables length aami part no. iec 3 - electrode one piece cables iec part no. or grabber 1. 9m m1970a or grabber m1980a icu snap 1. 9m m1972a ic @topic:19


##bp display shows the inflation pressure of the cuff and the remaining time note performing a venous puncture while automatic or sequence nbp measurements are being made suspends the measurement series for the duration of the venous puncture inflation and for three minutes afterwards. nbp is not user - calibrated. nbp pressure transducers must be verified at least once every two years by a qualified service professional, and calibrated, if necessary. see the service guide for details. 10 11 monitoring temperaturwarning measurements from an mms extension connected to an x2 are not available when the x2 is running on its own battery power. they are only available when the x2 is powered by external power : when connected to a host monitor, to the external power supply ( m8023a ) or to the battery extension ( 865297 ). you can measure temperature using an x1 or x2 multi - measurement module ( mms ), one of the mms extensions, or the temperature plug - in module - labeled as temp. temp measurement automatically switches on when you connect a probe. you can switch the measurement off manually. 1 select the correct type and size of probe for if you are using a disposable probe, connect the probe to the 2 ure plug the probe or temperature cable into the temperature connector socket. 3 apply the probe to the patient. you are advised to use a protective rubber cover on rectal probes. select an appropriate temperature label. 4 5 6 check that the alarm settings ( on or off, high and low limits ) are appropriate for this patient and this of temperature measurement. warning make sure you set alarm limits for the correct label. the alarm limits you set are stored for that particular label only. changing the label may change the alarm limits. selecting a temperature for monitoring tell the monitor which temperature you @topic:17


has exceeded the numeric flashes, high alarm limit is c. o. highlighted, yellow alarm lamp, alarm tone * * tblood low numeric flashes, low alarm limit ihighlighted, yellow alarm lamp, larm tone c. o. the blood temperature v * tcpo2 higthe tcpo2 or tcpco2 numeric flashes, high alarm limit is ighlighted, yellow alarm lamp, tcgas * tcpco2 higalarm tonnumeric flashes, low alarm limit is highlighted, yellow alarm lamp, alarm tone the tcpo2 or tcpco2 value has fallen belo * * tcpo2 low tcgas * * tcpco2 low * tele alarm a telemetry device used for the patient is in an yellow or red alarm lamp and alarm alarm condition. check the detailed alarm information at the information center. tone an assigned ry devic * * tele alartone * * tele alarthe temperature has exceeded the high alarimit. * * < temp label > high temp numeric flashes and high limit ihighlighted, yellow alarm lamp, alarm tone the temperature has fallen below the low alarm numeric flashes and low limit i * * < temp label > low highlighted, yellow alarm lampalarm tone a transport monitor used for the patient is in an alarm condition. check the detailed alarm information at the information center. * t - mon alarm ellow or red alarm lamp an assigned rt monito * * t - mon alarm one * * * t - mon alar * tofcnt high numeric flashes and high limit ihighlighted, yellow alarm lamp, alarm tone tofcnt value has exceeded the high alarm limit nmt vent bigeminecg / arrhythmia a dominant rhythm of n, v, n, v ( n = @topic:8


# # # issue - equipment not turning on # # # impact - inability to use the equipment for patient monitoring - potential delay in patient care - increased workload for other monitoring equipment # # # possible causes - power cord issue ( e. g., frayed or damaged cord, loose connection ) - internal electrical fault - faulty power supply - software or firmware issues # # # recommendations - check the power cord for any damage or loose connections. - inspect the equipment for any visible signs of damage or loose wires. - contact the manufacturer or a qualified technician for further troubleshooting and repair. - ensure that the equipment is regularly maintained and calibrated to prevent future failures. * * specific to the given input : * * - the input mentions that the bme ( biomedical engineer ) found a broken wire near the power plug. this is likely the cause of the equipment not turning on. the bme has already fixed the issue and verified that the equipment is now working properly. @topic:2


* * issue : * * equipment malfunction due to faulty ekg cable * * impact : * * interruption of patient monitoring and potential delays in diagnosis and treatment * * possible causes : * * * * * damaged cable : * * physical damage to the ekg cable, such as cuts, tears, or exposed wires * * * loose connections : * * faulty connections between the ekg cable and the monitor or patient leads * * * electrical interference : * * exposure to electromagnetic interference from other devices or electrical sources * * * circuit board failure : * * internal failure within the monitor's ekg circuitry, affecting signal processing or transmission * * * software glitch : * * software bugs or updates that disrupt ekg signal acquisition or display * * recommendations : * * * * * inspect the cable : * * visually inspect the ekg cable for any visible damage, such as cuts, tears, or loose connections. * * * ensure proper connections : * * verify that the ekg cable is securely connected to the monitor and patient leads. * * * eliminate electrical interference : * * identify and eliminate sources of electromagnetic interference that may be affecting the cable's performance. * * * check circuit board : * * if the cable appears undamaged, consider having the monitor's circuit board inspected by a qualified biomedical engineer. * * * update software : * * ensure that the monitor is running the latest software, which may address software - related issues. * * * consider replacement : * * if the cause of failure cannot be identified or repaired, consider replacing the faulty ekg cable or monitor. @topic:18


# # # issue the electric bed's locking pin is not engaging and locking properly, causing the bed rails to be unstable and potentially hazardous for patients. # # # impact - increased risk of patient falls and injuries - discomfort and pain for patients - reduced mobility and independence for patients - increased workload and stress for healthcare staff - potential delays in patient care and treatment # # # possible causes - faulty or worn locking mechanism - bent or misaligned locking pin - damaged or loose bed rails - loose or missing screws or bolts - misuse or improper handling of the bed # # # recommendations - inspect the locking mechanism for any signs of damage or wear. replace if necessary. - check the alignment of the locking pin and bed rails. adjust if needed. - tighten any loose screws or bolts that may be causing misalignment or instability. - provide staff with proper training on the correct use and handling of the bed. - perform regular maintenance and inspections of the bed to identify potential issues early and prevent failures. @topic:6


mode to display filled waves. bis module in mp60 / 70 the bis module can now be used in the integrated module slots in the mp60 and mp70. intellivue instrument telemetry wireless network available outside usa built - in adapters ( for mp20 / 30 ) and external adapters ( for mp40 / 50 ) are available for the new intellivue instrument telemetry network for use outside the usa. ecg • new ecg filter setting the new extended monitoring filter setting is for use on pediatric and neonatal patients when diagnostic quality is required but low frequency interference or a wandering baseline may be expected. the upper edge frequency is the same as the diagnostic setting and the lower edge frequency is the same as the monitoring setting. • pacer spikes are shown in a different color to the ecg wave. they are shown in white unless the ecg wave is white, then they are shown in green. • 6 - lead cable is now supported. picco enhancements • new measurement values ( not available in the usa ) : gef ( global ejection fraction ), pvpi ( pulmonary vascular permeability index ) 49 2 what ’ s new? what ’ s new in release d. o? • new continuous measurement : ppv ( pulse pressure variation ) • right - left shunt detection ( not available in the usa ) • gedv, gedvi, evlw and evlwi now also available in the usa • sw, ppv and dpmax can now also be measured prior to a cco calibration. ( dpmax not available in the usa. ) new smartkeys two new smartkeys allow you to unpair a telemetry device from the monitor and determine whether the information center will continue to receive data from the monitor or the telemetry device. lead placement selection - easi or @topic:8


# # # issue - the ekg readings are inaccurate or unavailable. # # # impact - the patient's vital signs cannot be accurately monitored. - the patient may not receive appropriate treatment. # # # possible causes - the ekg lead wires are damaged. - the ekg machine is not properly calibrated. - there is a problem with the patient's skin connection. # # # recommendations - inspect the ekg lead wires for any damage. - calibrate the ekg machine according to the manufacturer's instructions. - clean the patient's skin at the electrode sites. - replace the ekg lead wires if they are damaged. @topic:18


# # # issue - medical cart ( bdms 01 ) lost connection to hospital domain. # # # impact - inability to access hospital systems and data. # # # possible causes - * * loose or damaged network connection : * * the medical cart may have become disconnected from the network due to a loose or damaged cable. - * * incorrect network configuration : * * the network settings on the medical cart may be incorrect, preventing it from connecting to the domain. - * * firewall blocking : * * the hospital's firewall may be blocking access to the domain from the medical cart. - * * software error : * * a software bug may have caused the medical cart to lose its connection to the domain. # # # recommendations - * * check network connection : * * inspect the network cable for any damage or loose connections. - * * verify network configuration : * * ensure that the network settings on the medical cart match the hospital's network configuration. - * * contact it support : * * if network issues are suspected, contact the hospital's it department for assistance. - * * update software : * * check for software updates that may address issues with domain connectivity. - * * restart device : * * restart the medical cart to reset any software or connection issues. @topic:13


six can only be used with the dose unit mcg / kg / min. caution jcaho ( joint commission of accredited healthcare organizations ) recommends disabling the rule of six. the configuration is not jcaho - compliant if rule of six is enabled. the drug calculator uses the following formula for rule of six calculations, based on the patient's weight : for a target dose of 0. 1 mcg / kg / min, the drug calculator multiplies 0. 6 x patient weight to calculate the amount you need to add to the iv solution to equal a total of 100 ml.. for a target dose of 1. 0 mcg / kg / min, the drug calculator multiplies 6. 0 x patient weight to calculate the amount you need to add to the iv solution to equal a total of 100 ml. • 382 performing calculations for a non - specific drug any drug selection 1 entry fields for dose, rate, amount, and olume 2 1 any drug 3 calculated standardized rate ( 1 ml / hr ) anconcentration ( concentr. ) dose 2 mg / min rate 480 ml / hour 2 weight used for weight - dependent dose units mount 25 4 mg ml volume 100 concentr. 0. 25 3. 1 ml / hr 0. 004 mg / min weight 150 lb 4 if a list of drugs has not been configured for your monitor, you can use the drug calculator to calculate drug doses for a single, generic drug called any drug. selecting the arrow beside the drug name in the drug calculator window shows that are no other drugs configured. 1 enter three of these four values : dose, amount, volume, rate of the infusion solution. to enter values, select the correct unit, then select each value field and use the pop - up keypad to if you have chosen a weight - @topic:17


# # # issue - motor failure in an electric hospital bed. # # # impact - the bed is unusable, which could impact patient care. # # # possible causes - wear and tear - electrical problems - manufacturing defects # # # recommendations - replace the motor - inspect the bed for other potential problems - perform regular maintenance on the bed to prevent future failures @topic:9


# # # issue the patient transport monitor is unable to take bp readings consistently. # # # impact this issue can impact patient care by delaying or preventing the accurate measurement of blood pressure, which is an important vital sign used to assess and manage patient health. # # # possible causes - faulty bp cuff or tubing - loose connections or damaged cables between the bp cuff and the monitor - malfunctioning bp sensor within the monitor - software glitches or hardware issues with the monitor # # # recommendations 1. inspect the bp cuff and tubing for any signs of damage or wear and tear. replace if necessary. 2. check the connections between the bp cuff and the monitor to ensure they are secure and undamaged. 3. contact the equipment manufacturer for assistance in troubleshooting or repairing the monitor. 4. update the monitor's software or firmware if an update is available. 5. consider sending the monitor to an authorized repair center for further diagnosis and repair. @topic:14


# # # issue - monitor fell from stand # # # impact - monitor was damaged and required repair # # # possible causes - the stand was not properly secured - the monitor was bumped or knocked over - the monitor was dropped # # # recommendations - ensure that the stand is properly secured before using the monitor - handle the monitor with care to avoid bumping or knocking it over - inspect the monitor regularly for any signs of damage @topic:2


( 114 ) error log checksum error. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 115 ) nbp equip malfunc ( 115 ) unable to write error log to non - volatile memory. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. troubleshooting 4 - 14 suresigns vs2 * and vsi service guide error codes code error message possible cause action 818 ( 116 ) | nbp equip malfunc ( 116 ) unable to verify error log shut down ( see “ shutting down the data written to non - volatile system ” on page 5 - 2 ) and restart the memory. monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 117 ) | nbp equip malfunc ( 117 ) inflation cycle count and shut down ( see “ shutting down the runtime data checksum error. | system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 818 ( 118 ) | nbp equip malfunc ( 118 ) unable to write inflation shut down ( see “ shutting down the cycle count and runtime data | system ” on page 5 - 2 ) and restart the to non - volatile memory. monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. @topic:22


# # # issue - ear thermometer is not measuring temperature # # # impact - inability to accurately measure body temperature, which is essential for patient care. # # # possible causes - malfunction of the ear thermometer sensor - misalignment of the ear thermometer probe - incorrect use of the ear thermometer # # # recommendations - replace the ear thermometer with a new one - ensure that the ear thermometer probe is properly aligned - train staff on the correct use of the ear thermometer @topic:20


min / 60 min actuator / column travel 400 mm ±5 mm ( 15. 75 " ) 239 mm ± 2 mm ( 9. 4 " ) 60 mm ± 2 mm ( 2. 36 " ) 45 mm ±2 mm ( 1. 77 " ) retracted rod / center distance 445 mm ± 2mm ( 17. 5 " ) 310 mm ± 2mm ( 12. 2 " ) 325 mm ± 2mm ( 12. 8 " ) management of the motors the motors control signals are supplied by the main bed control p. c. board. their extreme positions are detected in series by upper and lower internal eot devices. these devices directly cut off the power supply for the head section, knee section and foot section actuators. in addition, the head section and foot section motors have intermediate internal microswitches to control the automatic contour and dining chair® position. page 3 - 8 careassist® and careassist® es bed service manual ( man330 rev 4 ) electrical system ( a model beds ) chapter 3 : theory of operation the two hilow columns also have upper and lower internal eot devices. for safety reasons, they are both backed up at each end. if one of these safety devices is activated, the column cannot be used ; however the other functions remain operational. complementing these eot devices, the overload limiting function of the power supply unit provides protection in the event of mechanical failures, obstacles, or overload. detection of bed not in low position this type of detection is obtained by taking into account the state of the low eot of the hilow columns. the power supply unit controls the corresponding indicator of the control unit as soon as one of the two eots is released. automatic contour the power supply, when it received a command from the control unit, controls the automatic contour ( head section and thigh section ) operation @topic:9


. • if one of the calculation sources becomes unavailable, the monitor displays the inop sp - voz chk sources for one minute. after this time, the calculation automatically switches off. if the missing source becomes available again, the calculation automatically switches on again. 277 17 monitoring intravascular oxygen saturation 278 18 the electroencephalograph ( eeg ) module monitors the patient's cerebral function by measuring the electrical activity of the brain. it provides the monitor with two channels of realtime eeg waves, eeg trend information in the form of compressed spectral arrays ( csa ), and up to eight of the following numerics : spectral edge frequency - the sef is the frequency below which a defined percentage of the total power lies. the percentage is set in configuration mode. mean dominant frequency ( mdf ) - the mdf is the mean value of the frequency which dominates the measured eeg. peak power frequency ( ppf ) - the ppf is the frequency with the highest measured amplitude. total power ( tp ) - the tp numeric indicates the power in the measured frequency band. percentage of total power in each frequency band : alpha waves ( 8 to 13 hz ) beta waves ( 13 to 30 hz ) - theta waves ( 4 to 8 hz ) delta waves ( 0. 5 to 4 hz ). eg monitoring setu1 2 prepare the patient's skin prior to placing the electrodes. good electrode - to - skin contact is important for a good eeg signal, as the skin is a poor conductor of electricity. shave hair from sites, if necessary - wash sites thoroughly with soap and water. we do not recommend using ether or pure alcohol, because this dries the skin and increases the resistance. use a skin preparation paste to remove skin cells and oil before placing the electrodes. select the desired electrode montage in the setup eeg menu or @topic:8


# # # issue - * * the medical cart's medical admin compartment is stuck, preventing it from being opened. * * # # # impact - * * inability to access medical supplies and medications stored in the compartment. * * - * * delays in patient care and treatment. * * # # # possible causes - * * mechanical failure of the compartment locking mechanism : * * this could include faulty latches, hinges, or motors. - * * electrical malfunction : * * issues with the power supply, wiring, or electronic components that control the compartment's operation. - * * software glitch : * * if the medical cart runs on software, a bug or malfunction could cause the compartment to malfunction. - * * human error : * * improper handling or operation of the compartment by users could lead to damage or misalignment. # # # recommendations - * * inspections and maintenance : * * regularly inspect the medical cart and its components, including the medical admin compartment, to identify any potential issues and perform preventive maintenance. - * * troubleshooting : * * if the compartment is stuck, check for any visible damage or obstructions. verify that the power supply and wiring are functioning properly. - * * reset or reinitialize : * * if possible, try resetting or reinitializing the medical cart's system to clear any software glitches. - * * technical support : * * if the problem persists, contact the manufacturer or qualified biomedical engineers for further diagnosis and repairs. - * * user training : * * provide proper training to users on the correct handling and operation of the medical cart to minimize the risk of human error. @topic:21


# # # issue - the locking mechanism for the leg rests of the gynae 3 ob / gyn exam table is not engaging. # # # impact - the patient's legs may not be adequately supported during the exam, which could cause discomfort or injury. # # # possible causes - the locking mechanism has become damaged or worn. - the leg rests have been improperly installed or adjusted. - there is debris or foreign objects obstructing the locking mechanism. # # # recommendations 1. inspect the locking mechanism for any visible damage or wear. 2. check the installation and adjustment of the leg rests according to the manufacturer's instructions. 3. clean the locking mechanism and remove any debris or foreign objects. 4. if the issue persists, contact the manufacturer for further assistance. @topic:6


# # # issue - failure of the bed's footrest latch # # # impact - the bed cannot be used safely as the footrest is not securely attached and could collapse. # # # possible causes - * * wear and tear * * over time, the footrest latch may become worn or damaged, making it more likely to break. - * * improper use * * if the bed is not used properly, such as by applying excessive weight to the footrest, it could cause the latch to break. - * * manufacturing defect * * in some cases, the footrest latch may be defective due to a manufacturing error. # # # recommendations - * * regular maintenance * * the bed should be regularly inspected by a qualified technician to identify and repair any potential issues. - * * proper use * * the bed should be used according to the manufacturer's instructions to avoid overloading or improper use. - * * replacement parts * * if the footrest latch is broken or damaged, it should be replaced with a new part from the manufacturer. @topic:6


# # # issue - wood barrier not adjustable # # # impact - patient safety compromised - difficulty providing care # # # possible causes - loose or damaged locking mechanism - misaligned track - broken or jammed gears # # # recommendations - inspect and tighten locking mechanism - adjust or replace track - replace or repair gears @topic:6


# # # issue - keyboard not responding # # # impact - inability to enter data into medical cart system # # # possible causes - dead batteries in keyboard - loose connection between keyboard and medical cart - malfunctioning keyboard # # # recommendations - replace batteries in keyboard - check and tighten connections between keyboard and medical cart - test keyboard for proper functionality @topic:27


# # # issue - remote control not functioning properly. # # # impact - inability to operate the medical device effectively. - patient safety may be compromised if the device cannot be adjusted or controlled properly. # # # possible causes - * * battery failure : * * the remote control may not have sufficient battery power to operate properly. - * * malfunctioning buttons or switches : * * the buttons or switches on the remote control may be damaged or malfunctioning, preventing them from responding to commands. - * * electrical connection issues : * * there may be a loose or damaged electrical connection between the remote control and the medical device, preventing the signals from being transmitted effectively. - * * software malfunction : * * the software within the remote control may have an issue that prevents it from functioning properly. # # # recommendations - * * replace batteries : * * check and replace the batteries in the remote control to ensure it has sufficient power. - * * inspect buttons and switches : * * examine the buttons and switches on the remote control for any signs of damage or wear. if any are found, they should be repaired or replaced. - * * check electrical connections : * * verify that all electrical connections between the remote control and the medical device are secure and in good condition. - * * troubleshoot software : * * contact the manufacturer or a qualified technician to diagnose and resolve any software issues that may be causing the malfunction. @topic:7


# # # issue - monitor cannot measure co2 value # # # impact - the monitor cannot provide accurate co2 readings, which can lead to incorrect diagnosis and treatment decisions. # # # possible causes - faulty co2 cable - malfunctioning co2 sensor # # # recommendations 1. * * replace the co2 cable. * * the cable may be damaged or faulty, preventing the signal from the co2 sensor from reaching the monitor. 2. * * check the co2 sensor. * * the sensor may be malfunctioning or not properly calibrated, leading to inaccurate readings. 3. * * zero the monitor before each use. * * zeroing the monitor ensures that the sensor is properly calibrated and providing accurate readings. @topic:4


* * possible cause of failure : * * * * * incorrect reassembly : * * the bme may have incorrectly reassembled the remote cable, causing it to not function properly. * * * damaged remote cable : * * the remote cable may have been damaged during removal or reinstallation, resulting in a loose connection. * * * faulty remote button : * * the buttons on the remote may be malfunctioning, preventing the bed from being adjusted. * * recommendations : * * * ensure that the remote cable is properly seated and reconnected securely. * inspect the remote cable for any signs of damage. replace the cable if necessary. * check the functionality of the remote buttons by pressing each one. replace the remote if necessary. @topic:7


# # # issue - broken bed alarm jack and cable # # # impact - inability to use the bed alarm # # # possible causes - wear and tear - accidental damage # # # recommendations - replace the bed alarm jack and cable - inspect the bed alarm system regularly to prevent future failures @topic:26


# # # issue - signal is not displayed. # # # impact - vital sign monitoring is unavailable. # # # possible causes - loose connection at the cable connector or monitor port. - malfunctioning cable. - faulty monitor. # # # recommendations 1. inspect the cable connector and monitor port for loose connections or damage. tighten or replace the connector as necessary. 2. swap out the cable with a known - good one to isolate the issue. 3. if the issue persists, inspect the monitor for any visible damage or error messages. refer the monitor for further evaluation and repair if necessary. @topic:2


# # # issue - display screen is frozen, rendering the device unusable. # # # impact - inability to monitor vital signs, increasing patient safety risk. - interruption of patient care and potential delays in treatment. # # # possible causes - software malfunction or corruption - hardware malfunction, such as a loose connection or faulty component - battery or power supply issues # # # recommendations - check power supply and battery connections. replace battery if necessary. - reset the device by following the manufacturer's instructions. - update software if available. - inspect hardware connections and components for any loose or damaged parts. - if issue persists, contact philips technical support for further troubleshooting and repair. @topic:2


# # # issue - electric bed rail is falling off # # # impact - patient safety hazard - inconvenience for patient and staff # # # possible causes - loose or damaged screws or bolts - worn or broken gears - faulty electrical connections - malfunctioning motor or control unit # # # recommendations - inspect the bed rail for any loose or damaged components and tighten or replace as needed. - check the gears and motor for any wear or damage and replace if necessary. - inspect the electrical connections for any loose or damaged wires and repair or replace as needed. - test the motor and control unit to ensure proper functionality and make any necessary adjustments or repairs. @topic:6


# # # issue : no signal on lcd monitors. # # # impact : unable to display patient data or images, which can impact patient care and diagnostic decisions. # # # possible causes : - incorrectly connected signal cables. - faulty signal cables or connectors. - communication issues between the monitor and connected devices. - software or hardware problems with the monitor or other connected equipment. - power supply issues. # # # recommendations : 1. * * check signal cables : * * - ensure that the signal cables are properly connected to the monitor and the source device ( e. g., computer, camera ). - inspect the cables for any visible damage or wear. - if possible, try using different cables to rule out cable issues. 2. * * check signal source : * * - verify that the source device is powered on and transmitting a signal. - try connecting the monitor to a different source device to determine if the issue is with the source or the monitor. 3. * * reset the monitor : * * - turn off the monitor and unplug it from the power outlet. - wait a few minutes and then plug the monitor back in. - this simple step can sometimes resolve minor software glitches. 4. * * check monitor settings : * * - access the monitor's menu and check the input settings. - ensure that the correct input source is selected. - adjust the display settings, such as brightness and contrast, to optimize signal visibility. 5. * * contact biomedical engineering department : * * - if the issue persists after trying the above steps, contact the biomedical engineering department for further assistance. - they have specialized knowledge and equipment to diagnose and repair complex technical issues. @topic:2


# # # issue cuff of the philips intellivue mp5 ( m8105a ) monitor is damaged. # # # impact the patient may not receive accurate vital sign readings, which can lead to incorrect treatment decisions. # # # possible causes * cuff is old and worn out. * cuff is not properly attached to the monitor. * cuff is damaged due to improper storage or handling. # # # recommendations * replace the cuff with a new one. * ensure that the cuff is properly attached to the monitor. * store and handle the cuff according to the manufacturer's instructions. @topic:5


# # # issue the cuff blood pressure ( bp ) is not providing a consistent reading. # # # impact an inaccurate bp reading could lead to incorrect treatment decisions being made. # # # possible causes * the cuff may not be the correct size for the patient. * the cuff may be damaged. * the patient may be moving around too much during the measurement. * the patient may have an arrhythmia. # # # recommendations * verify that the cuff is the correct size for the patient. * inspect the cuff for any damage. * have the patient remain still during the measurement. * check for an arrhythmia if the problem persists. @topic:3


# # # issue - the main computer in the medical cart overheated due to continuous use. # # # impact - the medical cart was unable to be used. # # # possible causes - the medical cart was not properly ventilated. - the medical cart was used in an environment that was too hot. - the medical cart was not serviced regularly. # # # recommendations - ensure that the medical cart is properly ventilated. - use the medical cart in an environment that is not too hot. - service the medical cart regularly. @topic:13


# # # issue - equipment : bed, electric - brand : huntleigh - model : enterprise 8000 - error code : h10 # # # impact - the bed is not functioning properly and cannot be used by patients. # # # possible causes - error h10 is typically caused by a problem with the bed's electrical system. this could be due to a faulty wire, a loose connection, or a malfunctioning component. # # # recommendations - the technician should inspect the bed's electrical system for any loose connections or damaged wires. - if the problem cannot be resolved by inspecting the electrical system, the technician should contact the manufacturer for further assistance. @topic:9


# # # issue - port lan damaged ( icca ) # # # impact - the device may not be able to communicate with other devices on the network. - this could lead to a loss of data or a disruption in service. # # # possible causes - physical damage to the port - software issues - hardware issues # # # recommendations - inspect the port for any physical damage. - if there is no physical damage, check the software and hardware to see if there are any issues. - if you are unable to resolve the issue, contact the manufacturer for assistance. @topic:16


# # # issue : keyboard not working # # # impact : unable to use the medical cart # # # possible causes : - low battery - loose connection between the keyboard and the cart - faulty keyboard # # # recommendations : - check the battery level and replace the batteries if necessary. - inspect the connection between the keyboard and the cart and ensure it is secure. - if the battery and connection are not the issue, the keyboard may be faulty and need to be replaced. @topic:27


# # # issue - the motor of the knee joint is not adjustable. # # # impact - the bed cannot be used as intended. - the patient may be uncomfortable or in pain. # # # possible causes - the motor is faulty. - the motor controller is faulty. - the wiring is damaged. - the software is corrupted. # # # recommendations - replace the motor. - replace the motor controller. - repair the wiring. - reinstall the software. @topic:9


# # # issue - the patient transport monitor is not linking. # # # impact - the monitor cannot be used to monitor the patient's vital signs. # # # possible causes - the monitor is not properly connected to the patient. - the monitor is not properly connected to the network. - the monitor is not properly configured. - the monitor is defective. # # # recommendations - check the connections between the monitor and the patient. - check the connections between the monitor and the network. - check the configuration of the monitor. - if the problem persists, contact the manufacturer of the monitor. @topic:16


# # # issue - difficulty in maneuvering the medical cart due to wheel friction # # # impact - reduced efficiency and productivity of healthcare professionals - potential for accidents or injuries if the cart is not stable or easy to move # # # possible causes - insufficient lubrication of the wheel bearings - debris or foreign objects lodged in the wheels - worn or damaged wheel components - misalignment of the wheels # # # recommendations - inspect the wheels for any visible damage or obstructions. - clean and lubricate the wheel bearings and other moving parts. - replace worn or damaged wheel components as necessary. - ensure the wheels are properly aligned to minimize friction. @topic:24


# # # issue - equipment : monitor, central station - band : hewlett packard - model : m3150a - description : printer jam # # # impact - unable to print patient data, charts, and other necessary documents. # # # possible causes - paper jam in the printer. - paper loaded incorrectly. - printer driver not installed properly. - printer settings not configured correctly. - printer out of paper. - printer hardware malfunction. # # # recommendations - check the printer for paper jams. - make sure the paper is loaded correctly. - reinstall the printer driver. - check and correct the printer settings. - add paper to the printer. - contact the manufacturer for assistance if the problem persists. @topic:28


# # # issue - cause of failure is not specified. # # # impact - the lack of a specified cause of failure makes it difficult to determine the appropriate repair or maintenance actions. # # # possible causes - incorrectly entered information - incomplete testing - insufficient troubleshooting # # # recommendations - review the equipment log to verify the accuracy of the entered information. - perform a more thorough test of the monitor's functionality. - consult the manufacturer's service manual for troubleshooting procedures. @topic:2


# # # issue - battery failure in a philips suresigns vs2 + vital signs monitor. # # # impact - inability to monitor patient's vital signs accurately and continuously. - potential risk to patient safety. # # # possible causes - battery degradation due to age or overuse. - faulty battery or charging system. # # # recommendations - regularly inspect and replace batteries as per manufacturer's recommendations. - ensure proper charging and maintenance of batteries. - consider using extended - life batteries or alternative power sources for extended monitoring sessions. @topic:11


# # # issue - equipment : vital signs monitor - brand : philips - model : suresigns vs4 - problem : battery failure # # # impact - inability to monitor vital signs accurately - potential safety concerns # # # possible causes - battery expired - battery not properly installed - battery charger malfunction # # # recommendations - replace battery with a new, compatible battery - ensure battery is properly installed - test battery and charger to ensure proper functionality - regularly monitor battery life and replace as needed @topic:11


# # # issue - display issues on the monitor, including distorted colors and visible lines # # # impact - impaired visualization of patient data and monitoring parameters - reduced accuracy and effectiveness of patient care # # # possible causes - loose or damaged signal cables - faulty display panel - electronic component malfunctions - software glitches # # # recommendations - ensure proper connection and tightness of signal cables. - inspect the display panel for physical damage or defects. - perform diagnostic tests to identify any electronic component issues. - update software to the latest version and check for any known bugs. - consider calibration or replacement of the display panel if necessary. @topic:2


and must be placed at the monitor site. is connector box ( out ) and must be placed at the measurement server site. the correct connector cable ( m3081 - 61601, m3081 - 61602 or m3081 - 61603 ) has the opposite symbol : 2 detach the pcb assembly ( in / out ) from the metallic mounting flange. 3 use the insertion tool ( m3086 - 43801 ) to position each wire on the pcb according the wiring schematic below, where each color corresponds to a number. symbol : symbol : connector box ( in ) cable connector box ( oiil ) e a 265 [ 7 installation instructions ] note the insertion tool should be set to cutting mode on. wiring schematic p05. 1 - 16 press in with tool. drainwire ( 2x ) drainwire t2x ) black / green white / gray red / white red brown white / brown blue white / blue wiring schematic 1 use a small screwdriver to connect the two drain wires to the pcb, see the wiring schematic in. 2 slide the pcb back on to the metallic mounting flange. 3 use screws to fasten the mounting flange to the wall. note us version only : fasten the rectangular wau - mounting plate to the wall. attach the mounting flange to the wau - mounting plate. 4 mount the plastic cover. the plastic cover consists of two pieces : — frame — angled cover put the frame over the mounting insert and the pcb. place the angled cover on top and fasten with two screws. 5 connect the monitor and the measurement server to the wall installation. 6 perform the following tests as described in the test and maintenance section of this manual : — power - on test blocks — safety test blocks — ecg sync performance test 266 @topic:19


# # # issue - lumbar is stuck, unable to move medical device. # # # impact - the medical device cannot be moved to the desired location, which may delay patient care. # # # possible causes - * * mechanical failure : * * the lumbar wheels may be damaged or misaligned, preventing the device from moving. - * * electrical failure : * * there may be an issue with the electrical connections to the lumbar, causing it to malfunction. - * * user error : * * the lumbar may not have been properly assembled or installed, leading to its failure. # # # recommendations - * * mechanical failure : * * - inspect the lumbar wheels for any damage or misalignment. - tighten any loose bolts or screws that may be causing the wheels to slip. - lubricate the wheels and axles to reduce friction. - * * electrical failure : * * - check the electrical connections to the lumbar to ensure they are secure. - test the continuity of the electrical wires using a multimeter. - if necessary, replace the electrical components that are causing the failure. - * * user error : * * - refer to the manufacturer's instructions for proper assembly and installation of the lumbar. - ensure that the lumbar is securely attached to the medical device and the floor. - train users on the proper operation and maintenance of the medical device, including the lumbar. @topic:9


# # # issue - equipment is not functioning properly # # # impact - delays in patient care - increased risk of patient harm - frustration and dissatisfaction among healthcare professionals # # # possible causes - hardware failure - software glitches - user error - environmental factors # # # recommendations - restart the equipment - check the power supply - update the software - calibrate the equipment - clean the equipment - contact the manufacturer for support # # # specific to the input provided : - the technician has identified that the driver in the service menu of the equipment was not running. - the technician has restarted the board and driver and the equipment is now functioning normally. - the technician has not identified the cause of the driver failure, but the input does mention that the battery is at - 1 %. - it is possible that the low battery level may have contributed to the driver failure. - the technician should check the battery and replace it if necessary. @topic:12


# # # issue - remote control failure on the huntleigh contour 360 electric bed # # # impact - impaired bed functionality, limiting patient mobility and comfort # # # possible causes - battery failure - electronic malfunction - physical damage # # # recommendations - replace the remote control with a new or spare unit - check the batteries and replace them if necessary - if the remote still doesn't work, contact the manufacturer for further troubleshooting and repair @topic:7


# # # issue - medical cart is not connecting to the board drawer. # # # impact - the medical cart cannot be used to transport patients or medical supplies. # # # possible causes - the battery is dead or damaged. - the battery is not properly connected to the medical cart. - the board drawer is not properly connected to the medical cart. - the medical cart driver is not installed or is not working properly. # # # recommendations - check the battery and replace it if necessary. - make sure the battery is properly connected to the medical cart. - make sure the board drawer is properly connected to the medical cart. - reinstall or restart the medical cart driver. @topic:13


# # # issue - scanner is not working # # # impact - unable to scan patients or equipment # # # possible causes - scanner circuit board has moisture accumulation - scanner circuit board is not properly seated in the scanner - scanner power supply is not functioning properly - scanner software is not functioning properly # # # recommendations - inspect the scanner circuit board for moisture accumulation and clean it if necessary - reseat the scanner circuit board in the scanner - check the scanner power supply and replace it if necessary - update the scanner software if necessary @topic:23