removal 1. set the brakes. 2. raise the sleep surface to the highest position. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. disconnect the pendant cable from pendant mount on the bed. 5. remove the pendant from the bed. replacement 1. make sure the new pendant has the same functions as the pendant being replaced. 2. perfonn the removal procedure in reverse order. 3. to make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 - 5. page 4 - 56 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 19 patient pendant mount chapter 4 : removal, replacement, and adjustment procedures 4. 19 patient pendant mount tools required : wire cutters note : this procedure is for moving the pendant mount from one side of the bed to the other side of the bed. removal 1. set the brakes. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 2. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 3. remove the pendant ( refer to procedure 4. 18 ). 4. cut and remove the cable ties securing the pendant mount to the bed. replacement 1. move the pendant mount to the opposite side of the bed. 2. using cable ties, secure the pendant mount to the bed. 3. to make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 - 5. careassist® and careassist® es bed service manual ( man33 @topic:26


unit. there are three possible choices each for visual and audible latching, red, red and yellow, and off. these choices can be combined to give the following settings : visual latching r & y r & y r & y r r off audible latching r & y r off r off off r = red alarms, y = yellow alarms alarm latching behavior red and yellow measurement alarms non - latching alarms visual and audible latching visual latching, audible non - latching alarm has not been acknowledged. alarm condition still present. alarm tone on. alarm lamp on. alarm message. flashing numerics. alarm condition no longer present. all audible and visual alarm indicators automatically stop. alarm tone on. alarm lamp on. alarm message. flashing numerics. alarm message. flashing numerics. audible alarm indicators automatically stop. alarm has been acknowledged. alarm condition still present. alarm tone off. alarm lamp off. alarm message. flashing numerics. audible alarm reminder ( if configured ). alarm condition no longer present. audible and visual alarm indicators automatically stop. all inops are non - latching. see “ yellow arrhythmia alarms ” on page 140 for information on one - star yellow alarms latching behavior. 68 testing alarms 3 alarms testing alarms when you switch the monitor on, a selftest is started. you must check that the alarms lamps light, one after the other, and that you hear a single tone. this indicates that the visible and audible alarm indicators are functioning correctly. for further testing of individual measurement alarms, perform the measurement on yourself ( for example sp0 2 or c0 2 ) or use a simulator. adjust alarm limits and check that appropriate alarm behavior is observed. alarm behavior at on / off when you switch alarms on, the settings defined in the currently active profile are used. if the monitor is switched off for longer than one minute and then @topic:8


# # # issue ecg wave not displaying on monitor # # # impact patient monitoring is affected, potentially leading to delayed or inaccurate diagnosis and treatment # # # possible causes - dirty ecg lead cable - loose connection between the lead cable and patient - equipment malfunction - software or hardware issue - electrical interference # # # recommendations - clean the ecg lead cable with an alcohol wipe - ensure the lead cable is securely connected to the patient and monitor - check the equipment for any signs of damage or malfunction - update the software or hardware if necessary - identify the source of electrical interference and eliminate it @topic:18


# # # issue - broken ekg lead # # # impact - inability to monitor patient's ekg # # # possible causes - * * physical damage to the lead : * * the lead may have been pinched, cut, or otherwise damaged, causing the wires inside to break. - * * loose connection : * * the lead may not have been properly connected to the patient or the monitor, causing an intermittent or complete loss of signal. - * * electromagnetic interference ( emi ) : * * strong electromagnetic fields, such as those generated by nearby electrical equipment, can interfere with the ekg signal and cause it to become distorted or lost. - * * patient movement : * * if the patient moves excessively, the lead may become dislodged or the signal may be distorted. # # # recommendations - * * inspect the lead for physical damage : * * look for any cuts, breaks, or other damage to the lead. if damage is found, replace the lead. - * * check the connections : * * ensure that the lead is properly connected to the patient and the monitor. tighten any loose connections. - * * reduce emi : * * if possible, move the monitor and patient away from sources of emi. - * * secure the lead : * * use tape or other methods to secure the lead to the patient's skin, preventing it from becoming dislodged. @topic:18


# # # issue - battery is showing an exclamation mark (? ) # # # impact - the battery may not be able to provide power to the device as expected. # # # possible causes - the battery may be faulty. - the battery may not be properly seated in the device. - the device may not be recognizing the battery. # # # recommendations - reseat the battery. - check the battery for any damage. - replace the battery if it is faulty. - check the device to make sure that it is recognizing the battery. @topic:11


# # # issue the remote control for the electric bed is not working. # # # impact the patient cannot adjust the bed's position, which can make it difficult for them to get in and out of bed, and to be comfortable. # # # possible causes - the remote control is not properly paired with the bed. - the batteries in the remote control are dead. - the remote control is damaged. - the bed's control unit is not working properly. # # # recommendations - check that the remote control is properly paired with the bed. - replace the batteries in the remote control. - inspect the remote control for any damage. - check the bed's control unit for any loose connections or damage. @topic:7


quick admitting a patient use quick admit only if you do not have the time or information to fully admit a patient. complete the rest of the patient demographic details later. 1 select the quick admit smartkey. 2 enter the required data ( id fields or last name depending on configuration ) with the keyboard or a barcode scanner. 3 select enter. 4 in the confirmation window, select confirm to discharge the previous patient ( if confirmation is configured ). 5 check that patient category and paced status are correct for the new patient. if the monitor is connected to an information center and only the id field is entered, the patient name is set to - at the information center. complete the rest of the demographic details as soon as possible to fully identify the patient on the network, on the monitor and on printed reports. to complete the details, select admit patient again and complete all required fields. editing patient information to edit the patient information after a patient has been admitted, select the patient name field on the main screen to open the patient demographics window, and make the required changes. 103 5 managing patients discharging a patient discharging a patient warning always perform a discharge before starting monitoring for a new patient, even if your previous patient was not admitted. failure to do so can lead to data being attributed to the wrong patient. a discharge : - clears the information in the patient demographics window - erases all patient data ( such as trend, event, and calculation data ) from the monitor, measurement modules and information center. this ensures that data from a previous patient are not mixed with data from the new patient. - resets patient category and paced settings to the settings defined in the default profile - resets all monitor and measurement settings as well as the active screen to the settings defined in the default profile - discharges the patient from the information center. when a patient is discharged from the monitor or from an information center, all @topic:10


check the user ’ s guide of the flowmeter for details on how to make a correct flow reading. part 1 1 go into service mode and select setup c0 2 menu. 2 connect a filterline to the microstream c0 2 input to start the pump running. 3 check the ambient pressure and the cell pressure shown in the monitors status line. the cell pressure should be approximately 20 mmhg lower than ambient pressure. 4 connect the flowmeter outlet to the filterline inlet using a flexible connecting tube. 5 block the measurement server extension outlet using your fingertip and observe the flowmeter display. the value on the flowmeter ( x2 ) should decrease to between 0 and 4 ml / min, accompanied by an audible increase in pump noise. if the value is within the tolerance limits, continue with part 2 of the leakage check. 6 if the value is outside the tolerance limits, there is a leakage between the pump outlet and the measurement server extension gas outlet. 7 open the measurement server extension and check the tubing connections at the pump outlet and the extension gas outlet. if the connections are good, then there is a leakage in the tubing and you must exchange the measurement server extension. part 2 1 disconnect the flowmeter from the part 1 setup and connect the flowmeter inlet to the m3015a gas outlet. 2 leave the filterline connected to the m3015a inlet. 3 block the inlet of the filterline using your fingertip and observe the flowmeter display. the value on the flowmeter ( x3 ) should decrease to between 0 and 4 ml / min, accompanied by an audible increase in pump noise. the cell pressure shown in the status line on the display should decrease to between 300 and 500 mmhg. do not block the inlet for longer than 25 seconds as this will lead to 44 maintenance procedures 3 testing and maintenance an “ occlusion ” @topic:17


# # # issue kvalue ekg not displaying on monitor. # # # impact patients ekg data cannot be monitored. # # # possible causes 1. ekg is set to off. 2. loose connection between ekg leads and patient. 3. faulty ekg sensor. 4. software glitch. # # # recommendations 1. check if ekg is set to on in the monitor's settings. 2. ensure that ekg leads are securely connected to the patient. 3. replace ekg sensor if necessary. 4. contact manufacturer for software update or repair if necessary. @topic:18


and color - coded with the loops tell you whether each loop is currently displayed or not : - a filled - in rectangle marks loops currently shown in the loops window - a rectangle outline marks loops not currently shown. selecting the timestamp of the currently - displayed loop hides it and shows the the timestamp of a currently hidden loop displays it. i i next in the list ; selecting 360 changing loops display size 32 respiratory loops changing loops display size to change the loops display size, in the loops window, select the pop - up key select size then select • size x 0. 5 to display loops at half the usual size • size x 1 to display loops at the usual size • size x 2 to display loops at twice the usual size this does not affect the size of loops printed in reports. using the loops cursor to view the coordinates for any point on a stored loop, 1 select the pop - up key select loop. 2 select the required loop from the list of available loops. 3 use the arrow pop - up keys to move the cursor around the loop. the values for both loop axes are shown for every point on the loop. select the x at the top of the loop list to exit the cursor. changing loops type to change the loop type, in the loops window, select the loop type pop - up key ( only available if the source device delivers three waves ), then select • press / volume to display pressure / volume loops • flow / volume to display volume / flow loops • press / flow to display pressure / flow loops, or, if the source device only delivers two waves, 1 in the loops window, select the setup device pop - up key to enter the setup < external device > menu. 2 select wave 1 and select pressure, flow, or volume waves as required. repeat for wave 2. setting up source device the source device for @topic:8


5 rear, 1 right side ) usb 2. 0 supporting high speed mode usb type a connectors microphone input stereo 3. 5 mm audio jack audio headphone output stereo 3. 5 mm audio jack dvi video with dvi - i dvi onnector vga display specifications display specifications 482 mm active matrix color lcd ( tft ) 19 " wsxga + туре 1680 x 1050 ( wsxga + ) resolution mx600 / 700 / 800 efresh frequenc58 hz useful screen 409. 5 mm x 255. 9 mm 0. 244 mm x 0. 244 mm pixel size 15 " wxga туре 390 mm active matrix color lcd ( tft ) 1280 x 768 ( wxga ) resolution mx550 / 600 / 700 / 800 efresh frequenc59. 9 hz useful scree334. 1 mm x 200. 5 mm 0. 261 mm x 0. 261 mm pixel size 12 " wxga ( 16 : 10mx450 / 500 310 mm active matrix color lcd ( tft ) тур1280 x 800 ( wxga 16 : 10 ) resolution efresh frequenc59. 9 hz useful scree261. 1 mm x 163. 2 mm pixel size 0. 204 mm x 0. 204 mm 230 mm active matrix color lcd ( tft ) 9 " wvga туре 800 x 400 ( wvga ) resolution mx400 efresh frequenc60 hz useful scree196. 8 mm x 118. 1 mm pixel size 0. 246 mm x 0. 246 mm 474 40 specifications xga color 15 " lcd touchscreen m8031b 8033c sxga color 17 " lcd touchscreen sxga color 19 " lcd touchscreen 86529 @topic:19


# # # issue : keyboard intermittent failure # # # impact : impaired user input, hindering efficient medical documentation and communication. # # # possible causes : - depleted batteries : the provided input indicates that the keyboard was experiencing intermittent failure due to depleted batteries. the technician replaced the batteries, resolving the issue. - loose keyboard connection : check the connection between the keyboard and the medical cart to ensure that it is secure and free of any damage. - keyboard membrane damage : if the keyboard membrane is damaged or worn, it can cause intermittent keystrokes. inspect the keyboard for any signs of damage or wear. - software or firmware glitches : occasionally, software or firmware glitches can cause keyboard malfunction. consider checking for and installing any available updates. # # # recommendations : - regularly inspect and replace batteries as needed to prevent similar issues in the future. - ensure proper connection and handling of the keyboard to minimize the risk of loose connections or damage. - if keyboard damage is suspected, contact the manufacturer or a qualified technician for repair or replacement. - monitor for any software or firmware updates and apply them promptly to address potential glitches. @topic:27


# # # issue - broken drawer lock # # # impact - drawer cannot be opened or closed properly - medical supplies or equipment may be damaged or lost # # # possible causes - wear and tear - excessive force applied to the drawer - defect in the lock mechanism # # # recommendations - replace the broken lock with a new one - inspect the drawer regularly for signs of wear and tear - train staff on proper use of the medical cart @topic:21


# # # issue - incorrect cuff used for device # # # impact - the device may provide inaccurate patient data if the incorrect cuff is used. # # # possible causes - the cuff used is not compatible with the device. - the technician may have mistakenly used the wrong cuff. # # # recommendations - ensure that the correct cuff is used for the device. - recalibrate the device after replacing the cuff. - provide training to technicians on the correct use of cuffs. @topic:5


# # # issue - device unable to measure co2 accurately # # # impact - potential for inaccurate patient monitoring data - delayed diagnosis and treatment # # # possible causes - faulty co2 sensor - loose or disconnected connections - software malfunction # # # recommendations - replace the co2 sensor - check and tighten all connections - update software to the latest version @topic:4


# # # issue - broken waist strap on the sara combilizer electric vertical tilting bed. # # # impact - the bed cannot be used safely until the waist strap is replaced. # # # possible causes - the waist strap may have been damaged by : - excessive use - improper use - poor maintenance - the waist strap may have been defective. # # # recommendations - * * inspect the waist strap regularly for signs of damage. * * - * * replace the waist strap if it is damaged. * * - * * use the bed according to the manufacturer's instructions. * * - * * train staff on the proper use of the bed. * * @topic:1


n 2 to the cal tube. 50 3 testing and maintenance tests 7 set the gas correction to off. 8 allow a few seconds for the gas mixture to stabilize and observe the c0 2 value. the expected value is 5 % of the ambient pressure ±2mmhg note make sure that you follow the above steps correctly. if the sensor fails this check it must be exchanged. the sensor cannot be calibrated sidestream co z flow check check the flow rate in the sidestream c02 extension as follows : 1 connect the flowmeter to the sample line 2 check on the flowmeter the flow that the sidestream c0 2 extension pump draws. it should be 50 ml / min ±10 ml / min. if the value is not within tolerance check your setup again and perform another flow check. if it fails again, the sensor must be replaced. the sensor cannot be calibrated. spirometry performance tests these tests verify the performance accuracy of the m1014a spirometry module. equipment required • leak test kit ( part number : ml014 - 64100 ) • calibrated barometer • m2785a pediatric / adult flow sensor • 500ml calibration syringe, hans rudolph model 5550 or equivalent flow test 1 connect the m1014a spirometry module to the host monitor and go into service mode. 2 connect the flow sensor to the module. 3 connect the 500ml calibration syringe to the flow sensor. make sure the syringe is set to the “ empty ” position. 4 press the setup key on the module and select show all values in the setup spirometry menu. 5 pump the calibration syringe back and forth with a steady motion at a rate of 20 cycles and verify that the readings for tvexp and tvin are 500 ± 25 ml. if the readings are not within the @topic:17


# # # issue - the cause of failure in the given input is the detached pressure chamber cover. # # # impact - the detached pressure chamber cover can lead to inaccurate blood pressure measurements, as the pressure chamber is not sealed properly. this can result in incorrect patient diagnosis and treatment. # # # possible causes - the pressure chamber cover may have become detached due to wear and tear, or it may not have been properly tightened. - the pressure chamber cover may have been damaged during transport or storage. - the pressure chamber cover may be incompatible with the nibp monitor. # # # recommendations - inspect the pressure chamber cover for any damage or wear and tear. - ensure that the pressure chamber cover is properly tightened. - verify that the pressure chamber cover is compatible with the nibp monitor. - if the pressure chamber cover is damaged or incompatible, replace it with a new one. @topic:15


##r devices closer to each other. check srr signal quality indicator for signal strength. make sure you use a telemetry device which is compatible with srr. check flexible display cable connection to main board and display replace display assembly replace main board troubleshooting guide 4 troubleshooting alarm occurs, but no environmental lighting too place monitor in a darker led lights up bright environment flex cable to hif board not check flexible display cable connected or not positioned connection to main board and correctly display flex cable to hif board exchange flex cable defective hif board defective replace display assembly alarm tones inop message speaker cable disconnected reconnect speaker cable malfun | speaker assembly defective | replace speaker assembly — malfunction is speaker assembly defective replace speaker assembly displayed sound amplifier on main board | replace main board defective alarm occurs but no audible alarm indicators have switch audible alarm alarm sound is issued been switched off indicators back on speaker defective replace speaker sound amplifier on main board | replace main board defective alarm sound too quiet | speaker foil defective. exchange monitor housing. alarm behavior if your monitor did not alarm in the way in which the end user expected, please consult the instructions for use for possible setup issues or configuration settings which could affect alarm behavior. 127 4 troubleshooting troubleshooting guide individual parameter inops if any of the following parameter inop messages are issued check the connection from the measurement to the main board. if the inop messages persist replace the respective measurement. if problem persists, replace the main board and / or the power board. - co2 equip malf - ecg equip malf - nbp equip malf - « pressure label » equip malf - resp equip malf - spo, ; equip malf - spo, transduc malf - « temp label » equip malf printer 128 prompt message @topic:22


recycling passports located there contain information on the material content of the equipment, including potentially dangerous materials which must be removed before recycling ( for example, batteries and parts containing mercury or magnesium ). do not dispose of waste electrical and electronic equipment as unsorted municipal waste. collect it separately, so that it can be safely and properly reused, treated, recycled, or recovered. disposing of empty calibration gas cylinders 1 empty the cylinder completely by pushing in the pin of the regulator valve or by pulling out the pin of the fill valve using a tire valve stem wrench or a pair of needle nose pliers. 2 when the cylinder is empty, either remove the valve stem from the fill ( or regulator ) hole, or drill a hole in the cylinder. 3 write “ empty ” on the cylinder and dispose of it appropriately for scrap metal. warning ensure that the cylinder is completely empty before trying to remove the valve stem or drill a hole in the cylinder. 379 36 maintenance and troubleshooting disposing of empty calibration gas cylinders 380 37 accessories you can order parts and accessories from philips supplies at www. medical. philips. com or consult your local philips representative for details. warning reuse : never reuse disposable transducers, sensors, accessories and so forth that are intended for single use, or single patient use only. reuse may compromise device functionality and system performance and cause a potential hazard. philips ’ approval : use only philips - approved accessories. using non - philips - approved accessories may compromise device functionality and system performance and cause a potential hazard. packaging : do not use a sterilized accessory if its packaging is damaged. ecg / resp accessories this symbol indicates that the cables and accessories are designed to have special protection against electric shocks ( particularly regarding allowable leakage currents ), and are defibrillator proof. the following cables may not all @topic:10


# # # issue - the monitor, telemetric, electrocardiography equipment from philips, model intellivue trx, was not able to measure values. # # # impact - the inability to measure values prevents the healthcare team from obtaining accurate patient data, which can affect patient care and safety. # # # possible causes - the cause of failure was identified as dirty contacts on the equipment. # # # recommendations - the bme team cleaned the contacts and performed calibration, which resolved the issue and allowed the equipment to function normally. - regular maintenance and cleaning of medical equipment are crucial to ensure optimal performance and prevent future failures. @topic:16


# # # issue : - bed is not adjusting properly # # # impact : - inability to properly position patients for medical procedures or comfort. # # # possible causes : - * * electrical issue : * * the motor or electrical components of the bed may not be functioning properly. - * * mechanical issue : * * the bed's mechanical components, such as the gears or cables, may be damaged or misaligned. - * * hydraulic issue : * * beds that use hydraulics for adjustments may have leaks or other issues that affect their operation. - * * control issue : * * the control panel or handheld remote may not be sending the correct signals to the bed, resulting in improper adjustment. # # # recommendations : - * * electrical : check the bed's electrical connections, * * fuses, and switches. repair or replace any damaged components. - * * mechanical : * * inspect the bed's gear system, cables, and joints. lubricate if necessary, or replace worn or damaged components. - * * hydraulic : * * examine the bed's hydraulic system for leaks or blockages. repair or replace any damaged components. - * * control : * * test the control panel and handheld remote using a diagnostic tool. replace any malfunctioning components. @topic:1


will invoice your facility for the full selling price of the parts / products. note : the preceding billing procedure pertains only to parts / products that hill - rom requests to be returned. in some cases, the invoice accompanying the parts will show the full selling price ( only for internal use at hill - rom ). do not confuse this price with your price. do not return any parts without an rma number. when parts / products have been requested to be returned, hill - rom will include an rma packet with the parts / products shipment. if an rma number is not available, obtain one by phoning hill - rom technical support at ( 800 ) 445 - 3720. out - of - warranty exchanges you are expected to return the inoperative parts / products within 30 days of receipt of the exchange part. hill - rom will include an rma packet with the parts / products shipment. if an rma number is not available, obtain one by phoning hill - rom technical support at ( 800 ) 445 - 3720. hill - rom will invoice your facility for the full selling price of the parts / products. upon return of the inoperative parts / products, hill - rom will issue a credit to your facility for the difference between the exchange price and the full selling price of the parts / products. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 3 warranty chapter 5 : parts list warranty hill - rom company, inc. limited warranty hill - rom company, inc. ( hill - rom ) has a long tradition of providing superior products and service to our customers. our goal is “ total customer satisfaction ”. in that spirit, hill - rom is proud to offer the following warranty. general warranty ( applicable unless a specific warranty is listed ) @topic:9


( alternative ) art aortic ao pressure entral venous pressurvintracressure icp eft atrial pressurlap non - specific pressure label p pulmonary artery pressuright atrial pressure pap ap mbilical arterial pressuruap mbilical venous pressuruvp extended pressure label set the following additional labels are available if label set is set to full. this setting can only be changed note that if your monitor is connected to an information center, the additional labels in the extended label set may not be correctly displayed. see the configuration guide for your monitor for more information. description label rachial arterial bap ressufemoral arterial ressure fap lternative intracranial pressurealternative non - specific pressure labels 1, p2, p3, 214 to avoid inaccurate pressure readings, the monitor requires a valid zero. zero the transducer in accordance with your hospital policy. you must perform a zero : • when time. every if you think the monitor's pressure readings are not correct. when using a pressure module, the zero information is stored in the module. when a pressure module, with the transducer connected, is plugged into the monitor, the monitor will use the zero stored in the module. zeroing icp ( or ic1 / ic2 ) your hospital guidelines may require you to zero the icp transducer less frequently than other transducers, due to the need for aseptic conditions. when you zero an icp transducer, the zero values are automatically stored and you i will not be prompted to repeat the zero procedure. if you want to simultaneously zero all pressures except icp, disconnect the icp transducer from the multi - measurement module or pressure module while zeroing. reconnecting the transducer recalls the stored values. warning if you select the @topic:17


# # # issue knee adjustment failure # # # impact the patient may experience discomfort or pain due to improper knee alignment. # # # possible causes - motor failure - electrical malfunction - control system issue - mechanical obstruction # # # recommendations - inspect the motor for damage or wear - check electrical connections and wiring - test the control system for functionality - examine for any mechanical obstruction that may prevent knee movement * * additional notes : * * - verify that the correct replacement motor was installed ( sn. p. o. 063173 - 0007 ). - ensure that the motor is securely connected and aligned. - perform a comprehensive test of the knee adjustment function before releasing the device for patient use. @topic:9


* * issue : * * incomplete cause of failure description * * impact : * * difficulty in understanding the actual reason for equipment malfunction * * possible causes : * * - lack of communication or documentation from the 5c department - technician's assumption without proper investigation * * recommendations : * * - technician should reach out to the 5c department to gather more information about the equipment's usage and any potential issues. - technician should perform a thorough investigation to identify the underlying cause of failure. - hospital should establish a system for clear and accurate documentation of equipment failures, including the cause and responsible department. @topic:12


# # # issue - * * equipment : * * bed, electric - * * band : * * hill - rom - * * model : * * care assist es - * * problem : * * unable to weigh patient ( right side ) # # # impact - inaccurate patient weight measurements - potential errors in patient care planning and treatment # # # possible causes - damaged or pinched power cord - loose or disconnected wires - malfunctioning load cells - calibration issues - software or firmware errors # # # recommendations - * * immediate actions : * * - inspect and replace the power cord if necessary. - check and tighten all electrical connections. - re - calibrate the scale according to manufacturer's instructions. - * * further investigation : * * - if the issue persists after the immediate actions, contact the manufacturer or a qualified service technician for further diagnosis and repair. - * * preventive measures : * * - regularly inspect and maintain the scale to prevent future issues. - train staff on proper handling and use of the scale. - establish a protocol for regular calibration and maintenance. @topic:25


* * issue : * * equipment failure ( nibp monitor ge healthcare dinamap pro 300 ) * * impact : * * device is unusable, affecting patient monitoring and diagnostic capabilities. * * possible causes : * * - * * battery failure : * * the description mentions replacing a battery, indicating that a faulty battery may have caused the device to malfunction. - * * spo2 sensor malfunction : * * the description also mentions replacing a spo2 sensor, which could suggest that a defective sensor is contributing to the device's inability to function properly. - * * electrical or software issues : * * the description lacks specific information about the device's failure, so other potential causes could include electrical problems or software errors. * * recommendations : * * - * * battery check : * * verify that the newly installed battery is in good condition and provides adequate power to the device. - * * spo2 sensor inspection : * * examine the spo2 sensor for any visible damage or connection issues. replace the sensor if necessary. - * * electrical and software troubleshooting : * * if the battery and spo2 sensor are not found to be the cause, further investigation is needed to identify any electrical or software problems. this may involve testing the device's circuitry, checking for loose connections, or applying software updates or patches. - * * contact manufacturer : * * if the issue persists despite troubleshooting, contact the manufacturer for technical support and guidance. @topic:20


# # # issue blood pressure cuff deterioration. # # # impact inaccurate blood pressure readings, which can lead to incorrect treatment decisions. # # # possible causes - worn or damaged fabric - leaking or clogged tubing - electrical problems # # # recommendations - replace cuff with new one. - inspect tubing and replace if necessary. - check electrical connections and repair any loose or damaged wires. @topic:3


# # # issue - hilow motor failure on the hill - rom care assist es100 bed. # # # impact - the bed is unable to be raised or lowered, which can make it difficult for patients to get in and out of bed or for healthcare providers to provide care. # # # possible causes - the hilow motor may have failed due to : - normal wear and tear - overuse - damage to the motor - electrical problems # # # recommendations - replace the hilow motor. - inspect the bed for any other damage that may have contributed to the motor failure. - train staff on proper use of the bed to prevent future failures. @topic:9


# # # issue - bed is not able to properly lock, specifically the footboard barrier. # # # impact - patient safety may be compromised. - impaired patient mobility and increased risk of falls. # # # possible causes - * * damaged or worn - out locking mechanism : * * the locking mechanism may be damaged or worn out, preventing it from securely engaging and holding the footboard barrier in place. - * * misalignment : * * the footboard barrier or the locking mechanism may be misaligned, causing the barrier to not lock properly. - * * defective electrical components : * * the electric bed may have a defective electrical component that is preventing the proper operation of the locking mechanism. - * * incorrect installation : * * the bed may have been improperly installed, resulting in the locking mechanism not functioning correctly. # # # recommendations - * * inspect the locking mechanism : * * examine the locking mechanism for any signs of damage or wear. check the alignment of the footboard barrier and the locking mechanism. - * * test the electrical components : * * ensure that all electrical components are functioning properly by testing the bed's operation. - * * repair or replace components : * * if necessary, repair or replace any damaged or defective components to ensure the proper functioning of the locking mechanism. - * * document the repair : * * record the repairs performed and any observations made during the inspection and testing. @topic:6


# # # issue - bed not adjusting at the feet # # # impact - patient discomfort - inability to provide proper patient care # # # possible causes - the remote control is not functioning properly - the bed motor is not working - the bed frame is damaged - the bed is not properly assembled # # # recommendations 1. * * check the remote control. * * make sure that the remote control is properly connected to the bed and that the batteries are fresh. try pressing the buttons on the remote control to see if the bed responds. 2. * * check the bed motor. * * if the remote control is not working, check the bed motor. the motor is located under the bed frame. check the motor for any damage or debris. try to move the bed manually to see if the motor is working. 3. * * check the bed frame. * * the bed frame may be damaged if the bed is not adjusting properly. check the bed frame for any cracks or bends. try to move the bed frame to see if it is damaged. 4. * * check if the bed is properly assembled. * * if the bed frame is not damaged, the bed may not be properly assembled. check the bed assembly instructions to make sure that the bed is properly assembled. @topic:1


. - * * monitor environmental conditions : * * ensure that the cm is operating within recommended temperature and humidity ranges. protect it from power fluctuations by using a surge protector or uninterruptible power supply ( ups ). @topic:22


# # # issue - defective masterkey sensor # # # impact - inability to access the medical cart # # # possible causes - manufacturing defect - wear and tear - improper handling # # # recommendations - replace the defective masterkey sensor - calibrate the medical cart after sensor replacement - inspect the medical cart regularly for any potential issues - train staff on proper handling and maintenance of the medical cart @topic:30


# # # issue - the electric bed is unable to adjust its height. # # # impact - patients may not be able to get into or out of bed safely. - patients may be uncomfortable in bed if it is not at the correct height. # # # possible causes - the hilowcolumn of the bed is faulty. # # # recommendations - replace the hilowcolumn. @topic:1


- 1 initial actions chapter 2 : troubleshooting procedures initial actions use initial actions to gather infonnation from operators concerning problems with the careassist® and careassist® es bed. note the symptoms or other information concerning the problem that the operator describes. this information helps identify the probable cause. 1. someone who can explain the problem is available. yes no ■l — > go to “ function checks ” on page 2 - 5. 2. ask this person to demonstrate or explain the problem. the problem can be duplicated. yes no ■i — » go to “ function checks ” on page 2 - 5. 3. the problem is a result of improper operator action. yes no ■i — > refer to table 2 - 1 on page 2 - 2, or go to “ function checks ” on page 2 - 5. 4. instruct the operator to refer to the procedures in the careassist® bed and careassist® es bed user manual ( usr116 ). perform the “ function checks ” to make sure proper operation of the careassist® and careassist® es bed. problem / solution table if the problem can be easily identified, use the following tables to determine the appropriate troubleshooting procedure. table 2 - 1. problem / solution table problem solution no functions work go to rap 2. 1 on page 2 - 13. fockout malfunction go to rap 2. 2 on page 2 - 16. hilow malfunction go to rap 2. 3 on page 2 - 17. knee section malfunction go to rap 2. 4 on page 2 - 18. head section malfunction ( excluding automatic contour ) go to rap 2. 5 on page 2 - 19. battery backup malfunction go to rap 2. 6 on page 2 - 20. page 2 - 2 careassist® and careassist @topic:9


# # # issue the beds, electric, hill - rom, centuris is not working in the icu 6c. # # # impact the patients in the icu 6c will not be able to use the bed, which could lead to discomfort and inconvenience. # # # possible causes the possible causes of the failure could be : * power supply issues * mechanical issues * electrical issues # # # recommendations the technician should : * check the power supply to the bed. * check the mechanical components of the bed for any damage or wear. * check the electrical components of the bed for any loose connections or damage. @topic:9


# # # issue - missing armrest cover - exposed electrical wire # # # impact - patient safety hazard - potential for electrical shock - infection control issue # # # possible causes - broken or loose armrest cover - damaged electrical wiring - improper maintenance or use # # # recommendations - replace or repair the armrest cover - inspect and repair or replace the damaged electrical wiring - ensure proper maintenance and use of the bed according to manufacturer's instructions @topic:1


# # # issue * cuff chramrur # # # impact * vital signs monitor may not be able to accurately measure patient's blood pressure. # # # possible causes * cuff may be punctured or damaged. * cuff may be too old or worn out. * cuff may not be properly connected to the monitor. # # # recommendations * replace the cuff with a new one. * inspect the cuff for any damage or wear and tear. * ensure that the cuff is properly connected to the monitor. @topic:3


# # # issue * the electric bed is not adjustable at the head. # # # impact * the patient may not be able to get into a comfortable position or may be at risk of injury if the bed is not properly positioned. # # # possible causes * the remote control is not working properly. * the bed motor is not working properly. * there is a problem with the bed's electrical system. # # # recommendations * replace the remote control. * inspect the bed motor and electrical system and repair or replace any damaged components. * retrain staff on proper use of the bed. @topic:1


* * issue : * * - battery failure * * impact : * * - the device may not be able to operate properly. * * possible causes : * * - the battery has reached the end of its lifespan. - the battery is not properly connected. - the battery is not compatible with the device. * * recommendations : * * - replace the battery. - check the battery connections. - verify that the battery is compatible with the device. @topic:11


# # # issue - equipment not charging # # # impact - inability to use the equipment for patient monitoring # # # possible causes - * * battery failure : * * the battery may be old or damaged, leading to reduced charging capacity or inability to charge. - * * charger malfunction : * * the charger may be faulty, preventing the battery from receiving power. - * * circuit board issue : * * a problem with the circuit board that controls charging can prevent the battery from receiving power. - * * loose connection : * * a loose connection between the battery and the charger or the battery and the device can interrupt charging. # # # recommendations - * * replace battery : * * replace the battery with a new one to address battery failure. - * * check charger : * * inspect the charger for any damage or loose connections. replace the charger if necessary. - * * inspect circuit board : * * examine the circuit board for any visible signs of damage, such as burns or broken components. if any issues are identified, contact the manufacturer for repair. - * * tighten connections : * * ensure that the battery is securely connected to the charger and the device. @topic:11


# # # issue - wood guard rail is detached due to missing bolts. # # # impact - patient safety hazard, as the guard rail is intended to prevent falls. # # # possible causes - improper installation of the guard rail - usage of the bed without the guard rail in place - insufficient maintenance and inspection of the bed # # # recommendations - ensure proper installation of the guard rail according to manufacturer's instructions. - regularly inspect and maintain the bed, including the guard rail. - ensure the guard rail is in place and secure before using the bed. additionally, it is important to investigate how the bolts became missing in order to prevent similar incidents from occurring in the future. this could involve reviewing maintenance records, interviewing staff, and examining the bed's design and usage patterns. @topic:6


shown in the progress bar. an enhanced timer is like a basic timer but the progress bar shows progress beyond the end of the run time. a cyclic timer is like a basic timer but restarts automatically when the run time is expired. a no limit timer has no run time or progress bar and shows the time elapsed since the timer was started. the type of timer is set in the monitor ’ s configuration mode and is associated with the timer label. timer setup pop - up keys when you open the timers window and select a timer, then select the setup " label " pop - up key, the setup window opens and a selection of pop - up keys appear to let you activate and control the timers. 355 31 using timers setting up timers pop - up keys selecting this pop - up key lets you.... start start the timer. stop stop the timer, allowing either restarting after a pause ( start key ) or clearing ( clear key ). clear clear the timer, ending this timer episode. timers return to the timer window showing all active timers setting up timers the timer type, display color of the timer and whether a window automatically pops up on expiry are settings made in configuration mode for each timer label. the remaining timer settings can be made in monitoring mode. if you change settings when a timer is running it will not be stopped. the timer will continue to count but the new settings will be applied. to display the setup window for a timer, ♦ in the timers window, select the required timer, then select setup " label " or ♦ select a timer on the main screen then select setup timers timer label you can select from a variety of specific labels, for example tourniquet, infusion, documentation or from four non - specific labels timer a, b, c, d. when you assign a label to a timer, the @topic:8


# # # issue * * * equipment malfunction : * * the electric bed ( bed, electric ) is not functioning properly. # # # impact * * * patient care : * * the malfunctioning bed may impact patient comfort, safety, and treatment. * * * hospital operations : * * the bed's unavailability may affect bed allocation and patient flow. # # # possible causes * * * equipment failure : * * the bed's electrical components or mechanical mechanisms may have malfunctioned. * * * user error : * * the bed may have been improperly used or overloaded. * * * external factors : * * power outages or environmental factors may have affected the bed's operation. * * * internal factors : * * the bed may have reached the end of its useful life or has not been properly maintained. # # # recommendation * * immediate actions : * * * * * isolating the bed : * * unplug the bed and remove the batteries ( if applicable ) to prevent further damage or injury. * * * assessing the situation : * * conduct a thorough visual inspection of the bed and check for any obvious signs of damage or malfunction. * * * contacting the manufacturer : * * if the issue cannot be resolved internally, contact the manufacturer for technical support and repair assistance. * * preventive measures : * * * * * regular maintenance : * * implement a regular maintenance schedule to ensure the bed's proper functioning and extend its lifespan. * * * user training : * * provide proper training for staff on the safe and efficient use of the bed to prevent damage or accidents. * * * appropriate use : * * ensure that the bed is used within its intended parameters and not overloaded to avoid premature failure. * * * hospital policy review : * * evaluate existing hospital policies and procedures related to equipment maintenance @topic:9


# # # issue - cuff pressure monitor sensor is missing # # # impact - patient monitoring is inaccurate or unavailable. # # # possible causes - the cuff pressure monitor sensor was not properly secured or was damaged during use. - the cuff pressure monitor sensor was not replaced after a certain period of time, as per the manufacturer's guidelines. # # # recommendations - inspect the cuff pressure monitor sensor regularly for damage or wear and tear. - replace the cuff pressure monitor sensor according to the manufacturer's guidelines. - train staff on the proper use and care of the cuff pressure monitor. @topic:3


# # # issue - monitor deterioration # # # impact - the monitor may not be able to accurately display patient data. - this could lead to incorrect diagnosis or treatment. # # # possible causes - the monitor may have been in use for an extended period of time. - the monitor may have been exposed to excessive heat or moisture. - the monitor may have been damaged by a power surge. # # # recommendations - replace the monitor as soon as possible. - keep the monitor in a cool, dry place away from excessive heat and moisture. - protect the monitor from power surges by using a surge protector on the power outlet. @topic:2


# # # issue the bed cannot be adjusted. # # # impact the patient may not be able to get into or out of the bed, or may be uncomfortable in the bed. # # # possible causes - the power cord is not plugged in. - the fuse is blown. - the motor is not working. - the control panel is not working. - the bed frame is damaged. # # # recommendations - check the power cord and make sure it is plugged in. - check the fuse and replace it if it is blown. - contact a qualified technician to repair the motor or control panel. - contact a qualified technician to repair or replace the bed frame. @topic:1


# # # issue - barcode scanner is not functioning properly # # # impact - inability to scan barcodes, which can lead to : - delays in patient care - misidentification of patients or medications - errors in billing # # # possible causes - damaged barcode scanner - software malfunction - battery issues - connectivity problems # # # recommendations - inspect the barcode scanner for any visible damage. - try resetting the barcode scanner by following the manufacturer's instructions. - check the battery level and replace if necessary. - check the connectivity between the barcode scanner and the host computer. - if the problem persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting. @topic:23


# # # issue - unable to determine the cause of failure for the medical device. # # # impact - the medical device is not available for use, which could impact patient care. # # # possible causes - the information provided does not specify the cause of failure. - the technician may not have fully tested the device or may not have the necessary expertise to identify the cause of failure. - the device may have a latent defect that was not detected during testing. # # # recommendations - the technician should perform a more thorough inspection of the device, including testing all of its functions. - if the technician is unable to identify the cause of failure, they should consult with a more experienced technician or engineer. - the manufacturer should be contacted to determine if there are any known issues with the device. - the device should be replaced if it is determined that it is not repairable. @topic:12


* * issue : * * cuff failure in bedside physiologic monitor * * impact : * * device unable to measure patient vital signs accurately * * possible causes : * * * physical damage to the cuff, such as holes, tears, or punctures * aging or wear and tear of the cuff material, leading to loss of elasticity * improper storage or handling of the cuff, causing it to become kinked or twisted * malfunction of the air pump or other components involved in cuff inflation and deflation * * recommendations : * * * inspect the cuff for any visible damage and replace it if necessary. * ensure proper storage and handling of the cuff, avoiding excessive bending or twisting. * check the air pump and other components for proper functionality and calibrate as needed. * consider replacing the cuff regularly as a preventive measure to avoid future failures. * train staff on proper cuff usage and maintenance to minimize the risk of damage. @topic:5


, 250 extension cable for spo2 192 external devices 387, 388, 389 alarms and inops 389 connecting to vuelink 387 connecting via vuelink 388 external pacing electrodes 152 skin preparation 133 eeg wave 290 electrical interference during eeg monitoring 284 electrode placement ( ecg ) 133, 143 conventional 12 - lead 143 modified 12 - lead 143. electrode placement ( resp ) 185, 186 with abdominal breathing 186 with lateral chest expansion 186 lectrode - to - skin impedance ( bis ) 289 electrode - to - skin impedance ( eeg ) 281 and ecg monitoring 152 extreme bradycardia alarm 151, 183 extreme pressure alarms 218 extreme rate alarms 151, 183 alarm 151, 183 332 in reports ecordings 73 hirestrnd 334 f see high - res trend 334 horizon trend 320 fallback ( ecg ) 13fast 191 trend time 320 and ecg 152 hr rr ( resp ) 18fourier artefact suppression technology 191 emc interference 188 hr alarms 152 filter ( ecg filter setting ) 137 when arrhythmia off 152 emi filter for ecg 137 filter ( ecg ) 137 hr alarms off ( config mode ) 152 end case reports 372 filter frequencies ( eeg ) 283 hr and pulse alarm source selection 183 hr from ( heart rate source ) 182 filterline 249 enhanced arrhythmia option 149, 154 co2, microstream accessory 249 humi352 filters 290 calculations 325, 326 bis 290 i flexible module rack 19. event episode reports 372 flushing invasive pressure accessories 213 fms - 4 19 iec ecg lead labels 139 event groups 334 impedance indicators ( bis ) 289 impedance quality indicators 281 imv ( resp ) 186 event report 346 fms - 8 19 event review reports 372 event snapshots 334 event surveillance 333. functional arterial oxygen saturation @topic:8


# # # issue the blood pressure cuff on the welch allyn 71wx physiological vital signs monitor is worn out. # # # impact the monitor cannot accurately measure blood pressure with a worn cuff. this could lead to incorrect patient readings, which could have serious consequences. # # # possible causes the cuff may have been damaged due to : * normal wear and tear * being over - inflated * being stored improperly # # # recommendations the worn cuff should be replaced with a new one. the new cuff should be properly inflated and stored to prevent damage. @topic:5


# # # issue - cuff on the bedside physiologic monitor is leaking, resulting in inaccurate readings. # # # impact - inaccurate patient monitoring data. - potential delays in treatment due to unreliable patient data. - increased risk of adverse patient outcomes. # # # possible causes - wear and tear of the cuff material. - damage to the cuff during cleaning or handling. - improper storage or handling of the cuff. - manufacturer defect. # # # recommendations - regularly inspect the cuff for any signs of damage or wear. - handle and clean the cuff according to the manufacturer's instructions. - store the cuff in a safe and dry environment when not in use. - use a cuff that is appropriately sized for the patient. - replace the cuff if any damage or leaks are detected. - contact the manufacturer if the problem persists despite following the recommended actions. @topic:3


# # # issue - battery failure # # # impact - the nibp monitor may not be able to power on or operate properly. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged due to improper handling or storage. - the battery may not be properly connected to the monitor. # # # recommendations - replace the battery with a new one. - ensure that the battery is properly connected to the monitor. - check the battery for any signs of damage and replace it if necessary. @topic:11


# # # issue cuff bp leaking # # # impact unable to measure blood pressure accurately. # # # possible causes - worn or damaged cuff - loose or disconnected cuff - air leak in the cuff hose # # # recommendations - replace the cuff - tighten or reconnect the cuff - check for air leaks in the cuff hose @topic:3


# # # issue - the medical cart's solenoid is loose, preventing the drawer from closing properly. # # # impact - the medical cart cannot be used to transport medical supplies or equipment. # # # possible causes - the solenoid was not properly tightened during assembly. - the solenoid has become loose over time due to wear and tear. # # # recommendations - tighten the solenoid using a wrench. - if the solenoid is damaged, it should be replaced. @topic:21


11 148822 1 p. c. board assy, scale and ppm, 500 lb ( e model and newer beds ) 148823 1 p. c. board assy, ppm only, 500 lb 148824 1 p. c. board assy, scale only, 500 lb 12 130628 1 electrical enclosure 13 vi0395 4 screw 14 34512 1 connector plug 15 129741 1 assembly, sidecom® communication system p. c. board 156499 1 assembly, sidecom® communication system p. c. board, beds with navi - care / safeview 16 132934 5 circuit board support ( standoff ) 17 132628 1 p. c. board, motor control 18 3976301 7 standoff 19 132935 2 circuit board support ( standoff ) 20 132093 1 scale board mount 21 150621 2 screw 22 7061002 2 fuse, 2. 5a, 5 x 20 mm careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 103 motor control box — f model beds chapter 5 : parts list item number part number quantity description 23 133251 2 fuse, 5a, 0. 25 " x 1. 25 " 24 28968 2 screw lock 25 156668 1 bracket, sidecom adapter page 5 - 104 careassist® and careassist® es bed service manual ( man330 rev 4 ) chapter 6 general procedures clean and disinfect we recommend that you clean and disinfect the careassist® bed between patient use and regularly during extended patient stays. refer to your facility ’ s cleaning and disinfection policies, and follow the guidelines below. shock hazard : follow the product manufacturer ’ s instructions. failure to do so could cause personal injury or equipment damage. shock @topic:26


* * issue : * * scanner barcode error * * impact : * * the medical cart's scanner is not functioning properly, preventing it from accurately scanning barcodes. * * possible causes : * * 1. * * scanner barcode error : * * the scanner itself may be faulty, resulting in the inability to read barcodes accurately. 2. * * electrical issues : * * loose connections or power supply issues can affect the scanner's functionality. 3. * * software malfunction : * * software bugs or glitches can interfere with the scanner's operation. 4. * * physical damage : * * the scanner may have been damaged due to mishandling or impact, causing it to malfunction. 5. * * battery reset : * * the recent battery reset may have caused temporary instability in the scanner's operation, resulting in the error. * * recommendations : * * 1. * * check scanner connections : * * ensure that all electrical connections are secure and that the power supply is functioning correctly. 2. * * restart the equipment : * * power off the medical cart and restart it to reset the system and potentially resolve any software issues. 3. * * clean scanner : * * use a soft cloth or brush to gently clean the scanner's window and any sensors to remove any debris or dirt that may be interfering with its operation. 4. * * calibrate scanner : * * if the issue persists, calibrate the scanner according to the manufacturer's instructions to ensure accurate barcode reading. 5. * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further assistance and potential replacement of the scanner. @topic:23


# # # issue windows failure # # # impact the medical cart was unable to boot, preventing its use for patient care. # # # possible causes - hardware failure ( e. g., bad ram, corrupted hard drive ) - software failure ( e. g., corrupted windows files, malware infection ) # # # recommendations - * * hardware troubleshooting : * * check the hardware components of the medical cart, such as the ram and hard drive, for any signs of damage or failure. replace any faulty components as necessary. - * * software troubleshooting : * * - run a system restore to revert the medical cart's system to a previous stable state. - if the system restore fails, reinstall the windows operating system on the medical cart. - scan the medical cart for any malware or viruses that may have caused the failure. - * * preventative measures : * * - regularly back up the medical cart's data to protect against data loss in case of a system failure. - install software updates promptly to address any security vulnerabilities or bugs that could lead to system failures. @topic:13


# # # issue : battery failure # # # impact : bed is unable to be operated electrically # # # possible causes : - * * battery depletion * * : the batteries may have reached the end of their lifespan and need to be replaced. - * * battery damage * * : the batteries may have been damaged due to physical shock, overcharging, or excessive heat. - * * loose connections * * : the battery connections may have become loose or corroded, preventing the battery from supplying power to the bed. # # # recommendations : - inspect the batteries for any signs of damage or leakage - replace the batteries if they are depleted or damaged - check the battery connections and clean or tighten them if necessary @topic:9


. 7 - 6 traction frame support module — pi 18ib. 7 - 7 careassist® and careassist® es bed service manual ( man330 rev 4 ) page xi notes : page xii careassist® and careassist® es bed service manual ( man330 rev 4 ) chapter 1 introduction purpose this manual contains instructions for the operation and maintenance of the careassist® and careassist® es bed. it also includes parts lists ( in chapter 5 ) for you to order replacement parts. audience this manual is intended for use by only facility - authorized persons. to ignore this restriction could cause severe injury to people and serious damage to equipment. reference documents for more information ( such as operating instructions, features, and product symbols ), refer to the careassist® bed and careassist® es bed user manual ( usr116 ). careassist® and careassist® es bed service manual ( man330 rev 4 ) page 1 - 1 document symbols chapter 1 : introduction document symbols this manual contains different typefaces and symbols to make the content easier to read and understand : • standard text — used for regular data. • boldface text — emphasizes a word or phrase. • note : — sets apart special data or important instruction clarification. • warning, relative contraindication, or caution a - a warning identifies situations or actions that may have an effect on patient or user safety. to ignore a warning could cause patient or user injury. - a relative contraindication identifies situations or actions that may have an effect on patient safety. - a caution identifies special procedures or precautions that persons must obey to help prevent equipment damage. • caught hazard warning • chemical hazard warning • electrical shock hazard warning note : these document symbols may or may not be used in this manual. page 1 - 2 careassist® and careassist® es bed @topic:9


# # # issue the electric bed is not adjustable. # # # impact the patient cannot be positioned comfortably or safely. # # # possible causes - the remote control is locked. - the bed's power supply is not working. - the bed's motor is not working. - the bed's control board is not working. # # # recommendations - unlock the remote control. - check the bed's power supply. - check the bed's motor. - check the bed's control board. @topic:1


* * issue : * * - defective electric bed * * impact : * * - patient discomfort - delayed treatment - increased risk of falls or injuries * * possible causes : * * - * * mechanical failure : * * malfunctioning motors, broken gears, or damaged cables. - * * electrical failure : * * faulty wiring, power surges, or component breakdowns. - * * improper use : * * rough handling, exceeding weight capacity, or unauthorized modifications. - * * maintenance negligence : * * lack of regular inspections, cleaning, or lubrication. - * * manufacturing defect : * * design flaws or faulty materials. * * recommendations : * * - * * immediate assessment : * * conduct a thorough inspection to determine the extent of the damage and identify the root cause. - * * repair or replacement : * * based on the assessment, determine whether the bed can be repaired or needs to be replaced. - * * preventive maintenance : * * schedule regular inspections, cleaning, and lubrication to prevent future failures. - * * user training : * * ensure all users are trained on proper handling and operation of the equipment. - * * quality control : * * implement a quality control process to verify the performance and safety of new equipment before deployment. - * * supplier management : * * evaluate the reliability of suppliers and establish clear specifications for equipment maintenance and support. - * * collaboration : * * encourage collaboration between biomedical engineers, technicians, and clinical staff to identify and address equipment issues promptly. @topic:9


# # # issue - battery failure # # # impact - loss of monitoring capabilities - potential patient harm # # # possible causes - battery degradation over time - excessive use - improper storage - charger malfunction # # # recommendations - replace the battery - follow manufacturer guidelines for battery maintenance and usage - regularly inspect the charger and equipment for any damage or issues @topic:11


* * issue : * * * bed is unable to adjust * * impact : * * * bed cannot be used by patients * patient care is affected * staff must spend extra time manually adjusting the bed, which can lead to delays in patient care and staff fatigue * * possible causes : * * * faulty keypad * electrical wiring issues * mechanical problems with the bed frame or motor * * recommendations : * * * check the keypad for any physical damage or signs of short circuit. * inspect the electrical wiring for any loose connections or damage. * test the bed frame and motor to ensure they are working properly. * if any issues are identified, replace the faulty parts or make necessary repairs. * train staff on proper use and maintenance of the bed to prevent future issues. @topic:32


# # # issue * bp connector loose # # # impact * incorrect blood pressure readings * patient discomfort or injury * delays in patient care # # # possible causes * faulty connector * loose connection * damaged cable * worn or frayed connector # # # recommendations * replace the bp connector with a new one. * check the connection between the connector and the monitor. * inspect the cable for any damage or fraying. * if the problem persists, contact the manufacturer for further troubleshooting. @topic:14


# # # issue - monitor not powering on # # # impact - patient monitoring may be compromised # # # possible causes - battery discharged - power cord not connected - faulty power supply - internal component failure # # # recommendations - ensure battery is charged or replaced - check power cord connection and replace if necessary - inspect power supply for damage and replace if needed - contact manufacturer for further troubleshooting and repair @topic:11


# # # issue medical cart is unable to power on. # # # impact the medical cart is essential for providing care to patients. if the cart is not functioning properly, it can delay or prevent patient care. # # # possible causes * * * battery failure : * * the battery may be dead or damaged. * * * power supply failure : * * the power supply to the cart may be interrupted. * * * electrical fault : * * there may be a fault in the cart's electrical system. * * * software error : * * a software error may be preventing the cart from powering on. * * * user error : * * the user may not be following the correct procedure for powering on the cart. # # # recommendations * * * check the battery : * * ensure that the battery is properly connected and charged. replace the battery if necessary. * * * check the power supply : * * ensure that the power supply to the cart is active. reset the power supply if necessary. * * * inspect the electrical system : * * inspect the cart's electrical system for any loose connections or damage. repair or replace any damaged components as necessary. * * * update the software : * * ensure that the cart's software is up to date. install any necessary software updates. * * * follow the user manual : * * ensure that the user is following the correct procedure for powering on the cart. @topic:13


# # # issue - battery is not charging # # # impact - the device may not be able to function properly in the event of a power outage. # # # possible causes - loose battery connection - faulty battery - faulty charging system # # # recommendations - check the battery connection and make sure it is secure. - replace the battery if it is faulty. - contact the manufacturer if the charging system is faulty. @topic:11


##board the headboard is fitted with fins that must point towards the sleep surface. if the headboard is installed in the bed frame the wrong way round, the risk of es. δη if the head endboard is removed from the bed frame, the risk of patient entrapment or falling increases. similarly, the use of the accessories installed at the head of the bed ( e. g., iv poles, helpers, etc. ) can incur risks for the patient. the headboard can be removed for easier access to the patient's head. 159471 nly ef 16947an269i - ro footboard fastening system bed frame extension * 3 a do not sit or climb on the extension the extension can be pulled out by 20 cm in intermediate steps of 4 cm. cushion for extensions is available as an additional mattress. part number name ass078 extension mattress ( 85 x 20 x 21 cm ) mobilizing the patient electrical functions controls the bed's power - driven movements are controlled using the controls built into the half - siderails or bilateral hilow pedals * with caregiver mode * or the control pendant * by pressing and holding the button for the corresponding function. the movement stops when the button is released or when the limit of movement is reached. a caregivers need to assess whether patients can be left unattended with access to the functions provided. siderails on either side of the bed. they are to be used by caregivers. cpr boost patient half - siderail controls they are placed inside the heaeither side of the bed. they are to be used by the [UNK] control pendant * the control pendant can be stored on the siderail. if the patient - pendant is positioned so as to stretch the coil cord and it is released, it retracts and can impact someone. bilateral hilow @topic:9


# # # issue equipment is unavailable for use due to being borrowed. # # # impact patients may not have access to necessary medical equipment, leading to delays in care or potential harm. # # # possible causes - lack of clear policies and procedures for equipment borrowing. - ineffective communication between staff about equipment availability. - absence of a tracking system to monitor borrowed equipment. # # # recommendations - establish clear guidelines for equipment borrowing, including who is authorized to borrow, for how long, and under what circumstances. - implement a communication system to notify staff of equipment availability and borrowing requests. - develop a tracking system to record borrowed equipment and its location. - train staff on proper equipment borrowing procedures and the importance of adhering to them. @topic:12


% / °c drift error of 0. 4 % fs ( @ cal 200 mmhg ) non linearity and ysteresis ±4 % of reading or ±4 mmhg ( ±0. 5 kpa ), whichever is greate. 1 mm³ / 100 mmhg overall accuracy including transducvolume displacement of cpj840j6 analog output ang - 0. 4 v to 3. 6 v available only with level 1 v 100 mmhg m1006b # c01 ( @ cal accuracy + 3 % full scale 00 mmhg30 mv offset 8 bit ( @ 5 v range20 ms esolutiosignal delay invasive pressure alarm specifications invasive pressure alarm adjustment range delay specifications - 40 to 360 mmhg ( - 5. 0 to 48 kpa ) - 40 to 50 mmhg pressure 2 mmhg ( 0. 5 kpa ) 50 mmh5 mmhg ( 1 kpa ) extreme higdifference to high limit 0 to 5 mmhg lamping at - 40 to 360 mmhdifference to low limit 0 to 5 mmhg 5 mmhg steps ( 0. 5 kpa ) 5 mmhg steps ( 1. 0 kpa ) 5 mmhg steps ( 0. 5 kpa ) extreme low clamping at - 40 to 360 mmh25 to 300 bpm 5 mmhg steps ( 1. 0 kpa ) adult : pulse 1 bpm steps ( 25 to 40 5 bpm steps ( 40 to 300 bpm ) 1 bpm steps ( 25 to 50 bpm ) bpm steps ( 50 to 300 bpmbpm steps ifference to high limit 0 t0 bpm achycardia bpm step484 40 specifications invasive pressure alarm range adjustment delay specifications difference to low limit 0 t50 bpm bpm stepradycardia bpm steptemp complies with en 12470 - @topic:17


spo > board assembly. see “ removing the spo, board ” on page 5 - 22. 4 - 18 troubleshooting suresigns vs2 * and vsi service guide error codes code error message possible cause action 833 ( 6 ) spo2 equip malfunc ( 6 ) spo, self - test timeout. reseat the spo > board assembly. if the problem persists, replace the spo » board. see “ removing the spo, board ” on page 5 - 22. 833 ( 8 ) spo2 equip malfunc ( 8 ) spo, internal dsp communication error. replace the spo, board assembly. see “ removing the spo, board ” on page 5 - 22. 833 ( 10 ) spo2 equip malfunc ( 10 ) spo, host communication error. replace the spo, board assembly. see “ removing the spo, board ” on page 5 - 22. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 833 ( 20 ) spo2 equip malfunc ( 20 ) spo, hardware defect. replace the spo, board assembly. see “ removing the spo, board ” on page 5 - 22. 833 ( 40 ) spo2 equip malfunc ( 40 ) spo > non - volatile memory corrupted. replace the spo > board assembly. see “ removing the spo, board ” on page 5 - 22. 834 spo2 sensor malfunc malfunction of the spo, sensor or sensor cable. check the spo, sensor and extension cable. if the problem persists, check the connector block cable connection on the spo > board. if the problem persists, replace @topic:22


# # # issue - intermittent equipment function during surgical procedures # # # impact - delays in surgical procedures - potential for patient harm # # # possible causes - incomplete signal cables # # # recommendations - obtain new signal cables - test equipment function to ensure proper operation @topic:12


triggers if you set user - defined deviation triggers, you can define event triggers that are independent of specific limits and based instead on deviations from the current values. you must set a deviation and a period of time in which the deviation occurs. there are three types of deviation available : any deviation, up deviation where only changes in a positive direction are detected and down deviation where only changes in a negative direction are detected. the deviation can be defined either in relative terms as a percentage, for example 10 %, or as an absolute value, such as 10 bpm. event retriggering if a condition that triggered an event persists and the values remain beyond the trigger threshold, a new event will not be triggered. for a new event to be triggered by the same condition, the measured values for at least one of the triggers must cross back into the normal range and then recross the trigger threshold. event notification ( advanced event surveillance only ). you can be notified when an event is detected. for each event group you can define a type of notification depending on the severity of the event conditions. the notification can be a status message with a prompt tone or a standard *, * *, or * * * alarm notification. these event alarms are handled exactly like measurement alarms ; they can be silenced and are also suspended when all alarms are suspended. you should only use alarm notification for events which are comparable in severity to standard measurement alarms to avoid potential confusion due to too many alarms. notification in the form of an alarm is not available when the trigger condition is at least one param. selecting none switches event notification off. setting the type of notification, or switching notification off, is done in configuration mode. setting triggers for ner and basic event surveillance 1 select main setup - > event surveill. - > setup events to enter the event setup window. 2 select the name of the current episode type to set @topic:8


: 13 mm socket ratchet needle nose pliers antistatic strap t25 torx® 1 screwdriver removal 1. set the brakes. 2. raise the head section to the full up position. warning : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. remove the two screws ( a ) from the retainers ( c ) ( see figure 4 - 36 on page 4 - 86 ). 5. remove the retainers ( c ). 6. remove the three screws ( d ) that attach the power supply cover ( e ) to the power supply ( f ). 7. remove the power supply cover ( e ). note : the power supply cover is connected to the power supply rc. board by the battery cable. 8. disconnect the battery cable from the power supply rc. board. 9. remove the power supply cover ( e ) from the power supply ( f ). 10. note the positions of the cables connected to the power supply rc. board ( g ). 1. torx® is a registered trademark of acument intellectual properties, llc. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 85 4. 27 motor control p. c. board ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures figure 4 - 36. motor control p. c. board when handling electronic components, wear an antistatic strap. failure to do so could cause component damage. 11. put on the antistatic strap. 12. disconnect the cables from the power supply p. c. board ( g ). 13. pinch the ends of the standoffs ( h @topic:26


* * issue : * * cuff deterioration * * impact : * * inaccurate vital signs measurements * * possible causes : * * * prolonged use of the cuff, leading to material fatigue * exposure to harsh conditions, such as extreme temperatures or moisture * improper storage or handling of the cuff * * recommendations : * * * regularly inspect the cuff for signs of wear and tear, including cracks, tears, or fraying. * replace the cuff as recommended by the manufacturer or upon any signs of deterioration. * store the cuff in a cool, dry place when not in use. * ensure proper handling techniques, avoiding excessive stretching or crimping of the cuff. @topic:5


# # # issue - keypad malfunction # # # impact - inability to adjust the bed # # # possible causes - defective keypad component on the icb board # # # recommendations - replace the icb board with a new one as suggested by the vendor @topic:25


# # # issue - the biomedical engineer ( bme ) found that the cuff of the philips suresigns vs4 monitor was damaged and could not be used to measure vital signs. # # # impact - the monitor is unable to accurately measure vital signs, which can lead to incorrect patient care decisions. # # # possible causes - the cuff may have been damaged by excessive use or improper storage. - the cuff may have been exposed to chemicals or solvents that have damaged the material. - the cuff may have been punctured or torn. # # # recommendations - the bme replaced the damaged cuff with a new one. - the bme tested the monitor to ensure that it was working properly. - the bme recommended that the hospital staff inspect the cuffs of all vital signs monitors regularly for damage. @topic:15


# # # issue - " agm mulfunction " # # # impact - accuracy of physiological measurements may be compromised. # # # possible causes - * * defective agm module * *. automatic gain control ( agm ) is responsible for adjusting the analog signal's gain to optimize the signal - to - noise ratio. a defective agm module may cause signal distortion or loss. - * * loose connections * *. connections between the agm module and other components may have become loose, resulting in signal interruption. - * * software or firmware bugs * * : errors in the software or firmware responsible for agm control can lead to malfunction. - * * environmental factors * * : excessive heat, humidity, or electromagnetic interference can affect the performance of the agm module. # # # recommendations - * * replace the agm module * *. if the agm module is confirmed to be defective, replacing it should resolve the issue. - * * check and tighten connections * * : inspect all connections related to the agm module and ensure they are secure. - * * update software or firmware * * : if a software or firmware update is available, it may include fixes for agm - related issues. - * * optimize environmental conditions * * : ensure the equipment operates in an environment within acceptable temperature and humidity ranges, and minimize electromagnetic interference. - * * contact the manufacturer * * : if the problem persists after implementing the above steps, contact the manufacturer for further support. @topic:2


* * issue : * * - change of remote control panel and buttons * * impact : * * - the specific impact of the change is not mentioned in the given input. * * possible causes : * * - the original remote control panel and buttons may have malfunctioned or were damaged. - the new remote control panel and buttons may be defective or incompatible with the device. - the technician who performed the change may not have installed the new components correctly. - other underlying issues with the device could have led to the need for the change. * * recommendations : * * - test the device thoroughly after the change to ensure proper functionality. - check the compatibility of the new remote control panel and buttons with the device. - ensure that the technician who performed the change is qualified and experienced. - if the issue persists, contact the manufacturer or a qualified service technician for further diagnosis and repair. - review the device's maintenance and calibration history to identify any potential underlying issues. @topic:7


# # # issue - bed is not adjustable # # # impact - patient discomfort - inability to perform proper patient care # # # possible causes - faulty power cord or plug - malfunctioning motor or control unit - software or firmware issues - obstruction in the bed mechanism # # # recommendations - check the power cord and plug for damage or loose connections. - inspect the motor and control unit for any visible signs of damage or wear. - update the software or firmware if available. - clear any obstructions from the bed mechanism. - consult with the manufacturer or a qualified technician for further troubleshooting and repair. @topic:1


# # # issue - cuff malfunction # # # impact - inaccurate blood pressure measurements - potential patient harm if undetected - delay in diagnosis and treatment # # # possible causes - cuff deterioration due to wear and tear - improper cuff placement or inflation - damage to cuff tubing or connectors - electrical fault in cuff sensor # # # recommendations - inspect and clean cuffs regularly - ensure proper cuff placement and inflation technique - calibrate blood pressure monitor according to manufacturer's instructions - repair or replace damaged cuffs promptly - provide training to staff on proper cuff maintenance and usage @topic:3


# # # issue - the monitor cannot be turned on. # # # impact - the patient transport monitor cannot be used to monitor the patient's vital signs. # # # possible causes - the power supply is not connected properly. - the power cord is damaged. - the power supply is faulty. - the monitor is faulty. # # # recommendations - check the power supply connection. - replace the power cord. - test the power supply with a known - good device. - replace the monitor. @topic:2


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : unable to boot # # # impact - the medical cart cannot be used for patient care. # # # possible causes - incorrect bios settings - hardware failure - software corruption # # # recommendations - verify bios settings and ensure that the boot order is correct. - if the bios settings are correct, then the hardware should be inspected for any damage. - if the hardware is in good condition, then the software should be investigated for any corruption. @topic:13


# # # issue the hospital bed is making a noise when in use. # # # impact the noise from the bed can be disruptive to both patients and staff, and may even interfere with the patient's sleep or recovery. # # # possible causes * loose nuts or bolts * worn or damaged bearings * improper assembly * electrical issues # # # recommendations * tighten all loose nuts and bolts. * replace any worn or damaged bearings. * ensure that the bed is properly assembled according to the manufacturer's instructions. * check the electrical connections to the bed and ensure that they are secure. @topic:9


# # # issue - blood pressure cuff bladder deterioration # # # impact - inaccurate blood pressure readings - potential for patient harm # # # possible causes - normal wear and tear - improper storage - exposure to extreme temperatures - chemical spills # # # recommendations - replace the blood pressure cuff bladder immediately - inspect the cuff bladder regularly for signs of wear and tear - store the cuff bladder in a cool, dry place - avoid exposing the cuff bladder to extreme temperatures or chemical spills - if the cuff bladder is damaged, do not use the device until it has been repaired or replaced @topic:3


# # # issue - ac power cord failure # # # impact - the patient monitor cannot be used due to a lack of power. # # # possible causes - the ac power cord may be damaged or frayed. - the ac power cord may not be properly connected to the monitor or the power outlet. - the power outlet may be faulty. # # # recommendations - inspect the ac power cord for damage or fraying. replace the cord if necessary. - ensure that the ac power cord is properly connected to the monitor and the power outlet. - test the power outlet using a different device to ensure that it is functioning properly. - if the issue persists, contact a qualified technician for further assistance. @topic:2


# # # issue - vital signs monitor is not displaying blood pressure ( bp ) readings. # # # impact - inability to accurately monitor patient's vital signs, particularly blood pressure, which is crucial for patient safety and medical decision - making. # # # possible causes * * 1. cuff leak : * * - the cuff used to measure bp may have a leak, preventing it from inflating properly and obtaining accurate readings. * * 2. defective pressure sensor : * * - the sensor within the monitor that measures blood pressure may be malfunctioning or damaged, leading to incorrect or no readings. * * 3. electrical fault : * * - loose connections or faulty wiring within the monitor can disrupt the electrical signals necessary for bp measurement. * * 4. software issue : * * - software glitches or bugs in the monitor's operating system can affect its ability to process and display bp readings. # # # recommendations * * 1. replace cuff : * * - ensure that the cuff is properly attached and not leaking. if necessary, replace the cuff with a new one. * * 2. test pressure sensor : * * - use a calibration device or other methods to test the accuracy of the pressure sensor. if found defective, replace the sensor. * * 3. inspect electrical connections : * * - check all electrical connections and wiring for any loose connections or damage. firmly tighten loose connections and replace damaged wires. * * 4. update software : * * - check for any available software updates for the monitor and install them if necessary. this can resolve software - related issues that may affect bp measurement. * * 5. consult biomedical engineer : * * - if the above troubleshooting measures do not resolve the issue, contact a qualified biomedical engineer for further diagnosis and repair. @topic:15


# # # issue - the bed's wooden barrier won't go down. # # # impact - patients may not be able to get in or out of bed safely. # # # possible causes - the wooden barrier may be broken. - the wooden barrier may be stuck. - the wooden barrier may not be properly aligned. # # # recommendations - inspect the wooden barrier for any damage. - check if the wooden barrier is stuck. - make sure the wooden barrier is properly aligned. @topic:6


# # # issue - printer is printing non - stop. # # # impact - it can lead to a shortage of paper supply in the hospital. - it can also cause delays in patient care if important documents are not being printed. # # # possible causes - the printer may be set to print multiple copies of each document. - the printer may be receiving multiple print jobs from different computers. - there may be a problem with the printer's software or hardware. # # # recommendations - check the printer's settings to make sure it is set to print single copies of each document. - check the printer's queue to see if there are multiple print jobs being sent to it. if there are, cancel the extra print jobs. - restart the printer. if the problem persists, contact a qualified technician. @topic:28


# # # issue * equipment : medical cart * brand : bdms * model : bdms 01 * description : the biomedical engineer ( bme ) found that the solenoid coil was stuck and the key lock was loose. the bme lubricated the solenoid coil with wd - 40 and tightened the nut on the solenoid coil. the cart was then tested and found to be working properly. # # # impact * the medical cart could not be closed and the key was stuck in the lock. # # # possible causes * the solenoid coil was stuck due to friction or corrosion. * the key lock was loose due to wear or damage. # # # recommendations * lubricate the solenoid coil regularly to prevent it from sticking. * inspect the key lock regularly for wear or damage and repair or replace it as needed. @topic:21


* * issue : * * bed is not adjustable * * impact : * * patient discomfort, safety hazard * * possible causes : * * * malfunctioning motor * broken or loose wires * faulty control panel * firmware issues * mechanical obstruction * * recommendations : * * * * * inspect and test the motor : * * check for proper power supply, loose connections, or any physical damage. * * * check wiring : * * inspect for any loose, broken, or damaged wires that may interrupt electrical flow. * * * examine the control panel : * * ensure that buttons and switches are functioning properly and that the display is providing accurate information. * * * update firmware : * * if available, update the bed's firmware to resolve any potential software issues. * * * remove mechanical obstruction : * * check for any objects or debris that may be blocking the bed's movement. * * * if the problem persists, contact the manufacturer : * * request technical support or consider replacing the bed if necessary. @topic:1


# # # issue - the physiologic vital signs monitor ( casmed 740 ) has a failed battery. # # # impact - the monitor cannot be used to measure vital signs accurately. # # # possible causes - the battery has reached the end of its lifespan. - the battery has been damaged due to improper handling or storage. # # # recommendations - replace the battery with a new one. - ensure that the battery is properly handled and stored according to the manufacturer's instructions. @topic:11


* * issue : * * vital signs monitor with worn cuff * * impact : * * inaccurate vital sign measurements, delayed diagnosis or treatment * * possible causes : * * * * * cuff wear and tear : * * extended use, improper storage, or mishandling can lead to cuff damage. * * * age of the cuff : * * cuffs have a limited lifespan and should be replaced periodically. * * recommendations : * * * * * replace the cuff : * * remove the worn cuff and replace it with a new one of the appropriate size. * * * inspect the monitor : * * ensure that the monitor is functioning properly and that the cuff is securely attached. * * * regular maintenance : * * schedule periodic maintenance to check the condition of the cuff and replace it if necessary. * * * educate staff : * * train staff on proper use and care of the vital signs monitor to prevent premature cuff wear. @topic:5


# # # issue the cuff bp unimed of the philips intellivue mp5 ( m8105a ) monitor is not able to measure blood pressure. # # # impact the inability to measure blood pressure accurately can lead to incorrect patient assessment and treatment decisions. # # # possible causes * the cuff bp unimed may be damaged or worn out. * the tubing connecting the cuff bp unimed to the monitor may be kinked or damaged. * the sensor in the cuff bp unimed may be malfunctioning. * the monitor may not be properly calibrated. # # # recommendations 1. * * inspect the cuff bp unimed for damage or wear. * * if the cuff is damaged, it should be replaced. 2. * * check the tubing connecting the cuff bp unimed to the monitor for kinks or damage. * * if the tubing is kinked or damaged, it should be replaced. 3. * * test the sensor in the cuff bp unimed. * * this can be done by connecting the cuff bp unimed to a known - good monitor. if the sensor is malfunctioning, the cuff bp unimed should be replaced. 4. * * calibrate the monitor according to the manufacturer's instructions. * * this will ensure that the monitor is measuring blood pressure accurately. @topic:14


# # # issue : the side rails of the electric bed cannot be adjusted. # # # impact : - the patient may not be able to get in or out of bed safely. - the patient may be injured if they fall out of bed. # # # possible causes : - the motor that drives the side rails may be malfunctioning. - the wiring to the motor may be damaged. - the control panel may not be sending the correct signal to the motor. - the wooden part of the bed frame that the side rails attach to may be damaged. # # # recommendations : - inspect the motor, wiring, and control panel for any damage. - test the motor by applying power directly to it. - replace any damaged components. - if the wooden part of the bed frame is damaged, it will need to be repaired or replaced. @topic:6


keypad - rigid keypad connection 1 reinsert the key pad. make sure it is positioned correctly. 196 5 repair and disassembly ) refitting the keypad - flexible keypad connection 1 reinsert the keypad with flex cable, make sure that the flex cable is inserted as shown below 2 make sure the keypad is correctly positioned in the guiding rails. refitting the new nbp pump 1 insert new silicon tubes. make sure they are seated correctly by pressing them into their position. 197 [ 5 repair and disassembly ] 2 insert the new pump assembly. lift up the back and press the airways onto the silicon tubes. 3 make sure the airways have a tight connection to the silicon tubes. 4 insert the connector of the nbp assembly into the connector on the main board. do not crease the flex cable. m3001a hw a / b and m3000a have a post connector with long pins. press down the connector until there is no gap between the connectors. note if the nbp pump is replaced, you need to perform an nbp performance test and calibration afterwards. 198 5 repair and disassembly ) reassembling the msl flex assembly 1 insert the msl flex layer into the frame connector as shown below by moving it into the appropriate dove tail. 2 to insert the msl flex into the mms, it has to be bent carefuuy bend the msl flex in a 180 degree angle as shown below do not crease the flex. 3 the second bend has to be done as shown below. to be able to connect the msl flex to the main board afterwards, the flex has to be bent in a 90 degree angle as shown in the picture. do not crease the flex. 199 [ 5 repair and disassembly ] 4 insert the frame connector @topic:19


# # # issue the provided information indicates that the technician has reset the bed, and it is now functioning properly. however, the cause of the failure is listed as " error, " which is not specific enough to identify the underlying issue. # # # impact the lack of a specific cause of failure makes it difficult to prevent similar failures in the future. without knowing the root cause, the technician may not be able to take effective measures to address the underlying problem. # # # possible causes the term " error " is often used as a catch - all for a wide range of potential issues. in the context of biomedical engineering, some possible causes of errors could include : - software bugs - hardware malfunctions - user error - environmental factors ( e. g., power surges, temperature fluctuations ) without further information, it is impossible to determine which of these ( or other ) factors may have contributed to the failure. # # # recommendations to improve the troubleshooting process and prevent similar failures in the future, the following recommendations are suggested : - * * document specific error codes or messages. * * if available, document any error codes or messages that were displayed on the equipment during the failure. these codes can provide valuable clues about the nature of the problem. - * * perform thorough equipment testing. * * after resetting the bed, perform thorough testing to ensure that it is functioning properly in all modes. this may involve testing various functions, such as bed positioning, height adjustment, and side rail operation. - * * review maintenance logs. * * check maintenance logs for any previous issues or repairs related to the bed. this information may provide insights into potential underlying problems. - * * consult with the manufacturer. * * if the cause of the failure cannot be identified through troubleshooting, contact the equipment manufacturer for technical support. they may have access to specialized diagnostic tools or knowledge that can help identify @topic:9