# # # issue : motor of the knee adjusted is not working. # # # impact : - the patient cannot use the bed as intended, which can lead to discomfort and potentially serious health issues. - the hospital may incur additional costs for repairs or replacement of the bed. # # # possible causes : - the motor itself may be faulty. - the electrical wiring to the motor may be damaged. - the control board for the motor may be malfunctioning. - the mechanical components of the bed may be damaged, preventing the motor from functioning properly. # # # recommendations : - inspect the motor for any visible signs of damage, such as burns or broken wires. - test the electrical wiring to the motor to ensure that there is continuity and that the voltage is correct. - check the control board for any signs of damage, such as blown capacitors or burnt resistors. - inspect the mechanical components of the bed, such as the gears and drive shafts, for any signs of damage or wear. - if no obvious cause is found, the technician may need to replace the motor or other components of the bed. @topic:9


# # # issue vital signs are not displaying on the bedside monitor. # # # impact this issue can have a significant impact on patient care. the bedside monitor is responsible for displaying vital signs, such as heart rate, respiratory rate, blood pressure, and oxygen saturation. without this information, the clinician cannot make informed decisions about the patient's care. # # # possible causes there are several possible causes for this issue. one possibility is that the monitor is not properly connected to the patient. another possibility is that the monitor is not receiving power. finally, it is also possible that the monitor has a hardware or software issue. # # # recommendations the first step in troubleshooting this issue is to check the connections between the monitor and the patient. make sure that all of the cables are securely plugged in. next, check the power supply to the monitor. make sure that the monitor is plugged into a working outlet and that the power cord is not damaged. if the connections and power supply are all good, then the next step is to troubleshoot the monitor itself. try restarting the monitor. if that does not work, then you may need to contact the manufacturer for assistance. # # # additional notes in some cases, it may be necessary to replace the monitor. if the monitor is old or has been damaged, it may not be possible to repair it. @topic:2


equipment. • be aware that the monitors in your care area may each have different alarm settings, to suit different patients. always check that the alarm settings are appropriate for your patient before you start monitoring. • warning philips'approval : use only philips - approved accessories. using other accessories may compromise device functionality and system performance and cause a potential hazard. 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 d cause a potential hazard. electromagnetic compatibility : using accessories other than those specified may result in increased electromagnetic emission or decreased electromagnetic immunity of the monitoring equipment. damage : do not use a damaged sensor or one with exposed electrical contacts. cables and tubing : always position cables and tubing carefully to avoid entanglement or potential mr imaging : during mr imaging, remove all transducers, sensors and cables from the patient. induced currents could cause burns. protecting personal health information is a primary component of a security strategy. each facility using the monitors must provide the protective means necessary to safeguard personal information consistent with country laws and regulations, and consistent with the facility's policies for managing this information. protection can only be realized if you implement a comprehensive, multi - layered strategy ( including policies, processes, and technologies ) to protect information and systems from external and internal threats. as per its intended use, the patient monitor operates in the patient vicinity and contains personal and sensitive patient data. it also includes controls to allow you to adapt the monitor to the patient's care model. to ensure the patient's safety and protect their personal health information you need a security 15 1 introduction physical security access measures - access to the monitor must be limited to authorized users. • it is essential that you consider physical security measures to ensure that unauthorized users cannot gain access. operational security measures @topic:10


# # # issue central monitor disconnected from server # # # impact - inability to monitor patient vital signs - reduced patient safety # # # possible causes - power outage - server issues - network issues - hardware failure # # # recommendations 1. check for power outages and ensure that the server is online. 2. check the network connection between the central monitor and the server. 3. restart the central monitor and the server. 4. inspect the cables and connections to ensure that they are secure. 5. replace any damaged cables or connectors. 6. contact the vendor for technical support if the problem persists. @topic:16


# # # issue : lock drawer cannot be opened # # # impact : - medical supplies and equipment cannot be accessed, which could delay patient care or treatment. # # # possible causes : - broken key or lock - misalignment of lock or drawer - damaged drawer mechanism # # # recommendations : - replace or repair the lock. - check the alignment of the lock and drawer, and adjust if necessary. - inspect the drawer mechanism for any damage and repair or replace as needed. @topic:21


# # # issue - the cart cannot be closed properly due to loose nuts. # # # impact - the cart cannot be used for its intended purpose, which may lead to delays in patient care or other operational issues. # # # possible causes - nuts were not tightened properly during assembly or maintenance. - nuts were loosened by excessive force or vibration. - the nuts were not the correct size or type. # # # recommendations - tighten the loose nuts to the correct torque specifications. - use the correct size and type of nuts for the application. - check the cart regularly for loose nuts and other signs of damage or wear. - train staff on the proper assembly and maintenance of the cart. @topic:31


# # # issue * monitor is not linking to the central bme system. # # # impact * the monitor cannot be used to monitor patient data. * this could lead to a delay in diagnosis or treatment, which could have serious consequences for the patient. # # # possible causes * the central bme system is down. * the ci address in the monitor is not set correctly. * there is a problem with the network connection. # # # recommendations * check if the central bme system is up and running. * if the central bme system is up, check if the ci address in the monitor is set correctly. * if the ci address is set correctly, check the network connection. @topic:16


# # # issue * cuff bp ( blood pressure ) with velcro is deteriorated. # # # impact * potential inaccurate blood pressure readings. * discomfort or pain for patient. * delays in diagnosis or treatment. # # # possible causes * * * normal wear and tear * * : velcro can weaken over time due to repeated use and exposure to various conditions in a healthcare setting. * * * excessive force * * : if the cuff is fastened too tightly or forcefully, it can put excessive strain on the velcro and lead to deterioration. * * * environmental factors * * : exposure to moisture, heat, or cleaning agents can degrade the velcro material. * * * manufacturing defect * * : in rare cases, the velcro may be defective from the manufacturer. # # # recommendations * * * regular inspection and maintenance * * : inspect cuffs regularly for any signs of wear or damage, and replace them as needed. * * * proper use and handling * * : ensure that cuffs are fastened securely but not excessively tightly. avoid pulling or tugging on the velcro. * * * environmental control * * : keep cuffs in a clean, dry environment, and follow manufacturer's guidelines for cleaning and storage. * * * consider alternative cuff designs * * : explore velcro - free cuff designs or cuffs with other fastening mechanisms to reduce the risk of deterioration. @topic:3


# # # issue - the bed is not adjustable. # # # impact - the patient cannot be positioned comfortably. - the bed cannot be used for its intended purpose. # # # possible causes - the electrical system is not functioning properly. - the mechanical system is not functioning properly. - the bed is not properly assembled. # # # recommendations - check the electrical system for any loose connections or damaged wires. - check the mechanical system for any broken or damaged parts. - reassemble the bed according to the manufacturer's instructions. @topic:1


# # # issue the cause of failure is not clearly specified in the given input. # # # impact the impact of the failure is not specified in the input. # # # possible causes the following are possible causes of the failure : - faulty blood pressure sensor - loose or damaged tubing - air in the system - electrical malfunction # # # recommendations the following recommendations are made to address the failure : - replace the blood pressure sensor. - check the tubing for leaks or damage and replace if necessary. - purge the system of any air bubbles. - inspect the electrical connections and replace any damaged or loose wires. - test the monitor to ensure that it is functioning properly. @topic:15


# # # issue - the biomedical engineer ( bme ) swapped the positions of the monitor and ec80 box on a philips intellivue mp70 ( m8007a ) bedside physiologic monitor. # # # impact - the monitor was able to function normally after the swap, as confirmed by the bme's testing. # # # possible causes - the bme may have swapped the positions of the monitor and ec80 box in order to facilitate maintenance or repairs. - the monitor and ec80 box may have been accidentally swapped during transport or storage. # # # recommendations - the bme should ensure that the monitor and ec80 box are correctly positioned before using the device. - the bme should document the reason for swapping the positions of the monitor and ec80 box, and the date and time of the swap. - the bme should test the device to ensure that it is functioning properly after the swap. @topic:2


# # # issue - * * equipment : * * beds, electric - * * band : * * hill - rom - * * model : * * 900b - * * problem : * * bed cannot be adjusted # # # impact - the bed cannot be used to provide patient care. # # # possible causes - control box failure # # # recommendations - * * bme should : * * - * * inspect the control box for any visible damage. * * - * * test the control box to confirm that it is not functioning properly. * * - * * replace the control box if it is found to be faulty. * * @topic:9


# # # issue : cuff leak on dinamap procare 100 physiological vital signs monitor # # # impact : - inaccurate blood pressure measurements - potential for patient harm if blood pressure is not accurately monitored # # # possible causes : - cuff damage due to wear and tear - cuff puncture # # # recommendations : - replace the cuff with a new one - ensure that the cuff is the correct size for the patient - inspect the cuff regularly for damage @topic:3


# # # issue - keyboard input is not matching the displayed keys. # # # impact - incorrect data entry, leading to potential errors in patient care or documentation. # # # possible causes - num - lock key enabled on the keyboard. # # # recommendations - ensure the num - lock key is disabled. - verify the keyboard functionality by testing keystrokes. @topic:27


* * issue : * * broken contron box * * impact : * * impaired functionality of the bed, electric ( care assist es ) * * possible causes : * * * * * mishandling : * * rough usage or dropping the equipment during repair or transport. * * * faulty materials : * * the contron box may have inherent defects in its construction or materials. * * * electrical malfunction : * * a surge or other electrical event may have caused damage to the box. * * * wear and tear : * * the box may have been subject to excessive use over time, leading to its failure. * * recommendations : * * * * * proper handling : * * ensure proper care and handling of equipment during repair and movement. * * * quality control : * * implement rigorous quality control measures for materials and components used in medical devices. * * * electrical safety : * * regularly inspect electrical systems and ensure proper grounding to prevent electrical hazards. * * * preventive maintenance : * * establish a comprehensive preventive maintenance program to identify and address potential issues before they escalate into equipment failures. * * * staff training : * * train staff on proper handling and maintenance procedures to minimize human error and prevent damage to equipment. @topic:24


# # # issue - malfunctioning of spo2 monitoring # # # impact - inaccurate spo2 readings - potential for delayed or misdiagnosis - risk to patient safety # # # possible causes - damage to the spo2 sensor cable or the spo2 module - improper connection between the spo2 sensor and the monitor - interference from other devices or environmental factors # # # recommendations - inspect the spo2 sensor cable and connections for any damage or loose connections. - ensure that the spo2 sensor is properly attached to the patient's finger or earlobe. - check for any nearby devices that may be emitting electromagnetic interference and remove or relocate them if possible. - calibrate the spo2 monitor according to the manufacturer's instructions. - if the issue persists, consider replacing the spo2 sensor cable or consulting with the manufacturer for further troubleshooting. @topic:4


# # # issue - broken bed alarm jack # # # impact - impaired bed alarm functionality - patient safety compromised due to lack of audible alarms # # # possible causes - * * mechanical wear and tear * * due to repeated use or excessive force - * * accidental damage * * during handling or cleaning - * * manufacturing defect * * in the jack's design or materials # # # recommendations - * * regular inspection and preventive maintenance * * : check the jack for looseness, corrosion, or damage at regular intervals. - * * proper handling * * : train staff on how to handle the jack correctly, avoiding excessive force or bending. - * * use of protective covers * * : consider using protective covers or sleeves to shield the jack from dust, spills, and physical impact. - * * prompt replacement * * : if a jack is damaged or malfunctioning, replace it promptly to restore the bed alarm's functionality. - * * investigate underlying cause * * : determine if there are any systemic issues or user practices that may have contributed to the jack failure, and address them accordingly. @topic:26


is no user interaction. the default time that the monitor displays trend data is three minutes. after this amount of time, the trend data disappears and the previous screen data reappears. to set the trend display timeout : 1. open the system admin section of the system menu. see “ accessing the system admin menu ” on page 5 - 2. 2. rotate the wheel until the trend display timeout menu is highlighted. 3. press the wheel, then rotate it to select the time after which trend data disappears. the options are ( minutes ) : 1, 2, 3, 5, no timeout. 4. press the wheel again to save the setting. 5. press the main screen button on the front panel to close the menu. performing software upgrades caution charge the battery before upgrading the software. once the upgrade starts : - do not unplug the monitor, - do not remove the usb upgrade memory module, - do not press any keys. touching the monitor during the upgrade can affect monitor performance. caution upgrading the software will clear all patient data and reset all settings to factory default values. to perform a software upgrade : 1. insert the usb memory stick with the software upgrade into the usb port on the back of the monitor. 2. open the system admin section of the system menu. see “ accessing the system admin menu ” on page 5 - 2. 3. rotate the wheel to highlight the upgrade software button, then press the wheel. configuring the monitor 5 - 11 performing software upgrades the monitor looks for a valid software image on the usb memory stick, and displays the update image information in the upgrade software window. 4. rotate the wheel to highlight the upgrade button and press it to start the upgrade. the system saves the data and the upgrade process begins. progress information indicates the current status of the upgrade. after the software upgrade, the monitor @topic:10


# # # issue - the failure of the electric bed's remote control cable. # # # impact - the patient is unable to control the bed's position, which can lead to discomfort, pain, and potential injury. # # # possible causes - the cable may have been damaged due to excessive use or improper handling. - the cable may have been frayed or cut, exposing the wires inside. - the cable may have been pinched or crushed, causing damage to the wires. # # # recommendations - replace the damaged cable with a new one. - inspect the cable regularly for signs of damage and replace it if necessary. - handle the cable carefully to avoid damage. - ensure that the cable is not pinched or crushed. @topic:7


# # # issue : - device not linking to vsm system # # # impact : - inability to send patient data to the vsm system for monitoring and analysis # # # possible causes : - network connectivity issues - incorrect device configuration - software or firmware errors - hardware malfunction # # # recommendations : - check network connectivity and ensure the device is connected to the correct wi - fi network - verify device configuration settings and ensure they are correct - update software or firmware if necessary - perform a hardware diagnostic test to identify any potential malfunctions - contact the manufacturer for further assistance if the issue persists @topic:16


the lower limit of the scale. to have the monitor automatically select an optimum scale for viewing, based on current values, in the segment menu, select optimum scale. • this scale change is temporary. when the graphical trend window is closed the scale reverts back to 15 3 trends to switch off automatic optimum scaling, in the segment menu, select optimum scale again. • rend grouto add or remove measurements for this trend group or change the order of the existing measurements : in the segment menu, select change group. 1 use the add, change, sort up and sort down pop - up keys to change or re - order the required. 2 no. of segments in an embedded graphical trend window, you can select the number of segments to be displayed in the segment menu : in the segment menu, select no. of segments. • rend groupthe measurements grouped in trend groups define the trends displayed together in the vital signs or graphical trends windows and printed in trends reports and recordings. the sequence of the measurements in the group defines the order in which they are displayed. measurements listed between dotted line separators are displayed overlapping. the trend group all contains all available measurements, you cannot change the order or selection of this group. to change the selection of measurements in a trend group, either use the change group setting in the segment menu or : select main setup, trends, then trend groups. 1 2 select the trend group you want to change and use the pop - up keys to add, change, or delete the selection of measurements trended. to temporarily change the order in which the measurements are displayed in a group, 1 select main setup, trends, then trend groups. 2 select the trend group and then the measurement you want to move and use the sort up / sordown pop - up keys. trend interval the trend interval defines the resolution of trend data shown on @topic:8


# # issue - monitor screen turning off unexpectedly # # impact - inability to monitor patient's vital signs, leading to potential delays in detection and treatment of critical events. # # possible causes - loose power connection at the device # # recommendations - ensure power connections at both the device and the electrical outlet are secure. - inspect the power cord for any damage or excessive wear. - consider using a surge protector or uninterruptible power supply ( ups ) to protect the device from power fluctuations. - perform regular maintenance checks to identify and address any loose connections or other potential issues early on. @topic:2


# # # issue - battery failure # # # impact - the monitor cannot be used during patient transport due to battery failure. # # # possible causes - the battery is old and has reached the end of its lifespan. - the battery has been damaged due to physical or electrical abuse. - the battery has been improperly maintained or stored. # # # recommendations - replace the battery with a new one. - ensure that the battery is properly maintained and stored in accordance with the manufacturer's instructions. - inspect the battery regularly for signs of damage or wear and tear. - test the battery regularly to ensure that it is functioning properly. @topic:11


# # # issue - equipment : blood pressure monitor - problem : cuff leak # # # impact - inaccurate blood pressure readings - patient discomfort - delay in treatment # # # possible causes - cuff bladder is cracked or damaged - cuff is not properly inflated - cuff is too large or too small for the patient's arm # # # recommendations - inspect the cuff for any damage and replace if necessary. - make sure the cuff is properly inflated according to the manufacturer's instructions. - use the correct cuff size for the patient's arm. @topic:3


# # # issue - the monitor is unable to measure vital signs. # # # impact - patient monitoring is compromised. - clinical decision - making may be delayed or inaccurate. # # # possible causes - * * leak in the pneumatic line : * * this can prevent the monitor from accurately measuring blood pressure, pulse oximetry, or other vital signs. - * * loose or disconnected wires : * * this can cause the monitor to display incorrect or incomplete information. - * * software errors or bugs : * * these can cause the monitor to malfunction or behave erratically. - * * faulty sensor : * * the sensor used to measure vital signs may be damaged or malfunctioning. # # # recommendations - * * inspect the pneumatic line for any leaks : * * if a leak is found, repair or replace the line. - * * check all wires and connections : * * ensure that they are securely connected and not damaged. - * * update the monitor's software : * * this may resolve any software errors or bugs. - * * calibrate the sensor : * * this ensures that the sensor is accurately measuring vital signs. - * * refer to the manufacturer's instructions : * * these may provide additional troubleshooting tips or guidance. @topic:20


# # # issue mouse not functioning properly. # # # impact - inability to use the central monitor effectively. - potential delays in patient care. # # # possible causes - mouse is faulty or damaged. - mouse driver is not installed or corrupted. - mouse settings are not configured correctly. - usb port is not functioning properly. # # # recommendations - replace the mouse with a new one. - reinstall the mouse driver. - check the mouse settings and ensure they are configured correctly. - test the usb port with another device to ensure it is functioning properly. @topic:30


# # # issue - cannot enter the program. # # # impact - the medical cart cannot be used as intended. # # # possible causes - software issues : - corrupted software files - missing or outdated software updates - hardware issues : - faulty memory or storage devices causing data loss or corruption - issues with the operating system or bios - user error : - incorrect login credentials - improper software installation or updates # # # recommendations * * software troubleshooting : * * - check for software updates and install them if available. - uninstall and reinstall the software. - reset the device to factory settings and reinstall the software. * * hardware troubleshooting : * * - run diagnostic tests on the memory and storage devices. - reinstall the operating system or bios if necessary. - contact the manufacturer for technical support. * * user troubleshooting : * * - verify the login credentials with the appropriate personnel. - ensure proper software installation and update procedures are followed. @topic:13


# # # issue : * * erroneous blood pressure readings * * # # # impact : - inaccurate diagnosis and treatment decisions - potential patient harm due to incorrect blood pressure management # # # possible causes : * * 1. cuff issues * * - improper cuff size or placement can lead to inaccurate readings. * * 2. sensor malfunction * * - faulty sensors or transducer errors can result in incorrect pressure measurements. * * 3. air leaks * * - leaks in the cuff or tubing can affect pressure accuracy. * * 4. software glitches * * - software bugs or corrupted data can interfere with readings. # # # recommendations : * * 1. cuff inspection and calibration * * - ensure the correct cuff size is used and properly positioned. - regularly calibrate the monitor to ensure accurate measurements. * * 2. sensor evaluation * * - check the sensor for any damage or contamination. - test the sensor with a known pressure source to verify functionality. * * 3. leak detection * * - inspect the cuff and tubing for any tears or holes. - perform a leak test to identify potential leaks. * * 4. software updates * * - regularly check for and install software updates to address any known bugs or issues. * * 5. patient assessment * * - consider the patient's physiological state ( e. g., anxiety, pain ) and surrounding environmental factors that may influence blood pressure readings. * * 6. alternative measurements * * - if possible, use a different blood pressure monitor or take manual measurements to verify the accuracy of the readings. @topic:14


* * issue : * * scanner failure * * impact : * * inability to use the medical cart for intended purpose * * possible causes : * * * clogged scanner * malfunctioning scanner components * software issues * electrical issues * * recommendations : * * * clean the scanner using appropriate methods and materials * inspect the scanner for any physical damage or loose connections * check and update software if necessary * contact the manufacturer or a qualified technician for assistance with electrical issues @topic:23


* * issue : * * - medical cart is displaying a blue screen error, preventing it from starting properly. * * impact : * * - the medical cart cannot be used for its intended purpose, potentially affecting patient care. * * possible causes : * * - hardware failure : faulty components like the motherboard, ram, or hard drive can cause blue screen errors. - software issues : corrupted operating system files, outdated drivers, or malware can also lead to blue screens. - power problems : unstable power supply or voltage fluctuations can cause hardware malfunctions, resulting in blue screens. - overheating : excessive heat buildup inside the medical cart can damage components and trigger blue screen errors. * * recommendations : * * * * hardware troubleshooting : * * - run hardware diagnostics to identify any faulty components. - reseat loose connections and ensure proper seating of components. - replace any defective hardware if necessary. * * software troubleshooting : * * - repair or reinstall the operating system to fix corrupted files. - update all drivers to ensure compatibility with the hardware. - scan for and remove malware or viruses that could be causing system instability. * * power management : * * - check the power supply for stability and ensure it meets the medical cart's requirements. - use a surge protector to prevent voltage fluctuations. - ensure adequate ventilation around the medical cart to prevent overheating. * * additional considerations : * * - consult with the manufacturer or a qualified technician for specialized support. - keep records of all troubleshooting steps and repairs performed for future reference. - implement preventive maintenance measures to reduce the risk of future failures. @topic:13


# # # issue - medical cart unable to open drawers # # # impact - inability to access medical supplies and equipment stored in the drawers. # # # possible causes - * * internet connectivity : * * the medical cart requires an internet connection to operate its automated drawer system. if the internet connection is lost or unstable, the drawers may become inaccessible. - * * software malfunction : * * the medical cart's software may experience a malfunction that prevents it from communicating with the drawer system. this could occur due to a software bug, a corrupted file, or a hardware issue. - * * hardware failure : * * the drawer system's hardware components, such as the motors or sensors, may fail, causing the drawers to become inoperable. # # # recommendations - * * check internet connectivity : * * verify that the medical cart is connected to a stable internet connection. if the connection is lost, reconnect it and check if the drawers can be opened. - * * restart the software : * * reboot the medical cart's software to reset its communication with the drawer system. this may resolve any software - related issues. - * * inspect hardware components : * * inspect the drawer system's motors, sensors, and other hardware components for any signs of damage or malfunction. if any issues are identified, replace the affected components. - * * contact technical support : * * if the above steps do not resolve the issue, contact the medical cart manufacturer's technical support for further assistance. @topic:21


# # # issue - the bis vista monitoring device experienced physical damage, including a cracked rear and side housing and a broken cable connection. # # # impact - the damaged device posed a safety hazard and was no longer functional for intraoperative level - of - consciousness monitoring. - the hospital had to rely on backup equipment, which may have caused delays or interruptions in patient care. # # # possible causes - * * user error : * * the device was dropped or subjected to excessive force, causing the physical damage. # # # recommendations - * * training and education for users : * * conduct regular training sessions to emphasize the importance of handling medical equipment with care and to prevent accidental damage. - * * regular maintenance and inspections : * * establish a schedule for routine maintenance and inspections to identify and address potential issues before they become major failures. - * * proper storage and handling : * * ensure that medical equipment is stored and transported securely to minimize the risk of physical damage. - * * consideration of device durability : * * when purchasing new medical equipment, evaluate the durability and resistance to impact of different models to minimize the likelihood of damage from accidental drops or mishandling. - * * establishment of clear policies and procedures : * * define clear policies and procedures for handling medical equipment, including guidelines for reporting damage or malfunctions promptly. @topic:12


# # # issue - equipment cal was performed. # # # impact - the equipment may not be accurate or reliable. # # # possible causes - the equipment was not calibrated correctly. - the calibration equipment was not accurate. - the environment in which the calibration was performed was not controlled. # # # recommendations - recalibrate the equipment using a known accurate calibration source. - ensure that the calibration equipment is accurate and calibrated regularly. - perform the calibration in a controlled environment. @topic:12


# # # issue - cuff failure on physiologic telemetric monitor. # # # impact - inability to accurately monitor physiological parameters such as blood pressure, heart rate, respiratory rate, and oxygen saturation. - delays in patient care and diagnosis. # # # possible causes - physical damage to the cuff, such as tears or punctures. - loose or damaged connections between the cuff and the monitor. - incorrect cuff size for the patient's arm circumference. - defective cuff material or components. # # # recommendations - replace the cuff with a new one that is the appropriate size for the patient. - inspect the cuff and connections for any damage or defects. - ensure that the cuff is properly connected to the monitor. - calibrate the monitor and cuff regularly to ensure accurate readings. - train staff on proper cuff maintenance and usage. @topic:5


# # # issue the philips suresigns vs2 + monitor, physiologic, vital signs is not measuring values when connected to a patient. # # # impact this can lead to inaccurate or delayed patient monitoring, which can have serious consequences. # # # possible causes the most likely cause of this issue is a faulty cuff or connector. this can be caused by : * wear and tear from frequent use * damage from improper handling or storage * incorrect assembly * electrical problems # # # recommendations the following steps should be taken to troubleshoot and resolve this issue : 1. * * inspect the cuff and connector for any damage or wear. * * if damage is found, the cuff and / or connector should be replaced. 2. * * ensure that the cuff and connector are properly assembled. * * follow the manufacturer's instructions for assembly. 3. * * check the electrical connections. * * ensure that the cuff and connector are properly connected to the monitor. 4. * * if the issue persists, contact the manufacturer for further troubleshooting assistance. * * @topic:15


# # # issue - spo2 sensor cable is damaged. # # # impact - the patient's oxygen saturation levels cannot be accurately measured. # # # possible causes - the cable may have been damaged during use, storage, or transportation. - the cable may have been exposed to excessive heat or moisture. - the cable may have been kinked or crushed. # # # recommendations - replace the damaged cable with a new one. - inspect the cable regularly for damage. - store the cable in a cool, dry place. - avoid kinking or crushing the cable. - train staff on proper handling and storage of medical equipment. @topic:4


# # # issue - the philips intellivue mp70 bedside physiologic monitor displayed an error message indicating a pressure cuff leak. # # # impact - inability to accurately measure patient vital signs, including blood pressure. # # # possible causes - damaged or leaking pressure cuff. - defective cuff connection to the monitor. - failure of the cuff inflation system. - software or hardware malfunction within the monitor. # # # recommendations - * * replace or repair the pressure cuff : * * verify that the cuff is not damaged and replace it if necessary. ensure proper connection to the monitor. - * * inspect cuff connection : * * check for loose or damaged connections between the cuff and the monitor. clean or repair connections as needed. - * * test cuff inflation system : * * manually inflate and deflate the cuff to identify any abnormalities or blockages. - * * calibrate the monitor : * * perform a calibration procedure to ensure accurate readings. - * * update software or firmware : * * check for software or firmware updates that may address the issue. - * * contact technical support : * * if self - troubleshooting measures fail, contact the manufacturer's technical support for further assistance. @topic:14


no. m1970a m1972a iec part no.. 9 or grabber 1980a cu sna. 9 m1981a 5 - electrode one piece cables description length aami part no. m1975a iec part no. r grabber 1985a. 5 cu sna. 5 1986a m1977a 22 39 accessories set combiners and organizers description part no. set combiner 3 - electrode 1501a m1502a 5 - electrode et organizeshielded 3 - electrode 1503shielded 5 - electrode m1504a edsheet clim1509a nbp accessories " these cuffs and tubings are designed to have special protection against electric shocks ( particularly regarding allowable leakage currents ), and are defibrillator proof. you can use them during electrosurgery. adult / pediatric reusable comfort care cuffs atient categorlimb circumference tubing part no. dult ( thigh1598b ( 1. 5 m42 to 54 cm m1576a or 34 to 43 cm m1575a 1599b ( 3 m27 to 35 cm adult m1574a 20. 5 to 28 cm small adult m1573a 14 to 21. 5 cm m1572a pediatric nfant 10 to 15 cm m1571a adult / pediatric reusable comfort care cuff kits cuff kits part no. m1577a small adult, adult, large adult, thigh m1578a infant, pediatric, small adult, adult, large adult, thigh m1579a 423 39 accessories adult / pediatric reusable easy care cuffs atient categortubing limb circumference part no. ( pack of five ) 4559b ( m4559b54558b ( m4558b5 ) 1598b @topic:10


extreme alarms enabled enabled enabled aextreme high 5 5 5 aextreme low 5 5 5 high clamp 45 / 20 ( 25 ) 65 / 5 ( 35 ) 65 / 5 ( 35 ) low clamp 51 - 5 ( - 5 ) 15 / - 5 ( 5 ) 15 / - 5 ( 5 ) scale 30 speed 25 mm / s mean only no filter 12 hz mercury cal. yes artifact suppr. 60 sec unit mmhg color yellow icp, ic1, ic2 settings factory defaults adult pedi neo alarms from mean high limit 14 / 6 ( 10 ) 10 / 2 ( 4 ) 10 / 2 ( 4 ) low limit 61 - 4 ( 0 ) 2 / - 4 ( 0 ) 21 - 4 ( 0 ) alarms on extreme alarms enabled enabled enabled aextreme high 10 10 10 aextreme low 10 10 10 low clamp 20 / 10 ( - 5 ) 15 / 5 ( - 5 ) 15 / 5 ( - 5 ) mean high clamp 0 / - 5 ( 0 ) 0 / - 5 ( 0 ) 0 / - 5 ( 0 ) scale 30 speed 25 mm / s mean only yes filter 12 hz mercury cal. yes artifact suppr. 60 sec unit mmhg color magenta 467 cardiac output default settings 39 default settings appendix cardiac output default settings c. o. settings factory defaults h10 / h20 / h40 h30 ( deviations from hi0 / 20 / 40 ) adult pedi neo adult pedi neo auto - calibration on tblood high limit 39. 0 °c tblood low limit 36. 0 °c tblood alarm on / off on temperature unit °c color green yellow cco / cci settings factory adult factory pedi factory neo settings common to cco and cci alarms from cco cco from abp color green cco alarms on cco @topic:8


# # # issue - remote control not working properly - unable to adjust bed up or down # # # impact - patient discomfort - difficulty in providing medical care # # # possible causes - faulty remote control - loose connections in the wiring - software issues in the bed control system # # # recommendations - replace the remote control with a new one - inspect the wiring for any loose connections and repair as necessary - update the software in the bed control system to the latest version @topic:7


# # # issue * the cuff of the bedside physiologic monitor is deteriorated and unable to secure properly. # # # impact * the device is unable to accurately measure blood pressure. # # # possible causes * cuff damage due to wear and tear * deterioration of the adhesive ( velcro ) material # # # recommendations * * * replace the cuff : * * the damaged cuff should be replaced with a new one. * * * inspect the cuff regularly : * * the cuff should be inspected periodically for signs of wear or damage. * * * handle the cuff with care : * * the cuff should be handled gently to avoid damage. * * * train staff on proper use : * * staff should be trained on how to properly use and handle the cuff. @topic:5


##ular form. graph trend : trend information in graphic form. ecg3x4, ecg6x2, ecg12x1, ecg4x2, ecg8x1, ecg12x1 ( 2p ) : ecg reports. eeg : eeg reports. episode : a single patient event episode. review : an overview of patient events alarm limits : a list of all currently set alarm limits. 4 select report size to set the paper size to be used for the report : unspecified to use the default size for the template chosen, universal, a4, letter, lrguniversal, a3, or ledger. the list of available sizes depends on the report type selected. 5 select orientation to set the orientation of the report printout : unspecified to use the default size for the template chosen, landscape or portrait. 6 select target device and choose which printer the print job will be sent to : unspec. to use the default printer, or choose from the list of printer names defined at the information center or in the monitor ’ s configuration mode ( for example, remote 1 or database ). some settings may be inactive ( “ grayed - out ” ) in this menu for reports that can only be started in a special window. checking printer settings the printer settings for your monitor are defined in configuration mode. the printer settings paper size, resolution, color support, and duplex option for the active printer are visible but inactive ( “ grayed - out ” ) in the setup printers menu. when print database is selected as active printer only the paper size setting will be shown. printer names for locally - connected printers can be defined in configuration mode. you can see whether a specified printer is centrally or locally connected in the setup printers menu under port : local < name > indicates locally - connected printers, remote < name > indicates centrally - connected printers. @topic:28


# # # issue - the cuff of the monitor is leaking. # # # impact - the monitor may not be able to accurately measure vital signs. # # # possible causes - the cuff may be punctured or torn. - the cuff may not be properly attached to the monitor. - the cuff may be too small or too large for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly attached to the monitor. - use the correct size cuff for the patient. @topic:3


# # # issue - lead ll electrode failure, resulting in ekgs not being displayed. # # # impact - lack of accurate and timely ekgs can compromise patient monitoring and diagnosis. # # # possible causes - * * electrical fault : * * damage to the lead ll electrode or the associated wiring. - * * mechanical failure : * * broken or loose connections, preventing proper signal transmission. - * * manufacturing defect : * * inherent flaw in the manufacturing process of the electrode. # # # recommendations - * * replace the electrode : * * swap the faulty lead ll electrode with a new one to restore conductivity. - * * inspect wiring : * * examine the entire lead wire system for breaks, shorts, or loose connections. - * * calibrate the monitor : * * after replacing the electrode and wiring, recalibrate the monitor to ensure accurate readings. - * * contact manufacturer : * * if the failure persists or electrical faults are suspected, consult the equipment manufacturer for support. @topic:18


# # # issue - vital signs monitor is not measuring blood pressure accurately. # # # impact - incorrect blood pressure readings can lead to misdiagnosis and improper treatment. # # # possible causes - leaky blood pressure cuff. # # # recommendations - replace the blood pressure cuff to ensure accurate measurements. @topic:14


# # # issue - defective remote control for electric bed # # # impact - patient discomfort or safety hazard if bed cannot be adjusted properly # # # possible causes - malfunctioning remote control components - damage to the remote control - incorrect installation or maintenance # # # recommendations * * 1. inspect and repair or replace remote control : * * - check for any visible damage to the remote control, such as cracks or broken buttons. - clean the remote control terminals and ensure proper connections. - if components are damaged, replace them as necessary. * * 2. check bed controls : * * - verify that the bed controls are functioning properly. - perform a calibration test or consult the manufacturer's instructions for troubleshooting. * * 3. ensure correct installation and maintenance : * * - review the installation and maintenance procedures for the bed and remote control. - ensure that all components are properly secured and aligned. - follow regular cleaning and preventive maintenance protocols to maintain the equipment's lifespan. * * 4. train staff on proper use : * * - educate staff on the proper operation and handling of the bed and remote control. - emphasize the importance of reporting any issues or malfunctions promptly. * * 5. consider a new remote control : * * - if the current remote control is repeatedly failing, consider replacing it with a new or updated model. - consult with the manufacturer or a qualified biomedical engineer to determine the best option. @topic:7


# # # issue - cuff deterioration # # # impact - inaccurate blood pressure measurements # # # possible causes - ageing - excessive use - exposure to heat or chemicals # # # recommendations - regularly inspect the cuff for signs of wear and tear - replace the cuff when necessary - use the correct cuff size for the patient @topic:3


# # # issue - equipment is malfunctioning due to a broken locking lever on the bed rail. # # # impact - inability to adjust the bed rails, compromising patient safety and comfort. # # # possible causes - * * material failure : * * the locking lever may have been made of a material that was not strong enough to withstand the forces applied to it, leading to breakage. - * * design flaw : * * the design of the locking lever may have been flawed, creating a weak point that is susceptible to breakage. - * * excessive use : * * the locking lever may have been subjected to excessive use or force, causing it to break. - * * improper maintenance : * * lack of proper maintenance, such as lubrication or cleaning, may have contributed to the breakage. # # # recommendations - * * replace the broken locking lever : * * obtain a new locking lever from the manufacturer or a certified supplier to restore the equipment's functionality. - * * inspect other locking levers : * * check all other locking levers on the bed for any signs of wear or damage to prevent future failures. - * * evaluate material and design : * * collaborate with the manufacturer to assess the material and design of the locking lever to identify potential improvements. - * * establish maintenance schedule : * * implement a regular maintenance schedule that includes lubrication and cleaning of all moving parts to minimize the risk of future failures. - * * proper training : * * ensure that staff is properly trained on the safe use and maintenance of the medical device to prevent mishandling or excessive force. @topic:6


# # # issue - * * up - shaped key stuck * * - the key is stuck in the up - shaped position. - the drawer can be opened without a key. # # # impact - * * patient safety * * : medications and other medical supplies could be accessed by unauthorized individuals, potentially leading to medication errors or patient harm. - * * operational efficiency * * : the medical cart cannot be used for its intended purpose, which could disrupt patient care. # # # possible causes - * * loose lock mechanism * * : the lock mechanism may have become loose, allowing the key to move out of the locked position. - * * damaged key * * : the key may have been bent or deformed, preventing it from engaging with the lock mechanism properly. - * * foreign object * * : a foreign object may be lodged in the lock mechanism, preventing the key from turning. # # # recommendations - * * inspect the lock mechanism * * : check for any loose screws or other signs of damage. tighten any loose components and replace any damaged parts as necessary. - * * examine the key * * : inspect the key for any bends or deformations. if the key is damaged, it should be replaced. - * * clear any foreign objects * * : if a foreign object is preventing the key from turning, carefully remove it using tweezers or a similar tool. - * * retest the lock * * : once the lock mechanism has been inspected and any issues have been addressed, test the lock to ensure that it is functioning properly. - * * regular maintenance * * : regularly inspect and maintain medical carts, including the lock mechanisms, to prevent future issues. @topic:21


# # # issue - low oxygen saturation ( o2 sat ) readings - inability to measure blood pressure ( bp ) # # # impact - inaccurate patient monitoring - delayed or incorrect diagnosis and treatment # # # possible causes - cuff deterioration ( as mentioned in the description ) - malfunctioning sensor - loose or disconnected cables - software or firmware issues # # # recommendations - replace the cuff if it is damaged or worn. - check the sensor for dirt or damage. clean or replace the sensor if necessary. - inspect the cables for loose connections or damage. tighten or replace any loose or damaged cables. - contact the manufacturer or a qualified technician to diagnose and repair any software or firmware issues. - calibrate the equipment according to the manufacturer's instructions. - perform regular maintenance and safety checks on the equipment to prevent future failures. @topic:14


# # # issue - cuff is not sticking # # # impact - unable to accurately measure vital signs # # # possible causes - cuff is old and worn out - cuff is the wrong size for the patient - cuff is not being inflated properly # # # recommendations - replace the cuff with a new one - ensure that the cuff is the correct size for the patient - inflate the cuff properly according to the manufacturer's instructions @topic:5


# # # issue - the medical device, a philips suresigns vs2 + monitor, physiologic, vital signs, is not functioning properly. # # # impact - the device cannot be used to monitor vital signs, which could delay or compromise patient care. # # # possible causes - the device is missing a juck to connect the cuff. - the cuff is not the correct size. # # # recommendations - obtain the missing juck. - verify that the cuff is the correct size. @topic:15


# # # issue - cuff malfunction. # # # impact - the blood pressure monitor may not provide accurate readings, which could lead to incorrect diagnoses or treatment decisions. # # # possible causes - * * cuff defect : * * the cuff may be damaged or worn out, preventing it from inflating properly or sealing around the patient's arm. - * * leakage : * * there may be a leak in the cuff or tubing, causing air to escape and preventing proper inflation. - * * improper cuff size : * * the cuff may not be the correct size for the patient's arm, resulting in inaccurate readings or discomfort. - * * damaged tubing : * * the tubing connecting the cuff to the monitor may be damaged, preventing proper inflation or communication with the monitor. # # # recommendations - * * replace the cuff : * * replace the damaged cuff with a new one of the correct size. - * * inspect the tubing : * * check the tubing for any kinks, leaks, or other damage. replace if necessary. - * * test the monitor : * * once the cuff and tubing have been replaced, test the monitor to ensure it is functioning properly. - * * follow maintenance guidelines : * * regularly inspect and maintain the blood pressure monitor according to the manufacturer's guidelines to prevent future failures. @topic:3


# # # issue - the up and down adjustment button on the electric ob / gyn bed is stuck. # # # impact - the bed cannot be adjusted to the desired height, which can make it difficult for patients to get in and out of bed and for medical staff to provide care. # # # possible causes - the button may be faulty. - the button may be jammed due to foreign debris. - the lubrication of button may not be sufficient. # # # recommendations - inspect the button for any visible damage or debris. - clean the button with a soft cloth and isopropyl alcohol. - if the button is still not working, replace the button. @topic:1


# # # issue - intermittent signal reception # # # impact - inability to accurately monitor patient vitals - potential for missed or delayed diagnoses - increased risk of patient safety incidents # # # possible causes - malfunctioning signal distribution box - loose connections - software glitches - electromagnetic interference # # # recommendations - reset the signal distribution box - inspect and tighten all connections - update software to the latest version - identify and mitigate sources of electromagnetic interference ( e. g., nearby cell phones, wireless devices ) - consider replacing the signal distribution box if the issue persists @topic:2


* * issue : * * vital signs monitor malfunction * * impact : * * patient monitoring may be compromised, leading to delayed or missed treatment * * possible causes : * * * * * loose battery module * * ( as identified by the technician ) * faulty electrical connection * software or hardware malfunction * damaged sensors * power supply issues * * recommendations : * * * * * immediate : * * * reseat the battery module and ensure it is securely connected * inspect electrical connections and cables for any loose or damaged wires * verify power supply and ensure the device is receiving adequate voltage * * * short - term : * * * run diagnostic tests to identify any software or hardware errors * calibrate the device using appropriate tools and standards * clean and disinfect the device as per manufacturer's instructions * * * long - term : * * * schedule regular maintenance and preventive care to minimize future failures * consider upgrading to a newer model with improved reliability * consult with the manufacturer or biomedical engineer for further troubleshooting and support @topic:11


# # # issue : - medical cart's computer screen is not turning on and displays " no signal " error message. # # # impact : - interruption in the use of the medical cart, affecting patient care and workflow. # # # possible causes : - * * hardware failure : * * - faulty computer screen or display cable - malfunction in the computer's video card or motherboard - * * software issue : * * - operating system or driver issues - corrupted display settings - * * network connectivity : * * - intermittent or lost network connection between the computer and the router - * * power supply : * * - loose or faulty power connection to the computer or screen - * * environmental factors : * * - excessive heat or moisture causing overheating and component failure # # # recommendations : * * immediate actions : * * - * * restart the computer : * * this may resolve temporary software issues or network glitches. - * * check power connections : * * ensure that the computer and screen are properly connected to power outlets. - * * restart the router : * * if the issue is related to network connectivity, restarting the router can resolve the problem. * * troubleshooting : * * - * * inspect the computer screen and cable : * * look for any physical damage or loose connections. replace faulty components if necessary. - * * update drivers : * * ensure that the latest drivers for the computer's video card and display are installed. - * * check display settings : * * verify that the correct display resolution and refresh rate are selected in the computer's settings. - * * test with a different screen : * * connect a different monitor or display to the computer to isolate the issue to the screen or the computer itself. - * * contact the manufacturer or it support : * * if the issue persists or further troubles @topic:13


) and must be installed and used in accthe use of accessories, transducers and cables other than those specified, apart from the transducers and cables sold by the manufacturer of these devices, such as replacements of internal components, may result in an increase and / or reduction f the immunity of the hill - rom 900 accella bed. manufacturer's guide and declaration - electromagnetic emissions the hill - rom 900 accella bed and the wi - fi connectivity module are designed for use in the electromagnetic environment specified below. users must ensure that they are used in this environment. emission test compliance up 1 the hill - rom 900 accella bed only uses radio electric power for its internal functions. consequently, it only produces very weak rf emissions that are unlikely to cause interference with nearby electronic equipment. the hill - rom 900 accella bed can be used in all places other than domestic premises and premises that are directly connected to the low voltage public mains power network used to supply domestic buildings. rf emissions cispr 11 cispr 11 rf emissions class a class a harmonic emissions iec 61000 - 3 - 2 pplicable flicker iec 61000 - 3 - 3 the hill - rom 900 accella bed is not designed to be connected to other equipment. ispr 14 - 1 rf compliant mission compliance with electromagnetic immunity manufacturer's guide and declaration - electromagnetic immunity the hill - rom 900 accella bed and the wi - fi connectivity module are designed for use in the electromagnetic environment specified below. users must ensure that they are used in this environment. iec 60601 severity compliance electrostatic discharges the relative humidity must be at least th + 8 kv on contact + 2 kv, ± 4 kv, ±8 kv 5 %. and ± 15 kv in the air ± 8 kv on contact + 2 kv, ± 4 kv, ± 8 iec 61000 - 4 - 2 kv and ± 15 kv in the air the @topic:10


# # # issue - foot switch under the bed is stuck and cannot be pressed. # # # impact - the bed cannot be adjusted using the foot switch. # # # possible causes - the foot switch is physically obstructed by something under the bed. - the foot switch cable is tangled or damaged. - the foot switch is faulty. # # # recommendations - check under the bed for any obstructions that may be preventing the foot switch from being pressed. - inspect the foot switch cable for any damage. - replace the foot switch if it is faulty. @topic:1


# # # issue : - electric bed malfunctioning # # # impact : - patient safety and comfort compromised - inability to adjust bed position # # # possible causes : - broken cord on the right side patient guardrail - electrical system failure - software malfunction # # # recommendations : - * * immediate : * * - unplug the bed from the electrical outlet. - immobilize the bed to prevent movement. - notify the nursing staff and bme team. - * * short - term : * * - replace the broken cord. - check and test all electrical connections. - update software if necessary. - * * long - term : * * - implement a regular maintenance schedule to inspect and service the bed. - train staff on proper bed operation and maintenance. - consider purchasing a backup bed for emergencies. @topic:9


* * issue : * * bed, electric, huntleigh, enterprise 8000 is not functioning due to inability to adjust. * * impact : * * the bed cannot be adjusted to meet the patient's needs, which can lead to discomfort and potential health risks. * * possible causes : * * * * * electrical malfunction : * * a problem with the electrical system, such as a loose wire or faulty component, could prevent the bed from adjusting properly. * * * mechanical issue : * * a mechanical problem, such as a jammed motor or damaged gear, could also prevent the bed from adjusting. * * * software error : * * a software error in the bed's control system could lead to the inability to adjust the bed. * * recommendations : * * * * * electrical inspection : * * inspect the electrical system for any loose wires, damaged components, or other electrical problems. * * * mechanical examination : * * examine the bed's mechanical components for any signs of damage or jamming. * * * software update : * * check for any available software updates for the bed's control system and install them if necessary. * * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further troubleshooting and repair assistance. @topic:1


replace the cuff and tubing. eplace the main board. there is a leak in the pneumatic system. the nibp cuff does not inflate. nibp is not functioning. ensure all cuff attachments are tight. carefully check for leaks in blood pressure cuff and ubing attached to the device. perform nibp functional checks. perform nibp calibration checks. replace the pump assembly. the nibp module malfunctioned. perform nibp functional checks. perform nibp calibration checks. replace the pump assembly. the main board malfunctioned. perform nibp functional checks. perform nibp calibration checks. replace the pump assembly. 164 troubleshooting welch [UNK] connex® spot monitor ossible caussymptom ensure that the cuff is the sized. clean the cuff connections. replace the cuff and tubing. the nibp module needs calibration. perform nibp functional checks. perform nibp calibratiochecks. replace the pump assembly. the hardware or software between the host retry software update. and the ethernet module is incompatible. attempt to upgrade the software failed. the monitor lost communication with thnetwork or a timing issue occurred durinthe upgrade. retry software update. temperature ensure that the probe is properly placed in the measurement site. for oral temps, place the probe in the most posterior sublingual temperature measurements are probe is placed improperly. inaccurate. he probe malfunreplace the probe. perform temperaturfunctional checks. verify the condition of the probe cover and that it covers the probe completely. the probe cover is faulty or incorrectly attached. replace the probe cover. clean the probe or window. the probe or the window is dirty or contaminated. replace the probe. service manual roubleshooting 1ossible @topic:15


# # # issue - equipment not operational # # # impact - delays in patient care - increased risk of patient complications # # # possible causes - equipment failure - user error - software issue # # # recommendations - send equipment for repair or replacement - retrain users on proper equipment operation - update software to latest version @topic:12


# # # issue - the spo2 sensor cable on a nihon kohden bsm - 1763k bedside physiologic monitor is not working, resulting in no spo2 readings on the display. # # # impact - the inability to accurately measure spo2 levels can compromise patient care, particularly in critical situations where timely oxygen saturation monitoring is essential. # # # possible causes - damaged or faulty spo2 sensor cable - loose or disconnected cable connections - malfunctioning monitor port or internal hardware issue # # # recommendations - * * verify cable integrity : * * inspect the spo2 sensor cable for any visible damage, such as cuts, breaks, or internal wire exposure. ensure that the cable is not pinched or twisted. - * * check connections : * * inspect the cable connections at both the sensor end and the monitor port. ensure that the connections are secure and not loose. if necessary, disconnect and reconnect the cable to establish a proper connection. - * * examine monitor port : * * if the cable integrity and connections appear sound, examine the monitor port for any damage, corrosion, or debris. clean the port with a cotton swab and isopropyl alcohol if necessary. - * * consider internal hardware issue : * * if all of the above steps fail to resolve the issue, there may be an internal hardware malfunction within the monitor. contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:4


##b2xxxxxx or cs900b3xxxxxx : cs900 = hill - [UNK] 900 ; b = version ; oxxxxxx or 2xxxxxx or 3xxxxxx = unique 7 - figure numerical code according to different criteria, such as the voltage, the electrical functions, the language, etc. • sn : hrpxxxxxxxxx : hrp = hill - rom pluvigner ; xxxxxxxxx = incremental code. • safety and usage tips irst usbefore using the bed, it is essential to have a thorough understanding of this manual. this manual contains instructions for general use and maintenance and uarantees improved safety. caregivers must have access to this manual. caregivers must be informed of the risks that may be encountered in the use of electric beds. the many sources and types of accessories, hardware, or medical devices that may be used together with this bed do not enable hill - rom to guarantee both the safety and conformity of all the combinations thus created. the operator who creates these device combinations must therefore ensure that security and onformity requirements are met. [UNK] waste packaging ( plastic, cardboard, metal, wood, etc. ) must follow suitable recovery circuits with a view to being recycled. age 4 before installing the bed for the first time or after bringing the bed and its accessories out of storage : ensure that the bed and its various parts are at room temperature,. only connect the bed to a mains electric power supply with earth protection ( see " electrical safety " page 8 ), • wait 12 hours until the battery is fully charged before using the bed withouthe mains power supply, • make sure that all the moving parts are in good working order, • make sure that the bed has been cleaned and disinfected ( see " decontamination of the bed " @topic:9


# # # issue - equipment not functioning properly # # # impact - inability to accurately monitor vital signs - potential patient harm # # # possible causes - equipment malfunction - user error - maintenance issues # # # recommendations - inspect equipment for any visible damage or defects - review user manual for proper operation instructions - ensure that equipment is properly calibrated and maintained - train staff on proper use and maintenance of equipment - consider replacing equipment if necessary @topic:2


# # # issue : cuff failure in bedside physiologic monitor # # # impact : inaccurate blood pressure measurements, delayed diagnosis and treatment # # # possible causes : - worn or damaged cuff material - loose or disconnected connections - improper cuff size or application - overinflation or underinflation of cuff # # # recommendations : - replace the cuff with a new one of the correct size. - inspect the connections and ensure they are secure. - calibrate the monitor according to the manufacturer's instructions. - train staff on proper cuff application and inflation techniques. @topic:3


you select yes, the window for the lactate measurement will reappear. if you select no, screening continues — comparing heart rate, temperature and respiration rate values against the screening criteria. 314 ssc sepsis protocol 25 protocolwatch authorized clinician review inactive screening | resuscitation | management | ssc standby the patient meets the ssc sepsis protocol criteria for severe sepsis. review by authorized clinician is recommended. protocolwatch protocol log confirm remind 5 min to review the protocol, select protocol log. you can also print out the log to document the screening phase. select confirm to complete the screening phase and, if you have the appropriate monitor option, continue to the sepsis resuscitation bundle phase. sepsis resuscitation bundle the treatment recommendations from the sepsis resuscitation bundle are presented and the implementation of the recommendations is monitored. when the sepsis resuscitation bundle phase begins, the protocolwatch screen automatically appears on the monitor ( if configured and available on the monitor ).!! pw action requ'd sv rhythm a., a. 120 - 50 sp0 2 j \ j resp nbp pulse 60 sys sp0 2 r 120 / 80 ( 90 ) asp0 2 95 pap dia. cvp mean 28 / 15 ( 21 ) ( 9 ) 60 95 15 3 50 1 90 sepsis resuscitation bundle take blood cultures measure serum lactate maintain map > = 65rrmhg ( 9. okpa ) achieve scvo2 > 70 % ( sv02 > 65 % ) achieve cvp > = 8rrmhg ( 1. lkpa ) administer intravenous anti.. 60 pvc 0 st - i 02 st - ii 10 st - v6 12 ssc resuscitation 40 5 temp = * 39. 5 ( 11 oct 7 : 59 @topic:8


# # issue failure of the knee motor in a huntleigh contoura 360 electric bed. # # impact the bed may be unable to adjust the knee position, making it uncomfortable or difficult to use for the patient. # # possible causes - * * defective motor : * * the knee motor may have a manufacturing defect or may have become damaged during use. - * * electrical issues : * * there may be a problem with the electrical connections to the motor, preventing it from receiving power or sending signals to the bed's control unit. - * * mechanical problems : * * there may be a mechanical issue within the motor, such as a gear failure or a jammed drive shaft. - * * overuse or improper use : * * the bed may have been subjected to excessive weight or force, or it may have been used in a way that it was not designed for. # # recommendations - * * replace the motor : * * if the motor is defective, it will need to be replaced. - * * check electrical connections : * * inspect the electrical connections to the motor and ensure that they are secure and free of damage. - * * inspect mechanical components : * * examine the motor's internal components for any signs of damage or wear. repair or replace any damaged parts as needed. - * * evaluate usage : * * assess how the bed has been used and make sure that it is being used in accordance with the manufacturer's instructions. @topic:9


2. remove the device from the dock. a. wait for 20 seconds for the device to go into sleep mode ( the display goes blank ). b. press and release the c / f button. c. when the self check / startup display appears, press and hold the c / f and mem buttons for 5 to 7 seconds. d. when the device beeps, release the c / f and mem buttons. e. if the device is in cal mode, the display will alternate between the'- -'lines and " cal ". if the device doesn't enter cal mode, wait for the device to return to sleep mode and repeat from substep c. f. wait approximately 3 seconds, and then press the thermometer measure button. shes. 4. leave the thermometer in the tester until a long beep sounds. 5. 6. remove the thermometer from the tester and read the temperature in the thermometer's display. if the temperatures are within ±0. 2 °c ( ±0. 4 °f ) of the tester's set point, the thermometer is within calibration. 7. record the results in the thermometer service record. press the measure button once to clear the previous reading. 8. 9. wait 1 minute, and then take another reading with the same thermometer. repeated measurements in short sequence might cause higher readings. note if using only one tester, test all available thermometers focalibration verification at the current set point, before raising the et point. 10. repeat the procedure from step 3 as necessary until all thermometers are tested at each temperature. 11. exit cal mode using one of the following methods : press and hold the c / f and mem buttons until you hear the beep and the display is blank. 120 functional @topic:17


# # # issue the cause of failure is not specified in the input. # # # impact the impact of the failure is not known. # # # possible causes - the device may have been installed incorrectly. - the device may be defective. - the user may have entered incorrect settings. # # # recommendations - check the installation of the device. - test the device to ensure that it is functioning properly. - check the user settings to ensure that they are correct. @topic:12


# # # issue - the physiologic monitor is freezing. # # # impact - the physiologic monitor is not able to accurately monitor the patient's vital signs. - this could lead to a delay in diagnosis or treatment, which could have serious consequences for the patient. # # # possible causes - the monitor's battery may be low. - the monitor's software may be corrupted. - the monitor's hardware may be damaged. - the monitor may be experiencing interference from other devices. # # # recommendations - check the monitor's battery and replace it if necessary. - restart the monitor. - update the monitor's software. - inspect the monitor's hardware for any damage. - move the monitor away from any other devices that may be causing interference. @topic:2


# # # issue scanner installation and testing failure # # # impact * * functional impact : * * * inability to use the scanner for patient monitoring and documentation. * potential delays in patient care. # # # possible causes * misconfiguration of scanner hardware or software settings. * incorrect installation of scanner drivers or firmware. * physical damage to the scanner. # # # recommendations * verify that the scanner is properly installed and connected. * check the scanner configuration settings and ensure they are correct. * update the scanner drivers and firmware to the latest versions. * inspect the scanner for any physical damage and repair or replace if necessary. * consult with the manufacturer or a qualified biomedical engineer for further troubleshooting. @topic:23


# # # issue - cuff malfunction on bedside physiologic monitor # # # impact - inability to accurately monitor patient's vital signs, such as blood pressure and pulse oximetry # # # possible causes - damaged or defective cuff - incorrect cuff size or placement - loose connections or wiring issues - software or hardware malfunctions # # # recommendations 1. * * replace the cuff : * * ensure that the new cuff is the correct size and type for the patient's needs. 2. * * inspect and tighten connections : * * check all electrical connections between the cuff, monitor, and other equipment to rule out loose or damaged wires. 3. * * update software or firmware : * * if applicable, check for software or firmware updates that may address known issues with the monitor or cuff. 4. * * contact manufacturer : * * if the issue persists after following the above steps, contact the equipment manufacturer for further troubleshooting and support. @topic:5


# # # issue - cuff leak # # # impact - inaccurate blood pressure measurements - potential for patient harm # # # possible causes - cuff damage - cuff not properly inflated - cuff not properly attached to the patient # # # recommendations - replace the cuff - ensure the cuff is properly inflated - ensure the cuff is properly attached to the patient @topic:3


# # # issue battery deterioration # # # impact the device may not be able to provide accurate vital signs readings, which could lead to incorrect treatment decisions. # # # possible causes - natural aging of the battery - overuse of the device - exposure to extreme temperatures - battery not replaced in a timely manner # # # recommendations - replace the battery as soon as possible. - monitor the battery life regularly and replace it before it becomes completely depleted. - avoid exposing the device to extreme temperatures. - use the device according to the manufacturer's instructions. @topic:11


# # # issue the electrocardiography ( ecg ) monitor has faulty wires. # # # impact the monitor cannot be used to accurately measure and display a patient's heart activity. # # # possible causes - the wires could be damaged due to wear and tear. - the wires could be damaged due to improper handling. - the wires could be damaged due to a manufacturing defect. - the wires could be damaged due to exposure to chemicals or other environmental hazards. # # # recommendations - replace the faulty wires with new ones. - inspect the wires regularly for any signs of damage. - handle the wires with care to avoid damaging them. - store the wires in a safe place when not in use. - train staff on the proper use and care of the ecg monitor. @topic:18


# # # issue - button on physiologic monitor ( bedside ) fell off. # # # impact - the device is not able to be used because the button is necessary for navigation. # # # possible causes - the button was not properly attached during manufacturing. - the button was damaged during use. - the button was worn out over time. # # # recommendations - replace the button. - inspect the device for other potential problems. - train staff on how to properly use the device. @topic:2


# # # issue - change of room numbers for central monitors. # # # impact - incorrect room numbers displayed on central monitors, leading to confusion and potential errors. # # # possible causes - miscommunication or error during room number changes. - software or system glitch. - incorrect configuration of central monitors. # # # recommendations - verify the accuracy of room number changes with the hospital staff. - check the software and system settings of the central monitors to ensure proper configuration. - calibrate the central monitors to display correct room numbers. - implement a standardized process for room number changes to minimize errors. @topic:16


# # # issue : - bed is not functioning properly. # # # impact : - patient may not be able to use the bed for treatment. - delays or interruptions in critical patient care. - increased patient discomfort. # # # possible causes : - mechanical failure of the bed's mechanisms due to wear and tear, or overloading - electrical problems, such as short circuits or loose connections - design flaws or inadequate maintenance # # # recommendations : - inspect the bed thoroughly to identify any loose connections or visible damage. - check the electrical system for any short circuits or open circuits. - consult the manufacturer's instructions for proper maintenance and lubrication. - replace any faulty components in accordance with the manufacturer's guidelines. - implement preventive maintenance procedures to extend the lifespan of the bed and reduce the risk of similar failures in the future. @topic:9


# # # issue - battery depletion # # # impact - device unable to operate properly # # # possible causes - battery has reached end of life - battery not properly charged - charging system malfunction # # # recommendations - replace battery - ensure battery is properly charged before use - inspect charging system for any malfunctions @topic:11


# # # issue deteriorated cuff # # # impact inaccurate or unreliable physiological measurements # # # possible causes - age and use of the cuff - improper storage or handling - exposure to moisture or chemicals # # # recommendations - replace the deteriorated cuff with a new one. - regularly inspect and maintain the cuff to extend its lifespan. - store the cuff in a cool, dry place when not in use. - handle the cuff with care to avoid damage. @topic:5


this certificate is intended for the following purpose ( s ) : globalsign globalsign ht a • proves your identity to a remote computer ht a certificates • ensures software came from software publisher • protects software from alteration after publication globalsign root ca untrusted certificates nt a protects e - mail messages hird - party root certificati go daddy class 2 c nt a • ensures the identity of a remote computer go daddy root cer certificates nt a • all issuance policies trusted people gte cybertrust glo ht a client authentication issue gts root rother people hill - rom it ht a issued to : go daddy class 2 certification authority hill - rom it service e si > currenhotspot 2. 0 trust r t a ocal nonremovable certi isrg root xlocalmachine er a issued by : go daddy class 2 certification authority lynxrootca icrosoft authenti > > msiehistoryjournal ure i valid from 6 / 29 / 2004 to 6 / 29 / 2034 ertificate enrollment req microsoft ecc prsmart card trusted roots microsoft ecc prog microsoft ecc ts r microsoft root aut issuer statement microsoft root cer microsoft root cer microsoft root cer icrosoft time star ok fina hadility acce > < 9. right - click the certificates folder under trusted root certification authorities and choose altasks > import. service manual connex direct 239 consolel console root certificates - current user \ trusted root certification authorities \ certificates ] x file action view favortes window hep q onsole root intended purposes client authenticat... client authenticat... client authenticat... client authenticati.. < all > friendly nan sectigo ( aa / sectigo ( ade affirm trust ( digicert @topic:18


# # # * * issue * * : scanner not charging or scanning # # # * * impact * * : inability to use scanner for medical applications # # # * * possible causes * * : - * * battery depletion * * : scanner battery may be depleted, preventing it from operating or charging. - * * damaged charging terminal * * : broken or damaged connectors on the charging dock or scanner itself may hinder charging. - * * faulty charging cable * * : the cable connecting the scanner to the charging dock could be damaged or defective, preventing charge transfer. - * * software issues * * : software malfunctions or glitches can also lead to charging or scanning problems. # # # * * recommendations * * : - * * battery replacement * * : if the battery is depleted, replace it with a fully charged one. - * * terminal repair * * : if the charging terminal is damaged, consult a qualified technician for repair or replacement. - * * cable inspection * * : inspect the charging cable for any visible damage or loose connections. replace if necessary. - * * software updates * * : check for available software updates and install them as recommended by the manufacturer. this may resolve software - related issues affecting charging or scanning. @topic:23


# # # issue equipment failure after being returned from orbht # # # impact - interruption of patient care - increased workload for biomedical engineers - potential for harm to patients # # # possible causes - damage during transport - misuse or mishandling by orbht staff - compatibility issues with other devices - software glitches - component failure # # # recommendations - inspect equipment carefully before and after transport - train orbht staff on proper use and maintenance of equipment - test equipment thoroughly after it is returned - update software regularly - replace worn or damaged components @topic:12


##l board ( 18 ) recorder board ( 26 ) ( 28 ) ( 25 ) srr board 802. 11. wlan board ( 27 ) antenna board ( 2 ) power supply ( 4 ) panel adapter board 9 " ( 9 ) lcd display assy 12 " ( 12 ) touch bezel assy 12 " ( 13 ) touch bezel assy 15 " ( 32 ) rear housing mx500 / 550 ( 21, 22, 23 ) l / f boards ( 37 ) ( 30 ) power button bottom housing mx500 / 550 exchange parts part number description no. in diagram 453564406331 iv2 - flex main board 1 replacement parts part number 12nc description number in diagram 453564281221 453564281221 iv2 - flex assy - pwr ac / dc power supply 2 453564407911 453564407911 iv2 - flexi / f ; standard system i / f board 3 453564407921 453564407921 iv2 - flex panel adapter board mx400 4 453564407931 453564407931 iv2 - flex panel adapter board mx450 / 500 5 453564407941 453564407941 iv2 - flex panel adapter board mx550 6 453564407961 453564407961 iv2 - flex alarm led board mx450 / 500 / 550 7 453564406301 453564406301 iv2 - flex dspl lcd assembly mx400 8 453564406311 453564406311 iv2 - flex dspl lcd assembly mx450 / 500 9 453564406321 453564406321 iv2 - flex dspl lcd assembly mx55 @topic:19


* * issue : * * bed not adjusting * * impact : * * patient care may be compromised if the bed cannot be adjusted to the appropriate height or position. * * possible causes : * * - defective electrical wiring - loose connections - faulty motor - damage to the control panel - worn or broken gears - improper maintenance * * recommendations : * * - inspect the electrical wiring and connections for any damage or loose connections. - test the motor to ensure it is functioning properly. - check the control panel for any loose buttons or switches. - lubricate and inspect the gears for wear and tear. - perform regular preventative maintenance to ensure the bed is in good working order. @topic:1


* * issue : * * faulty cuff * * impact : * * unable to obtain accurate measurements * * possible causes : * * - cuff bladder rupture - cuff tubing leak - cuff connector damage * * recommendations : * * * replace the damaged cuff with a new one. * ensure proper connection between the cuff and the monitor. * perform regular maintenance checks to identify and address potential issues early. @topic:5


trigeminy pvcs > xx / min multiform pvcs yellow arrhythmia alarms beat detection alarms chain pause t pacer not captured / pacer not pacing / missed beat rate alarms chain svt i hr high / hr low * afib irregular hr ( occurs only if no other arrhythmia alarms are present ) first level timeout period ( timeout 1st ) second level timeout period ( timeout 2nd ) * if hr high / low alarms are configured as standard yellow alarms, they are independent of the arrhythmia alarms and are not in the rate alarms chain. - if there is an active vent bigeminy alarm, a pvcs > xx / min will not be triggered because it is lower on the same chain. however, a high hr alarm will become active because it is on a different chain. - higher priority alarms supersede previous alarms. for example, if a vent trigeminy alarm is active and a pair pvcs occurs, the pair alarm will be activated. understanding pvc - related alarms pvc - related alarms are detected on the basis of the current ventricular heart rate and the number of consecutive pvcs counted ( referred to as pvc runs ). example : this diagram illustrates the conditions under which pvc alarms would be generated if the vent rhythm run limit is set to 12, the v - tach run limit is set to eight, and the v - tach hr limit is set to 100. 143 6 ecg, arrhythmia, st and qt monitoring arrhythmia alarms v - tach run limit number of consecutive pvcs ( pvc run ) you will see that • if both the v - tach heart rate limit and the v - tach run limit are exceeded, a red v - tach alarm is generated • if the ventricular heart rate exceeds @topic:8


* * issue : * * biomedical equipment failure * * impact : * * patient monitoring may be compromised, leading to delayed or incorrect diagnosis and treatment. * * possible causes : * * * * * incorrect battery replacement : * * the technician may have installed the new battery incorrectly, causing it to malfunction. * * * defective battery : * * the new battery may be defective, leading to its failure. * * * electrical issues : * * there may be an electrical fault in the equipment that is causing the battery to fail. * * recommendations : * * * * * verify proper battery installation : * * ensure that the new battery is installed correctly and securely. * * * test replacement battery : * * check the replacement battery before installing it to ensure it is functioning properly. * * * inspect equipment for electrical faults : * * visually inspect the equipment for any signs of damage or wear - and - tear that may indicate an electrical issue. * * * contact manufacturer : * * if the issue persists, contact the equipment manufacturer for further troubleshooting or repair. @topic:11


# # # issue - * * failure to press the button on the head of the device. * * # # # impact - * * unable to operate the device. * * # # # possible causes - * * malfunctioning button. * * - * * pcb malfunction. * * - * * wiring issues. * * # # # recommendations - * * replace the button. * * - * * inspect and repair the pcb. * * - * * check and re - establish the wiring connections. * * @topic:12


# # # issue * * medical cart drawer failure * * # # # impact * * medical equipment is not fully functional. * * # # # possible causes * * * master log issue : * * defective master log preventing drawer from locking properly. # # # recommendations * * * replace master log : * * replace the defective master log with a new one to resolve the locking issue. @topic:21


board the communications ( lan ) board contains these components : e usb connector and its emc / esd parts e lan connector and isolation transformer e nurse call ( alarm contact ) connector and relay e b2b connector to main board nurse call contacts the nurse call alarm contacts are available through a 3. 5 mm miniature insulated phone jack on the back of the monitor. the alarm contacts close ( open ) for any alarm condition detected by the monitor. the alarm contacts are the three switching signals associated with a single pole, double throw relay : e normally open contact ( no ) e common contact e normally closed contact ( nc ) contact rating : no = 1a @ < 25 vac common contact = 1a @ < 60 vdc isolation of 1. 5 kv front panel assembly the front panel assembly contains these elements : « lcd — 8. 4 - inch svga — 800 x 600 dpi theory of operation a - 4 suresigns vs4 service guide block diagram components ¢ touch screen — 5 - wire resistive technology — 4096 x 4096 touch point density e touch screen controller board e monitor keypad e navigation wheel speaker the speaker is driven by an amplifier and audio codec that interfaces to the microprocessor. the speaker provides the monitor ’ s audio during alarm conditions. the microprocessor outputs different audio tones specified by different alarm priorities and conditions. navigation wheel the navigation wheel is a rotating, push - switch wheel. the associated wheel circuitry generates a pulse when pressed and generates a digitally encoded pair of quadrature signals whose relative magnitudes and polarities represent the angular position of the wheel. these outputs are connected to the microprocessor where they are interpreted as required for the functions involved. successive angular positions determine the direction of wheel rotation. in addition to the functions performed in conjunction with the keypad, the wheel operates in conjunction with the display to select menu @topic:10


# # # issue - the date and time displayed on the bedside physiologic monitor are incorrect. # # # impact - incorrect date and time can lead to inaccurate documentation and medical errors. # # # possible causes - the monitor is not properly linked to the hospital's xds ( xds computer ) system, which provides a reliable source of date and time information. # # # recommendations - the bme ( biomedical engineer ) should check the monitor's connection to the xds system and ensure that it is properly configured. - the bme should test the monitor to verify that the date and time are displaying correctly. @topic:29


components for any structural damage. if necessary, contact the manufacturer for repair or replacement parts. - * * user education : * * instruct staff on proper use and maintenance of the bed to prevent future issues. @topic:9


# # # issue - bed alarm not sounding # # # impact - patient safety risk # # # possible causes - faulty bed alarm sensor ( 5s1bih ) # # # recommendations - replace bed alarm sensor ( 5s1bih ) - monitor bed alarm system for proper functionality - educate staff on importance of reporting any issues with bed alarm system @topic:26


# # # issue - equipment malfunction # # # impact - possible disruption of patient care - inaccurate or unreliable patient data - increased risk of patient harm # # # possible causes - * * battery failure : * * the battery may have been depleted or may have developed a fault, resulting in the equipment being unable to function properly. - * * internal hardware failure : * * a component within the equipment may have failed, causing the device to malfunction. - * * software glitch : * * a software issue may have caused the equipment to behave unpredictably or to stop functioning altogether. - * * external interference : * * electromagnetic interference from other devices or environmental factors may have disrupted the proper operation of the equipment. # # # recommendations - * * replace the battery : * * if the battery is confirmed to be faulty, replace it with a new one of the correct type and specification. - * * inspect the equipment : * * visually inspect the equipment for any obvious signs of damage or wear and tear. check for loose connections or damaged cables. - * * run diagnostic tests : * * perform any available diagnostic tests to identify any specific errors or faults. - * * contact the manufacturer : * * if the issue cannot be resolved through troubleshooting, contact the manufacturer for technical support or repair. - * * maintain regular preventive maintenance schedule : * * regularly inspect and service the equipment to prevent future failures and ensure optimal performance. @topic:12


# # # issue - drawer fails to close # # # impact - limited functionality of medical cart # # # possible causes - loose drawer rail # # # recommendations - tighten drawer rail bolts. @topic:21


* check battery status : * * verify that the device's battery is fully charged and functioning properly. - * * consider environmental factors : * * inspect the device for signs of exposure to moisture, dust, or extreme temperatures that may affect its performance. @topic:11


± ( 2, 0 % absolute + 8 % of reading ) 02 : ± ( 2, 5 % absolute + 2, 5 % of reading ) measurement of airway respiration rate within specified accuracy / error limits. alarming on apnea, airway respiration rate and respiratory gas limit violation. spirometry measurement of spirometry values within specified accuracy / error limits. alarming on apnea and peep, pip, mv and respiration rate limit violation. 306 10 specifications ) parameter essential performance sp02 measurement of oxygen saturation within 4 % rms over the range from 70 to 100 % and pulse rate within 10 % ^ 2 ^ g or 5 bpm ^ j ^ g, whichever is greater. alarming on oxygen saturation and pulse rate limit violation. intravascular oxygen saturation measurement of intravascular oxygen saturation within specified accuracy / error limits. alarming on intravascular oxygen saturation limit violation. tcp02 / tcc02 measurement of partial pressure o 2 within ±6 mmhg over the range from 40 to 100 mmhg and partial pressure co 2 within ±6 mmhg over the range from 30 to 60 mmhg. alarming on transcutaneous partial pressure o 2 and co 2 limit violation. temperature measurement of temperature within specified accuracy / error limits. alarming on temperature limit violation. predictive temperature measurement of temperature within specified laboratory accuracy / error limits. alarming on temperature limit violation tympanic temperature measurement of temperature within specified laboratory accuracy / error limits. alarming on temperature limit violation. the table above also represents the minimum performance when operating under non - transient electromagnetic phenomena according to lec 60601 - 1 - 2 : • radiated electromagnetic fields • conducted disturbances induced by rf fields • conducted disturbances induced by magnetic fields • voltage dips / voltage variations the following table identifies minimum performance for transient electromagnetic phenomena according to lec @topic:17


. this may be a single connection or several tested after each other test lead instrument equipment leakage current test - setup example note the test lead needs to go to the grounded enclosure parts, the ungrounded enclosure parts and all of the applied parts connected together. 40 3 testing and maintenance ] test lead instrument applied part current test - setup example note the above graphics resemble the metron qa - 90 setup and are protected by copyright. copyright owned by fluke ( metron ). safety test adapter cable - schematics the following graphics provide schematics of safety test ( patient lead ) adapter cables which can be used for electrical safety testing. these schematics can also be used as a guideline for making your own safety test adapter cables. alternatively, other methods to make safety test adapter cables can be used, e. g. using a modified accessory cable. note you may not need all of the cables displayed below for electrical safety testing of your respective monitor. 41 [ 3 testing and maintenance ] ecg wiring schematic plug 12 - pin male conductor coloring plug bonono 1 ^ 2 ^ 3 ^ 4 ^ 5 ^ 6 < - 7 < - 8 ^ a - e - b ^ c ^ d ^ n. c. - e blue grey pink green yellow brown red shield 1 n. c. sp02 ( mp2 / x2, mp5, m3001a & m1020b # a01, # a02, # a03, # a04 ) 42 3 testing and maintenance invasive pressure wiring schematic plug 12 - pin male a b c d 1 5 8 plug banana conductor coloring blue n. c < - < - grey pink qreen yellow ^ brown red < - shield - ^ 1 n. c. invasive pressure ( m1006b # c01 ) wiring schematic phone jock 1 / 8 * @topic:10


# # # issue - the medical cart's drawers cannot be opened. # # # impact - the medical cart cannot be used to store and transport medical supplies and equipment. # # # possible causes - the port on the medical cart is damaged. # # # recommendations - replace the port on the medical cart. @topic:21


# # # issue damaged power cord # # # impact - device is unable to function properly - patient safety may be compromised # # # possible causes - physical damage to cord ( e. g., cuts, tears ) - wear and tear over time - faulty manufacturing # # # recommendations - inspect power cord regularly for any signs of damage - replace damaged power cords immediately - use surge protectors to protect device from power surges - follow manufacturer's instructions for proper handling and storage of power cords @topic:12


* * issue : * * cuff bp ( blood pressure ) on vital signs monitor is not staying secure. * * impact : * * accurate blood pressure readings cannot be taken, potentially delaying or compromising patient care. * * possible causes : * * * broken or loose velcro on the cuff bp * damaged or worn - out connector between the cuff and the monitor * incompatible cuff bp for the monitor model * * recommendations : * * * * * replace the cuff bp : * * verify that the replacement cuff bp is compatible with the monitor model. * * * inspect the connector : * * check for any damage or loose connections between the cuff and the monitor. replace if necessary. * * * ensure proper placement : * * make sure the cuff bp is properly placed on the patient's arm, with the arrow aligned over the brachial artery. * * * adjust the velcro : * * tighten the velcro straps securely to ensure a snug fit. * * * test the device : * * after making any repairs or adjustments, test the monitor again to confirm that it is functioning properly and the cuff bp is staying secure. @topic:3


, the measurement will be switched off. 97 4 patient alarms and inops technical alarm messages ( inops ) inop message, indication source what to do ctemp label > unplugged inop tone temp a temp measurement label has been deactivated, either by unplugging a module, or by deactivating the label in the measurement selection window. the measurement automatically disappears from the display. to switch the measurement on again, either replug the module or reactivate the measurement label in the measurement selection window. ctemp label > overrange numeric is replaced by -? - inop tone. temp try changing the application site of the transducer. [ the temperature is less than - 1°c, or greater than 45°c. ] tesoph inops temp see < temp label > inops ( under temp ). text upload failed inop tone intellibridge incoming text from the intellibridge modules exceeds the maximum limit. try unplugging one of the intellibridge modules. if the inop occurs repeatedly contact your service personnel ; a software upgrade may be necessary. timeexpired : < timer label > inop tone monitor the time has expired for the timer indicated in the inop text. clearing the timer clears the inop. tnaso inops temp see < temp label > inops ( under temp ). trect inops temp see < temp label > inops ( under temp ). tskin inops temp see < temp label > inops ( under temp ). ttymp inops temp see < temp label > inops ( under temp ) tven inops temp see < temp label > inops ( under temp ). tvesic inops temp see < temp label @topic:17