* * issue : * * battery replacement * * impact : * * equipment may not function properly due to insufficient power. * * possible causes : * * - * * depleted battery : * * the original battery may have run out of power, causing the equipment to malfunction. - * * faulty battery : * * the new battery may be defective or incompatible with the equipment, leading to power issues. - * * incorrect installation : * * the battery may have been improperly installed, resulting in poor electrical contact or damage to the equipment. * * recommendations : * * - * * verify battery compatibility : * * ensure that the new battery meets the specifications of the equipment. - * * inspect battery terminals : * * check for loose connections, corrosion, or damage on the battery terminals and the equipment's battery compartment. - * * install battery correctly : * * follow the manufacturer's instructions carefully to ensure proper battery installation. - * * charge device : * * charge the equipment for the recommended time ( 8 hours ) after battery replacement to fully recharge the new battery. - * * monitor equipment performance : * * observe the equipment's functionality after replacing the battery to ensure it is operating correctly. @topic:11


# # # issue cuff leak on physiologic monitor ( bedside ) # # # impact - inaccurate blood pressure measurement - risk of patient harm # # # possible causes - cuff wear and tear - cuff damaged during cleaning or handling - cuff not properly attached to the monitor - cuff too large or too small for the patient # # # recommendations replace the cuff with a new one. ensure the cuff is properly attached to the monitor. inspect the cuff regularly for wear and tear. use the appropriate cuff size for the patient. @topic:3


limit 80 % 80 % 80 % alarms on on on light intensity on on on yellow color yellow yellow ct [ % ct [ % ] disabled hct [ % ] hb / hct entry factor entry disabled disabled svo2 settings ow limit 060 % 60 % 080 % 80 % alarms on on on light intensity on on on color yellow yellow yellow hb / hct entry hct [ % ] factor entry disabled 19 41 default settings appendix scvo2 settings ow limi70 % 70 % 70 % 80 % 80 % 80 % alarms on on on ight intensity n on on yellow color yellow yellow vo2 default settingvo2 settings 0low limit 60 % 60 % 80 % 80 % 80 % alarms on on on light intensity on elloyellow color yellow ct [ % hb / hct entry factor entry disabled cv02 default settingscvo2 settings ow limit 70 % 70 % 70 % 80 % igh limit 80 % 80 % larms on on on on on light intensity yellow yelloyellow color eg default settingeeg settingp, sef on on on off mdf, ppf, delta, theta, alpha, beta off off sef threshold 90 % 90 % 90 % numeric average se8 sec 8 sec ave scale 100µv ( or ±50µv if show gridlines is configured to yes ) how gridlines no no 0. 5 hz no ow filte0. 5 hz 0. 5 hz 30 hz 30 hz 30 hz 5 kohm 5 kohm 5 kohm on on on 520 41 default settings appendix factorfactorfactory yellow eeg settingcolor is default settingh30 ( deviations from h10 / h20 / h40 ) is settingedi dult adult pedi neo neo sqi on on on emg on on on sr on on on off off off sef foff ff @topic:8


# # # issue battery status indicator displaying constant red # # # impact inaccurate battery status display, leading to potential power outages or interruptions during transport or patient monitoring. # # # possible causes - degradation of battery over time, reducing its capacity and lifespan. - defective battery cells or internal components within the battery. - charging system malfunction causing insufficient charging. - loose or damaged connections between the battery and the device. - blown fuses or circuit board issues affecting the battery charging or monitoring system. # # # recommendations - * * replace the battery : * * verify the battery's age and condition, and replace if necessary. - * * inspect charging system : * * ensure proper charging of the battery by testing the charging circuit and voltage. - * * secure connections : * * inspect and tighten any loose connections between the battery and device. - * * diagnose circuit board : * * check for blown fuses or other circuit board issues that may affect battery functionality. - * * calibrate battery indicator : * * if possible, recalibrate the battery status indicator to ensure accurate readings. - * * monitor battery performance : * * regularly assess battery life and charge / discharge patterns to identify any potential issues. @topic:11


* * issue : * * motor failure in electric bed * * impact : * * inability to adjust the head of the bed for patient positioning and comfort. * * possible causes : * * * faulty or damaged motor : the motor responsible for raising and lowering the head of the bed may have malfunctioned or burned out. * electrical issues : electrical connections or components within the motor or its wiring may have become loose, damaged, or shorted. * mechanical wear and tear : extended usage or improper maintenance of the bed may have caused mechanical parts within the motor to wear out or break. * * recommendations : * * * replace the motor : the technician has already ordered a new motor, which should be installed and tested to resolve the issue. * check electrical connections : inspect and repair any loose, damaged, or corroded electrical connections in the motor or its wiring. * perform regular maintenance : establish a regular maintenance schedule to lubricate, inspect, and test the bed's components, including the motor, to prevent future failures. @topic:9


# # # issue - monitor does not link with the central system. # # # impact - the medical staff cannot monitor the patient's vital signs remotely. - the medical staff cannot access the patient's medical records. # # # possible causes - the server has a problem. - the ci address in the monitor is not set correctly. # # # recommendations 1. check the server to make sure that it is functioning properly. 2. set the ci address in the monitor to the correct value. 3. test the monitor to make sure that it is working properly. @topic:16


# # # issue - cuff is damaged # # # impact - the patient's vital signs may not be accurately measured. # # # possible causes - the cuff may have been punctured or torn. - the cuff may have been stretched or distorted. # # # recommendations - the cuff should be replaced. - the technician should inspect the cuff for any damage before using it. - the technician should follow the manufacturer's instructions for using the cuff. @topic:5


# # # issue * inability to set the monitor's display # # # impact * inability to properly monitor patient's vital signs * delayed patient care due to lack of necessary information * increased risk of medical errors # # # possible causes * * * software malfunction : * * a bug or glitch in the monitor's operating system could prevent the display settings from being changed. * * * hardware failure : * * a faulty display panel or graphics card could cause the screen to be unresponsive or display incorrect information. * * * user error : * * the technician may not have been familiar with the correct procedure for adjusting the display settings on this specific model of monitor. * * * power issues : * * a loose connection or power surge could have damaged the monitor's internal components, including the display module. * * * environmental factors : * * extreme temperatures or humidity could have affected the performance of the monitor's electronic components. # # # recommendations * * * check for software updates : * * the manufacturer may have released a software patch to fix any known issues with the display settings. * * * inspect the hardware : * * disconnect and reconnect the display panel and graphics card to ensure proper connections. visually inspect for any signs of damage or corrosion. * * * refer to the user manual : * * review the manufacturer's guidelines for adjusting the display settings on this specific model of monitor. * * * contact technical support : * * if the issue cannot be resolved by the technician, they should contact the manufacturer's technical support team for further assistance. * * * preventive maintenance : * * regular maintenance and inspection of the monitor, including its display system, can help prevent future failures. this includes cleaning, checking connections, and performing firmware updates as needed. @topic:2


# # # issue - cuff failure # # # impact - inability to obtain accurate vital sign measurements # # # possible causes - cuff damage due to excessive wear and tear - improper cuff inflation or deflation - cuff size mismatch # # # recommendations - replace the cuff with a new one - ensure proper cuff inflation and deflation techniques - verify that the cuff size is appropriate for the patient - regularly inspect the cuff for signs of damage or wear @topic:5


* * issue : * * wood barrier of the electric bed cannot be adjusted. * * impact : * * patient safety and comfort could be compromised. * * possible causes : * * - broken locking mechanism - obstruction in the adjustment mechanism - faulty electrical connections - incorrect assembly or installation of the wood barrier * * recommendations : * * 1. * * inspect the locking mechanism : * * verify if the locking mechanism is damaged or broken. replace the locking mechanism if necessary. 2. * * check for obstructions : * * ensure that the adjustment mechanism is free of any obstructions, such as debris or misaligned components. remove any obstructions and lubricate the mechanism if required. 3. * * inspect electrical connections : * * check the electrical connections between the bed and the control unit. ensure that all connections are secure and free of corrosion. replace any damaged cables or connectors. 4. * * verify assembly and installation : * * review the assembly and installation instructions for the bed. verify that the wood barrier was assembled and installed correctly, ensuring proper alignment and function. @topic:1


the external device. 4 connect the ecs to the eclo module or i / o board using the supplied cable. 5 switch the external device on. the connection status led wiu flash green until it has correctly identified the external device and started communication. check that the connection status led then lights green continuously indicating that communication has been established. information from the external device should now be available on the philips patient monitor. 6 select main setup - > measurements - > < external device name > to enter the setup menu for the connected device. 7 select setup waves or setup numerics and make any required changes. 8 close the setup menu. 9 select the wave segment on the screen, in which you want the waves to be displayed. in the pop - up menu, select change wave, and then select wave. 10 we recommend that you confirm with the user that waves and numerics required from the external device are being accurately received. if the external device has a demo mode, use this. test expected test results intellibridge performance test numerics are visible on screen ( pass / fail ) recorder performance test - m1116c this test checks the performance of the recorder module m1116c. 1 load paper into the recorder ( for paper loading instructions, refer to your monitor ’ s instructions for use ). 2 start a recording, e. g. an alarm limits recording. 3 if no print - out appears, the paper may be loaded backwards or the wrong paper may be inserted. 4 try reloading the paper. make sure you are using the correct paper. test expected test results recorder performance test recording is printed correctly eeg, sv02 ( s02 ) and tcgas performance tests the eeg and svo 2 ( so 2 ) parameters do not require performance tests because the modules perform internal self - tests regularly. these tests suffice for performance testing of these three parameters @topic:10


# # # issue - cuff not adhering properly # # # impact - inaccurate blood pressure measurements - inability to monitor patient's vital signs effectively # # # possible causes - deteriorated velcro material on the blood pressure cuff # # # recommendations - replace the blood pressure cuff with a new one with intact velcro material. @topic:5


# # # issue : scanner battery [UNK] [UNK] # # # impact : - decreased scanner performance - potential scanner failure # # # possible causes : - battery age and usage - battery charging issues - environmental factors ( e. g., extreme temperatures ) # # # recommendations : * * immediate actions : * * - replace the degraded battery with a new one. - monitor the battery life and performance regularly. * * preventive measures : * * - implement a regular battery maintenance schedule. - use only manufacturer - approved batteries. - charge the battery according to the manufacturer's instructions. - avoid exposing the battery to extreme temperatures or direct sunlight. @topic:23


# # # issue - noisy caster wheels on medical monitor # # # impact - annoying and distracting noise in the healthcare environment - may interfere with communication and patient care - potential safety hazard if the wheels become stuck or cause the monitor to move unexpectedly # # # possible causes * * environmental factors * * - dust, debris, or other particles accumulating on the caster wheels - lack of lubrication on the caster bearings - irregular surfaces, such as uneven flooring or carpeting, causing increased friction * * mechanical factors * * - loose or misaligned caster wheels - worn or damaged bearings or axels - faulty manufacturing or assembly * * overuse or improper handling * * - excessive weight or force applied to the monitor, putting strain on the caster wheels - failure to regularly clean and maintain the caster wheels # # # recommendations - inspect the caster wheels for any visible signs of damage or wear, such as cracks, chips, or missing parts. - regularly clean the caster wheels and bearings using a damp cloth and mild detergent to remove any dirt or debris. - lubricate the caster bearings with a suitable lubricant, following the manufacturer's instructions. - ensure that the caster wheels are aligned properly and securely fastened to the monitor. - avoid applying excessive force or weight to the monitor, especially when moving it over uneven surfaces. - if the noise persists or the caster wheels become faulty, contact the manufacturer or a qualified biomedical engineer for further inspection and repair. @topic:24


# # # issue - battery failure in a bedside physiologic monitor. # # # impact - the monitor cannot function properly due to insufficient battery power to support operation. # # # possible causes - battery degradation over time due to normal usage and aging. - battery manufacturing defects or issues during handling and storage. - excessive charging or over - discharging of the battery. - environmental factors such as extreme heat or cold affecting battery performance. # # # recommendations - * * regular maintenance and inspection : * * schedule routine checks to monitor battery health and identify potential issues. - * * proper battery handling and storage : * * follow manufacturer's guidelines for battery charging, discharging, and storage to prolong battery life. - * * use high - quality batteries : * * source batteries from reputable suppliers and use batteries designed specifically for the monitor. - * * monitor battery usage : * * track battery usage patterns and identify any unusual or excessive discharge rates. - * * consider backup power options : * * use external power sources or additional batteries to provide backup power in case of battery failure. - * * train staff on battery care : * * educate staff on the importance of proper battery maintenance and handling to prevent premature failure. @topic:11


# # # issue - the lcd monitor's control buttons are malfunctioning. - the lcd monitor's display is experiencing issues. # # # impact - the medical staff cannot effectively use the lcd monitor to monitor patient data and make informed decisions. - the hospital incurs additional costs due to the need for a replacement lcd monitor. # # # possible causes - the control buttons may have become worn out or damaged over time due to frequent use. - the lcd display may have developed defects or malfunctions due to aging components or external factors such as power surges. # # # recommendations - identify the root cause of the control button failure and take appropriate corrective actions, such as replacing worn - out buttons or repairing damaged circuitry. - perform a thorough inspection of the lcd display to identify any underlying defects or malfunctions. if necessary, replace the display panel or repair damaged components. - implement a regular maintenance schedule for the lcd monitor to prevent similar issues from occurring in the future. @topic:2


# # # issue - the electric bed is not adjusting properly. # # # impact - the patient may be uncomfortable or unable to use the bed properly. # # # possible causes - the power supply may be faulty. - the electrical connections may be loose. - the control panel may be malfunctioning. - the bed frame may be damaged. - the hydraulic system may be leaking. # # # recommendations - check the power supply and electrical connections. - inspect the control panel for any damage. - examine the bed frame for any damage. - check the hydraulic system for any leaks. - if the problem cannot be resolved, contact the manufacturer for assistance. @topic:1


# # # issue - equipment : lcd monitor - manufacturer : sony - model : lmd - 2451mt - description : the monitor is not rotating to the desired position. # # # impact - the medical staff cannot use the monitor correctly. # # # possible causes - * * software issue : * * the software that controls the monitor's rotation is not functioning properly. - * * hardware issue : * * the motor or the mechanism that rotates the monitor is faulty. - * * physical obstruction : * * there may be something physically blocking the monitor from rotating. # # # recommendations - * * software issue : * * - check the software settings to ensure that the monitor is set to rotate. - update the software to the latest version. - * * hardware issue : * * - inspect the motor and the mechanism that rotates the monitor for any signs of damage or wear. - replace the faulty components. - * * physical obstruction : * * - remove any objects that may be blocking the monitor from rotating. @topic:2


# # # * * issue : * * no cuff bp u1869s # # # * * impact : * * unable to measure blood pressure with large cuff size. # # # * * possible causes : * * based on the provided information, the cuff is missing, potentially leading to the device's inability to measure blood pressure accurately. # # # * * recommendations : * * 1. * * obtain cuff bp u1869s : * * acquire the missing cuff to enable blood pressure measurement with the appropriate size. 2. * * document replacement : * * keep a record of the cuff replacement for future reference and maintenance purposes. 3. * * monitor performance : * * test the device after cuff installation to ensure proper functionality and accurate blood pressure readings. @topic:3


# # # issue - main board failure in philips intellivue mp70 ( m8007a ) bedside physiologic monitor. # # # impact - the monitor is unable to perform its intended functions, such as displaying patient vital signs. - this can lead to delayed or inaccurate diagnosis and treatment, potentially impacting patient safety. - the hospital may incur additional costs for repairs or replacement of the monitor. # # # possible causes - * * manufacturing defects : * * the main board may have been faulty from the time of manufacture. - * * overheating : * * the monitor may have been subjected to excessive heat, causing damage to the main board. - * * power surges : * * a power surge can damage the main board, especially if the monitor is not properly protected. - * * physical damage : * * the monitor may have been dropped or otherwise damaged, causing the main board to fail. - * * software glitches : * * a software issue can cause the main board to malfunction. # # # recommendations - * * regular maintenance : * * the monitor should be regularly inspected and maintained by qualified biomedical engineers to identify and fix any potential issues before they cause a failure. - * * proper use : * * the monitor should be used as per manufacturer's instructions to avoid any misuse or damage. - * * environmental controls : * * the monitor should be placed in a well - ventilated area to prevent overheating and protected from exposure to extreme temperatures or humidity. - * * power protection : * * the monitor should be connected to a power source with surge protection to prevent damage from power surges. - * * software updates : * * the monitor's software should be kept up to date with the latest version to avoid any software - related issues. @topic:2


# # # issue - the bed is not able to adjust. # # # impact - the patient may not be able to get into or out of the bed safely. - the patient may not be able to be positioned comfortably in the bed. - the bed may not be able to be used for its intended purpose. # # # possible causes - the electrical system within the bed may be faulty. - the bed's motor may be malfunctioning. - the bed's controls may be damaged. - the bed's frame may be bent or broken. # # # recommendations - the electrical system should be checked to ensure that it is functioning properly. - the bed's motor should be tested to ensure that it is working correctly. - the bed's controls should be inspected for any damage. - the bed's frame should be inspected for any bends or breaks. @topic:1


# # # issue - * * negative capnography readings * * # # # impact - * * inaccurate measurement of end - tidal co2 ( etco2 ) * *, a key indicator of respiratory function. this can lead to : - incorrect diagnosis and treatment decisions - compromised patient safety # # # possible causes - * * loose connector * * between the capnograph and the patient's airway ( as reported in the " description " field ) - * * malfunctioning sensor * * in the capnograph - * * electrical interference * * from other medical devices - * * incorrect calibration * * of the capnograph # # # recommendations - * * inspect and tighten * * the connector between the capnograph and the patient's airway - * * perform a diagnostic test * * to check the functionality of the sensor and other components - * * ensure * * there is no electrical interference from nearby devices - * * calibrate * * the capnograph according to the manufacturer's instructions - * * consider replacing * * the capnograph if the problem persists or if the sensor is malfunctioning @topic:4


* * issue * * the lcd monitor of the central monitor ( hewlett packard m3150a ) is not turning on. * * impact * * the medical staff cannot use the monitor to display patient information, vital signs, or other relevant data. * * possible causes * * * faulty power supply * defective lcd panel * damaged cables or connections * hardware failure in the monitor's circuitry * * recommendations * * * check the power supply by verifying that it is connected and providing power to the monitor. * inspect the lcd panel for any visible cracks or damage. * test the cables and connections by replacing them with known - good ones. * contact the manufacturer or a qualified technician for further troubleshooting and repair. * * additional notes * * * the input mentions that the power supply has been checked, but it's unclear whether the lcd panel or other components have been inspected. * the estimated cost of a new lcd monitor is provided, but the budget or approval for the repair is not confirmed. * the input indicates that the issue was resolved by ordering a new lcd monitor, but it's not clear if the root cause of the failure has been identified and addressed to prevent future occurrences. @topic:2


# # # issue - inability to adjust the bed. # # # impact - patient discomfort and / or limited mobility. - delayed or interrupted patient care. # # # possible causes - loose ac plug connection at the control box. # # # recommendations - ensure that the ac plug is securely connected to the control box. - inspect the ac plug and cable for any damage or loose connections. - replace the ac plug or cable if necessary. @topic:1


# # # issue electric bed not adjusting # # # impact patient discomfort or safety risk # # # possible causes - loose remote control cable - control panel malfunction - motor failure # # # recommendations 1. check the remote control cable for looseness and tighten as necessary. 2. inspect the control panel for damage or malfunction. 3. refer to the manufacturer's service manual to troubleshoot motor issues. @topic:1


# # # issue - * * n / a * * : the input text does not explicitly mention an issue. # # # impact - * * n / a * * : the input text does not explicitly mention an impact. # # # possible causes - * * loose / missing nuts * * : the nuts securing the headboard may have become loose or missing, leading to instability. - * * faulty remote * * : the malfunctioning remote may hinder the proper operation of the bed. # # # recommendations - * * tighten / replace nuts * * : inspect and tighten or replace any loose or missing nuts to ensure the headboard is securely attached. - * * repair / replace remote * * : diagnose and repair or replace the faulty remote to restore bed functionality. @topic:7


# # # issue - the hospital bed is making a loud noise when it is adjusted. # # # impact - the noise may be disruptive to patients and staff, and could make it difficult for patients to rest or sleep. # # # possible causes - lack of lubrication in the bed's joints - worn or damaged components in the bed's mechanism - improper assembly or installation of the bed # # # recommendations - lubricate the bed's joints with a silicone - based lubricant. - inspect the bed's components for wear or damage, and replace any damaged parts. - ensure that the bed is properly assembled and installed. @topic:9


# # # issue - bed is not adjustable, specifically the headrest cannot be lowered. # # # impact - patient discomfort or inability to receive proper medical care. # # # possible causes - * * faulty relay : * * the relay responsible for controlling the headrest adjustment may be malfunctioning, preventing the headrest from being lowered. - * * electrical issue : * * there may be an electrical problem with the wiring or power supply to the bed, affecting the functionality of the headrest adjustment. - * * mechanical issue : * * the mechanical components responsible for adjusting the headrest, such as gears or motors, may be damaged or obstructed, preventing proper movement. # # # recommendations - * * check and replace relay : * * replace the relay responsible for headrest adjustment with a new or known - good one. - * * inspect wiring and power supply : * * verify the electrical connections and power supply to the bed, ensuring proper voltage and connectivity. - * * examine mechanical components : * * check for any damaged or obstructed gears, motors, or other mechanical components that could prevent headrest adjustment. - * * further troubleshooting : * * if the above measures do not resolve the issue, contact the manufacturer or a qualified technician for further troubleshooting and repair. @topic:1


# # # issue - cuff of the philips suresigns vs2 monitor is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged during use. # # # recommendations - the cuff should be replaced with a new one. - the monitor should be tested to ensure that it is functioning properly. @topic:15


# # # issue - bis module is not reading values. # # # impact - inability to monitor patient's brain activity accurately. # # # possible causes - faulty bis module or connecting cable. # # # recommendations - replaced the faulty bis module and connecting cable with functional ones from a decommissioned set. - tested the device and confirmed normal operation. @topic:22


# # # issue - electric bed is not adjustable # # # impact - patients may not be able to be positioned properly for procedures or comfort # # # possible causes - faulty control board # # # recommendations - replace the control board @topic:1


# # # issue - malfunctioning ekg cable # # # impact - intermittent or absent ekg signal - compromised patient monitoring - inaccurate or delayed diagnosis and treatment # # # possible causes - physical damage to the cable, such as cuts, bends, or tears - loose connections or faulty internal wiring - corrosion or moisture damage - age - related deterioration # # # recommendations - replace the faulty ekg cable with a new one. - inspect and maintain ekg cables regularly to prevent damage. - use high - quality ekg cables designed for durability and reliability. - train staff on proper handling and care of ekg cables. - establish a system for tracking and replacing worn or damaged ekg cables. @topic:18


) ( a model beds ) or ( refer to procedure 4. 33 ) ( b model and newer beds ), and then go to “ function checks ” on page 2 - 5. 6. using the cpr control, adjust the head section to the high position. shock hazard : the potential for electrical shock exists with electrical equipment. failure to follow facility protocols may cause death or serious personal injury. a. remove the power supply cover. b. plug the unit into an appropriate power source. c. using a digital multimeter set to ac volts, on the ac power cable, check for the presence of the ac voltage. the voltage is correct. yes no ■i — > replace the ac power cable ( refer to procedure 4. 2 ) ( a model beds ) or ( refer to procedure 4. 33 ) ( b model and newer beds ), and then go to “ function checks ” on page 2 - 5. 7. using a digital multimeter set to ac volts, check for the presence of the ac voltage on the transformer connection on the motor control pc. board. the voltage is correct. yes no ■i — > replace the power supply ( a model beds ) ( refer to procedure 4. 3 ), or replace the motor control p. c. board ( refer to procedure 4. 27 ) and then go to “ function checks ” on page 2 - 5. 8. test the interface p. c. board. a. disconnect the patient pendant and siderails. b. connect a known good part. c. connect the patient pendant and siderails to the good part. all functions are operate correctly. page 2 - 14 careassist® and careassist® es bed service manual ( man330 rev 4 ) 2. 1 no functions work chapter 2 : troubleshooting procedures yes no ■i — > replace the original interface p. @topic:9


# # # issue the philips intellivue mx450 monitor is not linking to the central monitoring system. # # # impact this issue prevents the monitor from sending patient data to the central monitoring system, which can delay or prevent medical staff from being alerted to changes in the patient's condition. # # # possible causes - monitor is not connected to the network - incorrect network settings on the monitor - firewall or other network security measures are blocking the connection - central monitoring system is offline or not responding # # # recommendations * * troubleshooting steps * * 1. * * check network connection : * * ensure that the monitor is connected to the network using an ethernet cable. 2. * * verify network settings : * * check the network settings on the monitor to ensure that the correct ip address, subnet mask, and gateway are configured. 3. * * disable firewall and security measures : * * temporarily disable any firewall or security measures that may be blocking the connection. 4. * * restart central monitoring system : * * restart the central monitoring system to resolve any software or connectivity issues. * * additional measures * * 1. * * update firmware : * * ensure that the monitor is running the latest firmware, which may address any compatibility issues. 2. * * contact philips support : * * if the issue persists, contact philips technical support for further assistance. they may provide additional troubleshooting steps or arrange for a service technician to visit the site. @topic:16


( over 150 bpm for adults and over 180 bpm for pediatrics and when the heart rate changes, it can take several minutes for the qt interval to stabilize. for reliable qtc calculation it is important to avoid a region where the heart rate is changing. warning qt / qtc measurements should always be verified by a qualified clinician. all leads mode - all available leads ( i, ii, iii, v, mcl, v1 - v6 ) are used to produce a global qt measurement. for easi lead placement, directly acquired ai, as and es leads are used. primary - lead mode - the primary lead will be used for qt measurement. if the original primary lead becomes unavailable or is changed, qt measurement will continue with the new primary lead. • • 76 6 ecg, arrhythmia, st and qt monitoring single - lead mode - a single lead selected from all available leads ( except the augmented leads ) will be used for qt measurement. qt measurement will stop if the selected lead becomes unavailable. to select the mode, select the qt numeric to enter the setup qt analysis window. 1 select qt lead and select all, primary lead or one of the available single leads. 2 when using the all leads mode, make sure when you compare qt values that they are based on the changing the lead ( s ) used for qt measurements will not cause the baseline to be reset. qt view in the qt view window you can verify that the qt algorithm detects correct q and t points. aqtc v1 v6 v2 v3 v4 v5 0 qt qt 8vsi 80 ei 11 v1 v6 m v2 v3 v4 v5 qt 480 qt 80 660 1. 0sec qt - hr qt baseline from 16 apr 10 @topic:8


be used instead of the standard alarm delay. • the desat alarm always uses the standard alarm delay. standard alarm delay he standard alarm delay time can be configured to a fixed value between 0 and 30 seconds, i1 second steps. smart alarm delays the smart alarm delay functionality is currently not available in china or in clinical environments under sfda control. when smart alarm delays are used, the delay before the indication of an spo2 high or low limit alarm depends on the amount by which the limit is exceeded and for how long. this capability can be used to avoid alarms when the spo2 values show a pattern of recovering after a limit violation. there are three modes available, short, medium and long. all modes have a minimum delay of 10 seconds. the maximum delay is 25 seconds for short mode, 50 seconds for medium mode and 100 seconds for long mode. 195 9 monitoring spo2 alarm limit violation alarm limit 1 % + 2 % 3 % 4 % + eviation 5 % - from violated 6 % alarm limit 7 % 8 % 9 % 10 % os 10s 20s 50s 40s 70s 80s 100s 30s 60s esulting alarm delay hort mode medium mode this diagram shows the relationship between the alarm delay and the deviation from the alarm limit. the shaded areas on the diagram show the area in which spo2 values can violate the alarm limit without causing an alarm to be indicated. the area is smallest for the short mode, and is extended for the medium and long modes by the corresponding areas shown above. warning before using smart alarm delays, make sure that you fully understand how the delay is applied anwhat the consequences are. 96 9 monitoring spo2 alarm limit 1 % 2 % - 3 % - deviation from 4 % + - violated alarm 5 % - limit 6 % - 7 % - 8 % 9 % + 10 % - os 10s 20s 25s resulting @topic:17


# # # issue - cuff is damaged # # # impact - monitor may not be able to accurately measure vital signs. # # # possible causes - cuff may have been punctured or torn. - cuff may be too old or worn out. - cuff may not be the correct size for the patient. # # # recommendations - replace the damaged cuff with a new one. - inspect the cuff regularly for signs of damage. - ensure that the cuff is the correct size for the patient. - train staff on proper use and care of the monitor and cuff. @topic:5


# # # issue * keypad on the left side of the patient's bed is not functioning due to a broken wire. * the keypad board on the right side of the patient's bed is shorted. # # # impact * the patient is unable to adjust the bed using the keypad. * the bed may not be able to be positioned correctly for the patient's needs. # # # possible causes * the wire on the left side keypad may have been broken due to wear and tear or damage. * the keypad board on the right side may have been shorted due to a power surge or other electrical fault. # # # recommendations * replace the broken wire on the left side keypad. * replace the shorted keypad board on the right side. @topic:25


# # # issue - the technician installed a new backup battery in the bed. # # # impact - the backup battery is necessary to ensure that the bed remains operational in the event of a power outage. # # # possible causes - the technician may have installed the battery incorrectly. - the battery may be defective. # # # recommendations - the technician should verify that the battery is installed correctly. - the technician should test the battery to ensure that it is functioning properly. - if the battery is defective, the technician should replace it with a new one. @topic:9


# # # issue - saturation ( spo2 ) sensor is not providing readings. # # # impact - inability to monitor patient's blood oxygen levels accurately. # # # possible causes - * * faulty spo2 sensor : * * the sensor itself may be malfunctioning and unable to read the patient's oxygen saturation. - * * loose or damaged spo2 cable : * * the cable connecting the sensor to the monitor may be loose or damaged, preventing data transfer. - * * incorrect sensor placement : * * the sensor may not be placed correctly on the patient's finger or earlobe, resulting in inaccurate readings. - * * interference from other medical devices : * * electromagnetic interference from nearby devices, such as defibrillators or mri machines, can affect the accuracy of the spo2 readings. # # # recommendations - * * replace the spo2 sensor : * * replace the faulty sensor with a new one to ensure accurate readings. - * * check the spo2 cable : * * inspect the cable for any damage or loose connections. replace the cable if necessary. - * * ensure correct sensor placement : * * place the sensor snugly on the patient's finger or earlobe, following manufacturer's instructions. - * * eliminate electromagnetic interference : * * identify and remove any potential sources of electromagnetic interference near the patient's bed. @topic:4


# # # issue - cuff is damaged # # # impact - blood pressure monitoring is not accurate. # # # possible causes - cuff is old and worn out. - cuff is not properly inflated. - cuff is too small or too large for the patient. - cuff is not properly attached to the monitor. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated. - use a cuff that is the correct size for the patient. - make sure that the cuff is properly attached to the monitor. @topic:3


# # # issue - saturation of peripheral oxygen ( spo2 ) sensor failure. # # # impact - inability to accurately monitor the patient's blood oxygen saturation levels. # # # possible causes - * * damaged spo2 sensor cable : * * the cable connecting the spo2 sensor to the monitor may be damaged or frayed, leading to signal loss or incorrect readings. - * * faulty spo2 sensor : * * the sensor itself may be malfunctioning, providing inaccurate or unreliable data. - * * improper sensor placement : * * the spo2 sensor may not be placed correctly on the patient's finger or earlobe, resulting in poor signal quality. - * * motion artifacts : * * excessive patient movement can interfere with the measurement of spo2 levels. - * * electromagnetic interference : * * other medical devices or electrical equipment in the vicinity may emit electromagnetic interference that disrupts the spo2 signal. # # # recommendations - * * inspect the spo2 sensor cable : * * check for any visible damage or breaks in the cable, and replace it if necessary. - * * test the spo2 sensor : * * use a separate monitor or simulator to verify the functionality of the sensor. - * * ensure proper sensor placement : * * position the sensor correctly on the patient's finger or earlobe, and secure it to minimize movement. - * * minimize motion artifacts : * * instruct the patient to remain still during spo2 measurements. - * * reduce electromagnetic interference : * * identify and relocate any sources of electrical interference, such as nearby devices or equipment. @topic:4


* * issue : * * headboard cannot be adjusted * * impact : * * patient discomfort, difficulty with medical procedures * * possible causes : * * 1. * * faulty remote control : * * the remote control may be malfunctioning or may not be communicating properly with the bed. 2. * * problem with actuator mechanism : * * the actuators responsible for adjusting the headboard may be faulty or obstructed. 3. * * electrical issue : * * faulty wiring or loose connections may be preventing power from reaching the actuators. 4. * * mechanical failure : * * components within the bed frame or headboard itself may have become worn or damaged, preventing movement. * * recommendations : * * 1. * * test remote control : * * replace the batteries or try using a different remote control to rule out any issues with the remote. 2. * * inspect actuators : * * check for any visible damage or obstructions to the actuators. if possible, manually move the actuators to verify their functionality. 3. * * check electrical connections : * * ensure that all electrical connections are secure and that the bed is receiving power. 4. * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the bed for further troubleshooting and possible repair. @topic:1


# # # issue : cuff bp deterioration # # # impact : inability to accurately measure blood pressure # # # possible causes : - age and wear of the cuff - prolonged exposure to heat or moisture - damage from improper handling or storage - manufacturing defects # # # recommendations : - regular inspection and replacement of the cuff according to manufacturer's guidelines - proper storage and handling of the cuff - training of staff on proper use and maintenance of the equipment - regular calibration and maintenance of the equipment @topic:3


* * issue : * * - broken hinge joint on the patient transport monitor. * * impact : * * - the monitor cannot be used to transport patients safely. * * possible causes : * * - the * * air hose connector joint * * may have failed, causing the hinge joint to become loose and broken. - the hinge joint may have been damaged by excessive force or improper use. * * recommendations : * * - * * replace the air hose connector joint * * and test the monitor to ensure it is working properly. - inspect the hinge joint for any other damage and repair or replace as necessary. - train staff on the proper use of the monitor to prevent future damage. @topic:12


# # # issue - display screen is blank # # # impact - inability to monitor patient's vital signs - delays in treatment - patient safety risks # # # possible causes - loose ac connection - faulty power supply - damaged display panel - software glitch - hardware failure # # # recommendations - check and tighten all ac connections - inspect power supply for damage or loose connections - contact the manufacturer for further troubleshooting and repair - update software if available - replace damaged display panel if necessary @topic:2


# # # issue - the welch allyn connex spot monitor is not displaying an accurate body temperature reading. # # # impact - the inaccurate body temperature reading could lead to incorrect patient diagnosis and treatment. # # # possible causes - the thermoscan battery is nearly depleted. # # # recommendations - replace the thermoscan battery. @topic:20


# # # issue - equipment : beds, electric - brand : hill - rom - model : care assist es - * * description : * * the bme ( biomedical engineer ) observed a blinking green light on the battery. after consulting with xovic, the bme was informed that the green light indicates normal operation of the bed, as opposed to an orange light which would indicate an issue. the bme then unplugged and replugged the ac power cord, and the bed functioned normally afterward. # # # impact - the blinking green light on the battery initially raised concerns about the bed's functionality, prompting the bme to investigate and consult with xovic. # # # possible causes - * * faulty battery connection : * * the blinking green light could have been caused by a loose or faulty connection between the battery and the bed. - * * temporary power fluctuation : * * the blinking green light could have been caused by a temporary power fluctuation that momentarily disrupted the bed's power supply. # # # recommendations - * * inspect battery connections : * * regularly inspect the battery connections to ensure they are secure and free of corrosion. - * * monitor power supply : * * ensure that the bed is connected to a reliable and stable power source to minimize the risk of power fluctuations. @topic:9


# # # issue - failure of the temperature sensor in the philips suresigns vs4 vital signs monitor. # # # impact - reduced accuracy of temperature measurements, which can lead to misdiagnosis or improper treatment. # # # possible causes - * * faulty sensor : * * the temperature sensor itself may be malfunctioning due to manufacturing defects, wear and tear, or damage. - * * loose connections : * * the connection between the sensor and the monitor may be loose, causing intermittent or unreliable temperature readings. - * * software or firmware bugs : * * the software or firmware that controls the temperature sensor may contain bugs that result in incorrect readings or system crashes. - * * electromagnetic interference ( emi ) : * * nearby electronic devices or equipment may emit electromagnetic waves that interfere with the sensor's operation. # # # recommendations - * * verify connections : * * check all connections between the sensor and the monitor to ensure they are secure and not loose. - * * update software or firmware : * * contact the manufacturer to inquire about any available software or firmware updates that may resolve the issue. - * * shield from emi : * * identify and relocate potential sources of electromagnetic interference to minimize their impact on the sensor. - * * calibrate the sensor : * * use a calibrated test device to ensure the temperature sensor is reading accurately. - * * replace the sensor : * * if the above steps do not resolve the issue, the temperature sensor may need to be replaced with a new one. @topic:20


* * issue : * * - bedside rail ( bedside bar ) was wobbling. * * impact : * * - the patient's safety could be compromised as there is a risk of the patient falling out of bed. * * possible causes : * * - the bedside rail was not properly tightened. - the bedside rail was damaged. - the bed frame was damaged. * * recommendations : * * - inspect the bedside rail and ensure that it is properly tightened. - if the bedside rail is damaged, replace it. - if the bed frame is damaged, contact the manufacturer for repairs. @topic:6


# # # issue - vital signs monitor is unable to measure blood pressure. # # # impact - inability to monitor patient's blood pressure accurately. # # # possible causes - * * faulty cuff : * * the cuff used to measure blood pressure may be damaged or defective, leading to inaccurate readings. - * * loose or disconnected tubing : * * the tubing connecting the cuff to the monitor may be loose or disconnected, preventing the monitor from receiving accurate readings. - * * malfunctioning monitor : * * the monitor itself may be experiencing technical issues that prevent it from accurately measuring blood pressure. # # # recommendations - * * check the cuff : * * inspect the cuff for any visible damage or defects. replace the cuff if necessary. - * * secure the tubing : * * ensure that the tubing connecting the cuff to the monitor is securely attached and not kinked or obstructed. - * * troubleshoot the monitor : * * perform a diagnostic test on the monitor to check for any error codes or technical issues. if necessary, contact the manufacturer for technical support or repair. @topic:14


# # # issue the input does not provide any information about a failure, only that the technician replaced the batteries and remote control stickers on the bed. # # # impact since there is no information about a failure, there is no impact to report. # # # possible causes not applicable. # # # recommendations not applicable. @topic:9


volume automatically during the time when the alarm is not acknowledged. visual alarm indicators warning • no alarms are available on an x2 or mp5 when connected to a host monitor. alarms become active again as soon as the x2 or mp5 is disconnected from the host monitor. • alarm fields and other visual alarm indicators are disabled on an x2 or mp5 when connected to a host monitor. the only visual alarm indication is provided by the alarm lamps, which are controlled by the host monitor. companion mode no alarm display alarm message : an alarm message text appears in the alarm status area at the top of the screen indicating the source of the alarm. if more than one measurement is in an alarm condition, the message changes every two seconds, and has an arrow ( t ) at the side. the background color of the alarm message matches the alarm priority : red for red alarms, yellow for yellow alarms, light blue for standard inops, red for red inops and yellow for yellow inops. the asterisk symbols ( * * ) beside the alarm message match the alarm priority : * * * for red alarms, * * for yellow alarms, * for short yellow alarms. standard inops do not have a symbol, red and yellow inops have exclamation marks beside the alarm message :!!! for red inops and!! for yellow inops. depending on how your monitor is configured, it may display alarm limit violation messages • in text form, for example “ * * sp0 2 low ” or • in numeric form, for example “ * * sp0 2 9406 ”, where the first number shows the maximum deviation from the alarm limit, and the second number shows the currently set limit. flashing numeric : the numeric of the measurement in alarm flashes. bright alarm limits : if the alarm was triggered by an alarm limit violation, the corresponding alarm limit on @topic:8


# # # issue - the bed electric's wooden barrier cannot be adjusted downwards. # # # impact - patients may fall out of bed due to a lack of safety barriers. # # # possible causes - the wooden barrier is not properly connected to the bed frame. - the wooden barrier is damaged and needs to be replaced. - the bed electric's motor is not functioning properly. # # # recommendations - inspect the wooden barrier and ensure it is securely connected to the bed frame. - replace the wooden barrier if it is damaged. - test the bed electric's motor to ensure it is functioning properly. - if the problem persists, contact the manufacturer for further assistance. @topic:6


# # # issue - the electric bed is not adjustable. # # # impact - the patient may not be able to get into or out of bed comfortably. - the patient may not be able to position themselves properly for medical procedures. # # # possible causes - loose or damaged electrical connections - faulty motor or gearbox - broken or damaged remote control - software issues # # # recommendations 1. check the electrical connections to the bed and make sure they are tight and secure. 2. inspect the motor and gearbox for any signs of damage or wear. 3. test the remote control to make sure it is sending signals properly. 4. if the problem persists, contact the manufacturer for technical support. @topic:1


# # # issue the monitors lcd ( model : oev262h ) from olympus is not displaying an image from the fob machine. # # # impact the technician was unable to view the image from the fob machine on the lcd monitor, which prevented them from completing their task. # # # possible causes - the video cable connecting the fob machine to the lcd monitor may be loose or damaged. - the video input settings on the lcd monitor may be incorrect. - the lcd monitor may be faulty. # # # recommendations - check the video cable connection between the fob machine and the lcd monitor. if the cable is loose, tighten it. if the cable is damaged, replace it. - check the video input settings on the lcd monitor. make sure that the correct input is selected and that the monitor is set to the correct resolution. - if the video cable and video input settings are correct, then the lcd monitor may be faulty. contact the manufacturer for troubleshooting assistance. @topic:2


# # # issue - vital signs monitor not interfacing with the central monitoring system ( vsm ) # # # impact - inability to display patient vital signs on the central monitor - delay in detecting and responding to patient deterioration # # # possible causes - loose or disconnected cables - incorrect configuration settings - software or hardware malfunction - communication protocol mismatch # # # recommendations 1. check if the cables connecting the monitor to the central system are properly connected and secure. 2. review the configuration settings on both the monitor and the central system to ensure they match. 3. perform a diagnostic test to identify any hardware or software issues. 4. verify if the communication protocol used by the monitor is compatible with the central system. 5. contact the manufacturer for support or replacement parts if necessary. @topic:16


# # # issue - bedside rail cannot be raised. # # # impact - patient safety hazard - inconvenience for caregivers # # # possible causes - broken or damaged bedside rail lift mechanism - electrical fault in the bed - loose or disconnected wiring - faulty control panel # # # recommendations - inspect the bedside rail lift mechanism for any visible damage or wear. - check the electrical connections to the bed and ensure they are secure. - test the control panel to verify that it is functioning properly. - if the issue cannot be resolved, contact the manufacturer or a qualified biomedical engineer for further assistance. @topic:6


# # # issue bedside physiologic monitors ( philips intellivue mp70 ) are not transmitting non - invasive blood pressure ( nbp ) readings to the icca system. # # # impact nbp readings are a vital sign that is used to assess a patient's condition. if nbp readings are not transmitted to the icca system, they will not be available to clinicians to review and trend. this could lead to delayed diagnosis and treatment. # # # possible causes * the nbp sensor is not properly connected to the monitor. * the nbp sensor is not functioning properly. * the monitor is not properly configured to transmit nbp readings to the icca system. * the icca system is not properly configured to receive nbp readings from the monitor. # # # recommendations * check that the nbp sensor is properly connected to the monitor. * replace the nbp sensor if it is not functioning properly. * configure the monitor to transmit nbp readings to the icca system. * configure the icca system to receive nbp readings from the monitor. @topic:15


# # # issue - equipment : bed, electric - band : huntleigh - model : contoura 360 - description : the control cable for the knee adjustment has come loose. - cause of failure : the knee adjustment is not working. # # # impact - the patient may not be able to get into or out of bed comfortably. - the patient may be at risk of injury if the bed is not adjusted correctly. # # # possible causes - the control cable may have been accidentally disconnected. - the control cable may be damaged. - the knee adjustment mechanism may be faulty. # # # recommendations - check the control cable to make sure that it is properly connected. - if the control cable is damaged, it will need to be replaced. - if the knee adjustment mechanism is faulty, it will need to be repaired or replaced. @topic:9


# # # issue - battery failure # # # impact - the device may not be able to function properly or may shut down unexpectedly. - this could lead to a loss of patient data or a delay in treatment. # # # possible causes - the battery may be old and worn out. - the battery may have been damaged by a power surge or other event. - the battery may not be compatible with the device. # # # recommendations - replace the battery with a new one that is compatible with the device. - test the device to ensure that it is functioning properly. - monitor the battery life and replace it regularly. @topic:11


# # # issue : probe cannot measure oxygen saturation # # # impact : - the device cannot accurately measure oxygen saturation levels in patients. - this can lead to incorrect diagnoses and treatment decisions. # # # possible causes : - the probe may be damaged or defective. - the probe may not be properly connected to the device. - the patient may have poor circulation. - the patient may have a low oxygen saturation level. # # # recommendations : - inspect the probe for damage or defects. - check the connection between the probe and the device. - assess the patient's circulation. - if the patient has a low oxygen saturation level, administer oxygen therapy. @topic:4


# # # issue the bed, electric, model contoura 390, manufactured by huntleigh, is not adjusting properly. # # # impact the inability to adjust the bed can impact the patient's comfort, safety, and overall well - being. it can also affect the efficiency of healthcare providers in providing care to the patient. # # # possible causes the cause of failure in this instance is identified as a loose remote control cable. this can occur due to several factors, including : - * * wear and tear : * * the cable may have become loose over time due to repeated use or exposure to harsh conditions. - * * accidental disconnection : * * the cable may have been accidentally disconnected during cleaning or maintenance. - * * defective cable : * * the cable itself may have a manufacturing defect or may have been damaged during installation or use. # # # recommendations to resolve the issue and prevent future occurrences, the following recommendations are suggested : 1. * * inspect the remote control cable : * * examine the cable for any visible damage or loose connections. ensure that the cable is securely connected to both the bed and the remote control unit. 2. * * test the bed's functionality : * * once the cable is reconnected, test the bed's ability to adjust properly. if the problem persists, further troubleshooting may be necessary. 3. * * consider replacing the cable : * * if the cable appears damaged or if the problem cannot be resolved by reconnecting it, consider replacing the cable with a new one. 4. * * regular maintenance : * * implement a regular maintenance schedule to inspect and clean the bed, including the remote control cable, to prevent future issues. @topic:7


alarm led board. 8 remove the alarm led board. removing the lcd panel ( mx400 ) 1 separate the front and back of the monitor as described in “ separating the front and back of the monitor ” on page 146. 2 remove the short range radio board ( s ) as described in “ removing the short range radio board ( s ) ( mx400 ) ” on page 147. 3 remove the panel adapter board as described in “ removing the panel adapter board ( mx400 ) ” on page 152. 4 remove the five screws from the lcd panel chassis. 159 [ 5 repair and disassembly ] 5 lift out the lcd panel. 6 unplug and remove the remaining two cables from the lcd panel so they can be used with the exchange panel. removing the lcd panel ( mx450 / mx500 ) 1 separate the front and back of the monitor as described in the section “ separating the front and back of the monitor ” on page 146. 2 remove the panel adapter board as described in “ removing the panel adapter board ( mx450 / mx500 ) ” on page 153. 3 remove the screws from the two clamps holding the display housing frame. 160 5 repair and disassembly ) 4 release the two clamps by pushing them upwards. 5 release the latch at the bottom of the frame by pushing it forwards, then lift up the frame. 6 remove the six screws from the back of the lcd panel. 7 lift out the lcd panel. 161 [ 5 repair and disassembly ] 8 unplug and remove the two remaining cables from the lcd panel so they can be used with the exchange panel. 9 reassemble the front of the monitor by performing the above steps in reverse order. when reinserting the frame, position it at a right angle so it correctly clicks into the housing. press the frame and @topic:19


# # # issue - the bed cannot be adjusted. # # # impact - the patient may not be able to get in or out of bed. - the patient may not be able to be positioned correctly for medical procedures. # # # possible causes - the rainguard is pressing on the sensor wire for adjusting the bed. # # # recommendations - reorganize the sensor wires so that they are not pressed on by the rainguard. - test the bed to make sure that it can be adjusted properly. @topic:1


from the power supply rc. board. 9. plug the bed into an appropriate power source. 10. use the bed hilow control, to raise the hilow column to the same height as the bed. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 11. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 12. connect the head hilow column to the power supply p. c. board. 13. perfonn the removal procedure in reverse order. 14. plug the bed into an appropriate power source. 15. operate the trendelenburg function to make sure there is no tension in the cables on the column. 16. do the “ function checks ” on page 2 - 5. page 4 - 72 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 23 load beams ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 23 load beams ( b model and newer beds ) tools required : 13 mm socket ratchet ( 2 ) jack stands t15 torx® 1 screwdriver wire cutters antistatic strap string, 10 ’ ( 305 cm ) note : the load cell bracket assembly must be changed as an assembly. the individual load cells are not replaceable. removal 1. set the brakes. 2. remove the headboard. 3. raise the head section to the full up position. 4. for foot end load beams, do as follows, otherwise go to step 5 : a. remove the foot and seat sections of the sleep deck. b. remove the central channel cover. c. mark the location of the cable ties and load cell cables attach to the bed. warning : do not work under an unsupported load. install @topic:26


the cuff to another site or stop the blood pressure measurements immediately. check more frequently when making automatic or stat measurements. correcting the measurement if limb is not at heart level to correct the measurement if the limb is not at heart level, to the displayed value add 0. 75mmhg ( o. lokpa ) for each centimeter higher or deduct 0. 75mmhg ( o. lokpa ) for each centimeter lower or add 1. 9mmhg ( 0. 25kpa ) for each inch higher. deduct 1. 9mmhg ( 0. 25kpa ) for each inch lower. understanding the nbp numerics alarm source measurement mode timestamp / / timer 160 90 auto 136 / 85 ( 99 ) alarm limits diastolic mean pressure depending on the nbp numeric size, not all elements may be visible. your monitor may be configured to display only the systolic and diastolic values. alarm sources if you have parallel alarm sources, the sources are displayed instead of the alarm limits. 179 10 monitoring nbp starting and stopping measurements nbp timestamp depending on the configured nbp time setting, the time shown beside the nbp numeric can be : - meas time : the time of the most recent nbp measurement, or - next meas : the time until the next measurement in an automatic series, displayed with a graphic representation of the remaining time, as shown here. 8 : 51 during measurements the cuff pressure is displayed instead of the units and the repeat time. an early systolic value gives you a preliminary indication of the systolic blood pressure during measurement. starting and stopping measurements use the setup menu, smartkeys or the mms hardkey to start and stop measurements. action to be performed nbp setup menu smartkeys mms hardkey start manual measurement @topic:17


# # # issue : remote control shattered # # # impact : - the electric bed cannot be operated remotely, which may cause inconvenience to patients and caregivers. - difficulty in controlling bed functions such as height adjustment, head / foot elevation, and side rail operations. # # # possible causes : - accidental dropping or mishandling of the remote control. - faulty design or manufacturing defect that weakens the remote control's casing. - excessive wear and tear over time. # # # recommendations : - replace the shattered remote control with a new one. - advise users to handle the remote control with care to prevent accidental damage. - inspect the remote control for any signs of wear or damage, and if found, replace it promptly. - consider using a protective case or cover for the remote control to minimize the risk of damage. - check the manufacturer's guidelines for proper handling and maintenance of the remote control. @topic:7


# # # issue - remote control failure # # # impact - inability to adjust bed height and position - inconvenience for patients and healthcare providers # # # possible causes - electrical short circuit in the remote control - component failure in the remote control circuit - battery depletion or damage # # # recommendations - inspect the remote control for visible damage or corrosion. - replace the batteries and check for proper functionality. - if the issue persists, further troubleshooting and component - level repair may be necessary. - consider the possibility of a short circuit in the bed's electrical system if multiple remote controls exhibit similar issues. @topic:7


# # # issue - cuff of the physiologic monitor is malfunctioning. # # # impact - the physiologic monitor may not be able to accurately measure vital signs, such as blood pressure. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - inspect the cuff for any damage. - ensure that the cuff is the correct size for the patient. @topic:5


# # # issue - cuff bp cuff damage # # # possible causes - pressure cuff was not inflated slowly and properly. - pressure cuff was not disinfected with the appropriate materials. - pressure cuff was not stored properly. - cuff is too small or too large for the patient. # # # recommendations - teach technicians the importance of inflating the pressure cuff slowly and properly. - provide technicians with the appropriate materials for disinfecting the pressure cuff. - ensure that pressure cuffs are stored properly. - measure the patient's arm to ensure that the correct size of the cuff is used. - refer to manufacturer guidelines and recommended replacement intervals for pressure cuffs. @topic:3


mattress ( 198 x 90 x 14 cm ) - x pah005010180 - 1 accumax quantum vpc ad mattress ( 203 x 89 x 18 cm ) p280 overlay mattress ( 230v ) ( 203 x 90 x 10 cm ) p280 overlay mattress ( 120v ) ( 203 x 90 x 10 cm ) p280 mrs mattress base ( 230v ) ( 198 x 85x 17 cm ) p280 mrs mattress base ( 120v ) ( 198 x 85x 17 cm ) p280 air mattress ( 230v ) ( 198 x 85x 17 cm ) 005856a p005858a 005987a x p006052a p006172a x x clamp position part number name s l p006173a hs01coxx p280 air mattress ( 120v ) ( 198 x 85x 17 cm ) x fusion hybrid mattress ( 197 x 88 x 17 cm ) x fhm03 fusion hybrid mattress - standard ( 197 x 88 x 17 cm ) fusion hybrid mattress - x - ray ( 197 x 88 x 17 cm ) p290 air overlay mattress ( 200 x 90 x 10 cm ) fhm04 290a1 p290 foam base mattress + air overlay ( 200 x 90 x 17 cm ) p290a2 p290a3 x p290 air mattress ( 200 x 90 x 17 cm ) extension mattress ass078 a. the xx code of the fusion hybrid mattress corresponds to the customization of the model. these codes range from 06 to 17. i. e., from fhs01c006 to fhs01c017. recommended traction frame st875a t39 traction frame using traction frames on beds fitted with a weigh system or a bed exit alerts system may compromise the accuracy of the weigh @topic:9


##ference to ensure accurate pressure readings. - * * use appropriate techniques : * * when inflating the cuff, follow the manufacturer's instructions and avoid over - inflating or squeezing the cuff excessively, as this can damage the cuff or sensor. @topic:3


# # # issue - the connex spot monitor cannot be turned on. # # # impact - the patient's vital signs cannot be monitored. # # # possible causes - the battery is dead. - the power cord is not properly connected. - the monitor is not receiving power from the wall outlet. - the monitor is defective. # # # recommendations - check the battery and replace it if necessary. - make sure the power cord is securely connected to the monitor and the wall outlet. - try plugging the monitor into a different wall outlet. - if the problem persists, contact the manufacturer for service. @topic:2


# # # issue - faulty module within the bedside physiologic monitor # # # impact - potential disruption of patient monitoring, leading to delayed or inaccurate diagnosis and treatment # # # possible causes - manufacturing defects - wear and tear over time - improper maintenance or handling - power surges or electrical faults # # # recommendations - replace the faulty module as soon as possible to restore full functionality of the monitor. - perform regular maintenance and inspections to prevent similar failures in the future. - ensure proper handling and storage of the equipment to minimize wear and tear. - install surge protectors or uninterruptible power supplies to protect the equipment from electrical faults. @topic:2


# # # issue : - equipment : electric hospital bed - brand : huntleigh - model : 25800 e / l - failure : failure to adjust the head downward, causing the bed to become stuck # # # impact : - patient discomfort due to inability to adjust head position - inconvenience for healthcare staff in providing patient care # # # possible causes : - faulty remote control - malfunctioning bed motor - obstruction in the bed mechanism # # # recommendations : - replace the remote control with a new one - inspect and repair the bed motor if necessary - ensure that the bed mechanism is clear of any obstructions @topic:1


# # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the medical cart's screen is black and not displaying anything. # # impact - the medical cart cannot be used for its intended purpose, which may impact patient care. # # possible causes - power supply issue - loose cable connection - faulty display panel - internal hardware failure # # recommendations - check the power supply to ensure that the medical cart is receiving power. - inspect the cables connecting the display panel to the cart and ensure that they are securely connected. - if the display panel is damaged, it may need to be replaced. - if the internal hardware has failed, the cart may need to be repaired or replaced. @topic:13


# # # issue - cuff is defective # # # impact - patient monitoring is inaccurate or unavailable # # # possible causes - cuff is damaged due to wear and tear - cuff is not properly inflated - cuff is not the correct size for the patient # # # recommendations - replace the cuff with a new one - ensure that the cuff is properly inflated - use the correct size cuff for the patient @topic:5


# # # issue - loose ac box control cable # # # impact - equipment malfunction or reduced functionality # # # possible causes - wear and tear on the cable - improper installation or use - faulty connections # # # recommendations - tighten the ac box control cable securely - ensure proper cable routing and avoid sharp bends - inspect the cable and connections for any damage or wear - contact the manufacturer or qualified technician for further assistance if the issue persists @topic:12


# # # issue the cause of failure for the bed, electric is listed as droppler ccu1. # # # impact the impact of this failure is that the bed may not be able to be used safely or effectively. this could have a negative impact on patient care and safety. # # # possible causes the possible causes of this failure include : - a problem with the doppler ccu1 sensor - a problem with the wiring or connections to the doppler ccu1 sensor - a problem with the software or firmware that controls the doppler ccu1 sensor # # # recommendations the following recommendations are made to address this issue : - inspect the doppler ccu1 sensor for any damage or defects. - check the wiring and connections to the doppler ccu1 sensor for any loose or damaged connections. - update the software or firmware that controls the doppler ccu1 sensor to the latest version. - if the problem persists, contact the manufacturer of the bed for further assistance. @topic:9


# # # issue - the propaq lt monitor is not able to measure blood pressure ( bp ). # # # impact - patients may not receive accurate bp readings, which can lead to incorrect diagnosis and treatment. # # # possible causes - * * damaged cuff : * * the cuff is an important component of the bp measurement system, and if it is damaged, it can prevent the monitor from getting an accurate reading. - * * loose connections : * * the cuff may not be properly connected to the monitor, which can also prevent an accurate reading. - * * software issues : * * the monitor's software may have a bug that is preventing it from measuring bp correctly. - * * hardware issues : * * there may be a hardware issue with the monitor that is preventing it from measuring bp correctly. # # # recommendations - * * inspect the cuff : * * check the cuff for any damage or wear and tear. if the cuff is damaged, it should be replaced. - * * check the connections : * * make sure that the cuff is properly connected to the monitor. - * * update the software : * * if there is a software update available for the monitor, it should be installed. - * * contact the manufacturer : * * if the problem persists, contact the manufacturer of the monitor for assistance. @topic:14


# # # issue - the remote control of the electric bed is shorted and cannot be used. # # # impact - the patient cannot use the bed to adjust their position or to get out of bed safely. - the nurses and other healthcare providers cannot use the bed to move the patient or to perform procedures. # # # possible causes - the remote control is damaged or defective. - the wiring between the remote control and the bed is damaged or faulty. - there is a loose connection between the remote control and the bed. # # # recommendations - check the remote control for any visible damage or defects. - inspect the wiring between the remote control and the bed for any damage or faults. - ensure that the connection between the remote control and the bed is secure. - replace the remote control if it is damaged or defective. - repair the wiring between the remote control and the bed if it is damaged or faulty. - tighten the connection between the remote control and the bed if it is loose. @topic:7


i d i : touch screen board cable " tl ia t - n n. ø sig ` 10 rotate the monitor and disconnect the two cables from the opposite side of the main board. repairing the monitor suresigns vs4 service guide 5 - 15 removing the faceplate or recorder reassembling the front and rear cases to reassemble the front and rear cases : step 1 connect all cables. 2 line up the tab on the front assembly case with the handle on the rear case, and then slip the front assembly case over the handle. 3 snap the two assembly cases together and install the four screws. 4 power up the monitor. if the monitor starts properly, perform the required performance tests ( see “ testing and inspection guidelines ” on page 3 - 1 ). removing the faceplate or recorder to remove the faceplate or optional recorder : step 1 shut down the monitor. see “ shutting down the monitor ” on page 5 - 2. 2 go to the step appropriate for your monitor : for monitors without the optional recorder, go to step 3. for monitors with an optional recorder, go to step 5. 3 remove the plastic labels covering the two torx t10 screws holding the faceplate to the monitor case. repairing the monitor 5 - 16 suresigns vs4 service guide removing the faceplate or recorder 4 remove the two screws, and lift the faceplate off. 5 open the recorder door on the rear case assembly and remove the paper roll. 6 loosen ( do not remove ) the two torx t10 screws holding the recorder to the monitor case. repairing the monitor suresigns vs4 service guide 5 - 17 removing the main board assembly 7 place your thumbs on either side of the recorder case and pull it straight out of the assembly and away from the recorder connector on the main board. caution when you reassemble the recorder or face @topic:19


# # # issue - remote control on the left side cannot be adjusted. # # # impact - inconvenience in using the bed. # # # possible causes - broken wire in the remote control cable. # # # recommendations - solder the broken wire in the cable. @topic:7


# # # issue - bed is stuck in a tilted position # # # impact - patient discomfort - difficulty in providing care - increased risk of falls # # # possible causes - faulty electrical connections - mechanical failure in the motor or gears - safety feature activated due to improper operation or collision. # # # recommendations - * * first responder : * * - ensure that the bed is plugged in and the power switch is turned on. - check for loose or damaged electrical connections. - try to reset the bed by turning it off and then back on. - consult with the equipment manufacturer or a qualified biomedical engineer. - * * biomedical engineer : * * - inspect the bed for any visible damage or loose components. - test the electrical connections and the motor. - replace any faulty components. - calibrate the bed according to the manufacturer's instructions. - * * preventive maintenance : * * - regularly inspect the bed for signs of wear or damage. - lubricate moving parts as per the manufacturer's recommendations. - train staff on proper bed operation and safety features. @topic:1


# # # issue - scanner is not working # # # impact - inability to use the medical cart for scanning purposes # # # possible causes - faulty scanner - loose connections - software issues - battery issues # # # recommendations - * * check the scanner : * * ensure that the scanner is properly connected to the medical cart and that the power supply is adequate. - * * inspect the connections : * * examine the cables and connectors between the scanner and the medical cart for any damage or loose connections. - * * update software : * * verify if there are any available software updates for the scanner and install them if necessary. - * * replace the battery : * * if the scanner uses a battery, replace it with a new one to eliminate any potential battery - related issues. - * * contact manufacturer : * * if the issue persists, contact the manufacturer of the scanner for further troubleshooting and repair options. @topic:23


# # # issue - battery failure # # # impact - inability to access patient data and perform medical tasks # # # possible causes - * * battery depletion : * * use of keyboard has drained the battery. - * * old or faulty battery : * * the existing battery may have been used for an extended period or may be defective. # # # recommendations - * * replace battery : * * replace the depleted or faulty battery with a new one of the correct type and voltage. - * * check battery connection : * * ensure that the battery is properly connected to the keyboard. - * * monitor battery usage : * * pay attention to battery life and replace batteries as needed to prevent future failures. @topic:27


# # # issue - bed electric huntleigh contoura 390 has difficulty adjusting the bed rails. # # # impact - patients may be at risk of falling out of bed. - staff may be injured while trying to adjust the bed rails. # # # possible causes - the bed rails may be bent or damaged. - the mechanism that adjusts the bed rails may be malfunctioning. - the bed rails may be obstructed by something. # # # recommendations - inspect the bed rails for any damage. - test the mechanism that adjusts the bed rails. - remove any obstructions that may be preventing the bed rails from adjusting. - if the problem persists, contact the manufacturer for further assistance. @topic:1


3 1. pediatric / adult sensor 2. pediatric sensor 3. infant / neonatal sensor warning to prevent stress on the endotracheal tube, support the sensor and airway adapter. position sensor cables and tubing carefully to avoid entanglement or potential strangulation. do not apply excessive tension to any cable or tubing. replace the sensor, if excessive moisture or secretions are observed in the tubing and cannot bremoved by a purge cycle. reuse poses a patient hazard. do not disassemble, clean, disinfect or sterilize the sensor. system leak may significantly affect readings of flow, volume, pressure and other respiratorechanics parameters. a do not leave the sensor in the patient circuit when not connected to the monitor. note do not place the airway adapter between the endotracheal tube and the elbow ( pediatric / adult circuit ), as this may allow patient secretions to block adapter windows. • the striped tubing of the flow sensor should always be proximal to the patient. • position the airway adapter with the spirometry tubing pointing upwards. • to prevent " rain - out " and moisture from draining into the airway adapter, do not place the airway adapter in a gravity dependent position. • periodically check the flow sensor and tubing for excessive moisture or secretion build up. perform a purge cycle if droplets are visible within the sensor or tubing. repeat if necessary. if purging does not remove the droplets, replace the sensor. • for routine performance of airway care, separate the system between the endotracheal tube and the airway adapter ( neonatal circuit ), or between the endotracheal tube and elbow ( pediatric / adult • 57 circuit ). lavage and suctioning of the airway @topic:17


# # # issue - the bed is not adjustable. # # # impact - the bed cannot be used to position the patient. - the patient may be uncomfortable or in pain. # # # possible causes - the electrical cord is damaged. - the control panel is not functioning. - the motor is not working. - the bed frame is damaged. # # # recommendations - inspect the electrical cord for damage and replace it if necessary. - test the control panel to ensure that it is functioning properly. - check the motor to make sure that it is working properly. - inspect the bed frame for damage and repair or replace it if necessary. # # # additional notes - it is important to have a qualified technician inspect and repair the bed to ensure that it is safe to use. - the bed should be inspected regularly to prevent future problems. @topic:1


# # # issue - the electric bed's remote control is not functioning properly, preventing the bed from being raised. # # # impact - patients may be unable to adjust their bed to a comfortable or functional position, which can impact their comfort, mobility, and overall well - being. # # # possible causes - * * loose or disconnected wires : * * the wires connecting the remote control to the bed may have become loose or disconnected, preventing the signal from being transmitted properly. - * * faulty remote control : * * the remote control itself may have malfunctioned, preventing it from sending the appropriate signals to the bed. - * * electrical issue : * * an electrical issue, such as a power outage or a problem with the bed's power supply, may be causing the remote control to malfunction. - * * software error : * * a software error in the remote control or the bed's operating system may be preventing the remote control from functioning properly. # # # recommendations - * * inspect and tighten connections : * * check the wires connecting the remote control to the bed and ensure they are properly connected and tightened. - * * test the remote control : * * use a multimeter or other diagnostic tool to test the remote control and verify if it is sending signals. replace the remote control if necessary. - * * troubleshoot the electrical system : * * check the bed's power supply and ensure it is providing adequate power. if necessary, contact an electrician to resolve any electrical issues. - * * update software : * * contact the manufacturer of the bed or remote control to inquire if any software updates are available that could resolve the issue. - * * service or repair : * * if the above steps do not resolve the issue, the bed or remote control may require professional servicing or repair by a qualified technician. @topic:7


7000 - ms3 mobile stand meeting these criteria : 4400 - mbs or 7000 - ms3 mobile stand manufactured before 02 / 2022 * or sooner • power supply model : fw8031m / dt / 15 84 disassembly and repair welch [UNK] connex® spot monitor note see the model number and label for further information. to install the new power supply onto an existing stand, you need to se the adapter plate kit ref 411626. kit item : 7000 - ps, connex spot power supply. 411626, ms3 power supply bracket kit • 1. install the 2 nuts by placing each nut into the adapter plate well. with one hand holding the power supply, use the other hand to close up the power supply onto the adapter plate. 2. flip the power supply over to ensure that the side with the screw holes is facing upward, and then attach the power supply to the adapter plate by aligning the holes and then tighten using the 2 phillips screws. service manual 7 - 0 3. holding the power supply unit snugly to the support bracket, tighten the 2 phillips screws. thread the power cable from the power supply through one of the spaces next to the pole to reach the device, and then connect the power cable to the device. 4. 5. connect the power cord to the mains outlet. 6. power up the device. this section applies to csm devices with a 4400 - mbs or 7000 - ms3 mobile stand meeting thescriteria : 4400 - mbs or 7000 - ms3 mobile stand manufactured after 02 / 2022 * or later • power supply model : menb1035a1500f02 86 disassembly and repair welch [UNK] connex® spot monitor power down the device. 1. disconnect the power @topic:19


# # # issue physiologic vital signs monitor is squeezing too tightly. # # # impact - patient discomfort - inaccurate blood pressure readings # # # possible causes - patient movement during measurement - loose cuff at the joint - faulty equipment # # # recommendations - ensure the patient is still during measurement. - tighten the cuff at the joint. - check the equipment for any faults. @topic:14


# # # issue - bed adjustment failure # # # impact - patient discomfort - delay in patient care - risk of injury # # # possible causes - mechanical failure of bed motor or gears - electrical failure in control panel or wiring - software malfunction in control system - incorrect usage or loading of bed - lack of proper maintenance # # # recommendations - perform thorough inspection of bed components, including motor, gears, control panel, and wiring. - check for any loose connections or damaged wires. - update or reprogram software if necessary. - ensure proper usage and loading of bed according to manufacturer's instructions. - establish a regular maintenance schedule to prevent future failures. - train staff on proper operation and maintenance of the bed. @topic:9


# # # issue - monitor philips screen flickering, freezing, or going blank # # # impact - delays in patient care - reduced patient safety - increased workload for healthcare professionals # # # possible causes * * hardware : * * - faulty display panel - loose connections within the monitor - power supply issues - motherboard problems * * software : * * - outdated or buggy software - corrupted drivers - incompatible software updates * * environmental : * * - extreme temperatures - high humidity - dust accumulation # # # recommendations * * hardware : * * - inspect display panel for damage or loose connections - check power supply and ensure secure connections - replace faulty hardware components if necessary * * software : * * - update software to the latest version - reinstall or repair corrupted drivers - restore system to a previous state if possible * * environmental : * * - ensure monitor is placed in a well - ventilated area - use a dehumidifier to reduce humidity - clean monitor regularly to remove dust @topic:2


# # # issue - bed not powering on # # # impact - inability to adjust bed height - inconvenience for patients - potential safety hazard # # # possible causes based on the input provided, there are a few possible causes : - * * faulty power outlet : * * the power outlet that the bed is plugged into may not be functioning properly. - * * damaged power cord : * * the power cord that connects the bed to the outlet may be damaged or frayed. - * * loose electrical connection : * * there may be a loose connection inside the bed, preventing power from reaching the motor. - * * faulty motor : * * the motor that adjusts the bed may be faulty or damaged. # # # recommendations to troubleshoot and resolve the issue, the following recommendations can be made : - * * check the power outlet : * * ensure that the power outlet is functioning properly by plugging in another device. if the other device does not power on, the outlet may need to be repaired or replaced. - * * inspect the power cord : * * examine the power cord for any visible damage or fraying. replace the cord if it shows signs of damage. - * * check the electrical connections : * * open the bed and inspect the electrical connections for any loose wires or terminals. re - tighten any loose connections and clean any dirty contacts. - * * test the motor : * * if the previous steps do not resolve the issue, disconnect the motor from the bed and test it using an ohmmeter or multimeter. if the motor is faulty, it will need to be repaired or replaced. @topic:1


# # # issue - flash drive failure # # # impact - inability to record and store patient data # # # possible causes - physical damage to the flash drive ( e. g., due to mishandling ) - electrical failure within the flash drive - software corruption or incompatibility - wear and tear from frequent use - insufficient memory capacity # # # recommendations - ensure proper handling and storage of flash drives - regularly inspect flash drives for physical damage - update software and firmware to ensure compatibility - consider using high - quality, durable flash drives - implement a regular maintenance schedule for flash drives, including backup and replacement as needed - explore alternative data storage options, such as cloud - based systems @topic:12


, 4 - 36 hardware version, 4 - 2 serial number, 4 - 2 software version, 4 - 2 system information, 4 - 2 visual verification test, 3 - 11 w warranty, 11 wheel, navigation, removing, 5 - 23 wireless board removing, 5 - 32 theory of operation, a - 6 index - 4 suresigns vs2 * and vsi service guide @topic:19


# # # issue the bed, electric, model 900b, manufactured by hill - rom, is not able to adjust the head down properly. # # # impact patients may not be able to get into a comfortable position, which can lead to discomfort and pain. # # # possible causes - the bed's motor may be faulty. - the bed's electrical system may be faulty. - the bed's mechanical system may be faulty. - the bed's control panel may be faulty. # # # recommendations - check the bed's motor for any signs of damage or wear and tear. - check the bed's electrical system for any loose connections or damaged wires. - check the bed's mechanical system for any signs of damage or wear and tear. - check the bed's control panel for any signs of damage or wear and tear. - if any of the above components are found to be faulty, they should be replaced. @topic:1


top and bottom cover. 3. holding the bottom cover firmly in place, slide the two long mounting pins completely back into the mse. assembling the dual link bar caution do not try to assemble any part of the link bar with force as this can damage the msl flex cable. 174 ie l. position part a into the dovetail and slide it down. 2. make sure the msl flex connector is positioned in the correct slot ( see indicated slots 3. below ). then push it gently into part a. making sure the msl flex cable lies flat in part a of the assembly, place part b into the dovetail and close the open link bar. 175 in ar 4. turn the mse around and insert part c into the bottom part of the link bar. when you hear a click, part c is correctly inserted. refitting the front cover to refit the front cover, press it back into place over the measurement connector hardware until you hear a click. final inspection perform a final inspection to ensure that : - the link bar is positioned correctly - there are no gaps between the link bar parts - there is no gap between the top and bottom cover 176 testing to ensure that the mse is functioning correctly, you must perform a performance check on it. please refer to the sections " maintaining the instrument " and " testing the instrument ". disassembly procedures for the m3015a mms extension ( hw rev. a ) note these procedures apply only to m3015a mms with serial numbers deo20xxxxx. it is recommended that you replace all the replaceable parts in the extension ( co2 scrubber and pump ) after 15 000 hours ( approximately 3 years ) of continuous use. tools required : - a thin - bladed screwdriver. - a pair of large tweezers. - in addition, for removing the pump, @topic:19


# # # issue - bnc cable connecting the olympus main monitor to the olympus auxiliary monitor is damaged. # # # impact - signal from the main monitor cannot be sent to the auxiliary monitor. # # # possible causes - the bnc cable is too short ( 8 meters ), causing it to be stretched and pull the head out. # # # recommendations - replace the damaged bnc cable with a new one. - while waiting for the new cable to arrive, borrow a cable from another available olympus set. @topic:2


# # # issue - knee cannot be adjusted up # # # impact - patient discomfort or immobility # # # possible causes - faulty remote control or control panel - damaged or disconnected wiring - malfunctioning motor or mechanical components - incorrect motor switch configuration - software glitch # # # recommendations # # # # troubleshooting - check the remote control or control panel for any visible damage or loose connections. - inspect the wiring for any breaks, cuts, or loose terminals. - test the motor and other mechanical components for proper operation. - verify the motor switch configuration and ensure it is set correctly. - check for software updates or potential software glitches. # # # # repair - replace damaged or faulty components ( remote control, wiring, motor ). - reconnect loose connections or repair damaged wiring. - repair or replace malfunctioning mechanical components. - adjust the motor switch configuration as necessary. - install software updates or troubleshoot software glitches. # # # # preventive maintenance - regular inspections and maintenance of the equipment to identify and resolve any potential issues early on. - proper training of staff on equipment operation and maintenance procedures. - adherence to manufacturer's guidelines for use and maintenance. @topic:9


# # # issue - the bed is not adjusting upwards. # # # impact - the bed cannot be used to adjust the patient's position, which can affect their comfort and safety. # # # possible causes - the delay box is malfunctioning. - the delay box has been replaced with a new one, but the problem persists. - the bed motor is not working properly. - the bed frame is damaged. # # # recommendations - check the electrical connections to the delay box and motor. - inspect the delay box for any visible damage. - test the motor by connecting it to a different power source. - inspect the bed frame for any cracks or other damage. - contact the manufacturer for further assistance if the problem cannot be resolved. @topic:1


# # # issue - damage to nibp monitor - potential patient harm - inaccurate blood pressure readings # # # possible causes - lack of maintenance - use of incompatible or faulty equipment - improper installation or use # # # recommendations - conduct regular maintenance on nibp monitor - follow manufacturer's instructions - use compatible and calibrated equipment @topic:15


# # # issue - faulty ekg cable causing waveform display issues on patient monitor. # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) signals, leading to potential diagnostic and treatment delays. # # # possible causes - physical damage to the ekg cable, such as cuts, kinks, or loose connections. - malfunctioning of the cable's internal components, including wires, connectors, or shielding. - compatibility issues between the ekg cable and the patient monitor. # # # recommendations - * * immediate action : * * replace the faulty ekg cable with a compatible and functional one. - * * preventive measures : * * - inspect ekg cables regularly for any visible damage or wear. - ensure proper handling and storage of ekg cables to prevent damage. - use high - quality and compatible ekg cables recommended by the manufacturer. - train staff on proper handling and maintenance of ekg cables. @topic:18