in release e. o? 2 what ’ s new? pulse from noninvasive blood pressure in the process of making the nbp measurement, a pulse value can be derived and displayed. the pulse value is displayed together with the time the measurement was made. alarms enhancements • in addition to the standard blue inops, some inops can now be configured as red or yellow inops to provide a severity indication ( ecg leads off, nbp cuff overpress, nbp cuff not deflated ). a small number of inops are always yellow or red to indicate a severity corresponding to red and yellow alarms. • for the invasive pressure measurement, the extreme pressure alarms extreme high and extreme low can be made available for your monitor in configuration mode and are additional to the standard high and low limit alarms. • the review alarms window now shows when the monitor was switched on ( after being switched off for longer than 1 minute ) and any changes made to the standby and paired status. • in order to improve alarming on asystole under certain conditions, you can set asystole detect. in configuration mode to enhanced. in enhanced mode an asystole alarm will be suppressed for up to five seconds if a valid beat - to - beat pulse is detected from a pressure. sp0 2 perfusion change indicator the perfusion change indicator is a graphic symbol which shows the change in the perfusion value, relative to a reference value which you can set. pressure zero stored in module the zero will be stored in the pressure module when it is unplugged and moved to another monitor, as long as the transducer is still connected to the module when it is plugged in again. respiratory waves can be displayed filled for certain respiratory waves ( c0 2, awf, awp, and awv ) the presentation of the wave trace can be changed in configuration mode @topic:8


ere je o [ perm ssent id unpacking and checking the shipment the monitor and any supporting options ordered are supplied packed in protective shipping cartons. 201 7 installation instructions unpacking and checking the shipment initial inspection before unpacking, check the packaging and ensure that there are no signs of mishandling or damage. open the package carefully and remove the monitor and accessories. check that the contents are complete and that the correct options and accessories have been delivered.. monitor with options as ordered ecg accessories optional nbp accessories optional spo » accessories optional pressure accessories optional temperature accessories optional co2 accessories optional external power supply including ac power cord and msl optional cable rechargeable battery instructions for use quick guide documentation cd - rom ( includes service guide and instructions for use ) external power supply including ac power cord and msl 1 cable claims for damage if the shipping cartons are damaged, contact the carrier. if any of the equipment is damaged, contact both the carrier and your local philips service organization for repair or replacement arrangements. repacking retain the original packing carton and material, in case you need to return equipment to philips for service. if you no longer have the original packing materials, philips can advise you on alternatives. 202 mounting the monitor every type of compatible mounting solution is delivered with a complete set of mounting hardware and instructions. refer to the documentation delivered with the mounting hardware for instructions on assembling mounts. warning - [ tis the customer's responsibility to have the attachment of the mounting hardware to the ceiling, wall, or mounting rail and the construction of the ceiling, wall, or mounting rail evaluated for structural integrity and compliance with all local, state and any other required codes by a registered, professional, structural and / or mechanical engineer. ensure that this commitment has been met before assembling mounts. - incorrect mounting and use of inappropriate mounting material may lead to @topic:19


# # # issue - the ekg lead is not picking up the waveform. # # # impact - the patient's vital signs cannot be accurately monitored. # # # possible causes - the ekg lead is dirty or damaged. - the contake connector is not making good contact with the lead. - the lead is not properly connected to the monitor. # # # recommendations - clean the ekg lead and contake connector. - inspect the lead for damage and replace it if necessary. - ensure that the lead is properly connected to the monitor. @topic:18


# # # issue - unstable o2 sat and ecg readings on the physiologic monitor. # # # impact - incorrect or unreliable patient monitoring data, which can compromise patient safety and treatment decisions. # # # possible causes * * 1. sensor issues : * * - faulty or miscalibrated oxygen saturation ( spo2 ) and electrocardiogram ( ecg ) sensors. - loose sensor connections or damaged cables. * * 2. equipment malfunction : * * - internal hardware or software errors within the monitor. - electrical interference or power fluctuations. * * 3. patient - related factors : * * - patient movement or artifacts affecting sensor readings. - skin conditions or excessive perspiration interfering with sensor contact. * * 4. user error : * * - improper sensor placement or incorrect settings on the monitor. # # # recommendations * * diagnostic steps : * * - check sensor connections and integrity. - recalibrate sensors if necessary. - inspect and test the monitor's hardware and software. * * corrective actions : * * - replace faulty sensors or cables. - repair or replace the monitor if internal malfunctions are detected. - educate staff on proper sensor placement and monitor operation. - monitor patient conditions and adjust sensor placement as needed. * * preventive measures : * * - establish a regular maintenance schedule for the monitor and sensors. - train staff on proper equipment handling and troubleshooting. - provide backup monitoring equipment in case of failures. @topic:4


# # # issue - time discrepancy between the device and the central monitor. # # # impact - accurate patient monitoring requires synchronized timekeeping across all devices. # # # possible causes * * 1. loose lan cable * * - a loose connection between the device and the network can disrupt time synchronization. * * 2. incorrect time server settings * * - the device may be configured to use an incorrect time server, leading to incorrect timekeeping. * * 3. firmware issue * * - a software bug or glitch in the device's firmware can cause time synchronization issues. # # # recommendations * * 1. check lan cable connection * * - ensure that the lan cable is securely connected to both the device and the network. * * 2. verify time server settings * * - check the device's configuration to confirm that the correct time server is being used. * * 3. update firmware * * - check for any firmware updates available for the device and install them if necessary. * * 4. reset device * * - if other troubleshooting steps fail, reset the device to factory settings and reconfigure it. * * 5. contact technical support * * - if none of the above recommendations resolve the issue, contact the device manufacturer's technical support for further assistance. @topic:29


# # # issue ekg signal is not displayed on the physiologic monitor. # # # impact inability to monitor patient's heart activity, potentially leading to delayed or incorrect diagnosis and treatment. # # # possible causes * * 1. faulty ekg cable or electrodes : * * - damaged or disconnected cables or electrodes can prevent the electrical signals from the patient's body from reaching the monitor. * * 2. improper electrode placement : * * - electrodes must be placed correctly on the patient's body to ensure optimal signal acquisition. incorrect placement can lead to weak or distorted signals. * * 3. monitor settings : * * - ensure that the monitor is set to display the ekg signal and that the appropriate gain and filter settings are selected. incorrect settings can obscure the signal. * * 4. faulty monitor hardware : * * - internal components of the monitor, such as the amplifier or display, may be malfunctioning or damaged. # # # recommendations * * 1. check ekg cable and electrodes : * * - inspect the cable for any visible damage or disconnections. - clean the electrodes and ensure proper contact with the patient's skin. * * 2. confirm electrode placement : * * - refer to manufacturer's instructions for the correct placement of electrodes on the patient's body. * * 3. adjust monitor settings : * * - verify the ekg display settings and adjust the gain and filter parameters as needed. * * 4. contact biomedical engineering support : * * - if the issue persists after following the above recommendations, contact biomedical engineering support for further troubleshooting and repair of the monitor. @topic:18


# # # issue - spo2 probe is not reading accurately # # # impact - inaccurate spo2 readings can lead to incorrect diagnosis and treatment decisions. # # # possible causes - faulty probe - loose connection between probe and monitor - patient movement - ambient light interference # # # recommendations - check the probe for any damage or loose connections. - ensure that the probe is securely attached to the patient's finger. - minimize patient movement during the reading. - shield the probe from direct light sources. @topic:4


# # # issue temperature alarm indicating a problem with the transducer # # # impact inaccurate or missing temperature readings, which can compromise patient care # # # possible causes - faulty temperature transducer - loose or disconnected transducer connection - cable damage between the transducer and monitor - monitor hardware issue # # # recommendations 1. * * inspect the temperature transducer : * * ensure it is properly attached to the patient and free of any visible damage. replace if necessary. 2. * * check connections : * * verify that the transducer cable is securely connected to both the monitor and the transducer. 3. * * inspect cabling : * * examine the transducer cable for any signs of damage, such as cuts or crimps. replace if needed. 4. * * restart the monitor : * * turn off the monitor, wait a few minutes, and then turn it back on. this can reset any temporary software glitches. 5. * * contact manufacturer support : * * if the issue persists despite the above steps, contact the manufacturer's technical support for further assistance. @topic:20


# # # issue - cuff failure in physiologic bedside monitor ( intellivue mp70 ) # # # impact - inability to accurately measure patient vital signs ( such as blood pressure, pulse rate, and respiratory rate ) - delay in diagnosis and treatment due to unreliable patient data # # # possible causes - cuff damage due to : - prolonged use : the cuff material may deteriorate over time, leading to cracks or leaks. - improper handling : rough treatment or mishandling can cause damage to the cuff. - exposure to moisture : moisture can penetrate the cuff and cause damage to the electrical components. - cuff malfunction : - faulty sensors : the sensors within the cuff may malfunction, resulting in inaccurate readings. - software errors : software issues can lead to incorrect cuff inflation or deflation. # # # recommendations - * * preventive maintenance : * * - regularly inspect cuffs for signs of damage or deterioration. - store cuffs in a clean and dry environment to prevent moisture exposure. - * * troubleshooting : * * - verify that the cuff is properly connected to the monitor. - check for any visible damage to the cuff or tubing. - if possible, test the cuff with a different patient to rule out any patient - specific issues. - * * corrective action : * * - replace the damaged cuff with a new one. - update the monitor's software if necessary to resolve any software - related issues. - * * training : * * - educate staff on proper cuff handling and maintenance procedures to prevent damage. @topic:5


# # # issue - long charging time for the new battery # # # impact - device may not be available for use immediately after battery replacement. # # # possible causes - the new battery is not fully charged. - the battery charger is not functioning properly. - the device is not properly connected to the charger. # # # recommendations - ensure that the new battery is fully charged before use. - check the battery charger to ensure that it is functioning properly. - ensure that the device is properly connected to the charger. - if the issue persists, contact the manufacturer of the device or the battery charger for further assistance. @topic:11


# # # issue - battery failure in philips suresigns vs3 vital signs monitor. # # # impact - the monitor may not be able to provide accurate vital signs readings, which could lead to patient safety risks. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged due to physical or electrical abuse. - the battery may have been exposed to extreme temperatures or humidity. # # # recommendations - replace the battery as soon as possible. - inspect the battery for any signs of damage or leakage. - if the battery has been exposed to extreme temperatures or humidity, allow it to acclimate to room temperature and humidity before using it. - train staff on the proper handling and storage of batteries. @topic:11


# # # issue locked drawer on medical cart # # # impact medical staff are unable to access necessary medical supplies. # # # possible causes 1. drawer lock malfunction 2. drawer latch misaligned 3. drawer obstructed by bulky items # # # recommendations 1. inspect drawer lock and latch for any signs of damage or misalignment. replace if necessary. 2. ensure that the drawer is not obstructed by any items. 3. check that the medical supplies inside the drawer are not excessive or too tightly packed. 4. contact the medical equipment vendor or a qualified technician for assistance if the issue persists. @topic:21


of any kind with regard to this material, including, but not limited to, the implied warranties or merchantability and fitness for a particular purpose. philips shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material. passwords in order to access different modes within the monitor a password may be required. the passwords are listed below. monitoring mode : no password required configuration mode : 71034 demo mode : 14432 service mode : 1345 consult the configuration guide before making any changes to the monitor configuration. 10 warnings and cautions in this guide : - a warning alerts you to a potential serious outcome, adverse event or safety hazard. failure to observe a warning may result in death or serious injury to the user or patient. - a caution alerts you where special care is necessary for the safe and effective use of the product. failure to observe a caution may result in minor or moderate personal injury or damage to the product or other property, and possibly in a remote risk of more serious injury. 11 12 theory of operation monitor theory of operation al " te. ai | |'uw | = the intellivue mp2 / x2 patient monitor : - displays real - time data - alarms in the case of patient or equipment problems - offers limited data storage and retrieval ( trending ) - interfaces to the philips clinical network and other equipment the monitor can be configured with various different measurement and interface capabilities. the following descriptions may vary depending on the monitor option purchased. 13 system boundaries the following diagram discusses specific boundaries within the overall system with respect to their openness and real - time requirements : hospital lan it, internet c | — pt. og je g = p m a = e gh am mm iie at. | " - 2 tm ums — pum p " @topic:10


# # # issue - equipment not sending signals # # # impact - inability to monitor patient's vital signs accurately - delays in diagnosis and treatment - compromised patient safety # # # possible causes - loose signal cables - faulty signal cables - damaged equipment ports - software glitches - electromagnetic interference # # # recommendations - inspect and tighten all signal cables - replace loose or damaged signal cables - ensure equipment ports are clean and undamaged - update software to the latest version - check for sources of electromagnetic interference and mitigate as necessary - if the issue persists, contact the manufacturer for further troubleshooting and repair @topic:2


* * issue : * * * non - responsive remote control * * impact : * * * inability to adjust bed functions remotely, including height, tilt, and side rails. * inconvenience for patients and healthcare professionals. * * possible causes : * * * * * remote control failure : * * malfunction of the remote control's electronic components, buttons, or wiring. * * * bedside interface failure : * * issue with the receiver or communication interface within the bed unit that connects to the remote control. * * * power supply issue : * * insufficient power supply to the remote control or bedside interface. * * * software error : * * firmware or software glitches within the bed unit or remote control. * * recommendations : * * * * * test remote control : * * ensure functionality by testing the remote control with another bed unit or a different remote control for the same model. * * * inspect bedside interface : * * check for loose connections, damage, or corrosion on the communication interface. * * * check power supply : * * verify that the bed unit is properly plugged into a power source and that the remote control batteries are charged. * * * update software : * * if necessary, update the firmware or software version on the bed unit or remote control. * * * replace faulty components : * * if the problem persists, consider replacing the remote control, bedside interface, or other affected components. * * * contact manufacturer : * * reach out to the equipment manufacturer for technical support and troubleshooting assistance. @topic:7


##s depending on the state of health and behavior of the patient, according to a protocol that indicates in which situations and when the panels can be used. fssapa < 20kg 1 they are not egress handles. do not lean on them. do not use when the extension is deployed. do not use with afssaps half - siderails do not use with ad271a and ad272a siderails. do not store at the head of the bed and remove from the foot of the bed when not in use. fittings for the restraining strap handles'do not attach the restraining straps to any part of the bed ( particularly the siderails ) other than those provided for this purpose. when the patient is restrained by the straps, the electric functions must be locked out. when the patient is restrained with an abdominal strap, a system used to restrict the ankles o be used. immobilize patients on the bed using the fittings provided.. the sleep surface has fittings on each side of the bed located on the head, thigh and foot sections. thread the straps through the bars. restraining devices must not be used as a replacement for the nursing care required by the patient. even when correctly installed, physical restraining devices may become entangled and injure the patient, especially if the patient is agitated and confused. whenever containment devices are used, the patient must be observed in accordance with legal requirements and protocol. a restraining devices must be secured to the articulated sections of the bed using appropriate attachment points in order to avoid injury to the patient. ensure that the strap model used is suitable for the dimensions of the locations t not be able to slide to another location. never use restraining straps for the ankles when the bed is in the seated position or the foot section is lowered. adjust the bed's restraining systems and articulations to avoid any risk of the patient @topic:6


# # # issue - battery failure # # # impact - the medical cart may not be able to function properly, which could lead to patient care being compromised. # # # possible causes - the battery may be old and need to be replaced. - the battery may have been damaged. - the battery may not be properly connected. # # # recommendations - inspect the battery and replace it if necessary. - inspect the battery connections and make sure they are secure. - test the battery to make sure it is functioning properly. @topic:13


# # # issue - dinamap procare 100 nibp monitor is not charging # # # impact - the nibp monitor cannot be used to measure blood pressure. # # # possible causes - the battery is old and needs to be replaced. - the charging port is damaged. - the charging cable is damaged. # # # recommendations - replace the battery. - inspect the charging port for damage and repair or replace it if necessary. - inspect the charging cable for damage and replace it if necessary. @topic:2


# # # issue - bed, electric is not functioning as intended. # # # impact - inability to adjust the patient's position, which can lead to discomfort, pressure sores, and other complications. # # # possible causes - faulty control board - damaged wiring - malfunctioning motor # # # recommendations - replace the control board. - inspect and repair or replace damaged wiring. - test the motor and replace if necessary. @topic:9


# # # issue - monitor not linking with central monitor. # # # impact - inability to monitor patient's vital signs and provide timely interventions. # # # possible causes : - * * incorrect ci address : * * the ip address assigned to the monitor may be incorrect, preventing it from communicating with the central monitor. this could be due to a recent network configuration change or a misconfiguration of the monitor itself. - * * firewall or network block : * * security measures such as firewalls or network segmentation may be blocking the communication between the monitor and the central monitor. - * * hardware or software issue : * * a malfunctioning ethernet port or a corrupted software on the monitor can disrupt the communication with the central monitor. - * * physical connection problem : * * the ethernet cable connecting the monitor to the network may be damaged or loose, leading to intermittent or no connection. # # # recommendations : - * * verify ci address : * * check the ip address assigned to the monitor and ensure it matches the subnet and network configuration. correct any discrepancies. - * * check network configuration : * * ensure that the monitor has access to the network and that the necessary ports are open for communication with the central monitor. - * * troubleshoot hardware and software : * * inspect the ethernet port on the monitor for any damage. if necessary, perform a software update or reinstallation to resolve any software issues. - * * check physical connection : * * inspect the ethernet cable connecting the monitor to the network for any visible damage or loose connections. replace the cable if necessary. - * * contact vendor or manufacturer : * * if the issue persists, contact the device manufacturer or vendor for further troubleshooting assistance. @topic:16


advanced > ip address. the device does not have a properly configured hl7 erver connection verify the server configuration on the device : settings > advanced > network > servera. server connectivity = direct emr connection.. host ip is selected. c. the proper address appears in the host address field ( fqdn or ip address ). d. the proper port appears in the host port field. server authentication failed load the proper root certificate on the server and the proper ca root certificate in the device using the device onfiguration tools. welch [UNK] connex® spot monitor 244 connex direct ossible causproblem verify that the network's tchost port is open. your network firewall is blocking the tcp port used for the hl7 host connection check network topology to ensure there's a valid path from the device to the emr server. the path to emr server cannot be reached active directory " test network conthe device is not connected to a network and therefore does not have an ip address verify that the device has an ip address : settings > advanced > ip address. the device does not have a properly configured active irectory server connection verify the server configuration on the device : settings > advanced > network > active directory : a. " enable active directory " is selected. b. the proper domain name appears in the " domain name " c. the proper group name ppears in the " group " field. d. you are using the proper clinician id type, it matches what you are scanning, and the clinician is in the active directory. e. you are using the propeauthentication user name. f. you are using the propeauthentication password. server authentication failed load the proper root certificate on the server and the proper ca root certificate in the device using the device onfiguration tools. @topic:16


# # # issue the medical cart is unable to connect to hardware. # # # impact this issue can impact the following : - the medical cart cannot be used for its intended purpose. - the patient's care may be delayed or compromised. # # # possible causes the following are some possible causes of this issue : - the hardware is not properly connected to the medical cart. - the medical cart is not properly configured. - the server is not properly configured. - the network is not properly configured. # # # recommendations the following are some recommendations for resolving this issue : - check the hardware connections to ensure that they are secure. - check the medical cart configuration to ensure that it is correct. - check the server configuration to ensure that it is correct. - check the network configuration to ensure that it is correct. - contact the manufacturer of the medical cart for assistance. @topic:13


# # # cause of failure - faulty connection between the cart's port and the software. # # # impact - the medical cart cannot dispense medication. # # # possible causes - loose or damaged cable connection - software compatibility issues - incorrect port configuration # # # recommendations - check and secure the cable connection between the cart and the computer. - ensure that the software and hardware are compatible and up - to - date. - configure the port settings correctly. - test the connection and functionality of the medical cart. @topic:13


# # # issue - loose or missing nut # # # impact - equipment may not function properly - patient safety hazard # # # possible causes - improper installation or maintenance - nut came loose due to vibration or wear and tear - nut was installed backwards # # # recommendations - inspect equipment regularly for loose or missing nuts - tighten nuts to the correct torque specification - use lock washers or thread sealant to prevent nuts from coming loose - train staff on proper installation and maintenance procedures @topic:26


# # # issue - battery failure in welch allyn propaq lt bedside physiologic monitor # # # impact - monitor may not function properly or may shut down unexpectedly, potentially affecting patient monitoring and care. # # # possible causes - * * battery degradation : * * batteries lose capacity and effectiveness over time, especially if not properly maintained. - * * overcharging : * * excessive charging can damage batteries and reduce their lifespan. - * * improper storage : * * batteries should be stored at appropriate temperature and humidity levels to prevent damage. - * * defective battery manufacturing : * * faults in the battery itself can lead to premature failure. # # # recommendations - * * regular battery replacement : * * monitor batteries regularly and replace them according to manufacturer's recommendations. - * * proper charging practices : * * charge batteries as directed by the manufacturer, avoiding overcharging or undercharging. - * * optimal storage conditions : * * store batteries in a controlled environment to maximize their lifespan. - * * battery diagnostics : * * implement battery health monitoring systems to detect and replace failing batteries promptly. - * * training and awareness : * * ensure staff are adequately trained on battery handling and maintenance procedures. @topic:11


# # # issue - cuff cannot be wound # # # impact - inability to measure blood pressure accurately # # # possible causes - cuff is damaged or deteriorated - cuff is not the correct size for the patient - cuff is not being applied correctly # # # recommendations - replace the cuff with a new one - use the correct size cuff for the patient - ensure that the cuff is being applied correctly @topic:3


# # # issue - medical cart fails to power on # # # impact - delay in patient care - loss of critical patient data - inconvenience to healthcare staff # # # possible causes - defective power supply - loose connections - faulty electrical components - software glitch # # # recommendations - inspect the power supply and ensure it is properly connected. - check for any loose connections or damaged wires. - test the electrical components using appropriate diagnostic tools. - update the software to the latest version if available. - contact the manufacturer for further support or repair. @topic:13


* * issue : * * cuff bp ( blood pressure ) deterioration * * impact : * * inaccurate blood pressure readings, leading to potential patient harm if not detected and corrected promptly. * * possible causes : * * - * * normal wear and tear : * * cuffs can deteriorate over time due to repeated use, cleaning, and handling. - * * prolonged exposure to moisture : * * immersion in liquids or exposure to excessive humidity can damage the cuff material. - * * chemical exposure : * * harsh cleaning agents or disinfectants can weaken the cuff fabric or fittings. - * * improper storage : * * folding or storing the cuff improperly can create creases or damage the internal structure. - * * defective materials or manufacturing errors : * * in rare cases, the cuff may be defective from the manufacturer. * * recommendations : * * - * * regular inspection and maintenance : * * perform periodic inspections to check the cuff for signs of wear, damage, or leaks. - * * proper cleaning and disinfection : * * follow manufacturer's instructions for cleaning and disinfecting the cuff to prevent damage. - * * appropriate storage : * * store the cuff flat, uncreased, and in a dry environment. - * * replacement : * * if the cuff is found to be damaged or deteriorated beyond repair, it should be replaced with a new one to ensure accurate readings. - * * training : * * ensure that all users are trained on proper cuff handling and maintenance techniques to minimize the risk of damage. @topic:3


# # # issue - ekg can only be displayed on one channel # # # impact - ekg monitoring is limited, which can affect patient care # # # possible causes - faulty ekg lead wire - loose connection between lead wire and monitor - problem with the monitor's ekg input circuitry # # # recommendations - replace the ekg lead wire - check and tighten the connection between the lead wire and monitor - contact the manufacturer for further troubleshooting and repair @topic:18


# # # issue * * cloth cuff ( blood pressure cuff ) is deteriorated. * * # # # impact * * patient's blood pressure cannot be accurately measured and monitored. * * # # # possible causes * * 1. excessive use and wear : * * the cloth cuff may become worn over time due to frequent use and handling. * * 2. exposure to harsh environmental conditions : * * exposure to extreme temperatures, humidity, or dust can deteriorate the cloth material. * * 3. improper cleaning and disinfection : * * if the cloth cuff is not properly cleaned and disinfected, bacteria and other contaminants can accumulate and weaken the material. * * 4. manufacturing defects : * * in rare cases, manufacturing defects can cause the cloth cuff to deteriorate prematurely. # # # recommendations * * 1. replace the cloth cuff with a new one : * * the deteriorated cloth cuff should be replaced with a new one to ensure accurate blood pressure measurements. * * 2. inspect the cuff regularly : * * periodically inspect the cloth cuff for signs of wear and tear, and replace it if any damage is noticed. * * 3. follow proper maintenance procedures : * * ensure that the cloth cuff is properly cleaned and disinfected according to the manufacturer's instructions. * * 4. store the cuff properly : * * store the cloth cuff in a clean and dry environment when not in use to prevent deterioration from environmental factors. * * 5. consider using disposable cuffs : * * disposable blood pressure cuffs can eliminate the need for cleaning and disinfection, reducing the risk of deterioration due to improper maintenance. @topic:3


mx400 / 450 / 500 / 550 on beds with a support below the rail, to not tilt.. repositioning a monitor on the mounting arm attempts to reposition the monitor should only be performed as described in the mounting hardware manufacturer's user documentation. if the mounting arm has a locking mechanism, ensure the locking mechanism is unlocked before attempting to reposition the monitor. never pull on the monitor to tilt, swivel or otherwise reposition it - always hold on to the mounting hardware itself. warning not adhering to these instructions when repositioning the monitor can cause damage to the monitor. in extreme cases, when force is applied to the monitor, it can result in the monitor falling from the mounting arm. if, at any time, the monitor appears to be loose or insecurely mounted, contact your service personnel. ltitude settinaltitude affects tcgas and co2 measurements. the monitor must be configured at installation to the monitor safety specifications philips e036the monitors, together with the multi - measurement modules ( m3001a / m3002a ), the flexible module racks fms - 8 ( m8048a ) and fms - 4 ( 865243 ), and all modules and mms extensions, comply with the medical device directive 93 / 42 / eec. ovidien cє0123 covidien bisx, covidien bis engine and covidien dsc comply with the medical device directive 93 / 42 / eec of 14 june 1993. in addition, the product complies with : iec 60601 - 1 : 1988 + a1 : 1991 + a2 : 1995 ; en 60601 - 1 : 1990 + a1 : 1993 + a2 : 1995 ; ul 60601 - 1 : 2003 ; can / csa c22. 2 # 601. 1 - m90 + suppl. no. 1 @topic:10


# # # issue : - equipment malfunction : the bed, electric, care assist es model manufactured by hill - rom is experiencing technical difficulties. # # # impact : - impaired functionality : the equipment's primary functions, including button operation and accurate weight measurement, are compromised, hindering its intended use in clinical settings. # # # possible causes : - button failure : the buttons on the device may have become unresponsive due to wear and tear, electrical faults, or software glitches. - weight sensor malfunction : the weight sensor responsible for measuring patient weight may have malfunctioned due to mechanical issues, electrical instability, or calibration errors. # # # recommendations : - inspection and diagnostics : conduct a thorough inspection of the device to identify the specific components causing the malfunction. utilize diagnostic tools or consult the manufacturer's guidelines for troubleshooting. - repair or replacement : depending on the severity of the issue, repair or replacement of the affected components may be necessary. if repairs are feasible, ensure proper installation and testing to restore functionality. - software updates : in cases where software glitches are suspected, check for available software updates from the manufacturer. install and test these updates to address potential bugs or compatibility issues. - preventive maintenance : implement regular preventive maintenance schedules to proactively identify and address potential issues before they escalate into significant failures. this may involve cleaning, calibration, and inspection of critical components. - collaboration with manufacturer : engage with the manufacturer's technical support team to obtain specific troubleshooting guidance, replacement parts, or software updates as required. @topic:25


# # # issue blood pressure ( bp ) measurement is not functioning. # # # impact accurate bp measurement is crucial for patient monitoring and diagnosis. without a functioning bp module, the device cannot provide accurate bp readings. # # # possible causes - faulty bp cuff or hose - malfunctioning pressure transducer - software or hardware issue with the monitor - electrical connection issues # # # recommendations - check the integrity of the bp cuff and hose for any leaks or damage. - inspect the pressure transducer for any physical damage or loose connections. - perform a software and hardware diagnostic test on the monitor. - inspect all electrical connections, including the power cord and any external cables. - contact the manufacturer for technical support if the problem persists. @topic:14


to injury. it is the customer's responsibility to ensure that the mounting procedures have been performed correctly and the appropriate mounting devices have been used. mounting the monitor using the anti - slip pad 1. place the anti - slip pad on a level surface. optionally, the anti - slip pad can be secured with screws. 2. ifyou are using extensions with your mp2 / x2 leave the anti - slip pad as is and insert the monitor. 203 3. if you are using an mp2 / x2 without extensions, fold the back flap of the anti - slip pad backwards and insert it into the slots as shown below. then place the mp2 / x2 onto the anti - slip pad. 204 mounting the monitor using the mms mount and mounting clamp attach the universal mounting clamp to the mms mount and the mount the msl cable in the cable clamp according to the following instructions to ensure that the cable 1s attached permanently. do not remove the msl cable from the cable clamp. mms mount with cable clamp - rear view ( without universal mounting clamp handle ) mms mount with cable clamp - front view ( with universal mounting clamp handle ) 1. attach the universal mounting clamp to the mount with two m4x16 screws either in horizontal or vertical position to suit yor installation. 205 2. to install the mp2 / x2, place the msl cable ( 1 ) on the clamp ( 2 ), as shown in the picture. use the visual guide ( 3 ) and the positioning notch ( 4 ) to ensure you have the cable correctly positioned. 206 3. squeeze the side clips ( 1 ) open slightly and ease the cable into the clamp so that the clips grip the gray pillars ( 2 ). press the cable down firmly to ensure that it is fully seated in the clamp. 4. @topic:19


# # # issue connector is loose. # # # impact nibp monitor may not be able to accurately measure blood pressure. # # # possible causes - the connector may not have been properly tightened. - the connector may have been damaged. - the connector may be incompatible with the nibp monitor. # # # recommendations - check that the connector is properly tightened. - inspect the connector for any damage. - replace the connector if it is damaged or incompatible. @topic:15


# # # issue - equipment not responding to remote control # # # impact - impaired patient care - reduced efficiency - inconvenience for healthcare providers # # # possible causes - faulty remote control - damaged wiring - malfunction in the equipment's receiver # # # recommendations - check the batteries in the remote control and replace if necessary. - inspect the wiring for any visible damage, such as cuts or fraying. - contact the manufacturer or a qualified biomedical engineer to troubleshoot the equipment and repair or replace any faulty components. @topic:7


# # # issue - battery not charging # # # impact - equipment may shut down unexpectedly, putting patients at risk # # # possible causes - faulty battery - faulty charging cable - faulty charging port on the equipment # # # recommendations - replace the battery - replace the charging cable - inspect the charging port on the equipment for damage or debris - contact the manufacturer for further assistance @topic:11


* * issue : * * - spo2 sensor failure * * impact : * * - inability to accurately measure oxygen saturation levels * * possible causes : * * - * * damaged cable : * * the spo2 cable may have become frayed or damaged, causing a break in the electrical connection. - * * defective sensor : * * the spo2 sensor itself may have malfunctioned or become less sensitive over time. - * * loose connection : * * the cable may not be securely connected to either the monitor or the patient, leading to intermittent or inaccurate readings. - * * calibration issues : * * the spo2 monitor may not be properly calibrated, resulting in incorrect readings. * * recommendations : * * - * * replace the cable : * * if the cable is damaged, it should be replaced with a new one. - * * test the sensor : * * use a test probe to verify that the spo2 sensor is functioning properly. - * * check connections : * * ensure that the cable is securely connected to both the monitor and the patient. - * * calibrate the monitor : * * follow the manufacturer's instructions to calibrate the spo2 monitor regularly. - * * report the failure : * * document the failure and report it to the appropriate personnel, such as a supervisor or biomedical engineering department. @topic:4


all else fails, consider replacing the spo2 sensor with a new one. @topic:4


# # # issue - incorrect blood pressure ( bp ) readings # # # impact - inaccurate monitoring of patient's vital signs - misdiagnosis or delayed treatment - potential harm to patient due to incorrect treatment decisions # # # possible causes - faulty bp module : the newly replaced bp module may be defective, causing erroneous readings. - sensor issues : the sensor responsible for measuring bp may not be properly calibrated or connected, leading to incorrect data. - electrical interference : external electrical noise or electromagnetic interference can affect the accuracy of bp measurements. - incorrect cuff size : using an inappropriately sized cuff can lead to inaccurate bp readings. - patient factors : factors such as patient movement, high blood pressure, or arterial stiffness can influence bp readings and contribute to elevated measurements. # # # recommendations - * * thoroughly test the new bp module : * * verify its functionality and accuracy using appropriate test equipment and protocols. - * * inspect the sensor and connections : * * ensure that the bp sensor is properly calibrated and securely connected to the monitor. - * * eliminate electrical interference : * * check for nearby sources of electrical noise or electromagnetic interference and take appropriate measures to minimize their impact. - * * use appropriate cuff size : * * determine the correct cuff size for the patient's arm circumference to ensure accurate measurements. - * * consider patient factors : * * monitor patients closely for any factors that may affect bp readings and adjust monitoring strategies accordingly. - * * consult with the manufacturer or an expert biomedical engineer : * * seek guidance and technical support from the manufacturer or an experienced biomedical engineer to troubleshoot the issue and ensure the accuracy of the monitor. @topic:15


# # # issue the electric hospital bed fails to maintain adjust head position. # # # impact patient's comfort and safety is compromised if the bed cannot be adjusted to an appropriate position. # # # possible causes - motor malfunction due to wear and tear or manufacturing defect. - mechanical failure in the adjustment mechanism, such as loose or damaged parts. - electrical issues, such as faulty wiring or a blown fuse that affects the motor's operation. - software or firmware malfunction that controls the motor's movement. - user misuse or improper operation of the bed, leading to excessive strain on the motor or adjustment mechanism. # # # recommendations - replace the motor with a new one. - inspect and repair any mechanical components that may be causing the issue. - check the electrical wiring and connections for any damage or faults. - update the software or firmware if necessary. - train staff on proper operation and maintenance of the bed to prevent similar issues in the future. @topic:1


# # # issue : abnormal readings on the physiologic monitor # # # impact : - inaccurate patient monitoring - compromised patient care - potential for adverse clinical outcomes # # # possible causes : * * hardware - related : * * - faulty sensors or extensions - loose connections - power supply issues * * software - related : * * - software bugs or glitches - improper calibration of the device - compatibility issues with other hospital systems * * user error : * * - incorrect patient connection or positioning - improper use of the equipment - misinterpretation of readings * * environmental factors : * * - electromagnetic interference ( emi ) from nearby devices - temperature fluctuations # # # recommendations : 1. * * troubleshooting hardware : * * - check for loose connections or damaged cables. - ensure the device is powered and connected correctly. - inspect the sensor and extension for any defects. 2. * * software updates : * * - verify that the device has the latest software updates installed. - check for any software bugs or compatibility issues that may be causing the problem. 3. * * calibration verification : * * - calibrate the device according to the manufacturer's instructions. - verify that the calibration is accurate using known reference values. 4. * * user education : * * - train staff on proper use and interpretation of the device. - ensure patients are positioned correctly for accurate readings. 5. * * emi mitigation : * * - identify sources of emi and move the device or implement shielding measures to minimize interference. 6. * * temperature control : * * - ensure the device is operating within the recommended temperature range. - consider using a temperature probe to monitor the environment around the device. @topic:20


# # # issue - keyboard not functioning properly # # # impact - inability to use the medical cart for patient care # # # possible causes - loose battery # # # recommendations - secure the battery in place @topic:27


# # # issue - monitor bed3 not linking with central monitor # # # impact - patients'vital signs may not be accurately monitored or recorded. - this could lead to delays in diagnosis and treatment, potentially affecting patient outcomes. # # # possible causes - loose lan cable connection between monitor bed3 and central monitor. - faulty lan cable. - problem with the central monitor's network interface. - problem with the monitor bed3's network interface. - software issue on either the monitor bed3 or central monitor. # # # recommendations 1. * * verify the lan cable connection : * * ensure that the lan cable is securely connected to both monitor bed3 and the central monitor. 2. * * inspect the lan cable for damage : * * check for any cuts, breaks, or kinks in the lan cable that could cause connectivity issues. 3. * * test the lan cable : * * use a cable tester to verify the integrity of the lan cable and ensure that it is functioning properly. 4. * * restart the central monitor : * * power down and then restart the central monitor to reset its network interface and address any potential software glitches. 5. * * restart monitor bed3 : * * power down and then restart monitor bed3 to reset its network interface and address any potential software glitches. 6. * * check network settings : * * ensure that the network settings on both monitor bed3 and the central monitor are correct and that they are configured to communicate on the same network. 7. * * contact technical support : * * if the issue persists, contact the manufacturer's technical support for further troubleshooting and assistance. @topic:16


# # # issue - bed not adjusting # # # impact - patient discomfort and / or safety hazard # # # possible causes - power cord loose or disconnected - circuit breaker tripped - power supply failure - mechanical failure of the bed frame or motor # # # recommendations - verify that the power cord is securely plugged into the outlet - reset the circuit breaker - measure the power supply voltage to ensure it is within the required range - inspect the bed frame and motor for any signs of wear or damage - consult the equipment manufacturer for additional troubleshooting steps @topic:1


# # # issue - faulty bed railing # # # impact - patient safety hazard - difficulty adjusting bed position # # # possible causes - loose screws or bolts - damaged railing mechanism - motor failure # # # recommendations - inspect bed railing for loose hardware - check railing mechanism for damage - test motor functionality - replace any damaged components @topic:6


# # # issue the nibp monitor from ge healthcare ( model : dinamap procare 100 ), which is currently at the biomedical engineering ( bme ) department, is awaiting a new battery order. despite a recent battery replacement on 6 / 2 / 15, subsequent testing revealed normal operation. # # # impact the nibp monitor is crucial for accurate and reliable blood pressure monitoring. its malfunction could lead to incorrect blood pressure readings, which can have significant implications for patient care and diagnosis. # # # possible causes the input suggests that the battery may have degraded despite the recent replacement. battery degradation can occur due to several factors, including : - * * natural aging : * * batteries gradually lose capacity and performance over time. - * * environmental factors : * * extreme temperatures, humidity, and exposure to corrosive substances can accelerate battery degradation. - * * overcharging or undercharging : * * improper charging practices can damage batteries and reduce their lifespan. - * * defective battery : * * manufacturing defects or faulty cells can also contribute to premature battery failure. # # # recommendations to address the issue and prevent future failures, the following recommendations are suggested : - * * replace the battery : * * order and install a new battery as soon as possible to ensure optimal performance. - * * battery maintenance : * * follow proper charging practices and avoid extreme environmental conditions to prolong battery life. - * * regular testing : * * regularly test the nibp monitor's battery to identify any potential degradation and schedule timely replacements. - * * consider external power source : * * if battery reliability is a concern, consider using an external power source for the nibp monitor to ensure continuous operation. @topic:11


# # # issue scanner usage failure # # # impact unable to use the scanner # # # possible causes - scanner was placed incorrectly - scanner is defective - scanner is not properly connected # # # recommendations - check if the scanner is placed correctly. - check if the scanner is defective. - check if the scanner is properly connected. - contact bdms for further assistance. @topic:23


# # # issue - cuff of the blood pressure monitor is damaged. # # # impact - blood pressure measurement may be inaccurate or unavailable. # # # possible causes - cuff is old or worn out. - cuff is not the correct size for the patient. - cuff is not connected properly to the monitor. - cuff is exposed to high pressure or temperature. # # # recommendations - replace the damaged cuff with a new one. - check that the cuff is the correct size for the patient. - ensure that the cuff is connected properly to the monitor. - avoid exposing the cuff to high pressure or temperature. @topic:3


# # # issue battery failure in a bedside physiologic monitor. # # # impact the failure of the battery in the bedside physiologic monitor could lead to the device being unable to provide accurate and timely patient data, which could have a negative impact on patient care. # # # possible causes the possible causes of the battery failure include : - the battery may have reached the end of its lifespan. - the battery may have been damaged due to mishandling or improper storage. - the battery may have been installed incorrectly. # # # recommendations the following recommendations can be made to help prevent battery failures in the future : - regularly replace the batteries in the bedside physiologic monitor according to the manufacturer's recommendations. - handle and store the batteries according to the manufacturer's instructions. - ensure that the batteries are installed correctly. @topic:11


# # # issue - the seta em4 bed cannot be adjusted. # # # impact - the patient cannot be positioned comfortably or safely. - the bed cannot be used for its intended purpose. # # # possible causes - the bed's motor is not working properly. - the bed's control panel is not working properly. - the bed's hydraulic system is not working properly. - the bed's frame is damaged. # # # recommendations - inspect the bed's motor, control panel, and hydraulic system for any damage or defects. - test the bed's motor and control panel to ensure that they are working properly. - inspect the bed's frame for any damage or defects. - if any damage or defects are found, replace the damaged or defective parts. - if no damage or defects are found, contact the manufacturer of the bed for further assistance. @topic:1


# # # issue - medical cart abruptly shuts down during operation due to overheating caused by prolonged usage. # # # impact - disruption of essential patient care and diagnostic procedures - potential delays or cancellations of scheduled appointments - increased workload and stress on healthcare professionals # # # possible causes - insufficient ventilation or cooling in the operating environment - extended periods of operation without breaks for cooling - malfunctioning or obstructed cooling fans - battery or power supply issues - underlying electrical or mechanical defects in the device # # # recommendations - ensure adequate ventilation and cooling around the medical cart during operation. - implement scheduled breaks for the device to cool down, especially after prolonged usage. - inspect cooling fans regularly and clean or replace if necessary. - check battery or power supply connections and ensure they are secure. - conduct thorough maintenance and diagnostic testing on the device to identify and address any underlying electrical or mechanical issues. - consider implementing a monitoring system to track temperature and prevent overheating. - utilize alternative or redundant medical carts if possible to minimize disruptions in patient care. @topic:13


# # # issue : footboard cannot be adjusted # # # impact : patient discomfort and compromised patient safety # # # possible causes : - faulty hydraulic pump - obstruction in the hydraulic lines - damage to the footboard mechanism # # # recommendations : - inspect the hydraulic pump for leaks or damage and replace or repair as needed. - check for any blockages or kinks in the hydraulic lines and clear them. - examine the footboard mechanism for any broken or damaged components and replace or repair them. @topic:1


# # # issue the philips suresigns vs4 monitor is not displaying vital signs due to a faulty cuff. # # # impact - the monitor cannot be used to measure vital signs, which can lead to delayed or inaccurate diagnosis and treatment. - the patient may not be able to receive the necessary care in a timely manner. # # # possible causes - the cuff may be damaged or worn out. - the cuff may not be properly connected to the monitor. - the monitor may be defective. # # # recommendations - replace the cuff with a new one. - check the connection between the cuff and the monitor. - if the problem persists, contact the manufacturer for service. @topic:15


# # # issue - equipment not functioning properly # # # impact - delays in patient care - increased risk of patient harm # # # possible causes - faulty battery - incorrect battery installation * * recommendations * * * * to prevent this issue from recurring, the following recommendations should be implemented : * * - ensure that the correct type of battery is being used. - replace the battery when it is indicated by the low battery indicator. - ensure that the replacement battery is installed correctly according to the manufacturer's instructions. - test the equipment after replacing the battery to ensure that it is functioning properly. @topic:11


1. * * issue : * * spo2 cable not working 2. * * impact : * * unable to measure blood oxygen levels 3. * * possible causes : * * - damage to the cable - loose connections - faulty sensor 4. * * recommendations : * * - replace the spo2 cable - check and tighten all connections - inspect the sensor for damage or contamination @topic:4


# # # issue contact on ekg monitor was dirty. # # # impact ekg values were not displayed. # # # possible causes - dirt or debris on the contact - contact not making a good connection with the patient # # # recommendations - cleaned the contact on the ekg monitor and reconnected it to the patient. - checked that the contact is making a good connection with the patient. - if the problem persists, the contact may need to be replaced. @topic:18


# # # issue the cause of failure is not clearly stated in the input. # # # impact the impact of the failure is not provided in the input. # # # possible causes since the cause of the failure is not specified, there are no possible causes listed in the input. however, based on the context, it can be inferred that the failure was due to the recent move of the equipment. # # # recommendations the input does not provide any recommendations for resolving the failure. therefore, specific recommendations cannot be provided. # # # recommendations * * * check the equipment for any loose connections or damaged cables. * * this could have been caused during the move. * * * ensure that the equipment is properly powered on and connected to the correct power source. * * * * * verify that the equipment is configured correctly according to the manufacturer's instructions. * * * * * if the issue persists, contact the manufacturer or a qualified technician for further assistance. * * @topic:12


* * issue * * xds ( xds ) is not connected to the patient monitor. * * impact * * the patient monitor cannot be used to track the patient's vital signs, which could lead to a delay in diagnosis and treatment. * * possible causes * * * the xds cable is not properly connected to the patient monitor. * the xds cable is damaged. * the xds port on the patient monitor is not working. * the xds software is not installed or is not working properly. * * recommendations * * * check the xds cable to make sure that it is properly connected to the patient monitor. * if the xds cable is damaged, replace it. * if the xds port on the patient monitor is not working, contact the manufacturer for service. * if the xds software is not installed or is not working properly, reinstall the software or contact the manufacturer for support. @topic:16


# # # issue - head connector cuff bp missing # # # impact - unable to measure blood pressure # # # possible causes - disconnected or lost during previous use # # # recommendations - replace head connector cuff bp to restore normal function @topic:3


# # # issue - side rail adjustment device on electric bed is broken. # # # impact - sling cannot be secured to the bed, posing a safety risk to patients. # # # possible causes - the side rail adjustment device may have been : - overloaded - improperly used - damaged due to wear and tear # # # recommendations - replace the broken side rail adjustment device. - inspect and test the bed to ensure its safe operation. - train staff on the proper use and care of the bed. @topic:6


information ( for example, there are less than three chest leads ) for a second st map to be displayed, the currently available st values are displayed in place of the second st map. limb leads st - i 02 avr + + avl st - ii 0. 0 * + i st - avr - 0. 1 st - avl 0. 2 + + avf 11 st - avf - 0. 1 trend view in trend view, you can see up to four trended st maps, and the current st map, simultaneously. you can configure the time interval between trended samples. the most recent map is shown in the same color as the parameter itself. past values change from white through dark gray. in the diagram below, the time interval between trends is 12 seconds. the first trended sample is white and is 12 seconds old. the second trended sample corresponds to the st values 24 seconds ago and so forth. the st values on the diagrams show the current st values. if a lead is turned off, its axis is no longer shown. this has no impact on the presentation of trended values that were recorded while the lead was still on. in the diagram below, lead v4 was switched off 20 seconds ago. the current st values and the first trended value reflect this change in the lead setup. all other maps are displayed the way in which they were recorded. 152 viewing st maps 6 ecg, arrhythmia, st and qt monitoring in this diagram, v4 was either temporarily switched off, or in inop, for around 30 seconds. no data was recorded. consequently, the affected maps are not closed. viewing an st map to display an st map, ♦ in the setup st analysis menu, select st map. working in the st map task window you may need to activate the st map task window to see all the @topic:8


# # # issue : monitor not staying upright # # # impact : - monitor may fall over, causing injury to patient or staff - monitor may not be able to be used properly # # # possible causes : - loose screws on the monitor stand - damaged monitor stand - loose or damaged monitor mount on the wall # # # recommendations : 1. tighten the screws on the monitor stand. 2. inspect the monitor stand for any damage. if the stand is damaged, it will need to be replaced. 3. inspect the monitor mount on the wall. if the mount is loose or damaged, it will need to be repaired or replaced. @topic:12


* * issue : * * - wheel guard loose, causing a safety hazard for patients. * * impact : * * - increased risk of injury or falls for patients. * * possible causes : * * - wear and tear of the wheel guards due to frequent use or age. - improper assembly or maintenance of the wheel guards. - damage to the wheel guards from accidental impact or misuse. * * recommendations : * * - regularly inspect the wheel guards for signs of wear or damage. - tighten any loose screws or bolts that secure the wheel guards. - replace any damaged or worn wheel guards promptly. - train nursing staff on proper use and maintenance of the wheel guards. @topic:24


##001 - 68xl0 de441 a. o, a. l a01, a01c06, a01c12, a01c18 de227 > = a. 2 -, c06, c12, c18 m3001 - 68x02 de441 > = a. 2 a01, a01c06, a01c12, a01c18 h¥b b. l to e. o de441 v ii > k > a02, a02c06, a02c18 m3001 - 68113 m3001 - 68x03 de512 > = a. 2 a02, a02c06, a02c18 > = a. 2 a01, a01c06, a01c12, a01c18 m3001 - 68114 m3001 - 68x04 h¥c d. o to e. o de610 de632 v ii > bo a01, a01c06, a01c18 m3001 - 68x05 > = a. 2 a02, a02c06, a02c18 m3001 - 68x08 de632 > = a, 2 a03, a03c06, a03c18 m3001 - 68x07 for further compatibilty information please refer to the software compatibilty matrix in the troubleshooting section. exchange multi - measurement servers are shipped with english front bezels only. if you require a bezel in another language ( compare the part numbers of your language to the english ones to check this ) the front bezel has to be ordered additionally. attach the appropriate bezel before putting the mm @topic:19


# # # issue : - bed cannot be adjusted down. # # # impact : - patient may be uncomfortable or in pain. - nursing staff may be unable to properly position the patient. - delays in patient care. # # # possible causes : - faulty remote control. - loose or damaged wiring. - malfunctioning motor. - mechanical obstruction. # # # recommendations : - replace the remote control. - inspect and repair any loose or damaged wiring. - test the motor for proper function. - clear any mechanical obstructions that may be preventing the bed from adjusting. @topic:1


# # # issue the propaq lt monitor is giving inaccurate o2 readings compared to other monitors. # # # impact this could lead to incorrect patient diagnosis and treatment. # # # possible causes - the propaq lt monitor may be faulty. - the o2 sensor may be faulty. - the monitor may not have been properly calibrated. - there may be interference from other equipment. # # # recommendations - test the propaq lt monitor with a different o2 sensor. - calibrate the monitor according to the manufacturer's instructions. - check for any sources of interference. - if the problem persists, contact the manufacturer for further troubleshooting. @topic:4


# # # issue - the electric bed cannot be adjusted downward. # # # impact - the patient may not be able to get in or out of bed safely. - the patient may not be able to be positioned correctly for medical procedures. # # # possible causes - the remote control is not working. - the motor that controls the bed's movement is not working. - the gears that control the bed's movement are damaged. - the bed's power supply is not working. # # # recommendations - check the remote control to make sure that it is working properly. - check the motor that controls the bed's movement to make sure that it is working properly. - check the gears that control the bed's movement for damage. - check the bed's power supply to make sure that it is working properly. @topic:1


# # # issue - cuff has deteriorated. # # # impact - the monitor may not be able to accurately measure the patient's vital signs. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged by improper use. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - train staff on proper use of the cuff. @topic:5


# # # issue - cuff bp failure # # # impact - inaccurate blood pressure readings - patient safety risks - equipment downtime # # # possible causes - normal wear and tear - improper handling or storage - exposure to extreme temperatures or humidity # # # recommendations - regular maintenance and calibration of equipment - proper training for staff on handling and storage - consideration of environmental factors when storing equipment - replacement of defective cuffs with original parts @topic:3


# # # issue the telemetry electrocardiography monitor is not receiving signals. # # # impact the monitor is unable to accurately measure and display patient's heart activity, which can lead to delayed or incorrect diagnosis and treatment. # # # possible causes - faulty or damaged sensor - loose or disconnected cables - interference from other electrical equipment - software or firmware bugs - hardware failure # # # recommendations - check and replace the sensor if necessary. - inspect and tighten all cables and connections. - identify and eliminate any sources of electrical interference. - update the software or firmware to the latest version. - contact the manufacturer for further troubleshooting and repair options if necessary. @topic:16


present replace the monitor's spo2 rebooting. 042400 there is an spo2 sram transfer a malfunction is detected. there very low failure are two possible causes of these failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be eplaced, and if problem is still service manual troubleshooting 181 ossible causlarm prioritmessage ain boarda malfunction is detected. there very low spo2 rebooting. 042500 there is an spo2 sram task run failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's spo2 rebooting. 042600 there is an spo2 database failure a malfunction is detected. there very low are two possible causes of these failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's board. a malfunction is detected. there very low spo2 rebooting042700 there is an invalid spo2 flash vice failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once @topic:20


* * issue : * * cuff rupture on philips suresigns vsi vital signs monitor * * impact : * * impaired blood pressure monitoring accuracy and patient safety * * possible causes : * * * natural wear and tear over time * improper cuff handling or storage * patient movement or agitation during measurement * overinflation or deflation of the cuff * defective or damaged cuff material * * recommendations : * * * replace the damaged cuff with a new one to ensure accurate blood pressure readings. * inspect and test the cuff regularly for signs of damage or wear. * train staff on proper cuff handling and storage techniques. * monitor patient movement and provide support during measurements to prevent excessive force on the cuff. * follow the manufacturer's guidelines for cuff inflation and deflation procedures. * inspect and replace the cuff if any defects or damage are observed. @topic:5


# # # issue - unable to access the med cart program # # # impact - inability to use the med cart for its intended purpose, leading to potential delays or interruptions in patient care. # # # possible causes * * 1. network connectivity issues : * * - the med cart may not be properly connected to the hospital's wireless network ( bhq _ mobile ). - weak or intermittent wi - fi signal in the area where the med cart is being used. * * 2. software malfunction : * * - a bug or corruption in the med cart software may be preventing it from launching or functioning correctly. - outdated or incompatible software version. * * 3. hardware malfunction : * * - a faulty network interface card ( nic ) or other hardware component on the med cart may be causing connection problems. - physical damage to the med cart or its components. * * 4. user error : * * - incorrect login credentials or authorization issues. - improper configuration of the med cart or network settings. # # # recommendations * * 1. network connectivity troubleshooting : * * - verify that the med cart is within range of the wi - fi network and has a strong signal. - reset the network connections on the med cart and reconnect to the bhq _ mobile network. - consult with the hospital's it department if network connectivity issues persist. * * 2. software troubleshooting : * * - check for software updates and install any available patches. - reinstall the med cart software if necessary. - ensure that the med cart is running the correct and compatible software version. * * 3. hardware troubleshooting : * * - inspect the med cart for any physical damage or loose connections. - replace faulty hardware components if necessary. * * 4. user error troubleshooting : * * - verify the user's login credentials @topic:13


# # # issue - printer is malfunctioning. # # # impact - the printer cannot print data, which could lead to delays in patient care. # # # possible causes - paper may be stuck in the printer. - the printer is not receiving power. - the printer drivers are not installed or are corrupted. # # # recommendations - check for any paper stuck in the printer. - make sure the printer is connected to a power outlet. - verify if the printer drivers are installed correctly. @topic:28


# # # issue - leaking cuff on vital signs monitor # # # impact - inaccurate blood pressure readings - potential for patient harm if incorrect treatment decisions are made # # # possible causes - damaged cuff - loose connections - faulty pressure sensor # # # recommendations - replace the cuff - check connections and tighten if necessary - calibrate the pressure sensor - test the monitor to ensure it is functioning properly @topic:3


##thylene. soap, a dsolvents take extra care when cleaning the screen of the monitor because it is more sensitive to rough cleaning methods than the housing. do not permit any liquid to enter the monitor case and avoid pouring it on the monitor while cleaning. do not allow water or cleaning solution to enter the measurement connectors. wipe around, not over, connector sockets. caution to clean the touch - enabled display, disable the touch operation by switching off the monitor during the cleaning procedure, or by selecting and holding the main screen key until the padlock symbol appears on it, indicating that touch operation is disabled. select and hold again to re - enable touch disinfecting the equipment caution solutions : do not mix disinfecting solutions ( such as bleach and ammonia ) as hazardous gases may clean equipment before disinfecting. recommended types of disinfecting agents are : roduct typliquid product name ingredienanol 80isopropanol bacillol® af iquid, spra100 g g g ethanol 4. 7 g bacillol® 25 thanol 100 mg / liquid | propan - 2 - ol ( = 2 - propanol ) 90 mg / g ; propan - 1 - ol ( = 1 - propanol ) 60 mg / 0 % 1 - propanol r eliseptol spray 0. 5 % accelerated hydrogen peroxide 0. 5 % accelerated hydrogen peroxide 0. 5 % accelerated hydrogen peroxide 0. 5 % accelerated hydrogen peroxide liquid accel tb rtu r oxivir tb cleaner disinfectant spray xivir tb wipewipes tb spray bactericide, tuberculocide, 412 37 care and cleaning roduct typproduct name 0. 5 % accelerated hydrogen peroxide b wipewipes wipes germicidal disposable @topic:10


# # # issue - monitor malfunction # # # impact - inability to accurately monitor patient's electrocardiography # # # possible causes - improper settings causing incorrect readings - malfunctioning hardware components ( e. g. electrodes, sensors ) # # # recommendations - verify and correct monitor settings - inspect hardware components for damage or defects - if necessary, calibrate and / or replace faulty components * * additional note : * * the description indicates that the monitor was moved from room 5r to room 6r. this could have introduced a number of potential issues, including : - compatibility issues with different wall outlets or power sources - physical damage to the monitor during transport - interference from other medical equipment in the new location - incorrect placement of electrodes or sensors on the patient # # # recommendation for prevention - when moving medical equipment between locations, ensure compatibility and proper handling. - regularly inspect and maintain medical devices to prevent future failures. @topic:2


# # # issue - malfunctioning cuff bp ( blood pressure ) # # # impact - inaccurate blood pressure readings - potential delays in diagnosis and treatment # # # possible causes - cuff bp degeneration due to extended use # # # recommendations - regular maintenance and inspection of cuff bp - replacement of cuff bp when necessary - training of healthcare professionals on proper cuff bp handling and maintenance @topic:3


# # # issue - faulty connection joint # # # impact - vital signs monitoring may be interrupted or inaccurate # # # possible causes - wear and tear due to frequent use - physical damage from mishandling or improper storage - manufacturing defects # # # recommendations - regular maintenance and inspection of equipment - proper handling and storage to prevent physical damage - contact the manufacturer for potential replacement or repair services @topic:26


. 93 4 patient alarms and inops technical alarm messages ( inops ) inop message, indication source what to do spiro purge failed spirometry the purge operation could not be completed successfully. check for kinked sensor tubings, hard occlusions and make sure that the pump is running and all valves are switching. spiro unkn. sensor spirometry an unknown sensor id code was detected. use only the sensors listed in the accessories chapter. spiro alarms suppr spirometry alarming is suppressed for the spirometry module. spiro purging spirometry a purge operation is in progress - no data update on the screen. wait until purge is complete. spiro no sensor spirometry no sensor detected. make sure the correct sensor is attached to the breathing circuit. spiro no breath spirometry no breath was detected for more than 25 seconds. breath derived numerics are not available. spiro gas compens? spirometry gas compensation is set to “ gas analyzer ” but not all gases necessary for compensation are measured by a gas monitor. some of the fail - back values provided by the user are used. measurement accuracy might be reduced. spiro patient cat. spirometry mismatch of patient size configured in the host monitor and sensor type plugged into the module. check the instructions on selecting the correct sensor in the spirometry chapter. asp0 2 chk sources numeric is replaced by s p o 2 difference not all measurements or values required to perform the calculation are available. check measurement sources. asp0 2 chk units numeric is replaced by s p o 2 difference the monitor has detected a conflict in the units used for this calculation. check the unit settings. < sp0 2 label > deactivated inop tone s p o 2 the sp0 2 measurement label in the measurement @topic:17


# # # issue : medical cart keyboard not functioning # # # impact : medical professionals are unable to use the medical cart effectively. # # # possible causes : - the keyboard is in 2. 4g mode. # # # recommendations : - the bme should exit the 2. 4g mode. - the bme should test the keyboard to ensure it is functioning properly. @topic:27


# # # issue - monitor not linking with central monitor # # # impact - inability to monitor patient's physiological parameters centrally, disrupting care and potentially leading to delays in diagnosis and treatment. # # # possible causes - incorrect ip address ( cl address ) of the monitor, preventing communication with the central monitor. # # # recommendations - verify the correct ip address ( cl address ) of the monitor and make necessary adjustments to ensure it aligns with the network settings. - check physical connections, such as network cables and ports, to eliminate any connectivity issues. - ensure that the central monitor is configured correctly to receive data from the monitor in question. - if the issue persists, consider contacting the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:16


# # # issue - monitor is not turning on. # # # impact - inability to monitor patient's vital signs. - may delay diagnosis and treatment. # # # possible causes - power supply issue : - faulty power outlet. - loose or damaged power cord. - power surge or outage. - monitor malfunction : - internal hardware failure. - software issue. - loose or disconnected component. # # # recommendations - * * check the power supply : * * - ensure the power outlet is working by plugging in another device. - inspect the power cord for damage or loose connections. - reset any tripped circuit breakers or fuses. - * * examine the monitor : * * - check for any visible damage or loose components. - restart the monitor and observe if it turns on. - contact the manufacturer or a qualified technician for further troubleshooting. - * * contact the building maintenance team : * * - inform them of the issue and request assistance in resolving any power supply problems. @topic:2


# # # issue - broken locking pin on the intraoperative electroencephalography monitor. # # # impact - the monitor cannot be securely attached to the patient, which could lead to inaccurate readings or disconnection during surgery. # # # possible causes - the locking pin may have been damaged during transport or storage. - the locking pin may have been overtightened, causing it to break. - the locking pin may have been made of a defective material. # # # recommendations - inspect the locking pin for damage before each use. - do not overtighten the locking pin. - use a locking pin that is made of a durable material. - train staff on the proper use of the monitor. @topic:2


* * issue : * * unable to determine cause of failure * * impact : * * technician unable to repair medical device * * possible causes : * * * insufficient information provided in input * device may have multiple potential causes of failure * technician may lack necessary diagnostic tools or knowledge * * recommendations : * * * gather additional information about the device's symptoms and usage history * consult with a more experienced technician or manufacturer of the device * perform a more thorough diagnostic assessment using appropriate test equipment * refer to technical documentation or service manuals for guidance on troubleshooting * consider sending the device to an authorized repair center for further diagnosis and repair @topic:12


mse board. be careful not to bend any pins on the female part of the mse connector. note some units may have a foam pad on the connector of the inner flex cable of the mses ( as shown below ) and some units may not. this has no impact on the functionality of these units. 4. stick the correct foam pad on the rear side of the inner connector. use the thick pad for : m3012a, m3014a, m3016a. use the thin pad for : m3015a. you can also check the old flex cable for the correct pad. 5. insert the flex cable connector into the female receptacle on the mse board. check from the side and the front that the connector is inserted correctly ( there is no mechanical guidance ) and that no pins are bent, otherwise you may damage the mse when powering it on. 172 mp ^ 73 rd ax 4 x wd'i ii l1 4 i a! | e a 8 8 8 bhd ti. ft | | i i an u [ len. ix e let a t. pu lo rs t » ip i warning a misplaced connector might damage the mse or the monitor. 6. slide the connector into the holder as shown below. arrange the flex cable in the space ca beside and underneath the board ( be careful not to bend the cable ) while positioning the holder for insertion. insert the holder with the connector into the dovetail connection and slide it down until you hear a click. 173 in ar refitting the top cover note be careful with the msl flex cable. make sure it does not get stuck between the covers. 1. position top cover, then press the bottom cover back into place until a click is heard. 2. the cover has a rubber seal. press the covers firmly together and make sure there is no gap between the top @topic:19


# # # issue - cuff bp ( blood pressure ) has deteriorated due to age. # # # impact - the cuff's inability to measure blood pressure accurately can lead to incorrect readings and potential harm to the patient. # # # possible causes - * * age and wear : * * the cuff may have been used extensively, leading to its deterioration. - * * environmental factors : * * exposure to extreme temperatures, humidity, or other environmental factors can damage the cuff material. - * * improper maintenance : * * failure to store or handle the cuff properly can contribute to its deterioration. # # # recommendations - * * regular inspection and maintenance : * * the cuff should be inspected regularly for signs of wear or damage. - * * proper storage : * * store the cuff in a clean, dry place at room temperature. - * * replacement : * * if the cuff is damaged or worn out, it should be replaced with a new one to ensure accurate blood pressure readings. @topic:3


# # # issue - the medical cart is not turning on. # # # impact - the medical cart cannot be used to transport patients or equipment. - this could lead to delays in patient care or even a patient being injured. # # # possible causes - the power cord is not plugged in. - the power switch is not turned on. - the battery is dead. - the motherboard is damaged. # # # recommendations - check the power cord to make sure it is plugged in securely. - turn on the power switch. - replace the battery. - contact a biomedical engineer to have the motherboard repaired or replaced. @topic:13


##i ( ) on charge time — — — — » conditioning batteries battery conditioning can either be performed in the monitor or with an external battery charger. philips recommends using the m8043a smart battery charger to condition batteries. battery conditioning in the monitor caution do not use a monitor being used to monitor patients to condition batteries. the monitor switches off automatically when the battery 1s empty. 106 you should condition a battery when its “ battery requires maintenance ” symbol shows on the screen. if conditioning is not performed immediately the monitor will still function according to specifications. however, the displayed time to empty and time to full will show increasing inaccuracy. do not interrupt the charge or discharge cycle during conditioning. to condition a battery, 1. insert the battery into an mp2 / x2 connected to a host monitor or the external power supply ( m8023a ) that is connected to mains power. 2. charge the battery until it is completely full. open the battery status window. check thatthe battery fully charged message is displayed. 3. disconnect the mp2 / x2 from the external power supply ( m8023a ) or host monitor, and let it run until the battery is empty and the mp2 / x2 switches itself off. 4. reconnect the monitor to mains power or a host monitor and charge the battery until it is full for use or charge to 50 % for storage. battery conditioning with an external charger you can use the m8043a smart battery charger for external battery conditioning. for details please see the ifu for the smart battery charger. use only the ul labeled m8043a smart battery charger. to condition the battery in the smart battery charger, insert the battery into the battery adapter and then insert the battery with adapter into the smart battery charger. storing a battery a battery should not remain inside @topic:11


##tooth radio. service manual advanced settings 27 in advanced settings, touch the network > radio tabs. 1. 2. specify settings. action / description setting enable radio enable the radio for wifi communications. when isabled, the radio is not available. enter the service set identifier ( ssid ) for the enterprise. enter a maximum of 16 characters. select the radio band. essid adio modenable to allow the site to transmit data on changing frequencies for added security. this option applies most frequently to military or overnment enterprises. enable radio network alarms activate radio network alarms when an wireless dropout alarm condition occurs. when disabled, radio network alarms are not available. select the type of roaming ( only available with wpa / wpa2 enterprise ). roaming display the wifi regulatory certification information. regulatory touch update radio to activate all new radio settings not selected previously. touch ok in the confirmation popup. note none of the changed do one of the following : 3. to continue in advanced settings, touch another tab. to exit advanced settings and return to the home tab, touch exit. specify security settings 1. in advanced settings, touch the network > security tabs. select the encryption method to secure data transfer from the device. 2. note network server certificates are required for all eap security options. use the welch allyn service tool to load these certificates. select the preferred encryption option. then specify any additional settings that appear. the default is wpa2 - personal. 3. action / description setting authentication type select the preferred encryption option. then specify any additional settings that appear. the default is wpa2 - personal. enter a passphrase ( 8 to 63 characters ). the characters you enter appear as asterisks. then click wpa - personal and wpa2 - personal specify the followinwpa - enterprise and wpa2 - enterprise @topic:10


# # # issue - blood pressure monitor intermittently malfunctions # # # impact - inaccurate blood pressure readings - delayed or incorrect patient care # # # possible causes - faulty bp module - loose or damaged connections - software glitch # # # recommendations - replace the bp module - inspect and tighten all connections - update the monitor's software @topic:14


# # # issue : - the bed cannot be adjusted to the desired height # # # impact : - difficulty positioning the patient for treatment or comfort - potential injury to the patient or staff - reduced efficiency and productivity # # # possible causes : - faulty remote control - mechanical issue with the bed frame or motor - electrical power failure - software malfunction - user error # # # recommendations : - * * if the remote control is faulty : * * - check if the batteries are dead or need to be replaced - inspect the remote for any physical damage, such as cracks or broken buttons - try resetting the remote by removing the batteries and pressing any button for 10 seconds - if the remote still does not work, contact the manufacturer for repair or replacement - if needed, put a " do not use " tag on the equipment - * * if there is a mechanical issue with the bed frame or motor : * * - inspect the bed for any loose bolts, screws, or gears - check if the motor is running properly by listening for any unusual noises or vibrations - if the mechanical issue cannot be identified, contact the manufacturer for repair or replacement - if needed, put a " do not use " tag on the equipment - * * if there is an electrical power failure : * * - check if the power cord is securely plugged into the outlet - check if the circuit breaker or fuse has tripped - if the power failure cannot be resolved, contact the hospital's maintenance department - if needed, put a " do not use " tag on the equipment - * * if there is a software malfunction : * * - reboot the bed's software by turning it off and back on again - if the software malfunction persists, contact the manufacturer for technical support - if needed, put a " do not use " tag on the equipment - * * if there is user error : * * - @topic:1


# # # issue - bed is not adjusting # # # impact - patient discomfort and potential harm - reduced patient mobility - increased workload for healthcare staff # # # possible causes - * * mechanical failure : * * broken or worn - out parts, such as actuators, motors, or switches - * * electrical failure : * * faulty wiring, loose connections, or power supply issues - * * software malfunction : * * bugs or glitches in the bed's control system - * * hydraulic leaks : * * if the bed is hydraulically operated, leaks can cause it to malfunction - * * remote control issues : * * malfunctioning or damaged remote control - * * user error : * * improper or incorrect operation of the bed # # # recommendations - * * inspect the bed thoroughly : * * check for any visible damage, loose parts, or fluid leaks. - * * test the bed's functions : * * verify that all buttons, switches, and actuators are working properly. - * * check the electrical connections : * * ensure that all cables and wires are securely connected and free from damage. - * * reset the bed's control system : * * if possible, reset the bed's software to resolve any glitches. - * * contact the manufacturer : * * report the issue to the manufacturer for technical support and guidance. - * * provide training to staff : * * educate staff on proper operation and maintenance of the bed to prevent future failures. - * * establish a regular maintenance schedule : * * implement a routine maintenance program to prevent and detect potential problems. @topic:1


# # # issue - shelf of the medical cart is damaged. # # # impact - the medical cart may not be able to transport medical supplies and equipment safely. - the damaged shelf could pose a safety hazard to hospital staff and patients. # # # possible causes - the shelf may have been damaged due to excessive weight being placed on it. - the shelf may have been damaged due to a collision with another object. - the shelf may have been damaged due to a manufacturing defect. # # # recommendations - inspect the medical cart for any other damage. - replace the damaged shelf. - train staff on proper use of the medical cart. - regularly inspect the medical cart for any signs of damage. @topic:31


review, please consult the instructions for use and configuration information. if the instructions for use did not resolve an individual parameter problem, then another module or measurement server should be tried. if you are getting questionable readings for individual measurements you may want to do the performance verification tests in the testing and maintenance section. the performance of the individual applications ( event review, arrhythmia, trending ) are affected by the configuration of the monitor. when contacting philips support you may be asked about the configuration of the monitor to aid in troubleshooting. 137 [ 4 troubleshooting ] 138 5 repair and disassembly the following section describes the disassembly and reassembly procedures for the monitor and its components to the extent required to remove and replace faulty assemblies. do not further disassemble the product past the point described in these procedures. warning high voltage - voltages dangerous to life are present in the instrument. do not perform any disassembly or reassembly procedures ( other than mms, mms extension or parameter module removal ) with power applied to the instrument. failure to adhere to this warning could cause serious injury or death. before doing any disassembly, turn power off, disconnect the local distribution cable, ac power cable, msl cable. defib sync ’ cable and rs232 cable ( where appropriate ), disconnect the mms. tools required • torx screwdrivers ( tio, t20 ) • torque wrench • 1 small flat head screwdriver • needle nose pliers • bsd mat and wrist strap monitor disassembly note • the reassembly procedures are the reverse procedures of the disassembly procedures unless otherwise noted. • your monitor may look slightly different than on the pictures in this chapter, depending on the model and options ordered. 139 @topic:19


in the setup ecg menu, see the menu items [UNK] extrtachy and a extrbrady. ecg alarms off disabled be aware that your hospital department may have decided to disable the alarms off setting for ecg in the monitor's configuration mode. in this case, hr alarms cannot be switched off in monitoring mode. if you try to switch off the hr alarms, you will see the message to activate enter config and enable alarms off. hr alarms when arrhythmia analysis is switched off when arrhythmia analysis is switched off, only these hr - related alarms will be detected :. the ventricular fibrillation / tachycardia alarm • the extreme tachycardia and extreme bradycardia alarms • the high heart rate and low heart rate alarms. • enhanced asystole detection in order to improve alarming on asystole under certain conditions, you can set asystole detect. in configuration mode to enhanced. in enhanced mode an asystole alarm will be suppressed for up to five seconds if a valid beat - to - beat pulse is detected from a pressure. autiointerference from instruments near the patient and esu interference can cause problems with the ecg wave. see the monitor specifications for more information. warning defibrillation and electrosurgery : do not touch the patient, or table, or instruments, during defibrillation. after defibrillation, the screen display recovers within 10 seconds if the correct electrodes are used and applied in accordance with the manufacturers instructions. ecg cables can be damaged when connected to a patient during defibrillation. check cables for functionality before using them again. according to aami specifications the peak of the synchronized defibrillator discharge should be delivered within 60 ms of the peak of the r wave. the signal at the ecg output on @topic:8


# # # issue - wheel is unable to rotate # # # impact - inability to move the equipment, which can hinder patient care and workflow # # # possible causes - worn or damaged wheel bearings - obstruction or debris preventing wheel rotation - misalignment of wheel components # # # recommendations - inspect the wheel bearings for wear or damage, and replace if necessary - remove any obstruction or debris that may be hindering wheel rotation - check the alignment of the wheel components and adjust as needed @topic:24


# # # issue - the bed cannot be adjusted down # # # impact - the patient may not be able to get into or out of the bed safely. - the patient may be uncomfortable if the bed is not at the correct height. # # # possible causes - the remote control is not functioning properly. - the bed motor is not working. - the bed frame is damaged. - the bed is not properly assembled. # # # recommendations - inspect the remote control for any damage. if the remote control is damaged, replace it. - test the bed motor by pressing the up and down buttons on the remote control. if the motor does not work, replace it. - inspect the bed frame for any damage. if the bed frame is damaged, replace it. - ensure that the bed is properly assembled according to the manufacturer's instructions. @topic:1


# # # issue - blurry image on the lcd monitor # # # impact - inability to clearly view medical images during surgical procedures, potentially leading to errors in diagnosis and treatment. # # # possible causes - incorrect signal input being used ( composit instead of b - 1 ) # # # recommendations - ensure that the correct signal input ( b - 1 ) is being used for viewing surgical images. - verify that the dvd player providing the video signal is functioning properly. - if the issue persists, consult with the equipment manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:2