and the last page contains a note to mark the report end. the monitor may be configured to leave a space on the top left or right of the report printout to enable you to stick a patient address label on it. this setting is called the addressograph and it can only be changed in the monitors configuration mode. 338 sample report printouts 27 printing patient reports alarm limits report measurement labels, with alarms off symbol where alarms are switched off patient name 123456789 - pi alarm limits 8 apr 03 12 : 39 : 44 hr r 12 0 50 j st - i [ - 2. 0 - 2 * 0 j st - ii j2, 0 - 2. 0 j st - iii r2. 0 - 2, 0 j st - avr r2, 0 - 2, 0 “ st - avl r 2, 0 - 2, 0 j st - avf r 2 « 0 - 2 * 0 j st - vi r2. 0 - 2, 0 j st - v2 [ - 2, 0 - 2, q j 3t - v3 r 2, o - 2, 0 j st - v4 r 2, 0 - 2, a j st - v5 r 2, 0 - 2, 0 j 3t - v6 r2, 0 - 2. 0 j sp02 r 100 90 j pule * r 120 50 j nbpa r 160 abes r 160 90 - 1 pulee r 120 50 j e 30 i 90 hb mimium svg2 - 3s go - 30 j s °. bag " - ji - 7 - j j ” n e apnsa tiifl * 20 c « c ■ r 100 r “ ° 2 1e _ r l j 3d q — apnea time 20 sec bis, 0 r° m r i - 1, j ” - u hi in @topic:8


the ecg signal. general : when you are connecting the electrodes or the patient cable, make sure that the connectors never come into contact with other conductive parts, or with earth. in particular, make sure that all of the ecg electrodes are attached to the patient, to prevent them from contacting conductive parts or earth. during surgery : use the appropriate orange electrode ecg safety cable, or lead cable with an orange connector, for measuring ecg in the operating room. these cables have extra circuitry to protect the patient from burns during cautery, and they decrease electrical interference. this also reduces the hazard of burns in case of a defective neutral electrode at the hf device. these cables cannot be used for measuring respiration. pacemaker failure : during complete heart block or pacemaker failure to pace / capture, tall p - waves ( greater than 1 / 5 of the average r - wave height ) may be erroneously counted by the monitor, resulting in missed detection of cardiac arrest. patients exhibiting intrinsic rhythm : when monitoring paced patients who exhibit only intrinsic rhythm, the monitor may erroneously count pace pulses as qrs complexes when the algorithm first encounters them, resulting in missed detection of cardiac arrest. the risk of missing cardiac arrest may be reduced by monitoring these patients with low heart rate limit at or slightly above the basic / demand pacemaker rate. a low heart rate alarm alerts you when the patient ’ s heart rate drops to a level where pacing is needed. proper detection and classification of the paced rhythm can then be determined. filtered ecg signal from external instruments : instruments such as defibrillators or telemetry units produce a filtered ecg signal. when this signal is used as an input to the bedside monitor, it is filtered again. if this twice - filtered signal is passed to the arrhythmia algorithm, it may cause the algorithm to fail to detect pace @topic:8


# # # issue - the blood pressure monitor is not providing accurate readings due to air leakage in the cuff tube. # # # impact - inaccurate blood pressure readings can lead to incorrect patient assessment and treatment decisions. # # # possible causes - cuff tube is damaged or punctured - air leak in the cuff tube connection - cuff tube is not properly connected to the monitor # # # recommendations - inspect the cuff tube for damage or punctures. - replace the cuff tube if it is damaged. - ensure that the cuff tube is properly connected to the monitor and the cuff. - test the monitor with a new cuff tube to verify that the issue is resolved. @topic:3


# # # issue - faulty spo2 cable # # # impact - inaccurate or unreliable spo2 readings - potential delays in patient care - risk of patient harm # # # possible causes - physical damage to the cable, such as cuts or tears - loose connections - electrical interference - software glitches # # # recommendations - replace the faulty cable with a new one - inspect the cable for any visible damage or loose connections - ensure that the cable is properly connected to the monitor and the patient - test the monitor to verify that it is functioning properly - consider using a backup monitor or spo2 sensor to mitigate the risk of inaccurate readings @topic:4


message " print job could not be queued ” is issued. no print device is found. status message “ print device remote 1 ( remote 2, remote 3 ) unavailable " is issued. printer job is stalled status message “ printing on device remote 1... ( remote 2, remote 3 ) ” is issued but no report is printed printer is disabled in the setup printers menu paper size of printer does not match paper size of report print error on intellivue information center ( iic ) network connection to intellivue information center ( iic ) not functioning print queue on intellivue information center ( iic ) is full. reasons for this may be : - printer 1s not switched on - printer paper tray is empty enable the correct printer in the setup printers menu change paper size of the printer in the setup printers menu or change paper size of the report in the setup reports menu. print a test report on the intellivue information center ( iic ). if this fails, refer to intelli vue information center ( iic ) documentation check that the network connection between the monitor and the intellivue information center ( iic ) is working switch on printer power fill printer paper tray troubleshooting guide printer paper size is not correctly configured printouts are not as expected printer resolution is not correctly configured printer color support is configured to * on " although the printer does not support color printer not compatible troubleshooting the ecg sync pulse no ecg sync pulse wrong or defective cable no ecg pulse signal available ecg out connector assembly not connected ecg connector defective main board defective companion mode problems x2 does not enter incompatible software revision of companion mode host monitor when connected to msl connection not established a host monitor correctly msl power board defective main board defective 4 troubleshooting configure the paper size according to the inserted print media configure the @topic:28


# # # issue - bed not adjusting # # # impact - patient discomfort or harm - delay in patient care # # # possible causes - blown fuse in control box - circuit board failure - motor failure - power cord or connection issue # # # recommendations - replace blown fuse - test circuit board and motor - check power cord and connection - calibrate bed if necessary @topic:1


# # # issue - cuff was damaged. # # # impact - the vital sign monitor may not be able to accurately measure blood pressure. # # # possible causes - cuff was not properly attached to the patient. - cuff was damaged by a patient or staff member. - cuff was improperly stored. # # # recommendations - make sure that the cuff is properly attached to the patient. - inspect the cuff regularly for damage. - store the cuff in a cool, dry place. @topic:5


# # # issue * vital signs are not linking into the icca system. * # # # impact * inaccurate or incomplete medical records. * * delayed or missed diagnoses. * * increased risk of patient harm. * # # # possible causes * * * faulty equipment : * * the monitor may be malfunctioning or there may be a problem with the connection to the icca system. * * * incorrect configuration : * * the monitor may not be properly configured to link with the icca system. * * * network issues : * * there may be a problem with the network connection between the monitor and the icca system. * * * software issues : * * there may be a problem with the software on the monitor or the icca system. # # # recommendations * * * check the equipment : * * ensure that the monitor is functioning properly and that the connection to the icca system is secure. * * * verify the configuration : * * confirm that the monitor is properly configured to link with the icca system. * * * troubleshoot the network : * * check the network connection between the monitor and the icca system and resolve any issues. * * * update the software : * * if necessary, update the software on the monitor or the icca system. * * * contact the manufacturer : * * if the problem persists, contact the manufacturer of the monitor or the icca system for assistance. @topic:16


interpretations. respiratory monitoring is also possible with the easi placement ; respiration is measured between the i and a electrodes. place the electrodes as accurately as possible to obtain the best quality easi measurements. when easi lead placement is selected, easi is shown beside the lmv calibration bar on the ecg wave on the display, and easi is marked on any recorder strips and printouts. easi monitoring during inop conditions if one of the derived easi leads has an inop condition ( for example, lead off ), a flat line is displayed. after 10 seconds, the directly acquired easi ai, as, or es lead ( depending on which is available ) is displayed with the corresponding lead label. this causes an arrhythmia relearn. 129 6 ecg, arrhythmia, st and qt monitoring ecg and arrhythmia alarm overview ecg and arrhythmia alarm overview the ecg and arrhythmia alarms available depend on which measurements are switched on, and the arrhythmia option enabled for your monitor. • cardiotach alarms are available when hr is on and the active alarm source is ecg, but arrhythmia is switched off • basic arrhythmia alarms are available when arrhythmia is switched on • advanced arrhythmia alarms are available when arrhythmia is switched on and the advanced arrhythmia option has been enabled for your monitor cardiotach alarms additional alarms with basic arrhythmia option additional alarms with enhanced arrhythmia option * * * asystole * * * ventricular fibrillation / tachycardia * * * extreme bradycardia * * * extreme tachycardia * * high heart rate * * low heart rate * * * @topic:8


# # # issue - the bedside physiologic monitor is not reading the respiratory rate ( rr ). # # # impact - the patient's respiratory status cannot be accurately monitored, which could lead to delayed or missed treatment. # # # possible causes - * * loose or disconnected band : * * the band that connects the sensor to the patient's chest may have become loose or disconnected, causing the sensor to lose contact with the skin. - * * dried gel : * * the gel that is used to adhere the sensor to the patient's skin may have dried out, causing the sensor to lose contact with the skin. - * * faulty sensor : * * the sensor itself may be faulty, preventing it from reading the patient's respiratory rate accurately. - * * electrical interference : * * other electrical devices in the room may be causing interference with the monitor, preventing it from reading the patient's respiratory rate accurately. # # # recommendations - * * check the band : * * make sure that the band is securely connected to the patient's chest and that the sensor is making good contact with the skin. - * * apply new gel : * * apply a new layer of gel to the sensor to ensure that it is adhering properly to the patient's skin. - * * replace the sensor : * * if the sensor is faulty, it should be replaced with a new one. - * * check for electrical interference : * * if there are any other electrical devices in the room that may be causing interference, try moving them away from the monitor or turning them off. @topic:20


# # # issue - the cause of failure is not clear from the given input. # # # impact - the exact impact of the failure is not known, but it is likely that the vital signs monitor is not functioning properly. # # # possible causes - the battery may not have been installed correctly. - the battery may be defective. - the vital signs monitor may have a problem with its electrical system. # # # recommendations - check the battery installation. - replace the battery if it is defective. - inspect the vital signs monitor for any electrical problems. @topic:11


##rt balt < none > issued to issued by ertificates current uaaa certificate services add trust external ca rooaffirmtrust commercial import... 12 / 31 / 2028 5 / 30 / 2020 12 / 31 / 2030 5 / 12 / 2025 aaa certificate services add trust external ca root affirm trust commercial baltimore cybertrust root btvschres > personal trusted root certification authorities certificate al tasks > enterprise trus > intermediate ( > active directo > trusted publis > untrusted cer > third - party re > trusted people > client authen > other people > currentuser 205 3 / 28 / 2031 view btyschrc1 / 9 / 2025 < all > < none > new window from here new taskpad view... refresh 103 103 btvschrc03 3 / 28 / 2031 < all > < none > 11 / 9 / 2025 btvschrc03 < all > < none > 3 / 28 / 2031 < none > 03 btvschrc03 < all > certum client authenticati.. client authenticat... client authenticati.. client authenticati.. time stamping client authenticati... digicert verisign sectigo microsocertum certum ca 6 / 11 / 2027 12 / 31 / 2029 8 / 1 / 2028 1 / 18 / 2038 12 / 30 / 1999 11 / 9 / 2031 11 / 9 / 2031 certum export list... trusted network ca public primary certificat... jo rsa certification au... copyright ( c ) 1997 microsoft c... digicert assured id root ca igicert global root ca certum trusted network ca class 3 public primary certificatio.. comodo rsa certification au @topic:18


* * issue : * * keypad on electric bed is malfunctioning, with difficult button presses and intermittent functionality on the left side. * * impact : * * compromised patient care, such as difficulties adjusting the bed position or activating safety features. * * possible causes : * * * mechanical failure of the keypad buttons or switches * electrical malfunction within the keypad circuitry * faulty connection between the keypad and the bed's control system * physical damage to the keypad or surrounding area * weight scale panel not functioning properly * * recommendations : * * * * * inspect the keypad : * * check for any visible damage, loose connections, or debris. * * * test the buttons : * * manually press each button to assess their responsiveness and alignment. * * * troubleshoot the circuitry : * * use a multimeter to test the continuity and voltage levels within the keypad and connecting cables. * * * examine the weight scale panel : * * ensure it is properly connected and calibrated. * * * replace faulty components : * * if necessary, replace damaged or malfunctioning parts, such as buttons, switches, or the keypad itself. * * * calibrate the keypad : * * follow the manufacturer's instructions to adjust the keypad's sensitivity and ensure accurate button presses. * * * retest the keypad : * * after making repairs or adjustments, thoroughly test the keypad's functionality in both normal and emergency situations. * * * document the repairs : * * keep a record of the troubleshooting steps taken, repairs made, and any test results. @topic:25


# # # issue the electric bed cannot lower the headrest. # # # impact patients may be uncomfortable or unable to use the bed properly. # # # possible causes * * electrical : * * * faulty motor * damaged wiring * loose connections * power failure * * mechanical : * * * obstruction in the mechanism * worn or broken gears * misalignment of components * * other : * * * control panel malfunction * software bugs # # # recommendations 1. * * electrical : * * * inspect and test the motor for proper operation. * check wiring for damage or loose connections. * verify power supply to the bed. 2. * * mechanical : * * * clear any obstructions from the mechanism. * replace or repair worn or broken gears. * adjust or realign components as necessary. 3. * * other : * * * reset the control panel or update software if required. * contact the manufacturer for technical support or replacement parts. @topic:1


# # # issue - broken plug prongs on an electric bed # # # impact - the electric bed is not operational and cannot be used for patient care. # # # possible causes - the plug prongs were damaged due to : - repeated bending or twisting of the plug - dropping the plug or the bed - physical stress on the plug, such as being stepped on # # # recommendations - inspect the plug and cord for any other damage. - replace the damaged plug with a new one that meets the original specifications. - ensure that the plug is securely inserted into the outlet and that there is no loose connection. - avoid bending or twisting the plug excessively. - protect the plug and cord from physical damage. @topic:25


# # # issue the bed is unable to adjust its position. # # # impact * patients may be unable to get in or out of bed. * patients may be uncomfortable or in pain. * nurses and other healthcare providers may be unable to provide care to patients. # # # possible causes * the control box is faulty. * the motor that moves the bed is not working. * the wiring is damaged. * the remote control is not working. # # # recommendations * check the control box for any loose connections or damaged components. * test the motor using a multimeter to ensure that it is receiving power. * inspect the wiring for any breaks or damage. * replace the remote control if it is not working. @topic:1


# # # issue broken bed # # # impact the bed cannot be used safely for patients. # # # possible causes - the bed frame is damaged. - the bed motor is not working. - the bed controls are not functioning. - the bed has been overloaded. - the bed has been used improperly. # # # recommendations - inspect the bed for damage. - test the bed motor and controls. - check the bed for any signs of overloading or improper use. - repair or replace the damaged parts. - train staff on proper use of the bed. @topic:9


# # # issue - acquisition 1 ( colored orange ) is unable to be plugged in. # # # impact - inability to utilize acquisition 1, potentially impacting patient monitoring capabilities. # # # possible causes - pin on acquisition 1 is bent and not aligning with the corresponding hole on the device, preventing proper connection. # # # recommendations - technicians from bjh have been contacted to resolve the issue. - once the repair is complete, testing should be performed to ensure proper functionality of acquisition 1. @topic:12


##a ) that allows you to operate the monitor from an ac ( alternatin g current ) power source of 100 v to 240 v ( + 10 % ) and 50 to 60 hz ( x 596 ). the external power supply also charges the monitor's battery. msl cable connects to power supply ( m80234 ) ac power cord. connect to ac mains socket. connect lan cable here. for connection to a pc or central station. measurement link ( msl ) cable. supplies dc input power to the monitor for ac operation and for battery charging. the msl cable is also used to communicate with a pc or information center. 4 power - on led. the green light is on when the external power supply is connected to ac mains. 210 checking out the monitor 7 installation instructions warning - always use the supplied power cord with the earthed mains plug to connect the external power supply ( m8023a ) to an earthed ac mains socket. never adapt the mains plug from the power supply to fit an unearthed ac mains socket. - do not use ac mains extension cords or multiple portable socket - outlets. if a multiple portable socket - outlet without an approved isolation transformer is used, the interruption of its protective earthing may result in enclosure leakage currents equal to the sum of the individual earth leakage currents, so exceeding allowable limits. - do not connect any devices that are not supported as part of a system. - any non - medical device placed and operated in the patient's vicinity must be powered via an approved isolation transformer that ensures mechanical fixing of the power cords and covering of any unused power outlets. - the grub screws at the bottom of the external power supply are not internally connected to ground. checking out the monitor the following table defines which tests and inspections need to be performed, and when they are required. visual inspect @topic:10


# # # issue - spo2 cable failure # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - damaged cable - loose connection - faulty sensor # # # recommendations - replace the spo2 cable - ensure that the cable is properly connected to the monitor and sensor - test the sensor to ensure it is functioning properly @topic:4


reset its software and hardware. - * * update the software : * * if the issue persists, check for any available software updates from the manufacturer and apply them. - * * contact technical support : * * if the above steps do not resolve the issue, it is recommended to contact the manufacturer's technical support for further assistance. @topic:12


# # # issue - broken power cord or jack # # # impact - inability to use the equipment safely and effectively # # # possible causes - wear and tear from repeated use - accidental damage - manufacturing defects # # # recommendations - inspect power cords and jacks regularly for signs of damage. - replace damaged cords or jacks immediately. - handle equipment with care to prevent accidental damage. - consider using a power strip with surge protection to protect equipment from power surges. @topic:12


# # # issue - cuff of vital sign monitor is damaged. # # # impact - inaccurate blood pressure measurement. - patient safety may be compromised. # # # possible causes - prolonged use of the cuff without proper maintenance. - damage to the cuff due to improper handling or storage. - manufacturing defect. # # # recommendations - regularly inspect the cuff and tubing for any signs of damage or wear. - replace the cuff and tubing according to manufacturer's recommendations. - handle and store the cuff carefully to prevent damage. - ensure proper training of staff on how to use and maintain the vital sign monitor. @topic:5


# # # issue - the physiologic monitor ( bedside ) is not functioning properly due to a faulty cuff. # # # impact - the monitor may not be able to accurately measure the patient's vital signs, such as blood pressure, heart rate, and respiration rate. this could lead to delayed or incorrect diagnosis and treatment. # # # possible causes - the cuff may be old or damaged. - the cuff may not be properly connected to the monitor. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly connected to the monitor. - use the correct size cuff for the patient. @topic:5


# # # issue - cuff leak # # # impact - inaccurate blood pressure readings - patient safety concerns - equipment downtime # # # possible causes - damage to the cuff bladder - leak in the tubing - loose connections # # # recommendations - replace the cuff - inspect the tubing for any leaks - tighten any loose connections - calibrate the equipment according to manufacturer's instructions - perform regular maintenance and inspections on the equipment to prevent future failures @topic:3


##chycardia alarms from pulse are active. alarm source selection disabled if you cannot change the alarm source, selection of the alarm source may be disabled. if you try to change the source, the monitor displays the message to activate enter config and enable alarm as pulse and hr share the same high and low alarm limits, if you change the alarm limit in the setup pulse menu, the high or low alarm limits for hr in the setup ecg menu change automatically, and vice versa. the only exceptions are caused by a low limit clamp for each measurement : the lowest value for pulse when derived from spo2 is 30 bpm ; from hr 15 bpm, and from pressure 25 bpm. extreme alarm limits for heart rate the extreme rate alarms, * * * extreme tachy and * * * extreme brady, generated by the active alarm source, either hr or pulse, are set in configuration mode by adding a set value to the high and low alarm limits. you need to know what value has been configured for your monitor. changing the high and low alarm limits automatically changes the extreme alarm limits within the allowed range. to see the values added to the high and low limit alarms to create the extreme rate alarms for your monitor, in the setup ecg menu, see the menu items a extrtachy and a extrbrady. • qrs tone the active alarm source is also used as a source for the qrs tone. you can change the tone volume in the setup spo2 and setup ecg menus and the qrs tone modulation in the setup spo2 menu. warning the audible qrs tone might be influenced by external interference and is not intended to be used as a substitute for ecg based arrhythmia analysis. if arrhythmia detection is needed, do not rely on the audible qrs tone. 183 184 monitoring respiration rate ( @topic:8


# # # issue shortage of cuffs and connectors # # # impact inability to monitor patients'vital signs accurately and effectively # # # possible causes - high patient load leading to increased demand for cuffs and connectors - lack of proper inventory management and replenishment - defective cuffs and connectors requiring replacement # # # recommendations - assess the current demand and usage patterns to determine the optimal quantity of cuffs and connectors required - implement a robust inventory management system to track stock levels and trigger automatic reorders when necessary - establish a regular maintenance and calibration schedule for cuffs and connectors to prevent premature failure - explore alternative suppliers or bulk purchasing options to secure a reliable supply of high - quality consumables @topic:5


# # # issue - equipment : bed, electric - band : universal quality - model : uq2000b - description : replaced remote control due to malfunction. device tested and functioning normally. - cause of failure : bed's head and foot adjustments are not functioning. # # # possible causes - loose or damaged electrical connections - faulty motor or actuator - control board malfunction - software glitch or corruption # # # recommendations - inspect electrical connections for any loose or damaged wires. - test the motor and actuator for proper functionality. - examine the control board for any visible damage or loose components. - check for any software updates or patches that may resolve the issue. - if necessary, contact the manufacturer for additional support or replacement parts. @topic:7


# # # issue the blood pressure ( bp ) cuff of the philips suresigns vs2 + vital signs monitor is not properly connected. # # # impact the inaccurate readings from the disconnected bp cuff may lead to incorrect patient monitoring and treatment decisions. # # # possible causes 1. the bp cuff is not properly attached to the patient's arm. 2. the bp cuff is not properly connected to the monitor. 3. the bp cuff is damaged. # # # recommendations # # # # technician responsibilities 1. ensure the bp cuff is properly attached to the patient's arm, ensuring a snug but not overly tight fit. 2. inspect the connection between the bp cuff and the monitor, ensuring it is securely fastened. 3. if the bp cuff appears damaged, replace it with a new one. # # # # regulatory and compliance considerations - follow established protocols for equipment inspection, maintenance, and repair. - maintain accurate documentation of inspection, maintenance, and repair activities. - ensure that all biomedical equipment is calibrated and maintained according to the manufacturer's recommendations. - consider implementing a preventive maintenance program to minimize the risk of equipment failure. # # # # risk mitigation - educate clinical staff on the importance of proper bp cuff placement and connection. - establish a system for regular monitoring and inspection of biomedical equipment. - provide training to biomedical engineers on troubleshooting and resolving equipment issues related to bp cuffs. @topic:5


# # # issue the biomedical engineer is unable to identify the cause of failure for the physiologic monitor. # # # impact the physiologic monitor is an essential piece of equipment for monitoring vital signs. without it, the hospital will not be able to provide adequate medical care to its patients. # # # possible causes the possible causes of failure for the physiologic monitor include : * * * faulty hardware * * the monitor's hardware may be malfunctioning, preventing it from properly displaying vital signs. * * * software problems * * the monitor's software may be experiencing problems, preventing it from communicating with the patient's sensors. * * * user error * * the monitor may have been operated incorrectly, leading to its failure. * device was not broken # # # recommendations the biomedical engineer should take the following steps to identify the cause of failure for the physiologic monitor : * * * check the monitor's hardware. * * inspect the monitor's cables, connectors, and sensors for any damage. * * * update the monitor's software. * * the manufacturer may have released a software update that fixes the monitor's problems. * * * contact the manufacturer. * * the manufacturer may be able to provide technical support to help identify and fix the monitor's problems. @topic:2


# # # issue - the monitor lcd is flickering when connected to the camera 3d. # # # impact - the flickering may affect the accuracy of the medical images displayed on the monitor. # # # possible causes - the technician mentions that the issue is specific to one of the two monitors connected to the camera 3d. the other monitor is not experiencing the flickering. this indicates that the issue may be related to the specific monitor or its connection to the camera 3d. - the technician states that the issue occurs when using the 3d mode on the camera 3d. when the mode is changed to composite, the flickering stops. this suggests that the issue may be related to the compatibility between the monitor and the camera 3d in 3d mode. - the technician has already contacted olympus, the manufacturer of the camera 3d, and a technician is scheduled to come on april 3rd to replace the signal connector. this indicates that the technician suspects the issue may be with the signal connection between the camera 3d and the monitor. # # # recommendations - the technician should verify that the monitor and the camera 3d are compatible for use in 3d mode. they should check the manufacturer's specifications and ensure that both devices are using the correct settings. - the technician should check the signal cable connecting the camera 3d to the monitor to ensure that it is properly connected and not damaged. - the technician should wait for the olympus technician to arrive on april 3rd to replace the signal connector and observe if the issue is resolved. @topic:2


maintenance ] this measures the impedance of the protective earth ( pe ) terminal to all exposed metal parts of the device under test ( dut ), which are for safety reasons connected to the protective earth ( pe ). you can find metal parts of the device at the equipotential connector. measurements shall be performed using a measuring device capable to deliver a current of at least 200 ma into 500 mohms with maximum open circuit voltage of 24v this safety test is based on lec / en 62353. report the highest value ( xi ). test expected test results protective earth resistance test ( with mains cable ) xi < = 300mohms note • if the protective earth resistance test fails, testing must be discontinued immediately and the device under test must be repaired or labeled as defective. • all values for current and voltage are the root mean square ( r. m. s. ) values, unless otherwise stated. • flex the power cord during the protective earth resistance test to evaluate its integrity. if it does not pass the test, exchange the power cord. then repeat the test. if it stiu does not pass, follow the instructions in the first bullet point of this note above. s ( 2 ) : equipment leakage current test - normal condition test to perform : measuring circuit for the measurement of equipment leakage current - direct method according to lec / en 62353. this test measures leakage current of accessible conductive and non - conductive metal parts of the monitor and the functional earth leakage current. it tests normal and reversed polarity. perform the test with si closed ( normal condition ). there are no parts of the equipment that are not protectively earthed. disconnect any data cables and any connections that may provide an extraneous earth path. test the device under test ( dut ) on an insulated surface. do not touch the du @topic:10


/ steer tube. 12. remove the head end brake bar. 13. remove the brake / steer link bar ( e ) from the frame. 14. remove the plastic bushing ( f ) from the head and foot end brake bars. replacement 1. insert the new bushings ( f ) into the brake / steer link bar ( e ). 2. insert the brake / steer link ( e ) into the frame. note : the plastic bushings will be between the brake / steer link bar and the frame. 3. align the head end brake bar with the bushing in the brake / steer link bar ( e ). 4. drive the head end brake bar into the brake / steer link bar ( e ), seating it inside the bushing. 5. align the foot end brake bar ( d ) with the bushing in the brake / steer link bar ( e ). 6. drive the foot end brake bar ( d ) into the brake / steer link bar ( e ), seating it inside the bushing. 7. install the casters ( b ) ( refer to procedure 4. 13 ). 8. install the head and foot frame covers. page 4 - 42 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 12 brake / steer bar chapter 4 : removal, replacement, and adjustment procedures warning : use proper lifting techniques. failure to do so can cause personal injury or equipment damage. 9. using a second person, remove the pieces of wood from under the hilow columns. 10. to make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 - 5. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 43 4. 13 caster chapter 4 : removal, replacement, and adjustment procedures 4. 13 caste @topic:26


# # # issue - the medical cart is not powering on. # # # impact - the medical cart cannot be used to transport medical supplies and equipment. # # # possible causes - the power cord is not plugged in. - the power switch is not turned on. - the battery is dead. - the motherboard is faulty. # # # recommendations - check if the power cord is plugged in and the power switch is turned on. - if the battery is dead, replace it with a new one. - if the motherboard is faulty, contact the manufacturer for repair. @topic:13


# # # issue - equipment malfunction # # # impact - patient safety risk - inaccurate patient monitoring - delays in patient care # # # possible causes - * * equipment failure : * * - faulty sensor - broken wire - software glitch - * * human error : * * - improper installation or maintenance - patient tampering - * * environmental factors : * * - extreme temperatures - humidity - radio frequency interference # # # recommendations - * * immediate actions : * * - isolate the equipment and patient - contact the manufacturer for assistance - perform a preliminary inspection to identify obvious damage - * * troubleshooting : * * - check connections and cables - test sensor functionality - update software - * * preventive maintenance : * * - regular equipment inspections and maintenance - proper training of staff on equipment use and maintenance - environmental monitoring and control @topic:12


# # # issue - cuff leak # # # impact - inaccurate vital signs measurements # # # possible causes - damaged cuff - loose connections between cuff and monitor # # # recommendations - inspect the cuff for damage and replace if necessary. - ensure that all connections between the cuff and monitor are secure. @topic:5


59 ) lact = * 2 mmol / 1 11 oct 8 : 56 ) 00 : 04 74 12 - 10 the lower area of the screen contains : • a reminder list of the treatment recommendations - recommendations which have been fulfilled are shown in gray, overdue recommendations are shown in orange • a timer showing the time already passed in this phase • three horizon trends for map, cvp and scv0 2 or sv0 2, if these measured values are available 315 25 protocolwatch ssc sepsis protocol • a list of the latest manually entered values - if you select this list you will open the manual entry log window where the last 24 manually entered values are shown for reference if scv0 2 or sv0 2 and cvp are not being continuously measured, a pop - up window appears at hourly intervals to ask for a manually measured value. monitoring the sepsis resuscitation bundle recommendations when you select the lower area of the protocolwatch screen, the sepsis resuscitation bundle window appears. if you do not have the protocolwatch screen displayed, the sepsis resuscitation bundle window appears automatically once an hour. protocolwatch show details enter lact enter scv0 2 enter cvpm protocol log preview managmnt confirm remind 5 min select the enter lact key to enter a lactate value. when you have entered a value, or if a lactate value had previously been entered, the box is checked. check the take blood cultures box when you have taken blood cultures. check the administer intravenous antibiotics box when you have started broad - spectrum antibiotic therapy. the remaining three recommendations are automatically compared to the sepsis resuscitation bundle criteria, if the measurements are available on the monitor. a box is checked when the corresponding recommendation has been fulfilled. depending on your configuration, continuously measured cvp values may be disregarded if they exceed a set limit. @topic:8


# # # issue - the electric bed's headrest cannot be adjusted. # # # impact - the patient may not be able to be positioned comfortably for procedures or rest. # # # possible causes - the motor that controls the headrest may be faulty. - the electrical wiring to the motor may be damaged. - the control panel may be malfunctioning. # # # recommendations - replace the motor. - repair the electrical wiring. - replace the control panel. @topic:1


error battery over temperature shut down and restart the monitor. if the problem persists, replace the battery. see “ removing the battery ” on page 8 - 4. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 769 ( 1 ) ecg equip malfunc ( 1 ) ecg hardware internal calibration - gain error replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 769 ( 2 ) ecg equip malfunc ( 2 ) ecg hardware internal calibration - linearity error replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 769 ( 3 ) ecg equip malfunc ( 3 ) ecg hardware internal calibration - offset error replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 770 fpga fifo overrun ecg software error on main board shutdown and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 111 ecg error. the front end will now reset itself. no data from ecg replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. troubleshooting 7 - 15 error codes code description possible cause action 785 ( 1 ) ibp equip malfimc - initialization failed ( 1 ) ibp a / d did not configure correctly during power - up replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 785 ( 2 ) ib @topic:22


# # # issue - battery failure in dinamap pro 300 monitor # # # impact - disrupted monitoring of vital signs, leading to potential delays in patient care. # # # possible causes - exhaustion of battery life due to prolonged use or improper charging. - battery degradation caused by environmental factors such as extreme temperatures or humidity. # # # recommendations - regularly inspect and replace batteries as per the manufacturer's guidelines. - ensure proper charging practices, such as using the correct charger and adhering to recommended charging times. - store batteries in controlled conditions, away from extreme temperatures and humidity. - consider using rechargeable batteries with longer lifespan and reduced environmental impact. @topic:11


# # # issue - bed alarm is displaying a wrench icon # # # impact - the bed alarm may not be functioning properly, which can pose a safety risk to patients. # # # possible causes - the bed alarm system may be malfunctioning due to a loose connection, a faulty sensor, or a software glitch. - the bed may be in an unsafe position, triggering the alarm. - the bed alarm may be activated due to a patient's movement or interaction with the bed. # # # recommendations * * troubleshooting : * * - check the connections between the bed alarm system and the bed. - inspect the bed alarm sensors and ensure they are clean and free of debris. - test the bed alarm system by moving the bed and observing if the alarm activates appropriately. * * repairs : * * - if the troubleshooting steps do not resolve the issue, the bed alarm system may need to be repaired or replaced. - contact the manufacturer or a qualified medical equipment technician for assistance. * * safety measures : * * - monitor patients closely while the bed alarm is not functioning properly. - ensure that the bed is in a safe position to prevent falls or injuries. - consider using alternative methods of patient monitoring, such as a bed sensor or a nurse call system. @topic:26


# # # issue - * * monitor not displaying parameter values. * * # # # impact - clinicians cannot monitor patient vital signs, leading to delayed or incorrect treatment decisions. # # # possible causes - * * faulty control board : * * the control board is responsible for processing and displaying patient data. a malfunctioning control board can prevent the monitor from displaying accurate parameter values. - * * damaged module : * * the monitor is composed of various modules that work together to display patient data. a damaged module can disrupt the flow of information and cause the monitor to display incorrect or no data. - * * software malfunction : * * the monitor software is responsible for interpreting and displaying patient data. a software malfunction can cause the monitor to display incorrect or no data. # # # recommendations - * * replace the control board : * * if the control board is confirmed to be faulty, it should be replaced with a new one. - * * repair or replace the damaged module : * * if a specific module is identified as damaged, it should be repaired or replaced. - * * update the software : * * if a software malfunction is suspected, the monitor software should be updated to the latest version. - * * regular maintenance : * * to prevent future failures, regular maintenance and calibration of the monitor should be performed according to the manufacturer's guidelines. @topic:22


# # # issue - keyboard is not connecting to the medical cart via bluetooth. # # # impact - the medical cart cannot be used to input data or control the device. # # # possible causes - the keyboard is not properly paired with the medical cart. - the bluetooth connection is not enabled on the medical cart. - the keyboard is defective. # # # recommendations - ensure that the keyboard is properly paired with the medical cart. - enable the bluetooth connection on the medical cart. - replace the keyboard if it is defective. @topic:27


power cable from the device and disconnect the power cord from the wall. with one hand holding the power supply, remove the 2 phillips screws that attach the power 2. 3. note set the screws, adapter plate, and well nuts aside for remove the power supply unit. 4. recycle or dispose of the power supply unit in an environmentally safe manner consistent witocal regulations. section d, attach the power supply to the stand this section applies to csm devices with a 4400 - mbs or 7000 - ms3 mobile stand meeting these criteria : 4400 - mbs or 7000 - ms3 mobile stand manufactured after 02 / 2022 * or later • power supply model : menb1035a1500f02. service manual note see the model number and label for further information. l - - - kit item : 7000 - ps, connex spot power supply. 1. install the adapter plate onto the wire bracket of the mobile stand. 2. attach the power supply to the adapter plate by aligning the holes. holding the power supply unit snugly to the support bracket, tighten the 2 phillips screws. 3. 88 disassembly and repair welch [UNK] connex® spot monitor thread the power cable from the power supply through one of the spaces next to the pole to reach the device, and then connect the power cable to the device. 4. 5. ower up the devic6. 89 field replaceable units this listing includes only field - replaceable service parts. product accessories — including patient sensors, probes, cables, batteries, probe covers, and other consumable items — are listed separately in the accessories list in the appendix of the instructions for use or at hillrom parts store. this section begins with an illustration of the entire device followed by lists of service kits. 90 field replace @topic:19


# # # issue - vital signs monitor displaying abnormally high readings # # # impact - inaccurate patient data, potentially leading to misdiagnosis or incorrect treatment # # # possible causes - * * sensor malfunction : * * faulty sensors can provide inaccurate readings. - * * electrical interference : * * electromagnetic interference from nearby devices can disrupt the monitor's readings. - * * software errors : * * bugs or glitches in the monitor's software can cause incorrect data display. - * * calibration issues : * * incorrect calibration can lead to inaccurate readings. - * * patient factors : * * certain patient conditions or medications can affect vital signs readings. # # # recommendations - * * thorough inspection : * * examine the monitor, cables, and sensors for any visible damage or loose connections. - * * isolate potential sources of interference : * * move the monitor away from other electronic devices or use shielded cables. - * * check software updates : * * install the latest software updates to fix any known bugs or errors. - * * recalibrate the monitor : * * ensure the monitor is properly calibrated using calibrated equipment. - * * consider patient factors : * * review the patient's medical history and current medications to rule out any contributing factors. @topic:20


# # # issue - faulty ac power cord # # # impact - device malfunction # # # possible causes - physical damage to the cord, such as cuts, tears, or abrasions - loose or frayed connections - overheating due to excessive current draw or improper ventilation - exposure to moisture or corrosive chemicals - aging or deterioration of the cord material # # # recommendations - inspect the ac power cord regularly for any signs of damage or wear. - ensure that the cord is properly connected at both ends. - avoid overloading the device by exceeding its rated current capacity. - keep the device in a well - ventilated area to prevent overheating. - protect the cord from moisture and corrosive chemicals. - replace the ac power cord if it shows any signs of damage or if it is more than 5 years old. @topic:12


symbol color action electrode has no skin contact • red reconnect electrode, or check the sensor - to - skin contact. if necessary, clean and dry skin. too much signal noise, impedance cannot be measured • gray check sensor - to - skin contact. press sensor more firmly to skin. if necessary, clean and dry skin. impedance above limit • yellow check sensor - to - skin contact. press sensor more firmly to skin. if necessary, clean and dry skin. impedance within valid range • green no action necessary changing the bis smoothing rate the smoothing rate defines how the monitor averages the bis value. 261 19 monitoring bis switching bis and individual numerics on and off ♦ to change the smoothing rate, in the setup bis menu, select smoothing rate then choose either : - 15 seconds : this provides increased responsiveness to changes in the patient ’ s state. - 30 seconds : this provides a smoother bis trend with decreased variability and sensitivity to artifacts. switching bis and individual numerics on and off to switch the bis measurement on or off : ♦ in the setup bis menu, select bis to toggle between on and off. to switch individual numerics provided by the bis module on or off : ♦ in the setup bis menu, select sqi, tp, sef, sr, emg, or bursts to toggle between on and off. changing the scale of the eeg wave changing the scale only changes the visual appearance of the wave. it does not affect the signal analyzed by the monitor or printed in reports or recordings. the scale information shown depends on whether gridlines are switched on or off for display. this setting can only be changed in configuration mode. 1 in the setup bis menu, select change scale to call up a list of wave scales. 2 select the required scale from this list. ♦ when gridlines are switched off, you can choose from the available @topic:8


# # # issue - button on medical device not working # # # impact - inability to use the device effectively - potential for patient harm # # # possible causes - physical damage to the button - electrical fault - software issue # # # recommendations - inspect the button for any visible damage - check the electrical connections to the button - update the device software if available - replace the button if necessary @topic:12


* * issue : * * equipment cannot be weighed * * impact : * * patients cannot be accurately weighed, which can affect treatment decisions. * * possible causes : * * * * * button malfunction : * * the " weigh " button or the " weigh + zero " button may be malfunctioning, preventing the activation of the weighing function. * * * electrical issue : * * loose connections or faulty wiring within the equipment can disrupt the electrical signal necessary for weighing. * * * scale sensor issue : * * the scale sensor responsible for detecting weight may be damaged or miscalibrated, leading to inaccurate or no weight readings. * * * mechanical problem : * * parts of the weighing mechanism may be broken or misaligned, affecting its proper functioning. * * recommendations : * * * * * inspect and test buttons : * * examine the " weigh " and " weigh + zero " buttons for any damage or loose connections. test their functionality by pressing them and observing the response. * * * check electrical connections : * * ensure all electrical connections are secure and there are no loose wires or damaged wires. * * * calibrate the scale sensor : * * use a certified calibration weight to calibrate the scale sensor and ensure accurate weight measurements. * * * inspect and repair mechanical components : * * examine the weighing mechanism for any broken or misaligned parts. replace or repair as necessary. @topic:25


# # # issue - degraded cuff bp # # # impact - inaccurate bp measurements # # # possible causes - cuff bp degradation due to : - wear and tear from repeated use - exposure to extreme temperatures - improper storage # # # recommendations - replace degraded cuff bp with a new one - regularly inspect and maintain cuff bp to prevent degradation - store cuff bp in a clean and dry environment - consider using a cuff bp protector to extend its lifespan @topic:3


# # # issue the bed, electric, universal quality, model uq2000e was not needed by the department and was returned to bme. # # # impact the bed was not available for use by patients. # # # possible causes the department decided that they did not need the bed. # # # recommendations the bed should be placed in a storage area until it is needed. @topic:9


# # # issue the philips suresigns vs4 vital signs monitor is unable to scan patient data. # # # impact this issue can prevent the monitor from accurately recording and displaying patient vital signs, which could lead to delays in diagnosis and treatment. # # # possible causes * * * hardware failure : * * the scanner may be malfunctioning or damaged. * * * software error : * * the software that controls the scanner may be corrupted or outdated. * * * configuration error : * * the scanner may not be properly configured to scan patient data. * * * environmental factors : * * the scanner may be affected by environmental factors such as dust, moisture, or extreme temperatures. * * * user error : * * the user may not be following the correct scanning procedure. # # # recommendations * * * troubleshoot the hardware : * * check the scanner for any damage or loose connections. clean the scanner if necessary. * * * update the software : * * verify that the scanner software is up - to - date and install any necessary patches or updates. * * * configure the scanner : * * ensure that the scanner is properly configured to scan patient data according to the manufacturer's instructions. * * * check environmental factors : * * inspect the environment where the scanner is being used for any potential issues that may be affecting its operation. * * * train the user : * * provide training to the user on the correct scanning procedure and any necessary safety precautions. @topic:22


# # # issue - spo2 sensor malfunction # # # impact - inaccurate or no spo2 readings - reduced patient monitoring capabilities - potential patient safety risks # # # possible causes - damaged or faulty spo2 sensor - improper connection between sensor and monitor - electrical or software malfunction in the monitor # # # recommendations - replace the spo2 sensor - check the connections between the sensor and monitor - perform a thorough inspection of the monitor for any visible damage or loose components - contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair @topic:4


software, the monitor saves all of the system settings, including the system admin menu settings, the error log, and the patient list. note — philips recommends using a sandisk® or kingston® usb flash drive for software upgrades. performance verification testing suresigns vs4 service guide 3 - 7 upgrading the software caution 3 - 8 before you upgrade the software, you can back up the system settings by exporting the current configuration settings or by recording them on the worksheets provided in the suresigns vs4 installation and configuration guide. for more information, see the suresigns vs4 installation and configuration guide. do not downgrade the software to an earlier version, because it may cause hardware incompatibility and loss of system settings and patient records. the current software version is displayed on the start - up screen and the system information window. for more information, see “ viewing system information ” on page 4 - 1. when you upgrade the software : e charge the battery before upgrading the software. e never perform a software upgrade with the monitor connected to a patient. disconnect any usb peripherals. ¢ do not upgrade software through a usb hub. if the usb port has a clamp in place, you may need to remove the clamp to ensure that the usb flash drive can be inserted completely into the usb port. after the upgrade starts : e do not unplug the monitor. e do not remove the usb flash drive. e do not press any keys. if the upgrade is inadvertently interrupted and the main board data is lost, replace the main board. for more information, see “ removing the main board ” on page 5 - 31. to perform a software upgrade : step 1 connect the monitor to ac power and turn on the monitor. note — your monitor must be connected to ac power and have a fully charged battery before upgrading the software. 2 insert the usb @topic:22


not load resourcedll. dll. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1026 system error could not load data from flash. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1027 system error could not start front end. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1028 system error could not stop front end. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. troubleshooting suresigns vs2 * and vsi service guide 4 - 25 error codes code error message possible cause action 1029 system error could not allocate enough memory. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1030 system error an error occurred when system shut down front end devices. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1031 system error the monitoring and watchdog thread could not initialize. shut down ( see “ shutting @topic:22


# # # issue - limit switch failure # # # impact - medical cart is not operational # # # possible causes - limit switch wear and tear - electrical fault # # # recommendations - replace the limit switch - inspect the electrical connections - test the medical cart to ensure proper operation @topic:13


# # # issue : equipment malfunction due to enabled standby mode # # # impact : - inaccurate patient monitoring data - delays in patient care - increased risk of patient safety incidents # # # possible causes : - human error ( technician inadvertently enabled standby mode ) - software glitch - hardware malfunction # # # recommendations : - ensure proper training and supervision of technicians to prevent accidental activation of standby mode - regularly test and calibrate equipment to detect potential software or hardware issues - consider implementing automated systems to prevent accidental activation of standby mode - if possible, disable standby mode to eliminate the risk of human error @topic:2


# # # issue - battery life expiring # # # impact - the monitor will not be able to function properly. - this could lead to inaccurate readings, which could have serious consequences for the patient. # # # possible causes - the battery has reached the end of its lifespan. - the battery is not properly connected. - the battery is not the correct type for the monitor. # # # recommendations 1. replace the battery with a new one of the correct type. 2. ensure that the battery is properly connected. 3. test the monitor to ensure that it is functioning properly. @topic:11


# # # issue - the electric bed cannot be locked. # # # impact - the patient may fall from the bed. # # # possible causes - the * * locking mechanism * * may be faulty. - the * * actuator * * that moves the locking mechanism may be malfunctioning. - the * * control panel * * that operates the locking mechanism may be damaged. # # # recommendations - inspect the locking mechanism for any visible damage. - test the actuator to ensure that it is functioning properly. - check the control panel for any loose connections or damaged components. # # # additional notes - the cause of failure in this case is most likely the locking mechanism, as this is the component that is directly responsible for locking the bed. however, it is also possible that other components, such as the actuator or control panel, may be contributing to the problem. - it is important to note that this is just a general overview of the possible causes and recommendations for fixing an electric bed that cannot be locked. the specific cause and solution may vary depending on the make and model of the bed. @topic:6


# # # issue - the electric bed, model enterprise 8000, by huntleigh, is unable to adjust the patient's knee position. # # # impact - this issue prevents the proper positioning of the patient, which can lead to discomfort, pressure sores, and other complications. # # # possible causes - * * mechanical failure : * * the mechanism responsible for adjusting the knee position may be damaged or malfunctioning. - * * electrical issue : * * there may be a problem with the electrical system that powers the knee adjustment mechanism. - * * software bug : * * the software controlling the bed's functions may contain a bug that prevents the knee adjustment from working properly. - * * user error : * * the bed may not be properly calibrated or the user may not be operating it correctly. # # # recommendations - * * inspect the mechanical components : * * check for any visible damage or wear and tear. - * * test the electrical system : * * use a multimeter to check for proper voltage and continuity. - * * update the software : * * if a software update is available, install it to address any potential bugs. - * * provide training to users : * * ensure that all users are properly trained on how to operate the bed correctly. - * * contact the manufacturer : * * if the issue cannot be resolved through the above steps, contact the manufacturer for technical support. @topic:9


# # # issue - keyboard not working # # # impact - inability to enter data or perform other tasks requiring the use of a keyboard # # # possible causes - * * battery depletion : * * the keyboard may be battery - operated and the batteries may have run out. - * * loose or damaged battery terminals : * * the battery terminals may not be making proper contact with the keyboard, preventing it from receiving power. - * * broken or damaged keyboard keys : * * one or more keys on the keyboard may be broken or damaged, preventing them from being pressed or registering input. - * * software issues : * * there may be a problem with the software that controls the keyboard, preventing it from functioning properly. - * * hardware issues : * * there may be a problem with the hardware of the keyboard, such as a faulty circuit board or loose wiring. # # # recommendations - * * replace batteries : * * if the keyboard is battery - operated, replace the batteries with new ones. - * * check battery terminals : * * ensure that the battery terminals are clean and making proper contact with the keyboard. - * * inspect keyboard keys : * * look for any broken or damaged keys and replace them if necessary. - * * update software : * * if there is a software update available for the keyboard, install it. - * * contact manufacturer : * * if the issue persists, contact the keyboard manufacturer for further troubleshooting and repair options. @topic:27


monitor 3 open the maintenance options in the system diagnostics menu. see “ accessing the maintenance options ” on page 3 - 10. 4 select nbp test. the nbp test menu appears. nbp test firmware version : 2. 2 5 select the start static pressure test button. 6 squeeze the manometer pump and apply a pressure of 280 mmhg. 7 wait 10 seconds for the pressure to stabilize. note the pressure displayed in the nbp test menu. the expected result is 280 mmhg + 3 mmhg. note — philips employees record this value as x1. 8 squeeze the manometer pump to apply a pressure of 150 mmhg. performance verification testing suresigns vs2 * and vsi service guide nbp tests 9 wait 10 seconds for the pressure to stabilize. note the pressure displayed in the nbp test menu. the expected result is 150 mmhg + 3 mmhg. note — philips employees record this value as x2. 10 select the stop static pressure test button. 11 if the difference between the manometer reading and displayed values is greater than 3 mmhg, calibrate the monitor ( see “ nbp calibration procedure ” on page 3 - 15 ). if the results are as expected, continue with the “ pneumatic leakage test ” on page 3 - 16. nbp calibration procedure to calibrate the nbp module : step 1 in the nbp test menu, select nbp calibration. note — 7o stop the calibration at any time, select the stop button. the nbp calibration menu appears. nbp calibration set pressure value : co ) note — / f you are using a manual manometer, close the valve before continuing. 2 select the start button to begin the calibration. the monitor in @topic:17


# # # issue bed is not adjustable # # # impact patient cannot be positioned for proper care. # # # possible causes - loose wiring from control box # # # recommendations - tighten all loose wiring connections. @topic:1


# # # issue - bed is unable to adjust # # # impact - patient discomfort - difficulty in providing care # # # possible causes - the electrical components in the control box may not be working properly. - power supply issue. - faulty wiring. # # # recommendations - consulting with the biomed engineer & technicians who can help to repair or replace the control box. - verifying that the power supply is functioning correctly. - inspecting the wiring for any breaks or loose connections. @topic:1


# # # issue : drawer is stuck and cannot be opened. # # # impact : the medical device cannot be used properly. # # # possible causes : - the drawer slides are dirty or obstructed. - the drawer slides are damaged. - the drawer is overloaded. - the drawer is not properly aligned. - the drawer is not lubricated. # # # recommendations : - check the drawer slides for dirt or obstructions and clean them if necessary. - inspect the drawer slides for damage and replace them if necessary. - ensure that the drawer is not overloaded. - align the drawer properly. - lubricate the drawer slides with a suitable lubricant. @topic:21


# # # issue - lock wheel failure # # # impact - inability to secure the equipment in place, posing a safety hazard # # # possible causes - loose or missing lock nut # # # recommendations - tighten or replace the lock nut @topic:24


# # # issue - the bed is not able to adjust. # # # impact - the bed cannot be used to provide proper patient care. # # # possible causes - the motor or control unit may be faulty. # # # recommendations - replace the motor or control unit. @topic:1


# # # issue the cause of failure is not clear from the provided information. # # # impact the failure of the equipment could have a negative impact on the patient's surgery. # # # possible causes * there may be a problem with the surgical equipment itself. * there may be a problem with the electrical wiring in the operating room. * there may be a problem with the patient's anatomy. * there may be a problem with the surgeon's technique. # # # recommendations * the surgeon should inspect the surgical equipment and the electrical wiring in the operating room. * the surgeon should also inspect the patient's anatomy. * the surgeon should consult with a biomedical engineer to troubleshoot the problem. @topic:12


# # # issue - the nibp monitor is not functioning correctly. # # # impact - the nibp monitor is essential for monitoring a patient's blood pressure. if the monitor is not functioning correctly, the patient's blood pressure may not be accurately monitored, which could lead to serious health consequences. # # # possible causes - the battery in the nibp monitor is dead. - the sensor in the nibp monitor is faulty. # # # recommendations - replace the battery in the nibp monitor. - if the battery replacement does not resolve the issue, the sensor in the nibp monitor may need to be replaced. @topic:15


# # # issue - loose knee bolt # # # impact - potential instability of the bed during patient use - risk of injury to patient or staff # # # possible causes - ageing and wear of the bolt - insufficient tightening of the bolt during assembly or maintenance - damage to the bolt or its threads # # # recommendations - inspect the bolt regularly for signs of wear or damage - ensure that the bolt is properly tightened during assembly and maintenance - replace the bolt if it is damaged or worn @topic:6


# # # issue - cuff bp leak # # # impact - inaccurate blood pressure measurement # # # possible causes - cuff bp worn or damaged - cuff bp not properly connected to the monitor # # # recommendations - replace the cuff bp - inspect the cuff bp for any damage or wear - ensure that the cuff bp is properly connected to the monitor @topic:3


# # # issue - deteriorated ac power cord # # # impact - the device cannot be charged. # # # possible causes - normal wear and tear - physical damage to the cord # # # recommendations - regularly inspect the ac power cord for any signs of damage. - replace the ac power cord if it shows signs of deterioration or damage. - ensure the device is plugged into a properly grounded outlet. @topic:11


# # # issue - slow scanning into the system # # # impact - delays in patient care - inaccurate patient data # # # possible causes - low wi - fi signal strength - network connectivity issues - software glitches - hardware problems # # # recommendations - ensure a strong wi - fi signal is available in the vicinity of the device. - check network connections and ensure they are stable. - update the device software to the latest version. - if the issue persists, contact the manufacturer for further troubleshooting and potential hardware repair. @topic:16


* * issue : * * beds, electric ( hill - rom, care assist es230 ) unable to raise the foot end of the bed. * * impact : * * inability to fully adjust the bed for patient comfort and safety. * * possible causes : * * * malfunctioning hilow colum * loose or damaged wiring * dirt or debris interfering with electrical connections * * recommendations : * * * * * inspect the hilow colum * * for any visible damage or obstructions. * * * check the wiring connections * * to the motor to ensure they are secure and free of corrosion. * * * clean any dirt or debris * * that may have accumulated around electrical connections. * * * replace the hilow colum * * if necessary. * * * perform a thorough inspection * * of the entire bed to identify any other potential issues. @topic:1


* * issue : * * - the medical cart ( med admin ) is frequently restarting and displaying an " insert boot " error message. * * impact : * * - the med admin device is unavailable for use, which can disrupt patient care. * * possible causes : * * - * * software issues : * * - corrupted bios settings - damaged operating system files - * * hardware issues : * * - failing hard drive - loose or damaged connections - bios battery failure * * recommendations : * * - * * software troubleshooting : * * - check and reset bios settings - run a system diagnostics to identify any software issues - reinstall the operating system - * * hardware troubleshooting : * * - replace the hard drive - inspect and tighten all connections - replace the bios battery - * * further investigation : * * - if the issue persists after following the above recommendations, the device may require more advanced troubleshooting and repair by a qualified biomedical engineer. @topic:13


bed properly to prevent user error. this training should cover topics such as proper positioning of patients, loading limits, and troubleshooting common problems. @topic:9


# # # issue : - medical cart bdms 01 reboots unexpectedly. # # # impact : - interruption of patient care and workflow - potential data loss or damage - loss of confidence in the equipment # # # possible causes : - * * defective ram : * * faulty memory modules can cause system crashes and reboots. - * * power supply issues : * * unstable or insufficient power supply can disrupt system stability. - * * overheating : * * excessive heat buildup can lead to component failure and reboots. - * * software glitches : * * software bugs or malware can trigger unexpected reboots. - * * hardware conflicts : * * incompatibility or malfunctioning hardware components can cause system instability. - * * reboot due to error ( bme observation ) : * * the biomedical engineer observed that the equipment rebooted without any external trigger. # # # recommendations : - * * diagnose hardware issues : * * run diagnostic tests to identify potential hardware malfunctions. replace any faulty components. - * * check power supply : * * ensure the equipment is connected to a stable power source with adequate voltage and amperage. - * * upgrade bios and firmware : * * install the latest software updates to address potential software glitches and improve system stability. - * * scan for malware : * * run antivirus and malware detection software to eliminate any malicious software. - * * resolve hardware conflicts : * * check device manager for any hardware conflicts and resolve them by updating drivers or reconfiguring settings. - * * monitor temperature : * * ensure the equipment is operating within acceptable temperature ranges and implement cooling measures if necessary. - * * consider environmental factors : * * check for any external factors that may be causing the reboots, such as electromagnetic interference or @topic:13


# # # issue - cuff is damaged. # # # impact - the device may not be able to measure blood pressure accurately. # # # possible causes - the cuff may have been punctured or torn. - the cuff may have been overinflated. - the cuff may be the wrong size for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - do not overinflate the cuff. @topic:3


##c sepsis protocol in the mms to another monitor with the full version of the ssc sepsis protocol. the transfer of data and settings must be enabled in configuration mode. warning always consider the specific clinical context for your patient, before following ssc sepsis protocol the ssc sepsis protocol and this description are based on the ssc guidelines for management of severe sepsis and septic shock from january 2008 ( including the amendment from october 2011 ) and the ssc bundle definitions from january 2005. to check the version of the guidelines and bundle definitions on the monitor, select main setup then revision then protocolwatch followed by ssc sepsis • orientation on the screen at the top of each window there is an orientation line showing the phases available on your monitor, with the currently active phase highlighted. protocolwatch - sepsis resuscitation bundle ssc standby inactive screening resuscitation management you can also place the protocolwatch symbol, together with the currently active phase, on the main screen, in one of the numeric positions. this allows you to see at a glance which phase is currently active, even when no ssc sepsis protocol window is currently displayed. if you need to enter data or perform an action in an ssc sepsis protocol window, the symbol will turinto a smartkey. sc ssc screening screening 350 27 protocolwatch transferring patients and moving manually between phases if a patient has already been diagnosed as having severe sepsis before connecting them to the monitor, you can select main setup then protocolwatch followed by manual transition to go directly to the sepsis resuscitation bundle to monitor treatment. direct entry to the sepsis management bundle is also possible using the manual transition function and the time into the selected bundle can be set. if a patient has been screened on arrival, for example in the emergency department, then transferred to intensive care when sepsis is confirmed, the current @topic:8


##0 2, and anesthetic agent alarms are explained in the individual chapters. some alarms may be shown at the information center in shortened form, when transferred through intellivue instrument telemetry. these shortened alarm texts are included in the list and identified with the note “ at information center ”. note that yellow arrhythmia alarms may be shown with one or with two stars, depending on your monitor configuration and the information center revision you are using. refer to your intellibridge device driver instructions for use for patient alarms from connected external devices. refer to your gas module instructions for use for patient alarms and inops from the gas modules. alarm message from condition indication * / * * afib ecg / arrhythmia atrial fibrillation waveform detected yellow alarm lamp, short yellow audible alarm. * * * apnea or * * * apnea mm : ss sec or * * * apnea > 10min co 2, resp, spirometry respiration has stopped for longer than the preset apnea time. “ mm : ss ” denotes the apnea duration in minutes and seconds. numeric flashes, red alarm lamp, alarm tone. * * * asystole ecg no qrs detected for a period greater than the asystole threshold ( in the absence of vfib or chaotic ecg ). numeric flashes, red alarm lamp, alarm tone. * * awrr high co,, resp, acm the airway respiration rate has exceeded the high alarm limit. numeric flashes and high limit is highlighted, yellow alarm lamp, alarm tone. * * awrr low co,, resp, acm the airway respiration rate has dropped below the low alarm limit. numeric flashes and low limit is highlighted, yellow alarm lamp, alarm tone. 71 4 patient alarms and inops patient alarm messages alarm @topic:8


# # # issue - the medical cart is continuously restarting. # # # impact - the medical cart is not able to be used for its intended purpose. # # # possible causes - the power supply to the medical cart is faulty - the battery in the medical cart is not providing enough power - the software on the medical cart is not functioning properly - the hardware on the medical cart is malfunctioning - the screen is faulty # # # recommendations - check the power supply to the medical cart and make sure that it is providing the correct voltage and amperage. - check the battery in the medical cart and make sure that it is providing enough power. - check the software on the medical cart and make sure that it is up to date and functioning properly. - check the hardware on the medical cart and make sure that it is functioning properly. - replace the screen if it is faulty. @topic:13


# # # issue - central monitor screen failure. # # # impact - inability to display vital patient information, potentially compromising patient care. # # # possible causes - * * hardware failure : * * - display panel malfunction - backlight failure - * * software failure : * * - display driver issues - operating system errors - * * environmental factors : * * - physical damage - moisture or humidity - * * other : * * - power supply issues - cable connections # # # recommendations - * * troubleshooting : * * - check cable connections and power supply. - inspect display panel for physical damage. - * * equipment inspection : * * - if the screen is found to be damaged, it should be replaced. - * * software updates : * * - install any available software updates for the monitor and operating system. - * * professional repair : * * - if troubleshooting and software updates fail to resolve the issue, the monitor should be sent for professional repair. - * * preventive maintenance : * * - regularly check the monitor for any signs of wear or damage. - follow manufacturer's guidelines for maintenance and cleaning. @topic:2


* * issue : * * equipment malfunction : medical cart not responding * * impact : * * unavailability of the equipment for use, which could delay patient care or impact patient safety * * possible causes : * * * hardware failure ( e. g., faulty display, power supply issue ) * software glitch ( e. g., system freeze, corrupted files ) * electrical issue ( e. g., loose wiring, power surge ) * environmental factors ( e. g., extreme temperature, humidity ) * * * operator error ( e. g., incorrect setup, unauthorized modifications ) * * * wear and tear over time ( e. g., aging components, software deterioration ) * * recommendations : * * * * * check for user errors or unauthorized modifications. * * ensure proper operating procedures are followed. * * * troubleshoot hardware issues. * * inspect for loose connections, damaged components, and power supply problems. if necessary, replace faulty parts. * * * update or reinstall software. * * clear corrupted files and perform software updates to address system glitches. * * * address electrical issues. * * ensure proper grounding, voltage stability, and cable connections. * * * control environmental conditions. * * maintain appropriate temperature and humidity levels to prevent device malfunctions. * * * perform regular maintenance. * * conduct scheduled inspections and preventive maintenance to identify and address potential issues early on. * * * train staff on proper equipment operation. * * provide clear instructions and ensure proper training to minimize operator errors. * * * consider replacing aging equipment. * * if the device is outdated or has reached the end of its service life, consider upgrading to a more reliable or newer model. @topic:30


# # # issue - * * medical cart temperature display is inaccurate. * * # # # impact - * * delayed or inaccurate diagnosis and treatment. * * inaccurate temperature readings can lead to incorrect treatment decisions, which can delay recovery or even put the patient's life at risk. - * * increased risk of infection. * * incorrect temperature readings can lead to undetected fevers, which can increase the risk of infection. - * * patient discomfort. * * incorrect temperature readings can lead to patients being too cold or too hot, which can be uncomfortable and interfere with their recovery. # # # possible causes - * * faulty temperature sensor. * * the temperature sensor may be malfunctioning, which can lead to inaccurate readings. - * * electrical interference. * * electrical interference from other equipment can disrupt the temperature sensor's signal, leading to inaccurate readings. - * * software error. * * a software error in the medical cart's computer can cause the temperature display to be inaccurate. - * * environmental factors. * * extreme temperatures or humidity can affect the accuracy of the temperature sensor. # # # recommendations - * * check the temperature sensor. * * inspect the temperature sensor for any damage or loose connections. if the sensor appears to be damaged, replace it. - * * check for electrical interference. * * turn off any other equipment that may be causing electrical interference. if the temperature display becomes accurate, then electrical interference is the likely cause of the problem. - * * restart the medical cart. * * a software error may be causing the problem. restarting the medical cart may clear the error and restore accurate temperature readings. - * * check the environment. * * make sure that the medical cart is not located in an area that is too hot or too cold. if the environment is too extreme, move the medical cart to a more suitable location. @topic:20


# # # issue - bed not lowering # # # impact - patient discomfort - safety hazard for patient and staff # # # possible causes - worn or broken gears - damaged or loose motor - faulty wiring - software malfunction # # # recommendations - inspect the gears for wear or damage. replace any damaged gears. - check the motor for damage or loose connections. repair or replace the motor as necessary. - verify the wiring is intact and secure. repair or replace any damaged wires. - update the software if necessary. - lubricate the screws @topic:1


instrument specification ( electrical ) : ±2 % or 0. 1 1 / min system specification : + 3 % or 0. 1 1 / min evlw range 10 to 5000 ml standard deviation 10 % or 1 ml / kg itbv range 50 to 6000 ml accuracy + 10 % or 30 ml repeatability ±5 % or 20 ml cco range 0. 1 to 25. 0 1 / min standard deviation 10 % or 0. 3 1 / min display update 2 seconds nominal blood temperature range 17. 0 to 43°c ( 62. 6 to 109, 5°f ) injectate temperature range - 1 to 30°c ( 30. 2 to 86. 0°f ) c. o. / cco alarm specifications range adjustment delay tblood 17 to 43°c steps of 0. 5°c ( 17 to 35°c ) steps of 0. 1°c ( 35 to 43°c ) steps of 1°f ( 63 to 95°c ) steps of 0. 2°f ( 95 to 109°c 10 seconds after the value exceeds the set limit range cco 0. 1 to 25. 0 1 / min 0. 1 1 / min ( 0. 1 to 10. 0 1 / min ) 0. 5 1 / min ( 10. 0 to 25. 0 1 / min ) 10 seconds after the value exceeds the set limit range tcgas complies with iec 60601 - 2 - 23 : 1999 / en60601 - 2 - 23 : 2000. tcgas performance specifications tcp0 2 range 0 to 750 mmhg ( 0 to 100 kpa ) resolution 1 mmhg ( 0. 1 kpa ) overall accuracy ( inch transducer ) 0 to 20. 9 % 0 2 better than + 5 mmhg ( + 0. 7 kpa ) above 20. 9 % 0 2 better than + 10 % @topic:17


# # # issue - electric bed uncontrollably adjusts downwards. # # # impact - patient safety hazard, as uncontrolled movement could cause injury. - disruption of medical procedures, as the bed may need to be manually adjusted or replaced. # # # possible causes - faulty remote control : the remote control may not be functioning properly, sending erroneous signals to the bed. - malfunctioning control panel : the control panel on the bed itself may be experiencing technical issues, causing it to adjust without input. - electrical wiring issue : damaged or loose electrical wiring could lead to intermittent or uncontrollable bed movements. - mechanical failure : internal components of the bed, such as motors or gears, may have failed, resulting in uncontrolled movement. # # # recommendations - * * immediate actions : * * - stop using the bed until the issue is resolved. - secure the bed in a stable position to prevent further movement. - notify a qualified biomedical engineer to investigate and repair the device. - * * troubleshooting and repair : * * - inspect the remote control for visible damage or loose connections. - check the control panel on the bed for any signs of malfunction, such as stuck buttons or unresponsive displays. - examine the electrical wiring for any damage or loose connections. - if no obvious issues are found, the biomedical engineer may need to perform further diagnostics and repairs. - * * preventive measures : * * - regularly inspect and maintain electric beds to ensure they are in good working order. - handle remote controls and control panels with care to avoid damage. - use surge protectors to protect electrical components from power surges. @topic:1


# # # issue - cuff leak # # # impact - unable to measure patient's blood pressure accurately # # # possible causes - * * cuff damage : * * cuff may have been punctured, torn, or otherwise damaged, leading to air leakage. - * * cuff age and wear : * * over time, cuffs can deteriorate due to repeated use and cleaning, making them more prone to leaks. - * * incorrect cuff selection : * * cuff may not be the correct size for the patient, resulting in a poor seal and potential leaks. - * * defective cuff valve : * * the valve on the cuff may be faulty, allowing air to leak out. # # # recommendations - * * replace the cuff : * * install a new, undamaged cuff that is the correct size for the patient. - * * inspect the cuff regularly : * * check the cuff for any signs of damage or wear before each use. - * * handle the cuff with care : * * avoid over - inflating the cuff or pulling on it excessively. - * * train healthcare staff : * * ensure that staff is properly trained on the correct use and maintenance of blood pressure cuffs. @topic:3


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. although considerable effort has been made to ensure the safety of the ceiling mount installation and or mounting guidelines, it is to be understood that the installation itself is beyond the control of philips medical systems. accordingly, philips medical systems will not be responsible for the failure of any such installation. - providing conduit where a remote installation is required, for example the installation of a remote display, the customer is responsible for the following hardware installations : - providing conduit and / or trunking of a sufficient cross - sectional area for the planned cables and possible future expansion ( for additional components or systems ). - providing and / or installing suitable wall boxes to accommodate the faceplates. - pulling cables warning never run power cables through the same conduit or trunking used for system cables. - installing wall boxes it is the customer's responsibility to provide and install wallboxes to house faceplates. the customer must notify the philips installation coordinator of which size is to be used. - install the mp2 / x2 monitor using the appropriate mounting solution and perform the installation procedures as described in the installation section. - hand over the monitor to the end - users as described in handing over the monitor in the installation section warning incorrect installation, mounting and use of inappropriate mounting material may lead to serious injury. it is the customer's responsibility to ensure that the mounting procedures have been performed correctly, the appropriate mounting devices have been used and the monitor has been installed and configured correctly. procedures for philips personnel before you begin the procedures in the installation sections, ensure that the customer has completed all necessary preparations outlined in the previous section, " procedures for local staff. " - install the @topic:19


# # # issue - the bed cannot be lowered. # # # impact - the patient cannot be positioned comfortably. - the patient may be at risk of injury. # # # possible causes - the plate has become detached from the bracket. - the motor is malfunctioning. # # # recommendations - replace the plate. - inspect the motor and replace if necessary. @topic:1


# # # * * issue * * - battery failure in a medical device. # # # * * impact * * - the device will be unable to operate properly due to the lack of power which can lead to further complicatios # # # * * possible causes * * - the battery may have reached the end of its lifespan. - the battery may have been damaged due to overcharging or mishandling. - the battery may not have been fully charged when the device was turned on. # # # * * recommendations * * - replace the battery with a new one. - inspect the device to ensure that there is no damage that could have caused the battery to fail. - follow the manufacturer's instructions for charging the battery. @topic:11


# # # issue - cuff on bedside physiologic monitor is not functional. # # # impact - unable to accurately measure patient's blood pressure. # # # possible causes - cuff is worn or damaged. - cuff is not properly connected to the monitor. - monitor is not functioning properly. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly connected to the monitor. - test the monitor to ensure that it is functioning properly. @topic:14


# # # issue - missing connector cuff for blood pressure ( bp ) monitoring # # # impact - inability to monitor patient's bp - delayed or inaccurate medical decisions # # # possible causes - * * user error : * * cuff connector may have been accidentally knocked off or disconnected. - * * equipment malfunction : * * cuff connector port may be faulty or damaged. - * * theft : * * cuff connector may have been stolen. # # # recommendations - * * immediate action : * * replace the missing cuff connector with a new one. - * * preventive measures : * * - train staff on proper handling and storage of medical equipment. - regularly inspect equipment for any signs of damage or wear. - secure equipment in a locked area to prevent theft. @topic:5


# # # issue - nbp leak # # # impact - the device cannot accurately measure blood pressure, which can lead to inaccurate readings and potential patient harm. # # # possible causes - damage to the nibp module - loose connection within the device - faulty nbp cuff or tubing # # # recommendations - replace the nibp module - inspect and tighten all connections - replace the nbp cuff or tubing @topic:15


# # # issue - the ecg cable is not displaying any waveforms # # # impact - the patient's ecg cannot be monitored, which could lead to a delay in diagnosis and treatment. # # # possible causes - the ecg cable is not properly connected to the monitor or the patient. - the ecg cable is damaged. - the ecg electrodes are not properly attached to the patient's skin. - the monitor is not functioning properly. # # # recommendations - check the connections between the ecg cable, the monitor, and the patient. - inspect the ecg cable for any damage. - clean the ecg electrodes and reattach them to the patient's skin. - if the problem persists, the monitor may need to be replaced. @topic:18


# # # issue - damaged spo2 sat cable # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - physical damage to the cable, such as a break or tear - wear and tear over time - manufacturing defect # # # recommendations - regularly inspect spo2 sat cables for damage - replace damaged cables promptly - use proper handling techniques to prevent damage - consider using durable cables designed for high - use environments @topic:4


# # # issue - faulty wheel # # # impact - difficulty in maneuvering the equipment - potential safety hazard if the equipment is not stable # # # possible causes - excessive wear and tear on the wheel - damage due to impact or collision - improper maintenance or lubrication # # # recommendations - replace the faulty wheel with a new one - regularly inspect the wheels and replace them if they show signs of wear or damage - ensure proper maintenance and lubrication of the wheels according to the manufacturer's instructions @topic:24


# # # issue * beds, electric equipment failure # # # impact * equipment downtime * patient safety hazard * increased workload for biomedical engineering ( bme ) staff # # # possible causes * * * head plug failure : * * this is the most likely cause of the failure, as indicated in the input. the head plug may have become damaged or loose, causing the bed to lose power. * * * electrical wiring problems : * * the electrical wiring in the bed may have become damaged or loose, causing the bed to lose power or malfunction. * * * power supply problems : * * the power supply to the bed may have failed, causing the bed to lose power. * * * mechanical problems : * * the mechanical components of the bed may have failed, causing the bed to become inoperable. # # # recommendations * * * replace the head plug : * * the head plug should be replaced with a new one. * * * inspect the electrical wiring : * * the electrical wiring in the bed should be inspected for damage or loose connections. * * * check the power supply : * * the power supply to the bed should be checked to ensure that it is functioning properly. * * * inspect the mechanical components : * * the mechanical components of the bed should be inspected for damage or wear and tear. * * * preventive maintenance : * * regular preventive maintenance can help to prevent equipment failures by identifying and addressing potential problems before they become major issues. @topic:9


# # # cause of failure - faulty keyboard switch : the switch that corresponds to the " o " key may be malfunctioning, causing it to not register when pressed. # # # recommendations - replace the faulty keyboard switch : the switch should be replaced with a new one to restore functionality to the keyboard. @topic:27


# # # issue - cause of failure is unclear # # # impact - delay in repair # # # possible causes - incomplete documentation - lack of understanding of the issue - miscommunication between the technician and the team # # # recommendations - document the cause of failure more clearly - enhance communication between the technician and the team - provide training on troubleshooting and repair @topic:12


# # # issue - spo2 is not measuring values # # # impact - incorrect or missing patient data - delays in diagnosis and treatment - reduced patient safety # # # possible causes - faulty sensor - loose or damaged cable - software error - incorrect calibration # # # recommendations - inspect the sensor for damage or debris and clean if necessary - check the cable for damage or loose connections and replace if necessary - update the software to the latest version if available - calibrate the device according to the manufacturer's instructions - if the problem persists, contact the manufacturer for support @topic:4


##ythmia, st and qt monitoring if a lead is in inop ( the value is being measured but is invalid or unavailable because, for example, the corresponding ecg electrode is off ), the area formed by the remaining st leads is left open. v6 v5 v1 if there is insufficient 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. 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 one minute. the first trended sample is white and is one minute old. the second trended sample corresponds to the st values two minutes 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. 2 st map ( trend ) x stindx hest leads limb leads 2. 6 avr - 0. 5 avl 0. 3 v6 + 2 2 0. 5 1. 0 v5 + 0. 9 nterval : v4 1 min 0. 7 v1 3 2 vf - 0. 1 - 1. 3. 4 0. 1 3 1 limb leads chest leads 2 3 4 73 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 @topic:8


# # # issue - equipment malfunction : medical cart displayed screen flickering and power failure. # # # impact - inability to use the medical cart for patient care, leading to potential delays or disruptions in treatment. # # # possible causes - broken hdmi cable : the original hdmi cable that connected the screen to the device had a break, resulting in intermittent signal transmission. - faulty screen : the screen itself could have a malfunction, causing the flickering issue. - power supply issues : the power supply to the medical cart may be faulty, leading to the failure to power on. # # # recommendations - replaced the damaged hdmi cable with a new one, resolving the screen flickering issue. - checked the screen for any other visible damage or loose connections. - ensured that the power supply to the medical cart was functioning correctly. @topic:13