500 / 550 monitors can be configured to automatically adapt the screen brightness to the ambient light conditions. the range within which this adaptation is made is determined by the setting made with the brightness smartkey. your monitor may be configured with a lower brightness for standby mode and also ( for battery powered monitors ) for transport to conserve battery power. these settings can only be changed in the monitor's configuration mode. if you are using a monitor with an external display, the brightness smartkey does not adjust the brightness of this display. refer to the documentation supplied with the external display for instructions. 1 select the date, time screen element from the monitor's info line to enter the date, time menu. 2 select, in turn, the year, month, day, hour ( in 24 hour format, only ) and minute as necessary. select the correct values from the pop - up list. 1 3 select store date, time to change the date and time. if your monitor is connected to an information center, the date and time are automatically taken from this. once it is set, the internal clock retains the setting even when you switch off the monitor. 47 1 introduction warning changing the date or time will affect the storage of trends and events. select main setup then select revisions to open the monitor revision menu. 1 2 select the correct device from the device pop - up keys. from the monitor revision menu, select the monitor component for which you need revision information. 3 once you understand the basic operation principles, you can get ready for monitoring. we also recommend working through the e - learning education programs for self - training before using the monitor ( available at the philips learning center, english only ). warning if the monitor or mounting hardware is mechanically damaged, or if it is not working properly, do not use it for any monitoring procedure on a patient. contact your service personnel. before you start to make measurements, carry @topic:10


# # # issue - the wooden guardrail of the bed is broken. # # # impact - patients may fall out of bed and injure themselves. # # # possible causes - the guardrail was not properly installed. - the guardrail was damaged by a patient or staff member. - the guardrail was made of defective materials. # # # recommendations - inspect the guardrail regularly for damage. - replace the guardrail if it is damaged. - use only high - quality materials to construct the guardrail. - instruct patients and staff members on how to properly use the guardrail. @topic:6


# # # issue * * * equipment : * * philips intellivue mp70 ( m8007a ) bedside physiologic monitor * * * issue : * * cuff leak # # # impact * loss of accurate patient vital sign monitoring * false alarms or alerts * delay in patient care # # # possible causes * damaged cuff bladder * worn or loose cuff * improper cuff fitting * defective cuff valve # # # recommendations * * * immediate action : * * * replace the leaking cuff with a new one. * test the monitor to ensure proper functionality. * * * preventive measures : * * * regularly inspect cuffs for any signs of damage or wear. * properly fit the cuff on the patient's arm to avoid leaks. * follow manufacturer's instructions for cuff maintenance and replacement. * * * troubleshooting : * * * if the new cuff still leaks, check the cuff valve for defects. * inspect the monitor's cuff port for any damage or obstructions. * contact the manufacturer or a qualified technician for further assistance. @topic:5


identical. in order to avoid simultaneous alarms on hr and pulse, the monitor uses either ecg or pulse as its active alarm source. to change the alarm source, select alarm source in the ecg / pulse alarms menu, then select • ecg : if you want the hr to be the alarm source for hr / pulse. • pulse : if you select pulse as the active alarm source, the monitor will prompt you to confirm your choice. be aware that if you select pulse as the alarm source, all arrhythmia and ecg hr alarms are switched off. • auto : if the alarm source is set to auto, the monitor will use the heart rate from the ecg measurement as the alarm source whenever the ecg measurement is switched on and at least one ecg lead can be measured without an inop condition. the monitor will automatically switch to pulse as the alarm source if : - a valid ecg lead can no longer be measured and - a pulse source is switched on and available. the monitor then uses the pulse rate from the measurement currently active as system pulse. while pulse is the alarm source, all arrhythmia and ecg hr alarms are switched off. if an ecg lead becomes available again, the monitor automatically uses hr as alarm source. note : if ecg is switched off, the monitor will always change to pulse as alarm source, if a pulse is available. one exception to this rule can arise when you have a telemetry device paired with your monitor. the monitor ecg is then deactivated but the monitor may be configured to allow only ecg as the active alarm source. in this case the monitor will not switch to pulse as alarm source and pulse will not be available as a selection in the ecg / pulse alarms menu. 162 using pulse alarms 7 monitoring pulse rate warning selecting pulse as the active alarm source for hr / pulse switches off @topic:8


understand how they work. it covers the physiological measurements that the products provide, the measurement server that acquires those measurements, and the monitoring system that displays them. who should use this guide this guide is for biomedical engineers or technicians responsible for installing, troubleshooting, repairing, and maintaining philips ’ patient monitoring systems. how to use this guide navigate through the table of contents at the left of the screen to select the desired topic. links to other relevant sections are also provided within the individual topics. you can also scroll through the topics using the page up and page down keys. abbreviations abbreviations used throughout this guide are : name abbreviation intellivue mx400 / 450 / 500 / 550 patient monitor the monitor multi - measurement module mms measurement link msl medical information bus mib intellivue g1 / g5 gas analyzers g1 / g5, the gas analyzer 5 [ 1 introduction ] responsibility of the manufacturer philips only considers itself responsible for any effects on safety, emc, reliability and performance of the equipment if : • assembly operations, extensions, re - adjustments, modifications or repairs are carried out by persons authorized by philips, and • the electrical installation of the relevant room complies with national standards, and • the instrument is used in accordance with the instructions for use. to ensure safety and emc, use only those philips parts and accessories specified for use with the monitor. if non - philips parts are used. philips is not liable for any damage that these parts may cause to the equipment. this document contains proprietary information which is protected by copyright. all rights reserved. reproduction, adaptation, or translation without prior written permission is prohibited, except as allowed under the copyright laws. philips medizin systeme boblingen gmbh hewlett - packard str. 2 71034 boblingen, germany the information contained in this document is subject to change without notice. philips @topic:10


# # # issue - battery failure # # # impact - interruption of patient monitoring - loss of data - potential patient harm # # # possible causes - battery life exceeded - battery not properly charged or maintained - battery damaged or defective # # # recommendations - replace battery according to manufacturer's recommendations - charge and maintain battery properly - inspect battery for damage or defects - keep spare batteries on hand @topic:11


* * issue : * * electric bed remote not functioning properly. * * impact : * * patients may be unable to adjust their bed position comfortably, potentially leading to discomfort and delayed recovery. * * possible causes : * * * internal circuitry failure : electrical components within the remote may have failed due to overuse, voltage spikes, or moisture damage. * physical damage : the remote may have been dropped or mishandled, resulting in broken buttons or connections. * battery depletion : batteries may have run out of power, preventing the remote from transmitting signals. * software malfunction : software glitches or updates may have caused the remote to become unresponsive. * receiver malfunction : the receiver unit connected to the bed may have failed, preventing it from receiving signals from the remote. * * recommendations : * * * * * replace the remote : * * if the remote is physically damaged or if battery replacement does not solve the issue, replace it with a new one. * * * inspect wiring : * * check the wiring between the remote and the receiver unit to ensure there are no loose connections or broken wires. * * * perform software updates : * * if available, check for software updates for the remote or the receiver unit and install them. * * * test the receiver unit : * * use a spare remote or diagnostic tools to test the receiver unit and ensure it is functioning properly. * * * seek professional repair : * * if none of the above recommendations resolve the issue, contact a qualified biomedical engineer for further diagnosis and repair. @topic:7


my care group window may open for you to select the bed. mp20 / mp30 / mp40 / mp50 : select any field in the monitor info line to enter the setup menu, then select my caregroup and select the required bed, or ♦ select the other patients smartkey, if configured, and select the required bed. the other bed window may be configured to display embedded in a specially designed screen. 114 care groups 5 managing patients ♦ to display the embedded other bed screen element, in the change screen menu, select a screen designed to show the other bed information permanently. note that a screen with an embedded other bed screen element cannot be displayed on the d80 intelligent display. changing the screen may automatically change the bed shown in the other bed window. if you switch to a different screen, you should check that the correct other bed is displayed. other bed pop - up keys select the other patients smartkey or the other bed window or embedded screen element to access the associated pop - up keys : next wave lets you view waveforms not currently shown in the other bed window. more vitals lets you view more numerics not currently shown in the other bed window. next bed lets you view waveforms and numerics from the next available bed in the care group. my care group lets you call up the care group window to select another bed. alarming beds lets you view a list of all beds in your care group with an unacknowledged alarm. the beds are listed in order of alarm severity. silence bed lets you silence active alarms at the other bed. ( whether you see this key depends on the revision and configuration of the information center your monitors are connected to. ) warning the silence bed pop - up key in the other bed window silences alarms at a remote bed. be aware that accidental use of this key could silence alarms for the wrong patient. to silence own @topic:10


# # # issue the remote control for the bed, electric, model contoura 360 is not functioning properly. specifically, the head of the bed cannot be raised or lowered. # # # impact the patient's ability to adjust their head position may be compromised, which could lead to discomfort or pain. # # # possible causes 1. * * malfunctioning remote control * *. the remote control itself may be experiencing technical difficulties, preventing it from sending signals to the bed. 2. * * faulty wiring * *. the wiring between the remote control and the bed may be damaged or loose, disrupting the signal transmission. 3. * * defective components within the bed * *. the electrical components responsible for raising and lowering the bed's head may be malfunctioning, preventing the bed from receiving and executing the signals from the remote control. # # # recommendations 1. * * test the remote control with another bed * *. this will help determine if the issue lies with the remote control or the bed itself. 2. * * inspect the wiring * *. check for any visible damage or loose connections in the wiring between the remote control and the bed. tighten or replace any loose connections as needed. 3. * * check the bed's electrical components * *. if the wiring appears to be intact, the issue may lie with the electrical components within the bed. a qualified technician may need to further diagnose and repair these components. @topic:7


fields iec 61000 - 4 - 8 3 a / m 3 a / m the power frequency magnetic field should be measured in the intended installation location to assure it is sufficiently low. voltage dips, short interrupts, & varia¬ tions on power sup¬ ply lines iec 61000 - 4 - 11 < 5 % u t ( 95 % dip in u t for 0. 5 cycles ) < 40 % u t ( 60 % dip in u t for 5 cycles ) < 70 % u t ( 30 % dip in u t for 25 cycles ) < 5 % u t ( 95 % dip in u x for 5 sec¬ onds ) ( see note 1 ) < 5 % u t ( 95 % dip in u t for 0. 5 cycles ) < 40 % u t ( 60 % dip in u t for 5 cycles ) < 70 % u t ( 30 % dip in u t for 25 cycles ) < 5 % u t ( 95 % dip in u x for 5 sec¬ ond ) mains power quality should be that of a typical commercial or hospital environment. if operation is required during an extended power outage or interruption, the model pi 170 should be switched to operate from the backup battery. note 1 : u x is the ac mains voltage prior to application of the test level. note 2 : the compliance levels in the ism frequency range 150 khz to 2. 5 ghz are intended to decrease the likelihood that mobile / portable communications equipment could cause interference if it is inadvertently brought into the patient area. however, emission limits, iec 60601 test levels, and tests specified in iec 60601 - 1 - 2 : 2001 do not address electromag¬ netic compatibility of electrical equipment at very close distances. care should always be exercised when using any elec¬ trical or rf equipment in the immediate patient area. page 1 - 8 care @topic:10


# # # issue - battery failure in the philips suresigns vs2 + monitor # # # impact - inability to monitor vital signs accurately. - potential for delayed or incorrect treatment decisions # # # possible causes - battery age and usage : batteries have a limited lifespan and degrade over time. - battery damage : physical damage to the battery, such as punctures or leaks, can impair its function. - excessive temperature : exposure to extreme temperatures can shorten battery life. - charger malfunction : a faulty charger may not provide adequate power to recharge the battery. # # # recommendations - regular battery replacement : replace batteries according to the manufacturer's recommendations to prevent premature failure. - inspect batteries regularly : check batteries for signs of damage, such as bulging, leaking, or corrosion. - use compatible chargers : ensure that the charger used is designed for the specific battery and equipment. - avoid extreme temperatures : store and use batteries in environments with moderate temperatures to preserve their lifespan. - train staff on proper battery handling : educate staff on the importance of following recommended battery usage and maintenance procedures. - consider redundant power source : implement a backup power system to ensure uninterrupted monitoring in the event of battery failure. @topic:11


# # # issue mouse not clickable # # # impact inability to use the monitor and central station # # # possible causes - defective mouse - software conflict - hardware issue with the monitor or central station # # # recommendations - try a different mouse - update the mouse driver - contact biomedical engineering for further assistance @topic:30


# # # issue - the bed's leg lock is faulty. # # # impact - the bed may not be able to be used safely. - the patient may be at risk of falling out of bed. # # # possible causes - the leg lock may have been damaged during use. - the leg lock may have been improperly installed. - the leg lock may be defective. # # # recommendations - inspect the leg lock for damage. - reinstall the leg lock. - replace the leg lock if it is defective. @topic:6


# # # issue - spo2 sensor failure. # # # impact - inaccurate or lack of patient vital data. - compromised patient monitoring and care. # # # possible causes - faulty or damaged spo2 sensor cable. - loose or improper connection of the sensor cable. - malfunctioning of the monitor's spo2 module. # # # recommendations - replace the spo2 sensor cable. - ensure proper connection of the sensor cable to the monitor and patient. - verify the functionality of the monitor's spo2 module. - perform regular maintenance and calibration of the monitoring equipment. @topic:4


# # # issue - damaged stim wire ( orange casing ) at the end of the wire # # # impact - the damaged wire could lead to electrical malfunctions or patient injury if left unrepaired. # # # possible causes - physical damage to the wire, such as from being pinched or crushed - repeated bending of the wire - exposure to corrosive chemicals or liquids - excessive heat or cold # # # recommendations - inspect the wire for any signs of damage before each use. - avoid bending the wire too sharply. - keep the wire away from corrosive chemicals or liquids. - store the wire in a cool, dry place. - replace the wire if it shows any signs of damage. @topic:12


# # # issue - description : the medical device, an electric hospital bed, experienced a failure. - observation : the technician replaced the ac power cord with a new one. # # # impact - the bed was not functional until the ac power cord was replaced. - this could have affected patient care if the bed was needed for a critical patient. # # # possible causes - the original ac power cord was damaged or faulty. - the ac power cord was not properly connected to the bed or to the power outlet. - the ac power outlet was not functioning properly. # # # recommendations - regularly inspect medical devices and their cables for any signs of damage or wear. - ensure that all cables are properly connected to the device and to the power outlet. - test the power outlet to ensure that it is functioning properly. - keep a spare ac power cord on hand in case of emergencies. @topic:9


# # # issue * the medical cart cannot boot into the operating system. # # # impact * the medical cart cannot be used for patient care. # # # possible causes * the boot order in the bios is incorrect. * the hard drive is damaged. * the operating system is corrupted. # # # recommendations * ensure that the boot order in the bios is correct. * test the hard drive using a diagnostic tool. * reinstall the operating system. * * additional notes : * * the technician was able to resolve the issue by disabling all of the boot options in the bios and then restarting the medical cart. this suggests that the boot order was incorrect. the technician should also consider testing the hard drive and reinstalling the operating system to ensure that the issue does not recur. @topic:13


# # # issue - cuff was not properly connected to the monitor # # # impact - the monitor was unable to accurately measure vital signs. # # # possible causes - the cuff was not properly seated on the patient's arm. - the cuff was not properly connected to the monitor. - the cuff was damaged. # # # recommendations - ensure that the cuff is properly seated on the patient's arm. - ensure that the cuff is properly connected to the monitor. - inspect the cuff for damage and replace it if necessary. @topic:5


off when you 20 1 introduction unplug it. reconnecting a module to the same monitor restores its label and measurement settings, such as alarms limits. if you connect it to a different monitor, the module remembers only its label. the connector socket on the front of each module is the same color as the corresponding connector plug on the transducer or patient cable. press the setup key on the module's front to display the measurement's setup menu on the monitor screen. when the setup menu is open, a light appears above the key. some modules have a second key. on the pressure module, for example, it initiates a zeroing procedure. example module ( spo2 ) mx500 / 550 / 600 / 700 / 800 odule nampo1 2 setup key to enter setup menu of measurement modules or external device data window. some modules have a second module - specific key next to this one, for example zero. connector socket for patient cable / transducer p3 4 x1 multi - measurement module ( m3001a ) the x1 multi - measurement module ( mms ) can simultaneously monitor 3 -, 5 -, 6 - or 10 - lead ecg ( including arrhythmia and st monitoring ), respiration, spo2, nbp and either invasive pressure or temperature. you can connect it to the monitor via a cable or mount it on the left side of the fms. 21 21 1 introduction x1 connectors and symbols white ecg / resp connector 1 7 blue spo2 connector 5 2 red nbp connector 3 4 combined pressure ( red ) and temperature ( brown ) connector - connect either invasive pressure transducer or temperature probe. you might have a version of the mms that does not have this connector. nbp stat key - starts nbp stat series of measurements 5 or @topic:10


# # # issue - machine is not connecting to monitor. # # # impact - inability to monitor patient's vital signs and deliver necessary care. # # # possible causes - loose or damaged cables connecting the machine to the monitor. - incorrect settings or configuration on the machine or monitor. - malfunctioning or damaged components within the machine or monitor. # # # recommendations 1. * * check cables and connections * * : ensure that the cables connecting the machine to the monitor are properly connected and secure. inspect for any damage or loose connections. replace or repair any damaged cables. 2. * * verify settings and configuration * * : review the settings and configuration of the machine and monitor to ensure they are correct. consult the manufacturer's manuals for guidance on proper settings. 3. * * inspect machine and monitor components * * : if the cables and connections are in good condition, inspect the machine and monitor components for any visible damage or defects. check for loose screws or connections, or any signs of overheating or burning. 4. * * consider firmware or software updates * * : in some cases, outdated firmware or software can cause connectivity issues. check for any available firmware or software updates for the machine and monitor, and install them if necessary. 5. * * contact manufacturer support * * : if the issue persists despite following the above steps, contact the manufacturer's technical support team for further assistance. they may provide additional troubleshooting steps or arrange for repairs or replacement. @topic:16


# # # possible causes - equipment has been in use for an extended period of time without replacement or maintenance. - equipment was damaged due to rough handling or improper storage. - equipment was not properly calibrated or inspected prior to use. - equipment was not used in accordance with manufacturer's instructions. - equipment was used in an environment that was not suitable for its intended purpose. # # # recommendations - replace the equipment with a new one. - perform regular maintenance and inspections on all equipment. - calibrate and inspect equipment prior to each use. - use equipment in accordance with manufacturer's instructions. - store equipment in a safe and dry environment. @topic:12


# # # issue - remote control for electric bed is not functioning properly. # # # impact - patient may not be able to adjust the bed position, which could lead to discomfort or injury. - nursing staff may have to manually adjust the bed, which could be time - consuming and increase the risk of accidents. # # # possible causes - faulty remote control - damaged wiring or connections - malfunctioning bed control unit - software glitch # # # recommendations - replace the remote control. - inspect the wiring and connections for damage and repair or replace as necessary. - check the bed control unit for any error messages or loose connections and troubleshoot accordingly. - if all else fails, consult the manufacturer's service manual or contact a qualified biomedical engineer for further diagnosis and repair. @topic:7


# # # issue - foot switch is not working # # # impact - limited functionality of the bed # # # possible causes - faulty foot switch - loose connection between the foot switch and the bed - malfunctioning control panel # # # recommendations - inspect the foot switch for any damage or loose connections. - check the connection between the foot switch and the bed. - test the control panel to ensure it is functioning properly. - if the issue persists, contact the manufacturer for further assistance. @topic:1


# # # issue - lock arm broken - lock base broken # # # impact - patient safety hazard - unable to properly secure patient in bed # # # possible causes - normal wear and tear - excessive force applied to lock - manufacturing defect # # # recommendations - inspect lock arm and base for damage regularly - apply only necessary force to lock - contact manufacturer if problems persist @topic:6


# # # issue - the nibp ( non - invasive blood pressure ) cuff connector was loose, causing the monitor, patient transport propaq lt to malfunction. # # # impact - the device was unable to provide accurate blood pressure readings, leading to potential delays or inaccuracies in diagnosis and treatment. # # # possible causes - wear and tear on the nibp cuff connector due to frequent usage. - improper connection or handling of the cuff. - defect in the connector or tubing. # # # recommendations - ensure proper maintenance and regular inspections of the nibp cuff and tubing. - handle the cuff with care and avoid excessive wear or damage. - perform routine testing of the device to identify any potential issues early on. - consider replacing the nibp cuff or tubing if damage or defects are suspected. @topic:15


# # # issue - inability to adjust the head of the bed. # # # impact - patient discomfort or inability to position themselves comfortably. - difficulty for healthcare providers to access the patient or perform procedures. # # # possible causes - * * remote control failure : * * the remote control may not be transmitting signals to the bed or may not be functioning properly. - * * electrical fault : * * there may be an issue with the electrical connections or wiring within the bed or remote control. - * * mechanical failure : * * components within the bed's head adjustment mechanism may be damaged or malfunctioning. - * * software malfunction : * * the software controlling the bed's head adjustment may be experiencing a glitch or error. # # # recommendations - * * test the remote control : * * ensure that the batteries are fresh and that the remote is transmitting signals to the bed. - * * inspect electrical connections : * * check for loose or damaged cables, plugs, or connectors. - * * examine mechanical components : * * inspect the bed's head adjustment mechanism for any visible damage or wear. lubricate any moving parts as necessary. - * * update software : * * if applicable, update the software controlling the bed's head adjustment to the latest version. - * * consult technical support : * * if the issue cannot be resolved, contact the manufacturer or a qualified biomedical engineer for further assistance. @topic:1


# # # issue the medical cart is difficult to open. # # # impact the medical cart cannot be used to transport patients or supplies. # # # possible causes * the lock is jammed. * the door is misaligned. * the hinges are rusted. * * * the knock on the rail is loose. * * # # # recommendations * inspect the lock for damage or debris. * ensure that the door is aligned properly. * lubricate the hinges. * * * tighten the knock on the rail. * * @topic:21


# # # issue : - cuff of blood pressure monitor is broken. # # # impact : - blood pressure cannot be accurately measured, which can lead to incorrect patient care decisions. # # # possible causes : - cuff may have been over - inflated or under - inflated, causing it to stretch or tear. - cuff may have been damaged by exposure to sharp objects or liquids. - cuff may have been made from faulty materials or may have been improperly assembled. # # # recommendations : - replace the cuff with a new one of the correct size and type for the patient. - inspect the cuff for any damage before each use. - train staff on the proper use and care of blood pressure cuffs. @topic:3


# # issue : - remote wire malfunction # # impact : - the equipment's remote control is not functioning properly, limiting its functionality. # # possible causes : - damaged remote wire # # recommendations : - the remote wire has been replaced, resolving the issue. - regularly inspect and maintain medical equipment, including wires and cables, to prevent similar failures in the future. @topic:7


# # # issue - remote control of the electric bed is damaged. # # # impact - patients may not be able to adjust the bed's position, which can impact their comfort and well - being. # # # possible causes - the remote control may have been dropped or mishandled, causing it to crack. - the remote control may have been exposed to moisture or other environmental factors that have damaged its components. - the remote control may have reached the end of its expected lifespan and is no longer functioning properly. # # # recommendations - replace the damaged remote control with a new one. - inspect the bed and other components for any further damage. - train staff on proper handling and maintenance of medical equipment to prevent future damage. @topic:7


# # # issue - vital signs monitor's blood pressure ( bp ) cuff inflator does not inflate when the button is pressed. # # # impact - accurate bp measurements cannot be obtained. # # # possible causes - faulty bp cuff inflator button - damaged wiring or connections - software malfunction # # # recommendations - replace the bp cuff inflator button. - inspect and repair any damaged wiring or connections. - update the monitor's software to the latest version. @topic:14


##potential ground connector 3 wired network connector ( color - coded in orange ) 4 video out connector ( digital / analog ) 5 usb rear connector ( for remote control, keyboard, pointing devices, printer ) 6 7 release switch for a connected multi - measurement module 8 448 40 specifications description dual medical information bus ( mib ) rs232 interface card ( colorcoded yellow ) intellibridge ec10 interface board ( color - coded dark gray ) advanced system interface : single medical information bus ( mib ) rs232 interface card ( color - coded yellow ) nurse call additional usb slots 449 40 specifications left side of the monitor msl interface link 1 2 ecg sync output / analog 3 ecg output connector 1 2. 3 1 battery compartment 2 1 2 450 40 specifications x500 / 550 rear of the monitor 8 1 2 3 4 5 6 protective earth screw hole 1 ac power input with clamp 2 3 equipotential ground connector wired network connector ( color - coded in orange ) 4 video out connector ( digital / analog ) 5 usb rear connector ( for remote control, keyboard, pointing devices, printer ) 6 7 release switch for connected measurement modules 8 description flexible nurse call interface card 451 40 specifications description dual medical information bus ( mib ) rs232 interface card ( color - coded yellow ) intellibridge ec10 interface board ( color - coded dark gray ) advanced system interface : single medical information bus ( mib ) rs232 interface card ( color - coded yellow ) nurse call additional usb slots 452 40 specifications left side of the monitor msl interface link 1 3 slots for measurement modules 2 ecg sync output / analog ecg or 3 1 2 ο 3 1 battery compartment 2 2 1 453 40 specifications mx600 / 700 / 800 rear of the monitor 6. 11 - 23 12 - 13 - 15 - 14 - 16 - 0 - 1 23 4 5 serial / @topic:19


##nnecting the measurement device from the host monitor. meassrv unsupportd inop tone mms the multi - measurement module is not supported by the monitor. contact your service personnel. mms ext. equip malf inop tone mms extension loss of communication between the multi - measurement module and the mms extension. contact your service personnel. mms ext. unplugged inop tone mms extension the mms extension has been disconnected from the multi - measurement module. mms ext. unpowered inop tone mms extension the mms extension cannot operate while the multi - measurement module is running on battery power. mmsext. unsupported inop tone mms extension the mms extensions not supported by your monitor. contact your service personnel. mms unplugged inop tone. mms make sure that the multi - measurement module is connected to the monitor. all mms measurements are off while the mms is unplugged. mms unsupported inop tone. mms the multi - measurement module is not supported by your monitor. contact your service personnel.!! /!!! more bed alarms at information center monitor the monitor is associated with a telemetry device and is sending data to the information center via the telemetry device. there are currently more alarms at the bedside than can be transmitted to the information center. 88 technical alarm messages ( inops ) 4 patient alarms and inops inop message, indication source what to do msl power high monitor the power consumption of the devices connected to the measurement link ( msl ) cable is too high. if this situation continues, the msl will be switched off. contact your service personnel. msl power off inop tone. monitor the power consumption of the devices connected to the measurement link ( msl ) cable was @topic:22


# # # issue - the nerve stimulator is not displaying the correct response values, only the energy levels. # # # impact - the device cannot be used to accurately stimulate nerves. # # # possible causes - the electrode cable is damaged. - the nerve stimulator is not properly calibrated. - the software is not functioning correctly. # # # recommendations - replace the electrode cable. - calibrate the nerve stimulator. - update the software. @topic:2


# # # issue * equipment malfunction # # # impact * inability to accurately measure blood pressure # # # possible causes * damaged cable causing electrical shorts or interruptions * incorrect language settings impacting user interface and display # # # recommendations * replace damaged cable to restore electrical continuity * adjust language settings to match user preferences and ensure accurate display and interpretation of data @topic:15


contact the manufacturer or a qualified biomedical engineer for further assistance. @topic:12


# # # issue monitor not linking to central station # # # impact this issue can affect patient monitoring and care. # # # possible causes - the monitor may not be properly linked to the central station. - the monitor may be faulty. - the central station may be faulty. # # # recommendations - check if the monitor is properly linked to the central station. - if the monitor is properly linked, try restarting the monitor. - if the monitor still does not link to the central station, contact the manufacturer for service. @topic:16


: * * perform electrical diagnostics on the monitor to identify any loose connections or component failures. contact the manufacturer or a qualified technician for repair. @topic:2


# # # issue - unable to connect to wi - fi # # # impact - loss of remote monitoring and control capabilities - reduced efficiency in accessing patient data - potential safety risks if device cannot be monitored or controlled remotely # # # possible causes - faulty wi - fi module - damaged antenna - software issue - network connectivity issues - firewall blocking connections # # # recommendations 1. * * check wi - fi module : * * ensure that the wi - fi module is properly installed and functioning. replace the module if necessary. 2. * * inspect antenna : * * examine the antenna for any damage or loose connections. reposition or replace the antenna as needed. 3. * * update software : * * install any available software updates to address potential bugs or compatibility issues. 4. * * verify network connectivity : * * test the network connection to ensure that the device has access to the desired wi - fi network. 5. * * configure firewall : * * adjust the firewall settings to allow the device to connect to the wi - fi network. 6. * * contact vendor support : * * if the issue persists, contact the manufacturer of the device for further assistance. @topic:16


# # # issue - the medical cart's drawer is unable to open. # # # impact - the medical cart cannot be used to transport equipment or supplies. # # # possible causes - the drawer is jammed. - the drawer latch is broken. - the drawer slides are damaged. - the drawer is not properly aligned. # # # recommendations - inspect the drawer for any obstructions. - check the drawer latch for damage. - inspect the drawer slides for damage. - realign the drawer. - replace the drawer if necessary. @topic:21


* * issue : * * * speaker not producing sound * * impact : * * * inability to hear alarms and notifications from the physiologic monitor, compromising patient safety. * * possible causes : * * * * * speaker failure : * * malfunction of the speaker itself due to physical damage, excessive heat, or technical defects. * * * loose or disconnected wires : * * broken or poorly connected cables between the speaker and the monitor, causing interruptions in signal transmission. * * * circuit board malfunctions : * * component failures on the monitor's circuit board that control speaker functionality. * * * software glitches : * * bugs or errors within the monitor's operating system that inhibit speaker operation. * * recommendations : * * * * * inspect and test the speaker : * * use an ohmmeter or other diagnostic tool to identify any electrical faults in the speaker. replace if necessary. * * * check wire connections : * * inspect all cables connecting the speaker to the monitor for loose or damaged contacts. tighten or replace as needed. * * * diagnose circuit board issues : * * request expert assistance from an authorized technician to identify and repair malfunctions on the circuit board. * * * update software : * * contact the manufacturer to inquire about software updates that may resolve any speaker - related issues. * * * monitor performance : * * regularly test the speaker to ensure proper operation and address any issues promptly. @topic:2


usage and load : * * avoid overloading the bed or using it outside of its intended capacity. proper usage and maintenance can extend the motor's lifespan. @topic:9


# # # issue * the bed's railing cannot be lifted. # # # impact * the patient may not be able to get in or out of bed safely. * the patient may be at risk of falling. # # # possible causes * the screws holding the railing in place are loose. * the railing is bent or damaged. * the motor that lifts the railing is not working. # # # recommendations * tighten the screws holding the railing in place. * if the railing is bent or damaged, it should be replaced. * if the motor that lifts the railing is not working, it should be repaired or replaced. @topic:6


vp radiated rf iec 61000 - 4 - 3 3 v / m 80 mhz to 2. 5 ghz 3 v / m ( 1 v / m for respiration and bis ) recommended separation distance : 80 mhz to 800 mhz d = 1, 2vp 80 mhz to 800 mhz for respiration and bis d = 3, 5 vp 800 mhz to 2, 5 ghz d = 2, 3 vp 800 mhz to 2, 5 ghz for respiration and bis d = 7, 0 vp 2. 0 to 2, 3 ghz for short range radio d = 7, 0 vp field strengths from fixed transmitters, such as base stations for radio ( cellular, cordless ) telephones and land mobile radios, amateur radio, am and fm radio broadcast and tv broadcast cannot be predicted theoretically with accuracy. to assess the electromagnetic environment due to fixed rf transmitters, an electromagnetic site survey should be considered. if the measured field strength in the location in which the monitor is used exceeds the applicable rf compliance level above, the monitor should be observed to verify normal operation. if abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the monitor. these guidelines may not apply in all situations. electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. recommended separation distances from portable and mobile rf communication equipment the monitor is intended for use in an electromagnetic environment in which radiated rf disturbances are controlled. the customer or user of the monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile rf communications equipment and the monitor as recommended below, according to the maximum output power of the communications equipment. in the following table, p is the maximum output power rating of the transmitter in watts ( w ) according to the transmitter manufacturer and d is the recommended separation distance in metres ( m ). the values given in brackets are for respiration and bis. 450 safety and performance tests 38 @topic:10


# # # issue : nibp monitor ( ge healthcare dinamap pro 300 ) is not displaying any readings. # # # possible causes : - * * faulty arm cuff : * * the arm cuff used with the nibp monitor may be damaged or malfunctioning, resulting in inaccurate or no readings. - * * occluded air line : * * the air line connecting the nibp monitor to the patient's arm may be pinched or blocked, preventing the monitor from receiving accurate pressure readings. - * * defective patient cable : * * the patient cable connecting the monitor to the patient may be damaged or loose, causing interruptions in signal transmission. - * * malfunctioning transducer : * * the transducer within the nibp monitor that converts pressure into electrical signals may be faulty, resulting in inaccurate readings or no output. - * * electrical fault : * * a power surge or short circuit may have damaged the nibp monitor, causing it to malfunction. - * * software issue : * * a software glitch within the nibp monitor may be preventing it from displaying readings correctly. @topic:15


# # # issue - remote of the electric bed has a broken wire and makes noise. # # # impact - patients may not be able to adjust the bed's position, which can cause discomfort or pain. - the noise may be disruptive to patients and staff. # # # possible causes - the wire may have been damaged due to wear and tear. - the wire may have been pinched or cut. - the remote may have been dropped or bumped. # # # recommendations - inspect the wire for damage. - if the wire is damaged, replace it. - if the wire is not damaged, check the remote's connections. - if the connections are loose, tighten them. - if the remote is still not working, replace it. @topic:7


diagnose and replace the faulty components. @topic:12


# # # issue - cuff of the bedside physiologic monitor is damaged. # # # impact - the monitor cannot accurately measure vital signs. # # # possible causes - the cuff may have been punctured or torn. - the cuff may be too small or too large for the patient. - the cuff may not be properly inflated. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - properly inflate the cuff according to the manufacturer's instructions. @topic:5


# # # issue - the cuff of the physiologic monitor is faulty. # # # impact - the physiologic monitor may not be able to accurately measure vital signs. # # # possible causes - the cuff may be torn or punctured. - the cuff may be too small or too large for the patient's arm. - the cuff may not be properly inflated. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient's arm. - properly inflate the cuff according to the manufacturer's instructions. @topic:5


# # # issue - equipment malfunction due to lack of maintenance. - equipment providing inaccurate readings. # # # impact - compromised patient care and safety. - delay in diagnosis and treatment. - increased risk of adverse events. # # # possible causes * * equipment malfunction due to lack of maintenance : * * - failure to adhere to recommended maintenance schedule. - lack of proper training or negligence by maintenance personnel. - use of outdated or faulty equipment. * * equipment providing inaccurate readings : * * - improper calibration or lack of calibration. - sensors or other components malfunctioning. - environmental factors, such as temperature or humidity. # # # recommendations * * to prevent equipment malfunction due to lack of maintenance : * * - establish a comprehensive maintenance schedule based on manufacturer's recommendations. - ensure that qualified personnel are performing maintenance tasks. - regularly inspect equipment for signs of wear or damage. * * to prevent equipment providing inaccurate readings : * * - calibrate equipment regularly according to manufacturer's specifications. - use calibrated test equipment to verify accuracy. - monitor environmental conditions and adjust as necessary. - train staff on proper equipment operation and troubleshooting. @topic:12


# # # issue - * * bed is not able to adjust up and down * * # # # impact - * * patient discomfort and immobility * * # # # possible causes - * * faulty remote control * * - * * issues with the bed's motor or electrical system * * - * * loose or damaged connections * * - * * software glitch * * # # # recommendations - * * reset the remote control using the provided instructions. * * - * * inspect the bed's motor and electrical system for any visible damage or loose connections. * * - * * ensure that the bed is properly plugged into a power source. * * - * * if the issue persists, contact the manufacturer for further troubleshooting and repair. * * @topic:1


# # # issue - cuff failure # # # impact - inability to accurately measure vital signs # # # possible causes - cuff wear and tear - cuff damage due to improper usage or storage - cuff exposure to extreme temperatures or humidity # # # recommendations - replace the cuff with a new one. - ensure proper cuff usage and storage. - avoid exposing the cuff to extreme temperatures or humidity. @topic:5


# # # issue - spo2 probe malfunction due to damaged cable # # # impact - inability to monitor oxygen saturation levels accurately # # # possible causes - physical damage to the cable, such as cuts or tears - wear and tear over time - manufacturing defects # # # recommendations - replace the damaged cable with a new one - regularly inspect cables for signs of damage and replace as necessary - use proper handling and storage techniques to prevent damage @topic:4


# # # issue - knob lock spring came off # # # impact - bedside rail cannot be lifted or locked # # # possible causes - spring was not properly attached - spring broke # # # recommendations - inspect the spring and ensure it is properly attached - if the spring is broken, replace it with a new one @topic:6


±5 % + 2 mmhg sevoflurane 5 % ±5 % 5 mmh + 5 % 80 % xenon 0 % 1 mmhhelium ±5 % ot specified for use metered dose inhaler propellants 5 mmhdesflurane 15 % + 5 % 1 mmhethanol 0. 1 % ±5 % 1 mmhisopropanol 0. 1 % ±5 % 1 mmhacetone + 5 % 0. 1 % 1 mmhmethane ±5 % spirometry complies with iec 60601 - 2 - 49 : 2001. the following specifications apply for 760 mmhg ambient 35°c, unless otherwise noted. spirometry performance specifications flow wave ( awf ) + 25 1 / min ( neonatal ) + 100 1 / min ( pediatric + 180 1 / min ( adult ) range 3 % oaccuracy 0. 125 1 / min ( neonatal ) 0. 25 1 / min ( pediatric ) 0. 5 1 / min ( adult ) scales + 10, ±20, ±40, ±60, ±80, ±100, ±120, ±150 1 / min + 20 1 / min ( neonatal ) scale default + 100 1 / min ( pediatric + 150 1 / min ( adult ) 89 40 specifications spirometry performance specifications 0 to 100 ml ( neonatal ) volume wave ( awv ) ange 0 to 400 ml ( pediatric0 to 3000 ml ( adult ) 5 % oaccuracy 3 ml ( neonatal12 ml ( pediatric + 90 ml ( adult ), hichever is greatescales 0 ml ( neonatalscale default 00 ml ( pediatric00 ml ( adultpressure wave ( awp ) - 20 to 120 cmh2o ang±2 % or ±0. 5 cmh2o whichever is @topic:17


# # # issue - remote for bed, electric, huntleigh 25800 e / l is malfunctioning. # # # impact - unable to operate the bed remotely. # # # possible causes - remote is damaged or defective. - batteries in the remote are depleted. - communication issue between the remote and the bed. # # # recommendations - replace the remote with a new one. - replace the batteries in the remote. - check the communication cable between the remote and the bed for any loose connections or damage. @topic:7


# # # issue - sensor light turns off when spo2 cable is connected to the monitor. - broken connector on the spo2 cable. # # # impact - inability to measure patient's oxygen saturation levels. # # # possible causes - damaged spo2 cable. # # # recommendations - replace the damaged spo2 cable with a new one. @topic:4


# # # issue - cuff of philips intellivue mp20 ( m8001a ) patient transport monitor needs to be replaced to use with children. # # # impact - current cuff is not suitable for use with children. # # # possible causes - current cuff is too large for children. - current cuff is not compatible with children's blood pressure. # # # recommendations - replace the current cuff with a mi870a pediatric cuff. @topic:14


# # # issue - drawer stuck # # # impact - medical cart cannot be used properly # # # possible causes - drawer guides may be misaligned or damaged - drawer may be overloaded # # # recommendations - realign or replace the drawer guides - reduce the weight of the drawer contents @topic:21


# # # issue - the bed's wooden side rails cannot be raised. # # # impact - the patient may be at risk of falling out of the bed. # # # possible causes - the wooden side rails are binding on the bed frame. - the wooden side rails are damaged. - the mechanism that raises and lowers the wooden side rails is not working properly. # # # recommendations - inspect the wooden side rails for any damage. - lubricate the mechanism that raises and lowers the wooden side rails. - if the above steps do not resolve the issue, contact the manufacturer for further assistance. @topic:6


# # # issue : knob is hard to press # # # impact : difficulty in operating the medical device, leading to delays and potential errors in patient care. # # # possible causes : - loose or missing screws or bolts - worn - out or broken knob - internal mechanical failure # # # recommendations : - check and tighten loose screws or bolts - replace worn - out or broken knob - investigate internal mechanical failure and repair or replace the device if necessary @topic:12


in the monitor. to do this, in the setup ecg menu, select mod. lead placment to toggle between on and off. • when mod. lead placment is set to on, 12 lead ecg reports will be labeled 12 lead ecg report ( mason - likar ), and captured 12 - lead ecgs will be labeled mason - likar to the right of the bandwidth annotation at the information center. - when mod. leadplacment is set to off, 12 lead ecg reports will be labeled 12 lead ecg report ( standard ), and captured 12 - lead ecgs will not be annotated at the information center. warning do not use ecg analysis interpretation statements and measurements for 12 - lead ecgs obtained using the modified ( mason - likar ) limb electrode placement. this may lead to misdiagnosis since the modified ( mason - likar ) limb electrode placement does not look the same as the conventional 12 - lead ecg and may mask inferior infarction due to calculated axis, r, p and t wave magnitudes shifts and t slope. do not export 12 - lead ecgs obtained using the modified ( mason - likar ) limb electrode placement. captured 12 - lead ecgs using the modified ( mason - likar ) limb electrode placement exported from the information center are not annotated with the mason - likar label. 144 6 ecg, arrhythmia, st and qt monitoring easi ecg lead placement using a standard 5 - electrode set in easi lead placement you can monitor up to 12 standard ecg leads simultaneously and continuously at the bedside. easi provides a monitoring method for trending st ovide an early indication of ischemia. warning easi - derived 12 - lead ecgs and their measurements are approximations to conventional 12 - lead ecgs. as the @topic:8


* * issue : * * blood pressure monitor ( bpm ) not able to measure bp due to loose velcro cuff. * * impact : * * patients cannot have their blood pressure accurately measured, which can affect treatment decisions. * * possible causes : * * * * * aging velcro cuff : * * over time, velcro loses its stickiness, making it less effective at securing the cuff around the patient's arm. * * * wear and tear : * * the cuff may have been subjected to excessive use or mishandling, leading to damage to the velcro. * * recommendations : * * * * * replace the velcro cuff : * * replace the existing cuff with a new one that has strong velcro adhesion. * * * inspect the cuff regularly : * * perform regular visual inspections of the cuff to check for any signs of damage or wear. * * * handle the cuff with care : * * avoid excessive stretching or folding of the cuff, as this can weaken the velcro. @topic:3


# # # issue - bed electric safety feature is non - functional. # # # impact - the non - functioning bed safety feature increases the risk of patient falls. # # # possible causes - the bed safety feature is not properly calibrated. - the bed safety feature is not properly maintained. - the bed safety feature is not functioning due to a loose screw or bolt. # # # recommendations - calibrate the bed safety feature. - maintain the bed safety feature according to the manufacturer's instructions. - tighten the loose screw or bolt. @topic:1


# # # issue - * * ds 3 unstable * * # # # impact - * * unknown * * # # # possible causes - * * malfunctioning ds 3 sensor * * - * * interference with ds 3 signal * * - * * software issue * * # # # recommendations - * * replace ds 3 sensor * * - * * inspect for any potential sources of interference * * - * * update software or re - initialize the device * * @topic:2


* * issue : * * equipment failure ( scan not working ) * * impact : * * - interruption of patient care - delays in diagnosis and treatment * * possible causes : * * * * technical issues : * * - battery connection loose or damaged - battery depleted or malfunctioning - scanner malfunctioning - software or firmware issues * * user error : * * - incorrect patient id entered - improper scanning technique - failure to follow operating procedures * * environmental factors : * * - excessive temperature or humidity - power surge or outage - physical damage to the equipment * * recommendations : * * * * technical troubleshooting : * * - check and reseat battery connections - replace or charge the battery - inspect and test the scanner - update or reinstall software / firmware * * user training : * * - provide training on proper patient id entry - review correct scanning techniques - emphasize the importance of following operating procedures * * environmental maintenance : * * - maintain a controlled temperature and humidity environment - ensure stable electrical power supply - protect the equipment from physical hazards * * additional measures : * * - regularly inspect and maintain the equipment - keep a spare battery on hand - have a contingency plan for equipment failure, such as using a backup device or referring patients to another facility - communicate with the manufacturer for technical support or repairs @topic:23


minimum, accommodating the wavelength characteristics of the sensor and reproducing the complex optical interaction of the sensor and the patient's tissue. these capabilities are beyond the scope of known bench - top testers. spo2 measurement accuracy can only be evaluated in vivo by comparing pulse oximeter readings with sao2 measurements obtained from simultaneously sampled arterial blood made using a laboratory co - oximeter. note contact the sensor manufacturer for further spo2 clinical testing information. note refer to sensor manufacturers'directions for use for further accuracy information. spo2 specifications ( masimo specifications, see footnotes 1, 2, 3, 4, 5, and 6 ) spo2 performance measurement range to 100 % masimo spo2 specifications accuracy specified when used with maset pulse oximetry monitors or with licensed masimo set pulse oximetry modules using pc series patient cables, during no motion. + 1 standard deviation. plus 136 appendix welch [UNK] connex® spot monitor spo2 specifications ( masimo specifications, see footnotes 1, 2, 3, 4, 5, and 6 ) or minus one standard deviation represent68 % of the population. 60 - 80±3 %, adults / pediatrics / infants masimo spo2, no motion 70 - 100 ± 2 %, adults / pediatrics / infants ; ± 3 %, neonates masimo spo2, motion 70 - 100 ± 3 %, adults / pediatrics / infants / 70 - 100 ± 2 %, adults / pediatrics / infants / masimo spo2, low perfusion neonates perfusion 0. 02 % to 20 % masimo pulse rate, no motion 25 - 240 ± 3 bpm, adults / pediatrics / infants / masimo pulse rate, motion 25 - 240 ± 5 bpm, adults / pediatrics / infants / neonates masimo pulse rate, low per @topic:17


# # # issue the electric bed, huntleigh contoura 390, is not operating as intended ; specifically, the side rails are unable to be lowered. # # # impact the malfunctioning bed poses a safety hazard to patients and staff, as the side rails are an essential safety feature to prevent falls. # # # possible causes the error code bhcbee147 indicates a fault in the bed's electrical system, specifically related to the bed's control module. this module is responsible for managing the bed's functions, including the operation of the side rails. # # # recommendations 1. * * electrical inspection : * * conduct a thorough electrical inspection of the bed, including the control module, wiring, and power supply. check for any loose connections or damaged components that could be causing the fault. 2. * * control module replacement : * * if the electrical inspection does not identify the cause of the failure, consider replacing the control module. 3. * * software update : * * ensure that the bed's software is up to date, as software updates may address bugs or compatibility issues that could be contributing to the malfunction. 4. * * consult manufacturer : * * if the issue persists despite implementing the above recommendations, consult with the manufacturer of the bed for further troubleshooting and support. @topic:9


or 24 screw with confirmer 11 71535 1 label, siderail control, rh, with bed exit and nurse call 71538 1 label, siderail control, lh, with bed exit and nurse call 71646 1 label, siderail control, rh, bed function only 71647 1 label, siderail control, lh, bed function only 71644 1 label, siderail control, rh, with bed exit, but no nurse call 71645 1 label, siderail control, lh, with bed exit, but no nurse call 12 72820 1 label, angle indicator, rh 72821 1 label, angle indicator, lh 13 qd1653a 1 level ball 14 71436 1 cover, head 15 71372 1 siderail cable 16 ca0014 2 siderail arm, painted 17 s10951b 1 pivot pin, outer arm, upper 18 s10956b 2 pivot pin, outer, lower careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 19 head siderail — a model beds chapter 5 : parts list item number part number quantity description 19 rm74478a 2 washer, nylon 20 rm74803a 6 e - clip 21 ca0009 1 siderail center arm assembly, painted 22 71087 1 cover, siderail center ann 23 s10952b 1 pivot pin, center ann, upper 24 71086 1 enclosure, center arm 25 71085 1 handle, siderail 26 ca0015 1 siderail mount, painted 27 28562 4 pal nut 28 s10953b 1 pivot pin, center arm, lower 29 ca0016 1 head siderail mounting bracket, painted 30 72991 2 spring guide 31 72791 1 @topic:26


# # # issue - * * equipment malfunction : * * electric bed ( beds, electric ) malfunctioning due to loose cable connection. # # # impact - * * patient care disruption : * * inability to adjust bed height and position, affecting patient comfort and mobility. # # # possible causes - * * loose cable connection : * * the cable connecting the remote control to the bed's control panel was not securely attached, causing intermittent connectivity issues. # # # recommendations - * * secure cable connection : * * the technician identified the loose cable and reconnected it properly, ensuring a secure fit. - * * test functionality : * * the technician tested the bed's functionality after reconnecting the cable, verifying that it was operating normally. - * * regular maintenance : * * to prevent similar issues in the future, regular maintenance should be scheduled to inspect and tighten cable connections as needed. @topic:7


##umerics. audible alarm reminder ( if configured ). alarm message. flashing present. numerics. audible alarm reminder ( if configured ). audible and visual alarm ndicators automatically stopaudible and visual alarm indicators automatically stopalarm condition no longer present. audible and visual alarm indicators automatically stop. 72 3 alarms all inops are non - latching. see " yellow arrhythmia alarms " on page 160 for information on one - when when you switch the monitor on, a selftest is started. you must check that the alarms lamps light, one after the other, and that you hear a single tone. this indicates that the visible and audible alarm indicators are functioning correctly. for further testing of individual measurement alarms, perform the measurement on yourself ( for example spo2 or co2 ) or use a simulator. adjust alarm limits and check ehavior is observed. alarm behavior at power on if the monitor is switched off for longer than one minute and then switched on again ( or after a loss of power lasting longer than one minute, or when a patient is discharged ), the monitor can be configured to : restore the alarm settings from the monitor's configured default profile, • restore the most recently used alarm settings, or • • switch the alarms off. aftany of these situations, you should check that the alarm settings are appropriate for and monitoring situation, and if necessary, select the correct profile and patient category. if power is lost for less than one minute, the alarm on / off condition prior to the power loss is larm recordingyou can set up your monitor so that it automatically triggers alarm recordings locally or at the information center, or if configured, to a printer as a realtime report. 1 press the main setup smartkey. select alarms from the main setup menu. 2 select alarm recording from the alarms menu to open the alarm recordings menu. 3 4 select a @topic:10


# # # issue - monitoring device ( intellivue mx700 ) failing to display patient respiration ( resp ) data on the graph # # # impact - critical patient data ( respiration rate ) is unavailable, which can delay timely medical intervention and potentially impact patient outcomes. # # # possible causes - * * equipment malfunction : * * the monitor may have a hardware or software issue causing it to fail to receive or display respiration data. - * * off settings : * * the respiration monitoring feature may have been accidentally turned off. - * * sensor disconnect : * * the sensor used to measure respiration ( e. g., ecg leads, chest straps ) may be disconnected or not properly attached. - * * patient interference : * * the patient may have interfered with the sensors or monitoring equipment, causing inaccurate or no data transmission. - * * electromagnetic interference : * * external electromagnetic signals can interfere with the monitoring device's ability to receive and process respiration data. # # # recommendations - * * troubleshooting equipment : * * check the monitor's connections, sensors, and software for any loose wires, damaged components, or software errors. - * * resolving off settings : * * ensure that the respiration monitoring feature is turned on and set to the correct parameters. - * * connecting sensors : * * verify that the respiration sensors are correctly attached to the patient and are receiving a stable signal. - * * minimizing interference : * * identify any sources of electromagnetic interference nearby and take steps to mitigate their impact. - * * monitoring patient : * * observe the patient for signs of respiratory distress or irregularities that may indicate a potential issue with the monitoring device. - * * reporting maintenance issues : * * if the issue persists despite these recommendations, report the problem to biomedical engineering for further troubleshooting and repair. @topic:22


# # # issue bed cannot be adjusted at the head. # # # impact patient comfort and safety may be compromised. # # # possible causes - * * electrical failure : * * the motor or control panel may not be receiving power. - * * mechanical failure : * * the gears or other mechanical components may be damaged or worn. - * * software error : * * the bed's software may be malfunctioning. - * * lock button : * * the lock button might be activated and preventing the adjustment of the head. # # # recommendations - * * electrical failure : * * - check the power cord and connections. - inspect the motor and control panel for any signs of damage. - * * mechanical failure : * * - inspect the gears and other mechanical components for damage or wear. - lubricate the moving parts as necessary. - * * software error : * * - reset the bed's software. - contact the manufacturer for technical support. - * * lock button : * * - check if the lock button is activated. - make sure to release the lock button to allow adjustment. @topic:1


select the required averaging time from the list. understanding spo2 alarms this refers to spo2 specific alarms. see the " alarms " chapter for general alarm information. spo2 offers high and low limit alarms, and a high priority desat alarm. you cannot set the low alarm limit below the desat alarm limit. caution if you measure spo2 on a limb that has an inflated noninvasive blood pressure cuff, a non - pulsatile spo2 inop can occur. if the monitor is configured to suppress this alarm there may be a delay of up to 60 seconds in indicating a critical status, such as sudden pulse loss or hypoxia. 194 9 monitoring spo2 larm delays there is a delay between a change in the oxygen saturation at the measurement site and thcorresponding alarm indication at the monitor. this delay has two components : the general measurement delay time is the time between the occurrence of the saturation change and when the new value is represented by the displayed numerical values. this delay depends on the algorithmic processing and the averaging time configured for spo2. the longer the averaging time configured, the longer the time needed until the numerical values reflect ration.. • the time between the displayed numerical values crossing an alarm limit and the alarm indication on the monitor. this delay is the sum of the alarm delay time configured for spo2, plus the system alarm delay. the system alarm delay is the processing time the system needs for any alarm to be indicated on the monitor, after the measurement has triggered the alarm. see " monitor performance specifications " on page 464 for the system alarm delay specification. for spo2 high and low limit alarms, there are two different types of alarm delay time. the standard alarm delay is set to a fixed value. the smart alarm delay varies, based on an intelligent algorithm, and can be @topic:17


# # # issue the electric bed is not able to adjust up and down. # # # impact patients cannot be positioned properly for medical examinations or procedures. # # # possible causes - faulty control panel - damaged electrical wiring - mechanical failure of the lifting mechanism # # # recommendations - replace the control panel. - repair or replace the damaged electrical wiring. - inspect and repair or replace the lifting mechanism. @topic:1


# # # issue - ekg board module failure # # # impact - patient monitoring is compromised # # # possible causes - noise interference - faulty module - manufacturing defect # # # recommendations - replace the ekg board module with a new or refurbished one - inspect the device for any other signs of damage - contact the manufacturer for further support if the issue persists @topic:18


shown to change between lb and kg. when a specific drug is selected, the initial values for dose, amount and volume are the configured start values for this drug. the rate is then calculated. if other values are required you can calculate any value by entering the remaining three values as described in " performing calculations for a non - specific drug " on page 383. 4 the column on the right of the window shows either drug dose or dosage rate, whichever is the calculated value. the current calculated value is shown on a scale with the recommended range in green. if the current calculated value lies outside the recommended range it is shown in red. if you have changed values in the drug calculator and you want to revert to the configured valuesselect reset values key at any time. 84 charting infusion progress drip time volume amount dobutamine 6. 67 16. 67 0 : 43 : 12 3. 33 3. 312 mcg / kg / mn 1 : 04 : 48 50 50 dose : 26 : 283. 3. 33 1 : 48 : 00 rate 46. 38 ml / hour 100 16. 6116. 67 33. 3amount 2 : 52 : 48 250 mg 33. 33 : 13 : 4150 150 166. 67 : 35 : 24 volumeight 250 ml 3 : 57 : 00 183. 33 183. 33 04 : 18 : 36 200 142 lb 16. 616. 6 : 40 : 12 33. 333. 3 : 01 : 48 5 : 23 : 24 hrmin : sec 5 : 23 : 24 250 250 the drip table shows you at a glance how much of the infusion has been administered to your patient and how much time is left. to see the drip table, in the drug calculator window, select the drip table pop - up key.. if the drip time exceeds 24 hours, the drip time timestamp shows : titra @topic:17


# # # issue - the electric bed is not available for use on 6r. # # # impact - patients on 6r may have to wait for a bed to become available, which could delay their treatment. # # # possible causes - the bed was loaned to 5r for use while their bed was being repaired. # # # recommendations - the bed should be returned to 6r as soon as possible. - 5r should explore other options for obtaining a bed, such as borrowing one from another unit or renting one from a medical equipment supplier. @topic:9


# # # issue - medical cart is not booting up - black screen on medical cart # # # impact - inability to use the medical cart - loss of functionality in the hospital # # # possible causes - hard drive failure - bios settings incorrect - boot order incorrect - power supply issue # # # recommendations - check the hard drive and replace if necessary - check the bios settings and ensure that the boot order is correct - check the power supply and ensure that it is providing adequate power - reinstall the operating system if necessary @topic:13


# # # issue the cause of failure is not clearly defined. # # # impact the impact of the failure is unknown. # # # possible causes * the technician did not properly check the bed. * the bed is not functioning properly. * there is a problem with the electricity supply. # # # recommendations * the technician should re - check the bed to ensure that it is functioning properly. * the bed should be inspected by a qualified biomedical engineer. * the electrical supply should be checked to ensure that it is adequate. @topic:9


# # # issue - loose motor cover # # # impact - bed cannot be operated properly # # # possible causes - screws not tightened properly - excessive wear and tear - loose wiring # # # recommendations - tighten the screws holding the motor cover in place - inspect the motor cover for any damage and replace if necessary - check the wiring connections to the motor and ensure they are secure @topic:9


# # # issue - probe light not turning on # # # impact - inability to measure spo2 levels accurately # # possible causes - faulty probe - loose connection between probe and monitor - power supply issue - software glitch # # recommendations - replace the probe with a new one - check and tighten the connection between the probe and monitor - inspect the power supply and ensure proper voltage and amperage - update the monitor's software to the latest version, if available @topic:4


# # # issue the monitor lcd cannot write to discs. # # # impact medical data cannot be transferred from the monitor to a disc. # # # possible causes - the write function is not working on the monitor. - the dvd drive is faulty. - the discs being used are not compatible with the monitor. # # # recommendations - check the monitor's write function and dvd drive. - try using different discs. - contact the manufacturer of the monitor or dvd drive for further troubleshooting. @topic:2


# # # issue - cuff bp deterioration due to usage # # # impact - inability to accurately measure blood pressure # # # possible causes - worn - out cuff material - damaged velcro # # # recommendations - replace cuff bp - inspect and replace velcro as needed @topic:3


) : transfer help position, • position 4 ( red ) : " incorrect ", risk of bed tipping. • 3 2 1 1. the safe working load specifications for normal use allow for a substantial safety margin. patient helper handle the patient helper handle must be positioned between lugs a and b to avoid any danger of slippage. the patient handle on the patient helper can be adjusted to the patient. b adjust the height of the handle until there right angle at the elbow. it is easier for the patient to change position in the bed, making for greater comfort and independence. place the patient handle on the patient helper arm when not in use, in order to eliminate any obstruction. if the bed is equipped with both an adjustable patient helper ( ad811a ) and an iv pole ( ad298a or ad299a ), do not use the patient helper " tuck - away " position as this may interfere with the iv pole. he gci is on the foot siderpress and firmly slide finger to activate the gci : touch the screen. • to release, press the round symbol until the green light above it comes on, then press firmly and slide our finger to the right so that the remaining leds. press and firmly slide finger come on. when the gci is unlocked and the screen is not touched for 1 minute, it automatically returns to the home screen. if the screen remains untouched for a further 1 minute, the locked screen appears. if it is not touched for another 8 minutes, the s itself off. press and firmly slide finger the screen is deactivated if the bed switches to battery mode. home screedescription backrest ( head ) alert active therapeutic mode active * cm * bed exit alerts home...... ccess to scale * duration alert uspend alert foaccess to the @topic:9


# # # issue - noisy and sluggish wheels # # # impact - may hinder the mobility of the device, making it difficult to maneuver in a clinical setting. - the noise may also be disruptive to patients and healthcare professionals. # # # possible causes - worn or damaged wheels - lack of lubrication - misaligned wheels - obstruction in the wheel mechanism - manufacturer defect # # # recommendations - inspect the wheels for wear, damage, or misalignment. - clean and lubricate the wheels and wheel mechanism as per the manufacturer's instructions. - ensure that there is no obstruction in the wheel mechanism. - if the wheels are severely worn or damaged, replace them with new ones. - if the issue persists after following the above recommendations, contact the manufacturer for further troubleshooting assistance. @topic:24


# # # issue - 8d5 borrowed the bed from icu4 on august 16, 2018 without permission. # # # impact - the bed was not available for use by icu4 patients. - this could have led to a delay in patient care. # # # possible causes - 8d5 was not aware that they needed permission to borrow the bed. - 8d5 did not follow the proper procedure for borrowing equipment. # # # recommendations - 8d5 should be educated on the proper procedure for borrowing equipment. - a policy should be put in place to require permission from the owner of the equipment before it can be borrowed. @topic:9


# # # issue - drawer on medical cart does not open properly # # # impact - difficulty accessing contents of drawer, potentially delaying or compromising patient care. # # # possible causes - broken drawer slides - misaligned drawer - obstruction in drawer track # # # recommendations - inspect drawer slides for damage or wear - ensure drawer is aligned properly - check for any obstructions in drawer track - replace damaged or worn parts as necessary - lubricate drawer slides to prevent future problems @topic:21


. 73 b. 10. 85 b. 10. 83 c. 00. 82 d. 00. 54 c. 00. 89 e. oo. xx d. o - supported released revision d. 00. 58 d. 00. 54 74 obtaining replacement parts 4 troubleshooting - ‘ -. software revision marketing name m8003 / 4a m3001a compatible revision b. 10. 80 a. 20. 27 b. 10. 84 b. 05. 73 b. 10. 85 b. 10. 83 c. 00. 82 c. 00. 81 c. 00. 89 e. oo. xx c. 00. 90 d. 00. 53 e. o - supported released revision e. oo. xx e. oo. xx compatible revision b. 10. 80 a. 20. 27 b. 10. 84 b. 05. 73 b. 10. 85 b. 10. 83 c. 00. 82 c. 00. 81 c. 00. 90 d. 00. 54 d. 00. 53 e. oo. xx * * for further information on m3001a hw / sw compatibility, please refer to the parts section. obtaining replacement parts see parts section for details on part replacements. troubleshooting guide problems with the monitor are separated into the categories indicated in the following sections and tables. check for obvious problems first. if further troubleshooting instructions are required refer to the troubleshooting tables. taking the recommended actions discussed in this section will correct the majority of problems you may encounter. however, problems not covered here can be resolved by calling philips response center or your local representative. checks for obvious problems when first troubleshooting the instrument, check for obvious problems by answering basic questions such as the following : 1 is the power switch turned on? 2 is the battery adequately charged? 3 is the ac power cord connected to @topic:16


* * issue : * * ekg cable breakage * * impact : * * inability to monitor patient's electrocardiogram ( ecg ) * * possible causes : * * - physical damage to the cable, such as cuts, tears, or crimps - loose connections between the cable and the monitor or patient leads - excessive wear and tear due to improper handling or storage - electrical interference from other devices or cables - manufacturing defects * * recommendations : * * - inspect the cable for any visible damage, such as cuts, tears, or crimps. - ensure that the connections between the cable and the monitor or patient leads are secure. - handle and store the cable properly to avoid excessive wear and tear. - check for any electrical interference from other devices or cables and relocate them if necessary. - consider purchasing a spare ekg cable to have on hand in case of emergencies. - report any manufacturing defects to the manufacturer and consider asking for a replacement. @topic:18


# # # issue : biomedical engineer ( bme ) found out that the cable is dirty and caused the device to fail. # # # impact : the device is not able to function properly and may not be able to provide accurate readings. # # # possible causes : - the cable is damaged or faulty. - the cable is not properly connected. - the cable is dirty or has debris on it. # # # recommendations : - replace the cable. - clean the cable and make sure that it is properly connected. - inspect the cable regularly for any damage or wear. @topic:20


# # # issue - loose or damaged wheels # # # impact - difficulty in moving the device - potential patient safety hazard # # # possible causes - wear and tear - improper maintenance - accidental damage # # # recommendations - regularly inspect the wheels for signs of wear or damage. - replace or repair damaged wheels promptly. - ensure that the device is properly maintained and cleaned to prevent premature wear. - train staff on the proper handling and use of the device to minimize the risk of accidental damage. @topic:24


# # # issue : remote control failure # # # impact : - inability to operate the bed, electric device remotely. - inconvenience for patients and healthcare providers. # # # possible causes : - * * hardware failure : * * damage to the remote control's internal components, such as the buttons, circuit board, or battery. - * * software issue : * * bugs or glitches in the remote control's software. - * * physical damage : * * dropping, impact, or exposure to moisture can cause damage to the remote control. - * * operator error : * * improper handling or mishandling of the remote control. # # # recommendations : - * * troubleshooting : * * inspect the remote control for visible damage or loose connections. check the battery if applicable. - * * repair or replacement : * * if troubleshooting fails, the remote control may need to be repaired or replaced. - * * preventive maintenance : * * regular cleaning and inspection of the remote control can help prevent failures. - * * user training : * * educate users on proper handling and storage of the remote control to minimize the risk of damage. @topic:7


# # # issue - the bed's headrest cannot be lowered. # # # impact - patients may be unable to get into or out of bed safely. - nursing staff may have difficulty providing care to patients in bed. # # # possible causes - broken or damaged motor - faulty wiring - software glitch - mechanical obstruction # # # recommendations - inspect the motor and wiring for any damage. - check the software for any updates or glitches. - clear any mechanical obstructions that may be preventing the headrest from lowering. - if the problem persists, contact the manufacturer for further assistance. @topic:1


# # # issue - the patient monitor is displaying an elevated temperature reading of 37 degrees celsius consistently, despite the patient's actual temperature being normal. # # # impact - incorrect temperature readings can lead to misdiagnosis and inappropriate treatment. - the patient may not receive the necessary medical attention if their true temperature is not accurately reflected. - the hospital may face legal or financial penalties if the inaccurate temperature readings result in patient harm. # # # possible causes - faulty temperature probe - malfunctioning internal circuitry - software error - interference from external sources - user error # # # recommendations - isolate the patient monitor from potential sources of interference, such as other medical devices or electrical equipment. - check the temperature probe and ensure it is clean and properly connected to the monitor. - inspect the monitor's internal circuitry for any visible damage or loose connections. - update the monitor's software to the latest version. - consult the manufacturer's service manual for troubleshooting and repair procedures. - if the issue persists, contact the manufacturer's technical support team for assistance. @topic:20


# # # issue the cause of failure is that the machine unexpectedly shut down during use. when the technician performed a preliminary checkup, they were able to reset the machine and it started working normally. however, the technician reported the incident to the company so that they could conduct a more thorough examination of the device. # # # impact the sudden shutdown of the machine could have a significant impact on patient care. if the machine is used for critical procedures, the shutdown could result in a delay in treatment or even a patient's death. # # # possible causes there are several possible causes for the machine to suddenly shut down. some of the most common causes include : - power supply problems - software glitches - hardware failures - operator error # # # recommendations to prevent this type of failure from happening again, the following recommendations should be followed : - ensure that the machine is plugged into a reliable power source. - regularly update the machine's software to fix any glitches. - train operators on how to properly use the machine. - perform regular maintenance on the machine to check for any hardware problems. @topic:12


# # # issue - ekg printing errors # # # impact - inability to print ekg results, which can delay diagnosis and treatment. # # # possible causes - faulty or loose printer cable. # # # recommendations - check the printer cable and ensure it is securely connected to both the monitor and the central station. - if the cable is damaged, replace it with a new one. - test the printer by sending a print job to verify that the issue has been resolved. @topic:28


# # # issue - monitor not charging # # # impact - inability to use the monitor for patient monitoring # # # possible causes - faulty power cable or plug - loose connection between the power cable and the monitor - faulty power outlet # # # recommendations - check the power cable and plug for any damage or loose connections. - reseat the power cable into the monitor and ensure it is securely connected. - test the power outlet with another device to ensure it is functioning properly. @topic:11


for any loose or disconnected parts, worn gears, or broken actuators. - lubricate any moving parts that may be sticking or causing friction. - if necessary, replace damaged mechanical components with genuine parts from the manufacturer. 5. * * reset the bed : * * - if possible, locate and press a reset button on the bed or remote control. - this may resolve minor software glitches or electrical issues. 6. * * contact the manufacturer : * * - if the problem persists after following the above steps, contact the manufacturer for further assistance and support. - they may provide additional troubleshooting guidance or dispatch a qualified technician to repair the bed. @topic:1


# # # issue - cuff degradation # # # impact - inaccurate blood pressure measurements # # # possible causes - extended use of the cuff - improper storage of the cuff - damage to the cuff # # # recommendations - regularly inspect the cuff for signs of wear and tear. - replace the cuff if it shows any signs of degradation. - store the cuff in a cool, dry place when not in use. - ensure that the cuff is properly inflated and deflated during use. @topic:3


= value mmhg ±0. 07 x ( value mmhg ) = tolerance for example 0. 1 x 737 mmhg = 73. 7 mmhg ( with an ambient pressure of 737 mmhg ) ±0. 07 x 73. 7 mmhg = ±5. 16 mmhg tolerance 7 open the valve on the flow regulator to allow 10 % co 2 gas to flow into the extension. allow the value to stabilize. 8 check that the value on the instrument ( x8 ) matches the calculated mmhg value within the calculated tolerance. if so, the measurement extension is correctly calibrated. if the value is outside the tolerance, calibrate as follows. a. keep the same setup and connect the 5 % calibration gas. b. select cal. co 2. c. select the value for the calibration gas. ( the default value is 5. 0 %. ) d. open the valve on the calibration gas to allow co 2 gas to flow into the extension. allow the value to stabilize before the start of the calibration. leave the valve open until the instrument gives a prompt that gas can be removed. 78 3 testing and maintenance ] e. the extension calibrates and prompts when calibration is successful. test expected test results c02 cal check x7 = calculated mmhg value ±2. 6 mmhg x8 = calculated mmhg value within calculated tolerance calibration verification 1 keep the same setup as described in ‘ ‘ c02 cal check and calibration ” on page 77. 2 reopen the 5 % gas valve and allow the value to stabilize. 3 check that the value displayed on the monitor is correct within the tolerance ( see step above ). 4 disconnect the 5 % calibration gas and connect the 10 % calibration gas. 5 open the valve on the flow regulator to allow 10 @topic:17


the bed's power - driven movements are controlled using a control pendant *, a control unit on a flexible arm *, controls built into the half - siderails * or bilateral hilow pedals with caregiver mode * by pressing and holding the button for the corresponding function. the movement stops when the button is released or when the limit of movement is reached. caregivers need to assess whether patients can be left unattended with access to the functions on the control pendant or the flexible arm. control pendants * the control pendant can be stowed under the siderail. 10if the l1900b0 bed was not originally fitted with a control pendant, they can be ordered as an accessory with the p / n ad281b '. it can be placed on the right - hand or left - hand side of the bed. 1900b0 they are placed inside the head half - siderails on either side of the bed. they are to be used by caregivers hill - rom hill - rom l1900b0 l1900b2 hom l1900b3 1. remember to specify the model of the unit. patient half - siderail * controls they are placed inside the head half - siderails on either side of the bed. they are to be used by the patient. 3hill - rom [UNK] hill - rom l1900b0 l1900b3 bilateral hilow pedal with caregiver mode * the hilow pedals are positioned on each side on the chassis. they are to be used by caregivers. hill - rom foot control pendant * the unit is positioned on the footboard. it is to bused by caregivers. a - rocontrol unit on a flexible arm * the large control buttons mean that patients can clearly see and easily use the controls. [UNK] the bed was not originally fitted with @topic:9


# # # issue - the bed cannot be adjusted. # # # impact - the patient may be uncomfortable or unable to use the bed. - the healthcare provider may be unable to provide proper care to the patient. # # # possible causes - the battery is dead or damaged. - the battery is not properly connected. - the electrical connections are loose or damaged. - the motor is damaged. - the control panel is damaged. # # # recommendations - check the battery and replace it if necessary. - ensure that the battery is properly connected. - check the electrical connections and tighten or repair them as necessary. - inspect the motor for damage and repair or replace it as necessary. - inspect the control panel for damage and repair or replace it as necessary. @topic:1


for instructions. - * * confirm function status * * : verify with a healthcare professional that the bed's adjustment function is not intentionally disabled. - * * provide proper training * * : ensure that staff members responsible for operating the bed are adequately trained on its proper use and the correct adjustment procedures. @topic:9


# # # issue - drawer lock malfunction # # # impact - security breach due to unauthorized access to medications # # # possible causes - key lock malfunction # # # recommendations - replace or repair the key lock mechanism - implement a keyless access control system to prevent unauthorized access @topic:21


# # # issue - the medical cart's drawers cannot be closed. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - the user has locked the drawers with a key and has not unlocked them. - the drawers are obstructed by an object. - the drawers are damaged. # # # recommendations - the technician should check if the drawers are locked and unlock them if necessary. - the technician should check if the drawers are obstructed by an object and remove the object if necessary. - the technician should check if the drawers are damaged and repair or replace them if necessary. @topic:21


# # # issue : blood pressure cuff failure on philips intellivue x3 patient transport monitors # # # impact : inability to accurately measure blood pressure, potentially leading to delayed or incorrect medical decisions. # # # possible causes : - cuff bladder deterioration due to age or frequent use, leading to inaccurate pressure readings. - improper cuff size or application, causing discomfort or inaccurate readings. - defective cuff tubing or connector, resulting in air leaks and inaccurate measurements. - electrical issues within the monitor or cuff, causing intermittent or incorrect readings. # # # recommendations : - * * regular maintenance : * * conduct routine inspections and preventive maintenance to identify and replace any worn or damaged components, including the blood pressure cuff. - * * proper cuff selection and application : * * train staff on proper cuff selection and application techniques to ensure accurate and comfortable measurements. - * * troubleshoot electrical issues : * * if electrical issues are suspected, contact the manufacturer or a qualified technician for repair or replacement. - * * monitor performance : * * perform regular quality checks on the monitors and cuffs to ensure consistent and reliable readings. - * * consider remote monitoring : * * implement a remote monitoring system to track device performance and identify any potential issues promptly. - * * provide staff training : * * educate staff on the importance of proper device maintenance, troubleshooting, and reporting any concerns to minimize device failures. @topic:14


# # # issue - bed does not lower. # # # impact - patient may not be able to get in or out of bed. - bed may be uncomfortable or difficult to use. # # # possible causes - remote control cable is loose or disconnected. - remote control is not functioning properly. - bed motor is not working properly. - bed frame is damaged or obstructed. # # # recommendations - inspect the remote control cable for any loose or disconnected connections. - replace the remote control if it is not functioning properly. - check the bed motor for any signs of damage or malfunction. - inspect the bed frame for any damage or obstructions that may be preventing the bed from lowering. @topic:1


# # # issue - bed is being used by another department. # # # impact - patient care may be delayed or disrupted. # # # possible causes - lack of communication between departments. - insufficient equipment inventory. - equipment malfunction. # # # recommendations - improve communication between departments to ensure that equipment is available when needed. - increase equipment inventory to avoid shortages. - perform regular maintenance and inspections on equipment to prevent malfunctions. @topic:9


# # # issue - battery degradation # # # impact - reduced device functionality and reliability - potential for device to malfunction or fail during critical patient care - increased risk of patient harm # # # possible causes - age of battery - excessive use or charging - extreme temperatures - battery not properly maintained or serviced # # # recommendations - regular battery maintenance and replacement according to manufacturer's guidelines - proper storage and charging practices - avoid exposing the device to extreme temperatures - train staff on proper battery handling and maintenance procedures - consider using a backup battery or alternative power source for critical devices @topic:11


# # # issue : - the philips intellivue mp20 ( m8001a ) patient monitor was unavailable for use. # # # impact : - the unavailability of the patient monitor may have impacted patient care by delaying or preventing necessary medical treatment. # # # possible causes : - * * battery failure : * * the battery in the monitor had degraded over time, reducing its ability to hold a charge and power the device. - * * damaged spo2 cable : * * the cable connecting the monitor to the patient's finger for oxygen saturation ( spo2 ) monitoring was damaged, preventing accurate readings. # # # recommendations : - * * replace the battery : * * the degraded battery should be replaced with a new one to ensure adequate power supply for the monitor. - * * repair or replace the spo2 cable : * * the damaged cable should be repaired or replaced to restore accurate spo2 monitoring. - * * regular maintenance : * * establish a regular maintenance schedule for the monitor, including battery testing and cable inspections, to prevent future failures. @topic:4


period for the assessment. 3 select confirm to start the car. if the ner group was not active it will be activated automatically. 297 24 event surveillance the events database during the car period an sp0 2 histogram is also generated with 1 second samples. for general information about the presentation of data in a histogram, see “ viewing histogram trends ” on page 274. the car sp0 2 histogram is unique : it can only be accessed from the events function. it is generated from the beginning of the car period ( contrary to the non - sp0 2 histograms which are generated from trended data retrospectively at the end of a time period ). settings are fixed for this histogram and cannot be changed when viewing it. the events database the maximum number of events that can be stored in the event database depends on the database configuration and the level of event surveillance used. the event database is set up in the monitor ’ s configuration mode. events are stored in the monitor ’ s event database for the configured lifetime, either 8 hours or 24 hours. deleted events cannot be retrieved. events are automatically deleted when : • their configured lifetime is over • the storage capacity of the database is exceeded ( storing a further event deletes the oldest event in the memory ) • a patient is discharged. as the event database is cleared when you discharge a patient, you should ensure that you have documented any events you require for the patient records before you confirm the discharge. viewing events • to see a summary of all the events in every group in the event database, use the event summary window. • to review all the events in a particular event group, use the event review window. • to review individual event episodes in detail, use the event episode window. to start viewing events, either : ♦ ♦ in the main setup menu, select event surveill. and then @topic:8


# # # issue : faulty spo2 sensor # # # impact : inability to accurately measure blood oxygen saturation levels. # # # possible causes : - defective sensor component - loose or damaged cabling - incorrect sensor placement # # # recommendations : - replace the faulty sensor with a new one. - inspect and tighten any loose connections in the cabling. - ensure proper placement of the sensor on the patient's finger or earlobe. - perform regular maintenance and calibration of the equipment to minimize future sensor failures. @topic:4