5, or the error code table on page 7 - 14, does not identify the problem, run the system diagnostic software. to access the system diagnostic software, use the diagnostics button in the system admin menu. for information on accessing the system admin menu, see “ accessing the system admin menu ” on page 5 - 2. the following figure shows the system diagnostics window. use this window to track usage and perform the monitor ’ s self test. in addition, use the window to perform a variety of system diagnostic and verification tests. note — in order to set temperature and c0 2 calibration values and several other system configuration items, you must enter another password when you click on the maintenance » button. only trained biomeds or support persons should access the maintenance » menu. troubleshooting 7 - 25 running system diagnostics maintenance menu when the system diagnostics menu is open, patient measurements stop. measurements restart when you exit the system diagnostics menu. to open the maintenance menu : 1. rotate the navigation wheel to highlight the maintenance » button in the system diagnostics window and press the wheel. a password window appears. 2. enter 1 - 2 - 9 in the password window. the complete system diagnostics menu, including maintenance, appears. system diagnostics 7 - 26 troubleshooting running the self test the following sections describe a variety of self - and diagnostic tests that you can run on the monitor, including : • self test • recorder • battery • button • display • audio • led you can also run several verification tests from this menu. for more information on using the maintenance » menu to run verification tests, see chapter 6, performance verification testing. running the self test the resident self test performs a complete memory and front end test. the monitor could have any of these modules : ecg, sp0 2, nbp, ibp, c0 @topic:22


##gns vs4 service guide symbol description symbol description a nbp connector usb port a © nurse call connector o a = option number 100 - 240v ~ 50 / 60hz 120va t1. 6a 250v input power and fuse rating e ] [ m ] ethernet port eufp ( environmentally friendly use period - china ) equipotential grounding post defibrillator proof type csa mark { 9 cf applied part ( $ p. c us ingress protection to compliance with weee ipx1 vertically falling water standard drops fcc label for radio industry canada label fcc id ic id for radio ce marking and rf interference identifier for radio date of manufacture date of first calibration use by a eject key probe cover installed scan key ( < i ) “ cif key probe cover not installed q single use timer key no latex if suresigns vs4 service guide v symbol description symbol description q choking hazard dehp - free a consult instructions for si. oe keep out of sun use = ] non - sterile manufacturer ’ s name and address regulatory and safety specifications declaration ce the suresigns vs4 monitor is a class iib device and complies with the requirements of the council 0123 directive 93 / 42 / eec of 14 june 1993 concerning medical devices and carries ce - marking accordingly. the radio device used in the suresigns vs4 vital signs monitors are in compliance with the essential ceo requirements and other relevant provisions of directive 1999 / 5 / ec ( radio equipment and telecommunications terminal equipment directive ). authorized eu representative philips medizin systeme boblingen gmbh hewlett - packard str. 2 71034 boblingen germany rx only caution united states federal law restricts this device to sale by or on the order of a physician. vi suresigns vs4 service guide safety standards parameter specification en / iec 6060 @topic:10


# # # issue - remote control for electric bed not functioning. # # # impact - inability to adjust bed settings, including height, backrest, and footrest. - inconvenience and discomfort for patients. # # # possible causes - * * failed remote control : * * internal electronic or mechanical failure within the remote control. - * * interference : * * wireless interference from other devices or equipment in the vicinity. - * * battery issues : * * low battery or malfunctioning battery in the remote control. - * * defective cable : * * damaged or loose cable connecting the remote control to the bed. - * * bed control unit malfunction : * * failure in the bed control unit that receives and processes signals from the remote control. # # # recommendations - verify if the issue persists with a new or different remote control. - check for any visible damage or loose connections on the remote control, cable, and bed control unit. - replace the batteries in the remote control and ensure they are properly seated. - examine the bed control unit for any error codes or indicators of malfunction. - contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:7


# # # issue - the connex spot monitor is not accurately measuring temperatures, specifically overestimating them. # # # impact - inaccurate temperature measurements can have significant implications for patient care. for example, a high temperature reading may indicate a fever, which could lead to unnecessary treatment or antibiotics. conversely, a low temperature reading may not indicate hypothermia, which could delay appropriate treatment. # # # possible causes - * * faulty sensor : * * the temperature sensor in the monitor may be malfunctioning, causing it to provide inaccurate readings. - * * electrical interference : * * the monitor may be experiencing electrical interference from other nearby devices, which could affect its accuracy. - * * software error : * * a software error in the monitor may be causing it to miscalculate temperatures. # # # recommendations - * * inspect the temperature sensor : * * check the sensor for any damage or contamination. clean the sensor if necessary. - * * check for electrical interference : * * move the monitor away from any other electronic devices that may be causing interference. - * * update the software : * * check if there are any software updates available for the monitor. install the updates if necessary. - * * if the above steps do not resolve the issue, the monitor may need to be replaced. * * @topic:20


# # # issue the electric bed, contoura 360 by huntleigh, is not adjustable. # # # impact the patient may not be able to get into or out of the bed safely or comfortably. the patient may also experience discomfort or pain if the bed is not in the correct position. # # # possible causes - the remote control is not working properly. - the bed's motor is not working properly. - the bed's electrical wiring is damaged. # # # recommendations - inspect the remote control for any damage. if the remote control is damaged, replace it. - inspect the bed's motor for any damage. if the motor is damaged, replace it. - inspect the bed's electrical wiring for any damage. if the wiring is damaged, repair or replace it. @topic:1


# # # issue - the input does not provide a clear explanation of the cause of failure for the medical cart. # # # impact - the lack of a clear cause of failure makes it difficult to determine the appropriate repair or maintenance actions. # # # possible causes - the medical cart may have sustained damage during the move from ward 9d to 6d. - the medical cart may have been improperly handled or used in ward 6d. - there may be a underlying mechanical or electrical issue with the medical cart that was not detected during the initial testing. # # # recommendations - further investigation is needed to determine the exact cause of failure. - the medical cart should be thoroughly inspected for any visible damage or signs of wear and tear. - the medical cart should be tested again in a controlled environment to rule out any potential issues with the device itself. - if necessary, the medical cart should be repaired or replaced to ensure safe and reliable operation. @topic:30


# # issue - the medical cart, bdms model bdms 01, has failed. # # impact - the medical cart is not functioning properly, which may impact patient care. # # possible causes - the cause of the failure is unknown, but it could be due to a number of factors, including : - power supply issues - mechanical failure - software problems - user error # # recommendations - the medical cart should be evaluated by a qualified biomedical engineer to determine the cause of the failure and to recommend the appropriate repairs. - in the meantime, the medical cart should be taken out of service and not used until it has been repaired. - the technician who is fixing the medical cart should be trained on the proper use and maintenance of the equipment. - the hospital should have a regular maintenance schedule for all medical equipment to help prevent failures. @topic:13


* * issue : * * * equipment failure of monitor, central station ( hewlett packard m3150a ) resulting in unresponsiveness during boot - up. * * impact : * * * interruption of critical patient monitoring and data collection. * potential delays in patient care and diagnosis. * * possible causes : * * * * * power failure : * * the ups power supply may have become disconnected or depleted, leading to a sudden loss of power to the central station. * * * software corruption : * * a malfunction in the windows operating system may have prevented the device from booting up correctly. * * recommendations : * * * * * troubleshooting power supply : * * ensure that the ups is properly connected and has sufficient battery backup. * * * scan for software errors : * * perform a windows error scan to identify any potential software issues causing the boot - up failure. * * * reset bios settings : * * if other troubleshooting steps fail, consider resetting the device's bios settings to restore default configurations. * * * contact vendor support : * * if the issue persists, reach out to the equipment vendor for technical assistance and repair. @topic:2


# # # issue - the blood pressure cuff is not working properly. # # # impact - this could lead to inaccurate blood pressure readings, which could have serious consequences for the patient. # # # possible causes - the cuff may be damaged. - the cuff may not be properly connected to the monitor. - the monitor may be malfunctioning. # # # recommendations - inspect the cuff for any damage. - ensure that the cuff is properly connected to the monitor. - test the monitor with a known - good cuff. - if the problem persists, contact the manufacturer for service. @topic:3


* * issue : * * unable to adjust bed railings * * impact : * * - patient safety risk : patient may fall out of bed or become trapped. * * possible causes : * * - malfunctioning electrical system - damaged or loose railings - faulty switch or control panel * * recommendations : * * - * * immediate actions : * * - secure the patient to prevent falls. - disconnect the bed from power. - * * troubleshooting : * * - check electrical connections and fuses. - inspect railings for damage or loose bolts. - test switch and control panel for functionality. - * * repair : * * - replace faulty electrical components. - tighten or replace loose railings. - repair or replace switch or control panel. - * * preventive measures : * * - regular maintenance and inspection of bed and railings. - proper training for staff on bed operation. @topic:6


# # # issue - the remote control of the electric hospital bed is not working properly. # # # impact - the patient may not be able to adjust the height of the bed, which can be uncomfortable or even dangerous. # # # possible causes - the batteries in the remote control may be dead. - the remote control may be damaged. - the receiver on the bed may be damaged. - loose connection in wiring # # # recommendations - check the batteries in the remote control and replace them if necessary. - if the batteries are not the problem, try replacing the remote control. - if the new remote control does not work, the receiver on the bed may need to be repaired or replaced. - ensure all the connection wire are tightly connected to the system @topic:7


# # # issue : monitor not measuring blood pressure # # # impact : monitor cannot be used to measure patient's blood pressure. # # # possible causes : - faulty cuff # # # recommendations : - replace the cuff and test the monitor to ensure proper functionality. @topic:14


# # # issue : - medical cart screen freezing with black display # # # impact : - interruption of patient care # # # possible causes : - software malfunction - hardware issue # # # recommendations : - attempt to restart the machine. - if restart does not resolve the issue, contact biomedical engineering ( bme ) for further troubleshooting. @topic:13


# # # issue the cause of failure is not specified. # # # impact the lack of a specific cause of failure makes it difficult to determine the appropriate repair or replacement action. this could lead to incorrect repairs, further equipment downtime, and potential patient safety risks. # # # possible causes - insufficient troubleshooting - lack of technical expertise - incomplete or inaccurate documentation # # # recommendations - conduct thorough troubleshooting to identify the specific cause of failure. - consult with the equipment manufacturer or a qualified biomedical engineer for support. - document the troubleshooting process and repair actions clearly and accurately. - provide training to technicians on proper troubleshooting and documentation practices. @topic:12


# # # issue * spo2 cable failure # # # impact * patient monitoring is compromised * patient safety may be at risk # # # possible causes * cable damage due to mishandling * cable wear and tear * connector problems * electrical faults # # # recommendations * inspect cables regularly for damage and wear * use proper cable management techniques * replace cables if they are damaged or worn * ensure that connectors are clean and tight * test cables before use * train staff on proper cable handling and maintenance @topic:4


faceplate, do not overtighten the screws. removing the main board assembly this section describes how to remove the main board assembly from the rear case and how to reinstall it. removing the main board assembly to remove the main board assembly from the rear case : step 1 separate the front and rear case assemblies. see “ separating the front and rear case assemblies ” on page 5 - 12. 2 remove the faceplate or recorder. see “ removing the faceplate or recorder ” on page 5 - 16. repairing the monitor 5 - 18 suresigns vs4 service guide removing the main board assembly disconnect the fan and speaker cables from the connectors on the main board remove three torx t10 screws and washers from the bottom of the rear cover and remove the cover from the monitor case. © nnn f a aaooooooooooiiiniiii repairing the monitor suresigns vs4 service guide 5 - 19 5 - 20 removing the main board assembly for monitors with the optional temperature module, disconnect the temperature cable connector from the front end assembly board. a 0000000000000001 ) a repairing the monitor suresigns vs4 service guide removing the main board assembly 7 remove the two torx t10 screws and washers from the main board assembly. repairing the monitor suresigns vs4 service guide 5 - 21 removing the fan and speaker reinstalling the main board assembly to reinstall the main board assembly : step 1 slide the main board assembly into the rear case ( guiding the power cord retaining clip through the rear cover ). _ 8 11200 ) eeeeeeeene 2 push the assembly until it snaps into place in the case. 3 replace the four torx t10 screws and washers on the bottom of the rear case to ensure that the main board assembly fits correctly in the case @topic:19


# # # issue - the medical cart medical device displays a " code error " message and cannot be exited. # # # impact - the device is unusable. # # # possible causes - software glitch - hardware malfunction - user error # # # recommendations - * * try restarting the device. * * this will often resolve software glitches. - * * check the device's connections. * * make sure that all cables are properly connected. - * * try using a different input device. * * if you are using a mouse, try using a keyboard instead. - * * contact the manufacturer for support. * * if you cannot resolve the issue on your own, contact the manufacturer for assistance. @topic:13


# # # issue - computer screen is not working, displaying " reboot " message. # # # impact - inability to use the medical cart for patient care. # # # possible causes - * * medcart computer screen is not receiving power : * * - check if the power cord is properly connected to the medical cart and the power source. - ensure that the power switch on the medical cart is turned on. - * * computer screen is faulty : * * - inspect the computer screen for any physical damage, such as cracks or scratches. - test the computer screen with another device to confirm if it is functioning properly. - * * graphics card issue : * * - if the computer screen is connected to a graphics card, ensure that the graphics card is properly seated in its slot. - check the graphics card for any physical damage or loose connections. - * * operating system issue : * * - if the computer screen is displaying the " reboot " message, it may indicate an issue with the operating system. - try restarting the computer to see if the issue resolves. - * * software issue : * * - check if there are any recent software updates or installations that may have caused the computer screen to malfunction. - uninstall or rollback any suspicious software. # # # recommendations 1. * * check power connections : * * verify that the power cord is securely connected to both the medical cart and the power outlet. ensure that the power switch is turned on. 2. * * inspect computer screen : * * examine the computer screen for any physical damage, such as cracks or scratches. connect the screen to another device to test its functionality. 3. * * examine graphics card : * * if applicable, ensure that the graphics card is properly installed in its slot and check for any loose connections or damage. 4. * * restart computer : * * if the @topic:13


# # # issue - cuff failure # # # impact - cuff failure, unable to take blood pressure # # # possible causes - cuff is damaged or worn out - cuff is not properly inflated # # # recommendations - replace the cuff - check the cuff for damage or wear and tear - ensure that the cuff is properly inflated @topic:3


# # # issue - power cord failure # # # impact - inability to power the monitor, resulting in a loss of vital signs monitoring. # # # possible causes - damaged or frayed power cord - loose or faulty connections - power supply issues # # # recommendations - inspect the power cord for damage and replace it if necessary. - check the connections between the power cord, monitor, and power outlet. - verify that the power supply is functioning properly. @topic:2


# # # issue - lcd monitor screen flickering # # # impact - inability to accurately display patient data and images, leading to potential diagnostic and treatment errors. # # # possible causes - loose or damaged power cable - faulty internal components, such as the backlight inverter or lcd panel - power supply issues - software or firmware glitches # # # recommendations - * * inspect and secure the power cable : * * check for loose connections or damage to the cable. ensure it is securely plugged into both the monitor and the power outlet. - * * contact the manufacturer : * * if the power cable appears to be intact, reach out to the manufacturer for technical support or a replacement cable. - * * test with a different power outlet : * * plug the monitor into a different power outlet to rule out any issues with the original outlet. - * * check internal components : * * if the flickering persists, it may indicate a problem with internal components. contact a qualified technician to inspect and potentially replace the backlight inverter or lcd panel. - * * update software or firmware : * * if software or firmware glitches are suspected, check for available updates from the manufacturer. follow the manufacturer's instructions for installing any updates. @topic:2


calculated scores. you can use the up arrow and down arrow keys to scroll through the list of spot check records. atime hr / pis 58 temp mews nbp 152 / 95 ( 109 ) rr avpu 1 41. 0 16 voice 4 22 jul 12 : 51 58 152 / 106 ( 117 ) voice 38. 0 15 141 / 103 ( 110 ) 22 jul 11 : 51 53 11 41. 0 30 unresp.. 2 jul 11 : 51 11 141 / 103 ( 110 ) 141 / 103 ( 11052 41. 0 30 unresp.. 2 jul 11125 40. 0 30 unresp. this symbol indicates that more information is available than can be shown on the screen. select the tabular trend to page through the remaining data columns. 1 select the graph / tabular pop - up key to view the data in graphical form. if any mews records are present, they will be displayed in the color - coded risk bands ( 2 ) in the lower half of the graphical trend. the mews score ranges corresponding to the colored bands are shown in the scale on the right. other record types, such as sps, are displayed in the notification area ( 1 ). the symbols used are explained in " symbols used in the trend views " on page 305. 1 pes - 2 17. 51 2 16. 00 7. 00 23 jul 15 : 00 select the detailed view pop - up key to see a combined graphical / tabular view for the currently highlighted record. use the cursor keys ( right arrow and left arrow ) to move from one record to the next. the detailed data are shown above the graphical trend, with units and the corresponding sps or mews symbols. in the example below : 1 colored circle for sps data 2 mews score symbol ( color coded according to the risk level ) 3 mews subsco @topic:8


# # # issue - medcart program generates key shape ( 16d ) # # # impact - inability to generate key molds in the medcart system # # # possible causes - the angle of the master key is not aligned correctly. # # # recommendations - adjust the angle of the master key to be aligned correctly. @topic:27


# # # issue - the monitors, bedside, physiologic device is not recording bp values. # # # impact - clinicians will not be able to accurately monitor the patient's blood pressure. # # # possible causes - the blood pressure transducer may be faulty. - the connection between the transducer and the monitor may be loose or damaged. - the monitor may be malfunctioning. # # # recommendations - replace the blood pressure transducer. - check the connection between the transducer and the monitor. - if the problem persists, contact the manufacturer for service. @topic:15


# # # issue - equipment failure due to bp leak # # # impact - interruption of vital signs monitoring - delay in patient care # # # possible causes - faulty sensor - damaged tubing - loose connections # # # recommendations - replace faulty sensor - inspect and replace damaged tubing - check and tighten loose connections - perform regular maintenance to prevent future leaks @topic:14


fixednoisy signal check electrode - to - skin ions gray? electrode connected, ellow easured value check limit, check electrode - to - skin ↑ contact electrode connected, o action necessarmeasured value 281 8 monitoring about compressed spectral arrays ( csa ) the continuous eeg signal is sampled periodically and this value is stored in a frame. each frame is processed using fast fourier transformation ( fft ) to provide a frequency spectrum displayed as a compressed spectral array ( csa ). the csa window provides an overview of the patient's eeg values over time. it may be configured to look slightly different on your monitor. to view the csa window permanently embedded on a screen, select a screen configured to • to view the csa window over the current screen, select the eeg csa smartkey, if configured, or select setup eeg or main setup then show csa.. pl - t3 filter : 0. 5 - 3montage : ef ( 90 % fp2 - t4 csa2 buffer : a ( 2 sec ) pcsa1 - 2358 - 20 ° 10 20 hz 30 0 10 hz 30 the csa contains the following information for example, fp1 - t3, fp2 - t4 lead label csa label csa1 or csa2 according to eeg channel for example, montage a tatus line filter settingthe buffer and interval between spectral lines on the csa buffer label and time current sef threshold the energy at each frequency is computed and displayed as a spectral line eeg values are sampled at configured time intervals and displayed as color - coded trendlines. trendlines are available for the three frequency numerics ( sef, ppf, mdf ) trendlines nop marker? ilter change marker annotations changing csa settings when csas are shown embedded on the main screen, select the csa to show the pop - up keys @topic:8


. njvol c. o. cathct 13. 2 # 4 3 c 37. 0 8 15 ml 7 6 blood uto mode 5 60 37. 0 4 - ready for new measurement average - column of averaged values 1 2 3 prompt messagfield 4 thermodilution curve of current trial 5 curve alert message field 6 current trial number 7 8 trial numbers for the trial curves 9 0 trial curveresults table of current trial 11 12 trial curve scale to change the measurement parameters shown in the results table of the procedure window, select • the table contents pop - up key and choose from the list of available parameters. to view the currently - used temperature unit, see the " grayed - out " setting temperature unit in the setup c. o. menu. this setting can only be changed in configuration mode. • the cardiac output screen element may be configured to display permanently on a specially designed screen. selecting the screen element opens the cardiac output pop - up keys. • 227 13 monitoring cardiac output c. o. settings can be changed in the setup c. o. menu. to access this menu, press the c. o. hard key on the c. o. module, or • select any of the discontinuous c. o. numerics ( for example, c. o., c. i. ) on the screen. • cco / cci settings can be changed in the setup cco menu. to access this menu, y of the continuously measured hemodynamic numerics ( cco, cci. ) on the screen. selecany. from the procedure window, select the pop - up key hemo calc to open the hemo calculations window. on ththe picco method combines transpulmonary thermodilution and pulse contour analysis blood pressure waveform. a fluid with a @topic:17


# # # issue monitor, bedside, physiologic ( brand : philips, model : intellivue mp70 ( m8007a ) ) is unable to obtain accurate blood pressure readings. # # # impact inaccurate blood pressure readings can lead to incorrect diagnosis and treatment decisions, which can have serious consequences for the patient. # # # possible causes - cuff leakage - air leak in the tubing - faulty transducer - software error # # # recommendations 1. * * check the cuff for leaks. * * inflate the cuff to a pressure of 200 mmhg and listen for any air leaks. if any leaks are detected, replace the cuff. 2. * * check the tubing for air leaks. * * disconnect the tubing from the monitor and check for any visible leaks. if any leaks are found, replace the tubing. 3. * * check the transducer. * * the transducer is the device that converts the pressure in the cuff into an electrical signal. if the transducer is faulty, it can send incorrect readings to the monitor. to test the transducer, connect it to a pressure gauge and check the accuracy of the readings. if the transducer is faulty, replace it. 4. * * check for software errors. * * if all of the hardware components are functioning properly, then the problem may be caused by a software error. to resolve this issue, update the software on the monitor. @topic:14


# # # issue - sticky drawer # # # impact - difficulty in accessing medical supplies and equipment - increased risk of errors due to inability to quickly access necessary items # # # possible causes - lack of lubrication or maintenance - misalignment or damage to the drawer guides - excessive weight or force being applied to the drawer # # # recommendations - lubricate the drawer guides with a suitable lubricant ( e. g., wd - 40 ) - ensure that the drawer guides are properly aligned and undamaged - check that the drawer is not overloaded and that it is being used properly - if the issue persists, consult with the medical equipment manufacturer or a qualified technician to evaluate and repair the drawer. @topic:21


# # # issue - monitor not linking to central bme system # # # impact - inability to monitor patient vitals and provide timely interventions # # # possible causes - incorrect ci address in the monitor - problems with the central bme server # # # recommendations - ensure that the correct ci address is set in the monitor - check the status of the central bme server and resolve any issues @topic:16


##ing guidelines. - seek assistance from a qualified biomedical engineer in case of complex issues. - regularly inspect and maintain the monitor to prevent future failures. @topic:2


# # # issue - battery tray damaged # # # impact - equipment unable to function properly - data loss - patient safety hazard # # # possible causes - excessive wear and tear - improper handling - manufacturing defect # # # recommendations - inspect battery tray regularly for damage - handle equipment carefully - contact the manufacturer for repairs if necessary @topic:11


# # # issue - equipment : medical cart - brand : bdms - model : bdms 01 - description : the screen displays " reboot machine ". the bme technician performed a preliminary check, corrected the issue, and tested the system, which is now functioning normally. # # # impact : - the medical cart was temporarily unavailable, impacting the delivery of patient care. # # # possible causes : - software glitch - hardware issue ( e. g., loose connection, faulty component ) - power supply problem - environmental factors ( e. g., temperature, humidity ) # # # recommendations : - regularly update software to address potential bugs. - inspect hardware connections and components for any loose or damaged parts. - ensure a stable power supply to the medical cart. - monitor environmental conditions and take necessary measures to maintain optimal operating conditions. - train staff on proper use and maintenance of medical equipment. - establish a regular preventive maintenance schedule to identify and address potential issues before they cause failures. @topic:13


# # # issue - cuff defect in pediatric monitor # # # impact - inaccurate vital sign measurements, particularly blood pressure. # # # possible causes - wear and tear from repeated use - physical damage to the cuff material - manufacturing defect # # # recommendations - replace the pediatric cuff with a new one. - inspect the cuff regularly for any signs of damage or wear. - follow manufacturer's guidelines for proper use and maintenance of the monitor and its accessories. @topic:5


proper electrode placement and monitoring techniques. @topic:17


* * issue : * * remote control failure * * impact : * * limited or no control over bed functions * * possible causes : * * - * * wear and tear : * * prolonged use or accidental damage can lead to malfunctioning buttons or circuitry. - * * internal component failures : * * electrical components, such as resistors or capacitors, can fail due to age, environmental factors, or power surges. - * * battery issues : * * low or exhausted batteries can prevent the remote control from transmitting signals. - * * software glitches : * * software errors or corrupted data can affect the remote control's functionality. * * recommendations : * * - * * regular maintenance : * * inspect and clean remote controls periodically to prevent dirt and debris buildup that can interfere with operation. - * * handle with care : * * avoid dropping or subjecting remote controls to excessive force. - * * replace batteries promptly : * * ensure batteries are replaced when they become weak to maintain optimal performance. - * * software updates : * * check for and install any available software updates to address bugs or performance issues. - * * contact support : * * if the remote control is still not functioning properly after these troubleshooting steps, contact the manufacturer or a qualified biomedical engineer for further assistance. @topic:7


# # # issue - cuff of the vital signs monitor is deteriorated. # # # impact - inaccurate blood pressure measurements. - potential patient harm if incorrect blood pressure readings are used to guide treatment decisions. # # # possible causes - normal wear and tear over time. - repeated use of the cuff on patients with large arm circumferences. - improper storage or handling of the cuff. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - store the cuff in a cool, dry place. - avoid using the cuff on patients with large arm circumferences. @topic:5


##s ohms : 9. 999 courant de fuite a la terre / earth leakage current / erdableitstrom ma in service inspection label weigh system instrument reconnu conforme hill - rom s. a. s. cem zz 0071 validite 20xx max 250kg 10°c / 40°c t8817 min 10kg 0, 5kg e = 00x - xxxx - 7 electrical controls bilateral hilow pedal with caregiver mode * lock control under the pedal * ( for use by caregivers only ) bed not in lowered indicator nurse call activator battery charge indicator light fault indicator light service required indicator light essage on gci. cpr boost night light * ( 1 ) cpr function lock control ( 1 ) pmax / boost system patient half - siderail control nurse call activator 1. functions available only to the caregiver. active therapeutic ed exit alerts * active * mcm * odbackrest ( head ) angle home alert 1 lllll access to the bed exit alerts suspend mode duration alert 52° access to the combined accella therapy attressaccess to the parameters bed mb 3 19 : 15 02 / 07 / 2020 ection angle of the sleep surface room number alerts volume ctive wi - fi and signal strength installing the patient before placing the patient on the bed assess the various risks, including but not limited to the following ( incomplete list ) : make sure that all the moving parts are in good working order. [UNK] risk of entrapment, • patient's learning ability, persons lacking the mental capacity to recognize unsafe actionsunauthorized persons, • check the list of recommended mattresses on the label on the adjustable head section, • • if present, check that the nurse call cable is connected, [UNK] check that the four transport chocks @topic:9


# # # issue - unable to read module bis values on test monitor # # # impact - inability to accurately monitor patient's brain activity during surgery or other procedures # # # possible causes - * * faulty test monitor : * * the test monitor used to read the module bis values may be malfunctioning. - * * incorrect module bis configuration : * * the module bis may not be properly configured, resulting in incorrect readings. - * * damaged module bis : * * the module bis itself may be damaged, preventing it from transmitting accurate data. - * * loose or faulty connections : * * loose or faulty connections between the test monitor, module bis, and patient may hinder proper signal transmission. - * * software issues : * * software incompatibilities or glitches between the test monitor and module bis may affect data communication. # # # recommendations - * * troubleshoot test monitor : * * check the test monitor's functionality by testing it with a known - good module bis. - * * verify module bis configuration : * * ensure that the module bis is correctly configured according to manufacturer's specifications. - * * inspect module bis : * * examine the module bis for any physical damage or defects. - * * check connections : * * inspect all connections between the test monitor, module bis, and patient to ensure they are secure and undamaged. - * * update software : * * check for and install software updates for both the test monitor and module bis to resolve any compatibility issues. @topic:22


# # # issue - * * spo2 sensor failure * * # # # impact - inability to monitor patient's oxygen saturation levels. - delay in diagnosis and treatment if the patient has a low oxygen saturation level. # # # possible causes - * * damaged or faulty spo2 sensor : * * the sensor may be damaged due to improper handling, wear and tear, or a manufacturing defect. - * * loose or disconnected spo2 sensor cable : * * the cable may have become loose or disconnected, preventing the sensor from communicating with the monitor. - * * interference from external sources : * * other medical devices or environmental factors, such as electromagnetic interference, may disrupt the signal from the spo2 sensor. - * * improper placement of the spo2 sensor : * * the sensor may not be placed correctly on the patient's finger or toe, resulting in inaccurate readings. # # # recommendations - * * verify the spo2 sensor : * * check if the sensor is damaged or has any visible defects. replace the sensor if necessary. - * * inspect and reconnect the spo2 sensor cable : * * ensure that the cable is securely connected to both the sensor and the monitor. - * * minimize potential interference : * * move any other medical devices or sources of electromagnetic interference away from the patient. - * * reposition the spo2 sensor : * * place the sensor securely on the patient's finger or toe according to the manufacturer's instructions. @topic:4


* * issue : * * cuff failure causing monitor malfunction * * impact : * * impaired patient monitoring capabilities * * possible causes : * * * cuff damage or wear due to prolonged use * improper cuff application or inflation * patient agitation or movement * environmental factors leading to cuff damage * * recommendations : * * * inspect the cuff for damage, leaks, or other abnormalities. * replace the cuff if found to be defective. * ensure proper cuff size and application according to manufacturer's guidelines. * monitor patient movement and agitation to prevent dislodgement or damage to the cuff. * store the monitor and cuff in an appropriate environment to avoid excess heat, cold, or moisture. * perform regular preventive maintenance on the monitor to detect and address potential issues early. @topic:5


# # # issue - bp monitor is not charging # # # impact - inability to monitor patient's vital signs accurately - interruption of patient care # # # possible causes - plugged into an outlet without power - faulty power cord or adapter ( unlikely, as device works when tested ) # # # recommendations - check if outlet has power - try plugging the monitor into a different outlet - if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair @topic:11


# # # issue - the philips suresigns vs4 vital signs monitor is unable to obtain accurate blood pressure readings. # # # impact - inaccurate blood pressure readings can lead to incorrect diagnoses and treatment decisions. - this can have serious consequences for patients, especially those with underlying cardiovascular conditions. # # # possible causes - * * damaged or faulty cuff : * * the cuff is responsible for inflating and deflating to measure blood pressure. if the cuff is damaged or faulty, it can prevent the monitor from obtaining an accurate reading. - * * loose or disconnected tubing : * * the tubing connects the cuff to the monitor. if the tubing is loose or disconnected, it can prevent the monitor from receiving the pressure readings from the cuff. - * * malfunctioning monitor : * * the monitor itself may be malfunctioning. this can be due to a number of factors, such as a software error or a hardware defect. # # # recommendations - * * inspect the cuff : * * check the cuff for any damage or tears. if the cuff is damaged, it should be replaced. - * * inspect the tubing : * * check the tubing for any loose connections or kinks. if the tubing is loose or kinked, it should be replaced. - * * restart the monitor : * * restarting the monitor can sometimes resolve software errors. - * * contact technical support : * * if the above steps do not resolve the issue, contact technical support for further assistance. @topic:15


# # # issue - the monitor is not taking readings. # # # impact - the patient's vital signs cannot be monitored. - the patient's condition cannot be assessed. - the patient may be at risk of harm. # # # possible causes - faulty connector - faulty monitor - faulty wiring - software glitch # # # recommendations - replace the connector. - test the monitor. - check the wiring. - update the software. @topic:2


# # # issue - the touch screen of the philips suresigns vs2 + vital signs monitor is unresponsive. # # # impact - inability to use the monitor to accurately measure and display vital signs of patients. # # # possible causes - * * hardware failure : * * the touch screen may be damaged or malfunctioning due to a physical defect, such as a cracked display or faulty wiring. - * * software issue : * * the monitor's operating system or software may have encountered a bug or glitch that is preventing the touch screen from functioning properly. - * * battery issue : * * a low battery or a malfunctioning battery can sometimes cause the touch screen to become unresponsive. - * * environmental factors : * * extreme temperatures, humidity, or electromagnetic interference can interfere with the monitor's touch screen operation. # # # recommendations - * * inspect the touch screen : * * check the display for any visible damage or cracks. if damage is found, the screen will likely need to be replaced. - * * restart the monitor : * * turn the monitor off and then back on. this may resolve temporary software issues that are affecting the touch screen. - * * check the battery : * * ensure that the battery is fully charged or replace it with a new battery if necessary. - * * isolate environmental factors : * * move the monitor away from any sources of extreme heat, cold, humidity, or electromagnetic interference. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact philips technical support for further assistance. they can provide guidance on troubleshooting the monitor and repairing or replacing any faulty components. @topic:2


# # # issue - the technician replaced the battery on the electric hospital bed, but the bed still does not work. # # # impact - the patient cannot use the bed, which may cause discomfort or pain. - the hospital may be unable to provide adequate care to the patient. # # # possible causes - the technician may have installed the battery incorrectly. - the battery may be defective. - the bed may have other electrical issues that are preventing it from working. # # # recommendations - the technician should check the battery connections to make sure they are secure. - the technician should test the battery to make sure it is working properly. - the technician should inspect the bed for any other electrical issues that may be preventing it from working. @topic:9


# # # issue - the electric bed is unable to adjust downwards # # # impact - patients may not be able to get out of bed or may be uncomfortable in bed - staff may need to manually adjust the bed, which could lead to injury # # # possible causes - * * mechanical failure : * * the motor that drives the bed's adjustment mechanism may be faulty or damaged - * * electrical failure : * * the wiring or electrical components of the bed may be damaged or faulty - * * control panel failure : * * the control panel may not be sending the correct signals to the bed's motor - * * power supply failure : * * the bed may not be receiving power from the outlet # # # recommendations - * * inspect the bed for any visible damage : * * check for loose wires, broken connections, or damaged parts - * * test the bed's motor : * * try to adjust the bed up and down using the control panel. if the motor does not respond, the motor may be faulty - * * check the electrical connections : * * make sure that the bed is plugged into an outlet and that the power cord is not damaged - * * check the control panel : * * try to operate the control panel. if the buttons do not respond, the control panel may be faulty - * * call a qualified technician : * * if you are unable to identify the cause of the failure, call a qualified technician to diagnose and repair the bed @topic:1


# # # issue - bp connector is loose, causing air leak and inability to measure bp. # # # impact - inaccurate bp measurements, which can lead to delayed or incorrect treatment decisions. # # # possible causes - wear and tear on the bp connector - improper assembly or maintenance of the equipment - damage to the bp hose or tubing # # # recommendations - replace the bp connector - ensure proper assembly and maintenance of the equipment according to manufacturer's instructions - inspect the bp hose and tubing for any damage and replace if necessary @topic:14


not offered not offered optional optional remote speedpoint cable kit - 15 m hf7 not offered not offered not offered not offered not offered not offered not offered not offered optional optional remote speedpoint cable kit - 25 m hf9 not offered not offered not offered not offered not offered not offered not offered not offered optional optional add - on options clinical applications # extended database c03 not offered not offered not offered not offered not offered not offered optional optional optional standard neonatal event review ( 5, 6 ) c04 not offered not offered optional optional optional optional optional optional optional standard ( 4 ) drug calculator c05 not offered not offered optional optional optional optional standard standard standard standard basic event surveillance ( 5, 6 ) c06 not offered not offered not offered not offered optional optional optional optional optional standard ( 5 ) advanced event surveillance ( 5, 6 ) c07 not offered not offered not offered not offered not offered not offered optional optional optional optional information portal c17 not offered not offered not offered not offered optional optional optional optional optional standard advanced hemodynamic capability c30 not offered not offered optional optional standard standard standard standard standard standard support of 4th pressure c31 not offered not offered not offered not offered optional optional standard standard standard standard anesthesia oleh support c90 not offered not offered not offered not offered optional optional optional optional optional standard protocol watch # ssc sepsis protocol p02 not offered not offered not offered not offered not offered not offered optional optional optional optional hardware add - ons # add attached speedpoint ( 6 ) e02 not offered not offered not offered not offered not offered not offered standard optional not offered not offered built - in recorder e05 optional optional optional optional not offered not offered not offered not offered not offered not offered two internal module slots e10 not offered not offered not offered not offered not offered not offered optional optional not offered not offered four internal module slots @topic:10


# # # issue - battery failure - surge protector power failure # # # impact - unable to monitor patient's physiological parameters accurately - risk of data loss - risk of electrical shock # # # possible causes - ups ( uninterruptible power supply ) failure - power outages - battery aging - surge protector damage - overuse # # # recommendations - replace ups - regularly check and maintain ups - replace batteries as needed - replace surge protector as needed - train staff on proper use and maintenance of equipment @topic:11


# # # issue - * * teang can't be moved * * # # # impact - patient transport is delayed or disrupted. # # # possible causes - * * the bed's wheels are locked. * * - * * the bed's brakes are engaged. * * - * * there is an obstruction in the bed's path. * * - * * the bed is too heavy to move. * * - * * the bed is not properly assembled. * * # # # recommendations - * * check to make sure that the bed's wheels are unlocked. * * - * * check to make sure that the bed's brakes are disengaged. * * - * * check to make sure that there is no obstruction in the bed's path. * * - * * if the bed is too heavy to move, ask for assistance. * * - * * make sure that the bed is properly assembled. * * @topic:9


* * issue : * * equipment failure * * impact : * * inability to use the equipment for patient care * * possible causes : * * - * * electrical issue : * * faulty wiring, loose connections, or short circuits in the electrical system of the equipment. - * * mechanical failure : * * wear and tear of moving parts, such as motors, gears, or actuators, leading to malfunction or jamming. - * * software glitch : * * bugs or errors in the software controlling the equipment, causing it to behave unexpectedly. - * * environmental factors : * * exposure to extreme temperatures, humidity, or physical shock, which can damage sensitive components. - * * operator error : * * improper use or handling of the equipment, leading to accidental damage or malfunction. * * recommendations : * * - technician to conduct thorough troubleshooting to identify the specific cause of failure. - repair or replace faulty components, such as wiring, actuators, or software. - inspect the equipment for any potential environmental hazards that may contribute to failure. - train operators on proper usage and maintenance of the equipment to prevent future incidents. - establish a regular maintenance schedule to detect and address potential issues early on. @topic:12


= biventricular pacer spika = artifact ( noisy episode )? = insufficient information to classify beats | = inoperative condition ( e. g., leads off ) m pause or missed beat arrhythmia status messages the monitor displays two types of status messages : - - rhythm status messages. to indicate the patient's rhythm.. - - ectopic status messages - - to indicate the presence of ectopic beats.. these status messages are shown on the right hand side of the primary ecg wave. they are updated every second, with the exception of the sinus and supraventricular ( sv ) rhythm messages. the sinus and sv rhythm messages are updated based on the current heart rate, taking into account the patient category ( adult, pediatric, or neonatal ). for the message to change from one rhythm status to another, the hr must be in the new range for five beats. if you have basic arrhythmia capability, you will get only messages for the alarms provided with this level. rhythm status messages the label b or e indicates basic ( b ) or enhanced ( e ) arrhythmia capability. b or e rhythm status message description no qrs for 4 consecutive seconds in absence of vent fib ochaotic signal asystole vent fib / tacvtach b, e a dominant rhythm of adjacent vs and a hr > the v - tach sustained vt ventricular tachycardia rhythm for more than 15 seconds e vent rhythm a dominant rhythm of adjacent pvcs and a hr the v - tach e hr limit a dominant rhythm of n, v, n, v vent bigeminy e a dominant rhythm of n, n, v, n, n, v vent trigeminy e 157 6 ecg, arrhythmia, st and qt monitoring @topic:8


connected to a network, verify the network connection and ensure there are no communication errors. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the cart for further troubleshooting assistance or to report a potential hardware defect. @topic:13


# # # issue - equipment : monitor, patient transport - band : invivo research - model : precess - description : the charging board set is found to be damaged. # # # impact - the device cannot be charged, which could lead to a loss of power and malfunction during use. # # # possible causes - the battery charging box is showing a red light, indicating a charging issue. # # # recommendations - check the battery charging box for any loose connections or damage. - replace the battery charging box if necessary. - test the device to ensure that it is charging properly. @topic:11


# # # issue the medical cart, model bdms 01, was reported as not turning on. # # # impact the inability to use the medical cart could : * delay or interrupt patient care * lead to patient discomfort or injury * create inefficiency and frustration for healthcare providers # # # possible causes based on the given information, the possible causes of failure could be : * * * screen timeout : * * the device may have entered a power - saving mode after being inactive for an extended period. * * * software glitch : * * a minor software issue may have prevented the device from booting up properly. * * * hardware malfunction : * * a hardware component, such as a power supply or motherboard, may have failed. # # # recommendations * * troubleshooting steps : * * * * * restart the device : * * unplug the device from power, wait 30 seconds, and then plug it back in. * * * check connections : * * ensure that all cables and connections are secure, including the power cord and peripheral devices. * * * reset the device : * * if possible, locate a reset button on the device and press it to reset the software. * * further actions : * * if the above troubleshooting steps do not resolve the issue, further investigation and repair may be required by a qualified biomedical engineer or technician. the following actions can be taken : * * * contact the manufacturer : * * reach out to the manufacturer of the medical cart for technical support and guidance. * * * check service logs : * * review service logs to identify any previous issues or repairs related to the device. * * * perform diagnostics : * * use diagnostic tools to identify specific hardware or software problems. * * * replace components : * * if necessary, replace faulty components or repair hardware malfunctions. @topic:13


# # # issue - lcd monitor is not turning on # # # impact - inability to use the monitor for patient monitoring or visualization purposes. # # # possible causes - * * dirty or corroded connectors : * * over time, the connectors on the monitor and cables can become dirty or corroded, leading to poor electrical contact and power supply issues. - * * faulty power supply : * * the power supply unit within the monitor may have failed, preventing the device from receiving power. - * * loose or disconnected cables : * * the cables connecting the monitor to the power source or other devices may be loose or disconnected, causing power interruptions. - * * internal component failure : * * a component within the monitor, such as the display panel or circuit board, may have failed, leading to power issues. # # # recommendations * * troubleshooting steps : * * 1. inspect the connectors on the monitor and cables for any dirt or corrosion. clean or replace the connectors if necessary. 2. check the power supply unit for any signs of damage or overheating. if necessary, replace the power supply. 3. ensure that all cables are securely connected to the monitor and power source. 4. contact the manufacturer or a qualified technician if the issue persists after performing the above steps. * * preventive measures : * * 1. regularly clean the connectors on the monitor and cables to prevent dirt and corrosion accumulation. 2. avoid using the monitor in areas with excessive moisture or dust. 3. ensure that the power supply is stable and within the specified voltage range for the monitor. 4. schedule regular maintenance and inspection of the monitor to identify and address any potential issues before they cause failure. @topic:2


##s neo - l, lncs neopt - l : 3 % ( 70 % to 100 % ) option # a02 accuracy philips reusable sensors ml 191anl, ml 192an = 2 % ( 70 % to 100 % ) ml 193an, ml 194an, ml 195an = 3 % ( 70 % to 100 % ) philips disposable sensors with m1943nl : m1901b ( adult ), m1902b, m1903b, m1904b = 2 % ( 70 % to 100 % ) ml90ib ( neonate ) = 3 % nellcorpb® sensors with m1943nl : max - fast, max - a, max - al, max - p, max - i, max - n ( adult ) = 2 % ( 70 % to 100 % ) sc - a, oxicliq a, p, i, n ( adult ) = 2. 5 % ( 70 % to 100 % ) max - n ( neonate ), dura - y d - ys ( infant to adult ), ds - looa. oxiband oxi - a / n ( adult ), oxi - p / i = 3 % ( 70 % to 100 % ) max - r, oxicliq n ( neonate ), sc - neo ( neonate ), sc - pr ( neonate ), dura - y d - ys with d - yse or d - yspd clip = 3. 5 % ( 70 % to 100 % ) dura - y d - ys ( neonate ), oxiband oxi - a / n ( neonate ) = 4 % ( 70 % to 100 % ) resolution 1 % 434 measurement specifications 38 installation and specifications sp0 2 performance specifications pulse range 30 to 300 bpm accuracy ±2 % @topic:8


mount for m1567 / 8a ( eu / efta only ) m2272c adapter cable for disposable sensor kit 3. 0 m for m1567 / 8a m1634a ressure transducpicco monitoring kit, 30 cm pressure line, includes pv4046 injectate temperature sensor pv8103 picco monitoring kit, 150 cm pressure line, includes pv4046 injectate temperature sensor pv8115 picco monitoring kit, 150 cm pressure line, includes pv4046 injectate temperature sensor housing for m1646a and central venous pressure line pv8115cvp pulsion pressure interface cable for disposable pressure transducer pmk 206 transpac 4 disposable pressure transducer pressure monitoring kits transducer pressure monitoring kits with safeset blood sampling / conservation system description engtquantity ( per box ) part no. single dpt tp4 with safeset, 2 cannula sampling ports, in - line reservoir 13 cm ( 84 in20 989803179741 213 cm ( 84 insingle dpt tp4 with safeset, 2 luer sampling ports, in - line reservoir 989803179751 20 single dpt tp4 with safeset, 1 cannula sampling port, in - line 152 cm ( 60 in ) 20 989803179761 152 cm ( 60 insingle dpt tp4 with safeset, 2 cannula sampling ports, in - line reservoir 20 989803179781 152 cm ( 60 in ) single dpt tp4 with safeset, 2 luer sampling ports, in - line reservoir 989803179791 20 61 cm ( 24 in ) single dpt tp4 @topic:19


* plug banana stereo ■ | - - n r'n cnn n i — i — < 1 ♦ i - 1 l — j 1 _ 1 l, ’ - i _ i temperature wiring schematic plug 2 - contqct male conductor coloring plug banana [ 3 testing and maintenance ] c02 ( mp5, m3014a ) cardiac output wiring schematic plug 12 - pin plug banana male conductor coloring 7 < - a < - blue grey pink green yellow brown red 1 n. c. < r shield n. c. 44 3 testing and maintenance nmt intellibridge v « iriiiq schematic plug 12 - conl'nct plug bonono male p1 p2 p3 p4 p5 p6 p7 p8 p9 p10 < - p11 > < e - p12 < - < & t & t & < - i — 1 n. c. - s - shield < lbd. ) n. c. resistor ikohm 1 / 8w plug rj - 45 wiring schematic conductor coloring plug bonono n. c. < - - > n. c. 45 [ 3 testing and maintenance ] eeg wiping schemaiic plug 12 - contqcl'plug banana male conductor coloring 1 < - 2 ^ 3 < - 4 < - 5 < - 6 < - 7 < - 8 < - a ^ b < - c < - d ^ n. c. < - blue grey pink green yellow brown red 1 shield n. c. scv02 { m1011a ) 46 3 testing and maintenance ] tcg10 o electrical safety testing s ( 1 ) : protective earth resistance test test to perform : wiring schematic measuring circuit for the measurement of protective earth resistance in medical electrical equipment that is disconnected from the supply mains. 47 [ 3 testing and maintenance @topic:10


# # # issue - the cause of failure is not provided in the input. # # # impact - the impact of the failure is not provided in the input. # # # possible causes - the equipment may have been damaged during use. - the equipment may have been improperly calibrated. - the equipment may have been used incorrectly. - the equipment may have reached the end of its useful life. # # # recommendations - the equipment should be inspected by a qualified technician to determine the cause of the failure. - the equipment should be repaired or replaced as necessary. - the user should be trained on how to properly use the equipment. - the equipment should be regularly inspected and calibrated to prevent future failures. @topic:12


# # # issue : - battery failure in nibp monitor # # # impact : - inability to measure blood pressure accurately # # # possible causes : - battery life is expired - battery is damaged - battery is not properly connected - battery is exposed to extreme temperatures or conditions # # # recommendations : - replace the battery with a new one of the same size and type - inspect the battery for any damage or leakage - ensure that the battery is properly connected to the device - store the battery in a cool, dry place @topic:11


# # # issue the nibp monitor is not working. # # # impact the nibp monitor is used to measure blood pressure. if it is not working, patients cannot have their blood pressure measured. # # # possible causes the possible causes of the nibp monitor not working are : - the battery is low. - the adapter is not working. - the nibp monitor is damaged. # # # recommendations the following recommendations can be made : - check the battery and replace it if necessary. - check the adapter and replace it if necessary. - if the battery and adapter are both working, then the nibp monitor may be damaged and should be sent for repair. @topic:15


, and software updates, to minimize the risk of failure and ensure optimal performance of the vital signs monitor. @topic:20


# # # issue - battery unable to charge # # # impact - equipment unable to operate portably - interruption of patient care # # # possible causes - battery discharge due to extended period of disuse - battery failure # # # recommendations - replace battery with new unit - monitor battery level regularly - consider purchasing additional batteries for redundancy @topic:11


# # # issue cuff is not attached # # # impact the patient's vital signs cannot be accurately monitored. # # # possible causes - the cuff is not the correct size for the patient. - the cuff is not properly inflated. - the cuff is damaged. - the monitor is not properly calibrated. # # # recommendations - check the cuff size and make sure it is the correct size for the patient. - inflate the cuff properly according to the manufacturer's instructions. - inspect the cuff for any damage. - calibrate the monitor according to the manufacturer's instructions. @topic:5


# # # issue - bed unable to adjust # # # impact - patient discomfort - difficulty in providing care # # # possible causes - failed remote control - malfunctioning motor - damaged electrical wiring - software glitch # # # recommendations - replace remote control - repair or replace motor - inspect and repair electrical wiring - reset or update software @topic:1


# # # issue - bed is unable to adjust head position downwards. # # # impact - patient discomfort and potential health risks due to improper positioning. - delay in patient care and inconvenience for healthcare professionals. # # # possible causes - * * remote controller malfunction : * * the remote controller may not be sending the correct signals to the bed, causing the head adjustment function to fail. - * * electrical fault in the bed mechanism : * * there may be a loose connection or damaged component in the bed's electrical system, preventing the head motor from operating. - * * internal sensor issue : * * a faulty sensor in the bed may be providing incorrect information about the bed's position, leading to improper adjustments. - * * mechanical obstruction : * * an object or obstruction may be blocking the head adjustment mechanism, preventing it from moving. - * * software glitch : * * a software issue in the bed's control system may be interfering with the proper operation of the head adjustment function. # # # recommendations - * * thoroughly inspect the remote controller : * * check for any visible damage or loose connections. replace the batteries if necessary. - * * troubleshoot the electrical system : * * use a multimeter to check for continuity and voltage in the relevant wiring and components. repair or replace any faulty wires or components. - * * calibrate the sensors : * * refer to the manufacturer's instructions for calibrating the sensors responsible for detecting the bed's position. - * * clear any obstructions : * * remove any objects or obstructions that may be hindering the head adjustment mechanism. - * * update the software : * * check for available software updates from the manufacturer and install them if necessary. - * * consult the manufacturer : * * if the problem persists, contact the manufacturer for technical support and potential repair or replacement of @topic:1


# # # issue : - color of the upholstery on the bed is faded. # # # impact : - the aesthetics of the bed are affected, making it less visually appealing. - possible discomfort for patients due to worn - out upholstery. - potential hygiene concerns if the upholstery is not properly cleaned and maintained. # # # possible causes : - extended use of the bed without proper maintenance. - exposure to sunlight or other sources of uv radiation. - harsh cleaning agents or chemicals used during cleaning. - poor quality of the upholstery material. # # # recommendations : - regular cleaning and maintenance of the bed according to the manufacturer's instructions. - using a bed cover or protector to prevent excessive wear and tear. - keeping the bed out of direct sunlight or uv radiation. - avoiding the use of harsh cleaning agents or chemicals. - if the upholstery is severely damaged or worn out, consider replacing it with a new one. @topic:9


# # # issue - remote control failure for the electric bed. # # # impact - inability to remotely adjust the bed's position, posing inconvenience and discomfort to patients and staff. # # # possible causes - * * hardware failure : * * malfunction of the remote's buttons, circuitry, or receiver module. - * * power issues : * * depleted batteries or faulty power supply. - * * software glitches : * * bugs or errors in the remote's software, leading to erratic behavior or non - responsiveness. # # # recommendations - * * troubleshooting : * * - verify that batteries are properly inserted and not depleted. - check if the receiver module is connected securely and functioning correctly. - * * repair or replacement : * * - if hardware failure is suspected, attempt repairs or consider replacing the remote. - * * software updates : * * - contact the manufacturer to inquire about any available software updates that may resolve software glitches. - * * preventive maintenance : * * - regularly inspect the remote and bed's electrical connections to prevent future failures. - * * backup equipment : * * - consider having a spare remote on hand as a backup solution in case of primary remote failure. @topic:7


* * issue : * * time displayed on the biomedical equipment is incorrect. * * impact : * * inaccurate time display can affect the reliability and accuracy of medical data and measurements. * * possible causes : * * * * * battery failure : * * low battery power can cause the equipment to lose track of the correct date and time. * * * clock module malfunction : * * faulty or damaged clock module can result in incorrect time display. * * * synchronization error : * * equipment may not be properly synchronized with the hospital's central time server or other timekeeping devices. * * * firmware issue : * * software errors or glitches within the equipment's firmware can cause time display problems. * * * user error : * * accidental changes or misconfigurations in equipment settings can lead to incorrect time display. * * recommendations : * * * * * replace battery : * * if the battery is low, replace it to ensure adequate power supply to the equipment. * * * diagnose clock module : * * test the clock module to identify any malfunctions or defects. repair or replace the module as necessary. * * * synchronize equipment : * * connect the equipment to the hospital's central time server or other timekeeping devices to ensure proper synchronization. * * * update firmware : * * check for any available firmware updates for the equipment and install them to address any software issues. * * * verify settings : * * review the equipment's settings and ensure that the time and date are configured correctly. * * * train users : * * provide training to users on the importance of maintaining proper time display and how to prevent errors. @topic:29


# # # issue - the bed is emitting a constant alarm sound. # # # impact - the constant alarm sound can be disruptive and annoying to patients and staff. - it may also indicate a potential problem with the bed that needs to be addressed. # # # possible causes - a sensor on the bed may be malfunctioning, causing the alarm to sound even when there is no issue. - the bed's software may have a bug that is causing the alarm to sound. - there may be a loose connection somewhere in the bed's electrical system, which is causing the alarm to sound. # # # recommendations - check the bed's sensors to make sure they are functioning properly. - update the bed's software to the latest version. - check the bed's electrical connections to make sure they are tight and secure. - if the problem persists, contact the bed's manufacturer for further assistance. @topic:26


balloon. if the monitor cannot detect a wedging waveform you must use store trace to store the wedge and two reference waves manually. 6 deflate the balloon when the monitor prompts you : ready for balloon deflation and verify that the waveform returns to pulmonary artery shape. 7 if you need to start a new measurement, select restart wedge. 8 editing the wedge 1 select the edit wedge pop - up key to see the stored waveforms. 2 the monitor displays a cursor in the waveform at the pawp mean value. it also displays any e it was stored. 3 select change speed if you want to change the speed ( resolution ) of the displayed wave. 4 move the cursors up, down, right and left to set them on the correct wedge position. 223 select store wedge to store the pawp value. 5 select print wedge to print the pawp waveform and any reference waves or record wedge to record them. while recording or printing, you cannot perform any more wedge tasks. 6 warning prolonged inflation can cause pulmonary hemorrhage, infarction or both. inflate the balloon for the minimum time necessary to get an accurate measurement. if the pulmonary artery flotation catheter drifts into the wedge position without inflation of the balloon, the pulmonary artery pressure waveform assumes a wedged appearance. take appropriate action, in accordance with standard procedures, to correct the situation. if the pawp ( mean ) is greater than the pap ( systolic ), deflate the balloon and report the incident in accordance with hospital policy, because the pulmonary artery could be accidentally ruptured, and the wedge value derived will not reflect the patient's hemodynamic state, but will merely reflect the r or balloon. identifying the pressure analog output connector press 1 a 1 ule m1006b, option 224 13 monitoring cardiac output the cardiac @topic:17


# # # issue - the control box of the huntleigh enterprise 8000 electric bed is not adjustable. # # # impact - the bed cannot be adjusted to the desired height or position, which can make it difficult for patients to get in and out of bed or for caregivers to provide care. # # # possible causes - the control box is faulty. - the wiring to the control box is damaged. - the bed frame is damaged. # # # recommendations - replace the control box. - repair the wiring to the control box. - inspect the bed frame for damage and repair or replace as necessary. @topic:1


# # # issue - the blood pressure monitor is measuring blood pressure that is higher than normal. # # # impact - this could lead to incorrect treatment decisions being made, as the blood pressure reading may not be accurate. - patient safety may be compromised. # # # possible causes # # # # possible cause 1 : - * * defective transducer : * * the transducer is responsible for converting the blood pressure signal into an electrical signal. if the transducer is defective, it could be sending an inaccurate signal to the monitor, resulting in an incorrect blood pressure reading. # # # # possible cause 2 : - * * air in the cuff : * * even a small amount of air in the cuff can cause the blood pressure reading to be higher than actual. # # # # possible cause 3 : - * * improper cuff size : * * if the cuff is too small or too large, it may not be able to apply the correct amount of pressure to the arm, which could lead to an inaccurate blood pressure reading. # # # # possible cause 4 : - * * patient movement : * * if the patient moves during the blood pressure measurement, it could cause the cuff to move and result in an inaccurate reading.. # # # # possible cause 5 : - * * improper calibration : * * the blood pressure monitor should be calibrated regularly to ensure that it is providing accurate readings. if the monitor has not been calibrated recently, it is possible that it is inaccurate. # # # recommendations - * * inspect the transducer : * * check the transducer for any damage or defects. if the transducer is damaged, it should be replaced. - * * check for air in the cuff : * * before taking a blood pressure measurement, make sure that there is no air in the cuff. if there is air in the cuff, @topic:14


page vi careassist® and careassist® es bed service manual ( man330 rev 4 ) electrical system ( a model beds ). 3 - 4 power supply unit characteristics. 3 - 5 power stage. 3 - 5 function control. 3 - 6 battery circuit. 3 - 6 battery characteristics. 3 - 7 control logic and specific functions. 3 - 7 patient pendant. 3 - 8 motor characteristics. 3 - 8 management of the motors. 3 - 8 detection of bed not in low position. 3 - 9 automatic contour. 3 - 9 dining chair® position. 3 - 9 detection of bed connected to ac power but brakes not set. 3 - 9 trendelenburg / reverse trendelenburg. 3 - 10 electrical system ( b model and newer beds ). 3 - 11 power supply unit characteristics. 3 - 12 power stage. 3 - 13 function control. 3 - 13 battery circuit. 3 - 13 battery characteristics. 3 - 14 control logic and specific functions. 3 - 14 patient pendant. 3 - 15 motor characteristics. 3 - 15 management of the motors. 3 - 16 detection of bed not in low position. 3 - 16 automatic contour. 3 - 16 dining chair® position. 3 - 16 detection of bed connected to ac power but brakes not set. 3 - 17 trendelenburg / reverse trendelenburg. 3 - 17 scale and bed exit systems — b model beds. 3 - 17 careassist® and careassist® es bed service manual ( man330 rev 4 ) page vii scale and bed exit alarm system — c model and newer beds. 3 - 18 electrical system wiring diagram. 3 - 21 chapter 4 : removal, replacement, and adjustment procedures tool and supply requirements. 4 - 1 sleep deck. 4 - 3 ac power cord ( a model beds ). 4 - 6 power supply ( a model beds ). 4 - 9 battery ( a model @topic:9


# # # issue - monitor is not functional and has been deemed unrepairable. # # # impact - patient monitoring is compromised, potentially leading to adverse outcomes. # # # possible causes - * * module connection failure : * * the monitor's module may not be properly connected to the main unit, causing it to malfunction. - * * damaged module : * * the module itself may be damaged, preventing it from functioning correctly. - * * software glitch : * * a software issue may be preventing the module from communicating with the main unit. - * * hardware defect : * * a hardware defect in the monitor may be causing the module connection failure. - * * loose wiring : * * loose wiring between the module and the main unit can also lead to connection issues. # # # recommendations - * * reconnect the module : * * ensure that the module is properly connected to the main unit. - * * replace the module : * * if the module is damaged, it should be replaced with a new one. - * * update software : * * install any available software updates for the monitor to address potential software glitches. - * * troubleshoot hardware : * * check for any hardware defects in the monitor that may be causing the connection issue. - * * tighten wiring : * * ensure that all wiring between the module and the main unit is tight and secure. @topic:2


# # # issue - cuff bp is damaged. # # # impact - the patient's blood pressure cannot be accurately measured. # # # possible causes - the cuff may have been punctured or torn. - the cuff may have been overinflated. - the cuff may have been used on a patient who is too large or too small. # # # recommendations - replace the cuff with a new one. - train staff on how to properly use and maintain the cuff. - inspect the cuff regularly for damage. @topic:3


# # # issue the electric hospital bed is unable to adjust its position. # # # impact - patients may not be able to get into or out of the bed. - patients may be uncomfortable and unable to rest properly. - nursing staff may have difficulty moving patients. # # # possible causes - malfunctioning motor - faulty wiring - control panel issues - software problems # # # recommendations - inspect the motor and wiring for any signs of damage. - check the control panel for any loose connections or buttons. - reset the software and ensure that it is updated to the latest version. @topic:1


# # # issue - defective bed guard ( also known as side rail ) on an electric hospital bed # # # impact - patient safety hazard : patients could fall out of the bed if the guard is not properly secured - potential for injury to patients or staff if the guard falls off unexpectedly # # # possible causes - damage to the guard or its locking mechanism - improper installation or maintenance of the guard - wear and tear over time # # # recommendations - replace the defective guard with a new one - inspect all other bed guards on the hospital bed for any signs of damage or wear - ensure that all bed guards are properly installed and maintained according to manufacturer's instructions - provide training to staff on the importance of proper bed guard use and maintenance @topic:6


# # # issue medical cart is displaying " please wait " on the screen, preventing its use. # # # impact the medical cart cannot be used for its intended purpose, potentially affecting patient care and operational efficiency. # # # possible causes - software update in progress or failed - hardware malfunction - communication issue with connected devices # # # recommendations 1. * * verify software update : * * - check the status of the software update. if it is still in progress, wait for it to complete. - if the update has failed, contact the manufacturer for assistance. 2. * * inspect hardware : * * - visually inspect the medical cart for any loose connections or damaged components. - check the power source and ensure it is providing adequate power. 3. * * test communication : * * - if the medical cart is connected to other devices, verify that the communication cables are properly connected and functioning. - check for any software or configuration issues that may be affecting communication. @topic:13


# # # issue - missing cuff connector # # # impact - inability to connect the cuff to the monitor, preventing accurate blood pressure monitoring. # # # possible causes - * * human error : * * the cuff connector may have been accidentally detached or misplaced during use, cleaning, or transportation. - * * defective component : * * there could be a manufacturing defect or damage to the cuff connector that caused it to come loose or fall off. - * * environmental factors : * * excessive moisture or heat could have weakened the cuff connector, making it more susceptible to detachment. # # # recommendations - * * thorough inspection : * * regularly inspect the cuff connector for any signs of damage or wear. - * * proper handling : * * ensure that the cuff connector is properly attached and secured before use. - * * training : * * provide clear instructions to staff on the correct handling and maintenance of the cuff connector. - * * preventive maintenance : * * schedule regular preventive maintenance to identify and address any potential issues with the cuff connector. - * * replacement : * * if the cuff connector is damaged or defective, it should be replaced with a compatible and authorized part. @topic:5


# # # issue - the electric bed is not responding # # # impact - patients may not be able to receive proper care # # # possible causes - the bed is not plugged in - the bed is not receiving power - the bed's power cord is damaged - the bed's control panel is not working - the bed's motor is not working # # # recommendations - check to make sure that the bed is plugged in - check to make sure that the bed is receiving power - inspect the bed's power cord for any damage - check to make sure that the bed's control panel is working - if all else fails, contact a biomedical engineer @topic:9


# # # issue the output from the biomedical engineer indicates that the cause of failure in the given input is due to a faulty ekg lead cable. # # # impact a faulty ekg lead cable can result in inaccurate or incomplete data being recorded from the patient, which can lead to misdiagnosis or improper treatment. # # # possible causes * physical damage to the cable, such as cuts or breaks * loose connections at the cable ends * electrical interference from other devices # # # recommendations * replace the faulty ekg lead cable with a new one. * inspect the cable for any signs of physical damage and replace it if necessary. * ensure that the cable is properly connected at both ends. * check for any sources of electrical interference and eliminate them if possible. @topic:18


# # # issue - remote control is broken. # # # impact - the bed cannot be operated remotely. - this could inconvenience patients and staff. # # # possible causes - the remote control may have been dropped or mishandled. - the remote control may have been exposed to liquid or other contaminants. - the remote control may have a manufacturing defect. # # # recommendations - inspect the remote control for any visible damage. - clean the remote control with a mild disinfectant. - if the remote control is still not working, replace it with a new one. @topic:7


# # # issue - remote control does not adjust the bed up or down. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to adjust the bed to a comfortable position. # # # possible causes - the remote control battery is dead. - the remote control is not paired with the bed. - the remote control is damaged. - the bed control unit is damaged. # # # recommendations - check the remote control battery and replace it if necessary. - pair the remote control with the bed. - inspect the remote control for damage and replace it if necessary. - contact the biomedical engineering department to inspect the bed control unit and repair or replace it if necessary. @topic:7


average 8 sec wave scale loouv ( or + / - 50uv if show gridlines is configured to yes ) show gridlines no low filter 0. 5 hz fligh filter 30 hz impedance limit 5 kohm smoothing csa on color yellow bis default settings bis settings factory defaults h10 / h20 / h40 h30 ( deviations from hi0 / 20 / 40 ) adult pedi neo adult pedi neo sqi on emc on sr on sef off tp off bursts on off scale loouv ( or + / - 50uv if show gridlines is configured to yes ) show gridlines no filters on low filter 2 hz 471 vuelink default settings 39 default settings appendix bis settings factory defaults h10 / h20 / h40 h30 ( deviations from hi0 / 20 / 40 ) adult pedi neo adult pedi neo high filter 70 hz notch filter on high alarm limit 70 low alarm limit 20 alarms on smoothing rate 30 sec 15 sec color yellow magenta vuelink default settings device alarms ignored color green 472 10 - lead placement ( ecg ) 127 12 - lead placement ( ecg ) 127 3 - lead placement ( ecg ) 125 4 - channel recorder 322 5 - lead placement ( ecg ) 125 a aami ecg lead labels 124 abdominal breathing and resp electrode placement 166 aberrantly conducted beats 134 ac power input 409 accessories 10 - electrode cable sets 382 3 - electrode cable sets 382, 384 5 - electrode cable sets 382, 384 5 - electrode one piece cables 384 6 - electrode cable sets 382 aspect medical systems 397 c. o. 393 c02 216, 221, 226, 242 c02 ( mainstream ) 394, 395 c02 ( microstream ) 395 ecg 381 eec 397 hospira inc. 398 @topic:8


# # # issue - no pulse signal display on the central monitor. # # # impact - inability to accurately monitor patient's heart rate and rhythm. # # # possible causes - faulty sensor or cable - loose connection - software issue - hardware malfunction # # # recommendations 1. * * inspect the sensor and cable : * * ensure that the sensor is properly attached to the patient and that the cable is not damaged or loose. 2. * * check connections : * * verify that all connections between the sensor, cable, and monitor are secure. 3. * * reboot the monitor : * * restarting the monitor may resolve software - related issues. 4. * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further troubleshooting and potential repairs. @topic:22


# # # issue - the shelving on the medical cart is damaged. # # # impact - this could pose a safety hazard, as items could fall off the cart and injure patients or staff. additionally, the cart may not be able to function properly, which could delay or disrupt patient care. # # # possible causes - the shelving may have been overloaded or damaged by impact. - the shelving may have been made of a defective material. - the cart may have been used improperly. # # # recommendations - inspect the cart thoroughly to determine the extent of the damage. - replace the damaged shelving with new shelving that is made of a durable material and is the correct size for the cart. - train staff on how to use the cart properly to avoid damage. @topic:31


for cpj840j6 cpj84447 monitoring line set for cpj840j6 cpj84026 single channel disposable sensor kit ( 20 ) - ( eu / efta only ) m1567a dual channel disposable sensor kit ( 20 ) ( eu / efta only ) m1568a transducer holder for m1567 / 8a ( eu / efta only ) m2271a iv pole mount for m1567 / 8a ( eu / efta only ) m2272c 386 sp0 2 accessories 37 accessories transducer, accessories, sensor kits part no adapter cable for disposable sensor kit 3, 0m for m1567 / 8a m1634a pressure transducer kits picco monitoring kit, 30cm pressure line, includes pv4046 injectate temperature sensor housing for m1646a pv8103 picco monitoring kit, 150cm pressure line, includes pv4046 injectate temperature sensor housing for m1646a pv8115 picco monitoring kit, 150cm pressure line, includes pv4046 injectate temperature sensor housing for m1646a and central venous pressure line pv8115cvp pulsion pressure interface cable for disposable pressure transducer pmk206 sp0 2 accessories this section lists accessories for use with philips sp0 2 technology. for accessory lists for other sp0 2 technologies, refer to the instructions for use provided with these devices. some nellcor sensors contain natural rubber latex which may cause allergic reactions. see the instructions for use supplied with the sensors for more information. m1901b, m1902b, m1903b and m1904b disposable sensors are not available in usa from philips. purchase nellcor sensors @topic:10


##ri the monitor has detected a conflict in the units used for this calculation. check the unit settings. 95 4 patient alarms and inops technical alarm messages ( inops ) inop message, indication source what to do svr / svri set cvp used numeric is replaced by svr / svri a cvp value is required for this calculation, but is not currently being measured. the monitor is using the cvp value preset in the setup svr menu. t / t1 / t2 / t3 / t4 inops temp see < temp label > inops ( under temp ) taap disabled inop tone monitor the currently selected telemetry configuration on the monitor does not allow connection of telemetry devices to the monitor. tamb inops temp see < temp label > inops ( under temp ) tart inops temp see < temp label > inops ( under temp ) tblood no transduc numeric is replaced by -? - inop tone c. o. no transducer attached to the module or catheter disconnected. tblood overrange numeric is replaced by c. o. tblood out of range 17°c - 43°c. tcereb inops temp see < temp iabel > inops ( under temp ) tcore inops temp see < temp label > inops ( under temp ). tcp0 2 ( or tcpc0 2 or tcgas ) cal failed numeric is replaced by -? - inop tone. tcgas a calibration failed. check the calibration unit, gas pressure, and tubing connections, then restart the calibration. if the calibration has failed more than once, remembrane the transducer and restart the calibration. @topic:20


# # # issue - the medical cart cannot be turned on. # # # impact - the medical cart cannot be used to transport patients or equipment. # # # possible causes - the battery is dead or not properly connected. - the power supply is not connected. - the on / off switch is not functioning properly. - there is a problem with the electrical system. # # # recommendations - check the battery and make sure it is properly connected. - check the power supply and make sure it is connected. - check the on / off switch to make sure it is functioning properly. - if the problem persists, contact a qualified biomedical engineer to troubleshoot the electrical system. @topic:13


* * issue : * * premature failure of batteries in philips intellivue mp40 ( m8003a ) monitors. * * impact : * * * interruptions to patient care due to non - functioning monitors. * increased costs for frequent battery replacements. * potential safety concerns if batteries fail during critical procedures. * * possible causes : * * * * * battery degradation : * * lithium - ion batteries naturally degrade over time, reducing their capacity and lifespan. * * * excessive charging and discharging : * * frequent or prolonged charging and discharging can shorten battery life. * * * overheating : * * high temperatures can damage batteries and reduce their performance. * * * manufacturing defects : * * issues in the battery production process can lead to premature failure. * * recommendations : * * * * * establish a battery replacement schedule : * * determine the average lifespan of the batteries in the monitors and replace them proactively based on a regular maintenance plan. * * * optimize battery usage : * * avoid overcharging and under - discharging the batteries. use battery - saving features when possible. * * * control the operating environment : * * ensure the monitors are stored and used in appropriate temperatures, away from sources of heat. * * * investigate battery quality : * * review the specifications of the batteries used and consider purchasing from reputable manufacturers. * * * monitor battery performance : * * use battery monitoring tools or software to track battery health and identify any potential issues early on. * * * train staff : * * educate staff on proper battery handling and care practices. @topic:11


# # issue - the med cart displays " - 1 " on the bme program screen. # # impact - the med cart cannot be used as intended. # # possible causes - the cause of failure is not explicitly stated in the input, but the technician has already checked and found that the med cart can be used normally after restarting. - it is possible that the " - 1 " error is a temporary glitch that can be resolved by restarting the device. - other possible causes could include software issues, hardware problems, or user error. # # recommendations - to prevent the issue from recurring, the technician should : - check for any software updates or firmware patches that can be applied to the med cart. - inspect the device for any loose connections or damaged components. - train users on proper operating procedures to minimize the risk of user error. - if the issue persists, the technician may need to contact the manufacturer for further assistance or repairs. @topic:13


# # # issue : - calibrated value is too high, resulting in inaccurate readings. # # # impact : - incorrect patient vital sign measurements, leading to misdiagnosis or inappropriate treatment. # # # possible causes : - * * incorrect calibration procedure : * * the equipment may not have been calibrated correctly, resulting in inaccurate measurements. - * * faulty sensor : * * the sensor responsible for measuring the vital sign may be malfunctioning, causing high readings. - * * electrical interference : * * external electrical noise or interference can affect the accuracy of the measurements. - * * software error : * * a software glitch or malfunction can lead to incorrect calibration or data processing, resulting in high readings. # # # recommendations : - * * recalibrate the equipment : * * ensure that the calibration procedure is followed meticulously using appropriate standards. - * * test the sensor : * * replace or repair the sensor if it is suspected to be faulty. - * * eliminate electrical interference : * * check for and eliminate any potential sources of electrical interference. - * * update software : * * contact the manufacturer for any software updates or patches that might resolve the issue. - * * seek external support : * * if the issue persists, consult a qualified medical equipment service company for further diagnosis and repairs. @topic:20


# # # issue - bed is deteriorating due to age and wear and tear. # # # impact - bed may not be able to provide adequate support or comfort for patients. - bed may be unsafe to use. # # # possible causes - the bed was not properly maintained or serviced. - the bed was used in a way that it was not intended. - the bed is simply old and has reached the end of its useful life. # # # recommendations - have the bed inspected by a qualified technician to determine if it can be repaired. - if the bed cannot be repaired, replace it with a new one. - ensure that the bed is properly maintained and serviced according to the manufacturer's instructions. - use the bed only in the way that it was intended. @topic:9


voltage on the applied part with switch s5 open and closed. each polarity combination possible is tested using s2 and s6. this test is applicable for every measurement input. performance verification testing suresigns vs2 * and vsi service guide 3 - 19 nurse call relay test nurse call relay test if your facility uses the nurse call function on the monitor, perform the following procedure to test the nurse call alarm output relay. the nurse call alarm output is a phone jack connector that is capable of both normally closed and normally open relay operation. the nurse call connector jack has three contacts that connect with those on a phono connector as shown in the following illustration. — + tip — relay normally open, closed for alarm + ring — relay normally closed, open for alarm + sleeve — common to perform this test, you need : + a patient simulator + an ohmmeter + a 3. 5 mm phono connector to perform the nurse call relay test : step 1 plug the phono connector into the nurse call connector on the back of the monitor. 2 use the ohmmeter and simulator to verify relay operation as follows : condition phone jack connector tip | phone jack connector ring ( relay normally open ) ( relay normally closed ) alarm closed open no alarm [ open closed 3 if you do not get the expected results, see chapter 4, “ troubleshooting. ” performance verification testing 3 - 20 suresigns vs2 * and vsi service guide 4 troubleshooting use the information in this chapter to diagnose and correct monitor problems. this chapter describes how to troubleshoot a monitor that is not operating correctly. chapter 5, “ repairing the monitor, ” describes how to perform the recommended repairs. you can repair the monitor in either of two ways : e spare parts, where you order replacement parts and you repair the monitor. e bench repair, where you return the monitor to a philips authorized service @topic:10


# # # issue - equipment : central monitor - brand : hewlett packard - model : m3150a - description : rebooted the machine and it's working normally. # # # impact - the central monitor was unable to turn on, which could have disrupted patient care and monitoring. # # # possible causes - power supply issues - hardware malfunction - software glitches - user error # # # recommendations - check the power supply to the monitor and ensure it is securely connected. - inspect the monitor's hardware for any loose connections or damaged components. - update the software on the monitor if necessary. - retrain users on proper operation of the monitor to prevent user error. @topic:2


# # # issue : - monitor not linking to central. # # # impact : - inability to monitor patient's vital signs centrally. - potential delay in diagnosis and treatment. # # # possible causes : - * * incorrectly connected lan cable : * * - the lan cable may have been connected to the wrong port on the monitor or central station. - the technician has confirmed that this issue has been resolved. # # # recommendations : - * * verify lan cable connections : * * - ensure that the lan cable is securely connected to the correct port on the monitor and central station. - check the cable for any damage or loose connections. - * * check ip configuration : * * - verify that the monitor and central station have the correct ip addresses configured. - ensure that the subnet masks and default gateways are also correct. - * * restart monitor and central station : * * - power cycle the monitor and central station to restart the network connection. - * * contact vendor support : * * - if the issue persists, contact the manufacturer of the monitor for technical assistance. @topic:16


# # # issue - equipment failure due to improper usage. # # # impact - the equipment is unavailable for patient care. - the hospital may incur additional costs for repairs or replacement. - patient care may be delayed or compromised. # # # possible causes - the equipment was used for a purpose other than its intended use. - the equipment was not used in accordance with the manufacturer's instructions. - the equipment was not properly maintained. # # # recommendations - train staff on the proper use of the equipment. - ensure that the equipment is used only for its intended purpose. - follow the manufacturer's instructions for use and maintenance. - inspect the equipment regularly and perform preventive maintenance as needed. @topic:12