# # # issue - the electric bed, model contoura 360 from huntleigh, is unable to adjust the head position. # # # impact - patients may not be able to get into a comfortable or appropriate position for treatment or recovery. - the inability to adjust the head position may also make it difficult for caregivers to provide care. # # # possible causes - the motor that controls the head adjustment may be malfunctioning. - the control panel or wiring may be damaged. - the bed frame may be bent or damaged. - the bed may not be properly assembled. # # # recommendations - check the motor for any signs of damage or malfunction. - inspect the control panel and wiring for any damage or loose connections. - examine the bed frame for any bends or damage. - make sure that the bed is properly assembled. - replace any damaged or malfunctioning parts. - if the problem persists, contact the manufacturer for further assistance. @topic:1


# # # issue - oxygen saturation ( spo2 ) sensor malfunction # # # impact - inability to accurately measure and monitor patient's spo2 levels. # # # possible causes - faulty oxygen saturation sensor - loose or disconnected sensor cable - equipment software malfunction # # # recommendations - inspect the oxygen saturation sensor for any damage or defects. - ensure the sensor cable is securely connected to both the sensor and the monitor. - restart the monitor to reset any software issues. - contact the manufacturer for further troubleshooting if the issue persists. @topic:4


# # # issue - noisy wheels. # # # impact - the device may not be able to move smoothly or safely. # # # possible causes - the wheels may be dirty or damaged. - the wheel bearings may be worn or damaged. - the wheel alignment may be off. # # # recommendations - clean the wheels and bearings. - replace any damaged wheels or bearings. - adjust the wheel alignment. @topic:24


* * issue : * * bed cannot be adjusted * * impact : * * patient care and comfort may be compromised. * * possible causes : * * - broken remote control wire ( from the input ) * * recommendations : * * - replace the broken remote control wire. - instruct staff to avoid adjusting the bed too frequently or abruptly to prevent future wire damage. @topic:7


carry out the following checks o1 check for any mechanical damage. check all the external cables, plug - ins and accessories. luthe ower cord into the ac 2 check all the functions of the instrument that you need to monitor the patient, and ensure that the instrument is in good working order. 3 1 decide which measurements you want to make. connect the required modules, mmss, or mms extensions. 2 check that you i have the correct patient cables and transducers plugged in. the connectors are color - coded to the patient cables and transducers for easy identification. 3 witching press the power on / standby switch on the monitor for one second. the monitor performs a self test during which all lamps will light up and a tone will be sounded, and is then ready to use. if you see a message such as co2 sens warmup wait until it disappears before starting to monitor that easurement. 48 1 introduction connected devices usually take their power from the monitor. external devices such as gas monitors and those connected via vuelink / intellibridge have their own power switches. power on / power off behavior the general rules determining the behavior of the monitor when connected to, or disconnected from a monitor that was switched on prior to a temporary power loss switches on again when power is restored.. a monitor that was switched off prior to a temporary power loss remains off when power is restored. • when ac mains power is lost, a battery powered monitor continues to run without interruptioon battery power. • an mms switches on automatically when connected to a running host monitor. • when an x2 is disconnected from a running host monitor, the x2 continues to run without interruption on battery power. • starting monitoring you switch on the monitor, after 1 check that the profile, alarm limits, alarm and qrs volumes, patient category and paced status @topic:10


# # # issue - n / a # # # impact - n / a # # # possible causes - loosened screws on the bed rail # # # recommendations - ensure that all screws on the bed rail are properly tightened to prevent them from coming loose and causing the bed rail to become unstable. @topic:6


# # # issue - high temp bp reading # # # impact - falsely elevated bp readings - incorrect treatment decisions # # # possible causes - * * faulty sensor : * * the sensor responsible for measuring temperature may be malfunctioning, resulting in inaccurate readings. - * * loose or damaged probe : * * the probe or cable connecting the sensor to the monitor may be loose or damaged, leading to poor signal transmission and incorrect readings. - * * environmental factors : * * extreme temperatures or humidity levels can interfere with the sensor's accuracy. - * * calibration error : * * the monitor may not have been properly calibrated, leading to inaccurate readings. # # # recommendations - * * verify sensor functionality : * * test the sensor with a known good input to ensure it is providing accurate readings. - * * inspect probe and cable : * * check for any loose connections or damage to the probe or cable. replace if necessary. - * * ensure proper environmental conditions : * * keep the monitor in a stable temperature and humidity environment. - * * calibrate the monitor : * * follow manufacturer's instructions to ensure the monitor is accurately calibrated. @topic:20


# # # issue - the electric bed is not elevating or lowering. # # # impact - patients may not be able to be positioned comfortably or safely. - the bed may not be able to be moved to a different location, which could delay patient care. # # # possible causes - * * power supply issue : * * the bed may not be plugged into an electrical outlet, or the outlet may not be providing power. - * * control panel issue : * * the control panel may be malfunctioning, preventing the bed from responding to commands. - * * mechanical issue : * * there may be a problem with the bed's gears, motor, or hydraulics, preventing it from moving. # # # recommendations - * * check the power supply : * * make sure that the bed is plugged into an electrical outlet and that the outlet is providing power. - * * inspect the control panel : * * look for any loose connections or damaged components. if necessary, replace the control panel. - * * troubleshoot the mechanical system : * * check the gears, motor, and hydraulics for any signs of damage or wear. if necessary, repair or replace the damaged components. @topic:1


# # # issue - connector failure # # # impact - equipment malfunction - patient safety hazard # # # possible causes - physical damage to the connector - wear and tear - electrical overload - corrosion # # # recommendations - inspect connectors regularly for damage or wear - replace damaged or worn connectors - use connectors that are appropriate for the intended use - train staff on proper handling and maintenance of equipment @topic:12


# # # issue - base of weight plate came off. # # # impact - monitor cannot be used. # # # possible causes - the nut that holds the base in place was not tightened properly. - the base was damaged. # # # recommendations - check that the nut that holds the base in place is tightened properly. - if the base is damaged, replace it. @topic:12


# # # issue : - broken spo2 cable. # # # impact : - inability to accurately measure patient's oxygen saturation levels. # # # possible causes : - * * defective cable : * * the cable may have been damaged during manufacturing or handling. - * * wear and tear : * * repeated use and stress on the cable can lead to wear and tear, causing it to break. - * * improper handling : * * the cable may have been mishandled, such as being bent or pulled too tightly. - * * external damage : * * the cable may have been damaged by external factors, such as being stepped on or pinched. # # # recommendations : - * * replace the cable : * * the damaged spo2 cable should be replaced with a new one. - * * inspect equipment regularly : * * biomedical engineers ( bmes ) should regularly inspect patient transport monitors to identify potential issues and prevent cable failures. - * * handle cables with care : * * cables should be handled carefully to avoid damage. they should not be bent or pulled too tightly. - * * store cables properly : * * cables should be stored in a safe and organized manner to prevent tangling and damage. @topic:4


battery storage — batteries should not remain inside the monitor if they are not used for a longer period of time. batteries should be max. 50 % charged for storage. note batteries will discharge within about 20 days if they are stored inside the monitor without ac power connection. checking the battery status when the monitor is connected to the ac power supply, the battery charges automatically. the battery can be charged remotely from the monitor by using the battery charger. use only lithium ion battery chargers approved by philips. battery status ( level of charge ) is indicated several ways : • led on the front panel of the monitor. • battery gauge. • display of battery time below gauge. note note 62 battery handling, maintenance and good practices 3 testing and maintenance • battery status window. • inop messages. the ac power led is only on when the power cord is connected and ac power is available to the monitor. in this case, the battery can be either charging or fully charged. the battery led can be green, yellow, or red depending on the following conditions : battery led colors if the monitor is connected to ac power, this means if the monitor is running on battery power, this means green batteries full ( > 90 % ) yellow batteries charging ( battery power < 90 % ) or battery down 2 red, flashing less than 10 minutes power remaining red, flashes intermittently battery malfunction 1 battery malfunction 1 red, flashes once when on / standby switch is pressed not enough battery power left to power monitor 1 indicated by malfunction symbol and inop 2 indicated by “ battery has no power left ” symbol if only one battery is inserted during charging, the battery led is yellow during charging and switches off when the battery is charged. note if the batteries were charged to 100 %, they will not charge again until the charging status goes below 90 %. if the remaining battery - operating time is less than 10 minutes, @topic:11


# # # issue - the electric bed cannot adjust its height or incline. # # # impact - inability to properly position patients for examinations and procedures. - reduced patient comfort and safety. # # # possible causes - electrical fault in the control box. - mechanical failure in the bed's motor or gears. - damage to the bed's wiring or connections. # # # recommendations - inspect the control box for any signs of damage or loose connections. - check the bed's motor and gears for any signs of wear or damage. - inspect the bed's wiring and connections for any signs of damage or breaks. - if the problem cannot be identified or resolved, contact the manufacturer or a qualified technician for further assistance. @topic:1


# # # issue - central monitor ( hewlett packard m3150a ) is not functioning. # # # impact - inability to monitor patient's vital signs accurately. # # # possible causes - * * power issues : * * faulty power supply, loose connections. - * * hardware problems : * * failed components, such as circuit boards or sensors. - * * software glitches : * * bugs or corrupted software. - * * operator error : * * improper use or handling. - * * environmental factors : * * temperature fluctuations, humidity, or exposure to liquids. # # # recommendations - * * troubleshooting : * * check power connections and ensure stability. - * * diagnostics : * * use diagnostic tools to identify specific hardware or software issues. - * * repair : * * replace failed components or repair damaged circuitry. - * * software updates : * * install any necessary software patches or updates. - * * training : * * educate staff on proper operation and handling of equipment. - * * environmental control : * * monitor and regulate temperature and humidity levels. - * * regular maintenance : * * schedule preventive maintenance to identify and address potential issues before they escalate. @topic:2


# # # issue - the bed's knee adjustment function is not working. # # # impact - the patient may not be able to be positioned comfortably or safely. # # # possible causes - the knee adjustment motor is not working. - the knee adjustment mechanism is broken. - the knee adjustment control is not working. # # # recommendations - inspect the knee adjustment motor for damage or loose connections. - inspect the knee adjustment mechanism for broken or worn parts. - inspect the knee adjustment control for damage or loose connections. - if the problem cannot be resolved, replace the faulty component. @topic:9


: step 1 with the monitor turned on, make sure that all alarms are enabled ( the monitor is not in audio pause or audio off mode ). make sure the nbp alarm is enabled ( the crossed bell icon does not appear in the nbp numeric pane ). connect the nbp hose to the nbp input connector, but do not place the cuff on your arm. press the nbp key on the front panel. wait for the nbp module to cycle and check that an nbp error message appears and an alarm tone sounds. if you do not get the results in step 5, see “ nbp problems ” on page 4 - 6. spo, test the following procedure tests the performance of the spo, measurement and alarm. to perform this test, you need an adult spo, sensor. to perform the spo, test : step 1 connect an adult spo > sensor to the spo, connector on the monitor. ensure that the red led in the sensor is lit. connect the other end of the sensor to your finger. verify that the spo, value displayed on the monitor is between 95 % and 100 %. if it is not, try the test again with a patient simulator. if you still do not get the results in step 3, see “ spo measurement problems ” on page 4 - 8. caution a functional tester cannot be used to assess the accuracy of a pulse oximeter monitor. however, if there is independent demonstration that a particular calibration curve is accurate for the combination of a pulse oximeter monitor and a pulse oximeter sensor, then a functional tester can measure the contribution of a monitor to the total error of a monitor / sensor system. the functional tester can then measure how accurately a particular pulse oximeter monitor is reproducing that calibration curve. performance verification @topic:4


# # # issue : - vital signs monitor malfunctioning # # # impact : - inaccurate patient monitoring - delayed or missed diagnoses - potential patient harm # # # possible causes : - * * cuff deterioration ( most likely cause ) : * * over time, the cuff used to measure blood pressure can become worn or damaged, leading to inaccurate readings. - sensor malfunction : the sensors that detect blood flow or pressure may fail, resulting in incorrect measurements. - electrical failure : power surges or other electrical issues can damage the monitor's circuitry, causing it to malfunction. - software bugs : software errors may also lead to display or measurement inaccuracies. # # # recommendations : - * * regular maintenance : * * schedule regular inspections and maintenance to identify and address potential issues with the monitor, including cuff wear and tear. - * * proper storage and handling : * * ensure that the monitor is stored and handled according to manufacturer instructions to avoid damage to the device and its components. - * * calibration and validation : * * calibrate the monitor frequently to ensure accurate readings. validate measurements against other devices or manual assessments to confirm accuracy. - * * training and education : * * provide appropriate training to staff on the proper use and maintenance of the vital signs monitor. - * * replacement of faulty components : * * if a cause of failure is identified, such as a deteriorated cuff or malfunctioning sensor, replace the faulty component promptly. @topic:15


# # # issue - remote control failure in a hill - rom basic care p1440a electric bed. # # # impact - inability to adjust bed settings, compromising patient comfort and safety. # # # possible causes - * * defective remote control : * * malfunctioning buttons, loose wiring, or other internal component failures. - * * electrical issues : * * faulty power supply, loose connections, or wiring damage. - * * software glitches : * * bugs or errors in the remote's firmware. - * * user mishandling : * * accidental drops, spills, or excessive force applied to the remote. - * * battery life : * * depleted batteries can prevent the remote from operating. # # # recommendations - * * inspect the remote : * * check for physical damage, loose connections, or debris. - * * test the batteries : * * replace exhausted batteries with new ones. - * * reset the remote : * * if possible, perform a factory reset to eliminate software issues. - * * inspect the bed's electrical system : * * verify the power supply voltage, check connections, and inspect wiring for damage. - * * examine the remote sensor on the bed : * * ensure it is clean and free of obstructions. - * * consult the manufacturer : * * refer to the user manual or contact the manufacturer's support team for troubleshooting assistance. - * * replace the remote : * * if all other troubleshooting measures fail, consider replacing the remote control. @topic:7


# # # cause of failure : cuff is damaged # # # issue - the cuff is damaged, causing the monitor to malfunction. # # # impact - the monitor cannot accurately measure vital signs, which could lead to incorrect diagnosis and treatment. # # # possible causes - the cuff may have been damaged due to : - wear and tear from repeated use - improper handling or storage - exposure to moisture or heat # # # recommendations - replace the damaged cuff with a new one. - inspect the cuff regularly for any signs of damage. - handle and store the cuff properly according to the manufacturer's instructions. - train staff on the proper use and care of the monitor. @topic:5


# # # issue - printer not printing # # # impact - unable to print patient data, reports, or other necessary documents. # # # possible causes - paper jam in the printer - printer driver not installed or corrupted - printer hardware failure # # # recommendations - remove any paper jams from the printer. - reinstall or update the printer driver. - contact a qualified technician to diagnose and repair any hardware issues. @topic:28


# # # issue - the bed is not adjustable. # # # impact - the patient cannot be positioned comfortably. - the bed cannot be used for its intended purpose. # # # possible causes - the motor is not working. - the control panel is not working. - the bed frame is damaged. - the bed is not properly assembled. # # # recommendations - check the motor and control panel for any damage. - inspect the bed frame for any damage. - ensure that the bed is properly assembled. - if the problem cannot be resolved, contact the manufacturer for assistance. @topic:1


select two leads with a narrow r - wave, it may be easier to just select one lead and use single lead arrhythmia monitoring. extra vigilance is required by the clinician for this type of patient. understanding the arrhythmia display your monitor screen may look slightly different from the illustration. 11 1 m p 1 p 1.. 1 1 paced rhythm pair pvcs lmv delayed v n 7 6 1 beat label 2 pace pulse marks 3 rhythm status message 75 135 6 ecg, arrhythmia, st and qt monitoring understanding the arrhythmia display 4 pvc numeric 5 hr numeric 6 ectopic status message 7 delayed arrhythmia wave viewing arrhythmia waves ♦ to review arrhythmia beat labels, in the setup arrhythmia menu, select annotate arrhy. the wave showing the primary ecg lead will be delayed by six seconds and shown on a grey background. beat labels will be annotated above the ecg wave and delayed will be written beside it. ♦ to return to the normal ecg primary lead display, select annotate arrhy again. arrhythmia beat labels arrhythmia beat labels tell you how the monitor is classifying beats. n = normal v = ventricular ectopic s = supra - ventricular premature p = paced'= pacer spike “ = biventricular pacer spike l = learning patient's ecg a = artifact ( noisy episode )? = insufficient information to classify beats i = inoperative condition ( e. g., leads off ) m = pause or missed beat 136 understanding the arrhythmia display 6 ecg, arrhythmia, st and qt monitoring arrhythmia status messages the monitor @topic:8


# # # issue - medical cart drawer cannot be opened. # # # impact - delays in patient care - frustration for staff # # # possible causes - mechanical failure - power failure - software glitch - user error # # # recommendations - inspect the drawer for any visible damage. - check the power supply to the medical cart. - restart the software on the medical cart. - contact the manufacturer for assistance. @topic:21


# # # issue - battery failure in the philips intellivue x2 ( m3002a ) patient transport monitors # # # impact - inability to use the monitors for patient transport, which could delay or interrupt patient care # # # possible causes - battery degradation due to age and use - defective battery # # # recommendations - replace the failed battery with a new one - regularly inspect and test batteries to identify and replace aging or defective batteries before they fail - consider using battery backup systems to ensure uninterrupted operation of the monitors during battery replacement @topic:11


# # # issue the digital display on the bed, electric, hill - rom, care assist es is displaying an incorrect weight reading. # # # impact the incorrect weight reading can lead to inaccurate patient care, such as incorrect medication dosing or treatment decisions. # # # possible causes - * * faulty load cell : * * the equipment uses a load cell to measure the patient's weight. if the load cell is faulty, it can give an incorrect reading. - * * electrical interference : * * the equipment may be subjected to electrical interference from other devices, which can affect the accuracy of the weight reading. - * * software error : * * a software error in the equipment may cause it to display an incorrect weight reading. # # # recommendations - * * calibrate the equipment : * * regularly calibrate the equipment to ensure that it is providing accurate weight readings. - * * check for electrical interference : * * make sure that the equipment is not placed near other devices that may cause electrical interference. - * * update the software : * * if a software update is available, install it to fix any bugs or errors that may be causing the incorrect weight reading. - * * contact the manufacturer : * * if the problem persists, contact the manufacturer of the equipment for assistance. @topic:25


# # # issue - broken ekg lead # # # impact - inability to monitor patient's ekg - potential for inaccurate or missed diagnoses # # # possible causes - physical damage to the lead ( e. g., cuts, tears ) - faulty connection between the lead and the monitor - electrical interference - software issues # # # recommendations - replace the lead with a new one. - inspect the connections between the lead and the monitor to ensure they are secure. - check for any sources of electrical interference in the vicinity of the monitor. - update the software on the monitor if necessary. @topic:18


##t tenn teen nen 2 - 3 replacing the balta ano eee, bey on ce oey on eee ed 2 - 4 battery messages and alarms............ 00 ce cece ete etet tet e nnn 2 - 4 technical alarms : radar maase i tesla tat oles vate tlonidaae o 2 - 4 error codes ic 429. 2 ahve ace a a peds re peed aug se ae ea 2 - 4 3. performance verification testing testing and inspection guidelines.......... o. oooooooorrrrr tte e ene areren y ay ies 3 - 1 recommended frequency... 3 - 2 required : test equipos sxe oe iy ca ek a be as ber e a ot oe be or ee a 3 - 3 test recording : dad iii 3 - 3 accessing : the system menu 22. 03 ) as cars tare gay dee see mone aa 3 - 4 accessing the system admin menu........... 00. ccc cece eee e been ent e nent nees 3 - 4 system admin menu options............ 00. cece ene teen teenie eas 3 - 5 enabling demo mode ccro soca o maw ged sled ee 3 - 6 upgrading the software uno livy eres dg yi heey seeley eee eb be as 3 - 7 performing verification tests... 0. 0... ccc e i e ea e le tenn etn eben ene n ees 3 - 9 accessing the system diagnostics menu......... @topic:10


# # # issue - malfunctioning of the spo2 monitoring system. # # # impact - inaccurate or unreliable monitoring of oxygen saturation levels in patients. - potential delays in detecting and addressing critical patient conditions. # # # possible causes - * * damaged spo2 cable : * * physical damage to the cable, such as cuts or breaks, can disrupt the signal transmission and cause the system to malfunction. - * * loose connections : * * incorrectly plugged or loose connections between the cable, sensor, and monitor can lead to signal loss. - * * sensor failure : * * malfunction of the spo2 sensor due to internal component failure or improper placement on the patient's finger / toe. - * * software issues : * * outdated or corrupted software can impact the signal processing and display of spo2 readings. # # # recommendations - * * inspect the spo2 cable : * * check for any visible damage or breaks along the cable's length. replace the cable if necessary. - * * ensure secure connections : * * verify that all connections between the cable, sensor, and monitor are properly plugged in and tightened. - * * examine the spo2 sensor : * * inspect the sensor for any physical damage or malfunction. clean or replace the sensor if needed. - * * update software : * * regularly check for software updates and install any necessary updates to ensure optimal system performance. - * * train medical staff : * * provide thorough training to medical staff on the proper use, maintenance, and troubleshooting of spo2 monitoring equipment. @topic:4


# # # issue - battery failure # # # impact - inability to monitor vital signs accurately and continuously. # # # possible causes - depletion of battery life due to normal usage. - battery damage due to mishandling or improper storage. - electrical fault in the battery or charging circuit. # # # recommendations - replace the battery with a new one. - ensure proper handling and storage of the device and battery. - check the charging circuit for any electrical faults. - train staff on proper usage and maintenance of the device. - consider using a battery backup system to ensure continuous monitoring in case of battery failure. @topic:11


# # # issue - monitor is not linking to the central monitor. # # # impact - the medical staff will not be able to monitor the patient's vital signs remotely. # # # possible causes - * * loose lan cable. * * the lan cable is not properly connected to the monitor or the central monitor. - * * faulty lan cable. * * the lan cable is damaged and needs to be replaced. - * * problem with the monitor's network interface. * * the monitor's network interface is not functioning properly and needs to be repaired or replaced. - * * problem with the central monitor's network interface. * * the central monitor's network interface is not functioning properly and needs to be repaired or replaced. - * * network configuration issue. * * the monitor and / or the central monitor is not configured to connect to the network. # # # recommendations - * * check the lan cable connections. * * make sure that the lan cable is properly plugged into the monitor and the central monitor. - * * test the lan cable. * * use a cable tester to verify that the lan cable is functioning properly. - * * restart the monitor and the central monitor. * * this may resolve any temporary software issues. - * * update the firmware on the monitor and the central monitor. * * this may resolve any known issues with the network interface. - * * contact the manufacturer for support. * * if you are unable to resolve the issue on your own, contact the manufacturer of the monitor or the central monitor for support. @topic:16


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : medical cart was unable to power on. bme measured voltage at 29v and adjusted to 32v, then the equipment was able to power on normally. # # # impact - reduced functionality of the medical cart, affecting patient care and workflow. # # # possible causes - * * low battery : * * the medical cart's battery may have been depleted, causing it to fail to power on. - * * faulty power supply : * * the power supply unit within the medical cart may be malfunctioning, preventing it from delivering sufficient voltage to the device. - * * loose connections : * * loose connections between the battery, power supply, or other components may have interrupted the power flow to the medical cart. - * * damaged circuit board : * * a damaged circuit board or other internal component could have caused the equipment to fail to power on. # # # recommendations - * * check battery : * * inspect the medical cart's battery and replace it if necessary. - * * test power supply : * * utilize a multimeter to measure the voltage output of the power supply and ensure it meets the manufacturer's specifications. - * * inspect connections : * * tighten any loose connections between the battery, power supply, and other components. - * * refer to manufacturer : * * if the issue cannot be resolved by the bme, consult the manufacturer's technical support for further troubleshooting and repair. @topic:13


# # # issue - broken pad alarm cable connection # # # impact - the pad alarm may not function properly, which could pose a safety risk to patients # # # possible causes - wear and tear - mishandling - manufacturing defect # # # recommendations - replace the broken cable - inspect the equipment regularly for any signs of damage - handle the equipment carefully - report any issues to the manufacturer or biomedical engineering department @topic:26


# # # issue - the medical cart's drawer does not open or closes properly. # # # impact - the medical cart cannot be used to store or transport medical supplies and equipment. - the medical cart may be a hazard to patients and staff if it does not open or close properly. # # # possible causes - the solenoid coil that controls the drawer's opening and closing mechanism may be faulty. - the solenoid coil may be jammed or obstructed. - the drawer's tracks may be dirty or damaged. - the drawer's latch may be broken or misaligned. # # # recommendations - inspect the solenoid coil for damage or obstructions. - clean and lubricate the drawer's tracks. - inspect the drawer's latch for damage or misalignment. - replace the solenoid coil if it is damaged or faulty. - replace the drawer's tracks if they are damaged. - replace the drawer's latch if it is damaged or misaligned. @topic:21


# # # issue - cuff failure # # # impact - intermittent or inaccurate blood pressure measurements # # # possible causes - cuff being used beyond its recommended lifespan - damage or wear to the cuff material - leaks in the cuff or tubing - cuff not being properly inflated # # # recommendations - regularly inspect the cuff for any signs of damage or wear. - replace the cuff according to the manufacturer's recommended schedule. - ensure that the cuff is properly inflated by following the manufacturer's instructions. @topic:3


##op is re¬ issued two minutes after you acknowledge it. place the battery in a different monitor or in a battery charger. if the same inop is shown, contact your service personnel. batteries empty or batt 1 / batt 2 empty inop tone, battery led flashes during this inop, alarms cannot be paused or switched off. batteries the estimated remaining battery - powered operating time of the indicated battery or batteries is less than 10 minutes. replace the batteries immediately. if the condition persists and the monitor is not connected to mains power, this inop is re - issued two minutes after you acknowledge it. 77 4 patient alarms and inops technical alarm messages ( inops ) inop message, indication source what to do batteries incomp or batt 1 / batt 2 incompat inop tone batteries the indicated battery or batteries cannot be used with this monitor. replace with the correct battery or batteries as specified in this book. batteries low or batt 1 / batt 2 low batteries the estimated battery - powered operating time remaining is less than 20 minutes. inop tone batteries malfunc. or batt 1 / batt 2 / battery malfunct. inop tone, battery led flashes during this inop, alarms cannot be paused or switched off unless the monitor is connected to mains power. batteries the monitor cannot determine the battery status. if this inop persists, replace the faulty battery or batteries. if the condition persists and the monitor is not connected to mains power, this inop is re - issued two minutes after you acknowledge it. place the batteries in a different monitor or in a battery charger. if the same inop is shown, contact your service personnel. battery low t telemetry the battery in the telemetry device is low and must be replaced soon. batt 1 / batt 2 missing inop tone. @topic:11


# # # issue - spo2 value not displaying # # # impact - inability to monitor oxygen saturation levels, which can be critical for patient care # # # possible causes - faulty sensor - loose or damaged extension cable - malfunctioning monitor # # # recommendations - replace the sensor if it is faulty - securely connect the extension cable to both the sensor and monitor - test the monitor with a known - good sensor and extension cable to isolate the issue @topic:4


# # # issue - the blood pressure cuff ( cuff ) of the philips intellivue mp5 ( m8105a ) patient transport monitor has deteriorated and needs to be replaced. # # # impact - the monitor cannot accurately measure blood pressure without a functioning cuff. this could lead to incorrect treatment decisions and patient harm. # # # possible causes - the cuff may have been damaged due to wear and tear, improper storage, or accidental mishandling. - the cuff may have reached the end of its expected lifespan. # # # recommendations - replace the cuff with a new one. - inspect the monitor and other components for any other signs of damage or deterioration. - ensure that the cuff is properly stored and handled according to the manufacturer's instructions. - consider replacing the cuff regularly to prevent future failures. @topic:14


# # # issue : - abnormally loud noise generated during adjustment of leg elevation # # # possible causes : - insufficient lubrication at articulation points # # # recommendation : - lubrication applied to articulation points to reduce friction and eliminate noise @topic:9


# # # issue - monitor is unable to measure oxygen levels. # # # impact - accurate monitoring of oxygen levels is essential for patient care and diagnosis. - failure to measure oxygen levels can lead to delayed or missed diagnoses, and potentially life - threatening complications. # # # possible causes - * * faulty sensor : * * the oxygen sensor may be malfunctioning or damaged, leading to inaccurate readings. - * * connection issues : * * loose or damaged wires or connectors between the sensor and the monitor can disrupt the signal transmission. - * * software errors : * * glitches or bugs in the monitor's software can affect the oxygen measurement functionality. - * * improper calibration : * * the monitor may need to be calibrated to ensure accurate readings. - * * environmental factors : * * extreme temperatures or humidity can interfere with the oxygen sensor's performance. # # # recommendations - * * inspect the sensor : * * check the oxygen sensor for any visible damage or contamination. clean the sensor surface and ensure proper placement on the patient's finger or earlobe. - * * check connections : * * inspect all wires and connectors between the sensor and the monitor for any loose or damaged components. tighten loose connections and replace damaged cables. - * * restart the monitor : * * power cycling the monitor can sometimes resolve software errors. - * * calibrate the monitor : * * follow the manufacturer's instructions to calibrate the monitor using a known oxygen source. - * * consult the manufacturer : * * if the issue persists after troubleshooting the above factors, contact the manufacturer for technical support and possible repair or replacement of the monitor. @topic:4


# # # issue - unable to adjust the bed using the remote control. # # # impact - patient safety and comfort may be compromised as they cannot adjust the bed to a desired position. # # # possible causes - * * damaged remote control cable : * * the input states that the remote control cable was found to be faulty. - * * faulty remote control : * * the new remote control may be malfunctioning or not properly connected to the bed. - * * defective bed control unit : * * the component in the bed responsible for receiving and executing remote control commands may be faulty. - * * electrical connection issues : * * loose or faulty electrical connections between the remote control, bed, and power source can also cause this issue. # # # recommendations - * * verify remote control connectivity : * * ensure the remote control is properly connected to the bed and power source. - * * replace remote control : * * replace the remote control with a new or known - working unit. - * * inspect bed control unit : * * check the bed control unit for any visible damage or loose connections. - * * troubleshoot electrical connections : * * inspect all electrical connections for tightness and integrity. use a multimeter to test for continuity in the wiring. - * * contact manufacturer : * * if the issue persists, contact the manufacturer for technical support and further guidance on troubleshooting and repair. @topic:7


# # # issue - faulty fiber optic cable in a bedside physiologic monitor. # # # impact - inability to accurately monitor patient vital signs, such as heart rate, blood pressure, and oxygen saturation. # # # possible causes - * * cable damage : * * the fiber optic cable may have been physically damaged, resulting in a break in the fibers that transmit light signals. - * * connector failure : * * the connectors at the ends of the cable may have become loose or corroded, disrupting signal transmission. - * * manufacturing defect : * * there may have been a flaw in the manufacturing of the cable, leading to its failure. # # # recommendations - * * inspect cable : * * thoroughly inspect the fiber optic cable for any signs of physical damage or wear. - * * test connectors : * * check the connectors at both ends of the cable to ensure they are securely fastened and free of corrosion. - * * replace cable : * * if the cable cannot be repaired, it should be replaced with a new one. - * * regular maintenance : * * implement regular maintenance schedules to inspect and test the physiologic monitor and its components, including the fiber optic cable. @topic:22


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the equipment is experiencing a screen blackout issue while the device is still operational. - the issue has been identified as a loose usb connection to the screen. - the issue was resolved by adjusting the usb connection. # # # impact - reduced visibility and usability of the device's display. - potential interruption of ongoing medical procedures. # # # possible causes - loose usb connection between the screen and the device. - faulty usb port or screen. - damaged usb cable. # # # recommendations - ensure proper and secure connection of the usb cable between the screen and the device. - inspect the usb port on the device and the screen for any signs of damage or corrosion. - if possible, try using a different usb cable to rule out a cable issue. @topic:13


* * issue : * * the remote control for the bed, electric, stiegelmeyer, seta em4 is not adjustable. * * impact : * * - inability to operate the bed remotely. - inconvenience to patients and healthcare providers. * * possible causes : * * - * * malfunctioning of remote control : * * the remote control may have internal damage or faulty components. - * * misalignment of sensors : * * the sensors in the remote control or the bed may be misaligned, preventing proper communication. - * * battery issues : * * low battery power or faulty batteries in the remote control can cause communication problems. - * * software glitch : * * the software in the remote control or the bed may have a glitch that affects its functionality. - * * physical damage : * * the remote control or the bed may have sustained physical damage, such as a cracked screen or loose connections. * * recommendations : * * - * * inspect remote control : * * check for any visible damage or loose components. replace worn or damaged parts as needed. - * * check battery : * * verify that the batteries in the remote control are fresh and properly installed. - * * reset remote control : * * follow the manufacturer's instructions to reset the remote control, which can clear any software glitches. - * * realign sensors : * * ensure that the sensors in the remote control and the bed are properly aligned and unobstructed. - * * contact manufacturer : * * if the issue persists, contact the manufacturer for technical support and repair options. @topic:7


* * issue : * * physiologic monitor ( dinamap pro 1000 ) not working due to power supply failure. * * impact : * * the malfunctioning monitor prevents accurate monitoring of patient vital signs, potentially compromising patient safety. * * possible causes : * * * * 1. no ac power input : * * * power cord not properly connected to the monitor or power source. * circuit breaker or fuse tripped due to power surge or circuit overload. * * 2. malfunctioning power supply board : * * * blown fuses or damaged components on the power supply board. * power regulation circuitry failure. * * 3. internal wiring issues : * * * loose or disconnected wires within the monitor. * damaged wiring due to mishandling or aging. * * 4. power surge or lightning strike : * * * voltage spikes or lightning strikes can damage the power supply circuitry. * * recommendations : * * * * 1. check power source and connections : * * * ensure the power cord is securely plugged into the monitor and power outlet. * verify that the circuit breaker or fuse for the power outlet is not tripped or blown. * * 2. inspect power supply board : * * * visually inspect the power supply board for any burnt components, blown fuses, or signs of damage. * use a multimeter to test for continuity and voltage levels. * * 3. check internal wiring : * * * open up the monitor and inspect the internal wiring for any loose connections or damage. * use a continuity tester to verify the integrity of the wiring. * * 4. protect from power surges : * * * consider using a surge protector to guard against power spikes. * install grounding rods to protect against lightning strikes. * * 5. contact technical support : * * * if the problem persists after troubleshooting, contact @topic:2


# # # issue - cuff is able to measure normally, but blood pressure is not measured. # # # impact - cannot measure the patient's blood pressure. # # # possible causes - user error in using the device. # # # recommendations - user should be retrained on how to use the device. @topic:3


# # # issue - keypad on the bed is not working properly. specifically, the right side of the keypad is intermittently not working. # # # impact - nurses and other medical staff may not be able to adjust the bed settings, which could impact patient care. # # # possible causes - faulty keypad - loose or damaged wiring - malfunctioning control board # # # recommendations - replace the keypad. - inspect the wiring and connections and repair or replace as needed. - if the keypad and wiring are functioning properly, the control board may need to be replaced. @topic:25


# # # issue - lcd monitor intermittently loses display # # # impact - inability to monitor patient's vital signs and other critical information - potential patient safety risks # # # possible causes - loose connection between signal cable and port - loose connection within sdi cable connector - faulty signal cable # # # recommendations - ensure all signal cables are securely connected to their respective ports - inspect sdi cable connectors for any signs of damage or loose connections - replace the signal cable if necessary - contact the manufacturer for further troubleshooting and repair @topic:2


# # # issue - the bed's weight scale is not functioning. # # # impact - the inability to accurately measure patient weight can compromise patient care and safety. # # # possible causes - the weight scale sensor may be malfunctioning. - the bed's software may not be properly calibrated. - the bed may be experiencing electrical issues affecting the weight scale's functionality. # # # recommendations * * troubleshooting and repairs : * * - check the weight scale sensor for any visible damage or loose connections. - calibrate the bed's software according to the manufacturer's instructions. - inspect the bed's electrical system for loose wires or faulty components. * * user training : * * - provide the new nurse with comprehensive training on the proper operation and maintenance of the bed, including the use of the weight scale. - ensure that the nurse understands the importance of accurate patient weight measurement and how to troubleshoot common issues. * * maintenance and prevention : * * - regularly inspect the weight scale sensor for wear and tear. - perform periodic software updates to address any known bugs or performance issues. - train maintenance staff on the proper repair and calibration procedures for the bed's weight scale. @topic:25


* * issue : * * button used to measure ear temperature is sticking and getting stuck intermittently. * * impact : * * inability to accurately measure ear temperature, which can delay or impact patient care. * * possible causes : * * * accumulation of dirt or debris on the button mechanism. * worn - out button spring or internal mechanism. * electrical malfunction within the button circuit. * software glitch affecting the button's functionality. * * recommendations : * * * * * routine cleaning and maintenance : * * regularly clean the button and surrounding area to prevent dirt buildup. * * * mechanical inspection : * * examine the button mechanism for any visible damage or signs of wear and tear. * * * electrical troubleshooting : * * check the electrical circuitry associated with the button to ensure proper signal transmission. * * * software update : * * if applicable, verify if a software update is available to address any potential glitches. * * * contact the manufacturer's support : * * if the issue persists after troubleshooting, reach out to philips support for further assistance and possible replacement parts. @topic:20


# # # issue - knee lift motor failure. # # # impact - inability to adjust patient positioning during surgery. # # # possible causes - worn or damaged knee lift motor. - electrical fault in the motor or its wiring. - mechanical obstruction preventing the motor from moving the knee. # # # recommendations - replace the knee lift motor. - inspect and test the electrical connections to the motor. - ensure that there is no mechanical obstruction preventing the motor from functioning properly. - perform regular maintenance and inspections to prevent similar failures in the future. @topic:9


save tconfirm. 5. fonce saved, the weight appears in the saved 6. patient : desbois robin verify that only items present during zeroing are on bed. in the course of certain specific care operations ( e. g., dialysis ), the difference in weight can be displayed permanently ( see " setting the display / mask patient weight options " page 52 ). check cancel save identity de - 0, 5kg - min 10kg - max 250kg 1. press scale on the gci. 20, 2 kpress the command 100g magnification 2. last zero / tare 01 / 07 / 2018 - 02 : 35 3. the weight is displayed to within 100 g for 5 seconds. [UNK] - 0 / t - add / remove 100 g magnification zero / tare items 19 : 15 02 / 07 / 2018 45 scale add / remove parts on the bed caregivers can use this function to change the parts on the bed without changing the weight reading on display. if a patient is not on the bed, use the zero / tare function after changing the parts. the function stores the patient's weight in memory while changing items on the bed. ( - 0, 5kg - min 10kg - max 250kg 120, 0 kg 1. press scale on the home screen of the gci. at last zero / tare : 01 / 07 / 2018 - 02 : 35 0 / t - press add / remove items. follow the 2. a instructions. the list of items added or removed, displayed close to the bed, may be useful later on. add / remove 100 g magnification zero / tare items cal19 : 15 02 / 07 / 2018 45 weighed / unweighed parts the weigh system is very sensitive. the weight reading is more precise if the part of the bed that @topic:25


# # # issue - the bed cannot be adjusted in height. # # # impact - the bed cannot be used for patient care. # # # possible causes - control box is shorted. # # # recommendations - replaced the control box. - tested the bed and it is now working properly. @topic:1


# # # issue - cuff of the bedside physiologic monitor is damaged. # # # impact - inaccurate patient monitoring, which could lead to delayed or incorrect treatment decisions. # # # possible causes - normal wear and tear - excessive use - improper cleaning or disinfection - exposure to extreme temperatures or moisture - damage during transportation or storage # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of damage. - clean and disinfect the cuff according to the manufacturer's instructions. - handle the cuff with care to avoid damage. @topic:5


# # # issue - the central monitor is not displaying values. # # # impact - critical : the central monitor is used to monitor patient vital signs. without it, the medical team may not be able to provide adequate care to the patient. # # # possible causes - * * loose or damaged wiring : * * the wiring that connects the central monitor to the patient's bedside devices may be loose or damaged, which could prevent the monitor from receiving the data it needs to display. - * * faulty sensors : * * the sensors that monitor the patient's vital signs may be faulty, which could prevent the monitor from receiving accurate data. - * * software glitch : * * a software glitch in the central monitor could prevent it from displaying values. - * * hardware malfunction : * * a hardware malfunction in the central monitor could also prevent it from displaying values. # # # recommendations - * * inspect the wiring : * * check the wiring that connects the central monitor to the patient's bedside devices for any loose or damaged connections. if any loose or damaged connections are found, repair or replace them. - * * test the sensors : * * test the sensors that monitor the patient's vital signs to ensure that they are functioning properly. if any faulty sensors are found, replace them. - * * restart the central monitor : * * restart the central monitor to clear any software glitches that may be preventing it from displaying values. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the central monitor for further assistance. @topic:2


# # # issue - nbp button is not functioning. # # # impact - inability to measure non - invasive blood pressure ( nibp ). # # # possible causes - faulty nbp button - problem with the nbp module - software malfunction # # # recommendations - * * check the nbp button : * * ensure the button is clean and not physically damaged. - * * inspect the nbp module : * * verify that the module is properly connected to the device and its components are functional. - * * update software : * * if a software update is available, perform it to resolve potential bugs. - * * contact technical support : * * if troubleshooting measures fail, contact the device manufacturer or a qualified biomedical engineer for further assistance. @topic:15


# # # issue - pump failure # # # impact - inability to use the device for patient monitoring # # # possible causes - * * broken pump * * due to excessive use or improper maintenance. - * * electrical fault * * in the pump circuitry. - * * software malfunction * * causing the pump to operate incorrectly. - * * body breakage * * ( if applicable ) due to mechanical stress or accidental damage. # # # recommendations - * * inspect the pump * * for any visible damage or signs of wear and tear. - * * check the pump circuitry * * for loose connections or electrical shorts. - * * update the software * * to the latest version if available. - * * replace the body * * if it is broken and assess if the damage affects the functionality of the pump. - * * calibrate the device * * after repairs to ensure accurate measurements. - * * document the repair process * * and any observations or potential contributing factors. - * * consider regular maintenance * * and inspections schedules to prevent future failures. - * * train medical staff * * on proper handling and care of the device to minimize the risk of damage. @topic:15


locate the heads of the two long mounting pins on the bottom cover. only these need to be removed. 192 5 repair and disassembly ) 2 use a thin - bladed screwdriver to gently lift the pins out far enough so they can be removed with pliers. 3 remove the two pins and set them aside for refitting. note without these long mounting pins, the mms will not function properly. 4 loosen the bottom cover gently. use the screwdriver and position it in the gap between bottom cover and measurement block, then twist the screwdriver. do not push the screwdriver into the device as you may damage electronic components inside. 193 [ 5 repair and disassembly ] 5 remove the bottom cover. there may be a slight resistance when opening the cover. 6 loosen the measurement block by pushing the block forward while holding plastic chassis. then remove the measurement block. 7 the spacer keeps the measurement boards in place. remove the spacer by lifting it up. 194 5 repair and disassembly ) 8 remove the measurement ribbon cable. twist the cable slightly in order to loosen it. reassembling the measurement block 1 insert the spacer to keep the measurement block in place. 2 make sure that you insert the measurement cable correctly please refer to the picture below for the appropriate orientation. a cable inserted incorrectly may cause a < measurement > malfunction inop. 3 make sure the measurement block is inserted as shown below. make sure that there is no gap between the chassis and the bottom. 195 [ 5 repair and disassembly ] refitting the main board 1 insert the new main board. make sure the main board is seated correctly. 2 re - establish the connection to the measurements. make sure the connection is tight. if it is not connected correctly, a corresponding measurement malfunction inop may occur. refitting the key @topic:19


# # # issue : - unlockable bedside lock # # # impact : - patient safety hazards - inconvenient for caregivers and patients # # # possible causes : - * * mechanical failure : * * malfunctioning of the lock mechanism ( e. g., broken spring, damaged gears ) - * * electrical malfunction : * * faulty wiring, loose connections - * * improper maintenance : * * lack of lubrication, corrosion due to cleaning agents # # # recommendations : - * * inspection and testing : * * examine the lock mechanism and electrical connections for damage or defects. - * * repair or replacement : * * repair or replace the faulty lock component, ensuring compatibility with the equipment. - * * maintenance schedule : * * implement a regular maintenance schedule, including lubrication and cleaning. - * * training : * * provide training to staff on proper handling and maintenance of the equipment. - * * monitoring : * * monitor the lock's performance and address any issues promptly to prevent recurrence. @topic:6


# # # issue - defective power cord # # # impact - inability to use the equipment to measure vital signs - potential safety hazard if the defective cord is not replaced # # # possible causes - wear and tear over time - accidental damage - improper handling or storage # # # recommendations - replace the defective power cord with a new one immediately. - inspect the new cord regularly for any signs of damage. - handle and store the equipment and cords with care to prevent future damage. @topic:12


# # # issue the telemetry ekg module is not displaying an ekg signal. # # # impact the lack of an ekg signal prevents the monitoring of the patient's heart activity, which is crucial for assessing their overall health and well - being. # # # possible causes * * 1. equipment malfunction : * * - faulty telemetry ekg module or its internal components - loose connections within the module or its cables - damaged sensors or electrodes * * 2. signal interference : * * - obstacles or interference between the telemetry module and the central station - other medical devices or equipment emitting radio frequency signals nearby # # # recommendations * * troubleshooting steps : * * - * * verify equipment connections : * * inspect all cables and connectors for loose connections or damage. - * * check signal strength : * * ensure that the telemetry module is receiving a strong signal from the central station. - * * reset the module : * * power cycle the telemetry module to reset its settings and clear any temporary glitches. * * further investigation : * * - * * test the equipment : * * perform a comprehensive test of the telemetry ekg module using a heart rate simulator to verify its functionality. - * * evaluate signal interference : * * identify and eliminate any sources of signal interference, such as other electronic devices or metal objects in the vicinity. - * * contact the manufacturer : * * if troubleshooting steps fail, contact the manufacturer for further support or repair. @topic:18


# # # issue - unable to configure various settings on the philips intellivue mp20 ( m8001a ) patient transport monitor. # # # impact - inability to customize the monitor's settings according to patient - specific needs or clinical protocols. this can limit the device's functionality and compromise patient care. # # # possible causes - software malfunction : software bugs or glitches can prevent the monitor from recognizing or processing configuration commands. - hardware failure : faulty components, such as the control panel buttons or the cpu, can interfere with the device's ability to receive and execute commands. - incorrect user input : errors in entering or selecting settings can lead to the monitor failing to recognize the intended configuration. - insufficient user permissions : if the user lacks the appropriate permissions or privileges, they may be unable to modify certain settings. - compatibility issues : the monitor may not be compatible with certain software versions or add - on modules, resulting in configuration problems. # # # recommendations - check software version : verify that the monitor's software is up - to - date. contact the manufacturer for any necessary software updates. - inspect hardware components : examine the control panel buttons, cpu, and other hardware components for any visible damage or loose connections. - review user input : carefully check the entered settings to ensure accuracy and correctness. refer to the user manual for guidance. - verify user privileges : confirm that the user has the appropriate level of access to modify the device's settings. - test with different software versions : if possible, try using the monitor with different versions of the software to identify any compatibility issues. - contact technical support : if the problem persists, reach out to the manufacturer's technical support team for further troubleshooting and assistance. @topic:16


# # # issue the electric bed is unable to move. # # # impact the patient may be unable to get in or out of bed, which can lead to complications such as pressure sores or falls. the bed may also be difficult to move for cleaning or maintenance, which can lead to infection control issues. # # # possible causes there are several possible causes for why the electric bed is unable to move. these include : - * * electrical problems. * * the bed may not be receiving power, or there may be a problem with the wiring. - * * mechanical problems. * * the bed's motor or other mechanical components may be damaged or malfunctioning. - * * hydraulic problems. * * the bed's hydraulic system may be leaking or malfunctioning. - * * sensor problems. * * the bed's sensors may not be detecting the patient's weight or position, which can prevent the bed from moving. # # # recommendations to troubleshoot the problem, the technician should : 1. check the power supply to the bed. 2. inspect the wiring for any damage. 3. check the motor and other mechanical components for any damage or malfunction. 4. check the hydraulic system for any leaks or malfunctions. 5. check the sensors for any problems. once the problem has been identified, the technician can then recommend the appropriate repairs. @topic:1


devices for further information. depending on the purchased spo2 option, different sensors and adapter cables can be used. the sensors for the different options are color - coded to match the connectors. see the " accessories " compatibility table. familiarize yourself with the instructions for use supplied with your sensor before using it. in particular, check that the sensor being used is appropriate for your patient category and applicatiosite. caution do not use oxicliq disposable sensors in a high humidity environment, such as in neonatal incubators or in the presence of fluids, which may contaminate sensor and electrical connections causing unreliable or intermittent measurements. do not use disposable sensors when there is a eaction to the adhesive. always use the max - fast forehead sensor with the foam headband provided by nellcor. 1 follow the spo2 sensor's instructions for use, adhering to all warnings and cautions. 2 remove colored nail polish from the application site. 191 9 monitoring spo2 3 apply the sensor to the patient. the application site should match the sensor size so that the sensor can neither fall off, nor apply excessive pressure. when using the m1195a infant finger sensor, select a finger or toe with a diameter of between and 8 mm ( 0. 27 " and 0. 31 " ). when applying a m1193a neonatal sensor do not overtighten the strap. check that the light emitter and the photodetector are directly opposite each other. all light from the emitter must pass through the patient's tissue. 4 warning proper sensor fit : if a sensor is too loose, it might compromise the optical alignment or fall off. if it is too tight, for example because the application site is too large or becomes too large due to edema, excessive pressure may be applied. this can result in @topic:17


# # # issue : bed is not adjusting # # # impact : patient discomfort, delayed treatment # # # possible causes : - * * failure of the electric motor : * * this could be due to a power outage, a faulty motor, or a problem with the wiring. - * * malfunctioning of the remote control : * * the remote control may not be sending the correct signals to the bed, or the receiver in the bed may not be responding properly. - * * mechanical problems : * * the bed's gears or other mechanical components may be damaged or worn out, preventing it from adjusting properly. - * * user error : * * the bed may not be being operated correctly, or the patient may be trying to adjust the bed in a way that it is not designed to move. # # # recommendations : - * * check the power supply : * * ensure that the bed is plugged into a working outlet and that the power cord is not damaged. - * * test the remote control : * * try using a different remote control or testing the current remote control with another bed. - * * inspect the bed : * * look for any visible damage or loose connections. - * * contact a qualified technician : * * if the problem cannot be resolved by simple troubleshooting, contact a biomedical engineer or other qualified technician to diagnose and repair the bed. @topic:1


# # # issue : equipment unable to take accurate measurements due to faulty cuff. # # # impact : this impacts the reliability and accuracy of the vital signs data, which can have implications for patient care decisions. # # # possible causes : - worn out or damaged cuff - cuff not properly attached to the equipment - cuff size not appropriate for patient - cuff not inflated to proper pressure # # # recommendations : - replace the cuff with a new, undamaged one. - ensure that the cuff is properly attached to the equipment. - select the correct cuff size for the patient. - follow manufacturer's instructions for proper cuff inflation. @topic:5


# # # issue - right bed rail is broken and cannot be raised # # # impact - patient safety hazard - inconvenience for caregiver # # # possible causes - mechanical failure of the bed rail - damage to the bed rail - electrical failure # # # recommendations - replace the bed rail - inspect the bed rail for damage - test the electrical connections to the bed rail - if the problem persists, refer to the manufacturer for further assistance @topic:6


# # # issue - the temperature value is not displayed on the monitor screen. # # # impact - healthcare professionals may not be able to accurately assess the patient's temperature, which could lead to delayed or incorrect treatment. # # # possible causes - * * hardware failure : * * the temperature sensor or the display monitor may be malfunctioning. - * * software malfunction : * * the software responsible for processing and displaying the temperature data may have a bug or may not be functioning properly. - * * faulty connection : * * the connection between the temperature sensor and the monitor may be loose or damaged. - * * incorrect settings : * * the monitor may not be correctly configured to display the temperature data. # # # recommendations - * * check connections : * * ensure that the temperature sensor is properly connected to the monitor and that there are no loose or damaged wires. - * * restart the monitor : * * turn the monitor off and then back on. this may reset any software glitches and refresh the display. - * * inspect the temperature sensor : * * examine the sensor for any visible damage or contamination and clean it if necessary. - * * update software : * * if available, check for software updates for the monitor and install them. - * * contact the manufacturer : * * if the issue persists after following the above steps, contact the manufacturer of the monitor for technical support. @topic:20


# # # issue : the philips suresigns vs4 monitor experienced a frozen display. # # # impact : the device is unable to display vital sign information, affecting patient monitoring and clinical decision - making. # # # possible causes : - software glitch or bug - hardware malfunction - loose connections - power supply issues - overheating - electromagnetic interference # # # recommendations : 1. * * restart the monitor : * * power off and on the device to reset its software and hardware. 2. * * inspect connections : * * ensure that all cables and connections are secure, including power cables, signal cables, and peripherals. 3. * * check power supply : * * verify that the power supply is providing adequate voltage and amperage. 4. * * assess temperature : * * monitor the device for overheating. check for excessive heat or noise from fans or vents. 5. * * eliminate interference : * * move the monitor away from potential sources of electromagnetic interference, such as cell phones or other electronic devices. 6. * * update software : * * if available, update the monitor's software to the latest version to address any known firmware issues. 7. * * contact technical support : * * if the issue persists, contact the manufacturer's technical support team for further troubleshooting and potential repair. @topic:2


# # # issue * * monitor ] * * cuff cannot be removed due to a faulty locking joint. # # # impact * * patient ] * * patient may experience discomfort or pain if the cuff cannot be removed promptly. # # # possible causes - * * faulty locking joint * * - * * damaged or misaligned cuff * * - * * obstruction in the cuff tube * * - * * improper cuff placement * * # # # recommendations - * * inspect the locking joint * * for any damage or abnormalities. replace the joint if necessary. - * * ensure the cuff is properly aligned * * and undamaged. - * * check the cuff tube * * for any obstructions or tears. clean or replace the tube if needed. - * * instruct the patient * * on proper cuff placement to prevent future issues. - * * consider using a different brand or model * * of monitor with a more reliable locking mechanism. @topic:5


# # # issue - * * bp ( blood pressure ) measurement failure * * # # # impact - inability to accurately monitor patient's vital signs. # # # possible causes - * * faulty blood pressure cuff : * * the cuff may not be properly inflated or may have leaks, affecting the accuracy of the measurements. - * * malfunctioning sensor or transducer : * * the sensor or transducer responsible for detecting the blood pressure signal may be damaged or not functioning correctly. - * * electrical issues : * * loose connections, voltage fluctuations, or faulty wiring can disrupt the equipment's ability to measure blood pressure. - * * software bugs or calibration errors : * * the equipment's software or calibration settings may be incorrect, leading to inaccurate readings. # # # recommendations - * * inspect the blood pressure cuff : * * check for proper inflation, leaks, and general condition. replace the cuff if necessary. - * * troubleshoot sensor and transducer : * * verify if the sensor or transducer is securely connected and functioning properly. consider replacing the components if needed. - * * inspect electrical connections : * * ensure that all electrical connections are secure and free from damage. measure voltage and check for any fluctuations. - * * update or recalibrate software : * * contact the equipment manufacturer for software updates or instructions on recalibrating the device. - * * consult a biomedical engineer : * * if the issue persists or troubleshooting is unsuccessful, seek assistance from a qualified biomedical engineer. @topic:14


# # # issue - equipment is not turning on. # # # impact - the medical cart cannot be used to transport patients or medical supplies. # # # possible causes - power cord is not plugged in or is damaged. - power switch is not turned on. - internal electrical component failure. # # # recommendations - check that the power cord is plugged in and undamaged. - turn on the power switch. - if the equipment still does not turn on, contact a biomedical engineer for further troubleshooting. @topic:13


# # # issue - the equipment's ekg printer is currently not operational. # # # impact - the ekg printer is an essential component for monitoring a patient's vital signs. without a functioning ekg printer, the medical staff will not be able to accurately monitor the patient's heart rhythm and other vital signs. # # # possible causes 1. the ekg printer cable is not properly connected. 2. the ekg printer is not turned on. 3. the ekg printer is out of paper. 4. there is a paper jam in the ekg printer. 5. the ekg printer is not properly calibrated. 6. the ekg printer is faulty. # # # recommendations 1. check the ekg printer cable to make sure that it is properly connected. 2. turn on the ekg printer. 3. load paper into the ekg printer. 4. clear any paper jams from the ekg printer. 5. calibrate the ekg printer. 6. replace the ekg printer if it is faulty. @topic:18


# # # issue - monitor battery is not charging # # # impact - the monitor will not be able to function properly in the event of a power outage. # # # possible causes - loose ac power cord connection - battery is not properly seated in the monitor - failed battery - failed charging circuit in the monitor # # # recommendations - check the ac power cord connection and make sure it is secure. - check the battery to make sure it is properly seated in the monitor. - if the battery is not properly seated, remove it and reinsert it. - if the battery is properly seated and the ac power cord connection is secure, the battery may be failed. contact the manufacturer for a replacement battery. - if the battery is not failed, the charging circuit in the monitor may have failed. contact the manufacturer for a repair. @topic:11


. - never will print no reports automatically ; all reports stored in the host or companion database must be manually sent to the printer. see “ checking report status and printing manually ” on page 336. depending on availability, reports can be printed on locally connected printers, printers connected to the information center or the application server, an external pc - based print server with philips server software or into the print database. print jobs stored in the database are automatically printed when a print device with a matching paper size becomes available. print jobs in the print database are not deleted after a patient discharge. so reports for a number of patients can be stored in this database. always admit your patient so that reports can be clearly assigned to a patient. when an x2 or mp5 is connected to a host monitor, reports requested or stored on the x2 or mp5 can be printed via the host monitor. reports requested on the x2 or mp5 when connected to a host monitor will not show any patient alarms or inops. in order to see alarms, reports should be requested on the host monitor. 331 27 printing patient reports stopping reports printouts report types report contents how to start printing reports vital signs report depends on selected trend group, data resolution, and period. in the vital signs window, select print / record, then select print graphic trends report in the graphic trends window, select print events reports event episode with up to 5 episodes in the events window, select the pop - up key print / record, then select the pop - up key print review or print episode graphic or tabular event review eeg report eeg waves, numerics, csas, montage information and impedance values in the setup eeg menu, select print report ecg reports depends on format selected select the ecg report smartkeys, if configured st map report st data in a transversal and / or horizontal multiaxis diagram @topic:8


# # # issue - bed adjustment failure # # # impact - patient discomfort - inability to perform necessary medical procedures - increased workload for nursing staff # # # possible causes - faulty main board ( icb ) # # # recommendations - replace the main board ( icb ) as per the vendor's suggestion - ensure that the new board is properly installed and tested - monitor the bed's functionality regularly to prevent future failures @topic:1


# # # issue - application freezing # # # impact - inability to use the medical cart - interruption of patient care # # # possible causes - software bugs - hardware malfunctions - corrupted data # # # recommendations - update the software - perform a system restore - contact the manufacturer for support - replace the hardware if necessary @topic:13


# # # issue : - vital signs monitor, model 740, manufactured by casmed, is experiencing issues due to a faulty cuff. # # # impact : - the monitor is unable to accurately measure blood pressure and other vital signs, which can compromise patient care and safety. # # # possible causes : - the cuff may have developed a leak or tear. - the cuff may be the wrong size or type for the patient. - the cuff may be improperly connected to the monitor. # # # recommendations : - replace the cuff with a new one of the correct size and type. - ensure that the cuff is properly connected to the monitor. - calibrate the monitor according to manufacturer's instructions. - monitor the cuff regularly for signs of wear or damage. @topic:5


# # # issue : unable to charge physiologic monitor # # # impact : - inability to monitor patient's vital signs - potential health risks if patient's condition worsens # # # possible causes : - faulty adapter # # # recommendations : - replace the adapter @topic:11


/ a x x 1 single tube blood pressure hose, 5 feet 6000 - 30 x x 1 54 service and maintenwelch [UNK] connex® spot monitor usage material no. description tull basic 4500 - 30 blood pressure hose, 5 ft. [UNK] 1 20216 x x 1 spo2 configuration testing n / a x x 1 doc - 10 nellcor spo2 extension cable x x 1 suretemp plus configuration testing 06138 - 000 x x 1 01802 - 110 3 x braun thermoscan pro 6000 configuration testing 01802 - 110 ester, calibratio3 x notes : all items marked " n / a " in the material no. column are oem or off - the - shelf tools and equipment not available from welch allyn. the remaining items are available through welch allyn or a welch allyn distributor. all items marked in the full column are required for full functional verification checks and calibration. the welch allyn service tool software and an active gold license is also required to perform these checks. the gold license is obtained upon successful completion of welch allyn technical service training. all items marked in the basic column are required for basic functional verification checks. the welch allyn service tool software standard unlicensed edition can be used to perform the nibp checks and swf upgrades / updates. miscellaneous tools. t - 10 torx screwdriver • mm hex ke 25ervice software it seturequired outbound networdomain name installed welch allyservice component service feature description ip addresport inbound used by customers to receive software / device firmware upgrades. servicehub. iot. hillrom. com / welch allyn service tool ip : 52. 224. 38. 138 ( via windows service called partnerconnect ) outbound - used by customers to send device service @topic:10


# # # issue the bed cannot be adjusted. # # # impact the patient cannot be positioned comfortably or safely. # # # possible causes * the sensor cable is pinched or damaged. * the sensor is not properly connected to the bed frame. * the sensor is not working properly. # # # recommendations * inspect the sensor cable for any damage. if the cable is damaged, replace it. * make sure that the sensor is properly connected to the bed frame. * test the sensor to make sure that it is working properly. * if the sensor is not working properly, replace it. @topic:1


# # # issue - remote control not functioning # # # impact - inability to operate the bed # # # possible causes - * * loose connection of remote control cord * * - the cord connecting the remote control to the bed may have become loose or disconnected. - * * faulty remote control * * - the remote control itself may be malfunctioning due to internal electrical issues or physical damage. - * * electrical issues in the bed * * - the electrical system within the bed may be experiencing problems that interfere with the remote control's operation. # # # recommendations * * 1. inspect and reconnect the remote control cord : * * - check if the cord connecting the remote control to the bed is securely plugged into both devices. - if loose, firmly reconnect the cord and test the remote control's functionality. * * 2. test with a different remote control : * * - obtain a known working remote control for the same bed model. - connect the alternative remote control and check if it operates correctly. - if the issue persists, it indicates a problem with the bed rather than the remote control. * * 3. inspect the bed's electrical system : * * - refer to the bed's service manual and locate the electrical components related to the remote control operation. - visually inspect the electrical connections, wiring, and circuit boards for any visible damage or loose connections. - use a multimeter to test the electrical continuity and voltage levels to identify any potential electrical faults. @topic:7


arrhythmia monitoring 134 repolarization tails 120 safety information 132 setting status 132 paced status checking 118 pacemaker failure 132 pairing companion mode 267 paper reloading ( recorder ) 328 paper size for reports 335 parallel interface symbol 404 parallel printer connection symbol 404 parameter scales trends 276 passcode protection 27 patient admit 101 category, nbp 177 discharge 104 end case 104 patient alarm messages 71 patient demographics window 101 patient mismatch 109 patient reports contents 338 patient trends viewing 271 paused alarms 60 extending time 61 restarting 61 pawp 196 peak power frequency ( ppf ) 249 performance specifications pressure 429, 438 performance test 448 performing calculations 285 perfusion indicator 171, 173, 175 pf loops 359 philips contact information 402 physiological alarms 55 pic cable ( bis ) securing 263 picco method c. o. 202 cco 202 setup 204 pleth alarm source 176 pleth wave 175 pleth waveform 171 plug - in recorder 321 pop - up keys 25 events 293 power disconnecting from mains power disconnecting from 42 power on symbol 403 ppf ( peak power frequency ) 249 ppv 195, 203 preparing skin for ecg 117 pressure alarms during zero 189 arterial source 195, 196 calibration pressure 195 cerebral perfusion, calculating 195 performance specifications 429, 438 wave scale 191 wave size 191 wedge 196 wedge, editing 197 zeroing the transducer 189 pressure accessories 386 pressure analog output 198 pressure artifact suppression 192 pressure of nbp cuff 180 pressure transducer calibration 194 zeroing 189 pressure - flow loops 359 pressure - volume loops 359 previous screen 28 primary lead ( ecg ) selecting 118 print job suspended 336 printer disabling 336 settings 335 status messages 337 unavailable 336 printer connection symbol 403 printer connector 409 printing c. o. measurements 208 calculations reports 287 event reports 302 st map reports 154 status log 379 trends reports 278 wedge 197 priority list for @topic:8


# # # issue - broken cable # # # impact - * * immediate : * * the equipment may not function properly or at all. - * * long - term : * * - over time, broken cables can lead to further damage to the equipment. - broken cables can pose a safety hazard if they come into contact with electricity or other hazardous materials. # # # possible causes - physical damage to the cable, such as : - cuts or tears - crushing or pinching - excessive bending or twisting - age and wear and tear - natural disasters or other environmental factors - manufacturing defects # # # recommendations - * * preventive maintenance : * * - regularly inspect cables for any signs of damage. - properly store and handle cables to avoid damage. - * * repairs : * * - if a cable is damaged, it should be repaired or replaced immediately. - use high - quality cables and connectors. - follow manufacturer's instructions for cable repair and replacement. - * * training : * * - train staff on how to properly handle and store cables. - train staff on how to identify and report damaged cables. - * * risk management : * * - develop a risk management plan to identify and mitigate potential hazards associated with broken cables. - consider using redundant cables or other fail - safe mechanisms to minimize the risk of equipment failure. @topic:2


at this monitor is a short yellow alarm ( * 1 bed 14 ♦ bed 14 the highest priority alarm at this monitor is a yellow alarm l * * j bed 11 bed 11 the highest priority alarm at this monitor is a red alarm bed 9 [ * * * bed 9 _ the highest priority alarm at this bed is a yellow inop 0 m ■ ■ bed 7?? bed 7 ■ ■ i _ the highest priority alarm at this bed is a red inop!!! bed 6 fff bed 6 the alarms at this monitor are suspended x $ $ $ bed 4 the monitor is in standby mode ( 1 ) c - o < ^ > bed 12 d deno demo demo the monitor is in demonstration mode bed 3 bed 3 the current monitor 112 care groups 5 managing patients care group symbols ( used in the care group overview bar and the my care group window ) 4 * this is a telemetry bed ( « y » ) this bed is on a wireless network a this bed is on a wired network this is a “ paired ” bed, with a bedside monitor and a telemetry transmitter assigned. viewing the my care group window this window shows the alarm status, bed name, and patient name for every bed in the care group. the window for the unit group ( shown here ) shows first the beds of the information center this bed is connected to. by selecting the information center name you can display a list of all information centers associated with the unit group, and select another information center to view. to enter the my care group window, ♦ select the other patients smartkey, if configured, or ♦ in the main setup menu, select my care group. use the my care group pop - up keys to navigate through the care groups : my unit lets you view a list of all the information centers in your care unit. select an information center to see a list of the monitors connected to it. @topic:10


# # # issue : equipment registration pending # # # impact : - equipment is not officially listed in the hospital's inventory - hospital may face financial or legal consequences if the equipment is not properly registered # # # possible causes : - technician forgot to complete the registration process - equipment was not purchased through an official vendor - hospital's registration system is experiencing technical issues # # # recommendations : - verify the equipment's warranty and registration status - contact the hospital's purchasing department to ensure that the equipment was purchased through an authorized vendor - check the hospital's registration system for any outages or technical issues - complete the registration process according to the hospital's guidelines @topic:12


# # # issue - medical cart is showing " please wait " message and reboots after running. # # # impact - medical cart is not fully operational and may be unable to provide the necessary support for patients. # # # possible causes - software issue - hardware issue - power issue # # # recommendations - restart the medical cart. - check the software version and update if necessary. - reseat the hardware connections. - check the power supply and connections. - contact the manufacturer for further assistance. @topic:13


# # # issue - cuff of the bedside physiologic monitor is deteriorated and needs to be replaced. # # # impact - the monitor may not be able to accurately measure vital signs, such as blood pressure, which could lead to incorrect diagnosis or treatment. # # # possible causes - normal wear and tear from extensive use - improper storage or handling - defective materials or manufacturing issues # # # recommendations - regularly inspect and maintain the monitor according to the manufacturer's instructions. - replace the cuff when it shows signs of deterioration, such as cracks, leaks, or tears. - use the monitor in a controlled environment and avoid exposing it to extreme temperatures or moisture. - train staff on proper handling and storage of the monitor to prevent damage. - consider investing in a preventive maintenance program to identify and address potential issues before they cause failure. @topic:5


# # # issue the medical cart ( bdms model 01 ) is rebooting itself. # # # impact the medical cart is essential for providing patient care. if it is not functioning properly, it could delay or prevent patients from receiving the care they need. # # # possible causes * a loose connection in the power supply * a faulty battery * a software glitch * a hardware problem # # # recommendations * check the power supply connection. * replace the battery if it is old or damaged. * contact bdms technical support for assistance with troubleshooting the software or hardware. @topic:13


* * possible causes of failure for medical cart - bdms 01 : * * * physical damage to the keyboard buttons preventing electrical contact * liquid spill or moisture damage affecting the keyboard's electrical components * software glitches or driver conflicts affecting keyboard functionality * manufacturing defects or poor circuit board design causing faulty buttons * wear and tear over time due to excessive use or improper handling @topic:27


. 6 - 6 • sp02 tests. 6 - 7 • ecg / respiration performance. 6 - 8 • ecg sync performance. 6 - 8 • nbp test. 6 - 9 • ibp test. 6 - 13 • co 2 calibration test. 6 - 14 • predictive temperature ( suresigns vm4 ). 6 - 16 • continuous temperature. 6 - 17 • safety tests. 6 - 17 • battery maintenance and indicators. 6 - 20 • nurse call relay test. 6 - 22 performance verification testing 6 - 1 testing and inspection guidelines testing and inspection guidelines the following table lists the tests that philips requires that you complete after performing monitor installations, repairs, or software upgrades. see chapter 3, “ performing routine maintenance, ” for information on routine maintenance. see chapter 8, “ repairing the monitor, ” for information on repair procedures. after... complete these tests... installing or exchanging a visual inspection monitor power - on upgrading the software visual inspection power - on opening the monitor for any power - on reason pneumatic leakage all safety tests replacing any internal parts power - on ( except nbp parts, sp0 2 pneumatic leakage board, c0 2 module ) all safety tests replacing the nbp module power - on or parts nbp test pneumatic leakage all safety tests replacing the sp0 2 board power - on s p o 2 pneumatic leakage all safety tests replacing the c0 2 module power - on co? calibration pneumatic leakage all safety tests 6 - 2 performance verification testing recommended frequency recommended frequency perform the test procedures at the recommended frequency outlined in the following table. caution the frequency recommendations in the following table do not supersede local requirements. always perform locally required testing in addition to the testing outlined in the table. suggested testing frequency preventive maintenance n @topic:10


# # # issue : missing bp cuff connector and deteriorated velcro straps # # # impact : inability to use the patient monitor effectively for blood pressure monitoring # # # possible causes : - * * missing bp cuff connector : * * - physical damage or loss during handling or transport - misplacement or inadvertent removal - * * deteriorated velcro straps : * * - wear and tear due to frequent use and aging - exposure to moisture or harsh cleaning agents # # # recommendations : - * * bp cuff connector : * * - obtain a replacement bp cuff connector from the inventory or the manufacturer. - ensure proper storage and handling of the connector to prevent future loss. - * * velcro straps : * * - replace the deteriorated velcro straps with new ones of the same size and type. - clean the attachment points on the monitor and the cuff to ensure proper adhesion of the new straps. - * * additional measures : * * - inspect the monitor regularly for any other missing or damaged components. - provide training to staff on the proper handling and care of medical equipment. - establish a system for tracking and replacing consumables and other essential components in a timely manner. @topic:5


ibp equip malfimc - initialization failed ( 2 ) ibp a / d did not configure correctly during reset replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 786 fpga fifo overrun ibp software problem shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 787 ibp error. the front end will now reset itself. no data from ibp replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 801 fpga fifo overrun continuous temperature software problem shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 802 temp error. the front end will now reset itself. no data from the continuous temperature equipment replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 803 ( 1 ) temp equip malfimc continuous temperature equipment malfunction replace the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 817 fpga fifo overrun nbp software problem shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 818 ( 2 ) nbp equip malfunc ( 2 ) nbp power - on self test failed because the a @topic:22


# # # issue - equipment : bed, electric - band : huntleigh - model : contoura 390 - description : bed cannot be adjusted up or down. # # # impact - the bed cannot be used to adjust the patient's position, which can impact their comfort and care. # # # possible causes - * * electrical problems : * * the bed may not be receiving power, or there may be a short circuit in the wiring. - * * mechanical problems : * * the bed's motor or gears may be damaged or worn out. - * * control problems : * * the bed's remote control or control panel may be malfunctioning. # # # recommendations - * * check the power supply : * * ensure that the bed is plugged into a working outlet and that the power switch is turned on. - * * inspect the wiring : * * look for any loose or damaged wires, and tighten or replace them as needed. - * * test the motor and gears : * * manually move the bed's motor and gears to see if they are working properly. if they are not, they may need to be repaired or replaced. - * * replace the remote control or control panel : * * if the bed's remote control or control panel is not working, it may need to be replaced. - * * contact a qualified technician : * * if you are unable to resolve the issue yourself, contact a qualified biomedical engineer to diagnose and repair the bed. @topic:1


the external devices. 387 31 vuelink modules see the documentation supplied with the vuelink module for a list of supported devices and accessories, and for configuration information. insert the module into the fms or integrated module slot. 1 check that the device selection led ( 3 ) lights to show that it has correctly identified the external device. if not, select main setup, measurements and then the name of the external device to enu for the connected device. 2 in the device setup menu, select device, select the correct dev3 connect the external device to the module and switch it on. 4 once the vuelink device has been correctly connected, you can select the external devices smartkey and then select the setup device pop - up key to access the setup menu for the connected caution selecting the wrong device can cause unpredictable system behavior. rectify this by switching off the external device when it is safe to do so, and selecting the correct device. changing vuelink waves and numerics displayed to change the waves and numerics from the vuelink module displayed on the screen, 1 select main setup, measurements and then the name of the connected device to enter its setup menu. select the item you want to change, then select the new item from the pop - up list, 2 or select show device data to view the device data window. close the setup menu. the monitor takes a few seconds to activate the change. 3 388 31 vuelink modules viewing the vuelink device data window ventiltr x ventilator 3 2 ventilator simulator device alarms accepted 1 ventilation mode : mode1 00 mmh0 cmh2bps tv 1. 60 liter pip 8. 0 cmh20 mmhinvol 4. 60 l / min eep nbpd 4. 0 cmh20 mmhnbpm 4. 60 l / min nawp sp @topic:10


# # # issue - the patient monitor is not linking to the central monitoring system. # # # impact - the patient's vital signs cannot be monitored remotely. - this can lead to delays in the detection and treatment of medical emergencies. # # # possible causes - the cl address is not set correctly. - the network connection is not working. - the patient monitor is not compatible with the central monitoring system. # # # recommendations - check the cl address and make sure it is set correctly. - check the network connection and make sure it is working. - check the patient monitor to make sure it is compatible with the central monitoring system. - if the problem persists, contact the manufacturer for support. @topic:16


# # # issue - cause of failure is not clearly stated. # # # impact - the unclear cause of failure makes it difficult to determine the root cause of the problem and implement effective corrective actions. # # # possible causes - the technician may have not thoroughly inspected the device. - the technician may not have the necessary knowledge or experience to identify the cause of failure. - the documentation provided by the hospital may not be detailed enough to provide a clear understanding of the cause of failure. # # # recommendations - the technician should conduct a more thorough inspection of the device. - the technician should consult with a more experienced colleague or consult the manufacturer's documentation to identify the cause of failure. - the hospital should provide more detailed documentation on the cause of failure to help technicians identify and correct the problem. @topic:12


telemetric electrocardiography monitor. @topic:18


# # # issue - electrical cords are frayed and exposed # # # impact - electrical shock hazard to patients and staff # # # possible causes - physical damage to the cord, such as cuts or abrasions - overuse or improper use of the cord - age and deterioration of the cord # # # recommendations - regularly inspect cords for damage and replace them if necessary - avoid kinking or bending cords sharply - use cords only for their intended purpose - unplug cords when not in use - keep cords away from heat sources @topic:12