patients with endotracheal tube diameters < 4 mm. adds less than 1 cc of deadspace. you can also use combined c02 / flow sensors. note that the m3014a capnography extension is required to measure c0 2. pediatric / adult combined c0 2 / f1 ow sensor ( m2781a ). color : clear for intubated patients with endotracheal tube diameters > 5. 5 mm. adds 8 cc of deadspace. jp pediatric combined c0 2 / f1 ow sensor ( m2783a ) : color : green for intubated patients with endotracheal tube diameters of 3. 5 - 6 mm. adds less than 4 cc of deadspace. jp infant / neonatal combined c0 2 / f1 ow sensor ( m2782a ). color : violet for intubated patients with endotracheal tube diameters of 2. 5 - 4 mm. adds less than 1 cc of deadspace. 2 if you are using a combined c0 2 / f1ow sensor, connect it to the c0 2 sensor head first. the airway adapter clicks into place when seated correctly. 3 click the connector into place in the flow sensor receptacle on the monitor before connecting to the breathing circuit. 4 install the flow sensor or the combined c0 2 / f1ow sensor at the proximal end of the breathing circuit between the elbow and the ventilator y - piece. make sure that the spirometry sensor is in a horizontal position with its tubing pointing upwards. the correct position is also indicated by an arrow on some of the sensors. ( graphic shows combined c0 2 / f1ow sensors ). 226 attaching the flow sensor 15 monitoring airway flow, volume and pressure pediatric / adult sensor pediatric sensor infant / neonatal sensor warning to @topic:17


# # # issue - cuff leakage on bedside physiologic monitor # # # impact - inaccurate blood pressure readings - potential patient harm # # # possible causes - damaged or worn cuff - loose cuff connections - obstruction in cuff tubing - malfunctioning cuff gauge # # # recommendations - replace damaged or worn cuff - tighten loose cuff connections - inspect and clear any obstructions in cuff tubing - calibrate the cuff gauge to ensure accuracy @topic:3


server client the application server client provides the citrix 1 thin client functionality. 32 monitor theory of operation 2 theory of operation functional block description reports the reports service retrieves current and stored physiological data and status data to format reports for printing paper documentation. the following reports are supported : • vital signs report • graphical trend report • event review report • event episode report • ecg report ( 12 lead / multi - lead ) • cardiac output report • calculations report ( hemodynamic / oxygenation / ventilation ) • calculations review report • wedge report • test report • other reports ( e. g. loops, review applications, drug report ) record the reports service generates report data which can be printed on a local or a central printer. the record service retrieves current and stored physiological data and status data to format a continuous strip recording. a recording can be triggered manually by the operator or automatically by an alarm condition. the record service uses the services of the recorder interface to control an ml 116b recorder. the record service can also send data to a central recorder. alarm the alarm service contains logic that prioritizes alarm conditions that are generated either by the measurement servers, flexible module server, or by intellivue patient monitoring system software modules. visual alarm signals ( messages ) are displayed at the top of the intellivue patient monitoring system display and alarm sounds are generated by a loudspeaker. alarm conditions may be generated when a physiological parameter exceeds preselected alarm limits or when a physiological parameter or any other software module reports an inoperative status ( technical alarm, for example, the ecg leads may have fallen off the patient ). the alarm service manages the alarm inactivation states, for example suspension of alarms, silencing of alarms, and alarm reminder. alarm signals may also be configured as latching ( alarm signals are issued until they are acknowledged by the operator, even when @topic:10


# # # issue : bed cannot be adjusted properly. # # # impact : patients may not be able to get into and out of bed safely or comfortably. this could lead to falls, pressure sores, and other complications. # # # possible causes : - motor failure - problem with the electrical system - problem with the hydraulic system - problem with the control panel - loss of power # # # recommendations : - check the power supply to the bed. - check the motor for any signs of damage or wear. - check the electrical system for any loose connections or damaged wires. - check the hydraulic system for any leaks or blockages. - check the control panel for any damaged buttons or switches. - reset the bed by unplugging it from the power source for 30 seconds, then plugging it back in. - if the problem persists, contact a qualified technician for further assistance. @topic:1


# # # issue - keypad malfunction : the keypad on the left side of the electric bed is experiencing a short circuit, rendering the right side inoperable. # # # impact - impaired patient care : the malfunctioning keypad hinders the proper operation of the electric bed, potentially impacting patient comfort, safety, and treatment. # # # possible causes - * * electrical fault : * * a short circuit within the keypad circuitry, possibly due to loose connections, damaged wires, or faulty components. - * * physical damage : * * external damage to the keypad, such as cracks, scratches, or liquid spills, could have compromised its functionality. - * * software glitch : * * a software malfunction or programming error within the bed's control system might be interfering with the keypad's operation. # # # recommendations - * * immediate action : * * - isolate the electric bed and disconnect it from power. - contact the hospital's biomedical engineering team or the equipment manufacturer for immediate repairs. - * * root cause analysis : * * - conduct a thorough investigation to identify the underlying cause of the keypad failure. - inspect the keypad and its circuitry for any visible damage or loose connections. - check the bed's control system for any software errors or updates. - * * corrective action : * * - replace the faulty keypad with a new or refurbished unit. - address any electrical faults or physical damage that may have contributed to the failure. - update the bed's control system software if necessary. - * * preventive measures : * * - implement regular maintenance schedules to check for loose connections, worn components, and potential electrical hazards. - train staff on proper handling and usage of medical equipment, including electric beds. - establish protocols for reporting equipment malfunctions and ensuring timely repairs @topic:25


# # # issue - the lcd monitor is not powering on. # # # impact - the medical team is unable to use the monitor to view patient data, which could delay or compromise patient care. # # # possible causes - the power supply to the monitor is not working. - the monitor's power cord is not properly connected. - the monitor's power switch is not turned on. - the monitor's internal components have failed. # # # recommendations - check the power supply to the monitor to ensure that it is working properly. - ensure that the monitor's power cord is properly connected to both the monitor and the power outlet. - turn on the monitor's power switch. - if the above steps do not resolve the issue, contact a qualified biomedical engineer to repair the monitor. @topic:2


# # # issue a suresigns vs4 physiologic vital signs monitor from philips was experiencing issues after being moved from the hpc8 unit to the bme unit. # # # impact the cause of the failure is unknown, but the monitor is not functioning as intended. this could impact patient care as the monitor is used to track vital signs such as heart rate, blood pressure, and oxygen saturation. # # # possible causes here are some possible causes of the failure : - * * the monitor was not properly calibrated after being moved. * * - * * the monitor was damaged during the move. * * - * * there is a problem with the power supply to the monitor. * * - * * there is a problem with the software on the monitor. * * # # # recommendations here are some recommendations for troubleshooting the issue : 1. * * check the monitor's calibration. * * 2. * * inspect the monitor for any damage. * * 3. * * check the power supply to the monitor. * * 4. * * contact philips technical support for assistance. * * @topic:22


# # # issue : remote defective on bed, electric, huntleigh, contoura 360 # # # impact : patient discomfort, potential delay in care, nurse work flow disruption # # # possible causes : - physical damage to remote due to accidental impact or improper handling - electrical failure due to power surges or short circuits - wear and tear over time due to frequent use or environmental factors # # # recommendations : - replace the remote with a new one to ensure proper functionality - instruct nurses on proper handling and storage of the remote to prevent future damage - consider investing in more robust or impact - resistant remotes to increase durability @topic:7


# # # issue : battery not charging on philips intellivue mx450 bedside physiologic monitor # # # impact : the monitor cannot be used during a power outage. # # # possible causes : - battery is not properly seated in the charging bay. - battery is defective. - charging bay is defective. # # # recommendations : - reseat the battery in the charging bay. - replace the battery with a new one. - contact philips for further troubleshooting. @topic:11


# # # issue - remote cable not properly stored # # # impact - the remote cable could become damaged or lost, which could prevent the user from using the device. # # # possible causes - the remote cable is not properly secured to the device. - the user is not aware of how to properly store the remote cable. # # # recommendations - ensure that the remote cable is securely attached to the device. - provide instructions to the user on how to properly store the remote cable. @topic:7


2 range 0 to 150 mmhg ( 0 to 20. 0 kpa ) accuracy after 2 minutes warmup : for values between 0 and 40 mmhg : ±2. 0 mmhg ( ±0. 29 kpa ) for values from 41 to 70 mmhg : ±5 % of reading for values from 71 to 100 mmhg : ±8 % of reading for values from 101 to 150 mmhg : ±10 % of reading at respiration rates above 80 rpm, all ranges are ±12 % of actual. the specifications are valid for gas mixtures of c0 2, balance n 2, dry gas at 760 mmhg within specified operating temperature range. resolution numeric : 1. 0 mmhg ( 0. 1 kpa ) wave : 0. 1 mmhg ( 0. 01 kpa ) stability : short term drift long term drift ±0. 8 mmhg over four hours accuracy specification will be maintained over a 120 hour period awrr range 2 to 150 rpm accuracy ±1 rpm warm - up time 2 minutes with c0 2 sensor attached for full accuracy specification sample flow rate 50 ±10 ml / minute total system response time 3 seconds operating temperature oto 40°c ( 32 to 100°f ) m3014a mainstream and sidestream c0 2 humidity correction factor either btps or atpd can be selected as the humidity correction factor for the c0 2 readings. the formula for the correction calculation is : abs patpd pbtps'p p r abs r h20 where p = partial pressure, p a (, s = absolute pressure, and ph 20 = 42 mmhg @ 35°c and 100 % rh. m3016a mainstream c0 2 performance specifications n o to range — 4 to 150 mmhg ( - 0. 5 to 20. 0 kpa ) accuracy after 20 minutes warmup and calibration : for values between 0 and @topic:17


# # # issue - broken spo2 cable # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - physical damage to the cable, such as cuts or crimps - wear and tear over time - manufacturing defect # # # recommendations - replace the spo2 cable with a new one - inspect the cable regularly for signs of damage - store the cable properly to prevent damage - follow the manufacturer's instructions for use and maintenance @topic:4


# # # issue - electric bed not functioning correctly. # # # impact - patient safety and comfort may be compromised due to inability to adjust bed height. # # # possible causes - malfunctioning control box power supply. # # # recommendations - biomedical engineer ( bme ) inspected and identified a faulty control box power supply. - bme repaired the power supply, restoring functionality to the electric bed. - bme tested the bed and verified its proper operation. - regular maintenance and inspections of medical equipment are recommended to prevent future issues. @topic:9


* * issue : * * electric bed cannot be lowered. * * impact : * * inability to adjust the patient's bed to the desired height. * * possible causes : * * * * * defective motor : * * the motor responsible for raising and lowering the bed may have failed. * * * faulty power supply : * * the bed may not be receiving sufficient power to operate the motor. * * * damaged wiring : * * loose or damaged wiring could disrupt communication between the bed and the motor. * * * software malfunction : * * the bed's control system may have a software bug that prevents the motor from functioning correctly. * * * other mechanical issues : * * worn gears, bearings, or other mechanical components could hinder the bed's movement. * * recommendations : * * 1. * * inspect the motor : * * check for signs of damage, such as burnt wires, broken teeth, or excessive wear. 2. * * verify power supply : * * ensure that the bed is connected to a reliable power source and that the voltage is within the required range. 3. * * inspect wiring : * * examine the cables and connectors between the bed and the motor for any loose, frayed, or broken wires. 4. * * update software : * * if necessary, update the bed's control system with the latest software version. 5. * * check mechanical components : * * inspect gears, bearings, and other mechanical parts for any damage or wear that could affect the bed's movement. 6. * * seek professional assistance : * * if the issue cannot be resolved through these steps, contact a qualified biomedical engineer for further diagnosis and repair. @topic:1


# # # issue - battery replacement # # # impact - downtime of the vital signs monitor # # # possible causes - incorrect battery specifications - improper battery installation - battery failure # # # recommendations - verify the correct battery specifications for the monitor model. - ensure proper battery installation according to the manufacturer's instructions. - regularly inspect and test batteries to prevent premature failure. - consider preventative maintenance or replacement of batteries at recommended intervals. - train technicians on proper battery handling and installation procedures. @topic:11


# # # issue equipment failure due to improper handling. # # # impact cardiac imaging procedure had to be postponed due to the unavailability of the monitor and patient transport equipment. # # # possible causes the equipment was borrowed from the imaging department ( x - ray ) without proper coordination or training. # # # recommendations - establish clear protocols for borrowing medical equipment between departments. - provide adequate training to all personnel who will be handling the equipment. - regularly inspect and maintain medical equipment to ensure its proper functioning. - consider implementing a system to track equipment usage and prevent unauthorized use or mishandling. @topic:12


measurements, see the instructions for use for your monitor. the initial inflation pressure setting is incorrect. specify the correct initial inflation pressure. see the suresigns vs2 * and vsi installation and configuration guide. an nbp module error occurred. replace the nbp module. see “ removing the nbp module ” on page 5 - 15. replace the main board. see “ replacing the main board ” on page 5 - 22. nbp measurements are unreliable wrong cuff size, or incorrect cuff placement. use the correct cuff size and ensure proper cuff placement. an external problem occurred. ensure that all external blood pressure reading requirements are met and that the patient is not moving excessively. the initial inflation pressure setting is incorrect. specify the correct initial inflation pressure. see the suresigns vs2 * and vsi installation and configuration guide. the calibration is unreliable. recalibrate the nbp module see “ nbp calibration procedure ” on page 3 - 15. nbp initial pressure too high. the cuff is too tight. ensure the cuff is fastened correctly. the initial inflation pressure setting is incorrect. specify the correct initial inflation pressure. see the suresigns vs2 * and vsi installation and configuration guide. troubleshooting 4 - 8 suresigns vs2 * and vsi service guide temperature measurement problems troubleshooting tables symptom possible cause action temperature measurements are not displayed. the probe is misplaced. ensure that the probe is properly placed in the measurement site. the probe cable is not connected. ensure that the probe is connected. the monitor has not completed the start - up sequence and the temperature module is not ready. insert the probe into the well and ensure that the monitor has completed the start - up sequence. the probe malfunctioned. replace the temperature probe. the temperature is over range. ensure that @topic:20


# # # issue - monitor does not link to central # # # impact - patient monitoring data cannot be transmitted to the central monitoring system. - healthcare providers may not have access to real - time patient data, which can hinder timely diagnosis and treatment. # # # possible causes * * 1. cable issues * * - loose or disconnected cables - damaged cables * * 2. network issues * * - firewall or network configuration issues - network connectivity problems * * 3. hardware malfunctions * * - faulty network interface card ( nic ) in the monitor - faulty central monitoring system * * 4. software issues * * - outdated or corrupted software on the monitor or central monitoring system - software incompatibility * * 5. other factors * * - environmental factors ( e. g., electromagnetic interference ) - human error ( e. g., incorrect cable connections ) # # # recommendations - check all cables and ensure they are securely connected. - troubleshoot network connectivity issues with the it department. - contact the equipment manufacturer for hardware or software troubleshooting. - update software to the latest version. - inspect for any environmental factors that may interfere with connectivity. - train staff on proper cable handling and device configuration to prevent human errors. @topic:16


# # # issue - central monitor time is inaccurate. # # # impact - incorrect patient monitoring data. - delays in patient care. # # # possible causes - incorrect time setting. - malfunctioning internal clock. - software glitch. # # # recommendations - ensure that the correct time is set on the central monitor. - check the internal clock for any malfunctions. - contact the manufacturer for software updates if necessary. @topic:29


# # # issue - drawer cannot be closed. # # # impact - inability to store or access medical equipment safely. # # # possible causes - loose solenoid lock : the solenoid lock is responsible for securing the drawer when it is closed. a loose solenoid lock may prevent the drawer from latching properly, causing it to open unexpectedly. # # # recommendations - tighten the solenoid lock : verify that the solenoid lock is properly tightened and secure. if necessary, use a wrench or other appropriate tool to tighten the lock until it is snug. - inspect the solenoid lock for damage : if tightening the lock does not resolve the issue, inspect the solenoid lock for any visible damage or defects. replace the solenoid lock if any damage is found. - check the alignment of the drawer and frame : ensure that the drawer is aligned properly with the frame and that there are no obstructions preventing the drawer from closing completely. adjust the alignment if necessary. @topic:21


last c. o. time, values will be used from up to and including 30 minutes before the c. o. time, except for height and weight where the last available value will be used. to enter calculations values manually or edit automatically - entered values, select the value field to open the on - screen keyboard and use this to enter the correct value. values edited manually are marked with an asterisk ( * ). • if you enter a value that has more decimal places than allowed for a particular input, the value you enter will be rounded off after you select enter. if you enter a value which cannot be stored, the message value out of range will appear. enter a new value. in hemodynamic calculations, if the systolic and diastolic pressures are manually entered, the mean pressure is calculated and marked with an asterisk ( * ). the formula used to estimate the mean pressure is : automatic value substitution if the monitor cannot find a value required for calculation, it automatically tries to find an equivalent source for this value. for example, if c. o. is required but unavailable, the monitor automatically looks for cco as a alternative source of c. o. values, or an alternative pressure label may be used instead of abp. the label of the value in the calculations window does not change. substituted values are marked with an asterisk ( * ). if a pawp value is not available, pawp will be set to zero in the formulas where it is used. automatic unit conversion the monitor needs consistent units for performing calculations. it automatically converts units where necessary before it performs the calculation, for example, pressures sourced in kpa, cmh2o, or mbar re automatically converted to mmhg, or to cmh2o for ventilation calculations. manual unit conversion if you need to convert units for other purposes you can use the unit conversion @topic:17


# # # issue - the remote cable of the bed, electric has snapped. # # # impact - the bed cannot be operated remotely, which may cause inconvenience or delay in patient care. # # # possible causes - physical damage to the cable, such as kinking, crushing, or excessive bending. - wear and tear due to prolonged use or improper handling. - manufacturing defects. # # # recommendations - replace the damaged remote cable with a new one. - inspect the bed and its surrounding area for any potential hazards or obstructions that may have caused the cable damage. - provide the user with instructions on proper handling and maintenance of the bed, including how to prevent cable damage. - contact the manufacturer or a qualified biomedical engineer for further troubleshooting if the problem persists or if there are concerns about the underlying cause of the failure. @topic:7


# # # issue - the central station is not linked to the monitors in room 326. # # # impact - the central station cannot monitor the physiological data of patients in room 326. # # # possible causes - the ip address of the central station is not configured correctly. - the network cable between the central station and the monitors is not connected or is damaged. - the monitors are not turned on or are not in the correct mode. - the central station software is not running or is not configured correctly. # # # recommendations - check the ip address of the central station and make sure it is configured correctly. - check the network cable between the central station and the monitors and make sure it is connected and not damaged. - turn on the monitors and make sure they are in the correct mode. - check the central station software and make sure it is running and configured correctly. @topic:16


# # # issue - remote control failure # # # impact - inability to adjust the bed, limiting patient comfort and mobility # # # possible causes - malfunctioning remote control components ( e. g., buttons, circuitry ) - damage to remote control due to mishandling or accidental drops - software or firmware issues affecting remote control functionality - interference from other wireless devices in the vicinity # # # recommendations - replace the remote control with a new or refurbished unit - inspect the remote control for any visible damage or loose components - update the software or firmware on the remote control if available - ensure that the remote control is operated within the specified range and free from interference from other devices @topic:7


# # # issue - cuff deterioration # # # impact - inaccurate vital signs measurements # # # possible causes - ageing of the cuff material - excessive use and wear - poor maintenance and cleaning # # # recommendations - regular inspection and replacement of the cuff as per manufacturer's instructions - proper cleaning and storage of the cuff - training of staff on correct cuff usage and maintenance @topic:5


# # # issue - battery failure # # # impact - the bed may not be able to be operated electrically, which could impact patient care. # # # possible causes - the batteries may have reached the end of their lifespan. - the batteries may have been damaged. - the battery terminals may be corroded. # # # recommendations - replace the batteries. - inspect the battery terminals for corrosion and clean if necessary. - test the bed to ensure that it is operating properly. @topic:9


syncpuls and a sync cable is plugged in, the synchronization marks ( vertical lines on the ecg wave ) are shown on the ecg wave. the synchronization marks will be shown in yellow, unless the ecg wave is yellow, then they will be green. st numerics in ecg wave : st numerics can be configured to show underneath the ecg wave on the left side. an ecg optimized for monitoring a paced patient should look like this : normal beats 1 pace pulses / pace beats 2 you should choose a lead as primary or secondary lead that has these characteristics : 135 6 ecg, arrhythmia, st and qt monitoring the normal qrs complex should be either completely above or below the baseline and it should not be biphasic. for paced patients, the qrs complexes should be at least twice the height of pace pulses. the qrs complex should be tall and narrow • the p - waves and the t - waves should be less than 0. 2 mv. • for ease of identification on the screen, the pacer spikes can be configured to have a fixed size. they are then shown in the background as a dotted lines. the length of the dotted line is fixed to the wave channel height and is independent of the actual pacer amplitude. setting the paced mode ( pace pulse rejection ) in the setup ecg menu, select paced mode to switch between on, off or paced mode on you can also change the paced mode in the patient demographics window. when paced mode is set to on : pace pulse rejection is switched on. this means that pacemaker pulses are not counted as extra qrs complexes. paced mode off pace pulse marks are shown on the ecg wave as a small dash ( only when the pacer spikes are not configured to have a fixed size ). he paced symbol is displayed next @topic:8


# # # issue - blood pressure ( bp ) value is not displayed on the monitor. # # # impact - inability to accurately monitor patient's blood pressure, which can delay or compromise treatment decisions. # # # possible causes - * * malfunctioning sensor : * * the sensor responsible for measuring blood pressure may be faulty or damaged. - * * damaged cable or tubing : * * the cable or tubing connecting the sensor to the monitor may be damaged, causing a disruption in data transmission. - * * configuration error : * * the monitor may not be properly configured to receive data from the sensor. - * * faulty monitor : * * the monitor itself may be malfunctioning, preventing it from displaying the bp value. # # # recommendations - * * verify sensor functionality : * * check if the sensor is connected properly and has no visible damage. replace the sensor if necessary. - * * inspect cable or tubing : * * examine the cable or tubing for any signs of damage, such as cuts or kinks. replace the damaged component if found. - * * check configuration : * * ensure that the monitor is configured to receive data from the appropriate sensor and that the correct parameters are set. - * * troubleshoot the monitor : * * perform diagnostic tests on the monitor to identify any potential hardware or software issues. contact the manufacturer's support for assistance if needed. @topic:15


# # # issue the battery of the sphygmomanometer, electronic, automatic from philips ( model : suresigns vsi ) is depleted. # # # impact the device cannot be used to measure blood pressure accurately. # # # possible causes - the battery has reached the end of its lifespan. - the battery is not properly seated in the device. - the device is not charging properly. # # # recommendations - replace the battery with a new one. - ensure that the battery is properly seated in the device. - check the charging cable and outlet to ensure that the device is charging properly. @topic:11


# # # issue the remote control for the bed is not working. # # # impact the patient cannot adjust the bed to a comfortable position. this can lead to discomfort, pain, and pressure sores. # # # possible causes * the batteries in the remote control may be dead. * the remote control may be damaged. * the receiver on the bed may be damaged. * the wiring between the remote control and the bed may be loose or damaged. # # # recommendations * check the batteries in the remote control and replace them if necessary. * inspect the remote control for any damage. if there is any damage, the remote control will need to be replaced. * check the receiver on the bed for any damage. if there is any damage, the receiver will need to be replaced. * check the wiring between the remote control and the bed for any loose or damaged connections. if there are any loose or damaged connections, the wiring will need to be repaired or replaced. @topic:7


# # # issue - frequent failure of the bed alarm due to wear and tear of the original jack. # # # impact - interruption of patient monitoring and safety. # # # possible causes - degraded electrical contacts within the jack due to prolonged use. - physical damage to the jack from mishandling or improper insertion / removal of the bed alarm connector. # # # recommendations - * * replace the bed alarm jack * * with a new one to ensure reliable electrical connection. - * * consider using a 90 - degree jack * * which may be less prone to wear and tear due to its angled orientation. - * * train staff * * on proper handling and connection of bed alarm connectors. - * * regularly inspect and maintain * * the bed alarm jack to prevent future failures. @topic:26


# # # issue - ec80 no link # # # impact - inability to monitor patient's physiological parameters # # # possible causes - faulty ec80 module - loose connection between ec80 module and main unit - software glitch # # # recommendations - replace ec80 module - check and tighten the connection between ec80 module and main unit - update the firmware @topic:16


# # # issue - unable to link to the central monitor # # # impact - inability to monitor patient's electrocardiography remotely # # # possible causes - faulty wi - fi receiver in the equipment - intermittent power supply to the equipment - misconfiguration of the equipment # # # recommendations - replace the wi - fi receiver in the equipment - ensure stable power supply to the equipment - check and reconfigure the equipment's settings @topic:16


# # # issues - control box failure # # # impact - equipment malfunction - patient care delay or compromise # # # possible causes - power supply failure - circuit board damage - loose or damaged wiring # # # recommendations - verify power supply is functional - inspect circuit board for damage - check wiring connections for looseness or damage - replace faulty control box as per approved vendor quotation - consider preventive maintenance plan to minimize future failures @topic:12


if spo2 comes from a cableless spo2 pod or a warning not all settings are synchronized ; after changing the measurement source, always check that the settings are appropriate. • ecg : va and vb leads are reset to default ( v2, v5 ) if the configured va or vb lead for the telemetry device is not one of v1 through v6. • if later the patient is disconnected from the other device, and reconnected to the monitor again, any changes in the settings made in the meantime will be passed on to the monitor. in this way, settings continuity is preserved when the measurement source changes. note settings synchronization can be switched off at the monitor in configuration mode. in certain situations, you will be asked to confirm that synchronization of settings is appropriate. settings synchronization can only take place when there is no patient information mismatch between the monitor and the information center. piic if a check ecg settings or!! check pairing inop appears always check that the ecg settings, especially the paced setting, are appropriate for your patient. piic ix if a check ecg settings, chk spo2t settings, or another check settings inop appears, always check that the settings, especially the paced setting for ecg, are appropriate for your patient. are groupif your monitor is connected to an information center, you can group bedside monitors into care groups to facilitate caregiver assignment. this lets you : view information on the monitor screen from another bed in the same or in a different care group. be notified of yellow or red alarm conditions at the other beds in the care group. • see the alarm status of all the beds in the care group on each monitor screen. • monitors the functions available with care groups depend on the information center revision are connected to. see your information center instructions for @topic:8


##pt - 3 yes no product number description lnop mp series patient cable ( 3. 6 m ) adapter cable for masimo lnop sensors lnop mp12 451261000761 yes no 434 39 accessories product number description lncs mp series patient cable ( 3. 0 m ) dapter cable for masimo lncs sensors 989803148221 lnop mp10 es no minimum measurement part no. time for accuratreadings eusable general purpose probe 21075a 0 sesmall flexible vinyl probe ( infant / pediatric ) 21076a 0 seattachable surface probe 0 se21078a disposable eneral purpose prob0 sem1837a kin prob0 se21091a 80 seesophageal / stethoscope probe ( french 12 ) 21093a 21094a 10 seesophageal / stethoscope probe ( french 18 ) 10 se21095a 0 se21090a 80 sem2255a foley catheter probe ( 12 french ) 80 sefoley catheter probe ( 16 french ) 21096a 80 sefoley catheter probe ( 18 french ) 21097a adap3. 0 m 21082b 1082a 435 39 accessories response time per iso part no. 80601 - 2 - 56 innersense esophageal temperature / feeding tube, purple ( french ) 989803183631 < 150 seconds innersense esophageal temperature / feeding tube, purple ( 6. french ) 989803183641 innersense esophageal temperature / feeding tube, purple ( 8 french ) 989803183651 innersense esophageal temperature / feeding @topic:8


##pies or suppress sampling by turning off the pump as described in " suppressing sampling ( not mainstream co2 ) " on page 251. 249 check the table in the microstream co2 accessories section of the accessories chapter for typical accessories. co2 values for non - intubated patients using microstream accessories will always tend to be lower than for intubated patients. if values appear extremely low, check whether the patient is breathing through the mouth or whether one nostril is blocked. removing exhaust gases from the system warning anesthetics : when using the microstream co2 measurement on patients who are receiving or have recently received anesthetics, connect the outlet to a scavenging system, or to the anesthesia machine / exposing medical staff to anesthetics. use an exhaust tube to remove the sample gas to a scavenging system. attach it to the mms extension at the outlet connector. to prevent an automatic zero calibration from being started in the next five minutes, in the setup co2 menu, select no zero for 5min, or select the suppress co2 zero smartkey, if configured. • selecting no zero for 5min or selecting the suppress co2 zero smartkey again before the timer has timed out resets the timer to five minutes, unless an autozero became due during the previous suppression. these tasks are common to all co2 measurements except where otherwise noted. 1 in the co2 wave menu or the setup co2 menu, select scale. 2 choose a suitable scale range from the pop - up list. temperature, water vapor in the patient's breath, barometric pressure, and the proportions of o2, n2o and helium in the mixture all influence co2 absorption. if values seem inaccurately high or low, check that the monitor is using the appropriate corrections. correction altitude altitude is set during installation. the monitor automatically applies @topic:17


# # # issue - no cause of failure was provided. # # # impact - the impact of the failure is unknown. # # # possible causes - the equipment may have been damaged during use by 5c. - the equipment may have been mishandled during transport. - the equipment may have been used for a purpose for which it was not intended. # # # recommendations - investigate the cause of the failure. - repair or replace the equipment as necessary. - train staff on the proper use and handling of the equipment. @topic:12


# # # issue - replacing battery # # # impact - the bed may not be able to be operated properly. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been improperly installed. - the battery may be defective. # # # recommendations - replace the battery with a new one. - ensure that the battery is properly installed. - test the bed to ensure that it is operating properly. @topic:32


# # # issue the biomedical engineer was called to troubleshoot a bedside physiological monitor that was experiencing intermittent power outages. # # # impact the intermittent power outages were preventing the monitor from accurately monitoring the patient's vital signs, which could lead to a delay in diagnosis and treatment. # # # possible causes the technician determined that the most likely cause of the power outages was that the airway adapter was not installed. without the airway adapter, the monitor would automatically shut off after 15 seconds. # # # recommendations the technician installed the airway adapter and tested the monitor. the monitor functioned properly and the intermittent power outages were resolved. the technician instructed the user on the importance of keeping the airway adapter installed. @topic:2


* * issue : * * * loose or detached grate and module on bedside physiologic monitor. * * impact : * * * compromised patient monitoring and safety. * inaccurate or incomplete data collection. * potential for electrical hazards. * * possible causes : * * * * * improper installation or maintenance : * * failure to properly tighten bolts or secure the grate and module during assembly or repairs. * * * damage during use : * * mishandling or accidental impacts can loosen components. * * * defective parts : * * manufacturing defects or wear and tear over time can weaken the крепления. * * * vibrations or movement : * * continual vibrations or frequent перемещения of the monitor can cause nuts and bolts to loosen. * * recommendations : * * * * * thorough inspection : * * regularly inspect the monitor for any loose or detached components, especially after maintenance or repairs. * * * proper installation : * * ensure the grate and module are securely tightened according to manufacturer's specifications. * * * careful handling : * * avoid excessive force or rough handling of the monitor during transportation or use. * * * regular maintenance : * * schedule routine maintenance to check and tighten all connections. * * * use of anti - vibration mounts : * * minimize vibrations by using anti - vibration mounts or placing the monitor on a stable surface. * * * quality control : * * implement quality control measures to ensure proper assembly and prevent defective parts from being used. * * * training for staff : * * provide training to staff on the proper handling and maintenance of the monitor. @topic:2


# # # issue the cause of failure for the monitor, physiologic, vital signs, philips, suresigns vsi is that there is no joint. # # # impact the missing joint may cause the device to malfunction or become inoperable. # # # possible causes the missing joint may be due to : * broken or damaged joint * incorrectly assembled device * loose or missing screws # # # recommendations * check the device for any broken or damaged joints. * reassemble the device correctly, ensuring that all joints are properly connected. * tighten any loose screws. * contact the manufacturer for further troubleshooting and repair. @topic:15


# # # issue the cause of failure is that the power cord came loose. # # # impact the monitor cannot be used until the power cord is reattached. # # # possible causes the power cord may have come loose due to : - vibration - accidental disconnection - wear and tear # # # recommendations to prevent the power cord from coming loose again, the technician should : - secure the power cord with tape or a cable tie. - inspect the power cord regularly for signs of damage. - replace the power cord if it is damaged. @topic:2


# # # issue - the bed's head is unable to be lowered. # # # impact - the patient may be uncomfortable or unable to use the bed properly. # # # possible causes - the motor that lifts the head of the bed is damaged. - the motor is not properly connected to the bed. - the control panel is not functioning properly. - the bed is not properly assembled. # # # recommendations - inspect the motor for any damage. - check the connections between the motor and the bed. - test the control panel to ensure that it is functioning properly. - ensure that the bed is properly assembled. @topic:1


# # # issue the lcd monitor ( oev262h ) manufactured by olympus exhibits intermittent display issues, characterized by flickering or blanking. # # # impact the malfunctioning monitor hinders the accurate monitoring of patient data, potentially compromising patient safety. # # # possible causes * * 1. faulty y / c signal channel : * * - examination by biomedical engineers ( bmes ) identified loose connections in the y / c signal channel, causing intermittent signal transmission and display disruption. * * 2. unavailable spare parts : * * - olympus has discontinued production of spare parts for the y / c signal channel, making it impossible to replace the defective component. # # # recommendations * * 1. temporary solution : * * - changed input signal channel from y / c to video to bypass the faulty y / c channel. - this workaround ensures temporary functionality until a more permanent solution can be implemented. * * 2. long - term solution : * * - explore alternative display options or monitors to replace the affected unit. - consult with olympus and other relevant manufacturers for compatible solutions. - consider upgrades to newer models with improved reliability and availability of spare parts. * * 3. preventative maintenance : * * - regularly inspect signal connections and monitor performance to identify any potential issues early on. - implement preventive maintenance schedules to minimize the risk of future failures and ensure optimal equipment functionality. @topic:2


# # # issue - faulty bed guard # # # impact - patient safety hazard # # # possible causes - * * mechanical wear and tear * * over time - * * improper use * * of the bed guard, such as excessive force or weight being applied to it - * * defective materials * * or manufacturing errors # # # recommendations - * * regular inspection and maintenance * * of the bed guard to identify and address any potential issues early on - * * proper training of staff * * on the correct use and handling of the bed guard - * * use of high - quality materials * * and adherence to manufacturing standards to ensure the durability and reliability of the bed guard - * * consideration of alternative bed guard designs * * that may be more resistant to damage or misuse @topic:6


# # # issue - spo2 malfunction # # # impact - inaccurate or unreliable spo2 readings - potential for misdiagnosis or delayed treatment # # # possible causes - faulty spo2 sensor - loose connections - software or firmware issues # # # recommendations - replace the spo2 sensor - inspect and tighten connections - update software or firmware as needed - perform a system calibration and verification test @topic:4


* * possible causes : * * 1. * * battery malfunction : * * the battery may not be holding a charge properly, causing the device to restart when power is lost. 2. * * electrical faults : * * faulty wiring or connections within the device can lead to intermittent power outages, resulting in restarts. 3. * * overheating : * * if the device is subjected to excessive heat, it may trigger a safety mechanism that restarts the system to prevent damage. 4. * * software bugs : * * software issues or corrupted files can cause unexpected restarts. 5. * * environmental factors : * * extreme temperatures, humidity, or electromagnetic interference can disrupt the device's operation. * * recommendations : * * 1. * * battery inspection : * * check the battery voltage and replace it if necessary. 2. * * electrical testing : * * inspect the device's wiring and connections for any loose, damaged, or corroded components. 3. * * thermal management : * * ensure the device is properly ventilated and not exposed to excessive heat. 4. * * software update : * * check for any available software updates and install them if applicable. 5. * * environmental control : * * provide appropriate environmental conditions for the device, such as stable temperature and humidity. @topic:13


# # # issue - device not powering on - device not charging # # # impact - inability to monitor vital signs - loss of patient data - increased risk of adverse events # # # possible causes - key switch failure - power supply failure - battery failure - software issue # # # recommendations - replace key switch - replace power supply - replace battery - update software @topic:11


# # # issue - slow image display # # # impact - delay in patient monitoring, affecting patient care and safety # # # possible causes - incompatibility between the lcd monitor ( lmd - 2451mt ) and the connected bmc ( bmc11913, bmc11891, bmc11911, bmc11912, bmc11910, bmc15384 ) devices # # # recommendations - ensure compatibility between the lcd monitor and connected bmc devices by checking device specifications and compatibility lists provided by the manufacturers. - update device firmware or drivers if necessary to resolve any known compatibility issues. - consider alternative bmc devices or lcd monitors that are confirmed to be compatible with each other. @topic:2


# # # issue - equipment : electric bed - brand : huntleigh - model : contoura 390 - description : biomedical engineering ( bme ) made repairs and found that the bed was making noise. they lubricated and the bed is now working normally. # # # impact - discomfort or inconvenience for patients due to the noise # # # possible causes - lack of lubrication - worn or damaged components # # # recommendations 1. establish a regular maintenance schedule, including lubrication of moving parts 2. inspect the bed regularly for any signs of wear or damage and replace components as needed 3. provide training to staff on proper use and care of the bed 4. consider purchasing a new bed if the current one is beyond repair or not meeting the hospital's needs @topic:9


# # # issue - medical cart ( medcart ) model bdms 01 reboots unexpectedly. # # # impact - the technicians have to reboot the medical cart manually leading to delays and disruptions in healthcare delivery. # # # possible causes - the cause is not given in the input so this information cannot be provided. it's important to thoroughly investigate the cause of the reboot issue to ensure it does not reoccur. # # # recommendations - investigate the underlying cause of the reboot issue to determine the appropriate solution, which may include : - updating the software - replacing faulty components - checking for loose connections - ensuring compatibility between the medical cart and other connected devices - establishing proper maintenance schedules - providing training to users on proper usage and maintenance of the medical cart @topic:13


# # # issue - equipment failure due to battery replacement. # # # impact - interruption of patient monitoring. - potential delays in diagnosis and treatment. - loss of patient data. # # # possible causes - incorrect battery installation. - use of incompatible battery. - battery not fully charged. - underlying electrical fault in the device. # # # recommendations - ensure that the technician installing the battery is properly trained and experienced. - verify the compatibility of the battery with the device. - replace the battery with a fully charged one. - perform a thorough inspection of the device for any other potential electrical faults. - monitor the device closely for any further issues. @topic:11


c. ) for cf all values for current and voltage are the root mean square ( r. m. s. ) values, unless otherwise stated insulation resistance it is not recommended to perform measurements of the insulation resistance. refer to lec 62353 for details about methods of the insulation resistance measurement. 51 [ 3 testing and maintenance ] system test after mounting and setting up a system, perform system safety tests according to lec / en 60601 - 1 - e what is a medical electrical system? a medical electrical system is a combination of at least one medical electrical piece of equipment and other electrical equipment, interconnected by functional connection or use of a multiple portable socket - outlet. • devices forming a medical electrical system must comply either with lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + al ed. 3 clause 16. • any electrical device such as it equipment that is connected to the medical electrical equipment must comply either with lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + al ed. 3 clause 16 and be tested accordingly. • non - medical electrical equipment may require connection through a separating device ( e. g. an isolation transformer ). general requirements for a system after installation or subsequent modification, a system must comply with the requirements of the system standard lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16. compliance is checked by inspection, testing or analysis, as specified in the lec / en 60601 - 1 - 1 or in this book. medical electrical equipment must comply with the requirements of the general standard lec / en 60601 - 1, its relevant particular standards and specific national deviations. non - medical electrical equipment shall comply with lec safety standards that are relevant to that @topic:10


the system could mistake a pace pulse for a qrs and fail to alarm in the case of asystole. it is important that the patient category is set correctly so the ecg can be analyzed correctly and initial arrhythmia alarm limits set. in the case where an mp5 or x2 with an intellivue instrument telemetry interface is declared as a “ telemetry device ” at the information center and is connected to a host monitor, it is important to resolve an existing mismatch between the monitor and the information center before disconnecting the mp5 / x2. failure to do so discharges the mp5 / x2 and synchronizes the demographics and settings to the information center. manually resolving patient mismatch the patient mismatch is indicated by question marks (??? ) beside the questionable fields in the monitor info line and in the select patient window. the monitor displays a message such as different patients in central and monitor. the select patient window automatically opens so you can decide which patient data to use. you do not have to resolve the mismatch immediately, but the indicators remain until you do. for some common mismatch situations, the monitor will simplify the resolution by suggesting a solution for the mismatch. for example, when a patient arrives after transport and the transfer key has been selected, the monitor will show this patient ’ s data and ask complete transfer of this patient?. you can then select yes to complete the transfer. if you select no you will go to the select patient window. there can be up to three sets of demographic data in the select patient window if the patient is different in the information center, monitor, and mms. after you resolve the mismatch, the monitor displays a confirmation window that shows the patient that has been selected and where data will be erased, if applicable. confirm your @topic:8


# # # issue - nerve stimulator ( tof - watch ) not displaying values during nerve stimulation # # # impact - inability to accurately monitor and adjust nerve stimulation parameters - potential for incorrect or suboptimal delivery of nerve stimulation # # # possible causes - * * defective sensor : * * the sensor that measures nerve activity may be faulty or damaged, resulting in no signal being transmitted to the display. - * * loose connections : * * loose connections between the sensor, display, or power supply can interrupt signal transmission and prevent the display from showing values. - * * software glitch : * * a software malfunction can cause the device to fail to process or display the data from the sensor. - * * battery failure : * * a weak or depleted battery can affect the device's power supply and cause it to malfunction. - * * improper calibration : * * the tof - watch may not be properly calibrated, leading to inaccurate or absent displayed values. # # # recommendations - * * inspect sensor : * * check the sensor for any visible damage or loose connections. clean the sensor with an appropriate cleaning solution. - * * check connections : * * ensure that all connections between the sensor, display, and power supply are secure. tighten any loose connections or replace damaged ones. - * * restart device : * * power cycle the device by turning it off and on. this can help resolve software glitches. - * * replace battery : * * if the battery is weak or depleted, replace it with a new one. - * * calibrate device : * * use the manufacturer's calibration procedure to ensure the tof - watch is properly calibrated. - * * consult with manufacturer or service technician : * * if the issue persists after trying the above recommendations, consult with the manufacturer or a qualified service @topic:2


the screen deleted from the profile ( s ) to avoid this in future. chk ecg sync cable inop tone monitor the ecg sync is detecting an invalid signal, or the ecg sync cable is disconnected. chk indepdsp cable monitor the monitor cannot communicate with the d80 intelligent display. check the msl coupling cable. the end with the grey connector must be connected to the intelligent display. chk msl connection inop tone monitor check that the msl connector or cable are properly connected. check the cable and connector for damage. chk sp0 2 t settings inop tone telemetry synchronization of sp0 2 t settings between the monitor and information center has failed. check that the sp0 2 t settings in use are appropriate. c lead off hr numeric is replaced by for 10 seconds. inop tone. ecg the c electrode ( aami : v electrode ) has become detached from the patient or the lead set has been changed. reattach the electrode or select new lead setup in the setup ecg menu to confirm the new lead set. c0 2 auto zero numeric is replaced by a if the autozero lasts > 15 sec, inop tone sounds. co 2 the automatic zero calibration is in progress. this typically takes 10 seconds. during this time the c0 2 values may not be updated, or they may be replaced by -? -. wait until the zero calibration is complete to resume monitoring. c0 2 cal mode c0 2 numeric displays current c0 2 value for accuracy check co 2 currently no calibration is running. accuracy can be checked by placing the transducer on the two cells of the calstick and starting calibration. to start monitoring, leave cal. mode. c0 2 cal running numeric is replaced by a co 2 wait until calibration @topic:22


a qualified biomedical engineer for further technical assistance and repair if necessary. @topic:12


the dual link bar prevents you from removing it completely. do not try to forcibly remove the wrong side of the m3015a cover ; you cannot access replaceable parts from this side. the following illustration shows the location of the replaceable parts in the m3015a measurement server extension. brackets holding the pump co % scrubber red band for removing the ir lamp when the assembly has been opened co, scrubber removing the co2 scrubber to remove the co2 scrubber, do the following : 1. locate the co2 scrubber in the extension. 2. being careful not to touch anything else in the extension, use tweezers to pull the body of the co2 scrubber out of the bracket. 25 pu 3. holding the body of the co2 scrubber with your fingers, carefully disconnect the extension intake tube from the scrubber end and remove the co2 scrubber from the extension. 179 4. dispose of the co2 scrubber according to local legal requirements for low volume chemical waste. note now that it is exposed, do not allow anything to fall into the infrared lamp assembly. removing the pump to remove the pump, do the following : 1. locate the pump in the extension. 2. being careful not to touch anything else in the extension, unscrew the screw holding the pump bracket in position. lift the top part of the bracket away and lift out the pump. screw holding pump bracket 3. gently disconnect the flow tubing attached to the extension from the pump. note be sure to note which tube attaches to the inlet and which tube attaches to the outlet. 4. gently disconnect the power lead which attaches the pump to the extension. 5. remove the pump. note after replacing the pump, reset the displayed value displayed using the reset pumpoptime selection ( service mode > co2 setup ). when the pump @topic:19


##ythmia, st and qt monitoring viewing st maps the monitor can derive a multi - axis portrait ( map ) from the st analysis to help you detect changes in st values. it displays two planes obtained from a multilead ecg in a multi - axis diagram, where each axis represents a lead. the st value at the j point is given. the position of the axes within the diagram correspond to the placement of the ecg leads. each st value is assigned to either a limb lead, or to chest lead. every axis shows the polarity of the lead it represents. by joining adjacent st values, the monitor obtains the st map. the contour line, and the map shading, is shown in the same color as thecg parameter. current view in current view, the monitor displays an st map that corresponds to the current st values. three or more leads per plane are necessary to display a map. the left of the following diagram shows leads i, ii, iii, avr, avl, and avf on the limb leads. on the right, the v - leads ( v1, v2, v3, v4, v5, and v6 ) are on the chest leads. st map ( current ) stindx asi limb leads easi chest leads 1. 8 avr - 0. 4 avl 0. 2 v0. 7 + 1 v5 + 0. 7 v4 0. 4 v1 - 0. 8 2 vvf 0. 0. 4 1. 0 - 0. 2 5 6 alarm status indicator 1 easi limb leads 2 easi chest leads 3 st index ( for easi ) 4 st label, value and polarity of corresponding lead 5 t ma6 if an st lead is switched off, its axis is not shown in the map. ii iii 7 6 ecg, arrhyt @topic:8


# # # issue - the bed's side rails are not locking into place. # # # impact - the patient could fall out of bed. # # # possible causes - the locking mechanism is damaged. - the side rails are not properly aligned. - the mattress is too thick. # # # recommendations - replace the locking mechanism. - realign the side rails. - use a thinner mattress. @topic:6


# # # issue - incorrect date and time # # # impact - inaccurate medical records - potential for misdiagnosis or incorrect treatment - compliance issues # # # possible causes - user error ( incorrectly setting the date and time ) - battery failure ( resulting in loss of power and reset of date and time ) - software glitch # # # recommendations - ensure that the date and time are set correctly during initial setup and after any repairs or maintenance. - use a reliable power source to prevent battery failure. - consider implementing automated date and time synchronization systems to minimize the risk of errors. - train users on the importance of correct date and time settings and the potential consequences of incorrect settings. @topic:29


* * issue : * * cause of failure is not clearly defined. * * impact : * * the technician may not be able to properly diagnose and repair the device, which could result in further downtime or even patient harm. * * possible causes : * * * * * the technician did not properly test the device. * * * * * the technician is not familiar with the device. * * * * * the technician is biased or does not want to work on this device. * * * * recommendations : * * * * * the technician should retest the device to confirm the cause of failure. * * * * * the technician should consult with a more experienced colleague or the manufacturer for assistance. * * * * * the technician should be unbiased and willing to work on any device that needs repair. * * @topic:12


# # # issue - cuff bp of the philips intellivue x2 ( m3002a ) monitor is damaged. # # # impact - the monitor cannot accurately measure blood pressure. # # # possible causes - cuff large adult is damaged ( cuff is bulging ). # # # recommendations - replace the damaged cuff with a new one. @topic:14


# # # issue - cuff leak # # # impact - inaccurate blood pressure measurements # # # possible causes - cuff damage # # # recommendations - replace the cuff @topic:3


# # # issue - stuck drawer # # # impact - inability to access medical supplies stored in the drawer. # # # possible causes - friction between the drawer and the frame. - malfunction of the solenoid that activates the drawer's release mechanism. # # # recommendations - lubricate the drawer slides to reduce friction. - inspect the solenoid and replace it if necessary. - test the drawer's operation after making the repairs to ensure that it is functioning properly. @topic:21


# # # issue - probe spo2 is not displaying any value and it's alarming probe spo2 constantly. # # # impact - the nibp monitor cannot accurately measure the patient's spo2 levels. # # # possible causes - the probe spo2 is not properly connected to the monitor. - the probe spo2 is faulty. - the monitor is not configured correctly to use the probe spo2. # # # recommendations - check the connection between the probe spo2 and the monitor. - replace the probe spo2 with a known good one. - check the monitor's configuration to ensure that it is set up to use the probe spo2. @topic:4


# # # issue - the central monitor ( hewlett packard, model m3150a ) is not printing. # # # impact - the clinical team will not be able to monitor patient data accurately. - this could lead to delays in diagnosis and treatment, which could have serious consequences for the patient. # # # possible causes - paper jam - printer malfunction - computer software issue - network connectivity issue # # # recommendations 1. * * check for a paper jam. * * if there is a paper jam, it will need to be cleared before the printer can start printing again. 2. * * restart the printer. * * this will clear the printer's memory and reset any software issues. 3. * * check the computer software. * * make sure that the printer is properly installed and that the correct print driver is being used. 4. * * check the network connectivity. * * if the printer is connected to a network, make sure that the network is functioning properly and that the printer is properly connected to the network. # # # cause of failure - * * paper jam * * * * explanation : * * the paper jam prevented the printer from feeding paper into the print mechanism, which resulted in the printer not being able to print. * * resolution : * * the technician cleared the paper jam, which allowed the printer to start printing again. @topic:28


# # # issue - the respiration rate lead wire is not connected. # # # impact - the monitor will not be able to measure the patient's respiration rate. # # # possible causes - the lead wire may be damaged. - the lead wire may not be properly connected to the monitor. - the lead wire may not be properly connected to the patient. # # # recommendations - inspect the lead wire for damage. - ensure that the lead wire is properly connected to the monitor. - ensure that the lead wire is properly connected to the patient. @topic:22


# # # issue - battery failure # # # impact - interruption of patient monitoring during critical procedures - inaccurate vital signs readings - reduced patient safety # # # possible causes - battery degradation over time - excessive battery usage - inadequate battery maintenance # # # recommendations - establish a regular maintenance schedule for all medical devices with batteries - inspect batteries for signs of damage or leakage regularly - replace batteries before they reach the end of their lifespan - train staff on proper battery handling and disposal procedures - consider investing in newer devices with extended battery life or rechargeable batteries @topic:11


# # # issue - equipment malfunction # # # impact - affects patient monitoring and treatment # # # possible causes - faulty ekg cable - loose connections # # # recommendations - replace ekg cable - ensure all connections are secure - calibrate the monitor after replacing the cable @topic:18


# # # issue - bed is not adjusting. # # # impact - patients may not be able to get into or out of bed. - patients may not be able to be positioned comfortably. - nurses may have difficulty providing care to patients. # # # possible causes - the bed's buttons are stuck. - the bed's motor is not working. - the bed's power cord is not plugged in. - the bed's batteries are dead. # # # recommendations - check the bed's buttons to make sure they are not stuck. - check the bed's motor to make sure it is working. - check the bed's power cord to make sure it is plugged in. - check the bed's batteries to make sure they are not dead. - if the problem cannot be resolved, contact the manufacturer of the bed. @topic:1


# # # issue - the medical cart is displaying a battery level of - 1 %. # # # impact - the medical cart may not be able to provide reliable power to the medical equipment it is carrying. - this could lead to a disruption in patient care. # # # possible causes - the battery in the medical cart is not functioning properly. - the medical cart is not properly charging the battery. - there is a problem with the software that is monitoring the battery level. # # # recommendations - replace the battery in the medical cart. - check the charging system for the medical cart. - update the software that is monitoring the battery level. @topic:13


# # # possible cause : - loose power plug # # # impact : - equipment may malfunction or shut off unexpectedly - interruptions in patient monitoring or treatment - risk of patient harm # # # recommendations : - ensure that the power plug is securely inserted into the power outlet - inspect the power cord and plug for any damage or loose connections - regularly check and tighten power connections as needed - use surge protectors to protect the equipment from power fluctuations @topic:12


: * * power down the monitor and remove all cables. wait a few minutes and then power it back on. - * * try a different power source : * * if possible, connect the monitor to a different power outlet or use a backup battery. * * 2. advanced troubleshooting : * * - * * inspect internal components : * * check for any loose connections, burned - out capacitors, or damaged circuit boards. - * * run diagnostics : * * use built - in or manufacturer - provided diagnostic tools to identify potential hardware or software issues. - * * contact technical support : * * if basic troubleshooting steps fail, reach out to the manufacturer or a qualified technician for professional assistance. * * 3. preventive maintenance : * * - * * regular cleaning : * * keep the monitor clean and dust - free to prevent overheating and component failures. - * * preventive inspections : * * conduct scheduled inspections to identify potential vulnerabilities and address them proactively. - * * software updates : * * keep the monitor's firmware up to date to prevent software glitches. @topic:2


# # # issue - the bed's weight scale is not functioning properly. # # # impact - inability to accurately measure patient weight, which is essential for monitoring and treatment. # # # possible causes - * * loose wiring : * * the scenario describes that the technician found loose wiring connecting to the circuit board, which caused the scale to malfunction. # # # recommendations - * * secure wiring : * * the technician resolved the issue by securely reconnecting the loose wiring. testing confirmed that the scale was functioning normally afterward. @topic:25


, the date and time are automatically taken from this. if the x2 is connected to a host monitor, the date and time are automatically synchronized with the host monitor. when connected to a host monitor, you cannot set the date and time on the x2. once it is set, the internal clock retains the setting even when you switch off the monitor. 215 handing over the monitor if you are handing over the monitor to the end - users directly after configuration, make sure that it is in monitoring mode. ensure that the users have access to the following documentation delivered with the monitor : - training guide - for self - training on the monitor before use - quick guide - for quick reminders during use - [ instructions for use - for full operating instructions warning all users must complete the training program before working with the monitor. these training materials ( in combination with this service guide ) can also be used to train service personnel on how to use and service the mp2 / x2 monitor. philips clinical network ( wired ) installation of the philips clinical network should be performed by philips service personnel. use unshielded twisted pair ( utp ) cables for installation of the clinical network. refer to the installation instructions in the m3185a installation manual for further details. philips intellivue information center please refer to the installation instructions and instructions for use of the intellivue information center rev. system j or higher. 216 intellivue instrument telemetry ( iit ) frequency coordination ( usa only ) : frequency coordination is a registration and coordination process for wireless medical telemetry devices used in the u. s. a. which operate in the fcc - allocated wireless medical telemetry service ( wmts ) bands ( 608 - 614 mhz, 1395 - 1400 mhz, 1427 - 1432 mhz ). the m8102a / m3002a # j45 @topic:10


# # # issue : monitor not displaying bp measurements # # # impact : inability to accurately monitor patient's blood pressure, potentially leading to delayed or incorrect treatment decisions. # # # possible causes : - * * faulty sensor : * * the sensor responsible for measuring blood pressure may be malfunctioning or damaged, leading to inaccurate or no readings. - * * damaged wiring : * * loose or broken wires connecting the sensor to the monitor can disrupt the signal transmission, resulting in missing or incorrect bp values. - * * software glitch : * * a software issue in the monitor's operating system may prevent it from properly interpreting the sensor data or displaying the bp readings. - * * hardware failure : * * internal components within the monitor, such as the processor or display circuitry, may have failed, affecting the monitor's ability to process and display the bp measurements. # # # recommendations : - * * inspect and test the sensor : * * check the sensor's functionality by connecting it to a different monitor or using a diagnostic tool. clean the sensor and its connections to ensure proper conductivity. - * * examine the wiring : * * inspect the wires for any visible damage or loose connections. replace any damaged wires as necessary. - * * update the software : * * if a software glitch is suspected, check for available firmware updates for the monitor. install the updates as recommended by the manufacturer. - * * contact the manufacturer : * * if the issue persists after troubleshooting the sensor, wiring, and software, contact the manufacturer for further assistance or repair. @topic:15


# # # issue - the medical cart is unable to join the domain. # # # impact - the medical cart cannot access resources on the domain, such as files, printers, and applications. # # # possible causes - the medical cart is not properly configured to join the domain. - the domain controller is not available or is not responding. - there is a firewall or other network issue that is preventing the medical cart from joining the domain. # # # recommendations - verify that the medical cart is properly configured to join the domain. - check that the domain controller is available and is responding. - check for any firewalls or other network issues that may be preventing the medical cart from joining the domain. - contact scg for further assistance. @topic:13


# # # issue - railings are not locking in place. # # # impact - patient safety risk. # # # possible causes - broken spring lock. # # # recommendations - replace spring lock. @topic:6


# # # issue - loose electrodes on lead wires # # # impact - inaccurate or unreliable patient monitoring - delays in patient care - increased risk of adverse events # # # possible causes - damaged or faulty electrodes - improper electrode placement - loose or worn lead wires - patient movement or agitation # # # recommendations - inspect electrodes and replace if necessary - ensure proper electrode placement according to manufacturer's instructions - secure lead wires properly to prevent dislodgement - monitor patient closely for movement or agitation that may cause electrodes to become loose - consider using alternative monitoring methods, such as telemetry or transcutaneous monitoring, in patients who are prone to electrode dislodgement @topic:18


# # # possible causes - manufacturing defect in the motor - excessive wear and tear on the motor - electrical fault in the motor - mechanical obstruction preventing the motor from functioning properly # # # recommendations - replace the motor with a new one. - inspect the motor and surrounding components for any signs of damage or wear and tear. - check the electrical connections to the motor to ensure they are secure and functioning properly. - ensure that there are no mechanical obstructions preventing the motor from functioning properly. @topic:9


# # # issue - mode is set to " auto " # # # impact - incorrect blood pressure measurements # # # possible causes - technician error # # # recommendations - set the nbp mode to " manual " and enter the patient's blood pressure manually. @topic:15


# # # issue - equipment failure - causing the bed to malfunction # # # impact - patient safety is compromised - patient discomfort - delay in patient care # # # possible causes - power supply issues - electrical faults - mechanical failures - software glitches - improper maintenance # # # recommendations - troubleshooting the equipment and identifying the root cause of the failure - replacing faulty components - inspecting and testing the equipment thoroughly before putting it back into service - ensuring proper maintenance and calibration of the equipment - providing training to staff on the proper use and maintenance of the equipment - implementing a preventive maintenance plan to minimize the risk of future failures - investigating the cause of the electrical short in the bed rails and rectifying it to prevent recurrence @topic:9


# # # issue - gas g5 monitor exhibits flickering green lights and no gas value display on the monitor screen. # # # impact - inability to accurately monitor gas levels, compromising patient care. # # # possible causes - malfunctioning g5 unit within the monitor. # # # recommendations - replace the faulty g5 unit to ensure accurate gas monitoring. - regularly inspect and maintain the monitor system to prevent future failures. @topic:20


# # # issue : - damaged remote control cable # # # impact : - inability to operate the bed electrically # # # possible causes : - physical damage to the cable ( e. g., cuts, tears, pinching ) - wear and tear over time - manufacturing defect # # # recommendations : - replace the damaged cable with a new one - inspect other cables for potential damage and replace if necessary - ensure proper handling and storage of cables to prevent future damage - consider implementing a regular maintenance schedule to check for cable integrity @topic:7


or interruptions in patient procedures due to non - functional equipment. * * * time and resources : * * time spent on troubleshooting, repairs, and downtime. * * * patient safety : * * malfunctioning equipment can pose safety risks to patients. @topic:12


on / error monitor with crossover cable and start led blinks “ scan for defective devices ” ( indicating cyclic reboots ) software fault if the support tool can detect the device and it indicates the operating mode is ‘ boot ’, download and store the status log. reload software and re - clone the monitor. if this fixes the problem e - mail the status log to your local response center hardware failure if no device is detected by the support tool or if reloading the software does not fix the problem, proceed as described above in section “ red error led stays on continuously ” alarm leds | flex cable to hif board not connected | check flex cable connection to hif remain off : or not positioned correctly board. hif board defective exchange display assembly flex cable to hif board defective exchange flex cable main board defective exchange main board no test check for inops and follow sound issued instructions speaker not connected check speaker connection speaker defective exchange speaker main board defective exchange main board 117 4 troubleshooting troubleshooting guide display is blank display is blank flex cable to display not check flex cable connection to ( the information connected display. listed in this table is only valid if the boot phase has completed without error. see boot phase failures table for a description of the boot phase. ) display assembly defective | replace display assembly main board defective replace main board touch operation not functioning 118 touch screen not touchscreen functionality has check if touchscreen functioning been temporarily disabled functionality has been temporarily disabled ( “ touch disabled, press main screen ” appears on the screen ). if yes, press and hold the main screen key to re - enable touchscreen operation. previously stored touch calibrate touch ( initial ) using calibration is lost. the support tool. flex cable to display defective | check flex cable connection or not positioned / connected to display correctly main board defective replace main board troubleshooting guide 4 troubleshooting touch position invalid @topic:2


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the medical cart is not powering on. # # # impact - the medical cart is essential for providing care to patients. if it is not functioning properly, it can delay or prevent patients from receiving the care they need. # # # possible causes - the power cord is damaged or loose. - the power supply is not functioning properly. - the motherboard is damaged. # # # recommendations - check the power cord and make sure it is securely plugged into both the medical cart and the power outlet. - if the power cord is damaged, replace it with a new one. - if the power supply is not functioning properly, replace it with a new one. - if the motherboard is damaged, the medical cart will need to be repaired by a qualified technician. @topic:13


# # # issue the philips intellivue x2 ( m3002a ) monitor, patient transport device experienced an error and required restarting. # # # impact the error caused a disruption in the use of the device, which may have impacted patient care. # # # possible causes the cause of the error was identified as a software issue requiring reinstallation. this could have been caused by a software bug, data corruption, or a hardware malfunction that affected the software. # # # recommendations the device was successfully restarted and is now functioning normally. the biomedical engineer ( bme ) should monitor the device for any further errors and reinstall the software if the issue persists. @topic:16


# # # issue - remote control cannot adjust the headrest up and down. # # # impact - patient comfort and mobility may be compromised due to inability to adjust the headrest to a comfortable position. # # # possible causes - * * damaged remote control : * * physical damage or malfunction of the remote control, preventing it from sending signals to the bed. - * * malfunction of the bed's control system : * * electrical or mechanical failure within the bed's control system, causing it to fail to receive or process signals from the remote control. - * * faulty electrical connection : * * loose or damaged electrical connections between the remote control and the bed, preventing proper signal transmission. - * * software issue : * * a glitch or error in the software controlling the bed's functions, causing it to behave abnormally. # # # recommendations - * * inspect and test the remote control : * * verify if the remote control is physically damaged or has any loose components. replace if necessary. - * * check the bed's control system : * * run diagnostic tests to identify any electrical or mechanical issues within the bed's control system. repair or replace faulty components as needed. - * * examine the electrical connections : * * inspect and tighten any loose connections between the remote control and the bed. replace damaged wires or connectors. - * * consider software updates : * * if a software issue is suspected, contact the manufacturer or a qualified technician to perform software updates or troubleshooting. @topic:7


# # # issue bed not able to adjust its height using the wooden barriers. # # # impact patients or healthcare professionals may have difficulty accessing the bed or performing necessary procedures due to the inability to adjust its height. # # # possible causes 1. * * mechanical failure : * * the wooden barriers responsible for adjusting the height of the bed may be broken or damaged, preventing them from functioning correctly. 2. * * electrical malfunction : * * there could be electrical issues within the equipment, such as faulty wiring or a failed motor, preventing the barriers from moving smoothly. 3. * * software glitch : * * in case the bed operates on a computerized system, a software glitch or bug may hinder the proper functioning of the barrier adjustment mechanisms. 4. * * incorrect setup : * * if the bed was not assembled or set up properly during installation, it might result in the barriers not functioning as intended. 5. * * user error : * * misuse or mishandling of the bed, such as applying excessive force or attempting to adjust the barriers beyond their intended range, could lead to their failure. # # # recommendations 1. * * inspect the wooden barriers : * * check for any physical damage or wear and tear that may hinder their movement. if any defects are found, they should be repaired or replaced promptly. 2. * * test the electrical connections : * * ensure that all electrical connections are secure and free of any loose wires or faulty components. test the motor responsible for moving the barriers to identify any electrical issues. 3. * * update or troubleshoot software : * * if the bed operates on a software system, check for any available updates or troubleshoot any potential software glitches that may affect the barrier adjustment functionality. 4. * * verify proper setup : * * reconfirm that the bed was assembled and set up according @topic:1


# # # issue : cuff not matching the manufacturer's specifications # # # impact : device failure due to incorrect cuff measurement # # # possible causes : - incorrect cuff selection or replacement - cuff not calibrated to the device # # # recommendations : - use the correct cuff specified by the manufacturer - calibrate the cuff to the device according to manufacturer's instructions @topic:5


##a invalid nibp algorithm. nibp erify the algorithm. if the problem persists, replace the module. component softwaconfigure the sensor in an nibp not functional. invalid nibp initiation code internal malfunction. if the problem persists, replace the module. invalid patient mode. select correct patienmode and retry. 050514 invalid patient mode on nibp. the nibp component software tried to configure the sensor in an illegal manner verify correct patient mode. if the very low problem persists, replace the module. invalid module configuratiofor nibp nibp not functional. 050515 internal malfunction. if the problem persists, replace the odule. nibp not functional. nibp module malfunction internal malfunction. if the problem persists, replace the module. nibp ambient temperature ambient temp out of range on restore device to normal out of range. clear temperature ranges and try again. error and retry. 050517 nibp low battery. plug into the nibp module power rail is plug device into an ac outlet to outlet. 050518 charge the battery. too low too low battery overcharged. the nibp module power rail is battery is overcharged. remove disconnect from too high. outlet. 050519 from charging source. from charging source. nibp not calibrated. calibrate the module. 050601 nibp failed to load safety processors calibration recorfrom eeprom calibrate the nibp module. if the very low problem persists, replace the module. nibp not functional. 050602 nibp safety processor failed internal malfunction. if the problem persists, replace the nibp safety @topic:22


# # # issue - equipment : bed, electric - band : hill - rom - model : basic care, p1440a - cause of failure : unable to adjust up or down # # # impact - the bed cannot be adjusted to the desired height, which can make it difficult for patients to get in and out of bed or for healthcare professionals to provide care. # # # possible causes - the ac plug is loose. - the ac plug is damaged. - the wiring in the bed is damaged. - the motor that adjusts the bed is damaged. - the control panel that operates the bed is damaged. # # # recommendations - check the ac plug to make sure it is securely plugged into the outlet. - if the ac plug is damaged, replace it. - if the wiring in the bed is damaged, repair or replace it. - if the motor that adjusts the bed is damaged, replace it. - if the control panel that operates the bed is damaged, replace it. @topic:1


# # # issue : - spo2 probe failure # # # impact : - inability to monitor patient's oxygen saturation levels. # # # possible causes : - damaged spo2 cable : the cable connecting the spo2 probe to the monitor may be damaged, preventing the transmission of signal. - faulty spo2 probe : the sensor in the probe may be malfunctioning, leading to inaccurate or no readings. - incorrect probe placement : the probe may not be properly placed on the patient's finger or earlobe, causing poor signal acquisition. - interference from other medical devices : other nearby devices, such as electrosurgical units, can generate electrical noise that interferes with the spo2 signal. - software issues : a software glitch or bug in the monitor may be causing the probe to malfunction. # # # recommendations : - * * inspect and replace spo2 cable : * * replace the existing cable with a verified working one. - * * verify probe integrity : * * inspect the spo2 probe for any damage or loose connections. if necessary, replace with a new probe. - * * reposition probe correctly : * * ensure the probe is properly placed and secured in an appropriate location on the patient. - * * check for electrical interference : * * identify and mitigate any potential sources of electrical noise that may be interfering with the signal. - * * troubleshoot monitor : * * check for any error messages or notifications on the monitor. if possible, reset or update the software to resolve software - related issues. @topic:4


# # # issue - broken spo2 cable # # # impact - inability to monitor patient's oxygen saturation levels - potential for patient harm if oxygen saturation levels drop below safe levels # # # possible causes - physical damage to the cable, such as cuts or tears - electrical malfunction within the cable - improper use or storage of the cable # # # recommendations - inspect the spo2 cable regularly for any signs of damage - handle and store the cable with care - replace the cable if it is damaged or malfunctioning - ensure that the cable is properly connected to the patient and the monitor - train staff on the proper use and maintenance of the spo2 cable @topic:4


# # # issue - bed vibrates when adjusted # # # impact - patient discomfort - potential injury to patient or staff - damage to equipment # # # possible causes - bed is positioned too close to a wall or other obstruction - bed is not properly assembled or serviced - electrical fault in the bed's motor or controls # # # recommendations - ensure that the bed is positioned at least 6 inches away from any walls or obstructions - check that the bed is properly assembled and serviced according to the manufacturer's instructions - contact the manufacturer or a qualified technician to inspect the bed for any electrical faults @topic:9


# # # issue - the electric bed is not adjusting. # # # impact - the patient may be uncomfortable or unable to get out of bed. # # # possible causes - the bed's motor may be malfunctioning. - the bed's electrical system may be damaged. - the bed's control panel may be faulty. # # # recommendations - the bme should check the bed's motor and electrical system for damage. - the bme should also check the bed's control panel for any loose or damaged connections. - if the bme is unable to identify the cause of the failure, they should contact the bed's manufacturer for further assistance. @topic:9


be used. select another pressure label, either abp, ao, art, bap, fap, or uap. cco no calibration numeric is replaced by c. o. the cco measurement is currently not calibrated. cco no press at information center c. o. cco / cci cannot be calculated. make sure that the pressure chosen in the setup cco menu under cco from matches the pressure measured with the arterial catheter for cco measurement. a pressure from an external device cannot be used. select another pressure label, either abp, ao, art, bap, fap, or uap. cco not supported numeric is replaced by inop tone c. o. a catheter for transpulmonary c. o. measurements has been unplugged and replaced with a right heart c. o. catheter, or the measurement mode has been changed manually. silencing this inop switches the measurement off. cco / cci overrange numeric is replaced by inop tone c. o. the measured cco or cci value is not within the specified range for cco / cci measurement. cco cpressure label > invalid numeric is replaced by inop tone may sound c. o. the arterial pressure selected for pulse contour calculation for cco is available but currently invalid. make sure the pressure transducer is connected and the zero calibration is valid. cco press invalid at information center c. o. the arterial pressure selected for pulse contour calculation for cco is available but currently invalid. make sure the pressure transducer is connected and the zero calibration is valid. cco press overrang numeric is replaced by inop tone c. o. the mean value of the arterial pressure values used for pulse contour @topic:17


451261000671 iv - mp70 pcacy wireless trackball usb / ps2 m4046 - 60106 451261000681 iv - mp70 pcacy wired trackball usb / ps2 453564119281 453564119281 pcacy wireless off table mouse eu 453564203401 453564203401 pcacy wireless off table mouse us 453564203391 453564203391 pcacy wireless off table mouse uk 299 [ 8 site preparation ] intelmbridge cabling options part number 12nc description conduit sizes max. bend angle connector size ( lx w ) m8081 - 61001 453563484591 iv cbl 1. 5m lan / rs232 straight 30 mm ^ 25 mm 15x15 mm m8081 - 61002 453563484601 iv cbl 3m lan / rs232 straight 30 mm ^ 25 mm 15x15 mm m8081 - 61003 453563484611 iv cbl 10m lan / rs232 straight 30 mm ^ 25 mm 15x15 mm local printer see printer documentation rs232 / mib / lan interface table 12 mib cable and serial cable part number 12nc description conduit sizes max. bend angle connector size ( lx w ) m8081 - 61001 453563484591 ivcbll. smlan / rs232 straight 30 mm ^ 25 mm 15x15 mm m8081 - 61002 453563484601 iv cbl 3m lan / rs232 straight 30 mm ^ 25 mm 15x15 mm m8081 - 61003 453563484611 iv cbl 10m lan / rs232 @topic:19


# # # issue - the cuff of the blood pressure ( bp ) monitor is torn. # # # impact - the bp monitor cannot be used to accurately measure blood pressure. # # # possible causes - the cuff is old and has become worn out. - the cuff has been damaged by being stepped on or crushed. - the cuff has been washed in hot water or bleach, which has caused the material to break down. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - do not wash the cuff in hot water or bleach. @topic:3


# # # issue - the medical device ( monitor, patient transport ) is not linking to central # # # impact - the medical device cannot be used for patient care # # # possible causes - the medical device is not properly connected to the network - the network is not functioning properly - the medical device is not configured correctly - the medical device is not compatible with the network # # # recommendations - check the connections between the medical device and the network - verify that the network is functioning properly - check the configuration of the medical device - contact the manufacturer of the medical device for assistance @topic:16


# # # issue - broken bed alarm cable # # # impact - bed alarm system is not functioning, which can pose a safety risk to patients. # # # possible causes - wear and tear over time - accidental damage - improper handling or storage # # # recommendations - replace the broken cable with a new one. - ensure that the new cable is properly installed and secured. - conduct regular inspections of the bed alarm system to identify and address potential issues early on. @topic:26


# # # issue - cuff bp leaking # # # impact - inaccurate blood pressure readings - patient discomfort - delayed or incorrect treatment # # # possible causes - cuff connector not properly attached to airway tube - using an incompatible connector size - cuff bladder rupture - damaged cuff tubing # # # recommendations - ensure that the cuff connector is properly attached to the airway tube and that it is the correct size. - inspect the cuff bladder and tubing for any damage. - replace the cuff if necessary. - train staff on the proper use and maintenance of the device. @topic:3


# # # issue - monitor is not reading the module bis values intermittently. # # # impact - delay in patient monitoring and treatment. # # # possible causes - dirty or damaged rack contacts - faulty module bis # # # recommendations - clean the rack contacts with an appropriate cleaning solution. - inspect the module bis for any visible damage or loose connections. - if cleaning and inspection do not resolve the issue, replace the module bis. @topic:22


# # # issue - monitor not linking with central monitor # # # impact - inability to monitor patient's vital signs remotely - increased risk of patient harm # # # possible causes - faulty monitor - faulty network connection - software glitch # # # recommendations - check monitor connections - test monitor with another network connection - update monitor software @topic:16


# # # issue monitor is not receiving signal. # # # impact the monitor is unable to display patient data, which can delay or prevent diagnosis and treatment. # # # possible causes - the signal cable is not properly connected. - the signal amplifier is not turned on or is not functioning properly. - the signal transmitter is not functioning properly. - the monitor is not properly configured to receive the signal. # # # recommendations - check the signal cable connections. - check if the signal amplifier is turned on and functioning properly. - check if the signal transmitter is functioning properly. - configure the monitor to receive the signal. @topic:2


* * issue : * * - monitor lcd is flickering * * impact : * * - impaired visualization of patient data and medical images * * possible causes : * * * * 1. faulty display panel : * * - internal damage or loose connections within the lcd panel can cause flickering or display anomalies. * * 2. inverter or backlight issue : * * - the inverter converts power to the backlight, which illuminates the lcd panel. a faulty inverter or backlight can cause flickering or dimming of the display. * * 3. signal interference : * * - electromagnetic interference from other devices or wiring can disrupt the signal transmission to the monitor, causing flickering or display anomalies. * * 4. graphic card issue : * * - in some cases, a faulty graphics card connected to the monitor can also cause flickering or display problems. * * 5. power supply issue : * * - an unstable or fluctuating power supply can affect the operation of the monitor, leading to flickering or other display issues. * * 6. software issue : * * - software glitches or incompatibilities can sometimes cause display problems, including flickering. * * recommendations : * * * * 1. check and reseat connections : * * - ensure all cables and connections between the monitor, source device, and power supply are secure. * * 2. test with a different source : * * - connect the monitor to a different source device ( e. g., laptop, desktop ) to eliminate the source as a potential issue. * * 3. update software and drivers : * * - check for any available software or driver updates for the monitor or graphics card. * * 4. check for signal interference : * * - move the monitor away from potential sources of electromagnetic interference ( e. g., wireless routers, mri machines ) @topic:2