# # # issue - battery degradation # # # impact - central monitor may not provide accurate or timely information due to power failure. - patient monitoring may be interrupted or delayed, leading to adverse outcomes. # # # possible causes - * * age and usage : * * batteries degrade over time, especially with frequent use. - * * environmental factors : * * extreme temperatures, humidity, or exposure to chemicals can shorten battery life. - * * manufacturing defects : * * in some cases, batteries may fail prematurely due to manufacturing defects. # # # recommendations - * * preventive maintenance : * * regularly check the battery health and replace it as needed. - * * use proper storage conditions : * * store batteries in a cool, dry place to extend their lifespan. - * * monitor usage patterns : * * keep track of battery usage to identify devices that require more frequent battery replacements. - * * consider redundant power sources : * * implement backup power systems or use multiple batteries to mitigate the risk of power failures. - * * train staff : * * educate staff on proper battery handling and maintenance to minimize degradation. @topic:11


# # # issue - medical cart not functioning properly. # # # impact - inability to transport patients, equipment, or supplies. - delays in patient care. - increased risk of patient injury. # # # possible causes - * * incorrect settings or configuration. * * the medical cart may not be set up properly, or the settings may have been changed inadvertently. - * * electrical problems. * * the medical cart may not be receiving power, or there may be a problem with the electrical wiring. - * * mechanical problems. * * the medical cart may have a mechanical problem, such as a broken wheel or a jammed door. - * * software problems. * * the medical cart may have a software problem that is preventing it from functioning properly. - * * user error. * * the medical cart may not be being used properly, which could be causing it to malfunction. # # # recommendations - * * check the settings and configuration of the medical cart. * * make sure that the settings are correct and that the cart is set up properly. - * * inspect the electrical wiring of the medical cart. * * make sure that the wiring is intact and that the cart is receiving power. - * * check for any mechanical problems. * * look for any broken wheels, jammed doors, or other mechanical problems that could be preventing the cart from functioning properly. - * * update the software on the medical cart. * * make sure that the cart is running the latest version of the software. - * * train users on how to use the medical cart properly. * * make sure that users are aware of the correct settings and how to use the cart safely. @topic:13


, and the need for windows drivers to run or access them. the requirements for a usb flash drive to work with this monitor are the following : linux compatibility • p to 32 gb storag • fat 32 formatting usb 2. 0 compliant dimensions : assuming the usb flash drive will be inserted in the apm, the length of the stick does not matter. the size of the stick surrounding the usb metal head should be no larger than 9. 5 mm x 18. 5 mm to fit in the usb port. welch allyn recommends the following usb flash drive for use with the connex spot monitor and the apm work surface : kingston datatraveler se9 32 gb drive, part number dtse9h / 32gbz. monitor radio the monitor's radio operates on 802. 11 networks. wireless network ieee 802. 11 a / b / g / n interface 2. 4 ghz frequency bands ghz frequency frequency 2. 4 ghz to 2. 483 ghz 5. 15 ghz to 5. 35 ghz, 5. 725 ghz to channels 2. 4 ghz channels 5 ghz up to 14 ( 3 non - overlapping ) ; country - dependent, up to 23 non overlapping ; country - dependent authentication / encryption wireless equivalent privacy ( wep, rc4 algorithm ) ; wi - fi protected access ( wpa ) ; ieee 802. 11i ( wpa2 ) ; tkip, rc4 algorithm ; aes, rijndael algorithm ; encryption key 140 appendix welch [UNK] connex® spot monitor provisioning ; static ( 40 - bit and 128 - bit lengths ) ; psk ; dynamic ; eap - fast ; eap - tls ; eap - ttls ; peap - gtc 1 peap - mschapv2 ; peap - tls ; ethertronics wlan _ 1000146 antenna wireless data rates 802. 11 @topic:10


# # # issue - the central monitor ( hewlett packard, model m3150a ) turns off every morning. # # # impact - interruption of patient monitoring and treatment. # # # possible causes - electrical issues : - power supply fluctuations or surges - faulty wiring or connections - software bugs : - firmware or operating system problems - hardware defects : - component failures, such as in the power supply, motherboard, or display - environmental factors : - extreme temperatures or humidity # # # recommendations - * * troubleshooting electrical issues : * * - check power supply voltage and stability - inspect wiring and connections for loose or damaged components - * * updating software : * * - install the latest firmware or operating system updates, as recommended by the manufacturer - * * hardware inspection and repair : * * - have a qualified biomedical engineer inspect the device for any visible defects or component failures - replace or repair any faulty components as necessary - * * environmental control : * * - maintain a stable temperature and humidity within the recommended operating range for the device @topic:2


# # # issue - equipment : monitor, central station - band : hewlett packard - model : m3150a - description : bme found an error in the print queue, fixed it, printed the queue for the department, and tested the print function, which worked normally. # # # impact - the printer cannot print. # # # possible causes - the printer is not connected to the central machine. # # # recommendations - check the connection between the printer and the central machine. @topic:28


# # # issue battery failure indicated by "! " symbol on battery # # # impact inability to use battery - powered features of device # # # possible causes - battery is not properly inserted into device - battery is old or damaged - battery contacts are dirty or corroded # # # recommendations - check that battery is properly inserted into device - replace battery if it is old or damaged - clean battery contacts with a soft, dry cloth @topic:11


fully charged or battery 1 / battery 2 fully charged message is displayed. 4 disconnect the monitor from mains power and let the monitor run until there is no battery power left and the monitor switches itself off. 5 reconnect the monitor to mains power and charge the battery until it is full for use or charge to 50 % for storage. storing a battery a battery should not remain inside the monitor if it is not used for a longer period of time. batteries should be charged to a maximum of 50 % for storage. 375 35 using batteries battery safety information note the battery will discharge over time if it is stored inside a monitor without ac power connection, or inside an x2 not connected to a powered ( either running or in standby ) host monitor or the external power supply ( m8023a ). the reported values for “ remaining capacity ” and “ runtime ” will become less accurate when the battery is stored in this way for a longer period of time ( that is, several weeks ). unequally - charged batteries mp20 / 30 / if two batteries in a monitor are unequally charged, the monitor can compensate by causing the fuller 40 / 50 battery to discharge faster. for this mechanism to work, the charge state of the two batteries should not differ by more than 50 %. battery safety information warning use only philips batteries part number m4605a. use of a different battery may present a risk of fire or explosion. do not open batteries, or dispose of them in fire, or cause them to short circuit. they may ignite, explode, leak or heat up, causing personal injury. dispose of used batteries promptly and in an environmentally - responsible manner. do not dispose of the battery in normal waste containers. consult your hospital administrator to find out about local arrangements. caution do not disassemble, heat above 100°c ( 212°f ) or @topic:11


# # # issue - bed is not adjustable # # # impact - patient comfort and safety may be compromised. - delays in patient care. # # # possible causes - faulty remote control - electrical issues - mechanical issues with the bed # # # recommendations - ensure that the remote control is functioning properly by testing it on another bed. - check the electrical connections and fuses for the bed. - inspect the mechanical components of the bed, such as the motors and gears. @topic:1


# # # issue the phillips suresigns vs2 monitor is unable to power on and displays a rainbow pattern on the screen. # # # impact the monitor is unable to be used to monitor vital signs, which could delay or prevent patient care. # # # possible causes - defective board - power supply issues - display panel issues - software glitches - other hardware or software issues * * reported cause of failure * * - defective board # # # recommendations - contact the manufacturer for repair or replacement - check the power supply and connections - inspect the display panel for damage - update the software if necessary - troubleshoot other hardware or software issues @topic:2


* * issue : * * equipment malfunction * * impact : * * the equipment is not functioning properly and cannot be used for patient care. * * possible causes : * * * * * frequency setting error : * * the equipment may have been set to the wrong frequency, causing it to malfunction. * * * hardware or software failure : * * there may be a problem with the equipment's hardware or software that is causing it to malfunction. * * * external interference : * * there may be external interference, such as from other medical devices or nearby electrical equipment, that is causing the equipment to malfunction. * * recommendations : * * * * * check the equipment's settings : * * ensure that the equipment is set to the correct frequency and other operating parameters. * * * troubleshoot the equipment : * * check for any hardware or software errors that may be causing the malfunction. * * * check for external interference : * * identify and eliminate any external sources of interference that may be affecting the equipment's operation. * * * contact the manufacturer or qualified technician : * * if the problem cannot be resolved by following the above steps, contact the manufacturer or a qualified technician for assistance. @topic:12


# # # issue no equipment information provided. # # # impact unable to determine the cause of failure without equipment information. # # # possible causes - incorrect equipment information entered. - equipment not specified in the input. - equipment not available or not working properly. # # # recommendations - verify equipment information is correct and complete. - specify equipment make, model, and serial number. - check if equipment is available and functioning properly. @topic:12


# # # issue : - equipment failure due to deteriorated ekg lead wire # # # impact : - patient monitoring may be inaccurate or unavailable, potentially compromising patient safety. # # # possible causes : - wear and tear over time - improper handling or storage - external damage # # # recommendations : - regularly inspect ekg lead wires for signs of deterioration. - handle and store lead wires carefully to avoid damage. - replace lead wires promptly when they show signs of wear or damage. - train staff on proper use and maintenance of lead wires. @topic:18


the bed mechanism for any foreign objects or obstructions and remove them if present. @topic:9


# # # issue - keyboard on the medical cart is defective. # # # impact - the medical cart cannot be used for its intended purpose, which could delay or interrupt patient care. # # # possible causes - the keyboard may have been damaged by physical impact, liquid spills, or electrical surges. - the keyboard may have reached the end of its useful life. # # # recommendations - replace the defective keyboard with a new one. - if the keyboard was damaged by physical impact, liquid spills, or electrical surges, take steps to prevent similar damage in the future, such as providing protective covers or surge protection. - if the keyboard reached the end of its useful life, consider upgrading to a newer model that is more durable or has additional features. @topic:27


# # # issue - battery replacement on the philips suresing vs2 + monitor failed. # # # impact - the monitor cannot be used to measure vital signs, which could delay or compromise patient care. # # # possible causes - the new battery is not compatible with the monitor. - the battery was not installed correctly. - there is a problem with the monitor's battery charging system. # # # recommendations - verify that the new battery is the correct type for the monitor. - check that the battery is installed correctly. - test the monitor's battery charging system to ensure that it is functioning properly. - if the problem persists, contact philips technical support for assistance. @topic:11


this setting resets to the default at discharge and when the monitor is switched on. always re - enable the auto window as soon as possible. 116 6 ) ecg, arrhythmia, st and qt monitoring the electrocardiogram ( ecg ) measures the electrical activity of the heart and displays it on the monitor as a waveform and a numeric. this section also tells you about arrhythmia monitoring ( see page 133 ), st monitoring ( see page 145 ) and qt monitoring ( see page 155 ). skin preparation for electrode placement good electrode - to - skin contact is important for a good ecg signal, as the skin is a poor conductor of electricity. 1 select sites with intact skin, without impairment of any kind. 2 clip or shave hair from sites as necessary. 3 wash sites thoroughly with soap and water, leaving no soap residue. we do not recommend using ether or pure alcohol, because this dries the skin and increases the resistance. 4 dry skin thoroughly. 5 gently abrade the skin using ecg skin preparation paper to remove dead skin cells to improve the conductivity of the electrode site. connecting ecg cables 1 attach the clips or snaps to the electrodes before placing them. if you are not using pre - gelled electrodes, apply electrode gel to the electrodes before placement. 2 place the electrodes on the patient according to the lead placement you have chosen. 117 6 ecg, arrhythmia, st and qt monitoring selecting the primary and secondary ecg leads 4 plug the patient cable into the white ecg connector on the multi - measurement module. an ecg waveform and numeric appears on the monitor display. caution to protect the monitor from damage during defibrillation, for accurate ecg information and to protect against noise and other interference, use only ecg electrodes and cables specified by philips @topic:8


# # # issue - broken bed rails # # # impact - patient safety hazard : patients could fall out of bed and injure themselves. - inconvenience : patients may be unable to get out of bed safely or comfortably. - increased workload : nurses and other staff may have to spend more time monitoring and assisting patients. # # # possible causes - * * material failure : * * the bed rails may have been made of a weak or defective material. - * * design flaw : * * the bed rails may have been designed in a way that makes them vulnerable to breaking. - * * excessive weight : * * the patient may be too heavy for the bed rails to support. - * * improper use : * * the bed rails may have been used incorrectly, such as by standing on them or leaning against them. - * * aging : * * the bed rails may have become weakened over time due to wear and tear. # # # recommendations - * * inspect bed rails regularly : * * check the bed rails for any signs of damage, such as cracks, dents, or loose bolts. - * * replace damaged bed rails immediately : * * if any damage is found, the bed rails should be replaced immediately. - * * use bed rails properly : * * patients should be instructed on how to use the bed rails safely. - * * choose the right bed rails for the patient : * * the bed rails should be strong enough to support the patient's weight and mobility level. - * * consider using bed alarms : * * bed alarms can be used to alert staff if a patient is trying to get out of bed without assistance. @topic:6


# # # issue - equipment not functioning properly # # # impact - delays in patient care - increased risk of patient safety incidents # # # possible causes - * * lack of regular maintenance : * * the equipment may not have been maintained according to the manufacturer's recommendations, leading to wear and tear and eventual failure. - * * improper use : * * the equipment may have been used incorrectly, causing damage or premature failure. - * * defective parts : * * the equipment may have contained defective parts that failed prematurely. - * * environmental factors : * * the equipment may have been exposed to extreme heat, cold, humidity, or other environmental factors that can damage it. # # # recommendations - ensure that the equipment is maintained regularly according to the manufacturer's recommendations. - train staff on the proper use of the equipment. - inspect the equipment for any signs of damage or wear and tear. - keep the equipment in a clean and dry environment. @topic:12


rate. switching off the resp measurement can prevent this. 169 8 monitoring respiration rate ( resp ) resp safety information 170 9 monitoring sp02 philips pulse oximetry uses a motion - tolerant signal processing algorithm, based on fourier artefact suppression technology ( fast ). it provides four measurements : • oxygen saturation of arterial blood ( sp0 2 ) - percentage of oxygenated hemoglobin in relation to the sum of oxyhemoglobin and deoxyhemoglobin ( functional arterial oxygen saturation ). • pleth waveform - visual indication of patient ’ s pulse. • pulse rate ( derived from pleth wave ) - detected pulsations per minute. • perfusion indicator - numerical value for the pulsatile portion of the measured signal caused by arterial pulsation. the monitors are also compatible with sp0 2 technologies from other manufacturers. please refer to the instructions for use provided with these devices for further information. sp0 2 sensors depending on the purchased sp0 2 option, different sensors and adapter cables can be used. the sensors for the different options are color - coded to match the connectors. see the section on accessories for a compatibility table. familiarize yourself with the instructions for use supplied with your sensor before using it. in particular, check that the sensor being used is appropriate for your patient category and application site. caution do not use oxicliq disposable sensors in a high humidity environment, such as in neonatal incubators or in the presence of fluids, which may contaminate sensor and electrical connections causing unreliable or intermittent measurements. do not use disposable sensors on patients who have allergic reactions to the adhesive. always use the max - fast forehead sensor with the foam headband provided by nellcor. applying the sensor 1 follow the sp0 2 sensor ’ s instructions for use, @topic:17


# # # issue - patient monitor displays only lead ii of the ekg waveform # # # impact - patient's ekg readings are incomplete and inaccurate - clinicians may not be able to accurately diagnose or monitor the patient's condition # # # possible causes - faulty ekg lead wire - loose connection between lead wire and patient or monitor - problem with the monitor's ekg input circuitry # # # recommendations - check the ekg lead wire for damage or loose connections - clean the ekg lead wire with alcohol and reconnect it to the monitor - if the problem persists, try using a different ekg lead wire - if the problem still persists, contact the manufacturer's technical support for further troubleshooting @topic:18


# # # issue - the up button on the bed is not adjustable. # # # impact - the bed cannot be adjusted to the desired height, which can make it difficult for patients to get in and out of bed. # # # possible causes - the button may be damaged. - the wiring to the button may be loose or broken. - the control board may be faulty. # # # recommendations - inspect the button for damage. - check the wiring to the button for looseness or breaks. - if the button and wiring are intact, replace the control board. @topic:1


# # # issue - incorrect time displayed on monitors, patient transport # # # impact - inaccurate patient monitoring and documentation # # # possible causes - date / time settings not synchronized with the department's computer system - clock battery may be dead or malfunctioning - software glitch or hardware issue # # # recommendations - synchronize the device's date / time settings with the department's computer system - replace the clock battery if necessary - contact the manufacturer for troubleshooting assistance if the issue persists @topic:29


# # # issue oxygen analyzer equipment is not working properly. # # # impact the equipment cannot be used to measure oxygen levels, which could lead to inaccurate or delayed diagnoses and treatments. # # # possible causes - oxygen sensor is faulty. - equipment has not been calibrated recently. - equipment is not being used properly. # # # recommendations - replace the oxygen sensor. - calibrate the equipment according to the manufacturer's instructions. - provide training to staff on how to use the equipment properly. @topic:4


##ppets on the screen, select the screen name in the monitor info line and select a screen configured to show snippets from the pop - up list of available screens. st baseline window the st baseline window shows an st snippet drawn on a grid. the current st numeric and the st numeric stored with the baseline are shown, as well as the difference between these two numerics. a in front of the difference numeric indicates that the st measurement points were adjusted since the baseline snippet was stored. the baseline window opens with the st pop - up keys update baseline, record st, change st lead, adjust st points, st map and arrow keys for scrolling through the available leads. ♦ to view the st baseline window, select any snippet on the screen. 1 st label and numeric 2 baseline st numeric and difference since baseline was stored 3 1 mv calibration bar 4 current snippet 5 st baseline 6 timestamp of most recently stored baseline snippet updating st baseline snippets st analysis requires valid samples to measure and store a snippet. st snippets and st values are updated every minute. if there is artifact in the signal, it may take longer for an st snippet and an st value to appear. 147 6 ecg, arrhythmia, st and qt monitoring recording st segments the first baseline is stored automatically after st monitoring is started, or when a new patient is admitted. to update st baselines, 1 select an st snippet to open the st baseline window. 2 in the st baseline window, select update baseline to store all current snippets as baselines. this deletes all previously - stored baselines. an st baseline copy is also stored in the mms, for transport purposes. recording st segments ♦ to record all currently available st @topic:8


# # # issue - monitor not connected to central monitor # # # impact - inability to monitor patient's vital signs from the central monitoring system # # # possible causes - loose or disconnected cables - software issues - hardware failure # # # recommendations - check and tighten all cables connecting the monitor to the central monitoring system - update software on the monitor and central monitoring system - if the issue persists, contact the manufacturer for further troubleshooting @topic:2


# # # issue - inability to adjust the hospital bed. # # # impact - patient discomfort and safety concerns. - reduced patient mobility and independence. - inconvenience for healthcare staff. # # # possible causes - * * remote control malfunction : * * the remote control is essential for adjusting the bed. a malfunctioning remote can prevent the user from making any adjustments. - * * electrical issues : * * any electrical issues in the bed system, such as loose connections or faulty wiring, can interfere with its proper functioning. - * * mechanical issues : * * mechanical issues in the bed's frame or motors can prevent it from being adjusted. - * * software errors : * * in modern hospital beds, software errors can affect the functionality of the bed's control system. # # # recommendations - thoroughly inspect the remote control and test its functionality. replace the remote if necessary. - check all electrical connections and wiring to ensure they are secure and free of damage. - inspect the bed frame and motors for any visible signs of damage or wear. - consult with the manufacturer or a qualified biomedical engineer for technical troubleshooting and repair. @topic:1


hill - rom sname : hill - rom s. a. s. adresse z. i. du talhouet, 56330 pluvigner, france address : z. i. du talhouet, 56330 pluvigner, france la presente declaration de conformite est etablie sous la seule responsabilite du fabricant this declaration of conformity is issued under the sole responsibility of the manufacturer identification du produit identification of the product rand name : hill - rom trade name : hill - rom 900 accella™ description et identification du produit : lit avec fonction smartcare™ ( communication wi - fi avec solution mediascreen de telecom sante ) product description and identification : bed with smartcaretm function ( wi - fi communication with mediascreen solution powered by telecom sante ). l'objet de la declaration decrit ci - dessus est conforme a la legislation d'harmonisation de l'union applicable : the object of the declaration described above is in conformity with the relevant union harmonisation legislation : • directive 2014 / 53 / ue ( red ) [UNK] documents appliques article 3. 1 a ( 2014 / 53 / ue ) : en 60601 - 1 : 2006 / am1 : 2013 en 60601 - 2 - 52 : 2010 / en 62311 : 2008 ( protection de la sante et securite des utilisateurs / safety & protection of the users'health ) ( compatibilite electromagnetique / electromagnetic compatibility ) article 3. 2 ( 2014 / 53 / ue ) : etsi en 300 328 v2. 1. 1 : 2016 ( utilisation efficace et utilisation optimisee du spectre radioelectrique / effective and efficient uses of the radio spectrum ) @topic:10


extender p731ea3 mattress p163 iss socket adapter p1181b traction frame support module pi 180 patient helper support pi 176 patient helper, fixed position, kit pi 177 patient helper, adjustable position, kit careassist® and careassist® es bed service manual ( man330 rev 4 ) page 7 - 1 7. 1 infusion support system — pi58 chapter 7 : accessories 7. 1 infusion support system — pi 58 tools required : none the infusion support system ( iss ) consists of a movable and adjustable iv rod that attaches to the head end of the system. the pole supports iv pumps or bags in a vertical orientation and raises or lowers the pumps or bags with respect to the bed frame. each infusion support system can support one infusion pump plus two liters of intravenous solution. installation warning : do not exceed iss pole weight capacity. personal injury or equipment damage could occur. warning : when lowering the upper section of an iss pole, always grasp and hold the upper section of the pole before twisting the release knob. failure to do so could cause personal injury or equipment damage. 1. install the pi 63 adapter into any of the four equipment sockets. 2. install the iss pole into the adapter. 3. hang up to 40 lb ( 18 kg ) on the iss pole. caution : do not mount infusion pumps on the lower section of an iv rod. interference with head section articulation could result. 4. hang pumps on the upper section of an iss pole. removal do the installation procedure in reverse order. page 1 - 2 careassist® and careassist® es bed service manual ( man330 rev 4 ) 7. 2 oxygen tank holder — p27601 chapter 1 \ accessories 7. 2 oxygen tank holder — p27601 tools required : none the oxygen @topic:9


# # # issue the printer on the central monitor is jammed with paper, preventing it from printing. # # # impact the inability to print from the central monitor can hinder the efficient flow of patient information and data within the hospital. this can lead to delays in diagnosis, treatment, and decision - making. # # # possible causes the printer may be experiencing a paper jam due to : - incorrect paper loading - damaged or torn paper - excessive paper thickness # # # recommendations to resolve the issue and prevent future occurrences, the following recommendations are suggested : - ensure that the paper is loaded correctly according to the manufacturer's instructions. - replace any damaged or torn paper with new ones. - use the appropriate paper thickness and quality as specified in the printer's manual. - regularly inspect and clean the printer to remove any debris or foreign objects that may obstruct its operation. @topic:28


, you will need a large - bladed screwdriver. warning there is high voltage inside the instrument ( 800v ). do not connect the mms extension to a monitor while the extension housing is open. as well, parts inside the instrument may be contaminated with bacteria. protect yourself from possible infection by wearing examination gloves during these procedures. removing the front cover to remove the front cover, do the following : 1. remove the server and the monitor from the extension. 2. use a thin - bladed screwdriver to prise the grey front cover ( the console covering the measurement connector hardware ) gently from the bottom of the extension. position the screwdriver in the small slits provided for this purpose. the front cover then clicks away from the extension. 177 3. remove the front cover. removing the extension bottom cover to remove the extension bottom cover, do the following : 1. position the extension on the dual link bar with the measurement connector hardware facing upwards and the arm of the dual link bar towards you. there are four long mounting pins threaded into the extension in each of the four corners under the cover. locate the heads of the two long mounting pins on the side away from you 2. use tweezers to prise the pins gently out enough to be removed by hand. 3. remove the two pins and set them aside for refitting. note do not lose these long mounting pins since the extension will not function unless they are in place. te " i 4. using your hands, gently pry the bottom cover away from the extension at the link bar end first. the bottom cover is press - latched at the link bar end. remove it gently making sure not to bang or touch the inside of the extension. 178 note if you accidentally try to remove the wrong side of the bottom cover, you will notice that it is attached to the inside of the extension with a ribbon connector and that the @topic:19


# # # issue - the cause of failure is not clearly stated in the given input. # # # impact - the impact of the failure is not known. # # # possible causes - the failure could be due to a number of factors, including : - improper use of the equipment - faulty equipment - environmental factors # # # recommendations - to prevent similar failures in the future, the following recommendations should be considered : - train users on the proper use of the equipment - regularly inspect and maintain the equipment - ensure that the equipment is used in a suitable environment @topic:12


* * issue * * : spo2 sensor malfunction * * impact * * : inability to accurately monitor oxygen saturation levels, which can delay or hinder patient care. * * possible causes * * : - defective or damaged spo2 sensor - loose or faulty connection between the sensor and the monitor - interference from external sources ( e. g., ambient light, electrical noise ) - patient movement or improper positioning of the sensor - oxygen saturation level below the detectable range of the sensor * * recommendations * * : - replace the spo2 sensor with a known - good unit. - inspect the connections and cables for any signs of damage or loose connections. - check for any external sources of interference and eliminate them if possible. - ensure proper positioning and immobilization of the sensor on the patient. - verify that the patient's oxygen saturation level is within the detectable range of the sensor. @topic:4


# # # issue - cuff of patient transport monitor from welch allyn ( model : propaq lt ) is damaged. # # # impact - device is not able to take accurate blood pressure measurements. # # # possible causes - normal wear and tear over time. - improper storage or handling of the equipment. - damage to the cuff during use. # # # recommendations - replace the damaged cuff with a new one. - ensure the equipment is stored and handled properly according to the manufacturer's instructions. - train staff on proper use of the equipment to prevent future damage. @topic:5


# # # issue - remote control cable is damaged, exposing wires inside. # # # impact - bed may not function properly or at all. - potential safety hazard due to exposed wires. # # # possible causes - wear and tear over time. - excessive use or mishandling. - manufacturing defect. # # # recommendations - replace the damaged remote control cable with a new one. - inspect the remote control cable regularly for signs of wear and tear. - handle the remote control with care to avoid damage. - contact the manufacturer if the issue persists or if there are any concerns about the safety of the device. @topic:7


150 ( h ) iameter casters ) ( h ) 760 mm / 800 mma 768 mm / 808 mmat 150 mm² chassis clearance ( double - band 125 diameter casters de ) ( c ) chassis clearance ( 125 diameter casters ) ( c ) 183 mm chassis clearance ( double band 150 diameter casters ) ( c ) 195 mm² chassis clearance ( 150 diameter casters de ) ( c ) 203 mm203 mm² 65° head section'incline - 3° to - 22° + 17 % - 17° foot section incline * trendelenburg / reverse trendelenburg emergency trendelenburg ( " shock " ) " - 12 ° / 30 se155 - 185 kg maximum patient weight for the swl version : 220 kg maximum patient weight for the swl version : 250 kg * bed weight l1900b0 / l1900b2'( no mattress or accessories ) bed weight l1900b2 ( no mattress or accessories ) bed weight l1900b3 ( no mattress or accessories ) maximum temperature of applied parts at 40° c 185 - 215 kg * 44 k20 k170 kg 6, 5° c unweighted peak acoustic pressure levels < 120 db maximum measured level of weighted acoustic pressure 42 dba a. these are average values, which may vary according to manufacturing tolerances.. b. bed fitted with ad271b siderails c. bed fitted with ad272b siderails d. dimensions in mm. e. an antistatic version is also available. f. l1900b3 model g. incompatible with the cfs 250 kg version, l1900b0 or l1900b2 with half - siderail. h. l1900b0 and l1900b2 models i. maximum incline in relation to the sleep surface j. swl 220 kg / the maximum patient @topic:9


# # # issue * faulty blood pressure ( bp ) line # # # impact * inaccurate blood pressure readings # # # possible causes * damaged bp line # # # recommendations * replace the faulty bp line with a new one. * regularly inspect and maintain all medical equipment to prevent future failures. @topic:14


# # # issue - cuff bp is damaged. # # # impact - patient's blood pressure cannot be accurately monitored. - this could lead to incorrect treatment decisions being made. # # # possible causes - the cuff may have been damaged during use. - the cuff may have been damaged during cleaning. - the cuff may have been damaged due to age or wear and tear. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of damage. - clean the cuff according to the manufacturer's instructions. - replace the cuff if it shows signs of damage. @topic:3


# # # issue - the monitor in the central station does not display information from other rooms. # # # impact - the central station operator cannot monitor the status of patients in other rooms. # # # possible causes - the monitor is not connected to the network. - the network is not configured correctly. - the monitor is not set up to display information from other rooms. # # # recommendations - check the network connection. - verify the network configuration. - configure the monitor to display information from other rooms. @topic:16


surfaces with clamps marked ( a ) to prevent the hard surface from sliding and the adjustable head section from becoming blocked when lowering. references of recommended mattresses 90 cm wide mattresses are incompatible with egress handles *. clamp part number name position s l p02033a primo mattress ad085a ( 200 x 85 x 16 cm ) clinactivalternating low pressure mattress system ad237a ( 230v ) ( 203 x 85 x 18 cm ) [UNK] p02062b x clinactiv continuous low pressure mattress system ad238a ( 230v ) ( 203 x 85 x 18 cm ) p02063b x clinactiv mcm alternating low pressure mattress system ad234a ( 230v ) ( 203 x 85 x 18 cm ) p02064b x clinactiv mcm continuous low pressure mattress system ad235a ( 230v ) ( 203 x 85 x 18 cm ) p02065b p02039b duo 2 multi mode mattress system ad140a ( 200 x 85 x 23 cm ) accella therapy multi - mode mattress system - ad305a ( 230v ) ( 203 x 92 x 21. 5 cm ) x p006783a p006790a accella therapy multi - mode mattress system - ad305a ( 120v ) - ( 203 x 92 x 21. 5 cm ) accella therapy + mcm multi - mode mattress system - ad306a ( 230v ) ( 203 x 92 x 21. 5 cm ) 006788a accella therapy + mcm multi - mode mattress system - ad306a ( 120v ) - ( 203 x 92 x 21. 5 cm ) p006791a x 006789a combined accella therapy + mc @topic:9


# # # issue - lcd monitor flickering # # # impact - impaired visibility of patient data and vital signs - potential diagnostic and treatment delays - patient discomfort or anxiety due to flickering display # # # possible causes - faulty or loose cable connections - problem with the monitor's power supply - internal hardware or software malfunction - electrical interference - lighting conditions ( e. g., flickering fluorescent lights ) # # # recommendations - inspect and reconnect all cables thoroughly - check the power supply for any loose connections or voltage fluctuations - power cycle the monitor and test its functionality - contact the manufacturer or a qualified technician to further diagnose and troubleshoot the issue - ensure adequate lighting conditions to minimize flickering from external sources - consider using a surge protector or battery backup to stabilize power supply @topic:2


# # # issue - printer not printing # # # impact - inability to print medical records and other documents # # # possible causes - hardware issues - software issues - firmware issues - paper or ink issues - connection issues # # # recommendations - check that the printer is properly connected to the computer and power source - make sure that the printer has paper and ink - restart the printer - update the printer software - update the printer firmware - contact the manufacturer for assistance @topic:28


# # # issue : - head of the bed is not adjustable. # # # impact : - patient discomfort - difficulty in patient care # # # possible causes : - broken or malfunctioning motor - damaged wiring - software issue # # # recommendations : - inspect the motor and wiring for damage. - test the software to ensure it is functioning properly. - replace any damaged or malfunctioning components. - calibrate the equipment to ensure it is operating within specifications. @topic:1


# # # issue : cuff failure in philips suresigns vs2 + monitor # # # impact : inability to accurately measure vital signs such as blood pressure. # # # possible causes : - * * wear and tear * * : cuffs can deteriorate over time due to repeated use and exposure to elements such as moisture and chemicals. - * * improper use * * : using the cuff incorrectly, such as applying excessive pressure or not positioning it properly, can damage the material. - * * material defects * * : faulty manufacturing processes or low - quality materials can lead to premature cuff failure. # # # recommendations : - * * regular maintenance * * : schedule periodic inspections of cuffs by qualified biomedical engineers to identify and replace worn or damaged parts. - * * proper use * * : ensure that all staff using the monitor is trained on the correct handling and maintenance procedures for the cuffs. - * * quality control * * : purchase cuffs from reputable manufacturers and verify their adherence to industry standards to minimize the risk of defects. - * * maintain stock of spare cuffs * * : keep a sufficient supply of spare cuffs on hand to avoid delays in patient care due to cuff failure. - * * consider using cuffless technology * * : explore alternatives to traditional cuffs, such as cuffless blood pressure monitors, to mitigate the risk of cuff - related failures. @topic:5


# # # issue - broken wooden bed rail # # # impact - patient safety hazard ( patient could fall out of bed ) - inconvenience for patient and staff ( bed cannot be adjusted for comfort or medical procedures ) # # # possible causes - wear and tear - improper use or handling of the bed - manufacturing defect # # # recommendations - replace the wooden bed rail with a new one - inspect the bed regularly for any other damage or wear and tear - train staff on proper use and handling of the bed - contact the manufacturer to report the defect and request a replacement part @topic:6


# # # issue - cuff is damaged. # # # impact - the patient's blood pressure cannot be monitored accurately. # # # possible causes - the cuff may have been overinflated or underinflated. - the cuff may have been damaged by a sharp object. - the cuff may have been exposed to moisture or heat. # # # recommendations - replace the cuff with a new one. - inspect the cuff for any damage before using it. - store the cuff in a cool, dry place. @topic:3


# # # issue - equipment : philips intellivue mx750 bedside physiologic monitor - problem : bis ( bispectral index ) value not displayed # # # impact - inability to monitor the patient's level of consciousness and sedation. # # # possible causes - faulty bis sensor - signal interference - incorrect placement of the bis sensor - loose connections or cables # # # recommendations 1. * * replace the bis sensor : * * the sensor may be malfunctioning or damaged. replacing it with a new one will eliminate this as a potential cause. 2. * * check for signal interference : * * ensure that there are no sources of electromagnetic interference, such as mobile phones or other medical devices, near the monitor. 3. * * ensure correct placement of the bis sensor : * * the sensor should be placed correctly on the patient's forehead, according to the manufacturer's instructions. 4. * * inspect connections and cables : * * check all connections and cables between the bis sensor, module, and monitor to ensure they are secure and free from damage. 5. * * contact the manufacturer or a qualified technician : * * if the issue persists after trying the above steps, contact the manufacturer or a qualified technician for further troubleshooting and repair. @topic:22


# # # issue - oxygen sensor ( o2 sen ) not showing values # # # impact - inaccurate oxygen saturation measurements - delays in patient monitoring and treatment # # # possible causes - faulty oxygen sensor - broken or damaged cable connecting the sensor to the monitor - software or hardware malfunction in the monitor - loose or disconnected connections # # # recommendations - replace the oxygen sensor - inspect and replace any damaged cables - update the monitor's software or hardware as needed - tighten or reconnect any loose connections @topic:4


##7 ( 22032 ( 21 ) hrp000000000 ref : cs900b4xxxxxx ; cs900 = hill - rom 900 accella ; b = version ; 4xxxxxx = a unique 7 - figure numerical code matching various criteria, such as the voltage, the electrical functions, the language, etc. • sn : hrpxxxxxxx : hrp = hill - rom pluvigner ; xxxxxxx = incremental code. • • safety and usage tips for every type of use, hill - rom beds provide patients with optimal comfort and greater independence for a feeling of well - being that is conducive to a swift recovery. they are also easy to use for caregivers. intended use the hill - rom 900 accella l1900b4 medical beds, with cpr, are intended for intensive ( the cpr function remains operational in the event of an electric power outage ), acute and ambulatory care for adult patients ( en60601 - 2 - 52 application environments 1, 2 and 5 ). the design benefits are the application of the advanced techniques used in specialized units, with the needs of the whole medical team in mind, and facilitate the use of monitoring equipment and the transfer of patients to examination wards. contraindications children ( aged less than 12 or under 1. 46 m tall ), • • • • page 3 features the hill - rom 900 accella l1900b4 beds are equipped with : • a trendelenburg / reverse trendelenburg function, • batteries providing protection against power outages, • the hill - rom 900 accella l1900b4 beds can be equipped with : a patient position detection system, • a nurse call function *, • a built - in weigh system ( compliant with the directive 2014 / 31 / eec ) indicating @topic:9


# # # issue - malfunctioning electric bed # # # impact - patient discomfort or safety concerns - interruption of medical procedures - increased healthcare costs # # # possible causes - worn or damaged motor - faulty control box - malfunctioning remote control - electrical issues # # # recommendations * * immediate actions : * * - isolate the bed from electrical power - transfer the patient to a safe location - contact the manufacturer or qualified biomedical engineer * * troubleshooting and repair : * * - inspect the motor, control box, and remote control for visible damage or loose connections - test the motor and control box using diagnostic equipment - replace any faulty components - ensure proper wiring and electrical connections * * preventive maintenance : * * - regular inspections and cleaning of the bed - periodic testing of motors and other components - proper handling and storage of the bed - training of staff on safe operation and maintenance of the bed * * additional considerations : * * - consult with the patient to determine any specific needs or concerns - keep detailed records of maintenance and repairs - consider a preventive maintenance contract with the manufacturer or a qualified biomedical engineering company @topic:9


# # # issue - equipment malfunction causing continuous error messages. # # # impact - inability to use the equipment for intended medical purposes. # # # possible causes - * * defective internal components : * * faulty circuit boards, wires, or sensors within the nerve stimulator can lead to erratic behavior and error messages. - * * battery issues : * * depleted or improperly fitted batteries can cause power fluctuations and trigger error messages. - * * software glitches : * * bugs or corrupted software can interfere with the device's operation and display erroneous information. - * * loose connections : * * poorly secured electrical connections between the battery and the device's circuitry can lead to intermittent errors. # # # recommendations - * * thorough inspection : * * examine the device for any visible signs of damage or loose components. - * * battery replacement : * * ensure that the batteries are fresh and correctly installed as per the manufacturer's instructions. - * * software updates : * * check for any available software updates that may address known issues. - * * component testing : * * use diagnostic equipment to test individual components, such as the circuit boards and sensors, to identify any faults. - * * professional repair : * * if the cause of failure cannot be identified through troubleshooting, it is recommended to contact the manufacturer or a qualified biomedical technician for further assessment and repair. @topic:2


# # # issue - reusable ai way adapter broken # # # impact - unable to use the physiologic monitor bedside # # # possible causes - the oxygen co2 values were abnormally high, indicating a possible problem with the reusable ai way adapter. # # # recommendations - replace the reusable ai way adapter with a new one. @topic:2


# # issue - equipment : bed, electric - issue : equipment is not adjusting as expected # # impact - inability to adjust the bed for patient positioning and comfort - delays in patient care - increased risk of injury to patients and staff # # possible causes - malfunctioning remote control - loose or damaged wiring - faulty motor or actuator - software or firmware issues - user error # # recommendations - verify the functionality of the remote control by testing it with another compatible bed. - inspect the wiring harness for any loose connections, damage, or corrosion. - test the motor and actuator using appropriate diagnostic tools to identify any mechanical failures. - check for any software or firmware updates that may resolve the issue. - ensure proper training of staff on the operation and troubleshooting of the bed. @topic:7


# # # issue - the control for the knee on the electric bed is not working. # # # impact - the patient cannot have their knee properly positioned for medical procedures or examinations. # # # possible causes - the bed's control panel is not properly connected to the knee actuator. - the knee actuator is not properly connected to the knee joint. - the knee joint is damaged. - the knee pad is loose. # # # recommendations - inspect the connections between the control panel, the knee actuator, and the knee joint. - inspect the knee joint for damage. - inspect the knee pad for looseness. - replace any damaged components. - reattach any loose connections. - calibrate the control panel. @topic:9


# # # issue - cuff of the philips suresigns vs4 vital signs monitor is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged by being punctured or torn. - the cuff may have been incorrectly attached to the patient. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - train staff on how to correctly attach the cuff to the patient. @topic:15


# # # issue - the central monitor's time is not synchronized with the computer. # # # impact - the central monitor may not display accurate patient data or may not be able to communicate with other devices on the network. # # # possible causes - the central monitor's clock is not set correctly. - the computer's clock is not set correctly. - the network connection between the central monitor and the computer is not working properly. # # # recommendations - check the central monitor's clock and set it to the correct time. - check the computer's clock and set it to the correct time. - check the network connection between the central monitor and the computer and make sure it is working properly. @topic:29


site oral braun antitheft time undocked before alarm 2 hours yes raun timer icon enabled yes braun technique compensation algorithm enabled yes braun °f or °c hardware switch enabled ( in the battery compartment ) yes no anual parameterdefault value settings custom score feature active no display height yes display weight yes display pain yes display respiration yes no in lb enable manual override nibp yes enable manual override pulse rate yes enable manual override respiration rate yes enable manual override temperature yes enable manual override spo2 yes service manual etwork selections default value settings options alphanumeric entry ( 32 ) essid selection com. welchallyn a / b / g / n radio mode a / b / g / n, a / b / g, a / n, a only radio enabled yes yes / no radio alarms enabled yes / no no mac address 00 : 1a : fa : ff : fc : 00 ethernet mac address alphanumeric entry ( 18 ) ireless mac authentication / pa2 - personal ncryption typpersonal ( tkip ), wpa enterprise ( tkip ), wpa2 - personal ( aes / ccmp ), wpa2 - enterprise ( aes / ccmp ), wep n ( could be 64 ( 40 ), 128 ( 104 ) specific ) alphanumeric entry ( 64 ) authentication / n method 1234567890abcdef1234 567890abcdef12345678 90abcdef1234567890a cdef enhanced auth protocol tls, ttls, peap - peap - mschapv2 eap ) typmschapv2, peap - gtc, eap - tls, eap - fast enhanced auth protocol alphanumeric entry ( 32 ( eap ) identity vitalsign @topic:10


# # issue - battery failure - equipment malfunction # # impact - monitoring inaccuracies - treatment errors - patient safety concerns # # possible causes - general wear and tear - improper maintenance - battery defects - software issues - hardware problems # # recommendations - regular maintenance and calibration of equipment - adherence to manufacturer guidelines for battery replacement - use of high - quality batteries - troubleshooting and repair by qualified biomedical engineers - documentation of all maintenance activities @topic:11


# # # issue : - medical device ( hill - rom 900 accella bed ) malfunctioning after a power interruption. # # # impact : - the bed is not functioning properly, which could affect patient care and safety. # # # possible causes : - plugged - in equipment may have had a loose electrical connection after power interruption # # # recommendations : - fault may be resolved by checking and plugging the electrical connection firmly. @topic:9


# # # issue cuff breakage in a bedside physiologic monitor. # # # impact the monitor will not be able to accurately measure blood pressure, which could lead to incorrect patient treatment. # # # possible causes * the cuff may have been damaged during use. * the cuff may have been over - inflated. * the cuff may have been used on a patient who was too large or small. # # # recommendations * inspect the cuff for any damage. * replace the cuff if it is damaged. * use the correct cuff size for the patient. * do not over - inflate the cuff. @topic:5


# # # issue fetal remote malfunctioning, leading to an inability to use the device. # # # impact inability to monitor the fetal heart rate accurately, which can be crucial for ensuring the well - being of the fetus during labor and delivery. # # # possible causes * * 1. hardware failure : * * * broken or malfunctioning buttons on the fetal remote device. * electrical issues within the device, such as damaged wiring or faulty components. * * 2. software bugs : * * * issues with the software that controls the fetal remote's functionality. * incompatibility between the fetal remote and the main monitoring system. # # # recommendations * * 1. hardware troubleshooting : * * * inspect the fetal remote for broken or damaged buttons. * check for loose connections or frayed cables. * if hardware damage is suspected, the device should be sent for repair or replacement. * * 2. software troubleshooting : * * * restart the fetal remote and the main monitoring system. * update the software on both devices to the latest version. * contact the manufacturer for support if software issues persist. * * 3. maintenance and preventive measures : * * * regularly clean and maintain the fetal remote according to manufacturer's instructions. * use the device in a proper and controlled environment. * train staff on the correct usage and handling of the equipment. * * 4. backup and contingency plans : * * * have a backup fetal remote available in case of device failure. * develop contingency plans to ensure continued fetal monitoring in the event of equipment malfunction. @topic:2


# # # issue - the blood pressure ( bp ) waveform is not displaying on the bedside monitor. # # # impact - the clinician cannot monitor the patient's blood pressure, which is a critical vital sign. # # # possible causes - the bp transducer is not connected properly to the patient's bp cuff. - the bp cuff is not inflated to the correct pressure. - the bp transducer is faulty. - the bedside monitor is not receiving a signal from the bp transducer. # # # recommendations - check the connection between the bp transducer and the patient's bp cuff. - ensure that the bp cuff is inflated to the correct pressure. - replace the bp transducer if it is faulty. - contact the manufacturer of the bedside monitor if the problem persists. @topic:14


# # # issue - equipment : monitor, bedside, physiologic - band : philips - model : intellivue mp70 ( m8007a ) - description : the white lead wire is broken due to deterioration over time. the lead wire has been replaced. - cause of failure : the white ekg wire is damaged and broken. # # # impact - the monitor cannot accurately measure and display the patient's ekg. - this could lead to delayed or incorrect diagnosis and treatment. # # # possible causes - the wire may have been damaged during use or storage. - the wire may have been exposed to excessive heat or moisture. - the wire may have been crimped or bent excessively. # # # recommendations - inspect the lead wires regularly for damage and replace them as needed. - store the lead wires in a cool, dry place. - avoid crimping or bending the lead wires excessively. - ensure that the lead wires are not exposed to excessive heat or moisture. @topic:18


# # # issue - remote control failure # # # impact - inability to operate the bed # # # possible causes - damaged or malfunctioning remote control - interference from other devices - software issues # # # recommendations - replace the remote control - check for and eliminate any sources of interference - update the software, if necessary @topic:7


# # # issue - the patient transport monitor's oxygen saturation ( spo2 ) readings are lower than expected. # # # impact - inaccurate spo2 readings can lead to delayed or incorrect treatment decisions, which could compromise patient safety. # # # possible causes - damaged sensor cable - faulty sensor - poor sensor placement - interference from other medical devices - patient factors ( e. g., low perfusion, skin pigmentation ) # # # recommendations - inspect the sensor cable for damage and replace if necessary. - calibrate the sensor according to the manufacturer's instructions. - ensure proper sensor placement on the patient's finger or earlobe. - check for and eliminate any sources of electrical interference. - consider patient factors that may affect spo2 readings and adjust the interpretation of the results accordingly. @topic:4


# # # issue - telemetric electrocardiography monitors are unable to acquire signals. # # # impact - inability to accurately monitor patient's electrocardiographic activity. # # # possible causes - * * defective telemetric transmitter : * * the telemetry transmitter responsible for transmitting electrocardiographic signals from the patient to the monitor may be malfunctioning. - * * antenna misalignment : * * the antenna on the monitor or the transmitter may not be properly aligned, resulting in poor signal reception. - * * interference from other devices : * * nearby wireless devices or electromagnetic interference can interfere with the telemetry signal. - * * incorrect ip configuration : * * the ip address assigned to the telemetry device may be incorrect, preventing it from connecting to the monitor. # # # recommendations - * * verify telemetric transmitter function : * * test the telemetry transmitter separately to ensure it is transmitting signals properly. replace if necessary. - * * check antenna alignment : * * ensure that both the transmitting and receiving antennas are aligned and clear of obstructions. - * * eliminate interference : * * identify and eliminate potential sources of electromagnetic interference, such as nearby wireless devices. - * * reconfigure ip address : * * obtain the correct ip address from the biomedical engineering department and configure the telemetry device accordingly. @topic:16


the surgical site and the electro - surgical unit return electrode. eeg and electrical interference caution interference from a non - grounded instrument near the patient and electrosurgery interference can cause problems with the waveform and the csa. radiated field strengths above 1 v / m and patient signals < 50 pv may cause noise on the eeg waves at various frequencies. therefore, it is recommended to avoid the use of electrical radiating equipment in close proximity to the patient monitor. the noise does not influence the measurement accuracy. interference from ecg can be eliminated by adjusting the low filter settings. 256 19 monitoring bis bispectral index monitoring helps to monitor the level of consciousness of a patient under general anesthesia or sedation in the or and icu. the bis sensor is placed on the patient ’ s forehead to capture electroencephalographic ( eeg ) signals from which several numerics are derived, including a single bis value representing the level of consciousness. see the chapter on specifications for the bis intended use statement. the bis module or bis interface board ( for mp20 / mp30 ) provides the monitor with an eeg wave and the following numerics : bispectral index ( bis ). the bis numeric reflects the patient ’ s level of consciousness. it ranges from 100 ( fully awake ) to 0 ( suppression ; no electrical brain activity ). signal quality index ( sqi ). the sqi numeric reflects signal quality and provides information about the reliability of the bis, sef, tp, sr, and bursts numerics during the last minute. it ranges from 0 to 100 % : sqi < 15 % : the numerics cannot be derived sqi 15 % to 50 % : the numerics cannot be reliably derived sqi 50 % to 100 % : the numerics are reliable. electromyographic activity ( emg ). the em @topic:10


# # # issue - failure of spo2 cable in philips suresigns vs4 monitor. # # # impact - inability to accurately measure spo2, which is a vital sign used to assess patient oxygenation status. # # # possible causes - physical damage to the cable, such as cuts or tears. - loose connections at the cable terminals. - electrical malfunction within the cable. # # # recommendations - * * inspect the cable thoroughly : * * check for any visible damage, such as cuts, tears, or loose wires. - * * test the cable connections : * * ensure that the cable is securely connected at both ends, to the monitor and the patient's finger. - * * replace the cable promptly : * * if the cable is damaged or cannot be repaired, it should be replaced with a new one to ensure proper spo2 measurement. - * * regular maintenance : * * perform periodic checks and maintenance on all medical devices, including the spo2 cable, to identify and address potential issues before they cause failures. @topic:4


* * issue : * * * vital signs monitor is providing inaccurate readings, indicating a higher than normal systolic and diastolic blood pressure. * * impact : * * * incorrect patient data could lead to improper diagnosis and treatment, potentially compromising patient safety. * * possible causes : * * * * * faulty pressure transducer : * * the pressure transducer, which measures blood pressure, may have malfunctioned, resulting in inaccurate readings. * * * improper cuff placement : * * the blood pressure cuff may not have been placed correctly on the patient, affecting the accuracy of the measurement. * * * electrical interference : * * the monitor may be experiencing electrical interference from other medical equipment, leading to false readings. * * * software error : * * a software bug in the monitor's firmware may be causing it to process and display incorrect values. * * recommendations : * * * * * recalibrate the monitor : * * use a standard blood pressure manometer to calibrate the monitor's pressure transducer and ensure accurate readings. * * * check cuff placement : * * verify that the blood pressure cuff is placed correctly on the patient's arm, at the proper height and snugness. * * * isolate electrical interference : * * remove any nearby medical equipment that may be causing electrical interference and test the monitor in a different location. * * * update software : * * contact the manufacturer to inquire about any available software updates that may resolve the issue. * * * report to vendor : * * inform the vendor of the issue and provide them with detailed information for further analysis and problem resolution. @topic:15


# # # issue - the bed's side rails are faulty and worn. # # # impact - the patient may fall out of bed if the side rails are not functioning properly. # # # possible causes - the side rails may have been damaged due to excessive use or improper handling. - the side rails may have been made from defective materials. - the side rails may not have been properly installed or maintained. # # # recommendations - the side rails should be replaced with new ones. - the side rails should be inspected regularly for damage and wear. - the side rails should be properly installed and maintained according to the manufacturer's instructions. @topic:6


# # # issue - failure of the bed's up - down barrier # # # impact - the patient may fall out of the bed if the barrier is not functioning properly. # # # possible causes - broken bed folding latch. # # # recommendations - replace the broken bed folding latch. @topic:6


# # # issue the bed is unable to adjust. # # # impact this issue can prevent the proper positioning of the patient, which can lead to discomfort, pain, or even injury. # # # possible causes the following are some possible causes of this issue : * the plate that supports the mattress is not properly aligned. * the motor that powers the bed is not functioning properly. * the electrical connections to the bed are loose or damaged. # # # recommendations the following are some recommendations for resolving this issue : * check the alignment of the plate that supports the mattress. if the plate is not properly aligned, adjust it until it is. * inspect the motor that powers the bed for any signs of damage or wear. if the motor is damaged, it will need to be replaced. * check the electrical connections to the bed for any loose or damaged connections. if any loose or damaged connections are found, they will need to be repaired or replaced. @topic:1


# # # issue - loose bolt on the bed guard # # # impact - safety hazard for patients and staff # # # possible causes - wear and tear - improper installation - faulty bolt # # # recommendations - regularly inspect and tighten all bolts on the bed - ensure that the bed is properly installed according to the manufacturer's instructions - replace any faulty bolts immediately @topic:6


# # # issue - equipment : physiologic vital signs monitor - brand : philips - model : suresings vs2 + - description : wheels are broken. # # # impact - the monitor cannot be easily transported. - the monitor may be unstable and fall over, posing a risk of injury to patients or staff. - the monitor may be difficult to clean, which may lead to infection control issues. # # # possible causes - the wheels are not properly secured. - the wheels are made of a material that is not strong enough to withstand the weight of the monitor. - the wheels have been damaged by impact or excessive use. # # # recommendations - inspect the wheels regularly and tighten any loose bolts or screws. - replace the wheels with ones that are made of a stronger material. - use the monitor in a careful manner to avoid damaging the wheels. @topic:24


# # # issue the cause of failure in the given input is that the ac power cord was broken. this caused the monitor to be unable to power on and function properly. # # # impact the impact of this failure is that the monitor cannot be used to monitor vital signs, which can lead to patient safety issues. # # # possible causes the ac power cord can break for a variety of reasons, including : * physical damage, such as being stepped on or crushed * electrical damage, such as a surge or short circuit * wear and tear over time # # # recommendations to prevent this type of failure, it is important to : * inspect the ac power cord regularly for damage. * avoid placing the ac power cord in areas where it can be damaged. * replace the ac power cord if it shows any signs of damage. @topic:2


# # # issue - cuff neonatal is not available. # # # impact - cannot measure vital signs of a neonatal patient. # # # possible causes - the hospital does not have a cuff neonatal in stock. - the cuff neonatal is not compatible with the monitors, physiologic, vital signs. - the cuff neonatal is defective. # # # recommendations - check if the hospital has a cuff neonatal in stock. - if the hospital does not have a cuff neonatal in stock, order one from a supplier. - if the cuff neonatal is not compatible with the monitors, physiologic, vital signs, purchase a compatible cuff neonatal. - if the cuff neonatal is defective, return it to the manufacturer for repair or replacement. @topic:5


# # # issue - the button of the monitor was hard and unable to be pressed. # # # impact - inability to use the monitor effectively due to the non - functioning button ( s ). # # # possible causes - * * hardware : * * - worn or damaged button contacts - mechanical obstruction or debris preventing button activation - * * software : * * - software glitches or bugs interfering with button responsiveness - * * user handling : * * - excessive force or improper use of the button ( s ) # # # recommendations - * * hardware : * * - inspect and clean the button contacts - check for any physical obstructions or damage - replace faulty buttons if necessary - * * software : * * - update the monitor software to the latest version - troubleshoot any software errors or glitches - * * user handling : * * - ensure proper training and instruction on correct button usage - avoid excessive or forceful button presses @topic:2


# # # issue - the electric bed's control box is malfunctioning, causing the bed to be unable to adjust. # # # impact - patients may be unable to get into or out of the bed, or may be uncomfortable due to the bed being in an improper position. - the bed may be unsafe to use, as it may collapse or move unexpectedly. # # # possible causes - electrical fault in the control box - loose or damaged wiring - worn or damaged components in the control box - software glitch # # # recommendations - the technician should inspect the control box for any loose or damaged wires or components. - the technician should test the bed's functionality to ensure that it is operating safely and correctly. - the technician should consult the manufacturer's instructions or service manual for troubleshooting and repair procedures. - if the technician is unable to repair the bed, they should contact the manufacturer or a qualified repair technician. @topic:9


# # # issue - leg of the bed, electric, ob & gyn equipment has come off. # # # impact - the equipment is not able to be used for its intended purpose. # # # possible causes - the leg was not properly attached during manufacturing. - the leg was damaged during shipping or installation. - the leg was damaged during use. # # # recommendations - inspect the leg to determine the cause of the failure. - replace the leg if it is damaged. - tighten the leg if it is loose. - train staff on proper use of the equipment. @topic:9


led testing, 7 - 33 recorder testing, 7 - 28 self test, 7 - 27 serial numbers, resetting, 5 - 17 temperature, calibrating, 5 - 18 disassembly repairing monitors, 8 - 2 display testing, 7 - 31 disposal, 3 - 4 e ecg processing theory of operation, a - 9 ecg readings troubleshooting, 7 - 12 ecg synch performance verification test, 6 - 8 ecg / respiration verification test, 6 - 8 electromagnetic compatibility, b - l - b - 8 electromagnetic interference emissions and immunity, b - 3 manufacturer declaration, b - 4 reducing, b - 2 restrictions for use, b - 3 separation distances, recommended, b - 8 error codes description, 7 - 14 printing logs, 7 - 15 service, 7 - 15 warning, 7 - 14 error logs viewing and printing, 7 - 32 etc0 2 theory of operation, a - 10 exchange unit parts, 9 - 10 exporting data, 5 - 15 f faceplate installing, 8 - 15 factory defaults alarm settings, 5 - 13 fan / speaker assembly removing, 8 - 21 frequency testing, recommended, 6 - 3 front and rear case separating, 8 - 10 front end calibrating, 5 - 18 front end assembly removing, 8 - 24 front end assembly cover removing, 8 - 26 front end pcb theory of operation, a - 5 front panel troubleshooting, 7 - 8 front panel assembly theory of operation, a - 6 fuse power connector, removing, 8 - 7 g guidelines testing and inspection, 6 - 2 h handle removing, 8 - 22 hard shutdown performing, 5 - 22 i ibp calibrating, 5 - 19 theory of operation, a - 9 verification test, 6 - 13 index - 2 l lan ( communications board ) removing, 8 - 37 lan configuration typical, 4 - 1 language selecting, 5 - 6 @topic:19


# # cause of failure : med admin reboot * * issue : * * the medical cart is malfunctioning and has been rebooted by a medical administrator ( med admin ). * * impact : * * * the medical cart is unavailable for use, potentially delaying patient care. * there may be a loss of data or settings stored on the cart. * * possible causes : * * * the administrator may have inadvertently rebooted the cart while troubleshooting a different issue. * there may have been a software update or issue that required the cart to be rebooted. * the cart's power supply may have been interrupted, causing it to reboot. * * recommendations : * * * check with the administrator to determine the reason for the reboot. * if necessary, have the cart inspected by a biomedical engineer to ensure that it is operating properly. * consider implementing measures to prevent unauthorized restarts of medical devices. @topic:13


* * issue : * * - planned maintenance ( pm ) failure * * impact : * * - medical device not available for patient use - potential patient harm * * possible causes : * * - insufficient or improper maintenance procedures - lack of proper training for maintenance personnel - equipment defects or malfunctions * * recommendations : * * - review and update maintenance procedures to ensure they are comprehensive and effective - provide adequate training to maintenance personnel - conduct regular inspections of equipment to identify potential issues early - establish a preventive maintenance schedule to avoid unplanned failures @topic:12


must be unique, that is, it can only be assigned once. you cannot monitor two pressures labelled “ icp ” at the same time. if you need to use two identical pressures, you must assign different labels to them, for example, p and icp. measurement labels are stored in the measurement device ( module or mms ). if you try to use two measurement devices that have identical labels, this causes a label conflict in the monitor. 36 using labels 1 basic operation measurement selection key with question marks indicating a label conflict. depending on your configuration, the monitor will either • resolve the conflict automatically, by assigning a new, generic label to the most recently connected conflicting label ( e. g. a second fap label could be changed to abp ) • display the measurement selection window automatically for you to resolve the conflict • take no action, you must enter the measurement selection window and resolve the conflict all the currently available measurement devices, for example mmss, mms extensions, measurement modules, gas analyzers, devices connected to a host monitor and manually entered measurements ( marked jjgg jl ), are depicted in the measurement selection window. any measurement labels causing a label conflict are shown in red. if a measurement device is connected but currently unavailable, for example, because it was deactivated due to a label conflict, the device is shown “ grayed - out ”. mp20 / 30, mp40 / 50, mp60 / 70 / 80 / 90 conflicting measurement labels are shown in red ( here the two sp0 2 labels ) de - activated devices are grayed - out ( here the sp0 2 module on the left ) when an x2 or mp5 is connected to a host monitor, the measurement selection window looks like this : 37 1 basic operation using labels mp5 connected to host monitor warning when an x2 or mp5 with an active measurement, say sp @topic:17


# # # issue - nibp monitor is not providing accurate blood pressure readings. # # # impact - inaccurate blood pressure readings can lead to incorrect diagnosis, treatment decisions, and patient harm. # # # possible causes - * * faulty sensor : * * the sensor responsible for measuring blood pressure may be malfunctioning, resulting in inaccurate readings. - * * calibration error : * * the monitor may not have been calibrated correctly, leading to incorrect measurements. - * * environmental factors : * * extreme temperatures, humidity, or electromagnetic interference can affect the accuracy of the monitor. - * * operator error : * * the technician may have made a mistake during the calibration process or when using the monitor. - * * software issue : * * a software glitch or update could cause the monitor to malfunction and provide incorrect readings. # # # recommendations - * * verify calibration : * * ensure that the monitor has been calibrated according to the manufacturer's instructions. - * * inspect sensor : * * inspect the sensor for any damage or debris that may interfere with its operation. - * * check environment : * * verify that the monitor is being used in an environment that meets the manufacturer's specifications. - * * retrain operator : * * provide additional training to the technician on the proper use of the monitor and calibration procedures. - * * contact manufacturer : * * if the issue persists, contact the manufacturer for technical support or possible repair. @topic:15


# # # issue - ekg lead failure # # # impact - patient monitoring may be inaccurate or unavailable. - delays in diagnosis and treatment. # # # possible causes - * * equipment : * * - manufacturing defects - normal wear and tear - damage from mishandling or improper storage - electrical interference - * * patient : * * - excessive sweating or skin irritation - movement or muscle tension - * * environment : * * - extreme temperatures or humidity # # # recommendations - * * equipment : * * - inspect ekg leads regularly for damage or wear. - handle leads carefully and store them properly. - use surge protectors to prevent electrical interference. - calibrate equipment according to manufacturer's instructions. - * * patient : * * - ensure patient is comfortable and relaxed during monitoring. - clean patient's skin prior to applying electrodes. - secure electrodes securely to prevent movement. - * * environment : * * - maintain optimal temperature and humidity levels in the monitoring area. - keep monitoring equipment away from sources of electrical interference. @topic:18


# # # issue - bed is unable to adjust levels # # # impact - patient discomfort - difficulty performing medical procedures - increased risk of accidents # # # possible causes * * 1. remote control malfunction * * - damaged or malfunctioning remote control - weak or dead batteries * * 2. electrical issues * * - loose or damaged electrical connections - power supply problems - faulty wiring or components * * 3. mechanical problems * * - broken or jammed gears - worn or torn straps or cables - misalignment of components * * 4. software or firmware issues * * - outdated software or firmware - bugs or glitches # # # recommendations * * 1. remote control * * - inspect the remote control for physical damage and replace if necessary. - replace batteries as required. * * 2. electrical issues * * - check all electrical connections and tighten any loose wires. - inspect the power supply and ensure it is providing adequate voltage. - test electrical components using a multimeter or other diagnostic tools. * * 3. mechanical problems * * - inspect the bed frame and components for damage or wear. - lubricate gears and moving parts as needed. - ensure all straps and cables are properly connected and not torn. * * 4. software or firmware issues * * - check for software updates or firmware patches. - contact the manufacturer for troubleshooting guidance. * * additional recommendations : * * - perform regular maintenance and inspections to prevent future failures. - train staff on proper use and handling of the bed to minimize damage. - keep a record of all repairs and maintenance performed to track any recurring issues. - consider investing in a preventive maintenance program to proactively address potential problems and extend the equipment's lifespan. @topic:1


# # # issue - remote control failure # # # impact - inability to operate the medical device # # # possible causes - wear and tear of the remote control - damage to the remote control # # # recommendations - replace the remote control with a new one - inspect the remote control regularly for signs of wear and tear - handle the remote control with care to avoid damage @topic:7


# # # issue - battery failure in the carescape v100 bedside blood pressure monitor. # # # impact - the monitor may not be able to provide accurate blood pressure readings. - this could lead to incorrect diagnosis and treatment decisions. # # # possible causes - battery has reached the end of its lifespan. - battery was not properly installed. - battery is not compatible with the monitor. # # # recommendations - replace the battery with a new one. - ensure that the battery is properly installed. - verify that the battery is compatible with the monitor. @topic:11


# # # issue - the bed is not able to adjust the level of the foot end. # # # impact - the patient may not be able to be positioned comfortably or safely in the bed. # # # possible causes - the motor that adjusts the foot end of the bed may be faulty. - the electrical wiring to the motor may be damaged or loose. - the control panel for the bed may be malfunctioning. - the bed frame may be bent or damaged, preventing the foot end from moving properly. # # # recommendations - inspect the motor, wiring, and control panel for any signs of damage or malfunction. - check the bed frame for any bends or damage. - if any damage is found, replace the damaged parts. - if no damage is found, troubleshoot the electrical system to identify any loose connections or other problems. @topic:1


# # # issue - scanner not working # # # impact - inability to scan patient data into the vsm system. # # # possible causes - malfunctioning scanner # # # recommendations - restart the monitor. - reseat the scanner usb cable. - replace the scanner. @topic:23


# # # issue * * battery failure. * * # # # impact * * the monitor may not be able to provide accurate vital sign readings, and alarms may not be triggered when needed. * * # # # possible causes • * * the battery is old and has degraded over time. * * • * * the battery is not properly seated in the monitor. * * • * * there is a problem with the monitor's charging system. * * # # # recommendations • * * replace the battery with a new one. * * • * * make sure the battery is properly seated in the monitor. * * • * * have the monitor checked by a qualified technician if the problem persists. * * @topic:11


# # # issue - cuff bp standard is old and damaged. # # # impact - the patient transport monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff bp standard may have been damaged during use. - the cuff bp standard may have been exposed to moisture or other environmental factors that have caused it to deteriorate. - the cuff bp standard may have been used on a patient who is not appropriate for its size or shape. # # # recommendations - replace the cuff bp standard with a new one. - inspect the patient transport monitor for any other damage. - train staff on the proper use and care of patient transport monitors. @topic:3


the barometric pressure. therefore you will not be able to activate a barometric pressure calibration. if you are using a hw rev c m3015a or m3015b, perform the barometric pressure check as described below, making sure that only a sample line is connected to the mms extension. if the pressure check fails, the m3015a / b needs to be exchanged. check the barometric pressure value in the m3015a / b mms extension or the mp5 as follows : 1 go into service mode and select setup co 2 menu. 2 connect a calibration line to the microstream co 2 input. this activates the pump in the m3015a / b mms extension or the mp5. 3 the status line at the bottom of the screen displays ‘ ‘ co 2 pressure reading ( ambient / cell ) xxx / yyy ” where xxx is the ambient pressure and yyy is the measured cell pressure. check whether the ambient pressure value ( x3 ) matches ( within the acceptable tolerance of ±12mm hg ) the reference value you have received. if so, proceed to the leakage check. if the value is not correct, calibrate as follows. a. select co 2 then select barom. press to activate a table of values. b. select the value in the table which matches the reference value received from a reliable local source ( airport, regional weather station or hospital weather station ). ( the values are displayed with a resolution of 2 mmhg up to 500 mmhg and a resolution of 1 mmhg from 500 mmhg to 825 mmhg. ) note : the selected value must be within ±10 % of the current measured ambient pressure, otherwise an error message will occur at restarting the monitor. c. confirm the barometric pressure setting. d. check that the ambient pressure @topic:17


# # # issue - motor in the knee joint is not adjustable # # # impact - the bed cannot be properly positioned for patient comfort or medical procedures # # # possible causes - the new motor may be defective - the motor may not be properly installed - the motor control system may be faulty # # # recommendations - replace the motor if defective - reinstall the motor if not properly installed - check the motor control system for faults @topic:9


the instrument. specification gas supply : 1 low pressure cylinder. gas flow : 8 ml + 4 / - 2 ml per minute for 15210 - 64010, 12 ml + 4 / - 2 ml per minute for 15210 - 60010. cylinder pressure : indicated by an integral pressure manometer. timer period : 20 minutes. dimensions : 90mm ( 35. 4in ) high x 220mm ( 86. 6in ) wide x 235mm ( 92. 5in ) deep, ( without cylinder ). weight : 2. 4 kg ( 5. 3lbs ), ( without cylinder ). note the 1521 ob is intended for use with philips “ cal 1 ” gas cylinders ( part number 15210 - 60010 or 15210 - 64010 for europe and japan ). operating environment the environment where the philips 15210b will be used should be reasonably free from vibration, dust, corrosive or explosive gases, extremes of temperature, humidity, etc. the philips 15210b operates within specifications at ambient temperatures between 0°c and 55°c. the maximum operating relative humidity is 95 % at 40°c. ambient temperatures or humidities which exceed these limits could affect the accuracy of the calibration unit and cause damage to components. operating information each philips 15210b is delivered with a multilanguage collection of stick - on operating labels. each label summarizes day - to - day operating procedures using the calibration unit. it is intended to be stuck to the top surface of the unit ; however, it may be attached to any flat, grease - free surface. 266 routine maintenance a philips 1521 ob calibration unit to attach label : clean the surface where the label is to be placed with soapy water to remove any dirt or grease. dry the surface thoroughly. peel off the paper backing and carefully place the label in the required position. press down @topic:17


this is not required for minimal periodic service. in contrast, any time you open the device case, you must use the service tool, gold edition, to perform a complete functional verification and calibration of the device before returning the device to service. note for instructions on using the gold edition, see the service tool help files. about the welch allyn service tool the service tool is required to complete functional verification and calibration tests. the service tool is available in the following editions : standard unlicensed edition : enables nibp functional verification tests to satisfy the recommended annual service. if any standard unlicensed edition testing shows an out - of - specification result, use the gold edition to perform a full calibration. gold edition : checks the functionality and calibration of the device. as it checks the device, the gold edition also performs any needed calibration to bring the device within specifications. this full suite of tests is required to complete a repair. each time you open the case, you must use the gold edition to test the device before returning the device to normal use. note verify that the final test service record from the welch allyn service tool shows evidence that each of the tests required for a given model number are present and the test was performed. for information about the service tool, see the following : for instructions on installing and using the service tool, see the welch allyn service tool installation and configuration guide. 108 functional verification and calibration overview welch [UNK] connex® spot monitor to use the standard unlicensed edition to test the nibp module, follow the instructions in this service manual. for instructions on using the gold edition, see the service tool help files. standard unlicensed edition service tool tests performed the service tool performs the following functions on the host device and installed options. spo2 host test description nibp temp displays the firmware @topic:10


# # # issue the biomedical engineer ( bme ) is unable to access the vital signs monitoring system ( vsm ) on a philips suresigns vs4 patient monitor. # # # impact the bme is unable to fully test and repair the monitor, which could lead to delays in patient care. # # # possible causes * the monitor is not properly connected to the vsm network. * the vsm software is not installed or is not running on the monitor. * the vsm server is not accessible. * the bme does not have the correct credentials to access the vsm. * the monitor's network settings are incorrect. # # # recommendations * check the monitor's network connections. * verify that the vsm software is installed and running on the monitor. * check the vsm server's status. * make sure the bme has the correct credentials to access the vsm. * check the monitor's network settings. @topic:22


) ( * ) l'organisme notifie emitech, 0536 a realise l'examen et a delivre le certificat d'examen ue de type limite a l'article 3. 2 n°17 - 106282 ( * ) the notified body emitech, 0536 performed the examination and issued the eu - type examination certificate limited to 3. 2 article : n°17 - 106282 ( * ) accessoires, logiciels et composants : 202068. 1. 0. x. x logiciel, spwf04sa module ( * ) accessories, software and components : 202068. 1. 0. x. x software, spwf04sa module signe par et au nom de : pascal vibert - hill - rom s. a. s. signed for and on behalf of : pascal vibert - hill - rom s. a. s. date et lieu : pluvigner, 12 juillet 2018 date and place : pluvigner, 12th july 2018 signature : signature : ill - romzi du talhouet 56330 pluvigner tel. 02 97 50 92 12 n° siret 777 346 412 00052 - rc 65 b 35 lorient pd35121 version 1 hill - rom. declaration ue de conformite directive red 2014 / 53 / ue declaration ue of conformity societe ( fabricant ou mandataire ) hill - rom company ( manufacturer or authorised representative ) : hill - rom nom hill - rom s. a. s. li900b4 name : hill - rom s. a. s. adresse z. i. du talhouet, 56330 pluvigner, france address : z. i. du tal @topic:10


# # # issue electrical leakage in medical equipment # # # impact electrical leakage can cause serious patient injury or death. # # # possible causes 1. damaged or missing ground wire 2. faulty electrical components 3. improper installation or maintenance # # # recommendations 1. inspect all medical equipment regularly for damaged or missing ground wires. 2. replace any faulty electrical components. 3. ensure that all medical equipment is installed and maintained according to manufacturer's instructions. @topic:12


# # # issue - equipment malfunction due to improper relocation. # # # impact - interruption of critical patient monitoring. - potential patient safety hazards. - loss of valuable medical data. # # # possible causes - inadequate planning and preparation for equipment relocation. - lack of experienced personnel handling the equipment. - failure to follow established protocols for equipment handling. - environmental factors during transportation or storage. # # # recommendations - ensure proper planning and risk assessment before any equipment relocation. - train personnel on safe handling and transportation techniques. - establish clear protocols and guidelines for equipment movement. - provide adequate supervision during relocation to minimize risks. - regularly inspect and calibrate equipment after relocation to ensure proper functioning. @topic:12


# # # issue * equipment is not functioning properly # # # impact * patient care may be delayed or compromised # # # possible causes * the motor was not properly installed * the motor is defective * the control board is defective * the wiring is faulty * the battery is dead # # # recommendations * verify that the motor was properly installed * test the motor to ensure that it is functioning properly * replace the motor if it is defective * replace the control board if it is defective * check the wiring for any loose connections or damage * replace the battery if it is dead @topic:9


cord ( 919 ), 2m 8120 - 5182 israel power cord ( 900 ), 2 m 8120 - 1351 united kingdom, singapore, hong kong power cord ( 920 ), 2 m 8120 - 6869 europe power cord ( 921 ), 4. 5 m 8120 - 6980 argentina power cord ( 912 ), 2 m 8120 - 2956 greenland replacement parts and assembly drawings suresigns vs4 service guide a theory of operation this section contains a system overview of the suresigns vs4 vital signs monitor, including a high - level block diagram. the block diagram shows major components of the monitor, including the power supply, isolated front end, nbp control, spo, processing, and microcontroller. the suresigns vs4 is a vital signs monitor for use on adult, pediatric, and neonatal patients. the functions performed by the system include : e non - invasive blood pressure e blood oxygen saturation e temperature in addition to monitoring and displaying the status of physiological parameters, the monitor performs various microprocessor - programmed analytical functions, including : e creating both visual and audible alarm signals when settings are violated e creating and displaying warning messages when conditions are detected that would degrade or prevent valid measurements e creating and displaying tabular data e providing input to an optional recorder for printout of current or tabular data the suresigns vs4 vital signs monitor operates from either an ac power source or battery power. the monitor charges the battery when powered by an ac line. block diagram components the suresigns vs4 vital signs monitor contains several major blocks, including : e front end assembly e main board e communications board e front panel assembly the monitor also contains several additional modules. note — shaded items in the diagram indicate parts that are field replaceable. for more information, see chapter 6, @topic:10


##272b siderails are part of the sleep surface and are detachable. the siderails are unfolded by raising them on the side of the bed. when fully raised and locked, the siderails ensure patient protection and help to reduce the risk of falls. ad271b * siderails siderail in low position siderail in high position 1 3 clic 2 / 12 2 ad272b * siderails the ad272b siderails meet the demands stipulated by the afssaps in the " decision dated 26 / 04 / 2010 " ( article 2 ) for use with children measuring less than 146 cm in height. siderail in low position siderail in high position click 1 \ \ | / - click 0 1 clic - 2 clic - ad271b clic ad272b half - siderails * standard half - siderails * siderail in low position siderail in high position siderail in low position siderail in high position the afssaps half - siderails meet the demands stipulated by the afssaps in the " decision dated 26 / 04 / 2010 " ( article 2 ) for use with children measuring less tha146cm in height. space filler panel ( ad288a ) * * in order to mitigate the risks incurred by patient egress through the gaps at thoot of the bed, between the half - siderails and the foot panel, hill - rom has developed a kit of two detachable panels, one for each side, designed to blochis gap. installing the panels 2 1 3 the panels are not designed to restrain or immobilize the patient in the bed. [UNK] cs900b check that the panels are correctly installed. the authorized medical personnel must consider the use of siderails depending on the state of health and behavior of the patient, according @topic:6


# # # issue the remote control is not working as expected. the buttons are not corresponding to the correct functions on the bed. # # # impact the patient or caregiver may not be able to operate the bed properly, which could lead to discomfort, injury, or delayed care. # # # possible causes * the remote control may be damaged or malfunctioning. * the wiring between the remote control and the bed may be loose or damaged. * the software in the bed or remote control may be corrupted or outdated. # # # recommendations * * to resolve this issue, the technician should : * * 1. * * inspect the remote control for any visible damage. * * if there is any damage, the remote control should be replaced. 2. * * check the wiring between the remote control and the bed. * * make sure that the wires are securely connected and that there are no breaks in the wires. 3. * * update the software in the bed and remote control. * * this can be done by downloading the latest software from the manufacturer's website and installing it on the devices. 4. * * if the issue persists, the technician should contact the manufacturer for further assistance. * * @topic:7


. a / b becomes defective, or if the customer prefers to proactively keep the mmss in full support., the following options are available : • order a replacement from hardware a / b to hardware c via the service channel ( uptrade mms ). • order a new mms via the sales channel. note in order to follow the rohs guidelines, make sure you identify and order the appropriate part. non rohs = not rohs compliant. hw revision possible mms software revision serial number prefix sw of monitor the mms is connected to option string exchange mms ( for 12nc information please refer to tables in the following sections ) hwa a. o to h. o de227 a. 0, a. 1 -, g06, g12, g18, g06g12 no longer supported, see uptrade parts de441 a. 0, a. 1 a01, a01g06, a01g12, a01g18, a01g06g12 de227 > = a. 2 -, g06, g12, g18, a01g06g12 no longer supported, see uptrade parts de441 > = a. 2 a01, a01g06, a01g12, a01g18, a01g06g12 226 6 parts ) hw revision possible mms software revision serial number prefix sw of monitor the mms is connected to option string exchange mms ( for 12nc information please refer to tables in the following sections ) hwb b. l to h. o de441 > = a. 2 a02, a02c06, a02c18, a01c06c12 no longer supported, see uptrade parts de512 > = @topic:19