# # # issue - remote control failure. # # # impact - inability to control the bed, impacting patient care and comfort. # # # possible causes - electrical malfunction due to wear and tear. - damage to the remote control buttons or casing. - software issues or compatibility problems. - incorrect handling or misuse by users. # # # recommendations - replace the remote control with a new or compatible one. - inspect other components of the bed system for any related issues. - provide clear instructions and training to users on proper handling and care of the bed and remote control. - consider upgrading to a more reliable remote control system or wireless connectivity to minimize potential failures. @topic:7


# # # issue - central monitor ( hewlett packard m3150a ) shutting down # # # impact - interruption of patient monitoring and potential delays in medical decision - making # # # possible causes - * * overheating : * * extended use of the monitor can lead to excessive heat buildup, causing it to shut down as a protective measure. - * * power supply issues : * * fluctuations in the power supply or a faulty power cord can disrupt the monitor's operation. - * * software glitches : * * software bugs or corrupted files can interfere with the monitor's functionality, resulting in unexpected shutdowns. - * * hardware failure : * * internal components of the monitor, such as capacitors, resistors, or printed circuit boards, may have failed, causing the device to malfunction. # # # recommendations - * * troubleshooting and testing : * * - check the power supply and ensure that the monitor is connected to a stable power source. - perform diagnostic tests to identify any software or hardware issues. - * * maintenance and prevention : * * - regularly clean the monitor to prevent overheating. - follow the manufacturer's guidelines for usage and maintenance to minimize the risk of failure. - * * replacement or repair : * * - if the troubleshooting steps do not resolve the issue, the monitor may need to be replaced or repaired by a qualified technician. @topic:2


be analyzed correctly and initial arrhythmia alarm limits set. a check patient id inop will ppear when a mismatch has not been resolved. • as long as patient mismatch has not been resolved, data integration in the information center anthe own patient overview functionality might not work as equipment is not assigned correctly to the patient. 1 5 managing patients and equipment piic when a monitor is connected to an information center by the wireless intellivue instrument telemetry interface, the patient data will automatically be merged in the case of a transfer. this means there is no patient discharge at the monitor and settings and trend data will be retained. you will see a message on the monitor and the patient demographics window will automatically appear so that you can check the data and chang • in the case where an x2 with an intellivue instrument telemetry interface is declared as a " telemetry device " at the information center and is connected to a host monitor, it is important to resolve an existing mismatch between the monitor and the information center before disconnecting the x2. failure to do so discharges the x2 and synchronizes the demographics and settings to the information center. the patient mismatch is indicated by question marks (??? ) beside the questionable fields in the monitor info line and in the select patient window. the monitor displays a message such as different ntral and monitor. the select patient window automatically opens so you can decide which patient data to use. you do not have to resolve the mismatch immediately, but the indicators remain until you do. after 5 minutes a check patient id inop will appear to remind you to resolve the mismatch. for some common mismatch situations, the monitor will simplify the resolution by suggesting a solution for the mismatch. for example, when a patient arrives after transport and @topic:10


# # # issue - ekg monitors in bed 5 and bed 3 are not linked, and the ekg monitor is not displaying the tele display. # # # impact - inability to monitor patients'heart activity accurately. - delay in patient care due to the need to manually check the patient's heart activity. # # # possible causes - configuration error in the xds program. - hardware issue with the ekg monitor. - network issue preventing the ekg monitors from communicating with each other. # # # recommendations - reinstall the xds program to correct the configuration error. - check the ekg monitor's hardware for any damage or loose connections. - check the network connectivity of the ekg monitors to ensure they can communicate with each other. @topic:16


# # # issue - equipment is not functioning properly. # # # impact - the equipment is not able to be used for patient care. - this can lead to delays in patient care or even harm to patients. # # # possible causes - the control assembly within the equipment is malfunctioning. # # # recommendations - the control assembly was replaced. - the equipment was tested and is now functioning properly. @topic:12


to monitor not possible srr interface of telemetry transceiver defective or incompatible rf interferences 4 troubleshooting disconnect and reconnect the telemetry device from the monitor. remove and reinsert the battery in the telemetry device. if problem persists, replace the telemetry device. make sure you use a telemetry device which is compatible with srr. check srr configuration settings. replace defective srr interface or cable, if necessary. make sure srr interface is installed. make sure the telemetry transceiver srr interface is compatible and functional. check location for rf interferences and free frequencies by performing a site survey ( e. g. with air magnet tool ). 125 4 troubleshooting alarm lamps 126 communication dropouts or gaps in parameter waves. srr interference inop may be issued srr communication aborted. srr interference or srr invalid chan inop may be issued. telemetry device using srr not recognized by the monitor. inop message check alarm lamps is issued rf interferences too many srr devices allocated to one srr channel rf interferences too many srr devices allocated to one srr channel srr device out of range ( either monitor or telemetry transceiver ) telemetry device not supported by the srr adapter flex cable to hif board not connected or not positioned correctly hif board defective main board defective troubleshooting guide check location for rf interferences and free frequencies by performing a site survey ( e. g. with air magnet tool ). up to two srr connections can be established per channel. check srr configuration settings. check location for rf interferences and free frequencies by performing a site survey ( e. g. with air magnet tool ). up to two srr connections can be established per channel. check srr configuration settings. position the srr @topic:16


# # # issue battery not charging # # # impact patient transport monitors cannot be used during emergencies or transport, which could delay or compromise patient care. # # # possible causes - faulty battery - faulty charger - software glitch # # # recommendations - replace the battery with a new one. - check the charger for any damage or loose connections. - update the software on the monitor. - contact the manufacturer for further assistance if the issue persists. @topic:11


# # # issue - flickering display # # # impact - interruption of patient monitoring and diagnostic procedures. - increased risk of patient harm due to delayed or inaccurate data acquisition. # # # possible causes * * 1. loose or faulty cable connections. * * this can cause intermittent signal transmission between the monitor and the image source. * check and tighten all cable connections, including the power supply, video input, and ground wire. * replace any damaged or frayed cables. * * 2. electromagnetic interference ( emi ). * * external sources of electrical noise, such as elevators or other medical equipment, can interfere with the monitor's signal. * identify and eliminate potential sources of emi. * install surge protectors and ground straps to reduce electrical noise. * * 3. hardware malfunction. * * a faulty component within the monitor, such as a power supply or display panel, can cause flickering. * perform diagnostic tests to identify the faulty component. * contact the manufacturer for replacement parts or repair services. * * 4. software issues. * * outdated or corrupt software can lead to display problems. * update the monitor's firmware to the latest version. * reset the monitor to its factory default settings. # # # recommendations - regularly inspect cable connections and replace any damaged cables. - minimize emi by identifying and eliminating sources of electrical noise. - perform routine maintenance and calibration to ensure optimal performance. - keep the monitor's software up - to - date and resolve any software - related issues promptly. @topic:2


# # # issue - masterkey sensor failed # # # impact - unable to access medical cart # # # possible causes - * * sensor failure : * * the masterkey sensor may have failed due to a manufacturing defect, physical damage, or wear and tear. - * * electrical issue : * * a loose connection or faulty wiring within the sensor or its circuitry may have caused the failure. - * * software error : * * a bug or malfunction in the medical cart's software may have prevented the sensor from functioning properly. # # # recommendations - * * replace sensor : * * the faulty sensor should be replaced with a new one. - * * inspect wiring : * * check the wiring connecting the sensor to the medical cart for any loose connections or damage. - * * update software : * * if necessary, update the medical cart's software to ensure compatibility with the new sensor. - * * test functionality : * * thoroughly test the medical cart after the repair to verify that the issue has been resolved. @topic:13


# # # issue the monitors, physiologic, vital signs equipment from philips ( model : suresigns vs2 ) is not charging properly. # # # impact the equipment cannot be used to monitor vital signs of patients, which can lead to delayed or incorrect diagnosis and treatment. # # # possible causes the cause of failure is identified as * * oxidation and poor contact on the contactor of the charging cable. * * # # # recommendations the technician cleaned the contact surface and reinforced the connector of the charging cable. the equipment was then tested and found to be working normally. @topic:11


# # # issue * * bed is in poor condition and not suitable for patient use. * * # # # impact * * patient safety is at risk. bed may not be able to safely support patient weight or movement. * * # # # possible causes * * * age of bed. * * bed is old and has not been properly maintained. * * * wear and tear. * * bed has been used frequently and has not been properly cleaned or serviced. * * * rust. * * bed has been exposed to moisture and has developed rust. # # # recommendations * * * replace bed. * * bed is not repairable and should be replaced with a new one. * * * improve maintenance schedule. * * beds should be cleaned and serviced regularly to prevent wear and tear and rust. * * * inspect beds regularly. * * beds should be inspected regularly for signs of damage or wear and tear. @topic:9


# # # issue - electric bed is not adjustable # # # impact - inability to adjust the patient's position for comfort or medical procedures # # # possible causes - faulty pcb ( printed circuit board ) - damaged wiring or connections - power supply issues - mechanical issues with the bed frame # # # recommendations - inspect the pcb for any visible damage or loose connections. - check the wiring and connections for continuity and proper insulation. - measure the voltage and current at the power supply to ensure it is within the specified range. - examine the bed frame for any obstruction or damage that could prevent adjustment. @topic:1


# # issue - the wheels of the philips suresigns vs4 vital signs monitor were sticking, making it difficult to move the device. # # impact - the sticking wheels could have made it difficult for healthcare professionals to use the monitor effectively, potentially compromising patient care. # # possible causes - * * lack of lubrication : * * the wheels may not have been lubricated properly, causing them to stick. - * * foreign object : * * a foreign object, such as dirt or debris, could have gotten lodged in the wheels, causing them to stick. - * * damaged bearings : * * the bearings in the wheels could have been damaged, causing them to stick. # # recommendations - * * lubricate the wheels : * * apply a lubricant to the wheels to reduce friction and prevent them from sticking. - * * remove any foreign objects : * * if a foreign object is found in the wheels, remove it to eliminate the source of the sticking. - * * inspect the bearings : * * if the bearings are damaged, they should be replaced to prevent further sticking. - * * regular maintenance : * * perform regular maintenance on the monitor, including cleaning and lubrication, to prevent future sticking issues. @topic:24


mmhg ( 40 kpa ) > 2 sec neo > 150 mmhg ( 20 kpa ) > 2 sec 437 38 installation and specifications measurement specifications invasive pressure and pulse complies with iec 6060l - 2 - 34 : 2000 / en60601 - 2 - 34 : 2000. invasive pressure performance specifications measurement range — 40 to 360 mmhg pulse rate range 25 to 350 bpm accuracy ±1 % full range resolution 1 bpm input sensitivity sensitivity : 5 pv / v / mmhg ( 37. 5 pv / v / kpa ) adjustment range : ±10 % transducer load impedance : 200 to 2000 fl ( resistive ) output impedance : < 3000 q ( resistive ) frequency response dc to 12. 3 hz or 40 hz zero adjustment range ±200 mmhg ( ±26 kpa ) accuracy ±1 mmhg ( ±0. 1 kpa ) drift less than 0. 1 mmhg / °c ( 0. 013 kpa / °c ) gain accuracy accuracy ±1 % drift less than 0. 05 % / °c non linearity and hysteresis error of < 0. 4 % fs ( @ cal 200 mmhg ) overall accuracy ( including transducer ) ±4 % of reading or ±4 mmhg ( ±0. 5 kpa ), whichever is greater analog output available only with m1006b # c01 ( @ cal 200 mmhg ) range - 0. 4 v to 3. 6 v level iv / 100 mmhg accuracy ±3 % full scale offset ±30 mv resolution 8 bit ( @ 5 v range ) signal delay 20 ms volume displacement of cpj840j6 0. 1 mm ^ / 100 mmhg invasive pressure alarm specifications range adjustment delay pressure — 40 to 360 mmhg ( - 5. 0 to 48 kpa ) - 40 to 50 mmhg 2 mmhg ( 0. @topic:17


##rhythmia a dominant rhythm of adjacent vs > vent rhythm limit and ventricular hr < vtach hr limit was detected. numeric flashes, yellow alarm lamp, short yellow audible alarm. * / * * vent trigeminy ecg / arrhythmia a dominant rhythm of n, n, v, n, n, v ( n = supraventricular beat, v = ventricular beat ) was detected. numeric flashes, yellow alarm lamp, short yellow audible alarm. * * * vtach ecg, arrhythmia ventricular tachycardia has been detected ( consecutive pvcs exceed v - tach run limit and hr exceeds v - tach hr limit ). numeric flashes, red alarm lamp, alarm tone. * * / * * * vuelink alarm at information center vuelink a yellow ( * * ) or red ( * * * ) patient alarm is present on the vuelink module. check the monitor display for more detailed alarm information. ( on monitor ) yellow or red alarm lamp, alarm tone 76 technical alarm messages ( inops ) 4 patient alarms and inops technical alarm messages ( inops ) if an inop interrupts monitoring and alarm detection, the measurement numeric will be replaced by if an inop may lead to unreliable measurement values, a? appears next to the numeric. the measurement labels and abbreviations for pressure, temperature, sp02, and vuelink inop messages are explained in the individual chapters. inop message, indication source what to do abp inops press see < pressure label > inops ( under pressure ). all ecg alarms off ecg / arrhythmia all ecg alarms have been switched off, or the hr alarm source is not ecg. to resume ecg alarm generation, switch ecg alarms on or @topic:8


##i 50 iec cm dominica 50 aami cm ominican republi60 aami cm cuador aami 60 cm gyp50 iec cm aami el salvador 60 cm ekg cm eritrea 50 iec cm estonia 50 iec cm ethiopia iec cm falkland islands, malvinas lb 60 aami in aroe islands lb aami 60 in lb aami fiji 60 in finland iec kg cm france 50 iec cm french guiana 50 iec cm rench polynesi60 lb aami in amfrench southern territories 60 lb in gabon 50 kg iec m iec gambia 50 kg cm lb aami georgia 60 in germany 50 kg iec cm ghana 50 kg iec cm gibraltar lb 60 aami in greece kg iec cm greenland lb 60 aami in grenada aami 50 kg cm eguadeloupe 50 kg cm 503 41 default settings appendix ine frequenccountry - description nits units ecg cable color weight height 0 / 60 [ hzn, clb aami guam 60 in aami guatemala 60 cm guernsey 50 kg iec cm lb uinea 60 aami in lb guinea - bissau 60 aami in guyana aami 60 kg cm aiti aami kg cm aami heard island and mcdonald 60 lb in islands 60 lb aami in honduras aami 60 cm | hong kong 50 iec cm hungar50 iec cm iceland iec 50 cm ieindia 50 indonesia 50 kg iec cm iran, islamic republic of aami 50 kg cm 50 aami iraq cm ireland iec 50 cm isle of man 50 iec cm iec israel 50 cm italy iec 50 cm jamaica ami 50 kg cm japan 50 kg iec cm 50 iec jersey cm orda50 aami cm kazakhstan 50 iec cm kenya iec cm kiribati lb aami 60 in korea, democratic people's aami 60 lb in korea, republic of 60 aami m aami kuwait 50 kg cm lb aami y @topic:19


# # # issue - bed alarm is not working. # # # impact - patients may not be able to call for assistance if needed. - nurses may not be able to monitor patients as effectively. # # # possible causes - the bed alarm may be defective. - the bed alarm may not be properly installed. - the bed alarm may not be properly configured. # # # recommendations - inspect the bed alarm for any damage or defects. - ensure that the bed alarm is properly installed according to the manufacturer's instructions. - configure the bed alarm according to the manufacturer's instructions. - if the bed alarm is still not working, contact the manufacturer for further assistance. @topic:26


# # # issue monitor not displaying values # # # impact - inability to monitor patient's vital signs - delay in diagnosis and treatment # # # possible causes - loose or disconnected cable connection between module and monitor # # # recommendations - securely reconnect the loose cable connection - verify the monitor is displaying values correctly @topic:2


# # # issue - wireless keyboard not working # # # impact - inability to use medical cart # # # possible causes - battery depletion # # # recommendations - replace battery @topic:27


# # # issue - monitor not powering on # # # impact - inability to monitor patient's vital signs accurately - delays in patient care # # # possible causes - power supply issues - faulty monitor module - loose connections # # # recommendations - ensure that the power supply is connected properly and that the voltage is within specifications - replace the faulty monitor module - inspect and tighten any loose connections @topic:2


* * issue : * * equipment failure due to inability to scan into the vsm system. * * impact : * * interrupted workflow and potential delays in patient care. * * possible causes : * * - * * hardware malfunction : * * scanner failure or connection issues. - * * software glitch : * * problems with the vsm software or database. - * * user error : * * incorrect scanning procedure or permissions. - * * network connectivity : * * intermittent or slow network connection affecting communication with the vsm. - * * environmental factors : * * electrical interference or excessive dust / debris affecting scanner performance. * * recommendations : * * - * * restart and reset : * * power cycle the equipment and reset the vsm software to address transient software issues. - * * inspect connections : * * check all physical connections ( e. g., cables, ports ) for secure and proper functioning. - * * update software : * * install any pending software updates for both the equipment and the vsm system. - * * verify user permissions : * * ensure that the user has the necessary permissions to access and scan into the vsm. - * * troubleshoot network : * * test the network connection and resolve any connectivity issues that may be interfering with communication. - * * clean and maintain : * * regularly clean the scanner and its surroundings to remove dust and debris that may affect performance. - * * contact manufacturer support : * * if the issue persists after troubleshooting, contact the equipment manufacturer or technical support for further assistance. @topic:23


# # # issue - replaced battery in physiologic monitor ( bedside ) from philips with model suresigns vm4. # # # impact - no impact mentioned in the provided information. # # # possible causes - battery failure or depletion. # # # recommendations - monitor battery life and replace as needed. consider using rechargeable batteries to reduce waste and maintenance costs. @topic:11


# # # issue - the bed's guardrail is not locking properly. # # # impact - the patient could fall out of bed. # # # possible causes - the locking mechanism is broken. - the spring is loose. # # # recommendations - replace the locking mechanism. - tighten the spring. @topic:6


# # # issue : the printer attached to the central monitor is not functioning. # # # impact : the inability to print information from the central monitor may hinder the efficient recording and dissemination of patient data, potentially impacting patient care. # # # possible causes : - printer hardware malfunction - faulty connection between the printer and the central monitor - software issues on the central monitor or the printer - paper jam or other mechanical issues within the printer # # # recommendations : 1. * * verify printer connection : * * ensure that the printer is properly connected to the central monitor using the appropriate cables and ports. 2. * * check printer status : * * inspect the printer for any error messages or indicators. check if the printer has sufficient paper and ink / toner. 3. * * test printer functionality : * * attempt a test print from the central monitor to confirm whether the printer is functional. 4. * * update software : * * check if there are any software updates available for both the central monitor and the printer. install any necessary updates. 5. * * inspect printer components : * * open the printer and visually inspect for any damaged or loose components, such as cables or sensors. clean any dust or debris that may interfere with the printer's operation. 6. * * contact manufacturer support : * * if the issue persists, contact the manufacturer of the printer or central monitor for technical assistance. 7. * * consider a replacement : * * if the printer is determined to be beyond repair, consider replacing it with a compatible model that is suitable for use with the central monitor. @topic:28


# # # issue - device failure due to battery replacement # # # impact - inability to monitor patient's vital signs - delay in patient care - increased risk of adverse events # # # possible causes - use of an incompatible battery - improper battery installation - battery not charged properly - faulty battery # # # recommendations - ensure that the correct battery is used - follow the manufacturer's instructions for battery installation - charge the battery for the recommended amount of time - test the battery to ensure that it is functioning properly - regularly inspect the battery for any signs of damage or wear @topic:11


# # # issue - remote control does not respond when pressed. # # # impact - unable to remotely control the bed, which may hinder patient care. # # # possible causes - * * component failure : * * the remote control's electronic components, such as buttons or circuitry, may have malfunctioned or become damaged. - * * battery problem : * * the remote control's batteries may be depleted or incorrectly installed, causing power issues. - * * receiver issue : * * the bed's receiver module may not be functioning properly, preventing it from receiving signals from the remote. - * * interference : * * other devices or signals in the area may be interfering with the remote control's transmission. # # # recommendations - * * diagnose component failure : * * inspect the remote control for any visible damage, loose connections, or signs of corrosion. test the buttons and circuitry using a multimeter. - * * check battery health : * * replace the batteries with new ones and ensure they are properly installed. check the battery compartment for any damage. - * * inspect receiver : * * verify that the receiver module on the bed is connected securely and not obstructed. reset the receiver if possible. - * * eliminate interference : * * move any potential sources of interference away from the bed and remote control. ensure there are no other electronic devices transmitting on the same frequency. - * * order replacement remote : * * if the above troubleshooting steps do not resolve the issue, consider ordering a replacement remote control as previously initiated. @topic:7


# # # issue the remote control on the bed, electric ( uq2000b ) is malfunctioning, preventing the bed from being adjusted up and down. # # # impact inability to adjust the patient's bed position can compromise their comfort, safety, and overall care. # # # possible causes - faulty remote control - receiver issue within the bed - loose or damaged wiring - software malfunction # # # recommendations 1. * * replace the remote control : * * - if the existing remote control is damaged or unresponsive, it should be replaced with a new one. - ensure compatibility between the new remote control and the bed model. 2. * * inspect the receiver : * * - locate the receiver within the bed, typically near the head or footboard. - check for any physical damage, loose connections, or corrosion. - clean or replace the receiver if necessary. 3. * * check wiring connections : * * - examine all electrical connections between the remote control, receiver, and bed motor. - tighten or replace loose or damaged wires. 4. * * update software : * * - if the bed has software capabilities, check for any available updates. - ensure that the software is up to date and compatible with the remote control and receiver. 5. * * calibrate the system : * * - once any repairs or replacements are made, recalibrate the system to ensure proper communication and functionality. - this may involve adjusting settings within the remote control or the bed's control panel. @topic:7


seconds after changing a setting before you trigger a report. unavailable printer : re - routing reports if you send a report to be printed on a printer that is not available, for example, because it has run out of paper, this print job is suspended and stored in the monitor ’ s memory. if the target device of this print job was set to unspecified, the monitor will periodically try to resend the print job to the first printer listed in the setup printers menu under printer that is set to enabled and that has paper of the correct size. to allow the report to print, you must either solve the problem with the target printer, or re - route the print job to another printer with paper of the correct size. to re - route a print job, ♦ enable the new target printer by selecting it in the setup printers menu and toggling to enabled. as the monitor tries to send the report to the printers in the order they are listed, you must make sure that all the printers above the new target printer are disabled. if the target device of the print job was set to a specific printer, re - routing is not possible. checking report status and printing manually 336 a list of all print requests which are waiting, printing or stored can be viewed in the reports job list. to view the list, printer status messages 27 printing patient reports • in the reports menu, select reports job list. the following information is displayed for each print request : • report title • patient name ( except for system reports such as the battery status report ) • request date and time • report paper format • job status : preparing, printing, waiting, in database, in companion, retry, cancelling, error individual reports can be deleted from the list with the delete report key, and all reports with the delete all reps key. if an mp5 or an x2 is connected to a host monitor, all @topic:28


# # # issue - the oxygen saturation ( o2sat ) cable is not measuring values correctly. # # # impact - the inability to measure o2sat levels accurately can lead to patient monitoring errors and potentially impact patient care and safety. # # # possible causes - * * damaged cable : * * the o2sat cable may have physical damage, such as cuts or breaks, that disrupt the electrical signals. - * * loose connection : * * the o2sat cable may not be properly connected to the nibp monitor or the patient's finger, leading to signal loss. - * * faulty sensor : * * the o2sat sensor may be malfunctioning and unable to detect o2sat levels accurately. # # # recommendations - * * inspect the cable : * * check the o2sat cable for any visible damage, such as cuts or breaks. if damage is found, replace the cable. - * * ensure proper connection : * * verify that the o2sat cable is securely connected to the nibp monitor and the patient's finger. - * * test the sensor : * * use a dedicated o2sat tester or consult the manufacturer's instructions on how to test the accuracy of the sensor. if the sensor fails the test, it should be replaced. - * * calibration : * * it may be necessary to calibrate the nibp monitor to ensure accurate o2sat readings. follow the manufacturer's instructions for calibration. - * * contact manufacturer : * * if the issue persists, contact the manufacturer for technical support and troubleshooting assistance. @topic:4


# # # issue - the medical cart's display is not working. # # # impact - the medical staff will not be able to use the cart to monitor or administer medications to patients. # # # possible causes - power supply issue - cable connection issue - faulty display - software issue # # # recommendations - check the power supply and ensure that the cart is plugged into a working outlet. - inspect the cable connections and make sure that they are secure. - replace the display if it is found to be faulty. - update the software if necessary. @topic:13


# # # issue : * * air leak in nibp cuff * * # # # impact : * * inaccurate blood pressure readings * * # # # possible causes : - * * puncture or tear in the air hose * * - * * leak in the cuff bladder * * - * * loose or disconnected hose connections * * - * * damaged or worn out cuff * * # # # recommendations : - * * inspect the air hose, cuff bladder, and cuff for any visible damage. * * - * * check for loose or disconnected hose connections and tighten or replace them as needed. * * - * * replace the cuff or cuff bladder if it is damaged or worn out. * * - * * retest the nibp monitor to ensure accurate blood pressure readings. * * @topic:15


window and keep your finger on the title, or the mouse button pressed. 2 move your finger on the touchscreen, or move the mouse, to move the window. 3 take your finger off the screen, or release the mouse button, to place ththe new position is only active until the window or menu is closed. not all locations on the screen can window cannot overlap the monitor info line, the alarms and inops or the sing keythe monitor has four different types of keys : permanent keys a permanent key is a graphical key that remains on the screen all the time to give you fast access to functions. 30 1 introduction pause alarms - pauses alarm indicators. pause duration depends on monitor n is infinite, this key is labeled alarms off. δ silence - acknowledges all active alarms by switching off audible alarm indicators and lamps. main screen - close all open menus and windows and return to the main screen. main setup enter main setup menu. martkeys a smartkey is a configurable graphical key, normally located at the bottom of the main screen. on some models, a selection of smartkeys is displayed by selecting the smartkeys permanent key on the right of the main screen. smartkeys give you fast access to functions. the selection of smartkeys available on your monitor depends on your monitor configuration and on the options purchased. if you have an integrated pc e smartkeys generated by applications on the ipc. enter profile menu, or revert tefault profile show bis sensor reeze wavequick admit a patient enter patient demographics menu to dmit / discharge / transfer? end case to discharge a patient [UNK] view information for patients in other beds change screen brightness ( noindependent displays ) enter standby mode - suspends patient monitoring. all waves and numerics disappear from the display. all settings and patient data information are retained. review beat labels @topic:10


# # # issue - printer not printing # # # impact - inability to print medical data, reports, or documentation # # # possible causes - paper jam - incorrect paper size settings - faulty printer components # # # recommendations - clear paper jams and adjust the paper size settings as needed. - if the issue persists, contact a qualified biomedical engineer for further troubleshooting and repair. @topic:28


# # # issue - the bed's safety handle, which prevents the patient from falling out of bed, is not able to be lowered. # # # impact - the patient is at risk of falling out of bed and injuring themselves. # # # possible causes - the safety handle is broken. - the safety handle is not properly attached to the bed. - the safety handle is not able to be lowered because the bed is not level. # # # recommendations - inspect the safety handle for any damage. - reattach the safety handle to the bed if it is not properly attached. - level the bed if it is not level. @topic:6


# # # issue the cause of failure in the given input to biomedical engineer is a broken connection between the tubing and the cuff of a vital signs monitor. # # # impact the broken connection caused the cuff to leak air, which rendered the monitor inaccurate and potentially unsafe to use. # # # possible causes - defective tubing or cuff - improper assembly or handling of the monitor - normal wear and tear - compounding environmental factors # # # recommendations - replace or repair the faulty tubing or cuff immediately. - inspect and test the monitor thoroughly before returning it to service. - handle the monitor with care to prevent further damage. - conduct regular maintenance and calibration to prevent future failures. - ensure proper training and handling of the monitor by users to extend its lifespan and prevent accidental damage. @topic:5


# # # issue the physiologic monitor, model intellivue mp70 ( m8007a ) from philips, is failing to measure values. # # # impact this failure could result in inaccurate or incomplete patient data, which could lead to incorrect treatment decisions or delays in care. # # # possible causes here are a few possible causes for this failure : - * * loose connections : * * make sure that all cables and sensors are securely attached to the monitor and the patient. - * * defective sensor : * * the sensor responsible for measuring the patient's vital signs may be faulty. - * * software issue : * * the monitor's software may have a bug or glitch that is preventing it from measuring values correctly. - * * hardware issue : * * there may be a problem with the monitor's hardware, such as a faulty circuit board or component. - * * user error : * * the user may not be operating the monitor correctly. # # # recommendations 1. * * inspect the connections : * * check all cables and sensors to make sure that they are securely attached. 2. * * replace the sensor : * * if the sensor is suspected to be faulty, replace it with a new one. 3. * * update the software : * * check for any available software updates for the monitor and install them if necessary. 4. * * contact technical support : * * if the issue persists, contact the manufacturer's technical support for assistance. 5. * * train the user : * * provide proper training to the user on how to operate the monitor correctly. @topic:22


# # # issue - the physiologic monitor is unable to measure blood pressure ( bp ). # # # impact - patient's bp cannot be monitored, which can lead to delayed or incorrect treatment decisions. # # # possible causes - defective transducer - loose or disconnected cable - software error - hardware failure # # # recommendations 1. check the transducer for damage or defects. 2. ensure that the cable is securely connected to the monitor and the patient. 3. restart the monitor to clear any software errors. 4. if the issue persists, contact the manufacturer for technical support. @topic:15


# # # issue - bed not adjusting properly # # # impact - patient discomfort - difficulty providing care - increased risk of injury # # # possible causes - * * electrical fault : * * broken wires in the power cord or internal wiring can prevent the bed from receiving power or functioning properly. - * * mechanical failure : * * faulty motors, gears, or other mechanical components can cause the bed to malfunction or become stuck in a certain position. - * * control panel issues : * * buttons or switches on the control panel may be damaged or malfunctioning, preventing the user from adjusting the bed's position. - * * software problems : * * in beds with electric motors and electronic controls, a software glitch or corruption can cause the bed to behave erratically or not respond to commands. - * * incorrect assembly : * * if the bed was not assembled properly, it may not function correctly or may have safety hazards. - * * wear and tear : * * over time, the bed's components can become worn or damaged, leading to malfunctions or reduced functionality. # # # recommendations - * * inspect the power cord : * * examine the power cord for any visible damage, such as cuts or breaks. replace the cord if it is damaged. - * * check the electrical connections : * * ensure that all electrical connections are tight and secure. inspect for any loose wires or burnt terminals. - * * examine the mechanical components : * * look for any loose or damaged gears, motors, or other mechanical parts. lubricate any moving parts as necessary. - * * test the control panel : * * attempt to adjust the bed's position using the control panel. if any buttons or switches are not functioning properly, they may need to be replaced. - * * troubleshoot software issues : * * if the bed has electronic controls, consult the @topic:1


# # # issue the patient bed is not adjustable. # # # impact the patient may not be able to get into or out of bed, or may not be able to get into a comfortable position. this could lead to discomfort, pressure sores, or other health problems. # # # possible causes * the control box is faulty. * the wiring is damaged. * the motor is not working. * the bed frame is damaged. # # # recommendations * inspect the control box for any damage. if the control box is damaged, it will need to be repaired or replaced. * inspect the wiring for any damage. if the wiring is damaged, it will need to be repaired or replaced. * test the motor to make sure it is working properly. if the motor is not working, it will need to be repaired or replaced. * inspect the bed frame for any damage. if the bed frame is damaged, it will need to be repaired or replaced. @topic:1


* * issue : * * bed not functioning properly * * impact : * * patient care may be compromised due to lack of proper equipment * * possible causes : * * * damage to the bed during use by ward 9d * misuse of the bed by ward 9d * failure of the bed's electrical components due to age or wear * lack of proper maintenance or calibration of the bed * * recommendations : * * * inspect the bed for any visible damage or loose parts * review the bed's usage history with ward 9d to determine any potential misuse * test the bed's electrical components using appropriate diagnostic equipment * perform regular maintenance and calibration of the bed according to manufacturer guidelines * provide training to staff on proper use and maintenance of the bed @topic:9


# # # issue - equipment not adjusting up and down - wheels making noise # # # impact - inability to use the equipment for its intended purpose - patient discomfort or safety hazard # # # possible causes - * * equipment not adjusting up and down : * * - electrical or mechanical failure - faulty sensor - * * wheels making noise : * * - worn or damaged wheels - loose or misaligned bearings # # # recommendations - * * equipment not adjusting up and down : * * - check electrical connections and fuses - inspect mechanical components for damage or wear - calibrate or replace sensors - * * wheels making noise : * * - replace worn or damaged wheels - tighten or align bearings - lubricate moving parts @topic:24


# # # issue - bed's headrest cannot be lowered. # # # impact - patient discomfort and inability to adjust bed position for comfort or medical procedures. # # # possible causes - broken or malfunctioning motor - damaged or blocked gears or tracks - loose or disconnected wiring - faulty control panel - software glitch # # # recommendations - inspect the motor, gears, and tracks for any visible damage or obstruction. - check the wiring connections for any loose or broken wires. - test the control panel buttons and switches to ensure proper functionality. - run diagnostic tests using the manufacturer's software to identify any software - related issues. - if the problem persists, contact the manufacturer for further assistance or replacement parts. - consider providing temporary solutions such as manual adjustment or using an alternate bed until the issue is resolved. @topic:1


# # # issue - equipment : monitor lcd - brand : sony - model : lmd - 2451mt - description : loose mounting screws on the arm. # # # impact - the arm holding the monitor may become loose and cause the monitor to fall, potentially injuring staff or patients. # # # possible causes - wear and tear over time - improper installation or maintenance - loose or damaged screws # # # recommendations - regularly inspect the mounting screws and tighten them if necessary. - ensure that the arm is properly installed and maintained according to the manufacturer's instructions. - replace any loose or damaged screws promptly. @topic:12


# # # issue - the bed's wheel lock is not engaging properly, preventing the bed from being mobile. # # # impact - the bed cannot be moved, which can impede patient care and disrupt hospital operations. # # # possible causes - * * misaligned lock mechanism : * * the lock mechanism may be misaligned, preventing the lock from fully engaging. - * * bent or damaged lock : * * the lock itself may be bent or damaged, rendering it unable to lock properly. - * * insufficient lubrication : * * the lock mechanism may be insufficiently lubricated, causing it to stick or bind. - * * worn - out components : * * the lock components may be worn out or damaged, preventing proper operation. # # # recommendations - * * realignment : * * the lock mechanism should be inspected and realigned to ensure proper engagement. - * * replacement : * * if the lock is bent or damaged, it should be replaced with a new one. - * * lubrication : * * the lock mechanism should be lubricated regularly to prevent sticking or binding. - * * inspection and maintenance : * * the bed and lock should be inspected and maintained regularly to identify and address any potential issues. @topic:6


# # # issue * ekg signal intermittently absent # # # impact * patient monitoring may be compromised * delays in diagnosis and treatment * increased risk of adverse events # # # possible causes * * * lead ekg truck fault : * * the technician discovered a break in the lead ekg truck cable. this could have been due to : * physical damage to the cable * loose connection at the connector * manufacturing defect # # # recommendations * * * replace the lead ekg truck cable : * * the technician replaced the faulty cable with a new one. * * * test the equipment : * * the technician tested the equipment after replacing the cable to ensure proper functionality. * * * monitor the equipment : * * the technician should continue to monitor the equipment for any further issues. @topic:18


##anotic cardiac lesions in the range of 60 % - 100 % sp02 against a laboratory co - oximeter. the population characteristics for those studies were : • female patients : 5 days to 20 months of age ; light and dark skin pigmentation • male patients : 1 day to 13 months of age ; light and dark skin pigmentation pulse rate accuracy has been validated with an electronic pulse simulator or ecg as reference. for further information please refer to the instructions for use of the device and accessories. nbp performancetest this section describes nbp test procedures. the monitor must be in service mode and the screen ‘ ‘ service a ” must be selected to perform these tests. the nbp performance test consists of : • nbp accuracy test • nbp leakage test • nbp linearity test • valve test nbp accuracy test and calibration this test checks the performance of the non - invasive blood pressure measurement. connect the equipment as shown : 66 3 testing and maintenance ] manometer tools required : • reference manometer ( includes hand pump and valve ), accuracy + / - 0. 8mmhg. • expansion chamber ( volume 250 ml + / - 10 % ) • appropriate tubing. in service mode, the systolic and diastolic readings indicate the noise of nbp channels 1 and 2 respectively. when static pressure is applied, the reading in nbp channel 1 should be below 50. the value in parentheses indicates the actual pressure applied to the system. 1 connect the manometer and the pump with tubing to the nbp connector on the mms and to the expansion chamber. 2 in service mode, select the setup nbp menu. 3 select close valves : on 4 raise the pressure to 280 mmhg with the manometer pump. 5 wait 10 seconds for the measurement to stabilize. 6 compare the manometer @topic:17


connectors. m8022a # sc1 m3081 - 61626 453563474781 0. 75m measurement server to monitor 72 mm 2 40 mm 40 mm x 17 mm n / a m3081 - 61601 453563402721 1 m measurement server to monitor 72 mm 2 40 mm 40 mm x 17 mm m8022a # sc2 m3081 - 61602 453563377851 2m measurement server to monitor 72 mm 2 40 mm 40 mm x 17 mm m8022a # sc4 m3081 - 61603 453563402731 4m measurement server to monitor 72 mm 2 40 mm 40 mm x 17 mm m8022a # sc6 m3081 - 61627 453563484501 10m measurement server to monitor 1 72 mm 2 40 mm 40 mm x 17 mm 252. emote device site requirements 8 site preparation product option number part number 12nc part no. description conduit sizes bend radius connector size ( lxw ) m8022a # sc7 m3081 - 61628 453563484511 15m measurement server to monitor 1 72 mm 2 40 mm 40 mm x 17 mm m8022a # sc9 m3081 - 61629 453563484521 25m measurement server to monitor 3 72 mm 2 40 mm 40 mm x 17 mm unterminated cables m3081a # a15 m3081 - 61615 453563484481 msl installation cable 15m 72 mm 2 40 mm 40 mm x 17 mm m3081a # a25 m3081 - 61625 453563484491 msl installation cable 25m 72 mm 2 40 @topic:19


# # # issue the vsm system of the philips suresigns vs4 vital signs monitor is experiencing connectivity issues. # # # impact the vsm system is responsible for transmitting patient vital signs data to the hospital's central monitoring system. without a functioning vsm system, the hospital staff will not be able to receive real - time updates on the patient's vital signs, which could delay or compromise patient care. # # # possible causes - the vsm system may not be properly configured. - the network connection between the monitor and the vsm system may be interrupted. - the vsm system may be experiencing a hardware or software failure. # # # recommendations to troubleshoot and resolve the issue, the following steps are recommended : - check the vsm system configuration and ensure that it is correct. - verify the network connection between the monitor and the vsm system. - if the issue persists, contact the hospital's it vendor or philips technical support for further assistance. @topic:22


# # # issue - the bed's headrest unexpectedly lowers after being raised. # # # impact - patient safety may be compromised if the bed's headrest lowers unintentionally, resulting in discomfort or injury. - increased workload for healthcare professionals who must manually adjust the bed's headrest. # # # possible causes - malfunctioning motor or actuator responsible for raising and lowering the headrest. - faulty wiring or electrical connections within the bed's control system. - damaged or worn components in the bed's mechanical assembly, such as gears or bearings. - software glitch or bug in the bed's control system. - interference from external factors, such as electromagnetic fields or power surges. # # # recommendations - troubleshoot the bed's motor and actuator by testing their functionality and ensuring proper power supply. - inspect the bed's wiring and electrical connections for loose connections or damage. - check the bed's mechanical assembly for worn or damaged components, such as gears or bearings, and replace them as necessary. - update the bed's software if a firmware update is available and necessary. - shield the bed from potential sources of electromagnetic interference or power surges by using surge protectors or grounding the equipment. @topic:1


# # # issue - inability to charge the battery # # # impact - the monitor, physiologic, vital signs will not be able to operate on battery power. # # # possible causes * * 1. loose battery connector : * * - the description states that the bme ( biomedical engineer ) found the connector of the battery to be loose. this could have prevented the battery from making proper contact with the device, resulting in the charging failure. * * 2. faulty battery : * * - it is possible that the battery itself is faulty and unable to hold a charge. # # # recommendations * * 1. check battery connector : * * - ensure that the battery connector is firmly attached and making proper contact with the device. * * 2. test battery : * * - use a voltmeter or battery tester to determine if the battery is holding a charge. if the battery is faulty, replace it with a new one. # # # additional precautions - regularly inspect the battery and connector for any signs of damage or wear. - avoid using third - party batteries that may not be compatible with the device. - follow the manufacturer's instructions for charging and handling the battery to prevent further issues. @topic:11


# # # issue the bed, electric, huntleigh, contoura 390 is not functioning properly. the head of the bed is not adjusting upwards. # # # impact this issue can impact patient care by making it difficult to position the patient comfortably. it can also be a safety hazard if the patient is not able to get out of bed easily. # # # possible causes - defective control box - wiring issues - mechanical issues with the bed frame # # # recommendations - check the control box for any loose connections or damaged components. - inspect the wiring for any breaks or shorts. - check the bed frame for any damage or misalignment. @topic:1


0. 9 " ) weight < 250 g ( 0. 55 lb ) environmental requirements muiti - measurement moduie m3001a temperature operating : 0 to 45°c ( 32 to 113°f ) storage : - 40 to 70°c ( - 40 to 158 " f ) humidity operating : 95 % relative humidity ( rh ) max. @ 40°c ( 104°f ) storage : 90 % relative humidity ( rh ) max. @ 65°c ( 150°f ) altitude operating : - 500m to 4600m ( - 1600 to 15000 ft. ) storage : - 500m to 15300m ( - 1600 to 50000 ft. ) 295 [ 8 site preparation ] environmental requirements intellivue x2 m3002a temperature operating : 0 to 40°c ( 32 to 100°f ) 0 to 35°c ( 32 to 95°f ) ( while charging batteries or when equipped with iit or intellivue 802. 11 bedside adapter ) storage : - 20 to 60°c ( - 4 to 140°f ) humidity operating : 15 to 95 % relative humidity ( rh ) max. @ 40°c ( 104°f ) storage : 5 to 95 % relative humidity ( rh ) max. @ 65°c ( 150°f ) altitude operating : - 500m to 3000m ( - 1600 to 10000 ft. ) storage : - 500m to 4600m ( - 1600 to 15000 ft. ) environmental requirements remote controi 865244 temperature operating : 0 to 40°c ( 32 to 100°f ) storage : - 20 to 60°c ( - 4 to 140°f ) humidity operating : 15 % to 95 % relative humidity ( rh ) ( non - condensing ) storage : 5 % to 90 % relative humidity ( rh ) altitude operating : - 500 @topic:19


# # issue * the head of the medical device is loose and moves excessively. # # impact * this issue can compromise the accuracy and precision of the medical device, potentially leading to incorrect diagnosis or treatment. * the loose head can also pose a safety hazard to patients and healthcare professionals. # # possible causes based on the provided information, the possible causes of the failure include : * * * loose or worn - out screws or bolts : * * the head of the device may be attached using screws or bolts that have become loose or worn over time, causing the head to detach. * * * damaged or defective parts : * * the head may be connected to the main body of the device using joints or connectors that have become damaged or defective, leading to a loose fit. * * * excessive wear and tear : * * the head of the device may be subjected to heavy or frequent use, causing excessive wear and tear that results in a loose connection. * * * improper maintenance : * * the device may not have been properly maintained or serviced, leading to the development of problems such as loose screws or worn - out parts. # # recommendations to address this issue, the following recommendations are suggested : * * * inspection and tightening : * * inspect the device thoroughly to identify any loose screws or bolts. tighten them securely to ensure a stable connection between the head and the main body. * * * replacement of defective parts : * * if the joints or connectors connecting the head to the device are damaged or defective, they should be replaced with new ones to restore proper function. * * * regular maintenance : * * establish a regular maintenance schedule for the device to ensure that it is properly inspected, cleaned, and serviced. this will help prevent future issues and extend the device's lifespan. * * * training : * * provide adequate training to healthcare professionals on the proper use and @topic:12


# # # issue - broken leg support on the right side of the electric bed # # # impact - the bed is unable to be used safely due to the broken leg support, which could lead to patient injury or discomfort. # # # possible causes - the leg support was likely damaged due to excessive force or weight being applied to it, such as a patient falling out of bed or attempting to move the bed while the leg supports were extended. - the leg support may have been weakened due to corrosion or other factors, making it more susceptible to damage. - the leg support may have been improperly installed or repaired, resulting in a weak or loose connection. # # # recommendations - inspect the bed frame and other leg supports for any signs of damage or weakness. - if any damage is found, repair or replace the affected components immediately. - ensure that the leg supports are properly installed and tightened according to the manufacturer's instructions. - instruct staff on proper use of the bed, including avoiding excessive force or weight on the leg supports. - regularly inspect and maintain the bed to prevent future issues. @topic:1


# # # issue - torn cuffbp velcro # # # impact - inability to accurately measure blood pressure. # # # possible causes - * * degradation over time : * * velcro material can become damaged or worn down with repeated use, leading to tearing. - * * improper handling : * * if the cuff is not handled carefully during application or removal, the velcro can be subjected to excessive force, causing it to tear. - * * manufacturing defect : * * in rare cases, the velcro may have been improperly manufactured, resulting in premature failure. # # # recommendations - * * regular inspections : * * regularly inspect the velcro material for signs of wear or damage. replace the cuff if the velcro is compromised. - * * proper handling : * * train staff on the proper techniques for applying and removing the blood pressure cuff to minimize stress on the velcro. - * * quality control : * * ensure that the velcro material used in the cuff meets quality standards to prevent premature failure. @topic:3


# # # issue - telemetric monitor not connecting to central # # # impact - patient data cannot be transmitted wirelessly to central monitoring system. - clinicians may have difficulty accessing patient data remotely. # # # possible causes - incorrect connection settings on the monitor. - faulty network cable or wireless connection. - central monitoring system is down or not responding. # # # recommendations - verify that the monitor is connected to the correct central ip address or port. - ensure that the network cable or wireless connection is secure and functioning properly. - check if the central monitoring system is operational and responding to requests. - contact the device manufacturer or it support for further assistance. @topic:16


# # # issue - cuff bp ( blood pressure ) on the bedside monitor is losing its grip and cannot hold the arm of the patient. # # # impact - accurate blood pressure monitoring is essential for patient care. a loose cuff can lead to inaccurate readings, which can have serious consequences for the patient. # # # possible causes - cuff bp is old and worn, causing it to lose its grip. - there is an issue with the hook - and - loop fastener on the cuff bp. - the cuff bp is not the correct size for the patient. # # # recommendations - replace the cuff bp with a new one. - ensure that the hook - and - loop fastener is in good condition and is securely attached to the cuff bp. - choose the correct size of cuff bp for the patient. @topic:3


# # # issue - cuff of vital signs monitor is torn. # # # impact - vital signs monitor cannot be used to measure blood pressure. # # # possible causes - cuff is old and worn. - cuff is not properly maintained. - cuff is damaged during use. # # # recommendations - replace cuff. - inspect cuff regularly for signs of wear and tear. - handle cuff with care during use. @topic:5


40 seconds for the charging led to light. + the philips screen appears for one second, and a startup tone sounds. + the main screen appears. the expected result is that the monitor restarts and displays the main ( or appropriate ) screen. for detailed information about the start - up and power sequences, see “ start - up and power sequences ” on page 4 - 3. if the leds do not function as expected, see “ power problems ” on page 4 - 6. if the display does not function as expected, see “ power problems ” on page 4 - 6 or “ display problems ” on page 4 - 7. if you do not hear a startup tone, or the monitor displays the speaker malfunc error message, see “ error codes ” on page 4 - 12. note — philips employees record this value as po : p or po : f. alarms test 3 - 12 this test allows you to verify that the monitor alarms are working. to test the monitor alarms : step 1 with the monitor turned on, make sure that all alarms are enabled ( the monitor is not in audio pause or audio off mode ). 2 block the nbp connector opening with your finger and press the nbp key. 3 check that the nbp overpressure message appears and an alarm tone sounds. 4 if you do not get the results in step 3, see “ alarm problems ” on page 4 - 7. performance verification testing suresigns vs2 * and vsi service guide spo, test spo, test this test checks the performance of the spo » measurement. to perform this test, you need an adult spo, sensor. for information about compatible spo, sensors, see the instructions for use for your monitor. to perform the spo, test : step 1 connect a properly functioning adult spo, sensor to the spo, connector on the monitor. @topic:22


# # # issue - spo2 module not working # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - faulty spo2 module - faulty remote display - loose connections # # # recommendations - replace the faulty spo2 module - replace the faulty remote display - check all connections for security - calibrate the spo2 module according to manufacturer's instructions - perform a thorough inspection of the entire device for any other potential issues @topic:4


, 2. 0, and 5. 0 hz ( 12 db / octave ) high filter cut - off frequencies 15hz ( 65db / octave ) 30 hz ( 75 db / octave ) 50 hz ( 85 db / octave ) bis bis performance specifications bis, bisx m1034a, bis interface board for mp20 / 30 bispectral index ( bis ) range 0 - 100 signal quality index ( sqi ) range 0 - 100 % emg range 0 - 100 db suppression ratio ( sr ) 0 - 100 % spectral edge frequency ( sef ) 0. 5 - 30. 0 hz total power ( tp ) 0 - 100 db bursts ( bisx only ) 0 - 30 / minute noise < 0. 3 pv rms ( 2. 0 pv peak - to - peak ) wave scale with gridlines on : ±25 pv, ±50 pv, ±100 pv, ±250 pv with gridlines off. 50 pv, 100 pv, 200 pv, 500 pv update frequency ( bis numeric ) 2048 ms bandwidth 0. 25 - 100 hz ( - 3 db ) high pass filters 0. 25 hz, 1 hz, 2 hz ( - 3 db ) low pass filters 30 hz, 50 hz, 70 hz, 100 hz ( - 3 db ) notch filters ( for line frequency ) 50 hz, 60 hz impedance measurement range 0 to 999 kq bis alarm specifications range adjustment alarm delay bis high / low alarm 0 - 100 1 max. 2 seconds 447 38 installation and specifications safety and performance tests safety and performance tests you must observe any national regulations on the qualification of the testing personnel and suitable measuring and testing facilities. see the maintenance section for a list of required tests. safety and performance tests, and what to do if the instrument does not meet these specifications are described in the installation and service guide. electromagnetic compatibility ( emc ) specifications take special precautions regarding electromagnetic @topic:10


# # # issue - the bed is not adjustable. # # # impact - patients may not be able to get in or out of bed. - patients may be uncomfortable. - nurses may have difficulty providing care. # # # possible causes - the ac plug is loose. - the bed's electrical system is malfunctioning. - the bed's mechanical system is malfunctioning. # # # recommendations - ensure that the ac plug is securely plugged in. - test the bed's electrical system. - inspect the bed's mechanical system. - replace any damaged parts. @topic:1


# # # issue - physiologic monitor's etco2 readings are not being transmitted. # # # impact - clinicians may not have access to accurate etco2 data, which can impact patient care decisions. # # # possible causes - faulty lan cable connection # # # recommendations - check the lan cable connection between the physiologic monitor and the etco2 sensor. - if the cable is loose or damaged, replace it. - ensure that the cable is securely connected to both devices. - check for any loose connections or damaged wires within the lan cable. - test the lan cable with another device to verify its functionality. - consider using a different lan cable or port on the physiologic monitor or etco2 sensor. @topic:4


# # # issue - hr reading is incorrect. # # # impact - false hr readings can lead to delayed or inappropriate patient treatment. # # # possible causes - faulty hr sensor or cable connected to the sensor. - loose connection between the sensor and the monitor. - patient movement or tremors during hr measurement. - electrical interference from other medical devices. - improper calibration of the monitor. # # # recommendations - check the hr sensor and cable for any visible damage, wear or improper connection. - ensure the sensor is properly placed on the patient and the patient remains still during measurement. - identify and eliminate possible sources of electrical interference. - calibrate the monitor according to the manufacturer's instructions. - consult the manufacturer's service manual or contact technical support for further assistance. @topic:20


# # # issue - blood pressure monitor is unable to measure blood pressure. # # # impact - patient's blood pressure cannot be monitored accurately. # # # possible causes - faulty microphone cable. - disconnected microphone cable. - damaged microphone cable. - defective blood pressure monitor. # # # recommendations - inspect the microphone cable for any visible damage or disconnections. - replace the microphone cable if damaged or disconnected. - test the blood pressure monitor with a known - good microphone cable. - if the issue persists, contact the manufacturer for further troubleshooting. @topic:15


# # # issue the cause of failure for the philips suresigns vs4 vital sign monitor is not specified in the given input. # # # impact the impact of this failure is not specified in the given input, but it is likely that the monitor will not be able to accurately measure vital signs, such as temperature. this could have a negative impact on patient care, as it could lead to incorrect or delayed diagnosis and treatment. # # # possible causes the possible causes of this failure are not specified in the given input, but they could include : - * * hardware failure : * * a hardware failure could occur due to a number of factors, such as a loose connection, a faulty component, or a power surge. - * * software failure : * * a software failure could occur due to a number of factors, such as a bug in the software or a corrupted file. - * * user error : * * user error could occur if the monitor is not used properly, such as if the probe is not placed correctly on the patient's skin. # # # recommendations the following recommendations could help to prevent or resolve this failure : - * * inspect the monitor for any obvious signs of damage. * * this could include loose connections, cracked components, or other physical damage. - * * update the software to the latest version. * * this could help to resolve any bugs in the software that may be causing the failure. - * * ensure that the monitor is being used properly. * * this could include following the manufacturer's instructions for use, such as placing the probe correctly on the patient's skin. - * * contact the manufacturer for technical support. * * if the failure cannot be resolved by following the above steps, contact the manufacturer of the monitor for technical support. @topic:20


# # # issue - equipment malfunction : the electric bed is unable to adjust its height. # # # impact - patient safety : a malfunctioning bed can pose a safety risk to patients, particularly those who are immobile or have difficulty moving. - patient comfort : a bed that cannot be adjusted to a comfortable height can cause discomfort and pain for patients. - hospital efficiency : a malfunctioning bed can disrupt hospital operations and reduce efficiency. # # # possible causes - motor failure : the motor responsible for adjusting the bed's height may have failed. - electrical issues : there may be a problem with the electrical system that powers the motor. - mechanical issues : the mechanism that allows the bed to adjust its height may be damaged or obstructed. # # # recommendations - * * immediate actions : * * - assess the patient's safety and ensure their immediate needs are met. - isolate the bed from the electrical grid to prevent further damage. - * * troubleshooting and repair : * * - inspect the motor for any visible signs of damage or wear. - check the electrical connections and wiring for loose or damaged components. - examine the mechanical components for any obstructions or damage. - * * corrective actions : * * - if the motor is faulty, replace it with a new one. - repair or replace any damaged electrical components. - clear any obstructions or repair any damaged mechanical components. - * * preventive maintenance : * * - establish a regular maintenance schedule to inspect and service the bed. - train staff on proper use and maintenance of the bed. - keep spare parts and components readily available for quick repairs. @topic:9


# # # issue - equipment : bed, electric - band : mpl - model : 2283 - description : biomedical engineering ( bme ) received a report that the bed was repeatedly sounding an alarm. bme inspected the bed and found that the limit switch was malfunctioning. bme repaired the limit switch, and the bed is now functioning normally. # # # impact - the bed was unable to be adjusted up or down. # # # possible causes - the limit switch was malfunctioning. # # # recommendations - regularly inspect the limit switch for wear or damage. - replace the limit switch if it is found to be malfunctioning. @topic:1


# # # issue the cuff bp ( blood pressure cuff ) of the philips suresigns vs4 monitor is damaged, and the velcro straps are worn out. # # # impact inaccurate blood pressure readings, leading to incorrect patient monitoring and treatment decisions. # # # possible causes * * * age and wear - and - tear * * - the cuff and straps may have deteriorated over time due to repeated use. * * * improper handling * * - the cuff may have been handled carelessly, resulting in damage to the fabric or velcro. * * * chemical exposure * * - the cuff may have been exposed to chemicals or cleaning agents that have weakened the fabric or velcro. * * * excessive pressure * * - the cuff may have been inflated to excessive levels, causing strain on the fabric and velcro. # # # recommendations * * * replace the cuff * * - replace the damaged cuff with a new one to ensure accurate blood pressure readings. * * * inspect the straps * * - regularly inspect the velcro straps for wear and tear, and replace them if necessary. * * * handle with care * * - avoid folding or twisting the cuff excessively, and store it properly when not in use. * * * clean properly * * - use appropriate cleaning agents and follow the manufacturer's instructions for cleaning the cuff and straps to prevent damage. * * * monitor cuff pressure * * - ensure that the cuff is inflated to the appropriate pressure levels to avoid unnecessary strain on the fabric and velcro. @topic:5


* * issue : * * mock up simulation of bed placement in ward 5d * * impact : * * none specified in the given context. * * possible causes : * * * lack of proper planning or coordination during the simulation process. * miscommunication or misunderstanding between the biomedical engineer ( bme ) and other involved parties ( e. g., nursing staff, medical team ). * insufficient or inaccurate data or measurements used for the simulation. * technical issues or equipment malfunction during the simulation. * human error or oversight. * * recommendations : * * * ensure thorough planning and coordination before conducting any simulations. * establish clear communication channels and responsibilities among all parties involved. * verify and validate all data and measurements used for the simulation. * test and calibrate equipment properly before use. * train personnel involved in the simulation process to minimize human errors. * review and analyze the simulation results carefully to identify any potential areas for improvement. * implement appropriate changes or measures to prevent similar failures in the future. @topic:9


# # # issue - lcd monitor wobbling # # # impact : - potential safety hazard for patients and staff - reduced patient comfort and satisfaction - disruption of patient care # # # possible causes : - * * loose mounting screws or bracket : * * the monitor may not have been properly secured to its stand or wall mount, causing it to wobble. - * * defective base or stand : * * the base or stand that supports the monitor may be damaged or defective, resulting in instability. - * * internal mechanical failure : * * components within the monitor, such as the hinge or bracket mechanism, may have failed, causing the monitor to wobble. # # # recommendations : - * * inspect mounting screws and bracket : * * ensure that all screws and bolts securing the monitor to its stand or wall mount are properly tightened. replace any loose or damaged screws. - * * examine base and stand : * * inspect the base and stand of the monitor for any signs of damage or defects. ensure that the base is securely attached to the surface it is placed on. - * * consult with manufacturer or technician : * * if the issue persists, contact the manufacturer or a qualified technician for further assessment and repair. @topic:2


5 - 3. 2 open the recorder door and remove the paper roll. loosen ( do not remove ) the two torx t10 screws holding the recorder to the monitor case. repairing the monitor suresigns vs2 * and vsi service guide 5 - 9 removing the optional recorder ( vs2 * only ) 4 place your thumbs on either side of the recorder case and being careful not to pull the ribbon cable from the connector, slowly pull the recorder straight out of the monitor. caution when you reassemble the recorder or faceplate, do not overtighten the screws. 5 rotate the recorder to the side to expose the printer cable connection and disconnect the printer cable from the main board. repairing the monitor 5 - 10 suresigns vs2 * and vsi service guide removing the front panel removing the front panel to open the monitor to install internal replacement parts, you must first separate the front panel assembly from the rear case assembly. to remove the front panel : step 1 remove the battery from the monitor. see “ removing the battery ” on page 5 - 3. 2 remove the recorder faceplate or recorder. see “ removing the recorder faceplate ” on page 5 - 7 or “ removing the optional recorder ( vs2 * only ) ” on page 5 - 9. remove the two torx t20 screws from the top of the monitor. top screws remove the two nylon flathead screws from the bottom of the monitor. warning when you reassemble the monitor be sure to install the nylon screws in the bottom of the monitor. installing metal screws in the bottom of the monitor can cause an electrical hazard. as shown in the illustration below, the nylon screws are associated with the symbol : zn bottom screws repairing the monitor suresigns vs2 * and vsi service guide 5 - 11 removing the front panel 5 gently pull the @topic:19


# # # issue - monitor does not link with the device in the mri room. # # # impact - the malfunctioning monitor can lead to errors in patient monitoring, which could potentially compromise patient safety. # # # possible causes - * * defective signal post : * * the signal post may have become damaged or deteriorated over time, causing it to malfunction and disrupt the connection between the monitor and the device in the mri room. # # # recommendations - * * replace the signal post : * * the defective signal post should be replaced with a new one to restore the connection between the monitor and the device in the mri room. - * * regular maintenance : * * regular maintenance and inspections of medical equipment can help identify potential issues early on, preventing major failures and ensuring optimal functionality. @topic:2


# # # issue - bedside railing malfunction # # # impact - risk of patient falls - reduced patient safety - increased workload for nursing staff # # # possible causes - * * hardware failure : * * the railing mechanism may be broken or damaged, preventing it from locking or unlocking properly. - * * electrical failure : * * the railing may not be properly connected to the electrical outlet or there may be an issue with the electrical wiring. - * * mechanical failure : * * the railing may be stuck or jammed due to dirt or debris, or due to a faulty motor or gears. - * * user error : * * the railing may not have been properly installed or operated, or may have been damaged by improper use. # # # recommendations - * * inspect the railing : * * check for any visible damage or obstructions. - * * test the railing : * * try to lock and unlock the railing several times to ensure it is working properly. - * * lubricate the railing : * * if the railing is noisy or difficult to move, lubricate the moving parts with a silicone - based lubricant. - * * check the electrical connections : * * make sure the railing is properly plugged into the electrical outlet and that the electrical wiring is not damaged. - * * contact a biomedical engineer : * * if the railing malfunction persists, contact a biomedical engineer for further troubleshooting and repair. @topic:6


| issue | impact | possible causes | recommendations | | - - - | - - - | - - - | - - - | | lcd monitor not displaying | loss of visual information from the monitor | damaged power cord | replace the power cord | @topic:2


* * issue * * lenses getting dirty * * impact * * obstructed view, leading to reduced patient visibility. * * possible causes * * * contamination of lenses by body fluids, such as blood or saliva. * accumulation of dust and debris in the operating environment. * improper cleaning and maintenance practices. * * recommendations * * * regularly clean and disinfect lenses according to manufacturer's instructions. * implement a cleaning schedule and assign responsibility for lens maintenance. * use sterile wipes or solutions to prevent contamination during use. * store endoscopes in a clean and protected environment when not in use. @topic:12


* * issue : * * nibp monitor is not able to measure blood pressure ( bp ). * * impact : * * patients may not receive accurate bp readings, which can delay or hinder diagnosis and treatment. * * possible cause : * * cuff connector is damaged. * * recommendations : * * * replace the damaged cuff connector. * test the device to ensure it is functioning properly. * inspect the cuff and tubing for any other signs of damage or wear. * train staff on proper handling and maintenance of the nibp monitor and cuff. * establish a regular schedule for preventive maintenance and inspection to identify and address potential issues early on. @topic:15


# # # issue - failure to replace battery correctly # # # impact - vital signs monitor may not function properly - patient monitoring may be compromised # # # possible causes - battery not properly seated - battery terminals not properly connected - battery polarity reversed # # # recommendations - ensure that the battery is properly seated and the terminals are properly connected - check the battery polarity to ensure it is correct - refer to the manufacturer's instructions for specific replacement procedures @topic:11


# # # issue - remote function of the head is malfunctioning - unable to adjust the head # # # impact - inability to use the equipment effectively # # # possible causes - malfunction of the remote control - damage to the wiring or connections - software issue # # # recommendations - replace the remote control - inspect and repair any damaged wiring or connections - update the software if necessary @topic:7


# # # issue the lcd monitor is displaying distorted colors. # # # possible causes - faulty display panel - loose or damaged cables - incorrect color calibration - graphics card issues - driver software problems # # # recommendations - physically inspect the monitor for any visible damage or loose connections. - check the cables connecting the monitor to the computer and ensure they are securely plugged in. - reset the monitor to factory settings and perform a color calibration. - update the graphics card drivers and monitor driver software. - if the issue persists, contact the manufacturer or a qualified technician for further diagnosis and repair. @topic:2


# # # issue - base of the unit is loose. # # # impact - unit may not be stable, which could lead to it falling and being damaged. - unit may not be able to function properly if it is not stable. # # # possible causes - the screws that hold the base of the unit in place may have become loose. - the base of the unit may have been damaged, which could have caused it to become loose. # # # recommendations - tighten the screws that hold the base of the unit in place. - if the base of the unit is damaged, it will need to be replaced. @topic:12


# # # issue - the failure of the electric bed's remote. # # # impact - the bed cannot be operated remotely, which can cause inconvenience to patients and staff. # # # possible causes - the remote is not receiving power. - the remote is not communicating with the bed's control unit. - the remote or the control unit is faulty. - power supply was disconnected # # # recommendations - check the power supply to the remote. - check the connection between the remote and the bed's control unit. - test the remote and the control unit to identify the faulty component. - if power supply has disconnected then connect the power supply to the equipment @topic:7


# # # issue - bed is not adjustable # # # impact - patients may not be able to be positioned comfortably or safely. - staff may be unable to move patients safely. # # # possible causes - power cord is not plugged in. - power cord is damaged. - control panel is not functioning. - motor is not working. - wiring is loose or damaged. # # # recommendations - check that the power cord is plugged in and that the power switch is turned on. - inspect the power cord for damage. if the cord is damaged, it should be replaced. - check that the control panel is functioning properly. if the control panel is not functioning, it may need to be replaced. - check that the motor is working properly. if the motor is not working, it may need to be replaced. - check that the wiring is not loose or damaged. if the wiring is loose or damaged, it should be repaired or replaced. @topic:1


# # # issue - battery failure # # # impact - inability to monitor vital signs accurately - potential patient safety hazard # # # possible causes - battery life exceeded - battery not properly maintained - battery exposed to extreme temperatures or humidity # # # recommendations - replace the battery with a new one - regularly inspect the battery for signs of wear and tear - follow manufacturer's instructions for battery maintenance - store the battery in a cool, dry place @topic:11


# # # issue - lcd monitor displays a yellow tint on the image. # # # impact - affects the accuracy of medical images, making it difficult to diagnose and treat patients effectively. # # # possible causes * * 1. incorrect white balance : * * - the monitor's white balance settings may not be calibrated correctly, resulting in an incorrect color temperature and a yellow tint on the image. * * 2. faulty display panel : * * - the lcd display panel may have a manufacturing defect or may have degraded over time, leading to a yellow tint in the displayed image. # # # recommendations - * * check white balance settings : * * calibrate the monitor's white balance settings using a color calibration tool or software to ensure accurate color representation. - * * inspect display panel : * * examine the display panel for signs of damage or degradation. if any defects are found, the display panel may need to be replaced. - * * reset monitor to factory defaults : * * resetting the monitor to factory defaults can sometimes resolve calibration issues or software glitches that may contribute to the yellow tint. - * * update monitor firmware : * * if available, check for firmware updates for the monitor and apply them to ensure it has the latest fixes and enhancements. - * * consult manufacturer : * * if the issue persists after troubleshooting, contact the manufacturer for further assistance or to determine if a repair or replacement is necessary. @topic:2


# # # issue knee adjustment malfunction # # # impact patient discomfort, difficulty obtaining accurate measurements # # # possible causes - faulty motor ( as indicated in the description ) - mechanical obstruction in the knee adjustment mechanism - electrical wiring issues - software error # # # recommendations - verify the motor replacement by checking the serial number and ensuring it is correctly installed. - inspect the knee adjustment mechanism for any obstructions or damage. - check all electrical connections for loose wires or damaged components. - run diagnostic tests to rule out any software errors. - if the issue persists, consult the manufacturer for further guidance or seek assistance from a more experienced technician. @topic:9


# # # issue * the microswitch on the ob / gyn electric bed ( sm8563 ) is faulty. # # # impact * the bed cannot be adjusted properly, which may compromise patient care and safety. # # # possible causes * the microswitch may be defective due to : * wear and tear * electrical malfunction * physical damage * the microswitch may not be properly adjusted. # # # recommendations * replace the faulty microswitch with a new one. * ensure that the microswitch is properly adjusted according to the manufacturer's specifications. * regularly inspect and maintain the bed to prevent similar issues in the future. * educate staff on the importance of proper use and maintenance of medical devices. @topic:1


# # # issue - bed not adjusting properly # # # impact - inconvenience for patients and staff - delays in patient care - potential for patient discomfort or injury # # # possible causes - electrical issue - mechanical issue - software issue - user error # # # recommendations - check the power supply and connections - inspect the bed for any visible damage - reset the bed and test it - consult the manufacturer's instructions for troubleshooting - if the problem persists, contact a qualified biomedical engineer @topic:1


# # # issue the equipment is not receiving power. # # # impact the equipment cannot be used. # # # possible causes the electrical cord is not properly connected to the outlet. the electrical cord is damaged. the power supply to the outlet is not working. a fuse or circuit breaker has tripped. the equipment's internal power supply has failed. # # # recommendations * check that the electrical cord is properly connected to the outlet. * inspect the electrical cord for damage. * check the power supply to the outlet. * reset any tripped fuses or circuit breakers. * contact the manufacturer or a qualified technician to repair the equipment's internal power supply. @topic:12


# # # issue - the beds, electric, hill - rom, centuris p750 is not able to adjust its level. # # # impact - the patient may not be able to get into or out of bed safely. - the patient may not be able to be positioned properly for medical procedures. # # # possible causes - the board control of the device may be damaged. - the company may have replaced the wrong part. - the company may not have properly tested the device after replacing the part. # # # recommendations - the biomedical engineer should verify that the board control is the correct part and that it was installed correctly. - the biomedical engineer should test the device to ensure that it is functioning properly. - the biomedical engineer should contact the company to report the issue and request a replacement part. @topic:1


##ing ” on page 142 for more details on alarm chains. what is a timeout period? timeout periods are automatically started when a yellow arrhythmia alarm is detected. during this period, the same alarm condition will not generate another alarm. alarm conditions further down the same arrhythmia alarm chain will also not generate an alarm, but alarms further up the chain will : see “ arrhythmia alarm chaining ” on page 142 ). this setting can only be changed in configuration mode. ♦ to view the timeout period configured for your monitor, in the setup arrhythmia menu, see the menu items timeout 1st and timeout 2nd. resetting the timeout period ♦ to reset the timeout period, select the alarms of f or pause alarms permanent key and then reselect it. how are yellow arrhythmia alarms indicated? when a yellow arrhythmia alarm is generated, it triggers visual and audible indicators. yellow arrhythmia alarms are always set to latch visually for three minutes except hr high / low alarms, if configured to standard yellow. depending on the alarm condition, audible and visual alarm indicators will appear as follows : alarm condition example audible indicators short yellow alarm tone sounds... visual indicators alarm message displayed... single alarm instance non - sustained v - tach when alarm condition is initially detected for 3 minutes ( latching time ) continuous alarm condition pvcs / min high when alarm condition is initially detected and - as an alarm reminder - every time the configured time out period has expired until the alarm condition stops, plus a maximum of three minutes latching time same intermittent alarm condition pair ofpvcs each time the alarm condition is detected, provided that the configured timeout period has expired 141 6 ecg, arrhythmia, st and qt monitoring arrhythmia alarms if @topic:8


# # # issue - battery drains quickly # # # impact - intermittent operation of the device - potential loss of patient data - increased risk of patient harm # # # possible causes - * * faulty battery : * * check if the battery is damaged or old and needs to be replaced. - * * defective battery compartment : * * the battery compartment may not be making proper contact with the battery, preventing it from charging. - * * excessive heat : * * overheating can damage the battery and reduce its capacity. check if the device is being used in a well - ventilated area and that the vents are not blocked. - * * leakage : * * if the battery is leaking, it can damage the device and prevent it from charging properly. check for any signs of leakage around the battery compartment. # # # recommendations - * * replace the battery : * * if the battery is damaged or old, replace it with a new one of the same type and capacity. - * * clean the battery compartment : * * remove the battery and clean the contacts in the battery compartment with a cotton swab and rubbing alcohol. ensure that the contacts are dry before reinserting the battery. - * * reduce heat exposure : * * avoid using the device in excessively hot environments or near sources of heat. ensure that the vents are not blocked and that the device is properly cooled. - * * inspect for leakage : * * check the battery compartment for any signs of leakage. if leakage is detected, discontinue use of the device and contact the manufacturer for assistance. @topic:11


# # # issue - loose remote plug wire # # # impact - remote control malfunction # # # possible causes - physical damage to the remote plug wire - loose connection at the plug or remote end - wear and tear over time # # # recommendations - inspect the remote plug wire for any visible damage. - tighten the connection at both the plug and remote ends. - replace the remote plug wire if it is damaged beyond repair. @topic:7


# # # issue the monitor's printouts are not clear. # # # impact the unclear printouts may make it difficult to read and interpret the patient's physiological data, which could lead to incorrect diagnoses or treatment decisions. # # # possible causes - worn - out print head - clogged print nozzles - incorrect paper type - faulty print driver # # # recommendations - replace the print head if it is worn out. - clean the print nozzles using a appropriate cleaning solution. - ensure that the correct paper type is being used for the printer. - update or reinstall the print driver if necessary. @topic:28


# # # issue wood is not attached to the bed # # # impact the equipment may not be able to function properly or it may be unsafe to use. # # # possible causes - the wood may have become detached from the bed due to wear and tear. - the wood may have been improperly attached to the bed in the first place. - the wood may have been damaged due to improper handling or storage. # # # recommendations - inspect the wood and the bed to determine the cause of the detachment. - if the wood is damaged, it should be replaced. - if the wood is not damaged, it should be reattached to the bed using appropriate hardware. - ensure that the equipment is properly maintained and stored to prevent future detachment of the wood. @topic:6


# # # issue : cuff leak and battery charging issue # # # impact : the device cannot accurately measure blood pressure and may not be able to power on. # # # possible causes : - * * cuff leak : * * the cuff may have become damaged or worn, allowing air to leak out. this can prevent the device from inflating the cuff properly, resulting in an inaccurate blood pressure reading. - * * battery charging issue : * * the battery may not be making proper contact with the charging port, or the charging port itself may be damaged. this can prevent the device from powering on or holding a charge. # # # recommendations : - * * cuff leak : * * inspect the cuff for any tears or holes. if damage is found, replace the cuff. - * * battery charging issue : * * clean the battery contacts and the charging port with a cotton swab and alcohol. if the issue persists, replace the battery or the charging port. @topic:3


# # # issue the battery in the philips intellivue mp40 ( m8003a ) monitor was not charging. # # # impact the battery not charging could lead to the device being unable to operate in the event of a power outage, which could have a negative impact on patient care. # # # possible causes - battery is not making good contact with the charging terminals - battery is faulty - battery charger is faulty - battery cable is faulty - power supply is not providing enough voltage # # # recommendations - check that the battery is making good contact with the charging terminals. - check the battery for any damage. - check the battery charger for any damage. - check the battery cable for any damage. - check the power supply to ensure that it is providing enough voltage. @topic:11


# # # issue - cuff on the vital signs monitor is deteriorating. # # # impact - the vital signs monitor may not be able to provide accurate readings, which could lead to incorrect diagnosis and treatment decisions. # # # possible causes - cuff is old and worn out. - cuff has been overinflated or deflated too many times. - cuff has been exposed to chemicals or other harsh environments. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - avoid overinflating or deflating the cuff. - clean the cuff with a mild detergent and water if it comes into contact with chemicals or other harsh environments. @topic:5


# # # issue - equipment not available for patient use # # # impact - delays in patient care - inconvenience for patients and staff # # # possible causes - * * equipment misuse : * * the equipment was used improperly, leading to damage. this could have occurred during transportation or while being used by nursing staff. - * * lack of training : * * the nursing staff may not have been properly trained on how to use the equipment. this could have led to them operating it incorrectly and causing damage. - * * equipment aging : * * the equipment may be old and in need of repair or replacement. this could have made it more susceptible to damage during use. # # # recommendations - * * review equipment usage and training : * * ensure that nursing staff are properly trained on how to use the equipment safely. provide refresher training as needed. - * * inspect equipment regularly : * * establish a regular maintenance schedule to identify and repair any potential issues with the equipment. - * * consider replacing aging equipment : * * if the equipment is old and in need of frequent repairs, it may be cost - effective to replace it with newer equipment. @topic:12


# # # issue - the remote control for the electric bed is not turning on and cannot be used. # # # impact - the bed cannot be adjusted or controlled remotely, which can inconvenience patients and healthcare providers. # # # possible causes - * * dead or weak batteries : * * the remote control may not be receiving enough power to operate. - * * loose or damaged connections : * * the connection between the remote control and the bed may be loose or damaged, preventing communication. - * * faulty wiring or electrical components : * * there may be a problem with the wiring or electrical components within the remote control or the bed that is preventing the remote from functioning. - * * software or firmware issues : * * a software or firmware glitch may be interfering with the remote's operation. - * * physical damage : * * the remote control may have been damaged physically, such as a broken screen or a cracked case. # # # recommendations - * * check batteries : * * replace the batteries in the remote control with new ones of the correct type. - * * inspect connections : * * verify that the connection between the remote control and the bed is secure and not damaged. - * * test with different remote : * * use a different remote control to operate the bed to isolate the issue to the remote itself. - * * contact manufacturer : * * reach out to the manufacturer of the bed or remote control for technical support and repair options. - * * document findings : * * keep a record of the troubleshooting steps taken and any observations made to provide context for future repairs. @topic:7


# # # issue battery of bedside physiologic monitor ( intellivue mx450 ) is not charging. # # # impact the monitor cannot be used until the battery is fully charged. this could lead to a delay in patient care. # # # possible causes - battery is loose. - battery is damaged. - charger is faulty. # # # recommendations - check if the battery is loose and tighten it if necessary. - replace the battery if it is damaged. - check if the charger is faulty and replace it if necessary. @topic:11


# # # issue - cuff of nibp monitor is damaged. # # # impact - patient's blood pressure cannot be measured accurately. # # # possible causes - cuff is too old or worn out. - cuff is not the correct size for the patient. - cuff is not properly inflated. - cuff is not properly connected to the monitor. # # # recommendations - replace the cuff with a new one of the correct size. - ensure that the cuff is properly inflated and connected to the monitor. - inspect the cuff regularly for signs of wear or damage. @topic:15