# # # issue - the medrad veris 8600 mri physiological vital signs monitor's screen went black during use. # # # impact - inability to monitor patient's vital signs. # # # possible causes - * * loose plug : * * the bme technician found a loose plug and fixed it. this suggests that the power supply to the monitor was interrupted, causing the screen to go black. # # # recommendations - * * regular maintenance : * * conduct periodic inspections and maintenance of the monitor and its connections to prevent loose plugs and other issues. - * * proper handling : * * ensure that the monitor is handled with care and that plugs are securely connected. - * * backup system : * * consider having a backup monitor or monitoring system in place in case of primary monitor failure. - * * training : * * provide training to medical staff on the proper use and maintenance of the monitor. @topic:2


642 70091 | 6 - 1 4 main board, vsi 4535 642 70081 | 6 - 1 3 main board, vs2 * 4535 642 70151 | 6 - 1 3 nbp module 4535 642 70111 | 6 - 1 1 power supply module 4535 642 70131 6 - 2 14 power input module 4535 642 70141 6 - 2 16 rear case, nbp only 4535 642 70181 not shown rear case, nbp, spo, 4535 642 70191 | 6 - 2 12 recorder assembly 4535 642 70221 6 - 2 11 rs - 232 serial adapter ( includes usb hub, insulator 9898 031 59601 | not shown sheath, and usb clamp ) roll stand 9898 031 44001 not shown replacement parts and assembly drawings suresigns vs2 * and vsi service guide 6 - 1 spare parts description part number figure item small parts kit : 4535 642 70201 not shown — rubber feet ( 4 ) not shown — battery compartment cover ( 1 ) 6 - 2 18 — navigation wheel ( 1 ) 6 - 1 7 — vsi product label ( 1 ) not shown — vs2 * product label ( 1 ) not shown — recorder faceplate ( 1 ) 6 - 1 10 — m3 x 8 mm machine screws ( 2 ) not shown — m4 x 7 mm machine screws ( 4 ) not shown — captive screw ( recorder ) ( 1 ) not shown — m3 x 8 mm self - forming screws ( 8 ) not shown — m3 x 6 mm nylon screws ( 4 ) not shown — m3 x 12. 7 mm stand - off pegs ( 2 ) 6 - 2 8 — m4 x 7 mm nylon screws, slotted ( 4 ) not @topic:19


* * issue : * * the electric bed is malfunctioning and is unable to adjust its height. * * impact : * * - patients may not be able to get in or out of bed comfortably. - patients may not be able to be positioned properly for medical procedures. - staff may have difficulty providing care to patients. * * possible causes : * * - electrical fault - mechanical fault - software glitch * * recommendations : * * - check the electrical connections to the bed to ensure that it is plugged in properly and that the power supply is functioning. - inspect the bed for any visible damage or loose parts. - reset the bed's software by unplugging it and then plugging it back in. - contact the manufacturer or a qualified technician for further assistance. @topic:1


##vue mp20 / mp30 the mp20 / mp30 patient monitor is a new addition to the intellivue patient monitor family. it is smaller and lighter than the mp40 / mp50 monitors and can be powered by battery. it can be used with the measurement server and server extensions and has a built - in recorder. basic operation • new measurement selection window makes it easier to resolve measurement label conflicts • new previous / next screen function provides access to the ten most recently modified screens • wave speeds can now be set for individual wave channels trends • cursor in graphical trend window improves navigation in the trends database • vital signs and graphical trend screen elements can be embedded on a screen • new band style format for displaying trends of measurements with multiple numerics • horizon trend is a new format for screen trends, showing the deviation from a stored baseline • aperiodic measurements now stored with a timestamp in vital signs • new symbol representing nbp measurements in graphical trends measurements • st numerics in the alarm limits window can be shown and hidden • st point can be set directly by selecting a numeric value • new nbp countdown timer shows the time remaining until the next nbp measurement in a series • networked monitors can now show other bed information embedded on screen 52 what ’ s new in release b. o? 2 what ’ s new? • additional labels available for pressure and temp • additional options for sp0 2, support for an extended list of accessories • suppress zero function for microstream c0 2 applications • drug calculator can now be configured to include a list of commonly - used drugs • cursor in the loops window improves navigation through the stored loops • volume - flow loops added to the list of respiratory loops types • loops report for documentation of stored loops • eec csa can now be called up and viewed in a window over the currently displayed @topic:8


# # # issue - bedside electric bed is not functioning properly. # # # impact - inability to move the patient, which can lead to discomfort or pain. - potential falls, if the patient tries to get out of bed without assistance. # # # possible causes - loose wood screws - loose wheel on the wood guard - damaged motor or electronic components # # # recommendations - inspect the bed for any loose screws or wheels, and tighten them as necessary. - check the motor and electronic components for any signs of damage or wear, and replace any damaged parts as necessary. - test the bed to ensure that it is functioning properly before putting it back into service. @topic:9


# # # issue - cursor not moving # # # impact - inability to operate the device effectively # # # possible causes - faulty cursor control unit - loose or damaged cursor cable - defects in the operating system or software # # # recommendations 1. * * inspect the cursor control unit : * * check if there are any visible damages or loose connections. clean the unit with a soft cloth and compressed air, if necessary. 2. * * test the cursor cable : * * disconnect the cable from the control unit and the mouse. reinsert the cable securely and check if the cursor movement improves. 3. * * update the operating system or software : * * install any available updates for the operating system or software that the device runs on. 4. * * replace the cursor control unit or cable : * * if the issue persists after cleaning and testing, it may be necessary to replace the cursor control unit or cable. 5. * * contact the manufacturer : * * if none of the above recommendations resolve the issue, contact the manufacturer for further troubleshooting and support. @topic:30


# # # issue - device failure due to battery degradation. # # # impact - interruption of patient monitoring and potential adverse patient outcomes. # # # possible causes - battery aging and loss of capacity over time. - improper charging or discharging practices. - excessive temperature or humidity conditions. # # # recommendations - regular monitoring and replacement of batteries according to manufacturer's guidelines. - ensuring proper charging and discharging procedures are followed. - maintaining optimal temperature and humidity conditions for the device. - considering the use of rechargeable batteries with longer lifespans. - training biomedical engineers and hospital staff on proper battery maintenance and replacement procedures. @topic:11


##ribed above. 2. remove the handle as described above. 3. remove the display as described above. 150 4. remove the nbp pump assembly as described above. 5. unplug the loudspeaker cable. 6. lift up the speaker assembly with pliers. position the pliers as shown below and pull the speaker assembly upwards. note that there 1s no locking mechanism on the speaker assembly. make sure you lift the speaker up straight reassembly procedure 1. position the new speaker as shown below and press the assembly down. 151 2. plugin the speaker cable removing the power board note when replacing the power board, the monitor must have the serial number reloaded. a support tool is required to perform this task. please see the support tool instructions for use document for details on how to load a new serial number. 1. remove the battery as described above. 2. remove the handle as described above. 3. remove the display as described above. 4. remove the nbp pump assembly as described above. 5 remove the nameplate by moving it to the side. there will be a slight resistance when removing the nameplate. you may need to loosen the locking mechanism with a screwdriver before pulling off the nameplate. 152 6. carefully lift up the power board only a few millimeters in order to loosen the connection to the main board, then completely disconnect the power board from the main board by pressing gently on the black transformer. make sure the ecg sync pulse out connector and cable is not damaged. ecg sync pulse out connector 7. remove the power board by pushing up the msl connector. due to the sealing there will be a strong resistance when removing the board. 153 reassembly procedure 1. insert the srl cover into the prepared slots on the power board. the two grey dots on the plastic part must @topic:19


# # # issue - equipment cannot link to icca after installing lan cables # # # impact - medical device cannot be used # # # possible causes - loose lan cable connection - incorrectly configured lan settings - icca not functioning properly # # # recommendations - check lan cable connections and ensure they are secure. - verify lan settings and ensure they are correct. - test icca with another medical device to ensure it is functioning properly. @topic:16


# # # issue - relay stuck # # # impact - bed cannot be adjusted up or down # # # possible causes - faulty relay - damaged wiring - control board failure # # # recommendations - replace the relay - inspect the wiring for damage and repair or replace as necessary - test the control board and replace if faulty @topic:1


##entionally switch the gas compensation to the incorrect setting, the accuracy of the measured flow and volume values may be significantly reduced. the tables below show examples of incorrect gas compensation settings and the resulting inaccuracies : n 2 o 2 n 2 o agent difference between measured and actual values actual gas composition 60 40 gas compensation setting 40 60 15 % table 1 incorrect balance gas setting ( n 2 0 instead of n 2 ) 229 15 monitoring airway flow, volume and pressure setting up spirometry n 2 o 2 n 2 o agent difference between measured and actual values actual gas composition 55 40 5 gas compensation setting 60 40 0 15 % table 2 incorrect agent percentage setting setting up spirometry the following settings can be accessed through the setup spirometry menu. optimizing scale settings in the setup spirometry menu, select optimize scales. the scale settings for all three spirometry waves ( awf, awp, awv ) will be optimized. spirometry values window you can view all spirometry measurement data in the spirometry data window. in the setup spirometry menu, select show all values. spirometry adult / pedi flow sensor rrspir 10 rpm mvexp 7. 2 1 / min pip 31 cmh 2 0 i : e 1 : 1. 9 mvin 7. 3 1 / min peep 4 cmh 2 0 comp 24 ml / cmh 2 0 tvexp 720 ml mnawp 17 cmh 2 0 raw 4 cmh 2 0 / l / s tvin 720 ml pplat 30 cmh 2 0 pef 8 1 / min nglnsp - 5 cmh 2 0 pif 12 1 / min figure 1 example for spirometry values window alarms and alarm limits alarms can be derived from peep, pip, mv and rrspir. in the setup spirometry @topic:17


* * issue * * battery indicates a red light status. * * impact * * the device may not be able to power on or operate properly during a power outage. * * possible causes * * * battery is not properly seated in the compartment. * battery is not fully charged. * battery is defective. * charger is not functioning properly. * circuit board failure. * * recommendations * * * reseat the battery and ensure it is securely in place. * charge the battery until the green light indicator illuminates, indicating a full charge. * if the battery does not charge properly, replace it with a new battery. * inspect the charger for any damage or loose connections. * contact a qualified biomedical engineer to diagnose and repair any circuit board issues. @topic:11


# # # issue - the vital signs monitor is not working properly. # # # impact - the patient's vital signs cannot be accurately monitored. - this could lead to a delay in diagnosis and treatment, which could have serious consequences. # # # possible causes - the cuff is not properly connected. - the cuff is the wrong size. - the cuff is damaged. - the monitor is not properly calibrated. - there is a problem with the electrical connection. # # # recommendations - check the cuff connection and make sure it is secure. - check the cuff size and make sure it is the correct size for the patient. - inspect the cuff for any damage. - calibrate the monitor according to the manufacturer's instructions. - check the electrical connection and make sure it is secure. @topic:15


will be seen on both displays. • display operations such as the main screen key and back hardkey will take effect only on the display being operated. • if you are operating two displays with one remote control, to navigate from one display to another : move the highlight to the main screen key and then turn one click further. 1 press the navigation knob on the remote control to confirm ; the highlighting will automatically move to the other display. 2 the content of each screen can be changed individually as described in the previous section. if you are operating two displays, you can choose screens for both displays from one location : 1 select profiles in the monitor info line of the first display, 2 select display 1, or display 2, then select the screen you want to appear on that display from the list of available screens. when two displays are mounted next to each other or one above the other, a special screen can be assigned which spans across both displays. the screen content for these tall and wide screens can then use the increased area available with two displays. these screens appear in the screen list with a special tall screen or wide screen symbol. certain windows ( for example : cardiac output procedure ) can only be shown on one display at a time. if if you try to open one of these windows when it is already shown on another display, you will see a blank gray window with a cross through it. 38 1 introduction using the xds remote display mx600 / 700 / using the intellivue xds solution it is possible to view an independent monitor screen on an external 800 display. the xds solution consists of a medical grade pc - based hardware platform, xds application software and the xds connectivity option on the monitor. depending on the configuration you can also operate the monitor from the external display. the xds must be connected to the same local area network ( lan ) as the monitor. it is also @topic:10


* * issue : * * spring of bed rails is stiff and difficult to move. * * impact : * * the bed rails cannot be raised or lowered as needed, which can pose a safety hazard for patients. * * possible causes : * * * lack of lubrication * dirt or debris buildup * damage to the spring mechanism * * recommendations : * * * lubricate the spring mechanism with wd - 40 or a similar product. * clean the spring mechanism of any dirt or debris. * if the spring mechanism is damaged, it should be replaced. @topic:6


# # # issue - faulty spo2 probe cable # # # impact - inability to accurately monitor oxygen saturation levels in patients # # # possible causes - damage to the cable, such as cuts or tears - loose connections - electromagnetic interference # # # recommendations - replace the damaged cable with a new one - ensure that all connections are secure - shield the cable from electromagnetic interference, if necessary # # # additional notes - this failure can occur due to normal wear and tear, accidental damage, or improper handling. - regular inspections and maintenance of medical devices, including cables and probes, can help prevent such failures. @topic:4


# # # issue - unable to connect to the web. # # # impact - inability to remotely monitor patient's vital signs. - delays in treatment. - increased risk of complications. # # # possible causes - hardware failure - software glitch - network connectivity issues - incorrect settings - user error # # # recommendations - check for loose connections or damaged cables. - ensure that the device is powered on and connected to a stable wi - fi or cellular network. - reset the device to factory settings. - verify the device's ip address and firewall settings. - contact the manufacturer or vendor for technical support. - train users on proper operation of the device. @topic:16


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : technician observed that the " bdms _ corp " wi - fi network was not logged in. # # # impact - inability to use the medical cart's wi - fi capabilities. # # # possible causes - wi - fi not enabled on the medical cart - incorrect wi - fi password - network connectivity issues - firewall settings blocking wi - fi access # # # recommendations 1. verify that wi - fi is enabled on the medical cart. 2. double - check the entered wi - fi password. 3. ensure that the medical cart is within range of the network and has a strong signal. 4. check firewall settings to confirm that wi - fi access is allowed. 5. contact it support for further assistance if the issue persists. @topic:13


# # issue - equipment failure due to damaged lead wire. # # impact - interruption of patient monitoring and potentially inaccurate data. # # possible causes - physical damage to the lead wire, such as tears or cuts. - loose connections at the lead wire junctions. - internal electrical malfunctions within the lead wire. # # recommendations - inspect the lead wire for any visible damage and replace it if necessary. - ensure secure connections between the lead wire and the monitor and patient. - perform routine maintenance on the monitor and lead wires to prevent future failures. - consider using a highly durable lead wire to reduce the risk of damage. @topic:18


# # # issue - the bed's side rails cannot be adjusted. # # # impact - this issue can impact patient safety as it may prevent the bed from being adjusted to a safe and comfortable position. - additionally, if the side rails cannot be adjusted, it could be difficult for the patient to get out of bed or for caregivers to provide care. # # # possible causes - faulty or damaged lock - mechanical problem with the side rail adjustment mechanism - software issue # # # recommendations - check the lock to ensure that it is not damaged or faulty. if the lock is damaged, it should be replaced. - inspect the side rail adjustment mechanism for any signs of damage or wear and tear. if any damage is found, the mechanism should be repaired or replaced. - check the software version and update if necessary. @topic:6


# # # issue - keypad malfunction, leading to intermittent adjustability of the bed. # # # impact - compromised patient comfort and safety. - difficulty in repositioning patients for medical procedures. # # # possible causes - keypad failure due to : - loose or disconnected wiring - damage to keypad circuit board - wear and tear over time - broken or damaged cable connecting keypad to control board # # # recommendations - replacement of the faulty keypad and cable. - regular maintenance and inspection of the bed's electrical components to prevent future failures. @topic:25


* * issue : * * monitor lcd cannot send image signals and displays " no signal " on the screen. * * impact : * * the medical staff cannot visualize the patient's vital signs and other important information on the monitor, which can hinder patient care and delay treatment. * * possible causes : * * - * * simulator mode is enabled : * * the control of the davinxi device was inadvertently switched to simulator mode, preventing the monitor from receiving actual image signals. * * recommendations : * * - * * disable simulator mode : * * turn off the simulator mode on the davinxi control and restart the monitor. - * * check cable connections : * * ensure that the signal cables between the monitor and the davinxi device are securely connected and not damaged. - * * inspect monitor input : * * verify that the monitor is set to the correct input source and that the resolution and refresh rate settings match the davinxi device. - * * contact manufacturer support : * * if the issue persists after troubleshooting, contact the manufacturer of the monitor or the davinxi device for further assistance. @topic:2


# # # issue - high blood pressure ( bp ) reading # # # impact - inaccurate bp readings can lead to incorrect treatment decisions and potentially harm the patient. # # # possible causes - leaky cuff bladder - loose or damaged cuff tubing - kinked or obstructed cuff tubing - air leak in the cuff bladder - faulty pressure transducer in the monitor # # # recommendations - inspect the cuff bladder for leaks or damage. replace if necessary. - check the cuff tubing for loose connections, damage, or kinks. tighten or replace as needed. - ensure the cuff tubing is unobstructed and not pinched or bent. - test for air leaks in the cuff bladder by inflating it and listening for hissing sounds. replace the bladder if a leak is detected. - calibrate the pressure transducer in the monitor according to manufacturer's instructions. @topic:3


# # # issue - cuff deterioration due to age # # # impact - inaccurate or unreliable blood pressure readings # # # possible causes - extended use of the cuff - exposure to extreme temperatures or humidity - improper storage or handling # # # recommendations - regular inspection and maintenance of the cuff - replacement of the cuff after a specified period of use - proper storage and handling of the cuff to extend its lifespan @topic:3


# # # issue - the bed is not working properly due to the weight of the patient. # # # impact - the patient cannot be moved or treated properly. - the staff cannot use the bed to care for the patient. # # # possible causes - the bed is not strong enough to support the weight of the patient. - the bed is not properly assembled or maintained. - the bed is being used improperly. # # # recommendations - replace the bed with a stronger one. - assemble and maintain the bed according to the manufacturer's instructions. - train staff on how to use the bed properly. @topic:9


# # # issue - bedside rail cannot be adjusted down fully. # # # impact - risk of patient injury if they attempt to get out of bed and the rail does not stop them. - patient discomfort if they cannot get out of bed due to the raised rail. # # # possible causes - * * electrical issue : * * the motor that drives the rail may not be receiving power. - * * mechanical issue : * * the rail may be obstructed by something, preventing it from moving down. - * * software issue : * * the software that controls the rail may be malfunctioning. # # # recommendations - * * electrical issue : * * check that the motor is receiving power. if it is not, troubleshoot the electrical system. - * * mechanical issue : * * inspect the rail for any obstructions and remove them. - * * software issue : * * restart the software and check for any error messages. if the issue persists, contact the manufacturer for support. @topic:6


# # # issue - monitor cannot measure cup bp pressure # # # impact - inability to accurately monitor patient's blood pressure - potential for delayed diagnosis and treatment - increased risk of complications # # # possible causes - * * monitor connector misplaced : * * the incorrect placement of the monitor connector can disrupt the communication between the monitor and the cup bp sensor, preventing accurate pressure measurement. - * * faulty cup bp sensor : * * a malfunctioning cup bp sensor may not be able to transmit accurate pressure readings to the monitor. - * * damaged cables or connections : * * broken or loose cables or connections between the monitor and the cup bp sensor can interfere with signal transmission, leading to erroneous pressure readings. - * * software or firmware issues : * * bugs or glitches in the monitor's software or firmware can result in incorrect processing or display of blood pressure measurements. # # # recommendations - * * verify monitor connector : * * ensure that the monitor connector is properly attached to the designated port on the monitor and the cup bp sensor. - * * inspect cup bp sensor : * * check the cup bp sensor for any visible damage or defects. test the sensor with a known - good monitor to confirm functionality. - * * examine cables and connections : * * inspect the cables and connections between the monitor and the cup bp sensor for breaks, loose fittings, or corrosion. replace any damaged or faulty components. - * * update software or firmware : * * check if there are any pending software or firmware updates for the monitor. follow the manufacturer's instructions to install any available updates. - * * contact technical support : * * if the issue persists despite troubleshooting, contact the manufacturer's technical support team for further assistance. @topic:14


# # # issue - medical cart's drawer does not close properly due to a loose drawer slide. # # # impact - the medical cart cannot be used to store or transport medical supplies. # # # possible causes - the drawer slide may have become loose over time due to wear and tear. - the drawer slide may have been damaged during use. # # # recommendations - tighten the drawer slide. - replace the drawer slide if it is damaged. @topic:21


# # # issue - keyboard not working # # # impact - inability to use the medical cart # # # possible causes - * * low battery : * * the battery in the keyboard may be low, preventing it from functioning properly. - * * defective battery : * * the battery in the keyboard may be defective, even if it is new. - * * loose battery connection : * * the battery may not be properly connected to the keyboard, causing intermittent or complete failure. - * * keyboard malfunction : * * the keyboard itself may be malfunctioning, due to a hardware or software issue. # # # recommendations - * * replace the battery : * * replace the battery with a new one that meets the specified voltage requirements ( 1. 5v ). - * * check the battery connection : * * ensure that the battery is properly connected to the keyboard. - * * test the keyboard : * * perform a diagnostic test on the keyboard to determine if it is functioning correctly. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the keyboard for further troubleshooting and repair options. @topic:27


# # # issue * inability to adjust the bed up or down # # # impact * patient discomfort * difficulty providing care * potential safety hazard # # # possible causes * loose electrical connections * motor failure * control panel malfunction # # # recommendations * * * inspect electrical connections : * * ensure that all cables and connections are secure and not loose. tighten any loose connections as needed. * * * check motor : * * listen for any unusual noises or vibrations from the motor. if the motor is not operating properly, it may need to be replaced. * * * test control panel : * * verify that the control panel buttons are functioning correctly and sending signals to the motor. if the control panel is faulty, it may need to be repaired or replaced. * * * lubricate moving parts : * * apply a thin layer of lubricant to any moving parts, such as gears or tracks, to ensure smooth operation. * * * reset the bed : * * turn off the power to the bed and then turn it back on. this may reset any electronic components and resolve the issue. # # # additional considerations * if the issue persists after following the recommendations above, seek assistance from a qualified biomedical engineer or manufacturer representative. * keep a detailed record of all troubleshooting steps taken for future reference. * ensure that the bed is regularly inspected and maintained to prevent future failures. @topic:1


# # # issue : - monitor ( suresigns vs2 ) not measuring spo2 accurately - cuff tearing and inability to secure on patient # # # impact : - inaccurate spo2 readings can lead to delayed or incorrect medical decisions, compromising patient safety. - torn cuffs can cause discomfort and irritation to patients. # # # possible causes : - broken or damaged spo2 cable - worn or frayed cable insulation - deteriorated cuff materials - excessive wear and tear on cuff due to improper handling or cleaning - improper storage conditions leading to cable damage # # # recommendations : - replace damaged spo2 cable with a new one. - inspect cable insulation regularly and replace it if fraying or damage is detected. - ensure proper cuff maintenance by following manufacturer's cleaning and storage guidelines. - train staff on handling and cleaning techniques to extend cuff lifespan. - store equipment in a controlled environment to prevent cable damage from extreme temperatures or humidity. @topic:4


# # # issue the ekg cable for the philips intellivue mp70 ( m8007a ) bedside physiologic monitor in the hospital has failed. # # # impact the failure of the ekg cable has prevented the monitor from performing its intended functions, which are to measure and display the patient's ekg. this is a serious issue as it can affect the diagnosis and treatment of the patient. # # # possible causes * the failure of the ekg cable could be caused by a number of things, including physical damage, electrical failure, or software issues. # # # recommendations * the technician should replace the failed ekg cable as soon as possible. * the technician should also investigate the cause of the failure and take steps to prevent it from happening again in the future. @topic:18


# # issue - cuff for blood pressure monitor is torn. # # impact - unable to measure blood pressure. # # possible causes - cuff was not properly cared for and stored. - cuff was used too often or for too long. - cuff was not the correct size for the patient. - cuff was not properly inflated. - cuff was damaged by a sharp object. # # recommendations - inspect cuffs regularly for signs of wear and tear. - replace cuffs that are damaged or worn. - use the correct cuff size for the patient. - inflate the cuff properly according to the manufacturer's instructions. - store cuffs in a dry, cool place. - train staff on the proper use and care of cuffs. @topic:3


# # # issue - touchscreen not responding intermittently. # # # impact - inability to use the monitor to view patient vital signs and make necessary adjustments. # # # possible causes - hardware malfunction ( e. g., faulty touchscreen panel ) - software issue ( e. g., corrupted firmware ) - loose or damaged connections # # # recommendations - perform a hard reset of the monitor by unplugging it from the power source and waiting at least 30 seconds before plugging it back in. - check the connections between the touchscreen panel and the main unit for any loose or damaged wires. - update the monitor's firmware to the latest version, if available. - if the issue persists, contact the manufacturer for further troubleshooting and repair. * * note : * * the provided input does not explicitly mention that the cause of failure is related to the inability to measure blood pressure ( bp ). therefore, it is not possible to provide a specific cause of failure for this particular issue. @topic:2


# # # issue - intermittent loss of stimulation capability on the tof - watch acceleromyograph. # # # impact - inability to accurately measure muscle response to electrical stimulation, potentially leading to incorrect or delayed diagnosis and treatment. # # # possible causes - * * faulty sensor or sensor connection : * * the sensor may not be properly connected to the device or may have become damaged. - * * loose or damaged cables : * * the cables connecting the stimulator to the sensor or to the tof - watch device may be loose or damaged, causing intermittent signal loss. - * * internal device malfunction : * * a malfunction within the tof - watch device itself could lead to intermittent stimulation issues. # # # recommendations - * * inspect and test the sensor and sensor connection : * * ensure that the sensor is securely connected to the device and that the connection is not damaged. - * * inspect and test the cables : * * check the integrity of the cables connecting the stimulator to the sensor and to the tof - watch device. replace any damaged or loose cables. - * * perform internal diagnostics on the tof - watch device : * * run internal diagnostic tests on the device to identify any potential malfunctions or error codes. - * * contact the manufacturer : * * if the issue persists after inspecting and testing the sensor, cables, and device, contact the manufacturer for further troubleshooting and repair. @topic:2


# # # issue - the electric bed cannot be adjusted. # # # impact - patients may not be able to get into or out of bed safely or comfortably. - nurses and other caregivers may have difficulty providing care to patients. # # # possible causes - the ac power cord to the control box is loose. # # # recommendations - check the ac power cord to the control box and make sure it is securely plugged in. - if the power cord is loose, unplug it and then plug it back in tightly. - if the power cord is not loose, there may be another problem with the bed. contact a qualified technician for further assistance. @topic:1


# # # issue - loose co2 sensor mounting screw # # # impact - inaccurate co2 readings, which can lead to incorrect patient care decisions. # # # possible causes - loose screws - vibration - damage to the mounting bracket - corrosion # # # recommendations - inspect and tighten all co2 sensor mounting screws regularly. - avoid excessive vibration or shock to the device. - inspect the mounting bracket for damage and replace if necessary. - use corrosion - resistant screws and materials in areas where moisture is present. @topic:4


# # # issue - keyboard not responding. # # # impact - inability to use medical cart effectively. - delays in patient care. - frustration and inconvenience for healthcare professionals. # # # possible causes - keyboard is locked. - keyboard is malfunctioning. - keyboard is not properly connected to the cart. # # # recommendations - * * verify that the keyboard is unlocked. * * this can usually be done by pressing the " fn " key and the " 2. 4g " key simultaneously. - * * inspect the keyboard for any physical damage. * * look for loose keys, broken wires, or other signs of wear and tear. - * * ensure that the keyboard is properly connected to the cart. * * check the cables and connectors to make sure that they are secure. - * * restart the cart. * * this may help to resolve any software issues that may be causing the keyboard to malfunction. - * * if the above steps do not resolve the issue, contact the manufacturer of the cart for further assistance. * * @topic:27


# # # issue the motor in the knee of the bed is making a loud noise and cannot be adjusted. # # # impact the bed cannot be used for patients who need to have their knees adjusted. # # # possible causes * the motor is faulty. * the motor is not properly connected. * the motor controller is faulty. # # # recommendations * replace the motor. * check the motor connections. * replace the motor controller. @topic:9


service technician for further troubleshooting and repairs. @topic:12


# # # issue - inability to measure oxygen ( o2 ) levels # # # impact - loss of vital patient data - delayed or incorrect treatment decisions # # # possible causes - faulty oxygen saturation ( spo2 ) cable - defective sensor - loose connections - software glitches # # # recommendations - replace the spo2 cable with a new one. - test the device to ensure proper functionality. - check for loose connections or damaged components. - rule out software issues by updating or troubleshooting the device. @topic:4


# # # issue - bed is not adjustable # # # impact - patient discomfort - difficulty in providing care # # # possible causes - faulty wiring - damaged motor - software malfunction # # # recommendations - inspect the wiring for any damage or loose connections. - check the motor for any signs of damage or wear. - update the software to the latest version. - if the issue persists, contact the manufacturer for further assistance. @topic:1


# # # issue - bed not adjusting # # # impact - patient discomfort - nurse / staff inconvenience # # # possible causes - loose ac power cord - faulty motor - failed control board - faulty wiring # # # recommendations - tighten ac power cord - replace motor - replace control board - repair / replace wiring @topic:1


# # # issue - medical cart bdms 01 is displaying an incorrect battery level of - 1 %. # # # impact - the incorrect battery level reading may lead to premature battery depletion or sudden device shutdown, which could disrupt patient care or cause data loss. # # # possible causes - faulty battery or battery sensor - software error in the cart's operating system - loose or damaged wiring connections - interference from other electronic devices nearby - battery not fully charged or calibrated # # # recommendations - replace the battery if it is faulty or has lost significant capacity. - update the cart's software to the latest version. - inspect and tighten all wiring connections to ensure a secure connection. - identify and remove any sources of electromagnetic interference that may be affecting the cart. - ensure the battery is fully charged and properly calibrated according to the manufacturer's instructions. @topic:13


##400 / mx450, mx500 / mx550, or mx600 / 700 / 800 monitor - direct or indirect connection 2 x2 measurement data appear on the monitor it is paired with a telemetry transceiver directly connected via srr to an x2, that is connected ( via companion mode ) to an mx400 / 450, mx500 / 550, or mx600 / 700 / 800 monitor - direct connection telemetry data on the host monitor 3 telemetry transceiver is paired with the host monitor but is assigned to the x2 the x2 must have no equipment label the different variations require different configuration settings ; refer to the configuration guide for details. 309 22 using a telemetry device and a monitor ( piic only ) 10 23 trends trends are patient data collected over time and displayed in graphic, tabular or histogram form to give you a picture of how your patient's condition is developing. trend information is stored in the trends database for continuously - monitored measurements, such as ecg, as well as for aperiodically - measured parameters, such as noninvasive blood pressure. trend information can be viewed embedded as a screen element on specially - designed screens, or you an open a trend window over the current screen. to view trends embedded as a screen element, enter the change screen window, then select a screen designed to show an embedded trend window. • το pen the tabular trends window over the current screen, select main setup, trends, then • vitals trend, or select the vitals trend smartkey open the graphic trends window over the current screen, select the graph trend smartkey to • o open the histogram trend window over the current screen, select main setup, trends, then histogram, or select the histo - gram smartkey. • the trend windows open displaying the most recent @topic:8


# # # issue - cuff leak - connector deterioration # # # impact - inaccurate patient monitoring - potential patient harm # # # possible causes - cuff aging - cuff damage - connector wear and tear - connector damage # # # recommendations - replace cuff - replace connector - regularly inspect cuff and connector for signs of damage - train staff on proper cuff and connector maintenance - consider using cuff and connector with a longer lifespan @topic:5


# # # issue - nbp is not displaying on the monitor # # # impact - clinicians cannot monitor patient's nbp which is crucial for patient's safety # # # possible causes - nbp module is turned off # # # recommendations - turn on the nbp module by clicking the module icon on the bottom right of the screen and select activate from the drop - down menu @topic:15


# # # issue - deterioration and damage of the cable # # # impact - affects the accuracy and reliability of the device - potential safety hazard for the patient # # # possible causes - prolonged use without proper maintenance - exposure to extreme temperatures or humidity - physical damage due to mishandling or improper storage # # # recommendations - implement a regular maintenance schedule for cables and devices - use cables that are specifically designed for medical use and meet industry standards - train staff on proper handling and storage techniques - consider investing in devices with wireless connectivity to reduce cable - related issues @topic:2


# # # issue - broken spo2 cable # # # impact - the patient's vital signs may not be accurately monitored. - the patient may experience discomfort or pain if the cable is not properly attached. - the hospital may incur additional costs to replace the broken cable. # # # possible causes - the cable may have been damaged during use. - the cable may have been improperly attached to the monitor or the patient. - the cable may have been exposed to excessive heat or moisture. # # # recommendations - inspect the cable for any damage. - replace the cable if it is damaged. - properly attach the cable to the monitor and the patient. - avoid exposing the cable to excessive heat or moisture. @topic:4


# # # issue - monitor's wheels are jammed. # # # impact - the monitor cannot be moved easily, which can hinder patient care. # # # possible causes - hair or other foreign objects have become entangled in the wheels. # # # recommendations - check the wheels for any obstructions and remove them if necessary. - lubricate the wheels to ensure smooth operation. @topic:24


# # # issue - * * spo2 cable deterioration. * * # # # impact - * * inaccurate or unreliable spo2 readings. * * this can lead to delayed or incorrect treatment decisions, which can have serious consequences for the patient. # # # possible causes - * * normal wear and tear. * * spo2 cables are subjected to a lot of stress and strain, which can cause them to deteriorate over time. - * * exposure to chemicals or other environmental hazards. * * spo2 cables can be damaged by exposure to chemicals, such as cleaning agents or disinfectants. they can also be damaged by exposure to high temperatures or humidity. - * * improper use. * * spo2 cables should be used according to the manufacturer's instructions. if they are not, they can be damaged. # # # recommendations - * * inspect spo2 cables regularly. * * spo2 cables should be inspected regularly for signs of damage. any cables that are damaged should be replaced immediately. - * * protect spo2 cables from environmental hazards. * * spo2 cables should be protected from exposure to chemicals, high temperatures, and humidity. - * * use spo2 cables according to the manufacturer's instructions. * * spo2 cables should be used according to the manufacturer's instructions. this will help to prevent damage to the cables. @topic:4


# # issue - cuff of the vital signs monitor is damaged. # # impact - the monitor cannot take accurate blood pressure readings. # # possible causes - the cuff may have been damaged by : - excessive use - mishandling - exposure to extreme temperatures # # recommendations - the cuff should be replaced with a new one. - the biomedical engineer should inspect the monitor to ensure that there are no other damaged components. - the biomedical engineer should train the staff on how to properly use and handle the monitor. @topic:5


# # # issue cuff leak on nibp monitor # # # impact inaccurate blood pressure measurements # # # possible causes - damage to cuff bladder - loose cuff connections - cuff size mismatch # # # recommendations - replace damaged cuff bladder - tighten loose cuff connections - verify correct cuff size for patient @topic:14


# # # issue - st map ( stroke volume ) is not reading values. # # # impact - clinicians will not be able to monitor stroke volume, which is a critical parameter for assessing a patient's hemodynamic status. # # # possible causes - st map mode is not enabled. - st map sensor is not calibrated. - problem with monitor hardware. - problem with the software running on the monitor. - loose or disconnected cabling between the monitor and the st map sensor. - st map sensor is defective. # # # recommendations - * * verify that st map mode is enabled. * * - * * calibrate the st map sensor according to the manufacturer's instructions. * * - * * inspect the monitor and st map sensor for any loose or damaged connections. * * - * * replace the st map sensor. * * - * * contact the manufacturer for further assistance. * * @topic:4


# # # issue - bed locks not responding to adjustment commands # # # impact - patient discomfort and safety concerns - inconvenience for healthcare staff - potential for further mechanical issues # # # possible causes - malfunctioning actuator - damaged or loose wiring - faulty control panel or buttons - software glitch - user error # # # recommendations - * * inspect the actuator : * * check for any visible damage, leaks, or obstructions. - * * test the wiring : * * use a multimeter to ensure continuity and proper connections. - * * examine the control panel : * * inspect the buttons for any loose or broken parts. test the response of the buttons and displays. - * * update software : * * if applicable, perform a software update to address any potential firmware issues. - * * check user manual : * * review the user manual to verify the correct usage of the bed adjustment features. - * * consult with manufacturer : * * if necessary, contact the manufacturer for technical support or replacement parts. @topic:1


# # # issue - cuff bp on the philips suresings vs2 monitor is deteriorated. # # # impact - inability to accurately measure blood pressure. # # # possible causes - normal wear and tear from extended usage # # # recommendations - replace the cuff bp according to the manufacturer's guidelines. @topic:15


# # # issue cuff failure # # # impact inability to accurately measure vital signs # # # possible causes - cuff deterioration due to age or wear - and - tear - improper cuff placement or inflation - physical damage to the cuff # # # recommendations - inspect the cuff for any signs of damage or wear - ensure proper cuff placement and inflation according to the manufacturer's instructions - avoid over - inflation of the cuff - replace the cuff if it is damaged or deteriorated @topic:5


* * issue : * * broken cuff connector * * impact : * * the blood pressure monitor cannot be used to measure a patient's blood pressure. * * possible causes : * * - the cuff connector was not properly attached to the monitor or the cuff. - the cuff connector was damaged during use. - the cuff connector was not the correct size for the patient's arm. * * recommendations : * * - ensure that the cuff connector is properly attached to the monitor and the cuff. - inspect the cuff connector for any damage before each use. - use the correct size cuff connector for the patient's arm. - replace the cuff connector if it is damaged. @topic:14


# # # issue - battery deterioration # # # impact - reduced device uptime - interruptions in patient care # # # possible causes - normal wear and tear ( aging ) - excessive charging / discharging cycles - improper storage conditions ( extreme temperatures ) - manufacturing defects # # # recommendations - regular battery maintenance and replacement as per manufacturer's guidelines - avoid overcharging or completely discharging batteries - store batteries in a cool, dry place - consider investing in a battery management system to optimize charging and extend battery life @topic:11


2 - 3 ac power connector, removing, 5 — 39 ac power, troubleshooting, 4 — 4 alarms testing, 3 - 13 troubleshooting problems, 4 — 5 alarms, technical, battery, 2 - 5 antenna, removing, 5 — 52 assembly diagrams, 6 - 3 audio testing, 4 — 33 b battery description, 2 — 2 disposing of, 2 — 4 guidelines, 2 — 2 installing, 5 — 4 maintenance, 2 — 2 messages and alarms, 2 - 5 reconditioning, 2 — 4 replacing, 2 — 4, 5 - 3 viewing information about, 2 — 2 battery connector board, removing, 5 — 42 battery information, viewing, 2 — 2 block diagram, theory of operation, a - 1 c cables, power, 6 — 6 calibration nbp, 3 - 16 touch screen, 3 — 22 tympanic temperature module, 3 — 18 case, opening, 5 - 12 check boxes, selecting and clearing, 1 — 1 checks, safety and operational, 2 — 1 cleaning instructions, 2 — 1 codes, error, 4 - 11 communications board, removing, 5 — 41 component usage resetting, 4 - 35 tracking, 4 - 34 configuration, system, setting, 5 - 35 controls, navigation, 1 — 1 cords, power, 6 — 6 cycle count, 2 - 3 d data, patient, clearing, 4 - 37 deleting patient data, 4 - 37 demo mode, 3 - 6 design capacity, 2 - 3 diagnosing problems, 4 — 1 diagnostics audio testing, 4 — 33 component usage, tracking, 4 - 34 display testing, 4 - 33 error log, viewing, printing, exporting, 4 - 36 keys test, 4 - 32 led testing, 4 - 34 recorder testing, 4 - 31 self test, 4 - 29 serial number, resetting, 5 — 34 diagnostics @topic:19


# # # issue - adjustable head - section inoperative. # # # impact - inability to properly position patient for examination or treatment. # # # possible causes - electrical fault in the control box. - mechanical failure in the head - section adjustment mechanism. - loose or damaged wiring. - software malfunction. # # # recommendations - * * electrical fault : * * - check the control box for any visible damage or loose connections. - use a multimeter to test the electrical continuity of the circuit. - * * mechanical failure : * * - inspect the head - section adjustment mechanism for any broken or worn parts. - lubricate the mechanism as necessary. - * * loose or damaged wiring : * * - visually inspect the wiring for any damage or loose connections. - tighten any loose connections and replace any damaged wiring. - * * software malfunction : * * - reset the device by turning it off and on again. - contact the manufacturer for technical support if the issue persists. @topic:1


# # # issue - telemetric electrocardiography monitor ( philips m2601b ) is not functioning. # # # impact - inability to monitor patient's heart activity. # # # possible causes - loose or disconnected power cord. - faulty electrical outlet. - malfunctioning power supply within the monitor. # # # recommendations - verify that the power cord is securely connected to both the monitor and the electrical outlet. - test the electrical outlet using another device to ensure it is supplying power. - if the issue persists, contact qualified biomedical engineering personnel to diagnose and repair the monitor's power supply. @topic:16


# # # issue - cuff leak # # # impact - inaccurate blood pressure ( bp ) readings. # # # possible causes - cuff is damaged or worn out. - cuff is not properly attached to the device. - patient has an unusual arm shape or size. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly attached to the device. - use a cuff that is appropriate for the patient's arm shape and size. @topic:3


# # # issue - the battery has reached the end of its lifespan and needs to be replaced. # # # impact - the monitor may not be able to function properly if the battery is not replaced. # # # possible causes - the battery has been in use for an extended period of time. - the battery has been exposed to extreme temperatures or other environmental conditions that have degraded its performance. # # # recommendations - replace the battery with a new one of the same type and capacity. - dispose of the old battery properly according to local regulations. @topic:11


, check their voltage and replace them if they are weak or depleted. - * * update software or firmware ( if necessary ) : * * contact the manufacturer or an authorized service provider to inquire about any available software or firmware updates that may address potential bugs. @topic:12


# # # issue - error 3 is displayed on the bed, electric by hill - rom, model care assist es. # # # impact - the bed may not be able to function properly, which could impact patient care. # # # possible causes - the load cell on the right side of the bed may be faulty. - the wiring to the load cell may be damaged. - the control board may be malfunctioning. # # # recommendations - replace the load cell on the right side of the bed. - inspect the wiring to the load cell for damage and repair or replace as needed. - if the issue persists, replace the control board. @topic:9


* * issue * * - motor failure in the knee bed * * impact * * - inability to use the bed for patient care * * possible causes * * - excessive wear and tear on the motor - electrical [UNK] [UNK] - damage to the motor due to improper use * * recommendations * * - regularly inspect the motor for signs of wear and tear - perform regular maintenance on the bed - train staff on proper use of the bed - keep a spare motor on hand in case of failure - @topic:9


# # # issue - nibp auto test is configured to run every 15 minutes instead of the desired 5 minutes. # # # impact - delayed detection of potential blood pressure issues, which can lead to adverse patient outcomes. # # # possible causes - incorrect configuration of repeat time settings in the device. # # # recommendations - * * verify the configuration : * * check the repeat time settings in config > > nibp > > repeat time > > profiles and ensure that it is set to 5 minutes. - * * save the settings : * * after making the necessary changes, save the settings using the save all button. - * * test the device : * * perform a test to confirm that the nibp auto test is running as desired, every 5 minutes. - * * document the changes : * * update the maintenance records to reflect the configuration changes. @topic:15


# # # issue - deteriorated blood pressure cuff # # # impact - inaccurate blood pressure readings # # # possible causes - cuff wear and tear - overinflation - improper storage - chemical exposure # # # recommendations - replace deteriorated cuff with a new one - train staff on proper cuff handling and storage - establish a regular inspection and maintenance schedule for blood pressure cuffs @topic:3


# # # issue * * equipment : * * monitor, physiologic, vital signs * * band : * * schiller * * model : * * argus csm * * description : * * the device was frozen and unable to take measurements. the issue was resolved by restarting the device. # # # impact the device was unable to provide accurate patient monitoring, which could have led to delays in diagnosis or treatment. # # # possible causes * software glitch * hardware malfunction # # # recommendations * regularly update the device's software * inspect the device for any loose connections or damage * consider replacing the device if it continues to experience problems @topic:2


* * issue : * * capnograph capnocheck plus failure due to clogged filter. * * impact : * * equipment malfunction and inability to accurately monitor patient's respiratory parameters. * * possible causes : * * * * * filter overuse : * * the filter may not have been replaced as per recommended maintenance intervals. * * * excessive dust or contaminants : * * the operating environment may have high levels of dust or contaminants that can accumulate in the filter. * * * blockage from secretions : * * the patient's respiratory secretions may have clogged the filter during use. * * * filter damage : * * the filter may have been damaged during installation or handling. * * recommendations : * * * * * maintain regular filter replacement : * * adhere to the manufacturer's recommended filter replacement schedule to prevent clogging. * * * monitor operating environment : * * ensure the capnograph is operated in a clean environment with minimal dust or contaminants. * * * clean or replace filters promptly : * * if the filter becomes clogged, clean or replace it as soon as possible to prevent further equipment malfunctions. * * * inspect filters during maintenance : * * during maintenance checks, inspect the filter for any damage or blockages. * * * train staff on proper filter handling : * * provide training to staff on the proper installation and handling of filters to minimize damage. @topic:4


# # # issue - keyboard buttons are not responsive. # # # impact - inability to use the medical cart effectively for patient care. - delays in patient treatment. # # # possible causes - * * sticky glue under the keyboard buttons : * * the glue used to attach the buttons to the keyboard has become sticky and is preventing the buttons from bouncing back after being pressed. - * * damaged keyboard circuitry : * * the electrical circuitry beneath the keyboard may be damaged, preventing the buttons from registering when pressed. - * * software issues : * * the software that controls the keyboard may be malfunctioning, causing the buttons to be unresponsive. # # # recommendations - * * remove sticky glue : * * use a solvent to carefully remove the sticky glue from under the keyboard buttons. - * * inspect keyboard circuitry : * * visually inspect the keyboard circuitry for any damage, such as broken or loose connections. - * * update software : * * update the software that controls the keyboard to the latest version. - * * replace keyboard : * * if the above measures do not resolve the issue, the entire keyboard may need to be replaced. @topic:27


# # # issue * * the spo2 cable on the welch allyn connex spot monitor is broken. * * # # # impact * * the monitor cannot accurately measure the patient's oxygen saturation levels. * * this could lead to incorrect treatment decisions and potential harm to the patient. # # # possible causes * * * the cable may have been damaged during use. * * * * * the cable may have been pinched or cut. * * * * * the cable may have been subjected to excessive force. * * * * * the cable may have been exposed to harsh chemicals or environments. * * # # # recommendations * * * replace the broken cable with a new one. * * * * * inspect the cable regularly for signs of damage. * * * * * avoid pinching, cutting, or pulling on the cable. * * * * * avoid exposing the cable to harsh chemicals or environments. * * @topic:4


# # # issue - cuff bp pada perangkat suresings vs2 + rusak # # # impact - perangkat tidak dapat mengukur tekanan darah pasien secara akurat # # # possible causes - cuff bp aus atau sobek - selang yang menghubungkan cuff bp ke perangkat rusak - komponen elektronik di dalam cuff bp rusak # # # recommendations - ganti cuff bp dengan yang baru - periksa selang yang menghubungkan cuff bp ke perangkat dan ganti jika rusak - jika masalah berlanjut, hubungi produsen perangkat untuk dukungan teknis @topic:5


# # # issue - failed to change cuff # # # impact - inability to accurately monitor patient's blood pressure - potential delay in patient care # # # possible causes - incorrect cuff size - damaged cuff bladder - loose or disconnected tubing - software or hardware malfunction # # # recommendations - verify the correct cuff size for the patient - inspect the cuff bladder for damage - ensure all tubing is securely connected - contact philips technical support for further assistance @topic:3


##f ), 0. 1°c ( 0. 2°f ) steps co 2 the c0 2 measurement in m3014a and m3015a complies with en iso 21647 : 2004 + cor. l : 2005 ( except alarm system ; alarm system complies with iec 60601 - 2 - 49 : 2001 ). m3015a microstream c0 2 performance specifications range 0 to 150 mmhg ( 0 to 20 kpa ), or 20 % co 2, whichever is lower accuracy up to 5 minutes during warmup : ±4 mmhg or 12 %, whichever is greater after 5 minutes warmup : 0 to 40 mmhg ( 0 to 5. 3 kpa ) : ±2. 2 mmhg ( ±0. 3 kpa ) above 40 mmhg ( 5. 3 kpa ) : ± ( 5. 5 % + ( 0. 08 % / mmhg above 40 mmhg ) ) of reading these specifications are valid for 21 % 0 2 and n 2 balance, up to 35°c ambient temperature, up to 60 rpm in adult mode and 100 rpm in neonatal mode. outside of these conditions the accuracy reaches at a minimum ±4 mmhg or ± 12 % of the reading, whichever is greater. resolution numeric : 1. 0 mmhg ( 0. 1 kpa ) wave : 0. 1 mmhg ( 0. 01 kpa ) stability included in accuracy specifications 439 38 installation and specifications measurement specifications m3015a microstream c0 2 performance specifications awrr range 0 to 150 rpm accuracy 0 to 40 rpm : ± 1 rpm 41 to 70 rpm : ±2 rpm 71 to 100 rpm : ±3 rpm > 100 rpm : ±5 % of reading warm - up time 5 minutes for full accuracy specification rise time 190 ms for neonatal mode ( measured with filterline h for neonatal ) 240 @topic:17


in each category. 3 choose a settings block from the pop - up list. 4 confirm your selection. default profile your monitor has a default profile that it uses when you leave demonstration, or service modes, or when you discharge a patient. this profile is indicated by a diamond. locked profiles a some profiles are locked, so that you cannot change them, even in configuration mode. these are indicated by this lock symbol. understanding settings each aspect of how the monitor works and looks is defined by a setting. there are a number of different categories of settings, including, screen settings, to define the selection and appearance of elements on each individual screen measurement settings, to define settings unique to each measurement, for example, high and low alarm limits 32 monitor settings, including settings that affect more than one measurement or screen and define general aspects of how the monitor works, for example, alarm volume, reports and recordings, and display brightness. 1 basic operation understanding settings you must be aware that, although many settings can be changed in monitoring mode, permanent changes to settings can only be done in the monitor ’ s configuration mode. all settings are reset to the stored defaults : • when you discharge a patient • when you load a profile • when the monitor is switched off for more than one minute ( if automat. default is set to yes ). changing measurement settings each measurement has a setup menu in which you can adjust all of its settings. you can enter a setup menu : • via the measurement numeric - select the measurement numeric to enter its setup menu. for example, to enter the setup ecg menu, select the hr ( heart rate ) numeric. • via the setup hardkey ( on plug - in modules ) - press the setup hardkey on the module front. • via the main setup permanent key - if you want to setup a measurement when the measurement is switched off, use the main setup permanent @topic:10


##ir high 30 30 60 awf scale + 150 1 / min ±100 1 / min ±20 1 / min awv scale ±800 ml ±200 ml ±50 ml awp scale + 40 cmhjo ±40 cmh 2 0 ±20 cmh 2 0 tcgas default settings tcgas settings factory adult factory pedi factory neo tcp0 2 high limit 80 mmhg tcp0 2 low limit 50 mmhg tcp0 2 alarms on tcpc0 2 high 50 mmhg tcpc0 2 low 30 mmhg tcpc0 2 alarms on site time 4. 0 hours disable timer not allowed 469 so 2 default settings 39 default settings appendix tcgas settings factory adult factory pedi factory neo heat switch off ( i. e., after site timer elapsed ) no transducer temp. 43. 0 °c co 2 correction ( severinghaus ) on metabolism factor 8 mmhg tcgas unit mmhg temperature unit °c tcp0 2 color blue tcpc0 2 color green s0 2 default settings s0 2 settings factory adult factory pedi factory neo low limit 70 % high limit 80 % alarms on light intensity on color yellow hb / hct entry hct [ % ] factor entry disabled sv0 2 default settings s0 2 settings factory adult factory pedi factory neo low limit 60 % high limit 80 % alarms on light intensity on color yellow hb / hct entry hct [ % ] factor entry disabled 470 scv02 default settings 39 default settings appendix scv0 2 default settings s0 2 settings factory adult factory pedi factory neo low limit 70 % high limit 80 % alarms on light intensity on color yellow eeg default settings eeg settings factory adult factory pedi factory neo tp, sef on mdf, ppf, delta, theta, alpha, beta off sef threshold 90 % numeric average @topic:8


* * issue : * * motor failure * * impact : * * inability to adjust the bed, compromising patient comfort and care. * * possible causes : * * * * * overloading : * * the bed may have been subjected to excessive weight, causing the motor to overheat and fail. * * * improper adjustment : * * the bed may have been adjusted incorrectly, putting excessive strain on the motor. * * * electrical issues : * * faulty wiring or a power surge could have damaged the motor. * * * mechanical wear and tear : * * normal wear and tear over time can lead to motor failure. * * * design flaw : * * a design flaw in the motor or bed frame could have contributed to the failure. * * recommendations : * * * * * inspect the bed : * * check for any signs of overloading or improper adjustment. * * * test the electrical system : * * ensure that the wiring is intact and there are no power surges. * * * examine the motor : * * inspect the motor for signs of wear or damage. * * * consider a design review : * * if multiple motors are failing prematurely, a design review should be conducted to identify any potential flaws. * * * schedule regular maintenance : * * regular maintenance and inspections can help prevent motor failures by detecting and addressing potential issues early on. * * * provide training : * * ensure that staff are properly trained on how to use and adjust the bed correctly. @topic:9


# # # issue spo2 not displaying values. # # # impact patient monitoring is compromised, leading to potential risks for patient health and safety. # # # possible causes - * * damaged spo2 sensor : * * the sensor may be faulty or there may be a loose connection between the sensor and the monitor. - * * faulty spo2 cable : * * the cable connecting the sensor to the monitor may be damaged or have a loose connection. - * * malfunctioning monitor : * * the monitor itself may be malfunctioning, affecting the ability to display spo2 values. - * * incompatibility between sensor and monitor : * * the spo2 sensor may not be compatible with the monitor, causing communication issues. - * * software glitch : * * a software issue in the monitor may be preventing the display of spo2 values. # # # recommendations - * * inspect and test the spo2 sensor : * * ensure that the sensor is properly connected and not damaged. perform a test connection to check for signal transmission. - * * replace the spo2 cable : * * disconnect and replace the spo2 cable to eliminate any potential cable issues. - * * troubleshoot the monitor : * * perform a self - test or calibration to identify any malfunctions within the monitor itself. - * * confirm sensor compatibility : * * verify that the spo2 sensor is compatible with the monitor and that it is properly configured. - * * contact the manufacturer : * * if the above steps do not resolve the issue, reach out to the manufacturer for technical support and potential software updates to address any software glitches. @topic:4


# # # issue - battery failure # # # impact - monitor may not be able to function properly - patient safety may be compromised # # # possible causes - battery is old and needs to be replaced - battery is not compatible with the monitor - battery is not properly installed # # # recommendations - replace the battery with a new one that is compatible with the monitor - ensure that the battery is properly installed - follow the manufacturer's instructions for battery replacement @topic:11


# # # issue * the electric bed's end piece is missing. # # # impact * the patient may be at risk of falling or injury without the end piece, which supports and stabilizes the bed. # # # possible causes * the end piece may have been removed for maintenance or repair and not reinstalled. * the end piece may have been damaged during transport or use. * the end piece may have been misplaced or stolen. # # # recommendations * check if the end piece is available for reinstallation. * if the end piece is not available, order a replacement part from the manufacturer. * ensure that the end piece is securely installed before putting the bed back into use. * investigate why the end piece was removed or damaged to prevent future incidents. @topic:9


# # # issue - equipment : nibp monitor - band : ge healthcare - model : dinamap procare 100 - cause of failure : battery failure # # # impact - the nibp monitor is unable to operate without a functioning battery. this can lead to delays in patient care and inaccurate readings. # # # possible causes - the battery may be old and have reached the end of its lifespan. - the battery may have been damaged due to improper handling or storage. - the battery may not be compatible with the nibp monitor. # # # recommendations - replace the battery with a new one that is compatible with the nibp monitor. - inspect the battery terminals for any damage or corrosion. - follow the manufacturer's instructions for proper battery handling and storage. - regularly test the battery to ensure that it is functioning properly. @topic:11


# # # issue - cause of failure : headboard rocking # # # impact - the headboard rocking may cause discomfort or injury to the patient. # # # possible causes - the headboard may not be properly attached to the bed frame. - the bed frame may be damaged. - the headboard may be too heavy for the bed frame. # # # recommendations - check the headboard attachment to the bed frame and tighten any loose screws. - inspect the bed frame for any damage and repair or replace as necessary. - if the headboard is too heavy for the bed frame, consider using a different headboard. - contact the manufacturer of the bed or headboard for further assistance. @topic:1


# # # issue : the remote control for the electric bed is not responding. # # # impact : the patient may not be able to adjust the bed to a comfortable position. # # # possible causes : - the remote control is not properly connected to the bed. - the batteries in the remote control are dead. - the remote control is damaged. # # # recommendations : - check the connection between the remote control and the bed. - replace the batteries in the remote control. - contact the manufacturer for repair or replacement of the remote control. @topic:7


# # # issue fixing of the bed causing the nut to be loose leading to possible malfunction. # # # impact the improper fixing of the nut can lead to instability or collapse of the bed while in use, posing a potential safety hazard to patients or healthcare professionals. # # # possible causes - * * inadequate tightening : * * the nut may not have been sufficiently tightened during assembly or maintenance, causing it to loosen over time. - * * wear and tear : * * prolonged use or heavy load on the bed can cause the nut to loosen due to friction and vibrations. - * * corrosion or rust : * * exposure to moisture or corrosive substances can cause the nut to weaken and become loose. # # # recommendations to prevent similar failures and ensure the safe operation of the bed, the following recommendations can be implemented : - * * proper tightening : * * ensure that the nut is tightened to the appropriate torque specifications during assembly or maintenance. - * * regular inspection : * * conduct regular checks of the bed to identify any loose or damaged components, including the nut. - * * lubrication : * * if applicable, lubricate the nut and other moving parts to reduce friction and minimize wear and tear. - * * anti - corrosion measures : * * protect the nut from exposure to moisture and corrosive substances by using protective coatings or placing it in a dry environment. - * * staff training : * * educate healthcare professionals on the importance of proper maintenance and inspection of medical equipment, including the bed. @topic:6


# # # issue - wheel jamming # # # impact - difficulty in transporting patients - potential delays in patient care # # # possible causes - * * worn or damaged wheel bearings : * * over time, the bearings in the wheels can wear out or become damaged, causing them to seize up and make it difficult to move the monitor. - * * lack of lubrication : * * the wheels may not have been lubricated properly, causing them to become stiff and difficult to move. - * * debris or foreign objects : * * small pieces of debris or foreign objects can get stuck in the wheels, causing them to jam. - * * incorrect assembly : * * if the wheels were not assembled properly, they may not fit correctly and could cause jamming. # # # recommendations - * * inspect the wheel bearings : * * check the bearings for wear or damage. if the bearings are worn or damaged, they should be replaced. - * * lubricate the wheels : * * lubricate the wheels regularly to keep them moving smoothly. - * * clean the wheels : * * remove any debris or foreign objects that may be stuck in the wheels. - * * check the assembly : * * ensure that the wheels are assembled correctly and fit properly. @topic:24


# # # issue the vital signs monitor causes irregular blood pressure readings # # # impact this could potentially lead to inaccurate patient monitoring, misdiagnosis, and improper treatment. # # # possible causes - faulty hardware, such as the cuff or transducer. - software glitches or calibration issues. - user error, such as improper cuff placement or patient movement. # # # recommendations - replace the cuff with a new one. - test the monitor to ensure that it is functioning properly. - train users on proper cuff placement and patient monitoring techniques. @topic:14


# # # issue - ac power cord damage # # # impact - the bed may not be able to function properly due to the lack of power supply. # # # possible causes - physical damage to the cord, such as cuts, tears, or punctures. - electrical damage, such as short circuits or overloads. - aging or wear and tear. # # # recommendations - inspect the ac power cord for any visible damage and replace it if necessary. - ensure that the cord is not pinched or crimped by any objects. - avoid overloading the cord by plugging multiple devices into it. - regularly inspect the cord and replace it if it shows signs of aging or wear. @topic:9


# # # issue - equipment not sending data to vsm ( vital signs monitor ) # # # impact - delays in patient monitoring and timely intervention - inaccurate or incomplete medical records - decreased efficiency in patient care # # # possible causes - network connectivity issues - incorrect ip configuration on the device - software or firmware bugs - hardware malfunction # # # recommendations - * * network connectivity : * * - verify network connectivity and ensure the device is connected to the correct network. - check cables and ports for any physical damage or loose connections. - reboot the network router and switch. - * * ip configuration : * * - verify the ip address configured on the device matches the network settings. - ensure the ip address is not already in use by another device. - reset the device to factory settings to restore default ip configuration. - * * software or firmware : * * - check for available software or firmware updates from the manufacturer. - update the device to the latest version to resolve any known bugs. - * * hardware malfunction : * * - inspect the device for any visible damage or loose components. - contact the manufacturer for repair or replacement if necessary. - * * other considerations : * * - check the vsm system to ensure it is functioning properly. - verify the device is compatible with the vsm system. - document the troubleshooting steps and resolution for future reference. @topic:22


# # # issue - worn wheels on vital sign monitors # # # impact - difficulty moving monitors, potential safety hazard # # # possible causes - * * normal wear and tear : * * wheels can wear down over time, especially if the monitors are frequently moved. - * * excessive use : * * moving monitors over rough surfaces or carrying heavy loads can accelerate wear. - * * manufacturing defects : * * rarely, wheels may be defective from the manufacturer. # # # recommendations - * * regular maintenance : * * regularly inspect wheels for wear and replace them as needed. - * * proper use : * * avoid moving monitors over rough surfaces and limit carrying heavy loads. - * * contact manufacturer : * * if wheels wear prematurely, contact the manufacturer for troubleshooting or replacement options. @topic:24


1 spring, siderail dampening 32 72862 3 screw with confirmer 33 34 ca0007 1 siderail mount assembly, head page 5 - 20 careassist® and careassist® es bed service manual ( man330 rev 4 ) head siderail — a model beds chapter 5 : parts list notes : careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 21 foot siderail — a model beds chapter 5 : parts list page 5 - 22 careassist® and careassist® es bed service manual ( man330 rev 4 ) foot siderail — a model beds chapter 5 : parts list table 5 - 6. foot siderail — a model beds item number part number quantity description 1 s10953b 1 pivot pin, center ann, lower 2 ca0017 1 foot siderail mounting bracket, painted 3 rm74803a 6 e - clip 4 72990 2 spring guide, assembly 5 72862 3 screw, hilow 6 71087 1 cover, center ann 7 s10952b 1 pivot pin, center arm, upper 8 ca0009 1 assembly, siderail center arm assembly, painted 9 s10951b 1 pivot pin, outer arm, upper 10 s10956b 2 pivot pin 11 71086 1 enclosure, center arm 12 71085 1 handle, siderail 13 ca0014 2 siderail ann, painted 14 rm74478a 2 washer, nylon 15 ca0008 1 foot siderail mechanism 16 vi0601a 6 screw 17 ca0015 1 siderail mount, painted 18 71436 1 cover, head 19 71018 1 siderail assembly, foot end, rh 71061 1 siderail assembly, foot end, lh 20 71656 1 label 21 @topic:26


# # # issue battery failure in monitors, physiologic, multipurpose, mri safe / conditional device. # # # impact - the device may not be able to function properly or may lose power unexpectedly. - this could lead to patient discomfort or injury. # # # possible causes - the battery may have reached the end of its useful life. - the battery may have been damaged by overcharging or overdischarging. - the battery may have been exposed to extreme temperatures. # # # recommendations - replace the battery with a new one. - ensure that the battery is charged and discharged properly. - avoid exposing the battery to extreme temperatures. - monitor the battery regularly for signs of damage or failure. @topic:11


# # # issue - malfunctioning of saturation probe ( sat ) in a vital signs monitor. # # # impact - inaccurate or unreliable monitoring of patient's oxygen saturation levels. - potential for delayed or missed diagnosis and treatment of conditions related to oxygen saturation. # # # possible causes - * * defective sat probe : * * damaged or worn - out probe may not accurately measure oxygen saturation. - * * loose connection : * * poor connection between the probe and the monitor can cause intermittent or unreliable readings. - * * troubleshooting error : * * incorrect setup or calibration of the monitor or probe may lead to erroneous readings. - * * external interference : * * electromagnetic or radiofrequency interference can disrupt the probe's signal. # # # recommendations - * * verify probe functionality : * * test the sat probe with a known good monitor or on a healthy individual to ensure it is functioning properly. - * * inspect connections : * * ensure all connections between the probe, cables, and monitor are secure and undamaged. - * * recalibrate the monitor : * * follow the manufacturer's instructions to recalibrate the monitor and ensure accurate readings. - * * check for external interference : * * move the monitor and probe away from potential sources of electromagnetic interference, such as cell phones or electrical equipment. - * * replace defective probe : * * if the troubleshooting steps above fail to resolve the issue, replace the sat probe with a new one. @topic:4


/ low alarms are configured as standard yellow alarms, they are independent of the arrhythmia alarms and are not in the rate n. examples of alarm chaining logic if there is an active vent bigeminy alarm, a pvcs > xx / min will not be triggered because it is lower on the same chain. however, a high hr alarm will become active because it is on a different chain. - higher priority alarms supersede previous alarms. for example, if a vent trigeminy alarm is active and a pair pvcs occurs, the pair alarm will be activated. 163 6 ecg, arrhythmia, st and qt monitoring pvc - related alarms are detected on the basis of the current ventricular heart rate and the number of consecutive pvcs counted ( referred to as pvc runs ). as an example, this diagram illustrates the conditions under which pvc alarms would be generated if the vent rhythm run limit is set to 12, the v - tach run limit is set to 8, and the v - tach hr limit is v - tach run limit * * non - sustain vt pvc run < 8 * * * v - tach pair vcs vc = pvc run ≥8 hr > 100 hr > 100 2 v - tach heart rate limit 100 * * run pvcs * * vent rhythpvc run > 12 hr ≤100 pvc run > 2 but ≤1hr 100 1 2 3 4 5 6 7 8 9 10 11 12 14 15 ventricular rhythm run limit number of consecutive pvcs ( pvc run ) you will see that if both the v - tach heart rate limit and the v - tach run limit are exceeded, a red v - tach alarm is generated. if the ventricular heart rate exceeds the v - tach heart rate limit but not the v - @topic:8


# # # issue - connector bp leak # # # impact - unable to measure blood pressure accurately. - false readings may lead to incorrect diagnosis and treatment decisions. # # # possible causes - defective connector - damaged or loose wire connections - malfunctioning sensor - software glitch # # # recommendations - replace the connector with a new one. - inspect the wires and connections for any damage or loose contact. - calibrate the sensor to ensure accurate readings. - update the software if necessary. - test the device thoroughly before returning it to service. @topic:14


# # # issue the monitor, physiologic, vital signs equipment from philips ( model : suresigns vs2 ) has a noise issue associated with its wheels. # # # impact the noise generated by the wheels can be disruptive and distracting, particularly in a hospital setting where quiet is often essential for patient recovery and staff concentration. additionally, excessive noise may indicate underlying mechanical issues that could affect the equipment's performance or longevity. # # # possible causes 1. * * worn or damaged wheels : * * extended use or rough handling can cause the wheels to become worn or damaged, leading to noise when they rotate. 2. * * improper lubrication : * * insufficient lubrication of the wheel bearings or axles can cause friction and lead to noise. 3. * * foreign objects in wheels : * * small objects or debris may become lodged in the wheels, causing them to make noise when rolling. 4. * * abnormal alignment of wheels : * * incorrect wheel alignment can cause the wheels to rub against other components, producing noise. # # # recommendations 1. * * inspect the wheels : * * examine the wheels for any visible signs of wear, damage, or foreign objects. clean the wheels thoroughly to remove any debris. 2. * * lubricate the wheels : * * apply an appropriate lubricant to the wheel bearings and axles to reduce friction and minimize noise. 3. * * check wheel alignment : * * ensure that the wheels are correctly aligned and do not rub against other components. adjust the alignment if necessary. 4. * * replace worn components : * * if the wheels are excessively worn or damaged, replace them with new ones. 5. * * monitor noise levels : * * regularly check the equipment for any changes in noise levels. if noise persists or worsens, contact the manufacturer or a qualified technician for further troubles @topic:24


# # # issue spo2 and ekg functions are not working. # # # impact - inability to monitor patient's vital parameters ( oxygen saturation and electrocardiogram ). # # # possible causes - depleted battery power. # # # recommendations - replace the batteries and check if the device functions properly. @topic:4


a flat line if no simulator is attached. temperature performance test this test checks the performance of the temperature measurement. tools required : patient simulator ( with 0. 1 °c or 0. 2°f ). 1 connect the patient simulator to the temperature connector on the mms or measurement server extension. 2 configure the patient simulator to 40 °c or 100 °f. 3 the value should be 40 °c ± 0. 2 °c or 100 °f ± 0. 4 °f. ecg / resp performance test this test checks the performance of the ecg and respiration measurements. tools required : patient simulator. ecg performance 1 connect the patient simulator to the ecg / resp connector on the measurement server. 2 configure the patient simulator as follows : - ecg sinus rhythm. - hr = 100 bpm. 3 check the displayed ecg wave and hr value against the simulator configuration. 4 the value should be loobpm + / - 2bpm. respiration performance 1 change the patient simulator configuration to : - base impedance line 1300 ohm. - delta impedance 0. 5 ohm. - respiration rate 40 rpm. 2 the value should be 40 rpm + / - 2 rpm. 48 tests 3 testing and maintenance invasive pressure performance test this test checks the performance of the invasive pressure measurement. tools required : patient simulator. 1 connect the patient simulator to the pressure connector on the mms or the measurement server extension. 2 set the patient simulator to 0 pressure. 3 make a zero calibration. 4 configure the patient simulator as p ( static ) = 200 mmhg. 5 wait for the display. 6 the value should be 200 mmhg ± 5 mmhg. if the value is outside these tolerances, calibrate the mms or measurement server extension. if the mms was calibrated with a dedicated reusable cathet @topic:17


# # # issue - equipment : monitors, physiologic, vital signs - band : welch allyn - model : connex spot monitor - issue : not linking to vsm # # # impact - the device is unable to send data to the vsm, which can prevent clinicians from monitoring the patient's vital signs. # # # possible causes - the user did not press the send button on the device. - the device is not properly configured to link to the vsm. - there is a problem with the vsm or the network connection. # # # recommendations - check if the user pressed the send button on the device. - verify that the device is properly configured to link to the vsm. - check the vsm and the network connection to ensure that they are functioning properly. @topic:16


# # # issue * * battery backup depletion * * # # # impact * potential for loss of critical patient data and power during emergency situations * reduced functionality of the medical device # # # possible causes * battery backup not replaced regularly * excessive power consumption due to faulty components or misconfiguration # # # recommendations * establish a regular schedule for battery replacement and testing * inspect the device regularly for signs of excessive power consumption * ensure proper configuration and use of the device to minimize power usage @topic:11


# # # issue - motor failure. # # # impact - the bed cannot be raised or lowered. # # # recommended actions - check the wiring harness and connections to the motor. - replace the motor with a new one. # # # possible causes - the motor may have burned out. - the motor may have been overloaded. - the motor may have been damaged by water or other liquids. @topic:9


trying to start them win result in a message service operation failed in the monitor ’ s status line. wait until the monitor completes the current operation, then restart the service procedure. this test checks the performance of the microstream c02 measurement. the microstream c02 measurement can either be integrated into the intellivue mp5 monitor or, for other intellivue monitors, into the m3015a / b mms extensions. the microstream c02 performance test is required once per year or after 4000 hours of continuous use and when the instrument is repaired or when parts are replaced. this test uses calibration equipment that you can order ( see the paris section for the part number ). the procedure is summarized in the following steps. refer to the documentation accompanying the equipment for detailed instructions. tools required : • standard tools, such as screwdriver, tweezers • electronic flowmeter. ml026 - 60144 or mass flowmeter 453564178121 • digital barometer ±2mbar or better • gas calibration equipment : 71 [ 3 testing and maintenance ] • cal 1 gas 15210 - 64010 ( 5 % co 2 ) • cal 2 gas 15210 - 64020 ( 10 % co 2 ) • cal gas flow regulator m2267a • cal tube 13907a • calibration line m3015 - 47301 • leakage test kit ml 013 - 64002 ( 451261014851 ) ( only required for leakage test without ml 026 - 60144 flowmeter ) • flexible connecting tube you also need a local barometric pressure rating received from a reliable local source ( airport, regional weather station or hospital weather station ) which is located at the same altitude as the hospital. the c02 calibration for the microstream extension consists of the following steps : • @topic:17


# # # issue the philips intellivue mx550 bedside physiologic monitor is not charging. # # # impact the monitor cannot be used to monitor patients'vital signs. # # # possible causes * the battery is depleted. * the battery is damaged. * there is a problem with the charging system. # # # recommendations * replace the battery. * contact philips for support. @topic:11


# # # issue - broken hospital bed # # # impact - inability to use the bed for patient care # # # possible causes - mechanical failure - electrical failure - lack of maintenance - * * missing control box * * # # # recommendations - inspect the bed for damage - test the electrical system - check the maintenance history - * * replace the missing control box * * @topic:9


# # # issue - flickering lcd monitor # # # impact - impaired visualization of patient data - potential errors in diagnosis or treatment # # # possible causes - loose dvi cable connection # # # recommendations - ensure the dvi cable is securely connected to both the monitor and the source device - inspect the cable for any damage or loose connections - if the problem persists, consider replacing the dvi cable @topic:2


# # # issue - equipment : none - band : none - model : none - description : none # # # impact - unable to identify the specific medical device experiencing the failure, making it difficult to troubleshoot and resolve the issue. # # # possible causes - lack of documentation or proper labeling of the medical device - miscommunication or incomplete information provided by the hospital staff - technician's unfamiliarity with the device or its specific model # # # recommendations - ensure proper documentation and labeling of all medical devices. - encourage clear and detailed communication between hospital staff and technicians. - provide technicians with training and resources to enhance their familiarity with various medical devices. @topic:12


- frequency surgical neutral electrode connection, the bis sensor should not be located between the surgical site and the electro - surgical unit return electrode. defibrillation the bis sensor must not be located between defibrillator pads when a defibrillator is used on a patient connected to the patient monitor. securing cables to minimize the risk of patient strangulation, the patient interface cable ( pic ) must be carefully placed and secured. caution revisions the system will only function if all component revisions are compatible. otherwise, an incompatibility inop is displayed. if the dsc has an older software revision than the bis engine, the dsc will automatically be upgraded by the bis engine. do not disconnect the dsc from the bis engine, or disconnect the bis module from the monitor, or switch the monitor power off within the first ten seconds after connection, as this will disrupt a possible software upgrade and cause damage to the dsc. the bis interface board for the mp20 / mp30 can only be used with bisx, not with the bis engine. if the bis engine is connected to the mp20 / mp30 a bis engine incompt inop will be issued. impedance checks impedance checks may influence data acquisition of other electroencephalographic devices. 263 19 monitoring bis bis safety information 264 20 assigning two devices to one patient it is possible to assign a monitor and a telemetry device to the same patient, resulting in the information from both devices being combined in one sector at the information center. this is called “ pairing ” and when a telemetry device and a monitor are paired, the measurement data from the telemetry device will be displayed on the monitor screen. a telemetry device can be : • any philips telemetry device ( only for indirect connections, see below ). • a trx + / trx + intel @topic:10


# # # issue - battery failure # # # impact - the physiologic monitor may not be able to power on or function properly. # # # possible causes - the battery may be depleted or damaged. - the battery may not be properly connected to the monitor. # # # recommendations - replace the battery with a new one. - check the battery connections to ensure they are secure. - if the battery is still not working, contact the manufacturer for further assistance. @topic:11


# # # issue : bed alarm not set properly # # # impact : patient safety risk # # # possible causes : - technician error - equipment malfunction - user error # # # recommendations : - retrain technician on bed alarm settings - test equipment to ensure proper functionality - educate user on proper use of bed alarm @topic:26


# # # issue - the bed cannot be locked due to a missing bolt. # # # impact - the patient may fall out of the bed if it is not locked properly. # # # possible causes - the bolt may have become loose over time due to wear and tear. - the bolt may have been misplaced during a previous maintenance or repair. # # # recommendations - replace the missing bolt with a new one of the same size and type. - inspect the other bolts on the bed to ensure that they are all tight and secure. - establish a regular maintenance schedule to inspect and tighten all bolts on the bed. @topic:6


to perform further troubleshooting steps to identify any underlying hardware problems. this could involve using diagnostic tools or consulting the manufacturer's support. 5. * * contact technical support : * * if the bme is unable to resolve the issue on their own, they should contact the manufacturer's technical support or a qualified technician for assistance. @topic:12


# # # issue - cuff deterioration # # # impact - inaccurate blood pressure measurements - patient discomfort - device downtime # # # possible causes - normal wear and tear - improper storage - excessive use - exposure to extreme temperatures or humidity # # # recommendations - regular equipment inspections and maintenance - proper storage of equipment in a cool, dry place - avoiding excessive use of the device - calibrating the device regularly - replacing the cuff according to manufacturer's recommendations - training staff on proper use and maintenance of the device @topic:3


# # # issue - equipment : beds, electric - band : hill - rom - model : care assist es230 - failure : inability to adjust the bed # # # impact - inability to adjust the bed for patient comfort and medical procedures in icu5. # # # possible causes - faulty keypads - broken cable between keypad and control board # # # recommendations - replace the faulty keypads and cable. - ensure proper maintenance and inspection of equipment regularly to prevent future failures. @topic:25


the channel, domain and security id settings of the access points in the coverage area symptoms no central monitoring possible ( see also network related problems ) no connectivity ( coverage area consists of multiple access points and in some parts of the area there is no connectivity ) 90 troubleshooting guide 4 troubleshooting. symptoms possible causes of failure failure isolation and remedy frequent dropouts and network disconnects excessive interference by other radio equipment or by microwave ovens check statistics that can be read from the wireless adapter via rs232 or via logging application in the pic. remove interfering equipment. system capacity exceeded in coverage area check configuration guidelines for number of monitors per access point. configuration problem check access point configuration with wireless support tool, in particular the multicast filters overview, printing does not work some functions are not available on a wireless network connect to cabled network iit - related problems symptoms cause of failure failure isolation and remedy no network icon or network icon flashes. no association to central station. communication problem between the monitor and the iit adapter. mac instr. tele, field in instrument telemetry service window is 0000 0000 0000 check that rf access code is set correctly and the network is correctly set up. check the y - cable connection and the pca adapter board connection. check the antenna cable connection between the iit module and the antenna. replace y - cable, pca adapter board, antenna or iit module if necessary. incorrect rf access code. no ip address. check that rf access code is set correctly. make sure that network is set up correctly. 91 4 troubleshooting troubleshooting guide intellivue 802. 11 bedside adapter problems symptoms cause of failure failure isolation and remedy no network icon or network icon flashes. no association to central station. communication problem between the monitor and the intellivue 802. 11 bedside adapter or rssi value @topic:16


# # # issue - oxygen saturation ( spo2 ) value cannot be measured # # # impact - inability to accurately monitor patient's oxygen levels # # # possible causes - defective spo2 sensor cable - faulty mindray device ( unit no. 4 ) # # # recommendations - * * replace the spo2 sensor cable : * * the deteriorated cable has been identified as the source of the issue. replacing it with a new one will likely resolve the problem. - * * troubleshoot the mindray device ( unit no. 4 ) : * * if the new spo2 cable does not solve the issue, the mindray device itself may be faulty. further investigation and repairs may be necessary. @topic:4