# # # issue - bed is not responding to remote control adjustments. # # # impact - inability to adjust the patient's position, compromising comfort and care. # # # possible causes - faulty remote control - malfunction in bed control unit - loose or damaged wiring - software issues in the bed's control system # # # recommendations - * * verify remote control : * * inspect the remote for any visible damage or loose batteries. test it on another bed to confirm functionality. - * * inspect bed control unit : * * examine the unit for loose connections, burnt components, or signs of overheating. - * * check wiring : * * ensure that all cables are securely connected and not damaged. - * * update software : * * if necessary, contact the manufacturer for any software updates that may address control issues. - * * replace faulty components : * * if the remote, control unit, or wiring is damaged, replace the affected components as needed. - * * calibrate bed : * * once repairs are complete, calibrate the bed according to the manufacturer's instructions to ensure proper functioning. @topic:7


# # # issue - cuff failure # # # impact - inability to accurately measure vital signs # # # possible causes - cuff deterioration # # # recommendations - replace the cuff @topic:5


# # # issue - equipment malfunction due to cuff issue # # # impact - interruption of patient monitoring - delay in patient care # # # possible causes - cuff not properly attached or inflated - cuff defective - cuff tube kinked or damaged # # # recommendations - verify that the cuff is properly attached and inflated. - replace the cuff if it is defective. - inspect the cuff tube for kinks or damage. - ensure that the cuff is compatible with the monitor. - calibrate the cuff to ensure accuracy. @topic:5


# # # issue - noisy bed during adjustment # # # impact - discomfort for patients and staff - potential disruption of patient care # # # possible causes - worn or damaged parts in the bed's adjustment mechanism - improper lubrication - loose connections or wires - software malfunction # # # recommendations - * * inspection : * * perform a thorough inspection of the bed's adjustment mechanism, including gears, cables, and motors. check for any visible damage or wear. - * * lubrication : * * ensure that all moving parts are properly lubricated according to manufacturer's instructions. replace lubrication if necessary. - * * connections : * * inspect all electrical connections and wires for any loose or damaged connections. tighten or replace as needed. - * * software check : * * if applicable, check for any software updates or glitches that may be causing the issue. contact the manufacturer for any software patches or updates. - * * replacement of parts : * * if the issue persists after addressing the above recommendations, consider replacing worn or damaged parts in the adjustment mechanism. consult the manufacturer's service manual for specific instructions and parts replacement. - * * maintenance schedule : * * implement a regular maintenance schedule for the bed to prevent future issues and ensure optimal performance. @topic:9


# # # issue - the co2 module is not supporting the monitor mp70 model. # # # impact - the co2 module cannot be used with the monitor mp70 model. - the patient's co2 levels cannot be monitored. # # # possible causes - the co2 module is not compatible with the monitor mp70 model. - the co2 module is not properly installed. # # # recommendations - replace the co2 module with a compatible model. - ensure that the co2 module is properly installed. @topic:4


# # # issue - replacement of sensor extension cable # # # impact - disruption of patient monitoring # # # possible causes - damaged or malfunctioning sensor extension cable - improper installation or connection of the cable - compatibility issues between the cable and the monitor # # # recommendations - ensure that the sensor extension cable is compatible with the monitor and the patient's condition. - inspect the cable for damage or defects before installation. - ensure that the cable is properly connected and secured to both the monitor and the patient. - regularly monitor the functionality of the cable and replace it if any problems are detected. @topic:22


# # # issue - electric bed cannot be adjusted. # # # impact - inability to adjust the bed height, backrest, and / or footrest can affect the patient's comfort, mobility, and access to care. # # # possible causes - * * damaged power cord : * * the electrical cord that connects the bed to the power source may be damaged, preventing the bed from receiving power. - * * faulty electrical components : * * internal electrical components, such as switches, connectors, or motors, may be malfunctioning, preventing the bed from adjusting. - * * control panel failure : * * the control panel that allows for the adjustment of the bed may be defective, preventing the user from inputting commands. - * * mechanical failure : * * the mechanical components of the bed, such as the actuators or gears, may be worn out or damaged, preventing the bed from moving. # # # recommendations 1. * * inspect the power cord : * * check the power cord for any visible damage or loose connections. replace the cord if necessary. 2. * * examine electrical components : * * use a multimeter to test the continuity of electrical components. replace any faulty components. 3. * * troubleshoot the control panel : * * inspect the control panel for any loose buttons or switches. clean the contacts with an electronic cleaner. test the functionality of the control panel. 4. * * inspect mechanical components : * * lubricate any moving parts, such as gears or actuators. check for any signs of wear or damage. replace any worn - out components. 5. * * consult the manufacturer : * * if the issue persists after following the above steps, consult the manufacturer for further assistance. @topic:1


# # # issue - ekg cable is not functioning properly # # # impact - inability to obtain accurate ekg readings # # # possible causes - damaged ekg cable - loose connection between ekg cable and monitor - faulty monitor input # # # recommendations - replace the ekg cable - ensure that the ekg cable is securely connected to the monitor - test the monitor input using a known - good ekg cable - if the issue persists, contact the manufacturer for further assistance @topic:18


# # # issue - broken cuff tube on vital signs monitor # # # impact - patients may not be able to have their vital signs monitored accurately. # # # possible causes - the cuff tube may have been damaged during use. - the cuff tube may have been kinked or bent, which can cause it to break. - the cuff tube may have been punctured by a sharp object. # # # recommendations - replace the cuff tube. - inspect the cuff tube regularly for signs of damage. - handle the cuff tube with care to avoid kinking or bending. - avoid using sharp objects around the cuff tube. @topic:5


# # # issue * bed cannot be unlocked. # # # impact * patient care may be delayed or interrupted. * staff may be unable to move the bed safely. # # # possible causes * battery power is low. * electrical fault in the bed or remote control. * mechanical fault in the bed's locking mechanism. * user error. # # # recommendations * check the battery level and replace the batteries if necessary. * inspect the bed and remote control for any visible damage or loose connections. * test the bed's locking mechanism by manually locking and unlocking it. * review the user manual for proper operating instructions. * contact the manufacturer or a qualified technician if the problem persists. @topic:6


# # # issue - electric bed is not adjustable. # # # impact - patients may not be able to get into or out of bed safely. - nurses may not be able to provide proper care to patients. # # # possible causes - faulty relay in the control box. - loose or damaged wiring. - faulty motor. # # # recommendations - replace the faulty relay. - inspect the wiring for any loose or damaged connections and repair as necessary. - test the motor to ensure it is functioning properly. @topic:1


0 mm 1. 0 mt ( label ) high ala1. 0 m - 1. 0 m - st settings lead v, mcl - 2. 0 m2. 0 m2. 0 m - 2. 0 m - 2. 0 m - 2. 0 mste settings - limb leads ste male limb, alarm limit. 0 m. 0 m. 0 mste female limb, alarm limit 1. 0 mm. 0 m1. 0 mm t settings lead v2, v3 - - ste male v2, v3, alarm limit ste female v2, v3, alarm limit te settings - v1, vste male v1, v4 - 6, alarm limit. 0 m. 0 m. 0 m511 41 default settings appendix factory pedi 1. 0 mm ste fem. v1, v4 - 6, alarm limit. 0 m. 0 mqt settings all 460 mall all 00 m480 m0 m0 m0 mon on on on on on qt analysis off off off bazetazetbazett ulse default settingactory defaults h10 / hh30 ( deviations from h10 / h20 / h40 ) pulse settingdult adult edi neo neo alarm source auto uto uto uto auto auto pulse ( source label ) on on on utspo2 spo2 spo2 auto auto alarms off nablnabled enabled alarmsource sel. enabled enabled enabled h30 ( deviations from h10 / h20 / h40 ) adult pedi eo pulse alarm settings adult pedi pedi neo eo pulse alarms1 on on 20 bp60 bp00 bp5 bp00 bpow lim0 bp0 bpa extrbrady 0 bp0 bp0 bp0 bp0 bp0 bp0 bpbrady clamp 0 bp0 bp0 bp0 bp @topic:8


# # # issue - connector of the physiologic monitor is broken. # # # impact - the physiologic monitor may not be able to accurately monitor the patient's vital signs. - this could lead to incorrect diagnosis or treatment. # # # possible causes - the connector may have been damaged during use. - the connector may have been made of a material that is not strong enough to withstand the forces applied to it. - the connector may not have been properly installed. # # # recommendations - inspect the connector for damage. - replace the connector if it is damaged. - make sure that the connector is properly installed. - use a connector that is made of a material that is strong enough to withstand the forces applied to it. @topic:2


to another ), you must disconnect at the svo2 module. the catheter should remain in the optical module, otherwise you need to recalibrate. 1 remove outer wrapping from catheter tray to uncover optical connector. place the optical module on the catheter tray in the ce providopen the lid. 2 place the optical connector into the optical module ( with the label " top " facing upwards ) and close the lid. 3 in the setup < so2 label > menu, select start pre - inscal. ensure that the tip of the catheter is still in the optical reference. 4 5 insert the catheter when you see the message < so2 label > calibration completed - catheter ready for insertion. if the calibration fails, repeat the calibration before inserting the catheter. if it fails a second time, replace the optical module. 273 17 monitoring intravascular oxygen saturation remove the inner cover of the catheter tray. 1 remove the catheter tip from the optical reference. check the catheter's proper operation ( for 2 3 prepare and insert the catheter in accordance with standard hospital practice. the svo2 catheter is thin and flexible, treat it carefully. avoid kinking, bending or grasping the catheter with forceps or a hemostat. damage to the fiber results in low intensity light and sudden decrease in intensity readings. refer to the documentation provided with the fiber - optic catheter, paying special attention to any precautions, warnings or contraindications. secure the optical module directly or in close proximity to the patient, to avoid placing excessive tension on the catheter, which would result in movement of the catheter tip from the optimal position in the patient. position the optical module to avoid contact with liquids, because fluid entering the cat @topic:17


# # # issue - equipment failure # # # impact - patient monitoring may be interrupted. - patient safety may be compromised. # # # possible causes - cuff is damaged or worn. - cuff is not properly connected to the monitor. - monitor is not properly calibrated. # # # recommendations - replace the cuff. - inspect the cuff and connections for damage. - calibrate the monitor. @topic:5


# # # issue - the medical cart is unable to connect to the hardware. # # # impact - the medical cart cannot be used to perform its intended functions. # # # possible causes - the hardware is not properly connected to the medical cart. - the hardware is not functioning properly. - the software on the medical cart is not functioning properly. # # # recommendations - check the connections between the hardware and the medical cart. - test the hardware to ensure that it is functioning properly. - restart the software on the medical cart. - if the problem persists, contact the manufacturer of the medical cart for assistance. @topic:13


# # # issue - the electric bed's remote control is faulty. # # # impact - the bed cannot be adjusted, which may affect patient comfort and safety. # # # possible causes - the remote control may have a loose connection. - the remote control's battery may be dead. - there may be a problem with the bed's control unit. # # # recommendations - check the remote control's connections. - replace the remote control's battery. - contact the bed's manufacturer for further troubleshooting and repair. @topic:7


# # # issue - unstable monitor # # # impact - not being able to properly monitor patient's vital signs - risk of incorrect diagnosis or treatment # # # possible causes - loose screws or bolts within the monitor housing - loose or damaged connections between the monitor and its stand # # # recommendations - tighten all screws and bolts within the monitor housing until they are snug - inspect the connections between the monitor and its stand for any signs of damage - replace any damaged connections - if the problem persists, contact the manufacturer for further assistance @topic:2


that there are no breaks in the insulation. 3 if the mms is not mounted directly on the monitor, inspect the cable connecting it to the monitor. make sure the connectors are properly engaged. 377 36 maintenance and troubleshooting maintenance task and test schedule 4 inspect the patient cables, leads and their strain reliefs for general condition. make sure there are no breaks in the insulation. make sure that the connectors are properly engaged at each end to prevent rotation or other strain. 5 apply the transducer or electrodes to the patient, and with the monitor switched on, flex the patient cables near each end to make sure that there are no intermittent faults. maintenance task and test schedule the following tasks are for philips - qualified service professionals only. all maintenance tasks and performance tests are documented in detail in the service documentation supplied on the monitor documentation cd. ensure that these tasks are carried out as indicated by the monitor ’ s maintenance schedule, or as specified by local laws. contact a philips - qualified service provider if your monitor needs a safety or performance test. clean and disinfect equipment to decontaminate it before testing or maintaining it. maintenance and test schedule frequency monitor tests safety checks. selected tests on the basis oflec 60601 - 1 at least once every two years, or as needed, after any repairs where the power supply is removed or replaced, or if the monitor has been dropped. monitor maintenance check ecg synchronization of the monitor and defibrillator ( only if hospital protocol requires use of monitor during defibrillation ) at least once every two years, or as needed. replace backlight ( integrated displays only ) 25, 000 - 30, 000 hours ( about three years ) of continuous usage, or as needed. multi - measurement module and module tests performance assurance for all measurements not listed below. at least once every two years, or if you suspect the @topic:10


* * issue : * * the electric hospital bed is unable to adjust its height. * * impact : * * patients may be unable to comfortably access the bed or nurses may be unable to provide adequate care. * * possible causes : * * - * * id code bmc08009 : * * this code may indicate a specific error or malfunction related to the bed's control system. - * * faulty remote control : * * the remote control may not be sending signals properly to the bed's control unit. - * * electrical problems : * * issues with the bed's electrical system, such as loose connections or damaged wires, could prevent the bed from functioning correctly. - * * mechanical failure : * * components within the bed's mechanism, such as motors or gears, may have failed or become damaged. * * recommendations : * * 1. * * check the id code bmc08009 : * * consult the manufacturer's documentation or contact technical support to determine the specific meaning of this error code. 2. * * test the remote control : * * use a multimeter or other diagnostic tool to ensure proper signal transmission from the remote control to the bed's control unit. 3. * * inspect electrical connections : * * examine all electrical connections for any loose or damaged wires. tighten loose connections and replace any damaged cables. 4. * * check mechanical components : * * inspect the bed's motors, gears, and other mechanical components for signs of wear, damage, or misalignment. lubricate moving parts as necessary. 5. * * reset the bed's controller : * * unplug the bed from the power source for a few minutes, then reconnect it and power it on. this may reset the controller and resolve any software - related issues. 6. * * contact the manufacturer : * * @topic:1


# # # issue - spo2 sensor is not measuring accurate values. # # # impact - inability to accurately monitor patient's oxygen saturation levels. - potential for delayed or incorrect diagnosis and treatment. # # # possible causes - faulty sensor - loose or damaged cable - improper calibration - patient movement or position affecting sensor readings - interference from other devices ( e. g., electrocautery, defibrillator ) - software malfunction # # # recommendations - * * check sensor : * * inspect sensor for any visible damage or contamination. clean sensor and reconnect securely. - * * examine cable : * * ensure cable is intact, not kinked or damaged. tighten connections at both ends. - * * calibrate sensor : * * ensure sensor has been calibrated according to manufacturer's instructions. - * * reposition sensor : * * adjust sensor placement to ensure proper contact with patient's skin. - * * identify interference : * * check for nearby devices that may be causing electromagnetic interference. - * * troubleshooting software : * * verify software is up - to - date and restart the device. if issue persists, contact manufacturer's technical support. @topic:4


# # # issue - intermittent ekg signal loss when the patient is moved. # # # impact - inability to monitor the patient's ekg. # # # possible causes - loose or damaged cable connections. - dirty or corroded cable contacts. - cable strain or damage. # # # recommendations - check all cable connections and ensure they are secure. - clean and inspect the cable contacts for dirt or corrosion. - replace any damaged cables. - ensure that the cable is not under any strain or damage. @topic:18


# # # issue - bed alarm not sending notifications to the nurse's counter. # # # impact - the nursing staff may not be aware of a patient's need for assistance, which could delay appropriate intervention and compromise patient safety. # # # possible causes - incorrect parameter settings on the bed motor. - faulty nurse call system. # # # recommendations 1. verify that the bed alarm parameters are set correctly as per the manufacturer's instructions. 2. contact the facilities department to troubleshoot and repair the nurse call system if the issue persists. @topic:26


only, to print the error log to the optional recorder : ¢ inthe error log window, select the print button. troubleshooting suresigns vs2 * and vsi service guide clearing patient data clearing patient data the clear data option clears all patient data in memory and the error log. it does not clear calibration and hardware configuration data. when you return a monitor for service, you must first clear the patient data. to clear all patient data : step 1 open the maintenance options of the system diagnostics menu. see “ accessing the maintenance options ” on page 3 - 10. select the clear data button. a confirmation window appears. in the confirmation window, select yes. the monitor clears the patient data and error log, and then restarts. troubleshooting suresigns vs2 * and vsi service guide 4 - 37 clearing patient data troubleshooting 4 - 38 suresigns vs2 * and vsi service guide 5 repairing the monitor disassembling the monitor this chapter contains the procedures for disassembling and assembling the monitor to replace or repair defective assemblies or components. the monitor has two main assemblies : e rear case assembly e front panel assembly rear case assembly front panel assembly for more information about replaceable parts, see chapter 6, “ replacement parts and assembly drawings. ” warning before you attempt to open or disassemble the monitor, disconnect the ac power from the monitor and remove the battery. remove any cables from the measurement modules, and the nurse call and network connections. after any monitor repair, you must perform the recommended performance and safety tests before putting the monitor into operation. failure to perform these tests might result in erroneous monitor readings. for more information about performing safety and performance tests, see chapter 3, “ performance verification testing. ” caution observe esd ( electrostatic discharge ) precautions when working inside the monitor @topic:10


# # # issue - the hospital bed is not functioning properly due to the missing remote. # # # impact - the patient cannot adjust the bed's position, which can be uncomfortable and make it difficult for them to get in and out of bed. - the bed cannot be used for patient care, which can disrupt workflow and patient care. # # # possible causes - the remote may have been misplaced or stolen. - the remote may have malfunctioned. - the bed may not be compatible with the remote. # # # recommendations - search for the missing remote and return it to the bed. - if the remote cannot be found, order a new one from the manufacturer. - if the new remote does not work, contact the manufacturer for technical support. - ensure that the bed is compatible with the remote. @topic:7


“ removing the main pcb ” on page 8 - 31. 1032 system error could not open audio files shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 1043 ( 1 ) system error ( 1 ) front end software problem. shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 1043 ( 2 ) system error ( 2 ) alann software problem shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 1044 system error front end software problem shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 1045 system error printing software problem shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 1046 system error trending software problem shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 1047 system error monitoring software problem shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 1048 system error an exception was detected in the alarming software. shut down and restart the monitor. if the problem persists, replace the main pcb. see “ removing the main pcb ” on page 8 - 31. 7 - 24 troubleshooting running system diagnostics running system diagnostics if the troubleshooting table on page 7 - 5 @topic:22


# # # issue - electrical short in keypads - non - functioning weight scale # # # impact - inability to weigh patients accurately - potential hazards due to electrical short # # # possible causes - damaged keypads - faulty wiring - power surge # # # recommendations - replace or repair damaged keypads and wiring - check for power surge protection - conduct regular maintenance to prevent future failures @topic:25


# # # issue - cuff of the vital signs monitor is deteriorated. # # # impact - the monitor may not be able to accurately measure vital signs, such as blood pressure. - this could lead to incorrect medical decisions being made. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged by improper use or storage. # # # recommendations - the cuff should be replaced with a new one. - the technician should inspect the new cuff for any damage before using it. - the technician should train the user on how to properly use and store the cuff. @topic:5


# # # * * issue * * - equipment malfunction. - vital signs monitor is not functioning properly. - blood pressure cuff is not inflating or deflating correctly. # # # * * impact * * - inability to accurately measure vital signs. - potential for incorrect diagnosis and treatment. - patient safety may be compromised. # # # * * possible causes * * - loose or disconnected blood pressure cuff. - malfunctioning blood pressure transducer. - software or hardware issue with the monitor. - power supply issues. # # # * * recommendations * * * * troubleshooting : * * - check the blood pressure cuff for proper connection and security. - inspect the blood pressure transducer for any damage or leaks. - restart the monitor and verify software updates. - ensure the power supply is stable and adequate. * * repair and maintenance : * * - if troubleshooting does not resolve the issue, contact the manufacturer or a qualified biomedical engineer for repair. - perform regular preventive maintenance on the monitor to minimize the risk of future failures. * * additional considerations : * * - ensure staff is properly trained on using and troubleshooting the monitor. - implement a system for regularly monitoring and documenting the performance of the monitor. - consider purchasing a backup monitor to minimize downtime in the event of failure. @topic:15


the mounting ) ac power led error led power on / standby switch power on led the intellivue mp80 / mp90 ( m8008a / m8010a ) patient monitors have the display and the processing unit as separate components. they offer both touchscreen and the remote speedpoint as standard input devices. the mp80 can display up to 8 waves simultaneously and the mp90 up to 12 waves. the monitors can be connected to a multi - measurement module ( mms ) and any one of the mms extensions, and to the flexible module rack ( m8048a ). the intellivue family plug - in measurement modules can be connected to its fms module slots. the mp90 can be connected to two flexible module racks ( fms ). the mp90 has the capability for two displays and can have a third main display with the d80 intelligent display. 11 10 9 8 7 6 intellivue mp80 / mp90 note : the mp80 monitor ( m8008a ) is not available in the usa. 6 introducing the intellivue family 1 basic operation 1 display unit 2 processing unit 3 power on switch 4 power on led 5 error led 6 ac power led d80 intelligent display the d80 intelligent display can be used as a third main display with the mp90 monitor. you then have three displays able to be configured individually and to be operated independently. remote alarm device the remote alarm device provides audio and visual indicators of alarms, in addition to those shown on the display. 7 1 basic operation introducing the intellivue family 1 two color coded alarm lamps ( right - hand lamp flashes red or yellow for patient alarms, left - hand lamp flashes light blue for inops ) 2 alarms off lamp - when illuminated it indicates that all alarms are deactivated. 3 speaker - for alarm tones, qrs tones and so forth @topic:10


# # # issue device malfunction, resulting in non - functionality # # # impact inability to use the device for patient monitoring, leading to potential delays in diagnosis and treatment # # # possible causes - power supply failure - hardware malfunction - software glitch - physical damage # # # recommendations - check power supply and connections - inspect device for any physical damage - troubleshoot software issues by restarting or updating - contact the manufacturer for technical support or repair @topic:2


# # # issue - technician replaced the battery 7. 2v 40ah in the monitor # # # impact - the monitor may not be able to provide accurate vital signs readings # # # possible causes - the battery may not have been properly connected or charged - the battery may not have been compatible with the monitor - the monitor may have a faulty battery connection # # # recommendations - verify that the battery is properly connected and charged - ensure that the battery is compatible with the monitor - contact the manufacturer of the monitor for further troubleshooting @topic:11


# # # issue - head jack of the bed alarm is broken # # # impact - the bed alarm may not function properly, which could result in safety concerns for the patient. # # # possible causes - the head jack may have been damaged due to overuse or mishandling. - the head jack may have been defective from the manufacturer. # # # recommendations - replace the head jack with a new one. - inspect the bed alarm system to ensure that all other components are functioning properly. - educate staff on proper use and care of the bed alarm system to prevent future damage. @topic:26


# # # issue - faulty spo2 cable # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - physical damage to the cable ( e. g., cuts, tears ) - loose or faulty connections - incompatibility with the monitor or patient interface device - electrical interference from other equipment # # # recommendations - replace the spo2 cable with a new or known - good one. - inspect the cable for any visible damage or defects. - ensure the cable is securely connected to the monitor and the patient interface device. - verify the compatibility of the cable with the monitor and the patient interface device. - if electrical interference is suspected, move the equipment away from potential sources of interference or use shielded cables. @topic:4


# # # issue the issue is that the bedside blood pressure monitor's lock has come loose, causing the monitor to fall or become unstable. # # # impact the impact of this failure could be significant. if the monitor falls, it could damage the monitor or other equipment, or it could injure a patient or staff member. # # # possible causes there are several possible causes for this failure : - the lock may not have been properly tightened. - the lock may have been damaged. - the monitor may have been subjected to excessive force. - the monitor may be too heavy for the lock to hold. # # # recommendations to prevent this failure from recurring, the following recommendations should be followed : - ensure that the lock is properly tightened before using the monitor. - inspect the lock regularly for damage. - do not subject the monitor to excessive force. - if the monitor is too heavy for the lock to hold, use a different lock or a different mount for the monitor. @topic:2


# # # issue - monitor not linking to central monitor. # # # impact - patient monitoring data may not be accurately transmitted to the central monitoring system. - this could lead to delays in detecting and responding to patient emergencies. # # # possible causes - incorrect ci address [UNK] 定 - loose or damaged cables - software glitch - hardware malfunction # # # recommendations - check and correct the ci address [UNK] 定 - inspect and tighten or replace cables as needed - update software if available - contact the manufacturer for technical support if the issue persists @topic:16


##t ie eid oie ts ee ee 5 - 18 removing the ac power connector........ 00. nnn eben etn e nent een enees 5 - 19 removing the spo, boards ert ier ea ence tne etn nent n eee eea 5 - 22 replacing the main board.......... 0... ccc tent ent tenn nent ee teen eens 5 - 22 resetting the serial numbet comi a ees dee be 5 - 25 setting the system configuration......... 0. 0. 00. 00 cece cect ene eee ees 5 - 27 removing the lcd : 12 2. 262. e e a os 5 - 28 removing the communications board... 2. 0... 00. 00. tenet teen teen eens 5 - 31 contents - 2 suresigns vs2 * and vsi service guide removing the wireless. board... a ead 5 - 32 removine the antennas td eee agee oe ra 5 - 33 6. replacement parts and assembly drawings spare parts ) ennan twas chakras, gp ese nts a a o tae nae root aas 6 - 1 assem o y s e ila 6 - 3 power cord a e e mete dain sse a e a e aea nde a, 6 - 5 a. theory of operation block diagram components... a - 1 vs2 + and vsi block diari a ae tos a - 2 main brad o a a - 3 communications boards. cores po aa a - 3 nbp assembly and circuitry... 2. 0... teen eee ne teen eens a - 3 power supply @topic:19


# # # issue - the bed's battery has failed. # # # impact - the bed cannot be used until the battery is replaced. # # # possible causes - the battery is old and has reached the end of its lifespan. - the battery has been damaged by a power surge or other electrical event. - the battery has been incorrectly installed or connected. # # # recommendations - replace the battery with a new one of the same type and capacity. - inspect the bed's electrical system for any damage or loose connections. - train the staff on how to properly install and connect the battery. @topic:9


# # # issue values not being transmitted to vsm # # # possible causes - communication problem between the monitor and the vsm - problem with the monitor itself - problem with the vsm - problem with the cabling # # # recommendations - check the communication cable between the monitor and the vsm. ensure that it is securely connected and not damaged. - check the settings on the monitor and the vsm to ensure that they are configured to communicate with each other. - if the problem persists, contact the manufacturer of the monitor or the vsm for further troubleshooting assistance. @topic:16


signals - 422 complianocal signalprovided for connecting mms extensions ecg sync pulse output ( rectangular pulse ) cable detection es no marker in ave outpuno binder series 709 / 719 connector output high isolation 100 + / - 10 ms ( high ) pulse width delay from r - wave peak to start of 20 ms maximum per aami ec1pulse minimum required r - wave 0. 5 v mplitude rd + /, td + / - : ieee 802. 3 10base - t, pwr, gnd wireless network device signals 12. 5 v ±20 %, 3. 5 w continuous nternal srr interface туре technology ieee 802. 15. 4 2. 4 ghz ism ( 2. 400 - 2. 483 ghz ) odulation techniqudsss ( o - qpskffective radiated max. 0 dbm ( 1 mw ) power 1 the short range radio interface is compatible with the following devices : trx4841a / trx4851a intellivue telemetry system transceiver and mx40 wearable patient monitor m8023a external power supply interface specifications m8023a external power supply ( for m3002a ) interface specifications male odu ( proprietary ) measurement link ( msl ) onnectors 8 v outpupower ower syncrs - 422 compliant output 78. 125 khz ( typical ) ieee 802. 3 10 - base - t compliant an signalerial signalrs - 422 compliant output 78. 125 khz ( typical ) not connected ocal signal473 40 specifications integrated pc ( ipc ) interface specifications ntegrated pc ( ipc ) ethernet lan ( external ) j - 45 connector an signaliee 802. 3 1000 - base - t compliant iec 60601 - 1 a - k compliant reinforced insulation 6 external ports ( 5 @topic:10


# # # issue - * * bedside equipment : * * unable to lower bed rails # # # impact - patient safety hazard : patient could fall out of bed # # # possible causes - broken bed rail wheels # # # recommendations - replace all 4 bed rail wheels - test bed rails to ensure they are working properly @topic:6


# # # issue - cuff is damaged. # # # impact - the vital signs monitor may not be able to take accurate readings. # # # possible causes - the cuff may have been over - inflated or under - inflated. - the cuff may have been used on a patient with an irregularly shaped limb. - the cuff may have been damaged by chemicals or liquids. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of damage. - train staff on how to properly use and care for the vital signs monitor. @topic:5


# # issue - cuff failure # # impact - the vital signs monitor may not be able to accurately measure blood pressure. # # possible causes - cuff may be old and worn. - cuff may have been damaged during cleaning or handling. - cuff may not be the correct size for the patient. # # recommendations - replace the cuff with a new one. - inspect the cuff for damage before each use. - ensure that the cuff is the correct size for the patient. @topic:3


# # # issue - remote control not responding # # # impact - inability to adjust bed settings - inconvenience for patients and staff # # # possible causes - dead or weak batteries - circuit board failure - physical damage to the remote control - software glitch - interference from other devices # # # recommendations - replace the batteries with new ones. - contact a biomedical engineer to diagnose and repair the circuit board. - check for any visible damage to the remote control and replace if necessary. - perform a software update on the remote control. - move the remote control away from other devices that may be interfering with its signal. @topic:7


# # # issue - faulty charging board # # # impact - patient transport monitor cannot be charged, leading to reduced availability for patient use. # # # possible causes - * * faulty battery charging box : * * the battery charging box may be malfunctioning, causing it to display a red light despite the battery being present and connected correctly. - * * damaged charging cable : * * the charging cable may be damaged, preventing proper connection between the charging box and the monitor. - * * faulty charging port : * * the charging port on the monitor may be damaged or dirty, preventing proper connection with the charging cable. - * * software glitch : * * a software glitch may be causing the charging board to malfunction. # # # recommendations - * * inspect the battery charging box : * * check if the box is damaged or loose. ensure that the battery is properly seated in the box and that the connections are secure. - * * replace the charging cable : * * use a new charging cable to connect the charging box to the monitor. - * * clean the charging port : * * use a cotton swab or compressed air to clean any debris or dust from the charging port on the monitor. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the monitor for further troubleshooting and repair options. @topic:11


not enough battery power left to power monitor 1 indicated by malfunction symbol and inop 2 for further details see troubleshooting section battery status on the main screen battery status information can be configured to display permanently on all screens. it shows the status of the battery and the battery power and battery time remaining. the battery time is only displayed when the monitor is not running on ac power. note that the battery status information may take a few minutes after the monitor is switched on to stabilize and show correct values. battery power gauge : this shows the remaining battery power. it is divided into sections, each representing 20 % of the total power. if three and a half sections are shaded, as in this example, this indicates that 70 % battery power remains. if no battery is detected, the battery gauge is greyed out. battery malfunction symbols : if a problem is detected with the battery, these symbols are displayed. they may be accompanied by an inop message or by a battery status message in the monitor information line ( if battery window is open ) providing more details. battery status symbols 0 battery requires maintenance q battery is empty e battery not charging as the temperature is above or below the specified range uu charging stopped to protect the battery battery malfunction symbols 1 incompatible battery 98 3 testing and maintenance ] 1 battery malfunction 1 1 battery temperature too high 1 1 battery has no power left explanations of battery status and malfunction symbols : ^ atteyy requires maintenance '. the battery requires conditioning. refer to “ conditioning batteries ” for details. battery is empty '. the capacity of the battery is < 10 min. recharge the battery as soon as possible. temperature outside specified range '. the charging of the battery is stopped if the temperature is below 15°c or above 50°c in order to protect the battery. charging is resumed as soon as the temperature is within this range @topic:11


# # # issue - battery failure in philips suresigns vs4 vital signs monitor # # # impact - interruption of patient monitoring - potential for patient harm if vital signs are not accurately monitored # # # possible causes - battery life exceeded - battery charging system [UNK] [UNK] - battery [UNK] [UNK] 不 良 # # # recommendations - replace the faulty battery - test the monitor to ensure proper operation - monitor the battery life and replace as needed - consider using a different brand or model of battery - contact the manufacturer for further troubleshooting or warranty support @topic:11


# # # issue - blood pressure ( bp ) cuff leak # # # impact - inaccurate bp measurements # # # possible causes - damaged or worn bp cuff - loose or disconnected tubing - air leak in the bp cuff system # # # recommendations - replace the bp cuff with a new one - inspect the tubing connections and ensure they are tight - check for any air leaks in the bp cuff system and seal them as necessary @topic:3


# # # issue - cuff bp deterioration # # # impact - inability to accurately measure blood pressure # # # possible causes - * * normal wear and tear : * * cuffs can deteriorate over time due to repeated use and exposure to bodily fluids. - * * improper storage : * * cuffs that are not stored properly ( e. g., in a humid environment ) can deteriorate more quickly. - * * chemical exposure : * * cuffs that are exposed to harsh chemicals can be damaged. # # # recommendations - * * regular inspection and maintenance : * * cuffs should be inspected regularly for signs of deterioration and replaced as needed. - * * proper storage : * * cuffs should be stored in a clean, dry, and cool environment. - * * avoid chemical exposure : * * cuffs should not be exposed to harsh chemicals. - * * training : * * staff should be trained on proper cuff handling and storage techniques. @topic:3


# # # issue # # # # missing battery charger unit # # # impact # # # # inability to charge the battery of the beds, electric, vertical tilting equipment, rendering it inoperable. # # # possible causes # # # # 1. misplacement : the battery charger unit may have been inadvertently misplaced or lost. # # # # 2. theft : the battery charger unit may have been stolen. # # # # 3. malfunction : the battery charger unit may have malfunctioned and is no longer functional. # # # recommendations # # # # 1. search and locate : conduct a thorough search of the hospital premises to locate the missing battery charger unit. # # # # 2. contact the vendor : reach out to the manufacturer or supplier of the equipment to inquire about the availability of a replacement battery charger unit. # # # # 3. purchase a new unit : if a replacement battery charger unit cannot be located or obtained, consider purchasing a new unit to ensure the continued operation of the equipment. # # # # 4. train staff : provide training to staff on the proper handling and storage of essential equipment components to prevent future incidents of misplacement or loss. @topic:11


# # # issue medical cart displaying incorrect patient name from another ward. # # # impact - potential patient misidentification and incorrect treatment. - confusion and delays in patient care. # # # possible causes - incorrect patient data entry. - data synchronization issues between different ward systems. - unauthorized access to medical records by unauthorized personnel. # # # recommendations - review patient data entry processes and ensure accuracy. - implement data synchronization protocols between ward systems. - restrict access to medical records to authorized personnel only. - educate staff on the importance of accurate patient identification. - regularly audit medical records for discrepancies. - consider implementing technology solutions such as barcode scanners or rfid tags to improve patient identification accuracy. @topic:13


# # # issue - the battery in the philips suresigns vs2 + vital signs monitor has deteriorated. # # # impact - the monitor may not be able to accurately measure vital signs, which could lead to incorrect diagnosis and treatment. # # # possible causes - the battery may have reached the end of its lifespan. - 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 not overcharged or overdischarged. - store the battery in a cool, dry place. @topic:11


# # # issue - drawer cannot be opened # # # impact - equipment cannot be used as intended - delay in patient care # # # possible causes - loose or missing screws - broken or damaged drawer mechanism - obstruction in the drawer track - misaligned drawer guides # # # recommendations - tighten or replace loose screws - inspect and repair or replace damaged drawer mechanism - remove any obstructions in the drawer track - realign drawer guides @topic:21


45 rpm. 2 the value should be 40 rpm + / - 2 rpm or 45 rpm + / - 2 rpm. test expected test results ecg performance test 100 bpm + / - 2 bpm or 120 bpm + / - 2 bpm respiration performance test 40 rpm + / - 2 rpm or 45 rpm + / - 2 rpm ecg out performance test this test checks the performance of ecg synchronization between the monitor and a defibrillator. it only needs to be performed when this feature is in use as a protocol at the customer site. tools required : • defibrillator with ecg input. • patient simulator. 1 connect the patient simulator to the ecg connector of the mms and the defibrillator to the ecg output on the monitor with the ecg sync cable. 2 set the patient simulator to the following configuration : — hr = 100 bpm or 120 bpm ( depending on your patient simulator ). — ecg sinus rhythm. 3 switch the defibrillator to simulation mode. 4 check that the ecg signal is displayed. test expected test results ecg out performance test ecg signal is displayed ( pass / fail ) sp02 performance test this test checks the performance of the sp02 measurement. procedure for philips fast sp02 technology : tools required : none 1 connect an adult sp02 transducer to the sp02 connector. 2 measure the sp02 value on your finger ( this assumes that you are healthy ). 3 the value should be between 95 % and 100 %. test expected test results sp02 performance test 95 % and 100 % 64 3 testing and maintenance ] procedure for nellcor oximax sp02 technology : nellcor recommends that the functionality of this parameter be verified using the src - max. a possible performance assurance check requiring no tools would be : 1 @topic:17


##ing network related problems symptoms possible causes of failure failure isolation and remedy prompt message'‘ no central assigned to this bed ” is issued the monitor label is not set in the monitor ( if the beds are " monitor labeled ” in the philips information center ) set monitor label in config mode problem with the philips information center to switch communication ( if the beds are " port mapped ” in the philips information center check pic to switch communication, switch configuration and firmware status inop " unsupported lan ” is issued network failure check if switches. philips information center and database server are all running and connected to the network monitor connected to wrong network check if monitor has been connected for example to a different hospital network instead of the philips chnical network ip address conflict after infrastructure re - installation reboot database server and philips information center iit is enabled but no iit infrastructure can be found move the monitor into the range of the iit infrastructure or disable iit in the setup iit menu if no iit infrastructure is available. no connectivity to pic, no prompt or error message on monitor hardware defect check lan cable connection check standard system interface board in monitor check switch configuration problem check switch configuration and firmware revision status message " incompatible sw revision versions ” is issued monitor and pic software are not compatible check software compatibility and upgrade to compatible software 117 [ 4 troubleshooting ] symptoms possible causes of failure failure isolation and remedy other bed overview not available configuration problem check configuration in pic regarding other bed overview ( care group assignment ) verify configuration of switch ( setting of multicast filters ) this function is not available for intellivue instrument telemetry and, in combination with earlier intellivue information center ( iic ) revisions, for wlan ( intellivue 802. 11 bedside adapter ). if you are using an intellivue 802. 11 bedside adapter, check the software revision of @topic:16


# # # issue - name of patients missing. # # # impact - unable to track patient information. # # # possible causes - windows was reinstalled. # # # recommendations - contact it department to re - add patient names. @topic:13


# # # issue the locking pin for the bed was not inserted correctly, preventing the bedside from being unlocked. # # # impact the patient may not be able to get out of bed safely, which can lead to falls and other injuries. the bed may also not be able to be moved or adjusted as needed, which can interfere with patient care. # # # possible causes - the locking pin was not inserted all the way into the hole. - the locking pin was inserted into the wrong hole. - the locking pin was bent or damaged. # # # recommendations - inspect the locking pin and ensure that it is not bent or damaged. - insert the locking pin all the way into the correct hole. - test the locking pin to ensure that it is working properly. @topic:6


# # # issue - physiologic monitor ( bedside ) display is not working. # # # impact - the monitor is unable to display patient data, which can impact patient care. # # # possible causes - loose ribbon cable connection between the display and the main unit. # # # recommendations - reseat the ribbon cable connection by disconnecting and reconnecting it. - if the issue persists, further troubleshooting may be necessary to identify other potential causes. * * additional notes : * * - the bedside monitor is an essential piece of equipment for monitoring patient vital signs and other physiological parameters. - a non - functional display can lead to delays in patient care and compromise patient safety. - regular maintenance and prompt troubleshooting are crucial to ensure the reliability and accuracy of medical devices. @topic:2


# # # issue the base of the monitor is wobbling. # # # impact this could lead to the monitor falling over, which could damage the equipment or injure someone. # # # possible causes - the nuts that secure the base to the monitor have come loose. - the base is not properly seated on the monitor. - the monitor is not level. # # # recommendations - tighten the nuts that secure the base to the monitor. - ensure that the base is properly seated on the monitor. - level the monitor. @topic:12


with an x2 mms unless the x2 is connected to a host monitor. 16 devices for acquiring measurements 1 basic operation m3016a 0 | 1 pressure connectors ( red ) 2 temperature connector ( brown ) 3 mainstream / sidestream connector c0 2 ( optional ) 4 cardiac output connector _ fm m3015a o 5 inlet 6 microstream connector c0 2 7 gas sample outlet 17 1 basic operation devices for acquiring measurements m3012a hemodynamic mms extension 1 4 1 cardiac output ( orange ; optional ) 2 connection to mms 3 pressure connectors ( red ) 4 temperature connectors ( brown ) the m3012a hemodynamic extension can be connected to the m3001a multi - measurement module to provide the following additional measurements : temperature, pressure, an additional pressure or temperature, and c. o. and cco measurements. the cardiac output measurement is deactivated when the extension is used with an x2 mms unless the x2 is connected to a host monitor. 18 operating and navigating 1 basic operation operating and navigating everything you need to operate the monitor is contained on its screen. almost every element on the screen is interactive. screen elements include measurement numerics, waveforms, screen keys, information fields, alarms fields and menus. the configurability of the monitor means that often you can access the same element in different ways. for example, you might be able to access an item through its on - screen setup menu, via a hard key, or via a smartkey. these instructions for use always describe how to access items via an on - screen menu. you may use whichever way you find most convenient. monitor information line other screen elements 1 network connection indicator ( documented in information center instructions for use ) 10 alarm status area - shows active alarm messages 2 bed label 11 status line - shows information messages and @topic:10


# # # issue : - the bed's wheel is locked and cannot rotate. # # # impact : - the bed cannot be moved or adjusted, which can limit patient care and mobility. # # # possible causes : - the wheel may be damaged or broken. - the wheel may be obstructed by debris or foreign objects. - the wheel may be improperly installed or adjusted. - the wheel may be experiencing a mechanical failure. # # # recommendations : - inspect the wheel for damage or breakage. - remove any debris or foreign objects that may be obstructing the wheel. - check the wheel's installation and adjustment to ensure it is correct. - contact the manufacturer or a qualified biomedical engineer to diagnose and repair the mechanical failure. @topic:6


# # # issue - spring inside the bed came loose. # # # impact - bed was unable to adjust its height. # # # possible causes - wear and tear over time - improper use of the bed - lack of regular maintenance # # # recommendations - replace the loose spring. - lubricate the bed mechanism to reduce friction and prevent future issues. - perform regular maintenance on the bed to ensure its proper function and safety. @topic:6


# # # issue - the bed's footplate cannot be adjusted up or down. # # # impact - this issue can make it difficult for patients to get in and out of bed, as well as for caregivers to provide care. # # # possible causes - the footplate motor may be damaged or faulty. - the footplate may be obstructed by something, preventing it from moving. - the footplate controller may be damaged or faulty. # # # recommendations - inspect the footplate motor for any signs of damage or wear. if the motor is damaged, it will need to be replaced. - check the footplate for any obstructions that may be preventing it from moving. if there are any obstructions, they will need to be removed. - inspect the footplate controller for any signs of damage or wear. if the controller is damaged, it will need to be replaced. @topic:1


. check contacts and connections. communication failure with docked braun the thermometer might be docked improperly. check contacts and connections. if problem the persists, e the module. information temperature not fununrecognized wacp parameter received from sensor internal malfunction. if the problem e the module. timeout waiting fosensor response temperature not functional. 3fff02 internal malfunction. if the problem replace the module. error deserializing internal malfunction. if the problem temperature not functacp messagreceived from sensor internal malfunction. if the problem temperwacp stack send e failure re - dock the thermometer after taking very low re - dock braun. 3fff05 anti - theft timer expired measurement. atient and clinician data messagealarm priority ossible causmessage clinician authentication failure information status message ; press ok unable to identifinformation clinician. no provider configured at host. button to dismiss. clinician authentication failure information status message ; press ok information button to dismiss. unable to identifclinician. security provider error. clinician authentication failure information status message ; press ok information button to dismiss. unable to identify clinician. user not found. clinician authentication failure information status message ; press ok information button to dismiss. unable to identify clinician. invalid id or system password. unable to identifclinician. account isabled / expired. clinician authentication failure information status message ; press ok information button to dismiss. clinician authentication failure information status message ; press ok unable to identify clinician. passworexpired / reset required. information button to dismiss. service manual troubleshooting 199 alarm priority ossible causmessage unable to identify clinician. group membership error. clinician authentication failure information status message ; press ok n @topic:20


# # # issue - electric bed malfunction : inability to adjust the bed # # # impact - patient discomfort and safety concerns - inconvenience for healthcare professionals # # # possible causes - electrical issues : power outage, loose connections, damaged wires - mechanical issues : faulty motors, hydraulic leaks - software - related issues : errors in programming or control systems - user error : incorrect operation or handling of the bed # # # recommendations - * * electrical checks : * * inspect power cords, plugs, and connections ; ensure proper grounding - * * mechanical inspection : * * examine motors, hydraulics, and other moving parts for any damage or wear - * * software updates : * * check for any available software patches or updates ; consider reprogramming - * * user training : * * provide proper training and instruction to users on safe and correct operation - * * regular maintenance : * * schedule periodic checks and inspections to identify and address potential issues before they escalate @topic:9


# # # issue - the cause of failure is listed as " adjustable ". however, this does not provide enough information to determine the actual cause of the failure. # # # impact - the adjustable nature of the bed could cause : - bed to not be able to be positioned properly - bed to be unstable or unsafe - patient discomfort or injury # # # possible causes - broken or loose adjustment mechanism - electrical fault - software glitch # # # recommendations - further investigation is needed to determine the actual cause of the failure. - once the cause of the failure is determined, the appropriate repairs or adjustments can be made. - regular maintenance and inspection of the bed can help to prevent similar failures in the future. @topic:1


# # # issue - mouse is not functioning. # # # impact - user is unable to interact with the medical device effectively. # # # possible causes - mouse hardware failure - mouse driver failure - usb port failure - software conflict - power supply issue # # # recommendations - check if the mouse is properly connected to the usb port. - try using a different mouse. - update the mouse driver. - check for software conflicts that may be interfering with the mouse operation. - ensure that the medical device is receiving adequate power supply. - if the issue persists, contact the device manufacturer or a qualified biomedical engineer for further troubleshooting. @topic:30


* * issue : * * monitor not locking into base * * impact : * * monitor may become unstable or fall, causing injury or damage to equipment or patient * * possible causes : * * - loose locking nut - damaged or worn locking mechanism - misalignment of base and monitor * * recommendations : * * - tighten the locking nut securely - inspect the locking mechanism for damage or wear - ensure that the base and monitor are properly aligned before locking @topic:12


# # # issue * control box failure * remote control failure # # # impact * inability to adjust the bed, compromising patient comfort and safety # # # possible causes * * * control box : * * * electrical malfunction * mechanical damage * age - related wear and tear * * * remote control : * * * battery depletion * transmitter or receiver malfunction * interference from other electronic devices # # # recommendations * * * preventive maintenance : * * * regularly inspect the control box and remote control for signs of wear or damage. * perform periodic firmware updates to address software bugs. * * * troubleshooting : * * * check power connections and batteries. * test the remote control with a new set of batteries. * inspect the control box for any obvious physical damage or loose connections. * * * repair or replacement : * * * if troubleshooting fails, contact the manufacturer or an authorized repair technician. * consider replacing the control box or remote control if necessary. @topic:7


# # # issue - the medical cart is rebooting. # # # impact - the medical cart may not be able to be used, which could delay patient care. # # # possible causes - the medical cart is experiencing a software issue. - the medical cart is experiencing a hardware issue. - the medical cart is not properly connected to a power source. # # # recommendations - check the medical cart's software for updates. - inspect the medical cart's hardware for any damage. - ensure that the medical cart is properly connected to a power source. - if the issue persists, contact the manufacturer. @topic:13


your hospital policy. 2 usually, a higher transducer temperature gives a better correlation and a quicker response time. however, higher temperatures also increase the risk of skin burns. most physicians prefer a temperature between 42°c ( 107°f ) and 44°c ( 111°f ), and a site time of four hours or less. usually, the higher the transducer temperature, the less the site time should be. whenever you change the setting, the monitor forces you to make a new calibration. monitor's configurationavailability and behavior of the site timer depend on your warning prolonged continuous monitoring may increase the risk of undesirable changes in skin characteristics, such as irritation, reddening, blistering or burns. if the site timer is disabled, the transducer will heat indefinitely while on a patient. change the site regularly, in accordance with medical procedures in your the site timer helps reduce the risk of skin burn by ensuring that the transducer is used at one site for no longer than a predefined period. it reminds you when this period expires. in the setup tcgas menu, select site time. 1 2 choose the time you want the transducer to remain on the measurement site. the optimum time depends on the transducer temperature and your patient's skin sensitivity. the site timer starts automatically when you remove the calibrated transducer from the calibration chamber. if you return the transducer to the chamber and then remove it again, the site time continues to count down the remaining time ; it does not start a new time period. the time remaining before the site timer expires appears in the status line which is visible as long as the setup tcgas menu is open. when the time expires, the monitor sounds a tone and a displays a change site inop. the @topic:17


voltage. replace any faulty power cords or surge protectors. @topic:12


# # # issue * equipment : bed, electric * band : stiegelmeyer * model : seta em4 * complaint : bed cannot be adjusted, accompanied by loud noises. # # # impact * patient discomfort and immobility * delay in medical procedures * increased workload on healthcare staff # # # possible causes * defective motor or electrical components * mechanical obstruction or misalignment * loose or damaged cables or connections * software or firmware issues # # # recommendations * * * immediate actions : * * * isolate the equipment and prevent further use. * contact the manufacturer or an authorized service provider for troubleshooting and repair. * * * root cause analysis : * * * inspect the equipment for visible damage or loose connections. * test the motor and electrical components to identify any malfunctions. * check the software or firmware for updates or errors. * * * preventive measures : * * * establish regular maintenance and inspection schedules. * train staff on proper equipment handling and operation. * consider using redundant or backup equipment to minimize downtime. * * * communication : * * * inform the patient and medical staff about the issue and expected repair time. * document the troubleshooting process and repair actions for future reference. @topic:9


* * possible causes of failure : * * - defective cuff bladder - leakage from the air hose or connector - improper cuff size for patient arm - excessive use or wear and tear - damage to the cuff material * * recommendations to prevent future failures : * * - regularly inspect cuffs for signs of damage, wear, or leaks. - ensure that the correct cuff size is used for each patient to prevent discomfort or inaccurate readings. - handle cuffs with care to avoid punctures or tears. - train staff on proper cuff placement and inflation techniques. - establish a preventive maintenance schedule to catch potential issues early on. - consider replacing cuffs on a regular basis, especially for those used frequently. @topic:5


# # # issue - the medical cart is not functioning properly. # # # impact - the medical cart is unable to administer medication to patients. # # # possible causes - the medical cart was not properly adjusted during auto setup. # # # recommendations - adjust the values in auto setup to the correct settings. @topic:13


* * issue : * * cube not ejecting * * possible causes : * * - cube ejector mechanism is not functioning properly - sensor detecting cube presence is malfunctioning - software error preventing cube ejection command from being executed @topic:13


# # # issue - oxygen saturation ( spo2 ) probe malfunction # # # impact - inaccurate or unavailable spo2 readings, which can compromise patient monitoring and assessment. # # # possible causes - damaged or defective spo2 sensor or cable - improper connection or loose fittings - electrical interference or power issues - software or firmware glitches # # # recommendations - inspect the spo2 sensor and cable for any damage or loose connections. - ensure proper connection and secure fittings. - check for any sources of electrical interference, such as nearby medical equipment or power lines. - perform a power cycle of the monitor. - contact the manufacturer or a qualified biomedical engineer if the problem persists or if the equipment is under warranty. @topic:4


##ly 149 tools required 149 removing the front cover 149 removing the mounting pin 150 removing the top cover 151 removing the dc / dc board 151 removing the msl flex assembly 152 reassembling the msl flex assembly 153 refitting the dc / dc board 154 refitting the cover 155 refitting the front cover 156 final inspection 156 testing 157 measurement server extensions - exchanging the top cover and the dual link bari 57 exchange procedures 157 removing the front cover 158 removing the mounting pin 158 removing the dual link bar 160 removing the top cover 163 refitting the top cover 163 assembling the dual link bar 164 refitting the front cover 167 final inspection 168 testing 168 disassembly procedures for the m3015a measurement server extension ( hw rev. a ) 168 removing the front cover 168 removing the extension bottom cover 169 removing the c02 scrubber 170 7 removing the pump 171 refit procedures for the measurement server extension 171 refitting the c02 scrubber 172 refitting the pump 172 refitting the extension bottom cover 172 refitting the front cover 173 general reassembly / refitting comments 173 following reassembly 173 smart battery charger lg1480 ( m8043a ) 174 cleaning the air filter mats 174 replacing the fan 175 intellivue instrument telemetry ( iit ) 177 exchanging the pca board or the flex cable 177 exchanging the iit module 178 docking station 179 exchanging the main board 180 exchanging the flex cable 183 6 parts 187 mp40 / mp50 parts 188 multi - measurement server parts 191 mms part number overview and identification 191 mms part numbers - front bezel for m3001 # a01 & # a03 193 mms part numbers - front bezel for m3001 # a02 194 mms part numbers - top cover and msl assembly 195 mms exchange part numbers 196 m3001a # a01 philips fast @topic:19


sure, here's an explanation of the cause of failure in the given input to a biomedical engineer : * * issue * * - the bed is not adjusting * * impact * * - the bed cannot be used to position the patient, which can lead to discomfort or injury. * * possible causes : * * - the bed is not properly unlocked - there is a problem with the electrical system - there is a problem with the mechanical system * * recommendations : * * - verify that the bed is properly unlocked. - inspect the electrical system for any loose connections or damaged wires. - inspect the mechanical system for any broken or jammed parts. in this case, the cause of failure was that the bed was not properly unlocked. the biomedical engineer was able to resolve the issue by unlocking the bed, which allowed it to be used normally again. * * additional notes : * * - it is important to note that this is just one possible cause of failure. there may be other factors that could contribute to the problem. - it is also important to remember that biomedical engineers are not the only ones who can troubleshoot and repair medical devices. - other qualified personnel, such as electricians and mechanics, may also be able to assist with these tasks. i hope this information is helpful. please let me know if you have any other questions. @topic:9


# # # issue - biomedical engineer ( bme ) cannot pull out the bp ( blood pressure ) cable. # # # impact - inability to use the vital signs monitor to monitor patient's blood pressure, which could delay or compromise medical care. # # # possible causes * * a. hardware malfunction * * - * * faulty bp cable : * * the bp cable may have become damaged or disconnected, preventing the bme from pulling it out. - * * damaged bp port : * * the port on the monitor that connects to the bp cable may be faulty, obstructing the bme's ability to remove the cable. * * b. user error * * - * * incorrect technique : * * the bme may not be using the correct technique to pull out the bp cable, such as not pressing the release button or pulling at an inappropriate angle. * * c. underlying issue * * - * * malfunctioning latch : * * a latch mechanism that secures the bp cable to the monitor may have malfunctioned or become stuck, preventing the bme from releasing it. - * * software glitch : * * a software issue on the monitor may be causing the latch to malfunction or preventing the user from pulling out the bp cable. # # # recommendations * * a. hardware troubleshooting * * - * * inspect the bp cable : * * examine the bp cable for any signs of damage or disconnection. check that the connectors are securely attached. - * * check the bp port : * * inspect the bp port on the monitor for any damage or obstructions. ensure that the port is clean and unobstructed. * * b. user training * * - * * review the user manual : * * familiarize yourself with the proper technique for pulling out the bp cable. ensure that you are using @topic:15


# # # issue - cuff is damaged. # # # impact - the patient's blood pressure may not be accurately measured. # # # possible causes - the cuff may have been damaged during use. - the cuff may have been damaged due to wear and tear. - the cuff may have been damaged due to improper storage. # # # recommendations - replace the cuff. - inspect the cuff regularly for damage. - store the cuff properly. @topic:3


the message persists, replace the main pcba on the monitor. usb cable is the apm usb hub is disconnected. 1c1003 unplugged from the monitor while the monitor is powered on apm is plugged in. the apm was plugged in while the monitor is powered on. restart the monitor and the apm. if the problem is still present, check the cable connections from the monitor to apm. if the problem still present, information 214 troubleshooting welch [UNK] connex® spot monitor alarm priority ossible causmessage replace the apm. if the message persists, replace the main pcba on the monitor. the apm usb hub is plugged in restart the monitor and the apm. if while the monitor communication cable is disconnected the problem is still present, check tcable connections from the monitoapm not functional. 1c1010 the problem is still present, check thcable connections from the monitor to apm. if the problem still present, replace the apm. if the message persists, replace the main pcba on the monitor. apm not functional. 1c1004 the apm pic cannot communicate with the accelerometer restart the monitor and the apm. if the problem is still present, check the cable connections from the monitor to apm. if the problem still present, replace apm. if the message persists, replace the main pcba on the monitor. the apm pic software update nd any retries have failed apm not functional. 1c1009 restart the monitor and the apm. if the problem is still present, check the cable connections from the monitor to apm. if the problem still present, retry the software update. if still present, replace the apm. if the message persists, replace the main pcba on the monitor. @topic:22


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 # # # impact - unable to scan open drawers # # # possible causes - lacation still in the old ward ( 4w ) # # # recommendations - the location has been changed to the current ward ( 6d1 ), and the device is now functioning normally. @topic:23


# # # issue * inability to adjust the bed's position # # # impact * patient discomfort and immobility * difficulty performing medical procedures * increased healthcare costs # # # possible causes * malfunctioning control box * damaged electrical wiring * software glitch * mechanical failure # # # recommendations * * * check the control box : * * reset the control box or replace it if necessary. * * * inspect electrical wiring : * * examine wires for any damage or loose connections. * * * update software : * * ensure the equipment is running on the latest software version. * * * lubricate mechanical components : * * if applicable, lubricate any moving parts to reduce friction and improve functionality. * * * contact the manufacturer : * * if the issue persists, reach out to the manufacturer for technical support or to arrange for repairs. additional considerations : * * * patient safety : * * ensure that the patient is not in the immediate vicinity during repairs. * * * documentation : * * keep detailed records of all repair procedures and findings. * * * preventative maintenance : * * regularly inspect and service the equipment to minimize the risk of future failures. @topic:9


# # # issue - equipment not receiving power. # # # impact - equipment cannot be used. # # # possible causes - faulty power cord. - loose or disconnected power cord. - faulty power supply. - internal electrical fault. # # # recommendations 1. check the power cord for any visible damage or loose connections. replace the power cord if necessary. 2. ensure that the power cord is securely plugged into both the equipment and the power outlet. 3. contact the manufacturer or a qualified biomedical engineer to troubleshoot and repair the power supply or internal electrical fault. @topic:12


# # # issue - broken screw locking the connector # # # impact - loose connection between the device and the remote control # # # possible causes - * * misuse or mishandling : * * the screw may have been overtightened or damaged due to improper handling. - * * fatigue : * * the screw may have weakened over time due to repeated use or vibration. - * * defective screw : * * the screw may have been defective from the manufacturer. # # # recommendations - * * replace the screw : * * ensure that the replacement screw is the correct size and type for the connector. - * * proper handling : * * instruct users to handle the device carefully, avoiding excessive force or bending. - * * regular maintenance : * * inspect the screw periodically and replace it if necessary to prevent future failure. @topic:7


# # # issue - faulty battery # # # impact - the electric bed will not be able to operate properly. # # # possible causes - the battery may have been installed incorrectly. - the battery may be defective. - the battery may have reached the end of its useful life. # # # recommendations * * reinstall the battery : * * make sure that the battery is installed correctly by following the manufacturer's instructions. * * replace the battery : * * if the battery is defective or has reach the end of its useful life, it should be replaced with a new one. * * test the bed : * * once the new battery is installed, test the bed to make sure it is operating properly. @topic:9


# # issue - the medical cart is stuck on the boot screen. # # impact - the medical cart cannot be used for patient care. # # possible causes - hardware failure - software failure - user error # # recommendations - * * hardware failure : * * - inspect the medical cart for any obvious damage. - check the power supply and cables. - replace any damaged components. - * * software failure : * * - restart the medical cart. - reinstall the software. - contact the manufacturer for assistance. - * * user error : * * - check the user manual to make sure that the medical cart is being used correctly. - contact the manufacturer for assistance. @topic:13


# # # issue : - lcd monitor not displaying any brightness # # # impact : - inability to visualize patient data and monitor vitals # # # possible causes : - * * incorrect brightness settings : * * the monitor's brightness may not be properly adjusted. - * * faulty backlight : * * the backlight responsible for illuminating the screen may have malfunctioned. - * * power supply issue : * * the monitor may not be receiving sufficient power to operate the backlight. - * * loose connections : * * internal connections within the monitor may have become loose or disconnected, affecting power supply to the backlight. - * * hardware failure : * * a component within the monitor's circuitry responsible for controlling the backlight may have failed. # # # recommendations : - * * adjust brightness settings : * * verify that the monitor's brightness is set to an appropriate level. - * * inspect the backlight : * * examine the monitor's screen for any signs of uneven or flickering illumination, which could indicate a faulty backlight. - * * check power supply : * * ensure the monitor is securely connected to a power source and that the outlet is functioning properly. - * * inspect connections : * * open the monitor's casing and inspect internal connections for any loose or disconnected wires or components. - * * contact manufacturer : * * if the issue persists after troubleshooting, consult the manufacturer or a qualified biomedical engineer for further diagnosis and repair. @topic:2


ism band in the vicinity of srr devices may cause interferences. • usage of wireless pc keyboards or mice using the ism band in the vicinity of srr devices may cause interferences. to assign srr channels to all monitors in a unit that should be used with srr connections, 1 identify unused srr channels. this can be done by using commercially available tools, such as airmagnet. 2 obtain a floor plan of the unit and identify where the monitors with srr interface are located. 3 determine srr groups. an srr group may contain a maximum of two monitors which share the same srr channel. monitors belonging to an srr group should be located close to each other. 4 for each srr group, assign the same srr channel to all monitors belonging to a group. srr channel restrictions with wlan, iit, and dect phones the following table and graphic show the restrictions of wlan, iit, or dect phone usage together with srr. us wlan ( 802 11 ) 1 6 11 europe wlan ( 802. 11 ) 1 7 13 iit 2. 4 ghz ( smart hopping channels ) 0 - 13 14 15 - 30 29 - 47 srr ( 802. 154 ) 11 2405 mhz 12 2410 mhz 13 2415 mhz 14 15 16 17 18 19 20 21 22 23 24 25 26 2480 mhz 269 [ 7 installation instructions ] 22 mhz ^ - 1 for a successful srr deployment, the srr channels must be located in rf spectra where they are least likely to be interfered with. choosing appropriate channels after reviewing the spectrum analyzer date is critical. in hospitals, 802. 11 systems are most the likely source of interference with srr channels. the figures above show the relationship between 802. 11 devices, iit devices, and dect phones. for example, if the site uses european 802. 11 @topic:10


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 # # # impact - unable to sign in to the computer, preventing the use of the medical cart # # # possible causes 1. domain issue : the medical cart was disconnected from the domain, which blocks access to the computer. # # # recommendations 1. reconnect the medical cart to the domain. 2. unjoin and rejoin the domain to establish a fresh connection. @topic:13


# # # issue - equipment failure due to a faulty bp ( blood pressure ) cuff and bp12 connector. # # # impact - inability to accurately measure and monitor patient's blood pressure, which can lead to delayed diagnosis and treatment. # # # possible causes - * * faulty bp cuff : * * - worn - out or damaged cuff material - improper inflation or deflation of the cuff - incorrect cuff size for the patient - * * damaged bp12 connector : * * - loose or broken connections - corrosion or oxidation of connector pins - mishandling or improper storage of equipment # # # recommendations - * * bp cuff : * * - replace the bp cuff with a new one of the appropriate size and type for the patient. - ensure proper inflation and deflation of the cuff, following manufacturer's instructions. - * * bp12 connector : * * - inspect the connector for any loose or broken pins. - clean and polish the connector pins to remove any corrosion or oxidation. - handle and store the equipment carefully to avoid further damage to the connector. - * * additional considerations : * * - train staff on proper use and maintenance of the equipment. - establish regular maintenance schedules to identify and address potential issues early on. - consider using a backup or redundant monitor to ensure continuity of patient care in case of equipment failure. @topic:3


# # # issue - pressure reading is negative. # # # impact - inaccurate patient monitoring. # # # possible causes - kinked pressure line - transducer is not zeroed - faulty transducer # # # recommendations - inspect the pressure line for kinks and ensure it is not obstructed. - zero the transducer according to the manufacturer's instructions. - if the issue persists, replace the transducer. @topic:14


# # # issue - the electric bed is not able to be adjusted. # # # impact - the bed cannot be used to provide patient care. # # # possible causes - the control box is faulty. - the bed is locked. # # # recommendations - replace the control box. - unlock the bed. @topic:1


* * issue : * * philips intellivue mp20 ( m8001a ) monitor failed during use. * * impact : * * the monitor is unavailable for patient use, potentially affecting patient care. * * possible causes : * * * the monitor was not returned to its original location on time, resulting in improper storage conditions. * the monitor was not properly maintained, leading to component failure. * there was a manufacturing defect or inherent design flaw. * * recommendations : * * * * immediate : * * * reconfigure other available monitors to minimize disruption. * if possible, arrange for a temporary replacement to ensure patient care continuity. * * long - term : * * * establish clear policies and procedures regarding the use and return of backup equipment. * implement a regular maintenance schedule to prevent component failure. * work with the manufacturer to identify and address any potential design flaws. * consider purchasing additional monitors to increase equipment redundancy and prevent future outages. @topic:2


* * issue : * * non - functional medical equipment * * impact : * * patient discomfort or compromised care * * possible causes : * * * * * missing remote and control box : * * essential components for operating the electric bed * * recommendations : * * * * * procure new remote and control box : * * replace the missing components to restore functionality. * * * check for compatibility : * * ensure that the new components are compatible with the specific bed model. * * * communicate with relevant stakeholders : * * inform the affected unit ( 2e ) about the repair progress and estimated completion time. * * * monitor performance : * * regularly inspect the repaired bed to ensure it is functioning as intended and identify any potential issues early on. @topic:9


* * issue : * * telemetry ekg module has failed * * impact : * * the telemetry ekg module is not working, which could impact patient care. * * possible causes : * * * ups ( uninterruptible power supply ) failure * power outage * equipment malfunction * user error * * recommendations : * * * check the ups and replace it if necessary. * verify that the equipment is connected to a reliable power source. * inspect the equipment for any signs of damage or malfunction. * train users on the proper operation of the equipment. @topic:18


# # # issue the cause of failure is not clearly stated. # # # impact this issue can lead to the bed being unable to be locked, which could pose a safety hazard to the patient. # # # possible causes - the lock mechanism is faulty. - the control box is not properly connected to the bed. - the control box is defective. # # # recommendations - inspect the lock mechanism for any damage or wear. - check the connections between the control box and the bed. - replace the control box if necessary. @topic:6


. extending the alarm pause time if your monitor has extended alarm pause enabled, you can extend the alarm pause time. use this to prevent alarms being indicated, for example, while you are washing a patient or carrying out a procedure. only extend the alarm pause time when you are sure that clinical personnel are available to monitor the patient ’ s condition closely. to extend the alarm pause time to five or 10 minutes, 1 select one of the alarm fields. this calls up the alarm messages window. 2 select either the pop - up key pause a1. 5 min or the pop - up key pause a1. 10 min. each time you select one of these pop - up keys, the alarm pause time is reset to five ( or 10 ) minutes. & alarms off alarm limits the alarm limits you set determine the conditions that trigger yellow and red limit alarms. for some measurements ( for example, bis and sp0 2 ), where the value ranges from 100 to 0, setting the high alarm limit to 100 switches the high alarm off, or setting the low alarm limit to 0 switches it off. in these cases, the alarms off symbol is not displayed. 61 3 alarms alarm limits warning be aware that the monitors in your care area may each have different alarm settings, to suit different patients. always check that the alarm settings are appropriate for your patient before you start monitoring. viewing individual alarm limits you can usually see the alarm limits set for each measurement next to the measurement numeric on the main screen. if your monitor is not configured to show the alarm limits next to the numeric, you can see them in the appropriate measurement setup menu. select the measurement numeric to enter the menu and check the limits. viewing all alarm limits the alarm limits overview window lists the currently set alarm limits for all measurements. if an apnea alarm delay time is set, this is also shown. the alarms off symbol is shown beside the measurement @topic:8


# # # issue - cuff bp is loose - hook and loop fasteners are not sticky - inaccurate blood pressure measurements # # # impact - inaccurate blood pressure readings - incorrect diagnosis and treatment # # # possible causes - worn or damaged cuff - hook and loop fasteners have lost their stickiness - cuff is not properly attached to the monitor # # # recommendations - replace the cuff with a new one - clean or replace the hook and loop fasteners - ensure the cuff is properly attached to the monitor - calibrate the monitor according to manufacturer's instructions @topic:3


# # # issue - led keypad not illuminating in certain symbols # # # impact - impaired functionality of the medical device - potential difficulties in operating the device effectively # # # possible causes - faulty led keypad - damaged electrical connections - software malfunction # # # recommendations - replace the faulty led keypad - inspect and repair electrical connections as necessary - update or reinstall software if required @topic:25


# # # issue - cuff deterioration # # # impact - inaccurate or unreliable vital signs measurements # # # possible causes - cuff age and usage - exposure to heat, moisture, or chemicals - improper storage or handling # # # recommendations - regular inspection and maintenance of cuffs - replacement of cuffs according to manufacturer's guidelines - proper storage and handling to minimize cuff exposure to environmental factors @topic:5


# # # issue - spo2 cable failure # # # impact - inability to accurately monitor patient's oxygen saturation levels # # # possible causes - physical damage to the cable, such as cuts or tears - corrosion or oxidation of the cable contacts - loose or damaged connectors - incompatible cable with the monitor # # # recommendations - regularly inspect spo2 cables for damage - handle cables with care to avoid damage - ensure proper connection of cables - use compatible cables with the monitor - replace damaged or faulty cables promptly @topic:4


| * * issue * * | * * impact * * | * * possible causes * * | * * recommendations * * | | - - - | - - - | - - - | - - - | | bed is not adjustable | patient cannot be positioned properly | 1. damaged motor or controller | 1. replace motor or controller | | | | 2. faulty wiring | 2. inspect and repair wiring | | | | 3. loose connections | 3. tighten connections | | | | 4. software malfunction | 4. update software or reset system | # # # additional notes - the technician should also check the battery connections and ensure that the batteries are properly charged. - if the issue persists, the technician should contact the manufacturer for further assistance. @topic:1


# # # issue - intermittent lead failure on philips intellivue mp70 ( m8007a ) bedside physiologic monitor. # # # impact - accurate patient monitoring may be compromised. - delays in diagnosis and treatment. - increased patient risk. # # # possible causes - intermittent connection of the lead to the monitor or patient. - damaged lead. - faulty hardware or software within the monitor. # # # recommendations - inspect the lead for any visible damage, such as cuts or breaks. - ensure that the lead is properly connected to the monitor and patient. - test the lead with another monitor or patient, if possible. - if the problem persists, replace the lead with a new one. - contact the manufacturer for further troubleshooting assistance. @topic:18


# # # issue - the electric bed's head adjustment is not working. # # # impact - patients may not be able to adjust the head of their bed to a comfortable position. - this could lead to discomfort, pain, or even pressure injuries. # # # possible causes - the user may have accidentally pressed the button that locks the head adjustment. - there may be a problem with the head adjustment mechanism itself. - there may be a problem with the electrical system of the bed. # # # recommendations - the technician should check the head adjustment lock button to make sure it is not engaged. - the technician should inspect the head adjustment mechanism for any damage or obstructions. - the technician should check the electrical system of the bed to make sure there are no loose wires or connections. @topic:1


# # # issue - bed not adjusting up or down # # # impact - patient discomfort - inability to perform necessary procedures # # # possible causes - faulty remote control - electrical connection issue - mechanical failure in the bed's motor or hydraulic system # # # recommendations - replace the remote control, if necessary. - check and tighten all electrical connections. - inspect the bed's motor and hydraulic system for any damage or blockages. consider reaching out to the manufacturer for further troubleshooting assistance. @topic:1


perfusion 25 - 240 ± 3 bpm, adults / pediatrics / infants / neonates 25 to 240 beats per minute ( bpm ) pulse rate no motion : ± 3 digits motion : ± 5 digit0 % to 70 % saturation adults, neonates : ± 3 digits note saturation accuracy varies by sensor type. refer to the sensor directions for use for additional accuracy information. masimo respiration rate specifications 4 to 70 respirations per minute ( rpm ), 3 rpm arms 1 rpm mean error adult and pediatric patients spo2 measurement accuracy can only be evaluated in vivo by comparing pulse oximeter readings with spo2 measurements obtained from simultaneously sampled arterial blood made using a laboratory co - oximeter. spo2 accuracy was validated through breathe - down - equivalent testing by covidien using electronic measurements to prove equivalence to the nellcor n600x predicate device. the nellcor n600x predicate device was validated service manual spo2 specifications ( masimo specifications, see footnotes 1, 2, 3, 4, 5, and 6 ) by performing human - subject, " breathe - down " clinical trials. ulse rat25 to 240 beats per minute ( bpm ) + 3 digits n ) saturation 0 % to 100 % note saturation accuracy varies by sensor adult, neonate : + 3 digits type. low perfusion : 0. 02 % to 20 % ± 2 digits detected pulse rat20 to 250 beats per minute ( bpm ) ± 3 digits spo2 accuracy testing is conducted during induced hypoxia studies on healthy, non - smoking, light - to - dark - skinned subjects during motion and no - motion conditions in an ndependent research laboratory. the nonin sensor accuracy guide measured arterial hemoglobin saturation value ( spo2 ) of the sensors is compared to arterial hemoglobin oxygen ( @topic:4


# # # issue - equipment failure due to torn frame # # # impact - device is not operational - patient care may be delayed or compromised # # # possible causes - * * structural defect : * * material used in the frame may have been weak or flawed - * * improper handling : * * equipment may have been dropped or subjected to excessive force - * * overuse : * * equipment may have been used beyond its lifespan or capacity - * * corrosion : * * exposure to moisture or other corrosive substances may have weakened the frame - * * unauthorized modifications : * * alterations made to the equipment may have compromised its structural integrity # # # recommendations - * * inspect equipment regularly : * * check for any signs of wear, tear, or damage, especially to the frame - * * handle equipment with care : * * avoid dropping or applying excessive force - * * follow manufacturer's instructions : * * use the equipment within its specified limits and for its intended purpose - * * protect equipment from corrosion : * * store and use the equipment in a dry, well - ventilated environment - * * repair or replace equipment as necessary : * * do not operate damaged equipment. contact the manufacturer or authorized service provider for repair or replacement @topic:12


# # # issue : nibp monitor failed to measure blood pressure # # # impact : delay in patient assessment and treatment. # # # possible causes : - * * damaged cuff : * * if there are holes or tears in the cuff, it will leak air and prevent an accurate reading. - * * malfunctioning pump : * * the pump is responsible for inflating and deflating the cuff. if it fails, the cuff will not inflate or deflate properly, resulting in an incorrect reading. - * * faulty sensor : * * the sensor measures blood pressure by detecting the pulsations in the artery. if the sensor is malfunctioning, it will not be able to accurately detect the blood pressure. - * * loose or disconnected connection : * * if the cuff is not properly connected to the monitor, it will not be able to measure blood pressure. # # # recommendations : - * * replace the cuff : * * if the cuff is damaged, it must be replaced with a new one. - * * inspect the pump : * * check the pump for damage or malfunction. if necessary, replace the pump. - * * test the sensor : * * use a blood pressure simulator to test the sensor. if the sensor is malfunctioning, it must be replaced. - * * ensure proper connections : * * make sure that the cuff is securely connected to the monitor. @topic:15


weigh system. recommended accessories * * elbow patient helper ad810a adjustable patient helper ad811a ac953a chrome - plated iv hook ac959a oxygen cyoxygen cylinder holder model d ( 0100 ) oxygen cylinder holder model e ( ø100 ) er ad101a ad102a c963a ad242a x - ray - transpad244b ixed iv polad294a ad298a ad299a fixed iv pole 263627 foot gap panels ad288a ad286a iv line manager & support recommended additional parts ac968a ad270b emovable frame 5th wheel ( bed with 150mm diameter castersall stop d276a * ad277a side control pendant ad284a d289a 5th wheel ( bed with 125mm diameter casters ) cable attachment ad292a ad315a i - fi connectivity moad322a adapteur suad325a p379xxxxx a. remember to specify the model when ordering. b. the xxxxx in the part number identifies the type of connector corresponding to the communication system installed. recommended patient lifts sabina ii ee sit - to - stand lift 2020003 abina ii em mobile lift 2020004 2040015 2040013 2000014 golvo 8000 mobile lift 2000015 golvo 8008 mobile lift olvo 8008 lowbase mo2000019 when the viking xl is used with a bed equipped with 125 mm diameter casters *, when lowering the bed to the low position, make sure that the elevation arms do not hit the chassis of the patient hoist. recommended bed dining tables ta270 ed dining table ta519 ta529 bed dining table endboards lockable foot endboard hillrohiliroheadboard @topic:26