following the instructions supplied by the manufacturer. < sp0 2 label > unkn. sensor numeric is replaced by a -? - sp0 2 the connected sensor or adapter cable is not supported by the sp0 2 measurement. use only specified sensors and cables. < sp0 2 label > unplugged numeric is replaced by -? - inop tone sp0 2 an sp0 2 measurement label has been deactivated, either by unplugging a module, or by deactivating the label in the measurement selection window. the measurement automatically disappears from the display. to switch the measurement on again, either replug the module or reactivate the measurement label in the measurement selection window. < sp0 2 label > upgrade label is displayed with a numeric is unavailable sp0 2 the sp0 2 measurement is currently in upgrade mode. monitoring is not possible in this mode. sp - v0 2 chk sources numeric is replaced by sp - v0 2 not all measurements or values required to perform the calculation are available. check measurement sources. sp - v0 2 chk units numeric is replaced by sp - v0 2 the monitor has detected a conflict in the units used for this calculation. check the unit settings. srr interference inop tone monitor the short range radio connection has interference from another device. try using another channel. srr invalid chan inop tone monitor the channel configuration of the short range radio is invalid. check channel and channel mask configuration. srr malfunction malfunction in the short range radio device. if the inop persists contact your service personnel. svr / svri chk sources numeric is replaced by svr / svri not all measurements or values required to perform the calculation are available. check measurement sources. svr / svri chk units numeric is replaced by svr / svri @topic:22


# # # issue - unable to adjust the bed # # # impact - difficulty in carrying out patient care procedures - patient discomfort due to improper bed positioning # # # possible causes - loose plug in the block control unit # # # recommendations - securely plug in the loose plug in the block control unit - ensure that all connections are secure and properly tightened - regularly check and maintain medical devices to prevent similar issues in the future @topic:1


# # # issue - the bed cannot be locked # # # impact - the patient may fall out of the bed if it is not locked. # # # possible causes - the locking mechanism is broken. - the bed is not level. - the bed is not properly assembled. - the bed is overloaded. # # # recommendations - inspect the locking mechanism for damage. - level the bed. - assemble the bed according to the manufacturer's instructions. - reduce the load on the bed. @topic:6


# # # issue : the electric bed is not adjusting properly. # # # impact : * patients may be unable to get into or out of bed safely. * patients may be uncomfortable or in pain if the bed is not in the correct position. * nursing staff may have difficulty caring for patients if the bed is not adjustable. # # # possible causes : * control box failure * electrical fault * mechanical problem # # # recommendations : * check the control box for any loose connections or damage. * test the electrical system for any faults. * inspect the mechanical components for any wear or damage. * if the problem cannot be identified, contact the manufacturer. @topic:1


# # # issue - electrical bed remote malfunction # # # impact - inability to adjust bed positioning during ob & gyn procedures. # # # possible causes - malfunctioning remote control : - electrical components failure - broken buttons or controls - bedside unit malfunction : - communication issues between remote and bed - power supply problems # # # recommendations - replace the remote control with a new compatible unit. - inspect the bedside unit for any loose connections or electrical issues. - ensure proper power supply to both the remote and bedside unit. - consider testing the bed with a different remote to rule out any bed - related issues. @topic:7


bpa extrtachy 20 bptachy clamp 00 bp40 bp1 when pulse is not the alarm source, the alarms will be off. pulse alarms use the settings of the currently selected pulse alarm source. 12 41 default settings appendix respiration default settings h30 ( deviations from h10 / h20 / h40 ) adult pedi neo respiration settings adult edi pedi neo neo 00 rp0 rp0 rpow limit 0 rprp8 rpm 0 se0 se0 sealarms on on on resp off ff off on utdetection auto auto ( trigger mode ) ( trigger mode ) ( trigger mode ) color yellow yellow yellow white white white spo2 default settings po2 settadult pedi neo mode continuous continuous continuous 15 min 15 min 15 min larmon on on 1 1 1 tone modulation yes eyes tone mod. type enhanced enhanced enhanced perfusion average on on on 0 se0 se10 sec nbp alarm suppr. on on on disabled disabled isabled extd. auto onoff olocyan ( light blue ) cyan ( light blue ) cyan ( light blue ) no no no ignal qualion on on spo2 alarm default settings peddult setting neo desat limit 80 80 80 low limit 90 90 85 100 95 100 desat delay 0 se0 se0 sehigh alarm delay 0 se0 se0 selow alarm delay 0 se0 se0 sesmartalarmdelay ( sad ) off off off high alarm delay ( sad ) short short hort 513 41 default settings appendix spo2 alarm default settings dult setting pedi neo low alarm delay ( sad ) short short short popospolabel pulse settingpulse ( spo2 ) on on on for all other pulse default settings, refer to the pulse default settings table. bp default setting @topic:8


# # # issue - the bed is not functioning. # # # impact - the bed cannot be used by patients. # # # possible causes - the ac power cord is damaged. # # # recommendations - replace the ac power cord. @topic:9


# # # issue - the lcd monitors are displaying incorrect date and time. # # # impact - this could lead to inaccurate medical records and potential patient safety issues. # # # possible causes - the monitors'internal clocks may not be synchronized with the hospital's time server. - the monitors may be receiving incorrect time data from the hospital's network. - the monitors'batteries may be depleted, causing the clocks to reset. # # # recommendations - check the monitors'clocks against the hospital's time server and adjust them if necessary. - verify that the monitors are receiving correct time data from the hospital's network. - replace the monitors'batteries if they are depleted. @topic:29


* * issue : * * drawer cannot be closed. * * impact : * * equipment cannot be used properly. * * possible causes : * * * loose locking nut on drawer. * * recommendations : * * * tighten the locking nut on the drawer. @topic:21


# # # issue scanner is not working on a medical cart # # # impact - delays in patient care - inaccurate medical records - loss of patient trust # # # possible causes - faulty scanner - damaged cable - software glitch - user error # # # recommendations - inspect the scanner for any visible damage. - check the cable connections to ensure they are secure. - restart the software on the medical cart. - contact the manufacturer for technical support. - train users on the proper use of the medical cart. @topic:23


# # # issue - monitor does not turn on despite charging # # # impact - impaired patient monitoring, delayed diagnosis and treatment # # # possible causes - malfunctioning dc to dc board # # # recommendations - replace dc to dc board with a new one - verify that the monitor is properly connected to the charging source - check the battery for any signs of damage or leakage @topic:11


# # # issue - control box failure # # # impact - bed may not be able to be adjusted as needed - patient may be uncomfortable or unsafe - delay in patient care # # # possible causes - electrical failure - mechanical failure - software glitch - user error # # # recommendations - replace the control box - test the bed to ensure it is working properly - train staff on proper use of the bed @topic:9


* * issue : * * battery failure in a casmed 740 physiologic vital signs monitor * * impact : * * - interruption of vital signs monitoring for patients - delays in medical interventions - potential patient safety risks * * possible causes : * * - * * depleted battery : * * the battery has reached the end of its lifespan and can no longer hold a charge. - * * improper battery maintenance : * * the battery has not been replaced as per recommended intervals or has been exposed to extreme temperatures or other environmental factors. - * * manufacturing defect : * * the battery may have a manufacturing defect that affects its performance or longevity. * * recommendations : * * * * preventive measures : * * - * * regular battery replacement : * * schedule routine battery replacements based on the manufacturer's recommendations or expected battery life. - * * battery calibration : * * regularly calibrate the battery to ensure accurate readings. - * * proper storage : * * store spare batteries in a cool, dry environment to prevent degradation. * * troubleshooting and repair : * * - * * verify battery connections : * * ensure that the battery is properly connected to the device. - * * test the battery : * * use a battery tester to determine if the battery has any charge left. - * * replace the battery : * * if the battery is depleted or faulty, replace it with a compatible new battery. - * * contact biomed support : * * if the issue persists or the cause of failure is unclear, contact the biomedical engineering ( bme ) support team for further troubleshooting and repair. @topic:11


# # # issue - the physiologic monitor is not functioning properly. # # # impact - the patient's vital signs cannot be accurately monitored. # # # possible causes - the battery is not properly installed. - the battery is not compatible with the monitor. - the battery is defective. - the monitor is malfunctioning. # # # recommendations - reinstall the battery. - replace the battery with a compatible one. - replace the battery with a new one. - contact the manufacturer for service. @topic:16


# # # issue - the bolts securing the module rack's center shaft were discovered to be loose during the bme inspection. # # # impact - the monitor may fall off its stand, posing a safety risk to patients and staff. - the monitor may malfunction due to a loose connection between the module rack and the rest of the device. # # # possible causes - excessive vibration or movement of the monitor. - improper tightening of the bolts during assembly or maintenance. - wear and tear over time. # # # recommendations - regularly inspect the monitor for loose bolts and tighten them as necessary. - ensure that the bolts are tightened to the manufacturer's specifications using the appropriate tools. - avoid placing the monitor in areas where it may be subject to excessive vibration or movement. - train staff on proper handling and maintenance of the monitor. @topic:12


# # # issue - equipment : beds, electric - band : hill - rom - model : 900b - description : the bme ( biomedical engineer ) found that the bed remote control was damaged. the bme repaired it, tested it, and it worked properly. # # # impact - the patient may not be able to adjust the bed to a comfortable position. - the patient may be at risk of falling if the bed is not adjusted properly. - the patient may experience discomfort or pain if the bed is not adjusted properly. # # # possible causes - the remote control may have been dropped or damaged in some other way. - the remote control may have been exposed to moisture or other environmental factors that have damaged it. - the remote control may have simply failed due to normal wear and tear. # # # recommendations - the bme should inspect the remote control for any damage. - the bme should test the remote control to make sure that it is working properly. - the bme should replace the remote control if it is damaged or not working properly. - the bme should educate the patient on how to use the remote control properly. @topic:7


is detected. there very low spo2 rebooting042b00 there is a problem with the spo2 led ground failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's spo2 rebooting. 042c00 a malfunction is detected. there very low there is a problem with the spo2 reference voltage failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be eplaced, and if problem is still service manual roubleshooting ossible causlarm prioritmessage ain boarda malfunction is detected. there very low spo2 rebooting. 042d00 there is a problem with the spo2 dsp core voltage failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's there is a problem with the spo2 filtered input voltage spo2 rebooting. 042e00 a malfunction is detected. there very low re two possible causes of these failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is @topic:20


# # # issue - fetal monitor head probe malfunction # # # impact - inability to accurately monitor fetal heart rate and uterine contractions during labor and delivery - potential risk to the health of the mother and fetus # # # possible causes - * * age - related deterioration : * * the head probe has been in use for 8 years, exceeding its expected lifespan - * * wear and tear : * * prolonged use and exposure to harsh conditions may have damaged the probe's components - * * mechanical failure : * * loose connections, broken wires, or other mechanical issues within the probe - * * electrical failure : * * short circuits, overvoltage, or other electrical problems may have damaged the probe's circuitry # # # recommendations - * * replace the head probe : * * obtain a new head probe from the manufacturer or a reputable supplier - * * regular maintenance and inspection : * * schedule periodic inspections and maintenance to detect and address potential issues before they cause failures - * * handle with care : * * use the head probe according to the manufacturer's instructions to minimize wear and tear - * * train staff : * * ensure that staff is properly trained on the correct use and handling of the fetal monitor and its components - * * consider newer models : * * if the fetal monitor is outdated, consider investing in a newer model with improved durability and features @topic:20


# # # issue - equipment basket located too low # # # impact - difficulty in retrieving and delivering items from the equipment basket # # # possible causes - incorrect positioning of the equipment basket # # # recommendations - adjust the equipment basket to a higher level to improve accessibility @topic:24


# # # issue the electrodes used to measure the patient's electrocardiogram ( ekg ) are dirty, which can interfere with the electrical signal being transmitted from the patient to the monitor. # # # impact the ekg signal may be distorted or inaccurate, which could lead to incorrect diagnoses or treatments. # # # possible causes * * - lead wires may not be properly connected to the patient. * * * * - electrodes may be dirty or damaged. * * * * - skin under the electrodes may not be properly prepped. * * * * - patient may be moving too much. * * * * - equipment may be malfunctioning. * * # # # recommendations * * - check that the lead wires are properly connected to the patient and to the monitor. * * * * - clean the electrodes with alcohol and replace them if they are damaged. * * * * - properly prep the skin under the electrodes by shaving and cleaning with alcohol. * * * * - ask the patient to remain still during the ekg recording. * * * * - if the problem persists, the equipment may need to be serviced. * * @topic:18


* * issue : * * head adjustment failure * * impact : * * limited patient positioning and discomfort during procedures. * * possible causes : * * 1. * * damaged or loose control box : * * the control box may have been damaged or become loose during use, disrupting the electrical signals that control head adjustment. 2. * * malfunctioning motor or actuator : * * the motor or actuator responsible for head adjustment may have failed, preventing movement. 3. * * obstructed or damaged cables / wires : * * cords or cables connecting the control box to the head adjustment mechanism may have become obstructed or damaged, interfering with signal transmission. 4. * * software or firmware issues : * * software or firmware controlling head adjustment may have become corrupted or outdated, causing errors in operation. * * recommendations : * * 1. * * inspect and secure control box : * * check for any signs of damage or loose connections to the control box. retighten or replace any loose components as needed. 2. * * test motor and actuator : * * use diagnostic tools to assess the functionality of the motor and actuator responsible for head adjustment. replace any malfunctioning components. 3. * * examine cables and wires : * * inspect all cables and wires connecting the control box to the head adjustment mechanism for any damage or obstructions. replace or repair any compromised components. 4. * * update software / firmware : * * check for available software or firmware updates for the bed and install any necessary patches to address potential bugs or issues related to head adjustment. @topic:1


# # # issue - monitor not displaying ecg waveforms # # # impact - inability to monitor patient's ecg, which is essential for assessing cardiac health and detecting arrhythmias or other heart problems. # # # possible causes - * * loose modul cable : * * the cable that connects the ecg electrodes to the monitor may be loose or disconnected, preventing the ecg signals from being transmitted. - * * faulty ecg electrodes : * * the ecg electrodes may be malfunctioning or improperly placed, resulting in poor signal quality or no signal at all. - * * software glitch : * * a software issue within the monitor may be causing the ecg waveforms not to be displayed properly. # # # recommendations 1. * * check and tighten modul cable : * * ensure that the modul cable connecting the ecg electrodes to the monitor is securely plugged into both the electrodes and the monitor. 2. * * inspect and replace ecg electrodes : * * inspect the ecg electrodes for any damage or loose connections. if necessary, replace the electrodes with new ones and ensure they are properly attached to the patient's skin. 3. * * restart the monitor : * * power cycle the monitor to reset any potential software glitches. 4. * * contact biomedical engineering ( bme ) team : * * if the issue persists after following the above steps, contact the bme team for further troubleshooting and repair. @topic:18


# # # issue - electric bed is unable to adjust its height. # # # impact - patient discomfort - difficulty for caregivers to provide care - potential for falls and injuries # # # possible causes 1. * * remote control malfunction. * * - worn or damaged buttons - battery failure - power supply issues 2. * * electrical system failure. * * - loose or disconnected wires - faulty motor - power switch failure 3. * * mechanical failure. * * - broken gears or shafts - misalignment of components 4. * * software glitch. * * - corrupted firmware - programming errors # # # recommendations 1. * * inspect the remote control. * * - check for physical damage or loose buttons. - replace batteries. - test power supply. 2. * * troubleshoot the electrical system. * * - inspect wires and connections. - test motor and power switch. 3. * * examine the mechanical components. * * - check for broken or loose parts. - realign components if necessary. 4. * * update software if necessary. * * - contact the manufacturer for firmware updates. - reinstall software if available. 5. * * consult with a qualified biomedical engineer. * * - if the issue persists, seek professional assistance. @topic:1


# # # issue - the bed is stuck. # # # impact - the bed cannot be moved or adjusted, which can impact patient care. # # # possible causes - the bed may be rusted or corroded, which can cause the moving parts to stick. - the bed may have been overloaded, which can also cause the moving parts to stick. - the bed may have been damaged, which can prevent it from moving or adjusting properly. # # # recommendations - inspect the bed for any signs of rust or corrosion. if any rust or corrosion is found, it should be cleaned and lubricated. - check the bed for any signs of damage. if any damage is found, it should be repaired or replaced. - avoid overloading the bed. the maximum weight capacity for the bed should be clearly marked on the bed frame. @topic:6


# # # issue - module measure nibp fail # # # impact - unable to measure patient's blood pressure # # # possible causes - pump nibp is broken - module nibp is broken - wiring problem - sensor problem # # # recommendations - check the pump nibp that has been replaced - if pump nibp is ok, check module nibp - check wiring and sensor @topic:15


# # # issue - the bed's side rails are not locking into place. # # # impact - the patient could fall out of the bed and injure themselves. # # # possible causes - broken or damaged side rails - malfunctioning locking mechanism - loose or missing screws # # # recommendations - inspect the side rails for damage or breakage. - check the locking mechanism for proper function. - tighten or replace any loose or missing screws. @topic:6


# # # issue - medical cart battery level dropped to - 1 %. # # # impact - potential interruption in medical care due to malfunctioning equipment. # # # possible causes - damaged or poorly maintained battery - faulty battery charger - excessive power consumption by attached devices # # # recommendations - replace or repair damaged battery - inspect and maintain battery charger - optimize power consumption by adjusting settings or unplugging unnecessary devices @topic:13


# # # issue * the electric bed has a broken joint. # # # impact * the bed is not usable and cannot be used to care for patients. # # # possible causes * the bed may have been overloaded. * the bed may have been dropped or bumped. * the bed may have been used improperly. * the bed may have a manufacturing defect. # # # recommendations * inspect the bed for any other damage. * contact the manufacturer to report the failure. * repair or replace the bed as necessary. * train staff on proper use of the bed. @topic:9


# # # issue - spo2 cable failure. # # # impact - patient monitoring may be inaccurate or unavailable. # # # possible causes - physical damage to the cable. - electrical failure. - software malfunction. # # # recommendations - inspect the cable for any visible damage. - ensure that the cable is properly connected to the monitor and the patient. - update the monitor software to the latest version. - if the problem persists, contact the manufacturer for further assistance. @topic:4


. ventilation and hemodynamic calculation this example replar. 1. bob jones 123456 2 - calculation time apr 02 12 : 24 unite 1 / mieasier r16. 2 17.. 20 ml / 41 kange c. o. 3. 61 12 : 23 * 0. 85 12 : 24 * 50 22 : 24 * 55 12 : 24 ca02 cv02 ca - v02 do2 fi02 198 12.. 14 ml / 41 4. 2. 5. 0 ml / d1 40960.. 1150 ml / min ml / min pa02 zakg mlig 200 550.. 650 ml / min / m2 945 115.. 165 ml / min / m dozi vo21 paco2 3 - sp02 198 v02 12 : 24 * fv02 sv02 * 35 12124 53 12 : 24 * 15. 0 12 : 24 02er 02er 0. 24. 0. 28 aad02 1 10. 15 b / qt 50 3. 5 malig bb 5 / 41 pb * 760 12 24 height 185 12 : 24 weight 85. 0 12 : 24 2. 09 bsa kg 132 philips general hospital page 1 ( last ) patient information 1 alculation grou2 three columns of calculations input and output values, with times, units and ranges, where 3 329 24 calculations 330 25 high resolution ( hi - res ) trend waves provide information for fast - changing parameters at a glance. they can help you to recognize trend patterns and to find interrelationships between measurements, by comparing changes in your patient's condition across different hi - res trend waves. the amount of data you can show on a screen depends on the display size and resolution : for example, on an eight inch ( 20 cm ) wave trace on your monitor screen, you @topic:8


1 - 2 : 2001, the international standard for emc for medical electrical equipment. this iec standard has been adopted in the european union as the european norm, en 60601 - 1 - 2 : 2001. radio frequency ( rf ) interference from nearby transmitting devices can degrade performance of the product. electromagnetic compatibility with surrounding devices should be assessed prior to using the product. fixed, portable, and mobile radio frequency communications equipment can also affect the performance of medical equipment. see your service provider for assistance with the minimum recommended separation distance between rf communications equipment and the product. the cables, sensors / transducers, and other accessories for which compliance is claimed are listed in the beginning of this manual. warnings • use of accessories, transducers, and cables other than those specified may result in increased emissions and / or decreased immunity of the suresigns vm patient monitor. • the suresigns vm patient monitor should not be used adjacent to or stacked with other equipment. if adjacent or stacked use is necessary, the monitor should be observed to verify normal operation in the configuration in which it is used. electromagnetic compatibility b - 1 reducing electromagnetic interference caution the following ports on the suresigns vm monitor are sensitive to electrostatic discharge during patient monitoring : • sp0 2 • ecg • temperature probe follow these guidelines to reduce electrostatic discharge : • do not touch the connector pins of the port. • when connecting and disconnecting cables to the ports, use esd precautionary measures. precautionary measures may include the following : - make sure you are grounded prior to connection. touch grounded metal. - wear an esd grounding strap and an esd protective garment. - provide esd training to all users. users should understand what electrostatic discharge is, how damage can occur, and how to prevent esd. reducing electromagnetic interference the suresi @topic:10


# # # issue * * switch adjustment failure * * # # # impact * inability to adjust the bed's position accurately, hindering patient comfort and care. # # # possible causes * * * switch failure : * * the switch itself may be faulty or malfunctioning, preventing it from registering adjustments. * * * electrical malfunction : * * an electrical issue in the wiring or connections leading to the switch could be causing the failure. * * * software glitch : * * if the bed is equipped with digital controls, a software error could inhibit the switch from functioning properly. # # # recommendations * * * replace switch : * * verify that the replacement switch is compatible with the bed and install it securely. * * * check electrical connections : * * inspect the wiring and connections leading to the switch for any loose or damaged components. * * * update software : * * if the bed has digital controls, update the software to the latest version to resolve any potential bugs. * * * test functionality : * * thoroughly test the bed's adjustment functions after completing repairs to ensure proper operation. @topic:1


# # # issue * malfunctioning remote control for the huntleigh contour 360 electric bed # # # impact * inability to adjust the bed's position and functions using the primary remote control # # # possible causes * * * defective remote control : * * internal components failure, software issues, physical damage * * * mechanical interference : * * obstruction or damage to the remote control's receiver on the bed frame * * * battery issues : * * low battery power or faulty battery connections * * * communication errors : * * wireless interference or software glitches affecting communication between the remote and the bed # # # recommendations * * * troubleshooting : * * * check battery level and replace if necessary * clean the remote control and receiver to remove any debris or dust * ensure there are no physical obstructions between the remote and the receiver * * * repair or replacement : * * * if troubleshooting does not resolve the issue, consider repairing the remote control or replacing it with a compatible model * * * preventive maintenance : * * * periodically inspect the remote control and receiver for signs of damage or wear * ensure proper storage and handling of the remote control to minimize the risk of physical damage @topic:7


# # # issue - test monitor not reading from module bis # # # impact - inability to use module bis with test monitor # # # possible causes - * * faulty test monitor : * * the test monitor may be malfunctioning and unable to read data from the module bis. - * * incorrect module bis connection : * * the module bis may not be properly connected to the test monitor, preventing data transmission. - * * incompatible model : * * the test monitor may not be compatible with the specific module bis model. - * * software or firmware issues : * * software or firmware updates may have caused compatibility issues between the test monitor and module bis. # # # recommendations - * * test the test monitor : * * check if the test monitor is functioning properly using different modules or sources. - * * verify module bis connection : * * ensure that the module bis is securely connected to the test monitor and that all cables and ports are intact. - * * check compatibility : * * confirm that the test monitor and module bis models are compatible. - * * update software / firmware : * * install any available software or firmware updates for both the test monitor and module bis. - * * contact technical support : * * if the issue persists, contact the manufacturer or technical support for further assistance. @topic:22


) black i red multi - port nurse call connector test ( flexible nurse call ) this test checks the operation of the flexible nurse call relay. the nurse call relay test is recommended for customer sites where the nurse call is in use. the following diagram and table show the pins and relay identifiers of the connector : pin cable color coding relay 1 black r2 - closure 2 brown r2 - middle 3 red r2 - opener 4 orange r3 - closure 5 yellow r3 - middle 6 green r3 - opener 7 blue n / a 8 purple n / a 9 gray n / a 54 3 testing and maintenance tests pin cable color coding relay 10 white n / a 11 pink r1 - closure 12 light green r1 - middle 13 black / white r1 - opener 14 brown / white n / a 15 red / white n / a 16 orange / white n / a 17 blue / white r _ failure _ closure 18 purple / white r _ failure _ middle 19 green / white r _ failure _ opener 20 red / black n / a the nurse call relay functions as follows : • during standard operation r1, r2, r3 _ opener are closed ; rl, r2, r3 _ closure are open. • during alarm condition — rl, r2, r3 _ opener are open ; rl, r2, r3 _ closure are closed. tools required : ohmmeter. 1 plug an m8087 - 61001 cable into the nurse call relay connector. 2 connect the ohmmeter and measure the pins as indicated in the diagram and table. 3 the relay contacts should behave as described above. the behavior may vary depending on configuration choices. see the configuration guide for details on alarm relay settings. ecg sync performance test this test checks the performance of ecg synchronization between the monitor and a defibrillator. it only needs to @topic:10


# # # issue - noisy electric bed # # # impact - discomfort for patients - difficulty in using the bed - potential for further damage # # # possible causes - loose or worn components - misalignment of parts - insufficient lubrication - electrical issues # # # recommendations - inspect the bed for loose or worn components and tighten or replace as needed. - check the alignment of the bed and adjust as necessary. - lubricate the bed's moving parts according to the manufacturer's instructions. - check the electrical connections and ensure they are secure. - if the issue persists, contact the manufacturer or a qualified technician for further assistance. @topic:9


# # # issue - the bed, electric, huntleigh contoura 360 cannot be adjusted up and down. # # # impact - the patient cannot be positioned correctly for treatment. # # # possible causes - the power cord is damaged. - the control panel is not functioning properly. - the motor is not working. # # # recommendations - inspect the power cord for any damage. if the power cord is damaged, replace it. - check the control panel for any loose connections or damaged components. if the control panel is not functioning properly, replace it. - test the motor to ensure that it is working properly. if the motor is not working, replace it. @topic:1


# # # issue the hospital bed is making noise. # # # impact the noise may be disruptive to patients and staff. it may also indicate a more serious problem with the bed. # # # possible causes * * * lack of lubrication : * * the bed may not have been lubricated properly, causing the moving parts to grind against each other. * * * worn or damaged parts : * * the bed's moving parts may be worn or damaged, causing them to make noise. * * * improper assembly : * * the bed may not have been assembled properly, causing the components to rub against each other and make noise. # # # recommendations * * * lubricate the bed : * * apply a thin layer of lubricant to the bed's moving parts. * * * inspect the bed for worn or damaged parts : * * look for any signs of wear or damage, such as cracks, dents, or loose screws. replace any damaged parts. * * * reassemble the bed : * * disassemble the bed and reassemble it according to the manufacturer's instructions. ensure that all components are fitted properly and securely. @topic:9


# # # issue the bed is not adjusting properly, with the knee motor failing to function. # # # impact this issue can prevent the proper positioning of the patient, which can lead to discomfort, pain, and pressure ulcers. # # # possible causes 1. * * motor failure : * * the knee motor may have burned out or become damaged, preventing it from functioning properly. 2. * * electrical fault : * * there may be an issue with the electrical wiring or connections related to the knee motor, causing it to malfunction. 3. * * control unit malfunction : * * the control unit that communicates with the motor may be faulty, leading to the motor not receiving the correct commands. 4. * * mechanical obstruction : * * there may be an obstruction or misalignment in the mechanical components associated with the knee adjustment, preventing the motor from functioning properly. # # # recommendations 1. * * inspect and test motor : * * test the knee motor using a multimeter or other diagnostic equipment to determine if it is receiving power and functioning correctly. 2. * * check electrical connections : * * inspect the electrical wiring and connections related to the knee motor, ensuring there are no loose or damaged wires or connectors. 3. * * troubleshoot control unit : * * verify the proper operation of the control unit by testing other motor functions on the bed or by connecting a known - good control unit. 4. * * check mechanical components : * * inspect the mechanical components associated with the knee adjustment, including gears, tracks, and linkages, for any signs of damage, misalignment, or obstruction. 5. * * repair or replace : * * based on the identified cause of failure, perform repairs or replacements of the affected components, such as replacing the knee motor or repairing electrical connections. @topic:9


##vice guide ) silence - acknowledges all active alarms by switching off audible alarm indicators and lamps permanently or temporarily, if alarm reminder ( realarm ) is configured 1 9 on. bed label - gives access to equipment pause alarms or alarms off - stops alarms being announced for a set time or switches them off. select again to immediately switch alarms on again. can be configured not to appear here. 10 2 window smartkeys - displays a block of smartkeys. these change according to your monitor's configuration 11 atient category symbo3 patient name close all open menus and windows and return to main screen 12 4 date and time battery indicator with remaining battery time 5 13 status messages indicator - clicking this area displays any pending status messages 6 menu measurement selection symbol - opens measurement selection window to resolve label conflicts 7 alarm status area - shows active alarm 15 larms are switched alarms off / alarm volume indicator 8 28 1 introduction mx450 / 500 / 550 / 600 / 700 / 800 34 27 apr 2018 18d + 101 larms off untalzabralnabral " 60 60 95 120 / 70 ( 91 ) 28 / 15 ( 21 ) ( 9 ) ( 9 ) 82 17 28 1413 train 37. 0 37. 0 10 19 18 17 4 13 12 11 15 16 monitor information line other screen elements the status line shows messages with information and prompts you for possible actions ( mx400 / 450 / 500 / 550 do not have a reserved space for this feature ). network connection indicator 1 10 ( documented in troubleshooting in the service guidebed label - gives access to equipment remote application symbol or ipc symbol ( mx600 / 700 / 800 only ) 11 2 window measurement selection symbol - opens measurempatient category symbol 3 12 close all open menus and windows and return to main screen patient name 13 4 enter main setup menu 5 date and time 14 ccess @topic:10


# # # issue - bed is not adjustable # # # impact - patients may not be able to be positioned correctly for examinations or procedures. - staff may have to manually adjust the bed, which can be difficult and time - consuming. # # # possible causes - loose ac cord - faulty motor - broken gears - electrical short # # # recommendations - inspect the ac cord for any loose connections. if the cord is loose, tighten it and check if the bed is now adjustable. - if the ac cord is not loose, check the motor for any signs of damage. if the motor is damaged, it will need to be replaced. - if the motor is not damaged, check the gears for any signs of wear or damage. if the gears are damaged, they will need to be replaced. - if the gears are not damaged, check the electrical wiring for any signs of damage. if the wiring is damaged, it will need to be repaired. @topic:1


# # # issue - high ground fault current # # # impact - patient safety hazard - equipment damage # # # possible causes - damaged ac power cord - faulty grounding system - equipment malfunction # # # recommendations - replace ac power cord - inspect grounding system and repair as necessary - contact manufacturer for further troubleshooting and repair @topic:12


# # # issue - the bed cannot adjust the head portion. # # # impact - patients may not be able to achieve the desired position for comfort, procedures, or treatment. # # # possible causes - remote control issue. - remote control battery issue. - connection issue between remote control and the bed. - bed motor issue. - bed sensor issue. # # # recommendations 1. check the remote control battery and replace it if necessary. 2. ensure proper connection between the remote control and the bed by checking the cables and connectors. 3. check the bed motor for any unusual sounds or vibrations during operation. 4. inspect the bed sensor for any damage or misalignment. 5. contact the manufacturer for further assistance or troubleshooting steps. @topic:1


multiple different connections to different equipment at same time. expected test results single fault maximum leakage current x2 < 500ua ( iec 60601 - 1 ). < 300ua ( ul 60601 - 1 ) this test measures the leakage current of exposed metal parts of instrument under test ( iut ) with protective earth ( pe ) open circuit ( s4 = open ) and between parts of the system within the patient environment ; normal and reversed polarity using s2. performance verification testing 3 - 18 suresigns vs2 * and vsi service guide safety tests ground integrity s ( 2 ) protective earth continuity instrument under test ¡ applied part ( * ) if equipotential connection present : measure also with yellow / green e. p. conductor connected. expected test results with mains cable, maximum impedance x < 100 mohms ( iec 60601 - 1 and ul 60601 - 1 ). this test measures the impedance of the protective earth ( pe ) terminal to all exposed metal parts of instrument under test ( iut ), which are for safety reasons connected to the protective earth ( pe ). test current 25 amp applied for 5 to 10 seconds. patient leakage current with mains voltage s ( 3 ) patient leakage current - single fault condition ( s. f. c. ) mains on applied part ( * ) not present in class 2 instrument under test l ( n ) — o = o e | $ 2 < — — st o o — o oo — e ka > es [ applied part | md sa ) pe e esignal part a | output tile! insulating pad expected test results maximum leakage current, x < 50 a @ 250v ( iec60601 - 1 and ul 60601 - 1 ). this test measures the patient leakage current from the applied part to earth caused by external main voltage @topic:10


# # # issue - remote control cable is broken # # # impact - the patient may not be able to control the bed's functions, such as raising or lowering the bed, or adjusting the head or foot of the bed. # # # possible causes - the cable may have been damaged due to excessive bending or twisting. - the cable may have been cut or severed. - the cable may have been damaged by water or other liquids. # # # recommendations - replace the remote control cable. - inspect the cable for any other damage. - train the staff on proper use and care of the bed. @topic:7


# # # issue * the electric bed is not adjusting up or down. # # # impact * the patient cannot be positioned comfortably or safely. * the bed cannot be used for procedures that require the patient to be in a specific position. # # # possible causes * * * electrical failure : * * the bed's electrical system is not functioning properly. this could be caused by a loose wire, a blown fuse, or a damaged motor. * * * mechanical failure : * * the bed's mechanical components are not functioning properly. this could be caused by a worn or broken gear, a loose screw, or a damaged linkage. * * * software error : * * the bed's software is not functioning properly. this could be caused by a bug in the software or a corrupted file. # # # recommendations * * * electrical failure : * * * check the electrical connections to the bed. * check the fuses and replace any that are blown. * test the motor for continuity and replace it if necessary. * * * mechanical failure : * * * inspect the gears, screws, and linkages for wear or damage. * replace any damaged components. * * * software error : * * * update the bed's software to the latest version. * reset the bed to factory settings. if the problem cannot be resolved by following these recommendations, contact the manufacturer of the bed for further assistance. @topic:1


# # # issue the bed cannot be adjusted. # # # impact # # # possible causes - the control panel is not functioning properly. - the motor that powers the bed is not working. - the gears or other mechanical components are damaged. - the power supply to the bed is interrupted. # # # recommendations - check the control panel for any damage or loose connections. - test the motor by applying power to it directly. - inspect the gears and other mechanical components for any damage or wear. - check the power supply to the bed to ensure that it is functioning properly. @topic:1


* * issue : * * equipment malfunction during transfer * * impact : * * * delay in patient care * potential patient safety risk * * possible causes : * * * physical damage to equipment during transit * loose connections or cables * environmental factors ( e. g., temperature, humidity ) * software or firmware errors * * recommendations : * * * ensure proper packaging and handling of equipment during transfer. * inspect equipment thoroughly before and after transfer for any damage or loose components. * verify power and cable connections are secure. * check operating environment for compliance with equipment specifications. * update software and firmware as recommended by the manufacturer. * train staff on proper handling and maintenance of equipment. * consider using equipment transfer carts or specialized packaging to minimize risk of damage. @topic:12


# # # issue - equipment is not in its designated location. # # # impact - patient care may be delayed or compromised if the equipment is not available when needed. # # # possible causes - the equipment was loaned to another department without proper documentation or notification. - the equipment was not returned to its designated location after use. # # # recommendations - establish a clear policy and procedure for loaning equipment between departments. - ensure that all equipment is properly tracked and accounted for. - regularly audit equipment locations to ensure that all equipment is in its designated location. @topic:12


# # # issue - medical cart is not connecting. # # # impact - inability to use the medical cart for transporting or storing medical supplies and equipment. # # # possible causes - * * equipment error : * * there could be a problem with the medical cart's electrical system, preventing it from connecting to other devices or systems. - * * software issue : * * software glitches or bugs can interfere with the medical cart's ability to connect. - * * hardware issue : * * damaged or faulty hardware components, such as cables, ports, or connectors, can prevent the medical cart from establishing a connection. - * * network issues : * * if the medical cart is connected to a network, problems with the network infrastructure or firewall settings can block communication. # # # recommendations - * * restart the medical cart : * * this can help reset any software or hardware issues. - * * check the cables and connections : * * ensure that all cables are securely connected and that there are no loose or damaged wires. - * * update the software : * * if the issue is software - related, updating the medical cart's software can resolve the problem. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the medical cart for further troubleshooting and repair. @topic:13


# # # issue the philips m3150a central station physiological monitor is experiencing a failure issue, specifically a blank screen. # # # impact the blank screen on the monitor prevents medical professionals from accurately monitoring patient vital signs, potentially leading to delayed or incorrect treatment decisions. # # # possible causes * * * loose signal cable connection : * * the biomedical engineer ( bme ) has identified and resolved a loose connection in the signal cable. however, this issue may have contributed to the blank screen failure. * * * power supply issues : * * a faulty power supply or power cord could be causing the monitor to lose power and display a blank screen. * * * hardware malfunction : * * a component within the monitor, such as the display panel or microcontroller, may have malfunctioned, leading to the blank screen. * * * software glitch : * * a software error or corrupted data can sometimes cause unexpected behavior, including a blank screen on the monitor. # # # recommendations to address the failure issue and ensure proper functioning of the monitor, the following recommendations are suggested : * * * recheck signal cable connection : * * verify that the signal cable connection is secure and fully plugged in. ensure that the cable is free of any damage or fraying. * * * inspect power supply : * * check the power supply unit and power cord for any signs of damage. replace the power supply or cord if necessary. * * * examine monitor hardware : * * inspect the monitor for any physical damage or loose components. if any issues are identified, contact a qualified medical equipment repair technician. * * * check software updates : * * if applicable, check for any available software updates for the monitor. installing the latest updates can resolve software - related issues. @topic:2


# # # issue - missing remote control for an electric hospital bed. # # # impact - impaired functionality of the bed, making it difficult for patients to adjust their position or for caregivers to provide assistance. # # # possible causes - loss or misplacement of the remote control - damage to the remote control - compatibility issues between the remote control and the bed - malfunction of the remote control's receiver within the bed # # # recommendations - * * locate the remote control : * * - search the vicinity of the bed or the patient's room. - inquire with the patient, nurses, or other hospital staff if they have seen the remote control. - * * check for damage : * * - inspect the remote control for any visible signs of damage, such as cracks, broken buttons, or loose wires. - * * verify compatibility : * * - ensure that the remote control is compatible with the specific model of electric hospital bed. refer to the manufacturer's instructions or consult with a biomedical engineer. - * * examine the receiver : * * - inspect the bed's receiver for any loose connections or damage. clean the contacts with a soft, dry cloth. - * * replacement or repair : * * - if the remote control is damaged beyond repair, order a replacement from the manufacturer or a reputable medical equipment supplier. - if the receiver is malfunctioning, contact a qualified biomedical engineer for further troubleshooting and repair. @topic:7


# # # issue : - spo2 cable malfunction # # # impact : - inaccurate or unreliable monitoring of blood oxygen saturation levels - potential delays in patient care or treatment decisions # # # possible causes : - physical damage to the cable, such as cuts or breaks - corrosion or oxidation of the cable's connectors - loose connections between the cable and the monitoring device or patient - malfunction of the internal components of the cable # # # recommendations : - regular inspection and maintenance of the spo2 cables to identify and address potential issues early on - proper storage and handling of the cables to prevent physical damage - use of high - quality cables and connectors to ensure durability and reliability - proper training of staff on the correct use and handling of spo2 cables - implementation of a system for tracking and replacing cables that reach the end of their expected lifespan @topic:4


# # # issue - the equipment ( monitors, bedside, physiologic ) is not displaying properly on the control room monitor. # # # impact - the issue may impact the patient's care and treatment, as the medical staff may not be able to monitor the patient's vital signs and other data properly. # # # possible causes - the hdmi or vga cable may be faulty or not properly connected. - the lan cable or port may be faulty or not properly connected. # # # recommendations - the biomedical engineer ( bme ) should troubleshoot the issue by : - checking the hdmi and vga cables and connections. - checking the lan cable and port. - replacing the faulty cables or ports. - if the issue persists, the bme should contact the equipment manufacturer for further assistance. @topic:2


inops are erased from the review alarms window when you discharge a patient, or if you change to demonstration mode. alarm messages window the alarm messages window shows all the currently active alarms and inops sorted by priority, beginning at the top with the most recent. inops are shown on the left hand side and patient alarms are shown on the right hand side. any active red alarms are shown first, followed by yellow alarms. acknowledged alarms or inops are shown with the check mark symbol. the alarm messages window pop - up keys appear when the window is opened. if alarm pause extension is disabled, the pause pop - up keys are inactive ( “ grayed - out ” ). selecting the review alarms pop - up key opens the review alarms window. 66 reviewing alarms 3 alarms alarm review pause a1. pause a1 limits alarms 5 min. 10 min. if you do not immediately understand an inop or alarm message, refer to its help text. • in the alarm messages window, select the inop message. this calls up a help window with an explanation of the inop message and, where appropriate, a suggested solution for the problem. • if the alarm or inop was generated in a device other than the monitor ( for instance, in an mms or fms ), this source is specified at the end of the help text ( source : fms ). review alarms window the review alarms window contains a list of the most recent alarms and inops with date and time information. if configured to do so, each alarm is shown with the alarm limit active when the alarm was triggered and the maximum value measured beyond this limit. the review alarms window also shows when the monitor was switched on ( after being switched off for longer than 1 minute ) and any changes made to the alarms on / off, standby, silence or ecg source. when you select an item from the list, you can get @topic:10


# # # issue - the hard disk drive ( hdd ) has failed. # # # impact - the monitor is unable to display patient data, which could delay or compromise patient care. # # # possible causes - the hdd may have been damaged due to : - power surge - physical shock - wear and tear # # # recommendations - replace the failed hdd with a new one. - test the monitor to ensure that it is functioning properly. - regularly back up patient data to prevent data loss in the event of a future hdd failure. @topic:2


/ min ) for extended periods, deposits of paper debris may collect on the print head making recordings unevenly fainter in horizontal stripes. 1 remove the recorder. 2 open the recorder door and un - thread the paper from behind the rubber roller. 3 tear off or roll up the excess paper into the roll chamber to get it out of your way. 4 thread the cloth cleaning strip instead of paper around the rubber roller until approximately two inches of the strip come out from the top of the roller. 5 close the recorder door, aligning both ends of the strip over the top of the door. 6 holding the top end of the cleaning strip between your thumb and forefinger, pull the strip through and out of the recorder. 7 open the door and ensure that the paper cavity is dust - free. re - thread the paper and replace the recorder. 367 34 care and cleaning cleaning batteries and the battery compartment cleaning batteries and the battery compartment mp20 / mp30 wipe with a lint - free cloth, moistened with warm water ( 40°c / 104°f maximum ) and soap. do not use mp40 / mp50 strong solvents. do not soak the battery. only 368 35 using batteries intellivue mp20 / mp30 : one or two philips m4605a rechargeable lithium ion batteries must be inserted into mp20 / mp30 / the battery compartment at the rear of the monitor to use the mp20 / mp30 monitor with battery mp40 / mp50 power. battery compartment mp40 / mp50 : two philips m4605a rechargeable lithium ion batteries must be inserted into the battery compartment at the rear of the monitor to use the mp40 / mp50 monitor with battery power. 369 35 using batteries battery power indicators the mp60 / mp70 / mp80 / mp90 monitors cannot be powered by battery. you @topic:10


# # # issue - the blood pressure monitor is taking a long time to measure the blood pressure and is not releasing the cuff. # # # impact - the patient may not be receiving accurate blood pressure readings. - the patient may be uncomfortable due to the tight cuff. # # # possible causes - the cuff may have a leak. - the tubing may be kinked. - the sensor may be malfunctioning. # # # recommendations - replace the cuff. - check the tubing for kinks. - test the sensor. @topic:3


# # # issue the corometrics 145 fetal monitor is not functioning properly and has been removed from service. # # # impact the unavailability of the fetal monitor may result in delayed or inaccurate monitoring of fetal heart rate and other vital parameters, which could have adverse effects on patient care. # # # possible causes * * 1. hardware failure : * * - damage to sensors or transducers - malfunctioning of internal components - broken electrical connections * * 2. software failure : * * - corrupted software or firmware - security breaches or malicious attacks * * 3. user error : * * - incorrect setup or calibration - mishandling or improper maintenance * * 4. environmental factors : * * - power fluctuations or surges - extreme temperatures or humidity - emi interference from other medical devices # # # recommendations * * to resolve this issue, the following steps are recommended * * : - * * inspect the equipment : * * visually inspect the fetal monitor for any obvious damage or loose connections. - * * check the software : * * verify that the software is up - to - date and free of any errors. - * * troubleshoot the hardware : * * perform diagnostic tests to identify any hardware malfunctions. - * * consult with the manufacturer : * * contact corometrics for technical support and guidance. - * * perform preventive maintenance : * * regularly schedule maintenance and calibration to prevent future failures. - * * train staff : * * ensure that all staff members are adequately trained on the proper use and maintenance of the fetal monitor. @topic:2


# # # issue - cuff degradation # # # impact - inability to accurately measure vital signs # # # possible causes - aging - excessive use - improper storage # # # recommendations - replace the cuff regularly - avoid excessive use - store the cuff properly @topic:5


* * issue * * - inability to adjust the bed * * impact * * - patient discomfort or injury * * possible causes * * - loose power cord - malfunctioning control box - defective motor * * recommendations * * - ensure that the power cord is securely connected to the control box and the electrical outlet. - inspect the control box for any visible damage or loose connections. - test the motor by manually adjusting the bed. if the motor does not respond, replace it. @topic:1


# # # issue - the central monitor is not functioning properly. # # # impact - the medical staff is unable to monitor the patient's vital signs accurately. # # # possible causes - the ekg lead cable is faulty. # # # recommendations - replace the faulty ekg lead cable. @topic:18


' s support : * * reach out to the device manufacturer for additional troubleshooting assistance or technical guidance. @topic:12


# # # issue - cuff deterioration # # # impact - reduced accuracy of vital sign readings # # # possible causes - prolonged use without proper maintenance - exposure to moisture or extreme temperatures - physical damage to the cuff # # # recommendations - regular maintenance and calibration of the equipment by a qualified technician - proper storage and handling of the cuff to prevent damage - prompt replacement of the cuff if signs of deterioration are observed @topic:5


server extension with continuous cardiac output, pressure, temperature, press / temp, for all languages apart from danish, italian, chinese and japanese, order also the local language bezel as shown in the previous “ list of parts ” not shown m3014 - 6801a 451261009281 exchange m3014a measurement server extension with c0 2 for all languages apart from danish, italian, chinese and japanese, order also the local language bezel as shown in the previous “ list of parts ” not shown m3014 - 6831a 451261009311 exchange m3014a measurement server extension with c0 2 cardiac output, pressure, press / temp for all languages apart from danish, italian, chinese and japanese, order also the local language bezel as shown in the previous “ list of parts ” not shown m3014 - 6891a 451261009461 exchange m3014a measurement server extension with c0 2 pressure, press / temp for all languages apart from danish, italian, chinese and japanese, order also the local language bezel as shown in the previous “ list of parts ” not shown 203 6 parts measurement server extension parts ( m3012a, m3014a, m3015a and m3016a ) part number 12nc part no. description item m3014 - 6861a 451261009601 exchange m3014a measurement server extension with c0 2 cardiac output / continuous cardiac output, pressure, press / temp for all languages apart from danish, italian, chinese and japanese, order also the local language bezel as shown in the previous “ list of parts ” not shown m3015 - 6801a 453563332431 exchange m3015a measurement server extension with pressure / temperature, english. ( old hardware, s / n prefix : de020 @topic:19


# # # issue - unable to add new patient name to medical cart drawer. # # # impact - delays in patient care. # # # possible causes - the patient's name may be cached in the medical cart's software and needs to be refreshed. - the medical cart may be connected to the wrong patient's medical record. - there may be a software bug that is causing the issue. # # # recommendations - refresh the medical cart's software. - check that the medical cart is connected to the correct patient's medical record. - contact the medical cart manufacturer for support if the issue persists. @topic:13


##400 / 450 / 500 / 550 / 600 / 700 / 800 video interface ( independent display interface option ) dvi ( digital and analog, single link ) connector ixel clock frequenc31. 5 mhz 119 mhz single link tmds 0. 7 vpp @ 75 2 digital video signals analog video signals hsync / vsync signals tdc signalnone dc powe5 v + / - 5 % @ 0 - 55 ma ecg sync output / analog ecg output ( 1 / 4 " stereo phone jack with tip, ring, sleeve ) 1 / 4 " phone with tip, ring, sleeve general connector isolation functional isolation signal gain x measured ecg voltag < 15 % full scale on displaanalog ecg output ( ring, tip ) ain errobaseline offset < 100 mv bandwidth 1 to 100 hz 4 v ( minutput voltage swinsignal delay < 22 ms signal delay with older versions 30 m [ identifiable with the prefix de227 or de441 and option string # a01 ] pacemaker pulse oltage level filtered and included in ecg output signal digital pulse output ( ring ) < 0. 4 v @ i = - 1 ma > 2. 4 v @ i = 1 ma 100 ms±10 ms ( active high ) < 1 ms ( from 0. 4 v to 2. 4 v ) < 25ms per aami ec13 < 35ms per aami ec13 pulse width pulse rise time ignal delay signal delay with older prefix de227 a01 ] 472 40 specifications x2 interface specifications x2 ( m3002a ) interface specifications measurement link ( msl ) female odu ( proprietary ) connectors 30 v to 60 v input power ower syncrs - 422 compliant input 78. 125 khz ( typical ) an signalieee 802. 3 10 - base - t compliant erial signals @topic:8


# # # issue - bed, electric, paramount bed, ka - 64000 : bed alarm cable is disconnected. # # # impact - the bed alarm will not function properly, which could lead to patient safety issues. # # # possible causes - the cable may have been accidentally disconnected during maintenance or repair. - the cable may have been damaged due to wear and tear. # # # recommendations - inspect the cable for damage and replace it if necessary. - secure the cable properly to prevent it from being accidentally disconnected. - train staff on proper handling and maintenance of medical devices. @topic:26


# # # issue - loose connection in the equipment # # # impact - interruption of monitoring and treatment - patient safety concerns # # # possible causes - loose plug - poorly secured cable - damaged connector # # # recommendations - inspect the equipment and cables for any loose connections or damage. - securely connect the cables and ensure the plugs are firmly in place. - consider using cable ties or other locking mechanisms to prevent cables from becoming loose. @topic:2


# # # issue - intermittent loss of spo2 signal # # # impact - inaccurate or incomplete patient monitoring data - potential for delayed or missed clinical interventions # # # possible causes - defective spo2 cable - loose connections - patient movement - interference from other medical devices # # # recommendations - replace the spo2 cable with a new one that is compatible with the intellivue mp40 ( m8003a ) monitor. - ensure all connections are secure and fit snugly. - reposition the patient to minimize movement that could cause the cable to disconnect. - check for any other medical devices in the vicinity that could be causing interference, and move them away if necessary. @topic:4


bezel 453564270051 453564270051 ms _ sc02 bezel symbols m3015b c02. p, p, t 453564270061 453564270061 ms _ sc02 bezel text m3015b c02. p, p, t m3015b misc 453564312871 453564312871 ms _ sc02 top cover assy hw rev c exchange parts list exchange parts are parts that have been returned to philips and reconditioned for further use. parts offered as exchange parts are in excellent service order according to rigorous philips standards but offer you a considerable price advantage. 234 6 parts ) a front bezel with symbols instead of engush text is provided with each exchange mms extension. part number 12nc description m3012a 862111 hemodynamic measurement server extension m3012 - 6801a 451261000201 ms _ hms oem exch. unit english ( # c00 ) m3012 - 6831a 451261000341 ms _ hms oem exch. unit english ( # c05 ) m3012 - 6861a 451261000491 ms _ hms oem exch. unit english ( # c10 ) m3014a 862187 capnography extension m3014 - 6801a 451261009281 ms _ rc02 oem exch. unit english ( # c00 ) m3014 - 6831a 451261009311 ms _ rc02 oem exch. unit english ( # c05 ) m3014 - 6861a 451261009601 ms _ rc02 oem exch. unit english ( # c10 ) m3014 @topic:19


# # # issue battery charge is low, indicated by a red light. # # # impact - the device may not be able to function properly if the battery is not charged. - the device may turn off unexpectedly, which could lead to a loss of data or a disruption of patient care. # # # possible causes - the battery is not properly connected to the device. - the battery is not charged. - the battery is old or damaged. - the device is not properly configured to use the battery. # # # recommendations - check the connection between the battery and the device. - charge the battery. - replace the battery if it is old or damaged. - configure the device to use the battery. @topic:11


# # # issue - bed is unable to adjust its height. # # # impact - patient discomfort and inconvenience. - difficulty for healthcare providers to access the patient. - increased risk of pressure sores and other complications. # # # possible causes * * 1. electrical issue * * - faulty wiring or connections - malfunctioning motor - power supply issues * * 2. mechanical issue * * - damaged or obstructed gears - worn or broken belts - misalignment of components * * 3. sensor issue * * - faulty sensor or sensor wiring - improper calibration of the sensor # # # recommendations * * 1. electrical troubleshooting * * - check for loose or damaged wires and connections. - test the motor using a multimeter. - ensure adequate power supply to the bed. * * 2. mechanical inspection * * - examine gears, belts, and components for damage or wear. - check for proper alignment of all components. * * 3. sensor calibration * * - calibrate the sensor according to the manufacturer's instructions. - check for proper alignment and sensitivity of the sensor. * * 4. consult manufacturer * * - if the issue persists, contact the equipment manufacturer for technical assistance. @topic:1


##loaded with the software, purchased options and settings. a support tool is required to perform these tasks. please see the support tool instructions for use document for details on how to load software, options and settings. before exchanging the main board, retrieve the status log from the monitor with the support tool. please include a status log printout when returning the defective main board. — remove the battery as described above. remove the handle as decribed above. remove the display as described above. remove the nbp pump assembly as described above. remove the power board as described above. remove the loudspeaker as described above. remove the nbp airguide / instrument telemetry ( iit ) assembly as described above. remove the ecg sync pulse out connector as described above. = eo es 4d. ee d unplug the connection to the measurements. carefully loosen the connections by gently pulling the connectors and moving them back and forth. the connection between the measurements and the main board is very tight, therefore there will be some resistance when loosening them. 10. remove the main board by lifting it up to the side on which the power board is connected. note the housing has two plastic noses. make sure the main board remains below these noses while it is being lifted. otherwise the board will get stuck cannot be lifted out. 157 11. remove the flex cable by opening the plastic latch on the main board. be very careful when opening the connector, because a broken latch cannot be replaced. 12. reassemble by performing steps 1 - 10 in reverse order. note when reinserting the main board, make sure it is placed below the plastic noses before pressing it in. removing the rear housing note depending on which repair or exchange needs to be performed, not all the components will need to be removed for removal of the rear housing. if only the rear housing needs to be @topic:19


# # # issue - plugged failure # # # impact - device malfunction # # # possible causes - physical damage to head of plug - incorrectly installed plug # # # recommendations - inspect plug for damage and replace if necessary - ensure plug is properly installed @topic:12


# # # issue - cuff is not working # # # impact - unable to measure blood pressure # # # possible causes - the cuff is not properly connected to the monitor. - the cuff is damaged. - the cuff is the wrong size for the patient. # # # recommendations 1. check that the cuff is properly connected to the monitor. 2. inspect the cuff for damage. if the cuff is damaged, replace it. 3. check that the cuff is the correct size for the patient. if the cuff is too small or too large, it will not be able to provide an accurate blood pressure reading. @topic:3


* * issue : * * equipment failure ( medical cart ) * * impact : * * temporary suspension of equipment use, potential disruption to patient care * * possible causes : * * - * * overheating due to excessive use : * * the equipment may have been used beyond its recommended capacity, causing components to generate excessive heat and leading to a shutdown. * * recommendations : * * - * * monitor usage and adherence to operational guidelines : * * ensure that the equipment is used within its intended limits and that it is properly maintained. - * * consider workload management : * * distribute usage among multiple units or schedule maintenance breaks to prevent excessive strain on the equipment. - * * inspect for proper ventilation : * * verify that the equipment has adequate airflow and is not obstructed by debris or other objects that could trap heat. - * * check for overheating components : * * regularly inspect critical components ( e. g., motors, circuit boards ) for signs of excessive heat or damage. - * * provide training on proper equipment handling : * * train staff on how to use and maintain the equipment correctly to minimize the risk of overheating. @topic:30


# # # issue - the electric bed is not functioning properly. # # # impact - the bed cannot be used to support patients, which can lead to delays in patient care and discomfort for patients. # # # possible causes - the bed is not plugged in or the power cord is damaged. - the bed's controls are not functioning properly. - the bed's motor is not working properly. - the bed's frame is damaged. # # # recommendations - check the power cord and make sure it is plugged in securely. - check the bed's controls to make sure they are not damaged. - if the bed's controls are damaged, replace them. - if the bed's motor is not working properly, replace it. - if the bed's frame is damaged, repair or replace it. @topic:9


patient monitors, and information centers. - patient demographic information is shared between connected mmss, patient monitors, and information centers - measurement settings and calibration data can be uploaded from an mms to a patient monitor, if configured - trend information can be uploaded from an mms to a patient monitor, if configured. different sets of patient and measurement - related data are stored in the monitor and the multi - measurement module. understanding this will help you to understand what happens to patient data when you transfer patients. patient information stored in monitor stored in mms and extensions patient demographics ( name, dob, patient ids ) yes yes monitor settings ( alarm pause time, alarm volume ) yes no measurement settings for all measurements ( alarm limits, measurement on / off, etc. ) yes yes, for all mms and extensions measurements trend data yes, for all mms and extensions measurements ( up to a maximum of 16 or 32, depending on your database configuration ) most recent 8 hours of information, for all mms and extensions measurements calculation data ( hemocalc data ) yes no events data yes no warning if the monitor is not battery - powered, you cannot monitor during transport. transferring a centrally - monitored patient scenario : a centrally - monitored patient is moved to another monitoring location on the same information center database server without interrupting the collection of patient trend information. 1 before you disconnect the mms from the monitor, select the patient name field or select the admit / dischrge smartkey to open the patient demographics window, then select the transfer pop - up key. if the patient is not admitted or not monitored by an information center, the transfer key is inactive ( “ grayed - out ” ). this step preserves the patient ’ s demographic data during the transfer. 2 remove the mms and any connected extensions from the monitor. 105 5 managing patients transferring patients 3 connect the mms to the transfer @topic:10


# # # issue the cause of failure is not clearly stated in the given input. it only mentions that the biomedical engineer ( bme ) tested the bed and found it was functioning normally. # # # impact without a clear understanding of the cause of failure, it is difficult to determine the impact on the patient or the hospital. it is also difficult to prevent future failures from occurring. # # # possible causes * * 1. improper use by the patient or staff. * * the bed may have been used in a way that it was not designed to be used, or it may have been damaged by improper handling. for example, the staff may have tried to adjust the bed while the patient was on it, or the patient may have tried to get out of bed without assistance and bumped the bed into something. * * 2. mechanical failure. * * a part of the bed may have failed, such as the motor, the hydraulics, or the electrical system. this could be due to a manufacturing defect, normal wear and tear, or an accident. * * 3. software glitch. * * the bed may have experienced a software glitch that caused it to malfunction. this could be due to a bug in the software, a corrupted file, or a power surge. # # # recommendations * * 1. train the patient and staff on the proper use of the bed. * * make sure they understand how to adjust the bed, how to get in and out of bed, and how to avoid damaging the bed. * * 2. inspect the bed regularly for any signs of damage. * * this includes checking the motor, the hydraulics, the electrical system, and the frame. if you find any damage, report it to the maintenance department immediately. * * 3. update the software on the bed regularly. * * this will help to prevent software glitches that @topic:9


/ pediatric ) 21076a 60 sec attachable surface probe 21078a 60 sec disposable general purpose probe m1837a 90 sec skin probe 21091a 60 sec esophageal / stethoscope probe ( 12 french ) 21093a 180 sec esophageal / stethoscope probe ( french 18 ) 21094a 210 sec esophageal / stethoscope probe ( french 24 ) 21095a 310 sec foley catheter probe ( 12 french ) m2255a 180 sec foley catheter probe ( 16 french ) 21096a 180 sec foley catheter probe ( 18 french ) 21097a 180 sec adapter cable 1. 5m 21082b adapter cable 3. 0m 21082a cardiac output ( c. o. ) accessories see pressure accessories for pulsion continuous cardiac output accessories. description part no accessories common to both methods accessories set of ice buckets 14455a remote handswitch 15244a picco inline temperature probe latex free m1646a right heart thermodilution c. o. interface cables 2. 7 meter cable m1642a 2. 4 m + 2. 4 m cable m1643a right heart catheter for thermodilution ( from edwards lifesciences ) 831hf75 edwards co - set + ( only with 23001a / b ) contact edwards lifesciences for information injectate probes 2. 4m injectate temp, probe ( reusable ) 23001a 0. 5m injectate temp, probe ( reusable ) 23001b ice bath temp, probe 23002a 393 37 accessories mainstream c0 2 accessories description part no transpulmonary thermodilution @topic:8


# # # issue - cuff bp missing # # # impact - unable to measure blood pressure - incomplete patient monitoring # # # possible causes - cuff bp was not properly secured during use - cuff bp was damaged during use - cuff bp was not properly inspected before use # # # recommendations - ensure that the cuff bp is properly secured during use - inspect the cuff bp before each use for any signs of damage - replace the cuff bp if it is damaged - train staff on the proper use and care of the cuff bp @topic:3


# # # issue - faulty plug # # # impact - the equipment may not function properly or may be unsafe to use. # # # possible causes - the plug may have been damaged due to wear and tear, mishandling, or a manufacturing defect. - the plug may not have been properly inserted into the outlet. # # # recommendations - inspect the plug for any damage, such as cracks, broken wires, or loose connections. - ensure that the plug is securely inserted into the outlet. - replace the plug if it is damaged or if it does not fit securely into the outlet. - if the issue persists, consult with a qualified electrician or biomedical engineer for further troubleshooting. @topic:12


# # # issue - cuff of the physiologic vital signs monitor ( philips suresigns vs2 ) is torn. # # # impact - the cuff cannot be used, preventing the monitor from accurately measuring vital signs. # # # possible causes - cuff material has deteriorated over time due to wear and tear. # # # recommendations - replace the cuff with a new one. @topic:5


# # # issue - equipment : bed, electric - band : huntleigh - model : enterprise 8000 - description : the bme found that the nuts were loose at the locking socket. the nuts were tightened and the parts were reassembled. the device was tested and found to be functioning normally. - cause of failure : the locking rail came loose. # # # impact - the patient may not be able to use the bed. - the patient may be uncomfortable or in pain. - the bed may not be able to be used for other patients. # # # possible causes - the nuts were not properly tightened. - the locking rail was not properly installed. - the bed was not properly used. # # # recommendations - the nuts should be properly tightened. - the locking rail should be properly installed. - the bed should be properly used. @topic:9


# # # issue the medical cart fails to boot up. # # # impact medical personnel are unable to use the medical cart to provide patient care. # # # possible causes - * * hardware failure : * * the medical cart's motherboard, power supply, or other hardware components may have failed. - * * software failure : * * the medical cart's operating system or software may have become corrupted or damaged. - * * user error : * * the medical cart may have been improperly configured or used, leading to a boot failure. # # # recommendations - * * check the power supply : * * ensure that the medical cart is plugged into a working power outlet and that the power cord is securely connected. - * * inspect the hardware : * * look for any loose connections or damaged components on the motherboard, power supply, and other hardware. - * * reinstall the operating system : * * if the software is suspected to be the cause of the boot failure, reinstall the operating system. - * * contact the manufacturer : * * if the problem cannot be resolved by following the above steps, contact the manufacturer of the medical cart for support. @topic:13


ble ) connection and update the connex spot monitor ( monitor ) refer to the " advanced settings " instructions on how to allow the bluetooth low energy configuration. 1. power on the connex spot monitor. open the mobile application on the device. a list of vitals devices appears. 2. if this is the first time connecting the mobile device with the connex spot monitor, select the vitals device in the mobile application. 3. the bluetooth pairing request prompt appears : " wacsm... would like to pair with your... " a. b. pair the device and the connex spot monitor by touching ok on the connex spot monitor at the prompt, " a bluetooth low energy device is attempting to connect. " at the pairing confirmation screen, touch pair on the mobile application. c. the mobile application home screen appears. bluetooth wireless technology welch [UNK] connex® spot monitor 40 4 = 1 41 disassembly and repair these procedures provide instructions for device disassembly and board removal, as well as embly. each part's disassembly instructions might include one or both of the following : reassembly notes : this subsection contains information specific to reassembly. at a minimum, these notes indicate whether or not reassembly is the reverse of disassembly. the notes also list service kits of replacement parts where applicable. when replacing the component : this subsection contains additional instructions related to installing a new option or replacement part. each disassembly step includes drawings that illustrate the components to be removed. the reassembly notes could be as short as one or two lines when reassembly is the reverse of disassembly. when reassembly is more complicated, these notes alert you to any special care @topic:19


# # # issue : battery of the device is due for replacement. # # # impact : device may not be able to function properly if the battery is not replaced. # # # possible causes : - the battery has reached the end of its lifespan. - the battery is not charging properly. - the battery is damaged. # # # recommendations : - replace the battery with a new one of the same type. - check the charging system of the device to ensure that it is functioning properly. - inspect the battery for any damage. @topic:11


# # # issue - cuff leak # # # impact - inaccurate blood pressure readings # # # possible causes - cuff wear and tear # # # recommendations - replace the cuff @topic:3


# # # issue the philips intellivue mp40 patient monitor is experiencing an issue with the battery. # # # impact the monitor may not be able to function properly if the battery is not replaced. # # # possible causes the battery has reached the end of its lifespan and needs to be replaced. # # # recommendations replace the battery with a new one that meets the specifications of the monitor. ( 10. 8v 6ah x 2 ) @topic:11


# # # issue - the bed side rail is stiff and requires excessive force to lower. # # # impact - patients may be unable to lower the side rail independently, increasing the risk of falls and injury. - nurses and other caregivers may experience strain or injury when assisting patients with lowering the side rail. # # # possible causes - friction between the side rail and its tracks - accumulation of dirt or debris in the tracks - bent or damaged side rail or tracks - lack of lubrication # # # recommendations - lubricate the side rail and tracks with a silicone - based lubricant. - clean the tracks of any dirt or debris. - inspect the side rail and tracks for any damage or bending. - replace any damaged or bent parts. - test the side rail to ensure it operates smoothly and can be lowered with minimal force. @topic:6


# # # issue - missing control box # # # impact - bed cannot be operated electrically # # # possible causes - control box was lost or misplaced - control box was damaged and discarded # # # recommendations - check the area around the bed for the missing control box - contact the manufacturer to order a replacement control box - inspect the bed and wiring for any damage that may have led to the control box being removed or damaged @topic:32


# # # issue the bed, electric is not able to adjust the head up or down. # # # impact the patient may not be able to get into or out of bed, or may not be able to be positioned comfortably. # # # possible causes - the power cord is not plugged in. - the power cord is damaged. - the control box is not getting power. - the control box is damaged. - the motor is not getting power. - the motor is damaged. - the gears are damaged. # # # recommendations 1. check the power cord to make sure it is plugged in and not damaged. 2. check the control box to make sure it is getting power. 3. check the motor to make sure it is getting power. 4. check the gears to make sure they are not damaged. 5. if the problem is not resolved, contact a qualified biomedical engineer. @topic:1


patient or damage to the bed. only use manufacturer's parts and accessories. age 5 never place objects or equipment on the chassis or use it to support a person. do not use of the bed with loads in excess of the safe working load. notice to users and / or patients : any serious incident that has occurred in relation to the device, should be reported to the manufacturer and the competent authority of the member state in which the user nt is established. recommendations for the siderails in the case of patients suffering from particular behavioral difficulties ( e. g., agitation, mental confusion, loss of sense of direction, obsessive behavior, old patients, weakness, etc. ), properly trained medical staff should ascertain how the siderails should be used ( irrespective of the model or type ), whether the patient should be monitored closely or immobilized and whether the patient helpers should be left in position, in order to ensure that patients use the bed in complete safety. certain national health authorities have issued guidelines risks to patients and the reduction of these hazards, as indicated below. it is recommended that patients at risk be identified in each establishment or ward so that the safety measures most appropriate to their particular needs can be. one measure which has already proved effective is to draw up a protocol specifying : situations and conditions for siderail use and authorized mattress type or model, for all patient monitoring procedures, both for restrained and unrestrained 1. 2. 3. circumstances under which patients must be restrained according to the instructions and recommendations of the manufacturer of the said restraining devices. the siderails are designed to help reduce the risk of patients falling out of bed accidentally. they are not designed to restrain or immobilize the patient. restraining straps or other devices must not be fastened to them. recommendations for the mattresses hill - rom shall not be held liable for any problems @topic:9


# # # issue the equipment is unable to charge. # # # impact the equipment is not able to be used for patient monitoring. # # # possible causes - the battery is dead or damaged. - the battery charger is not working properly. - the power supply to the equipment is not working properly. # # # recommendations - replace the battery. - check the battery charger and verify correct operation. - check the power supply to the equipment and verify correct operation. - contact the manufacturer for further assistance. @topic:11


# # # issue - the head plug of the bed is damaged. # # # impact - the bed may not be able to be used properly. # # # possible causes - the head plug may have been damaged due to wear and tear, or it may have been damaged during transportation or installation. # # # recommendations - the head plug should be replaced by a qualified technician. @topic:9


# # # issue : screen display lines # # # impact : inability to use the device # # # possible causes : - * * loose or damaged cables : * * the cables connecting the monitor to the device may be loose or damaged, causing intermittent signal transmission and resulting in lines on the screen. - * * faulty graphics card : * * the graphics card responsible for rendering the image on the screen may be malfunctioning, leading to display distortions. - * * monitor hardware issue : * * the monitor itself may have a hardware defect, such as a damaged or malfunctioning display panel. - * * software corruption : * * software issues within the monitor or device can cause display problems, including lines appearing on the screen. # # # recommendations : - * * inspect cables : * * check for any loose or damaged cables and ensure they are securely connected. replace any damaged cables as needed. - * * run diagnostics : * * use the built - in diagnostic tools of the monitor or device to determine if it identifies any hardware issues. - * * contact manufacturer : * * if the issue persists, contact the manufacturer or authorized repair center for further assistance and possible replacement of faulty components. - * * update software : * * ensure that the monitor and device are running the latest software updates, as they may include fixes for display - related issues. @topic:2


# # # issue the bed is not adjustable. # # # impact the patient cannot be positioned properly for treatment or comfort. # # # possible causes - the bed's electrical system is not functioning properly. - the bed's mechanical system is not functioning properly. - the bed's remote control is not functioning properly. - the bed's battery is dead. - the bed's settings are incorrect. # # # recommendations - check the bed's electrical system for any loose connections or damaged wires. - check the bed's mechanical system for any broken or jammed parts. - check the bed's remote control for any damaged buttons or switches. - replace the bed's battery if it is dead. - check the bed's settings to make sure they are correct. - contact a qualified biomedical engineer if the problem cannot be resolved. @topic:1


# # # issue the cause of failure for the oximeter, pulse is not listed in the input. # # # impact the impact of this issue is that the technician will not be able to repair the device and the patient will not be able to receive the necessary treatment. # # # possible causes there are several possible causes for this issue, including : * the technician may not have the necessary training or experience to repair the device. * the device may be damaged beyond repair. * the technician may not have access to the necessary parts or tools to repair the device. # # # recommendations the technician should : * consult with a more experienced technician or engineer. * order the necessary parts or tools to repair the device. * send the device to a manufacturer - authorized repair center. @topic:15


# # # issue - spo2 sensor cable is broken, resulting in the inability to measure saturation levels. # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - physical damage to the cable, such as pinching or pulling. - improper storage or handling of the equipment. - manufacturing defect. # # # recommendations - inspect the cable for any visible damage or defects. - ensure proper storage and handling of the equipment to prevent damage. - consider purchasing spare cables to have on hand in case of emergencies. - contact the manufacturer if the issue persists or if there is any suspicion of a manufacturing defect. @topic:4


# # # issue monitor ekg cable failure, resulting in signal loss. # # # impact inability to accurately monitor patient's electrocardiogram ( ecg ), potentially leading to delayed diagnosis or treatment. # # # possible causes - loose or disconnected cable connection between the monitor and patient leads. - damaged or frayed cable due to improper handling or storage. - defective cable connector or wiring. # # # recommendations - ensure proper connection of all cable connections. - inspect cables for any damage or fraying on a regular basis. - use proper cable management techniques to prevent excessive strain or twisting. - replace damaged cables promptly. - train staff on proper handling and care of medical equipment. @topic:18


# # # issue - taloon velcro is not adhesive. # # # impact - blood pressure cannot be measured. # # # possible causes - adult bp cuff is broken or damaged. # # # recommendations - replace the adult bp cuff. @topic:3


# # # issue - battery failure # # # impact - the vital signs monitor may not be able to operate properly, which could lead to inaccurate or incomplete patient data. # # # possible causes - the battery may be old and need to be replaced. - the battery may have been damaged due to improper handling or storage. - the battery may have been exposed to extreme temperatures. # # # recommendations - replace the battery with a new one. - ensure that the battery is handled and stored properly. - avoid exposing the battery to extreme temperatures. @topic:11


selected laboratory data can be integrated on the monitor - values are then stored in the database and included in trends and reports and can be displayed as a numeric on the main screen. which data can be stored and used on the monitor in this way is selected in configuration mode. viewing received data when new data has been received from the information center a new lab data received. check lab results window message will appear with the arrival time. to view the data, select main setup > lab results or the lab results smartkey. the lab results window shows the most recent set of data received. the data is grouped into categories : • blood gases • electrolytes • hematology • metabolites • chemistry 363 33 laboratory data viewing received data • enzymes / markers • coagulation • urine diagnostics if no results are available for a particular category, that category will not be shown. values which were entered manually at the information center will be marked with an *. 364 34 care and cleaning use only the philips - approved substances and methods listed in this chapter to clean or disinfect your equipment. warranty does not cover damage caused by using unapproved substances or methods. philips makes no claims regarding the efficacy of the listed chemicals or methods as a means for controlling infection. consult your hospital ’ s infection control officer or epidemiologist. for comprehensive details on cleaning agents and their efficacy refer to “ guidelines for prevention of transmission of human immunodeficiency virus and hepatitis b virus to health care and public - safety workers ” issued by the u. s. department of health and human services, public health service, centers for disease control, atlanta, georgia, february 1989. see also any local policies that apply within your hospital, and country. general points keep your monitor, modules, multi - measurement module, mms extensions, flexible module rack, cables and accessories free of dust and dirt. @topic:10


# # # issue * cuff of blood pressure ( bp ) monitor has deteriorated. # # # impact * inaccurate bp readings, which can lead to incorrect treatment decisions. # # # possible causes * cuff is old and has worn out. * cuff is not properly inflated, which can cause the cuff to stretch and deteriorate. * cuff is not properly cleaned and disinfected, which can lead to the growth of bacteria and other contaminants. # # # recommendations * replace the cuff with a new one. * ensure that the cuff is properly inflated before taking a bp reading. * clean and disinfect the cuff regularly. @topic:3


# # # issue - equipment malfunction # # # impact - inability to use the medical cart # # # possible causes - power supply issue - loose connections - hardware failure # # # recommendations - check the power supply and ensure that it is properly connected. - inspect the connections between the different components of the medical cart and make sure that they are secure. - contact the manufacturer for further troubleshooting and repair assistance. @topic:13


compatible accessories. note — for information about purchasing additional copies of the suresigns vs2 * or vsi instructions for use, contact the philips customer care center. suresigns vs2 * quick card : provides brief descriptions of commonly used vs2 * functions. suresigns vsi quick card : provides brief descriptions of commonly used vsi functions. suresigns vs2 " and vsi service guide : provides information for maintaining, testing, and troubleshooting the monitor. includes assembly diagrams, spare parts lists, and troubleshooting information. suresigns vs2° and vsi data export guide : provides detailed information about the syntax and structure of the hl7 messages that are exported from the vs2 * monitors and vsi monitors. suresigns vs2 " and vsi network configuration guide : provides instructions for configuring your vs2 * monitors and vsi monitors to connect to a network using a wired lan connection, a wireless lan connection, or an rs - 232 serial adapter. suresigns vs2 * and vsi service guide 2 performing routine maintenance recommended frequency perform the maintenance procedures at the recommended frequency shown in the following table. caution the frequency recommendations in the following table do not supersede local requirements. always perform locally required testing in addition to the testing outlined here. maintenance procedure frequency routine safety and operational checks e visual inspection of exterior for damage | before use e inspection of labels for legibility before use cleaning and disinfecting according to your institutions policy or between each patient battery e charging as needed e reconditioning every six months routine safety and operational checks philips recommends that you regularly : e visually inspect the monitor exterior for damage. e — inspect the monitor labels for legibility. if the labels on the rear case are not legible, send the monitor for repair to replace the rear case. if the serial @topic:10