# # # issue the bed's electric locking mechanism is malfunctioning, preventing the bed from being securely locked in place. # # # impact this malfunction poses a significant safety risk to patients, as an unsecured bed can lead to falls or other accidents. # # # possible causes * * * damaged locking mechanism : * * the locking mechanism itself may be damaged or worn out, preventing it from engaging properly. * * * electrical fault : * * an electrical fault in the bed's circuitry or wiring could be disrupting the power supply to the locking mechanism. * * * software glitch : * * if the bed is equipped with software to control its functions, a software glitch could be causing the locking mechanism to malfunction. # # # recommendations to resolve the issue and restore the bed's functionality and safety, the following steps are recommended : * * * inspect the locking mechanism : * * thoroughly inspect the locking mechanism for any signs of damage or wear. if any damage is found, the mechanism should be replaced. * * * check the electrical system : * * use a multimeter or other electrical testing equipment to check the bed's electrical system for any faults or loose connections. repair or replace any faulty components as necessary. * * * update software : * * if the bed is equipped with software, check for any available software updates. installing the latest software version may resolve any glitches that are causing the locking mechanism to malfunction. * * * contact the manufacturer : * * if the issue cannot be resolved by the above steps, contact the manufacturer of the bed for further technical assistance or repair services. @topic:6


* * issue : * * bedside electric bed rail swings * * impact : * * patient safety risk * * possible causes : * * * loose screw or bolt * * recommendations : * * * inspect and tighten all screws and bolts securing the bed rail * replace any damaged or missing screws or bolts * ensure the bed rail is securely attached and does not move excessively when in use @topic:6


( sao2 ) value, determined from blood samples with a laboratory co - oximeter. the accuracy of the sensors in comparison to the co - oximeter samples measured over the spo2 range of 70 - 100 %. accuracy data is calculated using the root - mean - squared ( arms value ) for all subjects, per iso 9919 : 2005, standard specification for pulsoximeters for accuracy. 40 - 240 bpm. adult / ped = + / - 3 digits ; neonat = + / - 3 digits perfusion 18 to 321 beats per minute ( bpm ) pulse rate no motion ( 18 to 300 bpm ) : ± 3 digits motion ( 40 to 240 bpm ) : ± 5 digits saturation 0 % to 100 % 70 % to 100 % adult / pediatrics note saturation accuracy varies by sensor type. neonates o motion o motion finger clip : ±2 digits finger clip : ± 3 digits flex : ± 3 digits flex : ± 3 digits soft sensor : ± 2 digits soft sensor : n / a 8000r : ± 3 digits 8000r : n / a 8000 q : + 4digits 8000 q : n / a motion motion finger clip : ± 2 digits finger clip : ± 3 digits lex : ± 3 digitlex : + 4 digitsoft sensor : ± 3 digits soft sensor : + 4 digits low perfusion low perfusion 138 appendix welch [UNK] connex® spot monitor spo2 specifications ( masimo specifications, see footnotes 1, 2, 3, 4, 5, and 6 ) all sensors : ±2 digits all sensors : + 3 digits 1 spo2, accuracy was determined by testing on healthy adult volunteers in the range of 60 - 100 % spo2 against a laboratory pulse oximeter. spo2 accuracy was determined on 16 neonatal nicu patients ranging in age from 7 - 135 days old @topic:17


# # # issue - degraded spo2 sensor cable # # # impact - inaccurate or unreliable spo2 readings - potential for patient harm due to delayed or incorrect diagnosis and treatment # # # possible causes - physical damage to the cable ( e. g., cuts, punctures, abrasion ) - excessive bending or twisting of the cable - exposure to extreme temperatures or humidity - natural aging and degradation of cable materials # # # recommendations - regularly inspect spo2 cables for any signs of damage or degradation. - replace damaged cables immediately. - avoid excessive bending or twisting of cables. - store cables in a cool, dry environment when not in use. - train staff on proper handling and storage techniques for cables. @topic:4


# # # issue : cuff degraded # # # impact : - inaccuracy or unreliability of blood pressure readings - intermittent or complete failure of blood pressure monitoring # # # possible causes : - normal wear and tear over time - exposure to extreme temperatures or humidity - chemical spills or cleaning agents - physical damage ( e. g., kinks, punctures ) # # # recommendations : - regular inspection and preventive maintenance to identify and replace degraded cuffs promptly - proper handling and storage of cuffs to minimize wear and tear - training of staff on proper use and care of cuffs - establishment of clear policies for cuff replacement based on age or condition @topic:3


# # # issue knob button on patient monitor is sunken, preventing its operation. # # # impact inability to use the knob button, potentially affecting patient monitoring and care. # # # possible causes * excessive force applied to the knob button * wear and tear over time * mechanical failure within the knob assembly # # # recommendations * replace the knob button if necessary * inspect and maintain the patient monitor regularly to prevent similar issues * educate users on proper handling of the device, including avoiding excessive force on buttons @topic:12


# # # issue - lower arm broken in two pieces - lock pin for lower arm broken - bed rails not adjustable # # # impact - patient safety hazard - unable to provide proper care # # # possible causes - excessive force applied to bed rails - defective parts - lack of maintenance # # # recommendations - inspect bed rails regularly for any damage or wear - replace any damaged or worn parts immediately - train staff on proper use of bed rails - conduct regular maintenance checks on all medical devices @topic:6


time represents the approximate time period used for the calculation. the exact averaging algorithm depends on the sp0 2 technology ( option ) used and on the signal conditions. the longer the averaging time, the longer the time needed until the sp0 2 value reflects the physiological event. fast averaging is useful for situations where an extremely fast measurement is required or few artifacts are expected. use slow averaging where you expect the number of artifacts to be relatively high. 1 in the sp0 2 setup, select average. 2 select the required averaging time from the list. understanding sp02 alarms this refers to sp0 2 specific alarms. see the alarms section for general alarm information. sp0 2 offers high and low limit alarms, and a high priority desat alarm. you cannot set the low alarm limit below the desat alarm limit. caution if you measure sp0 2 on a limb that has an inflated nbp cuff, a non - pulsatile sp0 2 inop can occur. if the monitor is configured to suppress this alarm there may be a delay of up to 60 seconds in indicating critical patient status, such as sudden pulse loss or hypoxia. alarm delays there is a delay between a physiological event at the measurement site and the corresponding alarm at the monitor. this delay has two components : • the time between the occurrence of the physiological event and when this event is represented by the displayed numerical values. this delay depends on the algorithmic processing and the configured averaging time. the longer the averaging time configured, the longer the time needed until the numerical values reflect the physiological event. • the time between the displayed numerical values crossing an alarm limit and the alarm indication on the monitor. this delay is the combination of the configured alarm delay time plus the general system delay time ( see “ monitor performance specifications ” on page 419 ). adjusting the alarm limits in the setup sp0 2 menu : • select high @topic:17


# # # issue - equipment : vital signs monitor - band : philips - model : suresigns vs2 - description : the adaptor's coil broke. # # # impact - the monitor cannot be charged. # # # possible causes - the adaptor was dropped or damaged. - the adaptor was not properly connected to the monitor. - the adaptor was used with an incompatible voltage. # # # recommendations - inspect the adaptor for any physical damage. - ensure that the adaptor is properly connected to the monitor. - verify that the adaptor is compatible with the monitor's voltage. - replace the adaptor if necessary. @topic:11


# # # issue - cuff is damaged # # # impact - the monitor cannot measure blood pressure accurately. # # # possible causes - the cuff may have been damaged during use or storage. - the cuff may have been used on a patient with an unusually large or small arm. - the cuff may have been exposed to excessive heat or cold. # # # recommendations - inspect the cuff for any signs of damage. - replace the cuff if it is damaged. - use the correct size cuff for the patient. - store the cuff in a cool, dry place. @topic:3


# # # issue - mouse right click button not working # # # impact - difficulty in using the medical cart due to inability to right click # # # possible causes - dirt and debris accumulation on the right click button, leading to it getting stuck # # # recommendations - regular cleaning and maintenance of the mouse to prevent dirt accumulation - replacement of the right click button if necessary @topic:30


# # # issue : monitor unable to measure qt interval # # # impact : inaccurate monitoring of cardiac rhythm # # # possible causes : - misalignment of red dot - faulty sensor - software malfunction # # # recommendations : - realign the red dot according to manufacturer's instructions - check and replace the sensor if necessary - update the software if available @topic:16


# # # issue - the medical cart is experiencing frequent reboots. # # # impact - the medical cart is unavailable for use, which can delay patient care. - the medical cart may be damaged if the reboots continue. # # # possible causes - * * hardware : * * the medical cart may have a loose connection or a faulty component. - * * software : * * the medical cart's software may be corrupted or outdated. - * * environmental : * * the medical cart may be exposed to extreme temperatures or humidity. # # # recommendations - * * hardware : * * - inspect the medical cart for any loose connections or damaged components. - clean the medical cart's components and ensure that they are properly seated. - replace any faulty components. - * * software : * * - update the medical cart's software to the latest version. - run a diagnostic test on the medical cart's software to identify any errors. - restore the medical cart's software to a previous backup. - * * environmental : * * - move the medical cart to a more suitable environment. - protect the medical cart from extreme temperatures and humidity. @topic:13


# # # issue - medical cart is unable to boot into windows. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - * * boot option conflicts : * * the boot options may be set to prioritize a non - existent or corrupt operating system. - * * hardware failure : * * the hardware component responsible for booting the system may have failed. - * * software corruption : * * the windows operating system files may be corrupted, preventing the system from booting properly. # # # recommendations - * * check boot options : * * disable any unused boot options and ensure that the correct boot device is selected. - * * inspect hardware : * * check the boot order in the bios, reseat any loose cables, and ensure that the hard drive is properly connected. - * * repair windows : * * attempt to repair the windows operating system using the built - in recovery options or reinstall windows if necessary. @topic:13


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : loose scanner tray # # # impact - the loose scanner tray may cause the scanner to fall and break, resulting in downtime and potential patient safety issues. # # # possible causes - the scanner tray may not have been properly secured during assembly or maintenance. - the scanner tray may have been damaged or weakened over time. - the scanner tray may have been overloaded with equipment. # # # recommendations - ensure that the scanner tray is properly secured during assembly and maintenance. - regularly inspect the scanner tray for damage or weakening. - limit the weight of equipment placed on the scanner tray. - train staff on the proper use and maintenance of the scanner tray. @topic:23


* * issue : * * equipment failure during testing * * impact : * * device not available for patient use * * possible causes : * * - * * manufacturing defects : * * faulty components or poor assembly - * * damage during transportation or storage : * * mishandling or exposure to extreme conditions - * * improper installation or configuration : * * incorrect settings or connections - * * software glitches : * * bugs or system errors - * * power supply issues : * * fluctuations or interruptions in electricity - * * environmental factors : * * excessive heat, moisture, or dust * * recommendations : * * - * * thorough testing : * * perform comprehensive tests before releasing the device for patient use. - * * proper handling and storage : * * follow manufacturer's instructions for handling and storing the equipment. - * * skilled installation and configuration : * * ensure that qualified technicians install and configure the device. - * * regular maintenance and updates : * * perform routine maintenance checks and apply software updates as needed. - * * reliable power supply : * * use an uninterrupted power supply ( ups ) or surge protectors to protect the device from power fluctuations. - * * appropriate environmental conditions : * * control the temperature, humidity, and cleanliness of the operating environment. @topic:12


# # # issue - device malfunction due to module error. # # # impact - inability to monitor patient's neurological status accurately. - potential delay in diagnosis and treatment. - loss of trust in the device and its manufacturer. # # # possible causes - manufacturing defect in the module. - damage to the module during shipping or installation. - software glitch or incompatibility. - electrical surge or power failure. - improper use or maintenance of the device. # # # recommendations - contact the manufacturer for support and troubleshooting. - check the device's user manual for specific troubleshooting steps. - inspect the module for any visible damage or defects. - update the device's software to the latest version. - ensure that the device is being used and maintained according to the manufacturer's instructions. - calibrate the device regularly to ensure accuracy. - have a backup device available in case of failure. - report the incident to the appropriate regulatory authorities. - consider replacing the device if the module cannot be repaired or if the failure persists. @topic:2


etc. ). place the patient in a stable and comfortable position ( do not fully raise thhead section ). never try to move the bed by pulling on the power cable or you may damage it. a lectric shock hazard. never use the patient helper or the iv stand to move the bed. the bed should only be moved while in the transport position by two people ( one at each end so as to ensure that there is always one person to operate the brake bar ) when moving the bed on a slope, with a foot end directional caster or when moving the bed with a heavy load ( heavy patient, accessories fitted, etc. ). bed : hold the endboard with both hands, • raise the brake and steer bar to the " neutral " position to release thbrakes, • for easy transportation in a straight line : push the bed using the end board opposite the steering wheel ( see " alwayput the brake in the " stop " position, except during transport. once the brakes have been applied, push and pull the bed to make sure that it does not move. " page 73 ), after having moved the bed for a short distance to align the casters, raise the brake and steer bar to the " [UNK] position. • always correctly store the power cable. failure to follow this recommendation may result in damage to the cable by crushing and create the risk of electric shock. the power cable must be hooked in place before moving the bed. attachment with cable tie ad292a hill - rom removable frame ( ad270b ) the detachable tube helps to guide the bed when transferring. decontamination, maintenance decontamination of the bed ensure that the bed cannot move. • lock out all electrical functions. • disconnect the bed and stow the power cable ( see " securing the poweable " page 76 ). • check that @topic:9


# # # issue : - equipment : medical cart - band : bdms - model : bdms 01 - description : medical equipment ( cart ) was checked by bme and the drawer could not be closed due to the limit switch not being reached. the company was notified to fix the issue. after the repair, the drawer was able to be closed normally. # # # impact : - the medical cart could not be used properly due to the drawer not being able to close. # # # possible causes : - the limit switch may be defective. - the limit switch may not be properly adjusted. - the drawer may be obstructed by another object. # # # recommendations : - check the limit switch for any damage or defects. - adjust the limit switch to the correct position. - remove any obstructions that may be preventing the drawer from closing. @topic:21


about the importance of proper cuff placement and the need to avoid movement during bp measurement. @topic:3


# # # issue : - discolored lcd monitor # # # impact : - inaccurate patient data due to distorted color representation # # # possible causes : - faulty lcd panel - incorrect color calibration settings - software or hardware malfunction - interference from external sources # # # recommendations : 1. power cycle the monitor to reset it and potentially resolve software issues. 2. check the color calibration settings and adjust them using the instructions provided by the equipment manufacturer. 3. inspect the lcd panel for any physical damage or discoloration. 4. consult the equipment manufacturer or a qualified biomedical engineer if the issue persists after trying the above steps. 5. check for interference from nearby equipment that may be emitting electromagnetic radiation. 6. review the maintenance history of the monitor to identify any previous repairs or adjustments that may have contributed to the color issue. @topic:2


# # # issue the bed tilts after being lowered. # # # impact the patient may fall out of bed, which could lead to serious injury. # # # possible causes - the locking mechanism is not functioning properly. - the bed is not level. - the patient is not balanced on the bed. # # # recommendations - check the locking mechanism and make sure it is functioning properly. - level the bed. - make sure the patient is balanced on the bed. - if the problem persists, contact a qualified biomedical engineer. @topic:1


* * issue : * * medical device not connecting to central network * * impact : * * - inability to access patient data remotely - reduced efficiency and collaboration among healthcare professionals - potential patient safety concerns * * possible causes : * * * * 1. network connectivity issues : * * - faulty ethernet cable or port - incorrect network configuration - firewall or other security restrictions blocking connection * * 2. device configuration errors : * * - device not properly configured with correct network settings - incorrect ip address or subnet mask - firmware issues preventing network connection * * 3. software malfunctions : * * - bug or error in the device's software - corrupted files or settings causing connectivity issues - outdated software version * * 4. physical issues : * * - damaged network interface card ( nic ) on the device - loose or disconnected wires or cables - physical obstruction interfering with signal transmission * * recommendations : * * * * 1. check network connectivity : * * - ensure the ethernet cable is securely connected on both ends. - verify that the network switch or router is functioning properly. - rule out any firewall or security restrictions blocking connection. * * 2. verify device configuration : * * - check that the device's network settings are correct, including ip address, subnet mask, and gateway. - update the device's firmware to the latest version, if necessary. * * 3. troubleshoot software issues : * * - reboot the device to clear any temporary glitches. - contact the manufacturer's technical support to report any software bugs or errors. - reset the device to factory settings, if necessary. * * 4. inspect physical connections : * * - visually inspect the network interface card for any damage. - check for loose or disconnected wires or cables. - remove any physical obstructions that may be blocking signal transmission. @topic:16


* * issue : * * equipment not displaying graphs * * impact : * * inability to monitor patient's heart activity and make informed decisions about treatment. * * possible causes : * * * * * hardware malfunction : * * failure of the ecg module, display unit, or connecting cables. * * * software glitch : * * faulty code or data corruption in the module's firmware. * * * electrode issues : * * loose or damaged electrodes can prevent proper signal acquisition. * * * power supply problems : * * insufficient or unstable power supply can cause the module to malfunction. * * * environmental factors : * * excessive heat, humidity, or electromagnetic interference can affect the module's performance. * * recommendations : * * * * * hardware troubleshooting : * * * inspect the module, cables, and electrodes for any physical damage or loose connections. * check the voltage and amperage supplied to the module and ensure it meets specifications. * * * software diagnostics : * * * update the firmware to the latest version to fix any known software bugs. * run diagnostic tests to identify any internal software errors. * * * electrode inspection : * * * clean and replace electrodes as necessary to ensure good signal quality. * * * power supply evaluation : * * * use a multimeter to verify the stability and adequacy of the power supply. * * * environmental assessment : * * * check for excessive heat or humidity in the operating environment. * identify and eliminate sources of electromagnetic interference. @topic:18


# # # issue - the cause of failure is not clear. # # # impact - the bed is not available for patient use. # # # possible causes - the bed was not properly maintained. - the bed was damaged during use. - the bed was not used as intended. # # # recommendations - the bed should be inspected and repaired as necessary. - the bed should be used as intended. - the bed should be properly maintained. @topic:9


# # # issue - pulse oximetry value is not displayed when blood pressure ( bp ) is measured. # # # impact - inability to accurately monitor patient's pulse oximetry during bp measurements. # # # possible causes - malfunctioning pulse oximetry sensor - loose connection between pulse oximetry sensor and monitor - incorrect settings within the monitor - hardware or software issue with the monitor # # # recommendations - inspect pulse oximetry sensor for damage or defects. - ensure secure connection between pulse oximetry sensor and monitor. - verify and adjust monitor settings as per manufacturer's specifications. - contact technical support or manufacturer for further troubleshooting and component replacement if necessary. @topic:15


# # # issue : - bed not locking properly # # # impact : - patient safety hazard - inconvenience for staff and patients # # # possible causes : - mechanical failure : loose or worn components, such as rollers or gears - electrical failure : faulty sensors or wiring - lubrication issues : lack of lubrication can cause friction and prevent the bed from locking securely - misalignment : the bed may not be aligned properly with the base, causing it to bind and not lock # # # recommendations : - inspect the bed for any loose or damaged components - check the electrical connections and sensors - lubricate all moving parts regularly - ensure that the bed is properly aligned with the base @topic:6


inteuivue 802. 11 bedside adapter communication test installation of a monitor with inteuivue instrument telemetry perform visual inspection, power on and iit communication test installation of monitor with short range radio ( srr ) perform visual inspection, power on and srr communication test. installation of networked monitor ( lan ) perform visual inspection and power on test preventive maintenance preventive maintenance * perform preventive maintenance tests and procedures : nbp caubration microstream co 2 caubration other regular tests and tasks visual inspection perform visual inspection power on test perform power on test repairs repairs where the monitor, parameter modules, mms or x2 have been damaged by impact, liquid ingression, fire, short circuit or electrical surge. perform visual inspection, power on, au safety tests and fuu performance assurance tests repairs where the power supply, the mains socket or an interface board of the monitor is removed or replaced or the protective earth ground connection is disrupted. perform visual inspection, power on, au safety tests and basic performance assurance test repairs of intellivue 802. 11 bedside adapter perform visual inspection, power on and inteuivue 802. 11 bedside adapter communication test repairs of inteuivue instrument telemetry ( iit ) module perform visual inspection, power on and iit communication test repairs of short range radio ( srr ) interface perform visual inspection, power on and srr communication test repairs of the parameter modules, mms or x2 ( all service events where the parameter modules mms or x2 have been opened ) perform visual inspection, power on, au safety tests and basic performance assurance test. if a certain parameter seems suspicious, perform fuu performance assurance test for this parameter. repairs where the nbp pump of the mms or x2 has been replaced perform visual inspection, power on, all safety tests, basic performance assurance test @topic:10


# # # issue * motor not functioning * bed cannot be adjusted # # # impact * inability to use the bed for patient care * potential patient discomfort or safety hazard # # # possible causes * faulty relay in the control box * motor failure * electrical connection issues * power supply problems # # # recommendations * replace faulty relay ( s ) * investigate and troubleshoot motor functionality * check electrical connections and power supply * consult with manufacturer or qualified biomedical engineer @topic:9


# # # issue - defective spo2 cable # # # impact - inability to monitor patient's oxygen saturation levels accurately. # # # possible causes - wear and tear - accidental damage - improper handling # # # recommendations - conduct regular inspections of all spo2 cables. - replace any cables that show signs of damage or degradation. - train staff on proper handling and storage techniques for spo2 cables. - ensure a sufficient stock of spare spo2 cables is available to minimize downtime in case of failure. - consider using disposable spo2 cables to reduce the risk of cross - contamination. @topic:4


# # # issue - bed is not adjustable # # # impact - patient discomfort - difficulty providing care - delays in patient treatment # # # possible causes - electrical fault - mechanical failure - software issue - user error # # # recommendations 1. * * check the power supply. * * ensure that the bed is properly plugged into an electrical outlet and that the voltage is correct. 2. * * inspect the electrical wiring. * * look for any loose connections or damaged wires. 3. * * check the mechanical components. * * inspect the bed frame, motors, and gears for any signs of damage or wear. 4. * * update the software. * * if the bed is controlled by a computer, check for any available software updates. 5. * * train users on proper operation. * * ensure that all users are familiar with the correct way to operate the bed. @topic:1


# # # issue - monitor displaying an ekg reading while the patient is not connected to the ekg leads. # # # impact - false ekg readings can lead to incorrect diagnosis and treatment decisions. # # # possible causes - faulty ekg leads - loose connection between the ekg leads and the monitor - damaged ekg input port on the monitor # # # recommendations - inspect the ekg leads for any damage or loose connections. - clean the ekg input port on the monitor with a cotton swab moistened with alcohol. - if the problem persists, replace the ekg leads or contact the manufacturer for further troubleshooting. @topic:18


# # # issue - the biomedical engineer was tasked with fixing a nibp monitor, but the cause of failure was listed as a problem with a different device, the procare 100. # # # impact - the engineer may have spent time troubleshooting the nibp monitor unnecessarily, delaying the repair of the procare 100. # # # possible causes - the information provided about the cause of failure was incorrect. - the technician who reported the cause of failure did not have the correct information or made a mistake. - there was a miscommunication between the technician and the biomedical engineer. # # # recommendations - improve communication between technicians and biomedical engineers. - ensure that technicians have accurate information about the cause of failure before reporting it. - consider using a standardized form or template for reporting causes of failure to reduce the risk of errors. @topic:12


categorized as follows : e power e display e alarms e measurements, including : — nbp — temperature — spo, e navigation wheel, touch screen, and keys e recorder e nurse call e usb hub if using the following troubleshooting tables does not solve the problem, see “ running system diagnostics ” on page 4 - 29. troubleshooting suresigns vs4 service guide 4 - 3 troubleshooting tables power problems symptom possible cause action the monitor turns on with battery power, but does not with ac power. the power cord is unplugged. ensure that the ac power cord is plugged into an outlet. the power cord is broken. replace the ac power cord. the fuse is blown. replace the fuse. see “ removing a fuse ” on page 5 - 5. the power supply cable malfunctioned. replace the dc in cable. see “ removing the power supply ” on page 5 - 30. the power supply malfunctioned. check output voltage on power supply. if you do not measure 15 v, replace the power supply. see “ removing the power supply ” on page 5 - 30. the ac power connector malfunctioned. replace the ac connector. see “ removing the ac power connector ” on page 5 - 39. the monitor keypad is worn. replace the front panel. see “ removing the lcd assembly ” on page 5 - 44. the main board malfunctioned. replace the main board. see “ removing the main board ” on page 5 - 31. the monitor turns on with ac power, but does not with battery power. the battery is not charged. charge the battery. for more information, see “ maintaining the battery ” on page 2 - 2. the battery or connector is loose. reseat both the battery and battery cable. the battery does not have a connection to the main board. replace @topic:22


# # # issue failure of electric bed to adjust headrest. # # # impact patient discomfort and safety concerns. # # # possible causes - malfunctioning relay in the control box - software or hardware issue with the remote control - loose or damaged wiring connections - faulty motor or actuator mechanism # # # recommendations - ensure proper connection between the remote control and the bed - check for any physical damage or loose connections in the wiring - inspect the control box for any irregularities or faulty components - test the motor and actuator mechanism for proper functionality - perform a comprehensive software and hardware diagnostic to identify any underlying issues - replace or repair the faulty components as necessary @topic:1


# # # issue - vital signs monitor displaying unstable blood pressure readings. # # # impact - incorrect blood pressure readings can lead to misdiagnosis or mistreatment of patients. # # # possible causes - worn or damaged cuff : cuffs can become stretched or damaged over time, affecting the accuracy of the blood pressure measurement. - malfunctioning pressure transducer : the pressure transducer converts the pressure sensed by the cuff into an electrical signal, which may become faulty. - loose or disconnected tubing : the tubing connecting the cuff to the monitor can become loose or disconnected, leading to inaccurate readings. - electrical interference : other medical devices or environmental factors can interfere with the electrical signals and cause unstable readings. # # # recommendations - * * replace cuff : * * replace the worn or damaged cuff with a new one of the appropriate size for the patient. - * * test pressure transducer : * * test the pressure transducer using a calibration device to ensure it is functioning properly. - * * inspect tubing : * * inspect the tubing for any loose connections or damage. replace any faulty tubing. - * * check for electrical interference : * * move the monitor away from other medical devices or sources of electrical interference. if necessary, use a line filter to minimize interference. @topic:14


# # # issue - broken remote control cord # # # impact - the patient may not be able to adjust the bed's position or call for assistance. # # # possible causes - the cord may have been pinched or cut. - the cord may have become frayed or worn over time. - the cord may have been damaged by a pet. # # # recommendations - inspect the cord for any damage. - if the cord is damaged, replace it with a new one. - if the cord is not damaged, check the connection between the cord and the bed. - if the connection is loose, tighten it. - if the connection is not loose, the problem may be with the bed itself. @topic:7


# # # issue battery does not charge. # # # impact the device cannot be used without a charged battery. # # # possible causes - the battery is not properly seated in the device. - the battery is defective. - the charging circuit in the device is defective. # # # recommendations - ensure that the battery is properly seated in the device. - replace the battery with a new one. - contact the manufacturer of the device for service. @topic:11


# # # issue - inability to visualize numerical values on the display screen of the nibp monitor. # # # impact - impaired patient monitoring due to difficulties in obtaining accurate blood pressure readings. # # # possible causes - malfunctioning display panel : the display panel may have sustained damage or developed a fault, leading to the inability to display numerical values properly. - circuitry issues : faulty or damaged circuitry within the monitor can disrupt the transmission of data to the display panel, resulting in blank or distorted readings. - software glitches : software errors or bugs can cause the monitor to malfunction and interfere with the display of numerical values. - loose connections : loose or disconnected cables or connectors can disrupt the communication between the display panel and the rest of the monitor, leading to display issues. - backlight failure : the backlight responsible for illuminating the display panel may have malfunctioned, causing the numbers to appear dim or invisible. # # # recommendations - visual inspection : begin by visually inspecting the monitor for any signs of physical damage or loose connections. - diagnostic testing : perform diagnostic tests to identify any underlying software issues or electrical faults that may be contributing to the display problem. - component replacement : if the display panel or other affected components are found to be malfunctioning, they will need to be repaired or replaced to restore the monitor's functionality. - software updates : check for any available software updates that could resolve the display - related issues. - technical support : if the issue persists after implementing the aforementioned recommendations, seek assistance from the manufacturer's technical support team or a qualified biomedical engineer. @topic:15


# # # issue - wlan mac address is missing. # # # impact - the device cannot connect to the hospital's wireless network. - this can prevent the device from sending and receiving data, which can affect patient care. # # # possible causes - the wlan mac address may have been accidentally deleted. - a software update may have caused the wlan mac address to be lost. - the device may have a hardware fault that is causing the wlan mac address to be lost. # # # recommendations - check if the wlan mac address has been accidentally deleted. if it has, you can enter the mac address manually. - contact the manufacturer of the device to see if a software update is available that will fix the issue. - if the device has a hardware fault, you will need to replace the device. * * additional notes : * * - wlan mac address is a unique identifier that is assigned to each device that connects to a wireless network. - the wlan mac address is used by the network to identify the device and to track its location. - if two devices on the same network have the same mac address, they may experience problems connecting to the network. @topic:16


# # # issue - battery failure in welch allyn propaq lt bedside physiologic monitor. # # # impact - the monitor may not be able to power on or function properly, which could lead to inaccurate or delayed patient monitoring and treatment. # # # possible causes - battery life has expired. - battery is not properly connected or has become loose. - battery has been damaged or compromised. # # # recommendations - replace the battery with a new one of the correct type and voltage. - ensure that the battery is properly connected and seated securely in its compartment. - inspect the battery for any signs of damage or corrosion. if damage is found, the battery should be replaced immediately. - consider purchasing a backup battery or battery pack to have on hand in case of emergencies. @topic:11


# # # issue battery not charging # # # impact - inability to use the blood pressure monitor in case of power failure - potential harm to patients if blood pressure cannot be accurately measured # # # possible causes - faulty battery - loose or damaged connection between the battery and the monitor - malfunctioning battery charger # # # recommendations 1. verify that the battery is the correct type for the monitor and that it is properly seated. 2. inspect the connection between the battery and the monitor for any damage or loose contacts. 3. check that the battery charger is functioning properly by connecting it to a known good battery. 4. if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:11


# # # issue - power button failure # # # impact - inability to operate the vital signs monitor # # # possible causes - defective power button - electrical fault in the circuit board - software glitch # # # recommendations - replace the power button - inspect and repair the circuit board - update the software if necessary @topic:2


# # # issue : - electric bed unable to lock # # # impact : - compromised patient safety due to potential fall risk # # # possible causes : - loose or damaged locking mechanism - faulty electrical components - software malfunction # # # recommendations : - inspect and tighten locking mechanism. replace if necessary. - check electrical connections and ensure proper functionality. - update software if available to address any potential bugs. @topic:6


# # # issue monitor does not display patient name after scanning barcode. # # # impact - delays patient care - potential for patient misidentification - increased risk of medical errors # # # possible causes - barcode scanner is not reading the barcode correctly. - the barcode is not being scanned properly. - the monitor is not receiving the data from the barcode scanner. - the monitor is not configured correctly to display the patient name. - the software on the monitor is not up to date. - there is a hardware issue with the monitor. # # # recommendations - verify that the barcode scanner is working properly by scanning a known barcode. - check the barcode on the patient's wristband to make sure it is not damaged or smudged. - ensure that the barcode scanner is properly connected to the monitor. - check the monitor's settings to ensure that it is configured to display the patient name. - update the software on the monitor if it is not up to date. - if all else fails, contact the manufacturer of the monitor for support. @topic:23


# # # issue - ssd failure in physiological central station monitor # # # impact - inability to boost the device for central monitor usage # # # possible causes - ssd degradation and deterioration # # # recommendations - replace the faulty ssd with a new one @topic:13


# # # issue - motor head cannot be adjusted. # # # impact - the bed cannot be positioned properly for patient use. # # # possible causes - the motor is not connected properly. - the motor is faulty. - the motor controller is faulty. # # # recommendations - check the motor connections. - replace the motor. - replace the motor controller. @topic:1


# # # issue - the physiologic vital signs monitor is not working properly. # # # impact - the monitor is essential for monitoring patient vital signs. without it, the patient's health could be at risk. # # # possible causes - * * battery failure : * * the monitor may not be working properly because the battery is dead. - * * loose connections : * * the monitor may not be working properly because there is a loose connection between the monitor and the patient. - * * damaged wires : * * the monitor may not be working properly because the wires are damaged. - * * software error : * * the monitor may not be working properly due to a software error. # # # recommendations - * * replace the battery. * * - * * check the connections. * * - * * replace the wires. * * - * * contact the manufacturer. * * * * note * * the cause of failure in this case is not explicitly stated. however, it is likely that the battery failure is the cause of the problem. it is important to note that the battery failure is not the only possible cause of the problem. there could be other factors that are contributing to the problem. @topic:2


# # # issue : printer is not working on the central monitor. # # # impact : the central monitor cannot print patient records or other important data. this can lead to delays in patient care and decreased efficiency. # # # possible causes : - * * paper jam : * * the printer may have a paper jam that is preventing paper from being fed through the printer. - * * ink cartridge is empty or low : * * the printer may be out of ink or the ink cartridge may be low. - * * printer driver is not installed or is corrupted : * * the printer driver may not be installed or may be corrupted, which can prevent the computer from communicating with the printer. - * * printer cable is damaged or disconnected : * * the printer cable may be damaged or disconnected, which can prevent the computer from communicating with the printer. - * * printer is not turned on : * * the printer may not be turned on. - * * printer settings are incorrect : * * the printer settings may be incorrect, which can prevent the printer from printing properly. # # # recommendations : - * * check for a paper jam : * * open the printer and check for any paper jams. if there is a paper jam, carefully remove the jammed paper. - * * replace the ink cartridge : * * replace the ink cartridge if it is empty or low. - * * install or reinstall the printer driver : * * install or reinstall the printer driver if it is not installed or is corrupted. - * * check the printer cable : * * check the printer cable to make sure that it is not damaged or disconnected. if the cable is damaged, replace it. - * * turn on the printer : * * make sure that the printer is turned on. - * * check the printer settings : * * check the printer settings to make sure that they are correct. @topic:28


* * issue : * * bed, electric equipment not functioning properly * * impact : * * patient care may be delayed or compromised due to inability to adjust bed position or settings. * * possible causes : * * * * * remote control failure : * * the remote control that operates the bed may be malfunctioning or damaged. * * * electrical connection issues : * * the equipment may not be properly plugged into a power source or there may be loose or frayed wires. * * * mechanical failure : * * the bed's motor or other mechanical components may be faulty or damaged. * * recommendations : * * * * * check the remote control : * * ensure that the remote control is correctly paired with the bed and that its batteries are fresh. if necessary, replace the remote control. * * * inspect electrical connections : * * check all power cords and plugs to ensure they are securely connected and not damaged. tighten any loose connections and replace any frayed or damaged wires. * * * assess mechanical components : * * check the bed's motor, gears, and other mechanical parts for any signs of damage or malfunction. if necessary, consult with a qualified biomedical engineer to diagnose and repair the issue. @topic:9


# # # issue : bed is unable to adjust. # # # impact : the bed is essential for patient care and its inability to adjust can impede the patient's comfort and mobility. # # # possible causes : 1. * * electrical fault : * * a failure in the electrical system, such as a faulty power supply or damaged wiring, can prevent the bed from receiving power and responding to control inputs. 2. * * mechanical issue : * * components such as motors, gears, or hydraulic actuators may malfunction or become damaged, leading to a loss of functionality in the bed's adjustment mechanisms. 3. * * software error : * * bugs or glitches in the software controlling the bed's operation can cause it to malfunction or become unresponsive. 4. * * remote control failure : * * the remote control used to operate the bed may be malfunctioning or have lost connection with the bed, preventing the user from adjusting it. # # # recommendations : 1. * * electrical troubleshooting : * * verify the power supply and inspect the electrical connections for any damage or loose connections. 2. * * mechanical inspection : * * examine the bed's motors, gears, and other mechanical components for any signs of wear, damage, or misalignment. 3. * * software update : * * consult the manufacturer's instructions for any available software updates that may resolve known bugs or issues. 4. * * remote control testing : * * test the remote control with a different bed to ensure it is functioning properly. if the remote control is found to be faulty, replace it with a new one. @topic:1


# # # issue - module bem017 of the bedside physiologic monitor is not connecting to the central monitor and is not displaying ekg or o2 saturation data. # # # impact - the patient's vital signs cannot be monitored remotely, which could lead to delays in care or missed diagnoses. # # # possible causes - the module may be defective. - the cable connecting the module to the central monitor may be loose or damaged. - the software on the module or central monitor may be outdated or corrupted. # # # recommendations * * to troubleshoot this issue, the following steps should be taken : * * 1. check the cable connections between the module and the central monitor. ensure that they are secure and undamaged. 2. verify that the software on the module and central monitor is up to date. if necessary, update the software. 3. if the problem persists, replace the module. @topic:22


# # # issue the central monitor from hewlett packard ( model m3150a ) has failed, resulting in a blackout. # # # impact the failure of the central monitor can have several negative impacts : - disruption of patient monitoring and care - delay in diagnosis and treatment - increased risk of patient harm - loss of data and records # # # possible causes * * hardware failure : * * - malfunctioning of internal components ( e. g., sensors, display ) - power supply issues ( e. g., battery failure ) - cable or connector problems * * software failure : * * - operating system crashes or bugs - corrupted data or software updates - compatibility issues with connected devices * * environmental factors : * * - extreme temperatures or humidity - power surges or fluctuations - physical damage ( e. g., accidental drops or bumps ) * * human error : * * - improper use or maintenance - accidental damage during handling or transportation - failure to follow manufacturer's instructions # # # recommendations to prevent or mitigate future failures, the following recommendations can be implemented : * * regular maintenance and inspections : * * - schedule routine inspections and preventive maintenance to identify and address potential issues early on. - follow manufacturer's maintenance guidelines and use only authorized technicians. * * redundancy and backups : * * - consider implementing a backup system or using multiple monitors to ensure continuity of monitoring in case of failure. - regularly back up data and store it securely. * * user training and education : * * - educate staff on proper use and handling of the central monitor. - provide training on troubleshooting common issues and reporting failures promptly. * * environmental monitoring and control : * * - ensure the central monitor is used in an environment within the specified temperature and humidity range. - use surge protectors and uninterruptible power supplies to protect against power fluctuations. * * @topic:2


. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 112 ) nbp equip malfunc ( 112 ) unable to write calibration data to non - volatile memory. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 113 ) nbp equip malfunc ( 113 ) unable to verify calibration data written to non - volatile memory. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 114 ) nbp equip malfunc ( 114 ) error log checksum error. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 115 ) nbp equip malfunc ( 115 ) unable to write error log to non - volatile memory. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. troubleshooting suresigns vs4 service guide 4 - 13 error codes code description possible cause action 818 ( 116 ) | nbp equip malfunc ( 116 ) unable to verify error log | shut @topic:22


# # # issue the bed's side rails are unable to be lowered. # # # impact this issue prevents the patient from being safely positioned in the bed, which can lead to discomfort, pressure sores, and other complications. # # # possible causes - the spring in the lock mechanism is broken. - the lock mechanism is jammed. - the side rails are bent or damaged. - the motor that powers the side rails is not working. - the electrical wiring to the side rails is damaged. # # # recommendations - replace the broken spring. - unjam the lock mechanism. - repair or replace the bent or damaged side rails. - repair or replace the motor that powers the side rails. - repair or replace the damaged electrical wiring. @topic:6


# # # issue - the remote control for the bed is not working. # # # impact - the bed cannot be adjusted, which can make it difficult for patients to get in and out of bed and can also lead to discomfort and pain. # # # possible causes - the remote control may be damaged. - the batteries in the remote control may be dead. - the receiver on the bed may be malfunctioning. # # # recommendations - replace the remote control. - replace the batteries in the remote control. - check the receiver on the bed and replace it if necessary. @topic:7


separate the front and back half of the monitor as described above. 2 remove the touch controller board and unplug the touch sensor cable by pressing on the security lock on the connector. note you must replace the touch panel and the touch controller board together in order for the monitor to function correctly. touch controller board touch sensor cable reassembly note : plug the touch sensor cable into the touch controller board first, then re - insert the touch board 118 removing the touchscreen 5 repair and disassembly note 3 remove the two screws securing the power switch and the led board and pull out the board. the board and the screws are part of the flex panel adapter cable. the screws securing this board are self - cutting - turn in opposite direction first when re - inserting them flex panel 4 remove the eight screws and carefully lift off the display assembly by releasing the two snaps in the monitor bezel. adapter caution we recommend that this procedure is performed in a dust free environment. the display assembly may be hard to remove from the touch panel due to the gasket ( adhesive strips ) holding the two together. 119 5 repair and disassembly removing the touchscreen note this procedure may be difficult due to the gasket ( adhesive strips ). reassembly note : when looking at the touch panel from the back, the touch sensor cable should point to the right when the touch panel is re - inserted into the monitor housing. note you must replace the touch panel and the touch controller board together in order for the monitor to function correctly. 120 removing the flat panel 5 repair and disassembly removing the flat panel 1 separate the front and back half of the monitor as described above. 2 remove the touch controller board. touch controller board touch sensor cable reassembly note : plug the touch sensor cable into the touch controller board first @topic:19


# # # issue - noisy wheels on the physiological vital signs monitor # # # impact - decreased patient comfort due to excessive noise - potential distraction or disruption for healthcare providers - reduced accuracy of measurements if the noise interferes with sensors # # # possible causes - worn - out or damaged wheels - lack of lubrication - incorrect wheel alignment - accumulation of debris or foreign objects # # # recommendations - regularly inspect and lubricate the wheels to ensure smooth operation - replace worn - out or damaged wheels promptly - ensure proper alignment of the wheels - clean the wheels and remove any accumulated debris or foreign objects @topic:24


# # # issue - the biomedical engineer ( bme ) replaced the cable on a philips suresigns vm4 physiologic vital signs monitor, but the device is still not able to take measurements. # # # impact - the monitor is unable to provide accurate patient data, which could lead to delayed or incorrect treatment decisions. # # # possible causes - the new cable is not properly connected. - the monitor is not properly configured to use the new cable. - the monitor is defective. # # # recommendations - check the connections between the cable and the monitor. - check the monitor's configuration settings. - contact the manufacturer for technical support or to schedule a repair. @topic:2


# # # issue the medical cart's drawer is difficult to open or close. # # # impact the medical cart cannot be used to its full potential, which can impact patient care. # # # possible causes - the drawer tracks may be dirty or obstructed. - the drawer slides may be worn or damaged. - the drawer may be misaligned. - the drawer latch may be broken or damaged. # # # recommendations - clean the drawer tracks and slides with a damp cloth. - inspect the drawer slides for wear or damage. if necessary, replace the slides. - realign the drawer by adjusting the screws that hold it in place. - inspect the drawer latch for damage or breakage. if necessary, replace the latch. @topic:21


# # # issue physiologic monitor is malfunctioning due to a broken wire. # # # impact * interruption of monitoring for patients * delays in treatment * potential harm to patients if the monitor is not functioning properly # # # possible causes * physical damage to the wire during handling or transportation * wear and tear over time * faulty manufacturing # # # recommendations * * * immediate : * * replace the broken wire with a new one to restore functionality. * * * preventive : * * regular inspection and maintenance of the equipment to identify and address potential failures early on. * * * maintenance : * * ensure proper handling and transportation of the equipment to minimize physical damage. * * * quality control : * * implement quality assurance measures to identify and prevent defective wires from being installed in the equipment. @topic:18


# # # issue - anesthesia record not linking to the ez record system in the hybrid room. # # # impact - lack of access to real - time patient monitoring data in the hybrid room. - potential delays in patient care due to the inability to access patient information. - increased workload for medical staff due to the need to manually enter data. # # # possible causes - malfunctioning anesthesia record machine - broken or loose cables - incorrect network configuration - software issues - firewall blocking communication - faulty switch or router - outdated firmware # # # recommendations - inspect and test anesthesia record machine for proper functionality. - check all cables and connections for damage or loose contacts. - verify network settings and ensure correct ip address and subnet mask are configured. - update software and firmware to the latest versions. - disable firewalls temporarily to test communication. - replace faulty switches or routers if necessary. @topic:16


# # # issue - equipment not adjusting properly # # # impact - patient discomfort or immobility - delays in treatment or recovery # # # possible causes - defective control box - rust and corrosion on the bed frame - mechanical failure within the adjustment mechanism # # # recommendations - replace the control box - repair or replace the bed frame as needed - lubricate and maintain the adjustment mechanism regularly - inspect the bed regularly for signs of wear and tear @topic:1


# # # issue - o2 sat cable is damaged # # # impact - the physiologic monitor cannot accurately measure oxygen saturation levels. # # # possible causes - the cable may have been physically damaged, such as being cut or crushed. - the cable may have been exposed to moisture or other environmental factors that have damaged the insulation. - the cable may have become loose or disconnected from the monitor or the sensor. # # # recommendations - replace the damaged o2 sat cable with a new one. - inspect the cable for any other damage and repair or replace as necessary. - ensure that the cable is properly connected to the monitor and the sensor. # # # issue - cuff tube is leaking # # # impact - the physiologic monitor cannot accurately measure blood pressure. # # # possible causes - the cuff tube may have been punctured or torn. - the cuff tube may have become loose or disconnected from the cuff. - the cuff tube may have become blocked by dirt or debris. # # # recommendations - replace the damaged cuff tube with a new one. - inspect the cuff tube for any other damage and repair or replace as necessary. - ensure that the cuff tube is properly connected to the cuff. - clean the cuff tube regularly to remove any dirt or debris. @topic:4


# # # issue - equipment malfunction - inability to adjust the bed # # # impact - discomfort for the patient - delays in treatment - increased workload for healthcare staff # # # possible causes - faulty remote control cable - loose connections - malfunctioning motor or actuator - electrical failure # # # recommendations - inspect and replace the remote control cable if necessary - check and tighten any loose connections - test the motor or actuator for proper function - troubleshoot and repair any electrical issues @topic:7


# # # issue - cuff of the monitor is degraded. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged. # # # recommendations - replace the cuff. - inspect the cuff regularly for signs of wear and tear. @topic:3


# # # issue - faulty bed lock latch # # # impact - patient safety : prevents the bed from being lowered, posing a fall risk. - patient comfort : causes discomfort for the patient due to the inability to adjust the bed position. - staff efficiency : delays patient care and increases workload for staff. # # # possible causes - wear and tear due to frequent use or improper handling - corrosion or damage to the latch mechanism - manufacturer defect # # # recommendations - * * immediate action : * * replace the faulty latch to ensure patient safety. - * * long - term solution : * * - regular maintenance and inspection of bed locks to prevent future failures. - proper training of staff on the correct operation and handling of the bed. - consider upgrading to a bed with more robust or fail - safe locking mechanisms. @topic:6


# # # issue - the equipment, a medical cart from bdms ( model bdms 01 ), had a loose power cord connection to its control board. # # # impact - the equipment was unable to function properly. # # # possible causes - the battery was at - 1 % and did not provide enough power to keep the connection secure. # # # recommendations - the technician reconnected the power cord securely and tested the equipment, which then functioned normally. - it is recommended to regularly check the battery level of the medical cart and replace the battery when it is low to prevent similar issues in the future. @topic:13


# # # issue - the electric bed cannot adjust the head up. # # # impact - the patient cannot be positioned comfortably or safely. # # # possible causes - the control box is faulty. - the motor is faulty. - the wiring is damaged. - the bed frame is damaged. # # # recommendations - replace the control box. - replace the motor. - repair or replace the wiring. - repair or replace the bed frame. @topic:1


* * issue : * * module is not measuring blood pressure ( bp ) * * impact : * * - inaccurate bp readings - potential for patient safety concerns * * possible causes : * * - * * loose internal tube within the module : * * the description mentions that a loose internal tube was found and reconnected, which could have caused the bp measurement issue. * * recommendations : * * - ensure that all internal tubes and connections are secure and properly seated. - regularly inspect the module for any loose or damaged components. - calibrate the module according to the manufacturer's instructions to ensure accurate bp measurements. * * additional considerations : * * - other potential causes of bp measurement failure that should be considered include : - * * faulty module : * * the module itself may have a malfunction or defect that is causing the issue. - * * sensor failure : * * the bp sensor may be faulty or damaged, resulting in incorrect readings. - * * power supply issues : * * the module may not be receiving adequate power, which can affect its operation. @topic:15


# # # issue - electric bed is not adjusting up or down. # # # impact - patient may not be able to get in or out of bed. - patient may not be able to be positioned comfortably. # # # possible causes - * * remote control failure : * * the remote control may not be sending the correct signal to the bed. - * * electrical wiring failure : * * the wiring that connects the remote control to the bed may be damaged. - * * bed motor failure : * * the motor that moves the bed up and down may be damaged. # # # recommendations - * * test the remote control : * * check the batteries in the remote control and make sure that the buttons are working properly. - * * inspect the electrical wiring : * * check the wiring for any signs of damage, such as cuts or fraying. - * * contact a qualified biomedical engineer : * * if you are unable to resolve the issue yourself, contact a qualified biomedical engineer to troubleshoot the bed. @topic:1


# # # issue - the electric bed cannot be adjusted. # # # impact - patients may not be able to get into or out of bed safely. - patients may not be able to be positioned comfortably for medical procedures. # # # possible causes - * * control box failure : * * the control box is responsible for controlling the movement of the bed. if the control box fails, the bed will not be able to be adjusted. - * * electrical malfunction : * * there may be an electrical malfunction in the bed's wiring or motors. this could prevent the bed from receiving power or from moving properly. - * * mechanical failure : * * there may be a mechanical failure in the bed's frame or gears. this could prevent the bed from moving smoothly or at all. # # # recommendations - * * inspect the control box : * * inspect the control box for any signs of damage or malfunction. if the control box is damaged, it will need to be replaced. - * * check the electrical connections : * * make sure that all of the electrical connections in the bed are secure. if any of the connections are loose, they will need to be tightened. - * * test the bed's functionality : * * once the control box and electrical connections have been inspected, test the bed's functionality to make sure that it is working properly. if the bed is still not working properly, it will need to be repaired or replaced. @topic:1


# # # issue * * medical device : * * monitors, patient transport * * brand : * * welch allyn * * model : * * propaq lt * * description : * * adaptor power failure # # # impact the medical device cannot be used due to the power failure. this could have a negative impact on patient care, as the device may be necessary for monitoring vital signs or providing other essential medical services. # # # possible causes 1. the adapter cord is damaged or loose. 2. the power outlet is not working. 3. the medical device is not properly plugged into the adapter. 4. the adapter is not compatible with the medical device. # # # recommendations 1. check the adapter cord for any damage or loose connections. if the cord is damaged, replace it with a new one. 2. check the power outlet to make sure it is working properly. if the outlet is not working, try plugging the medical device into a different outlet. 3. make sure the medical device is properly plugged into the adapter. if the device is not plugged in properly, it will not receive power. 4. check the adapter to make sure it is compatible with the medical device. if the adapter is not compatible, it will not be able to provide power to the device. @topic:2


* * issue : * * remote control for electric bed malfunctioning * * impact : * * patient may not be able to adjust bed position comfortably, which can lead to discomfort, pressure sores, and other health issues. * * possible causes : * * * * * remote control defect : * * the remote control itself may be damaged, resulting in intermittent or complete failure. * * * interference : * * external factors, such as electromagnetic interference from other medical devices, can disrupt the wireless communication between the remote control and the bed. * * * battery issues : * * weak or depleted batteries in the remote control can hinder its functionality. * * * bed malfunction : * * a problem with the bed itself, such as a loose wire or faulty motor, can prevent the remote control from working properly. * * recommendations : * * * * * inspect the remote control : * * check for any visible damage, such as broken buttons or loose connections. * * * test the batteries : * * replace the batteries in the remote control and test its functionality. * * * eliminate interference : * * if possible, move the bed away from other medical devices that may be causing interference. * * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the bed or remote control for further guidance and potential repairs. * * * consider a wired remote : * * as a temporary solution, consider using a wired remote control to ensure continuous bed adjustment capabilities. @topic:7


# # # issue - bed is unable to adjust # # # impact - patient discomfort - difficulty in providing care - potential safety hazard # # # possible causes - loose plug - faulty switch or wiring - mechanical failure - power supply issue # # # recommendations - tighten the plug and check for secure connection. - inspect the switch and wiring for damage or loose connections. - examine the mechanical components for wear and tear. - verify that the power supply is adequate and stable. - consider replacing faulty components or the entire bed if necessary. - ensure regular maintenance and inspections to prevent future failures. @topic:1


# # # issue - monitor is unable to measure spo2 values. # # # impact - inability to monitor patient's oxygen saturation levels, which is a critical parameter for assessing their respiratory status. # # # possible causes - faulty spo2 extension cable. # # # recommendations - replace the spo2 extension cable. @topic:4


* * issue : * * ekg signal loss on philips intellivue mp40 ( m8003a ) monitors used for patient transport * * impact : * * inability to accurately monitor patient's ekg, which is crucial for managing cardiac emergencies. * * possible causes : * * - * * equipment malfunction : * * faulty component or circuit within the monitor, particularly related to ekg signal acquisition and processing. - * * cable or connection issues : * * loose or damaged cables, connectors, or electrodes connecting the monitor to the patient. - * * interference : * * electromagnetic or electrical interference from other devices or equipment, disrupting the ekg signal transmission. - * * patient - related factors : * * altered skin conditions, movement artifacts, or excessive noise can interfere with ekg signal acquisition. - * * software glitch : * * software issues in the monitor's operating system or ekg analysis algorithm. * * recommendations : * * - * * thoroughly check cables and connections : * * ensure all cables, connectors, and electrodes are secured, clean, and free of damage. - * * isolate interference : * * move the monitor and patient away from potential sources of electromagnetic or electrical interference. - * * confirm patient preparation : * * ensure the patient's skin is prepared correctly for ekg monitoring, and minimize movement or noise during acquisition. - * * run diagnostic tests : * * use built - in diagnostic tools within the monitor to assess ekg signal integrity and identify any faulty components. - * * update software if necessary : * * check for and install any available software updates that may address software glitches related to ekg signal processing. - * * contact technical support : * * if troubleshooting steps are unsuccessful, reach out to the manufacturer's technical support team for further assistance and potential equipment repair or replacement @topic:18


# # # issue spo2 sensor failure # # # impact unable to measure oxygen saturation levels # # # possible causes - * * damaged or loose cable : * * the cable connecting the sensor to the monitor may be damaged or loose, preventing the signal from being transmitted. - * * malfunctioning sensor : * * the sensor itself may be malfunctioning, causing it to provide inaccurate or no readings. - * * patient interference : * * if the patient is moving excessively or has poor circulation, the sensor may be unable to accurately measure oxygen saturation levels. - * * electrical interference : * * other medical equipment or devices in the vicinity may be emitting electrical interference that disrupts the sensor's operation. # # # recommendations - * * inspect the cable : * * check the cable for any visible damage or loose connections. tighten any loose connections and replace damaged cables. - * * replace the sensor : * * if the cable is intact, the sensor may be malfunctioning and should be replaced. - * * monitor patient factors : * * ensure that the patient is still and has good circulation. - * * check for electrical interference : * * identify and remove any sources of electrical interference that may be affecting the sensor. @topic:4


# # # issue - screw loosened. # # # impact - the equipment may not function properly. # # # possible causes - the screw was not tightened properly during assembly. - the screw was damaged during use. - the screw was made of a material that was not strong enough for the application. # # # recommendations - inspect the screw and tighten it if necessary. - replace the screw if it is damaged. - use a screw made of a stronger material if the original screw is not strong enough. @topic:26


# # # issue - the bed is not adjusting and the lights are flickering. # # # impact - the bed is unusable, which can cause delays in patient care. - the flickering lights can be distracting and disorienting for patients and staff. # # # possible causes - * * electrical problem : * * there could be a problem with the electrical wiring or connections in the bed. - * * mechanical problem : * * there could be a problem with the bed's mechanics, such as a broken gear or motor. - * * software problem : * * there could be a problem with the bed's software, which is controlling the bed's movements and lights. # # # recommendations - * * electrical check : * * inspect the bed's electrical wiring and connections for any loose or damaged wires. - * * mechanical inspection : * * inspect the bed's mechanics for any broken or damaged parts. - * * software update : * * check if there is a software update available for the bed and install it if necessary. - * * contact manufacturer : * * if the problem cannot be resolved by the technician, contact the bed's manufacturer for assistance. @topic:1


leakage test to check the pneumatic system and valve : step 1 in the nbp test window, select the start static pressure test button. 2 squeeze the manometer pump to apply a pressure of 280 mmhg. wait 10 seconds for the pressure to stabilize. note the pressure value in the nbp test window. note — philips employees record this value as p1. wait 60 seconds for the pressure to stabilize. note the pressure value in the nbp test window. note — philips employees record this value as p2. calculate and document the leakage test value. the leakage test value should be less than or equal to 6 mmhg. note — philips employees record this value as x3 ( where x3 = p1 - p2 ). select the stop static pressure test to stop the process. if the leakage test value exceeds 6 mmhg, check the test setup cuff and tubing, and then test again. if the test still fails, check the pneumatic tubing inside the monitor. if you cannot eliminate the leak, see chapter 4, “ troubleshooting. ” performance verification testing suresigns vs4 service guide 3 - 17 predictive temperature test predictive temperature test the following procedure uses a fixed temperature value to check the performance of the temperature measurement on the monitor. to perform this test, you need : e a suresigns temperature probe e a suresigns temperature calibration key ( part # 4535 640 33691 ) to test the performance of the temperature measurement : step 1 connect the temperature probe to the monitor. 2 open the temperature menu and select monitored mode. 3 remove the temperature probe and the probe well and disconnect the temperature probe connector from the monitor. note — 4 temperature probe error may occur and an alarm may sound. 4 connect the suresigns temperature calibration key to the @topic:17


* * issue : * * monitor fails to turn on * * impact : * * inability to monitor vital signs of patients, compromising patient safety and potentially leading to adverse outcomes. * * possible cause : * * battery failure * * recommendation : * * 1. * * verify battery connectivity : * * ensure that the battery is properly inserted and making good contact with the terminals. 2. * * replace battery : * * if the battery is loose or damaged, replace it with a new one. 3. * * check battery voltage : * * using a voltmeter, measure the voltage of the battery. replace the battery if the voltage is below the specified minimum level. 4. * * calibrate battery : * * some batteries may require calibration to ensure optimal performance. follow the manufacturer's instructions for battery calibration. * * additional possible causes : * * * * * power supply issue : * * check if the power outlet is functioning properly and if the power cord is securely connected to the monitor. * * * internal component failure : * * if the aforementioned steps do not resolve the issue, there may be a failure in an internal component such as the power supply or motherboard. contact the manufacturer for further troubleshooting and repair options. @topic:11


# # # issue - the physiologic monitor, a model intellivue mp70 ( m8007a ) from philips, is experiencing issues. # # # impact - due to the malfunctioning spo2 connector, the device is unable to accurately monitor blood oxygen levels. # # # possible causes - the spo2 connector may have become damaged or loose over time. - the connector may have been improperly connected or disconnected, causing it to malfunction. # # # recommendations - replace the faulty spo2 connector with a new one to ensure accurate blood oxygen monitoring. - check the connector for any signs of damage or wear, and replace it as necessary. - ensure proper connection and disconnection of the connector to avoid further damage. @topic:4


# # # issue the central monitor in room 7 is not displaying any data. # # # impact this issue could impact patient care as the medical staff may not be able to monitor the patient's vital signs properly. # # # possible causes - the lan cable connecting the monitor and the central monitor room 7 is not properly connected. - the central monitor room 7 is not functioning properly. # # # recommendations 1. check the lan cable connection between the monitor and the central monitor room 7. ensure that the cable is securely connected at both ends. 2. if the lan cable connection is secure, then contact the medical equipment vendor for further troubleshooting assistance. @topic:16


# # # issue bed is unable to adjust # # # impact patient discomfort and potential safety hazards # # # possible causes - electrical issues - mechanical issues ( e. g., broken motor or defective wiring ) - software issues - user error # # # recommendations 1. * * electrical issues : * * - verify power supply to the bed. - inspect electrical connections for loose or damaged wires. - check fuses and circuit breakers. 2. * * mechanical issues : * * - visually inspect the bed frame and moving parts for any damage or obstructions. - test the motors and actuators using the diagnostic mode ( if available ). - lubricate moving parts as needed. 3. * * software issues : * * - check for software updates or firmware issues. - reset the bed's software to factory settings. 4. * * user error : * * - ensure that the user is trained on the proper operation of the bed. - check the bed's manual for troubleshooting instructions. @topic:1


* * issue : * * module gas not reading values * * impact : * * inability to monitor patient vital signs accurately, leading to potential patient health risks. * * possible causes : * * * faulty gas module * loose or damaged connections * software or firmware malfunction * incorrect calibration settings * environmental interference ( e. g., electromagnetic fields ) * * recommendations : * * * inspect the gas module for any visible defects or damage. * check and tighten all connections between the gas module and the monitor. * update the software or firmware to the latest version. * review the calibration settings and ensure they are correct. * eliminate any potential sources of environmental interference. * replace the gas module if necessary. * perform a thorough functional test to verify the monitor is operating properly. * implement a regular maintenance schedule to prevent similar issues in the future. @topic:20


* * issue * * monitor not linked to central system * * impact * * critical - patient data not being centrally monitored - alarm notifications not being received by central station - inability to remotely monitor patient status * * possible causes * * - network connectivity issues - incorrect or loose cable connections - hardware or software issues with the monitor or central system - firewall or security settings blocking communication * * recommendations * * - check network connectivity and ensure stable connection - inspect and tighten all cable connections - verify that the monitor and central system are both powered on and in working order - contact the vendor for support if the issue persists - review firewall and security settings to ensure communication is not being restricted @topic:16


# # # issue - non - functioning power button # # # impact - the user is unable to power on the device. # # # possible causes - faulty power button - electrical fault in the power supply - loose connection between the power button and the power supply - damaged control panel # # # recommendations - inspect the power button for signs of damage or wear. - check the electrical connections between the power button and the power supply. - replace the power button if it is found to be faulty. - if the issue persists, contact a qualified electrician or biomedical engineer for further troubleshooting and repair. @topic:12


# # # issue - optic fiber cable failure in a bedside physiological monitor ( medlab cap10 ) # # # impact - inability to accurately monitor patient's respiratory and pulse oximetry data # # # possible causes - physical damage to the cable ( e. g., bending, crimping ) - wear and tear due to repeated use or aging - manufacturing defect # # # recommendations - replace the damaged optic fiber cable with a new one - inspect the monitor and cable for any other signs of damage or wear - consider using a protective sleeve or conduit to prevent future damage to the cable - train staff on proper handling and maintenance of medical devices @topic:20


# # # issue * remote control not working # # # impact * inconvenience for patient and healthcare providers * delays in patient care * potential safety hazard if the bed cannot be adjusted remotely # # # possible causes * * * hardware failure : * * malfunctioning components within the remote control, such as buttons, circuitry, or sensors. * * * software glitch : * * bugs or errors in the software that operates the remote control. * * * battery failure : * * loss of power or low battery levels. * * * interference : * * electromagnetic interference from other devices or environmental factors. * * * user error : * * incorrect operation or mishandling of the remote control. # # # recommendations * * * troubleshooting : * * check the battery connections, ensure the remote is within range of the bed, and try resetting the remote or the bed. * * * repair or replacement : * * if troubleshooting fails, the remote may need to be repaired or replaced. * * * preventive maintenance : * * regularly inspect and clean the remote control to prevent accumulation of dust or debris. * * * user training : * * educate users on proper use and handling of the remote control. * * * upgrade to a newer model : * * consider upgrading to a newer model of remote control with improved functionality and reliability. @topic:7


* * # # issue * * - noisy wheelchair casters * * # # impact * * - patient discomfort and complaints * * # # cause of failure * * - * * possible causes : * * - the original plastic casters were too noisy and caused vibrations that were uncomfortable for patients. - the new rubber casters have a softer surface that reduces noise and vibration. - the casters may be damaged or worn, causing them to make noise. - the casters may not be properly lubricated, causing them to squeak or creak. - the casters may not be properly aligned, causing them to wobble and make noise. * * # # recommendations * * - replace the noisy casters with new rubber casters. - lubricate the casters regularly to prevent them from squeaking or creaking. - align the casters properly to prevent them from wobbling and making noise. @topic:24


# # # issue - lockout castor came off # # # impact - there is a risk of the bed moving unexpectedly, which could lead to patient injury. # # # possible causes - the lockout castor may have been damaged or worn out. - the lockout castor may not have been properly attached to the bed. # # # recommendations - inspect the lockout castor for damage or wear. - replace the lockout castor if it is damaged or worn out. - ensure that the lockout castor is properly attached to the bed. @topic:6


# # # issue blood pressure could not be measured. # # # impact the patient's blood pressure cannot be effectively monitored, which may lead to delays or errors in treatment. # # # possible causes - the bp cuff connection to the nibp monitor is not secure. - the bp cuff is not the correct size for the patient. - the patient is moving or talking during the measurement. - the patient has a condition that interferes with blood pressure measurement, such as arrhythmia or hypotension. # # # recommendations - ensure that the bp cuff is properly connected to the nibp monitor. - select the appropriate bp cuff size for the patient. - ask the patient to remain still and silent during the measurement. - consider alternative methods of blood pressure measurement if the patient has a condition that interferes with accurate bp measurement. @topic:15


# # # issue : - physiologic monitor ( bedside ) is out of service due to equipment failure. # # # impact : - patient monitoring is compromised. - patient safety is at risk. # # # possible causes : - the equipment was borrowed for use while another monitor was being repaired. - the borrowed equipment was not compatible with the patient's needs. - the borrowed equipment was not properly calibrated or maintained. # # # recommendations : - ensure that all equipment is compatible with the patient's needs before borrowing it. - calibrate and maintain all equipment regularly. - establish a system for tracking borrowed equipment to avoid confusion and ensure timely return. @topic:2


* * issue : * * - failure of electric bed ( bed, electric ) * * impact : * * - disruption of patient care and comfort * * possible causes : * * - * * replacement of backup batteries : * * the technician notes that the backup batteries were recently replaced, indicating that the bed may have been experiencing power issues. * * recommendations : * * - * * verify battery installation : * * ensure that the new backup batteries are properly installed and are the correct type and capacity for the electric bed. - * * check electrical connections : * * inspect the electrical connections on the bed, including the battery terminals, charging system, and power cord, for any loose or damaged wires. - * * test and monitor the bed : * * after making any adjustments or repairs, thoroughly test the bed's functionality and monitor it for any further issues. @topic:9


# # # issue - drawer not locking # # # impact - medical cart cannot be used to transport medical supplies or equipment. # # # possible causes - limit switch malfunction - drawer latch not engaging properly - drawer rails bent or damaged - electrical connection issue causing limit switch to not activate # # # recommendations - replace limit switch if necessary - inspect and adjust drawer latch to ensure proper engagement - check drawer rails for damage and replace if necessary - inspect electrical connections and ensure proper continuity with a multimeter @topic:21


# # # issue - worn cuff # # # impact - inaccurate blood pressure readings # # # possible causes - normal wear and tear - excessive use - improper storage # # # recommendations - replace the cuff regularly as per manufacturer's guidelines. - handle the cuff with care to avoid damage. - store the cuff in a cool, dry place. @topic:3


# # # issue monitor not linking to central # # # impact inability to remotely monitor patient's vital signs # # # possible causes - loose or disconnected lan cable - faulty lan cable - misconfiguration of network settings - software issue with the monitor # # # recommendations - ensure that the lan cable is securely connected to both the monitor and the network jack. - check the lan cable for any visible damage. - verify the network settings on the monitor and ensure that they are correct. - contact the equipment manufacturer for troubleshooting assistance if the issue persists. @topic:16


# # # issue - malfunctioning remote control # # # impact - limited or impaired control of the electric bed, potentially affecting patient comfort and safety. # # # possible causes - * * defective remote control : * * internal component failure, such as loose connections, damaged sensors, or faulty electronics. - * * software issues : * * glitches or corruption in the software controlling the remote's functions. - * * battery problems : * * weak or dead batteries may prevent the remote from communicating with the bed. - * * mechanical damage : * * physical damage to the remote's buttons, casing, or internal components due to drops, impacts, or improper handling. # # # recommendations - * * inspect the remote control : * * examine the buttons, casing, and connections for signs of physical damage or loose components. - * * test the batteries : * * replace weak or dead batteries and ensure proper contact. - * * check for software updates : * * contact the manufacturer to determine if any software updates are available and install them as needed. - * * service or replace the remote : * * if the problem persists, contact a qualified biomedical engineer to troubleshoot and repair or replace the remote control as necessary. - * * consider preventative maintenance : * * regular inspection and testing of the remote control can help identify potential issues before they cause operational failures. @topic:7


# # # issue the issue is that the cause of failure is not specified in the given input. # # # impact this can make it difficult for the biomedical engineer to troubleshoot the problem and repair the device. # # # possible causes there could be several possible causes for the failure of the monitor bedside, including : - hardware failure - software failure - user error # # # recommendations to troubleshoot the problem, the biomedical engineer should : - inspect the device for any obvious damage. - test the device with a known - good test fixture. - check the device settings to ensure that they are correct. - if the problem cannot be identified, the device should be sent to the manufacturer for repair. @topic:2


# # # issue - broken battery rail # # # impact - device is unable to hold a charge and will not function without a power source # # # possible causes - physical damage to the rail, such as bending or breaking - corrosion or oxidation of the rail - loose or disconnected wires # # # recommendations - replace the battery rail with a new one - inspect the rail for any damage and repair or replace as needed - clean and lubricate the rail to prevent corrosion and oxidation - ensure that the wires are properly connected and secure @topic:11


# # # issue - the bed's side rail is not raising. # # # impact - the bed's side rail is an important safety feature that helps prevent patients from falling out of bed. if the side rail is not functioning properly, it could put patients at risk of injury. # # # possible causes - the cause of the side rail not raising could be a number of things, including : - a problem with the motor that raises the side rail - a problem with the power supply to the motor - a problem with the control panel that operates the motor - a mechanical problem with the side rail itself # # # recommendations - the technician should troubleshoot the problem to identify the cause of the issue. once the cause of the issue has been identified, the technician can make the necessary repairs to fix the side rail. @topic:6


# # # issue - the locking nuts securing the bed rails are loose, causing the bed rails to tilt. # # # impact - this can pose a safety hazard to patients, as they may be at risk of falling out of bed. # # # possible causes - the locking nuts may not have been tightened properly during assembly. - the locking nuts may have become loose over time due to wear and tear. - the bed rails may have been subjected to excessive force, causing the locking nuts to loosen. # # # recommendations - inspect the locking nuts regularly and tighten them as necessary. - use a torque wrench to ensure that the locking nuts are tightened to the correct specification. - avoid subjecting the bed rails to excessive force. - if the locking nuts continue to loosen, replace them with new ones. @topic:6


50 ±10 in a 5 m distance from the access point used and the iit link should be active, i. e. the conn. status field should be active and the other fields should contain values. if the rssi value is significantly lower, check the distance to the access point and the antenna orientation at both the monitor and the access point ( both should be vertical ). remove the antenna. the rssi value should be around - 90 ±10. the iit link may be active but the connection could be unreliable. the conn. status field may toggle between inactive and seeking. if the difference between the rssi values measured with and without antenna is significantly lower, check the antenna and the antenna connector for damage. 5 if this test fails, retry in a different physical area with a different access point. error conditions : - thefieldmac instr. tele should show a value unequal to 0000 0000 0000. if it does not, there is a communication problem between the monitor and the iit adapter. - with an incorrect rf access code or an incorrect or defective antenna installation, the fields ip address, server ip, subnet mask, and rssi in the instrument telemetry service window will stay blank. the field conn. status will slowly toggle between inactive and 6 perform the access point controller ( apc ) test blocks as described in the philips intellivue wireless network installation and configuration guide. 57 3 testing and maintenance intellivue 802. 11 bedside adapter communication test intellivue 802. 11 bedside adapter communication test 1 make sure the lan cable is disconnected from the rear of the monitor, then switch on the monitor. 2 go into service mode and select main setup - > network - > setup wlan. in the setup wlan menu : - set mode to either 802. llah, 802. @topic:16


# # # issue - equipment : monitors, physiologic, central station - brand : hewlett packard - model : m3150a - failure : monitor is making a loud noise and displaying a red warning light. - ups has a loud noise and a red light indicating a battery failure. # # # impact - the monitor is not functioning properly and may not be able to accurately monitor patient data. - the ups is not providing backup power to the monitor, which could lead to a loss of data or damage to the equipment. # # # possible causes - the ups battery is old and needs to be replaced. - the ups is not properly connected to the monitor. - the monitor is not properly grounded. - there is a problem with the monitor's power supply. # # # recommendations - replace the ups battery. - check the ups connections to the monitor. - check the monitor's grounding. - troubleshoot the monitor's power supply. @topic:2


# # # issue - remote control for electric hospital bed is not working. # # # impact - inability to adjust the position of the patient's bed, potentially impacting their comfort and safety. # # # possible causes - * * battery failure : * * dead or malfunctioning batteries can prevent the remote control from sending signals to the bed. - * * electrical fault : * * loose connections, damaged wires, or a malfunctioning circuit board can disrupt the electrical communication between the remote control and the bed. - * * mechanical failure : * * broken buttons, switches, or other mechanical components can prevent the remote control from functioning properly. - * * software glitch : * * bugs or errors in the software controlling the bed or remote control can cause communication issues. - * * remote control type mismatch : * * if the replacement remote control is not compatible with the specific model of bed, it may not function properly. # # # recommendations - test the batteries and replace them if necessary. - inspect the electrical connections and wiring for any signs of damage or looseness. repair or replace as needed. - examine the remote control for any physical damage, such as broken buttons or switches. replace the remote control if necessary. - check for software updates or firmware revisions that may address communication issues. - ensure that the replacement remote control is compatible with the specific model of electric hospital bed. @topic:7


# # # issue - loose connection in the patient transport monitor # # # impact - equipment malfunction - inaccurate patient monitoring - potential patient safety hazard # # # possible causes - insufficient tightening of connectors - wear and tear over time - excessive movement or vibration during transport # # # recommendations - check and tighten all connections regularly - inspect equipment for any loose components or damage - handle equipment with care to minimize vibration and shock - provide proper training and documentation on equipment maintenance and handling @topic:12