# # # failure cause : replaced blood pressure ( bp ) cuff * * possible causes : * * - * * incorrect cuff size : * * using a cuff that is too small or too large for the patient can result in inaccurate readings and measurement failure. - * * cuff bladder leakage : * * a leak in the cuff bladder can prevent it from inflating properly, leading to abnormal readings. - * * defect in cuff sensor : * * a malfunctioning sensor within the cuff can affect its ability to measure pressure accurately. - * * loose or damaged cuff tubing : * * loose or damaged tubing can disrupt the transmission of pressure signals to the monitor, leading to false readings or no reading at all. * * recommendations : * * - ensure that the appropriate cuff size is selected for the patient. - inspect the cuff bladder for any leaks or damage. - check the cuff sensor and tubing for any signs of damage or malfunction. - replace the cuff with a new one if necessary. - perform regular maintenance and calibration of the bedside monitor to ensure optimal performance. @topic:3


< 4. 0 ml / min ) pump check x4 = difference in pressure between cell pressure and ambient pressure displayed on the monitor during occlusion ( x4 > 120 mmhg ) flow check x5 = difference between measured value and 50. 0 ml / min ( x5 < 7. 5 ml / min ) noise check x6 = noise index displayed on monitor ( x6 < 3. 0 ) c0 2 gas calibration check x7 = difference between measured c0 2 value and calculated value, based on 5 % c0 2 cal. gas. ( x7 < 2. 6 mmhg ) c0 2 cal verification x8 = difference between measured c0 2 value and calculated value, based on 10 % c0 2 cal. gas. ( x8 < ± { 0. 07 x value calculated } ) c0 2 pump / c0 2 scrubber replacement refer to the repair and disassembly section for the replacement procedures. tests some of the following test procedures must be performed in service mode. to enter service mode select operating modes in the main menu. then select service mode and enter the password. 47 3 testing and maintenance tests if required, open the screen menu in the monitor info line at the top of the screen and select service to access the service screen. this is required particularly for anesthetic gas module testing procedures. visual test inspect the system for obvious signs of damage. also check all external leads and accessories. the expected test result is pass : the system has no obvious signs of damage. power on test 1 switch on the monitor and connect the mms. 2 make sure that all steps listed in the table initial instrument boot phase in the troubleshooting section are completed successfully and that an ecg wave appears on the screen. the expected test result is pass : the monitor boots up and displays an ecg wave. the wave might be a @topic:17


# # # issue - the bed is not working. # # # impact - the patient cannot use the bed. - the hospital staff cannot move the patient. # # # possible causes - the remote is not working. - the bed is not plugged in. - the bed is not turned on. - the bed is not properly assembled. # # # recommendations - check the remote and replace it if necessary. - check the power cord and make sure it is plugged in. - turn on the bed. - check the assembly instructions and make sure the bed is properly assembled. @topic:1


# # # issue : no signal is displayed on the medical cart's monitor, and the message " nosignal entering the power saving mode shortly " appears. # # # impact : - the medical cart cannot be used for patient care. - patient care may be delayed or compromised. # # # possible causes : - loose or damaged hdmi cable. - failed monitor. - failed video card. - power supply issue. # # # recommendations : - check the hdmi cable and connections. ensure that the cable is securely plugged into both the medical cart and the monitor. - try a different monitor. if the new monitor works, the original monitor may be faulty. - if a different monitor does not work, try replacing the video card. - check the power supply to the medical cart. ensure that the power cord is securely plugged into an electrical outlet and that the power supply is functioning properly. @topic:13


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the left front wheel of the device is found to be over weight, causing it to tilt to the left when pushed. # # # impact - the device cannot be used safely. # # # possible causes - the wheel is not properly aligned. - the wheel is damaged. - the weight of the device is not evenly distributed. # # # recommendations - check the alignment of the wheel. - inspect the wheel for damage. - redistribute the weight of the device. @topic:24


# # # issue - rails cannot adjust up or down and make a noise # # # impact - the bed cannot be adjusted to the desired height or position, which can make it difficult for the patient to get in and out of bed, or for the healthcare provider to provide care. - the noise can be disruptive to the patient and other patients in the area. # # # possible causes - the locking mechanism is not engaged - the gear mechanism is damaged - the motor is not working - the control panel is not functioning properly # # # recommendations - check the locking mechanism to ensure that it is engaged. - inspect the gear mechanism for any damage. - test the motor to see if it is working properly. - check the control panel to see if it is functioning properly. @topic:6


defective replace lcd flat panel main board defective replace main board 110 4 troubleshooting integrated touch screen not functioning symptoms possible causes of failure failure isolation and remedy touch screen not functioning touchscreen functionality has been temporarily disabled check if touchscreen functionality has been temporarily disabled ( padlock symbol on main screen key ). if yes, press and hold the main screen key to re - enable touchscreen operation. touchscreen functionality has been permanently disabled in service mode, select main setup - > user interface and change the ‘ ‘ touch enable ” selection to “ yes ”. touch screen not connected check connection from touch screen to panel adapter board cable between main board and panel adapter board not connected check cable connection between panel adapter board and main board. panel adapter board defective replace panel adapter board touch screen defective replace touch screen assembly main board defective replace main board touch position invalid touch not calibrated perform touch calibration : 1. go into service mode 2. enter the main setup menu 3. select hardware 4. select touch calibration 111 [ 4 troubleshooting ] external display is blank ( slave display ) symptoms possible causes of failure failure isolation and remedy external display is blank if integrated display is also blank proceed as described under ‘ ‘ integrated display is blank ” option # j 15 ( adaptive slave display ) is not installed install option # j 15 to activate the dvi video interface video cable to external display not connected check video cable connection to external display external display has no power check electricity supply of external display external display is defective check external display and video cable on another monitor or pc connector board defective replace connector board main board defective replace main board 112 4 troubleshooting external touch display not functioning symptoms possible causes of failure failure isolation and remedy external touch screen not functioning touchscreen functionality has been temporarily disabled check if touchscreen functionality has been temporarily disabled ( padlock symbol on main screen key ). if yes, press and @topic:2


# # # issue : - keyboard not linking / connecting to the central monitor. # # # impact : - inability to use the central monitor effectively for patient monitoring, inputting patient data, and controlling connected medical devices. # # # possible causes : * * 1. faulty keyboard : * * - damage or malfunction in the keyboard itself, preventing it from transmitting data signals to the central monitor. * * 2. loose connection : * * - improper connection of the keyboard cable to the central monitor, leading to intermittent or no communication. * * 3. driver issue : * * - outdated or corrupted drivers in the central monitor, which are essential for the keyboard to function properly. * * 4. software conflict : * * - incompatible or conflicting software installed on the central monitor, which interferes with the keyboard's functionality. * * 5. power supply issues : * * - insufficient power supply to the keyboard or central monitor, causing intermittent or complete failure of the keyboard. # # # recommendations : * * 1. test keyboard : * * - check if the keyboard functions properly on another computer or device to rule out a faulty keyboard. * * 2. inspect connections : * * - ensure that the keyboard cable is firmly plugged into the central monitor and that the connections are secure. * * 3. update drivers : * * - check for any available updates to the central monitor's drivers, and install them if necessary. * * 4. troubleshoot software : * * - identify any recently installed software that may be causing conflicts and uninstall or disable them. * * 5. power check : * * - verify that the central monitor and keyboard are receiving adequate power. check power cables, outlets, and surge protectors. @topic:27


# # # issue - blood pressure monitor is not functioning correctly. # # # impact - inability to accurately measure blood pressure, which can delay or compromise patient care. # # # possible causes - malfunctioning air pump within the monitor. # # # recommendations - the monitor has been sent to the manufacturer for repair and replacement of the air pump. @topic:15


# # # issue wheel detached from the base. # # # impact the monitor is not mobile and cannot be easily moved from one patient to another. # # # possible causes - the wheel was not properly attached to the base. - the wheel was damaged. - the base was damaged. # # # recommendations - inspect the wheel and base for damage. - replace the wheel if it is damaged. - replace the base if it is damaged. - ensure that the wheel is properly attached to the base. @topic:24


# # # issue - the medical device is not functioning properly and has shut down. # # # impact - the medical device is not available for use, which can delay or prevent patient care. - the hospital may incur additional costs to repair or replace the device. # # # possible causes - power outage - power surge - equipment malfunction - user error - environmental factors # # # recommendations - check the power supply to the device. - inspect the device for any visible damage. - reset the device. - contact the manufacturer for technical support. - implement a regular maintenance schedule for the device. - train users on the proper operation of the device. @topic:12


# # # issue - vital signs monitor not providing accurate readings. # # # impact - delays in patient treatment - incorrect treatment decisions - patient discomfort # # # possible causes - cuff deterioration which causes inaccurate blood pressure readings. # # # recommendations - replace cuff with new one. - calibrate the monitor after replacing the cuff. - check the monitor regularly to ensure it is providing accurate readings. @topic:14


# # # issue - bed adjustment malfunction # # # impact - patient discomfort or distress - inability to perform necessary medical procedures - delayed or interrupted patient care # # # possible causes - faulty remoter - damaged wiring or connections - mechanical issues with the bed frame or motor - software errors # # # recommendations - replace the remoter with a new unit - inspect and repair any damaged wiring or connections - check the mechanical components of the bed for any signs of wear or damage - update the software to the latest version - contact the manufacturer for further troubleshooting and support @topic:7


# # # issue medical equipment not displaying patient data in the system. # # # impact surgeons and medical staff may not have access to real - time patient information, which could delay or compromise patient care. # # # possible causes - patient data was inputted into the wrong room. - the medical equipment is not properly connected to the correct room. - incorrect configuration or settings within the medical equipment. # # # recommendations - verify that the patient data has been inputted into the correct room. - ensure that the medical equipment is properly connected to the correct room. - check the configuration and settings within the medical equipment to ensure they are correct. - restart the medical equipment and try again. - contact the medical equipment manufacturer or a qualified technician for further assistance. @topic:2


# # # issue - motor producing excessive noise during up - and - down movement # # # impact - compromised patient comfort and safety - potential damage to the equipment # # # possible causes - worn or damaged motor bearings - loose or misaligned gears - electrical fault in the motor control system # # # recommendations - inspect and replace motor bearings if necessary - check and adjust gear alignment - troubleshoot electrical circuit for any faults and repair or replace components as needed @topic:9


# # # issue the main computer on the medical cart is overheating due to constant use, causing the screen to go black. # # # impact the medical cart is essential for providing patient care, so the failure of the main computer could have a significant impact on the quality and efficiency of care. # # # possible causes the constant use of the medical cart may have caused the main computer to overheat due to : - insufficient ventilation - accumulation of dust or debris - malfunctioning cooling fan # # # recommendations to address this issue, the following steps should be considered : - ensure that the medical cart is placed in an area with adequate ventilation. - regularly clean and inspect the medical cart, removing any dust or debris that may accumulate. - check the cooling fan to ensure it is functioning properly, and replace it if necessary. - consider implementing a regular maintenance schedule to prevent similar issues in the future. @topic:13


# # # possible causes - sensor module ( mrx6 ) is not working properly. - circuitry problems in the patient transport monitor. - software glitches or bugs in the patient transport monitor. @topic:22


# # # issue - equipment reboot # # # impact - interruption of medical services and procedures - delays in patient care - potential loss of data or patient records # # # possible causes - * * software issue : * * - system crash or software bugs - incompatible updates or software patches - * * hardware issue : * * - faulty or malfunctioning components - loose connections or wiring issues - * * power supply issue : * * - voltage fluctuations or power outages - overheating or insufficient cooling - * * environmental factors : * * - extreme temperatures or humidity - dust accumulation or exposure to liquids - * * user error : * * - incorrect operation or accidental settings changes # # # recommendations - * * software troubleshooting : * * - check for system updates and apply necessary patches - run diagnostics or troubleshoot known software issues - * * hardware inspection and repair : * * - inspect and clean internal components as needed - repair or replace faulty components - ensure secure connections and wiring - * * power supply optimization : * * - use surge protectors or uninterruptible power supplies ( ups ) - ensure proper cooling and ventilation - * * environmental monitoring : * * - maintain optimal operating conditions for the equipment - clean and protect the equipment from extreme conditions - * * training and education : * * - provide adequate training to users on proper operation and maintenance @topic:12


# # # issue - the cuff on the medrad veris 8600 mri physiologic vital signs monitor is leaking. # # # impact - the device is unable to accurately measure blood pressure. # # # possible causes - the cuff may be damaged or worn. - the cuff may not be properly inflated. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated according to the manufacturer's instructions. - select the correct cuff size for the patient. - retest the device to ensure that it is functioning properly. @topic:3


# # # issue headboard is unable to be adjusted # # # impact patient may not be able to get into a comfortable or functional position, which could lead to discomfort or pain # # # possible causes - headboard motor or gears are damaged or malfunctioning - headboard lock is engaged - wiring or connections to the headboard are loose or disconnected # # # recommendations - inspect the headboard motor and gears for damage or wear. if damaged or worn, replace the parts - disengage the headboard lock, if it is engaged - check the wiring and connections to the headboard. if loose or disconnected, reconnect them @topic:1


# # # issue - cuff is deteriorated. # # # impact - the accuracy of the vital signs monitoring may be compromised. # # # possible causes - ageing of the cuff material - frequent use or mishandling of the cuff - improper storage of the cuff # # # recommendations - replace the cuff with a new one. - train the staff on the proper use and handling of the cuff. - store the cuff in a cool and dry place. @topic:5


* * issue : * * monitor unable to measure spo2 via earlobe sensor * * impact : * * inability to accurately monitor patient's blood oxygen saturation levels * * possible causes : * * * * * damaged or faulty spo2 sensor cable : * * the cable connecting the spo2 sensor to the monitor may be damaged or malfunctioning, preventing proper signal transmission. * * * incompatibility between sensor and patient's anatomy : * * earlobe spo2 sensors may not be suitable for all patients, especially those with thick or dark earlobes. * * * patient's condition : * * the patient may have underlying conditions that affect their peripheral circulation, such as hypotension or hypothermia, making accurate spo2 measurement via earlobe difficult. * * * excessive movement or artifact : * * patient movement or other sources of interference ( e. g., ambient light ) can affect the sensor's ability to detect the oxygen saturation signal. * * * sensor placement error : * * the sensor may not be properly placed on the patient's earlobe, resulting in inadequate skin contact and poor signal quality. * * * previous icu stay : * * patients who have recently been in the icu may have underdeveloped or damaged peripheral blood vessels, making spo2 measurement via earlobe less reliable. * * recommendations : * * * * * replace the sensor cable : * * inspect the cable for damage and replace it if necessary. * * * use an alternative spo2 sensor : * * consider using a fingertip or wrist - mounted spo2 sensor if earlobe measurement is not feasible. * * * assess patient's condition : * * check the patient's vital signs and consider their medical history to determine if any underlying conditions may be affecting spo2 measurement. @topic:4


wave is drawn across the screen in millimeters per second ( mm / s ). eeg reports the content of eeg reports is always the same and does not need to be configured. ♦ to print an eeg report, in the setup eeg menu, select print report. alternatively, you can select the csa and use the print report pop - up key to start the report. ♦ to modify the buffer and trendline settings on the csa report, in the reports menu, select csa on eeg rep.. if you do not change these settings, the monitor will use the default settings sef trendlines : on, buffer : c. csa on report this menu entry lets you buffer choose one of the three pre - configured buffer times trend sef / mdf / ppf switch the trendline of the specific numeric on or off 255 18 monitoring eeg eeg safety information eeg safety information eeg configuration and monitor upgrades the a. 2 monitor release ( software revision a. 20. xx ) introduced a new feature that lets you rename eeg montages. it is not possible to clone eeg settings between montages with different names, therefore all eeg settings are reset to factory defaults during any upgrade / downgrade / cloning actions that mix releases / software revisions / configurations before a. 2 / a. 20. xx with subsequent versions. you must check that all eeg settings are correct before resuming monitoring with a monitor that has been upgraded or cloned. warning do not touch the patient, or table, or instruments during defibrillation. when connecting electrodes and / or patient cables, ensure that the eeg leads and connectors do not come into contact with other conductive parts or earth. high - frequency surgery to reduce the hazard of burns in the high - frequency surgical neutral electrode connection, the eeg electrodes should not be located between the @topic:8


# # # issue the lcd monitor is not displaying any images. # # # impact the monitor is essential for displaying medical information, such as patient vital signs and diagnostic images. without a functioning monitor, medical staff cannot perform critical tasks such as monitoring patients or performing procedures. # # # possible causes the following are some possible causes of a non - illuminated lcd monitor : - * * improper power supply : * * the monitor may not be receiving power from the electrical outlet or there may be a loose connection between the monitor and the power outlet. - * * faulty power adapter : * * if the monitor uses an external power adapter, the adapter may be faulty. - * * loose or damaged internal components : * * internal components, such as the display panel or the backlight, may be loose or damaged, causing the monitor to not display images. - * * software issue : * * in some cases, a software issue may prevent the monitor from displaying images. # # # recommendations the following are some recommendations for troubleshooting an lcd monitor that is not displaying images : - * * check the power supply : * * ensure that the monitor is plugged into a working electrical outlet and that the power cord is securely connected to the monitor. if the monitor is using an external power adapter, check the adapter and the connection between the adapter and the monitor. - * * try a different power outlet : * * plug the monitor into a different electrical outlet to eliminate the possibility of a faulty outlet. - * * reset the monitor : * * some monitors have a reset button that can be used to restore the monitor to its default settings. consult the user manual for instructions on how to reset the monitor. - * * check the video input : * * make sure that the video input cable is securely connected to both the monitor and the source device. try using a different video input cable if @topic:2


# # # issue - the inspired oxygen sensor is not measuring correctly. # # # impact - the clinician will not be able to accurately monitor the patient's oxygen levels. - this could lead to incorrect treatment decisions being made. # # # possible causes - the sensor is defective. - the sensor is not properly calibrated. - the sensor is not properly connected to the monitor. - the sensor is located in an area where it is not getting an accurate reading. # # # recommended actions 1. check the sensor for any damage. if the sensor is damaged, replace it. 2. calibrate the sensor according to the manufacturer's instructions. 3. ensure that the sensor is properly connected to the monitor. 4. move the sensor to a different location where it will get a more accurate reading. @topic:4


# # # issue - equipment malfunction due to faulty spo2 cord. # # # impact - interruption of patient monitoring. - potential for inaccurate or delayed patient data. - increased risk of adverse patient outcomes. # # # possible causes - physical damage to the spo2 cord. - wear and tear over time. - manufacturing defects. # # # recommendations - regular inspection and maintenance of medical devices to identify potential issues. - proper storage and handling of equipment to prevent damage. - adherence to manufacturer's instructions for use and maintenance. - training of staff on proper device operation and troubleshooting. - prompt replacement of faulty components to ensure optimal device performance. @topic:4


# # # issue the cause of failure for the philips intellivue mx40 telemetric electrocardiography monitor is not specified in the provided input. # # # impact the impact of the failure is not specified in the provided input. however, it is likely that the failure has resulted in the monitor being unable to be used for its intended purpose, which is to monitor a patient's electrocardiogram. this could have a negative impact on the patient's care, as the monitor is an important tool for monitoring the patient's heart health. # # # possible causes the following are some possible causes of the failure : - * * hardware failure : * * the monitor may have experienced a hardware failure, such as a failure of the electrical components or the display. - * * software failure : * * the monitor may have experienced a software failure, such as a crash or a bug. - * * user error : * * the monitor may have been used incorrectly, which could have caused it to fail. - * * environmental factors : * * the monitor may have been exposed to environmental factors, such as extreme heat or cold, which could have caused it to fail. # # # recommendations the following are some recommendations for fixing the failure : - * * contact the manufacturer : * * the first step is to contact the manufacturer of the monitor and report the failure. the manufacturer may be able to provide technical support or instructions on how to fix the failure. - * * check the user manual : * * the user manual for the monitor may contain troubleshooting tips that can help you fix the failure. - * * inspect the monitor : * * inspect the monitor for any obvious signs of damage, such as cracks or loose wires. - * * test the monitor : * * if possible, test the monitor with a known - good patient to see if it is functioning properly. - * @topic:16


# # # issue - cuff of the bedside physiologic monitor is faulty. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be punctured or torn. - the cuff may be the wrong size for the patient. - the cuff may not be properly inflated. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - properly inflate the cuff according to the manufacturer's instructions. @topic:3


# # # issue - bed cannot be adjusted. # # # impact - patient discomfort and mobility issues. - delays in patient care due to inability to adjust bed height or position. # # # possible causes - locked adjustment buttons. - faulty or damaged adjustment mechanism. - electrical or mechanical failure in the bed's control system. - loose or disconnected wires or connectors related to the adjustment functionality. # # # recommendations 1. * * check adjustment buttons : * * ensure that the bed's adjustment buttons are not accidentally locked. unlock any locked buttons and verify that the bed can be adjusted. 2. * * inspect adjustment mechanism : * * examine the bed's adjustment mechanism for any visible damage, loose components, or obstructions. check the movement of the actuators or motors responsible for adjusting the bed. 3. * * test electrical system : * * use a multimeter to test the electrical continuity of the bed's control system, including switches, wires, and connectors. look for any breaks or shorts in the electrical pathways. 4. * * diagnose control circuit : * * utilize a logic analyzer or other diagnostic tools to analyze the control circuit of the bed's adjustment system. check for any malfunctions or errors in the control signals or logic. 5. * * replace damaged components : * * if any faulty or damaged components are identified, such as actuators, motors, or control boards, replace them with genuine parts from the manufacturer. @topic:1


# # # issue * * equipment failure : monitors, physiologic, vital signs * * # # # impact * inability to accurately monitor vital signs of patients * delay in patient care * potential safety hazards # # # possible causes * * * not pressing send button : * * this is the most likely cause of failure, as indicated in the description. the biomedical engineer ( bme ) did not press the send button after ying scan and measuring values, which prevented the device from linking to the vsm ( vital signs monitor ). # # # recommendations * * * ensure proper training : * * the bme should be adequately trained on the operation of the device, including the importance of pressing the send button to complete the linking process. * * * establish clear protocols : * * a clear protocol should be established outlining the steps involved in setting up and using the device, including the sequence of pressing the send button. * * * regular maintenance : * * the device should be regularly inspected and maintained to ensure that all components are functioning properly and that the send button is not malfunctioning. @topic:2


# # # issue - equipment malfunction due to battery failure. # # # impact - inability to use the vital signs monitor, which is essential for patient monitoring and emergency response. - potential interruptions in patient care and increased workload for healthcare professionals. # # # possible causes - * * battery degradation : * * batteries have a limited lifespan and can deteriorate over time, leading to reduced capacity and performance. - * * insufficient charging : * * if the battery is not properly charged or replaced, it may not have enough power to operate the monitor. - * * improper handling : * * physical damage or mishandling of the battery can also affect its performance. # # # recommendations - * * regular battery maintenance : * * periodically check and replace batteries according to the manufacturer's recommendations. - * * proper charging practices : * * ensure that the battery is properly charged using the appropriate charger and charging time. - * * handle with care : * * avoid dropping, mishandling, or exposing the battery to extreme temperatures. - * * monitor battery status : * * regularly check the battery status indicator on the monitor to monitor its performance. - * * consider alternative power sources : * * explore the use of external power sources or backup batteries to ensure continuous operation of the monitor. @topic:11


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# # # issue the remote control for the electric bed is damaged. # # # impact the patient may not be able to adjust the bed's position or settings without assistance. # # # possible causes - the remote control may have been dropped or damaged in some other way. - the remote control's batteries may be dead. - the remote control's circuit board may have failed. # # # recommendations - replace the remote control. - check the remote control's batteries and replace them if necessary. - inspect the remote control's circuit board for damage and replace it if necessary. @topic:7


# # # issue - the casmed 740 vital signs monitor is unable to measure blood pressure ( bp ). # # # impact - the inability to measure bp can delay or compromise patient care. # # # possible causes - the bp cuff may not be properly inflated or seated on the patient's arm. - the bp cuff may be damaged or have a leak. - the bp transducer may be malfunctioning. - the bp hose may be kinked or obstructed. - the electrical connection between the bp cuff and the monitor may be loose or intermittent. - the monitor's software may be malfunctioning. # # # recommendations - * * check the bp cuff : * * ensure that it is properly inflated and seated on the patient's arm. inspect the cuff for any damage or leaks. - * * test the bp transducer : * * calibrate the bp transducer and check its output signal. - * * inspect the bp hose : * * check the hose for any kinks or obstructions, and replace it if necessary. - * * check the electrical connections : * * ensure that the electrical connection between the bp cuff and the monitor is secure and free of corrosion. - * * update the monitor's software : * * check the manufacturer's website for any software updates that may address the issue. - * * contact technical support : * * if the problem persists, contact the manufacturer's technical support team for further assistance. @topic:15


# # # issue - the bed is not adjustable # # # impact - the bed cannot be used to care for patients # # # possible causes - the control panel is not functioning properly - the motor is not working - the gears are jammed - the bed frame is damaged # # # recommendations - the technician should inspect the control panel and motor and replace any damaged parts - the technician should lubricate the gears and clean the bed frame - the technician should test the bed to ensure that it is working properly @topic:1


# # # issue - * * discolored lcd display with excessive red intensity and flickering * * # # # impact - * * patient monitoring and data visualization may be compromised. * * - * * accurate diagnosis and treatment decisions may be hindered. * * # # # possible causes - * * malfunctioning color calibration settings : * * incorrect calibration can lead to color distortion and incorrect display of patient data. - * * faulty or loose signal cables : * * loose or damaged signal cables can cause intermittent or distorted video output. # # # recommendations - * * adjust color calibration settings : * * calibrate the monitor according to the manufacturer's specifications using specialized equipment. - * * inspect and secure signal cables : * * verify that the signal cables are properly connected and secured. replace any damaged cables. - * * consider hardware issues : * * if the problem persists after calibration and cable inspection, there may be an underlying hardware fault. contact the equipment manufacturer for further diagnosis and repair. @topic:2


4 6 - lead placement for a 6 - lead placement use the positions from the 5 - lead diagram above but with two chest leads. the two chest leads, va and vb, can be positioned at any two of the v1 to v6 positions shown in the chest electrode diagram below. the va and vb lead positions chosen must be selected in the setup ecg menu to ensure correct labeling. 141 6 ecg, arrhythmia, st and qt monitoring chest electrode placement v1 on the fourth intercostal space at the right sternal border v2 on the fourth intercostal space at the left sternal border v3 midway between the v2 and v4 electrode positions v4 on the fifth intercostal space at the left idclavicular line v5 on the left anterior axillary line, horizontal with the v4 electrode position v6 on the left midaxillary line, horizontal with the v4 electrode position v3r - v6r on the right side of the chest in e over the xiphoid procesv7 on posterior chest at the left posterior axillarline in the fifth intercostal space v7r on posterior chest at the right posterior axillary line in the fifth intercostal space or accurate chest electrode placement and measurement, it is important to locate the fourtntercostal space. 1 locate the second intercostal space by first palpating the angle of lewis ( the little bony protuberance where the body of the sternum joins the manubrium ). this rise in the sternum is where the second rib is attached, and the space just below this is the second intercostal space. 2 palpate and count down the chest until you locate the fourth intercostal space. pace. 10 - lead placement when monitoring 12 - leads of ecg, using a 10 - electrode lead @topic:8


# # # issue the input does not specify a cause of failure. # # # impact the lack of a specified cause of failure makes it difficult to determine the appropriate course of action to fix the medical device. # # # possible causes the possible causes of the failure could be any number of issues, including : - electrical problems - mechanical problems - software problems - user error # # # recommendations to determine the cause of failure, the biomedical engineer should perform a thorough inspection of the medical device, including testing the electrical system, mechanical components, and software. the engineer should also interview the user of the device to determine if there were any unusual circumstances that may have led to the failure. once the cause of failure has been determined, the engineer can make recommendations for repairs or replacement of the medical device. @topic:12


# # # issue * keyboard malfunction ( unresponsive keys ) # # # impact * impaired data entry and communication * delays in patient care * user frustration # # # possible causes * * user error : * * * accidental activation of function keys ( e. g., fn + bluetooth ) * * hardware issues : * * * faulty keyboard connection * damaged keyboard component # # # recommendations * * * check keyboard settings : * * ensure that function keys are not enabled. * * * inspect keyboard : * * look for any physical damage or loose connections. * * * restart the device : * * this may resolve temporary software glitches. * * * contact vendor support : * * if the issue persists, reach out to the manufacturer for technical assistance. * * * train users on proper device operation : * * provide clear instructions on how to use the keyboard to prevent accidental key activations. @topic:27


# # # issue - spo2 cable malfunction # # # impact - inaccurate or unreliable spo2 readings - potential for patient harm # # # possible causes - damaged or faulty spo2 cable - loose or disconnected cable connections - interference from other devices or sources # # # recommendations - replace the spo2 cable with a known working one - inspect the cable for any damage or defects - ensure that the cable is securely connected to the monitor and the patient - check for any other potential sources of interference, such as nearby electrical equipment or strong magnetic fields - if the issue persists, contact the manufacturer for further troubleshooting assistance @topic:4


# # # issue - bed not adjusting # # # impact - patient discomfort - difficulty in providing care - increased risk of pressure ulcers # # # possible causes - * * electrical : * * - faulty wiring or connections - damaged electrical components - power outage - * * mechanical : * * - broken or jammed gears - worn or damaged cables - obstruction in the bed's path - * * software : * * - firmware issues - sensor malfunction - * * user error : * * - incorrect operation of controls - excessive weight on the bed # # # recommendations - * * electrical : * * - inspect wiring and connections for damage - test electrical components for functionality - ensure proper power supply - * * mechanical : * * - inspect gears and cables for damage or wear - check for obstructions in the bed's path - lubricate moving parts as necessary - * * software : * * - update firmware to the latest version - calibrate sensors - * * user error : * * - provide proper training on bed operation - enforce weight restrictions @topic:1


= a. 2 a02, a02c06, a02c18, a01c06c12 > = a. 2 a01, a01c06, a01c12, a01c18, a01c06c12 no longer supported, see uptrade parts hw c ( non rohs ) d. o toj. o de610 de 632 de717 > = a. 2 a01, a01c06, a01c18, a01c06c12 m3001 - 68x05 de907 a02, a02c06, a02c18, a01c06c12 m3001 - 68x06 a03, a03c06, a03c18, a01c06c12 m3001 - 68x07 a04, a04c06, a04c06c12 m3001 - 68x06 hwc ( rohs compliant ) > j - 0 de345 > = a. 2 a01, a01c06, a01c18, a01c06c12 m3001 - 68xl5 a03, a03c06, a03c18, a01c06c12 m3001 - 68xl7 a04, a04c06, a04c06c12 m3001 - 68x06 for further compatibility information please refer to the software compatibility matrix in the troubleshooting section. exchange multi - measurement modules are shipped with english front bezels only. if you require a bezel in another language ( compare the part numbers of your language to the english ones to check this @topic:19


. pem. the 802. 11 a / b / g / n radio also supports the p12, pfx, or pem file formats containing the device's client certificate and private key - client. p12, or client. pfx, or client. pem. note if a p12 or pfx file is supplied, the newmar radio will automatically convert it to pem format during installation. service manual connex direct 229 devices do not need to load the corresponding ca root certificate to authenticate. a certificate does not need to be created for server validation ( such as eap - peap with enable server validation - unchecked ). no certificates need to be loaded onto the devices for successful peap authentication. only the following inputs are required : username password • the'waclientcert. pim'file for a certificate to be loaded to the 802. 11 a / b / g / n radio using the welch allyn service tool ( wast ), the certificate must be formatted into the'waclientcert. pim'file format. this '. pim'file is a hillrom specific container that includes the customer certificates, commands, information about how the certs are to be loaded, and information about which folders the certificate ( s ) will be written to on the radio file system. you cannot re - name an existing customer client certificate or ca certificate to'waclientcert. pim'and upload it because the certificate lacks information on where the certificates need to be deployed on the radio and how the product should handle the file. the'waclientcert. pim'file must be created using a welch allyn process. create a waclientcert. pim file using the welch allyn service tool ( wast ) the welch allyn service @topic:18


# # # issue * motor malfunction # # # impact * inability to adjust the bed's position * compromised patient comfort and safety * disruption of medical procedures # # # possible causes * * * motor failure : * * * electrical faults * mechanical wear and tear * * * control box malfunction : * * * circuit board issues * wiring problems * * * other : * * * physical damage to the motor or control box * power supply issues # # # recommendations * * * immediate actions : * * * contact the manufacturer or service provider to obtain replacement parts. * temporarily use alternative equipment to maintain patient care. * * * preventive maintenance : * * * regularly inspect the motor and control box for any signs of damage or wear. * follow the manufacturer's recommended maintenance schedule. * * * training : * * * ensure that biomedical engineering staff is properly trained on the equipment's operation and maintenance procedures. * * * collaboration : * * * work closely with clinical staff to identify any potential issues or concerns with the equipment. @topic:9


# # # issue the location of the medical cart in the 3tch room is incorrectly displayed as 4tch in the medcart program. # # # impact this issue can lead to confusion and inconvenience for healthcare professionals who rely on the medcart program to locate medical equipment. # # # possible causes - the location information in the medcart program may have been entered incorrectly. - there may be a software glitch that is causing the incorrect location information to be displayed. - the medcart may have been moved to the 4tch room, but the location information in the medcart program has not been updated. # # # recommendations - verify that the location information in the medcart program is correct. - contact the it department to investigate the software glitch. - if the medcart has been moved, update the location information in the medcart program. @topic:13


# # # issue - spo2 cable is not working. # # # impact - patient monitoring may be compromised. - alarm may not sound if patient's oxygen saturation level drops. # # # possible causes - cable may be damaged. - cable may be incorrectly connected. - sensor may be malfunctioning. # # # recommendations - check the cable for any visible damage. - make sure the cable is securely connected to the monitor and the sensor. - replace the cable if it is damaged or if the problem persists. @topic:4


# # # issue - remote control connection loose. # # # impact - bed cannot be adjusted up or down. # # # possible causes - loose electrical connections in the remote control plug. # # # recommendations - * * immediate action : * * tighten the loose connection in the remote control plug. - * * preventative maintenance : * * regularly inspect and maintain electrical connections to ensure they remain secure. implement a preventive maintenance schedule to inspect and tighten connections as needed. consider using locking connectors or shrink tubing to prevent accidental loosening. @topic:7


. cold start : a cold start erases patient data incl. adt, trends and customer configuration settings. hot start : a hot start is a system reset. no data is erased. the following pop - up keys overlay the smartkeys : clear m8102 statlog clear statlog this key clears the currently displayed status log m8102 / m3002 note this key switches to the monitor revision window if an event occurs repeatedly, contact your philips service representative. note it is possible, using the support tool, to download the status log and send it to your philips service representative as a file ( for example via e - mail ). list of error codes there are no error codes at this point. troubleshooting with the support tool using the support tool you can : - access the full status log which can be saved as a file - reload software - identify defective devices - reset touch screen calibration for details on how to perform these tasks see the support tool user manual. troubleshooting the individual measurements or applications for problems isolated to an individual parameter or application, please consult the instructions for use and configuration information. if you are getting questionable readings for individual measurements you may want to do the performance verification tests in the testing and maintenance section. the performance of the individual applications ( arrhythmia, trending ) are affected by the configuration of the monitor. when contacting philips support you may be asked about the configuration of the monitor to aid in troubleshooting. 131 132 repair and disassembly the following section describes the disassembly and reassembly procedures for the monitor and its components. who should perform repairs only qualified service personnel ( biomedical engineers or technicians ) should open the monitor housing, remove and replace components, or make adjustments. if your medical facility does not have qualified service personnel, contact philips ’ response center or your local @topic:22


. this updates the data stored in the optical module. selecting recall last cal recalls the previously stored calibration value. if the calibration fails, check that the light intensity indicator is indicating a stable medium to high level. preparing to monitor with the m1011a narrow module in addition to the module, you need a philips so2 optical module and a compatible fiber optic probe or catheter. use only the accessories listed as applicable for the intended measurement location in the before you 1 connect the optical module to the so2 module. allow the optical module to warm up insert the probe / catheter and perform a calibration. although the warmup message disappears from the screen after one minute, it is preferable to let the optical module warm up for 10 minutes for best accuracy. the lid. place the optical module on the catheter tray in the pace proi2 open insert the so2 probe / catheter connector into the socket in the optical module until it place. snaps into 3 lose the lid. 4 for instructions on the placement of fiber optic catheters / probes, refer to the documentatioprovided with the accessory. 5 275 17 monitoring intravascular oxygen saturation after insertion the so2 probe / catheter is thin and flexible, treat it carefully. avoid kinking, bending or grasping the probe / catheter with forceps or a hemostat. damage to the fiber results in low intensity light and a sudden decrease in intensity readings. refer to the documentation provided with the fibre - optic probe / catheter, paying special attention to any precautions, warnings or contraindications. secure the optical module directly attached or in close proximity to the patient, to avoid placing excessive tension on the catheter, which would result in movement of the catheter tip from the optimal position in the patient. position the optical module to @topic:17


# # # issue - cuff leak # # # impact - inaccurate blood pressure readings - false alarms - patient discomfort # # # possible causes - cuff is damaged - cuff is not properly attached - air leak in the cuff line - sensor malfunction # # # recommendations - inspect the cuff for damage and replace if necessary - ensure that the cuff is properly attached to the patient's arm - check for air leaks in the cuff line and tighten or replace connections as needed - if the problem persists, contact the manufacturer or a qualified biomedical engineer @topic:3


# # # issue - cuff unable to inflate # # # impact - vital signs monitoring may be inaccurate or unavailable # # # possible causes - leakage in the cuff - damaged tubing - faulty pressure transducer # # # recommendations - replace the cuff - inspect the tubing for damage - test the pressure transducer @topic:3


* * issue : * * monitor pump is not functioning. * * impact : * * inability to monitor vital signs, which can be critical for patient care. * * possible causes : * * * * * connector damage : * * the description mentions that a faulty connector was replaced, indicating that the original connector may have been damaged, causing connectivity issues. * * * nibp ( non - invasive blood pressure ) line failure : * * the description suggests that the nibp line, which measures blood pressure, may have failed, resulting in the pump not functioning properly. * * recommendations : * * * * * verify connector replacement : * * ensure that the new connector is properly installed and making a secure connection. * * * inspect nibp line : * * check the nibp line for any damage, kinks, or leaks that could affect its function. * * * test pump functionality : * * perform a thorough functional test of the pump after replacing the connector and confirming the integrity of the nibp line. * * * record findings : * * document the cause of failure and the actions taken to resolve the issue for future reference and accountability. @topic:15


) select telemetry 2 the setup telemetry menu will appear with only one entry paired equipment. enter here the equipment label of the telemetry device to be paired. 3 pairing at the monitor is only possible when the monitor already has a connection to the information center and the information center software version allows pairing at the monitor. own patient overview window the measurements from the telemetry device are shown in the own patient overview window on thmonitor. see " own patient overview window " on page 122 direct connection - automatic pairing the following direct connections are possible : an x2, declared as a telemetry device, and connected with an msl cable to a monitor. • warning when ecg is being measured with a telemetry device directly connected to the monitor, there will be no ecg signal available at the ecg analog output or ecg sync pulse output and no synchronization marks on the ecg wave. a no ecg out message will appear in the ecg wave hannel. • when a telemetry device is connected to the monitor, arrhythmia relearning is initiated, and again connected. • controls on the telemetry device ( e. g. nurse call ) will be inactive when the device is directly connected to the monitor except in the case when the monitor has no network connection and data are transferred via the telemetry device. • pairing an x2 with a telemetry interface to a host monitor an x2 multi - measurement module using an intellivue instrument telemetry interface will be automatically paired when it is connected to a host monitor and it has been declared as a " telemetry device " at the information center. when the x2 is disconnected from the host monitor it will remain paired and the measurement data will appear at the host monitor in the telemetry data window. after the x2 @topic:10


##s, replacmodule. medium patient mode is appropriate. if the problem persists, replace the dule. connections ; limpatient movement. unable to determine nibp ; check imit excessive artifact, no blood pressure parameters could be unable to determine blood re. check connections ; low 170 troubleshooting welch [UNK] connex® spot monitor ossible causlarm prioritmessage restrict patient mosts, replace module patient movement. make sure the nibp settings / patient mode is appropriate. if the problem persists, replace thmodule. unable to determine nibp ; check inflation ings. 050005 low inflation on blood pressure measurement low unable to determine the nibp tubing has a kink, or there is a nibp transducer calibration failure internal malfunction. if the problem persists, replace the module. medium nibp ; checconnections and tubing for kinks. unable to determine make sure the nibp settings / patient mode is appropriate. if the problem persists, replace the module. the blood pressure measurement dumped too low connectionspatient movement. soon unable to determine nibp ; check connections ; limit patient movement. there were not enough steps on the measurement attempt unable to determine blood pressure. check connections ; restrict patient movement. low unable to determine nibp ; check inflation ings. 050009 make sure the nibp settings / patient mode is appropriate. if the problem persists, replace the module. there is invalid patient information for the selected mode medium the re - inflation was too late on the measurement attempt unable to determine nibp ; check connections ; limit patient movement. unable to determine blood pressure. check connections ; restrict patient movement. low unable to determine nibp ; check inflation gs. 05000b there were many re - inflate @topic:15


if it does not comply with iec - 60601 - 1. the whole installation, including devices outside of the patient vicinity, must comply with iec - 60601 - 1 - 1 ; one reasonable solution may be the use of an isolation transformer. if the monitor is used with battery operation, always use an isolation transformer when connnecting an additional display. 2. 5m figure 30 equipment location in the patient vicinity note the site planning requirements, with the exception of the cabling, must be provided by the device manufacturer, if the remote device is not purchased from philips. 251 8 site preparation remote device site requirements multi - measurement server m3001a space requirements multi - measurement server m3001a size ( w x d x h ) 188. 0mm x 96. 5 mm x 51. 5 mm ( 7. 40 ” x 3. 80 ” x 2. 03 ” ) weight 650g ( 1. 4 lb ) environmental requirements multi - measurement server m3001a temperature operating : 0 to 45°c ( 32 to 113°f ) storage : - 40 to 70°c ( - 40 to 158°f ) humidity operating : 95 % relative humidity ( rh ) max. @ 40°c ( 104°f ) storage : 90 % relative humidity ( rh ) max. @ 65°c ( 150°f ) altitude operating : - 500m to 4600m ( - 1600 to 15000 ft. ) storage : - 500m to 15300m ( - 1600 to 50000 ft. ) cabling options and conduit size requirements the following table describes the cabling options for the fms and the mms. table 6 m8048a and m3001a cables product option number part number 12nc part no. description conduit sizes bend radius connector size ( lxw ) both ends are terminated with straight msl connector @topic:10


# # # issue - missing nut on bed rail, causing the rail to become loose. # # # impact - patient safety hazard, as the loose rail could cause the patient to fall out of bed. - discomfort for the patient, as the loose rail could rub against the patient's skin. - damage to the bed, as the loose rail could put stress on the bed frame. # # # possible causes - the nut was not properly tightened during assembly. - the nut was loosened by the patient or a staff member. - the nut was damaged or corroded. # # # recommendations - inspect all bed rails regularly for loose nuts. - tighten any loose nuts immediately. - replace any damaged or corroded nuts. - train staff on the importance of properly tightening bed rail nuts. - consider using lock nuts to prevent nuts from loosening over time. @topic:6


# # # issue - malfunctioning remote control for electric bed. # # # impact - inability to adjust bed position remotely. # # # possible causes - * * manufacturing defect : * * faulty components or design flaws in the remote control. - * * wear and tear : * * extended usage or rough handling leading to component degradation. - * * electrical malfunction : * * power surges or short circuits damaging internal circuitry. - * * battery failure : * * depleted or defective batteries, especially if the remote uses wireless technology. # # # recommendations - * * replace the remote control : * * replace the faulty remote with a new one to resolve the issue. - * * inspect the bed system : * * check for any loose connections, damage to wires, or interference with electronic components. - * * check battery condition : * * if the remote uses batteries, inspect them for corrosion, leaks, or low voltage. replace them with fresh batteries. - * * consider preventive maintenance : * * regular inspections and maintenance can help identify potential issues early on and prevent remote failure. @topic:7


# # # cause of failure : paper jam # # # issue : - the print function on the monitor central station is not working. # # # impact : - inability to print patient data and records. # # # possible causes : - paper jam in the printer. - paper not properly loaded in the paper tray. - printer settings incorrectly configured. - printer hardware malfunction. # # # recommendations : - check for and clear any paper jams in the printer. - ensure the paper is properly loaded in the paper tray. - verify that the printer settings are configured correctly. - if the issue persists, contact the device manufacturer or a qualified technician for further troubleshooting. @topic:28


# # # issue equipment failure due to unauthorized borrowing for use in ccu2 # # # impact - potential patient safety risk due to malfunction or improper use of borrowed equipment in a different ward - interference with normal operations in the ward where the equipment was borrowed from # # # possible causes - lack of proper authorization and approval processes for borrowing medical equipment - miscommunication or misunderstanding regarding equipment availability - absence of a designated central resource for managing equipment borrowing and tracking - insufficient training of staff on proper equipment usage and maintenance - limited resources, such as number of available equipment units # # # recommendations - establish clear protocols and guidelines for borrowing medical equipment, including authorization and approval requirements - implement a comprehensive equipment tracking system to monitor availability and usage - train staff on proper equipment handling, maintenance, and borrowing procedures - improve communication among different departments to ensure proper coordination - consider implementing a central resource for managing equipment inventory and borrowing requests - regularly evaluate equipment inventory and usage to identify potential bottlenecks and areas for improvement @topic:12


# # # issue - failure of vital signs monitor due to cuff damage # # # impact - inability to accurately measure vital signs ( blood pressure, heart rate, etc. ) - potential for delayed or incorrect diagnosis and treatment # # # possible causes - wear and tear of the cuff material over time - improper storage of the cuff ( e. g., exposure to excessive heat or moisture ) - improper use of the cuff ( e. g., overinflation ) # # # recommendations - regularly inspect the cuff for signs of damage ( e. g., cracks, tears, leaks ) - ensure proper storage of the cuff according to manufacturer's instructions - train staff on proper use of the cuff, including correct inflation and deflation techniques - replace the cuff as needed to ensure accurate vital sign measurements @topic:5


* * issue : * * equipment malfunction due to expired battery. # # # impact : - interruption of patient monitoring. - inaccurate or delayed vital signs readings. - potential patient safety concerns. # # # possible causes : - internal battery has reached its end of life. - battery replacement schedule not followed. - incorrect battery type or installation. # # # recommendations : - regularly monitor equipment for battery status and replace as per manufacturer's schedule. - ensure proper battery handling and installation techniques. - train biomedical engineers on battery care and replacement procedures. - consider implementing a battery maintenance program to track and manage battery replacements. @topic:11


# # # issue - faulty wiring or connections - malfunctioning components ( e. g., sensors, display ) # # # impact - inaccurate or unreliable patient data - reduced patient safety - increased workload for medical staff # # # possible causes - physical damage to the equipment - improper maintenance or calibration - power surges or outages - software glitches # # # recommendations - thorough inspection of wiring and connections - replacement of faulty components - regular maintenance and calibration - use of surge protectors - software updates or patches @topic:12


# # # issue the philips suresigns vs4 monitor on the patient transport is not powering on. # # # impact the monitor is essential for monitoring vital signs and may delay patient care. # # # possible causes 1. faulty power supply 2. loose or damaged power cord 3. internal component failure # # # recommendations 1. check the power cord for any damage or loose connections. 2. ensure that the power outlet is providing electricity. 3. check the battery of the monitor if applicable. 4. if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repairs. @topic:11


the healthcare facility on - line, from the ashe website ( www. ashe. org ). click on the link for wireless medical telemetry service and come to the registration page. fill out the details, and pay the associated fee as per the instructions provided. you will receive confirmation of this registration. confirmation must be received before proceeding to the next step. step 2 : frequency coordination : along with confirmation of registration, you will receive access information necessary to perform this second step, frequency coordination. this step involves logging the equipment and frequencies used into the fcc ’ s database, so as to identify any existing potential interference and to help prevent potential future interference. coordination is accomplished via the ashe website. click on the links for wireless medical telemetry service and then frequency coordination. the way the coordination process is executed as of today, it will need to be repeated twice for the m4840a system ; once for the 1395 - 1400 mhz band, and then again for the 1427 - 1432 mhz band, both of which are used concurrently by the philips product. there is a separate fee for each coordination request, which varies between $ 250 and $ 2000, depending upon the number of transmitting devices used and the band / s of operation. coordination is executed by a company named comsearch, on behalf of ashe. to fill in the frequency coordination forms, you ’ ll need to know the following : • the county. • latitude and longitude that represents the center of the area where the transmitting devices will be deployed. comsearch can help provide this information ; www. comsearch. com provides contact information. • the name / s of the clinical unit / s using the devices ( e. g. icu4, ccu - west, er1, step - down north, etc ) • the radius of deployment, expressed in meters. imagine drawing a circle around the center of the clinical @topic:10


# # issue the remote control of the huntleigh contoura 360 electric bed has a broken case, causing it to open. # # impact the broken case of the remote control can lead to the following problems : * * * electrical hazards : * * the exposed wires inside the remote control could pose an electrical hazard to users. * * * reduced functionality : * * the broken case could make it difficult to use the remote control properly, which could affect the patient's ability to control the bed. # # possible causes the remote control's case may have been broken due to : * * * accidental damage : * * the remote control may have been dropped or knocked, causing the case to break. * * * age or wear : * * over time, the plastic case of the remote control may become brittle and more susceptible to breaking. # # recommendations to prevent similar failures in the future, the following recommendations should be considered : * * * handle the remote control with care : * * avoid dropping or knocking the remote control to prevent damage to the case. * * * inspect the remote control regularly : * * periodically inspect the remote control for any signs of damage, such as cracks or loose parts. * * * use a protective case : * * consider using a protective case to protect the remote control from damage. * * * replace the remote control if necessary : * * if the remote control's case is broken, it should be replaced as soon as possible to prevent electrical hazards and ensure proper functionality of the bed. @topic:7


# # # issue the bed is not adjustable. # # # impact the patient cannot be positioned comfortably in the bed. this can lead to discomfort, pain, and pressure sores. # # # possible causes * the ac cord is loose or disconnected. * the control panel is not functioning properly. * the motor is not working. * the bed frame is damaged. # # # recommendations * check the ac cord and make sure it is securely plugged into the outlet. * inspect the control panel for any damage or loose connections. * test the motor by pressing the up and down buttons. * if the bed frame is damaged, it will need to be repaired or replaced. @topic:1


adult : 10 to 245 mmhg ( 1. 5 to 32 kpapedi : 10 to 150 mmhg ( 1. 5 to 20 kpa ) neo : 10 to 100 mmhg ( 1. 5 to 13 kpa ) adult : 20 to 255 mmhg ( 2. 5 to 34 kpa ) pedi : 20 to 160 mmhg ( 2. 5 to 21 kpa ) neo : 20 to 120 mmhg ( 2. 5 to 16 kpa ) 10 to 30 mmhg : 2 mmhg ( 0. 5 kpa ) > 30 mmhg : 5 mmhg ( 1 kpa ) diastolic mean nbp overpressure settings adult ot user adjustable > 300 mmhg ( 40 kpa ) > 2 sec > 300 mmhg ( 40 kpa ) > 2 sec > 150 mmhg ( 20 kpa ) > 2 sec pediatric neonate invasive pressure and pulse complies with iec 60601 - 2 - 34 : 2000 / en 60601 - 2 - 34 : 2000. invasive pressure performance specifications measurement range - 40 to 360 mmhg 25 to 350 bpm ange accuracy pulse rate + 1 % full rangbpresolution 483 40 specifications invasive pressure performance specifications nput sensitivity sensitivity : 5 μv / v / mmhg ( 37. 5 μv / v / kpa ) djustment range : ±10 % load impedance : 200 to 2000 2 ( resistive ) utput impedance : ≤3000 s2 ( resistive ) transducer requency response dc to 12. 5 hz or 40 hz zero adjustment + 200 mmhg ( ±26 kpa ) range + 1 mmhg ( ±0. 1 kpa ) accuracy less than 0. 1 mmhg / °c ( 0. 013 kpa / °c ) drift gain accurac + 1 % accuracy less than 0. 05 % @topic:17


# # # issue - unable to determine the cause of failure for the given input. # # # impact - the medical device may not be functioning properly and may not be able to provide accurate patient data, which could have serious consequences for patient safety. # # # possible causes - the input is incomplete or inaccurate. - the technician is not trained on this particular medical device. - the medical device is defective. # # # recommendations - gather more information about the medical device and its failure, including any error messages or diagnostic codes. - consult with a more experienced technician or engineer. - contact the manufacturer of the medical device for support. @topic:12


# # # issue the electric bed is not adjusting its legs. # # # impact the patient may not be able to get into or out of bed safely or comfortably. # # # possible causes * * mechanical failure : * * - the motor that adjusts the legs may be faulty. - the gears or other mechanical components may be damaged. * * electrical failure : * * - the electrical wiring may be damaged. - the control panel may be faulty. * * software issue : * * - the software that controls the bed's operation may be malfunctioning. # # # recommendations * * troubleshooting : * * - check the electrical connections to the bed. - test the motor and other mechanical components. - check the software for any errors. * * repair : * * - if the motor is faulty, it will need to be replaced. - if the gears or other mechanical components are damaged, they will need to be repaired or replaced. - if the electrical wiring is damaged, it will need to be repaired. - if the control panel is faulty, it will need to be replaced. - if the software is malfunctioning, it will need to be updated or replaced. * * prevention : * * - regularly inspect the bed for any signs of damage. - test the bed's functionality regularly. - keep the bed's software up to date. @topic:1


if the trigger is at least one param. ( this is short for " at least one measurement parameter " ), the monitor starts an event capture if a trigger occurs in any of this event group's measurements. if the trigger is at least three par., the monitor captures events when three or more trigger thresholds from this event group's measurements are violated. with enhanced condition you can not only select a minimum number of triggers to trigger an event but define which specific measurement triggers these must be. for example, at least two param. will cause an event to be captured if a trigger occurs in any two of this event group's measurements - with enhanced condition you can select that only when triggers are in hr and spo2 an event will be captured. enhanced triggercondition inglpair triple all hr ( pulse ) о spo2 esetco₂ at least one param. at least two param. at least three par. all four parameter the trigger condition for event groups is set in the monitor's configuration mode. if you use alarm limits as event triggers the event capture is triggered automatically when your patient's values violate set alarm limits, or when a specified alarm condition, such as apnea, occurs. no events of this kind are triggered if alarms are switched off. changing alarm limits changes the event trigger definitions. the asterisk symbols beside the trigger tell you about the alarm triggers : 336 26 event surveillance * * * indicates a high priority ( red ) alarm * * indicates a lower priority ( yellow ) alarm. this category includes short yellow arrhythmia alarms, which may be configured to be shown as one star alarms ( * ) on your monitor. triggers without asterisk symbols are user - defined triggers. if you set user - defined threshold triggers you can define event triggers that are independent of alarm limits. you must set a threshold value and @topic:8


# # # issue - cuff bp ( blood pressure ) deterioration. # # # impact - device is unable to accurately measure blood pressure. - this can lead to incorrect patient care decisions and incorrect diagnosis. # # # possible causes - age of the cuff. - wear and tear due to heavy usage. - damage from cleaning or handling. - improper storage of the cuff. # # # recommendations - regular maintenance and inspection of the cuff bp. - handle and clean the cuff bp according to the manufacturer's instructions. - replace the cuff bp when it shows signs of deterioration or when it reaches the end of its lifespan. - training on proper handling, cleaning and storage for all users. @topic:3


, you are required to upgrade your device with the newer 409703 - 18 csm main board, the new lcd touchscreen, and to upgrade the software to 1. 41 or greater. contact welch allyn for further details. field replaceable units welch [UNK] connex® spot monitor 96 97 cleaning requirements this section presents procedures for cleaning the connex spot monitor ( including the monitor, stands, apm work surface, accessories, and accessory basket and bins ). welch allyn has validated these instructions to be capable of preparing your connex spot monitor devices and above accessories for re - use. clean on a routine basis according to your facility's protocols and standards or local regulations. if the monitor is on, lock the display. warning patient injury risk. clean all accessories, including cables and tubes, before storing the accessories on the device or stand. this helps reduce the risk of cross contamination and nosocomial infection. a warning electric shock hazard. before cleaning the monitor, disconnect the ac power cord from the mains outlet and the power source. warning electric shock hazard. do not immerse or autoclave the monitor or accessories. the monitor and the accessories are not heat - resistant. warning liquids can damage electronics inside the monitor. prevent liquids he monitor. a caution do not sterilize the monitor. sterilizing the monitor could harm the device. power down the monitor. 1. disconnect the power cord from the mains outlet and the power source. 2. remove battery pack from the monitor. 3. 4. note if liquids possibly entered the monitor, remove the monitor from use until it has been properly dried, inspected, and tested by qualified service personnel. reinstall battery pack. 5. reconnect the power cord. 6. 7. power on the monitor and verify that the monitor functions normally before using it. prepare @topic:10


# # # issue - barcode scanner is not working # # # impact - inability to scan patient barcodes, which can delay patient care. # # # possible causes - barcode scanner is dirty or dusty. - barcode scanner is not properly calibrated. - barcode scanner is damaged. # # # recommendations - clean the barcode scanner with a soft cloth dampened with isopropyl alcohol. - calibrate the barcode scanner according to the manufacturer's instructions. - if the barcode scanner is damaged, it should be replaced. @topic:23


# # # issue : - leaking connector in nibp ( non - invasive blood pressure ) module. # # # impact : - may result in inaccurate blood pressure measurements. # # # possible causes : - connector may have become loose or damaged over time due to use or improper handling. # # # recommendations : - biomedical engineer ( bme ) replaced the faulty connector and tested the device to ensure it was functioning properly. - regular maintenance and inspections of medical devices should be scheduled to prevent similar issues from occurring in the future. @topic:15


# # # cause of failure : * * failure of the remote control * * # # # impact : * * inability to use the bed's functions * * # # # possible causes : - malfunctioning of the remote control circuitry - damage to the remote control's buttons or housing - electrical issues preventing communication between the remote control and the bed # # # recommendations : - replace the remote control with a new or refurbished unit - inspect the remote control for any visible damage or loose connections - check the electrical connections between the remote control and the bed - consult the manufacturer's instructions or contact their technical support for further assistance @topic:7


# # # issue - wheel stiffness # # # impact - difficulty in moving the medical cart # # # possible causes - debris, such as hair, stuck in the wheel # # # recommendations - remove debris from the wheel - apply lubricant to the wheel - test the functionality of the wheel @topic:24


# # # issue : - the scale on the electric bed is not working. # # # impact : - healthcare professionals cannot accurately measure the patient's weight, which is important for medication dosage, treatment planning, and overall patient care. # # # possible causes : - the weight scale is not connected to the bed properly. - the weight scale is not calibrated correctly. - the weight scale is damaged. - the wire of the keypad for weighing is pressed. # # # recommendations : - check the connection between the weight scale and the bed. - calibrate the weight scale according to the manufacturer's instructions. - inspect the weight scale for damage, such as cracks or broken wires. - replace the weight scale if it is damaged. - fix the position of the wire of the keypad for weighing. @topic:25


# # # issue - the bed, electric ( huntleigh enterprise 8000 ) is not able to be adjusted. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned comfortably. - the patient may be at risk for injury. # # # possible causes - the power cord is not plugged in. - the power cord is damaged. - the electrical outlet is not working. - the bed motor is not working. - the bed frame is damaged. # # # recommendations - check the power cord to make sure that it is plugged in and not damaged. - check the electrical outlet to make sure that it is working. - if the power cord and electrical outlet are working, call a biomedical engineer to troubleshoot the problem. @topic:1


# # # issue - faulty ekg lead wire # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) - delayed or inaccurate diagnosis and treatment # # # possible causes - physical damage to the lead wire - loose connections - electrical interference # # # recommendations - inspect lead wires for any visible damage or loose connections - ensure proper grounding of the equipment - use shielded lead wires to minimize electrical interference - replace damaged lead wires as necessary @topic:18


© * data input / output symbol - 12v 12 volt dc socket s locked position 3 unlocked position always use separate collection for waste electrical and electronic equipment ( weee ) i - 1 battery eject nbp connector fsk sp0 2 connector masimo set technology oximax wow?? nellcor oximax compatible j ^ \ fast uses fast sp0 2 algorithm dc power source smartkeys - a - o - tl ecg sync pulse output indicator 404 installation safety information 38 installation and specifications symbols alarms alarms off j main screen f, ', pressure connector temperature connector rv ~ i cardiac output - _ \ sg monitor supports 12 - lead ecg \ y connector ( ( ( t ) ) ) built - in wireless \'1'/ network installation safety information warning if multiple instruments are connected to a patient, the sum of the leakage currents may exceed the limits given in iec / en60601 - 1, iec60601 - 1 - 1, ul60601 - 1. consult your service personnel. grounding the monitors or the mp80 / mp90 processing unit must be grounded during operation. if a three - wire receptacle is not available, consult the hospital electrician. never use a three - wire to two - wire adapter. equipotential grounding if the monitors or mp80 / mp90 processing unit are used in internal examinations on the heart or brain, ensure that the room incorporates an equipotential grounding system to which the monitor and mp80 / mp90 processing unit have separate connections. combining equipment combinations of medical equipment with non - medical equipment must comply with iec 60601 - 1 - 1. never use a multiple portable socket - outlet or extension cord when combining equipment unless the socket outlet is supplied specifically for use with that equipment. fusing the monitors use double pole / neutral fusing. network cables all network @topic:10


# # # issue - red dot indicator malfunction # # # impact - inability to monitor patient's ecg accurately # # # possible causes - faulty red dot indicator - wiring issues - electrical interference # # # recommendations - replace the faulty red dot indicator - inspect and ensure proper wiring connections - check for any electrical interference from nearby devices @topic:18


# # # issue - technician could not identify the cause of failure. # # # impact - patient care may be delayed or disrupted. - hospital may incur additional costs for repairs. # # # possible causes - incorrect diagnosis of the problem. - lack of technical knowledge or experience. - inadequate test equipment. - failure to follow proper troubleshooting procedures. # # # recommendations - consult with a more experienced technician or engineer. - review the service manual for the equipment. - use the proper test equipment to diagnose the problem. - follow the manufacturer's recommended troubleshooting procedures. @topic:12


* * issue : * * propag does not measure blood pressure * * impact : * * patient cannot be monitored for blood pressure * * possible causes : * * - the propag may be damaged or not connected properly. - the blood pressure cuff may be the wrong size or not inflated properly. - the patient may have a condition that affects blood pressure measurement. * * recommendations : * * - inspect the propag for damage and ensure it is connected properly. - check the blood pressure cuff to make sure it is the correct size and inflated properly. - check the patient's medical history for any conditions that could affect blood pressure measurement. - if the problem persists, contact the manufacturer. @topic:14


# # # issue - the bed's headboard is spontaneously lowering. # # # impact - patient safety risk - reduced patient comfort # # # possible causes - faulty electrical components in the bed's headboard mechanism - loose or damaged wiring - issues with the bed's control panel # # # recommendations - inspect the bed's headboard mechanism for any loose or damaged components. - check the wiring for any breaks or shorts. - test the bed's control panel to ensure it is functioning correctly. - consult the bed's manufacturer for further troubleshooting and repair instructions. - implement a regular maintenance schedule to prevent future failures. @topic:1


# # # issue - the obgyn electric bed ( huntleigh model a9932 / 8 / 3fs ) has failed due to deterioration of the rubber wheel rim. # # # impact - the bed is no longer safe to use, as the damaged wheel rim could cause the bed to become unstable and tip over. - this could result in injury to the patient or staff. # # # possible causes - the rubber wheel rim has deteriorated due to age and use. - the bed has been overloaded, causing excessive wear and tear on the wheel rim. - the bed has been used in an environment that is not suitable for its intended use ( e. g., in a wet or humid environment ). # # # recommendations - the damaged wheel rim should be replaced as soon as possible. - the bed should be inspected regularly for any signs of wear and tear. - the bed should be used in accordance with its intended use. @topic:9


# # # issue - broken wire at the terminal # # # impact - the equipment may not function properly or may pose a safety hazard. # # # possible causes - wear and tear - improper handling - manufacturing defect # # # recommendations - inspect the wiring regularly and replace any damaged wires. - handle the equipment with care. - contact the manufacturer if the problem persists. @topic:12


# # # issue : bed, electric, huntleigh, enterprise 8000 is exhibiting an issue where it is unable to adjust. # # # impact : the patient may not be able to be positioned properly for medical procedures or comfort. # # # possible causes : 1. loose ac plug : the loose ac plug may be preventing the bed from receiving power, which is necessary for it to adjust. 2. faulty motor or control board : the motor or control board may be malfunctioning, which could prevent the bed from adjusting. 3. obstructions in the bed's mechanism : there may be obstructions in the bed's mechanism, such as a broken spring or a jammed gear, which could prevent the bed from adjusting. # # # recommendations : 1. check and tighten the ac plug : ensure that the ac plug is securely plugged into the outlet and that the connection is not loose. 2. inspect the motor and control board : if the ac plug is secure, inspect the motor and control board for any signs of damage or malfunction. if any damage or malfunction is found, the motor or control board may need to be repaired or replaced. 3. examine the bed's mechanism : if the motor and control board appear to be functioning properly, examine the bed's mechanism for any obstructions. if any obstructions are found, they should be removed or repaired. @topic:1


# # # issue : - equipment malfunction # # # impact : - interruption of medical procedures - delay in patient care - potential harm to patients # # # possible causes : - overheating of main computer - power surge - hardware failure - software glitch # # # recommendations : - replace the main computer - ensure proper ventilation and cooling for the equipment - install a surge protector - regularly maintain and inspect the equipment - train staff on proper equipment use and troubleshooting @topic:12


# # # issue : - loose fiber optic cable # # # impact : - monitor screen is blank - unable to monitor vital signs # # # possible causes : - damaged or disconnected fiber optic cable - loose connection between the cable and the monitor - faulty monitor # # # recommendations : - inspect and tighten the fiber optic cable connections - replace the fiber optic cable if it is damaged - test the monitor with a known - good fiber optic cable - if the issue persists, contact the manufacturer for support @topic:2


# # # issue - equipment : bed, electric - band : universal quality - model : uq2000b - description : remote control cable is broken inside # # # impact - bed cannot be adjusted # # # possible causes - the technicians replaced the remote control instead of fixing the broken cable, which is the root cause of the issue. - the cable may have been damaged due to excessive use or improper handling. # # # recommendations - replace the broken cable with a new one - reinforce the cables to prevent future breakage - train the staff on proper handling of the equipment @topic:7


# # # issue - the railing of the electric bed is loose. # # # impact - the loose railing could result in a patient falling out of the bed. # # # possible causes - the screws that secure the railing may be loose. - the railing may be damaged. - the bed frame may be bent or damaged. # # # recommendations - inspect the screws that secure the railing and tighten any that are loose. - inspect the railing for any damage and repair or replace it if necessary. - inspect the bed frame for any damage and repair or replace it if necessary. @topic:6


# # # issue - medical cart abruptly shuts down and reboots. # # # impact - interruption of medical procedures, such as medication administration or patient monitoring. - potential for data loss if the reboot occurs during critical operations. - safety concerns for patients if the medical cart malfunctions during use. # # # possible causes - * * software issue : * * - corrupted or outdated operating system - malware or virus infection - * * hardware issue : * * - faulty power supply or battery - overheating or cooling issues - loose connections or damaged components - * * user error : * * - incorrect operation or misuse of the equipment - * * external factors : * * - power outages or surges - electromagnetic interference # # # recommendations - * * regular maintenance and updates : * * - schedule preventive maintenance and software updates to minimize the risk of hardware or software issues. - * * power quality : * * - ensure that the medical cart is connected to a stable and reliable power supply. - * * environmental conditions : * * - keep the medical cart in a well - ventilated and temperature - controlled environment to prevent overheating or cooling issues. - * * training and education : * * - provide thorough training for users on the proper operation and care of the medical cart. - * * diagnostic and troubleshooting : * * - utilize diagnostic tools and logs to identify and resolve any hardware or software issues promptly. - * * vendor support : * * - consult the equipment manufacturer or vendor for technical support and assistance in resolving complex problems. @topic:13


# # # issue - end tidal co2 is not working ( no co2 function found after turning on the device ) # # # impact - inability to monitor a patient's respiratory status # # # possible causes - faulty co2 sensor - loose or disconnected co2 sensor cable - software error - hardware failure # # # recommendations - check the co2 sensor and its cable for any damage or loose connections - update the device software - contact the manufacturer for further troubleshooting and repair if necessary @topic:4


# # # issue - ekg lead failure # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) - delays in diagnosis and treatment - potential patient harm # # # possible causes - broken or damaged cable - loose or disconnected connectors - faulty patient cable or electrode - malfunctioning ekg machine # # # recommendations - replace the ekg lead with a new one. - ensure all cables and connectors are securely attached. - perform regular maintenance and inspections of the ekg machine and accessories. - train staff on proper use and handling of ekg equipment. @topic:18


# # # issue the biomedical engineer ( bme ) found that the non - invasive blood pressure ( nibp ) setting on the bedside monitor in room 4 was set to manual mode, when it should be in auto mode. # # # impact this could lead to incorrect blood pressure readings, which could have a negative impact on patient care. # # # possible causes - the bedside monitor may have been set to manual mode by a previous user. - the bedside monitor may be malfunctioning. - the bedside monitor may have been set to manual mode by the patient. # # # recommendations - the bme should set the nibp setting on the bedside monitor to auto mode. - the bme should test the bedside monitor to ensure that it is functioning properly. - the bme should educate the staff on the proper use of the bedside monitor. @topic:15


# # # issue - the bed, electric is not adjusting properly. # # # impact - the patient may not be able to get into or out of bed. - the patient may be uncomfortable or in pain. - the staff may not be able to properly care for the patient. # # # possible causes - the ac cord is loose. - the motor is not working properly. - the control panel is not functioning properly. - the battery is not charged. # # # recommendations - check the ac cord to make sure it is plugged in securely. - inspect the motor for any damage or loose connections. - check the control panel for any damaged buttons or switches. - check the battery to make sure it is charged. - if the problem persists, contact a qualified biomedical engineer for further assistance. @topic:1


ff tp off off off bursts on on on scale how gridlineno no no filters on on on 2 hz 2 hz 2 hz 0 h70 hz 70 hz otch filteon on on 70 70 70 20 20 20 alarms on on on show impedvalues off off off 0 se0 se0 se5 sec agent5 se5 secolomagenta yellow yellow yellow magenta mt default settingfactory netof factory petof manual nmt settingfactorstimulation manual mode 0 se0 se0 se2 se12 sec 2 securrent 50 ma 50 ma 50 ma 00 μse00 μse00 μsepulse width off alarms off on on on tofcnt high lim 3 3 3 tof / ptc stimul. modes tof / ptc tof / ptc 5 min value lifetime 5 min 5 min 521 41 default settings appendix nmt settings factofactrgreen color 1the nmt measurement may not be used for neonatal patients and is therefore not supported in the neonatal mode. uelink default settinguelink settingevice alarms ignored color green 2 index # physiological pleth as source 200 recordings 73 red 59 addressograph ( printer configuration 10 - lead placement ( ecg ) 1412 - lead placement ( ecg ) 143 - lead placement ( ecg ) 140 - slot flexible module rack 19 5 - lead placement ( ecg ) 141 adjusting st measurement points 168 adjusting wave scale ( pressure ) 217 adjusting wave size ( co2 ) 250, 260 admitting a patient reviewing messages 71 editing infor08 8 - slot flexible module rack 19 selftest 73 advanced event surveillance 333 a spo2 high airway adapter 249 co2, microstream accessory 249 aami ecg lead labels 139 st 171 alarm latching 72, 161 abdominal breathing 186 suspended symbol 66 svo2, behavior during easurement 272 alarm limits 67, @topic:8


# # # issue - damaged ekg lead cable # # # impact - intermittent or inaccurate ekg readings - patient discomfort or safety hazard # # # possible causes - physical damage to the cable, such as cuts, tears, or crushing - exposure to extreme temperatures or chemicals - wear and tear over time # # # recommendations - replace the damaged cable with a new one - inspect and test all other ekg cables regularly - handle and store ekg cables carefully to prevent damage - train staff on proper use and maintenance of ekg equipment @topic:18


# # # issue * bed won't lower the head section # # # impact * patient discomfort * difficulty providing care * increased risk of falls # # # possible causes * mechanical failure * electrical failure * software malfunction # # # recommendations * inspect the bed for any visible damage or obstructions. * check the electrical connections to the bed. * update the software on the bed if necessary. * replace any faulty parts. @topic:1


# # # issue - control box failure # # # impact - the bed's electrical functionality is compromised, potentially affecting patient care and safety. # # # possible causes - electrical component failure within the control box - damage to the control box due to mishandling or environmental factors - software or firmware issues # # # recommendations - replace the control box with a new or refurbished unit. - inspect the bed for any other potential damage or issues. - train staff on proper handling and maintenance of the bed to prevent similar failures in the future. @topic:32


# # # issue - battery failure # # # impact - device cannot be used without a power source - patient care may be delayed or compromised # # # possible causes - battery is old and has reached the end of its lifespan - battery has been damaged by physical impact or improper handling - battery has not been properly maintained or stored # # # recommendations - replace the battery with a new one - inspect the device for any damage that may have contributed to the battery failure - follow the manufacturer's instructions for battery care and maintenance @topic:11


# # # issue - noisy bed adjustment # # # impact - patient discomfort - staff distraction - potential for equipment malfunction # # # possible causes - worn or damaged gears - loose or misaligned components - faulty motor or controller - obstruction in the bed frame # # # recommendations - inspect and lubricate all moving parts - tighten or replace any loose or misaligned components - test and replace the motor or controller if necessary - remove any obstructions in the bed frame - consult the manufacturer's instructions for specific troubleshooting steps @topic:9


# # # issue - scanner not working # # # impact - inability to scan barcodes, leading to delays and potential errors # # # possible causes - leakage of fluids into the scanner - moisture or corrosion - damaged cables - power supply issues # # # recommendations - ensure that fluids are not spilled or splashed onto the scanner. - regularly clean and disinfect the scanner to prevent moisture and corrosion. - inspect cables for damage and replace if necessary. - verify that the scanner is receiving adequate power supply. - if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting. @topic:23


# # # issue - mrx 3 cables damaged # # # impact - inability to use the patient transport monitor effectively # # # possible causes - physical damage to cables due to improper handling or storage - electrical malfunction within the cables # # # recommendations - inspect and test cables regularly for any signs of damage or wear - handle and store cables carefully to prevent physical damage - ensure cables are not exposed to excessive heat or moisture - if cables are damaged, replace them with genuine philips parts @topic:2


# # # issue - mouse on the central monitor is not functioning. # # # impact - inability to use the central monitor's mouse, hindering the monitoring of patient data and control of the monitor's functions. # # # possible causes based on the available information, the possible causes of the failure could be : - * * loose cable connection : * * the cable connecting the mouse to the cpu may have become loose or disconnected, causing the mouse to malfunction. - * * faulty sensor : * * the sensor inside the mouse that detects movement may be faulty, leading to the mouse's inability to respond to movements. - * * hardware issue within the mouse : * * there may be a hardware problem within the mouse itself, preventing it from functioning properly. # # # recommendations to resolve the issue, the following recommendations are suggested : - * * check cable connections : * * ensure that the cable connecting the mouse to the cpu is securely plugged in at both ends. - * * inspect the mouse : * * examine the mouse for any visible damage or loose parts. - * * try a different mouse : * * connect a different mouse to the central monitor to determine if the issue is with the specific mouse or with the central monitor's hardware. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the central monitor for further troubleshooting and possible repair or replacement. @topic:30


# # # issue - the groove for inserting the key has fallen out of the medical cart. # # # impact - the medical cart cannot be locked, which poses a security risk. # # # possible causes - the key lock at the back of the machine may have come loose. - the screws holding the key groove in place may have loosened. # # # recommendations - check the key lock at the back of the machine and tighten it if necessary. - check the screws holding the key groove in place and tighten them if necessary. - replace the key groove if it is damaged. @topic:27