# # # issue - remote control failure # # # impact - inability to operate the bed electrically # # # possible causes - deterioration of the remote control cable # # # recommendations - replace the remote control cable @topic:7


# # # issue - monitor screen freezing # # # impact - inability to monitor vital signs of patients - delays in medical treatment - potential patient safety risks # # # possible causes - software malfunction - hardware failure - loose connections - power surge - overheating # # # recommendations - * * restart the monitor : * * unplug the monitor and plug it back in. - * * check connections : * * ensure all cables are securely connected to the monitor and power source. - * * update software : * * contact the manufacturer to check for software updates. - * * inspect hardware : * * visually inspect the monitor for any visible damage or loose components. - * * test power supply : * * use a power meter to verify that the monitor is receiving the correct voltage and amperage. - * * replace components : * * if necessary, replace any faulty components, such as the display panel or power supply. - * * contact manufacturer : * * if all else fails, contact the manufacturer for technical support and repair instructions. @topic:2


# # # issue - monitor does not link to central # # # impact - vital patient data cannot be monitored remotely - increased risk of medical errors - reduced efficiency in patient care # # # possible causes - faulty ethernet cable - misconfigured network settings - software issues - hardware failure # # # recommendations - check and replace ethernet cable if necessary - verify network settings are correct - update software - if issue persists, contact biomedical engineering for further troubleshooting and possible hardware repair @topic:16


* * issue : * * monitor not securely attached to mounting surface * * impact : * * patient may not receive accurate vital signs readings if monitor is not properly positioned. * * cause of failure : * * tearing of suction cups securing the monitor to the surface * * possible cause : * * - aging or deterioration of suction cups due to exposure to cleaning agents or disinfectants - insufficient cleaning or insufficiently wet suction cups - hardening of the suction cups due to exposure to heat or chemicals - misalignment or damage to the mounting surface * * recommendations : * * - regularly inspect the suction cups for damage or wear and tear - clean the suction cups and the mounting surface with appropriate cleaning agents and disinfectants - ensure the suction cups are sufficiently wet before attaching the monitor - avoid exposing the suction cups to excessive heat or chemicals - replace suction cups as needed @topic:2


or standard - can be accessed with a smartkey. there are now separate smartkeys for starting or stopping an nbp measurement and for starting a stat measurement. two new smartkeys provide shortcuts to the record waves and record vitals windows. what ’ s new in release d. o? m1014a spirometry module the spirometry module produces a real time wave for flow, volume and pressure of respiratory gases together with numerics for analysis of ventilatory mechanics. it is designed to be used in combination with philips - branded airway flow sensors and combined c0 2 / airway flow sensors. m3014a capnography extension the m3014a capnography extension offers an additional measurement method - sidestream c0 2 with the m2741a sensor. m8016a d80 intelligent display the d80 intelligent display can be used as a third main display with the mp90 monitor. you then have three displays able to be configured individually and to be operated independently. intellivue 802. 11 bedside adapter the 802. 11 bedside adapter is a wireless ethernet adapter which can be built in to the patient monitor ( option j35 ). it provides wireless connectivity to standard ieee 802. 1 la / b / g wireless networks. improved multiple display support • wide and tall screen layouts are supported which allow screen content to be spread over two screens next to each other ( wide screen ) or one above the other ( tall screen ). • an additional main display used for a surgeon can be configured not to show alarm information. the permanent keys and smartkeys can also be configured not to display. • input devices can be assigned to an operator, independent of physical connector location. new smartkeys for the new spirometry module there is a smartkey to provide direct access to the spirometry data window. for @topic:8


# # # issue - the medical cart equipment by bdms ( model bdms 01 ) is unable to boot the windows system normally. # # # impact - the equipment is not able to perform its intended functions properly, which could impact patient care. # # # possible causes - the bdms 01 equipment has a hardware issue that is preventing it from booting the windows system. - the bios settings on the bdms 01 equipment are incorrect. - the windows operating system on the bdms 01 equipment is corrupt or damaged. # # # recommendations - * * hardware issue : * * check the hardware of the bdms 01 equipment for any obvious signs of damage. if any damage is found, the equipment should be repaired or replaced. - * * bios settings : * * reset the bios settings on the bdms 01 equipment to the default values. this can be done by removing the cmos battery from the equipment and then reinserting it. - * * windows operating system : * * reinstall the windows operating system on the bdms 01 equipment. this can be done by using a usb flash drive or a dvd. @topic:13


# # # issue - the electric bed model p1440a manufactured by hill - rom is unable to adjust its position due to a malfunctioning control box. # # # impact - patients may experience discomfort or difficulty accessing the bed if it cannot be adjusted to the desired height or position. - medical staff may face challenges in providing care and treatment to patients if the bed cannot be adjusted appropriately. # # # possible causes - * * electrical fault : * * damage to electrical components within the control box, such as short circuits or broken wires, can prevent the bed from receiving power or functioning properly. - * * mechanical failure : * * problems with the bed's mechanical components, such as gears, motors, or actuators, can hinder its ability to adjust. these issues could arise due to wear and tear, manufacturing defects, or improper maintenance. - * * software glitch : * * errors in the software controlling the bed's operation can result in malfunctioning or incorrect functionality. software updates may be necessary to resolve these issues. - * * operator error : * * incorrect usage or handling of the bed can lead to damage or malfunction. this can occur if the bed is overloaded, subjected to excessive force, or not properly maintained. # # # recommendations - * * electrical inspection : * * thoroughly inspect the wiring and electrical components within the control box to identify and repair any faults. - * * mechanical examination : * * examine the bed's mechanical components, including motors, gears, and actuators, for signs of wear, damage, or misalignment. lubrication and adjustments may be necessary. - * * software update : * * check for any available software updates from the manufacturer that can address potential glitches or improve functionality. - * * training and maintenance : * * provide proper training to staff on the correct @topic:9


# # issue - cuff problem # # impact - accuracy of blood pressure readings may be compromised. # # possible causes - cuff may have a leak, which can result in inaccurate blood pressure readings. - cuff may be too large or too small for the patient, which can also result in inaccurate blood pressure readings. - cuff may be damaged, which can prevent it from functioning properly. # # recommendations - inspect the cuff for any leaks or damage. - replace the cuff if it is leaking or damaged. - ensure that the cuff is the correct size for the patient. @topic:3


# # # issue - icon for medical cart is not visible on the desktop. # # # impact - the biomedical engineer ( bme ) is unable to access the medical cart's functions and features. # # # possible causes - the icon may have been accidentally deleted or hidden. - the medical cart's software may not be properly installed or configured. - there may be a hardware issue with the medical cart's display. # # # recommendations - check the desktop's recycle bin to see if the icon was accidentally deleted. if it is in the recycle bin, restore the icon to the desktop. - if the icon is not in the recycle bin, check the medical cart's software settings to make sure that the icon is enabled. - if the software settings are correct, restart the medical cart. - if the icon is still not visible, contact the medical cart's manufacturer for further assistance. @topic:13


# # # issue - cuff of the bp monitor has been damaged. - velcro has come off the sheet. # # # impact - the bp monitor cannot be used to measure blood pressure. - the patient may not be able to receive the necessary medical care. # # # possible causes - the cuff may have been over - inflated. - the cuff may have been used on a patient with a large arm. - the velcro may have been damaged during cleaning or storage. # # # recommendations - replace the cuff with a new one. - inspect the cuff for damage before each use. - clean and store the cuff according to the manufacturer's instructions. @topic:3


. during this inop, alarms cannot be paused or switched off. batteries the monitor requires two batteries but can detect only one battery. insert the missing battery immediately. bis cable incompat inop tone. bis the semi - reusable sensor cable connected is unknown or not supported by your software revision. replace it with a philips - supported sensor cable. bis cable usage inop tone. bis the semi - reusable sensor cable has exceeded the maximum number of uses. replace the cable. bis dsc disconn inop tone bis dsc is not properly connected or either dsc or bis engine may be faulty. make sure that the dsc is properly connected to the bis engine. if inop persists, replace dsc with a known good one of the same type. if inop persists replace bis engine. silencing this inop switches the measurement off. bis dsc incompt inop tone bis dsc is not supported by the bis engine or new dsc connected to an old bis engine. a software upgrade may be required. contact your service personnel. bis dsc malfunc bis electrocautery used during self - test or malfunction in the dsc hardware. make sure not to use electrocautery during the self - test procedure. disconnect and reconnect the dsc to the bis engine. if the inop persists, replace the dsc or contact your service personnel. bis dsc update inop tone bis dsc update currently being carried out. this inop will disappear when the dsc update is finished. do not disconnect the dsc during the update. no action is needed. bis electr. disc inop tone. bis one or more electrodes are not connected to the semi - reusable sensor cable. check all electrode connections. bis engine disconn inop tone bis bis engine @topic:22


# # # issue - cuff deterioration, resulting in poor adhesion of the cuff to the patient's arm. # # # cause of failure - prolonged use of the cuff can cause the material to weaken and become less elastic, leading to poor adhesion. - cuff material may be damaged when not properly rolled up or stored, creating creases and weak points. # # # possible causes - natural wear and tear due to frequent use. - improper storage techniques, causing creases and damage to the cuff material. - exposure to extreme temperatures or humidity, weakening the cuff material. # # # recommendations - inspect the cuff regularly for signs of wear or damage. - replace the cuff when it shows signs of deterioration or poor adhesion. - store the cuff properly by rolling it up without creating creases. - keep the cuff in a dry and temperature - controlled environment to prevent damage. @topic:5


# # # issue - the cause of failure is listed as " cannot be adjusted ". # # # impact - the inability to adjust the equipment may prevent it from being used for its intended purpose, which could have a negative impact on patient care. # # # possible causes - the cause of the failure could be due to a number of factors, including : - a problem with the equipment's control panel - a problem with the equipment's mechanical components - a problem with the equipment's electrical components # # # recommendations - the following steps could be taken to troubleshoot the issue : - inspect the equipment's control panel for any damage or loose connections. - inspect the equipment's mechanical components for any damage or wear and tear. - inspect the equipment's electrical components for any damage or loose connections. - if the problem cannot be identified and resolved, the equipment should be sent to a qualified technician for repair. @topic:12


# # # issue - incorrect weight measurement # # # impact - incorrect patient weight can lead to incorrect medication dosage, treatment decisions, and patient safety concerns. # # # possible causes - * * patient position * * : the patient may not be positioned correctly on the bed, or may be leaning on the side rails or bed frame, which can affect the weight measurement. - * * uneven weight distribution * * : the patient's weight may not be evenly distributed across the bed, which can lead to inaccurate readings. - * * incorrect calibration * * : the bed may not have been calibrated recently, which can result in inaccurate weight measurements. - * * malfunctioning load cells * * : the load cells that measure the patient's weight may be faulty or damaged, leading to incorrect readings. - * * software or hardware issues * * : there may be a software or hardware issue with the bed that is affecting the weight measurement. # # # recommendations - ensure that the patient is positioned correctly on the bed, with their weight evenly distributed. - check the bed's calibration and adjust as necessary. - inspect the load cells for any damage or wear and replace if necessary. - update the bed's software or firmware if necessary. - perform regular maintenance and testing of the bed to ensure its accuracy and reliability. @topic:25


1 ( last ) general hospital 347 26 event surveillance event summary reports ( advanced event surveillance only ). the event summary report shows a graphical view and a tabular view of all events in the database for all groups. 348 protocol watch protocolwatch ( pw ) is a clinical decision support tool. it allows you to run a clinical protocol which can monitor developments in the patient's condition, taking into account : measured values from the monitor • values manually entered by you ( for example manual temperature measurements, lab values ) •. you protocolwatch notifies when certain conditions or combinations of conditions occur and it documents developments in a log which can be printed. ssc sepsis protocol the ssc ( surviving sepsis campaign ) sepsis protocol is a protocol implemented for the protocolwatch application. the ssc sepsis protocol is for use in screening for severe sepsis and monitoring of its treatment. it is a computerized implementation of the january 2008 surviving sepsis campaign guidelines for management of severe sepsis and septic shock [ dellinger rp, levy mm, carlet jm et al : surviving sepsis campaign : international guidelines for management of severe sepsis and septic shock : 2008 ( published correction appears in crit care med ; 36 : 1394 - 1396 ). crit care med 2008 36 : 296 - 327. ], including the amendment from october 2011. philips does not make any claims about their effectiveness to reduce the morbidity or mortality associated with severe sepsis. the ssc sepsis protocol assists you in recognizing the early signs and symptoms of sepsis by comparing the state of your patient to the defined criteria and then guides you through the recommended treatment protocol. use of the ssc sepsis protocol requires thorough knowledge of the complete ssc guidelines for management of severe sepsis and septic shock. due to space limitations on the screen, the recommendations cannot always be reproduced in @topic:8


tool log file. to record the results for your records, copy the table in the service record section of the service manual. if a calibration is required, run the nibp calibration included with the gold edition of the service tool. warning patient safety risk. if the primary transducer fails, the system might not identify an overpressure condition at the right limit, causing injury when the device is re - connected to a patient. to ensure patient safety, welch allyn recommends that a qualified service technician perform a full functional verification and calibration on an annual basis. a 114 functional verification and calibration overview welch [UNK] connex® spot monitor a caution equipment calibration error can occur. this accuracy check verifies only the accuracy of the primary transducer. if the safety transducer is out of calibration, a calibration error can occur due to the pressure difference between the primary transducer and the safety transducer. to avoid equipment calibration errors, welch allyn recommends that a qualified service technician perform a full functional verification and calibration on an annual basis. perform an nibp accuracy check note if you are performing this test after performing a previous nibp check, skip to step 7. set up the test equipment. 1. launch the service tool on the pc. 2. if the simplified interface is active, choose the service option. 3. 4. log on with your user id and password or with admin as the user id and leave the password field blank. ower on the device. 5. select the device you want to test from the device list. 6. click nibp sensor under the device information tab. 7. click accuracy check in the nibp sensor pane on the right side of the window. 8. 9. connect the 500 cc volume. 10. turn @topic:17


# # # issue the electric bed's foot section is not adjustable. # # # impact the patient may be uncomfortable or in pain if the bed cannot be adjusted to a comfortable position. # # # possible causes - * * motor failure : * * the motor that adjusts the foot section of the bed may have failed. - * * electrical problem : * * there may be a problem with the electrical system that powers the motor. - * * mechanical problem : * * there may be a mechanical problem with the gears or other components that adjust the foot section of the bed. # # # recommendations - * * inspect the motor : * * inspect the motor for any signs of damage or wear. - * * check the electrical system : * * check the electrical system for any loose connections or damaged wires. - * * inspect the mechanical components : * * inspect the gears and other mechanical components for any signs of wear or damage. - * * replace the motor : * * if the motor is damaged, it will need to be replaced. - * * repair the electrical system : * * if there is a problem with the electrical system, it will need to be repaired. - * * lubricate the mechanical components : * * if there is a mechanical problem, it may be necessary to lubricate the gears or other components. @topic:1


# # # issue nibp monitor not displaying numerical values # # # impact unable to accurately measure blood pressure, potentially compromising patient care. # # # possible causes - disconnected or damaged flat cable - malfunctioned display unit - electrical wiring issues - software or firmware errors # # # recommendations - check and ensure the flat cable is securely connected to both the monitor and the measurement unit. - inspect the display unit for any visible damage or defects. - test the electrical wiring to identify any breaks or loose connections. - update the firmware or software if necessary. - if the issue persists, seek assistance from the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:15


# # # issue : - monitor is reading blood pressure readings 5 points lower than other devices. # # # impact : - incorrect blood pressure readings can lead to incorrect treatment decisions. # # # possible causes : - faulty blood pressure transducer : the transducer that converts blood pressure into an electrical signal may be malfunctioning. - air in the blood pressure line : air bubbles in the blood pressure line can interfere with the accuracy of the readings. - incorrect cuff size : using a cuff that is too small or too large can affect the accuracy of the readings. - patient position : the patient's position can influence blood pressure readings. # # # recommendations : - replace the blood pressure transducer. - check for air bubbles in the blood pressure line and remove them if necessary. - use the correct cuff size for the patient. - ensure that the patient is in a proper position when taking blood pressure readings. @topic:14


# # # issue requested reboot of medical device. # # # impact the medical device may not be operational, causing potential delays or disruption of patient care. # # # possible causes - software malfunction - power surge - hardware failure # # # recommendations - check the device's power supply and connections. - try restarting the device by powering it off and on again. - if the issue persists, contact a biomedical engineer or it specialist for further assistance. @topic:12


# # # issue - medical cart displays a - 1 % battery level # # # impact - inability to use the medical cart effectively # # # possible causes - missing drivers : med _ service, med _ driver, and med _ sync # # # recommendations - install or reinstall the required drivers @topic:13


# # # issue - cuff of the physiologic vital signs monitor is damaged. # # # impact - the monitor may not be able to accurately measure vital signs, which could lead to incorrect treatment decisions. # # # possible causes - cuff may be old and worn, or may have been damaged by improper use. - cuff may not be the correct size for the patient, or may not be properly inflated. - patient may be moving or talking during the measurement, which can interfere with the accuracy of the reading. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient and is properly inflated. - instruct the patient to remain still and quiet during the measurement. @topic:5


# # # issue - cuff bp not measuring correctly # # # impact - inability to accurately measure blood pressure # # # possible causes - faulty cuff bp - incorrect cuff size - loose or damaged tubing - air leak in the cuff - problem with the monitor # # # recommendations - replace the cuff bp with a new one - ensure the cuff size is correct for the patient - check for any loose or damaged tubing and replace as necessary - check for any air leaks in the cuff and seal them - if the issue persists, have the monitor checked by a qualified technician @topic:14


# # # issue - equipment not powering on # # # impact - inability to use the medical cart for its intended purpose # # # possible causes - loose or damaged power cord - faulty power supply - malfunctioning power button - internal hardware issue # # # recommendations - inspect and ensure the power cord is securely connected to both the equipment and the power outlet. - if the power cord is damaged, replace it with a new one. - verify the power outlet is functioning properly by testing it with another device. - if the power supply is suspected to be faulty, contact the manufacturer for a replacement. - if the power button is not functioning, contact a qualified biomedical engineer to diagnose and repair the issue. - if an internal hardware issue is suspected, such as a failed circuit board or component, contact the manufacturer or a qualified biomedical engineer for further assistance. @topic:13


# # output # # # issue - control box not functioning. # # # impact - inability to adjust the bed height. # # # possible causes - power supply issue. - wiring fault. - circuit board malfunction. - component failure. - software glitch. # # # recommendations - check power supply and wiring connections. - inspect circuit board for any visible damage or loose components. - test individual components using a multimeter or oscilloscope. - update software if necessary. - send the unit to the manufacturer for further diagnostics and repair if the issue persists. - ensure proper maintenance and regular inspections to prevent future failures. @topic:1


# # # issue - philips intellivue mp40 ( m8003a ) patient transport monitor displays a red battery status. # # # impact - the patient transport monitor cannot be used if the battery is not functioning properly. # # # possible causes - the battery ( sn : 34763 ) is not charging properly. # # # recommendations - replace the battery ( sn : 34763 ) with a new battery ( sn : 28239 ). @topic:11


# # # issue - cuff of the bedside physiologic monitor is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may have been damaged by being overinflated or by being used on a patient with a large arm circumference. - there may be a problem with the cuff bladder. - the cuff connector may be damaged. # # # recommendations - replace the cuff. - check the cuff bladder for leaks. - inspect the cuff connector for damage. @topic:5


# # # issue - telemetry is not set up for use with the central monitor. # # # impact - the central monitor cannot receive telemetry data from the patient. # # # possible causes - the telemetry transmitter is not turned on. - the telemetry receiver is not turned on. - the telemetry transmitter and receiver are not on the same frequency. - the telemetry transmitter and receiver are not properly connected. - the telemetry transmitter and receiver are not within range of each other. - the telemetry transmitter and receiver are not compatible with each other. # # # recommendations - check that the telemetry transmitter and receiver are turned on. - check that the telemetry transmitter and receiver are on the same frequency. - check that the telemetry transmitter and receiver are properly connected. - check that the telemetry transmitter and receiver are within range of each other. - check that the telemetry transmitter and receiver are compatible with each other. - if all of the above checks are ok, then the telemetry transmitter or receiver may be faulty and needs to be replaced. @topic:16


# # # issue : broken module lock # # # impact : - module cannot be securely attached to the equipment. - potential for module malfunction or damage to equipment or patient. # # # possible causes : - excessive force applied to the module lock. - wear and tear on the lock mechanism over time. - design flaw or manufacturing defect. - external damage to the equipment or module. # # # recommendations : * * immediate actions : * * - remove and inspect the module and lock mechanism for any visible damage or debris. - clean or replace the lock as necessary. - if the module is damaged, contact the equipment manufacturer for repair or replacement. * * preventive measures : * * - provide clear instructions to users on how to properly handle and attach the module. - regular maintenance and inspection of the equipment and module lock mechanism. - consider using a different type of lock or module attachment mechanism that is less prone to failure. - monitor for any reports of similar failures or issues with the equipment or module. @topic:12


# # # issue - cuff deterioration # # # impact - inaccurate blood pressure readings - patient discomfort - potential for medical errors # # # possible causes - prolonged use - exposure to harsh cleaning agents - improper maintenance - manufacturing defect # # # recommendations - replace deteriorated cuff promptly - perform regular preventive maintenance on equipment - follow manufacturer's instructions for device use and cleaning - train staff on proper device operation and maintenance procedures @topic:3


# # # issue * remote control of the electric bed is not working. # # # impact * the bed cannot be operated remotely, which could cause inconvenience or discomfort to the patient. # # # possible causes * the remote control may be damaged or defective. * the batteries in the remote control may be dead or weak. * there may be a problem with the receiver unit on the bed. # # # recommendations * replace the remote control with a new or spare unit. * check and replace the batteries in the remote control. * contact the manufacturer or a qualified technician to inspect and repair the receiver unit on the bed if necessary. @topic:7


# # # issue - the vital signs monitor is not able to connect to the lan network. # # # impact - the monitor cannot send or receive data with other devices on the network. # # # possible causes - the network cable is not connected properly. - the network port on the monitor is not working. - the network settings on the monitor are incorrect. - the it team has not yet enabled the monitor on the network. # # # recommendations - check the network cable to ensure it is connected properly. - check the network port on the monitor to ensure it is working. - check the network settings on the monitor to ensure they are correct. - contact the it team to have the monitor enabled on the network. @topic:16


# # # issue - the bed scale is giving inaccurate weight readings. # # # impact - this could lead to incorrect patient weight measurements, which could affect diagnosis and treatment. # # # possible causes - the bed scale may be malfunctioning due to : - mechanical issues, such as a loose or damaged load cell. - electrical issues, such as a faulty circuit board or wiring. - software issues, such as a corrupted program. - environmental factors, such as extreme temperatures or humidity. # # # recommendations - biomedical engineers should : - inspect the bed scale for any visible signs of damage or wear and tear. - test the bed scale using a calibrated weight to verify its accuracy. - check the bed scale's electrical connections and wiring to ensure they are secure. - update the bed scale's software to the latest version. - consult the manufacturer's instructions for specific troubleshooting and repair procedures. @topic:25


# # # issue - equipment not charging # # # impact - medical cart cannot be used for patient care # # # possible causes - faulty battery - faulty charging port - faulty cable # # # recommendations - replace battery - replace charging port - replace cable - check power source @topic:13


# # # issue - the dvi cable head is damaged. # # # impact - the monitor cannot be connected to the computer. # # # possible causes - the dvi cable may have been stepped on or crushed. - the dvi cable may have been pulled out of the port too forcefully. - the dvi port on the monitor may be damaged. # # # recommendations - replace the dvi cable. - if the dvi port on the monitor is damaged, the monitor will need to be repaired or replaced. @topic:2


* * issue : * * cuff deterioration on intellivue mp70 ( m8007a ) bedside physiologic monitor * * impact : * * * inaccurate blood pressure measurements * patient discomfort due to improper cuff fit * interruptions in patient monitoring * * possible causes : * * * prolonged use of the cuff * exposure to harsh conditions ( e. g., excessive moisture, temperature fluctuations ) * improper storage or handling * manufacturing defects * * recommendations : * * * regularly inspect cuffs for signs of deterioration, such as cracks, tears, or loose velcro. * replace cuffs according to the manufacturer's recommended schedule or when they exhibit signs of wear. * store cuffs in a cool, dry place when not in use. * train staff on proper cuff handling and storage techniques. * consider using reusable cuffs for long - term use to reduce the frequency of replacement. * ensure that the cuff is the appropriate size for the patient's arm circumference. * monitor patients'blood pressure measurements closely for any inaccuracies. @topic:5


# # # issue - cuff of bedside physiologic monitor ( philips intellivue mp70 ) is malfunctioning. # # # impact - inability to accurately measure blood pressure, leading to potential patient complications. # # # possible causes - cuff may be : - torn - punctured - loose - obstructed - cuff may have reached the end of its lifespan. # # # recommendations - verify the issue by : - visually inspecting the cuff for any tears or punctures - checking the cuff for obstructions - ensuring the cuff is properly attached to the monitor - replace the cuff with a new one if necessary. - calibrate the monitor after replacing the cuff to ensure accuracy. - regularly inspect and maintain the cuff to extend its lifespan. @topic:14


# # # issue * hill - rom 900b bed unable to adjust downward. # # # impact * patient care may be compromised due to inability to adjust bed height. # # # possible causes * bed base colliding with bed frame. # # # recommendations * verify that bed base is not obstructed by bed frame. * adjust bed base accordingly to allow downward movement. @topic:1


specified operational requirements of the patient safety checks or the extended self check, notify the carrier and the nearest philips sales / support office at once. philips will arrange for immediate repair or replacement of the instrument without waiting for the claim settlement by the carrier. repackaging for shipment or storage if the instrument is to be shipped to a philips sales / support office, securely attach a label showing the name and address of the owner, the instrument model and serial numbers, and the repair required ( or symptoms of the fault ). if available and reusable, the original philips packaging should be used to provide adequate protection during transit. if the original philips packaging is not available or reusable please contact the philips sales / support office who will provide information about adequate packaging materials and methods. installing the monitor ( m8003a or m8004a ) note there are different mounting options available for the monitor. this section covers the general concepts of safe mount installations and specific steps for the mounting options sold by philips. instructions which ship with a mounting solution should always take precedence over the instructions described in this chapter. you must follow the instructions that ship with the mounting solution, regardless of manufacturer. 226 installing the monitor ( m8003a or m8004a ) 7 installation instructions mounting instructions assembling mounts figure 22 table mount ( m4046 - 64100, 12nc : 451261001381 ) ) the table mount ships with the monitor. every type of compatible mounting solution is delivered with a complete set of mounting hardware and instructions. refer to the documentation delivered with the mounting hardware for instructions on assembling mounts. warning it is the customer's responsibility to have the attachment of the mounting hardware to the ceiling, wall, or mounting rail and the construction of the ceiling, wall, or mounting rail evaluated for structural integrity and compliance with all local, state and any other required codes @topic:19


figure 7 - 2 on page 7 - 8 ) ). b. install, but do not tighten, one nut plate ( d ) on the bolt ( a ). 5. move the module ( c ) under the bed ( e ). 6. lift the module ( c ) so it touches the bottom of the bed ( e ). 7. turn the nut plate ( d ) so that it supports the weight of the module ( c ). 8. install two bolts ( a ) and washer ( f ) through the outer holes in the module ( c ) and into the nut plate ( d ). 9. slide the module ( c ) so it is against the hilow tower. 10. tighten all four bolts ( a ) to 40 ft - lb ( 54 n - m ) of torque. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 1 - 7 7. 6 traction frame support module — p1181b chapter 7 : accessories 7. 6 traction frame support module — p1181b chapter 7 : accessories removal reverse the installation procedure to remove the traction frame. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 1 - 9 7. 6 traction frame support module — p1181b chapter 1. accessories notes : page 7 - 10 careassist® and careassist® es bed service manual ( man330 rev 4 ) global headquarters us hill - rom company, inc. 1069 state route 46 e batesville, in 47006 - 9167 tel : 800 - 445 - 3720 www. hill - rom. com us rental therapy hill - rom company, inc. tel : 800 - 638 - 2546 st. paul, mn hill - rom company, inc. tel : 651 - 490 - 1468 or @topic:26


# # # issue - temp probe failure # # # impact - incorrect body temperature measurements - potential for patient harm if inaccurate readings are used for medical decisions # # # possible causes - probe malfunction due to : - physical damage ( e. g., bending or crushing ) - electrical failure ( e. g., broken wires ) - sensor degradation over time - calibration errors leading to incorrect temperature readings - environmental factors ( e. g., extreme temperatures, humidity ) affecting probe performance # # # recommendations - regular inspection and maintenance of temp probe to check for physical damage or degradation - calibration of the temp probe according to manufacturer's specifications and following established protocols - use of high - quality, reliable temp probes recommended by the device manufacturer - proper storage and handling of temp probes to prevent damage - training of healthcare professionals on the correct use and troubleshooting of temp probes - establishment of clear protocols for reporting and resolving temp probe failures promptly @topic:20


# # # issue - bed not responding to adjustment commands # # # impact - patient discomfort and safety - delay in patient care # # # possible causes - electrical fault - mechanical failure ( e. g., jammed mechanism ) - software malfunction # # # recommendations - check power supply and connections - inspect for any physical damage or obstruction - update software if necessary - contact the manufacturer for further troubleshooting and repair @topic:1


# # # issue - the bed, electric, brand hill - rom, model 900b, displays a continuous blinking light and cannot be adjusted. # # # impact - the patient may not be able to use the bed or may be uncomfortable due to the inability to adjust the bed. # # # possible causes - the remote control may not be functioning properly. - the control panel may be malfunctioning. - there may be a problem with the electrical wiring. # # # recommendations - reset the remote control. - replace the control panel. - check the electrical wiring for any loose connections or damage. @topic:1


where : the respiration rate is not close to the heart rate • breathing is spontaneous, with or without continuous positive airway pressure ( cpap ) • patients are ventilated, except patients with intermittent mandatory ventilation ( imv ). • manual detection mode in manual detection mode you must set the resp detection level. in the setup resp menu, select manual up or manual down. use the dotted detection level line in the resp waveform to determine when the desired level is reached.. once set, the detection level will not adapt automatically to different respiration depths. it is important to remember that if the depth of breathing changes, you may need to change the detection level. use manual detection mode for situations where : the respiration rate and the heart rate are close. • patients have intermittent mandatory ventilation. • respiration is weak. try repositioning the electrodes to improve the signal. • resp detection modes and cardiac overlay in auto detection mode : if you are monitoring resp and the ecg is switched off, the monitor cannot compare the ecg and resp rates to detect cardiac overlay. the respiration detection level is automatically set higher to prevent the detection of cardiac overlay as respiration. in manual detection mode : cardiac overlay can in certain situations trigger the respiration counter. this may lead to a false indication of a high respiration rate or an undetected apnea condition. if you suspect that cardiac overlay is being registered as breathing activity, raise the detection level above the zone of cardiac overlay. if the resp wave is so small that raising the detection level is not possible, you may need to optimize the electrode placement as described in the section " lateral chest expansion " on page 186. changing the size of the respiration wave warning when monitoring in manual detection mode, make sure to check the respiration detection level after you have @topic:17


# # # issue - the bed, electric, manufactured by huntleigh, model contoura 360, failed during testing. # # # impact - the failure may have prevented the device from functioning properly, potentially impacting patient care. # # # possible causes - the cause of failure was identified as a test. this could indicate that the device was not properly calibrated or tested before being put into service. it is also possible that the test was not conducted correctly, leading to an inaccurate result. # # # recommendations - to prevent similar failures in the future, the following recommendations are made : - ensure that all devices are properly calibrated and tested before being put into service. - develop and implement a rigorous testing protocol to ensure that all devices are functioning properly. - train technicians on the proper use and maintenance of medical devices. - regularly inspect and maintain medical devices to identify and address any potential issues. @topic:9


# # # issue - bed alarm not working # # # impact - * * patient safety * * : patients may not be able to call for help if they need it. - * * staff efficiency * * : staff may not be able to respond to patient calls quickly if they cannot hear the alarm. # # # possible causes - * * faulty bed alarm * * : the bed alarm may be malfunctioning. - * * loose connections * * : the connections between the bed alarm and the bed may be loose. - * * power supply issue * * : the bed alarm may not be receiving power. - * * user error * * : the bed alarm may not be set up correctly. # # # recommendations - * * inspect the bed alarm * * : inspect the bed alarm for any visible damage. - * * check the connections * * : make sure that the connections between the bed alarm and the bed are tight. - * * check the power supply * * : make sure that the bed alarm is plugged into a working outlet. - * * reset the bed alarm * * : reset the bed alarm by following the manufacturer's instructions. - * * contact the manufacturer * * : if you cannot fix the bed alarm yourself, contact the manufacturer for assistance. @topic:26


* * issue : * * restraint rail of electric bed is broken. * * impact : * * - patient safety is compromised due to the risk of falls. - patient discomfort and pain due to instability while in bed. - prolonged hospital stay and increased healthcare costs. * * possible causes : * * - * * wear and tear : * * the bed's restraint rail is constantly subjected to stress and wear and tear during use, resulting in eventual damage. - * * improper or excessive force : * * mishandling of the restraint rail, such as excessive force or incorrect application, can cause it to break. - * * defective manufacturing : * * in some cases, the restraint rail may have been defective at the time of production, making it prone to failure. * * recommendations : * * - * * regular inspection and maintenance : * * implement regular inspections and maintenance schedules to identify potential issues and prevent failures. - * * proper training and handling : * * ensure that healthcare professionals are adequately trained to operate and handle the electric bed safely to minimize damage to the restraint rail. - * * durability testing : * * consider conducting durability testing on the restraint rail to assess its performance and identify any weaknesses. - * * replacement or repair : * * if the restraint rail is beyond repair, it should be replaced promptly to ensure patient safety and comfort. @topic:6


* * issue : * * * incorrect powerboard version on medical cart leading to malfunction * * impact : * * * medical cart rendered unusable * * possible causes : * * * * * software mismatch : * * the powerboard version installed is incompatible with the medical cart's software. * * recommendations : * * * * * update software : * * verify the correct powerboard version for the medical cart and update the software accordingly. * * * check configuration : * * ensure that the powerboard version is properly configured and matches the device requirements. * * * test functionality : * * thoroughly test the medical cart to ensure proper operation after software updates or configuration changes. * * note : * * the provided " cause of failure : battery - 1 % " is not relevant to the described issue and should be investigated separately. @topic:13


# # # issue - broken leg support # # # impact - the bed is not stable and cannot be used safely. # # # possible causes - the leg support was not properly attached to the bed. - the leg support was damaged during use. # # # recommendations - inspect the leg support for any damage. - reattach the leg support to the bed using the correct hardware. - test the bed to make sure that it is stable and safe to use. @topic:6


# # # issue - the philips suresigns vs2 monitor is displaying a scrambled screen. # # # impact - the monitor is unable to display vital signs data, which could lead to delayed or incorrect diagnosis and treatment. # # # possible causes - * * battery failure : * * the monitor's battery may have failed, causing the device to lose power and display a scrambled screen. - * * power supply issues : * * the monitor may not be receiving adequate power from the ac power supply, which could also cause a scrambled screen. - * * hardware failure : * * a hardware component within the monitor, such as the display panel or motherboard, may have failed, causing the scrambled screen. # # # recommendations - * * check the battery : * * ensure that the monitor's battery is fully charged or replace it if necessary. - * * check the power supply : * * verify that the monitor is properly connected to the ac power supply and that the outlet is providing adequate power. - * * contact biomedical engineering : * * if the battery and power supply are functioning properly, contact biomedical engineering to diagnose and repair the hardware failure. @topic:2


# # # issue - cuff not securing properly # # # impact - inaccurate blood pressure readings - patient discomfort # # # possible causes - cuff bladder torn - cuff too small or too large - cuff tubing damaged - sensor malfunction # # # recommendations - replace cuff bladder if torn - adjust cuff size to fit patient's arm - inspect tubing for damage and replace as needed - calibrate sensor @topic:3


# # # issue - the biomedical engineer is experiencing a system fault error code 19010a39 on a welch allyn propaq lt monitor. - the error message indicates that there is a recoverable fault and the monitor should be restarted. - however, restarting the monitor and disconnecting the patient sensors has not resolved the issue. # # # impact - the monitor cannot be used to measure patient vital signs, such as blood pressure. - this could delay or prevent patient care. # # # possible causes - the most likely cause of the issue is a poor connection between the contact points on the board and the sensor cable. - this could be due to corrosion or other damage to the contacts. - less likely causes could include a faulty sensor cable or a problem with the monitor's internal circuitry. # # # recommendations - the technician should first clean the contact points on the board and the sensor cable with a cotton swab and alcohol. - if this does not resolve the issue, the technician should replace the sensor cable. - if the issue persists, the technician should contact the manufacturer for further troubleshooting and repair. @topic:2


# # # issue the medical cart cannot be turned on. # # # impact the medical cart cannot be used to transport patients or equipment. # # # possible causes - the battery may be dead. - the power cord may be damaged. - the power switch may be broken. - the software may be corrupted. # # # recommendations - check the battery and make sure it is charged. - check the power cord for damage and replace it if necessary. - check the power switch to make sure it is not broken. - contact the manufacturer of the medical cart to troubleshoot the software. @topic:13


# # # issue - bed is not adjusting up or down. # # # impact - patient discomfort - difficulty with patient care - increased risk of falls # # # possible causes - faulty remote control - damaged ac power cord - mechanical failure of the bed frame - electrical issue within the bed motor # # # recommendations 1. * * check the remote control. * * ensure that it is properly connected to the bed and that the batteries are fresh. 2. * * inspect the ac power cord. * * look for any signs of damage or fraying. replace the cord if necessary. 3. * * examine the bed frame. * * check for any loose or broken parts that may be preventing the bed from adjusting. 4. * * test the bed motor. * * disconnect the bed from power and manually adjust the bed up and down. if the bed does not move smoothly, there may be an electrical issue with the motor. 5. * * contact a qualified biomedical engineer. * * if you are unable to identify the cause of the problem, contact a qualified biomedical engineer for assistance. @topic:1


# # # issue : - replacing the battery of a vital signs monitor. however, the monitor still fails to function properly after the battery replacement. # # # impact : - the vital signs monitor cannot accurately monitor the patient's vital signs, potentially leading to delays in diagnosis and treatment. # # # possible causes : - * * battery not properly connected : * * ensure the battery is securely connected to the monitor terminals. - * * battery not compatible : * * verify that the replaced battery has the correct voltage, capacity, and type for the monitor. - * * internal circuit damage : * * the battery replacement process may have damaged internal circuits or connections. - * * software error : * * the monitor's software may not be recognizing the new battery. - * * other hardware issues : * * there could be a problem with the monitor's display, sensors, or other components. # # # recommendations : - * * re - check battery connections : * * inspect the battery terminals and ensure they are clean and making good contact. - * * confirm battery compatibility : * * reference the manufacturer's specifications to verify the battery's specifications. - * * inspect for internal damage : * * examine the monitor's internal components for any visible damage or loose connections. - * * update software : * * if possible, update the monitor's software to the latest version. - * * contact technical support : * * if the issue persists, consult the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:11


# # # issue - unable to log in to the medical cart due to incorrect password. # # # impact - inability to use the medical cart for patient care. # # # possible causes - incorrect password entered. - password has been changed without the user's knowledge. - network issues preventing access to the password database. - hardware issue with the medical cart. # # # recommendations - verify that the correct password is being entered. - contact the it department to reset the password. - check the network connection to ensure that the medical cart has access to the password database. - contact the manufacturer of the medical cart for assistance with hardware issues. @topic:13


# # # issue the electric bed, specifically the huntleigh contoura 360, is experiencing intermittent failure in adjusting the motor for head elevation and descent. # # # impact the inability to adjust the bed's head elevation can cause discomfort for patients and hinder medical procedures that require proper positioning. # # # possible causes * * * electrical fault : * * a loose connection or faulty wiring in the motor circuit could disrupt power supply to the motor, causing it to malfunction intermittently. * * * mechanical issue : * * wear and tear or misalignment of moving parts within the motor mechanism, such as gears or pulleys, could impede the motor's movement. * * * control system defect : * * a malfunctioning remote control or a fault in the bed's control system could prevent the motor from receiving proper instructions. * * * software error : * * if the bed is equipped with software to regulate motor functions, a software bug or glitch could interfere with its operation. # # # recommendations * * * inspect electrical connections : * * check for loose or damaged wires, connectors, or terminals in the motor's electrical system. tighten connections and replace damaged components as needed. * * * examine mechanical components : * * disassemble the motor assembly and inspect gears, pulleys, and other moving parts for signs of wear or misalignment. lubricate or replace worn parts as necessary. * * * test remote control and control system : * * verify the functionality of the remote control by testing it with other bed units. perform diagnostics on the bed's control system to identify any software or hardware issues. * * * consult manufacturer : * * if the cause of failure cannot be identified or resolved through the above steps, contact the manufacturer for technical support or a qualified technician for further troubleshooting. @topic:1


# # # issue - equipment : monitor, bedside, physiologic - band : invivo research - model : precess - description : bme team found that the equipment triggered an alarm and was unable to be used, so it was sent to cmmed for repair. # # # impact - interruption of patient monitoring - potential delay in diagnosis and treatment # # # possible causes - * * deteriorated spo2 probe cable ( fibre optic ) : * * the fibre optic cable used to transmit spo2 signals may have become damaged or degraded over time, leading to signal loss and inaccurate readings. # # # recommendations - * * replace spo2 probe cable : * * the deteriorated spo2 probe cable should be replaced with a new one. - * * calibration : * * the equipment should be calibrated after the new cable has been installed to ensure accurate readings. - * * regular maintenance : * * regular preventive maintenance and inspections should be performed to identify potential issues and prevent similar failures in the future. @topic:4


# # # issue - electric bed is not adjusting up and down # # # impact - patient discomfort - difficulty providing care - increased risk of injury # # # possible causes - loose ac power cord - faulty o - ring # # # recommendations - tighten ac power cord - replace o - ring - test bed operation to ensure functionality @topic:1


# # # issue - * * monitor : * * time is incorrect. - * * printer : * * paper jam. # # # impact - * * monitor : * * clinicians may not have accurate patient data due to incorrect time. - * * printer : * * clinicians are unable to print charts and documents. # # # possible causes - * * monitor : * * - power outage or battery failure. - software glitch. - synchronization issue with central station. - * * printer : * * - low paper supply. - paper misalignment. - mechanical failure. # # # recommendations - * * monitor : * * - check power and battery. - troubleshoot software. - resync with central station. - * * printer : * * - reload paper. - realign paper tray. - service or replace printer if necessary. @topic:28


* * issue : * * * central monitor not linking * * impact : * * * inability to monitor patient's physiological parameters centrally * * possible causes : * * * * * server issues : * * the server responsible for central monitoring may be down or experiencing problems. * * * incorrect ci address : * * the ci ( central information ) address may not be set up correctly on the bedside monitor, preventing it from connecting to the central system. * * * network connectivity issues : * * the bedside monitor may not be able to communicate with the central system due to network connectivity problems. * * * software errors : * * there may be software errors on the bedside monitor or the central system, preventing the connection. * * recommendations : * * * * * check server status : * * verify if the central monitoring server is operational and accessible. * * * verify ci address : * * ensure that the ci address on the bedside monitor is set correctly and matches the address of the central system. * * * troubleshoot network connectivity : * * verify network connectivity between the bedside monitor and the central system by testing other network connections. * * * check software updates : * * update the software on the bedside monitor and the central system to resolve any potential errors. @topic:16


# # # issue - cuff is leaking # # # impact - blood pressure measurements may be inaccurate or unavailable # # # possible causes - cuff is damaged - cuff is not properly attached to the device - base station is not properly connected to the cuff # # # recommendations - replace the cuff - ensure that the cuff is properly attached to the device - ensure that the base station is properly connected to the cuff @topic:3


# # # issue : - the bed is unable to weigh patients. # # # impact : - inability to accurately monitor patients'weight, which can impact medical decisions and treatment outcomes. # # # possible causes : - * * shorted weight - sensing board : * * this is the most likely cause, as indicated by bme's inspection. a short circuit in the board can prevent it from functioning properly and transmitting weight data to the bed's display. - * * power failure in one section of the board : * * if one section of the weight - sensing board is not receiving power, it can also lead to inaccurate weight readings. this could be due to a faulty connection, a loose wire, or a damaged component on the board. # # # recommendations : - replace the weight - sensing board as per bme's recommendation. this is the most direct solution to address the shorted or malfunctioning board. - inspect the electrical connections to the weight - sensing board. ensure that all wires are securely connected and that there are no loose or damaged components. - perform a thorough electrical diagnostic test on the weight - sensing board. this will help identify any other underlying issues that may be contributing to the failure. @topic:25


# # # issue - electric bed is not adjustable. # # # impact - patients may not be able to get in and out of bed safely. - patients may not be able to be positioned comfortably for medical procedures. - staff may have to manually adjust the bed, which can be difficult and time - consuming. # # # possible causes - motor failure - electrical failure - control panel failure - mechanical failure # # # recommendations - inspect the motor, electrical connections, control panel, and mechanical components for damage or wear. - test the motor and electrical connections to ensure they are functioning properly. - replace any damaged or worn components. - calibrate the bed controls to ensure they are operating correctly. - train staff on how to properly operate and maintain the bed. @topic:9


be used for srr. philips telemetry experts will identify available srr channels by performing a site survey. when using the philips intelli vue 802. 11 bedside adapter we recommend that you use the 5 ghz band to free the 2. 4 ghz band for srr usage. short range radio signals are low power signals and therefore have a relatively short range. you can use this fact if the number of unused channels is low, and you run out of channels. provided the distance between two srr groups is large enough, i. e. none of the short range radio signals transmitted by the one group can interfere with signals of the other group, you may attempt to assign the same srr channel to both groups. take into consideration that portable components ( such as telemetry transceiver, mp5 / mpst or an x2 ) belonging to one group may be temporarily used within the range of another group. the range of srr signals cannot be clearly defined as it depends on external factors such as the components and structure of walls, ceilings, etc. ecg sync pulse the ecg - sync pulse is output only if a corresponding cable is detected. the detection of the cable is made by bridging two pins. note that the ecg pulse drives inputs with a resistance of 3 kohms or higher. the rectangular ecg pulse is active high ( approximately 3. 3v ) for 100ms and low ( approximately ov ) for the rest of the time. ecg pulse ] = > ecg pulse cable detect : qe cable detect bridge pins 3 and 5, connect directly 221 provide a clean ecg signal ( from patient or simulator ) to the monitor. then connect the cable to the monitor and check that marker pulses are shown on the screen. at last connect the cable to the ecg pulse client and process the signal. monitor output msl cable termination note @topic:10


# # # issue - inability to adjust the bed's height on the foot side. # # # impact - patient discomfort and limited access to necessary care. # # # possible causes - * * defective hi - low column : * * internal mechanism of the column that controls the bed's height may have malfunctioned. # # # recommendations - * * replacement of hi - low column : * * the existing hi - low column should be replaced with a new one to restore proper functionality. - * * regular maintenance : * * implement a regular maintenance schedule to prevent similar issues in the future, including inspections and testing of the bed's components. @topic:1


4. connect one control at a time until the bad control is located. replace the affected control. 5. test the function of the foot section motor intermediate switch. the problem only occurs with the dining chair® position and knee section functions. yes no ■i — > go to step 7. 6. go to step 11. 7. do the following : a. remove the power supply cover. b. swap the connectors of the knee section and foot section motors ( # 5 brown, # 2 green ) on the power board. c. activate the cpr function. the foot section function operates correctly, the knee section motor rod extends to mid - travel. yes no ■i — > replace the foot motor ( refer to procedure 4. 8 on page 4 - 27 ). 8. test the function of the thigh section motor intermediate switch. a. connect the foot section motor cable to its socket ( # 2, green ). b. either connect a new thigh section motor in extended position or using an ohmmeter, check the state of the intermediate switch of the thigh section motor. the motor is extended, the contacts 3 and 4 of the 4 - pin careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 21 2. 7 foot section malfunction chapter 2 : troubleshooting procedures connector ( socket # 5, brown ) are short - circuited ( see figure 2 - 1 on page 2 - 22 ). with the rod retracted, the circuit is open. figure 2 - 1. 4 - pin connector m330 _ 108 9. the foot section function operates correctly. yes no ■i — » replace the power supply ( a model beds ) ( refer to procedure 4. 3 ) or the motor control p. c. board ( b model and newer beds ) ( refer to procedure 4. 27 ). if this solve @topic:9


# # # issue monitor not linking to central station in some rooms # # # impact vital signs not being displayed on central monitor, making it difficult for staff to monitor patients. # # # possible causes - faulty or damaged network cables connecting the monitors to the central station - incorrect or missing ip address or port settings on the monitors - outdated or incompatible software on the monitors or central station - insufficient coverage or interference with the wireless network ( if applicable ) - firewall or security settings blocking the connection between the monitors and central station # # # recommendations 1. * * check network connectivity : * * - inspect all network cables connecting the monitors to the central station and ensure they are securely plugged in and not damaged. - verify the ip address and port settings on the monitors and compare them to the settings on the central station. 2. * * update software : * * - check for and install any available software updates on the monitors and central station. outdated software can lead to compatibility issues. 3. * * troubleshoot wireless connection : * * - if using a wireless network, ensure it has adequate coverage and no interference from other devices. - check the signal strength and adjust the location of the monitors or access points if necessary. 4. * * check firewall and security settings : * * - review the firewall and security settings on both the monitors and central station to ensure they do not block the connection. allow necessary ports ( e. g., tcp / ip ) for communication. 5. * * power cycle devices : * * - power cycle both the monitors and central station. this can reset any temporary glitches and establish a new connection. 6. * * contact technical support : * * - if the issue persists, reach out to the manufacturer's technical support team for further assistance. @topic:16


to perform perform a visual inspection before inserting a battery into the monitor charge the battery upon receipt, after use, or if a low battery state is indicated. to optimize performance, a fully ( or almost fully ) discharged battery should be charged as soon as possible. condition the battery when the " battery requires maintenance " symbol appears store the battery in a state of charge in the range of 40 % to 50 % when not in use for an extended period of time refer to your monitor ’ s instructions for use for details on how to perform battery care activities, including charging and conditioning. we recommend using the philips smart battery conditioner lg 1480 ( 865432 ) 95 [ 3 testing and maintenance ] handling precautions lithium ion batteries store a large amount of energy in a small package. use caution when handling the batteries ; misuse or abuse could cause bodily injury and / or property damage. • do not short circuit - take care that the terminals do not contact metal or other conductive materials during transport and storage • do not crush, drop or puncture - mechanical abuse can lead to internal damage and internal short circuits which may not be visible externally • do not apply reverse polarity • do not expose batteries to liquids • do not incinerate batteries or expose them to temperatures above 60°c ( 140°f ) • do not attempt to disassemble a battery if a battery has been dropped or banged against a hard surface, whether damage is visible externally or not : • discontinue use • dispose of the battery in accordance with the disposal instructions if a battery shows damage or signs of leakage, replace it immediately. do not use a faulty battery in the monitor. storage when storing batteries, make sure that the battery terminals do not come into contact with metallic objects, or other conductive materials. if batteries are stored for an extended period of time, they should be stored in a cool @topic:11


# # # issue - cuff is damaged # # # impact - the device will not be able to take accurate blood pressure readings - it could cause inaccurate diagnosis and improper treatment. # # # possible causes - the cuff may have been damaged due to : - age - overuse - improper storage - physical damage # # # recommendations - replacing the cuff - inspecting the cuff regularly for signs of damage - store the device in a safe place when not in use @topic:3


# # issue the provided input does not specify any cause of failure for the bed, electric from hill - rom ( model : care assist es100 ). # # impact unable to determine the impact of the failure without a specified cause. # # possible causes based on the provided information, it is not possible to identify any possible causes of failure. # # recommendations - request additional information from the technician regarding the specific failure symptoms or error messages encountered. - inspect the equipment for any visible damage or loose connections. - review the equipment's maintenance history and any previous repair records. - consult with the manufacturer's technical support or refer to the device's user manual for troubleshooting guidance. @topic:9


# # # issue - equipment : monitors, physiologic, vital signs - band : philips - model : suresigns vs2 # # # impact - inaccurate bp measurement # # # possible causes - cuff bp is deteriorated. # # # recommendations - change cuff bp 1pcs ( adult 25 - 35 cm ). @topic:15


# # # issue - missing connector # # # impact - equipment malfunction - inability to monitor patient's physiological parameters # # # possible causes - wear and tear - accidental detachment - lack of proper maintenance # # # recommendations - regular inspection and maintenance of connectors - use of secure and durable connectors - training staff on proper handling and maintenance of equipment @topic:12


# # # issue - remote control failure # # # impact - inability to operate the bed remotely - inconvenience for patients and healthcare providers # # # possible causes - physical damage to the remote control ( e. g., drops, spills ) - electronic malfunction - battery failure # # # recommendations - inspect the remote control for any visible damage - replace the batteries - test the remote control with a different bed ( if available ) - request a replacement remote control from the manufacturer or vendor - consider upgrading to a more durable or wireless remote control system @topic:7


# # # issue - equipment not capturing signals # # # impact - inability to monitor patient's vital signs accurately # # # possible causes - faulty sensors - loose connections - electrical interference - software or hardware malfunction # # # recommendations 1. * * check sensors : * * ensure that the sensors are properly connected and free from damage. clean the sensors if necessary. 2. * * inspect connections : * * verify that all cables and connections are securely in place. tighten any loose connections. 3. * * eliminate interference : * * identify and eliminate potential sources of electrical interference, such as nearby electronic devices or power lines. 4. * * restart device : * * power cycle the device to reset any software or hardware issues. 5. * * contact manufacturer : * * if the issue persists, consult the manufacturer for further troubleshooting assistance or repairs. @topic:2


# # # issue - the remote control sticker on the bed has been replaced. - the 12v, 1. 3ah battery has been replaced. # # # impact - the patient may not be able to operate the bed remotely. - the bed may not be able to be operated at all. # # # possible causes - the remote control sticker may have been damaged or worn out. - the battery may have died or become damaged. # # # recommendations - replace the remote control sticker. - replace the battery. - inspect the bed for any other damage. - test the bed to ensure that it is operating properly. @topic:7


# # # issue - ekg lead wire is torn at the distal end. # # # impact - the monitor cannot obtain an accurate ekg signal. # # # possible causes - the lead wire was damaged during use. - the lead wire was not properly connected to the patient. - the lead wire was not properly connected to the monitor. # # # recommendations - inspect the lead wire for damage. replace the lead wire if it is damaged. - ensure that the lead wire is properly connected to the patient. - ensure that the lead wire is properly connected to the monitor. - perform a quality check on the monitor to ensure that it is functioning properly. @topic:18


counter - clockwise to the start position. for tcc3, if the green light is still flashing when inop “ tcgas calrunning ” disappears, press the green arrow button again. calibration failure 236 if calibration fails, the monitor displays tcgas transducer or cal. unit malfunction and the cal failed inop for the measurement. calibrating the tcgas transducer 16 monitoring tcgas troubleshooting tcgas calibration perform each of the following steps, in order, until calibration is successful. 1 check the calibration unit, then recalibrate, remembering to turn on the gas supply on the calibration unit. if the pressure indicator reading is in the out of gas zone, there is insufficient gas in the cylinder. connect the gas tubing firmly to the calibration unit and to the module ’ s calibration chamber. 2 if step 1 fails, check whether you need to activate the transducer ( necessary if the electrolyte has dried out or if you have a new transducer ). remembrane the transducer, removing the old membranes, and cleaning the transducer head thoroughly. 3 calibrate a second time. 4 if step 2 is unsuccessful, calibrate again. this calibration may be required to stabilize the electrochemical system in the transducer. 5 only if the above steps are unsuccessful ( you have activated and remembraned the transducer and calibration has still failed twice ), replace the transducer. 237 16 monitoring tcgas applying the tcgas transducer applying the tcgas transducer 1 peel protection film from fixation ring. using a finger, press the sticky side of the ring on to clean, dry skin. press around the outside to ensure a good seal. apply three to five drops of contact @topic:17


# # # issue battery failure in a patient transport monitor. the battery has deteriorated with age and needs to be replaced. # # # impact the patient transport monitor will not be able to operate without a functional battery. this could lead to delays in patient care or, in the worst case, a patient emergency. # # # possible causes - the battery has reached the end of its lifespan. - the battery has been damaged due to improper handling or storage. - the battery has been exposed to extreme temperatures. # # # recommendations - replace the battery with a new one of the same type and capacity. - ensure that the battery is handled and stored properly according to the manufacturer's instructions. - avoid exposing the battery to extreme temperatures. @topic:11


# # # issue keypad on medical cart is not functioning properly # # # impact - inability to input data into the medical cart - potential delay in patient care # # # possible causes - worn or damaged keypad - loose or disconnected wires - software glitch - keypad not properly seated # # # recommendations - inspect the keypad for any visible damage or wear - check the wires connecting the keypad to the medical cart, ensuring that they are securely connected - restart the medical cart to clear any software glitches - re - seat the keypad to ensure it is properly connected @topic:27


# # # issue - the bed's footrest is not adjusting up or down. # # # impact - the patient may not be able to get into or out of bed comfortably. - the patient may not be able to position themselves for optimal comfort or support. # # # possible causes - the motor for the footrest may be damaged or faulty. - the wiring to the motor may be damaged or faulty. - the control panel for the bed may be damaged or faulty. - the bed frame may be damaged or bent, which could be preventing the footrest from moving properly. # # # recommendations - inspect the motor, wiring, and control panel for any damage or faults. - if any damage is found, replace the affected component. - if no damage is found, the bed frame should be inspected for any damage or bending. - if the bed frame is damaged, it should be repaired or replaced. @topic:1


# # # issue - loss of blood pressure monitoring capability # # # impact - inability to accurately measure and monitor patient's blood pressure, which is crucial for patient safety and treatment. # # # possible causes - physical damage to the blood pressure cuff tube or connecting joint. - wear and tear or aging of the equipment components. # # # recommendations - inspect the blood pressure cuff tube and connecting joint for any signs of damage or wear. - replace or repair any damaged or worn components promptly. - implement regular maintenance and inspection schedules to prevent similar failures in the future. - consider using a more durable or higher - quality cuff tube and connecting joint to prevent premature failure. @topic:3


from either heart rate or pulse depending on which is currently selected as the active larm source. in the setup spo2 menu, select tone modulation to switch between yes ( for on ) and no ( for off ). tone modulation is licensed under us patent us 4. 653. 498 from nellcor puritan bennett in the setup spo2 menu, select qrs volume and set the appropriate qrs tone volume. when a second spo2 measurement is present ( either through the spo2 module or through an external device ), the monitor displays both spo2 values, and calculates the difference between them. the second value is subtracted from the first. from the main setup menu, select measurements. 1 from the setup aspo2 menu, select first spo2. 2 choose the first measurement source. 3 select second spo2. 4 choose the second measurement source. 5 201 9 monitoring spo2 202 10 this monitor uses the oscillometric method for measuring nbp. the nbp measurement is suitable for use in the presence of electrosurgery and during the discharge of a cardiac defibrillator according to iec 601 - 2 - 30 : 1999 / en 60601 - 2 - 30 : 2000. a physician must determine the clinical significance of the nbp information. introducing the oscillometric nbp measurement oscillometric devices measure the amplitude of pressure changes ( oscillations ) in the occluding cuff as the cuff deflates from above systolic pressure. the amplitude suddenly increases as the pulse breaks through the occlusion in the artery. as the cuff pressure decreases further, the pulsations increase in amplitude, reach a maximum ( which approximates to the mean pressure ), and then diminish. studies show that, especially in critical cases ( arrhythmia, @topic:17


# # # issue - touchscreen not responding correctly # # # impact - inability to accurately monitor patient vitals and adjust settings on the bedside physiologic monitor. # # # possible causes - faulty touch screen - misalignment of touch screen - software issue or glitch # # # recommendations - replace touch screen - realign touch screen - update software or check for any known issues or glitches. @topic:2


# # # issue - the electric bed cannot be adjusted. # # # impact - patients may not be able to get into or out of bed. - patients may not be able to adjust the bed to a comfortable position. - nurses and other healthcare providers may have difficulty moving patients in and out of bed. # # # possible causes - the remote control is not working. - the bed's motor is not working. - the bed's control panel is not working. - the bed's wiring is damaged. # # # recommendations - check the remote control's batteries. - if the remote control's batteries are good, try resetting the remote control. - if the remote control still does not work, replace the remote control. - if the bed's motor is not working, check the motor's power supply. - if the bed's motor's power supply is good, replace the motor. - if the bed's control panel is not working, check the control panel's power supply. - if the bed's control panel's power supply is good, replace the control panel. - if the bed's wiring is damaged, repair the wiring. @topic:7


# # # issue - oxygen saturation monitoring cable failure # # # impact - inaccurate oxygen saturation readings - potential for harm to patient if undetected # # # possible causes - physical damage to the cable, such as cuts or abrasions - corrosion or moisture damage to the cable - defective cable connector - loose or disconnected cable - cable incompatible with the monitoring device # # # recommendations - inspect the cable for any visible damage or defects - tighten or replace any loose or disconnected connectors - ensure the cable is compatible with the monitoring device - replace the cable if any damage or defects are found @topic:4


* * issue : * * monitor not displaying values * * impact : * * inability to monitor patient's vital signs, potentially affecting patient care. * * possible causes : * * - * * defective display module : * * the display module responsible for displaying patient data may be malfunctioning. - * * faulty power supply : * * the power supply to the monitor may be disrupted, preventing the display module from receiving power. - * * damaged data cable : * * the cable connecting the monitor to the central unit may be damaged or disconnected, causing data transmission failure. - * * software glitch : * * a software error in the monitor's operating system may be preventing the display of patient data. * * recommendations : * * - * * inspect the display module : * * visually examine the display module for any physical damage or loose connections. - * * check the power supply : * * ensure that the power supply to the monitor is stable and properly connected. - * * examine the data cable : * * inspect the data cable connecting the monitor to the central unit for any visible damage or loose connections. - * * restart the monitor : * * power off the monitor and restart it to potentially resolve software glitches. - * * contact the equipment manufacturer : * * if the issue persists, contact the equipment manufacturer for further troubleshooting and repair assistance. @topic:2


* * issue : * * error sensor in oxygen analyzer * * impact : * * inaccurate oxygen measurements, potentially leading to patient harm * * possible causes : * * - * * faulty sensor : * * the sensor may be damaged or malfunctioning, resulting in inaccurate readings. - * * loose connections : * * loose connections between the sensor and the analyzer can cause intermittent or unreliable readings. - * * electrical interference : * * electromagnetic interference from other equipment may disrupt the sensor's signal. - * * environmental factors : * * extreme temperatures or humidity can affect sensor performance. * * recommendations : * * - * * inspect the sensor : * * check for physical damage or visible defects. clean the sensor if necessary. - * * check connections : * * ensure all connections between the sensor and analyzer are secure and free of corrosion. - * * test the sensor : * * use a calibration gas to verify the accuracy of the sensor. - * * eliminate electrical interference : * * identify potential sources of electromagnetic interference and relocate the analyzer or use shielding. - * * address environmental factors : * * ensure the analyzer is operating within the recommended temperature and humidity range. - * * replace the sensor : * * if inspection, cleaning, and connection checks do not resolve the issue, replace the sensor with a new one. @topic:4


# # # issue - the remote control is not adjustable. # # # impact - the patient may not be able to use the bed to its full potential. - the patient may be uncomfortable or in pain. # # # possible causes - the remote control is damaged. - the remote control is not properly connected to the bed. - the bed is not properly calibrated. - the patient is not using the remote control correctly. # # # recommendations - check the remote control for damage. - ensure that the remote control is properly connected to the bed. - calibrate the bed. - instruct the patient on how to use the remote control correctly. @topic:7


# # # issue - probe is damaged, causing inaccurate readings or malfunction # # # impact - inability to obtain accurate patient vital signs - delays in diagnosis and treatment - potential patient harm if vital signs are not monitored accurately # # # possible causes - probe cable damage - probe connector issues - probe sensor failure # # # recommendations 1. replace the damaged probe with a new one ( s / n 11201e66143 ) 2. inspect the probe cable and connectors for any damage or loose connections. 3. ensure the probe is properly connected to the monitor. 4. calibrate the monitor and probe according to manufacturer's instructions. 5. regularly inspect and maintain the probe to prevent future failures. @topic:20


* * issue : * * * * equipment fails to link * * * * impact : * * * * monitors cannot be used * *, resulting in delayed or inaccurate patient care. * * possible causes : * * - incorrect wiring or connections. - software or firmware issues. - hardware malfunctions. - incompatible or defective components. * * recommendations : * * - * * verify connections : * * ensure that all cables and connectors are properly attached and secure. - * * check software and firmware : * * confirm that the latest updates are installed and that there are no known issues. - * * test hardware : * * diagnose hardware faults using built - in diagnostic tools or external equipment. - * * replace components : * * if necessary, swap out any incompatible or defective components with compatible and functional ones. - * * contact manufacturer : * * if troubleshooting steps fail, reach out to the manufacturer of the equipment for technical support and guidance. @topic:16


# # # issue - the handle is loose. # # # impact - the loose handle could cause the device to be difficult to use or could even lead to the device falling and causing injury to the patient or staff. # # # possible causes - the handle may be loose due to : - a loose set screw - a worn or damaged handle - a faulty or damaged mounting bracket # # # recommendations - inspect the handle for any signs of damage or wear. - check the set screws to ensure that they are tight. - if the set screws are tight and the handle is still loose, then the handle or mounting bracket may need to be replaced. @topic:12


# # # issue : failure of ekg red lead # # # impact : inability to obtain accurate ekg readings # # # possible causes : - loose or damaged lead wire - broken or intermittent connection at the lead connector - loose or damaged connection at the patient interface - faulty lead wire or connector # # # recommendations : - inspect the lead wire for any visible damage or loose connections. - replace the lead wire if necessary. - ensure that the lead wire is securely connected to the monitor and the patient interface. - test the lead wire using a test device or another patient to verify functionality. - if the issue persists, consult with the manufacturer for further troubleshooting and repair. @topic:18


# # # issue the bed is rusty. # # # impact the bed is not safe to use. # # # possible causes * the bed was not properly maintained. * the bed was exposed to moisture. * the bed was made of low - quality materials. # # # recommendations * replace the bed. * inspect the bed regularly for signs of rust. * store the bed in a dry place. * use high - quality materials for the bed. @topic:6


4 - 109 ). 5. remove the brake pedal ( c ) and spacers ( d ) from the brake rod ( e ). page 4 - 108 careassist® and careassist® es bed service manual ( man330 rev 4 ) careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 109 4. 37 auxiliary outlet chapter 4 : removal, replacement, and adjustment procedures 4. 37 auxiliary outlet tools required : t20, t25, and t35torx® ‘ screwdrivers wire cutters multimeter removal 1. set the brakes. 2. raise the bed to the full up position. 3. raise the head, knee, and foot sections to the full up position. 4. raise the left side siderails to the up and locked position. shock hazard : this bed has two power cords. failure to disconnect both power cords from their power source could cause injury or equipment damage. 5. disconnect both power cords ( a and b ) from their power source. let the bed sit for 60 seconds so the battery times out ( see figure 4 - 48 on page 4 - 111 ). 6. remove the headboard. 7. remove the screw ( c ) that attaches the cable clamp ( d ) to the head - end crosstube ( e ). 8. remove the cable clamp ( d ) from the outlet power cord ( a ). 9. remove the cable ties that hold the outlet power cord to the wire guide ( f ) and intermediate frame ( g ). 1. torx® is a registered trademark of acument intellectual properties, llc. page 4 - 110 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 37 auxiliary outlet chapter 4 : removal, replacement, and adjustment procedures figure 4 @topic:26


# # # issue - the bed, electric, huntleigh, contoura 390 is not functioning properly. # # # impact - patients may not be able to use the bed, which can delay or prevent their treatment. - the hospital may lose revenue if the bed is not repaired quickly. # # # possible causes - the bed may have been damaged by a patient or a staff member. - the bed may not have been properly maintained. - the bed may be experiencing a power outage. - the bed may be experiencing a mechanical failure. # # # recommendations - check the power supply to the bed. - check the bed for any visible damage. - contact the manufacturer for assistance. - inspect the bed for any loose or damaged parts. - replace any damaged parts. - calibrate the bed according to the manufacturer's instructions. - retrain staff on proper use of the bed. - establish a regular maintenance schedule for the bed. - ensure that the bed is stored in a clean and dry environment when not in use. @topic:9


# # # issue - the medical cart's shelf is damaged. # # # impact - the medical cart may not be able to hold or transport medical equipment safely. - this could lead to patient injury or equipment damage. # # # possible causes - the shelf may have been overloaded. - the shelf may have been hit or dropped. - the shelf may have been made of a weak material. # # # recommendations - inspect the medical cart regularly for damage. - do not overload the medical cart. - be careful not to hit or drop the medical cart. - use a medical cart made of a strong material. - fix the shelf and make sure it is strong enough to hold the medical equipment. @topic:31


# # # issue the physiologic monitor ( bedside ) philips intellivue mp70 ( m8007a ) is intermittently failing to measure co2 levels. # # # impact this failure can lead to inaccurate co2 measurements, which can in turn lead to incorrect patient management decisions. # # # possible causes - * * faulty co2 sensor : * * the co2 sensor in the physiologic monitor may be malfunctioning, causing it to produce inaccurate readings or to fail completely. - * * loose or damaged co2 tubing : * * the tubing that connects the co2 sensor to the patient may be loose or damaged, causing a loss of signal or inaccurate readings. - * * electrical interference : * * electrical interference from other devices in the patient's environment may be disrupting the co2 sensor's operation. - * * software error : * * a software error in the physiologic monitor may be causing the co2 sensor to malfunction. # # # recommendations - * * inspect the co2 sensor and tubing : * * check the co2 sensor for any visible damage or contamination. inspect the co2 tubing for any loose connections or damage. - * * tighten or replace the co2 tubing : * * if the co2 tubing is loose, tighten the connections. if the tubing is damaged, replace it with a new one. - * * check for electrical interference : * * identify and eliminate any sources of electrical interference in the patient's environment. - * * update the physiologic monitor software : * * ensure that the physiologic monitor is running the latest software version. if a software update is available, install it. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the @topic:4


##3143201 989803143191 radio - translucent cables pack of five single wires, radio - translucent, 0. 9 m, m1649a set combiners and organizers description part no. 3 - electrode set combiner - electrode m1502a set organizer for shielded leadsets - grabber and snap 3 - electrode m1503a 4 - electrode 1664a m1504a 5 - electrode 6 - electrode 1679a set organizer for non - shielded lead sets - miniclip 3 - electrode m1636a 5 - electrode m1638a edsheet clim1509a 989808148861 421 39 accessories trunk cables | length 5 - electrode cable set 3 - electrode cable set aami part no. iec part no. aami part no. ec part no.. 9 1560c m1570c 1540m1550c. 7 m1500a m1510a m1520a m1530a 3 - electrode cable sets aami part no. description iec part no. length. 0 m1601a or m1611a. 0 icu grabber shielded m1603a 1613icu snap shielded. 0 1615a m1605a. 45 icu clip non - shielded m1608a m1618a. 7 icu clip non - shielded m1609a m1619a 5 - electrode cable sets iec part no. aami part no. description length 1. 0 m / 1. 6 m m1621a or grabber shielded 1. 0 m / 1. 6 m icu grabber shielded m1623a m1633a 1. 0 m / 1. 6 m m1625a m1635a 0. 7 m / 1. 3 m m1629a m1639a 3 - electrode one piece cables description length aami part no @topic:19


# # # issue * medical cart cannot boot up and is stuck in a reboot loop. # # # impact * the medical cart is unavailable for use, which may disrupt patient care. # # # possible causes * * * ssd failure : * * the ssd ( solid - state drive ) is the storage device that holds the operating system and data for the medical cart. if the ssd fails, the medical cart will not be able to boot up. * * * power supply failure : * * the power supply provides electricity to the medical cart. if the power supply fails, the medical cart will not be able to turn on. * * * motherboard failure : * * the motherboard is the main circuit board in the medical cart. if the motherboard fails, the medical cart will not be able to function properly. # # # recommendations * * * replace the ssd : * * if the ssd is suspected to be the cause of the failure, it should be replaced with a new one. * * * check the power supply : * * if the power supply is suspected to be the cause of the failure, it should be checked for any damage or loose connections. * * * inspect the motherboard : * * if the motherboard is suspected to be the cause of the failure, it should be inspected for any damage or loose connections. @topic:13


# # # issue * * battery failure due to end of life cycle * * # # # impact * * disruption of vital sign monitoring for patients * * # # # possible causes * * end of battery life cycle : * * batteries in medical devices have a limited lifespan and need to be replaced regularly to ensure optimal functionality. # # # recommendations * * regular battery replacement : * * biomedical engineers should establish a maintenance schedule to ensure timely battery replacements before they reach the end of their lifespan. this schedule should take into account the usage patterns and recommendations from the device manufacturer. additionally, here are some recommendations for biomedical engineers to prevent battery - related failures in the future : * * * use high - quality batteries : * * invest in high - quality batteries that are specifically designed for medical devices. * * * monitor battery levels regularly : * * regularly check the battery levels of medical equipment and replace batteries when necessary. * * * train hospital staff : * * train hospital staff on proper handling and maintenance of medical devices, including battery replacement procedures. * * * consider using rechargeable batteries : * * rechargeable batteries can be more cost - effective and environmentally friendly in the long run. * * * have spare batteries on hand : * * keep spare batteries readily available to avoid delays in case of unexpected battery failures. @topic:11


# # # issue - cuff bp severed, hook and loop fastener deteriorated # # # impact - blood pressure measurement inaccurate - patient safety compromised # # # possible causes - cuff bp not properly secured - cuff bp subjected to excessive force or wear - and - tear - hook and loop fastener not maintained or replaced regularly # # # recommendations - inspect and maintain cuff bp regularly - replace cuff bp when hook and loop fastener becomes deteriorated or loose - ensure cuff bp is properly secured during measurement - train staff on proper use and handling of cuff bp @topic:3


# # # issue - broken black lead # # # impact - affects the ecg monitoring capabilities of the bedside physiologic monitor. # # # possible causes - excessive pulling or bending of the cable - damaged connector - malfunctioning lead # # # recommendations - inspect the lead cable for any visible damage. - ensure proper handling and storage of the lead. - replace the damaged lead with a new one. - conduct regular maintenance and inspection of the monitor and its accessories. - consider using a strain relief device to prevent excessive pulling or bending of the cable. @topic:18


# # # issue bp pump failure # # # impact - inability to accurately measure blood pressure - delay in patient care - patient discomfort # # # possible causes - electrical fault - mechanical failure - user error # # # recommendations - schedule regular maintenance and calibration of the equipment - train staff on proper use and maintenance of the equipment - consider using a backup bp pump in case of failure @topic:15


# # # issue - scanner not working # # # impact - delay in medical procedures - inconvenience to patients and staff - potential loss of revenue # # # possible causes - battery issue - electrical issue - software issue - hardware issue # # # recommendations - check the battery status and replace if necessary. - inspect the electrical connections and ensure they are secure. - update the software if necessary. - contact the manufacturer for technical support if the issue persists. @topic:23


# # # issue the printer of the hewlett packard m3150a central station monitor is not working. # # # impact the inability to print data from the monitor may hinder accurate documentation and monitoring of patient information. # # # possible causes - paper jam - faulty print cartridge - software malfunction - hardware failure # # # recommendations - clear any paper jams and ensure the paper tray is loaded correctly. - check and replace the print cartridge if necessary. - update or reinstall the software associated with the printer. - contact the manufacturer for further troubleshooting and potential hardware repair or replacement. @topic:28