# # # issue the electric bed is not adjustable. # # # impact the patient is unable to be positioned in the bed for comfort or medical procedures. # # # possible causes - the remote control is not functioning properly. - the bed motor is not working. - the bed frame is damaged. - the bed wiring is loose or damaged. # # # recommendations - the technician should first try resetting the remote control. - if the remote control does not work, the technician should check the bed motor. - if the bed motor is not working, the technician should check the bed frame for damage. - if the bed frame is not damaged, the technician should check the bed wiring for loose or damaged connections. @topic:1


# # # issue - cuff is damaged. - connector is missing. # # # impact - inability to monitor patient's vital signs accurately. - potential for patient harm if vital signs are not monitored. # # # possible causes - cuff was not properly maintained or calibrated. - connector was not properly secured. - cuff or connector was damaged during use. # # # recommendations - inspect cuff and connector regularly for damage. - calibrate cuff according to manufacturer's instructions. - secure connector properly. - replace cuff or connector if damaged. @topic:5


# # # possible causes - aging or wear and tear of the cable. - physical damage to the cable, such as cuts or crimps. - improper handling or storage of the cable. - electrical interference or electromagnetic pulses. - software or firmware issues. @topic:2


# # # issue - * * spo2 sensor malfunction * * # # # impact - * * inaccurate spo2 readings * * - * * delayed or missed detection of hypoxia or hyperoxia * * - * * potential patient harm * * # # # possible causes - * * damaged or worn spo2 sensor wire * * - * * faulty connection between sensor and monitor * * - * * software or hardware malfunction on the monitor * * - * * external interference from other medical devices * * - * * patient movement or improper sensor placement * * # # # recommendations - * * replace the spo2 sensor with a new one. * * - * * check the connections between the sensor and the monitor. * * - * * restart the monitor and check if the issue persists. * * - * * contact the manufacturer for technical support if the problem cannot be resolved. * * - * * educate the patient and staff on proper sensor placement and handling. * * @topic:4


# # # issue - * * equipment : * * medical cart - * * problem : * * unable to log in to the desktop on the medical cart. # # # impact - * * impact on patient care : * * delay in medical care as the medical cart cannot be used for patient treatment. - * * impact on hospital operations : * * interruption of hospital workflow and efficiency. # # # possible causes - * * expired password : * * the original password for the medical cart has expired and needs to be reset. - * * password complexity requirements : * * the new password must meet certain complexity requirements, such as a minimum length and inclusion of uppercase letters. - * * incorrect password entry : * * the user may have entered the new password incorrectly. - * * network connectivity issues : * * the medical cart may not be able to connect to the network, preventing it from authenticating with the desktop. - * * hardware issues : * * a malfunction in the medical cart's hardware, such as the keyboard or touchpad, may prevent password entry. # # # recommendations - * * reset the password : * * contact the it department to reset the password for the medical cart. ensure that the new password meets the complexity requirements. - * * verify password entry : * * carefully check that the new password is entered correctly. - * * troubleshoot network connectivity : * * check the network connection and ensure that the medical cart is able to connect to the network. - * * contact vendor support : * * if the issue persists, contact the vendor of the medical cart for technical support. @topic:13


# # # issue - leaking cuff in room 11's philips suresigns vs3 monitor # # # impact - inaccurate blood pressure readings - potential for patient harm due to delayed or inaccurate diagnosis # # # possible causes - the cuff may not have been properly secured. - the cuff may be damaged or old. - the cuff may have been overinflated. - the cuff may not be the correct size for the patient. # # # recommendations - check the cuff to ensure it is properly secured and not damaged. - replace the cuff if it is damaged or old. - ensure that the cuff is the correct size for the patient. - train staff on proper cuff inflation and deflation techniques. - consider implementing an automated cuff inflation system to prevent overinflation. @topic:14


# # # issue - cuff leakage in the philips suresigns vs2 vital signs monitor # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be torn or damaged. - the cuff may not be properly inflated. - the cuff may be the wrong size for the patient. # # # recommendations - inspect the cuff for any tears or damage. - make sure that the cuff is properly inflated. - use the correct size cuff for the patient. @topic:14


# # # issue - equipment : monitors, patient transport - band : welch allyn - model : propaq lt # # # impact - unable to measure blood pressure due to malfunctioning cuff. # # # possible causes - leaking cuff # # # recommendations - replace the leaking cuff with a new one. @topic:14


##261014511 m _ spr plast bezel spiro misc m1014 - 64100 451261014521 m _ spr tubing leak test kit spiro m1020b pulse oximetry module part number 12nc description m1020 - 69651 451261000061 m sp02 m1020b phiups / fast m1020 - 60251 451261000081 m _ sp02 frt housg assy m1020b philipsfast m1020 - 66514 453564119121 m _ sp02 pca ps2 + ml 020 - 42211 453564458841 bezel sp02 module oximax compatible module m1020 - 69652 451261000101 m _ sp02 m1020b nellcor oxi ml 020 - 60252 451261000121 m _ sp02 frt housg assy m1020b nellcor masimo set module m1020 - 69653 451261000131 m _ sp02 oem m1020b masimo neucor oximax module 453564307951 453564307951 m _ sp02 m1020b - nellcor m1027aeeg module part number 12nc description m1027 - 69601 453563459151 m _ eeg m1027a exch, all lang ex jap & gre m1027 - 69610 453563459161 m _ eeg m1027a leg exch, jap m1027 - 69615 453563460481 m _ eeg m1027a eeg exch, greek m1027 - 60201 4535 @topic:19


# # # issue : - torn cuff # # # impact : - inability to accurately monitor the patient's vital signs - patient discomfort # # # possible causes : - the cuff may have been damaged during transport, installation, or use. - the cuff may have been exposed to extreme temperatures or humidity, causing the material to weaken and tear. - the cuff may have been used on a patient with an unusually large or small limb, causing it to stretch and tear. # # # recommendations : - inspect the cuff for any signs of damage before each use. - store the cuff in a cool, dry place when not in use. - use the correct cuff size for the patient's limb. @topic:5


##chy a dominant rhythm of sv beats not preceded by p - waves b, e unknown ecg rhythm rhythm cannot be determined b, e learning ecg algorithm is learning the ecg beat morphology b, e learning rhythm algorithm is learning the rhythm of the classified beats b, e cannot analyze ecg ecg signal is predominantly invalid and therefore cannot be analyzed b, e 137 6 ecg, arrhythmia, st and qt monitoring arrhythmia relearning ectopic status messages the label b or e indicates basic ( b ) or enhanced ( e ) arrhythmia capability. ectopic status message explanation b or e ( no message displayed ) no ectopic activity within the last minute run pvcs more than 2 consecutive pvcs within the last minute e pair pvcs pair pvcs within the last minute e pacer not capt pause with pace pulse ( paced patient only ) within the last minute b, e pacer nt pacing pause without pace pulse ( paced patient only ) within the last minute b, e pause no beat detected for 1. 75 x average r - r interval for hr < 120, or no beat for 1 second with hr > 120 ( non - paced patient only ), or no beat detected for more than the set pause threshold. e r - on - t pvcs r - on - t detected within the last minute e multiform pvcs multiform pvcs detected within the last minute e frequent svpbs svpb count within last minute is greater than 5 e svpbs 1 - 5 svpbs in the last minute with a sinus rhythm and no vs e sv beats sv count within last minute and rhythm status is paced b, e paced beats paced beat count within last minute and rhythm status is not paced b, e arrhythmia relearning during a learning phase : • alarm timeout periods @topic:8


# # # issue - * * oxygen saturation ( spo2 ) sensor malfunction * * # # # impact - * * inaccurate or false spo2 readings * * - * * patient discomfort or injury * * # # # possible causes - * * electrical fault * * within the sensor or cable - * * improper maintenance or sterilization * * of the sensor - * * faulty sensor design * * - * * patient factors * * ( e. g., skin condition, movement ) # # # recommendations - * * troubleshooting the sensor : * * check connections, inspect for damage, and verify proper calibration. - * * inspecting the cable : * * look for cuts, abrasions, or loose connections. - * * ensuring proper maintenance : * * follow manufacturer's guidelines for cleaning, disinfection, and sterilization. - * * considering sensor design : * * use sensors with proven reliability and durability. - * * patient assessment : * * assess the patient's skin condition and movements to identify potential contributing factors. - * * reporting the incident : * * inform the appropriate authorities ( e. g., manufacturer, hospital administration ) to investigate and prevent future occurrences. @topic:4


# # # issue the medical device was returned to the department without being fixed. # # # impact the department is without the use of the medical device. # # # possible causes 1. * * the technician did not have the necessary parts to fix the device. * * 2. * * the technician was not properly trained to fix the device. * * 3. * * the device was not repairable. * * 4. * * the technician did not have enough time to fix the device. * * 5. * * the technician was interrupted while fixing the device. * * # # # recommendations 1. * * ensure that the technician has the necessary parts to fix the device. * * 2. * * provide the technician with proper training to fix the device. * * 3. * * if the device is not repairable, provide the department with a new device. * * 4. * * give the technician enough time to fix the device. * * 5. * * minimise interruptions while the technician is fixing the device. * * @topic:12


. tbl to print a report of the current titration table. ♦ in the drip table window, select the pop - up key print drip tbl to print a report of the current drip table. 346 29 intellibridge ec10 module an intellibridge ec 10 module transmits information from a connected external device to your monitor. the intellibridge ec5 id module is used to provide identificadon information from the external device. data imported from the external device, for example waveforms, measurement numerics, settings and alarms, can be displayed on the monitor, passed on to an information center and included in trends as appropriate. a module name b setup indicator led c setup / data viewing key d connection status led e external device cable connector see the documentation supplied with the intellibridge module for a list of supported devices and accessories, and for configuration information. 347 29 intellibridge ec10 module connecting an external device connecting an external device 1 insert the module into the fms or integrated module slot. 2 check that you have the correct ec5 id module for the external device - indicated on the ec5 label. 3 connect the ec5 id module to the external device. 4 connect the ec5 to the ec 10 module using the supplied cable. 5 switch the external device on. 6 the connection status led ( d ) will flash green until it has correctly identified the external device and started communication. check that the connection status led then lights green continuously indicating that communication has been established. changing waves and numerics displayed to change the waves and numerics from the intellibridge module displayed on the screen, 1 select main setup - > measurements - > < external device name > to enter the setup menu for the connected device. 2 select setup driver. 3 select setup waves or setup numerics and make the changes required. 4 close the setup menu. the @topic:10


* * issue * * battery replacement and ac cord replacement * * impact * * unable to use the device * * possible causes * * - battery failure - ac cord failure - incorrect battery installation - loose or damaged ac cord connection - software glitch * * recommendations * * 1. verify that the new battery is compatible with the device. 2. ensure that the battery is correctly installed. 3. inspect the ac cord for any cuts, breaks, or damage. 4. re - plug the ac cord into a different outlet to ensure proper power supply. 5. power cycle the device. 6. check for any software updates or patches that may address the issue. 7. contact the manufacturer or a qualified biomedical engineer for further assistance. @topic:11


# # # issue - spo2 sensor is not reading accurately # # # impact - inability to accurately monitor patient's oxygen saturation levels, which can lead to serious health complications if not detected and treated promptly # # # possible causes - low battery power in the spo2 sensor - loose or dirty sensor connection - malfunctioning sensor - patient's skin color or skin condition interfering with sensor reading - motion artifacts ( patient movement ) interfering with sensor reading # # # recommendations - replace the spo2 sensor battery if necessary - clean and check the sensor connection to ensure it is secure - replace the spo2 sensor if it is damaged or malfunctioning - use a different finger or toe for the sensor placement if the patient's skin color or condition is interfering with the reading - secure the sensor properly to minimize motion artifacts @topic:4


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 # # # impact - reboot occurred # # # possible causes - cause of failure : unknown # # # recommendations - further investigation is required to determine the root cause of the reboot issue. @topic:13


# # issue the medcart program crashes upon launch. # # impact the medical cart cannot be used for patient care. # # possible causes - the computer's cpu is overheating. - the computer's memory is insufficient. - the medcart program is corrupted. - the computer's operating system is corrupted. # # recommendations - check the computer's cpu temperature and ensure that it is within the acceptable range. - check the computer's memory usage and ensure that it is not exceeding the maximum capacity. - reinstall the medcart program. - reinstall the computer's operating system. @topic:13


# # # issue monitor not displaying on external display. # # # impact patient monitoring data is unavailable on the external display. # # # possible causes - loose lan cable connection between the monitor and external display. - defective lan cable. - faulty network switch or router. - incompatible monitor or external display. # # # recommendations 1. ensure that the lan cable is securely connected to both the monitor and external display. 2. test the lan cable with another device, such as a laptop or smartphone. 3. verify that the network switch or router is functioning properly. 4. check if the monitor and external display are compatible. if they are not, consult the manufacturer's documentation for supported display configurations. @topic:16


# # # issue the physiologic monitor is not reading the o2 sat value correctly. # # # impact the incorrect o2 sat reading can lead to inaccurate patient monitoring and inappropriate medical decisions. # # # possible causes * * 1. faulty sensor : * * the sensor that measures the o2 sat level may be malfunctioning or damaged. * * 2. miscalibration : * * the monitor may be miscalibrated, leading to inaccurate readings. * * 3. loose connections : * * there may be loose connections between the sensor and the monitor, causing intermittent or unreliable readings. * * 4. interference : * * external factors, such as electrical interference or excessive ambient light, can affect the sensor's accuracy. # # # recommendations * * 1. inspect the sensor : * * check the sensor for any visible damage or defects. replace the sensor if necessary. * * 2. calibrate the monitor : * * follow the manufacturer's instructions to recalibrate the monitor using a known reference source. * * 3. secure connections : * * ensure that all connections between the sensor and the monitor are secure and tight. * * 4. eliminate interference : * * identify and minimize sources of electrical interference or excessive ambient light that may affect the sensor's readings. @topic:4


# # # issue ekg output signal is missing. # # # impact inability to obtain accurate patient vital data, which can delay or hinder diagnosis and treatment. # # # possible causes - loose or disconnected ekg leads - faulty ekg cable or electrodes - malfunctioning ekg amplifier or recorder - poor skin - electrode contact - electrical interference or noise # # # recommendations - check the ekg lead connections and ensure they are secure. - inspect the ekg cable and electrodes for damage or wear. - test the ekg amplifier or recorder with a known - good signal. - clean the patient's skin and apply the electrodes properly to improve conductivity. - identify and eliminate sources of electrical interference or noise, such as nearby medical devices or cellular phones. @topic:18


# # # issue - the respiratory gas monitor is displaying incorrect exhaled carbon dioxide values. # # # impact - incorrect exhaled carbon dioxide values can lead to inaccurate diagnosis and treatment of patients. # # # possible causes - faulty sensor - loose connections - software glitch - hardware malfunction # # # recommendations - replace the sensor. - check and tighten all connections. - update the software. - contact the manufacturer for further troubleshooting and repair. @topic:4


* * issue : * * * test system failure during equipment testing * * impact : * * * delay in patient care or treatment * potential safety hazard if the equipment is not operating properly * * possible causes : * * * * * software or hardware malfunction : * * the equipment may have a defect or bug that is preventing it from functioning correctly during testing. * * * improper setup or configuration : * * the equipment may not have been set up or configured correctly, resulting in test system failure. * * * user error : * * the technician may have made an error while performing the testing procedure. * * * external factors : * * environmental factors such as power surges or electromagnetic interference may have interfered with the testing process. * * recommendations : * * * * * troubleshooting : * * the technician should perform a thorough troubleshooting process to identify and resolve the root cause of the issue. * * * system maintenance : * * regularly scheduled maintenance and updates can help to prevent software or hardware malfunctions. * * * training : * * ensure that technicians are properly trained and qualified to perform equipment testing and maintenance tasks. * * * system validation : * * conduct regular system validation to verify that the equipment is operating within acceptable parameters. * * * monitoring : * * implement a monitoring system to track equipment performance and identify any potential issues early on. @topic:12


the intellivue information center ( iic ) network failure monitor connected to wrong network ip address conflict after infrastructure re - installation hardware defect configuration problem troubleshooting guide set monitor label in config mode check intellivue information center ( iic ) to switch communication, switch configuration and firmware status check if network switches, intellivue information center ( iic ) and database server are all running and connected to the network check 1f monitor has been connected for example to a different hospital network instead of the philips clinical network reboot database server and intellivue information center ( iic ) check lan cable connection check power board in monitor and the external power supply. check network switch check switch configuration and firmware revision troubleshooting guide intellivue 802. 11 bedside adapter problems no network icon or configuration problem. network icon flashes. no association to central station. communication problem between the monitor and the intellivue 802. 11 bedside adapter or rssi value below 30. it - related problems no network icon or incorrect rf access code. no network icon flashes. ip address. no association to central station. 4 troubleshooting make sure that the mode, ssid, country and security settings in the setup wlan menu match your installation ensure that the network infrastructure is functioning properly. see troubleshooting tables in the intellivue 802. 11 a / g infrastructure installation and configuration guide for details. check the antenna cable connection between the intellivue 802. 11 bedside adapter and the antenna. check the cable connection between the intellivue 802. 11 bedside adapter and the system interface board. replace cable, antenna, antenna cable or intellivue 802. 11 bedside adapter if necessary. check that rf access code is set correctly. make sure that network is set up correctly. 123 4 troubleshooting inop “ unsu @topic:16


# # issue the central monitor, hewlett packard m3150a, is not printing. # # impact delay in obtaining medical information can affect patient care. # # possible causes - communication issue between the monitor and the printer - printer malfunction - software issue in the monitor # # recommendations 1. check the cables connecting the monitor and the printer. make sure they are securely connected and not damaged. 2. restart the printer. 3. check the printer settings in the monitor. make sure the correct printer is selected and the settings are correct. 4. if the issue persists, contact the vendor of the monitor or the printer for further assistance. @topic:28


# # # issue - cuff is degraded. # # # impact - the nibp monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may have been overinflated or underinflated. - the cuff may have been exposed to extreme temperatures or humidity. - the cuff may have been used on a patient with a large arm circumference. # # # recommendations - replace the cuff with a new one. - inspect the cuff for any signs of damage before each use. - use the appropriate cuff size for the patient's arm circumference. - store the cuff in a cool, dry place. @topic:15


# # # issue - the bed, electric, hill - rom, care assist es100 is not adjusting properly. # # # impact - the patient may not be able to get into or out of bed safely or comfortably. - the patient may be in pain or discomfort due to the bed not being in the correct position. - the patient may be at risk of injury if the bed is not stable. # # # possible causes - the bed's motor may be malfunctioning. - the bed's controls may be damaged or not working properly. - the bed's frame may be bent or broken. - the bed's mattress may be too soft or too hard. # # # recommendations - inspect the bed's motor, controls, frame, and mattress for any damage or malfunction. - if any damage or malfunction is found, contact the manufacturer for repairs. - if no damage or malfunction is found, try resetting the bed's controls. - if the problem persists, contact the manufacturer for further assistance. @topic:1


# # # issue - the bed, electric, huntleigh, contoura 360 is not adjusting up and down. # # # impact - the patient may not be able to be positioned correctly for treatment or surgery. # # # possible causes - the remote control may be malfunctioning. - the motor that drives the bed may be faulty. - there may be a loose connection in the electrical system. - the bed may be overloaded. # # # recommendations - replace the remote control. - inspect the motor and electrical connections. - ensure that the bed is not overloaded. @topic:1


# # # issue - bedside physiologic monitor's remote control is stuck, causing the bed to be unable to adjust. # # # impact - inability to adjust the bed's position, which can compromise patient comfort, safety, and medical procedures. # # # possible causes - * * remote control fault : * * malfunctioning remote control due to hardware issues, circuit failure, or software glitches. - * * bed motor failure : * * failure of the motor responsible for adjusting the bed's position due to mechanical wear, electrical issues, or motor control problems. - * * communication error : * * loss of communication between the remote control and the bed's control unit, preventing the remote from sending adjustment commands. - * * power supply issue : * * intermittent or complete power loss to the bed's control system, preventing it from receiving and executing adjustment commands. # # # recommendations 1. * * check remote control : * * inspect the remote control for any physical damage or loose connections. replace the remote if necessary. 2. * * inspect bed motor : * * examine the motor for any signs of wear, damage, or loose connections. test the motor's functionality using a diagnostic tool or by manually adjusting the bed. 3. * * troubleshoot communication : * * verify the connections between the remote control and the bed's control unit. check for loose wires, damaged cables, or faulty interface ports. 4. * * ensure power supply : * * confirm that the bed's control system is receiving adequate power. check the power source, connections, and fuses. 5. * * calibrate remote control : * * if the remote control and motor are functioning correctly, calibrate the remote to ensure it is sending accurate adjustment commands. 6. * * consult manufacturer : * * if the issue persists after troubleshooting @topic:7


# # # issue - equipment failure : monitor, physiologic, vital signs ( philips suresigns vs2 + ) # # # impact - inability to monitor vital signs of patients, which could lead to delayed diagnosis and treatment. # # # possible causes - battery failure due to : - age and prolonged use - improper maintenance ( e. g., not charging the battery regularly ) - manufacturing defects # # # recommendations - regular maintenance and inspection of batteries to ensure proper functionality. - replacement of batteries as per the manufacturer's recommendations or when signs of deterioration ( e. g., reduced runtime, difficulty charging ) are observed. - proper training and handling of batteries to avoid damage or premature failure. - consider using backup power sources or redundant equipment to mitigate the impact of battery failure. @topic:11


# # # issue - cuff is damaged or deteriorated. # # # impact - inaccurate blood pressure measurements. - patient discomfort. - potential for patient harm. # # # possible causes - normal wear and tear. - improper storage or handling of the cuff. - exposure to extreme temperatures or moisture. - age of the cuff. # # # recommendations - replace the cuff with a new one of the same size and type. - inspect the cuff regularly for signs of damage or deterioration. - store and handle the cuff properly according to the manufacturer's instructions. - train staff on the proper use and care of the nibp monitor and cuff. @topic:15


board. c. the same verification applies to the tenninals of connector # 3 ( 8 - pin blue ) at the level of the power supply ( a model beds ) or connector # 4 ( 8 - pin yellow ) of the motor control rc. board ( b model and newer beds ) at the level of the bed by checking the operation of the brake detection switch from terminals 1 and 6 ( see figure 2 - 2 on page 2 - 25 ) of the foot column extension cable. the extension cable ( a model beds ), column cable connections, and switch continuity are correct. yes no ■i — > replace the foot hilow column and extension cable subassembly ( refer to procedure 4. 10 on page 4 - 34 ) ( a model beds ) or ( refer careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 25 2. 9 bed connected to ac power, brakes not applied detection malfunction chapter 2 : troubleshooting procedures to procedure 4. 22 on page 4 - 68 ) ( b model and newer beds ). if this solves the problem perform the “ final actions ” on page 2 - 12, otherwise contact hill - rom technical support. 7. 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 ). this solves the problem. yes no ■i — > contact hill - rom technical support. 8. go to “ final actions ” on page 2 - 12. page 2 - 26 careassist® and careassist® es bed service manual ( man330 rev 4 ) 2. 10 cpr malfunction chapter 2 : troubleshooting procedures 2. 10 cpr malfunction initial conditions : the hilow function works ( see “ @topic:9


# # # issue - battery has an exclamation mark (! ) indicator. # # # impact - the battery may not be functioning properly. - the device may not be able to operate properly without a functioning battery. # # # possible causes - the battery may be damaged. - the battery may not be properly connected to the device. - the battery may be depleted. - the battery may be incompatible with the device. # # # recommendations 1. inspect the battery for any damage. if the battery is damaged, it should be replaced. 2. check the battery connections to ensure that they are secure. if the connections are loose, they should be tightened. 3. charge the battery. if the battery is depleted, it should be charged for the recommended amount of time. 4. verify that the battery is compatible with the device. if the battery is incompatible, it should be replaced with a compatible battery. @topic:11


# # # issue - nibp monitor has dinamap connector loose, leading to failure in reading # # # impact - inability to take accurate blood pressure readings, potentially leading to delayed or incorrect diagnosis and treatment # # # possible causes - wear and tear of the dinamap connector over time - improper handling or storage of the nibp monitor - faulty or damaged dinamap connector # # # recommendations - regularly inspect the dinamap connector for any signs of damage or wear - handle and store the nibp monitor with care to avoid damage to the connector. - ensure that the dinamap connector is properly connected to the nibp monitor - if the dinamap connector shows signs of damage or malfunction, replace it immediately @topic:15


hospital network with a compatible information system. before moving the bed, perform the following checks : if there is a patient in the bed, ensure that the siderails are raised and locked to help position the sleep surface so the top of the footboard is at the most suitable height for transporting the bed ( approximately 2 hi - low ) and with the foot section horizontal. unplug the power cord and electrically powered accessories ( e. g., self - contained air mattress, and the nurse call communications cable ), securing them on the bed as shown in " securing the power cable " page 84. • • ensure that the bed or accessories ( e. g., patient helper ) will not catch on doorways or other obstacles ( e. g. lights ). place the patient in a stable and comfortable position ( do not fully raise the head section ). • never try to move the bed by pulling on the power cable or you may damage it. a lectric shock hazard. never use the patient helper or the iv stand to move the bed. a the bed should only be moved while in the transport position by two people ( one at each end so as to ensure that there is always one person to operate the brake bar ) when moving the bed on a slope, with a foot end directional caster or when moving the bed with a heavy load ( heavy patient, accessories fitted, etc. ). bed : hold the endboard with both hands, • raise the brake and steer bar to the " neutral " position to release the brakes, ush the bed, steering with the headboard. • if the endboard is not lockable, be careful that it does not fall on the patient or. push the bed using the end board opposite the steering wheel ( see " brake and steer system " page 81 ), • after having moved the bed for a short distance to align the caste @topic:9


# # # issue - * * loose knee joint nut : * * the nut that secures the knee joint of the electric bed has come loose. # # # impact - * * patient safety hazard : * * a loose knee joint can cause the patient to fall from the bed. - * * impaired patient comfort : * * a loose knee joint can make it difficult for the patient to move around in the bed. # # # possible causes - * * overuse : * * the knee joint may have been subjected to excessive force or movement, causing the nut to loosen. - * * improper assembly : * * the nut may not have been properly tightened during assembly, or may have been tightened with insufficient torque. - * * corrosion : * * the nut may have corroded over time, weakening its grip on the knee joint. # # # recommendations - * * tighten the loose nut : * * use a wrench to tighten the loose nut until it is snug. - * * inspect the knee joint : * * look for any other signs of damage to the knee joint, such as cracks or broken components. - * * check the other knee joint nuts : * * ensure that the nuts on the other knee joint are also securely tightened. - * * periodic maintenance : * * perform regular maintenance on the electric bed, including checking the tightness of all nuts and bolts. @topic:9


# # # issue - equipment : electric bed - band : hill - rom - model : basic care, p1440a - description : the bed was unable to be adjusted. # # # impact - patients and staff may experience difficulty using the bed, leading to discomfort, delays in care, and potential safety issues. # # # possible causes * * loose ac power cord connection : * * - the ac power cord may have become disconnected or loose, interrupting power supply to the bed. - vibration or movement of the bed can cause the connection to become compromised. * * internal wiring or component failure : * * - internal wiring or components within the bed, such as motors or control units, may have failed. - this could be due to wear and tear, physical damage, or electrical faults. * * loose connections within the bed : * * - connections between different components within the bed, such as the control unit and the motor, may have become loose or disconnected. - this can prevent the bed from receiving or transmitting electrical signals properly. # # # recommendations * * check ac power cord connection : * * - ensure that the ac power cord is properly plugged into both the bed and the electrical outlet. - tighten any loose connections. * * inspect internal wiring and components : * * - if the connection is secure, inspect the internal wiring and components for any visible damage or loose connections. - use a multimeter to test for continuity and proper voltage readings. * * reconnect loose connections : * * - if any loose connections are found, reconnect them securely. - ensure that all connections are tight and properly isolated. * * consider replacement or repair : * * - if the issue is not resolved after checking connections and inspecting components, consider replacing the faulty components or the entire bed if necessary. - contact the manufacturer or a qualified technician for assistance. @topic:9


# # # issue the department has requested a bp connector. # # # impact the device cannot be used without a bp connector. # # # possible causes - the bp connector is missing. - the bp connector is damaged. # # # recommendations replace the bp connector. @topic:5


the wheel. the system menu appears. 2. rotate the wheel until the system admin button is highlighted, then press the wheel. a password window appears. 3. enter the administrator password ( 2 - 1 - 5 ) by turning the navigation wheel until the first box is highlighted, then pressing the wheel. turn the wheel to select the first digit, then press the wheel to save the digit. repeat this for the next two digits of the password. 4. rotate the wheel until the ok button is highlighted, then press the wheel. the system admin menu appears. 5. rotate the wheel until the networking button is highlighted, then press the wheel. configuring the monitor 5 - 15 configuring the network and exporting data the network configuration menu appears. 6. specify an ip address for the monitor : - to obtain an ip address from a dhcp server, select the obtain an ip address automatically ( dhcp ) checkbox ; - to assign a specific ip address, select the use the following ip address checkbox, and then use the navigation wheel to manually enter an ip address, subnet mask, and default gateway. 7. rotate the wheel until the data export interval field is highlighted. select the desired export interval. after you select an interval time, the server ip address fields become available. 8. rotate the wheel to enter the server ip address. 9. rotate the wheel to highlight the server port field. enter the port number for the server. the default value is 4000. 10. optionally, select the encryption key checkbox, and press the wheel. a keyboard appears. 11. use the wheel to specify the encryption key. press the key to backspace, cancel to close the keyboard without saving, or ok to save the changes. 12. rotate the wheel to the apply button, and press the wheel to save the changes. 5 - 16 configur @topic:10


# # # issue - faulty ekg cable # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) readings # # # possible causes - physical damage to the cable ( e. g., cuts, breaks ) - loose or disconnected connections - internal electrical faults # # # recommendations - replace the faulty ekg cable with a new one. - ensure that all connections are secure and properly tightened. - perform routine maintenance and testing to identify and prevent future cable issues. @topic:18


# # # issue - bed cannot be adjusted # # # impact - inability to adjust the patient's position, which can be uncomfortable for the patient and make it difficult to perform medical procedures. # # # possible causes - power failure - internal wiring issue - control box malfunction - actuator or motor failure # # # recommendations - check the power supply and ensure that the bed is plugged in correctly. - inspect the wiring inside the bed for any loose connections or damage. - test the control box by pressing the different buttons to see if it responds. - contact the manufacturer or a qualified biomedical engineer if the problem cannot be resolved. @topic:1


# # # issue - monitor was not attached securely to the patient transport unit, presenting a risk to the patient during transportation. # # # impact - potential injury to the patient if the monitor falls off the transport unit while the patient is being transported. # # # possible causes - * * loose nuts : * * the nuts that attach the monitor to the transport unit came loose, causing the monitor to become insecure. - * * damaged threads : * * the threads on the nuts or bolts that attach the monitor to the transport unit may have been damaged, preventing the nuts from tightening properly. - * * overtightening : * * the nuts may have been overtightened, causing the threads to strip and the nuts to become loose. - * * poor maintenance : * * the monitor may not have been properly inspected and maintained, leading to the nuts becoming loose or damaged. # # # recommendations - * * inspect the monitor regularly : * * regularly inspect the monitor and its attachment to the transport unit to ensure that all nuts and bolts are securely tightened. - * * use lock washers : * * use lock washers or thread - locking compound on the nuts to prevent them from loosening due to vibration or shock. - * * train staff on proper assembly : * * train staff on the proper assembly and maintenance of the monitor and transport unit to prevent errors that could lead to loose nuts. - * * establish a preventive maintenance schedule : * * establish a preventive maintenance schedule to ensure that the monitor and transport unit are regularly inspected and maintained to prevent issues from developing. - * * provide clear instructions : * * provide clear instructions for assembling and maintaining the monitor and transport unit to ensure that staff are following the correct procedures. @topic:12


* * issue : * * powerloss error on bedside physiologic monitor. * * impact : * * monitor is unable to function properly, potentially affecting patient monitoring and care. * * possible causes : * * * * * power supply malfunction : * * the power supply unit within the monitor may have failed, leading to the loss of power and the error message. * * * electrical connections : * * loose or damaged electrical connections between the monitor and the power outlet or other devices can cause power interruptions. * * * circuit board failure : * * internal circuit boards within the monitor may have malfunctioned or failed, resulting in the powerloss error. * * * software glitch : * * software bugs or errors can occasionally cause the monitor to display the powerloss message, even if the power supply is functioning correctly. * * recommendations : * * * * * verify power supply : * * inspect the power supply unit and ensure it is securely connected to both the monitor and the power outlet. if possible, test the power supply with a known - good device to verify its functionality. * * * check electrical connections : * * inspect all electrical connections to the monitor, including power cords, cables, and adapters. ensure they are secure and not damaged. * * * restart monitor : * * disconnect the monitor from the power outlet and wait for a few minutes before reconnecting it. this can sometimes resolve software glitches or temporary power issues. * * * contact manufacturer : * * if the issue persists after checking the power supply, electrical connections, and restarting the monitor, contact the manufacturer or a qualified biomedical technician for further diagnosis and repair. @topic:2


# # # issue - the spo2 cable is damaged. # # # impact - the patient's oxygen saturation levels cannot be monitored accurately. # # # possible causes - the cable may have been physically damaged, such as by being cut or crushed. - the cable may have been exposed to moisture, which can damage the electrical connections. - the cable may have been improperly connected to the monitor or the patient. # # # recommendations - replace the damaged cable with a new one. - inspect the cable for any other damage and repair or replace as necessary. - ensure that the cable is properly connected to the monitor and the patient. - avoid exposing the cable to moisture or other environmental hazards. @topic:4


# # # issue - loose nut on the bed leg # # # impact - the bed may be unstable and unsafe for patients. # # # possible causes - the nut may have been improperly tightened during assembly. - the nut may have loosened over time due to vibration or wear and tear. - the nut may have been damaged or stripped. # # # recommendations - tighten the nut to the proper torque specification. - inspect the nut and bed leg for damage or wear and tear. - replace the nut if it is damaged or stripped. - monitor the bed leg for signs of loosening in the future. @topic:6


# # # issue : * bed unable to be adjusted ( tilt ) # # # impact : * patient discomfort and potential injury * interference with patient care # # # possible causes : * * * defective or broken spring : * * the spring responsible for adjusting the tilt of the bed may have broken or become dislodged, preventing the bed from being adjusted. # # # recommendations : * * * inspect spring : * * examine the spring for any visible damage or looseness. * * * replace spring : * * if the spring is broken or dislodged, it should be replaced with a new one of the same size and specifications. * * * test functionality : * * after replacing the spring, test the bed's adjustment functionality to ensure it is working properly. @topic:1


# # # issue - remote of the bed, electric, band : huntleigh, model : 25800 e / l is not working. # # # impact - patient cannot adjust the bed height. # # # possible causes - the remote is damaged. - the remote is not properly connected to the bed. # # # recommendations - replace the remote. - check the connection between the remote and the bed. @topic:7


# # # issue - faulty remote control cable # # # impact - inability to adjust the bed's position # # # possible causes - physical damage to the cable, such as cuts or breaks - electrical malfunction within the cable or its connectors - loose connections between the cable and the bed or remote control # # # recommendations - inspect the cable for visible damage and ensure its continuity using a multimeter - check the connections between the cable and the bed or remote control and tighten them if necessary - replace the cable if it is found to be damaged or if the electrical malfunction persists @topic:7


doubt, use the philips fix mount solution to avoid such situations. for instructions on how to mount the monitor using the quick mount table mount refer to the assembly instructions delivered with the mounting kit m8000 - 64100 or 453564239731. an alternative mounting solution is the fix mount, which should be used for those installations where the quick mount might not be appropriate. the fix mount is already integrated into the monitor bottom housing. 248 7 installation instructions ] mx400 mx450 / 500 table mount ( 453564239731 ) mx400 mx450 / 500 position of fix mount the quick mount is optional, the fix mount solution is shipped as standard. 249 [ 7 installation instructions ] installing the wired remote control the remote control comes with a cradle and usb cable. to install the remote control : 1 remove the two screws on the back of the remote control. 2 there are two ways to install the usb cable - at the top of the remote control or at the bottom. if you want to install the cable at the bottom of the remote control, proceed to step 3. to install the cable at the top of the remote control : a. plug the usb cable and lead it through the remote control housing as shown below. 250 7 installation instructions ] b. remove the plastic cover from the top of the remote control rear housing and reinsert it in the corner of the housing as shown below d. insert the usb cable into the rubber seal. e. insert the rubber seal into the cable slot of the remote control housing. 251 [ 7 installation instructions ] note be sure to always insert the rubber seal when installing the remote control, as it prevents liquid from running into the remote control. a. put the housing of the remote control back together and reinsert the screws. b. perform a functional test to make sure the remote control is functioning correctly. 3 to install the cable @topic:19


# # # issue - low battery # # # impact - the physiologic monitor cannot be used to monitor a patient's vital signs. # # # possible causes - the power supply cable is not properly connected to the monitor. - the power supply is not providing enough power to the monitor. - the battery is not properly connected to the monitor. - the battery is not charged. # # # recommendations - check that the power supply cable is properly connected to the monitor. - check that the power supply is providing enough power to the monitor. - check that the battery is properly connected to the monitor. - charge the battery. @topic:11


# # # issue * the cause of failure is not clearly defined. # # # impact * the impact of the failure is not known. # # # possible causes * the equipment may have been used incorrectly. * the equipment may have been damaged. * the equipment may have a manufacturing defect. # # # recommendations * the equipment should be inspected by a qualified technician to determine the cause of failure. * the equipment should be repaired or replaced as necessary. * the staff should be trained on the proper use of the equipment. @topic:12


# # # * * issue : * * inability to measure blood pressure and short battery life after battery replacement in welch allyn propaq lt monitor # # # * * impact : * * impaired patient monitoring and potential delays in medical interventions # # # * * possible causes : * * 1. * * faulty battery : * * the newly installed battery may be defective or not compatible with the device. 2. * * loose battery terminals : * * improper battery installation can lead to poor contact and power interruptions. 3. * * damaged battery charger : * * a malfunctioning charger may fail to fully charge the battery. 4. * * internal circuit issue : * * component failure or loose connections within the monitor can disrupt battery charging or blood pressure measurement. 5. * * software glitch : * * software errors can interfere with device functionality, including battery management and blood pressure monitoring. # # # * * recommendations : * * 1. * * test the battery : * * replace the battery with a known - good one and check if the issue persists. 2. * * inspect the battery terminals : * * ensure that the battery terminals are securely connected and free of corrosion or damage. 3. * * check the charger : * * verify that the charger is functioning properly and providing the correct voltage to charge the battery fully. 4. * * examine the internal components : * * if other causes are ruled out, the device may need to be inspected by a qualified technician to identify and repair any internal faults. 5. * * update software : * * if applicable, update the device's software to address any known issues that may be causing the problem. @topic:11


* * issue : * * bed cannot lock in place * * impact : * * patient safety hazard * * possible causes : * * - * * loose locking spring : * * the spring that is responsible for locking the bed in place may have become loose or dislodged. this can be caused by wear and tear, improper maintenance, or rough handling. - * * damaged locking mechanism : * * the mechanism that engages the locking spring may be damaged, preventing it from engaging properly. this could be due to excessive force, improper use, or a manufacturing defect. * * recommendations : * * - * * inspect locking spring : * * check the locking spring to ensure that it is securely in place and not damaged. if it is loose or damaged, it should be replaced. - * * inspect locking mechanism : * * examine the locking mechanism for any signs of damage or wear. if it is damaged, it should be repaired or replaced. - * * train staff on proper use : * * ensure that staff is trained on the proper use and maintenance of the bed, including how to lock and unlock it safely. - * * regular maintenance : * * establish a regular maintenance schedule to inspect and service the bed, including checking the locking spring and mechanism. @topic:6


# # # issue - cuff of monitor has deteriorated. # # # impact - inaccurate or unreliable blood pressure readings. # # # possible causes - * * normal wear and tear : * * cuffs can deteriorate over time due to repeated use and exposure to moisture and chemicals. - * * improper storage : * * cuffs should be stored in a cool, dry place when not in use to prevent damage. - * * exposure to extreme temperatures or humidity : * * cuffs can become damaged if exposed to extreme temperatures or humidity. - * * improper cleaning or disinfection : * * harsh cleaning agents or improper disinfection techniques can damage cuffs. - * * patient factors : * * cuffs may become damaged if used on patients with particularly large or small arms, or if the cuff is not properly inflated. # # # recommendations - * * regular maintenance : * * cuffs should be inspected regularly for signs of deterioration and replaced as needed. - * * proper storage : * * cuffs should be stored in a cool, dry place when not in use. - * * careful handling : * * cuffs should be handled with care to avoid damage. - * * proper cleaning and disinfection : * * cuffs should be cleaned and disinfected according to manufacturer's instructions. - * * patient selection : * * ensure that the cuff is appropriate for the patient's size and condition. @topic:5


##ally chosen country code based on access point setting. the wmm mode being used. received signal strength indicator. current wireless lan connection status ( none, scanning, authenticating, authenticated shared, associating, connected, link problem ). current radio channel. currently selected transmission rate ( adapts dynamically based on wireless signal propagation behavior ). the mac address of the access point to which a connection has been established. wlan configuration check before a wireless connection is established, the configuration is checked for basic issues or incompatibilities. if issues are found during this check, a status message will be shown in the status prompt area of the monitor ’ s resting display. additionally, the check wlan line of the wlan diagnostic window will display the status message. in service mode, a detailed status message is shown, while a simplified message is shown in all other operating modes. the table below lists the status messages displayed in service mode, depending on the issue found. issue status message security mode check wlan security mode country setting check wlan coutry setting ieee wireless mode check wlan ieee mode wmm mode check wlan wmm mode wep encryption check wlan wep settings wpa encryption check wlan wpa / wpa2 key authentication check wlan authentication mode inner authentication check wlan inner authentication mode peap settings check wlan peap properties certificate check check wlan certificate check setting user name, password check wlan eap credentials the simplified message in au other operating modes is " check wlan settings " 282 7 installation instructions ] setup iit main setup = > network = > setup iit iit. set \ ip iit enabled rf access code 1 the setup iit menu allows you to configure the following items : instr. the instrument telemetry network interface can be disabled by a global setting to suppress network telemetry related technical inops @topic:16


# # # issue - remote control for electric hospital bed is broken. # # # impact - patients and staff may not be able to adjust the bed's position, which can lead to discomfort or safety issues. # # # possible causes - physical damage to the remote control, such as dropping or impact. - electrical malfunction or battery failure. # # # recommendations - inspect the remote control for physical damage and test its electrical functionality. - if the remote control is damaged, replace it with a functional one. - if the remote control is not damaged, troubleshoot the electrical system or replace the batteries. - provide additional training to staff on proper handling and maintenance of the remote control to prevent future damage. @topic:7


# # # issue - electric bed is not adjustable # # # impact - patient safety and comfort - hospital workflow and efficiency # # # possible causes - damaged control board - faulty electrical connection - software malfunction - worn or damaged mechanical components - power supply failure # # # recommendations - inspect and test the control board for damage or malfunctions. - check electrical connections for loose wires or poor contact. - update software if available and necessary. - examine mechanical components for wear or damage. - ensure adequate power supply to the bed. @topic:1


# # # issue the wooden spacer on the bed's side rail has broken. # # # impact the broken spacer may cause the bed to move unexpectedly, which could lead to patient injury. # # # possible causes * the spacer may have been damaged due to excessive force being applied to the side rail. * the spacer may have been made of a weak material that was not able to withstand the force being applied to it. # # # recommendations the broken spacer should be replaced with a new one that is made of a stronger material. the technician should also inspect the other spacers on the bed to ensure that they are all in good condition. @topic:6


# # # issue - remote control failure # # # impact - inability to operate the bed remotely, which may hinder patient care and safety. # # # possible causes - remote control breakage # # # recommendations - replace the broken remote control as soon as possible. - inspect the remote control regularly for signs of damage or wear. - store the remote control in a safe place when not in use. - train staff on proper handling and storage of the remote control to prevent breakage. @topic:7


# # # issue - bed is making loud noises when being raised or lowered # # # impact - the noise can be disruptive to patients and staff. - the bed may not be able to be used safely if the noise is too loud. # # # possible causes - the bed's hydraulic system may be leaking. - the bed's motor may be faulty. - the bed's frame may be damaged. # # # recommendations - have the bed inspected by a qualified technician. - if the bed's hydraulic system is leaking, it will need to be repaired or replaced. - if the bed's motor is faulty, it will need to be replaced. - if the bed's frame is damaged, it will need to be repaired or replaced. @topic:9


if installed ) from the nbp holder as shown below. tip the antenna cable can also be loosened when the nbp pump assembly is lifted up ( see step 6 ) 5. remove the screws ( t8 ) securing the nbp assembly. 6. position your hands as shown below to loosen the connection to the main board. then lift the whole nbp pump assembly up, including the metal chassis ( battery compartment ). tip the connection between the nbp flex and the main board may be tight. this is the only connection which needs to be loosened. 7. liftthe nbp cage up and remove it with the release mechanism as shown below. 139 reassembling the nbp pump chassis 1. make sure the nbp flex holder is positioned correctly ( i. e. pushed all the way up ). m 2. make sure the silicon tubes are still attached to the airguide and that they are seated correctly. check that the connection to the nbp connector is firmly established. = t 1 - = ll ^ wu i ax 1 = - t i a li [ 4 3! a e f : x k ^ l » x lm 140 3. insert the nbp pump assembly and press it down carefully. check that the battery compartment and housing are in line with each other. the nbp flex connector is guided by plastic posts on the flex holder to ensure proper connection to the main board. 4. make sure the nbp pump is connected properly to the nbp air guide tubes by lifting the back of the pump up and pressing it forward to establish a tight connection. 141 5. hook the nbp pump holder into the metal chassis and press it down gently. make sure you do not squeeze the display cable in between. press down until the latch has clicked into its position. then connect the ht antenna cable @topic:19


# # # issue : - failure to adjust volume below level 4 # # # impact : - inability to properly monitor patient vital signs, such as blood pressure and pulse oximetry. # # # possible causes : - incorrect configuration of volume settings - faulty volume control knob or buttons - software or hardware malfunction # # # recommendations : - verify that the volume settings are configured correctly. - if the volume control knob or buttons are faulty, replace them. - if the issue persists, perform a software or hardware diagnostic test to identify the malfunctioning component. - ensure that the equipment is calibrated and tested regularly to prevent future failures. @topic:2


# # # issue - battery degradation in the vital signs monitor # # # impact - reduced device functionality or potential device failure - inability to accurately monitor patient vital signs - interruptions in patient care # # # possible causes - excessive use or prolonged charging - overheating or exposure to extreme temperatures - natural degradation over time - battery not designed for the specific device or use case # # # recommendations - regularly inspect batteries for signs of degradation, such as bulging or leaking - follow manufacturer's guidelines for battery charging and maintenance - use batteries specifically designed for the device and intended application - consider replacing batteries prophylactically before they fail completely - implement battery monitoring systems to track battery health and alert users of potential issues @topic:11


##gns enhanced auth protocol alphanumeric entry ( 32 ) ( eap ) password password dynamic frequencselection yes / no es pmk caching, okccckm roaming type okc server validation enabled yes / no. uth server typype 1, type 2 ype 2 inner eap setting type auto pac provisioning field auto network connectivitmethod host ip, nrs, dns, dhcp dns ost ip address ost ip 127. 0. 0. 1 150 appendix welch [UNK] connex® spot monitor selections default value settings options port 281 rnetwork rendezvous 0. 0. 0. 0 service ( nrs ) ip address ( # # #. # # #. # # #. # # # ) port ( # # # # ) 71ns network rendezvous wanrs service dns name port ( # # # # ) 7711 dhcp dhcp vendor class identifier welchallyn - nrs port ( # # # # ) 7711 those network nrs ip addresses ( multiple ) rendezvous service ( nrs ) ip addresses used by your organization data encryption no radio static ip enabled no radio static ip address 0. 0. 0. 0 radio static ip mask 255. 255. 255. 0 radio static ip gateway 0. 0. 0. 0 0. 0. 0. radio static ip dns ethernet static ip enabled no ethernet static ip ddress 0. 0. 0. 0 ethernet static ip mask 255. 255. 255. 0 ethernet static ip 0. 0. 0. 0 gateway ethernet static ip dns 0. 0. 0. 0 ime zone gmt gmt ntp enable no blank ntp dns name service manual settings ptions selections default value no send hl7 enable hl7 dns name 127. 0. 0. 1 l7 ip por281 @topic:10


# # # issue : - broken module lock on monitor, patient transport, philips intellivue mp20 ( m8001a ). # # # impact : - the device may be unstable or unable to securely hold modules in place. # # # possible causes : - the module lock may have been damaged due to excessive force or improper handling. - the lock mechanism may have worn out over time. - the lock may have been weakened by exposure to harsh chemicals or environments. # # # recommendations : - * * temporary fix : * * use tape to secure the module in place until a permanent repair can be made. - * * permanent fix : * * replace the broken module lock with a new one. - * * preventive measures : * * handle the device with care, avoid excessive force, and protect it from harsh environments. @topic:2


# # # issue - the electric bed is not able to adjust the leg section. # # # impact - patients may be uncomfortable or immobile if they cannot adjust the bed to a comfortable position. - nurses and other healthcare providers may have difficulty working with patients in bed if the bed cannot be adjusted. # # # possible causes - * * electrical problem : * * the electrical system of the bed may be malfunctioning, preventing the leg section from adjusting. - * * mechanical problem : * * the mechanical system of the bed may be malfunctioning, preventing the leg section from adjusting. - * * hydraulic problem : * * the hydraulic system of the bed may be malfunctioning, preventing the leg section from adjusting. - * * control panel problem : * * the control panel of the bed may be malfunctioning, preventing the leg section from adjusting. # # # recommendations - * * electrical problem : * * check the electrical connections to the bed. if the connections are loose or damaged, tighten or replace them. if the electrical problem is not resolved, contact an electrician. - * * mechanical problem : * * check the mechanical system of the bed for any loose or damaged parts. if any loose or damaged parts are found, tighten or replace them. if the mechanical problem is not resolved, contact a mechanic. - * * hydraulic problem : * * check the hydraulic system of the bed for any leaks or damage. if any leaks or damage are found, repair or replace the hydraulic system. if the hydraulic problem is not resolved, contact a hydraulic specialist. - * * control panel problem : * * check the control panel of the bed for any loose or damaged parts. if any loose or damaged parts are found, tighten or replace them. if the control panel problem is not resolved, contact the manufacturer of the bed. @topic:1


3 messages, battery, 2 - 4 monitored temperature, theory of operation, a - 6 n navigation controls, using, 1 - 1 navigation wheel removing, 5 - 23 theory of operation, a - 5 nbp accuracy verification test, 3 - 14 calibration, verification test, 3 - 15 cycle count, tracking, 4 - 35 module, removing, 5 - 16 theory of operation, a - 3 troubleshooting, 4 - 8 nurse call relay, verification test, 3 - 20 troubleshooting, 4 - 11 nurse call contacts, theory of operation, a - 5 index - 2 suresigns vs2 * and vsi service guide p parts, replacement, 6 - 1 patient data, clearing, 4 - 37 philips medical systems contact information, 11 pneumatic leakage, verification test, 3 - 16 power and start - up sequences, description, 4 - 3 power cables, 6 - 5 power connector, removing, 5 - 19 power management, theory of operation, a - 4 power supply removing, 5 - 17 theory of operation, a - 4 power, troubleshooting, 4 - 6 power - on self test, verification test, 3 - 11 predictive temperature theory of operation, a - 6 verification test, 3 - 16 printer, removing, 5 - 9 printing error log, 4 - 36 printing problems, 4 - 10 r radio module, theory of operation, a - 6 reconditioning battery, 2 - 3 recorder removing, 5 - 9 testing, 4 - 34 theory of operation, a - 5 troubleshooting, 4 - 10 recording test results, 3 - 3 regulatory and safety specifications, vi relative charge, 2 - 3 removing battery, 5 - 3 front panel, 5 - 11 temperature module, 5 - 6 repairing monitors ac power, connector, removing, 5 - 19 antenna, removing, 5 - 33 board, main, removing, 5 - @topic:19


# # # issue - spo2 cable failure # # # impact - inaccurate or interrupted monitoring of patient's oxygen saturation levels # # # possible causes - physical damage to the cable ( e. g., cuts, tears, kinks ) - loose or disconnected connectors - electrical malfunction in the cable or the device's spo2 sensor - compatibility issues between the cable and the device # # # recommendations - inspect the cable for any visible damage and ensure proper connections. - test the cable using a compatible device to isolate the issue. - replace the cable if it is damaged or faulty. - ensure that the cable is compatible with the device and the patient's monitoring needs. - regularly maintain and inspect medical equipment to prevent similar failures in the future. @topic:4


# # # issue - cuff of the patient transport monitor has deteriorated. # # # impact - the patient transport monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may have been used excessively or not maintained properly. - the cuff may have been damaged by a patient or staff member. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - train staff on proper use and maintenance of the patient transport monitor. @topic:3


# # # issue : - worn - out spo2 cable # # # impact : - inaccurate spo2 readings # # # possible causes : - prolonged use leading to cable deterioration - improper handling or storage # # # recommendations : - regularly inspect spo2 cables for any signs of damage - replace cables once they show signs of wear or damage - handle and store cables carefully to avoid unnecessary wear @topic:4


# # # issue - equipment : telemetric electrocardiography monitor ( philips intellivue mx40 ) - failure : device does not turn on when batteries are inserted # # # impact - the device cannot be used for patient monitoring. # # # possible causes - defective battery terminals ( specifically the positive terminal ) - corrosion or damage to the battery compartment - loose or incorrectly inserted batteries - faulty battery contacts within the device # # # recommendations - * * verify battery installation : * * ensure that the batteries are inserted correctly and are making proper contact with the terminals. - * * inspect the battery compartment : * * check for any damage, corrosion, or obstructions that may prevent the batteries from making proper contact. - * * clean battery terminals : * * if there is any visible corrosion or debris on the battery terminals, gently clean them with a soft cloth. - * * replace battery terminals : * * if the battery terminals are damaged or loose, replace them with new ones. - * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further troubleshooting and potential repair. @topic:11


# # # issue - the medical cart's wheels were replaced with wheels from a different cart. # # # impact - the medical cart may not be able to move properly or may be unstable, posing a safety hazard to patients and staff. # # # possible causes - the technician may have mistakenly used the wrong wheels. - the technician may have been unaware that the wheels were not compatible with the medical cart. - the technician may have been following incorrect instructions. # # # recommendations - ensure that the technician is trained on the proper procedure for replacing medical cart wheels. - provide clear instructions on which wheels to use for each type of medical cart. - regularly inspect medical carts to ensure that the wheels are in good condition and are the correct type for the cart. @topic:24


# # # issue : - adaptor breakage resulting in inability to charge battery ( batt ) # # # impact : - impaired functionality of the physiologic monitor due to lack of power. # # # possible causes : - physical damage to the adaptor ( e. g., cable breakage, connector malfunction ) - overuse or improper handling of the adaptor - electrical fault or voltage surge # # # recommendations : - replace the damaged adaptor with a compatible and functional one. - ensure proper handling and storage of the adaptor to prevent future damage. - regularly inspect the adaptor for any signs of wear or tear and replace it if necessary. - consider using surge protectors to prevent damage from electrical surges. @topic:11


# # # issue monitor not linking to central system # # # impact inability to monitor patient's vitals remotely # # # possible causes - incorrect ci address in the monitor - problem with the central server # # # recommendations - verify the ci address in the monitor and ensure it is correct - check the central server for any issues and resolve them @topic:16


# # # issue - bed does not lower when activated # # # impact - patient cannot be moved or adjusted - discomfort and inconvenience for patient - potential safety hazard if patient needs to be moved quickly # # # possible causes - mechanical fault - electrical fault - hydraulic leak - loose or disconnected wiring - faulty control panel - incorrect user operation # # # recommendations - check if the bed is plugged in and receiving power. - inspect the bed for any visible damage or loose parts. - check the hydraulic fluid level and top up if necessary. - inspect the wiring and connections for any damage or loose connections. - test the control panel to ensure it is functioning correctly. - ensure that the user is operating the bed correctly. - contact a qualified biomedical engineer if the problem cannot be resolved. @topic:1


# # # issue - monitor not connected to ekg and spo2 # # # impact - inability to monitor patient's vital signs accurately - compromised patient safety and timely diagnosis # # # possible causes - loose or damaged cables - faulty connectors - incorrect configuration or setup - signal interference # # # recommendations - visually inspect all cables and connectors for damage or loose connections - ensure that cables are securely plugged into the appropriate ports - check the device settings and configurations to confirm they are correct - eliminate potential sources of signal interference, such as other medical equipment or radio signals - consult the device manual or manufacturer for specific troubleshooting steps - document the issue, any troubleshooting steps taken, and the resolution @topic:16


# # # issue - incomplete display of functions - loss of signal linkage # # # impact - inability to accurately monitor patient vitals - delay in providing necessary care # # # possible causes - loose connections - faulty wiring - software malfunction - hardware failure # # # recommendations - ensure that all cables and connections are secure - replace any damaged or faulty wires - update the software to the latest version - contact the manufacturer for further assistance if the issue persists @topic:2


# # # issue the scanner bed has become detached from the base of the medical cart. # # # impact the medical cart cannot be used for its intended purpose of transporting and using the scanner. # # # possible causes - the double - sided tape used to secure the scanner bed to the base has failed. - the scanner bed was not properly secured to the base in the first place. - the scanner bed has been subjected to excessive force or stress, causing it to detach from the base. # # # recommendations - replace the double - sided tape used to secure the scanner bed to the base. - ensure that the scanner bed is properly secured to the base before using the medical cart. - avoid subjecting the scanner bed to excessive force or stress. @topic:23


# # # issue - physiological monitoring system is measuring inaccurately. - ecg telemetry waveforms are smaller than normal. # # # impact - incorrect patient data may lead to delayed or incorrect treatment decisions. # # # possible causes - hardware malfunction. - software error. - sensor failure. - loose connections. # # # recommendations - run a complete system check to identify any hardware or software issues. - check the sensors and connections to ensure they are secure. - perform a calibration test to check the accuracy of the measurements. - contact the manufacturer for technical support. @topic:20


# # # issue - malfunctioning keyboard on medical cart # # # impact - inability to use the medical cart effectively - potential delays in patient care # # # possible causes - defective keyboard - loose connections - software issues - electrical fault # # # recommendations - replace the keyboard with a new one - check the connections between the keyboard and the medical cart - update the software on the medical cart - contact the manufacturer for further troubleshooting @topic:27


# # # issue - monitor not linked to central monitor # # # impact - inability to monitor patient data - delayed or missed treatment - safety risks for patient # # # possible causes - incorrect configuration of central monitor - loose or damaged cables - software or hardware issues with monitor or central monitor - electromagnetic interference # # # recommendations - check and re - configure the central monitor to include the new monitor - ensure that all cables are connected securely - update or reinstall software on monitor or central monitor - contact vendor for assistance if issue persists @topic:16


# # # issue - the temperature measured by the vital signs monitor is lower than normal. # # # impact - this issue can lead to inaccurate patient monitoring and diagnosis, as well as incorrect treatment decisions. # # # possible causes - the temperature probe may be faulty or damaged. - the temperature probe may not be making good contact with the patient's skin. - the temperature probe may be located in an area of the body that is not representative of the patient's core temperature. - the monitor may be incorrectly calibrated. - there may be a software issue with the monitor. # # # recommendations - replace the temperature probe. - ensure that the temperature probe is making good contact with the patient's skin. - move the temperature probe to a different location on the patient's body. - calibrate the monitor according to the manufacturer's instructions. - contact the manufacturer for technical support if the problem persists after following the above steps. @topic:20


# # # issue - vital signs monitor failed to measure blood pressure. # # # impact - inability to obtain accurate blood pressure readings for patient monitoring. # # # possible causes - damaged blood pressure cuff. # # # recommendations - cuff was replaced and the monitor is now functioning as intended. @topic:14


* * issue : * * head plug failure on an electric bed * * impact : * * * inability to raise or lower the bed * potential safety hazard for patients and staff * inconvenience to patients and staff * * possible causes : * * * damage to the head plug due to mishandling or excessive wear and tear * electrical fault in the plug or its wiring * loose connection between the plug and the bed * voltage fluctuations causing damage to the plug * * recommendations : * * * inspect the head plug for any visible damage or loose connections. * check the wiring connecting the plug to the bed for any breaks or shorts. * test the voltage at the plug using a multimeter to ensure it is within acceptable limits. * replace the head plug if it is damaged or not functioning properly. * train staff on proper handling and maintenance of bed equipment to prevent future failures. @topic:9


* * issue : * * wood guardrail on the bed cannot be adjusted. * * impact : * * patient safety is compromised as the guardrail may not be able to provide adequate protection from falls. * * possible causes : * * - loose screws or bolts on the guardrail hinges. - bent or damaged guardrail brackets. - motor actuator failure. - control board malfunction. * * recommendations : * * 1. * * inspect the guardrail : * * check for loose screws or bolts on the hinges and brackets. tighten any loose fasteners. 2. * * examine the motor and actuator : * * if the guardrail is motorized, inspect the motor and actuator for any signs of damage or malfunction. test the motor operation to ensure it is functioning properly. 3. * * check the control board : * * inspect the control board for any loose connections or damaged components. ensure the board is properly seated in its housing. 4. * * lubricate the hinges : * * apply a small amount of lubrication to the guardrail hinges to ensure smooth movement. 5. * * test the guardrail : * * adjust the guardrail to different positions to verify that it is operating correctly and provides adequate protection. @topic:6


# # # issue - equipment : dinamap blood pressure monitor - issue : front panel display is blank # # # impact - inability to monitor patient's blood pressure accurately - delay in patient care - increased risk of adverse events # # # possible causes - * * faulty power supply : * * the monitor may not be receiving power from the electrical outlet or the power cord may be damaged. - * * defective display : * * the display unit may be malfunctioning or the connection between the display and the main unit may be loose. - * * software glitch : * * a software error or corruption may be preventing the display from functioning properly. - * * battery failure : * * the battery that powers the display may be dead or malfunctioning. - * * physical damage : * * the monitor may have been dropped or damaged, causing the display to malfunction. # # # recommendations - * * check the power supply : * * ensure that the monitor is plugged into a working electrical outlet and that the power cord is not damaged. - * * inspect the display : * * look for any signs of damage or loose connections on the display unit or the connection between the display and the main unit. - * * reset the monitor : * * unplug the monitor from the power outlet and wait for a few minutes before plugging it back in. this may reset the software and resolve the issue. - * * replace the battery : * * if the monitor uses a battery to power the display, check the battery level and replace it if necessary. - * * contact a qualified technician : * * if the above steps do not resolve the issue, contact a qualified biomedical engineer or technician to diagnose and repair the monitor. @topic:2


purposes. voltage complies fluctuations / flicker emissions iec 61000 - 3 - 3 electromagnetic compatibility b - 2 suresigns vs2 * and vsi service guide table b - 2 electromagnetic immunity ( esd, eft, surge, dips and magnetic field ) immunity test | iec 60601 test level | compliance | electromagnetic level environment - guidance electrostatic + 6 kv contact + 6 kv contact | floors should be wood, discharge ( esd ) + 8 kv air + 8 kv air concrete, or ceramic tile. if iec 61000 - 4 - 2 floors are covered with synthetic material, the relative humidity should be at least 30 %. electrical fast + 1 kv differential mode + 1kv in the event of reduced transient / burst + 2 kv common mode + 2kv performance, it may be l iec 61000 - 4 - 4 necessary to operate the patient monitor from a filtered power connection or battery power ( no electrical connection to the ac mains while monitoring ). surge + 1 kv differential mode + 1kv mains power quality should be iec 61000 - 4 - 5 + 2 kv common mode + 2kv that of a typical commercial and / or hospital environment. voltage dips, short | < 5 % uy < 5 % ur interruptions, and ( > 95 % dip in ur ) for 0, 5 voltage variations cycle on power supply input lines aa ganl 40 % u iec 61000 - 4 - 11 ( 60 % dip in ur ) piat for 5 cycles 70 % ur ( 30 % dip in uy ) 70 % ur for 25 cycles < 5 % ur ( > 95 % dip in ur ) for 5 sec < 5 % ur power frequency 3 a / m 3 a / m power frequency magnetic ( 50 / 60 hz ) magnetic field iec 61000 - 4 - 8 fields should be at levels characteristic of a typical location in a typical @topic:10


* * issue : * * vital signs monitor cuff is faulty. * * impact : * * inaccurate blood pressure readings, leading to potential patient safety risks. * * possible causes : * * * * * cuff damage : * * holes, tears, or stretching can compromise the cuff's ability to inflate and deflate properly. * * * defective bladder : * * the inflatable bladder within the cuff may have a leak or puncture. * * * loose or disconnected tubing : * * the tubing connecting the cuff to the monitor may be loose or damaged, preventing proper inflation or deflation. * * * malfunctioning valve : * * the valve that controls the flow of air into and out of the cuff may be stuck or malfunctioning. * * recommendations : * * * * * replace the cuff : * * the most common solution is to replace the damaged cuff with a new one of the same model and size. * * * inspect the bladder : * * if the cuff is not visibly damaged, inflate it and inspect the bladder for leaks or punctures. * * * check the tubing : * * ensure that the tubing connecting the cuff to the monitor is securely attached and free of kinks or blockages. * * * test the valve : * * manually inflate and deflate the cuff to check if the valve is opening and closing properly. * * * calibrate the monitor : * * once the cuff is replaced or repaired, calibrate the monitor to ensure accurate blood pressure readings. * * * document the repair : * * record the date of repair, the cause of failure, and any corrective actions taken. @topic:5


* * issue : * * central monitor is not alarming when patients are calling for assistance. * * impact : * * patients may not be able to receive timely assistance, leading to potential harm. * * possible causes : * * * * * loose or damaged speaker connection : * * the monitor's speaker may not be properly connected or may be damaged, preventing sound output. * * * malfunctioning audio module : * * a component within the monitor's audio system may have failed, preventing it from generating an alarm sound. * * * software glitch : * * a recently installed software update may have caused an issue with the monitor's alarm function. * * * incorrect settings : * * the monitor's alarm settings may not be properly configured, disabling the alarm functionality. * * * hardware failure : * * a physical defect in the monitor's hardware, such as a failed circuit board or microprocessor, could lead to a lack of alarm output. * * recommendations : * * * * * check speaker connection : * * ensure that the speaker is securely attached to the monitor and that its wires are intact. * * * inspect audio module : * * examine the monitor's audio components for any visible damage or loose connections. if necessary, replace the audio module. * * * revert software update : * * if possible, roll back the recent software update to determine if it was the cause of the alarm issue. * * * verify settings : * * review the monitor's alarm settings to ensure they are correct. enable the alarm function and adjust the volume to an appropriate level. * * * contact manufacturer : * * if the issue persists, contact the manufacturer of the monitor for further troubleshooting and potential repair services. @topic:2


out without releasing the locking mechanism. 4 warning electrical shock hazard : do not open the monitor or measurement device. contact with exposed electrical i components may cause electrical shock. always turn off and remove power before cleaning the sensor, monitor or measurement device. do not use a damaged sensor or one with exposed electrical contacts. refer servicing to qualified service personnel. 415 38 maintenance and troubleshooting f thhe examine all system cables, the power plug and cord for damage. make sure that the prongs plug do not move in the casing. if damaged, replace it with an appropriate philips power cord. inspect the measurement link cable and ensure that it makes good connection with the mms and the fms. make sure that there are no breaks in the insulation. 1 2 inspect the cable connecting the mms to the monitor. make sure the connectors are properly engaged. 3 inspect the patient cables, leads and their strain reliefs for general condition. make sure there are no breaks in the insulation. make sure that the connectors are properly engaged at each end to rain. 4 5 apply the transducer or electrodes to the patient, and with the monitor switched on, flex the patient cables near each end to make sure that there are no intermittent faults. maintenance task and test schedule the following tasks are for philips - qualified service professionals only. all maintenance tasks and performance tests are documented in detail in the service documentation supplied on the monitor. ensure that these tasks are carried out as indicated by the monitor's maintenance schedule, or as specified by local laws. contact a philips - qualified service provider if your monitor needs a safety or performance test. clean and disinfect equipment to decontaminate it before testing or maintaining it. maintenance and test schedule frequency monitor tests safety checks. selected tests on the basis of iec 60601 - 1 at least once every two years, or as needed, after : any repairs where @topic:10


# # # issue - waveform intermittently disappears # # # impact - clinicians may not be able to monitor patient's vital signs accurately. # # # possible causes - loose connection in the cable or sensor - faulty sensor - damage to the monitor's input circuitry - software issue in the monitor # # # recommendations - inspect the cable and sensor for loose connections. - replace the sensor if it is faulty. - contact the manufacturer for service if the monitor's input circuitry is damaged. - update the monitor's software if a software issue is suspected. @topic:2


# # # issue - battery failure # # # impact - the device will not be able to power on or function properly. # # # possible causes - the battery is old and needs to be replaced. - the battery is not properly connected. - the battery is damaged. # # # recommendations - replace the battery with a new one. - check the battery connections. - inspect the battery for any damage. @topic:11


# # # issue - printer is not printing # # # impact - inability to print patient data, reports, and other necessary documents. # # # possible causes - paper jam - hardware malfunction - software issue - loose or faulty connections - incorrect printer settings # # # recommendations * * troubleshooting steps : * * 1. * * check for paper jam : * * open the printer and inspect for any paper obstruction or debris. remove any jammed paper carefully. 2. * * inspect hardware : * * ensure that the printer is properly connected to the power supply and computer. check for any loose wires or damaged components. 3. * * update software : * * install the latest software drivers for the printer to resolve any software - related issues. 4. * * tighten connections : * * verify that all cables and connections are secure and properly tightened. 5. * * adjust printer settings : * * ensure that the printer is set to the correct paper size, orientation, and print quality settings. * * preventive measures : * * - * * regular maintenance : * * perform routine cleaning and lubrication of the printer to prevent paper jams and other mechanical issues. - * * use high - quality paper : * * opt for paper that is specifically designed for laser printing to minimize jams. - * * train staff : * * provide proper training to users on the correct operation and maintenance of the printer. - * * invest in reliable printers : * * choose printers with robust construction and proven durability to reduce the likelihood of hardware failures. - * * consider a backup printer : * * have a secondary printer available as a backup in case the primary printer experiences any issues. @topic:28


# # # issue medical cart's drawer is unable to be opened. # # # impact the inability to access the drawer's contents can hinder the delivery of medical care and compromise patient safety. # # # possible causes - * * mechanical failure : * * damage to the drawer's opening mechanism, such as broken or misaligned parts. - * * electrical malfunction : * * faulty wiring, switches, or motors that prevent the drawer from opening. - * * improper installation : * * the drawer may not have been correctly installed or may have become misaligned over time. - * * user error : * * the drawer may have been forcefully opened or closed, causing damage to its mechanism. - * * lack of maintenance : * * regular maintenance and servicing can help prevent mechanical failures and ensure the proper functioning of the drawer. # # # recommendations - * * inspect the drawer's mechanism : * * examine the drawer's latch, hinges, and rails for any visible damage or misalignment. - * * check electrical components : * * test the wiring, switches, and motors to identify any electrical faults. - * * reinstall the drawer : * * if the drawer has been incorrectly installed, remove and reinstall it according to the manufacturer's instructions. - * * proper usage : * * instruct users on the correct way to open and close the drawer to avoid damage. - * * regular maintenance : * * schedule regular maintenance to clean, lubricate, and inspect the drawer's components to prevent future problems. @topic:21


# # # issue - vital signs monitor is not displaying readings due to a faulty spo2 cable. # # # impact - inability to monitor patient's oxygen saturation levels, which can lead to delayed detection of critical events. # # # possible causes - physical damage to the cable, such as a broken wire or connector. - poor maintenance, such as improper storage or handling of the cable. - age and wear of the cable, leading to deterioration of its performance. # # # recommendations - replace the faulty spo2 cable with a new one. - inspect the cable regularly for any signs of damage or wear. - handle the cable with care to avoid physical damage. - regularly clean and disinfect the cable according to the manufacturer's instructions. - monitor the cable's performance and replace it if it fails to meet specifications. - train staff on proper handling and maintenance of medical equipment. @topic:4


# # # issue - bed does not adjust when buttons are pressed. # # # impact - patient care and safety may be compromised if the bed cannot be adjusted to the appropriate height and position. # # # possible causes - faulty control box : the control box is responsible for receiving signals from the buttons and sending them to the motors that adjust the bed. if the control box is faulty, it may not be able to send the correct signals, resulting in the bed not adjusting. - electrical fault : an electrical fault in the wiring or connections between the control box and the motors can also prevent the bed from adjusting properly. - faulty motors : the motors that adjust the bed may be faulty, preventing them from responding to the signals from the control box. - worn or damaged gears : the gears that transmit power from the motors to the bed frame may be worn or damaged, preventing the bed from adjusting smoothly. # # # recommendations - check the control box for any signs of damage or loose connections. if any damage is found, the control box should be replaced. - check the wiring and connections between the control box and the motors for any loose or damaged connections. tighten any loose connections and replace any damaged wires. - check the motors for any signs of damage or overheating. if any damage is found, the motors should be replaced. - check the gears for any signs of wear or damage. if any wear or damage is found, the gears should be replaced. @topic:1


# # # issue * * * defective cuff * * # # # impact * * * inaccurate blood pressure readings * * * * * device malfunction * * # # # possible causes * * * cuff wear and tear * * * * * over - inflation * * * * * improper storage * * * * * manufacturing defect * * # # # recommendations * * * regularly inspect and replace cuffs as needed * * * * * follow proper inflation guidelines * * * * * store cuffs properly to prevent damage * * * * * contact the manufacturer if experiencing recurring cuff failures * * @topic:3


# # # issue * central monitor not powering on # # # impact * inability to monitor patient vital signs * potential patient safety hazard # # # possible causes * * * loose or disconnected power cord : * * the power cord connecting the central monitor to the ups may have become loose or disconnected, interrupting power supply. * * * defective ups : * * the ups may be malfunctioning and failing to provide power to the central monitor. * * * internal electrical fault : * * an electrical fault within the central monitor may be preventing it from receiving power. # # # recommendations * * * check power cord : * * ensure the power cord is securely plugged into both the central monitor and the ups. * * * test ups : * * verify that the ups is functioning properly by connecting another device to it. if the other device also fails to power on, the ups may need to be replaced. * * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the central monitor for further troubleshooting and potential repair. @topic:2


# # # issue - cuff of the vital signs monitor is ruptured and unable to retain the cuff pressure. # # # impact - vital signs data readings may be inaccurate. # # # possible causes - the cuff may have been over - inflated or excessive usage. - the cuff is tearing or leaking. - cuff not properly attached to device. # # # recommendations - change the cuff. - inspect the cuff for any other damages or leaks. - ensure the cuff is properly attached to the device. - monitor the blood pressure readings to ensure they are within the expected range. @topic:5


# # # issue - * * fetal monitor probe malfunction * * # # # impact - inability to accurately monitor fetal heart rate and other vital signs during pregnancy and labor. # # # possible causes - * * head of the fetal monitor probe damaged * * - physical damage due to mishandling or impact - electrical damage due to power surges or short circuits # # # recommendations - * * replace the damaged fetal monitor probe * * with a new one to restore functionality. - * * inspect and maintain the fetal monitor regularly * * to prevent further damage or malfunctions. - * * handle the equipment with care * * to avoid physical damage and ensure longevity. @topic:22


# # # issue - broken ekg lead wire # # # impact - inability to monitor patient's ekg - delay in diagnosis and treatment # # # possible causes - physical damage to the wire, such as cuts or tears - loose connections at the plug or lead - malfunction of the lead itself # # # recommendations - replace the damaged lead wire with a new one - ensure that all connections are secure - inspect the lead for any other signs of damage or malfunction @topic:18


# # # issue - equipment malfunction # # # impact - patient monitoring may be disrupted - delays in patient care - potential safety risks for patients # # # possible causes - improper handling or transportation of the equipment - damage to the equipment during the move - electrical or software issues caused by the move # # # recommendations - ensure that the equipment is properly handled and transported according to manufacturer's instructions. - test the equipment thoroughly before and after the move to ensure proper functionality. - ensure that the equipment is properly calibrated and maintained after the move. - follow the manufacturer's guidelines for cleaning and disinfection of the equipment. - document the move and any maintenance or repairs performed on the equipment. @topic:12


# # # issue the philips intellivue mp40 ( m8003a ) monitor displayed the error message " spo2 unkn. sensor " and was unable to measure spo2 values. # # # impact the inability to measure spo2 values can affect patient care and compromise patient safety. # # # possible causes - faulty spo2 extension cable # # # recommendations - replace the faulty spo2 extension cable with a new one. @topic:4


# # # issue - equipment failure due to relocation. # # # impact - interruption of patient monitoring. - potential for patient harm due to lack of vital signs monitoring. # # # possible causes - improper handling during relocation. - damage to equipment during transportation. - incorrect setup or configuration after relocation. # # # recommendations - ensure proper handling and transportation of equipment during relocation. - perform thorough testing and calibration after relocation to ensure proper functionality. - verify correct setup and configuration to prevent equipment failure. - train staff on proper relocation procedures. - conduct regular maintenance and inspections to identify and address potential issues before they cause equipment failure. @topic:12