of hill - rom services, inc. sidecom® is a registered trademark of hill - rom services, inc. slo - blo® is a registered trademark of littlefuse, inc. torx® is a registered trademark of acument intellectual properties, llc. vise - grip® is a registered trademark of american tool companies, inc. the information contained in this manual is subject to change without notice. hill - rom makes no commitment to update or keep current, the information contained in this manual. hill - rom reserves the right to make changes without notice in design, specifications, and models. the only warranty hill - rom makes is the express written warranty extended on the sale or rental of its products. to order additional copies of this manual ( man330 ), refer to the back cover for contact information. for countries not listed on the back cover, contact your distributor. note : the back cover is a comprehensive list of technical support contact infonnation for hill - rom. the product discussed in this manual may not be available in all of the countries listed. revision pages affected date original issue december 2003 2 all january 2005 3 all may 2006 4 all march 2009 page ii careassist® and careassist® es bed service manual ( man330 rev 4 ) table of contents chapter 1 : introduction purpose. 1 - 1 audience. 1 - 1 reference documents. 1 - 1 document symbols. 1 - 2 specifications. 1 - 3 physical description. 1 - 3 electrical specification. 1 - 5 regulation, standards, and codes. 1 - 6 electromagnetic emissions and immunity guidance. 1 - 7 model identification. 1 - 9 safety tips. 1 - 10 beds with an auxiliary outlet. 1 - 12 warning and caution labels. 1 - 13 chapter 2 : troubleshooting procedures getting started. 2 - 1 initial actions. 2 - 2 problem / solution table. 2 - 2 function @topic:9


# # # issue - equipment failure due to dirty connector. # # # impact - patient monitoring and transport may be affected. # # # possible causes - dirty connector - loose connection - damaged connector # # # recommendations - clean the connector regularly. - tighten the connection securely. - replace the connector if damaged. @topic:12


# # # issue the connex spot monitor, a physiological vital signs monitor from welch allyn, is experiencing an error across all functions, rendering it unusable. # # # impact the inability to use the monitor affects the hospital's ability to accurately monitor patients'vital signs, potentially compromising patient safety. # # # possible causes * * * battery failure : * * depleted or malfunctioning batteries can cause the monitor to display errors and cease functioning. in this case, the technician has replaced the batteries with alkaline batteries, which has resolved the issue. * * * loose connections : * * poor connections between the device components or cables can disrupt communication and lead to error messages. the technician could inspect and tighten any loose connections to ensure proper functionality. * * * software malfunction : * * internal software issues, such as corrupted firmware or bugs, can also cause the monitor to malfunction. the technician could consider updating the firmware or resetting the device to its default settings. * * * hardware failure : * * a faulty component or circuit within the monitor could be causing the errors. this would require a more thorough investigation and potential repair or replacement of the affected part. # # # recommendations * * * battery check : * * regularly inspect and replace batteries as needed. ensure that the correct battery type is used and that they are properly installed. * * * connection inspection : * * periodically check all connections, including cables, probes, and other attachments, for any signs of damage or looseness. secure loose connections to prevent interruptions. * * * software updates : * * stay informed about firmware updates and apply them promptly to ensure optimal performance and address any known issues. * * * regular maintenance : * * conduct scheduled maintenance and testing to identify and address potential problems early on. this helps reduce the risk of unexpected failures and prolong @topic:22


# # # issue - electric bed is unable to adjust the head and foot positions. # # # impact - patient discomfort and limited mobility. - prolonged hospital stay due to inability to adjust the bed for comfort and positioning. - increased workload for nursing staff to manually adjust the bed. # # # possible causes - * * malfunctioning motor * * : the electric motor responsible for adjusting the head and foot positions may be faulty or damaged. - * * broken gears or drive system * * : the gears or drive system that transmit power from the motor to the bed frame may be broken or misaligned, preventing the bed from moving. - * * faulty electrical connections * * : loose or damaged wires or connectors can disrupt the electrical signals that control the bed's adjustments. - * * software malfunction * * : in some electric beds, software controls the motor and drive system. a software glitch or corruption can cause the bed to malfunction. - * * mechanical obstruction * * : foreign objects or debris may have become lodged in the bed mechanism, [UNK] [UNK] [UNK] [UNK] 。 # # # recommendations - * * inspect and test the motor * * : use a multimeter to check the continuity and resistance of the motor windings. if necessary, replace the motor. - * * examine the gears and drive system * * : check for broken or misaligned gears and ensure they are properly lubricated. tighten any loose bolts or screws that may be causing misalignment. - * * verify electrical connections * * : inspect the wires and connectors for loose connections or damage. repair or replace any faulty components. - * * update or troubleshoot software * * : if the bed has software control, check for available updates or consult the manufacturer's troubleshooting guide for software issues. - * * remove mechanical obstructions * * : carefully inspect the @topic:1


# # # issue - remote control failure # # # impact - inability to adjust bed height, compromising patient comfort and safety # # # possible causes - * * electrical issues : * * loose connections, damaged wires, or faulty components in the remote control or bed circuitry - * * mechanical issues : * * worn or broken buttons, stuck or jammed actuators, or problems with the bed frame or mattress - * * user error : * * incorrect operation or accidental damage to the remote control or bed # # # recommendations - * * electrical troubleshooting : * * inspect connections, test wires with a multimeter, and replace any damaged components. - * * mechanical inspection : * * check button operation, examine actuators and bed frame, and verify mattress alignment. - * * user education : * * provide clear instructions on proper remote control and bed usage to prevent future issues. @topic:7


##® are trademarks or registered trademarks of oridion systems ltd. citrix® and ica® ( independent computing architecture ) are registered trademarks of citrix systems, inc. masimo®, masimo set®, and lnop are federally registered trademarks of the masimo corporation. other product and company names mentioned in this book may be trademarks of their respective owners. symbols these symbols can appear on the monitor and its associated equipment. symbols refer to accompanying documents protective earth rs - 232 rs232 connector standby connection direction indicator equipotential grounding identifies year and month of manufacture alternating current connection direction indicator @ - electrical input indicator ( on some older multi¬ measurement modules and extensions, and modules, this symbol may indicate the gas input. ) electrical output indicator ( on some older multi¬ measurement modules and extensions, and modules, this symbol may indicate the gas output. ) connector has special protection against electric shocks and is defibrillator proof gas input indicator gas output indicator r quick mount release o cb - " fms power on indicator - ready for operation 9 6 • • • • ii x serial / mib connector \ mouse connection indicator keyboard connection indicator error led printer connection indicator 403 38 installation and specifications symbols symbols parallel parallel interface indicator for connection to parallel printer alarm nurse call relay connection indicator dvi video di g ital video device connection indicator for connection to independent display msl measurement link connection indicator riflj 12 volt dc lan lan connection, for connection to wireless device lan lan connection indicator for connection to a wired network remote device philips remote device ( speedpoint or alarm device ) connection indicator analog analog interface indicator for connection to any analog video display digital digital interface indicator for connection to any digital video display t antenna connector s3 battery symbol 12v o lan / ser 12 volt dc lan connection indicator for connection to serial interface m non - ionizing radiation symbol © @topic:19


# # # issue - cuff pressure malfunction # # # impact - inability to accurately measure patient vital signs # # # possible causes - * * defective cuff : * * the cuff may not have been properly manufactured or may have been damaged during use or transport - * * clogged or blocked hose : * * the hose may have become clogged with debris or fluid, preventing accurate pressure transmission - * * malfunctioning pressure transducer : * * the transducer may have become misaligned or damaged, leading to incorrect pressure readings - * * electrical fault : * * a loose connection or faulty component in the electrical system may have caused the cuff pressure to malfunction # # # recommendations - * * inspect the cuff : * * check for any visible damage, such as tears or punctures. if the cuff is damaged, it must be replaced. - * * clean or replace the hose : * * clear any debris or fluid from the hose. if the hose is damaged or has deteriorated, it must be replaced. - * * check the pressure transducer : * * inspect the transducer for any signs of misalignment or damage. if the transducer is damaged or not functioning properly, it must be replaced. - * * troubleshoot the electrical system : * * check for any loose connections or faulty components. if a fault is identified, it must be repaired or replaced. @topic:14


# # # issue - defective wheel # # # impact - impaired mobility of the physiologic monitor # # # possible causes - wear and tear - improper maintenance # # # recommendations - replace the defective wheel - regular maintenance and inspection of the monitor's wheels @topic:24


# # # issue : * * * bed is not adjustable * * # # # impact : * * * patient discomfort * * * * * difficulty providing care * * * * * potential safety issues * * # # # possible causes : * faulty remote control * electrical issue with the bed * mechanical issue with the bed # # # recommendations : * * * inspect the remote control for damage or malfunction. * * * * * check the electrical connections to the bed. * * * * * test the bed's mechanical functions to identify any issues. * * * * * consult with a qualified biomedical engineer for further diagnosis and repair. * * @topic:1


# # # issue shortage of cuff and connector for bedside physiologic monitor. # # # impact limited monitoring capabilities and potential patient safety risks. # # # possible causes - insufficient inventory management - increased patient load - wear and tear of existing cuffs and connectors # # # recommendations - conduct a comprehensive inventory review and adjust stock levels accordingly. - establish a regular maintenance schedule for cuffs and connectors. - explore partnerships with vendors to ensure timely delivery of additional supplies. - consider implementing a cuff and connector recycling program to reduce waste. - train staff on proper cuff and connector handling and maintenance techniques. @topic:5


* * issue : * * inability to adjust the bed * * impact : * * the patient is unable to adjust the bed to a comfortable or appropriate position * * possible causes : * * * * * defective remote control wire : * * the wire that connects the remote control to the bed may be damaged, preventing the signals from being transmitted. * * recommendations : * * * * * replace remote control wire : * * the technician should replace the damaged remote control wire with a new one. * * * test functionality : * * after replacing the wire, the technician should test the functionality of the bed to ensure that it can be adjusted as intended. @topic:1


# # # issue - bp ( blood pressure ) is not pumping values. # # # impact - the device is not able to provide accurate bp readings, which can delay or compromise patient care. # # # possible causes - * * test bp : * * the input suggests that the biomedical engineer ( bme ) tested the bp function and found it to be working normally. this indicates that the issue may not be with the bp function itself. - * * other component failure : * * the issue could be caused by a failure in another component of the device, such as a sensor, circuit board, or power supply. - * * miscalibration : * * the device may be miscalibrated, resulting in inaccurate bp readings. - * * incorrect setup : * * the device may not have been properly set up or connected, leading to the bp function not working correctly. - * * user error : * * the user may be making an error when attempting to use the bp function. # # # recommendations - * * further testing : * * the bme should perform additional tests to identify the specific component or issue causing the failure. this may involve using diagnostic tools or isolating different parts of the device. - * * calibration : * * if miscalibration is suspected, the bme should recalibrate the device according to the manufacturer's instructions. - * * check setup : * * the bme should verify that the device is properly set up and connected to ensure correct operation. - * * user training : * * if user error is suspected, the bme should provide training to the user on how to correctly use the bp function. @topic:15


# # # issue - drawer lock latch fell off - wheel lock nut loosened - nurse was unable to open the drawer and one of the wheels was wobbly # # # impact - inability to access medical supplies stored in the drawer - safety hazard due to the wobbly wheel # # # possible causes - wear and tear over time - improper maintenance - manufacturing defect # # # recommendations - regularly inspect and maintain the medical cart - replace worn or damaged parts as needed - ensure that the wheel lock nuts are tightened properly before each use @topic:21


# # # issue - keyboard key m outputs 0 instead of the letter m. # # # impact - inability to input data or commands using the keyboard key m. # # # possible causes - number lock key is activated. # # # recommendations - deactivate the number lock key. @topic:27


# # # issue : scanner on the philips suresigns vs4 monitor is not firing. # # # impact : inability to monitor vital signs accurately, which could delay or misinform patient care decisions. # # # possible causes : - * * scanner malfunction : * * the scanner itself may be faulty, preventing it from firing. - * * port monitor issue : * * the port on the monitor that connects to the scanner may be damaged or malfunctioning, causing a communication error. - * * software glitches : * * software issues within the monitor or scanner can disrupt communication and prevent the scanner from functioning properly. - * * electrical problems : * * intermittent or unstable power supply to the monitor or scanner can cause the scanner to malfunction. - * * physical damage : * * the scanner or its cables may have been damaged during handling or cleaning. # # # recommendations : - * * restart the monitor : * * as recommended by the technician, restarting the monitor may reset any software glitches that could be causing the issue. - * * check port connections : * * ensure that the scanner is securely connected to the correct port on the monitor. if necessary, try connecting it to a different port. - * * test the scanner : * * use a different scanner to determine if the issue lies with the specific scanner or the monitor. - * * examine the cables : * * inspect the cables connecting the scanner to the monitor for any signs of damage or loose connections. - * * troubleshoot software issues : * * contact the manufacturer's technical support for guidance on diagnosing and resolving software - related problems. - * * seek professional assistance : * * if the issue cannot be resolved through these steps, contact a qualified biomedical engineer for further diagnosis and repair. @topic:22


##f numeric ( bis ) 290 on / off 290 realtime 360 recording code 363 selecting the primary lead ( ecg ) 134. t segments 168 selecting the secondary lead ( ecg ) 134 starting and stopping 359 results table ( c. o. ) 226 selftest 73 resuscitation bundle recommendations 353 disposable spo2 191 e - triggering events 337 waveforms recorded 363 2 retrolental fibroplasia ( spo2 ) 199 sensor temperature 264 tcgas 263 review 327 sepsis managem353 calculations 325, 326 reviewing alarm messages 71 reviewing alarms 71 reviewing alarms window 71 rh method 234 ecording events 342 sepsis resuscitation bundle 349, 353 ecommendations 353. reference waves, wedge measurement 222 service mode 36 computation rhythm status messages ( arrhythmia ing ) 157 set combiners 421, 423 repolarsetting the arterial catheter constant right heart thermcardiac output 225, 378 setting the computation constant ( rh ) 234 etting up 41 right heart thermodilution setup ( c. o. ) 233 rule of six 382 trends 311 alarm limits 377 etting up reporrvsw / rvswi 226 calculations 325, 326 choosing paper size 372 setting up the sequence 208 s settings 41, 125, 501 about 41 default 501 monitor 49 measurement settings 39 ecg 133 loops 399, 400, 401 patient trends 311 realtime report 378 re - routing 374 safety information 152, 188, 239 monitor settings 39 is 291. o. / cco 239 screen settings 41 synchronized telemetry and monitor 125 ecg 133 529 ssc guidelines 349 tamb 212 ssc sepsis 349 task window for st map 174 criteria 351 tcereb 212 st 164 short yellow alarms spo2 194 tcgas 263 baseline, @topic:8


# # # issue - the electric hospital bed cannot be adjusted. # # # impact - patients may not be able to access the bed or use it comfortably. - healthcare professionals may have difficulty providing care to patients. # # # possible causes - * * electrical malfunction : * * a problem with the electrical system, such as a loose wire or a faulty component, could prevent the bed from adjusting. - * * mechanical failure : * * a mechanical issue, such as a broken gear or a jammed motor, could also cause the bed to become stuck. - * * user error : * * the bed may not be able to adjust if it is not being operated correctly. # # # recommendations - * * electrical malfunction : * * 1. check the electrical connections to the bed. 2. inspect the electrical components for any signs of damage or wear. 3. replace any faulty components. - * * mechanical failure : * * 1. inspect the mechanical components of the bed for any signs of damage or wear. 2. lubricate any moving parts. 3. replace any broken or damaged components. - * * user error : * * 1. ensure that the bed is being operated according to the manufacturer's instructions. 2. train staff on the proper use of the bed. @topic:1


# # # issue - unable to change the mode of operation of the nibp monitor. # # # impact - inability to accurately measure and record blood pressure readings. # # # possible causes - faulty or damaged mode switch - software or firmware issue - faulty wiring or connections # # # recommendations - verify the integrity of the mode switch by testing its continuity. - check for any loose or damaged connections. - update the software or firmware if an update is available. - if the issue persists, contact the manufacturer for further assistance. @topic:15


# # # issue - deterioration of cuff # # # impact - malfunction of vital signs monitor # # # possible causes - excessive use - improper storage - exposure to moisture # # # recommendations - regularly inspect cuffs for signs of wear and tear - replace cuffs as needed - store cuffs in a dry and cool environment - handle cuffs with care to prevent damage @topic:5


within the hospital environment. the mx400 has a 9 - inch display and the mx450 has a 12 - inch display. both monitors can optionally be equipped with an integrated recorder and have the option to be operated with a single user - replaceable battery. 55 2 what's new? what's new in release j. o flexible, patient - oriented workflow ( with piic ix only ) with the intellivue information center ix, more flexible, patient - oriented workflows are supported for admitting, tracking and transferring patients. this allows you to adapt monitor use to the patient data flow models in your specific facility and department. when the patient monitor is connected to an intellivue information center ix, an extended comparison of patient data allows more intelligent admission and transfer procedures. a find patient key can be used to search through the patient lists at the information center and other connected take over the corresponding data found. flexible transfer a transfer can be initiated in the unit at the monitor, on patient arrival or patient departure, or centrally managing equipment when used together with an information center ix, extended equipment management functionality is now available. depending on how equipment is used in your facility, there are various ways to associate devices with patients, beds or monitors. additionally there are mechanisms to automatically free up equipment that is no longer used. using the new equipment window you have an overview of all equipment being used for a patient, together with data. new nmt module a new nmt module enables the evaluation of muscle relaxation of patients under neuromuscular block by measuring the strength of muscle reaction after electrically stimulating the dedicated motor nerve. alarm functionality enhancements pause yellow alarms ( with piic ix only ) - up until now, the pause alarms / alarms off key switched off or paused all red and yellow alarms. now an alarm priority configuration setting is available to have only yellow alarms affected. pause alarms / @topic:10


# # # issue - adjustable head is not functioning properly # # # impact - inability to properly position the patient for examination or treatment # # # possible causes - electrical fault in the control box - mechanical failure of the head adjustment mechanism - software issue # # # recommendations - replace the control box - inspect and repair or replace the head adjustment mechanism - update the software @topic:1


# # # issue - the respiration graph on the bedside physiologic monitor is not displaying. # # # impact - the lack of a respiration graph prevents healthcare providers from accurately monitoring the patient's respiratory status. # # # possible causes - the leads may not be properly connected to the patient. - the leads may be defective. - the monitor may be malfunctioning. # # # recommendations - check that the leads are properly connected to the patient. - if the leads are properly connected, replace the leads with a new set. - if replacing the leads does not resolve the issue, contact the manufacturer of the monitor for technical support. @topic:22


# # # issue - wheels are stiff. # # # impact - the bed cannot be moved easily. - patient care may be delayed. # # # possible causes - dirt, dust, or debris has accumulated on the wheels. - the bearings in the wheels are worn out. - the wheels are not properly aligned. # # # recommendations - clean the wheels and remove any debris. - lubricate the bearings in the wheels. - align the wheels properly. - replace the wheels if they are worn out. @topic:24


# # # issue - equipment failure : the electrical bed ( beds, electric ) manufactured by huntleigh ( model contoura 390 ) is malfunctioning. # # # impact - the bed is unable to adjust upwards, rendering it unusable for patient care. # # # possible causes - there could be multiple reasons behind the failure, including : - electrical malfunction : a faulty electrical component, such as a motor or circuit board, could be preventing the bed from adjusting. - mechanical issue : mechanical components, like gears or pulleys, may be worn or damaged, inhibiting the bed's movement. - software glitch : a software error or corrupted firmware could be causing the bed to malfunction. # # # recommendations - * * troubleshooting and repair : * * the bme ( biomedical engineer ) should conduct a thorough inspection and diagnostic testing to identify the specific cause of the failure. based on the findings, appropriate repairs or replacements should be made to restore the bed to working condition. - * * preventive maintenance : * * regular preventive maintenance and inspections can help identify potential issues early on, reducing the likelihood of unexpected failures. the bme should establish a maintenance schedule and conduct regular checks to ensure the bed remains in optimal condition. - * * training and education : * * ensure that healthcare staff is adequately trained on the proper use and handling of the bed to minimize the risk of accidental damage or misuse. - * * follow - up and monitoring : * * after repairs are made, the bme should closely monitor the bed's performance to ensure that the issue has been resolved and the bed is functioning as expected. regular follow - up inspections and testing can provide reassurance and early detection of any recurring problems. @topic:9


... snap - in vendor certificates - current user microsoft cor... activex control remove authorization manager microsoft cor... microsoft cor... certificates component services move up microsoft cor... computer managem... microsoft cor... move down device manager microsoft cor... microsoft and.. add > disk management microsoft cor... event viewer foldemicrosoft cor... group policy object... microsoft cor... microsoft cor... ip security monitor ip security policy m... microsoft cor... microsoft cor... ink to web address advanced... description : the certificates snap - in allows you to browse the contents of the certificate stores for yourself, a service, or a computer. ok cancel in the next dialog box, select computer account and click next. 5. select local computer and click finish. 6. from the " add or remove snap - ins " window, click ok. 7. click to view the certificates folder. when you open any certificates folder, you will see certificates displayed in the right pane. 8. import / install the ca root certificate into the following folder : certificates ( local computer ) > trusted root certification authorities > certificates. consolel [ console root \ certificates current user \ trusted root certification authorities \ certificates ] file action view favorites window help [UNK] x window help console root issued bissued to expiration date intende int a certificates - current user personal ntrust root cert11 / 27 / 2006 × nt a certificates entrust. net certifica ht a general details certification path trusted root certification certificates equifax secure cert geo trust global ca e si nt a enterprise trust ht a intermediate certificaactive directory user obje trusted publishers certificate information ht a this @topic:10


# # # issue - the electric bed ( beds, electric ) from hill - rom ( band ) and model centuris cannot be adjusted. # # # impact - the bed is essential for patient care and comfort, so its malfunction can have a negative impact on patient outcomes and satisfaction. # # # possible causes - defective control box : the control box is responsible for regulating the bed's movements. if it is faulty, the bed may not be able to adjust properly. - faulty wiring : the wiring that connects the control box to the bed may be damaged, causing the bed to malfunction. - mechanical problems : the bed's mechanical components, such as the motors or gears, may be worn out or damaged, preventing the bed from adjusting properly. # # # recommendations - replace the control box : if the control box is found to be defective, it should be replaced with a new one. - check the wiring : the wiring should be inspected for any damage and repaired or replaced as necessary. - inspect the mechanical components : the bed's mechanical components should be inspected for any wear or damage. any worn or damaged components should be replaced. * * additional information * * - the technician has already replaced the control box and found that the bed is now functioning properly. - the hospital has been granted a 15 % discount on the repair. @topic:1


# # # issue - the nibp monitor is not receiving power. # # # impact - the nibp monitor cannot be used to measure blood pressure. # # # possible causes - the power cord is not plugged in. - the power cord is damaged. - the power supply is not functioning properly. - the nibp monitor is not receiving power from the outlet. # # # recommendations - check to make sure that the power cord is plugged into the outlet and that the power switch is turned on. - inspect the power cord for any damage. if the power cord is damaged, it should be replaced. - check to make sure that the power supply is functioning properly. if the power supply is not functioning properly, it should be replaced. - check to make sure that the nibp monitor is receiving power from the outlet. if the nibp monitor is not receiving power from the outlet, the outlet should be checked for any problems. @topic:15


# # # issue - monitor no link # # # impact - the inability to link the monitor to the central station can affect patient monitoring and timely intervention in critical situations. # # # possible causes - incorrect cl address # # # recommendations - verify the correct cl address is set on the monitor. - check the network configuration to ensure proper communication between the monitor and the central station. - if the issue persists, contact the manufacturer for technical support or further troubleshooting. @topic:16


# # # issue the beds, electric model 900b manufactured by hill - rom is not charging. # # # impact the bed is unusable, which could impact patient care. # # # possible causes - the charging cable is not properly connected. - the charging port on the bed is damaged. - the battery is not functioning properly. - the electrical outlet is not working. # # # recommendations - check the charging cable and make sure it is properly connected. - inspect the charging port on the bed for any damage. - test the battery to see if it is functioning properly. - check the electrical outlet to make sure it is working. * * additional notes : * * - the bed is located in room 2e. - the person responsible for this issue is bme chaivat. - the issue was reported on 27 / 10 / 2022. @topic:9


# # # issue - * * remote sticker damage * * # # # impact - * * difficulty using the remote control * * # # # possible causes - * * wear and tear * * - * * accidental damage * * # # # recommendations - * * replace the remote sticker * * - * * handle the remote control with care * * - * * store the remote control in a safe place * * @topic:7


# # # issue - spo2 cable is torn. # # # impact - unable to measure patient's oxygen saturation level. # # # possible causes - physical damage due to excessive bending or pulling of the cable - improper storage or handling - wear and tear over time # # # recommendations - inspect the cable regularly for any visible damage. - handle the cable with care, avoiding sharp bends or excessive pulling. - store the cable properly, avoiding exposure to extreme temperatures or moisture. - consider using a cable protector or wrap to prevent damage. - replace the cable if it is damaged beyond repair. - train staff on proper usage and handling of the equipment to prevent future damage. @topic:4


# # # issue - monitor displays " add patient " message repeatedly during case. # # # impact - interrupts workflow and delays patient care. # # # possible causes - * * faulty sensor : * * a malfunctioning sensor may be sending incorrect signals to the monitor, causing it to display the " add patient " message. - * * software glitch : * * a software bug or error in the monitor's operating system may be causing it to display the message. - * * communication error : * * a communication issue between the monitor and other equipment, such as the bed or anesthesia machine, may be preventing the monitor from receiving patient data. - * * user error : * * the monitor may have been improperly set up or configured, leading to the " add patient " message. # # # recommendations - * * check sensors : * * inspect the sensors connected to the monitor and ensure they are properly attached and functioning correctly. - * * update software : * * verify that the monitor's software is up to date and install any necessary patches or updates. - * * troubleshoot communication : * * confirm that the monitor is communicating properly with other equipment. consult the user manual or technical support for specific troubleshooting steps. - * * review settings : * * check the monitor's settings to ensure they are correct and appropriate for the patient's condition and the surgical procedure being performed. - * * consult technical support : * * if the issue persists, contact the manufacturer's technical support for assistance with troubleshooting and repair. @topic:2


# # # issue : - intermittent loss of signal during patient monitoring # # # impact : - inaccurate patient monitoring data - potential for patient safety concerns - delay in diagnosis and treatment # # # possible causes : - * * intermittent failure of the spo2 sensor cable due to internal cable breaks * * # # # recommendations : - * * replace the spo2 sensor cable * * - inspect the cable for any visible damage or wear - ensure the cable is properly connected to the monitor and the patient - consider using a different spo2 sensor cable to rule out cable - related issues @topic:4


” on page 8 - 15. 3. cut the plastic zip tie securing the speaker and fan wires to the handle and remove the two torx t20 screws and washers. 8 - 22 repairing the monitor rear case disassembly procedures 4. remove the handle from the rear case. caution when replacing the handle, check the condition of the o - ring that seals the monitor from moisture. if it is cut or damaged, replace it with a new one from the small parts kit. see chapter 9, replacement parts. repairing the monitor 8 - 23 main pcb assembly / disassembly procedures main pcb assembly / disassembly procedures this section describes how to remove items in the main pcb assembly. you can replace these parts : part part number vm4 front end assembly 4535 640 20331 vm6 / vm8 front end assembly 4535 640 20351 sp0 2 board 4535 640 20531 power supply 4535 640 20471 main pcb 4535 640 20451 nbp module with filter 4535 640 20461 nbp filter replacement 4535 640 41171 ac power connector 4535 640 20221 communications ( lan ) board 4535 640 20431 battery connector board 4535 640 20271 dc in cable 4535 640 20291 see chapter 9, replacement parts for a complete list ( including part numbers ) of spare parts. removing the front end assembly caution after replacing the front end assembly, you must recalibrate the monitor by programming the ibp and temperature gain / offset values into the main pcb. for information, see “ calibrating the monitor ” on page 5 - 18. in order to remove the plastic patient connector panel from the front end assembly or spc > 2 board, you must remove the front end assembly from the main pcb assembly. 1. separate the front and rear @topic:19


# # # issue * * broken ear thermometer * * # # # impact - inability to accurately measure body temperature - potential delays in diagnosis and treatment - increased risk of infection # # # possible causes - * * physical damage : * * ear thermometer may have been dropped, knocked over, or otherwise damaged. - * * electrical malfunction : * * a short circuit or other electrical issue may have caused the thermometer to break. - * * software error : * * a bug in the thermometer's software may have caused it to fail. - * * manufacturing defect : * * the ear thermometer may have had a defect that caused it to break. # # # recommendations - * * inspect the ear thermometer : * * check for any visible damage, such as cracks, dents, or broken wires. - * * test the ear thermometer : * * if the ear thermometer appears to be undamaged, test it with a known - good temperature source to ensure it is working properly. - * * contact the manufacturer : * * if the ear thermometer does not appear to be working properly, contact the manufacturer for troubleshooting and repair options. - * * purchase a new ear thermometer : * * if the ear thermometer cannot be repaired, purchase a new one to ensure accurate temperature measurements. @topic:20


* * issue : * * medical cart's drawer does not rebound ( pop open ). * * impact : * * compromises the functionality of the medical cart, making it difficult to access equipment and supplies stored in the drawer. * * possible causes : * * * * * friction in the solenoid coil : * * accumulation of dirt, debris, or moisture can cause friction in the coil, preventing it from operating smoothly. * * * solenoid coil damage : * * physical damage to the coil, such as a broken wire or loose connection, can also prevent it from functioning properly. * * * electrical issue : * * a faulty electrical connection or component, such as a damaged wire or blown fuse, can interrupt power supply to the solenoid coil. * * recommendations : * * * * * clean and lubricate : * * disassemble the drawer mechanism and clean any dirt or debris from the solenoid coil and surrounding components. apply a suitable lubricant, such as wd40, to reduce friction. * * * inspect and repair : * * examine the solenoid coil for any visible damage or loose connections. if necessary, replace the coil or repair any damaged components. * * * check electrical connections : * * ensure that all electrical connections are secure and that the cart is receiving power. if necessary, troubleshoot and repair any electrical issues. * * * test and monitor : * * after performing repairs, thoroughly test the drawer mechanism to ensure it rebounds properly. monitor the cart over time to identify any recurring problems. @topic:21


separating the front and rear case assemblies ” on page 8 - 10. 2. remove the lcd display. see “ removing the lcd ” on page 8 - 41. 3. pull the wheel off of the stem. repairing the monitor 8 - 43 4. remove the locking nut and washer. 6. press the stem while lifting off the wheel assembly. front case disassembly procedures note — when reattaching the wheel, line lip the flat side of the wheel to the flat side of the metal wheel stem. removing the backlight board to remove the backlight board : 1. separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 8 - 10. repairing the monitor 8 - 45 front case disassembly procedures 2. remove two phillips head screws and the cables holding the backlight board to the lcd. 3. pull the board away from the lcd assembly. note — the following shows the backlight board, screws, and cables on the suresigns vm8 monitor lcd. 8 - 46 repairing the monitor 9 replacement parts overview this chapter describes the parts that are replaceable on the suresigns vm patient monitors. it also provides schematic diagrams of the front and rear case assemblies. in this chapter • spare parts. 9 - 2 • power supply cords. 9 - 9 • exchange parts. 9 - 10 replacement parts 9 - 1 spare parts spare parts the following table lists the suresigns vm patient monitor spare parts and their philips part numbers. see figure 9 - 1 through figure 9 - 5 for the item numbers that correspond to each spare part in the list. part number description item 4535 640 20221 ac power input module 21 4535 640 20241 vm4 / vm6 backlight pcb - lcd 9 4535 640 31011 vm8 back @topic:19


# # # issue wave ekg trace not being displayed on the monitor # # # impact patient monitoring is compromised as the ekg trace is a vital sign that provides information about the patient's heart activity. this can put the patient at risk if their cardiac condition changes and is not promptly detected. # # # possible causes - damaged or dirty ekg leads or electrodes - loose connections at the electrode sites, lead wires, or monitor input - faulty ekg module or circuitry within the monitor - interference from other electrical devices # # # recommendations 1. check the ekg leads and electrodes for damage or dirt. clean or replace as necessary. 2. ensure that all connections are secure at the electrode sites, lead wires, and monitor input. 3. troubleshoot the ekg module or circuitry within the monitor following the manufacturer's instructions or by contacting technical support. 4. identify and eliminate any sources of electrical interference that may be affecting the ekg signal. @topic:18


# # # issue the bedside physiologic monitor, philips intellivue mp70 ( m8007a ), is unable to turn on. # # # impact the failure of the bedside physiologic monitor may result in the inability to monitor vital patient parameters, such as heart rate, blood pressure, and oxygen saturation. this can compromise patient safety and timely medical intervention. # # # possible causes 1. * * power supply issue : * * - faulty power cord or electrical outlet - internal power supply failure 2. * * hardware malfunction : * * - damaged motherboard or other electronic components - faulty sensors or cables 3. * * software issue : * * - corrupted operating system or software bugs 4. * * environmental factors : * * - excessive heat or moisture - voltage fluctuations # # # recommendations 1. * * troubleshooting basic issues : * * - check the power cord and electrical outlet - try connecting the monitor to a different power source 2. * * hardware inspection : * * - inspect for any visible damage to the motherboard or other components - reseat any loose connections or cables 3. * * software updates : * * - check for any available software updates and install them 4. * * environmental control : * * - ensure the monitor is operated within the specified temperature and humidity range - protect the monitor from voltage fluctuations using a surge protector 5. * * technical support : * * - contact the manufacturer's technical support for further assistance and potential repairs @topic:2


# # # issue - the cause of failure is that the bed plug is damaged 6a. # # # impact - the bed may not be able to function properly, which could lead to patient discomfort or injury. # # # possible causes - the bed plug may have been damaged due to wear and tear, or it may have been damaged by a power surge. # # # recommendations - replace the bed plug with a new one. - inspect the bed's electrical system for any other damage. - test the bed to make sure it is functioning properly before putting it back into service. @topic:9


# # # issue the electric bed is unable to adjust the head downward. # # # impact the patient's comfort and mobility may be affected as they are unable to adjust the head of the bed to a desired position. # # # possible causes - faulty control system - malfunctioning motor or actuator - loose or damaged wiring - software glitch - mechanical obstruction # # # recommendations - check the control system for any loose connections or damage. - inspect the motor or actuator for any signs of wear or damage. - examine the wiring for any breaks or loose connections. - update the software if necessary. - remove any mechanical obstructions that may be preventing the head from adjusting. @topic:1


. • the host monitor is the master of all adt information. adt operations on the x2 or mp5 are disabled, and any pending actions on the x2 or mp5 ( for example, admit or end case ) are cancelled. • the date and time of the x2 or mp5 is synchronized with that of the host monitor. 44 2 what ’ s new? this section lists the most important new features and improvements to the monitor and its user interface introduced with each release. further information is provided in other sections of this book. you may not have all of these features, depending on the monitor configuration purchased by your hospital. what ’ s new in release g. o? short range radio interface for mp5 and x2 a telemetry transceiver with a short range radio adapter can now be assigned to an mp5 or x2 which is connected ( via companion mode ) to a larger host monitor ( mp20 - mp90 ). the data from the telemetry transceiver are displayed on the host monitor with a minimal delay. intellibridge module ( mp40 / 50, mp60 / 70, mp80 / 90 ) the new intellibridge ec 10 module transmits information from a connected external device to your monitor. 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. intravascular oxygen saturation measurement ( mp40 / 50, mp60 / 70, mp80 / 90 ) the new m1011a s0 2 module extends the continuous measurement of intravascular oxygen saturation to the mp40 / 50 class of intellivue patient monitors. the measurement label is selectable for different measurement locations and provided to the ssc sepsis protocol. histogram trend trended values @topic:10


# # # issue the remote control for the electric bed is not working. # # # impact a patient may not be able to properly rest in the bed. # # # possible causes - the remote control is damaged. - the batteries in the remote control are dead. - the receiver in the bed is not working. # # # recommendations - replace the remote control. - replace the batteries in the remote control. - inspect the receiver in the bed for damage. @topic:7


and a visible p wave. use the up and down arrow keys to scroll through the st snippets for the other ecg leads. 3 use the select point pop - up key to scroll through the points and activate the point you need to adjust, then use the left and right arrow keys to move the measurement point. each point is highlighted while active. st label and the st numeric that would apply using the current points \ l adjust st points x lmv calibration bar cursors for adjusting st points timestamp of most. recent st point adjustment st points adjusted at 04 apr 07 11 : 38, iso point - 80 j point 48 st point j + 60 highlighted st point the iso - point cursor positions the isoelectric point relative to the r - wave peak. the relation is shown beside the iso - point in milliseconds. position the iso - point in the middle of the flattest part of the baseline ( between the p and q waves or in front of the p wave ). 149 6 ecg, arrhythmia, st and qt monitoring st alarms the j - point cursor positions the j - point relative to the r - wave peak. it helps you to correctly position the st - point. position the j - point at the end of the qrs complex and the beginning of the st segment. the j - point cursor is not available if your monitor is configured to let you set the st point directly. to position the st - point relative to the j - point : select either j + 60 or j + 80. select j point and use the arrow keys to move the j - point and position the st - point at the midpoint of the st segment. to position the st - point directly : select st point and use the left and right arrow keys to position the st point at the mid @topic:8


# # # issue - medical cart malfunction # # # impact - interruption of patient care - inconvenience for healthcare professionals # # # possible causes - electrical fault - software glitch - damaged components # # # recommendations - inspect the electrical connections and ensure they are secure. - update the software to the latest version. - replace any faulty components. - perform regular maintenance and inspections to prevent future failures. @topic:13


# # # issue - cuff does not stay attached. # # # impact - patient may not receive accurate vital sign readings. # # # possible causes - cuff is old or damaged. - cuff is not properly attached. # # # recommendations - inspect the cuff for damage and replace if necessary. - ensure that the cuff is properly attached to the patient. @topic:5


deterministic bandwidth allocation / reservation mechanisms so that the real - time characteristic of signal data and control data exchange is guaranteed. this applies to the data flow from the measurement server to the monitor ( for example measurement signal data ) and the data flow from the monitor to a measurement server ( for example to feed data to a recorder module ). integrated communication hubs in the monitor allow flexible cabling options ( star topology, daisy chaining of servers ). mdse internal lan philips clinical network the monitoring system may be connected to the philips clinical network, for example to provide central monitoring capabilities or other network services. this connection may be through a normal wired connection or through a wireless connection. the monitor supports the connection of an external wireless adapter or an internal wireless adapter ( # j35 ). switching between wired and wireless networks is automatically triggered by the plugging or unplugging of the network cable. the philips clinical network protocols function very similarly to the protocols used on the internal lan. after configuration, the monitoring system sends the digitized patient signals including wave data, numerical data and status information onto the network. control data representing user interactions can be exchanged between the monitoring system and a central station bi - directionally. additional protocols are supported for networked applications, for example for the other bed overview function, which allows viewing of monitoring data from other patients on the network. 29 2 theory of operation monitor theory of operation for plug and play operation, the monitoring system uses the standard bootp protocol to automatically acquire a network address. how does the support tool work with the monitor the support tool is a windows application typically installed on the laptop of a customer engineer or a biomedical engineer working in the customer ’ s own service department. the purpose of the support tool is to upgrade, configure and diagnose all monitoring components ( modules, measurement servers, and monitors ) in the system over the network. @topic:10


# # # issue - battery health is below - 1. # # # impact - device may not be able to operate properly. # # # possible causes - battery is old or damaged. - battery is not properly connected. - battery is not compatible with the device. # # # recommendations - replace the battery. - check the battery connections. - ensure that the battery is compatible with the device. @topic:11


# # # issue - module not reading ekg values # # # impact - inability to monitor patient's ekg - potential for missed or delayed diagnosis - increased risk of adverse events # # # possible causes - main board failure - loose or damaged wiring - software glitch # # # recommendations - replace the main board - inspect and secure all wiring connections - update the software, if necessary - conduct regular maintenance and inspections to prevent future failures - consider using backup monitoring equipment in case of failure @topic:18


# # # issue - the wheels of the monitor are stuck and cannot move smoothly. # # # impact - the monitor cannot be moved easily, which can be a hindrance in a clinical setting where mobility is important. # # # possible causes - lack of lubrication : the wheels may not have been lubricated properly, causing them to stick. - debris or foreign objects : there may be debris or foreign objects stuck in the wheels, preventing them from moving freely. - mechanical failure : there may be a mechanical failure in the wheels or the mechanism that controls their movement. # # # recommendations - lubricate the wheels : apply a suitable lubricant to the wheels to reduce friction and allow them to move smoothly. - check for debris or foreign objects : inspect the wheels for any debris or foreign objects that may be obstructing their movement. remove any obstructions found. - inspect the mechanical components : if lubrication and debris removal do not resolve the issue, inspect the mechanical components of the wheels and the mechanism that controls their movement. look for any signs of damage or wear and replace or repair as necessary. @topic:24


# # # issue - damaged basket due to loose nut. # # # impact - the device may not be able to function properly. - the device may not be able to be used at all. # # # possible causes - the nut may have been loose due to wear and tear. - the nut may have been loose due to improper installation. - the nut may have been loose due to a manufacturing defect. # # # recommendations - inspect the device regularly for loose nuts. - tighten loose nuts as necessary. - replace damaged nuts as necessary. - train staff on proper installation of the device. - contact the manufacturer if you suspect a manufacturing defect. @topic:24


rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 8 - 10 2. remove the main pcb assembly. see “ removing the main pcb assembly ” on page 8 - 15. 8 - 24 repairing the monitor main pcb assembly / disassembly procedures 3. turn the main pcb assembly around and disconnect the tubing from the nbp manifold. 4. remove the two torx t10 screws and washers holding the front end assembly to the main pcb assembly metal case. front end assembly screws repairing the monitor 8 - 25 main pcb assembly / disassembly procedures 5. pull the front end assembly away from the 40 - pin connector on the side of the main pcb board. removing the front end assembly cover to remove the front end assembly cover : 1. separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 8 - 10 2. remove the main pcb assembly. see “ removing the main pcb assembly ” on page 8 - 15. 3. remove the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 8 - 26 repairing the monitor main pcb assembly / disassembly procedures 4. remove the two torx t10 screws holding the plastic cover to the front end assembly board 5. snap the cover off of the front end assembly by inserting a small slot screwdriver into the two catches at the bottom of the cover. repairing the monitor 8 - 27 main pcb assembly / disassembly procedures 6. to reattach, line up the openings in the plastic cover with the patient connector tabs and snap the cover into place by pressing it onto the assembly. removing the sp0 2 board to remove the sp0 2 board : 1. separate the front and @topic:19


exceeds the set limit for more than 5 minutes. the aqtc alarm is generated when the difference between the current value and the baseline value exceeds the set limit or more than 5 minutes. the cannot analyze qt inop and the -? - will be displayed when no qt measurement could be calculated for 10 minutes. up to this time the previous valid value will be displayed. the following additional messages on the cause of the invalid measurements may also be displayed. additional message cause of invalid qt measurement qt startup 1 not all specified leads needed to perform qt analysis are available, or 2 not enough valid qrs complexes to generate a qt measurement not enough valid rr intervals to generate qt - hr, the averaged hr used for qtc calculation too few n labeled beats invalid rhythm for qtc igh qt - hqt - hr exceeds the specified upper limit of 150 bpm ( for adults ) or 180 bpm ( for neonates and pediatrics ) small r wave r - wave of the signal is too small t - wave of the signal is too small small t wave end of the t - wave cannot be accurately detected nd of t not detectqt measurement is outside the specified range of valid qt values ( 200 - 800 msec ) qt out of range qtc out of range qtc measurement is outside the specified range of valid qtc values ( 200 - 800 msec ) 178 6 ecg, arrhythmia, st and qt monitoring each qtc alarm can be switched off individually. to switch an alarm on or off, in the setup qt analysis menu, select qtc high alarm or aqtc high d off. set the high alarm limits based on your assessment of the patient's clinical condition, unit protocols, physician orders or medication specified limits. in the setup qt analysis menu, select qtc high limit. 1 select @topic:8


# # # issue - unclear cause of failure # # # impact - inability to use the physiologic monitor - potential impact on patient care # # # possible causes - lack of clear documentation on the installation process - miscommunication between the vendor and the hospital staff - incompatible software or hardware - defective equipment # # # recommendations - review the installation documentation and ensure that all steps were followed correctly - contact the vendor for clarification on the installation and configuration process - verify the compatibility of the software and hardware - test the equipment thoroughly before putting it into service - train the staff on the proper use of the equipment @topic:2


# # # issue - device failure due to battery replacement. # # # impact - interruption of patient monitoring. - potential safety hazard if device is unable to provide accurate information. # # # possible causes - battery not properly installed. - incorrect battery type used. - battery not compatible with the device. - electrical fault in the device. # # # recommendations - ensure that the battery is properly installed according to the manufacturer's instructions. - use the correct battery type and voltage. - check the compatibility of the battery with the device. - inspect the device for any electrical faults. - if the problem persists, contact the manufacturer for further troubleshooting. @topic:11


system or use of an external isolation transformer attached to the safety test device. s ( 4 ) : applied part leakage current - mains on applied part note during measurement of the applied part leakage current it is possible that the measured current can exceed the allowed limit ( per lec / en 60601 - 1 or lec / en 62353 ). this can occur when the safety tester is connected to the invasive blood pressure and temperature connectors at the same time during the applied leakage current measurement. the connectors for the invasive blood pressure and temperature are independently functioning connectors. although there are individual connectors on the front end, internally those parameters use the same electrical insulation interface and are hardwired to each other. this results in an electrical short of those connectors during measurement if a test current is applied simultaneously. therefore this should be avoided. due to the combined insulation interface, it is sufficient to connect to only one parameter interface ( that is. invasive blood pressure or temperature ) of the invasive blood pres sure / temperature measurement block. this avoids a short and the potential of exceeding the limit for the current. test to perform : measuring circuit for the measurement of applied part leakage current - direct method according to lec / en 62353. 50 3 testing and maintenance ] this test measures applied part leakage current from applied part to earth caused by external main voltage on the applied part. each polarity combination possible shall be tested. this test is applicable to each applied part tested and results recorded in turn with all other applied parts left floating. applied parts with multiple connections ( e. g. egg ) are tested with the connections short - circuited. there are no parts of the equipment that are not protectively earthed. this safety test is based on lec / en 62353. for measurement limits and test voltage, refer to safety ( 4 ) test @topic:10


# # # issue the cause of failure is not clearly stated. # # # impact the device may not be functioning properly, which could impact patient care. # # # possible causes - the device may have been damaged during shipping. - the device may not be compatible with the other devices in the hospital. - the device may have a manufacturing defect. # # # recommendations - inspect the device for any damage. - check the device's compatibility with the other devices in the hospital. - contact the manufacturer for troubleshooting assistance. @topic:12


# # # issue - the medical cart is unable to connect to hardware. # # # impact - the medical cart is unable to be used for its intended purpose. # # # possible causes - * * the power board is not properly connected to the medical cart. * * - * * the power board is faulty. * * - * * the hardware is faulty. * * # # # recommendations 1. * * check the power board connections. * * make sure that the power board is properly connected to the medical cart. 2. * * reset the power board. * * press the blue button on the power board to reset it. 3. * * restart the medical cart. * * once the power board has been reset, restart the medical cart. 4. * * test the hardware. * * once the medical cart has been restarted, test the hardware to make sure that it is working properly. 5. * * if the problem persists, contact a qualified biomedical engineer. * * @topic:13


# # # issue : bed, electric not responding # # # impact : patient care may be delayed or compromised # # # possible causes : - equipment malfunction ( error 3 ) - power supply issue - software or firmware issue - user error # # # recommendations : - check power supply and connections - reset the equipment and run diagnostics - contact the equipment manufacturer for support - train staff on proper use of the equipment @topic:9


# # # issue * the bed electric raillings are not locking # # # impact * patient safety hazard * increased risk of falls and injury # # # possible causes * broken or damaged spring * worn or damaged detent ball * misaligned or bent railing * loose or missing screws # # # recommendations * inspect the railing and hardware for damage or wear * replace the spring or detent ball if needed * realign or straighten the railing * tighten or replace any loose screws * test the railing to ensure it is functioning properly and locks securely @topic:6


* * issue : * * * cuff on the bedside physiologic monitor is damaged * * impact : * * * affected patients may not receive accurate physiological data * monitoring of vital signs may be compromised * patient safety may be at risk * * possible causes : * * * cuff is old and worn out * cuff is punctured or torn * cuff is not properly connected to the monitor * * recommendations : * * * replace the damaged cuff with a new one * regularly inspect and maintain the cuff to prevent future failures * follow the manufacturer's guidelines for cuff maintenance and replacement @topic:5


ms angkok dusit medical sermedication cart = medication cart [UNK] [UNK] [UNK] - [UNK] [UNK] 1 [UNK] [UNK] * [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] medication cart ≡ [UNK] - [UNK] [UNK] [UNK] [UNK] power on [UNK] - [UNK] [UNK] [UNK] [UNK] 2 - 3 วนาท [UNK] shut down [UNK] [UNK] [UNK] power off [UNK] 4 [UNK] [UNK] power off [UNK] 4 วนาท [UNK] - [UNK] [UNK] bluetooth - เมาส [UNK] usb port - [UNK] [UNK] 21. 5 นว [UNK] hdmi port [UNK] [UNK] 6 [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 3 [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 081 347 4731 email : daraporn. ko @ savedrug. co. th dms bangkok dusit medical services [UNK] [UNK] - [UNK] [UNK] 2 [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] - ลง [UNK] [UNK] [UNK] - [UNK] [UNK] 2 [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 2 [UNK] [UNK] [UNK] [UNK] 081 347 4731 email : daraporn. ko @ savedrug. co. th dms bangkok dusit medical services [UNK] medication [UNK] power on [UNK] [UNK] - [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 2 - 3 วนาท [UNK] [UNK] [UNK] shut down [UNK] [UNK] power off [UNK] 4 วนาท [UNK] [UNK] [UNK] med cart 1. 0. 0. 2 + dms การลอกอน ( [UNK] username [UNK] password | | password login med cart 100. 2 0 lll 100 % dmin admin [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] เวลาทลอกอน [UNK] 6 [UNK] 1 2 og in 12 - 11 - 2010 14 : 58 : 01 keyboard light te4 3 6 5 logout upated 2009 - 11 - 1215014 3 [UNK] [UNK] [UNK] [UNK] 081 347 4731 email : daraporn. ko @ savedrug. co. th bdms angkok dusit medical ser * @topic:13


# # # issue electric bed is not adjusting # # # impact patients may be uncomfortable or unable to get in or out of bed safely # # # possible causes - loose or disconnected electrical connection - power failure - malfunctioning motor - faulty control panel - software glitches - damaged actuator - damaged wiring harness # # # recommendations 1. inspect the electrical connections and ensure they are secure and tight. 2. check if the bed is receiving power from the wall outlet. 3. listen for any unusual sounds or noises coming from the motor. 4. examine the control panel for any visible signs of damage or malfunction. 5. update the software if necessary. 6. replace the actuator if it is damaged. 7. repair or replace the damaged wiring harness. @topic:1


# # # issue * * failure of weight scale function on an electric bed * * # # # impact * inability to accurately monitor patient weight, which is essential for accurate medication dosing, nutritional support, and other medical interventions * [UNK] [UNK] [UNK] [UNK], [UNK] [UNK] [UNK] [UNK] 人 [UNK] [UNK] 法 [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 的 [UNK] [UNK] # # # possible causes * failure of load cells or other weight - sensing components * electrical connection issues * software malfunction * incorrect calibration # # # recommendations * inspect the load cells and wiring for damage or loose connections * run diagnostic tests on the bed's electrical system * update or reinstall the bed's software * calibrate the bed's weight scale according to the manufacturer's instructions * consult with the manufacturer or a qualified biomedical engineer for further troubleshooting and repairs @topic:25


# # # issue - medical cart fails to boot. # # # impact - the medical cart cannot be used to transport patients or equipment. - this can impact patient care and hospital operations. # # # possible causes - the boot device is not detected. - the operating system is corrupted. - the hardware is faulty. # # # recommendations - verify that the boot device is properly connected. - attempt to restart the medical cart. - if the medical cart still fails to boot, contact the manufacturer for support. @topic:13


* * issue : * * excessive noise produced by the equipment's wheels * * impact : * * - potential disturbance or discomfort to patients, staff, and visitors - difficulty in monitoring patient's vital signs due to background noise * * possible causes : * * - insufficient or lack of lubrication on wheel bearings - worn or damaged wheel bearings - loose or misaligned wheels - accumulation of debris or foreign objects in the wheel mechanism - manufacturing defect in the wheels or bearings * * recommendations : * * - thoroughly lubricate all wheel bearings as per manufacturer's instructions - inspect and replace worn or damaged wheel bearings - ensure proper alignment and tightening of wheels - regularly clean and remove any debris or foreign objects from the wheel mechanism - contact the manufacturer for further troubleshooting and potential replacement of defective components if necessary @topic:24


. exchanging / removing the dc / dc board note the hw rev c mms ( s / n prefix de610xxxxx ) does not have a separate dc / dc board anymore. the dc / dc board is connected to the main board. loosen the pin connection to the main board and remove the dc / dc board by gently lifting it up. avoid touching the surface of the board. set it aside where it is lsd protected. 189 [ 5 repair and disassembly ] removing the msl flex assembly 1 after the dc / dc board is removed, lift up the msl frame connector to which the msl flex is attached. at the beginning there might be resistance due to the special fixing mechanism shown in the picture below 2 lift up the flex connector carefully. do not bend the connector pins on the main board. 190 5 repair and disassembly ) removing the nbp pump 1 remove the pump by lifting it up. set the pump aside. also remove the old silicon tubes. 2 remove the connector of the nbp pump assembly. the connector may sit tightly. gently loosen the connector. removing the keypad 1 remove the keypad by lifting it straight up. rigid keypad connection flexible keypad connection note the rubber sealing and the guides ( marked with red circles ) may hold the keypad firmly in place. therefore it may be necessary to loosen the keypad first. do this carefully to avoid any damage. 191 [ 5 repair and disassembly ] removing the main board 1 lift up the main board as shown below then turn it over and continue with step 2. 2 remove the connectors to the main board starting from the right side. removing the measurement board 1 position the mms with the connectors facing towards you. there are four long mounting pins threaded into the mms in each of the four corners under the cover. locate @topic:19


# # # issue - monitor does not display any image. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - loose hdmi cable connection. # # # recommendations - check the hdmi cable connection between the monitor and the medical cart. - if the cable is loose, reconnect it securely. - if the cable is damaged, replace it. @topic:13


# # # issue - physiologic monitor ( bedside ) not functioning due to error message. # # # impact - inability to monitor patient's vital signs ( e. g., heart rate, blood pressure, oxygen saturation ). # # # possible causes - dirty contrac screen - error in the monitor's software or hardware - loose connections within the monitor - faulty sensors # # # recommendations - clean the contrac screen with an appropriate cleaning agent. - check the monitor's software and hardware for any updates or repairs. - inspect the monitor's connections for any loose or damaged wires. - replace any faulty sensors as necessary. @topic:2


properly in the required configuration. make sure that the hill - rom® 900 bed functions correctly when used in the vicinity of other electric appliances. mobile and portable radio frequency ( rf ) communication equipment may damage the electric medical equipment. electric medical equipment demands special precautions regarding electromagnetic compatibility ( emc ) and must be installed and used in accordance with the emc - related information contained in this manual. the use of accessories, transducers and cables other than those specified, apart from the transducers and cables sold by the manufacturer of these devices, such as replacements of internal components, may result in an increase and / or reduction of he hill - rom® 900 bed. manufacturer's guide and declaration – electromagnetic emissions - - the hill - [UNK] 900 is designed for use in the electromagnetic environment specified below. users must ensure that the bed is used in this environment. emission test compliance roup 1 the hill - [UNK] 900 only uses radio electric power for its internal functions. consequently, it only produces very weak rf emissions that are unlikely to cause interference with nearby electronic equipment. the hill - [UNK] 900 can be used in all places other than domestic premises and premises that are directlconnected to the low voltage public mains power network used to supply domestic buildings. rf emissions ispr 11 cispr 11 rf class a emissions harmonic emissions class a iec 61000 - 3 - 2 pplicable flicker iec 61000 - 3 - 3 the hill - [UNK] 900 is not designed to be connected to other equipment. o cispr 14 - 1 rf compliant emissions compliance with electromagnetic immunity manufacturer's guide and declaration - electromagnetic immunity the hill - [UNK] 900 is designed for use in the electromagnetic environment specified below. users must ensure that the bed is used in this environment. iec 60601 severity compliance electrostatic discharges iec 61000 - 4 - 2 6 kv on contact 8 kv in the air 6 kv on contact 8 @topic:10


# # # issue - the barcode scanner on the medical cart intermittently fails to scan. # # # impact - this issue can lead to delays in patient care, as it can take longer to manually enter patient information. # # # possible causes - the barcode scanner may be dirty or damaged. # # # recommendations - clean the barcode scanner with a cotton swab and alcohol. - if the barcode scanner is damaged, order a replacement. - the barcode scanner may need to be recalibrated. @topic:23


# # # issue - cuff leakage ( cuff not holding air properly ) # # # impact - incorrect or unreliable vital signs readings - patient discomfort # # # possible causes - cuff damage ( e. g., punctures, tears ) - cuff age and wear - incorrect cuff size for patient - cuff not properly attached or connected # # # recommendations - replace the cuff with a new or spare cuff of the appropriate size. - inspect the cuff regularly for damage and replace if necessary. - ensure the cuff is properly seated on the patient's arm and connected to the monitor. - train staff on proper cuff placement and usage. @topic:5


internal recorder ( mx400 / 450 ) ” on page 168. 3 remove the rear housing as described in “ removing the rear housing ” on page 169. 4 remove the two screws securing the recorder board assembly. 170 5 repair and disassembly ) 5 pull out the recorder board assembly. removing the internal module rack board ( mx500 / mx550 ) 1 separate the front and back of the monitor as described in ‘ ‘ separating the front and back of the monitor ” on page 146. 2 remove the rear housing as described in “ removing the rear housing ” on page 169. 3 remove the two screws at the bottom of the internal module rack. 4 pud out the plastic holder. 171 [ 5 repair and disassembly ] 5 carefully disconnect the rack board and pull it out. 6 reassemble the monitor by performing the above steps in reverse order. note when replacing the rack board, the monitor must have the ( hardware ) serial number reloaded. support tool mark2 is required to perform this task. for details please refer to the support tool instructions for use. removing the msl board 1 separate the front and back of the monitor as described in ‘ ‘ separating the front and back of the monitor ” on page 146. 2 remove the rear housing as described in “ removing the rear housing ” on page 169. 3 remove the screw securing the msl board holder and puu out the holder. 4 puu out the msl board 172 5 repair and disassembly ) removing the handle 1 separate the front and back of the monitor as described in “ separating the front and back of the monitor ” on page 146. 2 remove the rear housing as described in “ removing the rear housing ” on page 169. 3 puu the handle upwards. 4 press the latches of the handle outwards and then pud the lower ends of the handle @topic:19


# # # issue : equipment adjustment failure # # # impact : inability to use equipment for patient monitoring # # # possible causes : - * * hardware malfunction : * * the equipment's sensors or mechanical components may be damaged, preventing it from receiving or sending data accurately. - * * software glitch : * * errors in the equipment's software may disrupt its functionality, hindering the user's ability to adjust settings. - * * incorrect calibration : * * if the equipment is not properly calibrated, it may not display or respond to adjustments as expected. - * * user error : * * if the user is not adequately trained or makes mistakes during operation, it can lead to incorrect adjustments or equipment damage. # # # recommendations : - * * perform hardware inspection : * * check for any loose connections, physical damage, or signs of wear and tear on the equipment. - * * check software updates : * * verify if there are any software updates available from the manufacturer that may address the adjustment issue. - * * recalibrate the equipment : * * use the appropriate calibration tools and procedures to ensure accurate readings and adjustments. - * * re - train the user : * * provide additional training to the user on the proper operation and adjustment of the equipment. - * * consult technical support : * * if the issue persists after troubleshooting, contact the manufacturer or a qualified biomedical engineer for further assistance. @topic:2


# # # issue - central monitor not entering the system # # # impact - inability to monitor patient vital signs and track their condition effectively. # # # possible causes - loose landline connection - malfunctioning monitor - system software error - hardware failure # # # recommendations - check and tighten the landline connection. - if the issue persists, consult with the equipment manufacturer or biomedical engineering team. - update the system software if necessary. - inspect the monitor for any physical damage or internal component failures. @topic:16


the above recommendations, contact the manufacturer's technical support team for further troubleshooting and repair. @topic:12


# # # issue - * * equipment : * * medical cart - * * problem : * * drawer is not locking properly. - * * symptom : * * keyhole is jammed. # # # impact - * * patient safety : * * the medical cart is used to transport and store medical supplies and medications. if the drawer is not locking properly, unauthorized individuals could access and remove these items. - * * device functionality : * * the medical cart is not functioning as intended. the drawer is not able to be locked securely, which could lead to the loss or damage of supplies. # # # possible causes - * * keyhole mechanism : * * the keyhole mechanism may be faulty or damaged. this could cause the key to become jammed in the lock, preventing the drawer from being locked. - * * drawer alignment : * * the drawer may not be aligned properly with the cart. this could prevent the drawer from locking into place. - * * key : * * the key may be worn or damaged. this could prevent the key from engaging with the keyhole mechanism properly. # # # recommendations - * * keyhole mechanism : * * inspect the keyhole mechanism for any signs of damage. if the keyhole mechanism is damaged, it will need to be replaced. - * * drawer alignment : * * adjust the drawer alignment so that it is properly aligned with the cart. - * * key : * * if the key is worn or damaged, it will need to be replaced. - * * lubrication : * * apply a lubricant to the keyhole mechanism to help prevent the key from becoming jammed. - * * maintenance : * * perform regular maintenance on the medical cart to ensure that it is functioning properly. @topic:21


# # # issue - remote controller for bed railings failed. # # # impact - patients may be at risk of falling out of bed if the railings cannot be raised or lowered. # # # possible causes - the remote controller may be damaged or defective. - the connection between the remote controller and the bed may be faulty. - the batteries in the remote controller may be dead. # # # recommendations - replace the remote controller. - check the connection between the remote controller and the bed. - replace the batteries in the remote controller. @topic:7


# # # issue ecg lead ii signal malfunction # # # impact inaccurate ecg readings, leading to incorrect diagnosis and treatment decisions. # # # possible causes - * * faulty ecg lead : * * the ecg lead responsible for capturing the signal from lead ii may be damaged or defective. this could be due to a broken wire, loose connection, or other physical damage. - * * loose connection : * * the ecg lead may not be securely connected to the patient or the equipment, resulting in poor signal transmission. - * * equipment malfunction : * * the patient monitor or other ecg equipment may be experiencing a technical issue that is causing the lead ii signal to malfunction. # # # recommendations - * * check ecg lead : * * inspect the ecg lead for any visible damage or loose connections. replace the lead if necessary. - * * tighten connections : * * ensure that all ecg leads are securely connected to the patient and the equipment. - * * restart equipment : * * power cycle the patient monitor or other ecg equipment to reset any potential software or hardware issues. - * * perform equipment calibration : * * use a known good signal source ( e. g., prosim ) to calibrate the ecg equipment and verify that it is generating accurate signals. - * * contact manufacturer : * * if the issue persists, contact the manufacturer of the patient monitor or ecg equipment for further troubleshooting and possible repairs. @topic:18


* * issue : * * - ward 16d is requesting to borrow an electric bed that is currently in use at ward 12d. * * impact : * * - ward 12d may be left without a functional electric bed, impacting patient care. * * possible causes : * * - ward 16d may have an urgent need for an electric bed due to an unexpected increase in patient numbers or a malfunctioning bed. - the provided information does not specify why ward 16d needs to borrow the electric bed, making it difficult to determine the exact cause of failure in this case. * * recommendations : * * 1. * * communicate with ward 16d : * * inquire about the urgent need for the electric bed and if there are any alternative arrangements that can be made. 2. * * assess ward 12d's situation : * * determine if ward 12d has an immediate need for the electric bed. if not, consider lending it to ward 16d temporarily. 3. * * explore other options : * * investigate if there is another electric bed available in the hospital that could be borrowed instead. 4. * * request justification : * * ask ward 16d to provide a written justification for the need to borrow the electric bed, which can be used for documentation purposes and to prevent similar issues in the future. 5. * * prioritize patient care : * * ensure that both ward 16d and ward 12d have access to the necessary medical equipment for adequate patient care. @topic:9


the test procedure from the beginning. if the test fails again, replace the module. test expected test results leakage test paw and ppeak > 100 cmh20 barometer check 1 connect the m1014a spirometry module to the host monitor and go into service mode. 2 attach any airway adapter to the module. 80 3 testing and maintenance ] 3 press the setup key on the module and then select show all values in the setup spirometry menu. 4 check that the barometric reading ( pb ) is within ± 5 mmhg of a reference barometer. 5 if the readings are not within the specified range, check the accuracy of the barometric pressure reference again. if the test fails again, replace the module. test expected test results barometer check pb is within ± 5 mmhg of a reference barometer note the built - in barometer cannot be recalibrated. cardiac output ( c. o. ) performance test these tests check the performance of the cardiac output measurement. 1 connect the patient simulator to the c. o. module using the patient cable. 2 configure the patient simulator as follows : injection temperature : 2 °c computation const : 0. 542 ( edward ’ s catheter ) flow : 51 / min 3 check displayed value against the simulator configuration. 4 expected test result : c. o. = 5 + / — 1 1 / min. test expected test results cardiac output performance test c. o. = 5 + / - 1 1 / min service tool procedure, version 1 this procedure applies for service tool m1012 - 61601 in combination with c. o. modules without option cio and m3012a mms extensions with option c05. 1 in monitoring mode, connect the c. o. interface cable to the module. 2 connect one side of the service tool to the injectate @topic:17


# # # issue monitor is stuck in demo mode. # # # impact monitor cannot be used for patient care. # # # possible causes * settings have been changed to demo mode. # # # recommendations * reset the monitor to factory settings. @topic:2


# # # issue leaking bp cuff # # # impact inaccurate blood pressure readings. # # # possible causes - damaged or worn cuff - improperly inflated cuff - loose connections - defective cuff # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated according to the manufacturer's instructions. - check the connections between the cuff and the monitor to ensure that they are secure. - if the problem persists, contact the manufacturer for further troubleshooting. @topic:3


# # # issue the medical cart cannot be used without being plugged into an electrical outlet. # # # impact this issue could have a significant impact on the hospital's ability to provide patient care. if the medical cart cannot be used without being plugged in, it could limit the mobility of the cart and make it difficult to use in areas where there is no access to an electrical outlet. # # # possible causes - the medical cart's battery is not working properly. - the medical cart's power supply is not working properly. - the medical cart's electrical cord is not working properly. # # # recommendations - the first step is to check the medical cart's battery. if the battery is not working properly, it will need to be replaced. - if the battery is working properly, then the next step is to check the medical cart's power supply. if the power supply is not working properly, it will need to be replaced. - if the power supply is working properly, then the next step is to check the medical cart's electrical cord. if the electrical cord is not working properly, it will need to be replaced. @topic:13


# # # issue - inability to obtain accurate measurements from the physiologic monitor. # # # impact - compromised patient care due to unreliable monitoring data. # # # possible causes - * * faulty sensors : * * malfunctioning sensors may fail to detect and transmit accurate physiological signals. - * * loose connections : * * disconnected or poorly connected cables can interrupt signal transmission, leading to erroneous readings. - * * hardware malfunction : * * internal component failures within the monitor can disrupt signal processing and display. - * * software bugs : * * software glitches or outdated firmware can interfere with data acquisition and processing. - * * external interference : * * electrostatic discharge or electromagnetic interference from nearby devices can affect signal integrity. # # # recommendations - * * inspect sensors : * * ensure that sensors are securely attached and functioning properly. test sensors to verify their accuracy. - * * check connections : * * inspect all cables and connections for damage or loose fittings. replace or tighten connections as necessary. - * * troubleshoot hardware : * * perform diagnostic tests on the monitor to identify any hardware malfunctions. refer to the manufacturer's service manual for specific troubleshooting procedures. - * * update software : * * check for any available software updates from the manufacturer. install updates to resolve any known bugs or improve compatibility. - * * minimize interference : * * keep the monitor away from potential sources of electrostatic discharge or electromagnetic interference. use shielded cables whenever possible. @topic:20


# # # issue - equipment : monitors, physiologic, vital signs - band : welch allyn - model : connex spot monitor - description : vital signs monitor is unable to measure temperature. # # # impact - delay in patient care - incorrect patient temperature readings - potential for misdiagnosis # # # possible causes - loose battery connection - battery failure - sensor malfunction - software glitch # # # recommendations - inspect the battery connection and ensure it is secure. - replace the battery if necessary. - clean the sensor with a cotton swab and alcohol. - contact the manufacturer if the issue persists. @topic:20


# # # issue - cuff blood pressure ( bp ) deterioration # # # impact - inaccurate blood pressure measurements - potential for patient harm # # # possible causes - * * normal wear and tear : * * cuffs are subjected to repeated use and can deteriorate over time. - * * improper use : * * incorrect cuff size or improper inflation technique can damage the cuff. - * * environmental factors : * * extreme temperatures or humidity can affect the integrity of the cuff material. - * * patient factors : * * certain patient conditions, such as obesity or skin irritation, can contribute to cuff deterioration. # # # recommendations - * * regular inspection : * * regularly inspect cuffs for signs of deterioration, such as cracks, tears, or fraying. - * * proper use : * * ensure that the correct cuff size is used and that the cuff is inflated properly. - * * environmental control : * * store cuffs in a cool, dry environment. - * * patient assessment : * * consider patient factors that may contribute to cuff deterioration and take appropriate precautions. - * * replacement : * * replace damaged cuffs promptly to maintain accurate blood pressure measurements. @topic:3


# # # issue - bed electric rail lock is broken. # # # impact - safety hazard to patients and staff. - patient may fall out of bed. # # # possible causes - excessive force applied to the lock. - wear and tear over time. - manufacturing defect. # # # recommendations - replace the broken lock. - inspect all other bed rails for damage. - train staff on proper use of bed rails. - consider installing side rails or other fall prevention devices. @topic:6


# # # issue - keypad malfunctioning on the hill - rom 900b electric bed. # # # impact - inability to adjust bed height, position, or other functions. - potential discomfort or safety hazard for patients. # # # possible causes - electrical short in the keypad circuit. - liquid or debris spilled on the keypad. - physical damage to keypad buttons. - software glitch or firmware issue. # # # recommendations - inspect the keypad for visible damage or debris. - test the keypad functionality using the manufacturer's diagnostic tools. - replace the keypad if necessary. - update the bed firmware if available. - ensure proper cleaning and maintenance of the bed to prevent future keypad issues. @topic:25


# # # issue - bed is not adjustable # # # impact - patient may not be able to get in or out of bed - patient may not be able to be positioned comfortably - caregivers may not be able to access the patient # # # possible causes - electrical failure - mechanical failure - remote control failure # # # recommendations 1. check the electrical connections to the bed. make sure that the power cord is plugged in and that the circuit breaker is not tripped. 2. if the electrical connections are good, then check the mechanical components of the bed. make sure that the gears and motors are not damaged. 3. if the mechanical components are good, then check the remote control. make sure that the batteries are fresh and that the buttons are working properly. 4. if the remote control is not working properly, then replace it. @topic:1


# # # issue * battery replacement only # # # impact * potential device malfunction or failure * reduced reliability and accuracy of device readings * safety concerns for patients and healthcare providers # # # possible causes * device not properly tested after battery replacement * battery not fully charged or compatible with the device * device has other underlying issues that require further troubleshooting # # # recommendations * always perform comprehensive testing of the device after any repairs or maintenance, including battery replacement * ensure that the battery used is compatible with the device and fully charged * if other issues are suspected, refer the device to a qualified biomedical engineer for further diagnosis and repair @topic:11


# # # issue the medical cart is not charging # # # impact the medical cart cannot be used to transport patients or equipment. this could delay patient care or even put patients at risk. # # # possible causes * the battery is not properly connected to the charger. * the charger is not plugged into an electrical outlet. * the charger is faulty. * the battery is dead. # # # recommendations * check the battery connection. * check the charger connection. * try a different charger. * replace the battery. @topic:13


# # # issue - broken spo2 cable due to normal wear and tear. # # # impact - vital signs monitor is unable to measure oxygen saturation levels. - accurate patient monitoring is compromised. # # # possible causes - extended use of the cable without proper maintenance. - physical damage to the cable, such as bending or crimping. - exposure to extreme temperatures or humidity. # # # recommendations - perform regular inspections of spo2 cables for signs of wear or damage. - replace cables according to manufacturer's guidelines or when any deterioration is observed. - ensure proper handling and storage of cables to prevent damage. - train staff on the importance of proper cable care and maintenance. @topic:4


* * issue : * * motor knee adjustment failure * * impact : * * inability to properly adjust the bed, potentially compromising patient comfort and safety * * possible causes : * * * * * faulty motor : * * the new motor may be defective or malfunctioning. * * * electrical connection issues : * * loose or damaged electrical connections can interfere with motor operation. * * * control panel issues : * * the control panel may be malfunctioning or not communicating properly with the motor. * * * mechanical interference : * * obstructions or misalignment in the knee mechanism can prevent the motor from adjusting the position. * * * software glitches : * * bugs or errors in the software controlling the motor can lead to adjustment failures. * * recommendations : * * * * * verify motor functionality : * * test the motor using a diagnostic tool or by swapping it out with another known - working motor. * * * inspect electrical connections : * * check for loose or damaged wires and terminals. secure any loose connections and replace damaged components. * * * diagnose control panel : * * use a diagnostic tool to identify any issues with the control panel. reset or repair the control panel as necessary. * * * inspect mechanical components : * * ensure that the knee mechanism is free of obstructions and that all components are properly aligned. lubricate the moving parts if necessary. * * * update software : * * if applicable, check for any available software updates that may resolve the issue. @topic:9


# # # issue - ecg interference # # # impact - incorrect or unreliable ecg readings # # # possible causes - dried gel on patient lead clamps # # # recommendations - clean patient lead clamps thoroughly to remove dried gel - inspect patient lead wires for damage - ensure proper placement of leads on patient - verify that the monitor is properly grounded and calibrated @topic:18


# # # issue - battery failure in philips intellivue mp20 ( m8001a ) patient transport monitor # # # impact - inability to provide continuous patient monitoring during transport # # # possible causes - battery not holding charge effectively # # # recommendations - replace battery with a new one @topic:11


# # # output # # # issue printer is not working. # # # impact the printer is not able to print, which may result in delays in patient care. # # # possible causes * * internal paper jam : * * - paper may have become jammed inside the printer, preventing it from printing. - it is recommended to open the printer and remove any jammed paper, then try printing again. * * faulty print head : * * - the print head may be damaged or clogged, preventing it from printing properly. - it is recommended to clean the print head and verify that it is not damaged if possible. - contact the manufacturer for further assistance if necessary. * * software issue : * * - there may be a software issue with the printer that is preventing it from printing. - it is recommended to restart the printer and try printing again. - contact the manufacturer for further assistance if the issue persists. * * hardware issue : * * - there may be a hardware issue with the printer that is preventing it from printing. - this could include a faulty power supply, motherboard, or other internal component. - it is recommended to contact the manufacturer for further assistance as this may require repair or replacement of the printer. @topic:28


# # # issue - failure to properly attach monkey bar to bed # # # impact - patient safety hazard - potential for injury to patient or staff # # # possible causes - technician did not follow proper installation procedures - monkey bar was not compatible with the bed - bed was not properly inspected before use # # # recommendations - ensure that technicians are properly trained on the installation of monkey bars - verify that the monkey bar is compatible with the bed - inspect the bed thoroughly before use @topic:6


# # # issue - * * inoperable control box * * # # # impact - inability to operate the bed, electric, huntleigh, contoura 360 medical device. # # # possible causes - * * malfunctioning control box : * * - internal hardware failure - loose or damaged electrical connections - software malfunction # # # recommendations - * * repair or replacement of control box : * * - if possible, repair the existing control box by identifying and fixing the defective components. - if repair is not feasible, procure a new control box compatible with the medical device. - * * proper installation and maintenance : * * - ensure proper installation of the control box to prevent damage from mishandling or improper mounting. - conduct regular maintenance and inspections to check for any loose connections or potential malfunctions. - * * user training and education : * * - educate users on proper operation of the medical device to minimize accidental damage or misuse that could contribute to control box failure. - * * documentation and reporting : * * - document all repairs or replacements performed on the control box, including details of the failure and any corrective actions taken. - report any recurring or persistent control box failures to the manufacturer or relevant authorities for further investigation and potential product improvement. @topic:32