# # # issue - the failure of a hospital bed due to an electrical fault. # # # impact - the bed is unusable for patients, which could delay or disrupt their care. - the hospital may have to spend money on repairs or replacements. # # # possible causes : - * * defective parts : * * the bed's electrical components may have been damaged or faulty from the start. - * * improper maintenance : * * the bed may not have been properly serviced or maintained, which could have led to electrical problems. - * * overuse : * * the bed may have been used too frequently or in a way that it was not designed for, which could have put stress on the electrical components. - * * user error : * * someone may have accidentally damaged the bed's electrical components by, for example, spilling liquid on them or dropping something on them. # # # recommendations : - * * inspect the bed : * * a qualified technician should inspect the bed to identify the cause of the failure. - * * replace faulty parts : * * any damaged or faulty parts should be replaced. - * * service the bed : * * the bed should be serviced regularly to prevent future problems. - * * train users : * * staff should be trained on how to properly use and maintain the bed. - * * provide surge protection : * * the bed should be connected to a surge protector to protect it from power surges. - * * use the bed for its intended purpose : * * the bed should only be used for its intended purpose and should not be overloaded. @topic:9


# # # issue - faulty ekg cable # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) - delayed diagnosis and treatment of cardiac arrhythmias or other heart conditions # # # possible causes - physical damage to the cable, such as cuts or tears - loose connections at the cable's terminals - internal electrical failure # # # recommendations - replace the faulty ekg cable with a new one - ensure proper handling and storage of the ekg cable to minimize future damage - inspect the ekg cable regularly for signs of wear or damage - train staff on proper cable handling techniques @topic:18


# # # issue - the user was unable to type certain letters ( i, o, p, j, k, l ) on the medical cart's keyboard. # # # impact - the user cannot input patient information, which could delay or prevent medical procedures. # # # possible causes - the numlock key was on, causing the keyboard to input numbers instead of letters. # # # recommendations - ensure the numlock key is off before using the keyboard to input letters. @topic:27


# # # issue - cuff on the physiological vital signs monitor is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - cuff age and usage lead to elasticity loss and degradation of the rubber bladder or tubing, leading to decreased accuracy in blood pressure readings. - over - inflation or improper use can also damage the cuff. # # # recommendations - replace the cuff with a new one that meets the manufacturer's specifications. - train staff on proper cuff usage and maintenance to prevent future damage. - regularly inspect and calibrate the monitor to ensure accuracy and reliability. @topic:5


# # issue - blood pressure cuff failure - oxygen saturation sensor malfunction # # impact - inability to accurately measure blood pressure and oxygen saturation levels - potential for misdiagnosis or incorrect treatment # # possible causes # # # bp cuff - physical damage to the cuff, such as tears or punctures - loose or faulty connections between the cuff and monitor - malfunctioning of the pressure sensor within the cuff # # # oxygen saturation sensor - damaged or faulty sensor head - loose or faulty connections between the sensor and monitor - interference from ambient light or other electrical devices # # recommendations # # # bp cuff - replace the damaged cuff with a new one ( m1196a ) - ensure secure connections between the cuff and monitor - calibrate the pressure sensor as needed # # # oxygen saturation sensor - replace the faulty sensor head - check and tighten connections between the sensor and monitor - identify and eliminate any sources of interference @topic:3


# # # issue - damaged ekg cable # # # impact - ekg readings could be inaccurate or intermittent, affecting patient monitoring. # # # possible causes - wear and tear from frequent use - physical damage, such as cuts or crimps - moisture or contamination - loose or faulty connections # # # recommendations - regularly inspect ekg cables for signs of damage or wear. - handle cables carefully and avoid excessive bending or stretching. - ensure proper storage to prevent moisture or contamination. - inspect cable connections and tighten if necessary. - replace damaged ekg cables promptly to maintain accurate and reliable patient monitoring. - train staff on proper handling and maintenance of ekg cables. @topic:18


nea ee de e ne os by march 2012 ii suresigns vs2 * and vsi service guide conventions this section describes the conventions used in this guide. text formatting the following typographical conventions are used in this guide. typeface usage example bold system keys press the main screen key. special bold user interface text open the system menu. italic variables, e < product name > - < hardware document titles configuration > - < software version >. cfg e suresigns vm series instructions for use decimal points because the suresigns monitor uses a period (. ) to indicate a decimal point in decimal numbers ( for example, 10. 0 ), all decimal numbers in this guide use a period as a decimal point. commas are not used as decimal points. notes, cautions, and warnings this guide uses the following conventions for notes, cautions, and warnings. note — a note calls attention to an important point in the text. caution a caution calls attention to a condition or possible situation that could damage or destroy the product or the user ’ s work. warning a warning calls attention to a condition or possible situation that could cause injury to the user and / or patient. suresigns vs2 " * and vsi service guide iii explanation of symbols the following symbols appear on the monitor and its packaging. symbol description symbol description print key alarm silence key ( vs2 * only ) main screen key nbp key on / standby key serial number up / down key ( vsi only ) select key ( vsi only ) ce marking batch code o prescription use only ( us federal law ) y m date of manufacture humidity limitation l ez \ a n > keep out of sun fragile, handle with care — — keep upright nbp connector option number ty, keep dry manufacturer ’ s name e atal and address catalog number sterile sterile a @topic:10


to set values outside of the non - pathological range, limits must be changed manually, based on the clinician ’ s judgement about the specific patient. 1 wide alarm limits 2 narrow alarm limits 3 alarm limits 4 measurement value limits narrow sets limits close to the currently measured values for situations where it is critical for you to be informed about small changes in your patient ’ s vital signs. limits wide sets limits further away from the currently measured values for situations where small changes are not so critical. ♦ use the keys in the change limits window to apply autolimits for individual measurements. these keys are not available if autolimits have been disabled for the measurement in the monitor ’ s configuration mode. 65 3 alarms reviewing alarms auto limits are not available for all measurements. the list of measurements for which auto limits can be used is defined in the monitor ’ s configuration mode. use the change limits window to check autolimits before you apply them to ensure that they are appropriate for your individual patient and their clinical condition. once applied, autolimits are shown on the monitor screen just like manually - set alarm limits. if the autolimits are not appropriate for your patient, you must set alarm limits manually. the limits remain unchanged until you set them again or change them manually. documenting alarm limits the alarm limits pop - up keys appear with the alarm limits and change limits windows. ♦ select the print limits pop - up key to print an overview of all alarm limits on a connected printer. ♦ select the record limits pop - up key to send a recording of the alarm limits to a recorder. reviewing alarms you can see which alarms and inops are currently active in the respective alarms and inops fields at the top of the screen. to see the currently active alarms and inops listed in one place, select any of the alarm status areas on the monitor screen. the alarm messages window pops up. all alarms and in @topic:8


# # # issue - the biomedical engineer is investigating a failure in a bed. - the bed is a hill - rom basic care p1440a. # # # impact - the bed is not functioning properly. - the patient is unable to use the bed. - the hospital staff is unable to move the patient. # # # possible causes - the bed was damaged during transport. - the bed was not properly assembled. - the bed was used in a manner that it was not designed for. - the bed is faulty. # # # recommendations - inspect the bed for damage. - reassemble the bed according to the manufacturer's instructions. - train the hospital staff on the proper use of the bed. - contact the manufacturer for a replacement bed if the bed is faulty. @topic:9


# # # issue * electric bed is not adjustable on the patient's left side. # # # impact * patient discomfort * potential safety hazard # # # possible causes * faulty wiring * damaged keypad * software glitch # # # recommendations * contact the manufacturer for repair or replacement parts. * inspect the wiring and keypad for any visible damage. * test the software to identify any potential glitches. * ensure proper maintenance and calibration of the bed according to the manufacturer's recommendations. @topic:32


# # # issue - vital signs monitor is not accurately measuring oxygen saturation ( spo2 ) levels. # # # impact - inaccurate spo2 readings can lead to incorrect patient assessment and treatment decisions. # # # possible causes - faulty spo2 sensor - loose or damaged spo2 cable - software malfunction - battery issues - poor signal quality due to patient movement or interference from other devices # # # recommendations - inspect the spo2 sensor for damage or dirt. clean or replace the sensor as necessary. - check the spo2 cable for loose connections or damage. ensure it is securely connected to both the monitor and the sensor. - update the monitor's software to the latest version, if available. - replace the battery with a new one and ensure it is properly seated. - eliminate any potential sources of interference, such as other devices or patient movement. - if the issue persists after following these recommendations, contact the manufacturer for further troubleshooting and repair. @topic:4


# # # issue - the biomedical engineer ( bme ) was tasked with procuring and installing a spo2 ( pulse oximetry ) sensor and extension cable for a bedside monitor. # # # impact - the monitor could not be used for patient monitoring. # # # possible causes - the bme may have misinterpreted the request from the department. - the department may have provided incomplete or incorrect information. - the bme may have not been properly trained on the equipment. # # # recommendations - ensure that the bme has a clear understanding of the request. - provide the bme with the correct model and part numbers for the equipment. - provide the bme with proper training on the equipment. @topic:4


# # # issue - medical cart bdms 01 cannot connect to the hardware. # # # impact - the medical cart cannot be used for patient care. # # # possible causes - loose or disconnected cables - faulty hardware - software issues # # # recommendations - check all cables and connections to ensure they are secure. - if the cables and connections are secure, replace the faulty hardware. - if the hardware is replaced and the issue persists, contact the manufacturer for further troubleshooting. @topic:13


. the training is required to be eligible to receive the welch allyn service tool gold edition. the gold edition is required to verify that the device is functioning correctly after it has been serviced. although all of the option upgrades are calibrated and tested before leaving the factory, welch allyn recommends performing a complete functional test whenever the device is serviced. note for the welch allyn service tool to support updates and upgrades, adjust your firewall settings to permit access for ip address 169. 254. 10. 10 ( the local feed server for the software upgrade process ). software upgrades, when available, can be purchased or provided at no charge if your device is covered by a welch allyn service agreement. the upgrades can be installed by either a welch allyn service center or by using the service tool, standard unlicensed or gold edition. if you choose to install software upgrades on your own, you will receive the software through thinternet. when ordering software, provide the serial number of the device you want to install the software on. note the device must be plugged in to ac power and have at least 15 minutes of battery charge remaining to execute software upgrades. you can download software upgrades on battery power, but you cannot implement them without ac welch [UNK] connex® spot monitor 126 options and upgrades vailable optionthe following options can be added to each model's base configuration. caution before installing any option, disconnect the patient from the monitor and power down the device. a note some model numbers and product features described in this publication might not be available in your country. for the latest information about products and features, please contact hillrom customer care. options 7500 7100 model 7300 7400 masimo x 13 13 masimo spo2 with rrp x 2 nonin nellcor oximax x braun thermoscan pro 6000 wireless radio x x bluetooth radio @topic:10


optional optional ( 8 ) optional ( 9 ) standard optional ( 7 ) flexible nurse call relay j30 optional not offered optional optional optional optional optional ( 8 ) optional ( 9 ) optional ( 10 ) optional intellivue 802. 11 bedside adapter j35 not offered optional optional optional optional optional optional optional optional optional advanced system interface j40 not offered optional optional optional optional optional not offered not offered not offered not offered networking interface j42 not offered optional optional standard standard standard standard standard standard standard instrument telemetry 1. 4 ghz j45 not offered optional optional optional not offered not offered not offered not offered not offered not offered dockingstation interfacing capabilit j50 not offered not offered optional optional optional optional not offered not offered not offered not offered ( 1 ) mandatory option for m8001a and m8002a ( 2 ) c07 includes c04 and c06 ( 3 ) c04, c06 and c07 are exclusive ( 4 ) standard with h20 ( 6 ) comes with ps / 2 if ( # j22 ) ( 7 ) comes standard with one # j23 ( 8 ) for the mp60 one of j13, j14, j23, j30 is free of charge ( 9 ) for the mp70 one of j13, j14, j22, j23, j30 is free of charge ( 11 ) 4 ports are standard, two more can be ordered together with e30 ( 12 ) two ports via remote speedpoint are standard ( 13 ) batteries need to be ordered separately ( 14 ) only as part of the low end system bundle 273 b intellivue product structure upgrade options upgrade options intellivue performance upgrades revision e. o mp20j mp20l mp20 mp30 mp40 mp50 mp60 mp70 mp80 mp90 m8001a m8002a m800 @topic:10


# # # issue - equipment failure # # # impact - inability to monitor patient's vital signs accurately # # # possible causes - faulty wiring or connections - power supply issues - malfunctioning sensor - software errors - physical damage to the equipment # # # recommendations - check all wiring and connections for any loose or damaged components. - ensure that the power supply is stable and adequate. - inspect the sensor for any signs of damage or malfunction. - update the software if necessary. - if physical damage is suspected, contact the manufacturer for repairs or replacement. @topic:2


# # # issue : - med admin not booting into the windows operating system # # # impact : - inability to use the med admin cart for medication administration # # # possible causes : - bios boot order set incorrectly - corrupted windows operating system - faulty hard drive - hardware failure # # # recommendations : 1. verify that the bios boot order is set to boot from the hard drive first. 2. if the bios boot order is correct, try repairing the windows operating system using a windows repair disc or usb drive. 3. if the windows operating system cannot be repaired, replace the hard drive. 4. if the hard drive is not faulty, contact a qualified biomedical engineer to troubleshoot the issue further. @topic:13


2 2 cable power switch / ecg sync out board - > main board 1 3 cable power supply - > standard system interface board 1 4 antenna cable iit 1 5 cable main board - > panel adapter board 1 6 cable main board - > recorder board 1 7 cable main board - > iit assy 1 8 cable main board - > msl connector 1 9 6 parts ) iv2 - flex cable kit mx400 ( 453564415331 ) contents : item quantity no. cable main board - > 9 " display 1 1 cable panel adapter board - > 9 " led backlight 1 2 cable panel adapter board - > short range radio board 1 3 iv2 - flex cable kit mx450 / 500 ( 453564415341 ) contents : item quantity no. cable main board - > 12 " display 1 1 cable panel adapter board - > alarm led board 1 2 cable panel adapter board - > short range radio board 1 3 cable panel adapter board - > 12 " led backlight 1 4 223 iv2 - flex cable kit mx550 ( 453564415351 ) contents : item quantity no. cable main board - > 15 " display 1 1 cable panel adapter board - > alarm led board 1 2 cable panel adapter board - > short range radio board 1 3 cable panel adapter board - > 15 " led backlight 1 4 iv2 - flex screw kit ( 453564434051 ) contents : item quantity no. self - tapping screw m3 x 1. 34 8mm long 10 1 m3 x 10 with nylon prelock used for bed hanger 12 2 m4 x 25 incl. safety washer used for quick mount 4 3 m3 x 6 incl safety washer 10 4 m3 x 30 incl safety washer used for handle 4 5 6 parts ) remote control parts part number 12nc description 4535 @topic:19


68010 451261016401 ms x1 top cover 51d w / o p / t text fast m3001 - 68011 451261016411 ms x1 top cover 51d w p / t text fast m3001 - 68012 451261016421 ms _ x1 top cover 121d w / o p / t text fast 231 [ 6 parts ] part number 12nc description m3001 - 68013 451261016431 ms x1 top cover 121d w p / t text fast m3001 - 68014 451261016441 ms x1 top cover 51d w / o p / t sym fast m3001 - 68015 451261016451 ms x1 top cover 51d w p / t sym fast m3001 - 68016 451261016461 ms x1 top cover 121d w / o p / t sym fast m3001 - 68017 451261016471 ms x1 top cover 121d w p / t sym fast m3001 - 68018 451261016481 ms x1 top cover 51d w / o p / t text nellcor m3001 - 68019 451261016491 ms x1 top cover 51d w p / t text nellcor m3001 - 68020 451261016501 ms _ x1 top cover 121d w p / t text nellcor m3001 - 68021 451261016511 ms x1 top cover 51d w / o p / t sym nellcor m3001 - 68022 451261016521 ms x1 top cover 51d w p / t sym nellcor m3001 - 68023 451261016531 ms x1 top cover 121d w p / t sym nellcor m3 @topic:19


# # # issue - unable to print from the central monitor. # # # impact - inability to print patient data, lab results, or other critical information. # # # possible causes * * 1. error message on the printer : * * - the error message may provide specific information about the issue, such as a paper jam or ink cartridge malfunction. * * 2. printer software issues : * * - outdated or corrupted printer drivers can cause communication problems between the central monitor and the printer. * * 3. hardware problems : * * - faulty cables or connectors can interrupt the connection between the central monitor and the printer. - a damaged printhead or other mechanical issue within the printer can prevent it from functioning properly. # # # recommendations 1. * * check the printer for errors : * * if there is an error message on the printer, consult the manufacturer's documentation for troubleshooting steps. 2. * * restart the printer and central monitor : * * power cycling both devices can often resolve temporary software glitches. 3. * * update printer drivers : * * ensure that the printer drivers are up - to - date by downloading the latest version from the manufacturer's website. 4. * * check cables and connections : * * inspect the cables and connectors between the central monitor and the printer for any damage or loose connections. 5. * * contact the manufacturer : * * if the problem persists after trying the above recommendations, contact the manufacturer of the printer for further troubleshooting and support. @topic:28


# # # issue - broken pump # # # impact - device unable to take vital signs # # # possible causes - pump wear and tear - pump motor failure # # # recommendations - order new pump - check pump power - inspect pump for damage @topic:15


* * issue : * * monitor, bedside, physiologic from philips ( model : intellivue mp70 ( m8007a ) ) is not reading co2 values. * * impact : * * inability to accurately monitor a patient's co2 levels, which can lead to delayed diagnosis or inappropriate treatment. * * possible causes : * * - * * external co2 sensor malfunction * * : the sensor responsible for measuring co2 levels may be faulty or damaged. - * * connection issues : * * the sensor may not be properly connected to the device, or there may be a problem with the cable or connector. - * * software glitch * * : a software issue within the device may be preventing it from accurately processing the co2 readings. - * * incorrect calibration * * : the device may need to be recalibrated to ensure accurate readings. * * recommendations : * * 1. * * check the external co2 sensor : * * inspect the sensor for any physical damage or loose connections. if necessary, replace the sensor. 2. * * verify the connections : * * ensure that the sensor is securely connected to the device and that the cable and connector are in good condition. 3. * * restart the device : * * power down and restart the device to potentially resolve any software glitches. 4. * * calibrate the device : * * perform a calibration procedure to ensure that the device is reading co2 levels correctly. 5. * * consult the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further troubleshooting and repair instructions. @topic:4


# # # issue the physiological vital signs monitor is reading high blood pressure values. # # # impact this could lead to inaccurate diagnosis and treatment decisions, potentially compromising patient safety. # # # possible causes - faulty sensor - loose or damaged wiring - software glitch - interference from other electrical devices # # # recommendations 1. * * verify the accuracy of the sensor. * * use a reference blood pressure monitor to compare readings. 2. * * inspect the wiring. * * check for any loose connections or damage. 3. * * update the software. * * contact the manufacturer to inquire about any available software updates. 4. * * identify and eliminate any sources of electrical interference. * * move the monitor away from other devices or use a shielding device. 5. * * consult with the manufacturer. * * if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:15


# # # issue the bed, electric, hill - rom, basic care, p1440a, has been reported as unable to adjust up or down. # # # impact the patient may be unable to get in or out of the bed or be in a comfortable position. # # # possible causes 1. the locking system is engaged. 2. the motor or actuator is not functioning properly. 3. the control panel is not working properly. 4. there is a problem with the electrical system. # # # recommendations 1. check the locking system to make sure it is disengaged. 2. check the motor or actuator for any signs of damage or wear. 3. check the control panel for any signs of damage or wear. 4. check the electrical system for any loose connections or damaged wires. 5. if the problem cannot be resolved, contact the manufacturer for further assistance. @topic:1


# # # issue - the propaq lt monitor intermittently fails to power on. # # # impact - inability to monitor patient vital signs, potentially compromising patient safety. # # # possible causes - faulty power supply or battery - loose or damaged connections - internal hardware failure # # # recommendations - inspect power supply and battery for damage or loose connections. - check and tighten all cables and connectors. - perform a diagnostic test to identify any internal hardware issues. - if the issue persists, consult the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:2


# # # issue - remote control not adjusting the bed # # # impact - patient discomfort and safety concerns # # # possible causes - loose remote control cable # # # recommendations - tighten the remote control cable - test the bed to ensure proper operation @topic:7


# # # issue cuff bp deterioration # # # impact - inaccurate blood pressure readings - misdiagnosis and / or delayed diagnosis # # # possible causes - cuff bp reaching its end of life - cuff bp damaged by mishandling or improper storage - cuff bp exposed to extreme temperatures or humidity # # # recommendations - replace cuff bp regularly as per manufacturer's recommendation - handle cuff bp with care and store properly to prevent damage - avoid exposing cuff bp to extreme temperatures or humidity @topic:3


# # # issue - equipment : blood pressure monitor - band : welch allyn - model : 53n00 - description : machine shows the error code e - 40 and fails to take blood pressure measurements. the screen goes black and becomes unresponsive. # # # impact - inability to accurately measure blood pressure, potentially leading to delays or inaccurate assessments. # # # possible causes - faulty non - invasive blood pressure ( nibp ) module - electrical or software issues - sensor malfunction # # # recommendations - replace the nibp module with a new one. - perform a comprehensive electrical and software check to identify and troubleshoot any issues. - inspect the sensor for any damage or misalignment. - ensure proper maintenance and calibration of the equipment to prevent future failures. @topic:15


# # # issue - the medical cart is rebooting unexpectedly. # # # impact - medical staff may be unable to use the cart to provide patient care. - patient care may be delayed or compromised. # # # possible causes - hardware issue - software issue - battery issue - power supply issue # # # recommendations - check the hardware for any loose connections or damaged components. - update the software to the latest version. - replace the battery if necessary. - ensure that the medical cart is connected to a reliable power source. @topic:13


# # # issue - cuff bp is leaking # # # impact - the patient's blood pressure cannot be measured accurately. # # # possible causes - the cuff is old and worn out. - the cuff is not the correct size for the patient. - the cuff is not properly inflated. # # # recommendations - replace the cuff with a new one. - make sure the cuff is the correct size for the patient. - properly inflate the cuff. @topic:3


* * issue : * * cuff bp is not staying on. * * impact : * * the patient's blood pressure cannot be accurately measured. * * possible causes : * * * the cuff is not the correct size for the patient. * the cuff is not inflated properly. * the cuff is damaged. * the cuff is not connected properly to the monitor. * the monitor is not functioning properly. * * recommendations : * * * check the cuff size and make sure it is the correct size for the patient. * inflate the cuff properly according to the manufacturer's instructions. * inspect the cuff for any damage and replace it if necessary. * make sure the cuff is connected properly to the monitor. * test the monitor to make sure it is functioning properly. @topic:3


# # # issue biobeat device not connecting to smartphone. # # # impact the patient's vital signs cannot be monitored remotely, which could delay diagnosis and treatment. # # # possible causes - the biobeat app on the smartphone is not functioning properly. - the smartphone's bluetooth is not enabled. - the biobeat device is not paired with the smartphone. - the biobeat device is not within range of the smartphone. # # # recommendations - check if the biobeat app is installed on the smartphone and is up to date. - ensure that the smartphone's bluetooth is enabled. - pair the biobeat device with the smartphone. - bring the biobeat device closer to the smartphone. @topic:16


# # # issue - battery degradation # # # impact - device malfunction due to insufficient power supply # # # possible causes - battery aging - excessive battery usage - improper battery maintenance # # # recommendations - replace the degraded battery with a new one. - monitor battery health regularly and replace batteries before they become completely depleted. - ensure proper storage and handling of batteries to extend their lifespan. @topic:11


# # # issue - the bed is not receiving electrical power. # # # impact - the bed cannot be operated. # # # possible causes - the power cord is not connected to the bed. - the power cord is damaged. - the circuit breaker or fuse for the bed is tripped or blown. - the bed's electrical system is malfunctioning. # # # recommendations - check the power cord to make sure it is connected to the bed and that it is not damaged. - reset the circuit breaker or replace the fuse for the bed. - if the bed's electrical system is malfunctioning, contact a qualified biomedical engineer to repair it. @topic:9


398 s0 2 accessories for m1011a 398 recorder accessories 399 battery accessories 399 38 installation and specifications intended use 401 manufacturer ’ s information 402 symbols 403 installation safety information 405 altitude setting 413 monitor safety specifications 413 emc and radio regulatory compliance 413 monitor performance specifications 419 m4605a battery specifications 428 measurement specifications 429 safety and performance tests 448 39 default settings appendix country - specific default settings 453 alarm and measurement default settings 459 alarm default settings 459 ecg, arrhythmia, st and qt default settings 460 pulse default settings 463 respiration default settings 463 sp0 2 default settings 464 nbp default settings 465 temperature default settings 465 invasive pressure default settings 465 cardiac output default settings 468 c0 2 default settings 468 spirometry default settings 469 tcgas default settings 469 s0 2 default settings 470 ix sv0 2 default settings 470 scv0 2 default settings 471 eeg default settings 471 bis default settings 471 vuelink default settings 472 x 1 basic operation these instructions for use are for clinical professionals using the intellivue mp20 / mp30 ( m8001a / m8002a ), mp40 / 50 ( m8003a / m8004a ) and mp60 / 70 / 80 / 90 ( m8005a / m8007a / m8008a / m8010a ) patient monitors together with the multi - measurement modules xi ( m3001a ) and x2 ( m3002a ) and the measurement modules. unless otherwise specified, the information here is valid for all the above intellivue products. “ introducing the intellivue family ” below gives an overview of the patient monitors, while the measurement modules are covered in the section “ devices @topic:8


# # # issue - the electric bed is not able to adjust. # # # impact - the patient may not be able to be positioned comfortably or safely. # # # possible causes - faulty power cord or outlet - loose or damaged wiring - faulty motor or control board - software issue - user error # # # recommendations - check the power cord and outlet to ensure that they are working properly. - inspect the wiring for any loose or damaged connections. - test the motor and control board to ensure that they are functioning properly. - update the software if necessary. - train the user on how to operate the bed correctly. @topic:1


# # # issue : cuff failure # # # impact : inability to accurately measure blood pressure # # # possible causes : - cuff is too small or too large for the patient's arm - cuff is not properly inflated - cuff is damaged or leaking - cuff connector is loose or damaged - cuff tube is kinked or blocked # # # recommendations : - ensure that the cuff is the correct size for the patient's arm - properly inflate the cuff - inspect the cuff for damage or leaks - check the cuff connector and tube for looseness or damage - unkink or unblock the cuff tube - replace the cuff if it is damaged or leaking @topic:3


# # # issue - monitor data not sending to central monitor # # # impact - data not being received by the central monitor, which could lead to missed or delayed alerts and interventions. # # # possible causes - incorrect settings in the monitor or central monitor. - communication issue between the monitor and central monitor. - hardware failure in the monitor or central monitor. # # # recommendations - check and correct the settings in the monitor and central monitor to ensure they match. - inspect the cables and connections between the monitor and central monitor to ensure they are secure and not damaged. - test the monitor and central monitor independently to isolate the issue. - contact the manufacturer for support if the issue persists. @topic:16


# # # issue - * * occulsion * * in capnograph # # # impact - * * inaccurate or no capnography readings * * - * * delayed or incorrect treatment decisions * * - * * patient safety risk * * # # # possible causes - * * patient factors : * * - * * increased secretions * * in the airway - * * equipment factors : * * - * * clogged or dirty filter * * - * * kinked or obstructed tubing * * - * * defective flow sensor * * - * * software error * * # # # recommendations - * * check the patient's airway * * for excessive secretions or obstructions. - * * replace the filter * * if it is clogged or dirty. - * * inspect the tubing * * for kinks or obstructions. - * * check the flow sensor * * for proper function. - * * reset the software * * if necessary. - * * contact the manufacturer * * for technical support if the issue persists. @topic:4


# # # issue - damaged shelf # # # impact - the medical cart cannot be used safely to store and transport medical supplies and equipment. # # # possible causes - the shelf may have been overloaded. - the shelf may have been damaged due to rough handling. - the shelf may have been made of a material that is not strong enough to withstand the weight of the medical supplies and equipment. # # # recommendations - inspect the shelves regularly for any signs of damage. - do not overload the shelves. - handle the medical cart with care. - use shelves that are made of a strong material that can withstand the weight of the medical supplies and equipment. @topic:31


# # # issue - the bedside physiologic monitor is not displaying on the tv screen. # # # impact - the lack of display on the tv screen can affect the visibility and accessibility of patient data for healthcare providers. # # # possible causes - loose connection between the monitor and the tv due to a faulty cable or improper connection. - compatibility issues between the monitor and the tv due to different signal formats or resolutions. - software or firmware issues within the monitor or the tv that prevent proper communication. # # # recommendations - * * inspect and tighten the connection : * * ensure that the cable connecting the monitor to the tv is securely plugged into both devices. - * * verify compatibility : * * check the specifications of the monitor and the tv to ensure they support the same signal format and resolution. - * * update software or firmware : * * install any available software or firmware updates for both the monitor and the tv to resolve any compatibility issues. - * * contact the manufacturer : * * if the issue persists after following the previous steps, contact the manufacturer of the monitor or the tv for technical assistance. @topic:2


# # # issue : - bed is making a loud noise when being adjusted up and down. # # # impact : - the noise is disruptive to patients and staff. - the noise may be a sign of a more serious problem with the bed. # # # possible causes : - loose or worn parts in the bed's joints. - improper lubrication of the bed's joints. - a problem with the bed's motor. # # # recommendations : - lubricate the bed's joints with a silicone - based lubricant. - tighten any loose screws or bolts in the bed's joints. - if the noise persists, contact the bed's manufacturer for further troubleshooting. @topic:9


# # # issue - electrical remote wire fault # # # impact - the remote is unable to be used. - the bed may not be able to be adjusted. # # # possible causes - the wire may have been damaged due to : - physical wear and tear - electrical surges - the wire may have been improperly connected. # # # recommendations - replace the electrical remote wire. - inspect the bed for any other damage that may have been caused by the faulty wire. - test the bed to ensure that it is functioning properly. @topic:7


# # # issue - tha ear thermometer probe has been swapped. # # # impact - inability to accurately measure patient's temperature. - potential for medical errors. # # # possible causes - human error during maintenance. - lack of proper labeling or training. # # # recommendations - implement a clear labeling system for medical equipment. - provide proper training to staff on the proper handling of equipment. - regularly inspect equipment to ensure it is in proper working order. @topic:20


##gure the network settings, see “ configuring the network and exporting data ” on page 5 - 15. for more detailed information, see the suresigns vm series patient monitor hl7 parameter data interface programmer's guide. 4 - 2 networking and interfacing 5 configuring the monitor overview this chapter describes how to configure the monitor ’ s default settings to your site ’ s needs. these default settings are the settings in effect each time that a user powers on the monitor. in this chapter • accessing the system admin menu. 5 - 2 • selecting a language. 5 - 6 • setting the power frequency. 5 - 7 • setting the alarm tone. 5 - 7 • setting the minimum alarm tone volume. 5 - 8 • setting the alarm pause duration. 5 - 8 • setting the minimum nurse call alarm priority. 5 - 9 • setting the nbp auto interval. 5 - 10 • changing the initial nbp pressure. 5 - 10 • setting the trend display timeout. 5 - 11 • performing software upgrades. 5 - 11 • changing the default alarm settings. 5 - 13 • setting alarm and audio disables. 5 - 14 • setting demo mode. 5 - 14 • configuring the network and exporting data. 5 - 15 • resetting a serial number. 5 - 17 • calibrating the monitor. 5 - 18 • clearing patient data. 5 - 21 • setting the system configuration. 5 - 21 • performing a hard shutdown. 5 - 22 configuring the monitor 5 - 1 accessing the system admin menu accessing the system admin menu use the system admin section of the system menu to configure monitor - wide default settings and parameters. to access the system admin menu : 1. rotate the wheel until the system icon is highlighted, then @topic:10


# # # issue - bed cannot be adjusted up or down. # # # impact - patient discomfort and immobility. - difficulty in performing medical procedures. # # # possible causes - * * electrical fault : * * - damaged wiring or connections. - faulty motor. - electrical control board malfunction. - * * mechanical failure : * * - broken gears or shafts. - damaged actuators. - worn or misaligned components. - * * user error : * * - improper operation or misuse of the bed. # # # recommendations - * * electrical troubleshooting : * * - inspect wiring, connections, and electrical control board for damage. - check for proper voltage and grounding. - measure motor resistance and test for continuity. - * * mechanical inspection : * * - inspect gears, shafts, actuators, and other components for damage or wear. - ensure that all components are properly aligned and lubricated. - * * user training : * * - provide proper training on the operation and maintenance of the bed to prevent user error. - * * regular maintenance : * * - schedule regular inspections and maintenance to identify and prevent potential failures. @topic:1


# # # issue water trap module gas g5 contained excessive water, resulting in malfunction. # # # impact - interruption of patient monitoring or transport. - potential safety hazard if the excessive water compromises the functionality of the equipment. - increased workload for biomedical engineers ( bmes ) and clinical staff in troubleshooting and resolving the issue. # # # possible causes - malfunction of the water trap module gas g5 itself. - improper usage or maintenance of the equipment, leading to accumulation of water in the module. - environmental factors, such as high humidity or condensation, contributing to water buildup. - insufficient or infrequent maintenance and monitoring of the equipment. # # # recommendations - replace the water trap module gas g5 with a new one. - investigate the root cause of water accumulation and address any underlying issues, such as improper usage, environmental factors, or inadequate maintenance. - implement regular maintenance and monitoring schedule to prevent recurrence of the issue. - train staff on proper usage and maintenance of the equipment. - consider using a water trap with an alarm or indicator to alert staff when water levels are reaching a critical point. @topic:12


# # # issue - remote not functioning properly # # # impact - inability to adjust the bed, electric, huntleigh, contoura 360 # # # possible causes - the remote control is damaged. - there might be an issue with the connection between the remote and the bed. - the batteries in the remote might be dead. # # # recommendations - inspect the remote for any visible damage. - replace the batteries in the remote. - reset the remote by pressing and holding the power button for 10 seconds. - ensure that the remote is paired with the bed correctly. - if all else fails, contact the manufacturer or a qualified technician for assistance. @topic:7


# # # issue - the electric bed is not adjusting properly. # # # impact - the patient may not be able to get into or out of the bed safely. - the patient may not be able to be positioned comfortably for medical procedures. - the bed may be difficult to move, which could create a hazard for the patient and staff. # # # possible causes - the remote control is not working properly. - the electrical connections are loose or damaged. - the motor is not functioning properly. - the bed frame is damaged. # # # recommendations - inspect the remote control and replace the batteries if necessary. - check the electrical connections and tighten any loose wires. - inspect the motor and replace it if necessary. - inspect the bed frame and repair or replace any damaged parts. @topic:1


# # # issue - motor failure in the knee section of the electric bed. - malfunctioning of the bed's end section adjustment. - excessive noise during bed adjustment. # # # impact - inability to use the bed for patient care. - discomfort and inconvenience for patients. - potential safety hazard if the bed malfunctions during patient use. # # # possible causes - * * motor failure : * * broken or worn gears, faulty wiring, or damaged motor components. - * * end section adjustment malfunction : * * misaligned or damaged components, loose connections, or software errors. - * * excessive noise : * * worn or loose bearings, improperly lubricated components, or misaligned gears. # # # recommendations - * * motor failure : * * replace or repair the faulty motor. - * * end section adjustment malfunction : * * inspect and repair or replace damaged components, ensure proper alignment, and update software if necessary. - * * excessive noise : * * lubricate components, inspect and replace worn bearings, and ensure proper alignment of gears. - * * additional recommendations : * * - contact the manufacturer for assistance with repair or replacement. - perform regular maintenance and inspections to prevent future failures. - train staff on proper use and care of the bed. @topic:9


. patient ids creen notes 118 5 managing patients and equipment this information is taken from... patient information atient categorthe multi - measurement module, if connected, otherwise the data is taken from the monitor. date of birth height weight gender aced mode paced mode is always set to on where there is a mismatch in patient information. rend data if there is newer trend data stored in the mms, it is uploaded to the your monitor can be configured to automatically resolve mismatches in one of two ways. continue using the patient in the mms, and delete the old data in the monitor. this is suitable for • continue with the patient in the monitor, and delete the data in the mms. • when automatic mismatch resolution is configured, you may still be asked to confirm the resulting action at the monitor, depending on the current patient admission status. managing equipment multiple pieces of monitoring equipment can be used for a patient. the association between a patient and a device can be made by : identifying the patient at the device ( by entering patient data or using find patient to get patient. " adding " equipment for an existing patient • the association between a patient and a device can be ended by : discharging the patient, or selecting end case. • " removing " the device from the patient. • • • automatic freeing of the device.. warning in all cases listed above, when equipment is freed, all patient identification and measurement data are deleted, all settings are reset to the defaults, and monitoring at the information center ( if active ) is stopped. any associated devices, e. g. multi measurement modules connected to a monitor, or cableless measurement devices assigned to a monitor, may also be freed, depending on the configuration. 119 5 managing patients and equipment adding equipment ( piic ix ) by selecting the add equipm. key @topic:10


##culates the average values after you reject or accept trials. 2 if all values are different from each other, there may be true hemodynamic instability caused, for example, by severe cardiac arrhythmia. saving and calibrating picco c. o. measurements when you have finished editing the trials, you must save the results. this closes the measurement series, sends the average c. o. numeric to be displayed on the main screen, and stores the averaged values in the trends and calculations databases. before the monitor can calculate cco, you must calibrate the measurement. you should also calibrate cco every eight hours, or if the hemodynamic condition of the patient changes consistently in the same direction over 15 minutes, or if there are large or sudden changes in the patient's condition. the monitor only uses c. o. measurements from within the last 15 minutes for calibrating cco. to save and calibrate, in the procedure window, select the pop - up key savec. o. & cal cco to use the averaged c. o. value to calibrate continuous cardiac output ( cco ). • your monitor may be configured to have two separate pop - up keys, save c. o. and cal cco, instead of the combined savec. o. & cal cco. warning cco calibration is patient - specific. when the c. o. module or measurement extension module is plugged in after the patient has changed, make sure that the correct cco calibration is used. when in new cco calibration first. cco calibration status indicators each measurement trial is tagged with a calibration status indicator next to its trial number. reflecting the quality of the pressure signal during the thermodilution measurement, this tag indicates each trial's co cal @topic:17


* * issue * * - spo2 sensor cable for pediatric patients is not functioning properly. * * impact * * - inability to accurately monitor oxygen saturation levels in pediatric patients. * * possible causes * * - * * damaged cable : * * the cable may have been physically damaged, resulting in a loss of signal. - * * loose connection : * * the cable may not be securely connected to the monitor or the sensor, leading to intermittent signal loss. - * * sensor malfunction : * * the sensor itself may be faulty, causing it to fail to detect oxygen saturation levels. - * * software issue : * * there may be a software issue with the monitor or the sensor, preventing it from communicating properly. * * recommendations * * - * * inspect the cable : * * check the entire cable for damage, such as cuts, breaks, or frayed wires. replace the cable if any damage is found. - * * ensure secure connections : * * tighten all connections between the cable, the monitor, and the sensor to eliminate loose connections. - * * test the sensor : * * use a test device to verify that the sensor is functioning correctly. replace the sensor if it fails the test. - * * update software : * * check for any available software updates for the monitor or the sensor and install them if necessary. - * * contact manufacturer : * * if the issue persists after trying the above recommendations, contact the manufacturer for further assistance or repair. @topic:4


# # # issue - bed does not adjust up and down # # # impact - patients may not be able to get into or out of bed - staff may not be able to perform procedures on the patient - the bed may be uncomfortable for the patient # # # possible causes - mechanical failure : the bed's motor or other mechanical components may have failed. - electrical failure : the bed's electrical system may have failed. - software failure : the bed's software may have crashed or become corrupted. - user error : the bed may not have been operated correctly. # # # recommendations - check the bed's motor and other mechanical components for any signs of damage or wear. - check the bed's electrical system for any loose connections or damaged wires. - check the bed's software for any updates or patches that may be available. - train staff on how to properly operate the bed. @topic:1


# # # issue - the connex spot monitor, a vital signs monitor, is experiencing intermittent display issues. when the device is powered on, the display remains blank. # # # impact - the inability to display vital signs data on the monitor can hinder the effective monitoring of patients'physiological parameters. this poses a potential risk to patient safety and compromises the accuracy of clinical decision - making. # # # possible causes - * * loose connections : * * inspect the cables and connectors between the monitor and its peripherals, including the power cord, display cable, and sensor cables. ensure that they are firmly seated and free of damage. - * * power supply issues : * * check the power outlet and ensure that the monitor is receiving adequate power. fluctuations or interruptions in power supply can cause the display to malfunction. - * * display component failure : * * a faulty display panel, backlight, or display controller can result in the inability to render an image. this may require repair or replacement of the affected components. - * * software glitches : * * software errors or corruption can disrupt the communication between the monitor and its display system. updating the firmware or performing a system reset may resolve these issues. - * * electromagnetic interference ( emi ) : * * the monitor may be sensitive to emi from nearby electrical equipment or devices. repositioning the monitor or shielding it from potential sources of interference can mitigate this issue. # # # recommendations - * * troubleshooting : * * - check all connections, cables, and power sources. - perform a system reset by unplugging and replugging the monitor. - update the firmware to the latest version if available. - * * repair : * * - if troubleshooting fails, contact the manufacturer or an authorized repair technician for further diagnosis and repair. - * * preventive measures : @topic:2


# # # issue - bme borrowed a bed from ward 5w and lent it to ward 6h without providing a replacement bed. # # # impact - the lack of a replacement bed left ward 5w short - staffed and unable to provide adequate care to their patients. # # # possible causes - miscommunication between bme and ward 5w. - lack of spare beds in the hospital's inventory. - unauthorized removal of the bed from ward 5w. # # # recommendations - improve communication between bme and the wards to ensure that beds are borrowed and returned in a timely manner. - increase the number of spare beds available in the hospital's inventory. - implement a policy that prohibits unauthorized removal of medical equipment from the wards. - provide training to bme staff on the importance of providing replacement beds when borrowing equipment from the wards. @topic:9


* * issue : * * keyboard failure on medical cart * * impact : * * inability to use the medical cart effectively * * possible causes : * * * battery depletion * faulty keyboard * loose connection between keyboard and medical cart * * recommendations : * * * replace batteries * test keyboard on a different port * replace keyboard with a new one * contact the manufacturer for further assistance @topic:27


* * issue * * - faulty spo2 sensor cable resulting in malfunction of the bedside physiologic monitor. * * impact * * - compromised monitoring of patient's oxygen saturation levels, which is crucial for critical care management. * * possible causes * * - physical damage to the sensor cable, such as cuts, abrasions, or excessive bending. - improper handling or storage practices, leading to wear and tear. - ageing or degradation of the cable material over time. - manufacturing defects or material flaws. * * recommendations * * - regular inspection and maintenance of the sensor cable to identify and rectify any potential issues. - careful handling and storage of the equipment to prevent physical damage. - proper training of healthcare professionals on the correct use and handling of the sensor cable. - adherence to manufacturer's specifications for cable replacement intervals and proper disposal methods. - consideration of using wireless spo2 sensors to minimize cable - related issues. @topic:4


# # # issue - broken forehead thermometer # # # impact - inability to accurately measure patient's temperature # # # possible causes - physical damage to the thermometer - electrical malfunction # # # recommendations - replace the broken thermometer with a new one - if the electrical malfunction is suspected, further diagnostics are needed to identify the faulty component and repair or replace it @topic:20


# # # issue * computer on medical cart fails to turn on # # # impact * interruption of patient care, loss of data, and potential safety hazards # # # possible causes * overheating due to prolonged use * electrical issues ( power supply, cables, loose connections ) * motherboard or component failure * software or firmware issues * battery discharge or failure # # # recommendations * inspect the equipment for any physical damage, loose connections, or signs of overheating. * check power supply and cables to ensure they are properly connected and functioning. * test the battery or replace it if necessary. * restart the computer and observe if the issue persists. * update firmware or software if any updates are available. * contact the manufacturer or qualified biomedical engineer for further troubleshooting. * * additional considerations : * * * implement regular maintenance and inspection schedules to prevent overheating and other potential issues. * consider using surge protectors or uninterruptible power supplies ( ups ) to protect equipment from voltage fluctuations. * train staff on proper equipment usage and handling to minimize risk of damage. * maintain a record of maintenance and repairs for future reference and warranty claims. @topic:13


# # # issue the vital signs monitor is not working properly. # # # impact the monitor is unable to accurately measure and display the patient's vital signs, which can lead to incorrect treatment decisions. # # # possible causes - the battery is dead or dying. - the power cord is not plugged in or is damaged. - the monitor is not properly calibrated. - there is a loose connection somewhere in the system. - the monitor is defective. # # # recommendations - check the battery and replace it if necessary. - check the power cord and make sure it is plugged in and undamaged. - calibrate the monitor according to the manufacturer's instructions. - check all connections and make sure they are tight. - if the problem persists, contact the manufacturer for assistance. @topic:2


# # # issue - connector arm cuff is damaged # # # impact - nibp monitor cannot be used to measure blood pressure. # # # possible causes - the connector arm cuff may have been damaged due to : - physical damage, such as a tear or puncture - repeated use over time - improper storage or handling # # # recommendations - inspect the connector arm cuff for any visible damage. - replace the connector arm cuff if it is damaged. - handle and store the nibp monitor and its accessories properly to prevent future damage. @topic:15


# # # issue * the time on the monitors, patient transport device is not accurate. # # # impact * incorrect timekeeping can lead to delayed or missed treatments, miscommunication between healthcare providers, and patient safety issues. # # # possible causes * * * clock drift : * * the device's internal clock may have gradually drifted away from the correct time. * * * power outage : * * a recent power outage may have reset the device's internal clock to an incorrect time. * * * user error : * * the device's time may have been incorrectly set by a user. * * * software glitch : * * a software glitch may have caused the device to display an incorrect time. # # # recommendations * * * check the device's internal settings : * * verify that the time zone, date, and time are set correctly in the device's internal settings. * * * synchronize the device with a reference time source : * * connect the device to a computer or other reference time source to synchronize its internal clock. * * * update the device's software : * * install any available software updates for the device, as these may include fixes for timekeeping issues. * * * monitor the device's timekeeping performance : * * regularly check the device's time against a reference time source to ensure accuracy. * * * contact the manufacturer : * * if the issue persists, contact the device manufacturer for further assistance. @topic:29


# # # issue - bed is not adjusting up or down # # # impact - patient discomfort - inability to access the bed # # # possible causes - faulty remote control - problem with the bed's electrical system # # # recommendations - check the remote control for any damage. - if the remote control is undamaged, check the bed's electrical system for any loose connections or other problems. - if the electrical system is also undamaged, the bed may need to be replaced. @topic:1


# # # issue : sluggish drawer # # # impact : difficulty accessing medical supplies and equipment stored in the drawer. # # # possible causes : - dry lubricant [UNK] [UNK] ball bearing [UNK] [UNK] # # # recommendations : - apply lubricant to the ball bearings @topic:21


# # # issue - cuff failure in philips suresigns vs2 + vital signs monitor # # # impact - inability to accurately measure blood pressure # # # possible causes - physical damage to the cuff - leakage of air from the cuff - malfunctioning of the cuff inflation / deflation mechanism - electrical failure in the cuff # # # recommendations - replace the damaged cuff with a new one - inspect the cuff for any signs of damage or wear - check the air lines for leaks - ensure that the cuff inflation / deflation mechanism is working properly - test the cuff to verify that it is functioning correctly @topic:15


# # # issue the control of the electric bed is not working, specifically affecting the adjustment of the head position. # # # impact the inability to adjust the head position of the bed can significantly impact patient comfort and overall care. it can restrict their ability to read, eat, or communicate, and may lead to discomfort or pain. additionally, it can hinder medical procedures that require the patient's head to be raised or lowered. # # # possible causes * * * control panel failure : * * the control panel that operates the bed's functions may be damaged or malfunctioning. this can be due to electrical issues, wear and tear, or liquid spills. * * * electrical wiring issue : * * faulty wiring or loose connections within the bed's electrical system can disrupt the communication between the control panel and the bed's motors. * * * motor malfunction : * * the motors responsible for adjusting the bed's head position may have become damaged or worn, causing them to fail or operate incorrectly. * * * software error : * * the bed's software may have encountered an error or glitch that affects the control of the head position. # # # recommendations * * * inspect and test control panel : * * examine the control panel for any visible damage or loose connections. test the buttons and switches to verify their functionality. * * * check electrical wiring : * * inspect the wiring within the bed for any damage, loose connections, or corrosion. use a multimeter to test for continuity and voltage to ensure proper electrical flow. * * * diagnose motor function : * * disconnect the motors and test them individually to determine if they are functioning correctly. check for any signs of damage, wear, or binding. * * * update software : * * if a software error is suspected, check with the manufacturer for any available software updates that @topic:1


# # # issue : - faulty lead causing failure of bedside physiologic monitor ( intellivue mp70 ) # # # impact : - inability to obtain accurate patient physiological data - potential delays in diagnosis and treatment - increased risk to patient safety # # # possible cause : - damage to lead wires due to improper handling, age, or excessive use - loose connections between lead and monitor - electrical interference from other devices # # # recommendations : - thoroughly inspect all lead wires for signs of damage or wear - ensure secure connections between lead and monitor - conduct regular preventative maintenance checks of the monitor and leads - train staff on proper handling and storage of leads - consider using wireless or telemetry - based monitoring systems to reduce lead - related issues @topic:18


bed frame • sleep surface retractable head section the retractable head section feature is achieved by controlling a sliding movement of the head section frame with two sliding blocks in channels at each side of the intermediate frame. this lets the head section frame extend ( with respect to the seat section ). the hard surface also extends ( with respect to the head section frame ) towards the head end. this is achieved by the two elevation arms of the head section frame that terminate in gear teeth interfaced with the notches in the rear of the head section hard surface and move the hard surface towards the head end as the head section is raised. emergency cpr release the cpr control handles are located at the head end of the bed, under each comer of the sleep deck. pulling one of the handles disengages the driving gear of the head section motor inside the actuator. this lets the head section drop under the pull of gravity, assisted by 1 spring, cushioned by one damper. extendable foot section the extendable foot section lets the caregiver add an additional 4 " ( 102 mm ) to the length of the bed. the movement is controlled by a lever under the foot end of the bed. pulling up on the lever and pulling the foot section out, extends the section. the foot section locks into place when extended or retracted. hilow system warning : the column must be replaced if it becomes defective. the column must never be dismantled. failure to observe this warning could cause personal injury. the hilow system features two columns each composed of three sections that slide in relation with each other by a pantograph system. this system is driven by a fixed motor installed at the base of the mechanism. this system lets the page 3 - 2 careassist® and careassist® es bed service manual ( man330 rev 4 ) mechanical system chapter 3 : theory of operation @topic:9


# # # issue - cuff is damaged and deteriorated. # # # impact - patient's blood pressure cannot be accurately measured. - incorrect blood pressure readings can lead to improper treatment decisions. # # # possible causes - cuff has exceeded its lifespan. - cuff has been subjected to excessive wear and tear. - cuff has been improperly stored or cleaned. # # # recommendations - replace the cuff with a new one of the appropriate size. - inspect cuffs regularly for signs of wear and tear. - store and clean cuffs according to manufacturer's instructions. @topic:3


# # # issue the bed, electric, huntleigh, contoura 390 is not adjusting the head down. # # # impact the patient may not be able to be positioned comfortably or safely. # # # possible causes - the control box is faulty. - the motor is not working properly. - the wiring is damaged. # # # recommendations - replace the control box. - repair or replace the motor. - inspect and repair or replace the wiring. @topic:1


# # # issue - broken ekg lead ( red ) - disconnected header # # # impact - interruption of patient monitoring - inaccurate vital sign readings # # # possible causes - wear and tear of the lead wires - improper handling or storage - loose connection between the lead and the monitoring device - manufacturing defect # # # recommendations - regularly inspect lead wires for damage and replace as needed - properly handle and store lead wires to prevent damage - securely connect the lead to the monitoring device - if possible, identify and resolve the underlying cause of the lead failure to prevent reoccurrence @topic:18


# # # issue battery failure # # # impact monitor is unable to operate without a functional battery. # # # possible causes - battery is old and has reached the end of its lifespan. - battery has been damaged due to mishandling or improper storage. - battery is not compatible with the monitor. # # # recommendations - replace the battery with a new one. - check the battery compatibility with the monitor. - handle and store the battery according to the manufacturer's instructions. @topic:11


# # # issue - broken signal cable connector resulting in intermittent signal transmission between primary and secondary monitors. # # # impact - affects the display and monitoring of patient data, compromising patient care and diagnostic accuracy. # # # possible causes - physical damage to the signal cable during handling or transportation. - wear and tear due to prolonged use or repeated bending. - loose connections or faulty contacts within the cable or connectors. # # # recommendations - replace the entire signal cable to ensure a reliable and stable connection. - inspect the cable regularly for any signs of damage or wear. - handle the cable with care, avoiding sharp bends or excessive force. - ensure secure connections at both ends of the cable. - consider using a protective sleeve or cable protector to minimize physical damage. @topic:2


# # # issue - broken remote control # # # impact - inability to operate the bed using the remote control, which may limit the patient's mobility and comfort. # # # possible causes - accidental dropping or mishandling of the remote control - wear and tear over time, leading to weakened components - manufacturing defect # # # recommendations - handle the remote control with care to avoid accidental damage. - regularly inspect the remote control for any signs of damage or wear. - replace the remote control promptly if it becomes damaged or malfunctions. - consider using a protective case or cover to prevent scratches or impacts. - consult the manufacturer's instructions for proper maintenance and handling of the remote control. @topic:7


# # # issue - cuff bp ( blood pressure ) has deteriorated. # # # impact - inaccurate blood pressure readings. - interruption of patient monitoring. # # # possible causes - normal wear and tear due to repeated use. - exposure to harsh chemicals or cleaning agents. - damage from mishandling or improper storage. # # # recommendations - replace the cuff bp with a new one. - regularly inspect and maintain blood pressure monitors to ensure optimal performance. - train staff on proper handling and storage of medical devices. - consider using durable cuffs designed for high - volume use. @topic:3


# # # issue unable to adjust the medical bed. # # # impact the bed cannot be adjusted to the correct height or position for the patient, which could lead to discomfort, injury, or difficulty performing medical procedures. # # # possible causes - broken or damaged adjustment mechanism - electrical fault - software error - user error # # # recommendations - inspect the adjustment mechanism for any visible damage. - check the electrical connections and fuses. - update the software if necessary. - train the users on how to properly adjust the bed. - replace any damaged components. - contact the manufacturer for support. @topic:1


powering down the monitor between patient measurements to help maintain an adequate un dock. 48 disassembly and repair welch [UNK] connex® spot monitor remove the monitor from the stand disconnect the power cord from the wall. 1. if the system has an apm, disconnect the power and communication cables from the monitor. if the system has an external power supply, disconnect the power supply from the monitor. remove the 4 phillips screws from the back of the stand mount to remove the monitor from the stand. 2. 3. note this artwork features the apm stand. other stand mounts reassembly notes : reassembly is the reverse of disassembly. service manual exploded view diagram the drawing below shows individual components of the device and their relationships to one another. 50 disassembly and repair welch [UNK] connex® spot monitor emove the batterbefore removing the battery, power down the monitor as described in this manual. place the unit face down on the table as shown. 1. 2. loosen the captive phillips screw to remove the battery door. 3. disconnect and remove the battery. kit item : batt22, srv kit 2 cell lithium - ion battery note reassembly is the reverse of disassembly. warning defective batteries can damage the monitor. if the battery shows any signs of damage or cracking, it must be replaced immediately and only with a battery approved by welch allyn. service manual emove the back housin1. remove the 6 phillips screws on the back of the device to remove the back housing. lift the back housing straight up off the device. 3. remove end cap on the right by pulling it out of its slot. 52 disassembly and repair welch [UNK] connex® spot monitor kit items : 105939, @topic:19


# # # issue - cuff bp leakage - loose monitor stand # # # impact - accurate blood pressure monitoring is compromised - potential for equipment damage or injury due to instability # # # possible causes - * * cuff leakage : * * - defective cuff material or valve - improper cuff application - age or wear of the cuff - * * loose monitor stand : * * - worn or damaged components in the stand - improper installation or assembly # # # recommendations * * cuff leakage : * * - replace the cuff with a new, inspected one. - ensure proper cuff application and inflation technique. - inspect the cuff for any damage or defects. * * loose monitor stand : * * - tighten or replace loose components in the stand. - reinstall or assemble the stand correctly according to the manufacturer's instructions. - if the problem persists, contact the manufacturer or a qualified biomedical engineer. @topic:3


# # # issue - the nibp monitor ( casmed model 740 ) has a noisy wheel. # # # impact - the noisy wheel may interfere with the use of the monitor, making it difficult to accurately measure blood pressure. # # # possible causes - the wheel may be damaged or worn. - the wheel may not be properly lubricated. - the wheel may be rubbing against another part of the monitor. # # # recommendations - inspect the wheel for damage or wear. - lubricate the wheel with a suitable lubricant. - ensure that the wheel is not rubbing against another part of the monitor. @topic:24


# # # issue lcd panel failure # # # impact - inability to display patient data, vital signs, and other essential information - reduced efficiency and accuracy of medical procedures - patient safety risks due to lack of access to critical data # # # possible causes - physical damage to the lcd panel, such as cracks or impacts - electrical overstress or power surge - backlight failure - manufacturing defects - age - related degradation # # # recommendations - handle and store equipment with care to prevent physical damage - ensure proper electrical connections and voltage regulation - perform regular maintenance and calibration to identify and address potential issues early on - consider using protective cases or covers to minimize exposure to hazards - contact the manufacturer or qualified technician for repair or replacement if necessary @topic:2


a network. depending on the monitor model, you can connect the x2 to the monitor via a cable or mount it either on the left side of the fms or on the back of the monitor, as shown here. mms extensions the mms extensions connect to the mms and use the mms settings and power. trend data and measurement settings from the measurements in the extensions are stored in the mms. warning • the mms extensions can only function when they are connected to an mms. if the mms is removed during monitoring, the measurements from both the mms and the extension are lost. • measurements from a mms extension connected to an x2 are not available when the x2 is running on battery power. they are only available when the x2 is powered from ac mains, either when connected to a host monitor or the external power supply ( m8023a ). to separate an extension from the mms, press the release lever down, and push the mms forward. 15 1 basic operation devices for acquiring measurements m3014a, m3015a and m3016a capnography mms extensions the optional m3014a capnography extension adds mainstream capnography or sidestream capnography, and optionally one pressure plus either a pressure or a temperature, cardiac output and continuous cardiac output to the mms. the optional m3015a microstream c0 2 extension adds microstream capnography and optionally either pressure or temperature to the mms. the optional m3016a mainstream c0 2 extension adds mainstream capnography and optionally either pressure or temperature to the mms. when a capnography extension is connected to an x2 mms with c0 2, the c0 2 from the extension will be automatically deactivated. the cardiac output measurement is deactivated when the extension is used with @topic:10


. ensure that the red led in the sensor is lit. 2 connect the other end of the sensor to your finger. 3 verify that the spo > value displayed on the monitor is between 95 % and 100 %. if it is not, try the test again with a patient simulator. 4 if you still do not get the results in step 3, see “ spo, measurement problems ” on page 4 - 9. caution a functional tester cannot be used to assess the accuracy of a pulse oximeter monitor. however, if there is independent demonstration that a particular calibration curve is accurate for the combination of a pulse oximeter monitor and a pulse oximeter sensor, then a functional tester can measure the contribution of a monitor to the total error of a monitor / sensor system. the functional tester can then measure how accurately a particular pulse oximeter monitor is reproducing that calibration curve. nbp tests the nbp tests check the performance of the non - invasive blood pressure measurement. perform each of the following procedures when checking the nbp module : + nbp accuracy + nbp calibration procedure ( if required ) + nbp pneumatic leakage test to perform this test, you need the following : e reference manometer ( includes hand pump and valve ), accuracy 0. 2 % of reading + expansion chamber ( volume 500 ml + 10 % ) + tubing performance verification testing suresigns vs2 * and vsi service guide 3 - 13 nbp tests nbp accuracy 3 - 14 to test the nbp accuracy : step 1 connect the manometer and the pump with tubing to the nbp connector on the monitor. 2 connect the tubing to the expansion chamber ( 250 ml cylinder ). i | = e a expansion chamber manometer suresigns vs2 * / vsi monitor @topic:17


# # # issue - broken remote - broken bed headboard - broken bed rails # # # impact - patient discomfort - safety hazard # # # possible causes - wear and tear - improper use - manufacturer defect # # # recommendations - inspect equipment regularly - train staff on proper use of equipment - contact manufacturer for repairs or replacements @topic:7


spmv 10 гр0 cmh24 рмах in02 8 грcmh2etco2 5. 00 % awpmin 00 гр0 cmh2mco6. 5 % sprr pplat 64 ml / cmh20 59 % spo2 sie 1 : 1. 135 comp a20 bp2 cmh20 / l / s pusptcat adult mode information from external device 1 name of external device 2 3 device alarms accepted 4 to view the vuelink device data window, either select the setup hardkey on the vuelink module or the external devices smartkey, and then select the pop - up key for the device, or • in the setup < external device > menu, select show device data. • select the device data window then the setup device key to open the setup menu for the connected device. your monitor may be configured to show vuelink device data permanently on the screens. select the device data window to display the external device pop - up keys that let you access the setup t external device tasks. to switch vuelink measurements on and off, in the setup menu for the external device, select device interface to toggle between the settings on and off. alarms / inops from external devices the vuelink module itself generates inops, but does not generate alarms. if the external device's alarms are on, the module transmits these to the monitor. a message in the vuelink info window tells you, depending on the configuration setting, either device alarms ignored or device alarms accepted or, when the external device is not supplying alarm data, no alarms available. 389 31 vuelink modules when device alarms ignored is set, alarms from the external device will not be displayed on the monitor and will not be transmitted to the information center. external device alarms status symbols ot all, measurement labels @topic:10


# # # issue - bed adjustment failure # # # impact - patient discomfort - delays in patient care - increased workload for healthcare staff # # # possible causes - malfunctioning motor or actuator - electrical fault - faulty control panel - mechanical obstruction - software glitch # # # recommendations - inspect the motor and actuator for any visible signs of damage or wear. - check electrical connections and wiring for any loose or damaged components. - test the control panel to ensure all buttons and switches are functioning properly. - examine the bed for any mechanical obstructions that may be impeding its movement. - update or reinstall software if necessary. @topic:1


# # # issue : color distortion on lcd monitor # # # impact : limited visualization and diagnostic accuracy # # # possible causes : - faulty display panel - damaged or loose cables - incorrect signal settings - malfunctioning graphics card - power supply issues - environmental factors ( e. g., temperature, humidity ) # # # recommendations : - * * inspect display panel : * * check for any physical damage or defects. - * * check cables and connections : * * ensure that all cables are securely connected and free of damage. - * * adjust signal settings : * * calibrate the monitor's color and brightness settings to optimal levels. - * * check graphics card : * * update the graphics card drivers and test with a different card if available. - * * inspect power supply : * * verify that the power supply unit provides adequate voltage and amperage. - * * consider environmental factors : * * ensure the monitor operates within the manufacturer's specified temperature and humidity ranges. @topic:2


# # # issue - [UNK] [UNK] # # # impact - [UNK] [UNK] [UNK] [UNK] か 正 しく [UNK] [UNK] しなくなる # # # possible causes - [UNK] [UNK] 的 な [UNK] [UNK] - [UNK] [UNK] - [UNK] [UNK] 上 の [UNK] [UNK] # # # recommendations - 定 [UNK] 的 な [UNK] [UNK] と [UNK] [UNK] 保 [UNK] を [UNK] [UNK] する - [UNK] [UNK] [UNK] [UNK] を [UNK] [UNK] に [UNK] り [UNK] う - 高 [UNK] [UNK] の 部 [UNK] のみを [UNK] [UNK] する @topic:12


* * issue : * * - missing bed alarm cord * * impact : * * - inability to alert staff to patient falls or other safety concerns - increased risk of patient injury * * possible causes : * * - cord was accidentally removed during bed relocation - cord was intentionally removed to silence alarms - cord malfunctioned * * recommendations : * * - inspect cord for damage and ensure it is securely attached to the bed - train staff on the importance of keeping the bed alarm cord connected - test the bed alarm regularly to ensure proper functionality - consider using a wireless bed alarm system to eliminate the risk of cord removal @topic:26


number field. a keyboard appears. 4 enter the serial number. use the back button to backspace, the cancel button to close the keyboard without saving, or the ok button to save the changes. 5 select the apply button. a confirmation window displays the message : system will restart now. 6 in the confirmation window, select the ok button. the monitor restarts. repairing the monitor 5 - 34 suresigns vs4 service guide setting the system configuration setting the system configuration when the monitor performs a self test, it first checks its system configuration. if you replace the main board, you must reprogram the system configuration. caution the system configuration settings must match the hardware installed on the monitor. incorrect settings may result in system malfunction alarm messages and the monitor may not start. if this happens, correct the system configuration settings. to reset the system configuration : step 1 in the system diagnostics menu, select the configuration button, and then press the wheel. the configuration menu appears : configuration configuration : spo2 predictive temp tympanic temp touch screen wireless select each option installed in the monitor. select the apply button. a confirmation window displays the message : system will restart now. in the confirmation window, select the ok button. the monitor restarts. repairing the monitor suresigns vs4 service guide 5 - 35 removing the nbp module removing the nbp module caution after replacing the nbp module, you must reset the nbp cycle count and run the nbp tests. for more information about resetting the nbp cycle count, see “ viewing and resetting tracked parameters ” on page 4 - 34. for information about running the nbp test, see “ nbp test ” on page 3 - 14. to remove the nbp module : step 1 separate the front and rear monitor case assemblies. see “ separating @topic:10


1 + al ed. 3 clause 16. any non¬ medical device placed and operated in the patient ’ s vicinity must be powered via a separating transformer ( compliant with lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + al ed. 3 clause 16 ) that ensures mechanical fixing of the power cords and covering of any unused power outlets. system installation requirements • ensure that the medical electrical system is installed in a way that the user achieves optimal use. • make sure the user is informed about the required cleaning, adjustment, sterilization and disinfection procedures listed in the instructions for use. • the medical electrical system must be installed in such a way that the user is able to carry out the necessary cleaning, adjustment, sterilization and disinfection procedures listed in the instructions for use. 53 [ 3 testing and maintenance ] • ensure that the medical electrical system is installed in a way that an interruption and restoration of power to any part of the medical electrical system does not result in a safety hazard. • we recommend using fixed mains socket outlets to power the medical system or parts thereof. avoid using multiple portable socket - outlets. • any multiple portable socket outlets used must be compliant with lec 60884 - 1 and lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16. • ensure that any part of the system connected to multiple portable socket - outlets is only removable with a tool, i. e. the multiple portable socket - outlet provides a locking mechanism to prevent power cords from being plugged or unplugged unintentionally. otherwise, the multiple portable socket - outlet must be connected to a separation device. multiple socket outlets used within the medical electrical system must only be used for powering medical electrical equipment which is @topic:10


. be aware that if you connect an intellibridge module with a different operating language to the monitor, the monitor will show : • measurement labels in the monitor language • alarm and inop texts in the intellibridge module device driver language. 350 30 vuelink modules a vuelink module transmits information from a connected external device to your monitor. each module can be connected to one of up to three preselected external devices, and supports alarms from the external device. data from vuelink modules cannot be included in monitor trends when the label is a free - text label although the external device may transmit more information, the number of waves and numerics you can view simultaneously on your monitor ’ s main screen depends on the module type. type a modules support one wave and two numerics, type b modules support two waves and six numerics. module : type max wave max numeric external devices auxiliary a 1 2 standalone measurement module ventilator b 2 6 ventilators gas analyzer b 2 6 gas analyzers anesthesia machine b 2 6 anesthesia machines auxiliary plus b 2 6 external multi - measurement devices a module name b device label c selection led d setup key e external device cable connector f setup indicator led g module type ( a or b ) the device labels ( b ) on the module indicate for which external devices the module is configured. the selection led ( c ) shows which device is currently active. the device label text may differ slightly from the labels on the external devices. see the documentation supplied with the vuelink module for a list of supported devices and accessories, and for configuration information. 351 30 vuelink modules connecting an external device connecting an external device 1 insert the module into the fms or integrated module slot. 2 check that the device selection led ( c ) lights to show that it has correctly identified the external device. if not, select @topic:10


# # # issue the huntleigh contoura 390 electric hospital bed's head adjustment is not working. # # # impact the bed cannot be adjusted to the desired position, which can be uncomfortable or even dangerous for the patient. # # # possible causes - the head adjustment motor may be faulty. - the head adjustment mechanism may be jammed. - the bed may not be properly plugged in. - the bed may be in the wrong mode. # # # recommendations - check the bed's power cord and make sure it is properly plugged in. - check the bed's mode and make sure it is in the correct mode. - if the bed is still not working, contact a qualified biomedical engineer to service the bed. @topic:1


# # # issue - the vital signs monitor is unable to set the desired values. # # # impact - the healthcare team may not be able to accurately monitor the patient's vital signs, which could lead to incorrect treatment decisions. # # # possible causes - malfunctioning of the monitor's buttons or controls. - software or firmware issues. - electrical or mechanical problems within the monitor. # # # recommendations 1. * * check the monitor's buttons and controls. * * ensure that they are not stuck or damaged. if necessary, clean the buttons with a soft cloth and rubbing alcohol. 2. * * update the monitor's software or firmware. * * this can be done by following the manufacturer's instructions. 3. * * inspect the monitor for any visible damage. * * if any damage is found, the monitor should be serviced by a qualified technician. 4. * * test the monitor using a known - good test device. * * this will help to isolate the problem to the monitor or the test device. 5. * * replace the monitor if necessary. * * if all of the above steps fail to resolve the issue, the monitor should be replaced with a new one. @topic:2


# # # issue - equipment : medical cart - brand : bdms - model : bdms 01 - description : the screen is not displaying. # # # impact - the medical cart cannot be used to display patient information or other critical data. # # # possible causes - the hdmi cable is loose or damaged. - the monitor is not turned on or is not receiving power. - the graphics card in the medical cart is not working properly. # # # recommendations - check the hdmi cable and make sure it is securely connected to both the medical cart and the monitor. - if the hdmi cable is damaged, replace it with a new one. - turn on the monitor and make sure it is receiving power. - if the monitor is still not displaying anything, contact a qualified technician to troubleshoot the issue. @topic:13


# # # issue - the lcd monitor in room 1 is not displaying any image. # # # impact - the medical staff is unable to use the monitor to display patient information or medical images. # # # possible causes - * * loose or damaged power adapter : * * the power adapter may not be properly connected to the monitor or may be damaged, causing the monitor to lose power. - * * defective monitor : * * the monitor itself may be defective, causing it to be unable to display an image. - * * software issue : * * a software issue with the monitor may be preventing it from displaying an image. - * * incorrect settings : * * the monitor settings may be incorrect, causing it to display a blank screen. # # # recommendations - * * check the power adapter : * * ensure that the power adapter is properly connected to the monitor and to a power outlet. if the adapter is damaged, replace it. - * * inspect the monitor : * * check for any physical damage to the monitor, such as a cracked screen or loose cables. - * * reset the monitor : * * reset the monitor to its factory default settings. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the monitor for further troubleshooting and repair. @topic:2


# # # issue - malfunctioning bed railing # # # impact - patient safety hazard - inconvenience for patients and staff # # # possible causes - mechanical failure of the railing mechanism - wear and tear - improper use or maintenance - manufacturing defect # # # recommendations - replace the damaged railing - inspect and maintain the bed regularly - provide training to staff on proper use and maintenance of equipment - consider purchasing a bed with a more durable or reliable railing design @topic:6


# # # issue - the device is not charging. # # # impact - the device cannot be used to monitor vital signs. # # # possible causes - the battery is not properly seated. - the battery is not making good contact with the terminals. - the battery is defective. - the charger is defective. - the power cord is defective. # # # recommendations - reseat the battery. - clean the battery terminals. - replace the battery. - replace the charger. - replace the power cord. @topic:11


# # # issue cuff is loose and does not stick. # # # impact the patient's vital signs may not be accurately measured. # # # possible causes - the velcro on the cuff is worn out. - the cuff is not the correct size for the patient. - the cuff is not being applied correctly. # # # recommendations - replace the velcro on the cuff. - use a cuff that is the correct size for the patient. - apply the cuff according to the manufacturer's instructions. @topic:5


# # # issue - failure of bed alarm system, rendering it inoperable. # # # impact - increased risk of patient falls and injuries. - inability to monitor patient mobility and safety. - reduced patient comfort and well - being. # # # possible causes - * * damaged bed alarm cord : * * the most likely cause is a physical damage to the bed alarm cord, such as a cut or tear. this can occur due to mishandling, improper storage, or accidental tripping. - * * loose connections : * * loose or disconnected cables and plugs can also cause the alarm system to malfunction. - * * malfunctioning sensor : * * in rare cases, the bed alarm sensor itself may become defective or miscalibrated, leading to system failure. # # # recommendations - * * inspect the cord : * * carefully examine the bed alarm cord for any visible damage, such as cuts, tears, or abrasions. - * * check connections : * * ensure that all cables and plugs are securely connected to the bed frame and alarm system. - * * test the system : * * conduct a thorough test of the bed alarm system to verify its functionality. - * * replace the cord : * * if the cord is damaged beyond repair, replace it with a new one as per the provided quotation. - * * preventive maintenance : * * implement a regular maintenance schedule to inspect and test the bed alarm system, including the cord, to prevent future failures. @topic:26


# # # issue - monitor not displaying full - screen in xds program. # # # impact - limited visibility and usability of patient data. # # # possible causes - program not maximized to full - screen. # # # recommendations - press the expand button to maximize the program window to full - screen. @topic:16


# # # issue - equipment not functioning properly ( bed not weighing patients ) # # # impact - inaccurate patient weight measurements, which can affect treatment decisions - delay in patient care # # # possible causes - faulty cable connecting the bed to the weighing system # # # recommendations - replace the faulty cable - regularly inspect and maintain equipment to prevent similar failures @topic:25


# # # issue - probe not measuring value # # # impact - inaccurate or missing spo2 measurements - inability to monitor patient's oxygen levels - potential delays in patient care # # # possible causes - faulty or damaged probe - loose or disconnected cable - sensor failure - software or hardware issues in the monitor * misconfiguration may prevent the probe from being recognized or used properly # # # recommendations - replace the probe with a new one. - ensure the cable is securely connected to both the probe and the monitor. - check the sensor for any visible damage or obstruction. - perform a system test on the monitor to check for any software or hardware issues. - reset the monitor to factory settings. - contact the manufacturer for technical support. @topic:4


red dash tubing dual dpt tp4, ( 183 cm, 72 in ) red / blue dash tubing two 3 ml / hr, macrodrip squeeze four 3 - way 152 cm ( 60 in ) 31 cm ( 12 in ) 989803177911 10 single dpt tp4, ( 213 cm, two 3 - way 183 cm ( 72 in ) 31 cm ( 12 in ) 84 in ) red dash tubing 3 ml / hrsqueeze macrodrip 20 989803179721 triple dpt tp4, ( 152 cm, six 3 - wa60 in ) 122 cm ( 48 in ) 31 cm ( 12 in ) 3 ml / hr, squeeze 3 ml / hrsqueeze 3 ml / hr, squeeze 989803179731 macrodrip 10 single dpt tp4, ( 183 cm, two 3 - way 152 cm ( 60 in ) 31 cm ( 12 in ) 72 in ) red dash tubing macrodrip 20 989803179771 one 3 - way 23 cm ( 9 in ) single dpt tp4, ( 23 cm, macrodrip 20 989803179871 one 4 - way 61 cm ( 24 in ) single dpt tp4, ( 61 cm, no flusdevice 20 989803181141 24 in ) compartmental pressure ne 3 - wasingle dpt tp4, ( 152 cm, two 3 - way 122 cm ( 48 in ) 31 cm ( 12 in ) 60 in ), premium stripe macrodrip 989803181211 3 ml / hr, squeeze 20 single dpt tp4, ( 183 cm, two 3 - way 152 cm ( 60 in ) 31 cm ( 12 in ) 72 in ), premium stripe 3 ml @topic:8


# # # issue - monitor displays " frozen " screen and is unresponsive to user input. # # # impact - inability to accurately monitor patient's vital signs. - delay in treatment or diagnosis due to lack of access to real - time data. # # # possible causes - software malfunction or crash. - hardware component failure ( e. g., ram, cpu, power supply ). - communication error between monitor and other devices ( e. g., sensors, network ). - external interference ( e. g., electromagnetic fields ). # # # recommendations - restart the monitor by turning it off and on again. - check all cables and connections to ensure they are secure. - update the monitor's software to the latest version. - inspect the monitor for any physical damage or signs of overheating. - contact the manufacturer or a qualified service technician for further assistance if the issue persists. @topic:2


screen. be aware that when arrhythmia analysis is switched off, the message arrhythmia off appears beside the ecg wave, if configured to do so only the hr - related alarms are detected ( the asystole alarm, the ventricular fibrillation / tachycardia alarm, the extreme tachycardia and extreme bradycardia alarms, the high heart rate and low heart rate alarms ) - hr high and hr low alarms behave like normal yellow alarms, no timeout periods are active. 54 6 ecg, arrhythmia, st and qt monitoring choosing an ecg lead for arrhythmia monitoring it is important to select a suitable lead for arrhythmia monitoring. guidelines for non - paced patients are : qrs complex should be tall and narrow ( recommended amplitude > 0. 5 mv ) r - wave should be above or below the baseline ( but not bi - phasic ) t - wave should be smaller than 1 / 3 r - wave height the p - wave should be smaller than 1 / 5 r - wave height. for paced patients, in addition to the above, the pace pulse should be : not wider than the normal qrs - the qrs complexes should be at least twice the height of pace pulses - large enough to be detected, with no re - polarization. - to prevent detection of p - waves or baseline noises as qrs complexes, the minimum detection level for qrs complexes is set at 0. 15 mv, according to aami - ec 13 specifications. adjusting the ecg wave size on the monitor display ( gain adjustment ) does not affect the ecg signal which is used for arrhythmia analysis. if the ecg signal is too small, you may get false alarms for pause or asystole. atrial fibrillation alarm the monitor performs atrial fi @topic:8