# # # issue - loss of vital sign monitor due to dislodgement from its mounting bracket # # # impact - interruption of vital signs monitoring for patients - delay in medical intervention - potential patient harm # # # possible causes - * * loose mounting bracket : * * the bracket may not have been properly tightened, allowing the monitor to detach. - * * excessive force : * * the monitor may have been jolted or knocked, causing it to dislodge from the bracket. - * * improper placement : * * the monitor may not have been securely placed on the bracket, making it susceptible to movement. - * * faulty bracket : * * the bracket may be defective, preventing the monitor from being properly secured. # # # recommendations - * * ensure proper mounting : * * tighten the mounting bracket securely and ensure the monitor is properly seated on it. - * * regular maintenance : * * inspect the mounting bracket and monitor regularly for signs of wear or damage. - * * handle with care : * * avoid excessive force or jolts when moving the monitor. - * * proper placement : * * place the monitor on a stable surface and avoid placing objects on the bracket that could cause it to move. - * * replace faulty bracket : * * if the bracket is found to be defective, replace it promptly. @topic:2


# # # issue - cuff bp adult is damaged # # # impact - vital signs monitor cannot be used for blood pressure measurements # # # possible causes - cuff bp adult is old and deteriorated - cuff bp adult has been subjected to excessive wear and tear - cuff bp adult has been punctured or torn # # # recommendations - replace cuff bp adult with a new one - inspect cuff bp adult regularly for signs of wear and tear - avoid puncturing or tearing cuff bp adult @topic:3


# # # issue - the medical cart's drawer cannot be opened. # # # impact - inability to access medical supplies and equipment stored in the drawer. - delays in patient care. # # # possible causes - * * hardware failure : * * malfunction of the drawer mechanism, such as broken gears or faulty sensors. - * * software glitch : * * an issue with the cart's operating system or software that controls the drawer function. - * * obstruction : * * an object blocking the drawer from fully opening. # # # recommendations - * * troubleshooting : * * check for any visible obstructions and remove them. restart the cart to reset any software glitches. - * * inspection : * * examine the drawer mechanism for any damaged or worn components. - * * replacement : * * if necessary, replace any faulty hardware or software components. - * * lubrication : * * apply lubricant to the drawer mechanism to ensure smooth operation. - * * training : * * provide training to staff on proper use and maintenance of the medical cart, including how to open and close the drawer safely. @topic:21


and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 8 - 10 2. remove the main pcb assembly. see “ removing the main pcb assembly ” on page 8 - 15. 3. remove the front end assembly. see “ removing the front end assembly ” on page 8 - 24. 4. remove the front end assembly cover. see “ removing the front end assembly cover ” on page 8 - 26. 5. remove the two white plastic # 1 phillips - head screws on the front end assembly. 8 - 28 repairing the monitor main pcb assembly / disassembly procedures 6. remove the two connectors and separate the sp0 2 board from the front end assembly board. when assembling the sp0 2 board 1. remove the front assembly cover ( if not already removed ). see “ removing the front end assembly cover ” on page 8 - 26. 2. attach the two connectors on the sp0 2 and front end assembly boards. repairing the monitor 8 - 29 main pcb assembly / disassembly procedures removing the power supply to remove the power supply : 1. separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 8 - 10 2. remove the main pcb assembly. see “ removing the main pcb assembly ” on page 8 - 15. 3. remove the 2 - and 6 - pin power supply connectors from the back of the main pcb assembly. 4. remove the three torx t10 screws and washers ; use pliers to release the plastic stand - off pin ; and remove the power supply from the assembly. screws screws ( power supply, rev a ) plastic stand - off pin 8 - 30 repairing the monitor main pcb assembly / disassembly procedures removing the main pcb caution after replacing the @topic:19


# # # issue - the hospital bed failed to adjust # # # impact - the patient cannot be moved or positioned comfortably in the bed - healthcare providers cannot properly care for the patient # # # possible causes * * electrical : * * - remote control is faulty - power cord is damaged - loose wiring * * mechanical : * * - motor is defective - gearbox is jammed - hydraulics are leaking # # # recommendations 1. * * check the remote control : * * the remote control may be faulty. try a new remote control to see if the bed adjusts. 2. * * inspect the power cord : * * the power cord may be damaged. check the cord for any cuts or breaks. 3. * * check for loose wiring : * * loose wiring may prevent the bed from adjusting. check all of the wiring connections to make sure they are secure. 4. * * test the motor : * * the motor may be defective. try to manually adjust the bed. if the bed does not adjust, the motor may need to be replaced. 5. * * inspect the gearbox : * * the gearbox may be jammed. try to manually adjust the bed. if the bed does not adjust, the gearbox may need to be replaced. 6. * * check for hydraulic leaks : * * hydraulic leaks can prevent the bed from adjusting. check all of the hydraulic hoses and connections for leaks. @topic:1


# # # issue the cause of failure is not clearly defined. # # # impact the equipment may not be able to be used, which could impact patient care. # # # possible causes the equipment may have been damaged during transport or use. the equipment may have been improperly used. the equipment may have a manufacturing defect. # # # recommendations the technician should inspect the equipment to determine the cause of failure. the technician should repair or replace the equipment as necessary. the technician should provide training to staff on how to properly use the equipment. the technician should contact the manufacturer if they suspect a manufacturing defect. @topic:12


# # # issue - monitor is not connecting to the vsm ( vital signs monitor ) system. # # # impact - inability to monitor patient vital signs remotely. - delays in patient care and treatment. # # # possible causes - incorrect wi - fi settings or configuration. - software or firmware issues on the monitor. - issues with the vsm system or network. - physical damage to the monitor or cabling. # # # recommendations 1. * * verify wi - fi settings : * * ensure the monitor's wi - fi is enabled and connected to the correct network. check for any configuration issues, such as incorrect ip addresses or passwords. 2. * * update software and firmware : * * check for and install any available software or firmware updates for the monitor. updates may address bugs or compatibility issues. 3. * * troubleshoot vsm system : * * verify that the vsm system is functioning properly and connected to the network. contact the vsm system administrator if any issues are identified. 4. * * inspect physical components : * * check the monitor's cabling for any damage or loose connections. inspect the monitor itself for any signs of physical damage or malfunction. 5. * * re - test functionality : * * after addressing the potential causes, re - test the monitor's connection to the vsm system to ensure proper functionality. @topic:16


# # # issue the given input does not provide any information about the cause of failure for the medical device. # # # impact the impact of the lack of information is that it is difficult to determine what caused the medical device to fail and how to prevent similar failures in the future. # # # possible causes the possible causes of the lack of information about the cause of failure include : - the technician did not perform a thorough inspection of the medical device. - the technician did not have the necessary training or experience to diagnose the cause of failure. - the technician did not have access to the necessary test equipment to diagnose the cause of failure. # # # recommendations the following recommendations can help to prevent similar failures in the future : - technicians should perform a thorough inspection of all medical devices before they are put into service. - technicians should receive the necessary training and experience to diagnose the cause of failures. - technicians should have access to the necessary test equipment to diagnose the cause of failures. @topic:12


# # # issue - cuff failure # # # impact - inability to monitor patient's blood pressure # # # possible causes - defective cuff - improper cuff size or placement - cuff not properly connected to the monitor - cuff sensor malfunction # # # recommendations - verify that the cuff is the correct size and is properly placed on the patient's arm. - ensure that the cuff is securely connected to the monitor. - test the cuff sensor to ensure that it is functioning properly. - send cuff to maintenance department to check for any faults. - have a spare cuff available. - replace the cuff if it is defective. @topic:3


* [UNK] med cart 1. 002 [UNK] x [UNK] [UNK] [UNK] [UNK] [UNK] 11119 100 % dmin admin og in 12 - 11 - 2019 14 : 58 : 01 keyboard light [UNK] [UNK] 1 - 2 นว [UNK] [UNK] logout paid 20 - 11 - 12 138 med cart 1002 x u 100 % admin admin [UNK] og in : 12 - 11 - 2019 [UNK] [UNK] [UNK] [UNK] keyboard light temp3 [UNK] [UNK] 5 logout undated 2015 - 11 - 12 1554 med catt002 u 100 % admin admin 2 [UNK] in : 12 - 11 - 2019 keyboard light [UNK] [UNK] [UNK] temp3 4 o 5 logout pted 2018 11 - 12 150700 4 [UNK] [UNK] [UNK] [UNK] 081 347 4731 email : daraporn. ko @ savedrug. co. th dms bangkok dusit medical services med cart 1. 002 × 1019 100 % admin admin 2 log in 12 - 11 - 2019 14 : 58 : 01 keyboard light 3 5 logout updated 2010 - 11 - 129031 [UNK] 1. [UNK] 2. [UNK] med cart 1. 0. 0. 2 0 bie 100 % admin admin 1 2 log in : 12 - 11 - 2019 14. 58 : 01 keyboard light 3 4 5 6 logout 2010 - 11 - 12 10154 med cart 1. 002 0 tse 100 % admin admin [UNK] 1 log in : 12 - 11 - 2019 14 : 58 : 01 keyboard light [UNK] [UNK] logout updated 2016 - 11 - 12 16 : 00 [UNK] [UNK] [UNK] [UNK] on drawer battery [UNK] [UNK] [UNK] [UNK] 5 [UNK] [UNK] [UNK] [UNK] 081 347 4731 email : daraporn. ko @ savedrug. co. th @topic:19


# # # issue - the bed is making a loud noise when raised or lowered. # # # impact - the noise can be disruptive and could disturb patients or staff. - the noise can be a sign of a more serious problem with the bed. # # # possible causes - the bed is not properly lubricated. - the motor is not working properly. - the gears are worn or damaged. - the bed frame is damaged. # # # recommendations - lubricate the bed according to the manufacturer's instructions. - check the motor for any signs of damage or wear. - inspect the gears for any signs of wear or damage. - inspect the bed frame for any signs of damage. - if the problem persists, contact a qualified biomedical engineer for further assistance. @topic:9


essages are explained in the individual measurement chapters. monitor inops what to do 1 ) an mms with an incompatible software revision is connected to the monitor. this combination does not allow monitoring, or bad msl inop tone 2 ) you cannot use this combination of monitor, mms and cable. switch off the monitor and contact your service personnel. central : tele onlinop tone system connectivity via telemetry device is limited ( no alarms, only local numerics ) when in companion mode and host monitor does not have system connectivity. only telemetry device played at central station. check alarm lampnop tone perform a visual check of the alarm lamp to establish whether there is a problem. contact your service personnel to check the internal connections to the alarm lamps. check drugsettinginop tone there was a problem loading the drug settings. check that the settings are complete and correct.!! check ecg sourcellow tone the telemetry device and the monitor both have valid ecg signals. unpair the telemetry device and the monitor if they are no longer used for the same patient.!! check equipment inop tone / yellow tonheck flex texts nop tone there is an equipment status dispute relating to one or more of the devices assigned to this patient. see check the names of the monitor menus, for example the labels for screens, profiles, event or trend group names, before you resume monitoring. if they are unexpected, there may be a problem with the monitor software. contact your service personnel. check keyboarinop tone perform a visual and functional check of the keyboard. contact your service personnel. check main board inop tone there is a problem with the second main board in the monitor. contact your service personnel. check monitor funinop tone potential problem with alarm lamps, display or interfaces detected. contact your service personnel. check @topic:10


shipped with english front bezels only. if you require a bezel in another language ( compare the part numbers of your language to the english ones to check this ) the front bezel has to be ordered additionally. attach the appropriate bezel before putting the mms extension into operation. the part numbers in the following parts table below, are used to order parts from your philips representative. the item numbers correspond to the illustration which follows. 197 6 parts measurement server extension parts ( m3012a, m3014a, m3015a and m3016a ) mms extension part numbers - release mechanisms part number 12nc part number description m3014 - 64200 451261012731 mms extension clips and springs ( 10 each ) for mms extension release mechanism ( old version ) m3001 - 64600 451261012721 mms extension lever locks, ( packet of 5 ) for mms extesnion release mechanism ( new version ) clips & springs mms extension part numbers - top cover and link bar part number 12nc part number description m3012 - 64620 451261016601 mse top cover assembly m3012 - 64621 451261016611 mse link bar assembly mms extension part numbers - front bezels part number 12nc part no. description item m3012a # c00 - pressure, temp & press / temp m3012 - 64131 451261000221 m3012a front bezel ( pressure, temp, press / temp ), english ( also for danish, french, italian, simplified chinese, traditional chinese, japanese ) not shown m3012 - 64133 451261000231 m3012a front bezel ( pressure, temp, press / temp ), german not shown m3012 - @topic:19


* * issue : * * cuff of nibp monitor has deteriorated. * * impact : * * the nibp monitor may not be able to accurately measure blood pressure. * * possible causes : * * * cuff may be old and worn out. * cuff may have been damaged by chemicals or cleaning agents. * cuff may not be the correct size for the patient. * * recommendations : * * * replace the cuff with a new one. * ensure that the cuff is the correct size for the patient. * avoid using chemicals or cleaning agents that could damage the cuff. * inspect the cuff regularly for signs of wear and tear. @topic:15


# # # issue : battery failure # # # impact : inability to retain charge # # # possible causes : - battery storage - battery usage - battery quality - electrical system failure # # # recommendations : - store batteries in a cool, dry place. - follow manufacturer's instructions for battery use. - use high - quality batteries. - inspect electrical system for any potential issues. @topic:11


# # # issue - the cuff of the philips intellivue mp70 ( m8007a ) bedside physiologic monitor is deteriorated and no longer adheres properly. # # # impact - the cuff is essential for measuring vital signs, such as blood pressure and oxygen saturation. if the cuff is not functioning properly, the patient's vital signs may not be accurately measured. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - inspect the cuff regularly for signs of wear and tear. @topic:14


# # # issue - electric bed unable to adjust up and down # # # impact - patient immobility - difficulty accessing patient for care - increased risk of pressure ulcers # # # possible causes - broken or loose electrical wires - faulty motor - control panel malfunction # # # recommendations - inspect electrical wires for damage and ensure connections are secure - test motor for proper operation - inspect control panel for any visible damage or loose connections @topic:1


# # # issue - spo2 error # # # impact - the device is unable to measure spo2. # # # possible causes - the main board may be faulty. # # # recommendations - replace the main board. @topic:4


# # # issue - monitor screen is not displaying anything. # # # impact - inability to monitor patient vital signs, alarms, and other critical information. - delay in patient care and decision - making. # # # possible causes - * * hardware failure : * * - faulty display panel - damaged or loose display cables - power supply issues - * * software failure : * * - corrupted or missing software - firmware bugs or glitches - * * environmental factors : * * - power surges or fluctuations - physical damage to the monitor - * * human error : * * - incorrect settings or configuration - accidental damage during handling or transportation # # # recommendations - * * troubleshooting : * * - check power supply and connections. - reboot the monitor and check for any error messages. - try connecting an external display to rule out issues with the display panel. - * * repair or replacement : * * - if hardware failure is suspected, contact a qualified biomedical engineer or the manufacturer for repair. - if necessary, replace the faulty component or the entire monitor. - * * software updates : * * - check for available software updates from the manufacturer. - install updates to address any known software bugs or vulnerabilities. - * * preventive maintenance : * * - perform regular inspections and maintenance to identify and address potential issues early on. - ensure proper handling and transportation practices to prevent physical damage. @topic:2


# # # issue - the bed is not able to be adjusted upwards # # # impact - impact to patient safety - longer recovery time for patients - increased pain and discomfort - loss of independence and mobility # # # possible causes - electrical fault - faulty wiring or connection - damaged electrical components - mechanical fault - broken or jammed motor - worn or damaged gears # # # recommendations - electrical fault - check wiring and connections - replace damaged electrical components - mechanical fault - inspect motor and gears for damage or wear - replace damaged or worn components @topic:1


# # # issue - the philips m3150a monitor and central station are not connected. # # # impact - the monitor and central station cannot communicate with each other, which may prevent them from functioning properly. # # # possible causes - the cables connecting the monitor and central station may be damaged or disconnected. - the ports on the monitor and central station may be damaged or dirty. - the software on the monitor and central station may not be compatible. # # # recommendations - check the cables connecting the monitor and central station to ensure that they are undamaged and securely connected. - clean the ports on the monitor and central station with a cotton swab and rubbing alcohol. - update the software on the monitor and central station to the latest version. @topic:16


# # # issue - the bed cannot be adjusted. # # # impact - the bed cannot be used to provide patient care. # # # possible causes - the bed's electrical system is not functioning properly. - the bed's mechanical system is not functioning properly. - the bed's controls are not functioning properly. # # # recommendations - inspect the bed's electrical system for any loose connections or damage. - inspect the bed's mechanical system for any broken or damaged parts. - inspect the bed's controls for any loose connections or damage. - if the bed is still not functioning properly, contact the manufacturer for assistance. @topic:1


the mp2 / x2 monitor using the appropriate mounting solution and perform the installation procedures as described in the installation section. - hand over the monitor to the end - users as described in handing over the monitor in the installation section monitor site requirements space requirements the situating of the monitor should be planned such that the nursing staff are able to monitor the patient with relative ease, with all patient connectors and controls readily available and the displays clearly visible. the location should also allow access to service personnel without excessive disruption and should have sufficient clearance all round to allow air circulation. dimensions and weight : size ( w x dx h ) 188 x 86 x 99 mm ( 7. 4 x 3. 39 x 3. 9 in ) weight ( with standard measurement and battery ) 1. 5 kg ( 3. 3 ib. ) environmental requirements temperature 228 the environment where the mp2 / x2 monitor will be used should be reasonably free from vibration, dust and corrosive or explosive gases. the ambient operating and storage conditions for the mp2 / x2 monitor must be observed. if these conditions are not met, the accuracy of the system will be affected and damage can occur. operating : 0 to 40°c ( 32 to 100°f ) storage : - 20 to 60°c ( - 4 to 140°f ) when equipped with intellivue instrument telemetry ( iit ) and while charging batteries : operating : 0 to 35°c ( 32 to 95°f ) humidity operating : 15 % to 95 % relative humidity ( rh ) ( non - condensing ) storage and transport : 5 % to 95 % relative humidity ( rh ) altitude operating : - 500m to 3000m ( 10000 ft. ) storage and transport : - 500m to 4600m ( 15000 ft. ) electrical and safety requirements ( customer or philips ) safety requirements if the mp2 / x @topic:10


# # # issue - deteriorated spo2 cable # # # impact - inappropriateness for patient use # # # possible causes - age - related wear and tear on the spo2 cable # # # recommendations - replacement of the spo2 cable with a new one @topic:4


* * issue : * * failure to identify the actual cause of the equipment malfunction * * impact : * * * wasted time and effort troubleshooting the wrong issue * potential for further equipment damage or patient harm if the underlying cause is not addressed * loss of trust in the technician's ability to diagnose and repair equipment * * possible causes : * * * * * technician error : * * * lack of experience or knowledge * failure to follow proper diagnostic procedures * misinterpretation of test results * * * equipment limitations : * * * the equipment may have limitations in diagnosing certain malfunctions * the technician may not be familiar with these limitations * * * faulty test equipment : * * * the test equipment used to diagnose the equipment may be malfunctioning, providing inaccurate results * * recommendations : * * * * * improve technician training : * * * provide training on proper diagnostic procedures and equipment limitations * * * enhance equipment capabilities : * * * upgrade or replace equipment with more advanced diagnostic capabilities * * * utilize external resources : * * * consult with other technicians, engineers, or manufacturers for assistance in troubleshooting * * * document the troubleshooting process : * * * keep detailed notes of diagnostic tests performed and results obtained * * * establish clear communication channels : * * * ensure that technicians communicate effectively with each other and with medical staff to avoid misinterpretations @topic:12


must be able to connect to the internet. internet connection evice supporquantity some systems may scale up to and potentially beyond 400 devices, depending on the clinical environment. device ( s ) connex spot monitor ( csm ) with software version 1. 30 or higher ctive directory setuprerequisites : confirm that the date and time are set correctly on the device. note this ensures that the device date and time fall between [UNK] the certificate authority ( ca ) root certificate validity period for successful connection. load the ca root certificate on the device and the server certificate on the active directory server. 22 connex direct welch [UNK] connex® spot monitor note the connection to the active directory server might fail due to a missing ca root certificate on the device and a missing server certificate on the ad server. ( see : " import / install an active directory server certificate on the active directory server " and " import / install a certificate authority ( ca root certificate on the active directory server " ). a ca can be either : third - party ( godaddy, ymantec, comodo ) or self - signed - internal ca ( ad cs ) check the dns server ip assignment on the device via dhcp or static configuration. о make sure that the assigned dns server ( s ) on the device can successfully query for the domain name entered on the active directory user interface. ca root certificate format [UNK] ca root certificate can be either in pem or der format and can have extensions : ". pem ", ". der ", [UNK] these certificate files are converted into pem format during the load process on the device. specify active directory settings access the advanced settings. 1. a. touch the settings tab. b. touch the advanced tab. c. he general tab appears2. touch the network tab. touch the active directory tab. 3. advanced settingsau @topic:16


any liquid on the instrument while cleaning. never use an abrasive material such a steel wool or metal polish. cleaning agents and disinfectants should only be used in cases of stubborn dirt. if used, carefully remove any remaining traces of cleaning agent or disinfectant with clean water. note do not allow water to enter the gas outlet. to clean the gas outlet : use cotton wool soaked in soapy water to remove any deposits which may collect in the outlet. dry the outlet thoroughly after cleaning. in the case of severe blockages, a thin length of wire may be used to free the outlet pipe. 267 a philips 1521 ob calibration unit theory of operation theory of operation figure 32 block diagram - internal components the gas cylinder is screwed directly into a pressure regulator block. this block ensures that, in combination with the restriction, the gas flow remains constant as the pressure in the cylinders falls with use. from the regulation block the gas is channelled to the control block. the gas passes into the control block via an opening in the side sealed with an “ o ” ring and filter. the control block acts as a switch. a restriction piece is fitted in the tubing connecting the control block to the gas outlet. the restriction helps to regulate the gas flow. gas flow performance check philips recommends that the following gas flow check is conducted once a year. test procedure 1 check that the pressure indicator is not in the black zone ( i. e. that there is an adequate supply of gas in the cylinder ). 2 fit gas tubing to the gas outlet, then take the free end and fit it to a water - filled syringe in a glass of water. 3 turn the timer control fully clockwise and note the volume of water displaced after 60 seconds. 268 gas flow performance check a philips 1521 ob calibration unit figure 33 test procedure action if outside specification the volume of water @topic:17


# # # issue - the battery in the electric bed is not functioning properly and needs to be replaced. # # # impact - the bed may not be able to be used until the battery is replaced. - the patient may be uncomfortable if the bed is not in the correct position. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged. - the battery may not be properly connected. # # # recommendations - replace the battery with a new one of the same type. - inspect the battery terminals for damage and clean them if necessary. - make sure that the battery is properly connected. @topic:9


# # # issue bedside physiologic monitor requires a new blood pressure cuff. # # # impact the monitor cannot be used to measure blood pressure without a cuff. # # # possible causes - the cuff is damaged or lost. - the cuff is not the correct size for the patient. - the cuff is not properly connected to the monitor. # # # recommendations - inspect the cuff for damage or defects. - ensure that the cuff is the correct size for the patient. - properly connect the cuff to the monitor. - if the cuff is damaged or lost, replace it. @topic:5


# # # issue - bed is not adjusting ( power not reaching the bed ) # # # impact - patient discomfort - inability to perform necessary medical procedures # # # possible causes - loose or damaged power cord - faulty electrical outlet - internal electrical fault in the bed # # # recommendations - check the power cord for any damage or loose connections. - ensure that the electrical outlet is functioning properly by testing it with another device. - if the power cord and outlet are functioning properly, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:1


# # # issue : - wooden rail detached from lock # # # impact : - patient safety risk - potential for patient falls # # # possible causes : - * * equipment defect : * * the wooden rail may have been defective or damaged, causing it to detach from the lock. - * * improper maintenance : * * the rail may not have been properly secured during previous inspections or repairs. - * * patient misuse : * * the patient may have inadvertently forced the rail against the lock, causing it to detach. - * * wear and tear : * * over time, the rail and lock mechanisms may have experienced gradual degradation, weakening their connection. # # # recommendations : - * * inspect and replace : * * thoroughly inspect the wooden rail and lock mechanism for any damage or defects. replace any damaged components as needed. - * * properly secure : * * ensure that the rail is securely locked in place after each inspection or repair. - * * patient education : * * instruct patients on the proper use of the bed and safety rails. - * * regular maintenance : * * implement a regular maintenance schedule to inspect and test the bed, including the rails and locks. - * * document inspections : * * maintain accurate records of inspections and repairs to track device performance and identify any recurring issues. @topic:6


# # # issue : - broken remote cord # # # impact : - inability to use the remote control to operate the bed. # # # possible causes : - physical damage to the cord, such as cuts or tears. - wear and tear over time due to constant use. - manufacturing defects in the cord material. # # # recommendations : - * * replace the broken cord : * * obtain a new remote cord that is compatible with the bed model and replace the damaged one. - * * inspect the cord regularly : * * periodically check the remote cord for any signs of damage or wear. - * * handle the cord with care : * * avoid excessive bending or pulling of the cord to prevent damage. - * * train users on proper handling : * * educate users on the importance of handling the remote cord with care to minimize the risk of future breakage. @topic:7


# # # issue co2 reading failure # # # impact inability to monitor co2 levels, which is a crucial parameter in respiratory assessment. # # # possible causes - faulty co2 adapter tube # # # recommendations - replace the faulty adapter tube with a new one. @topic:4


# # # issue - cuff leak in a bedside physiologic monitor ( philips intellivue mp70 ) # # # impact - inaccurate blood pressure measurements - potential for patient harm due to incorrect readings # # # possible causes - cuff damage or deterioration - improper cuff size or placement - malfunctioning cuff connector or tubing # # # recommendations - replace the cuff with a new one - ensure proper cuff size and placement according to manufacturer's instructions - inspect cuff and tubing for any damage or leaks - calibrate the monitor to ensure accurate readings @topic:3


# # # issue - the physiological monitor is not able to measure ekg values. # # # impact - the patient's ekg cannot be monitored, which could lead to a delay in diagnosis and treatment. # # # possible causes - the ekg lead wires are not properly connected. - the ekg lead wires are damaged. - the physiological monitor is not functioning properly. # # # recommendations - check the connections of the ekg lead wires. - replace the ekg lead wires. - check the physiological monitor for any signs of damage. @topic:18


# # # issue * * * equipment : * * respiratory monitoring device ( cap10 ) * * * problem : * * device unable to measure carbon dioxide ( co2 ) # # # impact * * * patient care : * * accurate monitoring of co2 levels is crucial for respiratory health, particularly during intubation or anesthesia. inability to measure co2 can compromise patient safety. # # # possible causes * * * hardware failure : * * * loose or disconnected tubing or wiring * faulty sensor * malfunctioning circuit board * * * settings : * * * incorrect calibration or configuration * * * external factors : * * * environmental interference ( e. g., electromagnetic interference ) * * * human error : * * * improper setup or maintenance # # # recommendations * * troubleshooting : * * * * * check connections : * * ensure all tubing and wiring are securely attached. * * * test sensor : * * use a calibration gas or known co2 source to verify sensor functionality. * * * inspect circuit board : * * look for loose components, burn marks, or other signs of damage. * * * verify settings : * * ensure the device is properly calibrated and configured according to manufacturer specifications. * * maintenance : * * * * * regular inspections : * * perform periodic checks to identify and resolve potential issues early. * * * training : * * ensure technicians are adequately trained on the equipment's operation and maintenance. * * * calibration and servicing : * * follow manufacturer's guidelines for regular calibration and servicing to maintain accuracy and reliability. * * communication : * * * * * report issue to manufacturer : * * if troubleshooting and maintenance efforts fail, report the issue to the manufacturer for further assistance. * * * document findings : * * keep a record of all troubleshooting steps and @topic:4


# # # issue - equipment is not turning on # # # impact - medical staff cannot use the medical cart to transport medical supplies or equipment. # # # possible causes - power cord is not connected properly - power outlet is not working - battery is dead or not charged - internal electrical component failure # # # recommendations 1. ensure that the power cord is securely plugged into the medical cart and the power outlet. 2. test the power outlet with another device to ensure that it is working properly. 3. if the battery is removable, try replacing it with a new or charged battery. 4. if the above steps do not resolve the issue, contact a qualified biomedical engineer to diagnose and repair the internal electrical component failure. @topic:13


# # # issue - the electric bed is not functioning properly. # # # impact - the patient may be unable to use the bed, which could lead to discomfort or injury. # # # possible causes - the nuts that lock the wheels may have come loose. # # # recommendations - the nuts should be tightened using a screwdriver. - the bed should be tested to ensure that it is functioning properly. @topic:9


# # issue - no signal on the monitor of the medical cart # # impact - the medical cart cannot be used for patient care. # # possible causes - the video cable is not securely connected. - the monitor is not turned on. - the video card in the medical cart is not working properly. - the power supply to the monitor is not working properly. # # recommendations - check the video cable connections at both ends. - make sure that the monitor is turned on. - if the video cable connections are secure and the monitor is turned on, try restarting the medical cart. - if the problem persists, contact the manufacturer of the medical cart for further troubleshooting assistance. @topic:13


# # # issue - monitor has intermittent flickering parameters that disappear for a moment and then reappear. - bis disappears for entire wave # # # impact - affects patient monitoring and can lead to missed or delayed alerts and alarms. # # # possible causes - faulty monitor hardware or software - loose or damaged cables - electrical interference - software bugs # # # recommendations - ensure the monitor is connected securely to the patient and power source. - check for loose or damaged cables and replace if necessary. - inspect the monitor for any obvious hardware damage. - update the monitor's software to the latest version. - contact the manufacturer for technical support and troubleshooting assistance. - if the problem persists, consider replacing the monitor. @topic:2


# # # issue - paper stuck in printer # # # impact - inability to print, which can delay patient care # # # possible causes - worn or damaged printer rollers - misaligned paper trays - paper that is too thick or thin - paper that is not properly loaded - dirty sensor - low toner - printer driver issues # # # recommendations - inspect the printer rollers for wear or damage and replace if necessary - realign the paper trays according to the manufacturer's instructions - use the correct type and weight of paper - load the paper properly according to the manufacturer's instructions - clean the sensor with a cotton swab and isopropyl alcohol - replace the toner cartridge if it is low - update the printer driver to the latest version @topic:28


# # # issue - broken bp frame # # # impact - the monitor may not be able to display vital signs accurately. - the monitor may be unstable and could fall, causing injury to the patient or staff. - the monitor may be difficult to use due to its poor condition. # # # possible causes - excessive wear and tear - accidental damage - incorrect assembly # # # recommendations - inspect the bp frame for any signs of damage. - if the bp frame is damaged, replace it with a new one. - ensure that the bp frame is properly assembled. @topic:15


# # # issue - the physiologic monitor philips model suresigns vs3 is not measuring values. # # # impact - vital signs measurements will not be available. # # # possible causes - the new cuff may not be compatible with the monitor. - the cuff may not be properly installed. - the sensor in the cuff may be damaged. - the monitor may be malfunctioning. # # # recommendations - check the compatibility of the new cuff with the monitor. - ensure the cuff is properly installed according to the manufacturer's instructions. - check the sensor in the cuff for any damage. - if the issue persists, contact the manufacturer for further troubleshooting. @topic:15


maintenance introduction this chapter provides a checklist of the testing and maintenance procedures to ensure the performance and safety of the monitor, the multi - measurement module ( mms ), the mms extensions and the parameter modules. these tests must be performed only by qualified personnel certified by the responsible organization. qualifications required are : training on the subject, knowledge, experience and acquaintance with the relevant technologies, standards and local regulations. the personnel assessing safety must be able to recognize possible consequences and risks arising from non - conforming equipment. all recurring safety and performance assurance tests must be performed under equal environmental conditions to be comparable. preventive maintenance refers specifically to the series of tests required to make sure the measurement results are accurate. the accuracy and performance procedures are designed to be completed as specified in the following sections or when readings are in question. for detailed instructions on the maintenance and cleaning of the monitor and its accessories, see care and cleaning using batteries and maintenance and troubleshooting in the monitor ’ s instructions for use. terminology and definitions the following terms and definitions are used throughout this chapter and taken from the international standards lec 60601 - 1, lec 60601 - 1 - 1 and lec 62353. • medical system : a medical electrical system is a combination of at least one medical electrical device and other electrical equipment, interconnected by functional connection or use of a multiple portable socket - outlet. • patient environment : any area in which intentional or unintentional contact can occur between the patient and parts of the medical system or between the patient and other persons who have had contact with parts of the medical system. the patient environment is defined anywhere within 1. 5m ( 5 feet ) of the perimeter of the patient ’ s bed and 2. 5m ( 8. 2 feet ) from the floor. • separation device / transformer : a component or arrangement of components with input parts and output parts that @topic:10


# # # issue - medical cart drawer cannot be closed properly. # # # impact - medical supplies and equipment cannot be stored securely in the drawer. - the drawer may fall out of the cart, causing injury to staff or patients. # # # possible causes - misalignment of the drawer tracks. - damaged drawer hinges. - loose or missing screws. - bent or warped drawer frame. # # # recommendations - inspect the drawer tracks and hinges for damage or misalignment. - tighten any loose screws. - replace any damaged or missing hinges. - adjust the drawer tracks if necessary. - if the drawer frame is bent or warped, it may need to be replaced. # # # notes - it is important to have medical equipment serviced and inspected regularly to prevent failures. - biomedical engineers should be trained to identify and repair a variety of medical equipment problems. @topic:21


# # # issue - the philips suresigns vs2 + monitor is experiencing intermittent freezing. # # # impact - the monitor is unable to accurately display vital signs, which could lead to delayed or incorrect treatment decisions. # # # possible causes - software glitch - hardware issue - loose connection - power supply issue - battery issue # # # recommendations - * * software glitch : * * update the monitor's software to the latest version. - * * hardware issue : * * contact a qualified biomedical engineer to diagnose and repair the hardware issue. - * * loose connection : * * check all cables and connections to ensure they are secure. - * * power supply issue : * * ensure that the monitor is connected to a stable power source. - * * battery issue : * * replace the battery if it is old or damaged. @topic:2


* * issue : * * equipment malfunction * * impact : * * interruption of patient care or diagnostic procedures * * possible causes : * * * * * loose cable lock at control box : * * as indicated in the input, the technician identified a loose cable lock at the control box of the huntleigh contoura 390 electric bed. this loose connection could have prevented the bed from functioning properly and prevented it from being adjusted. * * recommendations : * * * securely fasten the cable lock at the control box to ensure a stable connection and prevent the equipment from malfunctioning due to loose wiring. * regularly inspect the equipment for any loose connections or damaged cables to prevent similar issues in the future. @topic:32


# # # issue - cuff bp cannot be used # # # impact - unable to measure blood pressure accurately # # # possible causes - cuff wear and tear - cuff size incorrect - tubing leak - equipment malfunction # # # recommendations - replace cuff - ensure cuff size is correct - check tubing for leaks - troubleshoot equipment @topic:3


- > certificate 1 for validity ( valid from. valid until ) 6. make sure that the installed ca certificate is the root certificate of your authentication server certificate chain. nt - related problems symptoms cause of failure failure isolation and remedy no network icon or network icon flashes. no association to central station. communication problem between the monitor and the iit adapter. mac instr. tele, field in instrument telemetry service window is 0000 0000 0000 check that rf access code is set correctly and the network is correctly set up. check the cable connection to the iit module. check the antenna cable connection between the iit module and the antenna. replace cable, antenna or iit module if necessary. incorrect rf access code. no ip address. check that rf access code is set correctly. make sure that network is set up correctly. 121 [ 4 troubleshooting ] short range radio interface problems symptoms cause of failure failure isolation and remedy measurement selection icon does not change to srr. assignment of srr device to monitor not possible check srr configuration settings. replace defective srr interface or cable, if necessary. make sure srr interface is installed. srr interface of telemetry transceiver defective or incompatible make sure the telemetry transceiver srr interface is compatible and functional. measurement selection icon changes to srr but assignment of srr device to monitor fails. srr interference inop is issued rf interferences check location for rf interferences and free frequencies by performing a site survey ( e. g. with air magnet tool ). communication dropouts or gaps in parameter waves. srr interference inop maybe issued rf interferences check location for rf interferences and free frequencies by performing a site survey ( e. g. with air magnet tool ). too many srr devices allocated to one srr channel up to two srr connections can be established per channel. @topic:16


# # # issue defective blood pressure ( bp ) cuff. # # # impact inaccurate blood pressure readings, which can lead to incorrect diagnosis and treatment decisions. # # # possible causes - cuff bladder rupture - air leak in the cuff - faulty connection between the cuff and the monitor - over - inflation of the cuff # # # recommendations - replace the defective cuff with a new one. - inspect the new cuff for any damage or leaks before use. - ensure that the cuff is properly connected to the monitor. - monitor the cuff pressure during inflation to avoid over - inflation. @topic:3


# # # issue the philips suressigns vs4 vital signs monitor is experiencing battery failure due to exceeding its charging cycle limit. # # # impact * loss of functionality for the monitor, resulting in downtime for vital patient monitoring. * inaccurate or unreliable vital sign measurements. * increased risk of patient safety incidents. # # # possible causes * overuse and excessive charging of the battery. * battery aging and degradation over time. * manufacturing defects or design flaws in the battery or charging system. * improper charging or storage conditions. * electrical surges or power fluctuations. # # # recommendations * replace the battery with a new one within the specified charging cycle limit. * ensure proper battery charging and storage practices to extend battery life. * regularly inspect and maintain the charging system to prevent electrical issues. * consider preventive maintenance and calibration of the monitor to minimize the risk of battery failure and ensure optimal performance. * consult the manufacturer's guidelines and recommendations for proper operation and maintenance of the device. * train staff on proper usage and handling of the monitor to avoid misuse and potential damage to the battery. @topic:11


# # # issue - the monitor's display is showing incorrect or abnormal images. # # # impact - the faulty display can hinder the proper functioning of the monitor, making it difficult for medical personnel to accurately monitor patient data. # # # possible causes - software issues - faulty display hardware - loose connections - power supply problems # # # recommendations * * troubleshooting steps : * * 1. check for software updates and install them if necessary. 2. examine the display hardware for any physical damage or loose connections. 3. verify that the power supply to the monitor is stable and sufficient. 4. if the issue persists, consider consulting the manufacturer or a qualified biomedical engineer for further diagnostics and repairs. * * preventative measures : * * 1. perform regular maintenance and calibration of the monitor to ensure optimal performance. 2. protect the monitor from physical damage, moisture, and extreme temperatures. 3. establish a regular schedule for software updates to address known bugs or security vulnerabilities. 4. train staff on proper handling and operation of the monitor to minimize the chances of user error. @topic:2


# # # issue - cuff bp deterioration # # # impact - inaccurate blood pressure measurements # # # possible causes - cuff bp wear and tear - improper cuff bp storage - excessive cuff bp use # # # recommendations - regular cuff bp inspection and maintenance - proper cuff bp storage - avoid excessive cuff bp use @topic:3


# # # issue - keypad is not functioning properly, making it difficult or impossible to input data or commands. # # # impact - delayed or inaccurate patient monitoring, leading to potential risks to patient safety. - increased workload for healthcare professionals due to the need for manual data entry. # # # possible causes : - * * hardware failure : * * - faulty keypad connections or damage to the keypad itself. - issues with the internal circuitry or wiring. - * * software malfunction : * * - software bugs or errors that prevent the system from recognizing keypad input. - compatibility issues between the keypad and the device software. - * * environmental factors : * * - exposure to extreme temperatures, humidity, or dust, which can damage the keypad's functionality. - * * user error : * * - improper or excessive use of the keypad, leading to wear and tear. - accidental damage to the keypad during handling or cleaning. # # # recommendations : - * * hardware troubleshooting : * * - check and clean all physical connections, including the keypad cable and connectors. - inspect the keypad for any visible damage, such as broken keys or cracks. - test the keypad using a different device or component to isolate the issue. - * * software updates : * * - ensure that the device is running the latest software version and apply any available patches or updates. - check for compatibility issues between the keypad and the device software and address them if necessary. - * * environmental control : * * - protect the device from extreme environmental conditions, such as high temperatures or humidity. - use proper cleaning methods that do not damage the keypad. - * * user education : * * - train users on proper keypad usage and handling techniques. - enforce guidelines to prevent excessive or improper use of the keypad. @topic:25


##s vs2 * and vsi service guide maintaining the battery step 4 in the system diagnostics menu, select the battery info button. the battery info menu appears, showing the battery parameters. for example : battery info manufacturer emoli chemistry lion serial number # 75401 manufact. date 06 / 27 / 2011 ( mm / dd / yyyy ) cycle count 10 max error 4 % relative charge 99 % c recondition return > note — ensure that the battery is connected if the following message appears : no data from battery. please see service guide. for detailed information, see “ battery messages and alarms ” on page 2 - 4. 5 to view the entire list of parameters, select the list to activate scrolling. the battery info menu provides detailed information about battery capacity and charging status, including : e cycle count : the number of full charge and discharge cycles calculated by the battery. + max error : the expected margin of error in the state of the charge calculation. the max error value is the difference between the relative charge value and the absolute charge value. e relative charge : the predicted remaining battery capacity, expressed as a percentage of full capacity. the value in the relative charge field decreases as the battery ages. the battery status icon is a graphic representation of the relative charge. + absolute charge : the predicted remaining battery capacity, expressed as a percentage of design capacity. + full capacity : the predicted capacity of the battery when it is fully charged. the value in the full capacity field decreases as the battery ages. the difference between the value in the full capacity field and the value in the design capacity field is an indication of battery condition. e design capacity : the capacity of a new battery. reconditioning the battery reconditioning the battery reduces the max error value, and in turn, increases the accuracy of the relative charge. philips recommends that you condition the battery by fully dischar @topic:11


# # # issue - * * medcart drawer is stuck and cannot open properly. * * # # # impact - * * medical staff may not be able to access necessary medical supplies and equipment. * * - * * patient care may be delayed. * * # # # possible causes - * * lubrication problem : * * the drawer may not be properly lubricated, causing it to stick. - * * solenoid malfunction : * * the solenoid that controls the drawer may be malfunctioning, preventing it from opening. - * * mechanical obstruction : * * there may be an obstruction in the drawer mechanism, preventing it from opening. # # # recommendations - * * lubricate the drawer : * * apply a lubricant to the drawer mechanism to reduce friction. - * * inspect the solenoid : * * check the solenoid for any damage or [UNK] [UNK]. replace the solenoid if necessary. - * * clear any obstructions : * * inspect the drawer mechanism for any obstructions and remove them. @topic:21


# # # issue : temperature measurement not functioning. # # # impact : accurate patient temperature monitoring is essential for proper medical care. a malfunctioning temperature sensor can lead to incorrect readings, which could result in improper treatment decisions. # # # possible causes : - defective temperature sensor - loose or damaged wiring - software or hardware malfunction - calibration issues # # # recommendations : 1. * * troubleshoot the temperature sensor : * * inspect the sensor for any visible damage or loose connections. replace the sensor if necessary. 2. * * check the wiring : * * ensure that all wires and cables are properly connected and not damaged. tighten any loose connections and replace damaged cables. 3. * * update software or firmware : * * verify if there are any pending software or firmware updates for the monitor. install updates as recommended by the manufacturer. 4. * * calibrate the temperature sensor : * * use a certified thermometer to calibrate the temperature sensor according to the manufacturer's instructions. 5. * * contact the manufacturer : * * if the issue persists after following the recommended steps, contact the manufacturer for further assistance. @topic:20


# # # issue - cuff of the bedside physiologic monitor is deteriorated. # # # impact - the monitor may not be able to accurately measure the patient's vital signs. # # # possible causes - normal wear and tear over time - improper storage or handling - exposure to moisture or chemicals # # # recommendations - the cuff should be replaced with a new one. - the monitor should be regularly inspected and maintained to prevent future issues. @topic:5


* * issue : * * * the bed is tilted. * * impact : * * * the patient may be uncomfortable or at risk of falling. * the medical staff may have difficulty performing procedures. * * possible causes : * * * the bed's hydraulic system is faulty. * the bed's frame is damaged. * the bed is not properly leveled. * the patient is not properly positioned. * * recommendations : * * * check the bed's hydraulic system for leaks or other damage. * inspect the bed's frame for cracks or other damage. * level the bed using the leveling screws. * reposition the patient so that their weight is evenly distributed on the bed. @topic:1


# # # issue the cause of failure is not clearly stated in the provided information. the information given only states that the bme ( biomedical engineer ) changed the cuff for the philips suresigns vs2 device. # # # impact the impact of the failure is not mentioned in the provided information. it's important to understand the impact to prioritize and address the issue accordingly. # # # possible causes since the cause of failure is not specified, it is difficult to determine the exact reason for the failure. some possible causes could be : - faulty cuff : the new cuff may be defective or incompatible with the device. - incorrect installation : the cuff may not have been installed correctly, leading to improper readings or device malfunction. - device malfunction : there could be an issue with the philips suresigns vs2 device itself, causing the cuff to not function properly. # # # recommendations to address the issue, the following recommendations can be considered : - verify cuff compatibility : ensure that the new cuff is compatible with the philips suresigns vs2 device. - inspect cuff installation : check that the cuff is properly installed and connected to the device. - test device : perform tests to verify the functionality of the device with the new cuff. - troubleshooting : if the issue persists, consult the manufacturer's instructions or seek assistance from a qualified technician to troubleshoot and identify the root cause. @topic:5


# # # issue - the medical cart cannot login to the med cart program and the department location is not found in the program. # # # impact - the medical cart cannot be used for its intended purpose, which may delay patient care. # # # possible causes - the medical cart's network connection is not working properly. - the medical cart's software is not up to date. - the medical cart's login credentials are incorrect. - the department location information is not correctly entered into the program. # # # recommendations - check the medical cart's network connection and make sure that it is working properly. - update the medical cart's software to the latest version. - verify the medical cart's login credentials. - enter the department location information correctly into the program. @topic:13


# # # issue - defective control box # # # impact - equipment malfunction or failure # # # possible causes - * * manufacturing defects : * * faulty components or assembly errors during production. - * * wear and tear : * * extended use or improper handling can lead to mechanical or electrical component failures. - * * power surges or fluctuations : * * electrical disturbances can damage sensitive electronic components. - * * exposure to harsh environments : * * extreme temperatures, humidity, or chemical spills can contribute to component degradation. - * * software malfunctions : * * glitches or bugs in the embedded software can affect control box functionality. - * * operator mishandling : * * accidental impact, spills, or improper usage can cause physical damage. # # # recommendations - * * regular maintenance and inspections : * * scheduled checkups and preventive maintenance can detect and address potential issues early on. - * * proper handling and storage : * * follow manufacturer guidelines for safe transportation, storage, and operation to minimize physical damage. - * * training for operators : * * ensure staff is adequately trained to avoid mishandling and extend equipment life. - * * use surge protectors : * * protect equipment from voltage spikes and fluctuations. - * * control environmental conditions : * * maintain a suitable operating environment within recommended temperature and humidity ranges. - * * software updates : * * install software updates regularly to address known bugs or security vulnerabilities. - * * consider redundant systems : * * implement backup systems or components to minimize the impact of failures. - * * monitor equipment performance : * * track usage data, error logs, and any deviations from normal operating parameters to identify potential issues before they become critical. @topic:12


# # # issue - cuff leak # # # impact - inaccurate blood pressure measurements - potential patient harm if accurate blood pressure measurements are not obtained # # # possible causes - defective cuff - cuff not properly attached to the patient - cuff not inflated to the correct pressure # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly attached to the patient. - inflate the cuff to the correct pressure according to the manufacturer's instructions. @topic:3


# # # issue loose nut # # # impact the loose nut could have caused the equipment to malfunction, which could have had a negative impact on patient care. # # # possible causes the nut may have been loosened due to vibration, wear and tear, or improper maintenance. # # # recommendations the technician should tighten the nut and inspect the equipment for any other loose components. the technician should also check the equipment's maintenance schedule and ensure that it is being followed. @topic:24


# # # issue : - solenoid coil loose, resulting in failure to close the drawer. # # # impact : - compromised functionality of the medical cart, hindering its use for storing and transporting medical supplies and equipment. # # # possible causes : - wear and tear over time, causing the solenoid coil to loosen. - improper assembly or maintenance, leading to loose connections. - poor quality of the solenoid coil or its components. - external factors, such as vibrations or shocks, causing the coil to dislodge. # # # recommendations : - inspect and tighten the solenoid coil regularly to prevent loosening. - ensure proper assembly and maintenance procedures are followed. - use high - quality solenoid coils and components to enhance durability. - minimize exposure to vibrations or shocks to reduce the risk of coil displacement. - train technicians on proper troubleshooting and repair techniques to address such issues effectively. @topic:21


not overloaded and that the weight is evenly distributed to prevent strain on the locking mechanism or drawer guides. 8. * * seek professional assistance : * * if the issue persists despite following the above recommendations, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:21


# # # issue - black screen on medical cart # # # impact - inability to use medical cart for patient care # # # possible causes - power supply issue - display panel issue - software issue - loose or damaged internal connections # # # recommendations 1. check if the medical cart is properly plugged in and receiving power. 2. inspect the display panel for any physical damage or loose connections. 3. try restarting the medical cart. 4. if the issue persists, contact the manufacturer or a qualified biomedical engineer for further diagnosis and repair. @topic:13


# # # issue - telemetry cable is damaged due to deterioration. # # # impact - the patient's vital signs may not be accurately monitored. - there may be a delay in providing medical care. # # # possible causes - the cable is old and has been used for a long period of time. - the cable has been handled roughly or has been exposed to extreme temperatures. - the cable has been kinked or pinched. # # # recommendations - replace the damaged cable immediately. - inspect all telemetry cables regularly and replace them as needed. - handle telemetry cables carefully and avoid exposing them to extreme temperatures. @topic:22


# # # issue - bed not adjusting # # # impact - patient discomfort - inability to perform procedures - increased workload for staff # # # possible causes - mechanical failure - electrical failure - software glitch - user error # # # recommendations - inspect the bed for any visible damage or loose connections. - check the electrical connections to ensure they are secure. - update the software to the latest version. - train staff on the proper use of the bed. - contact the manufacturer for further assistance if the problem persists. @topic:1


# # # issue - cuff on patient transport monitor is deteriorated and causing the device to fall off when used. # # # impact - inability to accurately monitor patient vitals during transport. - potential for patient harm due to inaccurate or interrupted monitoring. # # # possible causes - cuff size is not appropriate for patient. - cuff is old and worn out. - cuff has been damaged. # # # recommendations - replace cuff with appropriate size for patient. - inspect cuff regularly for signs of wear and tear. - store cuff properly to prevent damage. @topic:5


# # # issue - the bed is adjusting itself upward without any input. # # # impact - this could pose a safety hazard to the patient, as the bed could move while they are in it. - it could also be a nuisance for the patient and staff, as they would have to constantly readjust the bed. # # # possible causes - the remote control is faulty. - the bed's electrical system is malfunctioning. - there is a problem with the bed's mechanical components. # # # recommendations - replace the remote control. - inspect the bed's electrical system for any loose connections or damaged wires. - inspect the bed's mechanical components for any signs of wear or damage. - if the problem persists, contact the manufacturer for further assistance. @topic:1


# # # issue - probe spo2 malfunction for 3 units. # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - physical damage to the probes. - electrical malfunction within the probes. - software errors in the physiological monitor. - improper handling or storage of the probes. # # # recommendations - inspect the probes for physical damage, such as cuts or abrasions. - verify the electrical connections between the probes and the monitor. - update the software on the physiological monitor, if necessary. - handle and store the probes according to manufacturer's instructions. - replace the malfunctioning probes with new ones. @topic:4


# # # issue - electrical control box cable failure # # # impact - loss of functionality of the right side of the bed # # # possible causes - physical damage to the cable - electrical malfunction - loose or disconnected connectors # # # recommendations - replace the damaged cable with a new one from the manufacturer - inspect the control box for any signs of damage or loose components - check all connectors to ensure they are secure and properly connected @topic:7


usb 453564115921 453564115921 kbd keyboard german trackbau usb 453564115931 453564115931 kbd keyboard danish trackbau usb 453564115941 453564115941 kbd keyboard swedish trackbau usb 453564115951 453564115951 kbd keyboard englisch trackbau usb 453564115961 453564115961 kbd keyboard french standard usb 453564115971 453564115971 kbd keyboard italian standard usb 453564115981 453564115981 kbd keyboard german standard usb 453564115991 453564115991 kbd keyboard danish standard usb 453564116001 453564116001 kbd keyboard swedisch standard usb 453564116011 453564116011 kbd keyboard english standard usb 453564119161 453564119161 kbd keyboard spanish trackball usb 453564119171 453564119171 kbd keyboard spanish standard usb 453564119241 453564119241 kbd spillcover trackball us 453564119251 453564119251 kbd spillcover trackball europe 453564119261 453564119261 kbd spillcover standard us 453564119271 453564119271 kbd spillcover standard europe m4046 - 60103 451261000651 iv - mp70 pcacy wired track bau usb / ps2 m4046 - 60104 451261000661 iv - mp70 pcacy optical mouse usb ps / 2 m4046 - 60105 451 @topic:19


* contact manufacturer support : * * if the issue persists after troubleshooting, contact the manufacturer for further assistance or repair. @topic:12


the + 1 mm v6 0. 3 - 1 mm v5. v5 0. 5 v4 0. 8 v1 v3 280. 0. 1 0. 8 0. 6 viewing an st map o display an st mapin the main setup menu, select st map. • you may need to activate the st map task window to see all the data, and to access the pop - up keys. select the map view on screen to activate its task window. once you activate it, you can perform the tasks detailed here. to switch between views, select current view or trend view to toggle between views. • if your trend view is empty, you need to adjust the priority of this measurement in the trending priority list. see " trend priority " on page 316. you can display an st reference baseline for the current view, or for the trended view. the baseline is shown in yellow. however, if the ecg color is yellow, the baseline is shown in green. use this baselinto detect st changes. the baseline is derived automatically whenever the monitor relearns arrhythmia and also on user request. select show baseline / hide baseline to toggle between baseline display on and off. to update the baseline, in the setup st analysis menu, select st view then select update baseline. • changing the scale of the st map to change scale, select size up or size down to alter the size at which monitor displays the map. 174 6 ecg, arrhythmia, st and qt monitoring to determine how frequently the monitor displays a trended sample, 1 select the required interval from the menu. the interval ranges between 12 seconds to 30 minutes. 2 printing an st map report to print the most recently viewed ( current or trend ) window, select main setup then select reports. 1 elect st map2 press print. 3 about qt @topic:8


turn the main board assembly around and disconnect the tubing from the nbp manifold remove the two torx t10 screws and washers holding the front end assembly to the frame. o > wu ( 4 + e = € = e 8 by 2 $ 3 8 repairing the monitor suresigns vs4 service guide 5 - 25 removing the front end assembly 5 pull the front end assembly away from the 40 - pin connector on the side of the main board. be beb beet removing the front end assembly cover to remove the front end assembly cover : step 1 separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 5 - 12. 2 remove the main board assembly. see “ removing the main board assembly ” on page 5 - 18. 3 remove the front end assembly. see “ removing the front end assembly ” on page 5 - 24. repairing the monitor 5 - 26 suresigns vs4 service guide removing the front end assembly 4 remove the two torx t10 screws holding the plastic cover to the front end assembly board. 5 remove the front end assembly cover by inserting a small flathead screwdriver into the two slots at the bottom of the cover and pushing the tabs. repairing the monitor suresigns vs4 service guide 5 - 27 removing the spo, board 6 to reattach the cover, line up the slots in the cover with the tabs on the assembly and snap the cover into place by pressing it onto the assembly. removing the spo, board to remove the spo, board : step 1 separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 5 - 12. 2 remove the main board assembly. see “ removing the main board assembly ” on page 5 - 18. 3 remove the front end assembly. see “ @topic:19


# # # issue - spo2 signal intermittently disappears during monitoring. # # # impact - inaccurate spo2 measurements can lead to delayed or incorrect treatment decisions, potentially compromising patient safety. # # # possible causes - * * damaged spo2 cable : * * internal wire breakage or damage to the cable's insulation can cause intermittent signal loss. # # # recommendations - * * replace the spo2 cable : * * use a new, undamaged cable to ensure reliable signal transmission. - * * inspect the cable connections : * * ensure that the cable is securely connected to both the monitor and the patient's finger, and that there is no loose or damaged wiring. - * * consider other possible causes : * * if replacing the cable does not resolve the issue, investigate other potential causes, such as a faulty sensor or malfunctioning monitor. @topic:4


transit. if the original container is not available or reusable, ask the philips sales / service office to provide information and recommendations on materials and packaging methods. for more information, see “ returning the monitor for service ” on page 3 - 3. setting up the monitor setting up the monitor includes : • powering up the monitor • charging the battery • setting the date and time for information on powering the monitor, charging the power supply battery, and setting the date and time, see the suresigns vm series patient monitors instructions for use. 2 - 2 installing the monitor 3 performing routine maintenance overview this chapter describes how to perform routine maintenance on the monitor. in this chapter • routine safety and operational checks. 3 - 2 • cleaning. 3 - 2 • charging the battery. 3 - 3 • returning the monitor for service. 3 - 3 performing routine maintenance 3 - 1 routine safety and operational checks routine safety and operational checks philips recommends that you perform certain test and verification checks at least every one or two years and after each repair. for complete information on performing verification testing and checks, see chapter 6, performance verification testing. philips recommends that you always : • visually inspect the monitor exterior for damage • inspect monitor labels for legibility if the labels are not legible, contact the philips response center or your local philips representative. cleaning caution do not immerse the monitor or its accessories in liquid or clean it with caustic or abrasive cleaners. do not spray or pour any liquid on the monitor or its accessories. to clean the monitor : 1. dampen a cloth with a commercial, nonabrasive cleaner, and wipe the exterior surfaces lightly. 2. do not allow liquids to come in contact with the power connector or switches or to penetrate connectors or openings in the monitor. 3. for cables, sensors, and cuffs, follow the cleaning instructions in the instructions for use @topic:10


# # # issue - the right side bed rail fell off. # # # impact - the patient could fall out of the bed if the bed rail is not fixed. # # # possible causes - the bed rail was not properly installed. - the bed rail was damaged. - the bed rail was not properly secured. # # # recommendations - inspect the bed rails and make sure they are properly installed and secured. - replace the bed rails if they are damaged. - train the staff on how to properly use the bed rails. @topic:6


the flat panel adapter to the main board 82 troubleshooting guide 4 troubleshooting. symptoms possible causes of failure failure isolation and remedy touch controller not connected check connection from touch controller to flat panel adapter touch panel cable not connected check connection from touch controller board to touch panel touch controller board or touch sensor defective replace touch controller board and touch sensor note : linearization data must be loaded and recalibrated after replacing the touch controller board main board defective replace main board touch position invalid touch not calibrated perform touch calibration : 1. enter the main setup menu 2. select hardware 3. select touch driver settings 4. select calibrate external display is blank ( slave display ) symptoms possible causes of failure failure isolation and remedy external display is blank if integrated display is also blank proceed as described under “ integrated display is blank ” video cable to external display not connected check video cable connection to external display external display has no power check electricity supply of external display external display is defective check external display and video cable on another monitor or pc system interface board defective replace system interface board main board defective replace main board 83 4 troubleshooting troubleshooting guide external touch display not functioning symptoms possible causes of failure failure isolation and remedy touch screen not functioning touchscreen functionality has been temporarily disabled check if touchscreen functionality has been temporarily disabled ( padlock symbol on main screen key ). if yes, press and hold the main screen key to re - enable touchscreen operation. touchscreen functionality has been permanently disabled in service mode, select main setup - > user interface and change the “ touch enable ” selection to “ yes ”. external touch cable not connected check cable connection from external touch to mib board external touch driver configuration check rs232 / mib configuration : 1. enter main setup menu 2. select monitor 3. select hardware 4. reconfigure rs232 / mib drivers 5. if @topic:2


# # # issue - cuff bp not available # # # impact - patient monitoring may be compromised due to the lack of a functional cuff # # # possible causes - the cuff was misplaced or lost. # # # recommendations - locate the missing cuff or replace it with a new one. - establish clear protocols for the storage and tracking of medical equipment to prevent future losses. @topic:3


. turn on the device. in the welch allyn service tool, under the device list tab, click on the device and click select. 6. under the welch allyn connex device, select upgrade. 7. the list of available upgrades appears8. select the desired upgrade, click upgrade and then click yes. when the upgrade is complete, the upgrade tab will display no upgrade available. 9. close the device tab, and then close the service tool. 10. disconnect the usb cable from the device, and then turn off the device. smartcaretm services for maintenance and repair smartcare protection plans part number description s1 - csm - pro - 1 csm smartcare protection 1yr service manual ptions and upgrades 1part number description 1 - csm - pro - 3 csm smartcare protection 3yr s1 - csm - pro - ps csm smartcare protection 3yr pos smartcare protection plus plans smartcare protection plus plans include onsite repair. escription part number csm smartcare protection plus 1yr s9 - csm - proplus - 1 csm smartcare protection plus 3yr s9 - csm - proplus - 3 s9 - csm - proplus - ps csm smartcare protection plus 3yr pos smartcare biomed plans art number description csm, comprehensive partnership program, 1 year csm, comprehensive partnership program, 2 years csm, comprehensive partnership program, 5 years s1 - csm s1 - csm - 2 s1 - csm - 5 csm, comprehensive partnership program, 1 years + calibration s1 - csm - c csm, comprehensive partnership program, 2 years calibration s1 - csm - 2c csm, comprehensive partnership program, 5 years + calibration s1 - csm - 5c csm, bio @topic:10


# # # issue - the housing frame for the cuff and the module bay is loose. # # # impact - the cuff and modules may not be securely held in place, which could lead to inaccurate readings or patient injury. # # # possible causes - the screws holding the housing frame in place may be loose. - the housing frame may be damaged. - the equipment may have been dropped or mishandled. # # # recommendations - tighten the screws holding the housing frame in place. - if the screws are damaged, replace them with new screws of the same size and thread type. - if the housing frame is damaged, replace it with the new one. - inspect the equipment for any other damage and repair or replace damaged components as necessary. @topic:5


# # issue the electric bed is not able to adjust its height. # # impact the patient may not be able to get into or out of bed safely. the patient may also be uncomfortable if the bed is not at the correct height. # # possible causes - the bed's motor may be damaged. - the bed's electrical wiring may be damaged. - the bed's control panel may be damaged. - the bed's battery may be dead. - the bed's software may be malfunctioning. # # recommendations - inspect the bed's motor for damage. - inspect the bed's electrical wiring for damage. - inspect the bed's control panel for damage. - check the bed's battery to make sure it is charged. - update the bed's software to the latest version. - if the problem cannot be resolved, contact the manufacturer for assistance. @topic:1


# # # issue - broken display screen # # # impact - inability to accurately monitor patient's level of consciousness during surgery # # # possible causes - hardware malfunction - software glitch - physical damage # # # recommendations - replace the display screen with a new one - update the software to the latest version - inspect the device for any signs of physical damage and repair or replace as necessary @topic:2


# # # issue - the philips suresigns vs2 monitor is not charging its battery. # # # impact - the device cannot be used without a battery, which can lead to patient safety risks. # # # possible causes - * * defective battery : * * the battery may be damaged or no longer able to hold a charge. - * * faulty charging cable : * * the cable used to charge the device may be damaged or not properly connected. - * * power supply issue : * * the power outlet or power supply may not be functioning properly. - * * internal hardware issue : * * there may be a problem with the device's internal charging circuitry. # # # recommendations - * * check the battery : * * inspect the battery for any damage or leaks. if the battery is damaged, replace it with a new one. - * * inspect the charging cable : * * ensure that the charging cable is not damaged and that it is securely connected to both the device and the power source. - * * test the power supply : * * plug the device into a different power outlet or use a different power supply to rule out any issues with the current one. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the device for further troubleshooting and repair options. @topic:11


# # # issue - monitor displays error e35 - saturation ( sat ) measurement is not possible # # # impact - inability to accurately monitor patient's vital signs, including oxygen saturation levels - potential for delayed or incorrect diagnosis and treatment # # # possible causes - use of incompatible or non - genuine saturation probe ( spo2 cable ) # # # recommendations - replace the spo2 cable with a genuine or compatible product - ensure that the cable is properly connected to both the monitor and the patient - if the issue persists, further investigation of the monitor's hardware may be necessary @topic:4


# # # issue - unable to adjust bed up and down # # # impact - patient discomfort and mobility - interruption of normal patient care - potential safety hazard # # # possible causes - remote control malfunction or incorrect settings - bed motor failure - electrical connection issues - software glitches or programming errors # # # recommendations 1. * * inspect the remote control : * * check for any physical damage or loose connections. ensure batteries are correctly installed and make sure the remote is paired with the bed. 2. * * examine the bed motor : * * listen for any unusual noises or vibrations when attempting to adjust the bed. inspect the motor and its connections for damage or loose wires. 3. * * check electrical connections : * * verify that the bed is properly plugged into a power source and that all cables are securely connected. inspect the wires for any signs of damage or fraying. 4. * * review software and programming : * * update the bed's software if necessary and ensure that all settings are correctly programmed. check for any diagnostic codes or error messages that may indicate a software issue. @topic:1


# # # issue : - missing remote control for electric bed # # # impact : - patient immobilization due to inability to adjust bed position. - increased workload for healthcare staff to manually adjust the bed. # # # possible causes : - * * remote control misplacement : * * the original remote control may have been lost or misplaced by a patient, staff member, or visitor. - * * remote control damage : * * the remote control may have been damaged or broken due to accidental drops, spills, or improper handling. - * * battery exhaustion : * * the batteries in the remote control may have become depleted, rendering it inoperable. # # # recommendations : - * * locate remote control : * * check likely areas where the remote control may have been misplaced, such as under the bed, bedside table, or patient's belongings. - * * inspect battery level : * * replace batteries in the remote control if necessary. - * * order replacement remote : * * if the original remote control cannot be located or repaired, order a replacement part from the manufacturer. - * * train staff : * * educate healthcare staff on the importance of securing and handling remote controls properly to prevent future misplacement or damage. - * * consider remote control inventory : * * establish a system for tracking and inventorying remote controls to minimize the risk of loss or theft. @topic:7


# # # issue : unable to adjust leg section of electric bed # # # impact : patient discomfort and potential safety hazard # # # possible causes : - malfunctioning motor - broken or damaged cables or wires - faulty control panel - software or firmware issues # # # recommendations : - contact vendor or authorized service provider for repair or replacement - check and replace cables and wires if necessary - update software or firmware if available - if possible, provide an alternative bed for the patient until the issue is resolved @topic:1


# # # issue - device not powering on # # # impact - inability to monitor vital signs of patients # # # possible causes - battery failure - power supply issue - internal hardware failure # # # recommendations - replace battery - check power supply and connections - contact manufacturer for further troubleshooting and repair @topic:11


# # # issue - ups failure # # # impact - battery failed due to lack of power from ups # # # possible causes - defective ups - power outage # # # recommendations - inspect ups for any signs of damage or failure. - check power supply to the ups. - replace defective ups if necessary. @topic:11


# # # issue - telemetric electrocardiography monitor flashing lights # # # impact - the monitor cannot be used to accurately monitor the patient's heart activity. # # # possible causes - loose or disconnected cables - faulty power supply - malfunctioning internal components - software glitches # # # recommendations - check all cables and connections to ensure they are secure. - test the power supply to ensure it is providing the correct voltage. - contact the manufacturer for further troubleshooting and repair options. - update the software to the latest version if available. @topic:16


radiation that is detected. the quantitative aspects of photometric measurement are stated by the beer - lambert law : a = log ( io / i ) = sic under carefully controlled conditions at a select absorption band, the absorbency of a sample ( a ) is proportional both to the concentration of the sample ( c ) and the depth of the absorbing layer ( 1 ). the molar extinction coefficient ( 8 ) is a wavelength dependent constant a - 10 theory of operation block diagram components characterizing the sample. ( io ) is the light intensity at zero absorbency and ( i ) is the light intensity after some of the light is absorbed by the sample. the co ^ module, as most continuous monitors of carbon dioxide, uses a non dispersive infrared ( ndir ) light source. all co 2 monitoring instruments, except those manufactured by oridion, that use a ndir infrared light source, use the broad band energy from a black - body source. a mechanical chopper modulates the light beam and makes possible the monitoring of the sample, reference and dark signals from which the concentration of carbon dioxide can be determined. the co 2 module uses the energy generated by an infrared source that includes a proprietary gas filled lamp and driver circuit. this energy contains only specific wavelengths which match the absorption bands of the ccd - the co 2 module's infrared source is electronically modulated by the driver circuit. the following figure shows an overview block diagram of the co 9 module. theory of operation a - 11 b electromagnetic compatibility instructions for use this appendix lists the tests and compliance levels that make the suresigns vm series patient monitor suitable for use in the specified electromagnetic environment according to iec 60601 - 1 - 2 : 2001. medical electrical equipment can either generate or receive electromagnetic interference. this product has been evaluated for electromagnetic compatibility ( emc ) with the appropriate accessories according to iec 60601 - 1 @topic:17


# # # issue - wooden bed rail cannot be locked in place # # # impact - patient safety hazard, as they could fall out of bed - inconvenience for staff, as they have to constantly adjust the bed rail # # # possible causes - broken locking mechanism - worn or damaged spring - loose screws or bolts # # # recommendations - * * check the locking mechanism * * for any damage or wear. if the locking mechanism is broken, it will need to be replaced. - * * inspect the spring * * for any signs of wear or damage. if the spring is worn or damaged, it will need to be replaced. - * * tighten any loose screws or bolts. * * loose screws or bolts can cause the bed rail to become loose and unstable. @topic:6


# # # issue - inadequate connection between the cable and the cuff # # # impact - inability to accurately measure blood pressure # # # possible causes - loose or damaged cable - defective cuff - worn or misaligned connection points # # # recommendations - inspect the cable and cuff for damage or wear. replace if necessary. - ensure the cable is securely connected to the cuff and the monitor. - calibrate the device according to manufacturer's instructions. @topic:14


# # # issue medical equipment failure # # # impact - patient safety - workflow disruptions - financial losses # # # possible causes - inadequate maintenance - user error - manufacturing defects - power surges - environmental factors # # # recommendations - regular maintenance and inspections - proper training for users - use of high - quality equipment - surge protection devices - proper environmental controls @topic:12


# # # issue - battery loose - cuff leak # # # impact - the patient's vital signs may not be accurately monitored. # # # possible causes - the battery may have been dislodged during transport or use. - the cuff may have been damaged or punctured. # # # recommendations - ensure that the battery is securely in place. - inspect the cuff for any damage or punctures. - replace the cuff if it is damaged or punctured. @topic:5


# # # issue - cuff of the monitor is deteriorated. # # # impact - the monitor may not be able to accurately measure vital signs. # # # possible causes - the cuff may have been overinflated or underinflated. - the cuff may have been exposed to excessive heat or cold. - the cuff may have been damaged by chemicals or other liquids. # # # recommendations - the cuff should be replaced. - the monitor should be recalibrated after the new cuff is installed. @topic:5


# # # issue - icon for medcart program is missing from the desktop. # # # impact - unable to access the medcart program from the desktop. # # # possible causes - the medcart icon may have been accidentally deleted or moved. - a software update may have removed or corrupted the medcart icon. - the medcart program may have been uninstalled or corrupted. # # # recommendations - * * verify that the medcart program is still installed. * * if the program has been uninstalled, it will need to be reinstalled. - * * check the program files for the medcart icon. * * if the icon is found in the program files, it can be copied and pasted onto the desktop. - * * contact the medcart software vendor for assistance. * * the vendor may be able to provide a new icon or help troubleshoot the issue. @topic:13


# # # issue - lack of sound output from the central monitor. # # # impact - difficulty for healthcare professionals to monitor patient status accurately, leading to potential delays in diagnosis and treatment. # # # possible causes - * * damaged speaker cable : * * the input mentions that the speaker cable was found to be damaged. this could have been caused by accidental mishandling, wear and tear over time, or faulty manufacturing. - * * loose connections : * * the speaker cable or its connections to the monitor or speaker may have become loose, interrupting the signal path. - * * speaker malfunction : * * the speaker itself may have developed a fault, such as a blown diaphragm or a damaged voice coil. - * * software issue : * * a software bug or glitch could be preventing the monitor from sending the audio signal to the speaker. - * * other hardware failures : * * there could be issues with the monitor's audio circuitry or the power supply that supplies power to the speaker. # # # recommendations - * * replace speaker cable : * * if the speaker cable is damaged, it should be replaced with a new one to ensure proper signal transmission. - * * check connections : * * inspect the connections between the speaker cable, monitor, and speaker to ensure they are secure and free of any corrosion or damage. - * * test speaker : * * if the connections are intact, test the speaker by using a sound source such as a music player or a tone generator. this will help determine if the speaker is functioning correctly. - * * update software : * * if the issue is suspected to be software - related, check for any available software updates for the monitor and install them. - * * troubleshooting deeper : * * if the above steps do not resolve the issue, further troubleshooting may be required to identify and address any underlying @topic:2


# # # issue - unable to log in to the windows system on the medical cart. # # # impact - the medical cart cannot be used for patient care. # # # possible causes - the password for the windows account has expired. - the password for the windows account has been changed and the new password is not known. - the windows account has been locked out due to too many failed login attempts. - the windows system files have been corrupted. # # # recommendations - verify that the password for the windows account has not expired. - if the password has expired, reset the password. - if the password has been changed, obtain the new password from the it department. - if the windows account has been locked out, contact the it department to unlock the account. - if the windows system files have been corrupted, repair the system using the windows recovery tools. @topic:13


# # # issue - the medical cart is not powering on. # # # impact - the medical cart cannot be used to transport medical equipment and supplies. # # # possible causes - the power cord is not plugged in. - the power switch is not turned on. - the battery is dead. - the internal circuitry is damaged. # # # recommendations - check that the power cord is plugged in and the power switch is turned on. - if the battery is dead, replace it with a new one. - if the internal circuitry is damaged, contact a qualified technician to repair the medical cart. @topic:13


# # # issue - the physiological vital signs monitor is turning off after 3 - 4 measurements. # # # impact - the monitor is not reliable for continuous monitoring of vital signs, which could lead to missed or delayed detection of critical changes in the patient's condition. # # # possible causes - the newly replaced battery may be defective or not properly installed. - there may be a problem with the charging circuitry, preventing the battery from fully charging. - a component on the monitor's mainboard may be failing, causing the device to shut down after a short period of use. # # # recommendations - verify that the newly installed battery is the correct type and is properly seated in its compartment. - check the charging circuitry for any loose connections or damaged components. - if the issue persists, perform a thorough diagnostic test on the monitor's mainboard to identify any failing components. @topic:11


test and nbp performance test and caubration repairs where the parameter module, mms or x2 has been replaced. perform visual inspection, power on and basic performance assurance 34 3 testing and maintenance ] service event tests required ( when performing...... complete these tests ) repairs where the recorder module ml 116c has been replaced or repaired. perform visual inspection, power on and recorder performance test repairs of the intellivue g1 / g5 perform basic performance assurance test. for further testing requirements, see intellivue g1 / g5 service guide repairs where the printer connected to the monitor via connector board has been replaced. perform visual inspection, power on, system test and printer test. all other intellivue monitoring system repairs ( except when power supply is removed ) perform visual inspection, power on test and basic performance assurance test performance assurance basic performance assurance perform basic performance assurance tests for the respective monitoring system component. full performance assurance perform all accuracy and performance test procedures listed in the following sections. if a particular measurement is in question, perform the measurement performance test only. upgrades software upgrades perform visual inspection, power on test and basic performance assurance test unless otherwise specified in the upgrade installation notes shipped with the upgrade. hardware upgrades perform visual inspection, power on test and basic performance assurance test unless otherwise specified in the upgrade installation notes shipped with the upgrade. hardware upgrades where intellivue 802. 11 bedside adapter is installed perform visual inspection, power on test, basic performance assurance test and intellivue 802. 11 bedside adapter communication test hardware upgrades where intellivue instrument telemetry ( iit ) is installed perform visual inspection, power on test, basic performance assurance test and iit communication test hardware upgrades where short range radio ( srr ) is installed perform visual inspection, power on test, basic performance assurance test and srr communication test installation of interfaces @topic:10


# # # issue - bed is not adjustable # # # impact - patients may not be able to get into or out of bed safely - may delay patient care - may cause discomfort or pain for patients # # # possible causes - loose wiring - broken motor - damaged control panel - power outage # # # recommendations - check wiring and connections - test motor and control panel - ensure power is available - contact manufacturer for further assistance @topic:1


# # # issue - bed not adjusting # # # impact - patient discomfort - difficulty providing care # # # possible causes - loose wiring in the control box # # # recommendations - tighten loose wiring - test bed to ensure proper operation @topic:1