# # # issue : - bed alarm not working properly. # # # impact : - patient safety could be compromised if the bed alarm is not working properly. - the hospital could be held liable if a patient is injured due to a malfunctioning bed alarm. # # # possible causes : - the bed alarm is not properly set up. - the bed alarm is not functioning properly. - there is a problem with the electrical wiring to the bed alarm. # # # recommendations : - check the bed alarm settings to make sure they are correct. - test the bed alarm to make sure it is functioning properly. - check the electrical wiring to the bed alarm to make sure there are no loose connections or damage. - if the problem persists, contact the manufacturer of the bed alarm for assistance. @topic:26


# # # issue battery failure # # # impact vital signs monitor unable to operate in case of power outage. # # # possible causes - battery life expired - battery not charging properly - battery damaged # # # recommendations - replace battery - check charging system - inspect battery for damage @topic:11


alarms during the pre - insertion calibration, for up to three minutes after you remove the catheter tip from the optical reference. after light intensity calibration, or after three minutes ( whichever comes first ), the monitor returns to the alarm state it was in prior to pre¬ insertion calibration. carrying out a pre - insertion calibration warning it is strongly recommended to carry out a pre - insertion calibration prior to all insertions. if this is not possible, you must perform an in - vivo calibration after insertion. refer to the instructions for use that accompany the catheter. do not use the catheter if the packaging is damaged. if you have to disconnect the monitor from the patient ( for example, when transferring the patient from one location to another ), you must disconnect at the sv0 2 module. the catheter should remain in the optical module, otherwise you need to recalibrate. 1 remove outer wrapping from catheter tray to uncover optical connector. 2 place the optical module on the catheter tray in the space provided and open the lid. 243 17 monitoring intravascular oxygen saturation preparing to monitor with the ml 021a wide module 3 place the optical connector into the optical module ( with the label “ top ” facing upwards ) and close the lid. 4 in the setup sv0 2 menu, select start pre - inscal. ensure that the tip of the catheter is still in the optical reference. 5 insert the catheter when you see the message sv0 2 calibration completed - catheter ready for insertion. if the calibration fails, repeat the calibration before inserting the catheter. if it fails a second time, replace the optical module. inserting the catheter 1 remove the inner cover of the catheter tray. 2 @topic:17


# # possible cause - module failure # # recommendations - replace the faulty module with a new or refurbished one. - ensure that the replacement module is compatible with the device. - test the device thoroughly after replacing the module to ensure proper functionality. - regularly maintain and inspect the device to prevent future failures. @topic:12


# # # issue - cuff is damaged # # # impact - blood pressure readings may be inaccurate or unreliable. # # # possible causes - cuff may have been punctured or torn. - cuff may have been over - inflated. - cuff may have been improperly attached to the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly attached to the patient. - avoid over - inflating the cuff. @topic:3


# # # issue - cuff leak # # # impact - unable to measure patient's vital signs accurately # # # possible causes - cuff is damaged or worn out - cuff is not properly attached to the monitor - cuff is not properly inflated # # # recommendations - replace the cuff - ensure that the cuff is properly attached to the monitor - ensure that the cuff is properly inflated @topic:5


* * issue : * * bed not adjusting * * impact : * * patient discomfort, potential safety hazard * * possible causes : * * - loose connection in remote control * * recommendations : * * - tighten connection in remote control. - if issue persists, investigate further for other potential causes. @topic:1


# # # issue the lcd monitor from sony ( model lmd - 1951md ) is not compatible with the new camera model. # # # impact the monitor cannot be used with the new camera, which may impact the quality of patient care. # # # possible causes - the monitor is an older model and does not support the new camera's technology. - the monitor's firmware is not up to date. - the monitor's hardware is damaged. # # # recommendations - evaluate the monitor's condition and determine if it can be upgraded or repaired. - if the monitor cannot be upgraded or repaired, purchase a new monitor that is compatible with the new camera. @topic:2


# # # issue - cuff not staying in place # # # impact - inaccurate vital sign readings - patient discomfort # # # possible causes - damaged cuff ( e. g., torn fabric, broken velcro ) - incorrect cuff size - patient positioning - equipment malfunction # # # recommendations - inspect the cuff for damage and replace if necessary. - ensure the cuff is the correct size for the patient's arm. - position the patient correctly with their arm at heart level and supported. - check the equipment for any malfunctions and repair or replace as needed. # # # additional notes - the biomedical engineer ( bme ) should document the issue, cause of failure, and any repairs made in the medical device maintenance record. - regular maintenance and calibration of the vital signs monitor can help prevent similar issues in the future. @topic:5


# # # issue - bed is not adjustable. # # # impact - inability to adjust bed height can make it difficult for patients to get in and out of bed, as well as for nurses to provide care. # # # possible causes - faulty remote control - electrical issue with the bed - mechanical issue with the bed # # # recommendations - check the remote control batteries and replace if necessary. - if the remote control is not the issue, then check the electrical connections to the bed. - if the electrical connections are secure, then the issue may be a mechanical one. this will require further diagnosis by a qualified technician. @topic:1


# # # issue barcode scanning failure on medical equipment. # # # impact - inability to access and administer medication safely and efficiently. - delays in patient care and treatment. - potential medication errors due to incorrect or missed scanning. # # # possible causes - * * faulty barcode scanner : * * malfunction or damage to the scanner hardware or software. - * * improperly formatted barcode : * * misalignment, smudging, or damage to the barcode on the medication package. - * * incompatible scanner software : * * scanner not updated or configured to read the specific type of barcode used on the medication package. - * * hardware malfunction : * * issue with the electrical or mechanical components of the scanner or medical cart that prevents barcode reading. - * * human error : * * technician or user incorrectly positions or aligns the barcode under the scanner. # # # recommendations - * * check the barcode scanner : * * ensure it is properly connected, powered, and updated with the latest software. clean the scanner lens if necessary. - * * verify the barcode : * * inspect the medication package for any damage or smudging on the barcode. if necessary, request a new package with a clear barcode. - * * update scanner software : * * ensure the scanner software is compatible with the type of barcode being scanned. - * * troubleshoot the equipment : * * check for any loose connections, faulty wiring, or mechanical issues. if necessary, consult the manufacturer for technical support. - * * train users : * * provide proper training to technicians and users on correct barcode scanning techniques and troubleshooting procedures. @topic:23


# # # issue - equipment is not functioning properly - unable to adjust the bed # # # impact - patient discomfort - delay in patient care # # # possible causes - loose motor cable - faulty motor - damaged control panel # # # recommendations - tighten the motor cable - replace the motor - replace the control panel @topic:1


# # # issue - change of bp cuff # # # impact - inaccurate blood pressure readings # # # possible causes - incorrect cuff size for patient - cuff not properly inflated - cuff leaking air - sensor malfunction # # # recommendations - ensure the correct cuff size is used for the patient - properly inflate the cuff according to the manufacturer's instructions - check the cuff for leaks - calibrate the sensor on a regular basis @topic:3


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : incorrectly assigned department in the system # # # impact - inefficient equipment management and tracking - potential delays in patient care due to misplacement of equipment # # # possible causes - system error - human error ( e. g., incorrect data entry ) # # # recommendations - * * investigate the root cause : * * determine whether the failure was due to a system issue or human error. - * * correct the system : * * if a system error is identified, address the issue through software updates or hardware repairs. - * * reinforce data entry protocols : * * if human error is determined to be the cause, review and reinforce protocols for entering accurate data into the system. - * * implement a system validation process : * * establish a routine process to verify the accuracy of equipment location data in the system and prevent future errors. - * * regularly monitor the system : * * conduct periodic audits to ensure proper equipment management and track any potential issues. - * * train staff on equipment management : * * provide comprehensive training to all staff responsible for equipment management to minimize human error and promote best practices. @topic:12


# # # issue - cuff is not holding air pressure properly. # # # impact - inaccurate blood pressure readings. - patient discomfort. - equipment downtime. # # # possible causes - the cuff bladder may be punctured or torn. - the cuff may be the wrong size for the patient's arm. - the cuff may not be properly attached to the monitor. - the cuff may be obstructed by clothing or other objects. - the cuff may be old and worn out. # # # recommendations - inspect the cuff bladder for any punctures or tears. - ensure that the cuff is the correct size for the patient's arm. - properly attach the cuff to the monitor. - remove any clothing or other objects that may be obstructing the cuff. - replace the cuff if it is old or worn out. @topic:3


# # # issue - the electric bed is not working. # # # impact - the patient may not be able to be moved or positioned properly. - the patient may be uncomfortable or in pain. - the hospital staff may be unable to provide adequate care to the patient. # # # possible causes - the bed's electrical system may be faulty. - the bed's control panel may be damaged. - the bed's motor may be burned out. # # # recommendations - the technician should inspect the bed's electrical system and control panel for any damage. - the technician should test the bed's motor to see if it is functioning properly. - if the bed's electrical system, control panel, or motor is damaged, the technician should replace the damaged part. @topic:9


# # # issue - printer failure on a hewlett packard m3150a monitor and central station # # # impact - inability to print data from the medical device, which may hinder patient care and documentation # # # possible causes - malfunctioning printer head or toner cartridge - paper jam or other mechanical issue - software or driver compatibility problem - power supply issue # # # recommendations - verify the connection between the printer and the medical device - replace the printer head or toner cartridge if necessary - check for any paper jams or other physical obstructions - update or reinstall the printer drivers and software - ensure that the printer is receiving adequate power @topic:28


# # # issue : extension spo2 cable is not functioning properly. # # # impact : the patient is unable to receive accurate oxygen saturation readings. # # # possible causes : - faulty extension cable - loose or damaged connection - incompatible extension cable # # # recommendations : - check the extension cable for any visible damage or loose connections. - replace the extension cable with a known working one. - ensure that the extension cable is compatible with the monitor and sensor. @topic:4


# # # issue - cuff leakage # # # impact - inaccurate blood pressure readings - delays in patient care - patient discomfort # # # possible causes - cuff bladder damaged - cuff tubing damaged - cuff connector loose # # # recommendations - inspect cuff for damage to bladder or tubing - tighten cuff connector - replace cuff if damaged @topic:3


monitor has detected a conflict in the units used for this calculation. check the unit settings. numeric is replaced by -? - cableless measurement device inops inop message, indication what to do cl nbp batt empty the remaining battery time of the nbp pod is below 30 minutes. charge the battery.!! cl nbp battempt!!! cl nbp batempty corresponding inop tone cl nbp batt incomnop tone the battery in use with the nbp pod is incompatible. replace it with one approved for use with the cl nbp batt loinop tone cl nbp batt malinop tone there is a malfunction in the nbp pod's battery system. contact your service personnel. the temperature of the battery in the nbp pod is critically high. check that the pod is not covered oexposed to a heat source. if the inop persists, remove the pod from the patient and contact your service personnel. cl nbp batt temnop tone cl nbp check batnop tone the battery in the nbp pod is nearing the end of its useful life. only 50 charge / discharge cycles remain. contact your service personnel to replace the battery. cl nbp chk chrg if the interface between the nbp pod and the charging station is not working properly. try cleaning the contacts and reposition the pod on the charging station. cl nbp chksettings the nbp pod's settings may have changed or become corrupt. check the settings. cl nbp disconnecinop tone the nbp pod has lost the connection to the monitor. cl nbp license req the nbp pod requires a valid software license for operating. cl nbp no cr @topic:11


# # # issue - * * bed not adjusting * * # # # impact - patient discomfort - difficulty providing care - increased risk of falls # # # possible causes - * * electrical failure : * * malfunction of the electrical components, including the motor, wiring, or control panel. - * * mechanical failure : * * damage to the bed frame, hydraulics, or other mechanical components. - * * control system failure : * * software or hardware issues with the system that controls the bed's movements. - * * user error : * * improper use or maintenance of the bed. # # # recommendations - * * electrical troubleshooting : * * examine wiring, connections, and electrical components for any loose, damaged, or burnt elements. test the motor and control panel using a multimeter. - * * mechanical inspection : * * check for any visible damage or misalignment of the bed frame, hydraulics, and other mechanical components. lubricate moving parts to reduce friction. - * * control system diagnostics : * * use diagnostic software or tools to identify any errors or malfunctions in the control system. check for firmware updates or necessary software patches. - * * user training and maintenance : * * ensure that healthcare staff is properly trained on proper use and maintenance procedures for the bed. implement regular maintenance protocols to prevent future issues. @topic:1


# # # issue - equipment : beds, electric - band : hill - rom - model : care assist es - description : bme found that the bed lock could not be adjusted because the status screen displayed a locked icon. bme unlocked the bed and tested it ; it is now operating normally. # # # impact - the bed could not be adjusted, which could make it difficult for patients to get in and out of bed or for medical staff to provide care. # # # possible causes - the bed lock may have been accidentally activated. - the bed lock may be malfunctioning. - the bed lock may be obstructed by something. # # # recommendations - check that the bed lock is not activated. - if the bed lock is activated, unlock it. - if the bed lock is still not working, contact the manufacturer for service. - clear any obstructions that may be blocking the bed lock. @topic:6


# # # issue - thermometer is reading temperatures lower than normal # # # impact - inaccurate temperature readings can lead to incorrect diagnoses and treatment decisions. # # # possible causes - the sensor is not calibrated correctly. - the sensor is not making good contact with the patient's skin. - the sensor is faulty. # # # recommendations - calibrate the sensor according to the manufacturer's instructions. - ensure that the sensor is making good contact with the patient's skin. - if the sensor is faulty, replace it. @topic:20


# # # issue the electric bed cannot be adjusted. # # # impact the patient may not be able to be positioned comfortably or safely. # # # possible causes - the power cord may be disconnected. - the control panel may be damaged. - the motor may be malfunctioning. - the bed frame may be damaged. # # # recommendations 1. check the power cord to make sure it is securely plugged into an outlet. 2. inspect the control panel for any damage. 3. listen for any unusual noises coming from the motor. 4. check the bed frame for any cracks or damage. 5. if you are unable to identify the cause of the problem, contact a qualified medical equipment technician. @topic:1


# # # issue the bed's wheel has detached from the side rail. # # # impact the bed is unstable and unsafe for use. # # # possible causes - * * wood siderails are not properly attached to the bed frame. * * this can cause the wood siderails to move out of alignment and the wheels to detach. - * * the wheels are not properly attached to the wood siderails. * * this can cause the wheels to detach from the wood siderails when the bed is moved. - * * the bed is overloaded. * * this can put excessive stress on the wheels and cause them to detach. # # # recommendations - * * inspect the wood siderails and ensure that they are properly attached to the bed frame. * * if the wood siderails are not properly attached, they should be tightened or replaced. - * * inspect the wheels and ensure that they are properly attached to the bed frame. * * if the wheels are not properly attached, they should be tightened or replaced. - * * do not overload the bed. * * the bed should only be used to support the weight of the patient and the necessary medical equipment. @topic:6


# # # issue the remote control for the bed, electric, huntleigh enterprise 5000 is not adjustable. # # # impact the patient or caregiver is unable to adjust the bed's position, which can lead to discomfort or injury. # # # possible causes * the remote control is damaged. * the remote control is not properly connected to the bed. * the bed's control panel is not functioning properly. # # # recommendations * inspect the remote control for damage. if the remote control is damaged, it should be replaced. * check the connection between the remote control and the bed. if the connection is loose, it should be tightened. * test the bed's control panel to ensure that it is functioning properly. if the control panel is not functioning properly, it should be repaired or replaced. @topic:7


# # # issue - electric bed does not turn on. # # # impact - patient cannot be comfortably positioned. - staff cannot access patient for care. # # # possible causes - power cord is not plugged in or is damaged. - circuit breaker is tripped. - power outlet is not working. - bed motor is burned out. - bedframe is damaged. # # # recommendations 1. check if the power cord is plugged in and undamaged. if the cord is damaged, replace it. 2. check if the circuit breaker is tripped and reset it if necessary. 3. test the power outlet to make sure it is working. 4. contact a qualified technician to inspect and repair the bed motor. 5. contact a qualified technician to inspect and repair the bedframe. # # # cause of failure in this case, the cause of the failure is a broken ac power cord. the cord has been replaced and the bed is now working properly. @topic:9


# # # issue - malfunctioning bed rails # # # impact - patient safety hazard - increased risk of falls # # # possible causes - wear and tear - poor maintenance - improper use # # # recommendations - regular inspection and maintenance of bed rails - proper training of staff on bed rail operation - replacement of damaged or worn out bed rails @topic:6


calibration line and repeating the leakage check. if the situation remains, there is a leakage in the tubing and the m3015a or the mc02 assembly of the mp5 must be exchanged. test expected test results leakage check parts 1 and 2 xl = value of part 1 leakage check on flowmeter ( xl < 4. 0 ml / min ) x2 = value of part 2 leakage check on flowmeter ( x2 < 4. 0 ml / min ) leakage check for m3015b and m3015a with hw rev c or m3015a with hw rev. a / b without m1026 - 60144 flowmeter preparation of leakage test kit : remove two luer connectors from the leakage test kit, as shown in the following picture. note these luer connectors are not required for the actual leakage check. however, you should keep them, as they are required for other tests ( e. g. for the kit leak test as documented later in this section ). 73 [ 3 testing and maintenance ] test setup : 1 connect the calibration line ( m3015 - 47301 ) to the inlet of the m8105a / m3015a / b ( the m8105a / m3015a / b must be switched off, either by disconnecting from the host monitor or by switching off the monitor ). 2 connect the leakage test tubing to the outlet of the m8105a / m3015a / b, to the digital barometer, to the calibration line, and the ( empty ) syringe as shown below make sure ah connections have a tight fit! test procedure : 1 open the 3 - way stopcock for all three limbs. 2 switch on the digital barometer ( the digital barometer @topic:17


# # # issue - monitor is not receiving power. # # # impact - monitor is unable to function properly. - patient data may not be accurately recorded. # # # possible causes - faulty power cord. - loose connection between the power cord and the monitor. - faulty internal fuse. - faulty power supply. # # # recommendations - check the power cord and ensure that it is properly connected to the monitor and the power outlet. - check the fuse and replace it if necessary. - contact the manufacturer for further troubleshooting and repair. @topic:2


# # # issue - the bed's head cannot be adjusted. # # # impact - the patient may be uncomfortable or unable to get into a comfortable position. - the staff may be unable to access the patient or perform procedures. # # # possible causes - the remote control is not working properly. - the wiring between the remote control and the bed is loose or damaged. - the motor that adjusts the head is not working properly. - the bed frame is damaged. # # # recommendations - check the remote control batteries and make sure that it is working properly. - check the wiring between the remote control and the bed for any loose or damaged connections. - test the motor that adjusts the head to see if it is working properly. - if the bed frame is damaged, it may need to be repaired or replaced. @topic:1


# # # issue the bed cannot be adjusted. # # # impact the patient may not be able to get into or out of bed, which could lead to falls or other injuries. the patient may also not be able to get into a comfortable position, which could lead to pain or discomfort. # # # possible causes - the mrollen paper roll may be stuck in the bed frame. - the bed controls may not be working properly. - the motor that powers the bed may be burned out. # # # recommendations - remove the paper roll from the bed frame. - test the bed controls to make sure they are working properly. - if the bed controls are not working properly, replace them. - if the motor is burned out, replace it. @topic:1


# # # issue - frequent shutdowns of the medical cart. # # # impact - interruption of patient care. - loss of data or diagnostics. # # # possible causes - faulty mainboard. - power supply issues. - software errors. - overheating. # # # recommendations - * * mainboard : * * - replace the mainboard with a new or refurbished unit. - ensure proper installation and configuration. - * * power supply : * * - check the power supply unit for any loose connections or faulty components. - replace the power supply if necessary. - * * software : * * - update the software to the latest version. - check for any software conflicts or compatibility issues. - * * overheating : * * - ensure proper ventilation around the medical cart. - clean any dust or debris that may be blocking air vents. - * * other : * * - check for any loose connections or damage to cables and connectors. - perform a comprehensive diagnostic test on the medical cart to identify any other potential issues. @topic:13


* * issue : * * - equipment malfunction : the equipment ( monitors, bedside, physiologic ) is not functioning properly due to loose nuts, causing the accessory basket to detach. * * impact : * * - safety hazard : the detached basket can pose a physical hazard to the patient and healthcare providers. - patient care disruption : the malfunctioning equipment may hinder patient monitoring and treatment. - financial loss : repair or replacement costs associated with the equipment failure. * * possible causes : * * - improper installation : the nuts may not have been tightened sufficiently during the initial installation. - wear and tear : the nuts may have loosened over time due to excessive use or vibration. - damage to the holding mechanism : the nuts may have been damaged due to accidental impact or mishandling. * * recommendations : * * - * * immediate action : * * inspect the equipment thoroughly and tighten all loose nuts to ensure the safety and stability of the accessory basket. - * * preventive maintenance : * * establish a regular maintenance schedule to inspect and tighten nuts and bolts on medical devices, particularly those that are subjected to regular use or movement. - * * training : * * provide proper training to healthcare professionals on the safe handling and maintenance of medical devices to prevent similar incidents. - * * equipment evaluation : * * consider replacing aging or frequently failing equipment to reduce the risk of future malfunctions. @topic:24


# # # issue - the headrest of the bed cannot be lowered. # # # impact - the patient cannot be properly positioned in the bed. # # # possible causes - the power supply to the bed is interrupted. - the motor that controls the headrest is damaged. - the control panel is malfunctioning. - the headrest is obstructed by something. # # # recommendations - check the power supply to the bed. - inspect the motor and control panel for damage. - remove any obstructions from the headrest. - if the problem persists, contact a qualified technician. @topic:1


# # # issue the philips intellivue mp40 ( m8003a ) monitor is unable to measure co2. # # # impact - inability to accurately monitor patient's respiratory status. - delay in diagnosis and treatment of respiratory complications. # # # possible causes - malfunctioning co2 sensor. - clogged or dirty filter. - loose connections in the co2 monitoring system. - software issues. # # # recommendations - inspect the co2 sensor for any damage or defects. - replace the filter if it is clogged or dirty. - check all connections in the co2 monitoring system and ensure they are secure. - contact the manufacturer for technical support and troubleshooting guidance. @topic:4


# # # issue the cause of failure is not clear from the provided input. # # # impact the impact of the failure is not specified. # # # possible causes one possible cause of the failure is that the technician who trained the nurse on how to use the function did not provide adequate instructions. # # # recommendations to resolve the issue, the technician should provide the nurse with more detailed instructions on how to use the function. the technician should also ensure that the nurse understands the instructions and is able to operate the function correctly. @topic:12


# # # issue - broken wire in the electric bed # # # impact - the bed may not function properly or may be unsafe to use. # # # possible causes - the wire may have been damaged during transportation, installation, or use. - the wire may have been faulty from the manufacturer. # # # recommendations - inspect the wire for damage. - replace the wire if it is damaged. - ensure that the wire is properly secured to prevent future damage. - contact the manufacturer if the wire is faulty. @topic:32


* * issue : * * saturation ( spo2 ) sensor unable to provide accurate readings * * impact : * * - compromised patient monitoring and assessment - potential for inaccurate or delayed medical decision - making * * possible causes : * * - faulty or damaged sensor - loose or improper sensor placement on the patient - interference from external sources ( e. g., ambient light, positioning of the sensor ) - malfunction of the physiologic monitor or its spo2 module - user error ( e. g., incorrect sensor application ) * * recommendations : * * 1. verify sensor integrity : check the sensor for any physical damage or defects. replace the sensor if necessary. 2. ensure proper sensor placement : the sensor should be placed correctly on the patient's finger, ear, or toe, as per the manufacturer's guidelines. 3. eliminate external interference : position the sensor in a stable environment, away from sources of light or movement that could affect readings. 4. inspect the physiologic monitor : ensure that the monitor is functioning properly and that the spo2 module is not experiencing any technical issues. 5. user training : provide training to users on proper sensor application and interpretation of spo2 readings. 6. consider alternative monitoring methods : explore the use of alternative monitoring techniques, such as pulse oximetry or transcutaneous oxygen monitoring, if the saturation sensor remains unreliable. @topic:4


* * issue : * * physiologic monitor ( bedside ) philips intellivue mp70 ( m8007a ) not functioning properly. * * impact : * * the monitor is essential for monitoring patient vital signs and providing necessary care. a malfunctioning monitor can lead to delays in patient care and potential risks to patient safety. * * possible causes : * * - * * faulty trunk cable : * * the trunk cable is a critical component responsible for transmitting data between the monitor and patient sensors. a damaged or defective cable can cause signal loss or intermittent connectivity, leading to inaccurate or incomplete monitoring data. - * * software or firmware issues : * * the monitor relies on software and firmware to function properly. bugs or glitches in the software or firmware can cause performance issues or even system failures. - * * hardware defects : * * hardware components within the monitor, such as the processor, memory, or display, may malfunction or fail. these defects can lead to a variety of problems, including screen freezing, data loss, or complete system shutdown. * * recommendations : * * - * * replace the trunk cable : * * replacing the faulty cable with a new one is the primary solution to resolve connectivity issues. - * * update software or firmware : * * contact the manufacturer or authorized service provider to obtain and install the latest software or firmware updates. this can address software bugs or improve performance. - * * diagnose hardware issues : * * if cable replacement and software updates do not resolve the issue, further diagnostic tests may be necessary to identify and repair any hardware defects. this should be performed by a qualified biomedical engineer or authorized technician. - * * regular maintenance : * * implement a regular maintenance schedule to prevent and identify potential issues early on. this can include periodic cable inspections, software updates, and hardware diagnostics. @topic:2


# # # issue - cuff failure on a philips intellivue mp70 ( m8007a ) bedside physiologic monitor # # # impact - inability to accurately measure patient's blood pressure # # # possible causes - cuff wear and tear due to prolonged use - exposure to extreme temperatures or humidity - physical damage to the cuff # # # recommendations - replace the cuff with a new one - regularly inspect and maintain the cuff to prevent premature failure - store the cuff in a clean, dry environment when not in use @topic:5


# # # issue - the issue is that the bedside physiologic monitor is not able to measure spo2. # # # impact - the impact of this issue is that the patient's spo2 cannot be accurately monitored, which could lead to serious health consequences. # # # possible causes - the possible causes of this issue could be : - a faulty extension cable - a problem with the monitor itself - a problem with the spo2 sensor - a problem with the patient's skin # # # recommendations - the recommendations to resolve this issue would be to : - check the extension cable for any damage or loose connections. - replace the extension cable if it is damaged or loose. - check the monitor for any error messages or other indications of a problem. - if the monitor is not functioning properly, replace it. - check the spo2 sensor for any damage or loose connections. - replace the spo2 sensor if it is damaged or loose. - check the patient's skin for any irritation or other signs of a problem. - if the patient's skin is irritated, clean it and apply a moisturizer. @topic:4


# # # issue - cuff is damaged # # # impact - monitor may not be able to accurately measure vital signs # # # possible causes - cuff may be old or worn out - cuff may have been damaged by improper use or storage - cuff may have been punctured or torn # # # recommendations - replace the cuff with a new one - inspect the cuff regularly for signs of damage - store the cuff in a cool, dry place - follow the manufacturer's instructions for using and storing the cuff @topic:5


# # # issue the beds, electric, hill - rom, care assist es is unable to measure weight. # # # impact patients'weight cannot be accurately measured, which can affect their treatment plans. # # # possible causes - the bed's weight sensor may be faulty. - the bed's electronics may be malfunctioning. - the bed may not be properly calibrated. - the bed may be overloaded. # # # recommendations - inspect the bed's weight sensor for any damage or loose connections. - test the bed's electronics by using a diagnostic tool. - calibrate the bed according to the manufacturer's instructions. - ensure that the bed is not overloaded. - if the problem persists, contact the manufacturer for further assistance. @topic:25


# # # issue - knob damaged - cover cracked - broken extension cable - inability to measure spo2 # # # impact - inability to accurately monitor vital signs - potential for incorrect readings - compromised patient care # # # possible causes - * * knob damaged : * * physical damage or excessive use - * * cover cracked : * * physical impact or stress - * * broken extension cable : * * wear and tear, improper handling, or faulty connection - * * inability to measure spo2 : * * faulty sensor, loose connection, or incorrect configuration # # # recommendations - * * knob damaged : * * replace the damaged knob. - * * cover cracked : * * replace the cracked cover with a new one compatible with the device model ( dimamap pro300v2 ). - * * broken extension cable : * * replace the broken extension cable with a new one compatible with the device. - * * inability to measure spo2 : * * check the connection between the sensor and the device. ensure that the sensor is seated properly and that the cable is not damaged. clean the sensor if necessary. if the issue persists, consider replacing the sensor. verify the correct configuration of the device for spo2 measurement. @topic:4


level and recharge it when it drops below a certain threshold. this helps prevent deep discharges, which can shorten battery lifespan. @topic:11


# # # issue : vital signs monitor cuff failure # # # impact : patient safety and accuracy of vital signs measurements # # # possible causes : - * * fabric cuff deterioration : * * cuff fabric can weaken and tear over time due to repeated use, moisture, and exposure to cleaning agents. this can result in an improper fit and inaccurate readings. - * * cuff bladder leak : * * the cuff's inner bladder can develop leaks, which prevent proper inflation and deflation during measurements. this can also lead to inaccurate readings. - * * tubing damage : * * the tubing connecting the cuff to the monitor can become damaged, kinked, or blocked, affecting the inflation and deflation process. # # # recommendations : 1. * * regular cuff maintenance : * * check and replace cuffs regularly according to the manufacturer's recommendations. 2. * * proper cuff fitting : * * ensure that the cuff fits snugly but not too tightly on the patient's arm to prevent discomfort and inaccurate readings. 3. * * avoid excessive moisture : * * protect the cuff from excessive moisture to prevent fabric deterioration and bladder leaks. 4. * * handle tubing with care : * * avoid kinking or damaging the tubing during use and storage. 5. * * calibrate monitor regularly : * * regularly calibrate the monitor to ensure accurate vital signs measurements. @topic:5


# # # issue the time displayed on the philips intellivue mx550 bedside physiologic monitor is incorrect. # # # impact incorrect timekeeping can affect the accuracy of patient data collection and monitoring. # # # possible causes * incorrect time zone or daylight saving time settings * power outage or interruption * internal clock malfunction # # # recommendations * * actions for biomedical engineer : * * * verify the time zone and daylight saving time settings are correct. * check the battery backup system to ensure it is functioning properly. * replace the internal clock or contact philips technical support if the issue persists. * * instructions for healthcare providers : * * * notify the biomedical engineering department if the timekeeping issue persists. * temporarily use external clocks or watches for timekeeping until the issue is resolved. @topic:29


# # # issue - the electric bed is not adjusting. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned comfortably. - the patient may be at risk for injury if the bed is not adjusted properly. # # # possible causes - the control panel is not working. - the motor is not working. - the limit switches are not working. - the wiring is damaged. - the battery is dead. # # # recommendations - check the control panel for any loose wires or connections. - check the motor for any signs of damage. - check the limit switches for any signs of damage. - check the wiring for any signs of damage. - replace the battery if it is dead. @topic:1


# # # issue * central monitor screen is not displaying # # # impact * inability to monitor patient vital signs and other critical data * delay in diagnosis and treatment * potential risk to patient safety # # # possible causes * * * power supply failure : * * the central monitor may not be receiving power due to a tripped circuit breaker or a faulty power cord. * * * battery failure : * * the central monitor's battery may be depleted, preventing it from functioning without power. * * * hardware failure : * * a component within the central monitor may have malfunctioned, such as the display panel or the circuitry. * * * software issue : * * a software glitch or corrupted settings may be preventing the central monitor from displaying its screen. # # # recommendations * * * check power supply : * * ensure that the central monitor is connected to a power outlet and that the circuit breaker is not tripped. * * * replace battery : * * if the central monitor is using a battery, replace it with a new one. * * * inspect hardware : * * examine the central monitor for any physical damage or loose connections. * * * update software : * * install any available software updates that may address the issue. * * * contact manufacturer or service provider : * * if the issue persists, contact the manufacturer or a qualified service provider for further troubleshooting and repair. @topic:2


# # # issue - the vital signs monitor is displaying abnormal bp ( blood pressure ) readings. # # # impact - inaccurate bp readings can lead to incorrect diagnosis and treatment decisions, potentially compromising patient safety. # # # possible causes - the most likely cause of the failure is a faulty bp transducer or cuff. other possible causes include : - improper calibration of the monitor - loose or damaged cables - software glitch - electrical interference # # # recommendations - * * immediate : * * - isolate the monitor and prevent its use until it can be repaired. - manually measure bp using an alternative method ( e. g., sphygmomanometer ). - * * short - term : * * - schedule the monitor for calibration and repair as soon as possible. - * * long - term : * * - regularly calibrate and maintain the monitor according to manufacturer's guidelines. - implement a preventive maintenance program to proactively identify and address potential issues. - * * further investigation : * * - if the bp transducer or cuff is suspected to be faulty, it should be replaced. - check for loose or damaged cables and replace if necessary. - contact the manufacturer or a qualified biomedical engineer for further troubleshooting and support. @topic:15


# # # issue - slow barcode scanning and difficulty in triggering the scanner. # # # impact - delays in patient care, inefficient workflow, and potential errors in medication administration. # # # possible causes 1. * * misaligned barcode : * * the barcode label may not be properly aligned with the scanner, causing difficulty in reading the code. 2. * * damaged barcode : * * the barcode label may be torn, wrinkled, or faded, making it difficult for the scanner to interpret the code. 3. * * defective scanner : * * the barcode scanner itself may be malfunctioning, resulting in slow scanning or difficulty in triggering the sensor. 4. * * software error : * * the software that interprets the scanned barcode may be experiencing a glitch, causing delays or errors in scan recognition. # # # recommendations 1. * * verify barcode alignment : * * ensure that the barcode label is properly aligned and securely attached to the equipment. 2. * * replace damaged barcode : * * if the barcode label is damaged, replace it with a new one to ensure accurate scanning. 3. * * calibrate scanner : * * calibrate the barcode scanner according to the manufacturer's instructions to ensure optimal performance. 4. * * update software : * * check for software updates and install any available patches to address potential bugs or errors. 5. * * contact vendor : * * if the issue persists despite implementing the above recommendations, contact the equipment vendor for technical support or replacement. @topic:23


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : biomedical engineer ( bme ) found that the equipment could not be turned on. bme has reset the power button and pressed the power button at the back of the equipment. after that, the bme has tested the equipment and it can be used normally. # # # impact - the medical cart could not be used. # # # possible causes - the power supply to the equipment may be interrupted. - the power button may be malfunctioning. - the internal components of the equipment may be damaged. # # # recommendations - check the power supply to the equipment. - replace the power button. - contact the manufacturer for further assistance. @topic:13


remote input extension device cables product option number part number description conduit sizes bend radius connector size ( lxw ) m8022a # hf2 m8086 - 61003 1. 5m monitor to remote device 30 mm 2 30 mm 27 x 13 mm m8022a # hf3 m8086 - 61004 3m monitor to remote device 30 mm 2 30 mm 27 x 13 mm m8022a # hf6 m8086 - 61005 10m monitor to remote device 1 30 mm 2 30 mm 27 x 13 mm m8022a # hf7 m8086 - 61006 15m monitor to remote device 1 30 mm 2 30 mm 27 x 13 mm m8022a # hf9 m8086 - 61007 25m monitor to remote device 1 30 mnt 30 mm 27 x 13 mm both ends are terminated with straight mdr connectors. a built on demand. 259 8 site preparation remote device site requirements input devices the following tables describes the input devices which can be connected to the remote extension device m8024a, or directly to the monitor. table 13 m8024a input devices product option number part number 12nc part number description m8024a # c01 m8024a # b01 m8024a # c02 m8024a # c03 m4046 - 60103 m4046 - 60104 m4046 - 60105 m4046 - 60106 451261000651 451261000661 451261000671 451261000681 wired track ball usb / ps2 optical mouse usb ps / 2 wireless track ball wired off table track mouse local printer see printer documentation 260 philips medical lan 8 site preparation philips medical lan for information refer to the intellivue information center documentation. table @topic:19


# # # issue - equipment : medical cart - model : bdms 01 - issue : unable to connect to hardware # # # impact - inability to use the medical cart for its intended purpose, potentially impacting patient care. # # # possible causes - loose or damaged cable connections - faulty hardware - software issues # # # recommendations 1. * * check cable connections : * * ensure that all cables are securely connected at both ends. if any cables are loose or damaged, replace them. 2. * * reseat hardware : * * remove and reinsert the hardware to ensure proper contact. 3. * * update software : * * check if any software updates are available for the medical cart and install them. 4. * * test functionality : * * once the above steps have been completed, test the functionality of the medical cart to verify that the issue has been resolved. 5. * * contact manufacturer : * * if the issue persists, contact the manufacturer for further troubleshooting and support. @topic:13


# # # issue - bed is not functioning properly. # # # impact - patients may not be able to receive proper care. - staff may be unable to access patients. # # # possible causes - the bed is not properly connected to the power source. - the bed's motor is not functioning properly. - there is a problem with the bed's controls. # # # recommendations - check the bed's power cord and make sure it is securely plugged into an outlet. - inspect the bed's motor for any signs of damage or wear. - test the bed's controls to make sure they are working properly. - if the problem cannot be resolved, contact a qualified biomedical engineer. @topic:9


# # # issue - battery failure in nibp monitor # # # impact - inability to accurately measure blood pressure due to unreliable power supply. - interruption in patient care and delays in diagnosis and treatment. # # # possible causes - battery depletion due to extended use or aging. - malfunctioning battery charger or charging circuitry. - improper battery maintenance or storage. # # # recommendations - * * regular maintenance : * * regularly inspect batteries for signs of wear and tear, leakage, or bulging. - * * proper charging : * * ensure that the battery charger is functioning correctly and that batteries are charged according to manufacturer's instructions. - * * appropriate storage : * * store batteries in a cool, dry place to extend their lifespan. - * * battery replacement : * * replace batteries once their capacity degrades to maintain optimal device performance. - * * training : * * educate staff on proper battery handling and maintenance practices to prevent premature failure. - * * monitor performance : * * regularly monitor the nibp monitor's battery status and take corrective action as needed to avoid unexpected outages. @topic:11


# # # issue - the fetal monitor's display is malfunctioning, showing lines on the screen. # # # impact - inability to accurately monitor fetal parameters, which can delay or compromise medical decisions. # # # possible causes - faulty display panel - loose or damaged connections - software glitch # # # recommendations - replace the display panel. - check and tighten all connections. - update the software if an update is available. @topic:2


# # # issue : - lcd monitor failure # # # impact : - inability to use the monitor for patient monitoring # # # possible causes : - * * age - related degradation : * * lcd monitors have a limited lifespan, and over time, the components can degrade and fail. - * * environmental factors : * * extreme temperatures, humidity, or dust can damage the monitor's components. - * * physical damage : * * dropping or bumping the monitor can cause internal damage. - * * electrical problems : * * power surges or fluctuations can damage the monitor's circuitry. # # # recommendations : - * * regular maintenance : * * periodic inspections and cleaning can help to extend the lifespan of the monitor. - * * proper handling : * * avoid dropping or bumping the monitor, and store it in a clean and dry environment. - * * use surge protectors : * * protect the monitor from power surges and fluctuations. - * * replace aging monitors : * * regularly monitor the performance of the monitor and replace it when it shows signs of degradation. - * * investigate environmental factors : * * consider the environmental conditions in which the monitor is used and make adjustments to minimize the risk of damage. @topic:2


conversion window : 1 select main setup then select calculations. select unit conversion. 2 select the field under the unit you know and use the on - screen keypad to enter the known value. the converted value automatically appears in the adjacent field. 3 sa formula your monitor provides both the boyd and dubois formulas for the calculation of body surface area ( bsa ). for calculations, the monitor uses the setting defined in the patient demographics menu. all calculation results that use bsa are indexed to the selected formula. to check the current setting, select the patient name to enter the patient demographics menu. bsa ( b ) indicates that the boyd formula is used ; bsa ( d ) indicates that the dubois formula is used. • 28 24 calculations if you compare the value from the spirometry measurement you may see a difference. this comes from the different the algorithm in the ventilation calculations takes into account only two sets of paired awp / awv data : those from complete expiration and complete inspiration, when awf is zero. • the algorithm in the spirometry application takes into account all sets of paired awp / awv data ( 125 hz sampling rate ), over one complete breath cycle, and calculates an " averaged " compliance using a least square method. • to send a calculations recording to a connected recorder, in the calculations window, select the print / record pop - up key, then select the record calc pop - up key. calculations recordings print the patient demographic information and the content of the current calculations window on the recorder strip. to print a report for the calculation group currently on the monitor screen, select the pop - up key print calc. to print the review window, select the pop - up key print in the review window. all the calculations in the current group will be printed in the report. calculation reports can be printed on central or local printers. n calculagroup. @topic:17


# # # issue - electric hospital bed is not able to adjust the feet section. # # # impact - the patient's comfort and mobility may be affected. # # # possible causes - * * remote control : - issue with the remote control's buttons, circuit, or power supply. - * * control unit ( inside the bed frame ) : - faulty wiring, loose connections, or malfunctioning motor controller. - * * actuators ( motors and gears ) : - mechanical failure or wear and tear, causing the feet section to be stuck. # # # recommendations - * * remote control : * * - test the remote control using a multimeter to check for electrical continuity. - replace the batteries or the entire remote control if necessary. - * * control unit : * * - verify the wiring harness for damage or loose connections. - inspect the circuit board and motor controller for any burn marks or damage. - * * actuators : * * - check for any obstructions or mechanical damage to the actuators. - lubricate the gears and test the motors. - * * other considerations : * * - ensure the bed is properly plugged into a power outlet. - consult the manufacturer's service manual for specific troubleshooting steps. @topic:1


# # # issue : - telemetry ekg module ( philips m2601b ) failure # # # impact : - patient monitoring capabilities compromised # # # possible causes : - * * deteriorated ekg leads : * * wear and tear over time can cause the ekg lead wires to become brittle and break, leading to signal loss or distortion. - * * damaged plastic insulation : * * external damage to the lead wires can expose the internal conductive wires, resulting in electrical shorts or insulation breakdown. # # # recommendations : - * * regular inspection and maintenance : * * regularly check the ekg leads for signs of wear, damage, or loose connections. - * * proper handling and storage : * * handle the lead wires with care, avoiding excessive bending or pulling. store them properly to prevent damage. - * * replacement of damaged leads : * * if the ekg leads are damaged beyond repair, replace them with new ones. - * * environmental factors : * * protect the ekg leads from extreme temperatures, moisture, and harsh chemicals. - * * training of staff : * * ensure that hospital staff is adequately trained in the proper handling and maintenance of ekg equipment. @topic:18


# # # issue - the telemetry electrocardiography monitor ( philips m2601b ) is not turning on. # # # impact - the monitor is essential for monitoring patient's heart activity. its failure can lead to delayed diagnosis and treatment, which could have severe consequences for the patient's health. # # # possible causes - power supply issue - hardware failure ( e. g., motherboard, power supply unit ) - software issue ( e. g., corrupted firmware ) - user error ( e. g., incorrect operation ) # # # recommendations - check the power supply ( e. g., power cord, wall outlet ) and ensure it is properly connected and functioning. - inspect the monitor for any visible damage or loose connections. - try restarting the monitor by unplugging it from the power source and plugging it back in. - contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. - if user error is suspected, provide proper training to ensure correct operation of the monitor. - regularly perform preventative maintenance checks on the monitor to identify and address potential issues early on. @topic:16


##0 2, temperature ( predictive and monitored — vm4 only ). if the test cannot sense a certain module or an error occurs, then the front end test fails. to run the monitor resident self test : 1. press the s elf test button. a window appears displaying the status of the self test. if a test fails, the window prints “ failed ” in red beside the test. if a test has not completed, the window prints “ in progress ”. troubleshooting 7 - 27 testing the optional recorder 2. rotate the wheel to highlight the return button, then press the wheel to return to the main screen when all tests complete. the self test window closes. detected errors are written to the error log with detailed error information and error codes. note — the self test automatically runs each time that the monitor is powered on ( cold or warm start ), unless it has already run that day. testing the optional recorder to test the optional recorder : 1. in the system diagnostics menu, rotate the wheel to highlight the recorder test button, then press the button to start the test. the recorder prints a test pattern similar to this : 2. use the pattern to identify the recorder problem ; for example, a faulty print head or motor. 7 - 28 troubleshooting testing the battery testing the battery the battery test communicates with the battery to sense things like battery capacity and type and charging cycle. to test the battery : 1. in the system diagnostics menu, rotate the wheel to the battery test button, then press the wheel to start the test. a window appears for five seconds, showing the results of the test. for example : 2. to stop the test before the window closes, press the wheel. troubleshooting 7 - 29 running the button test running the button test the buttons test tests the functions of the navigation ( rotary ) wheel and system buttons. to run the button @topic:22


are called screen trends. the selection and number of measurement waves in the screen trend segment depends on your monitor configuration. screen trends are color - coded to match the measurement wave and numerics, and they can be viewed in graphical, tabular, histogram or horizon format. if you do not see screen trends on the monitor screen, select a different screen, one that is configured to show screen trends. screen trends are only available on specially designed screens. screen trend information is taken from the trends database. if you do not see a screen trend for a particular measurement on the screen, check the trend priority list to ensure that this measurement is being trended. measurement waves or measurement high - res trend waves screen trends numerics 279 21 trends screen trends setting the screen trend time to set the screentrend time for all graphical, histogram and horizon screen trends ( “ global ” trend time ), 1 select a screen trend then select setup trend, or select main setup - > trends. 2 select screentrend time and select the required time : 30 minutes, one, two, four, eight, or twelve hours. this is now the global screen trend time and defines the period of trend information shown for all screen trends. to set a different screentrend time for a screen trend or a group of aligned screen trends, 1 select a screen trend 2 select change trendtime 3 select the required trend time. selecting global leaves the trend time set to the global screen trend time. changing the selection of screen trends displayed 1 select the screen trend. 2 select change trend and select the required trend from the list of available trends. select blank to remove the selected trend from the screen. if you do not see change trend in the screen trend menu, the trend is aligned to display with the measurement wave. changing the wave automatically changes the trend. to display two or more screen trends overlapping, 1 select @topic:8


# # # issue - cloth cuff is deteriorated and velcro is damaged. # # # impact - blood pressure measurement may be inaccurate or unreliable. # # # possible causes - normal wear and tear - improper storage or handling - exposure to excessive heat or moisture # # # recommendations - replace the cloth cuff and velcro with new ones. - inspect the equipment regularly to identify any potential issues or damage. - store and handle the equipment according to the manufacturer's instructions. @topic:3


# # # issue - equipment : monitors, patient transport - band : philips - model : intellivue mp20 ( m8001a ) - description : biomedical engineer ( bme ) found that the line was damaged, the joint had an air leak, which caused the bp to not increase. bme has replaced the new line completely, tested and can be used normally. # # # impact - the patient's blood pressure cannot be measured. - the patient's condition cannot be monitored accurately. - the patient's health may be at risk. # # # possible causes - the air hose line is damaged. - the joint in the air hose line has an air leak. # # # recommendations - replace the air hose line. - inspect the joints in the air hose line for air leaks. - regularly maintain the equipment according to the manufacturer's instructions. @topic:15


# # # issue : keyboard not working on medical cart # # # impact : unable to input data or commands into the medical cart, hindering its functionality. # # # possible causes : - * * software malfunction : * * the keyboard driver or operating system may have encountered an error or become corrupted. - * * hardware failure : * * the keyboard itself may be defective or damaged, such as a loose or broken connection, or a malfunctioning component within the keyboard. - * * electrical issues : * * a power surge or voltage fluctuation could have damaged the keyboard or its circuitry. - * * physical damage : * * the keyboard may have been subjected to physical impact or liquid spills, causing damage to its internal components or connections. # # # recommendations : - * * restart the device : * * turning the medical cart off and on again can sometimes resolve software glitches. - * * check connections : * * ensure that the keyboard is securely connected to the cart and that there are no loose or damaged wires. - * * update software : * * check if there are any available software updates for the medical cart or keyboard driver. - * * clean the keyboard : * * use a soft cloth and cleaning solution to gently clean the keyboard surface and remove any debris that may be obstructing the keys. - * * inspect for physical damage : * * examine the keyboard for any visible signs of damage, such as scratches, dents, or liquid stains. - * * replace the keyboard : * * if the above steps do not resolve the issue, it may be necessary to replace the keyboard with a new one. @topic:27


* * issue : * * cuff has deteriorated * * impact : * * the cuff of the physiologic bedside monitor ( intellivue mx700 ) is not working properly and cannot be used to measure patient vital signs. * * possible causes : * * - prolonged wear and tear : the cuff is exposed to constant use and movement, which can cause the material to weaken and deteriorate over time. - improper cleaning and maintenance : the cuff should be regularly cleaned and disinfected to prevent the accumulation of dirt, dust, or debris, which can damage the cuff's material. - environmental factors : exposure to extreme temperatures or humidity can affect the cuff's material and cause it to deteriorate. * * recommendations : * * - regularly inspect the cuff for signs of wear and tear, such as cracks, tears, or loose seams. - clean and disinfect the cuff as per the manufacturer's instructions. - store the cuff in a clean and dry environment when not in use. - replace the cuff as recommended by the manufacturer or when it shows signs of deterioration to ensure accurate patient monitoring. @topic:5


of available frequencies. 2 select the required frequency from this list. 1 the eeg measurement has its own speed control and is not affected by the wave speed settings of thother measurements. in the setup eeg menu, select eeg speed. choose the required speed from the pop - up list. this defines the speed at which the wave is drawn across the screen in millimeters per second ( mm / s ). 283 8 monitoring eg reportthe content of eeg reports is always the same and does not need to be configured. to print an eeg report, in the setup eeg menu, select print report. alternatively, you can select the csa and use the print report pop - up key to start the report. to modify the buffer and trendline settings on the csa report, in the reports menu, select csa on eeg rep.. if you do not change these settings, the monitor will use the default settings with the trendlines for the sef numeric on and the buffer time from buffer c. his menu entry lets yocsa on eeg repbuffer choose one of the three pre - configured buffer times. switch the trendline of the specific numeric on or off. trend sef trend mdf trend ppf eeg safety information warning do not touch the patient, or table, or instruments during defibrillation. when connecting electrodes and / or patient cables, ensure that the eeg leads and connectors do not come into contact with other conductive parts or earth. high - frequency surgery - to reduce the hazard of burns, the eeg electreeg and electrical interference caution implanted devices ( e. g. cardiac pace makers ), other patient connected equipment, and other equipmennear the patient ( e. g. high - frequency surgical units ) can cause interference on the waveform, numerics, and the csa presentation. @topic:8


# # # issue - sensor light is not illuminated. # # # impact - the physiologic monitor is unable to monitor patient's oxygen saturation levels. # # # possible causes - faulty sensor - damaged cable - loose connection - power supply issue # # # recommendations - replace the sensor. - inspect the cable for any damage and replace if necessary. - ensure the cable is securely connected to both the monitor and the sensor. - check the power supply to the monitor and ensure it is functioning properly. @topic:4


# # # issue - cuff is deteriorated and unable to measure and output values. # # # impact - the monitor cannot accurately measure patient's vital signs, such as blood pressure, which can lead to delayed or incorrect diagnosis and treatment. # # # possible causes - cuff is not properly inflated or deflated. - cuff is not the correct size for the patient. - cuff is damaged or worn out. # # # recommendations - replace the cuff with a new one that is the correct size for the patient. - ensure that the cuff is properly inflated and deflated before taking a measurement. - inspect the cuff regularly for damage or wear and tear. @topic:5


124 5 managing patients and equipment the ecg measurement will be activated again at the monitor. [ note that in this case, as the screen switches back to the monitor's own measurements, the spo2t measurement ( if present ) will no longee displayed ]. in the same way the source is tracked when a telemetry device is directly connected to a monitor, then disconnected and vice versa. in case of ambiguity, a yellow inop message!! check ecg source indicates that more than one valid ecg source is active. synchronized settings for some measurements, settings can be synchronized between the monitor and another measurement device. for example, if ecg is measured at the monitor, and then the patient is connected to a telemetry device for monitoring, the information center will use the monitor settings for the telemetry device. in general, the following settings will be synchronized : hr / pulse alarm on / off, heart rate high / low limit, heart rate ecg on / off¹, primary lead, secondary lead, va lead², vb lead², lead ecg placement rrhythmia analysis mode, arrhythmia on / off, asystole threshold, pause threshold, vtach hr, vtach run, pvcs / min, vent. rhythm, svt hr, svt run, pvcs / min on / off, pacer not capture on / off, pacer not pace on / off, non - sustain on / off, vent. rhythm on / off, run pvcs on / off, pair pvcs on / off, missed beat on / off, pause on / off, r - on - t pvcs on / off, vent. bigeminy on / off, vent. trigeminy on / off, multiform pvcs on / off, irregular hr on / off, svt on / off @topic:8


# # # issue - cuff failure # # # impact - inaccurate blood pressure readings - patient discomfort # # # possible causes - cuff is damaged or worn - cuff is not the correct size for the patient - cuff is not properly inflated # # # recommendations - replace the cuff with a new one - ensure that the cuff is the correct size for the patient - properly inflate the cuff @topic:3


* * issue : * * motor knee cannot be adjusted * * impact : * * the bed cannot be used for patients who need to adjust the knee position. * * possible causes : * * - * * motor failure : * * the motor that adjusts the knee position may have failed. - * * electrical issues : * * there may be a problem with the electrical connections to the motor. - * * mechanical issues : * * there may be a mechanical issue with the knee joint that is preventing it from being adjusted. * * recommendations : * * - * * technician to check the motor : * * the technician should check the motor to see if it is receiving power and if it is operating properly. - * * check electrical connections : * * the technician should check the electrical connections to the motor to make sure that they are secure and that there is no damage to the wires. - * * check mechanical components : * * the technician should check the mechanical components of the knee joint to make sure that there are no loose or damaged parts that are preventing it from being adjusted. @topic:9


# # # issue - cuff of the vital signs monitor is damaged. # # # impact - the vital signs monitor cannot accurately measure blood pressure. # # # possible causes - cuff is old and worn out. - cuff is not properly inflated. - cuff is not the correct size for the patient. # # # recommendations - replace the cuff. - ensure that the cuff is properly inflated and the correct size for the patient. - train staff on the proper use of the vital signs monitor. @topic:5


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the screen is black and cannot be used. after checking, a biomedical engineer ( bme ) rebooted the machine and it worked normally. # # # impact - the medical cart cannot be used. # # # possible causes - the screen is faulty. - the graphics card is faulty. - the power supply to the screen is faulty. - the software is corrupted. # # # recommendations - replace the screen. - replace the graphics card. - check the power supply to the screen. - reinstall the software. @topic:13


# # # issue - the remote control for the electric bed is malfunctioning due to wear - and - tear. # # # impact - the patient may not be able to adjust the bed's position, which can lead to discomfort or even injury. - the medical staff may have difficulty operating the bed, which can slow down patient care. # # # possible causes - the remote control is old and has been used frequently. - the remote control has been dropped or damaged. - the remote control has been exposed to moisture or other contaminants. # # # recommendations - replace the remote control with a new one. - inspect the remote control for any damage and repair or replace it as necessary. - keep the remote control clean and dry. @topic:7


# # # issue the scanner on the medical cart is not working. # # # impact the medical cart cannot be used to scan patients, which can delay diagnosis and treatment. # # # possible causes - the scanner is not properly connected to the cart. - the scanner is not properly configured. - the scanner is faulty. # # # recommendations - check all connections between the scanner and the cart. - reconfigure the scanner according to the manufacturer's instructions. - if the scanner is still not working, contact a qualified technician. @topic:23


# # # issue - cuff defect # # # impact - inaccurate blood pressure measurements # # # possible causes - cuff wear and tear - improper storage or handling - damage to the cuff during cleaning or disinfection # # # recommendations - regularly inspect cuffs for signs of wear or damage. - replace cuffs as recommended by the manufacturer or when found to be defective. - handle and store cuffs carefully to avoid damage. - ensure proper cleaning and disinfection techniques are followed to minimize wear on the cuff. - train staff on proper cuff handling and maintenance procedures. @topic:3


# # # issue - equipment : electric bed - manufacturer : huntleigh - model : enterprise 8000 - problem : bed not adjusting # # # impact - patient discomfort or injury - delayed or interrupted patient care - reduced staff efficiency # # # possible causes - power supply issue - mechanical failure - control system malfunction # # # recommendations - check the power cord and ensure it is securely plugged into the power outlet and bed. - inspect the bed frame and motors for any visible damage or obstruction. - check the control panel for any loose connections or damaged buttons. - measure the voltage at the power outlet to ensure it is within the specified range. - contact the manufacturer's technical support team or a qualified biomedical engineer for further assistance. @topic:1


# # # issue - remote control is malfunctioning # # # impact - inability to operate the medical device properly - delay in patient care - in some cases, patient safety may be compromised # # # possible causes - damaged remote control - loose or disconnected wires - malfunctioning battery - software glitch - incorrect settings # # # recommendations - inspect the remote control for any visible damage. - check the connections between the remote control and the medical device. - replace the batteries in the remote control. - reset the remote control to factory settings. - contact the manufacturer for further assistance. @topic:7


* * issue : * * - equipment not functioning properly ( unable to adjust bed ) * * impact : * * - potential patient discomfort or safety hazard * * possible causes : * * - defective remote control - communication issue between remote control and bed - mechanical fault in the bed mechanism * * recommendations : * * - verify the functionality of the new remote control - check the wiring and connections between the remote control and the bed - inspect the bed mechanism for any obvious damage or defects - if the issue persists, consult the manufacturer's technical support for further troubleshooting @topic:7


# # # issue - solenoid on medical cart cannot close the drawer. # # # impact - the drawer cannot be closed securely, which could lead to the loss of medical supplies or equipment or if the drawer is left open, could pose a safety hazard. # # # possible causes - the solenoid is not receiving power. - the solenoid is damaged. - the solenoid is not properly attached to the drawer. # # # recommendations - test the solenoid with another drawer to see if the solenoid is damaged. - if the solenoid is not receiving power, check the wiring connections and replace any damaged wiring. - if the solenoid is not properly attached to the drawer, tighten the screws or bolts that are holding it in place. - check that medical cart is plugged into a power source. - check that the drawer is not obstructed by any objects. - check that the solenoid is not jammed or damaged. - if the solenoid is damaged, replace it with a new one. @topic:21


# # # issue - equipment not functioning properly # # # impact - delays in patient care - increased risk of patient harm # # # possible causes - power supply failure - equipment software failure - cable or connection failure # # # recommendations - check power supply and cables - restart equipment - contact medical equipment vendor for support @topic:12


# # # issue - worn out cuff # # # impact - inaccurate vital signs readings - potential for patient harm - device downtime # # # possible causes - normal wear and tear - overuse - improper storage or handling # # # recommendations - regularly inspect the cuff for signs of wear or damage - replace the cuff according to the manufacturer's recommended schedule - store and handle the cuff properly to prevent damage - train staff on proper cuff care and usage - use a cuff that is appropriate for the patient's size and condition @topic:5


, situated in the power supply unit, has current limiting according to the level of the battery charge. charging begins as soon as the unit is switched on. at the end of charging, the load current is very low. when the power supply is disconnected from the ac power, the battery backup is activated by pressing the battery control on the caregiver controls. the battery charge level is controlled. in this way, a flashing indicator and an audible low battery alarm by buzzer are activated during movement if the battery voltage drops ( this is a continuous beep of several seconds that is heard each time a control is pressed ). after connecting to the power outlet, the indicator continues to flash until the battery has charged. battery operation is automatically stopped 30 seconds after the end of the last movement. page 3 - 6 careassist® and careassist® es bed service manual ( man330 rev 4 ) electrical system ( a model beds ) chapter 3 : theory of operation battery characteristics table 3 - 3. battery backup characteristics description specification components 2 12 v batteries capacity of each battery 1. 2 ah voltage 24 vdc maximum charging time 12 hours discharging time ( storage ), battery connected to bed minimum 10 days discharging time ( storage ), battery not connected to bed 3 months the batteries are a sealed lead acid and are connected in series on the main board and protected by a 10 amp fuse on the connection wires. the battery type has no memory effect and can be charged regularly without any particular constraints. the capacity of the battery backup after full charging is at least three raise and lower cycles for hilow, head section, knee section and foot section with the maximum safe working load 400 lb ( 182 kg ) on the bed. control logic and specific functions combined activations of the motor provide the following functions : • dining chair® position • automatic contour • trendelenburg and reverse trendelenburg function @topic:9


# # # issue - drawer not springing up # # # impact - inconvenience for healthcare professionals using the cart. # # # possible causes - friction in the drawer runners. - obstruction in the drawer track. - mechanical failure of the spring mechanism. # # # recommendations - lubricate the drawer runners with a suitable lubricant like wd40. - inspect the drawer track for any obstructions and remove them. - if the spring mechanism is faulty, it may need to be replaced. @topic:21


# # # issue - bed cannot be adjusted # # # impact - patient discomfort - difficulty performing medical procedures # # # possible causes - bed controls are not functioning properly - bed motor is not working - bed is locked # # # recommendations - check the bed controls to ensure they are properly connected and functioning. - test the bed motor by attempting to adjust the bed. if the motor is not working, it may need to be repaired or replaced. - inspect the bed for any locks that may be preventing it from being adjusted. if a lock is found, unlock it and test the bed to ensure it is functioning properly. @topic:1


# # # issue - bed alarm not sounding # # # impact - patient safety risk - inability to monitor patient's condition effectively # # # possible causes - faulty bed alarm system - loose electrical connections - software or hardware malfunction - incorrect bed alarm settings - user error ( e. g., alarm muted or turned off ) # # # recommendations - check electrical connections and ensure they are secure - update software or firmware if necessary - verify bed alarm settings and adjust as needed - educate staff on proper use and maintenance of bed alarm system - perform regular maintenance and inspections to prevent future failures @topic:26


##nnect the catheter cable receptacle from the service tool 6 enter the setup c. o window and change the method of measurement to “ right heart ” 7 enter the c. o. procedure window and check the tinj value. the expected result is : - tinj = 0. 0°c + / - 0. 1°c bis performance test these tests check the performance of the bis measurement. pic / dsc test 1 in monitoring mode connect the sensor simulator ( for maximum usage please refer to the documentation delivered with the sensor simulator ) to the patient interface cable. 2 enter the bis menu and select show sensor. 3 start impedance check by pressing startcycliccheck. check the displayed results. expected results are : - electrode 1 ( + ) : 4 - 6 k£2 - electrode 2 ( ref ) : 8 - 12 k£2 - electrode 3 ( 1 - ) : 1 - 3 k£2 - electrode 4 ( 2 - ) : 1 - 3 k£2 nurse call relay performance test the nurse call relay performance test can be performed either at the phone jack type connector ( this only tests one relay ) or at the multi - port nurse call connector ( to test all three relays ). phone jack type connector test ( traditional nurse call ) this test checks the operation of the traditional nurse call relay. the nurse call relay test is recommended for customer sites where the nurse call is in use. the nurse call relay functions as follows : • standard operation — relay open. • alarm condition — relay closed. 53 3 testing and maintenance tests tools required : ohmmeter. 1 plug a phono connector into the nurse call relay connector. 2 connect the ohmmeter. 3 if no alarm occurs, the relay contacts are open. when an alarm occurs, the relay contacts close. tip ( relay loop ) ring - ( relay loop ) — sleeve ( ground ) @topic:17


# # # issue - monitor not displaying signal # # # impact - clinicians unable to monitor patient's vital signs accurately # # # possible causes - damaged signal cable # # # recommendations - replace the damaged signal cable @topic:2


off, afib on / off, afib / irrhr end threshold, all ecg alarm inop mode. st analysis on / off, st alarm on / off, iso point, j point, st point, st alarm limits, st - index on / off, iso / j - point detection, st lead on / ff, st baseline st qt analysis on / off, qt lead, qtc high alarm on / off, aqtc alarm qtc high limit, qt baseline³ qt spo2 alarms on / off, spo2 alarm limits, spo2 low alarm delay, spo2 it, desat alarm limit spo2t nbp alarm suppression on / off, pulse ( spo2 ) on / off ¹ecg on / off setting is forced to on by the monitor, if the local setting is on. 2va and vb leads are reset to default ( v2, v5 ) if the configured va or vb lead for the telemetry device is not one of v1 with piic, qt baseline is synchronized, but not qt snippets. piic ix with the intellivue information center ix, the following additional measurement settings can be synchronized : ecg / arrhythmia some ecg alarms inop on / off ste on / off, ste alarm on / off st bp sys / dia / mean alarm limits, alarms on / off, alarm source apnea time, alarm limits, alarm on / off, resp on / off esp 125 5 managing patients and equipment spo2 alarms on / off, spo2 alarm limits, desat alarm limit, nbp alarm suppression on / off, pulse ( spo2 ) on / off, measurement mode¹, spo2 measurement mode and repetition time can only be synchronized if @topic:8


# # # issue : - battery failure in the philips suresigns vs2 + monitor. # # # impact : - the monitor may not be able to display vital signs or record patient data accurately. # # # possible causes : - * * end of battery life : * * the battery has reached the end of its lifespan and needs to be replaced. # # # recommendations : - * * battery replacement : * * replace the 11. 1v 2. 4ah / 26. 64wh battery. @topic:11


natural rubber latex. latex x onlprescription use only manufacturer information 41 9 accessories recorder accessories art no. description for the m1116b recorder : 0 rolls of pape40477a 0 rolls of pape40477b for the integrated recorder ( mx400 / mx450 ) and the m1116c recorder 0 rolls of papem4816a m4817a 0 rolls of papedescription part no. lithium ion smart battery 1ah ( internal battery for x2 ) m4607a lithium ion smart battery 6ah ( for mx400 / mx450 / mx500 / mx550 ) m4605a battery charger and conditioner ( requires size adapter 451261017451 to charge m4607a 865432 battery ) size adapter for m4607a battery 451261017451 442 40 the specifications in this section apply to the mx 400 / mx450, mx500 / mx550, mx600, mx700 and mx800 patient monitors. the monitors are not user installable. they must be installed by qualified service personnel. indications for use the monitors are indicated for use by health care professionals whenever there is a need for monitoring the physiological parameters of patients. the monitors are intended to be used for monitoring and recording of, and to generate alarms for, multiple physiological parameters of adults, pediatrics, and neonates. the monitors are intended for use by trained healthcare professionals in a hospital environment. the mx400 / mx450 / mx500 / mx550 monitors are additionally intended for use in transport situations within hospital environments. the monitors are only for use on one patient at a time. they are not intended for home use. not therapeutic devices. the monitors are for prescription use only. the ecg measurement is intended to be used for @topic:8


# # issue - patient transport monitor was not able to measure spo2. # # impact - this could have a negative impact on patient care, as spo2 is a vital sign that is used to assess the patient's oxygenation status. # # possible causes - the issue could be due to : - a loose connection between the sensor and the monitor. - a defective sensor. - a software glitch in the monitor. # # recommendations - the technician should : - check the connection between the sensor and the monitor to ensure that it is secure. - replace the sensor if it is defective. - reboot the monitor to clear any software glitches. @topic:4


# # # issue the bed's headrest adjustment is not functioning properly. it is not able to be fully lowered. # # # impact this issue can have a significant impact on the patient's comfort and care. a patient may not be able to get into or out of bed easily, or may not be able to find a comfortable position for sleeping or resting. # # # possible causes * * * mechanical failure : * * the motor or gears that control the headrest adjustment may be damaged or broken. * * * electrical failure : * * the electrical wiring or circuit that powers the headrest adjustment may be damaged or faulty. * * * software failure : * * the software that controls the headrest adjustment may be corrupted or malfunctioning. # # # recommendations * * * inspect the motor and gears : * * check for any visible damage or wear and tear. replace any damaged or worn components. * * * inspect the electrical wiring and circuit : * * check for any loose connections or damaged wires. repair or replace any damaged components. * * * inspect the software : * * update the software to the latest version. if the software is still malfunctioning, contact the manufacturer for support. @topic:1


# # # issue - patient bed is not adjustable # # # impact - inability to properly position patients for examinations, procedures, or comfort # # # possible causes - malfunctioning motor or electrical system - broken or jammed gears or cables - worn or damaged components - improper calibration or setup - operator error # # # recommendations - * * inspect the electrical system : * * check for loose connections, damaged wires, or faulty motor. - * * examine the mechanical components : * * inspect gears, cables, and other moving parts for damage, wear, or obstructions. - * * calibrate and adjust the bed : * * ensure that the bed is properly calibrated and adjusted according to manufacturer specifications. - * * check for operator errors : * * verify that the operator is familiar with the bed's controls and is using it correctly. - * * request assistance from a qualified technician : * * if the issue cannot be resolved through basic troubleshooting, contact a biomedical engineer or service technician for further assessment and repair. @topic:1


# # # issue - cuff of the bedside physiologic monitor is leaking # # # impact - inaccurate blood pressure readings - potential for patient harm if inaccurate readings are used to make clinical decisions # # # possible causes - cuff is damaged or worn - cuff is not properly inflated or deflated - cuff is not the correct size for the patient # # # recommendations - replace the cuff with a new one - ensure that the cuff is properly inflated and deflated - use the correct size cuff for the patient @topic:3


# # # issue - the lcd monitor is not working. # # # impact - the surgeon cannot see the patient's vital signs. - the patient's safety is at risk. # # # possible causes - the monitor is not receiving power. - the monitor is not connected to the correct input. - the monitor is faulty. - the cause of failure is not specified in the input. # # # recommendations - check the power supply to the monitor. - check the input connections to the monitor. - inspect the monitor for any visible damage. - consult the manufacturer's instructions for troubleshooting. - if the problem cannot be resolved, contact a qualified biomedical engineer. @topic:2


# # # issue - no ekg or o2 sat readings are displayed on the monitor. # # # impact - healthcare providers cannot adequately monitor the patient's vital signs, which could delay or compromise treatment. # # # possible causes - * * faulty module : * * the borrowed ( 6245 ) module may be defective or incompatible with the monitor. - * * connection issue : * * the module may not be properly connected to the monitor or the patient. - * * software glitch : * * a software bug in the monitor may be preventing it from displaying the ekg and o2 sat data. - * * hardware malfunction : * * a hardware component in the monitor, such as the display or signal processing unit, may have failed. # # # recommendations - * * verify module compatibility : * * ensure that the borrowed ( 6245 ) module is compatible with the intellivue mp70 ( m8007a ) monitor. - * * check connections : * * inspect all cables and connections between the module, monitor, and patient to ensure they are secure and free of damage. - * * restart monitor : * * turn off the monitor and unplug it for a few minutes to reset it. - * * update software : * * check for and install any available software updates for the monitor. - * * contact manufacturer : * * if the issue persists, reach out to philips technical support for further assistance or replacement parts. @topic:22


##tration table obutam12 mcg / kg / mn 46. 38 ml / hour dose dose increments 3 ratfrom a low of 250 m0 mcg / kg / mn amount volume 2 to a high of 50 mcg / kg / mn 250 ml weight 1 mcg / kg / mn in increments of 142 lb dose rate rate dose dose 21 rate dose rate 119. 8. 86 42. 51 11 81. 16 31 1. 7123. 67 6. 38 5. 032 2 12 22 11. 59 13 23 3 50. 24 88. 89 33 127. 53 14 4 15. 46 54. 1 24 92. 75 34 131. 4 19. 32 5 15 57. 97 96. 62 35 135. 26 25 3. 19 100. 48 36 39. 13 16 61. 83 26 6 37 27. 05 17 65. 7 27 104. 34 142. 99 28 30. 92 18 69. 56 108. 21 38 146. 85 8 9 19 73. 43 29 34. 78 112. 07 39 150. 72 38. 65 15. 94 10 20 77. 29 30 40 154. 58 currently set values for dose, rate, amount, volume, and weight. 1 minimum dose, maximum dose and increments used for the table. 2 3 shows whether dose increments or rate increments are the basis of the table. use the titration table to see at a glance what dose your patient would receive of a drug at different infusion rates. by clicking on the blue title row of the table you can switch between the dose increments and rate increments view. values outside of the recommended range are shown in red. to see the titration table, in the drug calculator window, select the pop - up key titr. table. • the titration table is configured @topic:17


##8a 2 washer, nylon 13 ve0139c 1 motor, foot section 14 rm74803a 6 e - clip 15 vi0361 5 nut 16 qd1545a 4 bumper 17 132188 1 weldment, intermediate frame 18 72274 4 mount, cable tie 19 72854 1 backrest weldment 20 s30555k 1 cover, short cable tray 21 s30548k 1 cover, long cable tray 22 71494 2 weldment, drainage hook 23 vi0609a 2 screw 24 vi0608a 4 screw 25 si1002a 1 pivot pin, cpr 26 72619 1 bracket, cpr gas spring mount 27 72494 1 gas spring 28 rm74804a 1 e - clip 29 vi0616a 4 washer careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 39 articulating frame — b model beds chapter 5 : parts list item number part number quantity description 30 vi0608 4 screw page 5 - 40 careassist® and careassist® es bed service manual ( man330 rev 4 ) articulating frame — b model beds chapter 5 : parts list notes : careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 41 foot extension — b model beds chapter 5 : parts list page 5 - 42 careassist® and careassist® es bed service manual ( man330 rev 4 ) foot extension — b model beds chapter 5 : parts list table 5 - 15. foot extension — b model beds item number part number quantity description 1 71266 1 handle, foot extension release 2 s30314 2 stage poignee extension 3 71438 2 adapter, iv pole 4 s @topic:26


# # # issue - the mainboard of the philips intellivue mp70 ( m8007a ) monitor has failed, resulting in no signal on the screen. # # # impact - the monitor is unable to display patient vital signs, which could delay diagnosis and treatment. # # # possible causes - * * power supply failure : * * the mainboard may not be receiving power due to a faulty power supply or loose connection. - * * circuit board damage : * * the mainboard may have sustained damage due to a power surge, electrostatic discharge, or physical impact. - * * software malfunction : * * corrupted software on the mainboard could prevent it from functioning properly. - * * hardware failure : * * a component on the mainboard, such as the processor, memory, or display driver, may have failed. # # # recommendations - * * check power supply : * * ensure that the monitor is properly connected to a power source and that there are no loose connections. - * * inspect circuit board : * * visually inspect the mainboard for any signs of damage, such as burnt components or broken traces. - * * update software : * * download and install any available software updates for the monitor. - * * replace mainboard : * * if the problem persists, the mainboard may need to be replaced by a qualified technician. @topic:2


# # # issue - cuff replacement # # # impact - patient monitoring may be inaccurate or interrupted. # # # possible causes - damaged or worn cuff - improper cuff size or placement - cuff not properly connected to the monitor # # # recommendations - inspect the cuff for damage or wear. replace the cuff if necessary. - ensure the cuff is the correct size for the patient's arm. - position the cuff correctly on the patient's arm. - ensure the cuff is properly connected to the monitor. @topic:5


# # # issue - battery unable to hold charge # # # impact - device cannot be used without external power source - potential for patient safety hazards if device fails during use # # # possible causes - battery life cycle exceeded - battery not properly charged or discharged - battery damaged due to physical or environmental factors # # # recommendations - replace battery with new one - ensure battery is properly charged and discharged - inspect battery for any damage and replace if necessary - consider using a battery with a longer life cycle @topic:11


# # # issue - blade has been overdued. # # # impact - the monitor may not be able to accurately measure respiratory gas. # # # possible causes - the blade may have been damaged or worn out. - the blade may not have been properly calibrated. - the blade may not have been properly maintained. # # # recommendations - replace the blade. - calibrate the blade. - perform preventive maintenance on the monitor. @topic:4


# # # issue - hard drive not found # # # impact - medical cart cannot be used # # # possible causes - hard drive failure - hard drive cable loose or damaged - bios settings incorrect # # # recommendations - check the hard drive connections and replace the cable if necessary - reset the bios settings to default - replace the hard drive if necessary @topic:13


* * issue : * * - printer not printing * * impact : * * - inability to print patient medical records, reports, or other necessary documents * * possible causes : * * * * 1. faulty usb cable : * * - the loose usb cable interrupts the data transfer between the central station and the printer, causing the printing process to fail. * * 2. printer driver malfunction : * * - outdated or corrupted printer drivers can cause communication issues between the printer and the operating system, leading to printing errors. * * 3. paper jam or ink cartridge issues : * * - a paper jam or empty ink cartridges can physically prevent the printer from functioning correctly, resulting in printing failures. * * 4. software compatibility : * * - incompatibility between the printer software and the operating system or third - party applications can lead to printing problems. * * 5. hardware malfunction : * * - faulty printer components, such as the printhead or print engine, can cause mechanical issues that affect printing. * * recommendations : * * * * 1. replace usb cable : * * - ensure that the usb cable is securely connected to both the central station and the printer. if the cable is damaged, replace it with a new one. * * 2. update printer driver : * * - uninstall the existing printer driver and download and install the latest version from the manufacturer's website. * * 3. check paper and ink : * * - verify that there is sufficient paper and that the ink cartridges are full or replaced if necessary. clear any paper jams or obstructions. * * 4. test software compatibility : * * - confirm that the printer software is compatible with the operating system and any other relevant applications. update or reinstall the software as needed. * * 5. contact technical support : * * - if the issue persists after trying the @topic:28


* * issue : * * medical cart opens and closes. * * impact : * * the medical cart cannot be used for its intended purpose. * * possible causes : * * - fuse is blown. - power cord is damaged or not connected properly. - circuit board is damaged. - switch is faulty. * * recommendations : * * - check the fuse and replace it if necessary. - inspect the power cord for damage and replace it if necessary. - contact a qualified technician to repair or replace the circuit board. - contact a qualified technician to repair or replace the switch. @topic:13


# # # issue - * * equipment : * * telemetry ekg module - * * band : * * philips - * * model : * * m2601b - * * cause of failure : * * machine not turning on # # # impact - patient care may be delayed or disrupted. # # # possible causes - power supply issue - internal component failure - software glitch # # # recommendations * * 1. verify power supply : * * - ensure the equipment is properly plugged into a working power outlet. - check the power cord and connections for any damage or loose contacts. * * 2. check internal components : * * - open the equipment and visually inspect for any loose wires, burned components, or signs of damage. - use a multimeter to test for continuity and voltage at critical points. * * 3. troubleshoot software : * * - if the equipment has a display, check for any error messages or unusual behaviors. - attempt to reset the equipment by following the manufacturer's instructions. - if software troubleshooting fails, consider contacting the manufacturer for support. * * 4. further troubleshooting : * * - if the above steps do not resolve the issue, consider consulting a qualified biomedical engineer or technician for further diagnosis and repair. @topic:16