# # # issue the technician is unable to adjust the bed. # # # impact the bed cannot be used to position the patient correctly, which can lead to discomfort or injury. # # # possible causes - the patient is too heavy for the bed. - the bed is not properly assembled. - the bed controls are not working properly. - the bed is not plugged in. - the battery is dead. # # # recommendations - check the weight limit of the bed and make sure that the patient does not exceed it. - make sure that the bed is properly assembled according to the manufacturer's instructions. - check the bed controls to make sure that they are working properly. - make sure that the bed is plugged in. - replace the battery if it is dead. @topic:1


# # # issue - defective blood pressure ( bp ) cuff # # # impact - inability to accurately measure bp, leading to potential patient safety concerns # # # possible causes - cuff wear and tear - cuff damage due to mishandling or improper use - manufacturing defect # # # recommendations - replace the defective cuff with a new one - inspect and maintain cuffs regularly to prevent future failures - train staff on proper cuff handling and use - consider using cuffs with longer lifespans or enhanced durability @topic:3


# # # issue : * * damaged shelf * * * * possible causes : * * * heavy load placed on the shelf * improper handling of equipment on the shelf * corrosion or wear and tear over time * manufacturing defect # # # recommendations : * assess the condition of the shelf and determine if it can be repaired or needs to be replaced. * inspect other shelves on the medical cart to ensure they are in good condition. * implement proper handling and loading procedures for equipment on the cart. * consider using heavier - duty shelves or reinforcements if necessary. * establish a regular maintenance schedule to inspect and replace shelves as needed. @topic:31


# # # issue the physiological vital signs monitor ( monitors, physiologic, vital signs ) from casmed ( band ) model 740 displays abnormally high readings. # # # impact - inaccurate patient vital signs monitoring - potential for misdiagnosis or delayed treatment - reduced confidence in the device's reliability # # # possible causes - * * faulty pneumatic connectors assembly : * * the biomedical engineer ( bme ) identified a defective pneumatic connectors assembly as the primary cause of the issue. - * * other hardware malfunctions : * * additional hardware components, such as sensors or circuitry, could be malfunctioning and contributing to the incorrect readings. - * * software bugs : * * software errors or glitches within the device's operating system may disrupt its normal functioning and lead to inaccurate measurements. # # # recommendations - * * replace pneumatic connectors assembly : * * as recommended by the bme, replacing the faulty pneumatic connectors assembly should resolve the issue and restore accurate readings. - * * thorough inspection and testing : * * conduct a comprehensive inspection of the device, including all hardware components and software systems, to identify any additional underlying issues. - * * regular maintenance and calibration : * * establish a regular maintenance and calibration schedule to ensure optimal performance and prevent future malfunctions. - * * user training : * * provide training to medical staff on the proper use and interpretation of vital signs monitoring data, emphasizing the importance of recognizing and reporting any abnormalities. @topic:20


##las, the etco2 readings may be slightly lower than actual in patients breathing through the mouth only. easurement principlefor both mainstream and sidestream measurements, the measurement principle is infrared transmission, where the intensity of infrared light passing the respiratory gas is measured with a photo detector. as some of the infrared light is absorbed by the co2 molecules, the amount of light passing the as probe depends on the concentration of the measured co2. when using a wet ventilator circuit, monitor mainstream co2 if available, in preference to sidestreaco2. the partial pressure is calculated from the gas concentration by multiplying the concentration valuith the ambient pressure. the measurement provides : • an end tidal co2 ( etco2 ) value : the co2 value measured at the end of the expiration phase.. an inspired minimum co2 ( imco2 ) : the smallest value measured during inspiration.. an airway respiration rate ( awrr ) : the number of breaths per minute, calculated from the co2 • depending on the max hold setting configured for your monitor, the etco2 numeric shows either the highest co2 value measured within the configured time period ( max hold set to 10 sec or 20 sec ) or the etco2 numeric shows breath - to - breath value ( max hold set to off ). the microstream method also provides an integrated pulmonary index ( ipi ) numeric, which is an indication of the patient's overall ventilatory status based on four measurement parameters : etco2, awrr, pulse rate and spo2. ipi can thus provide an early indication of a change in ventilatory status which may y not be shown by the current value of any of these four parameters individually. the ipi is designed to provide additional information regarding patient status, possibly before etco2, awrr, spo2, @topic:17


sure, here is an explanation of the possible cause of failure in the given input : * * issue : * * the bedside monitor is not displaying the measured blood pressure value. * * impact : * * this issue could have a significant impact on patient care, as accurate blood pressure measurement is essential for monitoring and diagnosing a variety of conditions. * * possible causes : * * 1. * * defective cuff : * * the cuff used to measure blood pressure may be defective, which could result in inaccurate or no readings. 2. * * loose or damaged connection : * * the connection between the cuff and the monitor may be loose or damaged, which could also cause the monitor to not display the blood pressure reading. 3. * * software glitch : * * a software glitch in the monitor may be preventing it from displaying the blood pressure reading. 4. * * hardware malfunction : * * a hardware malfunction in the monitor may also be preventing it from displaying the blood pressure reading. * * recommendations : * * 1. * * check the cuff : * * inspect the cuff for any signs of damage or wear and tear. if the cuff is damaged, replace it with a new one. 2. * * check the connections : * * inspect all of the connections between the cuff and the monitor. make sure that the connections are secure and that there is no damage to the cables. 3. * * restart the monitor : * * if the above steps do not resolve the issue, try restarting the monitor. this may resolve any software glitches that may be preventing the monitor from displaying the blood pressure reading. 4. * * contact the manufacturer : * * if the above steps do not resolve the issue, you may need to contact the manufacturer of the monitor for further assistance. @topic:14


. remove the weight. press the zero control. weight display shows 0. 0. yes no i — » replace the scale p. c. board. 6. press the enable control on the control pod. the enable indicator comes on. yes no i — > replace the control pod p. c. board. 7. press the tone control on the control pod. the tone sounds. yes no ■l — » replace the control pod p. c. board. 8. put 50 lb ( 23 kg ) on the bed. page 2 - 10 careassist® and careassist® es bed service manual ( man330 rev 4 ) scale and bed exit function check chapter 2 : troubleshooting procedures 9. press the bed exit control. the bed exit indicators come on. yes no i — > replace the scale p. c. board. 10. remove the weight. the alarm sounds. yes no i — » replace the scale p. c. board. 11. press the bed exit alarm control. the alarm goes off and the indicators go off. yes no i — > replace the scale p. c. board. 12. go to “ final actions ” on page 2 - 12. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 11 chapter 2 : troubleshooting procedures final actions 1. perform the required preventive maintenance procedures. see “ preventive maintenance ” on page 6 - 6. 2. complete all required administrative tasks. page 2 - 12 careassist® and careassist® es bed service manual ( man330 rev 4 ) 2. 1 no functions work chapter 2 : troubleshooting procedures 2. 1 no functions work note : this procedure assumes that no functions work from the pendant or caregiver controls on the siderails. shock hazard : the potential for electrical shock exists with electrical @topic:9


# # # issue - the medical cart experienced a reboot. # # # impact - the medical cart was unavailable for use during the reboot. # # # possible causes - the cause of the reboot is not specified in the provided information. # # # recommendations - the following recommendations may help to prevent or troubleshoot future reboots : - check the power supply to the medical cart. ensure that the cart is plugged into a working outlet and that the power cord is not damaged. - update the software on the medical cart. outdated software can sometimes cause reboots. - inspect the medical cart for any loose connections. loose connections can cause power interruptions, which can lead to reboots. - if the problem persists, contact the manufacturer of the medical cart for assistance. @topic:13


# # # issue - bed is not adjusting # # # impact - the bed cannot be adjusted to the appropriate height or position for the patient, which can make it difficult for the patient to get in and out and uncomfortable to lie in. # # # possible causes - the bed is not plugged into a power outlet. - the power cord is damaged. - the bed's electrical system is malfunctioning. - the bed's mechanical system is malfunctioning. # # # recommendations 1. check that the bed is plugged into a power outlet. 2. inspect the power cord for damage. 3. contact the manufacturer for assistance with troubleshooting the bed's electrical and mechanical systems. @topic:1


arterial blood ( spo2 ) ( m1020b ) • cardiac output ( m1012a ), and continuous cardiac output with m1012a option # c10 • intravascular oxygen saturation - scvo2 or svo2 ( m1011a ) • pirometry ( m1014a • eg ( m1027a • mt ( 865383 • intellibridge ec10 ( 865115 ) • recorder ( m1116b / c ) • mx600 you can use up to eight measurement modules with the flexible module rack ( m8048a ). available mx700 / modules are : mx800 invasive blood pressure ( m1006b ) • temperature ( m1029a ). oxygen saturation of arterial blood ( spo2 ) ( m1020b ) • cardiac output ( m1012a ), and continuous cardiac output with m1012a option # c10 • transcutaneous gas ( m1018a ) • mixed venous oxygen saturation - svo2 ( m1021a ) • intravascular oxygen saturation - scvo2 or svo2 ( m1011a ) • eg ( m1027a • bispectral index - bis ( m1034a ) • spirometry ( m1014a ) • nmt ( 865383 ) • vuelink device interface ( m1032a ) • intellibridge ec10 ( 865115 ) • recorder ( m1116b / c ) • mx500 / 550 / you can plug in and unplug modules during monitoring. insert the module until the lever on the 600 / 700 / 800 module clicks into place. remove a module by pressing the lever upwards and pulling the module out. a measurement automatically switches on when you plug the module in, and switches off @topic:17


# # # issue - cuff bp leakage # # # impact - inaccurate blood pressure measurements # # # possible causes - cuff damage - cuff size mismatch - kinked or obstructed tubing # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the appropriate size for the patient. - inspect the tubing for kinks or obstructions and replace it if necessary. @topic:3


# # # issue - remote control for the medical bed is not working. # # # impact - the medical bed cannot be controlled remotely, which can inconvenience the patient and staff. # # # possible causes - the remote control batteries are dead. - the remote control is not paired with the bed. - the remote control is damaged. - the bed is not receiving power. # # # recommendations - check the batteries in the remote control and replace them if necessary. - pair the remote control with the bed according to the manufacturer's instructions. - inspect the remote control for any damage and replace it if necessary. - ensure that the bed is receiving power and that there are no loose connections. @topic:7


* * issue : * * broken o2 sat probe outlet on mindray beneview t1 monitor * * impact : * * the monitor cannot be connected to an o2 sat probe, preventing patient monitoring. * * possible causes : * * * * * accidental damage : * * the outlet may have been damaged by accident during transport or handling. * * * wear and tear : * * the outlet may have become weak or brittle due to repeated use and age. * * * improper handling : * * the outlet may have been bent or twisted beyond its intended range of motion. * * recommendations : * * * * * inspect the outlet : * * examine the outlet for any signs of physical damage, such as cracks or deformation. * * * test the outlet : * * if the outlet appears undamaged, try connecting an o2 sat probe to it to verify functionality. * * * repair or replace the outlet : * * if the outlet is damaged, contact the manufacturer or a qualified technician for repair or replacement. * * * handle the equipment carefully : * * always follow proper handling and transport guidelines to prevent damage to sensitive equipment. * * * regular maintenance : * * perform regular maintenance checks on the equipment to identify and address potential issues before they become failures. @topic:4


# # # issue - the physiological monitor's display is malfunctioning, showing lines on the screen. # # # impact - inability to accurately monitor patient's physiological parameters, potentially leading to delayed or incorrect treatment decisions. # # # possible causes - faulty display panel - loose or damaged ribbon cable connecting the display panel to the main board - malfunctioning video card on the main board # # # recommendations - replace the display panel. - inspect and tighten or replace the ribbon cable connecting the display panel to the main board. - test the video card on the main board and replace if necessary. @topic:2


# # # issue - probe of the vital signs monitor is showing a lock icon. # # # impact - the vital signs monitor cannot be used to measure patient's temperature. # # # possible causes - the probe is not properly connected to the charging cradle. - the charging cradle is not properly connected to the monitor. - the probe is faulty. - the monitor is faulty. # # # recommendations 1. * * check the connection between the probe and the charging cradle. * * ensure that the probe is fully inserted into the charging cradle and that the cradle is securely connected to the monitor. 2. * * check the connection between the charging cradle and the monitor. * * ensure that the charging cradle is securely connected to the monitor. 3. * * inspect the probe for any damage. * * if the probe is damaged, it will need to be replaced. 4. * * try using a different probe. * * if a different probe works, then the original probe is faulty and will need to be replaced. 5. * * if all else fails, contact the manufacturer for assistance. * * @topic:20


# # # issue cuff bp leaking. # # # impact inaccurate blood pressure readings, which could lead to delayed or incorrect treatment. # # # possible causes - damaged cuff - loose cuff - cuff not properly attached to the monitor - cuff too small or too large for the patient # # # recommendations - replace the cuff. - check the cuff for any damage and repair or replace as necessary. - make sure the cuff is properly attached to the monitor. - use the correct size cuff for the patient. - retrain staff on proper use of the device. @topic:3


| issue | impact | possible causes | recommendations | | - - - | - - - | - - - | - - - | | * * control knob is not functional * * | unable to adjust bed settings | * * electrical wiring damage : * * broken or loose wires within the control knob or its connecting cables. | * * replace or repair damaged wires. * * | | | | * * faulty control knob : * * internal mechanisms within the knob may be worn out or broken, causing malfunctions. | * * replace or repair the control knob. * * | | | | * * misalignment : * * the control knob may be misaligned with its internal components, affecting its functionality. | * * readjust the alignment of the control knob. * * | @topic:7


# # # issue - the medical cart's screen is displaying a " no signal " error message. # # # impact - the medical cart cannot be used to provide patient care. # # # possible causes - the medical cart is not properly connected to the power supply. - the medical cart's screen is not properly connected to the medical cart's computer. - the medical cart's computer is not functioning properly. - the medical cart's screen is damaged. # # # recommendations - check the medical cart's power supply to ensure that it is properly connected. - check the medical cart's screen connection to the medical cart's computer to ensure that it is properly connected. - restart the medical cart's computer. - if the above steps do not resolve the issue, the medical cart's screen may need to be replaced. @topic:13


# # # issue - * * equipment : * * dinamap procare 100 - * * error message : * * e13 - * * error code : * * not specified in the provided information # # # impact - the equipment may not be able to function properly and provide accurate vital signs monitoring. # # # possible causes - * * battery failure : * * if the battery is not functioning properly or is weak, it may not be able to provide sufficient power to the equipment, causing it to malfunction. - * * adapter failure : * * the adapter may not be providing a stable and consistent power supply to the equipment, resulting in power fluctuations and possible error messages. - * * software glitch : * * a software glitch or corruption can also lead to unexpected error messages and equipment malfunctions. - * * circuit board failure : * * a damaged or faulty circuit board can disrupt the 正 [UNK] functioning of the equipment and cause various error messages. # # # recommendations - * * battery replacement : * * if the battery is suspected to be the cause of the failure, it should be replaced with a new one. - * * adapter replacement : * * the adapter should be tested to ensure it is providing a stable power supply. if it is found to be faulty, it should be replaced. - * * software update : * * the equipment's software should be updated to the latest version, which may address any known glitches or bugs that could be causing the error message. - * * circuit board repair : * * if the circuit board is damaged, it should be repaired or replaced by a qualified technician. @topic:2


##823 1 p. c. board assy, ppm only, 500 lb ( e model bed ) 148824 1 p. c. board assy, scale only, 500 lb ( e model bed ) 12 130628 1 electrical enclosure 13 vi0395 4 screw 14 4476703 1 utv adapter, zenith 92 4476701 1 utv adapter, standard analog 15 129741 1 assembly, sidecom® communication system p. c. board 16 132934 5 circuit board support ( standoff ) 17 132628 1 p. c. board, motor control 18 3976301 5 standoff 19 132935 2 circuit board support ( standoff ) careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 93 motor control box — d and e model beds chapter 5 : parts list item number part number quantity description 20 132093 1 scale board mount 21 vi0608a 2 screw 22 7061002 2 fuse, 2. 5a, 5 x 20 mm 23 133251 2 fuse, 5a, 0. 25 " x 1. 25 " page 5 - 94 careassist® and careassist® es bed service manual ( man330 rev 4 ) cpr cables — d model and newer beds chapter 5 : parts list cpr cables — d model and newer beds figure 5 - 37. cpr cables — d model and newer beds table 5 - 37. cpr cables — d model and newer beds item number part number quantity description 1 71527 1 weldment, cpr bracket and spacer 2 132082 6 rivet 3 71520 1 cpr cable 4 71526 1 weldment, cpr bracket and spacer, rh 5 vi0361 2 nut 6 71 @topic:26


# # # issue - faulty bed alarm connector # # # impact - inability to use the bed - patient safety concerns # # # possible causes - wear and tear - manufacturing defect - improper handling # # # recommendations - inspect and replace the faulty connector - test the bed to ensure functionality - retrain staff on proper handling procedures - return the bed to ward7d2, room 23 @topic:26


# # # issue - button on medical device is broken # # # impact - unable to use the device's alarm function - may lead to patient harm if the alarm cannot be activated in an emergency # # # possible causes - button is worn out or damaged from use - button is faulty - device has been dropped or otherwise damaged # # # recommendations - replace the button - if the device has been dropped or damaged, have it inspected by a qualified technician - preventative maintenance : regularly inspect the device for signs of wear or damage @topic:26


# # # issue - equipment malfunction : the bedside physiologic monitor is malfunctioning due to a faulty ekg cable. # # # impact - patient monitoring : the malfunctioning monitor may compromise the accuracy and reliability of patient monitoring, potentially leading to delayed or incorrect clinical decisions. # # # possible causes - wear and tear : continuous use and handling of the ekg cable can cause wear and tear, leading to breaks or damage. - electrical interference : external electrical interference or improper grounding can disrupt the signal transmission through the ekg cable. - manufacturing defect : a manufacturing defect in the ekg cable may have resulted in a weak or faulty connection. # # # recommendations - replace cable : the immediate solution is to replace the damaged ekg cable with a new and functional one. - regular inspection : conduct regular inspections of the ekg cable and its connections to ensure its integrity and prevent future failures. - proper handling : handle the ekg cable with care to avoid kinking or over - bending that can cause damage. - isolate electrical interference : identify and minimize external electrical interference by using proper equipment grounding and shielding. - verify manufacturer's warranty : check if the ekg cable is covered under the manufacturer's warranty and consider replacement if necessary. @topic:18


# # # * * possible causes for failure * * - worn or damaged motor components - obstructions or foreign objects in the drive mechanism - misalignment or binding of moving parts - loose or damaged drive belts or chains - electrical faults or loose connections # # # * * recommendations for troubleshooting * * - inspect the motor and drive mechanism for signs of wear or damage. - check for any obstructions or foreign objects that may be interfering with movement. - ensure that all moving parts are properly aligned and not binding. - tighten or replace any loose or worn drive belts or chains. - inspect electrical connections for any loose or damaged components. @topic:9


# # # issue - malfunctioning physiological monitor # # # impact - inability to accurately monitor patient vital signs - delay in diagnosis and treatment # # # possible causes - faulty cuff ( m5114 ) # # # recommendations - replace the defective cuff with a compatible model ( m5115 / m5215 ) - ensure proper calibration and maintenance of the monitor according to manufacturer's guidelines - consider having spare cuffs on hand to minimize downtime in case of future failures @topic:5


* * issue : * * cuff bp has deteriorated * * impact : * * the accuracy of bp measurements may be compromised, leading to incorrect patient monitoring and treatment decisions. * * possible causes : * * * * * normal wear and tear : * * over time, the cuff material can become stretched, cracked, or lose its elasticity, affecting its ability to seal properly and provide an accurate pressure reading. * * * improper usage : * * using the wrong cuff size or inflating the cuff too tightly can damage the cuff material. * * * environmental factors : * * exposure to extreme temperatures, moisture, or chemicals can weaken the cuff material. * * recommendations : * * * * * regular maintenance : * * conduct periodic inspections of the cuff bp to check for signs of deterioration and replace it as needed. * * * proper usage : * * ensure that the correct cuff size is used and inflate the cuff according to the manufacturer's instructions. * * * training : * * educate healthcare professionals on proper cuff bp usage and maintenance to prevent premature failure. * * * manufacturer support : * * consult with the cuff bp manufacturer for specific guidelines and troubleshooting assistance. @topic:3


# # # issue - defective ekg cable # # # impact - interruption of patient monitoring - incorrect or incomplete patient data - delays in diagnosis and treatment # # # possible causes - wear and tear - physical damage ( e. g., pinching, bending ) - corrosion or moisture damage - faulty manufacturing # # # recommendations - inspect ekg cables regularly for signs of damage - handle cables with care to prevent damage - keep cables dry and clean - replace damaged cables immediately - use high - quality ekg cables that are compatible with the monitoring equipment - train staff on proper handling and maintenance of ekg cables @topic:18


# # # issue - equipment : electric bed - band : hill - rom - model : care assist es100 * * cause of failure : * * - technician adjusted the bed's position, but it is not working properly in the icu2, room 4. # # # impact - the bed cannot be adjusted to the desired position, which could impact patient care and comfort. # # # possible causes - * * electrical issue : * * the electrical cord may be loose or damaged, preventing power from reaching the motor. - * * mechanical issue : * * a loose or malfunctioning component in the bed's mechanism could be causing it to not adjust properly. - * * software issue : * * if the bed is controlled by software, a glitch or error could be preventing the adjustment from working correctly. - * * improper adjustment : * * the technician may have adjusted the bed incorrectly, such as by not fully engaging the locking mechanism. # # # recommendations 1. * * inspect the electrical cord : * * check for any loose connections or damage to the cord. if necessary, replace the cord. 2. * * examine the mechanical components : * * inspect the bed's frame, motor, and other moving parts for any loose screws, damaged gears, or other issues. 3. * * check the software : * * if the bed is software - controlled, consult the manufacturer's instructions to troubleshoot any potential issues. 4. * * review the adjustment procedure : * * ensure that the technician followed the correct procedure for adjusting the bed's position. 5. * * test the bed thoroughly : * * once the issue has been addressed, thoroughly test the bed's adjustment functionality in all positions. 6. * * document the repairs : * * keep a record of any repairs or adjustments made to the bed for future reference. @topic:9


software failure occurred. the hardware or software between the host retry software update. and the ethernet module is incompatible. attempt to upgrade the oftware failed. the monitor lost communication with thnetwork or a timing issue occurred during he upgrade. retry software update. the ethernet module malfunctioned. the main board malfunctioned. nibp blood pressure readings are inaccurate. incorrect cuff size, improperly placed cuff, or determine correct cuff size by measuring patient's arm circumference midway etween the elbow and 162 troubleshooting welch [UNK] connex® spot monitor ossible caussymptom shoulder. then use a properly sized cuff. use reference markings on thcuff to place it properly. se only welch alpatient's arm is not positioned properly or moves during blood pressure cycle. ensure patient's arm is resting on a surface at heart level. keep ablood pressure cuff is placed over clothing. take blood pressure on a bare arm. check for regularity of heart rate ( palpate pulse or check device ). the patient is experiencing arrhythmia. there is a leak in the pneumatic system. ensure all cuff attachments are tight. carefully check for leaks in blood pressure cuff and ubing attached to the device. perform nibp functional checks. perform nibp calibration checks. replace the pump assembly. the nibp module needs calibration. perform nibp functional checks. perform nibp calibration checks. replace the pump assembly. the nibp module malfunctioned. perform nibp functional checks. service manual roubleshooting 1ossible caussymptom perform nibp calibration checks. replace the pump assembly. the single or dual lumen switch failed. ensure that the cuff is the sized. clean the cuff connections. replace @topic:15


# # # issue the knee motor on the bed is not functioning properly. # # # impact the bed cannot be adjusted to the desired height, which can make it difficult for patients to get in and out of bed. # # # possible causes - the motor is defective. - the wiring to the motor is damaged. - the control board is malfunctioning. # # # recommendations - replace the motor. - inspect the wiring to the motor and repair any damage. - replace the control board. @topic:9


# # # issue - raugkang bed cannot be readjusted upwards # # # impact - patient's movement and comfort may be restricted. # # # possible causes - the locking mechanism of the raugkang bed may have become damaged or misaligned, causing it to not engage properly. # # # recommendations - inspect the locking mechanism of the raugkang bed to determine if it is damaged or misaligned. if the locking mechanism is damaged, it will need to be replaced. if the locking mechanism is misaligned, it can be adjusted to ensure it engages properly. - also, check that the raugkang bed is properly attached to the bed frame, as this could also cause it to not function properly. @topic:1


# # # issue - remote control malfunction # # # impact - inability to operate the bed remotely # # # possible causes - * * damaged electrical cord : * * the cord that connects the remote control to the bed may have been damaged, causing a loss of communication between the two devices. - * * faulty remote control : * * the remote control itself may have malfunctioned due to component failure or water damage. - * * software issues : * * incompatible or corrupted software on the bed or remote control may prevent proper communication. - * * loose connections : * * loose connections at the plug - in points or within the device can disrupt power or data transfer. - * * battery depletion : * * low or dead batteries in the remote control can prevent it from functioning properly. # # # recommendations - * * inspect the electrical cord : * * examine the cord for any visible damage, such as cuts, breaks, or frayed wires. replace if necessary. - * * check the remote control : * * visually inspect the remote control for any physical damage or corrosion. test with fresh batteries. - * * update software : * * if applicable, check for and install any available software updates for the bed and remote control. - * * tighten connections : * * ensure that all connections between the remote control, bed, and power source are secure. - * * replace remote control : * * if the issue persists, consider replacing the remote control with a compatible model. @topic:7


# # # issue - remote control not functioning # # # impact - impaired operation of the medical device # # # possible causes - faulty remote control - weak or damaged batteries - interference from other electronic devices - loose or disconnected cables - software glitch # # # recommendations 1. verify that the batteries are new and properly installed. 2. check the remote control for any physical damage or loose connections. 3. ensure that there are no other electronic devices nearby that could be causing interference. 4. inspect the cables connecting the remote control to the device for any loose or damaged connections. 5. contact the manufacturer of the device or a qualified technician for further troubleshooting and repair. @topic:7


# # # issue - broken cable of the oxygen saturation ( spo2 ) probe # # # impact - inability to monitor the patient's oxygen saturation levels accurately, which can lead to delayed diagnosis or treatment of respiratory issues. # # # possible causes - physical damage to the cable due to improper handling, entanglement, or excessive pulling. - insufficient cable quality or age - related deterioration. - loose connections between the cable and the spo2 probe or the monitor. # # # recommendations - inspect the spo2 cable for any visible damage or signs of wear and tear. - ensure proper handling and storage of the cable to prevent physical damage. - regularly replace the spo2 cable according to the manufacturer's recommendations or when signs of deterioration are observed. - check and tighten the connections between the cable, the spo2 probe, and the monitor to ensure secure contact. - avoid excessive pulling or bending of the cable to prevent damage. @topic:4


# # # issue equipment failure due to missing accessories. # # # impact the patient transport monitor is unable to perform bp measurements due to missing accessories. # # # possible causes - incomplete equipment delivery - miscommunication between the equipment supplier and the hospital - lost or damaged accessories # # # recommendations - verify the complete delivery of all required accessories by checking the equipment manifest and unpacking the equipment in the presence of the supplier. - establish clear communication channels between the equipment supplier and the hospital to ensure timely delivery of all necessary components. - implement procedures for tracking and managing accessories throughout their lifecycle to minimize the risk of loss or damage. - consider using a vendor management system or other technology tools to streamline the procurement and delivery process. @topic:12


# # # issue - ekg lead failure # # # impact - interruption of patient monitoring - potential for inaccurate or incomplete patient data - delay in patient care # # # possible causes - loose or damaged lead wires - broken or frayed lead wires - lead wires not properly connected to the monitor - lead wires not properly connected to the patient - faulty lead wires - lead wires not compatible with the monitor # # # recommendations - inspect lead wires for damage or fraying - ensure lead wires are properly connected to the monitor and the patient - replace lead wires if necessary - use lead wires that are compatible with the monitor - follow manufacturer's instructions for connecting lead wires @topic:18


# # # issue - the monitor screen is folding down. # # # impact - the monitor cannot be used properly. # # # possible causes - the monitor stand is not properly adjusted. - the monitor hinges are damaged. - the monitor is not securely attached to the stand. # # # recommendations - adjust the monitor stand to the desired angle. - inspect the monitor hinges for damage. - securely attach the monitor to the stand. @topic:2


# # # issue - battery ups deteriorated. # # # impact - central monitor cannot be used. # # # possible causes - the battery has reached the end of its lifespan. - the battery has been damaged due to power surges or other factors. # # # recommendations - replace the battery ups with a new one. - regularly check the battery ups for signs of deterioration. - implement a preventive maintenance program to ensure that the battery ups is replaced before it fails. @topic:11


# # # issue - lcd monitor displays an image that is not full - screen. # # # impact - the user may not be able to see all of the information on the monitor, which could lead to errors. # # # possible causes - the camera is set to a zoom mode. # # # recommendations - reduce the zoom setting on the camera. @topic:2


# # # issue - the medical cart device displays a blank screen. # # # impact - the medical staff cannot use the device to monitor patients or deliver medical treatment. # # # possible causes - * * display failure : * * the display panel itself may be faulty or may have become disconnected from the device. - * * power supply issue : * * the device may not be receiving adequate power to operate the display. - * * software glitch : * * a software malfunction or bug may be preventing the display from functioning correctly. - * * loose or damaged connections : * * the cables or connections between the display and the device may be loose or damaged, causing intermittent or complete failure of the display. - * * environmental factors : * * extreme temperatures or excessive moisture may have affected the operation of the display or other components of the device. # # # recommendations - * * visual inspection : * * inspect the display for any visible damage or loose connections. - * * power supply check : * * ensure the device is properly plugged in and is receiving adequate power. - * * software update : * * check for any available software updates for the device and install them if necessary. - * * cable tightening : * * tighten or replace any loose or damaged cables connecting the display to the device. - * * environmental control : * * ensure the device is operating in an appropriate temperature and humidity range. - * * component replacement : * * if troubleshooting fails to resolve the issue, consider replacing the display panel or other affected components. @topic:13


# # # issue cuff leak in philips intellivue mx700 bedside physiologic monitor # # # impact - inaccurate blood pressure readings - delays in treatment - patient discomfort # # # possible causes - damaged or worn cuff - loose connections - improper cuff placement # # # recommendations - replace the cuff with a new one - check connections for tightness - ensure proper cuff placement - train staff on correct cuff application and maintenance procedures @topic:3


# # # issue - the equipment is not functioning properly due to a battery failure. # # # impact - the equipment may not be able to provide accurate readings or may not be able to function at all. this could lead to delays in patient care or inaccurate diagnosis. # # # possible causes - the battery may be old and worn out. - the battery may have been damaged. - the equipment may not be properly charging the battery. # # # recommendations - replace the battery with a new one. - inspect the equipment for any damage that may have caused the battery failure. - ensure that the equipment is properly charging the battery. @topic:11


# # # issue : bed rails locking improperly # # # impact : patient safety hazard # # # possible causes : - faulty locking mechanism - obstruction in the locking system - loose or damaged components # # # recommendations : - inspect the locking mechanism for any visible damage or wear. - check for any obstructions that may be preventing the rails from locking properly. - tighten or replace any loose components as necessary. - refer to the manufacturer's guidelines for proper maintenance and repair procedures. - ensure that staff is trained on the correct use and maintenance of the bed rails. @topic:6


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the bme technician found that the device was turned off. the technician reset the device and turned it back on. the device is now working properly. # # # impact - the device was not functioning properly and could not be used by the medical staff. # # # possible causes - the device may have been accidentally turned off. - there may have been a power outage. - there may be a problem with the device's power supply. - there may be a problem with the device's software. # # # recommendations - the technician should check the device's power supply and software to make sure that they are functioning properly. - the technician should also check the device's environment to make sure that there are no power outages or other factors that could cause the device to turn off. @topic:13


# # # issue the monitor, central station from hewlett packard ( model : m3150a ) is experiencing intermittent screen flickering. # # # impact the intermittent screen flickering can hinder the accurate monitoring of patient data and compromise patient safety. # # # possible causes - faulty ac power cable ( replaced ) - loose connections or damaged wires within the device - internal hardware component failure - software or firmware issues # # # recommendations 1. * * thorough inspection : * * perform a comprehensive visual inspection of the device to identify any loose connections or visible damage to wires or components. 2. * * internal diagnostics : * * utilize the device's built - in diagnostic tools or external diagnostic equipment to detect any internal hardware malfunctions. 3. * * software and firmware updates : * * check for available software and firmware updates from the manufacturer. install any necessary updates to address potential software - related issues. 4. * * contact manufacturer : * * if the problem persists after following the above steps, contact the manufacturer for technical support and guidance on further troubleshooting or repairs. @topic:2


# # # issue temperature probe failure, leading to abnormally high readings. # # # impact - inaccurate temperature measurements, which can impact patient care decisions. - potential patient harm due to incorrect or delayed treatment. # # # possible causes - * * defective temperature probe : * * the probe may be damaged or faulty, leading to incorrect temperature readings. - * * electrical malfunction : * * an electrical issue within the monitor or temperature probe can disrupt the signal transmission and cause incorrect readings. - * * software glitch : * * a software error in the monitor or temperature probe can interfere with its ability to accurately process and display temperature measurements. - * * improper calibration : * * if the temperature probe is not properly calibrated, it may provide inaccurate readings. - * * environmental factors : * * extreme temperatures or humidity can affect the accuracy of the temperature probe. # # # recommendations - * * replace temperature probe : * * replace the faulty probe with a new, functional one. - * * check electrical connections : * * inspect and test the electrical connections between the temperature probe and the monitor to ensure they are secure and functioning properly. - * * update software : * * update the software in the monitor and temperature probe to address any software glitches or bugs that may be causing the issue. - * * calibrate the probe : * * ensure the temperature probe is calibrated according to the manufacturer's specifications to ensure accurate readings. - * * control environmental factors : * * ensure the operating environment is within the acceptable temperature and humidity range for the temperature probe and the monitor. @topic:20


# # # issue - malfunctioning bedside physiological monitor # # # impact - inability to accurately monitor patient's vital signs # # # possible causes - faulty ekg cable # # # recommendations - replace the ekg cable @topic:18


# # # issue - the nibp monitor ( ge healthcare dinamap pro 300v2 ) is not functional. # # # impact - the monitor is used to measure blood pressure and oxygen saturation levels of patients. as a result, its failure can impact patient care. # # # possible causes - lead failure # # # recommendations - replace the lead. @topic:15


* * issue : * * no signal on telemetry ekg module * * impact : * * patient monitoring data cannot be transmitted wirelessly. * * possible causes : * * * faulty sensor or lead wires * loose connections or broken cables * interference from other electronic devices * damaged or malfunctioning transmitter * receiver not properly configured * * recommendations : * * * * * inspect sensor and lead wires : * * ensure they are properly attached and undamaged. * * * check connections : * * verify that all cables are securely connected and not loose or frayed. * * * eliminate interference : * * move the equipment away from potential sources of interference, such as other medical devices or power lines. * * * test transmitter and receiver : * * use a diagnostic tool or send a test signal to verify the functionality of both devices. * * * configure receiver : * * ensure that the receiver is set to the correct frequency and bandwidth for the transmitter. * * * consider patient factors : * * check if the patient has any conditions or medications that may interfere with signal transmission. * * * consult manufacturer : * * if all other troubleshooting steps fail, contact the manufacturer for technical support or assistance. @topic:18


* * issue : * * * monitor unable to charge battery * * impact : * * * extended equipment downtime * disruption of patient monitoring * potential data loss * * possible causes : * * * faulty connection between charging cable and monitor * damage to charging port or cable * battery malfunction * software or firmware issues * * recommendations : * * * * * verify cable connection : * * ensure that the charging cable is firmly connected to both the monitor and power outlet. * * * inspect cable and port : * * check the charging cable for any visible damage or debris. inspect the charging port on the monitor for any loose or bent pins. * * * test with different cable and charger : * * if available, try using a different charging cable and charger to rule out any issues with the current ones. * * * reset the monitor : * * if applicable, reset the monitor to see if it resolves any software or firmware issues. * * * contact the manufacturer : * * if the issue persists, contact the manufacturer for technical support and potential repair or replacement. @topic:11


# # # issue the philips suresigns vs4 vital signs physiologic monitor is showing a " switched ear thermometer " failure. # # # impact the monitor cannot accurately measure patient temperature. # # # possible causes - the ear thermometer cable is not properly connected to the monitor. - the ear thermometer is not properly calibrated. - the ear thermometer is defective. # # # recommendations - check the ear thermometer cable connection. - calibrate the ear thermometer. - replace the ear thermometer if it is defective. @topic:20


# # # issue - equipment is not functioning properly due to a failed battery. # # # impact - the equipment may not be able to provide the necessary monitoring or support to the patient. - the patient may be at risk if the equipment is not able to function properly. # # # possible causes - the battery may have reached the end of its lifespan. - the battery may have been damaged due to improper handling or storage. - the equipment may have a problem with its charging system. # # # recommendations - replace the battery. - check the equipment's charging system to ensure that it is functioning properly. - train staff on proper handling and storage of batteries. @topic:11


# # # issue - battery not being detected by the device # # # impact - device cannot be used without battery power - patient care may be compromised if device is needed in an emergency # # # possible causes - bent battery terminals - loose or damaged battery connection - faulty battery # # # recommendations - inspect battery terminals for damage and straighten if necessary - check battery connection for looseness or damage - replace battery if necessary - ensure device is properly connected to charger when not in use @topic:11


# # # issue - screw came loose # # # impact - may cause noise when lowering the side rails - may pose a safety hazard if the side rails become unstable # # # possible causes - normal wear and tear - improper installation of screw - damage to screw or mounting point - lack of regular maintenance # # # recommendations - replace the loose screw - inspect and tighten all other screws on the bed - regularly maintain the bed and report any issues to the appropriate personnel - ensure that the bed is not used with the side rails in a lowered position until the issue is resolved @topic:6


* * issue * * the remote control on the huntleigh enterprise 8000 electric bed is malfunctioning. * * impact * * the malfunctioning remote control prevents the patient from using the bed's various functions, such as adjusting the bed's height or position. * * possible causes * * - the remote control's batteries are dead. - the remote control is faulty. - the bed's receiver is not functioning properly. - there is interference from other electronic devices. * * recommendations * * - replace the remote control's batteries. - reset the remote control by pressing and holding the " reset " button for 10 seconds. - restart the bed by unplugging it from the power outlet and then plugging it back in. - move the bed away from any other electronic devices that could be causing interference. @topic:7


# # # issue - the wheels of the medication cart are tilted and not aligned properly. # # # impact - this could make the cart difficult or impossible to move, which could delay or prevent the delivery of medication to patients. # # # possible causes - the wheels may have been damaged during use or transportation. - the cart may have been assembled incorrectly. - the floor may be uneven or sloping, causing the cart to tilt. # # # recommendations - inspect the wheels for damage and replace any that are damaged. - make sure that the cart is assembled correctly according to the manufacturer's instructions. - if the floor is uneven or sloping, use a ramp or other device to level the cart. @topic:31


* * issue : * * failure to perform assigned functions or tasks * * impact : * * * delays patient care * inaccurate or unreliable medical data * patient discomfort or safety concerns * * possible causes : * * * * * malfunction : * * * internal hardware or software defects * component failure * power supply issues * * * human error : * * * incorrect setup or operation * inadequate maintenance * damage during handling or storage * * * environmental factors : * * * extreme temperatures or humidity * excessive vibrations or electromagnetic interference * * * wear and tear : * * * aging of components * prolonged use or heavy workload * * * software bugs : * * * glitches or errors in the operating system or application software * * * other factors : * * * improper calibration or configuration * interference from other medical devices * * recommendations : * * * * * troubleshooting : * * * check for obvious issues, such as loose connections or damaged cables * run diagnostic tests to identify the source of the failure * * * repairs : * * * replace faulty components * reprogram or update software * calibrate or adjust the equipment * * * maintenance : * * * regular inspections and preventive maintenance * proper cleaning and disinfection * train staff on correct operation and handling procedures * * * notifications : * * * report the failure to the manufacturer or authorized service provider * document the circumstances and actions taken @topic:12


1 select the iap numeric on the screen. enter the iap value and select enter using the numeric keypad. 2 if you need to change date and time, select date / time. the default is always the current date and time. select enter to confirm. 3 4 select save. this method uses an electronic reading from a pressure transducer connected to the monitor. the ually acquires the iap from a dedicated iap measurement device. to enter the iap using a connected iap measurement device : 1 2 zero the transducer as described in " zeroing a pressure measurement " on page 215. 3 perform the iap measurement according to the instructions given by the manufacturer of the iap on the monitor screen, when the iap pressure has stabilized, select the pressure waveform and select activate cursor. 4 use the arrow up / down keys to move the wave cursor to an area of the waveform that reflects the correct pressure. see " using the wave cursor " on page 217 for details. 5 6 select save as iap. this will store the iap pressure value under the cursor in the monitor's database and display it on the monitor screen. measuring pulmonary artery wedge pressure pulmonary artery wedge pressure ( pawp ) values, used to assess cardiac function, are affected byfluid status • • myocardial contractility • valve and pulmonary circulation integrity • obtain the measurement by introducing a balloon - tipped pulmonary artery flotation catheter into the the catheter is in one of the smaller pulmonary arteries, the inflated balloon 2 occludes the artery allowing the monitor to record changes in the intrathoracic pressures that occur throughout the respiration cycle. the pulmonary wedge pressure is the left ventricular end diastolic the most accurate pawp values are obtained at the end of the respiration cycle when @topic:17


# # # issue - the central monitor is not printing. # # # impact - the central monitor is used to display and record patient vital signs. if it is not printing, the patient's vital signs cannot be accurately tracked. this could lead to a delay in diagnosis or treatment, which could have serious consequences for the patient. # # # possible causes - the most likely cause of the failure is a problem with the printer. this could be due to a number of factors, including : - a lack of paper in the printer - a faulty print head - a problem with the printer driver - another possible cause of the failure is a problem with the central monitor itself. this could be due to a number of factors, including : - a loose connection - a faulty circuit board - a problem with the software # # # recommendations - the first step is to check the printer for any obvious problems, such as a lack of paper or a faulty print head. if there are no obvious problems, the next step is to check the connection between the printer and the central monitor. if the connection is loose, it should be tightened. finally, if the connection is secure and there are no obvious problems with the printer, the central monitor should be checked for any loose connections or faulty circuit boards. @topic:28


# # # issue - discolored lcd screen on medical monitor # # # impact - inaccurate display of patient data - misdiagnosis or delayed diagnosis - increased patient risk # # # possible causes - software calibration issues - defective display panel - loose or damaged cables - power supply problems - environmental factors ( e. g., temperature, humidity ) # # # recommendations - calibrate the monitor according to the manufacturer's instructions. - inspect the display panel for damage or defects. - check and replace any loose or damaged cables. - ensure a stable power supply to the monitor. - protect the monitor from extreme environmental conditions. - consult with the manufacturer or a qualified technician if the issue persists. @topic:2


# # # issue the cause of failure is not clearly specified in the given input. # # # impact the impact of the failure is also not specified in the input. # # # possible causes based on the context, it is possible that the cause of failure is related to the technician's inspection of the bed. however, without more specific information, it is difficult to determine the exact cause of failure. # # # recommendations to resolve this issue, the technician should provide more detailed information about the cause of failure. this information could include : * the specific tests that were performed * the results of those tests * any error messages that were generated * any other relevant observations once the cause of failure has been identified, the technician can take appropriate steps to repair or replace the bed. @topic:9


# # # issue - equipment : monitors, physiologic, vital signs - band : philips - model : suresigns vs4 - cause of failure : cuff wear and tear # # # impact - the patient's vital signs may not be accurately monitored. - the cuff may not be able to inflate and deflate properly, which could cause discomfort to the patient. - the cuff may leak air, which could affect the accuracy of the readings. # # # possible causes - the cuff may have been used excessively or improperly. - the cuff may have been exposed to moisture or chemicals. - the cuff may have been damaged during cleaning or storage. # # # recommendations - inspect the cuff regularly for signs of wear and tear. - replace the cuff if it is damaged or worn out. - follow the manufacturer's instructions for cleaning and storing the cuff. - train staff on the proper use of the cuff. @topic:5


# # # issue - broken brown wire # # # impact - malfunctioning bedside physiologic monitor # # # possible causes - wear and tear - accidental damage - manufacturing defect # # # recommendations - replace the brown wire with a new one - inspect the device for other potential issues - consider using a surge protector to prevent future damage from power surges - ensure that the device is handled with care to prevent accidental damage @topic:2


monitor reboots. 5. remove the memory stick. note — if a loss ofpower interrupts the upgrade progress, the monitor cannot boot. if this happens, contact the response center or a philips representative. 5 - 12 configuring the monitor changing the default alarm settings changing the default alarm settings you can set the default alarm settings. the monitor takes this value from either the current alarm settings or restores the factory settings. “ factory default alarm limits ” on page 5 - 13 lists the factory alarm settings. to set the default alarm setting ( or restore the factory default alarm settings ) : 1. open the system admin section of the system menu. see “ accessing the system admin menu ” on page 5 - 2. 2. rotate the wheel until either the save current alarm settings as default or restore factory default alarm settings button is highlighted, then press the wheel to save the setting. the monitor displays a confirmation window. 3. in the confirmation window, rotate the wheel to select yes, then press the wheel again. the monitor now takes this setting ( current or factory settings ) as the default alarm setting value. the following table shows these alarm settings. 4. press the main screen button on the front panel to close the menu. factory default alarm limits the following table lists the factory default alarm limits. adult pediatric neonatal high low high low high low heart rate 120 bpm 50 bpm 160 bpm 75 bpm 200 bpm 100 bpm pvc 10 pvc / min na 5 pvc / min na 5 pvc / min na sp0 2 100 % 90 % 100 % 90 % 85 % 95 % respiration 30 rpm 8 rpm 30 rpm 8 rpm 100 rpm 30 rpm etc0 2 50 mmhg ( 6. 6 kpa ) 30 mmhg ( 4. 0 kpa ) 50 mmhg ( 6. 6 kpa ) 30 mmhg ( 4 @topic:10


# # # issue - electric bed motor failure # # # impact - inoperability of the electric bed, resulting in patient discomfort and potential safety hazards # # # possible causes - worn or damaged motor components - electrical connection problems - overloading of the motor - improper maintenance or calibration # # # recommendations - inspect and replace any worn or damaged motor components - check and secure electrical connections - ensure that the motor is not overloaded ( e. g., by excessive patient weight ) - perform regular maintenance and calibration of the bed to prevent future failures @topic:9


# # # issue - monitor does not link with central monitor # # # impact - inability to monitor patient data remotely # # # possible causes - cl address of the monitor does not match the ip address of the central monitor # # # recommendations - * * verify that the cl address of the monitor matches the ip address of the central monitor * * - if the cl address does not match, update the cl address to match the ip address of the central monitor - test the monitor to ensure that it can link with the central monitor @topic:16


# # # issue * wood rail of the bed is broken and detached # # # impact * the bed cannot be used safely * patients may fall or be injured * staff may be injured while moving patients # # # possible causes * the wood rail may have been damaged by : * patients * staff * equipment * the wood rail may have been installed incorrectly * the wood rail may be made of a defective material * the screws or bolts that hold the wood rail in place may have come loose # # # recommendations * replace the damaged wood rail * tighten the screws or bolts that hold the wood rail in place * inspect all other wood rails on the bed for damage * train staff on how to properly use the bed * consider using a different type of wood rail @topic:6


##ive maintenance : * * regular preventive maintenance checks can help identify potential electrical issues early on, preventing major failures and ensuring the reliable operation of the patient transport monitor. @topic:12


# # # issue - equipment failure : the philips suressigns vs4 patient monitor is unable to measure oxygen saturation ( spo2 ) due to a broken spring in the finger clip. # # # impact - inability to accurately monitor patient's spo2 levels, which can lead to delayed diagnosis and treatment of conditions such as hypoxia and hyperoxia. # # # possible causes - * * manufacturing defect : * * the spring may have been defective from the time of manufacture. - * * excessive force applied to the finger clip : * * the finger clip may have been subjected to excessive force during use, causing the spring to break. - * * wear and tear : * * the spring may have become weak or brittle over time due to repeated use or improper handling. # # # recommendations - * * replace the finger clip : * * the broken finger clip should be replaced with a new one to restore the monitor's functionality. - * * inspect the monitor regularly : * * the monitor should be inspected regularly for any signs of damage or wear and tear, including the finger clip and other components. - * * handle the monitor with care : * * the monitor should be handled with care to avoid damage to the finger clip and other delicate components. - * * train staff on proper use of the monitor : * * staff should be trained on the proper use and handling of the monitor to minimize the risk of damage. @topic:4


* * issue : * * - failure of a bedside physiologic monitor * * impact : * * - inability to monitor patient's vital signs * * possible causes : * * - * * age - related degradation of components : * * the monitor may have experienced wear and tear over time, leading to a breakdown of its internal components. - * * environmental factors : * * extreme temperatures, humidity, or exposure to dust can damage delicate electronic components within the monitor. - * * power fluctuations : * * sudden power surges or drops can cause damage to electrical circuits and components. - * * operator error : * * improper use or handling of the monitor can lead to physical damage or malfunction. - * * manufacturing defects : * * faulty components or improper assembly during manufacturing can result in premature failure. - * * natural disasters : * * events such as earthquakes or floods can cause significant damage or disruption to medical equipment. * * recommendations : * * - * * regular maintenance and inspections : * * scheduled inspections and preventative maintenance can identify and address potential issues before they become major failures. - * * appropriate environmental controls : * * maintain optimal temperature, humidity, and dust levels to protect sensitive equipment. - * * proper power protection : * * use surge protectors and uninterruptible power supplies ( ups ) to safeguard the monitor from power fluctuations. - * * training and proper handling : * * ensure that operators are trained on correct use and handling procedures to prevent accidental damage. - * * quality assurance measures : * * implement a rigorous quality control process during manufacturing to minimize defects and ensure equipment reliability. - * * regular software updates : * * apply software updates as needed to address any known issues or vulnerabilities. - * * contingency planning : * * establish a backup plan for patient monitoring in case of equipment failure, such as having a spare @topic:2


# # # issue - faulty spo2 cable # # # impact - inability to accurately measure oxygen saturation levels # # # possible causes - damaged or disconnected spo2 cable - faulty sensor on the spo2 cable # # # recommendations - replace the spo2 cable with a new one - inspect the spo2 sensor for any damage or debris - ensure that the spo2 cable is properly connected to the monitor - check the monitor's settings to ensure that the spo2 sensor is enabled @topic:4


). * * 5. inspect the monitor : * * - visually inspect the monitor for any physical damage or loose components. * * 6. contact technical support : * * - if the issue persists, contact the manufacturer's technical support for further assistance or a repair. @topic:2


# # # issue spo2 sensor is not detected by the monitor. # # # impact inability to monitor patient's oxygen saturation levels. # # # possible causes * faulty spo2 sensor * loose or damaged spo2 cable * malfunctioning monitor * software glitch # # # recommendations * replace the spo2 sensor. * inspect and replace the spo2 cable if necessary. * restart the monitor. * contact the manufacturer for software updates or technical support. @topic:4


reach out to the manufacturer or a qualified biomedical engineer for professional assistance in resolving the issue promptly. @topic:12


# # # issue - cuff bp deterioration # # # impact - inaccurate blood pressure measurements # # # possible causes - normal wear and tear - improper storage or handling - exposure to extreme temperatures or humidity # # # recommendations - regularly inspect and replace cuffs as needed - store and handle cuffs properly - protect cuffs from extreme temperatures and humidity @topic:3


# # # issue the philips suresings vs4 monitor is not scanning barcodes and is therefore not able to enter the patient's information into the system. # # # impact this issue could have a significant impact on patient care. without accurate patient information, the monitor may not be able to provide the correct readings, which could lead to incorrect treatment decisions. additionally, the delay in entering patient information could slow down the overall patient care process. # # # possible causes there are several possible causes for this issue, including : - a problem with the barcode scanner itself - a problem with the connection between the barcode scanner and the monitor - a problem with the software on the monitor # # # recommendations to resolve this issue, the bme should : - check the barcode scanner to make sure that it is clean and free of damage. - check the connection between the barcode scanner and the monitor to make sure that it is secure. - restart the monitor to see if that resolves the issue. - if the above steps do not resolve the issue, the bme should contact the manufacturer for further assistance. @topic:23


# # # issue - battery draining quickly and needs to be replaced frequently # # # impact - interruption of patient monitoring - inaccurate patient data - reduced reliability of the device # # # possible causes - battery is old and needs to be replaced - battery is not properly connected - device is using too much power - charger is not working properly # # # recommendations - replace the battery with a new one - check the battery connections - reduce the power consumption of the device - replace the charger @topic:11


##g no transducer inop tone eeg the trunk cable is disconnected from the eeg plug - in module. reconnect the trunk cable. silencing this inop switches the measurement off. eeg unplugged inop tone eeg plug in module. silencing this inop switches off the measurement. eeg overrange. or eeg < x > overrange eeg input signal is too high in one or both channels. this is usually caused by interfering signals such as line noise or electro¬ surgery. x denotes the eeg channel. fap inops press see < pressure label > inops ( under pressure ). fms unplugged inop tone. fms make sure that the flexible module rack is connected to the monitor. all fms measurements are off while the fms is unplugged. fms unsupported inop tone. fms the flexible module rack is not supported by your monitor. contact your service personnel. ic1 / ic2 inops press see < pressure label > inops ( under pressure ). icp inops press see < pressure label > inops ( under pressure ). indep. dsp malfunc. display a problem has occurred with the second main display. contact your service personnel. indep. dsp notsupp. display the monitor does not support a second main display. the monitor software is incompatible. contact your service personnel.!! insert battery severe yellow inop tone. during this inop, alarms cannot be paused or switched off. battery x2 / mp2 only : there is no battery in the battery compartment. you cannot operate the monitor on ac mains while the battery compartment is open ( not sealed with a battery ). load a battery immediately. intell. dsp malf. inop tone display there is a problem with the @topic:22


# # # issue - mouse not functioning # # # impact - inability to navigate and interact with the central monitor effectively, potentially delaying or hindering patient care. # # # possible causes - * * hardware failure : * * mouse may be physically damaged, such as a loose connection or faulty buttons. - * * software malfunction : * * drivers or operating system issues may prevent the mouse from being recognized or communicating with the monitor. - * * incorrect configuration : * * mouse settings may not be properly adjusted for the specific monitor or user preferences. # # # recommendations - * * inspect the mouse physically : * * check for any visible damage or loose connections. - * * update drivers and software : * * ensure that the latest drivers and operating system updates are installed for both the mouse and monitor. - * * reconfigure mouse settings : * * adjust the mouse settings in the monitor's control panel to optimize functionality and usability. - * * replace the mouse : * * if all other troubleshooting steps fail, consider replacing the mouse with a compatible and functional one. @topic:30


up keys that let you access the setup menu and carry out external device tasks. auxiliary plus z vuel i nk deko driver ii ventilation mode : normal device fliannis. ignored rbps 170 mmhg uvps 185. 0 mmhq pip too cmh 2 0 rbpd 5 mr - ihg ovpd 10. 0 mhg peep + 3. 5 cmh 2 0 rbpw 140 mr * ihg uvpm 150. 0 mhg pmean 10. 0 cmh 2 0 nbps 200 mwhg r5s 150. 0 mrnhg tv 0. 40 liter nbpd 30 nrihg p5d 50. 0 mhg mv +. 00 l / n i n nbpw 30 rnmhg p5m 100. 0 nnmhg awrr 185 rpm tblood 3?. 9 * c etco 2 5. 50 x weight 150. 0 k 9 tskin 41. 5 * c i mc0 2 7. 0 x length 35 cm switching vuelink on and off ♦ to switch vuelink measurements on and off, in the setup < external device name > menu, select device interface to toggle between the settings on and off. alarms / inops from external devices the vuelink module itself generates inops, but does not generate alarms. if the external device ’ s alarms are on, the module transmits these to the monitor. a message in the vuelink info window tells you either device alarms ignored or device alarms accepted or no alarms available. external device alarms status symbols precede some, but not all, measurement labels. the monitor is configured to accept external device alarms, but the alarms are switched off at the external device. alarms status of this external measurement is unknown alarms from external devices are : • all transmitted to the monitor. for all numerics configured in the setup external @topic:10


# # # issue - computer screen is not working and displays the message " reboot ". # # # impact - the medical cart cannot be used to monitor or treat patients. # # # possible causes - corrupted software or firmware - hardware failure - bad connection - medadmin reboot # # # recommendations - reboot the computer screen. - if the problem persists, contact the manufacturer for support. - inspect the connections between the computer screen and the medical cart. - update the software or firmware on the medical cart. - replace the computer screen if necessary. @topic:13


# # # issue * the bed cannot be adjusted. # # # impact * patients may not be able to be positioned comfortably or safely. * staff may have difficulty accessing patients for care. # # # possible causes * the bed remote is not working properly. * the bed motor is not working properly. * the bed frame is damaged. # # # recommendations * check the bed remote for damage or loose connections. replace the remote if necessary. * check the bed motor for damage or loose connections. replace the motor if necessary. * inspect the bed frame for damage. repair or replace the frame if necessary. @topic:1


# # # issue - the patient transport monitor is unable to obtain blood pressure measurements. # # # impact - clinicians are unable to monitor the patient's blood pressure, which is a vital sign that is used to assess the patient's overall health and well - being. # # # possible causes - * * leak in the air hose : * * a leak in the air hose can cause the pump to repeatedly pump air, which can lead to inaccurate blood pressure measurements. - * * cuff deterioration : * * a deteriorated cuff can also lead to inaccurate blood pressure measurements. # # # recommendations - * * replace the air hose : * * the air hose should be replaced with a new one that is free of leaks. - * * replace the cuff : * * the cuff should be replaced with a new one that is in good condition. @topic:14


to the instrument and plugged into an ac outlet? 4 are the mms and, if present, the measurement server extension inserted correctly? 5 are the parameter modules plugged into the 4 - slot rack correctly? checks before opening the instrument you can isolate many problems by observing indicators on the instrument before it is necessary to open the instrument. 75 4 troubleshooting troubleshooting guide note it takes several seconds for the ac power led to switch on / off after the mains power cord has been connected / disconnected. checks with the instrument switched off • ac connected, without battery : - ac power led is on ( green ). • ac connected, with battery : - ac power led is on ( green ). - battery led is green if fully loaded, yellow if being charged and off if only one battery is inserted and fully charged. - battery led red and blinking signals battery malfunction. • no ac connected, with battery : - all leds are off. checks with the instrument switched on, ac connected, without battery when the monitor is first switched on, the power on led and the ac power led switch on and stay on. the error led and the battery led light up momentarily. checks with the instrument switched on, ac connected, with battery when the monitor is first switched on, the power on led and the ac power led switch on and stay on. the error led and the battery led light up momentarily. before and after the battery led flashes it shows the current battery status as described in the testing and maintenance section. checks with the instrument switched on, ac not connected, with battery when the monitor is first switched on, the power on led switches on and stays on. the ac power led, the error led and the battery led light up momentarily. 76 troubleshooting guide 4 troubleshooting initial instrument boot phase the following tables describe the regular initial boot phase of the monitor and its @topic:16


) 257 electro - surgery and ecg 132 emc interference resp 168 emg numeric ( bis ) 257 emi filter for ecg 122 end case discharging a patient 104 report, printing 104 end case reports setup 334 enhanced arrhythmia option 130, 133 entering values calculations 286 equipotential ground connector 409 equipotential grounding symbol 403 event annotation 302 combi - events 299 counting oxycrg / ner events 299 event counter 298 event episode 293 event episode recording 304 event episode types 293 event episode window 301 event post - time 293 event pre - time 293 event retriggering 296 event review recording 303 event review window 300 event summary view 300 event time 293 event triggers 294 event values 302 manual event triggers 297 recording 302 setting up ner 296 event database 298 event episode reports 335 event groups 292 event report 306 event review reports 335 event snapshots 293 tv event surveillance 291 options 291 events pop - up keys 293 evlw / evlwi 200 exclamation mark symbol 403 exhaust gases, removing 219, 222 extension cable for sp02 172 external devices alarms and inops 353 connecting to vuelink 351 connecting via vuelink 352 external pacing electrodes and ecg monitoring 133 extreme bradycardia alarm 131, 163 extreme pressure alarms 193 extreme rate alarms 131, 163 extreme tachycardia alarm 131, 163 f fallback ( ecg ) 124 fast fourier artefact suppression technology 171 filter ( ecg filter setting ) 122 filter ( ecg ) 122 filter frequencies ( eeg ) 255 filterline c02, microstream accessory 222 filters bis 262 flexible module rack 9 flushing invasive pressure accessories 188 fms connecting to monitor 9 modules 9 functional arterial oxygen saturation 171 fusion beat pacemakers and ecg monitoring 133 g gas cylinder empty, disposing of 379 gas input symbol 403 gas output symbol 403 ged @topic:8


# # # issue - the electric bed cannot be adjusted. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned comfortably for treatment. # # # possible causes - the switch that adjusts the bed's height may be broken. - the motor that powers the bed may be malfunctioning. - the controller that operates the bed may be faulty. # # # recommendations - check the switch that adjusts the bed's height. if it is broken, replace it. - check the motor that powers the bed. if it is malfunctioning, replace it. - check the controller that operates the bed. if it is faulty, replace it. @topic:1


# # # issue - monitor not connecting to central # # # impact - inability to monitor patient's vital signs remotely # # # possible causes - loose or disconnected cables - software glitch - hardware malfunction # # # recommendations - check and tighten all cables - restart the monitor - contact the manufacturer for technical support @topic:16


# # # cause of failure : time inaccuracy # # # issue the physiological central station monitor displayed an inaccurate time. # # # impact inaccurate time on the monitor could lead to misinterpretation of patient data and compromise patient safety. # # # possible causes * * * internal clock drift : * * the internal clock of the monitor may have drifted over time due to various factors, such as power fluctuations or temperature changes. * * * incorrect time synchronization : * * the monitor may not have been properly synchronized with the hospital's time server. * * * faulty time setting mechanism : * * there may be a problem with the buttons or controls used to set the time on the monitor. * * * software or firmware issue : * * a software or firmware bug could be causing the time to be displayed incorrectly. # # # recommendations * * * verify time synchronization : * * ensure that the monitor is synchronized with the hospital's time server or a reliable external time source. * * * check clock settings : * * manually set the time on the monitor and ensure that it is accurate. * * * update software or firmware : * * if a software or firmware update is available, install it to address potential bugs. * * * contact manufacturer : * * if the issue persists after troubleshooting, contact the manufacturer for support or repair. * * * implement regular maintenance schedule : * * establish a schedule for periodic maintenance and calibration of the monitor to prevent future time accuracy issues. @topic:29


ba — — =. n = es = b pr ip in anguilla antigua and barbuda aami aami 241 country - description belize bermuda bhutan bouvet island e | british indian ocean territory pen i canada “ o cayman islands w central african republic iec 242 country - description comoros congo, democratic republic of the iec cook islands oo i equatorial guinea iec falkland islands, malvinas =. pf 2 p 3 country - description georgia o qe ds ew cen guatemala guinea - bissau pen heard island and mcdonald islands pee holy see, vatican city state pee o honduras [ at ] 2 244 country - description kiribati jo e | korea, democratic people ’ s republic of de e a am korea, republic of w lao people ’ s democratic republics libyan arab. jamahiriya w i macedonia, the former yugoslav. rep. of iec marshall islands w i 2 p 5 country - description micronesia, fed. states of fo reni mongolia niue jo eœ | northern mariana islands oo i jo e | papua new guinea 246 country - description peru fo russian federation iec saint kitts and nevis pen saint vincent and the grenadines samoa jo e | sao tome and principe pen j senegal serbia & montenegro iec jo eœ | south georgia and the south sandwich islands 2 p 7 country - description suriname oo swaziland pen j taiwan, province of china tanzania, united republic of timor - leste w oo trinidad and tobago turkmenistan oo turks and caicos islands oo oo ukraine g ^ l © i ga o t er q united states w i united states ( height cm, weight kg ) w c united states minor outlying islands 248 country - description uzbekistan 249 250 a about the battery * 101 adjustments * 10 after each service, maintenance or repair event * 36 after installation, testing or repair * 111 alarm behavior @topic:19


# # # issue the monitor is not linking to the system. # # # impact this issue can impact the ability to monitor patient vital signs, which can lead to delayed diagnosis and treatment. # # # possible causes - * * network problem : * * the monitor may not be connected to the network properly. - * * software issue : * * there may be a software issue on the monitor or the central station. # # # recommendations - * * check the network connection : * * make sure the monitor is connected to the network properly. - * * restart the monitor and the central station : * * this may resolve any software issues. - * * update the software : * * if the software on the monitor or the central station is out of date, it may need to be updated. - * * contact the manufacturer : * * if the issue cannot be resolved by following the above steps, contact the manufacturer for support. @topic:16


# # # issue - equipment not functioning as intended # # # impact - patient care may be delayed or compromised - increased workload for clinical staff - potential for patient harm # # # possible causes - improper maintenance or calibration - equipment malfunction - user error - environment factors ( e. g., temperature, humidity ) # # # recommendations - * * perform regular maintenance and calibration : * * - follow manufacturer's recommendations for routine maintenance and calibration to ensure optimal performance. - * * investigate equipment malfunction : * * - conduct thorough troubleshooting to identify the source of the malfunction and make necessary repairs or replacements. - * * train users on proper use : * * - provide comprehensive training to clinical staff on the safe and effective use of the equipment. - * * optimize environment conditions : * * - ensure that the equipment is operated within the manufacturer's specified environmental parameters to prevent damage or malfunction. - * * document troubleshooting and repairs : * * - keep detailed records of all troubleshooting and repair procedures to facilitate future problem - solving and prevent recurrence. @topic:12


. if this inop persists, contact your service personnel. tcp0 2 ( or tcpc0 2 or tcgas ) cal requird numeric is replaced by -? - inop tone. tcgas calibration is required before applying the transducer to the patient. insert a membraned transducer into the calibration chamber on the module, connect the calibration unit to the calibration chamber, open the gas valve and start the calibration. if this inop occurs during a calibration, there may be a module or transducer malfunction : contact your service personnel. tcp0 2 ( or tcpc0 2 or tcgas ) cal running numeric displays first, then numeric is displayed with a? tcgas wait until the tcp0 2 / tcpc0 2 calibration is finished. tcp0 2 ( or tcpc0 2 or tcgas ) check time tcgas site timer due to time out in 15 minutes or less. tcp0 2 ( or tcpc0 2 or tcgas ) change site if heat switch off is configured to yes, numeric is replaced by inop tone. tcgas site timer has timed out. change the application site to avoid skin burns. to reset the site timer, either calibrate and change the measurement site, or change the measurement site and reset the site timer manually by selecting the appropriate site time from the setup tcgas menu. tcp0 2 ( or tcpc0 2 or tcgas ) equip malf numeric is replaced by -? - inop tone. tcgas there is a malfunction in the transducer or module. connect another transducer. if this inop persists, contact your service personnel. tcp0 2 ( or tcpc0 2 or tcgas ) no transduc nu @topic:17


for testing the detachable power cord protective earth, use the setup provided with your safety analyzer. for testing the equipment leakage current and the applied part leakage current, connect all applied parts to the safety analyzer using the appropriate patient lead or adapter cable. for the ecg parameter all ten ecg - leads need to be connected to the safety analyzer. if necessary, use an adapter cable to connect all ten ecg - leads. if necessary, repeat the safety test procedure until all available applied parts have been tested. refer to the documentation that accompanies the safety analyzer for further details on how to set up and perform the test. test lead detachable power cord protective earth test - setup example instrument under test patient lead equipment leakage current and applied part current test - setup example note | usus | li the above graphics resemble the metron qa - 90 setup and are protected by copyright. copyright owned by fluke ( metron ). 39 safety test adapter cable - schematics the following graphics provide schematics of safety test ( patient lead ) adapter cables which can be used for electrical safety testing. these schematics can also be used as a guideline for making your own safety test adapter cables. alternatively, other methods to make safety test adapter cables can be used, e. g. using a modified accessory cable. note you may not need all of the cables displayed below for electrical safety testing of your respective monitor. ecg : wiring schematic plug 12 - pin plug banana male conductor coloring blue gre dink green vellow brown e rec c m u rz - o u pr up = n. c1 nc 40 spo2 ( mp2 / x2, mp5, m3001a & m1020b # a01, # a02, # a03 ) : wiring @topic:10


# # # issue - broken spo2 cable # # # impact - inaccurate or missing spo2 readings - potential patient harm if spo2 is not monitored accurately # # # possible causes - physical damage to the cable ( e. g., crushing, cutting ) - excessive use or misuse of the cable - age or deterioration of the cable - compatibility issues with the monitor or patient transport unit # # # recommendations - inspect the spo2 cable regularly for any signs of damage. - use the cable as directed and avoid excessive bending or stretching. - replace the cable if it becomes damaged or if it is suspected to be causing inaccurate readings. - ensure that the cable is compatible with the monitor and patient transport unit. @topic:4


# # # issue - the philips intellivue x2 ( m3002a ) patient transport monitor is unable to measure vital signs accurately due to a faulty spo2 cable. # # # impact - this issue can lead to inaccurate patient data, which can delay or compromise patient care. # # # possible causes - the spo2 cable may be damaged or defective. - the spo2 cable may not be properly connected to the monitor or the patient. - the monitor may be malfunctioning. # # # recommendations - replace the spo2 cable. - ensure that the spo2 cable is properly connected to the monitor and the patient. - test the monitor and spo2 cable to ensure that they are functioning properly. @topic:4


# # # issue - the bed is not adjustable. # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned properly for treatment. # # # possible causes - the remote control cable is damaged. - the remote control is not functioning properly. - the bed motor is not functioning properly. # # # recommendations - replace the remote control cable. - replace the remote control. - repair or replace the bed motor. @topic:1


# # # issue - keyboard is not responding. # # # impact - inability to use the medical cart for data entry or patient care. # # # possible causes - keyboard is not in the correct mode. - keyboard is not properly connected to the computer. - keyboard is damaged. # # # recommendations - check that the keyboard is in the correct mode. - ensure that the keyboard is properly connected to the computer. - if the keyboard is damaged, replace it. @topic:27


# # # issue - monitor not linking with central monitor # # # impact - inability to monitor patient's vital signs remotely from the central nursing station # # # possible causes - incorrect ip address or cl address configuration on the monitor or central monitor - network connectivity issues between the monitor and central monitor - software or firmware issues on the monitor or central monitor # # # recommendations - verify that the ip address and cl address on the monitor and central monitor are correct and match. - check network connectivity between the monitor and central monitor, including cables, switches, and firewalls. - update the software or firmware on the monitor and central monitor to the latest versions. - if the issue persists, consult with the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:16


usb hub, troubleshooting, 4 — 10 v verification tests, 3 — 1 alarms, 3 — 13 nbp, 3 - 14 nbp accuracy, 3 — 14 nbp calibration, 3 — 16 nurse call relay, 3 — 21 performing, 3 — 10 pneumatic leakage, 3 - 17 power - on self test, 3 — 12 predictive temperature, 3 — 18 safety, 3 — 19 spo,, 3 - 13 temperature, 3 — 19 visual, 3 — 12 viewing battery information, 2 — 2 system information, 4 — 1 visual verification test, 3 — 12 w wheel, see navigation wheel, 5 — 47 wireless module removing, 5 - 50 theory of operation, a - 8 index - 4 suresigns vs4 service guide @topic:19


# # # issue - the lcd monitors are failing. # # # impact - the medical staff cannot use the monitors to view patient data. this could lead to delays in diagnosis and treatment, which could have a negative impact on patient outcomes. # # # possible causes - the monitors may be defective. - the monitors may be improperly installed or calibrated. - the monitors may be being used in an environment that is not conducive to their proper operation. - the monitors may be being used by unqualified personnel. # # # recommendations - the monitors should be inspected by a qualified technician to determine the cause of the failure. - the monitors should be installed and calibrated according to the manufacturer's instructions. - the monitors should be used in an environment that is conducive to their proper operation. - the monitors should be used only by qualified personnel. @topic:2


and inspection matrix test test or inspection to be performed expected test results record the results ( mandatory for philips personnel only ) what to record actual results visual inspection perform visual inspection pass or fail vp or v : f power on power on the unit. does the self - test complete successfully if yes, power on test is passed po : p or po : f noninvasive blood pressure performance tests perform the accuracy test xi = value displayed by monitor difference < = 3mmhg pn : p / x1 or pn : f / x1 performance leakage test x2 = leakage test value x2 < 6 mmhg pn : p / x2 or pn : f / x2 performance linearity test x3 = value displayed by monitor difference < = 3mmhg pn : p / x3 or pn : f / x3 performance valve test x4 = value < 10 mmhg pn ; p / x4 or pn : f / x4 temperature performance test perform the temperature performance test xi = 40°c ± 0. 2°c or 100°f ± 0. 4°f pt : p / xl or pt : f / xl 91 [ 3 testing and maintenance ] test test or inspection to be performed expected test results record the results ( mandatory for philips personnel only ) what to record actual results all other performance tests perform the remaining parameter performance tests, if applicable see expected results in test procedures p : p or p : f safety ( 1 ) perform safety test ( 1 ) : protective earth resistance with mains cable : maximum impedance ( xi ) : < = 300 mohms s ( 1 ) : p / x1 or s ( 1 ) : f / x1 * safety ( 2 ) perform safety test ( 2 ) : equipment leakage current - normal condition. with mains cable : maximum leakage current ( xl ) : < = 100 @topic:10


# # # issue unable to log in after the medical cart enters sleep mode. # # # impact this issue can impact the workflow of healthcare professionals, as they may be unable to access patient information or other critical applications after the medical cart has been idle for a period of time. # # # possible causes - outdated keyboard and mouse drivers - corrupted driver software - incompatible hardware or software - power management settings # # # recommendations 1. ensure that the keyboard and mouse drivers are up to date. 2. uninstall and reinstall the keyboard and mouse drivers. 3. check for any incompatible hardware or software that may be interfering with the medical cart's operation. 4. adjust the power management settings to prevent the medical cart from entering sleep mode. 5. contact the manufacturer of the medical cart for further troubleshooting assistance. @topic:13


# # # issue - loose screw on the bed rail # # # impact - potential safety hazard for patients - discomfort for patients # # # possible causes - wear and tear - improper installation - manufacturing defect # # # recommendations - tighten the screw - inspect the bed rail regularly for loose components - contact the manufacturer if the problem persists @topic:6


transfer monitor and monitor your patient during the move. 4 at the new location, connect the mms to the monitor. if the monitor detects a patient mismatch, a window will open showing your patient ’ s data and asking whether to complete transfer of this patient?. 5 select yes to complete the transfer. this re - admits the patient from the transfer list to the new monitor. this will upload the patient demographics, and, if configured, the measurement settings and trend data stored in the mms to the receiving monitor. 6 verify that the settings for patient category and paced mode are correct. transferring a centrally - monitored patient with x2 or mp5 warning measurements from a mms extension connected to an x2 are not available when the x2 is running on battery power. they are only available when the x2 is running on external power, either when connected to a host monitor or the external power supply ( m8023a ). scenario : a centrally - monitored patient is moved to another monitoring location on the same information center database server without interrupting the collection of patient trend information. 1 before you disconnect the x2 / mp5 from the host monitor, select the patient name field or select the admit / dischrge smartkey to open the patient demographics window, then select the transfer pop - up key. if the patient is not admitted or not monitored by an information center, the transfer key is inactive ( “ grayed - out ” ). this step preserves the patient ’ s demographic data during the transfer. 2 remove the x2 / mp5 and any connected extensions from the monitor. 3 move the patient using the x2 / mp5 as the transport monitor. 4 at the new location, connect the x2 / mp5 to the new host monitor. if the monitor detects a patient mismatch, a window will open showing your patient ’ s data and asking @topic:10


# # # issue - bed is lowering on its own after head adjustment # # # impact - patient safety hazard - inconvenience to healthcare staff # # # possible causes - faulty remote control - malfunctioning bed control unit - electrical wiring issues - loose or damaged bed components # # # recommendations - * * check the remote control : * * ensure it is properly paired with the bed and is functioning correctly. replace if necessary. - * * inspect the bed control unit : * * examine for any loose connections, damaged wires, or faulty components. repair or replace as needed. - * * investigate electrical wiring : * * verify that all wiring connections are secure and not frayed or damaged. if any issues are found, consult an electrician. - * * inspect bed components : * * check for loose bolts, screws, or other components that could contribute to the issue. tighten or replace as appropriate. - * * test the bed thoroughly : * * after making any repairs or adjustments, thoroughly test the bed's functionality to ensure it is operating properly. - * * document all interventions : * * keep a detailed record of the troubleshooting and repair steps taken for future reference. @topic:1


# # # issue nbp ( non - invasive blood pressure ) sensor is malfunctioning, displaying error message " nbp equip malf. " # # # impact accurate blood pressure readings cannot be obtained, which can hinder patient monitoring and diagnosis. # # # possible causes - faulty nbp pump ( blood pressure cuff inflator ) - faulty sensor module - electrical or software issues # # # recommendations - replace the nbp pump - send the sensor module for inspection and repair - check electrical connections and software updates - perform routine maintenance and calibration on the device to prevent future issues @topic:15


# # # issue - equipment : monitor, patient transport - manufacturer : welch allyn - model : propaq lt - description : monitor is not measuring values # # # impact - inability to monitor patient's vital signs - potential for delayed or incorrect diagnosis - increased risk of adverse events # # # possible causes - faulty blood pressure cuff - loose or damaged cables - software or hardware malfunction - power supply issues # # # recommendations - replace or repair the blood pressure cuff - inspect and tighten all cables - update software or troubleshoot hardware as needed - ensure proper power supply and voltage @topic:15