# # # issue * * bed cannot adjust * * # # # impact * * patient discomfort, increased risk of falls, difficulty providing care * * # # # possible causes * * * electrical failure : * * power supply issue, faulty wiring, damaged motor * * * mechanical failure : * * broken gears, worn - out parts, loose bolts * * * software error : * * software glitch preventing bed adjustments * * * operator error : * * incorrect usage or improper maintenance * * * external factors : * * obstacles, improper positioning, weight overload # # # recommendations * * troubleshooting steps : * * 1. * * check power supply : * * ensure the bed is plugged in and the power switch is on. 2. * * inspect electrical connections : * * examine wiring for damage or loose connections. 3. * * reset the bed : * * locate the reset button and press it to reset the system. 4. * * examine mechanical components : * * check for broken or worn - out gears, bolts, and bearings. 5. * * update software : * * contact the manufacturer for software updates or patches. 6. * * train staff : * * provide proper training on bed operation and maintenance to prevent future issues. * * preventive measures : * * * * * regular maintenance : * * follow manufacturer's recommendations for cleaning, inspection, and calibration. * * * proper usage : * * avoid overloading the bed, using it for non - intended purposes, or moving it without proper assistance. * * * environmental checks : * * ensure the bed is positioned on a stable surface and free from obstacles. @topic:9


graphic trend reports, 1 select main setup - > reports - > vital signs rep. or graph trend rep. 2 select trend group and select the group you want to print on the report. the groups available depend on your monitor ’ s trend configuration. 3 select period and select the period of time for which trend data should be printed on the report. if automatic period is configured to on, all trend data for the current patient will be printed, irrespective which trend period is selected. 4 select interval ( vital signs reports only ) and select the resolution of the trend data printed on the report, setting up auto reports auto reports print automatically when a specified trigger occurs. there are two types of auto reports : scheduled reports, which print at predefined intervals, and end case reports, which print when a patient is discharged using the end case function. an auto report can be both a scheduled report and an end case report. to set up auto reports, 333 27 printing patient reports setting up individual print jobs 1 select main setup - > reports - > auto reports and select the auto report you want to set up ( a, b, c, or d ). 2 select report and assign a report type to the auto report. 3 select end case report and toggle to on if you want the selected report to print automatically when you select end case to discharge a patient. toggle end case report to off if the report is a scheduled report only. 4 select scheduled rep. and toggle to on if you want the selected report to print at predefined intervals, starting at a predefined time of day. the start time you set applies for every following day. for example, if you set a start time of 07 : 00 and a repeat time of six hours, the first report will print at 07 : 00 every day, the next at 13 : 00 and so on. @topic:8


# # # issue - equipment : monitors, physiologic, vital signs - band : casmed - model : 740 - description : machine turned off during use. bme replaced the battery. # # # impact - patient monitoring could be disrupted. # # # possible causes - the battery may not have been properly connected. - the battery may be defective. - the power supply to the machine may be faulty. - the machine may have a software glitch. # # # recommendations - check that the battery is properly connected. - replace the battery. - check the power supply to the machine. - update the machine software. @topic:11


# # # issue - the bed, electric is not working. # # # impact - the device cannot be used to provide patient care. # # # possible causes - the device is not plugged in. - the power cord is damaged. - the device is not turned on. - the device is malfunctioning. # # # recommendations - check that the device is plugged in. - inspect the power cord for damage. - turn on the device. - if the device is still not working, contact a biomedical engineer. # # # additional information - the device is located in the 7c department. - the device has a serial number of 936132. - the device was borrowed from the 7c department. @topic:9


, updating 168 sensor temperature 264 transducer, calibrating 247 ensuring diagnostic quality 164 sinus and sv rhythm ranges 478, 479 tcgas site timer 264 site timer 264 measurement points, adjusting 168 6 technical alarms messages 8tcgas 263 skin preparation 133 st display 166 ecg 133 t map 17baseline, updating 174 smoothing ra4 ccessories 435 report, printining 174 alarm settings 211 connecting probe to monitor 21difference, calculating 212 dual temp measurement 212 extended label set 212 first 212 task window 174 trend view 173 oops 399, 400rending interval, changt maps 172 ecg 133 st point 169 specifications ia 154 abel 4standard 10 - lead placement 142 standard 3 - lead placement 140 tandard 5 - lead placement ( ecg ) 141 standardized rate 381 making a measurement 211 probe, disposable 211 probe, selecting 211 second 212 wave speed, changing 42 tcgas sensor 264 temperature probe 211 ng alarms 73 starting monitstatus log 417 417 accessories 429 active alarm source 200 alarms specific to spo2 19arterial pulsation 191 time, setting 47 status messages 157 timers 395, 396, 397 printer 373, 374, 375 recorder 413 assessing suspicious reading 194 displaying on main screen 397 notification 397 values 201 isposable sensordual spo2 201 tinj probe type 230 extension cable 192 infection control 411. stopping reports printouts 371 surgical ecg cable 152 surviving sepsis campaign 349 suspended alarm 66 suspicious spo2 reading 194 titration table ( drug calculator ) 385 tone configuration, alarm 62 tone mod ( spo2 ) 201 tone modulation 201 fast technology 191 nellcor adhesive sensors ( disposable ) 429 perfusion indicator 191, 192, 200 philips sensors ( disposable ) 429 philips sensors ( reusable ) 42 @topic:8


# # # issue the electric ob & gyn bed manufactured by huntleigh ( model a9932 / 8 / 3fs ) is experiencing an issue with its hight - low motor, resulting in excessive noise during operation. # # # impact 1. the noise produced by the faulty motor can disrupt the hospital environment and discomfort patients. 2. the malfunctioning motor can limit the functionality of the bed, affecting patient positioning and care. 3. if left unrepaired, the motor failure could lead to further damage to the bed or pose safety hazards. # # # possible causes 1. * * worn or damaged motor components : * * over time, the motor's bearings, gears, or other components may wear out or become damaged due to regular use or improper maintenance. 2. * * electrical faults : * * faulty wiring or loose connections within the motor or its circuitry can cause electrical malfunctions, leading to excessive noise. 3. * * overloading : * * attempting to adjust the bed with excessive weight or using the motor beyond its capacity can strain the motor and cause it to fail prematurely. 4. * * lack of lubrication : * * insufficient lubrication of the moving parts within the motor can increase friction and wear, contributing to noise and premature failure. # # # recommendations 1. * * replace the faulty motor : * * the most effective solution is to replace the defective hight - low motor with a new or refurbished one compatible with the bed model. 2. * * inspect the wiring and connections : * * ensure that all electrical connections are secure and undamaged. test the motor's circuitry for any potential faults or shorts. 3. * * lubricate the motor components : * * regularly lubricate the motor according to the manufacturer's instructions to minimize friction and prevent premature wear. 4. * * monitor usage @topic:9


# # # issue biomedical engineer is unable to set up the telemetry ekg module to work with the central monitor in room 69r. # # # impact the medical staff in room 69r will not be able to use the telemetry ekg module to monitor patients. # # # possible causes - the telemetry ekg module is not compatible with the central monitor in room 69r. - the telemetry ekg module is not properly configured. - there is a problem with the network connection between the telemetry ekg module and the central monitor. # # # recommendations - check the compatibility of the telemetry ekg module with the central monitor in room 69r. - configure the telemetry ekg module according to the manufacturer's instructions. - check the network connection between the telemetry ekg module and the central monitor. @topic:16


# # # issue - cuff of the vital signs monitor is deteriorated # # # impact - inaccurate vital signs readings - patient safety compromised # # # possible causes - normal wear and tear - excessive use - improper storage or handling # # # recommendations - replace the cuff with a new one - regularly inspect the cuff for any signs of damage or deterioration - follow the manufacturer's guidelines for proper storage and handling of the vital signs monitor and its accessories @topic:5


# # # issue - the laparoscopic monitor failed after being moved from or ( 3d ) to or ( haert ). # # # impact - the failure of the laparoscopic monitor could delay or cancel surgeries, which can lead to patient harm. # # # possible causes - the monitor may have been damaged during the move. - the monitor may not have been properly calibrated after the move. - the monitor may have been connected to the wrong power source. # # # recommendations - inspect the monitor for damage. - calibrate the monitor. - check the monitor's power source. @topic:2


# # # issue - unable to turn the monitor on or off using the power button. # # # impact - the monitor is unable to be used to display vital signs. # # # possible causes - faulty power switch - dead battery - loose wire connection - malfunctioning power supply # # # recommendations - check if the power switch is damaged or loose. - replace the battery if it is dead. - check the wire connections between the power switch, battery, and power supply. - contact the manufacturer for further assistance if the problem persists. @topic:2


# # # issue - the cause of failure is not clear. the input only mentions that the battery is deteriorated, but does not provide any further information about why the deterioration occurred. # # # impact - the impact of the failure is not clear. the input does not specify how the battery deterioration affects the operation of the monitoring system. # # # possible causes - the following are some possible causes of battery deterioration : - overcharging - overdischarging - exposure to extreme temperatures - physical damage # # # recommendations - the following are some recommendations to prevent battery deterioration : - follow the manufacturer's instructions for charging and discharging the battery. - avoid exposing the battery to extreme temperatures. - handle the battery with care to avoid physical damage. @topic:11


related issues causing flickering. 5. * * contact manufacturer : * * if the issue persists despite implementing the above recommendations, it is advisable to contact the manufacturer of the monitor for further troubleshooting and repair. @topic:2


# # # issue - bed is not adjustable # # # impact - patient discomfort - inability to perform medical procedures - prolonged hospital stays # # # possible causes - relay malfunction - control box failure - power supply issue - wiring fault - software glitch # # # recommendations - replace the failed relay - repair or replace the control box - check power supply and wiring connections - update software if necessary - inspect other components for potential issues - perform regular maintenance and inspections to prevent future failures @topic:1


* * issue : * * cuff of the patient transport monitor has deteriorated. * * impact : * * the patient transport monitor may not be able to accurately measure patient vitals, which could lead to incorrect treatment decisions. * * possible causes : * * - the cuff may have been subjected to excessive wear and tear. - the cuff may have been exposed to chemicals or other environmental factors that have caused it to deteriorate. - the cuff may have been improperly stored or handled, which has led to its deterioration. * * recommendations : * * - inspect the cuff regularly for signs of deterioration, such as cracks, tears, or fraying. - replace the cuff as needed. - store the cuff in a cool, dry place when not in use. - handle the cuff with care to avoid damage. @topic:5


# # # issue - cuff bp is not measuring values. # # # impact - inability to accurately measure blood pressure, which is a vital sign essential for patient monitoring and assessment. # # # possible causes - * * cuff bp is not connected to the monitor properly. * * ensure that the cuff is securely connected to the monitor and that there are no loose connections. - * * cuff bp is not the correct size for the patient. * * the cuff should be the correct size for the patient's arm circumference to ensure accurate measurements. - * * cuff bp is damaged. * * inspect the cuff for any damage, such as tears or holes. a damaged cuff can result in inaccurate measurements. - * * monitor is not functioning properly. * * if the other possible causes have been ruled out, the issue may lie with the monitor itself. # # # recommendations - check the connection between the cuff bp and the monitor. ensure that it is secure and that there are no loose connections. - verify that the cuff bp is the correct size for the patient. the cuff should fit snugly around the patient's arm without being too tight or too loose. - inspect the cuff bp for any damage. if damage is found, replace the cuff. - if the above steps do not resolve the issue, contact the manufacturer of the monitor for further assistance. @topic:14


* * issue : * * medical cart drawer not closing properly * * impact : * * affects the functionality and accessibility of the medical cart. * * possible causes : * * - * * loose solenoid nuts : * * as identified in the given input, loose solenoid nuts can prevent the drawer from locking securely. * * recommendations : * * - * * tighten solenoid nuts : * * ensure that the solenoid nuts are securely tightened to create a proper connection between the solenoid and the drawer mechanism. - * * inspect other solenoid components : * * check for any other loose or damaged components related to the solenoid, such as wires or connectors. - * * lubricate mechanism : * * apply a small amount of lubricant to the drawer mechanism to reduce friction and improve closure. - * * reset or replace solenoid : * * if tightening the nuts does not resolve the issue, the solenoid may need to be reset or replaced. - * * inspect drawer alignments : * * ensure that the drawer is aligned correctly within the cart and that there are no obstructions preventing it from closing. - * * test drawer functionality : * * after making any adjustments or repairs, thoroughly test the drawer's opening and closing functionality to ensure it is operating correctly. @topic:21


# # # issue - bed is not adjustable # # # impact - patients may not be able to be positioned comfortably in the bed. - nurses and other staff may have difficulty moving patients in or out of the bed. # # # possible causes - the bed's electrical system may be faulty. - the bed's mechanical components may be damaged. - the bed's software may be malfunctioning. # # # recommendations - the bme should troubleshoot the bed's electrical system. - the bme should inspect the bed's mechanical components for damage. - the bme should update the bed's software. @topic:1


# # # issue - equipment malfunction : the electric bed's remote control is not functioning correctly. # # # impact - patient discomfort : the patient is unable to adjust the bed's position, which can lead to discomfort and difficulty in movement. - delay in patient care : the malfunctioning bed may delay patient care, as healthcare providers may need to spend additional time troubleshooting or finding an alternative bed. # # # possible causes - hardware failure : the remote control's internal components, such as buttons or sensors, may have failed. - electrical fault : there may be a problem with the electrical wiring or connections within the remote control or the bed itself. - software glitch : the remote control's software may have encountered an error or bug that is preventing it from functioning properly. # # # recommendations - inspect the remote control : examine the remote control for any physical damage or loose connections. ensure that the batteries are correctly installed and functioning. - check electrical connections : verify that the electrical cords and plugs are securely connected to both the remote control and the bed. - contact the manufacturer : if the issue persists after inspecting the hardware and connections, contact the manufacturer of the bed for technical assistance. - perform software updates : if applicable, check for any available software updates for the remote control or the bed and install them accordingly. - use a backup remote control : consider having a spare remote control available in case of a primary remote control failure. @topic:7


# # # issue - the motor of the electric bed is damaged. # # # impact - the bed cannot be adjusted, which can make it difficult for patients to get in and out of bed. - the bed may be uncomfortable for patients to use. # # # possible causes - the motor may have been overloaded. - the motor may have been damaged by a power surge. - the motor may have simply worn out. # # # recommendations - replace the motor. - ensure that the bed is not overloaded. - install a surge protector to protect the bed from power surges. @topic:9


# # # issue - the bed, electric, huntleigh 25800 e / l is not functioning properly. # # # impact - the patient may not be able to receive the necessary medical treatment. - the hospital staff may be unable to perform their duties effectively. # # # possible causes - the power cord may be damaged. - the control box may be faulty. # # # recommendations # # # # power cord - inspect the power cord for any damage. - if the power cord is damaged, replace it with a new one. # # # # control box - inspect the control box for any damage. - if the control box is damaged, replace it with a new one. - if the control box is not damaged, reset it. - if the control box still does not work, call a qualified technician for assistance. @topic:9


# # # issue - the wooden bed rail is stuck # # # impact - patients may not be able to get out of bed safely - staff may not be able to access the patient easily - the bed may be difficult to move # # # possible causes - the wooden bed rail is old and worn - the wooden bed rail has become jammed - the wooden bed rail has been damaged - the wooden bed rail is not properly lubricated - the wooden bed rail is not being used correctly # # # recommendations - replace the wooden bed rail if it is old and worn - unjam the wooden bed rail if it has become jammed - repair the wooden bed rail if it has been damaged - lubricate the wooden bed rail if it is not properly lubricated - train staff on how to use the wooden bed rail correctly @topic:6


# # # issue the cause of failure is not specified in the given input. # # # impact the impact of the failure is not specified in the given input. however, it is likely that the failure of the bed has caused inconvenience to the patients and staff in the hospital. # # # possible causes the following are some possible causes for the failure of the bed : - electrical problems : the bed may have experienced an electrical problem, such as a short circuit or a blown fuse. - mechanical problems : the bed may have experienced a mechanical problem, such as a broken gear or a loose connection. - user error : the bed may have been damaged due to improper use or maintenance. # # # recommendations the following are some recommendations for preventing future failures of the bed : - regular maintenance : the bed should be regularly inspected and maintained by a qualified technician. - proper use : the bed should be used in accordance with the manufacturer's instructions. - training : staff should be trained on how to properly use and maintain the bed. @topic:9


settings are made in the factory to match the typical requirements in a specific country. line frequency, units for weight and height, and ecg cable colors ( aami or iec ) have been set to appropriate values. if you suspect that these settings may not match your institution's requirements, check the settings and change them if necessary as described in the configuration guide. warning before starting monitoring, check that the configuration meets your requirements, especially patient category, alarm limits and paced setting. if you need to enter configuration mode : 1. inthemain setup menu, select operating modes. 2. select config and enter the passcode. the passcode for configuration mode is given in the monitor ’ s service documentation. 212 the monitor displays config at the right hand side of the status line and in the center of the screen while you are in configuration mode. before you leave configuration mode, always be sure to store any changes you made. you must store changes made to each settings block and to each profile, individually. as it may be difficult to remember whether the settings you changed belong to a monitor settings block or a measurement settings block, we recommend that you store each block before you leave configuration mode. to leave configuration mode : ^ inthe main setup menu, select operating modes and then select monitoring. setting altitude, line frequency, ecg cable colors and height & weight units you require a local barometric pressure rating from a reliable source ( such as airport, regional weather station, or hospital weather station ) that is located at the same altitude as the institution. 1. fromthe main setup menu, select global setting. select altitude and enter the altitude. 2. fromthe main setup menu, select global setting. select line frequency and choose the line frequency. 3. fromthe main setup menu, select global setting. select ecg cable color and choose the cable color. 4. fromthe main setup @topic:10


# # # issue the date and time on a bedside physiologic monitor ( philips intellivue mx550 ) are incorrect. # # # impact the incorrect date and time may affect the accuracy of patient data and make it difficult to track patient progress. # # # possible causes * the monitor is linked to a central server ( xds ) that is providing the incorrect date and time. * the monitor's internal clock battery may be dead or malfunctioning. * the monitor's software may be corrupted. # # # recommendations * check the xds server to ensure that it is providing the correct date and time. * replace the monitor's internal clock battery if necessary. * if the above steps do not resolve the issue, contact the manufacturer for further assistance. @topic:29


# # # issue - cuff of the bedside physiologic monitor is leaking. # # # impact - the cuff is a critical component of the monitor, used to measure blood pressure, blood flow, and other vital signs. if the cuff is leaking, the most important vital sign, blood pressure, cannot be measured accurately. without a cuff, the monitor is rendered useless. - inaccurate vital sign readings can lead to misdiagnosis and incorrect treatment decisions. # # # possible causes - cuff is damaged or punctured, causing air to leak. - cuff is old and worn out, losing its elasticity and ability to seal around the limb. - cuff is not properly attached to the monitor, allowing air to escape. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of damage or wear and tear. - ensure that the cuff is properly attached to the monitor before use. @topic:3


# # # issue - brake failure # # # impact - inability to stop the bed, potentially leading to patient injury or equipment damage. # # # possible causes - loose or missing brake nut - faulty brake mechanism - electrical malfunction in the brake system # # # recommendations - ensure that the brake nut is securely tightened and in place. - inspect the brake mechanism for any signs of wear or damage. - test the electrical system for any potential issues. - perform regular maintenance and inspections of the bed to prevent future failures. @topic:9


# # # issue the medical cart is not turning on. # # # impact the medical cart cannot be used to transport patients or equipment. # # # possible causes - the power cord is not plugged in. - the power supply is not working. - the motherboard is not working. - the hard drive is not working. - the operating system is not working. # # # recommendations - check the power cord to make sure it is plugged in. - check the power supply to make sure it is working. - check the motherboard to make sure it is working. - check the hard drive to make sure it is working. - check the operating system to make sure it is working. @topic:13


# # # issue - malfunctioning sat o2 cable # # # impact - inaccurate or unreliable pulse oximetry readings, potentially leading to delayed or incorrect medical interventions. # # # possible causes - physical damage to the cable, such as cuts, tears, or kinks - electrical malfunction within the cable - incompatible cable with the monitoring equipment - loose or disconnected cable connections # # # recommendations - replace the damaged cable with a new, compatible one. - inspect the cable regularly for any signs of damage or wear. - ensure that the cable is properly connected to both the monitoring equipment and the patient. - if the issue persists, consider checking the monitoring equipment or other components of the pulse oximetry system for potential faults. @topic:4


# # # issue - scanner not turning on # # # impact - inability to use the medical cart for scanning purposes # # # possible causes - power supply issue - loose connections - faulty scanner hardware - software issues # # # recommendations - check the power supply to the medical cart and ensure it is properly connected. - inspect the connections between the scanner and the medical cart, and ensure they are secure. - contact the manufacturer of the scanner for troubleshooting and repair if necessary. - update the software on the medical cart and scanner to the latest version. @topic:23


may lie on the bed during these tests. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 13 4. 4 battery ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures 3. plug the bed into an appropriate power source. note : the batteries should be fully recharged at the end of the test or if the low battery signal is heard during the tests. 4. to make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 - 5. page 4 - 14 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 5 head section motor chapter 4 : removal, replacement, and adjustment procedures 4. 5 head section motor tools required : ( 2 ) 10 mm wrench 13 mm socket ratchet t25 torx® 1 screwdriver removal 1. set the brakes. 2. raise the sleep surface to the highest position. 3. raise the head section to the highest position. note : if the head section motor is defective, the cpr control can be used to raise the head section. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 4. unplug the bed from its power source. let the bed sit for 60 seconds so the battery will time out. 5. remove the headboard. 6. remove the seat and knee sections. 7. for a model beds, do as follows, otherwise go to step 8 : a. remove the two screws ( a ) and washers ( b ) securing the power supply cover ( c ) to the power supply ( d ) ( see figure 4 - 6 on page 4 - 16 ). b. remove the cover ( c ). 1. torx® is a registered @topic:26


# # # issue - the physiologic monitor ( pro 1000 ) manufactured by critikon will not power on. # # # impact - the monitor is essential for monitoring patient vital signs. - its failure to power on can delay or compromise patient care. # # # possible causes - * * board power supply ( switching ) failure : * * as reported in the description, this critical component may be malfunctioning or damaged, preventing the monitor from receiving the necessary power to operate. - * * power cord issues : * * ensure that the power cord is securely connected to both the monitor and the power outlet, and that the outlet is supplying power. - * * internal circuitry issues : * * a fault within the monitor's internal circuitry, such as a short circuit or loose connection, could also be responsible for the failure to power on. # # # recommendations - * * replace the board power supply ( switching ) : * * this is the reported cause of failure, and replacing the board is likely to resolve the issue. - * * check power connections : * * ensure that the power cord is properly connected and that the outlet is supplying power. - * * troubleshoot internal circuitry : * * if the board replacement and power connection checks do not resolve the issue, further troubleshooting of the monitor's internal circuitry may be necessary to identify and repair the fault. @topic:2


# # # issue suresigns vs2 + monitor's air hose has deteriorated. # # # impact this can potentially lead to the device malfunctioning or providing inaccurate readings, which can compromise patient safety. # # # possible causes the air hose may have deteriorated due to : - natural wear and tear over time - excessive use or mishandling - exposure to extreme temperatures or moisture - defective materials or manufacturing processes # # # recommendations to prevent similar failures in the future, it is recommended to : - regularly inspect air hoses for signs of damage or wear. - replace air hoses according to manufacturer's guidelines or when any signs of deterioration are observed. - handle and store air hoses properly to avoid damage. - ensure proper training of staff on the correct use and maintenance of the monitor and its accessories. - consider using more durable air hoses or explore alternative solutions to reduce the risk of deterioration. @topic:15


# # # issue - bed cannot be lowered # # # impact - inability to adjust patient positioning - potential discomfort or harm to patient # # # possible causes - faulty electrical wiring or connections - malfunctioning control panel or switch - mechanical failure of the bed frame or motor # # # recommendations - inspect electrical wiring and connections for damage or loose connections and repair or replace as needed. - test the control panel and switch to ensure proper functionality and replace if necessary. - examine the bed frame and motor for mechanical defects and lubricate or replace components as required. @topic:1


# # # issue - equipment failure : telemetry ekg module # # # impact - inability to monitor patient's electrocardiogram ( ecg ) # # # possible causes * * 1. compatibility issue * * - the borrowed ekg cable is not compatible with the telemetry ekg module. - this can occur when different brands or models of equipment use different connectors or protocols. * * 2. user error * * - the ekg cable was not properly connected to the equipment or the patient. - this can lead to intermittent or complete failure of the ecg signal. * * 3. equipment malfunction * * - the telemetry ekg module itself may have malfunctioned. - this could be due to a hardware defect or software glitch. # # # recommendations * * 1. compatibility check * * - ensure that the borrowed ekg cable is compatible with the telemetry ekg module. - consult the manufacturer's specifications or consult with a biomedical engineer. * * 2. proper connection * * - verify that the ekg cable is securely connected to both the equipment and the patient. - follow the manufacturer's instructions for proper connection. * * 3. equipment inspection * * - if the compatibility and connection are verified, the telemetry ekg module should be inspected for any visible signs of damage. - contact a biomedical engineer for further troubleshooting and repair. @topic:18


# # # issue equipment : physiological vital signs monitor brand : invivo research model : 3150 mri issue : oxygen probe malfunction # # # impact * inaccurate oxygen saturation measurements * potential for patient harm due to incorrect readings # # # possible causes * loose connections in the oxygen probe * damaged or faulty oxygen probe * faulty sensor in the oxygen probe * software or firmware issues in the monitor # # # recommendations * * * immediate actions : * * * reseat the oxygen probe and ensure all connections are tight. * perform a calibration check on the oxygen probe. * if the issue persists, replace the oxygen probe with a new one. * * * preventive measures : * * * regularly inspect the oxygen probe for any signs of damage or wear. * ensure proper handling and storage of the oxygen probe to prevent damage. * update the monitor's software and firmware to the latest versions. @topic:4


device, including the proper attachment of the * * cuff * *. @topic:5


# # # issue - the medical cart does not turn on. # # # impact - the medical cart cannot be used to transport or store medical equipment or supplies. # # # possible causes - the power cord is not plugged in. - the power switch is not turned on. - the battery is not charged. - the motherboard is not functioning properly. - the power supply is not functioning properly. # # # recommendations 1. check that the power cord is plugged into a working outlet and that the power switch is turned on. 2. try charging the battery by plugging the medical cart into an outlet for an extended period of time. 3. contact a qualified technician to diagnose and repair the motherboard or power supply if necessary. @topic:13


##metry menu you can set the alarm limits. please refer to the alarms chapter of this manual for details on alarm settings. changing the apnea alarm delay this determines the time limit after which the monitor alarms if the patient stops breathing. 1 in the setup spirometry menu, select rrspir. 2 in setup rrspir menu, select apnea time. 3 choose the apnea alarm delay time. 230 setting up spirometry 15 monitoring airway flow, volume and pressure warning safety and effectiveness of the respiration measurement method in the detection of apnea, particularly the apnea of prematurity and apnea of infancy, has not been established. warning if an apnea occurs during a zero calibration or purge, the time delay between the start of apnea and the activation of the apnea alarm could be up to 10 seconds plus the configured apnea delay time. automatic alarm suppression if the automatic alarm suppression is switched on, all spirometry alarms are suppressed until breathing activity has been detected. this setting must be made in configuration mode. choosing measured awv components 1 in the setup spirometry menu, select awv. 2 select mv to choose the measured components for minute volume ( inspiratory and / or expiratory or off ). select tv to choose the measured components for tidal volume ( inspiratory and / or expiratory or off ). note if mv and tv are set to off, there will be no alarming for these parameters. setting the gas compensation mode 1 in the setup spirometry menu, select gas compensation. 2 select mode to choose the gas compensation mode : - select manual for manually entered gas concentrations or - select gas analyzer for gas concentrations from the gas analyzer. note • gas concentrations from the gas analyzer are only available for philips gas analyzers, not for devices connected via a vuelink / @topic:17


english. to change the language : 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 the language menu is highlighted. 3. press the wheel, then rotate it to select the language in which you want to use the monitor. the available options are : • english • spanish • simplified chinese • gennan • french • italian • dutch • norwegian • portuguese • russian • traditional chinese • finnish • swedish • czech • polish 4. press the wheel again to save the setting. a confirmation window appears warning that to change the language, the system must reboot. 5. in the confirmation window, rotate the wheel to yes, then press the wheel to change the language and reboot the system. 5 - 6 configuring the monitor setting the power frequency setting the power frequency warning ensure that the ac power frequency on the monitor is set to the required operating frequency for your country. if the monitor is not set correctly, you could experience extra interference on ecg signals. the default factory setting is either 50 or 60 hz, depending on the country. to set the default ac power frequency : 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 the ac power menu is highlighted. 3. press the wheel, then rotate it to select the default setting for ac power frequency. the options are : • 50 hz • 60 hz 4. press the wheel again to save the setting. 5. press the main screen button on the front panel to close the menu. setting the alarm tone the alarm tone setting controls the pattern of audible sounds during alarms. the default setting is philips. to set the alarm tone : 1. open the system admin section of the system menu. @topic:10


hill - [UNK] 900 user manual ill - ron enhancing outcomes for patients and their caregivers : hill - rom. 171051 rev. 009 hill - rom s. a. s. z. i. du talhouet 56330 pluvigner - france tel : + 33 ( 0 ) 2 97 50 92 12 fax : + 33 ( 0 ) 2 97 50 92 03 www. hill - rom. com edition 9 : may 2018 first printing 2012 the information contained in this manual is confidential and may not be reproduced or divulged in any form or by any means without the prior written permission of hill - rom. hill - rom®, hill - [UNK] 900, navicare®, duo® and [UNK] are registered trademarks of hill - rom services, inc. accella ™ is a registered trademark of hill - rom services, inc. hill - rom reserves the right to make changes to the design, characteristics and models without prior notice. the only warranty hill - rom makes is the express written warranty extended on the sale or rental of its products. to order copies of this manual, refer to the last page, identify your national hill - rom representative and order the article with the part number 171051. © 2018 by hill - rom services, inc. all rights reserved. table of contents introduction, specifications the structure of the manual. bol definitions 234 2 applications.. bed model and country of use. 4 safety and usage tips 4 irst use.. risk preventio5 lectrical safety8 general precautions for the place of use. 9 precautions for transport and storage 10 technical specifications. 11 overview.. 14 eneral symbols18 unction symbol19 installing the patient before placing the patient on the bed 27 27 ccessories 30 endboards. 32 endboard fastening system * bed frame extension *. 34 wall stop ad277a * 34 @topic:9


# # # issue the basket for holding accessories has become detached from the stand. # # # impact the accessories cannot be used, which may interfere with the proper functioning of the equipment. # # # possible causes - the screws holding the basket to the stand may have become loose. - the basket may have been overloaded with accessories. - the stand may have been damaged. # # # recommendations - check the screws holding the basket to the stand and tighten them if necessary. - ensure that the basket is not overloaded with accessories. - inspect the stand for damage and have it repaired if necessary. @topic:24


label in the measurement selection window. < spo2 label > upgrade numeric is replaced by -? - numeric is unavailable the spo2 measurement is currently in upgrade mode. monitoring is not possible in this mode. pressure inops nop message, inwhat to do see < press label > inops abp inops see < press label > inops ao inops art inops see < press label > inops bap inops see < press label > inops cpp chk sources not all measurements or values required to perform the calculation are available. check the numeric is replaced by -? inop tone measurement sources. cpp chk units numeric is replaced by -? - cpp disabled the monitor has detected a conflict in the units used for this calculation. check the unit settings. cpp has been disabled, either in the setup in configuration mode, or by loading settings with cpp disabled. this can happen when changing from a pediatric or neonatal profile to an adult profile, as the default profile settings have the cpp measurement disabled in the adult profile and enabled in the pediatric and neonatal profiles. enable cpp in the current profile to clear the inop. cvp inops see < press label > inops fap inops icic2 inops see < press label > inops see < press label > inops see < press label > inops see < press label > inops see < press label > inops see < press label > inops icp inops lap inops p / p1 p2 p3 / p4 inops pap inops ppv bad < press label > signal the arterial pressure source selected for ppv is not providing a pulsatile signal. ppv bad signal the arterial pressure source selected for ppv is not providing a pulsatile signal. t information cppv @topic:17


40 bpm 50 bpm 40 60 80 a extr tachy 20 bpm tachy clamp 200 bpm 220 bpm 240 bpm pulse alarms use the settings of the currently selected pulse alarm source. respiration default settings respiration settings factory defaults h10 / h20 / h40 h30 ( deviations from h10 / 20 / 40 ) adult pedi neo adult pedi neo high limit 30 rpm 100 rpm low limit 8 rpm 30 rpm apnea time 20 sec alarms on resp on off detection auto ( trigger mode ) respiratory speed 6. 25 mm / s color yellow white 463 sp0 2 default settings 39 default settings appendix sp0 2 default settings sp0 2 settings factory adult factory pedi factory neo alarms on qrs volume 1 tone modulation yes tone mod. type enhanced speed 25 mm / s perfusion on average 10 sec nbp alarm suppr. on extd. auto onoff disabled color light blue ( cyan ) average in mon. no signal quality on sp0 2 alarm default settings setting adult pediatric neonatal desat limit 80 80 80 low limit 90 90 85 high limit 100 100 95 desat delay 20 sec 20 sec 20 sec high alarm delay 10 sec 10 sec 10 sec low alarm delay 10 sec 10 sec 10 sec alarms on / off on on on label sp0 2 s p o 2 s p o 2 pulse settings pulse ( sp0 2 ) on on on pulse alarms on / off on on on high limit 120 bpm 160 bpm 200 bpm low limit 50 bpm 75 bpm 100 bpm a extr brady 20 bpm 20 bpm 20 bpm brady clamp 40 bpm 40 bpm 50 bpm a extrtachy 20 bpm 20 bpm 20 bpm tachy clamp 200 bpm 220 bpm 240 bpm 464 nbp default settings 39 default settings appendix n @topic:8


# # # issue - bed, electric is not able to adjust up or down. # # # 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 power cord may be loose or damaged. - the switch may be defective. - the motor may be defective. - the control board may be defective. # # # recommendations - check the power cord and make sure that it is properly plugged in. - check the switch and make sure that it is functioning properly. - replace the motor if it is defective. - replace the control board if it is defective. @topic:1


# # # issue the medical device, an electric bed from universal quality with model number uq2000b, failed due to improper usage. # # # impact the failure of the medical device may have caused inconvenience and disruption to the healthcare operations. it could have also put the patient at risk if the bed was being used for critical patient care. # # # possible causes according to the information provided, the cause of failure was determined to be : - 14d borrowed the bed this suggests that the bed was not being used for its intended purpose and may have been subjected to excessive stress or improper handling. # # # recommendations to prevent similar incidents and ensure the safety of patients and staff, the following recommendations are suggested : - ensure that all medical devices are used only for their intended purpose and in accordance with the manufacturer's instructions. - provide proper training and orientation to staff on the safe handling and use of medical devices. - establish a system for regular maintenance and inspection of medical devices to identify any potential issues early. - encourage staff to report any device - related incidents or concerns promptly to facilitate prompt resolution and prevent recurrence. @topic:9


# # # issue the bedside physiologic monitor is unable to be securely attached to the patient's bed due to a damaged mounting bracket. # # # impact - the monitor may fall and injure the patient or staff. - the monitor may not be able to properly display patient data, which could delay or compromise patient care. # # # possible causes - the mounting bracket may have been damaged during transport or installation. - the mounting bracket may have been overtightened, causing it to bend or break. - the mounting bracket may have been made of a defective material. # # # recommendations - inspect the mounting bracket for any damage. - if the mounting bracket is damaged, replace it with a new one. - ensure that the mounting bracket is properly tightened, but do not overtighten it. - if the problem persists, contact the manufacturer of the monitor for assistance. @topic:2


# # # issue - electrical fault in the bed's control system - mechanical failure in the bed's adjustment mechanism - software glitch in the bed's control panel # # # impact - patient discomfort and anxiety - prolonged hospital stay - increased workload for healthcare staff # # # possible causes - loose electrical connections - broken wires - faulty control module - mechanical jamming of the adjustment mechanism - software bugs or corruption # # # recommendations - check electrical connections and wiring for any loose or damaged components. - inspect the adjustment mechanism for any mechanical obstructions or damage. - update the bed's software to the latest version and check for any known issues. - consult the manufacturer's technical support or a qualified biomedical engineer for further assistance. @topic:1


# # # issue - knob on physiologic monitor ( bedside ) is malfunctioning, preventing adjustments. # # # impact - inability to adjust settings on the monitor, compromising patient monitoring. # # # possible causes - mechanical failure of the knob due to wear and tear or physical damage. - electrical failure within the circuitry connected to the knob. - software malfunction or firmware corruption affecting knob functionality. # # # recommendations - * * inspection : * * visually examine the knob for any physical damage or loose connections. - * * electrical testing : * * use a multimeter to check for continuity and voltage supply to the knob. - * * firmware update : * * if electrical testing is inconclusive, consider updating the monitor's firmware to resolve software - related issues. - * * replacement : * * if other troubleshooting measures fail, the knob may need to be replaced with a new one. - * * preventive maintenance : * * establish regular maintenance schedules to proactively identify and address potential knob issues before they lead to failure. @topic:2


# # # issue faulty spo2 probe # # # impact patient monitoring accuracy compromised # # # possible causes - damaged probe cable - malfunctioning sensor - software glitch # # # recommendations - replace the spo2 probe - check the cable connections - update the monitor software - contact the manufacturer for support @topic:4


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : the medical cart's screen displayed " reboot ", preventing it from starting. the bme rebooted the device and tested its functionality, confirming that it was now working correctly. # # # impact - the medical cart was temporarily unavailable for use. # # # possible causes - med - cart reboot # # # recommendations - the cause of the reboot should be investigated to prevent future occurrences. - regular maintenance and updates should be performed on the medical cart to ensure optimal functionality. @topic:13


# # # issue the cause of failure is not specified in the input. # # # impact the impact of the failure is not specified in the input. # # # possible causes the following are possible causes of the failure : - the equipment was damaged during transport. - the equipment was not properly maintained. - the equipment was used in a way that it was not intended to be used. - the equipment was defective. # # # recommendations the following are recommendations for preventing future failures : - the equipment should be properly packaged and transported. - the equipment should be regularly maintained. - the equipment should be used in accordance with the manufacturer's instructions. - the equipment should be inspected regularly for defects. @topic:12


* * issue * * : bed unable to adjust due to faulty control box. * * impact * * : patient discomfort, delayed procedures, increased workload for healthcare staff. * * possible causes * * : * * * electrical fault * * : power surge, short circuit, or loose wiring in the control box. * * * mechanical failure * * : damage to buttons, switches, or internal components within the control box. * * * software glitch * * : malfunction in the software controlling the bed's adjustments. * * recommendations * * : * * * isolate the issue * * : disconnect the bed from power and visually inspect the control box for any visible damage. * * * replace the control box * * : if the control box is damaged or defective, replace it with a new or refurbished unit. * * * check software updates * * : contact the manufacturer to inquire about any software updates that may address the issue. * * * inspect wiring connections * * : ensure that all electrical connections are secure and free of corrosion or damage. * * * consider environmental factors * * : check if the bed is exposed to excessive humidity, temperature fluctuations, or other environmental factors that may affect its performance. * * * document the repair * * : keep a record of the issue, repair actions taken, and any relevant test results for future reference. @topic:1


* * cause of failure : * * the cause of failure is not specified in the input text. it is mentioned that the problem is with the battery, but this does not indicate a clear cause of failure. # # # possible causes : based on the given information, the following possible causes of failure can be considered : - battery failure : the battery may have a manufacturing defect, or it may have degraded over time. - battery connection problems : the battery may not be making good contact with the terminals, or the wiring may be damaged. - system failure : the monitor's internal system may have a fault that prevents it from recognizing the battery or using it properly. @topic:11


* * issue : * * equipment failure due to deteriorated and outdated cable * * impact : * * disruption of patient monitoring and potential safety concerns * * possible causes : * * * * * deteriorated cable : * * aging cables can become brittle and lose their electrical conductivity, leading to signal loss or malfunction. * * * outdated cable : * * cables that are not compatible with the latest equipment may not function properly or may not have the necessary features for optimal monitoring. * * recommendations : * * * * * regular inspection : * * conduct routine inspections of cables to identify signs of wear or damage. * * * preventative maintenance : * * replace cables that show signs of deterioration or are outdated to prevent unexpected failures. * * * use genuine parts : * * ensure that replacement cables are from the original equipment manufacturer or an authorized distributor to ensure compatibility and reliability. * * * training : * * train biomedical engineers and technicians on cable maintenance and replacement procedures to ensure proper handling and installation. * * * establish an inventory system : * * maintain an inventory of spare cables to facilitate timely replacements and minimize downtime. @topic:2


# # # issue - front panel movement is not working properly ( the screen cannot be moved up and down ). # # # impact - the medical cart cannot be used properly, as the screen cannot be adjusted to the desired height for the user. # # # possible causes - loose screws on the front panel - broken or damaged front panel hinge - internal wiring issues - software glitch # # # recommendations - tighten the screws on the front panel, if loose. - inspect the front panel hinge for any damage or breakage. if damaged, replace the hinge. - check the internal wiring for any loose or damaged connections. repair or replace as necessary. - reset the software on the medical cart. @topic:13


# # # issue - electric bed is malfunctioning. # # # impact - patient care may be compromised. # # # possible causes - * * control box malfunction. * * - * * reset system failure. * * - * * improper usage. * * # # # recommendations - * * replace the control box. * * - * * retrain staff on proper usage. * * - * * inspect the system regularly for any signs of damage or wear and tear. * * @topic:9


mode settings mms trend upload and mms settings upload. if there is a patient mismatch and you select continue monitor, no data will be uploaded from the mms. data exchange between information centers you can transfer demographic data and trend data from one iic to another by selecting transfer on the patient monitor. trend data is not shared between information centers and monitors. resolving patient information mismatch when you connect together devices which store patient demographic data, for example : • an mms and a monitor, • an x2 or mp5 and a host monitor, • a monitor and an information center, the system compares patient category, paced status, and unique patient identification in order to synchronize this information. if configured to do so, the monitor indicates a mismatch if the information is not identical. depending on your monitor ’ s configuration, this mismatch may be automatically resolved or you may have to resolve it manually. if your monitor is configured to resolve mismatches automatically, depending on the configuration, either the monitor or the multi - measurement module data is automatically retained. 108 data upload from an mms 5 managing patients warning 1 when a monitor is connected to an information center by the wireless intellivue instrument telemetry interface, the patient data will automatically be merged in the case of a transfer. this means there is no patient discharge at the monitor and settings and trend data will be retained. you will see a message on the monitor and the patient demographics window will automatically appear so that you can check the data and change it if necessary. 2 it is important to resolve the mismatches as soon as they are identified. failure to do so could result in using incorrect / confusing data to make clinical decisions. certain settings, for example paced and patient category, may not match between the information center and the monitor. if the paced status is set incorrectly, the @topic:10


# # # issue - motor not running properly, preventing the bed from adjusting head down. # # # impact - patient discomfort and inability to adjust the bed for optimal positioning. # # # possible causes * * 1. motor electrical failure : * * - faulty motor windings or damaged armature. - loose electrical connections within the motor. * * 2. mechanical obstruction : * * - obstructed or damaged gear train within the motor housing. - foreign objects or debris interfering with the motor's movement. * * 3. control system malfunction : * * - faulty control board or wiring harness. - communication errors between the control system and the motor. * * 4. power supply issues : * * - insufficient power supply to the motor due to faulty wiring or inadequate voltage. - loose or damaged battery connections. # # # recommendations * * 1. inspection and troubleshooting : * * - inspect the motor for any visible damage or obstructions. - check electrical connections for looseness or damage. - verify the control system's functionality using diagnostic tools. * * 2. motor repair or replacement : * * - if the motor is faulty, it may need to be repaired or replaced. - ensure the replacement motor is compatible with the bed model. * * 3. mechanical inspection and adjustments : * * - check the gear train for any obstructions or damage. - clean and lubricate any moving parts as necessary. * * 4. control system reset or upgrade : * * - reset the control system to clear any errors. - if the issue persists, consider upgrading to a newer control system version. * * 5. power supply optimization : * * - ensure the bed is connected to a stable power source. - check the battery connections for tightness and replace any weak or damaged batteries. @topic:1


# # # issue * battery failure due to end of life. # # # impact * interruption of vital signs monitoring. * potential for patient safety issues if vital signs are not accurately monitored. # # # possible causes * battery has reached the end of its service life. # # # recommendations * replace the battery with a new one of the same type and capacity. * monitor the battery's life and replace it before it fails. @topic:11


# # # issue : bedside rail detached. # # # impact : patient safety hazard. # # # possible causes : - loose or damaged mounting screws. - worn or frayed rail guide. - excessive force applied to the rail. - improper assembly or maintenance. # # # recommendations : - inspect and tighten all mounting screws regularly. - check the rail guide for wear or fraying, and replace if necessary. - instruct staff on proper use and care of the bed and rails. - ensure all maintenance procedures are followed as per manufacturer's instructions. - consider replacing the bedside rail if it cannot be securely attached. @topic:6


tone 92 4 patient alarms and inops inop message, indication co2 cal mode what to do currently no calibration is running. accuracy can be checked by placing the transducer on the two cells of the calstick and starting calibration. to start monitoring, leave cal. mode. co2 numeric displays currenco2 value for accuracy checco2 cal running numeric is replaced by -? - co2 check cal numeric is replaced by -? - inop tone wait until calibration is finished. the co2 value is outside the measurement range. perform an accuracy check for both calstick cells check that the sensor is connected to the airway adapter, clean the airway adapter, if necessary. perform a zero calibration. if the inop persists, contact your service personnel. co2 chk adapter umeric is replaced by -? nop tone o2 deactivathe co2 measurement label in the measurement device has been deactivated by deactivating the label in the measurement selection window. the measurement automatically disappears from the display. to switch the measurement on again, reactivate the measurement label in the measurement selection window. nop tono2 equip the measurement extension is faulty. unplug and replug the multi - measurement module with extension. if you are using the mainstream method, unplug and replug the transducer or try another transducer. if the inop persists, contact your service personnel. numeric is replaced by -? inop tone co2 no sensor from m3014a there is no co2 sensor connected. if you silence this inop the co2 measurement will be switched off. numeric is replaced by -? inop tone co2 no tubing umeric is replaced by -? nop tone either the sample line is disconnected, @topic:17


# # # issue - main board failure # # # impact - monitor not functioning - patient monitoring data unavailable - alarm functions disabled # # # possible causes - power surge or fluctuations - overheating - software glitch - physical damage due to mishandling or improper cleaning - manufacturing defect # # # recommendations - replace main board with new one from the manufacturer. - ensure proper power supply and surge protection. - implement regular maintenance and cleaning protocols. - train staff on proper handling and storage of the device. - investigate any unusual events or incidents that may have led to the failure. @topic:2


# # # issue - the co2 reading on the philips intellivue mp40 ( m8003a ) patient transport monitor is inaccurate. # # # impact - this inaccuracy could lead to incorrect patient care decisions. # # # possible causes - faulty main board # # # recommendations - the technician should replace the main board with a new one. @topic:4


to view the error log, see “ viewing, printing, and exporting the error log ” on page 4 - 36. for a complete list of error codes and actions to take, see chapter 4, “ troubleshooting. ” performing routine maintenance suresigns vs4 service guide 2 - 5 maintaining the battery performing routine maintenance 2 - 6 suresigns vs4 service guide 3 performance verification testing overview this chapter includes the following information : e testing and inspection guidelines e recommended frequency of performance tests e test procedures following monitor repair or during routine maintenance e nbp calibration procedure if the monitor fails any test, it must be repaired before it is returned to use. note — the procedures in this chapter assume knowledge of basic monitor operation. for details about using the monitor, see the suresigns vs4 instructions for use. testing and inspection guidelines the following table lists the tests that philips requires that you complete after performing monitor repairs or upgrading the software. for information about routine maintenance procedures, see chapter 2, “ performing routine maintenance. ” for information about repair procedures, see chapter 5, “ repairing the monitor. ” after complete these tests upgrading the software e power - on self test e verify that your system settings are preserved opening the monitor for any reason e power - on self test e alarms test e pneumatic leakage test e all safety tests replacing any internal parts ( except nbp parts, spo > board ) e power - on self test e pneumatic leakage test e all safety tests replacing the nbp module or parts e power - on self test ¢ nbp test e pneumatic leakage test e all safety tests performance verification testing suresigns vs4 service guide 3 - 1 recommended frequency after complete these tests replacing the spo, board e power - on self test * spo, e pneumatic leakage test e all safety @topic:22


# # # issue - vital signs monitor is unable to detect signals. # # # impact - accurate patient monitoring is compromised. - clinical decisions may be delayed or misinformed. # # # possible causes - * * loose connections : * * cables or sensors may not be properly connected, leading to signal loss. - * * malfunctioning sensors : * * sensors may be damaged or faulty, resulting in inaccurate signal acquisition. - * * equipment malfunction : * * the monitor itself may have a hardware or software issue that prevents signal processing. - * * electrical interference : * * electromagnetic fields or other electrical devices can interfere with the monitor's ability to detect signals. # # # recommendations - * * check connections : * * ensure that all cables and sensors are securely connected to the monitor and patient. - * * test sensors : * * use a test patient or simulator to verify sensor functionality. replace any faulty sensors. - * * restart the equipment : * * power cycle the monitor to reset any software glitches and improve signal acquisition. - * * troubleshoot the monitor : * * if the issue persists, perform a more thorough troubleshooting process to identify the root cause, such as : - inspecting the monitor's internal components - checking the software version and updating if necessary - ruling out electrical interference by moving the monitor to a different location @topic:2


# # # issue - excessive noise while the nibp monitor is being moved ( wheeled ). # # # impact - impaired or obstructed patient care due to the noise generated by the malfunctioning nibp monitor. # # # possible causes - * * improper lubrication : * * insufficient or incorrect lubrication of the wheels or other moving parts could lead to excessive friction and noise. - * * loose components : * * loose screws, bolts, or other components within the monitor could vibrate when moved, causing noise. - * * bearing failure : * * damaged or worn - out bearings in the wheels or other rotating components can produce grinding or squealing noises. - * * damaged wheels : * * physical damage to the wheels, such as cracks or flat spots, can cause uneven movement and generate noise. - * * environmental factors : * * exposure to moisture, dust, or other environmental factors could accelerate wear and tear, leading to increased noise levels. # # # recommendations - * * lubrication : * * ensure proper and regular lubrication of all moving parts, following the manufacturer's guidelines. - * * component tightening : * * inspect and tighten any loose screws, bolts, or other components that may be contributing to noise. - * * bearing inspection : * * check bearings for wear or damage. replace bearings as needed. - * * wheel inspection : * * examine the wheels for any damage or wear. repair or replace damaged wheels. - * * environmental protection : * * protect the nibp monitor from exposure to extreme temperatures, moisture, or excessive dust by storing it in a designated area. @topic:24


# # # issue - motor for height adjustment is not functioning. # # # impact - inability to adjust bed height, affecting patient comfort and safety. # # # possible causes - motor failure due to age or wear and tear. - electrical fault in the motor circuit. - loose or damaged wiring connections. - control panel malfunction. # # # recommendations - replace the faulty motor with a compatible new one. - inspect and repair any electrical faults in the motor circuit. - tighten or replace loose wiring connections. - evaluate the control panel for any defects and repair or replace as necessary. - regularly maintain and calibrate the bed to prevent future issues. @topic:1


# # # issue - bed is in poor condition - bed rails are rusty # # # impact - bed is not suitable for patient use # # # possible causes - * * equipment has not been properly maintained. * * this could include not following the manufacturer's recommended maintenance schedule, not performing routine inspections, or not repairing the equipment in a timely manner. - * * equipment has been used in a harsh environment. * * this could include being exposed to excessive moisture, heat, or cold, or being used in a way that it was not designed for. - * * equipment has been abused. * * this could include being dropped, knocked over, or used to support weights that it was not designed for. # # # recommendations - * * follow the manufacturer's recommended maintenance schedule. * * this will help to prevent problems from developing and ensure that the equipment is operating at peak performance. - * * perform routine inspections. * * this will help to identify potential problems early on, so that they can be repaired before they become major issues. - * * do not use the equipment in a harsh environment. * * if the equipment must be used in a harsh environment, take steps to protect it from the elements. - * * do not abuse the equipment. * * use the equipment only for its intended purpose and do not overload it. @topic:9


# # # issue - bed adjustment failure # # # impact - patient discomfort or inconvenience - delays in patient care or treatment # # # possible causes - loose power connection # # # recommendations - ensure that power connections are secure and tight - inspect power cords and outlets for any damage or wear - perform regular maintenance checks on equipment to identify and prevent potential issues @topic:9


e td. eaee dk e eter 3 - 3 test recording - reenn ine ae a e a canis abies bene ast suc adi e shetie whee esa ace ton svea ane ersten 3 - 3 accessing the system menut reee ee thc hes he veces seeds seca he vce sed tence e ee e dvds ond s dele a n aeiae, 3 - 4 accessing the system admin menu........... [UNK] 3 - 5 system admin menu options......... ccccccccscssssssecescesseeecesceeseseceseeeeeeseecsecsecsaeeeeceseseeceeeseeeeeceseeaeeaeenaes 3 - 6 enabling demo : mode 26 vite. eee. encoentens a re eek sav ech hae load aeeai 3 - 6 upgrading the softwares ocne onr sae acc ae a seu des she 0es i a i a redd e ie 3 - 7 performing verification : tests ra a e e ds ah a a aea aas aas eeen ae k arae setenas iaae 3 - 10 accessing the system diagnostics menu.......... : cscesccessessceseeeeeeseeecesecaeeeaeeseecaecaaesaecaeeseenseneeeeeas 3 - 10 accessing : maintenance : options eis... 4 scecccsicsscten cacchseesselebdee eee tess eee mteoreeses 3 - 11 visual testo ro es esses, sai ole cacao tet och a eee a ee ee e eel ed n vas dee @topic:10


on page 2 - 5. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 89 4. 29 line filter ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 29 line filter ( b model and newer beds ) tools required : 13 mm socket ratchet needle nose pliers antistatic strap t15 torx® 1 screwdriver t25 torx® screwdriver removal 1. set the brakes. 2. raise the head section to the full up position. warning : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. remove the two screws ( a ) from the retainers ( c ) ( see figure 4 - 38 on page 4 - 91 ). 5. remove the retainers ( c ). 6. remove the three screws ( d ) that attach the power supply cover ( e ) to the power supply ( f ). 7. remove the power supply cover ( e ). note : the power supply cover is connected to the power supply rc. board by the battery cable. 8. disconnect the battery cable from the power supply rc. board. 9. remove the power supply cover ( e ) from the power supply ( f ). 10. note the positions of the cables connected to the line filter ( g ). 1. torx® is a registered trademark of acument intellectual properties, llc. page 4 - 90 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 29 line filter ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures figure 4 - 38. line @topic:26


* * issue : * * bed, electric is not functioning * * impact : * * department 5w is unable to use the bed. * * possible causes : * * * user error : the bed may have been used improperly or without proper training. * mechanical failure : a component of the bed may have failed due to wear and tear or a manufacturing defect. * electrical failure : a problem with the electrical system of the bed may be preventing it from functioning. * environmental factors : the bed may not be functioning properly due to exposure to extreme temperatures, humidity, or other environmental conditions. * * recommendations : * * * inspect the bed for any visible signs of damage or wear and tear. * test the bed's functionality by following the manufacturer's instructions. * contact the manufacturer or a qualified technician to diagnose and repair the problem. * train users on the proper use and maintenance of the bed. * implement regular maintenance and inspection schedules to prevent future failures. @topic:9


# # output # # # issue - cannot login to med cart program # # # impact - delay in patient care, increased workload for staff # # # possible causes - incorrect wifi connection - software issues - hardware issues # # # recommendations - check the wifi connection and make sure it is correct - restart the med cart - contact the vendor for support @topic:13


* * investigate failures : * * thoroughly investigate any failures that occur to identify the root cause and take appropriate corrective action to prevent recurrence. by implementing these recommendations, the healthcare facility can improve the reliability and longevity of its biomedical equipment, ensuring the safety and well - being of patients. @topic:12


# # # issue - the bed is not able to adjust up and down. # # # impact - the patient may not be able to get in or out of bed. - the patient may not be able to be positioned comfortably for treatment. # # # possible causes - the motor that drives the bed up and down is damaged. - the electrical wiring to the motor is damaged. - the control panel for the bed is damaged. # # # recommendations - replace the damaged motor. - repair the damaged electrical wiring. - replace the damaged control panel. @topic:1


# # # issue - cuff of the physiologic bedside monitor is deteriorated. # # # impact - the monitor may not be able to accurately measure the patient's vital signs. # # # possible causes - the cuff may have been damaged due to wear and tear. - the cuff may have been exposed to chemicals or other harsh substances. - the cuff may not have been properly maintained. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - clean the cuff according to the manufacturer's instructions. - store the cuff in a cool, dry place. @topic:5


* * issue : * * medical device ( monitors, physiologic, vital signs ) from philips ( model : suresigns vs3 ) is not able to use lan cable. * * cause of failure : * * testing of vsm ( vital signs module ). * * possible causes : * * - damage to the lan port on the device - incorrect lan cable - incorrect network configuration - software issue * * recommendations : * * - inspect the lan port for any physical damage. - ensure that the correct lan cable is being used. - verify the network configuration settings. - contact the manufacturer for assistance with troubleshooting software issues. @topic:16


# # # issue * bed does not lock in place # # # impact * patient safety hazard * inconvenience for healthcare staff * delays in patient care # # # possible causes * faulty lock mechanism * mechanical failure * electrical [UNK] [UNK] * software bug # # # recommendations * inspect the lock mechanism for damage or wear. * check the electrical connections to the lock mechanism. * update the software on the bed. * replace the lock mechanism if necessary. * train staff on proper use and maintenance of the bed. @topic:6


# # # issue - unable to lower the side rails of a hospital bed. # # # impact - patient safety is compromised as they may fall out of the bed. - difficulty in accessing the patient for care and treatment. # # # possible causes - * * mechanical failure : * * the side rail mechanism may be jammed or broken, preventing it from being lowered. this could be due to wear and tear, improper maintenance, or a manufacturing defect. - * * electrical failure : * * the motor or electrical components responsible for operating the side rails may have malfunctioned, causing them to not respond to commands. - * * obstruction : * * an object or debris may be blocking the side rails from moving freely, preventing them from being lowered. # # # recommendations - * * inspect the mechanical components : * * check for any visible damage, loose connections, or obstructions that may be preventing the side rails from moving. - * * test the electrical system : * * use a voltmeter or other diagnostic tool to ensure that the motor and electrical components are functioning properly. - * * lubricate the moving parts : * * apply a suitable lubricant to the side rail mechanism to reduce friction and ensure smooth operation. - * * clear any obstructions : * * remove any objects or debris that may be blocking the side rails from moving. - * * replace faulty parts : * * if necessary, replace any damaged or faulty mechanical or electrical components to restore functionality. - * * retrain staff on proper operation : * * ensure that hospital staff are trained on the correct procedure for lowering the side rails safely and effectively. - * * regular maintenance : * * establish a regular maintenance schedule to inspect and lubricate the side rail mechanism, as well as test the electrical system to prevent future failures. @topic:6


# # # issue - cuff is not staying on the patient's arm. # # # impact - the patient's vital signs cannot be accurately measured. # # # possible causes - the cuff is the wrong size for the patient. - the cuff is damaged. - the cuff is not being properly inflated. # # # recommendations - check the size of the cuff and make sure it is the correct size for the patient. - inspect the cuff for any damage. - make sure the cuff is being properly inflated. @topic:5


# # # issue - equipment is not functioning properly, specifically with the head adjustment. # # # impact - inability to use the equipment effectively for patient care. # # # possible causes - loose or disconnected wiring within the equipment. - malfunctioning head adjustment mechanism. - faulty electrical components. # # # recommendations - thoroughly inspect the equipment's wiring and connections, ensuring they are secure and intact. - examine the head adjustment mechanism for any visible damage or misalignment. - test the electrical components of the equipment using appropriate diagnostic tools to identify any potential faults. @topic:1


# # # issue - bed adjustment failure # # # impact - inability to position the patient for optimal care - potential discomfort or injury to the patient - interruption of medical procedures # # # possible causes - mechanical failure in the bed's motor or hydraulic system - electrical malfunction in the control panel or wiring - software glitch or programming error - worn or damaged components - insufficient lubrication or maintenance # # # recommendations * * immediate actions : * * - check the bed's power source and ensure it is properly connected. - inspect the bed's electrical cords and connections for any damage or loose connections. - attempt to manually adjust the bed using the mechanical override if available. - if the bed is safe to move, relocate the patient to an alternative bed. * * troubleshooting and repair : * * - diagnose the source of the failure using appropriate testing equipment ( e. g., multimeter, oscilloscope ). - repair or replace faulty components as necessary. - update software or firmware if applicable. - lubricate and maintain the bed according to the manufacturer's instructions. * * preventive measures : * * - implement regular preventive maintenance schedules to identify and address potential issues early. - ensure proper training and supervision of staff on the use and maintenance of the bed. - consider using redundant systems or backup power sources to minimize the impact of equipment failures. - keep a record of all maintenance and repairs performed on the bed for future reference and analysis. @topic:9


a * 8 it is highly recommended that functional lock out should be used whenever a patient is undergoing examination or treatment or when the bed is being serviced or moved. functions should also be locked out when the patient is left unattended and if the nursing staff believes that the patient is not capable of operating the controls independently in safety. it is thus the responsibility of the nursing staff to authorize the patient to use certain bed functions, including the hilow. the trendelenburg / reverse trendelenburg, boost *, chair * and cpr * functions must only be accessible to caregivers. electrical safety when direct intravascular or intracardiac connections are in use, the electric potentials of all the unprotected metal parts need to be equalized. the bed must be connected to a mains electric power supply with earth protection. in an environment where electrostatic discharges are prevalent, we recommend the. the mains power supply for the bed must comply with following standards : nfc 15 - 100 and nf c 15 - 211 ( france ), • international electrotechnical commission ( iec ) 364 for other locations. • check that the bed's power requirements on the identification label ( see " overview " page 13 ) correspond to the power supply voltage of the hospital. age 7 the power supply should be equipped with a maximum 30 ma earth an = 30ma leakage circuit breaker, in compliance with iec 364 - 5 - 53. all the parts of the bed within the patient's reach are applied parts, even if they are under the bed frame. if the integrity of the protective conductor is in doubt, the beds fitted with batteries must be used in battery mode. in compliance with standards relating to electromagnetic interference for medical equipment, this product does not interfere with other medical devices or is not susceptible to interference when combined with other medical devices that also comply with the electromagnetic standards in @topic:9


# # # issue - defective head plug # # # impact - the equipment may not function properly. # # # possible causes - the head plug may have been damaged during shipping or handling. - the head plug may have been improperly installed. - the head plug may have been exposed to excessive heat or moisture. # # # recommendations - replace the head plug with a new one. - ensure that the head plug is properly installed. - protect the head plug from damage by covering it with a plastic bag or other protective material. @topic:12


# # # issue - battery failure in physiologic monitor # # # impact - interruption of patient monitoring - loss of vital data - alarm deactivation # # # possible causes - battery age and degradation - improper charging or maintenance - excessive discharge or overcharging - battery manufacturing defects # # # recommendations - * * preventive maintenance : * * - regularly check battery life and replace as needed - ensure proper charging and maintenance according to manufacturer's guidelines - * * troubleshooting : * * - verify that the battery connections are secure and free from corrosion - try a known - good battery in the device - inspect the device for any signs of damage or electrical issues - * * monitoring : * * - implement battery monitoring systems to track battery health and prevent premature failure - * * staff training : * * - train staff on proper battery handling, charging, and replacement procedures @topic:11


# # # issue - the bed's side rails are not locking properly. # # # impact - this poses a safety hazard for patients, as they could fall out of bed if the rails are not secure. # # # possible causes - the locking mechanism may be damaged or worn out. - the rails may not be properly aligned. - the patient may be too weak or unable to operate the locking mechanism. # # # recommendations - inspect the locking mechanism for damage or wear. - ensure that the rails are properly aligned. - provide the patient with instructions on how to operate the locking mechanism. @topic:6


# # # issue - monitor not linking with central system # # # impact - inability to monitor patient's vital signs remotely - delay in providing timely medical care # # # possible causes - incorrect ip configuration on the server - communication issues between the monitor and the server - faulty network cables or connections # # # recommendations - verify and reconfigure the ip address on the server - check the communication settings on both the monitor and the server - inspect and replace any faulty network cables or connections - update the firmware on the monitor if necessary - contact the manufacturer's technical support for further assistance @topic:16


handle away from the housing to remove it completely. 5 before reinserting the new handle, make sure the metal threads of the handle are pointing towards the back of the rear housing. 173 [ 5 repair and disassembly ] removing 1 2 3 4 5 removing 1 2 the antenna board separate the front and back of the monitor as described in “ separating the front and back of the monitor ” on page 146. remove the rear housing as described in “ removing the rear housing ” on page 169. disconnect all antenna cables from the antenna board. remove the two screws securing the antenna board and pud out the board. reassemble the monitor by performing the above steps in reverse order. before connecting the antenna cables to the antenna board, make sure to puu them through both guidance holes in the metal sheet. the wlan board separate the front and back of the monitor as described in “ separating the front and back of the monitor ” on page 146. remove the rear housing as described in “ removing the rear housing ” on page 169. 174 5 repair and disassembly ) 3 disconnect the wlan antenna cables from the antenna board. 4 remove the screw securing the wlan board and pull out the board. 5 reassemble the monitor by performing the above steps in reverse order. before connecting the antenna cables to the antenna board, make sure to pull them through both guidance holes in the metal sheet. note when replacing the wlan board, the monitor must have the ( hardware ) serial number reloaded. support tool mark2 is required to perform this task. for details please refer to the support tool instructions for use. removing the iit board 1 separate the front and back of the monitor as described in “ separating the front and back of the monitor ” on page 146. 2 remove the rear housing as described in “ removing the rear housing ” on page 169 @topic:19


# # # issue - closed drawer failed # # # impact - the device cannot be used as intended. # # # possible causes - the solenoid nut came loose and obstructed the drawer. # # # recommendations - tighten the loose nut. @topic:21


# # # issue - remote control not functioning # # # impact - impaired functionality of the electric bed - inconvenience and potential safety hazard for patients and healthcare staff # # # possible causes - remote control malfunction due to : - electrical or mechanical failure - damage to the remote control buttons or circuitry - software glitches - battery depletion or failure # # # recommendations - replace the remote control with a new or refurbished unit - inspect the remote control for any visible damage or loose connections - test the remote control on a different bed or with a different set of batteries - update the software of the remote control, if applicable - ensure that the remote control is properly programmed and synchronized with the electric bed - train staff on the proper use and maintenance of the remote control @topic:7


# # # issue - monitor alarm is not sounding # # # impact - inability to alert staff to patient emergencies # # # possible causes - alarm settings are incorrect - alarm speaker is malfunctioning - power issues # # # recommendations - check and correct alarm settings - inspect and repair or replace alarm speaker - check power connections and ensure proper voltage is supplied @topic:26


# # # issue the remote control for the hill - rom centuris electric bed has failed. # # # impact the patient is unable to use the remote control to adjust the bed, which can lead to discomfort or pain. # # # possible causes - the remote control has a defective circuit board. - the remote control has a defective button. - the remote control is not properly paired with the bed. # # # recommendations - replace the remote control. - pair the remote control with the bed. - contact the manufacturer for troubleshooting assistance. @topic:7


on page 5 - 28. the main board malfunctioned. replace the main board. see “ removing the main board ” on page 5 - 31. spo, measurements are unreliable. external problem. for example, excessive patient movement. ensure that all external spo > reading requirements are met and that the patient is not moving excessively. for more information about taking spo > readings, see the suresigns vs4 instructions for use. perfusion is low. reset the spo, function. see “ spo, test ” on page 3 - 13. troubleshooting 4 - 8 suresigns vs4 service guide navigation wheel, touch screen, and key problems troubleshooting tables symptom possible cause action the monitor does not respond to the navigation wheel or front panel keys. the main board has a faulty connection. ensure that all connectors to the main board are seated correctly. the front panel keypad or navigation wheel is broken. replace the membrane switch or navigation wheel. see “ removing the lcd assembly ” on page 5 - 44 or “ removing the navigation wheel assembly board ” on page 5 - 47. the main board malfunctioned. replace the main board. see “ removing the main board ” on page 5 - 31. the membrane switch assembly malfunctioned. replace the front panel. see “ removing the lcd assembly ” on page 5 - 44. pressing a key does not access the expected function. for example, pressing the print key initiates an nbp measurement. the membrane switch assembly malfunctioned. replace the front panel. see “ removing the lcd assembly ” on page 5 - 44. a key is collapsed, or doesn ’ t click when pressed. the membrane switch assembly malfunctioned. replace the front panel. see “ removing the lcd assembly ” on page 5 - 44. the monitor does not respond to the touch @topic:22


# # # issue * medical cart equipment displays a lock icon on the screen. # # # impact * the medcart program is unable to be used, affecting the hospital's ability to provide medical care. # # # possible causes * the key switch on the back of the medical cart equipment may not be in the correct position. * the medcart program may have encountered a software error. # # # recommendations * check that the key switch on the back of the medical cart equipment is in the correct position. * if the key switch is in the correct position, try restarting the medcart program. * if the problem persists, contact bdms for further assistance. @topic:13


44167 451261000561 m3012a front bezel ( cco, press, temp, press / temp ), norwegian not shown m3012 - 44168 451261000571 m3012a front bezel ( cco, press, temp, press / temp ), swedish not shown m3012 - 44169 451261000581 m3012a front bezel ( cco, press, temp, press / temp ), finnish not shown m3012 - 44174 451261000591 m3012a front bezel ( cco, press, temp, press / temp ), portuguese not shown m3012 - 44175 451261000601 m3012a front bezel ( cco, press, temp, press / temp ), greek not shown m3012 - 44177 451261000611 m3012a front bezel ( cco, press, temp, press / temp ), russian not shown m3012 - 44179 451261000621 m3012a front bezel ( cco, press, temp, press / temp ), czech not shown m3012 - 44180 451261000631 m3012a front bezel ( cco, press, temp, press / temp ), polish not shown m3014a # a01 - capnography extension 199 6 parts measurement server extension parts ( m3012a, m3014a, m3015a and m3016a ) part number 12nc part no. description item m3014 - 64131 451261009291 m3014a front bezel ( c0 2 only ) all languages not shown m3014a # c0 @topic:19


##rail mounting bracket 3 rm74803a 6 e - clip 4 72990 2 spring guide, assembly 5 72862 3 screw, hilow 6 151632 1 cover, center ann 7 s10952b 1 pivot pin, center arm, upper 8 71654 1 weldment, center ann assembly 9 s10951b 1 pivot pin, outer arm, upper 10 s10956b 2 pivot pin 11 71086 1 enclosure, center arm 12 71085 1 handle, siderail 13 s40029a 2 siderail arm, painted 14 rm74478a 2 washer, nylon 15 ca0008 1 foot siderail mechanism 16 vi0601a 6 screw 17 s20950f 1 siderail mount, painted 18 71436 1 cover, head 19 71018 1 siderail assembly, foot end, rh 71061 1 siderail assembly, foot end, lh 20 71656 1 label 21 qd1653a 1 level ball 22 72792 1 spring, siderail, foot 23 151315 1 siderail reed switch assembly, f model beds 24 6561406 2 screw careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 89 footboard and headboard — d model and newer beds chapter 5 : parts list footboard and headboard — d model and newer beds figure 5 - 34. footboard and headboard — d model and newer beds m330 3 191 table 5 - 34. footboard and headboard — d model and newer beds item number part number quantity description 1 71650 1 label 2 141203 1 hill - rom label 3 141201 1 footboard or headboard assembly 4 71549 1 cpr label page 5 - 90 careassist® and careassist @topic:26


# # # issue - bed is not adjusting # # # impact - patient may not be able to get in or out of bed - patient may not be able to be positioned comfortably - patient may be at risk for injury # # # possible causes - motor failure - electrical fault - mechanical problem - user error # # # recommendations - inspect the bed for any obvious damage. - check the electrical connections. - test the motor. - check the mechanical components for any loose or damaged parts. - instruct the user on how to properly operate the bed. @topic:1


defective check cable connection between panel adapter board and main board panel adapter board defective. replace panel adapter board. main board defective replace main board. 126 4 troubleshooting symptoms possible causes of failure failure isolation and remedy alarm occurs, but no led lights up environmental lighting too bright place monitor in a darker environment. cable between main board and panel adapter board defective. replace cable. alarm led board cable disconnected reconnect alarm led board to panel adapter board alarm led board defective replace alarm led board panel adapter board defective. replace panel adapter board. main board defective main board alarm tones symptoms possible causes of failure failure isolation and remedy inop message speaker malfunction is displayed speaker cable disconnected reconnect speaker cable cable between power switch / ecg sync out board and main board disconnected. check connection between power switch / ecg sync out board and main board. speaker defective replace speaker sound amplifier on main board defective replace main board alarm occurs but no alarm sound is issued audible alarm indicators have been switched off switch audible alarm indicators back on volume set to 0 increase volume speaker defective replace speaker sound amplifier on main board defective replace main board alarm behavior if your monitor did not alarm in the way in which the end user expected, please consult the instructions for use for possible setup issues or configuration settings which could affect alarm behavior. individual parameter inops if any of the following parameter inop messages are issued try the respective parameter in another device. if the inop message persists replace the parameter module, the mms or other indicated device. c02 equip malf ecc equip malf nbp equip malf 127 [ 4 troubleshooting printer ] • < pressure label > equip malf • resp equip malf • sp02 equip malf • sp02 transduc malf • < tenip label > e @topic:16


# # # issue - keypad failure on both sides of the bed, preventing adjustment of bed height. # # # impact - inability to adjust bed height, which may affect patient comfort, safety, and treatment. # # # possible causes - broken or disconnected wires in the keypad circuit. # # # recommendations - replace the faulty keypads. - inspect the wiring connections to the keypad to ensure they are secure and undamaged. - test the functionality of the bed after the repair to ensure it is operating correctly. @topic:25


# # # issue - drawer cannot close properly # # # impact - impaired functionality of the medical cart # # # possible causes - loose and protruding nut # # # recommendations - tighten the nut back into place @topic:21


# # # issue * the bedside physiologic monitor ( bis vista ) is not displaying accurate patient data. # # # impact * this could lead to inaccurate patient monitoring and treatment decisions. # # # possible causes * * * equipment malfunction : * * the monitor's display may be faulty, the sensors may be damaged, or the monitor may not be properly calibrated. * * * user error : * * the monitor settings may be incorrect or the user may be operating the device incorrectly. * * * environmental factors : * * the monitor may be located in an area with excessive heat, humidity, or electromagnetic interference. # # # recommendations * * * check the monitor settings : * * ensure that the monitor is set to the correct mode and that the alarm limits are appropriate. * * * inspect the sensors : * * verify that the sensors are properly connected to the patient and that the cables are not damaged. * * * calibrate the monitor : * * follow the manufacturer's instructions to calibrate the monitor regularly. * * * check the environment : * * ensure that the monitor is located in an area that meets the manufacturer's specifications for temperature, humidity, and electromagnetic interference. * * * contact the manufacturer : * * if the problem persists, contact the manufacturer for technical support. @topic:20


# # # issue - motor failure # # # impact - the bed is unable to move up or down. - this can cause discomfort and inconvenience for the patient. - it can also delay or prevent medical procedures from being performed. # # # possible causes - electrical failure - mechanical failure - software failure # # # recommendations - inspect the motor for any visible damage or loose connections. - test the motor with a multimeter to check for continuity and resistance. - if the motor is damaged, it will need to be replaced. - if the motor is not damaged, the problem may be with the electrical wiring or the software. - a qualified technician should be consulted to diagnose and repair the problem. @topic:9


# # # issue - lcd monitor failure # # # impact - inability to display patient data and medical images - delays in diagnosis and treatment - increased risk of patient harm # # # possible causes - * * faulty power supply : * * loose or damaged power cables, faulty adapter, or power surges - * * display panel issues : * * internal hardware failure, impact damage, or moisture intrusion - * * motherboard failure : * * malfunctioning components on the monitor's motherboard - * * software glitches : * * corrupted firmware or operating system - * * loose or damaged connections : * * internal cables or external ports may have become loose or disconnected # # # recommendations - * * troubleshooting power supply : * * inspect power cables and adapter, ensure secure connections, and check for power surges. - * * inspect display panel : * * look for visible damage or cracks, and check for signs of moisture intrusion. - * * check motherboard : * * inspect components for overheating, bulging capacitors, or loose connections. - * * update software : * * install the latest firmware or operating system if available. - * * tighten connections : * * secure any loose cables or ports both internally and externally. - * * consider external monitor : * * if the issue cannot be resolved, consider using an external monitor as a temporary solution. @topic:2