# # # issue - graph not displaying on the physiologic monitor # # # impact - inability to monitor patient's vital signs # # # possible causes - faulty lcd display - loose connection between the display and the monitor - software glitch - lack sensor failure # # # recommendations - replace the lcd display - check and tighten all connections - update the software - replace the lack sensor @topic:2


* * possible causes : * * * * issue : * * equipment not charging * * possible causes : * * - faulty charger or charging cable - battery not making proper contact with the charging terminals - battery has reached its end of life - electrical issue with the device * * issue : * * cuff deterioration * * possible causes : * * - cuff has been stretched or torn - cuff has been exposed to chemicals or moisture - cuff is old and has lost its elasticity * * recommendations : * * * * for charging issue : * * - check the charger and cable for damage. - clean the charging terminals on the device and battery. - replace the battery if necessary. - contact the manufacturer if the issue persists. * * for cuff deterioration : * * - replace the cuff with a new one. - ensure the cuff is properly sized for the patient. - store the cuff in a cool, dry place when not in use. @topic:5


# # # issue - equipment : bed, electric - brand : huntleigh - model : contoura 360 - description : technician found that the signal cable at the control box was loose, reinserted it, and tested the device to confirm functionality. # # # impact - the loose signal cable prevented the device from functioning properly. # # # possible causes - improper handling or storage of the equipment, leading to damage to the signal cable. - wear and tear over time, causing the cable to become loose. # # # recommendations - ensure proper handling and storage of the equipment to prevent damage to cables and other components. - conduct regular inspections and maintenance to identify and address potential issues, such as loose cables, before they cause malfunctions. - train staff on proper handling and maintenance procedures to minimize the risk of equipment damage. @topic:7


# # # issue - medical cart cannot power on and function normally. # # # impact - unable to use the cart for medical purposes, which can impact patient care and workflow. # # # possible causes - ssd failure due to extended usage. # # # recommendations - replace the ssd with a new one to restore functionality. @topic:13


# # # issue - the bed is not adjustable. # # # impact - the patient may not be able to get into or out of bed comfortably. - the patient's safety may be compromised if they are unable to adjust the bed to a comfortable position. # # # possible causes - the remote control is broken. - the bed motor is not working. - the bed frame is damaged. # # # recommendations - replace the remote control. - repair or replace the bed motor. - repair or replace the bed frame. @topic:1


# # # issue - equipment : bed, electric - band : hill - rom - model : 900b - issue : bed remote control cord is broken # # # impact - the patient may not be able to control the bed's functions, such as raising or lowering the bed, adjusting the headrest, or turning on the lights. - this could lead to discomfort, inconvenience, or even injury. # # # possible causes - the cord may have been damaged by being pinched or pulled. - the cord may have been chewed by rodents. - the cord may have deteriorated over time due to exposure to heat or moisture. # # # recommendations - inspect the cord for damage. - if the cord is damaged, replace it with a new cord. - if the cord is not damaged, check the connections at both ends of the cord. - make sure that the cord is not pinched or pulled. - protect the cord from rodents by storing it in a safe place. - regularly inspect the cord for signs of deterioration. @topic:7


# # # issue - faulty cable # # # impact - interruption of patient monitoring # # # possible causes - wear and tear - damage during handling - improper maintenance # # # recommendations - regular inspection and preventive maintenance of equipment and cables - proper handling and storage of equipment and cables - use of high - quality cables and connectors - training of staff on proper handling and maintenance of medical devices @topic:2


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - issue : drawer cannot be opened # # # cause of failure - key has become stuck in the open position # # # possible causes - key has been inserted incorrectly - key has been damaged - lock has become jammed # # # recommendations - check that the key is inserted correctly - replace the key if it is damaged - contact a locksmith to repair the lock @topic:21


# # # issue - remote control on the left side of the bed is not functioning # # # impact - inability to adjust bed parameters, such as height, position, etc., which can hinder patient comfort and safety # # # possible causes - damaged electrical components in the remote control - faulty wiring or loose connections - software issues or bugs in the remote control system - mechanical failure in the bed's adjustment mechanism # # # recommendations - thoroughly inspect the remote control for any visible damage or loose components. - test the electrical continuity of the remote control using a multimeter to identify any open circuits or shorts. - check the wiring harness and connections between the remote control and the bed to ensure they are secure and free of breaks. - update the software on the remote control or bed system if applicable. - consult the manufacturer's maintenance manual or seek assistance from a qualified biomedical engineer if necessary. @topic:7


# # # issue : - equipment malfunction due to damaged power cord. # # # impact : - the bed is temporarily unavailable for patient use. # # # possible causes : - the power cord was accidentally severed or damaged. - the power cord was not properly secured during installation or maintenance. - the power cord was subjected to excessive wear and tear over time. - a manufacturing defect in the power cord. - the bed alarm is faulty and caused a short circuit in the power cord. # # # recommendations : - inspect the power cord for any visible damage and replace if necessary. - ensure that the power cord is properly secured and protected from damage. - regularly inspect and maintain the equipment to prevent future failures. - contact the manufacturer to report the issue and request a replacement power cord if necessary. - check the bed alarm and replace it if it is found to be faulty. @topic:26


# # # issue - the beneview t1 monitor is unable to measure spo2 due to a bent pin in the spo2 cable. # # # impact - the monitor cannot accurately measure the patient's oxygen saturation, which could lead to incorrect medical decisions. # # # possible causes - the spo2 cable was bent or damaged during use. - the pin was not properly inserted into the monitor. - the monitor is not properly calibrated. # # # recommendations - inspect the spo2 cable for damage and replace it if necessary. - ensure that the pin is properly inserted into the monitor. - calibrate the monitor according to the manufacturer's instructions. @topic:4


# # # issue - keyboard failure, specifically failure of the numeric keypad. # # # impact - impaired functionality of the medical cart, limiting the ability to input data and control the device effectively. this can impact the efficiency and safety of medical procedures. # # # possible causes - * * wear and tear : * * prolonged use and repeated keystrokes can lead to mechanical wear of the keyboard components. - * * accidental damage : * * physical impacts, spills, or improper handling can damage the keyboard's electrical circuits or internal components. - * * manufacturing defects : * * faulty components or assembly issues can result in keyboard malfunction from the start. - * * electrical issues : * * power surges or fluctuations can damage the keyboard's internal circuitry. - * * software glitches : * * compatibility issues between the keyboard and the cart's operating system or software can cause keyboard malfunction. # # # recommendations - * * replace the keyboard : * * the most direct solution is to replace the faulty keyboard with a new one that is compatible with the medical cart. ensure that the replacement keyboard is of high quality and has a warranty for peace of mind. - * * identify the root cause : * * to prevent recurrence, investigate the underlying cause of the keyboard failure. check for any signs of physical damage, software incompatibilities, or electrical issues. if a manufacturing defect is suspected, contact the manufacturer for further assistance. - * * regular maintenance : * * implement a regular maintenance schedule for the medical cart, including periodic cleaning, inspections, and firmware updates. proper maintenance can extend the lifespan of the keyboard and reduce the risk of failures. - * * training and user education : * * educate users on proper handling and usage of the medical cart to minimize the risk of accidental damage. @topic:27


# # # issue - cuff damage # # # impact - inability to accurately measure blood pressure. # # # possible causes - cuff not properly attached to the patient - cuff is too small or too large for the patient - cuff has a hole or tear - cuffbladder is damaged # # # recommendations - ensure that the cuff is properly attached to the patient and is the correct size. - inspect the cuff for any holes or tears. - replace the cuff if it has any damage. - retrain the staff on proper use of the equipment. @topic:3


# # # issue - cuff on the nibp monitor has deteriorated # # # impact - accurate blood pressure measurements cannot be obtained. # # # possible causes - cuff has been used for an extended period of time. - cuff has been exposed to moisture or chemicals. - cuff has been over - inflated. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - do not over - inflate the cuff. - store the cuff in a dry and clean environment. @topic:15


# # # issue - malfunctioning central monitor # # # impact - interruption of patient monitoring - potential for patient harm # # # possible causes - * * electrical issue : * * faulty wiring or internal components within the monitor may be causing a short circuit or other electrical malfunction, leading to smoke and a burning smell. - * * overheating : * * excessive heat buildup due to extended use or a malfunctioning cooling system can cause internal components to overheat and produce a burning odor. - * * component failure : * * a malfunctioning or damaged display panel or other electronic components within the monitor can cause a burning smell and lead to monitor failure. # # # recommendations - * * immediate actions : * * - unplug the monitor from the power source immediately to prevent further damage. - ventilate the area where the monitor is located to remove any smoke or fumes. - notify the appropriate personnel ( e. g., biomedical engineering department, facility management ) of the issue. - * * troubleshooting and repair : * * - once the monitor is safe to handle, investigate the cause of the failure by inspecting the wiring, internal components, and display panel for any visible damage or loose connections. - replace any damaged components or repair any faulty wiring as necessary. - ensure that the cooling system is functioning properly to prevent overheating. - * * preventive measures : * * - regular maintenance and inspection of the monitor can help identify potential issues early on and prevent major failures. - proper disposal of the malfunctioning monitor to ensure safe handling of any hazardous materials. @topic:2


# # # issue : * left side of the bed is not functioning properly. # # # impact : * patient discomfort and inconvenience. * difficulty in providing proper care and treatment. # # # possible causes : * faulty remote control ( as mentioned in the input ). * electrical connection issues. * mechanical problems within the bed's mechanism. * software malfunctions. * overload or misuse of the bed. # # # recommendations : * * immediate actions : * * * check and replace the remote control if it is identified as the cause of failure. * perform electrical safety checks and ensure proper connections. * inspect the bed's mechanical components for any visible damage or wear and tear. * * further evaluation and repair : * * * if the issue persists after basic troubleshooting, further evaluation by a qualified biomedical engineer may be necessary. * this may involve diagnostic testing, software updates, or repair of damaged components. * * preventive measures : * * * regular maintenance and inspection of the bed to identify potential problems early on. * proper handling and use of the bed to prevent overloading or misuse. * training staff on the correct operation and maintenance procedures for the bed. * maintaining a record of maintenance and repairs to track any recurring issues or patterns. @topic:7


* * calibrate the monitor : * * the monitor may need to be calibrated in order to function properly. the user manual for the monitor should contain instructions on how to calibrate the monitor. @topic:2


# # # issue - broken wheel lock # # # impact - bed is difficult to move - patient may be at risk if bed cannot be moved quickly # # # possible causes - wear and tear - excessive weight on the bed - impact damage - manufacturing defect # # # recommendations - replace the broken wheel lock - inspect the other wheel locks for signs of wear or damage - ensure that the bed is not overloaded - handle the bed carefully to avoid impact damage @topic:6


underlying hardware failures within the monitor or speaker. @topic:2


# # # issue monitor mri was borrowed by another department. # # # impact the mri monitor is not available for use in the bme department. # # # possible causes the mri monitor was borrowed by the x - ray department without proper documentation or notification to the bme department. # # # recommendations - establish a clear borrowing policy and procedure to ensure that all borrowed equipment is properly documented and accounted for. - train staff on the borrowing policy and procedure. - implement a system to track borrowed equipment and ensure its timely return. @topic:12


# # # issue - * * the bed, electric, huntleigh 25800 e / l is not functioning. * * # # # impact - the patient or healthcare professional may not be able to use the bed as intended. - this could lead to discomfort, pain, or injury. # # # possible causes - * * the remote control cable is damaged. * * - * * the remote control is not functioning properly. * * - * * the bed motor is not functioning properly. * * # # # recommendations - * * inspect the remote control cable for damage. * * if the cable is damaged, replace it. - * * test the remote control to ensure that it is functioning properly. * * if the remote control is not functioning properly, replace it. - * * inspect the bed motor for damage. * * if the bed motor is damaged, replace it. @topic:7


# # # issue - deteriorated blood pressure cuff. # # # impact - inaccurate blood pressure readings. - delayed or incorrect diagnosis. - patient safety risk. # # # possible causes - age and wear and tear. - exposure to chemicals or fluids. - improper storage or handling. # # # recommendations - regularly inspect the blood pressure cuff for signs of deterioration, such as cracks, tears, or leaks. - replace the cuff promptly if any damage is found. - store the cuff in a cool, dry place. - avoid exposing the cuff to chemicals or fluids. - use the cuff only in accordance with the manufacturer's instructions. @topic:3


# # # issue - cuff is damaged # # # impact - vital signs monitor cannot accurately measure blood pressure # # # possible causes - cuff is old and worn - cuff has been damaged by improper use - cuff has been punctured # # # recommendations - replace the cuff with a new one - inspect the cuff regularly for signs of wear and tear - use the cuff properly according to the manufacturer's instructions @topic:3


# # # issue : bed not adjusting in height # # # impact : patient discomfort, difficulty in providing care # # # possible causes : - * * electrical issue : * * faulty wiring, loose connections, or malfunctioning motor - * * mechanical issue : * * damaged gears, bearings, or hydraulic system - * * software issue : * * errors in the control system or firmware - * * other : * * obstruction in the bed frame, excessive weight on the bed, or improper use # # # recommendations : - * * electrical troubleshooting : * * check wiring, connections, and motor for any faults. repair or replace as necessary. - * * mechanical inspection : * * examine gears, bearings, and hydraulic system for damage or wear. repair or replace the affected components. - * * software updates : * * update the control system or firmware to address any known issues or bugs. - * * repositioning : * * ensure there are no obstructions in the bed frame and that the weight on the bed does not exceed the recommended capacity. - * * training : * * provide proper training to staff on the correct operation and maintenance of the bed. @topic:1


* * issue : * * battery charging issue in a vital signs monitor * * impact : * * inability to use the monitor for patient care, potentially compromising patient safety * * possible causes : * * * * * faulty battery : * * the battery may have reached the end of its lifespan or may have a manufacturing defect. * * * faulty charging circuitry : * * the circuit that charges the battery may be damaged or malfunctioning, preventing the battery from receiving power. * * * corrosion or dirt on contacts : * * the contacts between the battery and the charging circuitry may be corroded or dirty, inhibiting proper charging. * * * incorrect charging procedure : * * the battery may not be properly inserted or connected to the charger, preventing charging. * * recommendations : * * * * * verify charging procedure : * * ensure that the battery is correctly inserted and connected to the charger. * * * inspect contacts : * * check the contacts between the battery and the charging circuitry for corrosion or dirt. clean or repair as necessary. * * * replace battery : * * if the battery is old or damaged, replace it with a new one. * * * test charging circuitry : * * use a multimeter or other testing device to verify that the charging circuitry is functioning correctly. * * * contact manufacturer : * * if the problem persists after troubleshooting, contact the manufacturer for further assistance. @topic:11


# # # issue - cuff deterioration due to aging # # # impact - inaccurate vital signs monitoring # # # possible causes - * * extended use and wear * * : cuffs are subjected to repeated inflation and deflation cycles, which can cause the material to weaken and deteriorate over time. - * * improper storage * * : cuffs should be stored in a cool, dry environment when not in use. exposure to extreme temperatures or humidity can accelerate deterioration. - * * chlorine exposure * * : if the cuff is used in an environment with high chlorine levels ( e. g., near a swimming pool ), the chlorine can damage the cuff material. - * * medical cleaning agents * * : certain cleaning agents used in healthcare settings can also weaken cuff material. # # # recommendations - * * regular maintenance * * : cuffs should be inspected regularly for signs of wear and tear, and replaced as needed. - * * proper storage * * : store cuffs in a cool, dry environment when not in use. - * * avoid exposure to harsh conditions * * : protect cuffs from excessive heat, humidity, and chlorine exposure. - * * use recommended cleaning agents * * : follow the manufacturer's instructions for cleaning and disinfecting cuffs to avoid damaging the material. - * * train staff * * : educate healthcare professionals on proper cuff handling and maintenance to extend their lifespan. @topic:5


. path to active directory server cannot be reached check network topology to ensure there's a valid path from the device to the active directory server. time zone is configured incorrectly confirm the device's time zone configuration is set to the date / time is incorrect on the device dst adjustment is not configured correctly configure the dst setting appropriately ( enable or disable dst adjustment epending on location ). service manual connex direct 245 ossible causproblem the device is syncing time to a different source than the the network configure the device to configure its date and time to the same source as the rest of he network. failed to identify a patient the device is not connected to a network and therefore does not have an ip address verify that the device has an ip address : settings > advanced the device does not have a properly configured hl7 erver connection verify the server configuration on the device : settings > advanced > network > servera. " server connectivity " = direct emr connection. b. " host ip " is selected. c. the proper address appears in the " host address " field ( fqdn or ip address ). d. the proper port appears in the " host port " field. scanned patient id is not the verify the patient id scanned is valid patient id barcodverify the patient id scannein the host database. scanned patient id could not be found in the host database containing the patient census the hl7 host is not properly configured to receive census query requests verify that the host is configured to receive census query requests on the configured portverify that the network's tchost port is open. your network firewall is blocking the tcp port used for the hl7 host connection server authentication failed load the proper root certificate on the server and the proper ca root certificate in the device @topic:16


# # # issue the battery of the medical cart is draining rapidly. # # # impact the medical cart may not be able to be used for extended periods of time, which could impact patient care. # # # possible causes - the battery is not properly connected. - the battery is not charging properly. - the battery is old and needs to be replaced. # # # recommendations - check the battery connections. - check the battery charger. - replace the battery if it is old or damaged. @topic:13


##b ( 1. 5 mdult thig44 - 56 cor 5 - 45 clarge adult x - long 1599b ( 3 mm4557b ( m4557b55 - 45 cm4556b ( m4556b5 ) dult x - lon27. 5 - 36 cm 4555b ( m4555b527. 5 36 cm adult 4554b ( m4554b520. 5 28. 5 cm small adult m4553b ( m4553b5pediatric 14 - 21. 5 cm 4552b ( m4552b50 - 15 cinfant adult / pediatric reusable easy care cuff kits part no. cuff kits 864288 864289 assortment pack of one small adult, one adult, one large adult and one thigh cuff assortment pack of one infant, one pediatric, one small adult and one adult cuff assortment pack of one infant, one pediatric, one small adult, one adult, one large adult and 864290 864288 864289 assortment pack of one small adult, one adult, one adult x - long, one large adult, one large 864291 adult x - long and one thigh cuff adult / pediatric multi care cuffs atient categorlimb circumference part no. tubing 1598b ( 1. 5 mdult thig42. 0 54. 0 cm 989803183371 989803183361 989803183351 989803183341 989803183331 989803183321 989803183311 or 34. 0 43. 0 cm 1599b ( 3 mlarge adult x - long 27. 0 35. 0 cm adult 27. 0 35. 0 cm 20. 5 28. 0 cm @topic:8


* * issue : * * scanner malfunction * * impact : * * equipment downtime, delayed patient care * * possible causes : * * - * * equipment misplacement : * * scanner was inadvertently placed on the wrong medical cart. * * recommendations : * * - * * proper equipment labeling : * * ensure that medical equipment is clearly labeled with its intended placement to prevent misplacement. - * * regular equipment inspections : * * conduct routine inspections of medical equipment to verify its proper placement and functionality. - * * staff training : * * train staff on the importance of proper equipment handling and placement. - * * error reporting system : * * implement a system for staff to report equipment issues promptly, enabling timely troubleshooting and resolution. - * * preventive maintenance : * * schedule regular preventive maintenance checks to identify and address potential equipment issues before they escalate into failures. @topic:23


# # # issue - boot failure of medical cart. # # # impact - inability to use the medical cart for patient care. # # # possible causes - * * hard drive failure * * : the hard drive may have failed, preventing the cart from booting into the windows operating system. - * * operating system corruption * * : the windows operating system may have become corrupted, preventing the cart from booting properly. - * * bios settings * * : the bios settings may have been misconfigured, preventing the cart from booting from the correct device. - * * hardware failure * * : a hardware component such as the motherboard or power supply may have failed, preventing the cart from booting. # # # recommendations - * * check the hard drive * * : verify that the hard drive is functioning properly by running diagnostics or attempting to boot from an external drive. - * * reinstall the operating system * * : if the hard drive is functioning properly, reinstall the windows operating system to resolve any corruption issues. - * * verify bios settings * * : ensure that the bios settings are configured correctly for the cart to boot from the appropriate device. - * * replace hardware components * * : if hardware failure is suspected, replace the affected components as necessary. @topic:13


# # # issue the bed, electric, hill - rom, care assist es is unable to adjust the head up and down. # # # impact patients may be unable to get into or out of bed safely. # # # possible causes * * 1. the bed's lock button is engaged. * * * * 2. the bed's motor or gears are damaged. * * * * 3. the bed's electrical system is faulty. * * # # # recommendations * * 1. check the bed's lock button to ensure that it is disengaged. * * * * 2. if the lock button is disengaged, test the bed's motor and gears by manually adjusting the head up and down. * * * * 3. if the motor and gears are functioning properly, check the bed's electrical system for any loose connections or damaged wires. * * * * 4. if the electrical system is functioning properly, the bed may need to be repaired or replaced. * * @topic:1


# # # issue * spo2 sensor cable is broken internally, resulting in failure to measure patient's vital signs. # # # impact * inaccurate or missing vital sign data, which can delay or hinder patient care and compromise patient safety. # # # possible causes * physical damage to the cable due to mishandling, improper storage, or excessive bending. * internal cable defects or manufacturing faults. * prolonged use, wear and tear, or aging of the cable. # # # recommendations * * * replace the damaged cable : * * install a new, properly functioning spo2 sensor cable to restore vital sign monitoring. * * * inspect the new cable carefully : * * ensure that the new cable is free from any physical damage or defects before use. * * * handle the cables with care : * * avoid excessive bending, pulling, or mishandling of the cables to prevent future damage. * * * store the cables properly : * * store the cables in a designated, protected area away from potential hazards and environmental factors. * * * establish a regular maintenance schedule : * * schedule periodic inspections and preventive maintenance to identify and address potential issues with the spo2 cables and other biomedical equipment. * * * train staff on proper handling and care : * * educate healthcare professionals on the importance of proper handling and storage of biomedical equipment to minimize the risk of damage. @topic:4


# # # issue - cuff is deteriorated. # # # impact - the device may not be able to accurately measure vital signs. - the device may not be able to inflate or deflate the cuff. # # # possible causes - the cuff may be old and worn. - the cuff may have been exposed to excessive heat or moisture. - the cuff may have been damaged during use. # # # recommendations - replace the cuff. - inspect the cuff for signs of wear or damage. - store the cuff in a cool, dry place. @topic:5


# # # issue - the physiological vital signs monitor is not taking bp readings. # # # impact - the monitor is unable to provide accurate bp readings, which can lead to delayed or incorrect treatment decisions. # # # possible causes - loose or damaged connection at the point of connection. # # # recommendations - technician performed a thorough inspection and found a leak at the point of connection. the point of connection has been replaced, and the monitor is now able to take bp readings accurately. @topic:15


* * possible causes : * * * adjustment of the basket to an excessively high level, making it difficult for users to interact with it. * improper alignment of the basket, leading to interference with other components or difficulty in using it. * damage to the basket adjustment mechanism, resulting in improper positioning. * * recommendations : * * * inspect the basket adjustment mechanism for any damage or malfunction. * adjust the basket to an appropriate level that ensures both accessibility and proper interaction with the user. * ensure that the basket is aligned correctly and does not interfere with other components. @topic:24


# # # issue - battery failure # # # impact - vital signs monitor cannot display patient data accurately # # # possible causes - battery is old and worn out - battery is not properly connected - battery is not compatible with the monitor # # # recommendations - replace the battery with a new one - check the battery connections to ensure they are secure - verify that the battery is compatible with the monitor @topic:11


vented to air and try again. if this fails, the hardware may be faulty. replace the adapter cable and try again. if it fails, replace the transducer and try again. if it still fails, contact your service personnel. unable to zero - unstable signal 190 adjusting the calibration factor 12 monitoring invasive pressure message corrective action unable to zero - no transducer make sure that the transducer is connected and try again. if this fails, exchange the adapter cable and try again. if this fails, exchange the transducer. unable to zero - pulsatile pressure make sure that the transducer is vented to air, not to the patient, and try again. unable to zero - timed out try pressing the zero key again. if this fails, replace the transducer and adapter cable and contact your service personnel. switch < press > on first pressure measurement is switched off. to switch it on, in the setup pressure menu, select the pressure ’ s label. adjusting the calibration factor each time you use a reusable transducer, compare the calibration factor written on your transducer with the calibration factor shown on the monitor. to ensure accurate measurement, they must be the same. 1 in the setup < press > menu, select cal. factor. if the value here does not match that on the transducer, select the corresponding value from the list now in accordance with your hospital ’ s procedure. 2 to confirm you want to use the new calibration factor, select the confirm popup. displaying a mean pressure value only use this when you want to see only the mean pressure. ♦ in the pressure ’ s setup menu, select mean only. toggle between on to display mean pressure value only, and off to display all pressure values ( systolic, diastolic and mean @topic:17


* * issue : * * button lock is stuck and unable to make adjustments. * * impact : * * prevents proper positioning and use of the bed. * * possible causes : * * * * * malfunctioning button lock : * * the button lock mechanism may be faulty or damaged, causing it to stick. * * * broken or misaligned button : * * the button that activates the lock may be broken or misaligned, preventing it from functioning properly. * * * electrical issue : * * an electrical short or fault can interfere with the operation of the lock mechanism. * * * obstruction : * * debris or foreign objects may have become lodged in the lock mechanism, [UNK] [UNK] [UNK] [UNK] [UNK] 。 * * * incorrect assembly : * * the bed may not have been assembled correctly, [UNK] [UNK] [UNK] 定 [UNK] [UNK] [UNK] 法 正 [UNK] [UNK] [UNK] 。 * * recommendations : * * * * * inspect the button lock : * * check if the lock is properly seated and undamaged. * * * test the button : * * activate the lock button and observe its movement to determine if it is functioning correctly. * * * check for obstructions : * * look for any visible debris or foreign objects that may be interfering with the lock mechanism. * * * verify assembly : * * ensure that the bed is assembled according to manufacturer specifications. * * * contact the manufacturer : * * if the issue cannot be resolved through basic troubleshooting, reach out to the manufacturer for technical assistance. @topic:6


# # # issue * equipment : bed, electric * band : seers medical * model : sm8563 * description : technician tightened the loose nut and the device is now functioning normally. # # # impact * the loose nut could have caused the equipment to malfunction, leading to patient harm. # # # possible causes * the nut may not have been properly tightened during initial assembly. * the nut may have loosened over time due to vibration or other factors. * the nut may have been damaged, causing it to loosen. # # # recommendations * ensure that all nuts are properly tightened during assembly and maintenance. * regularly inspect equipment for loose nuts and bolts. * replace damaged nuts and bolts immediately. * train technicians on the proper tightening procedures for medical equipment. @topic:9


# # # issue - spo2 sensor readings are unavailable because of a lack of electrical output. # # # impact - patients'oxygen saturation levels cannot be accurately monitored, which can lead to delayed or incorrect treatment decisions. # # # possible causes - damaged spo2 sensor cable - faulty electrical connections - problems with the intellivue mx700 monitor # # # recommendations - replace the damaged spo2 sensor cable. - inspect and tighten electrical connections. - test the intellivue mx700 monitor to ensure proper functionality. @topic:4


# # # issue the wheels of the medical cart are stiff and difficult to move. # # # impact the medical cart cannot be easily moved, which can hinder patient care and safety. # # # possible causes - the wheels may be dirty or rusty. - the bearings in the wheels may be worn out. - the wheel axles may be bent or misaligned. - the tires may be flat. # # # recommendations - clean the wheels and bearings with a mild soap and water solution. - inspect the bearings for wear and replace them if necessary. - inspect the wheel axles for bends or misalignment and correct them if necessary. - inflate the tires to the proper pressure. @topic:24


# # # issue - basket detached from the cart # # # impact - inconvenience for medical personnel and patients # # # possible causes - loose nut # # # recommendations - tighten the loose nut @topic:24


# # # issue - adjustable knee down function is not working. # # # impact - patient is unable to use the bed properly. # # # possible causes - loose control box. - faulty knee motor or gear. - electrical wiring issue. - control panel malfunction. # # # recommendations - tighten the loose control box. - check the knee motor and gear for any damage or wear. - ensure that the electrical wiring is securely connected. - test the control panel to verify its functionality. @topic:9


# # # issue - central monitor cannot access its program, causing it to malfunction. # # # impact - inability to monitor patient vitals and provide necessary medical interventions. # # # possible causes - software glitches or crash - hardware malfunction - damaged or corrupted data files - power surges or interruptions - firmware update issues - component burnout # # # recommendations - check for any software updates or patches that may resolve the issue. - inspect hardware connections and ensure they are secure. - run diagnostic tests to identify any faulty components. - restore or backup any corrupted data files. - ensure proper power supply and surge protection. - contact the manufacturer for technical support or replacement parts. @topic:2


# # # issue - external co2 is intermittent # # # impact - accurate monitoring of patient's respiratory status may be compromised. # # # possible causes - faulty co2 sensor - loose or damaged co2 sensor cable - problem with the external co2 source - interference from other devices # # # recommendations - check the co2 sensor and its cable for any damage or loose connections. - verify that the external co2 source is providing a stable signal. - test the co2 sensor using a known good gas source. - if the issue persists, consult the manufacturer's technical support or a qualified biomedical engineer for further troubleshooting and repair. @topic:4


# # # issue the capnograph machine is making a loud noise. # # # impact the loud noise may be disruptive to patients and staff, and may make it difficult to use the machine effectively. # # # possible causes * the machine may be malfunctioning. * the machine may be improperly lubricated. * the machine may be vibrating against a surface. # # # recommendations * inspect the machine for any obvious signs of damage or malfunction. * check the lubrication of the machine and lubricate it if necessary. * ensure that the machine is not vibrating against any surfaces. * if the problem persists, contact the manufacturer for further assistance. @topic:24


# # # issue - motor not adjusting up and down # # # impact - bed cannot be adjusted to desired height for patient care - inconvenience for patients and staff # # # possible causes - faulty motor - wiring issue - control board malfunction - software glitch # # # recommendations - inspect the motor for any visible damage or wear - check the wiring for any loose connections or breaks - verify the control board is functioning properly - update software if necessary - contact manufacturer for further assistance if problem persists @topic:1


# # # issue the cause of failure is " swapped ear thermometer ". # # # impact - incorrect temperature readings - potential for misdiagnosis or incorrect treatment # # # possible causes - equipment was not properly labeled or identified. - equipment was not stored or transported properly, leading to damage or misalignment. - equipment was not calibrated or maintained according to manufacturer's specifications. - user error during equipment setup or operation. # # # recommendations - ensure that equipment is properly labeled and identified to avoid confusion. - store and transport equipment according to manufacturer's instructions to prevent damage. - calibrate and maintain equipment according to manufacturer's specifications to ensure accuracy. - train users on proper equipment setup and operation to minimize user error. @topic:20


# # # issue the welch allyn 71wx vital signs monitor is not charging. # # # impact the monitor cannot be used to measure vital signs, which could delay or compromise patient care. # # # possible causes * faulty battery * faulty charging cable * faulty charging port on the monitor * software issue # # # recommendations * try using a different battery. * try using a different charging cable. * check the charging port on the monitor for damage. * contact the manufacturer for technical support. @topic:11


# # # issue - monitor not linking to mtd device. # # # impact - delay in patient transport due to lack of monitor functionality. # # # possible causes - faulty monitor or mtd device. - loose or damaged cables. - software incompatibility or configuration issues. # # # recommendations - verify that both the monitor and mtd device are functioning properly. - check and ensure that all cables are securely connected and undamaged. - update software or reconfigure system as necessary to ensure compatibility. - contact mtd technical support for further assistance if issue persists. @topic:16


# # # issue medical cart device is displaying a black screen and is unable to operate. # # # impact - interruption of patient care - delay in diagnosis and treatment - reduced productivity # # # possible causes - power outage - battery failure - loose or disconnected cable - software or hardware malfunction - overheating # # # recommendations 1. check if the device is plugged into a power outlet and that the power cable is securely connected. 2. if the device is using batteries, replace them with new ones. 3. inspect the cables connecting the device to the patient and ensure that they are securely connected. 4. restart the device by unplugging it from the power outlet and then plugging it back in. 5. if the device is still not functioning properly, contact the manufacturer for technical support. @topic:13


# # # issue - * * equipment : * * patient transport monitor - * * manufacturer : * * welch allyn - * * model : * * propaq lt - * * symptom : * * intermittent failure to release air from the cuff, resulting in inability to measure blood pressure. # # # impact - inability to obtain accurate blood pressure readings. - potential delays or errors in patient care. # # # possible causes - kinked or obstructed air supply line - faulty pressure sensor - software malfunction - mechanical failure of the pump or valve responsible for releasing air - damaged or loose connections between the cuff and the monitor # # # recommendations - inspect and clear any kinks or obstructions in the air supply line. - test the pressure sensor for proper calibration and function. - verify the integrity of the software and update if necessary. - inspect and repair or replace the pump or valve responsible for releasing air. - ensure all connections between the cuff and the monitor are secure and undamaged. @topic:14


# # # issue - cuff bp is worn out due to deterioration from age. # # # impact - inaccurate blood pressure readings. - potential for patient harm if the blood pressure is not accurately monitored. # # # possible causes - normal wear and tear from regular use. - improper storage or handling of the cuff bp. - exposure to extreme temperatures or humidity. # # # recommendations - replace the cuff bp regularly, according to the manufacturer's recommendations. - store and handle the cuff bp properly. - avoid exposing the cuff bp to extreme temperatures or humidity. @topic:3


data stored in the data provider system service varies for the different data types. for example several seconds of wave forms and the full set of current numerical values are temorarily stored in ram. 27 2 theory of operation monitor theory of operation persistent data storage system service some applications require storage of data over longer periods of time. they can use the persistent data storage system service. dependent on the application requirements, this service can store data either in battery backed - up ( buffered ) memory or in flash memory. the buffered memory will lose its contents if the monitor is without power ( not connected to mains ) for an extended period of time. the flash memory does not lose its contents. the trend application for example stores vital signs data in a combination of flash memory and buffered memory, while the system configuration information ( profiles ) is kept purely in flash memory. display and user interface service applications can use high level commands to display monitoring data or status and command windows on the internal lcd panel. these commands are interpreted by the display manager application. this application controls the dedicated video hardware which includes video memory and a special asic. user input is acquired from a variety of input devices, for example the navigation point, the touchscreen or other standard input devices ( keyboard, mouse ) which may be attached to i / o boards. the system software makes sure that the user input is directed to the application which has the operating focus. data output the monitoring system is very flexible and customizable regarding its data output devices. built - in devices ( for example lan, alarm lamps, speaker, video ) provide the basic output capabilities. these capabilities can be enhanced by adding additional i / o boards, as required in the specific end - user setup. the additional i / o boards typically provide data to externally attached devices, for example to printers, rs232 based data collection devices, nurse call systems etc. the monitor can @topic:10


# # # issue the bed rails are not locking properly. # # # impact this could lead to the patient falling out of bed, which could cause serious injury. # # # possible causes * the nuts that hold the rails in place are loose. * the rails are bent or damaged. * the locking mechanism is malfunctioning. # # # recommendations * tighten the nuts that hold the rails in place. * inspect the rails for any damage and replace them if necessary. * test the locking mechanism to ensure that it is functioning properly. @topic:6


# # # issue - ekg cable is damaged # # # impact - patient's ekg waveform cannot be displayed on the monitor - clinicians cannot monitor the patient's cardiac activity - treatment decisions may be delayed or incorrect # # # possible causes - the ekg cable is old and worn - the ekg cable was damaged during transport or storage - the ekg cable was not properly connected to the patient or the monitor - the ekg cable is not compatible with the monitor # # # recommendations - inspect the ekg cable for any damage - replace the ekg cable if it is damaged - ensure that the ekg cable is properly connected to the patient and the monitor - use an ekg cable that is compatible with the monitor @topic:18


# # # issue - remote control is not working # # # impact - inability to adjust the bed's position - inconvenience for patient and caregiver # # # possible causes - * * faulty remote control : * * the remote control may have a malfunctioning circuit, damaged buttons, or low batteries. - * * communication issue : * * there may be a wireless interference or a problem with the receiver in the bed. - * * miswiring : * * the wiring between the remote control and the bed may not have been properly connected or there may be a loose connection. - * * software glitch : * * the bed or the remote control may have encountered a software bug that affects their communication. # # # recommendations - * * inspect the remote control : * * check if the buttons are working properly and if the batteries are correctly installed. - * * test the bed's receiver : * * try using a different remote control or connecting the bed to a different outlet to rule out any issues with the receiver. - * * verify the wiring : * * double - check the wiring connections between the remote control and the bed, ensuring that they are secure and correct. - * * check for software updates : * * if the issue persists, consult the manufacturer or a qualified technician to determine if any software updates are available to address the problem. @topic:7


# # # issue - rail lock failure # # # impact - patient safety risk due to potential falls - inconvenience for healthcare staff # # # possible causes - broken or worn lock mechanism - damaged rail or rails - incorrect installation or assembly - electrical malfunction # # # recommendations - inspect the lock mechanism for damage or wear - ensure the rails and rail tracks are intact and undamaged - verify that the lock mechanism has been properly installed and assembled - test the electrical connections and ensure proper functionality - consider replacing the lock mechanism if necessary @topic:6


# # # issue - * * equipment : * * monitor, physiologic, vital signs - * * band : * * philips - * * model : * * suresigns vs4 - * * problem : * * unable to measure blood pressure due to a faulty connector. # # # impact - inaccurate or delayed vital signs monitoring, which can affect patient care and safety. # # # possible causes - the connector between the blood pressure cuff and the monitor may be loose, damaged, or obstructed. - the blood pressure cuff may be defective or not properly inflated. - the monitor's internal circuitry or software may be malfunctioning. # # # recommendations 1. * * inspect the connector : * * verify that it is securely connected and free of damage. if necessary, replace the connector. 2. * * check the blood pressure cuff : * * ensure that it is the correct size for the patient and that it is properly inflated. 3. * * troubleshoot the monitor : * * perform a self - test or contact the manufacturer for technical support. @topic:15


menu has been simplified in monitoring and configuration mode. sepsis protocol configurability the ssc sepsis protocol can now be configured, to customize it for the specific treatment measures used in your facility. this can include changes to limits for measured or manually entered values, changes to the severe sepsis screening criteria, and changes to the recommendations in the sepsis resuscitation bundle and the sepsis management bundle. an integrated pulmonary index ( ipi ) numeric is provided, that is an indication of the patient's overall ventilatory status based on four measurement parameters : etco2, awrr, pulse rate and spo2. cardiac output ( transpulmonary method ) - changes to calculation basis for extravascular lung water index and preload indexes evlwi is now calculated using ideal body weight ( ibw ). itbvi and gedvi are calculated using ideal body surface area ( ibsa ). ibw and ibsa are based on the patient category, gender and height that are entered for the patient. improved visibility of gridlines in overlapping waves visibility of the gridlines for overlapping waves has been improved, and you can now configure gridlines to be shown in white, if you prefer, in a thin or thick style. timeout for " aged " numerics nbp and spo2 numerics from intermittent measurements can be configured to be grayed out or to disappear from the screen after a set time. this avoids older numerics being misinterpreted as current data. the time can be set individually for spo2 and nbp in configuration mode. 57 2 what's new? 58 alarms the alarm information here applies to all measurements. measurement - specific alarm information is discussed in the sections on individual measurements. the monitor has two different types of alarm : patient alarms and inops. @topic:8


# # # issue - broken led cable # # # impact - patient monitoring data cannot be displayed correctly. # # # possible causes - the led cable is physically damaged. - the led cable is not properly connected to the monitor. - the led cable is not compatible with the monitor. # # # recommendations - replace the led cable. - inspect the led cable for any physical damage. - ensure that the led cable is properly connected to the monitor. - verify that the led cable is compatible with the monitor. @topic:2


# # # issue - broken clamp on ekg lead wire. # # # impact - inability to use the ekg monitor. # # # possible causes - normal wear and tear. # # # recommendations - replace the clamp on the ekg lead wire. - inspect other ekg lead wires for similar damage. @topic:18


# # # issue - the medical cart's login system has failed, preventing users from accessing it. # # # impact - users will be unable to access and use the medical cart, which could delay patient care. # # # possible causes - software glitch - hardware failure - user error - network issues # # # recommendations * * immediate actions : * * - check if the issue is isolated to the medical cart or is affecting other devices on the network. - restart the medical cart. - check the network connection and ensure the cart is connected to the correct network. - reset the login credentials. * * further troubleshooting : * * - contact the manufacturer of the medical cart for technical support. - gather and review the error logs. - inspect the hardware for any visible damage. - check for any software updates that may address the issue. * * long - term solutions : * * - implement regular maintenance and testing of the medical cart to prevent similar issues in the future. - provide user training to ensure proper usage of the cart. - consider implementing a redundant login system to minimize downtime in case of future failures. @topic:13


# # # issue - drawer cannot be closed # # # impact - drawer cannot be used to store or transport items # # # possible causes - loose screws # # # recommendations - tighten the screws @topic:21


contact fluid in the ring ’ s center. remove transducer from chamber. 2 align the arrow on the transducer with the tab on the ring and fasten by turning turn a quarter - turn clockwise. wait 10 - 20 minutes for readings to stabilize. 3 apply the transducer as soon as possible after you see the “... calibration complete ” message. if you wait longer than 30 minutes, the heat supply to the transducer switches off to prevent the electrolyte from drying out and a new calibration is necessary. optimize the measurement by selecting a site with high capillary density and blood flow, thin epidermis and no cardiovascular disorders. most physicians use the abdomen, chest and back. warning you must either remove the transducer before defibrillating, or remembrane and calibrate the transducer after defibrillating. caution to avoid transducer damage, remove it from the patient during high frequency surgical procedures. 238 finishing tcgas monitoring 16 monitoring tcgas selecting the tcgas heatpowerdisplay mode the heat power display gives an indication of the skin ’ s perfusion below the transducer and of the transducer ’ s contact with the skin. if the transducer loses contact, the heat power value drops significantly. when perfusion is poor you need less heat power to maintain the transducer temperature. ♦ in the setup tcgas menu, select heatpowerdisplay to toggle between relative and absolute. choose relative when the skin temperature is stable ( the stabilizing inop disappears ). this indicates subsequent changes in the relative heat power ( and therefore changes in perfusion or transducer contact ) since the last zeroing. zeroing the tcgas relative heat power when you start a calibration, the heatpowerdisplay is set to absolute. when you switch @topic:17


# # # issue - spurious movement of the display glass on the storz laparoscopic monitor. # # # impact - potential for impaired image quality or display failure in the future. # # # possible causes - loose or damaged mounting hardware for the display glass. - faulty or malfunctioning internal mechanisms. - external impact or mishandling of the device. # # # recommendations - inspect and tighten any loose screws or fasteners that may be securing the display glass. - check for any internal damage or obstructions that may be interfering with the display movement. - calibrate the display system to verify proper alignment and function. - handle the device with care and avoid any unnecessary impacts or vibrations. @topic:2


# # # issue - footswitch failure # # # impact - inability to control the bed's position using the footswitch. # # # cause of failure - footswitch component failure # # # recommendations - repair or replace the footswitch. - inspect the footswitch cable and connections for damage or loose connections. - check if the footswitch is properly connected to the bed. - ensure the footswitch is not being overloaded or misused. - train staff on proper use of the footswitch to prevent damage. @topic:1


# # # issue - bed alarm of the bed is alarming continuously. # # # impact - continuous alarming can be annoying and disruptive for patients and staff, and may interfere with patient care. # # # possible causes - faulty sensors - loose connections - software glitches # # # recommendations - check the sensors for any damage or malfunction. - tighten any loose connections. - update the software to the latest version. - if the problem persists, contact the manufacturer for further assistance. @topic:26


# # # issue - unable to open drawer when scanning qr code # # # impact - interruption of medical procedures - delay in patient care # # # possible causes - software issue - hardware malfunction ( e. g., faulty sensor, motor ) - communication error between device and software - user error # # # recommendations 1. * * troubleshooting the software : * * - confirm the software version is up - to - date. - check for any error messages or logs. - contact the manufacturer or it support for guidance on software troubleshooting. 2. * * checking for hardware issues : * * - inspect the drawer mechanism for any visible damage or obstruction. - test the sensor and motor responsible for drawer activation. - use diagnostic tools to identify any hardware faults. 3. * * investigating communication errors : * * - verify the network connectivity between the device and software. - check for any firewalls or security settings that may be blocking communication. - use network monitoring tools to analyze data flow and identify any potential issues. 4. * * addressing user error : * * - ensure users are trained on the proper use of the device. - provide clear instructions and documentation for scanning qr codes. - consider implementing user authentication to prevent unauthorized access or improper use. @topic:23


brake detection switch ( i ). 19. remove the four screws ( j ) securing the hilow column ( d ) to the articulating frame ( k ). 20. remove the grounding plates ( l ). 21. tilt the column ( d ) towards the foot end of the bed. 22. slide the upper section to remove it from the guide rails ( m ). 23. remove the column ( d ) from the bed. 24. remove and retain the two plastic bearings ( n ). replacement 1. position the new column ( d ) on the bed frame ( h ) with the two covers ( c ) toward the foot end of the bed. 2. remove the cover ( c ) on the base of the new column. 3. route the foot hilow column cable to the central rail. 4. connect the hilow column cable to the extension cable inside the central rail. 5. install the two plastic bearings ( n ) onto the new hilow column ( d ). 6. plug the bed into an appropriate power source. 7. operate the hilow function until the foot hilow column is the same height as the bed. page 4 - 36 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 10 foot hilow column ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures 8. perform the removal procedure in reverse order. shock hazard : the equipotential link and the grounding of the metal parts of the bed depend on the correct installation of the earth conductor and grounding spring blades. personal injury could result if the installation is not correct and / or if the earth continuity is compromised. 9. check that the earth continuity of the accessible metal parts is correct ( see “ leakage current ” on page 6 - 8 in the preventive maintenance schedule ). 10. to make @topic:26


# # # issue : - monitor nibp ( non - invasive blood pressure ) measurement failure # # # impact : - inability to accurately measure blood pressure, potentially leading to delayed or incorrect treatment decisions. # # # possible causes : - defective nibp pump in the monitor. # # # recommendations : - replace the defective nibp pump with a functional one from a spare device. - ensure the availability of spare parts and devices to minimize downtime in the future. - conduct regular maintenance and calibration of medical equipment to prevent similar failures. @topic:15


##sage zero calibration is finished and you can begin monitoring. for intubated patients requiring an airway adapter : install the airway adapter at the proximal end of the circuit between the elbow and the ventilator y - section. 4 for intubated patients with an integrated airway adapter in the breathing circuit. : connect the male luer connector on the straight sample line to the female port on the airway adapter. for non - intubated patients : place the nasal cannula onto the patient. for nasal or oral - nasal cannulas with oxygen delivery, place the cannula on the patient as shown then attach the oxygen supply tubing to the oxygen delivery system and set the prescribed oxygen flow. warning always connect the airway adapter to the sensor before inserting the airway adapter into the breathing circuit. in reverse, always remove the airway adapter from the breathing circuit before removing the sensor. make sure that you do not accidentally connect the luer connector of the gas sample line to an infusion link or any other links in the patient vicinity. 245 caution always disconnect the cannula, airway adapter or sample line from the sensor when not in use. using the sidestream sensor holder the holder delivered with the sensor can be used to clamp the sensor onto an iv pole or a shelf. 1 push the sensor into the holder until it clicks into position. 2 clamp the holder onto an iv pole, a shelf or another appropriate location. to remove the sensor from the holder, release the clip and pull the sensor out of the holder. removing exhaust gases from the system warning anesthetics : when using the sidestream co2 measurement on patients who are receiving or have recently received anesthetics, connect the outlet to a scavenging system, to avoid exposing medical staff to anest @topic:17


# # # issue - battery not charging. # # # impact - inability to use the monitor due to lack of power. # # # possible causes - * * battery deterioration : * * over time, batteries lose their capacity to hold a charge. this can be caused by factors such as aging, frequent use, or improper storage. # # # recommendations - * * replace the battery : * * the deteriorated battery needs to be replaced with a new one. - * * proper battery care and usage : * * to prevent future battery deterioration, follow the manufacturer's instructions for charging and storage. avoid extreme temperatures, overcharging, and deep discharging. @topic:11


# # # issue - equipment : vital signs monitor - brand : philips - model : suresings vs3 # # # impact - the equipment is not functioning properly due to a worn - out cuff. # # # possible causes - the cuff has been used extensively and is no longer able to provide an accurate reading. - the cuff has been damaged due to improper handling or storage. # # # recommendations - replace the cuff with a new one. - inspect the equipment regularly to ensure that all components are in good working condition. - train staff on proper handling and storage of equipment. @topic:15


# # # issue - remote control not functioning properly ( unable to adjust ) # # # impact - inability to control the bed's functions, such as height, position, etc. # # # possible causes - remote control malfunction ( faulty buttons, circuitry, etc. ) - receiver unit malfunction ( unable to communicate with the remote control ) - loose or damaged connections between the remote control and receiver unit - interference from other electronic devices ( e. g., nearby wireless equipment ) # # # recommendations - check the remote control for any physical damage or loose buttons. - inspect the receiver unit for any signs of damage or loose connections. - ensure that the cables connecting the remote control and receiver unit are secure and undamaged. - move any potential sources of electronic interference away from the bed. - replace the remote control if necessary. - test the remote control and receiver unit together to ensure proper functionality. @topic:7


# # # issue - equipment failure due to cuff issue. # # # impact - the vital signs monitor may not be able to accurately measure blood pressure or other parameters. - this could lead to incorrect treatment decisions or patient harm. # # # possible causes - the cuff may be the wrong size for the patient. - the cuff may be damaged or worn out. - the cuff may not be properly connected to the monitor. # # # recommendations - inspect the cuff for damage or wear and tear. - ensure that the cuff is the correct size for the patient. - check that the cuff is properly connected to the monitor. - replace the cuff if necessary. @topic:5


the individual applications ( event review, arrhythmia, trending ) are affected by the configuration of the monitor. when contacting philips support you may be asked about the configuration of the monitor to aid in troubleshooting. 105 4 troubleshooting troubleshooting guide 106 5 repair and disassembly the following section describes the disassembly and reassembly procedures for the monitor and its components to the extent required to remove and replace faulty assemblies. do not further disassemble the product past the point described in these procedures. warning high voltage - voltages dangerous to life are present in the instrument. do not perform any disassembly or reassembly procedures ( other than mms, mms extension or parameter module removal ) with power applied to the instrument. failure to adhere to this warning could cause serious injury or death. before doing any disassembly, turn power off, disconnect the local distribution cable, ac power cable, msl cable, defib sync ’ cable and rs232 cable ( where appropriate ), disconnect the mms and remove batteries. tools required • torx screwdrivers ( sizes 10, 20 ) • phoo cross - tipped screwdriver • 4 mm allen wrench • socket wrench • 3. 0 hexagon socket • m6 screw wrench • sph size 1 cross - tipped screwdriver • 2 small flat head screwdrivers • needle nose pliars • esd mat and wrist strap • 1 small pozi or philips head screwdriver • cleaning agent recommended cleaning agents are : 107 5 repair and disassembly removing the i / o boards tensides ( dishwasher detergents ) edisonite schnellreiniger u, alconox ^ ammonias dilution of ammonia < 3 %, window cleaner alcohol ethanol @topic:10


# # # issue - philips intellivue mx550 bedside physiologic monitor is automatically taking nbp ( non - invasive blood pressure ) measurements every 10 minutes. # # # impact - the patient's blood pressure is not being monitored as frequently as it should be, which could lead to missed or delayed detection of changes in blood pressure. # # # possible causes - the nbp interval is set to 10 minutes in the monitor's settings. - the monitor's nbp sensor is not properly connected or is malfunctioning. - there is a problem with the monitor's software or firmware. # # # recommendations - check the monitor's nbp interval setting and change it to 5 minutes. - check the nbp sensor connection and make sure it is secure. - restart the monitor. - if the problem persists, contact philips technical support. @topic:15


# # # issue - * * equipment : * * monitors lcd - * * band : * * fsn - * * model : * * fs - p3102ds - * * description : * * inspection and relocation from orbht to orbgh. no visible damage. function test of all stations confirmed normal operation. # # # impact - none specified. # # # possible cause - the cause of failure is not specified in the provided information. however, it is possible that the equipment experienced a malfunction during inspection or relocation. # # # recommendations - further investigation is required to determine the cause of failure. - the equipment should be thoroughly inspected and tested before being put back into service. - the transportation and handling procedures for medical equipment should be reviewed and updated as necessary to minimize the risk of damage. @topic:2


# # # issue - remote control for the electric bed is not adjusting the bed. # # # impact - patients may not be able to adjust the bed to a comfortable position, which could lead to discomfort or pain. # # # possible causes - * * faulty remote control : * * the remote control may be malfunctioning, preventing it from sending commands to the bed. - * * electrical issues : * * there may be a problem with the electrical connection between the remote control and the bed, preventing the bed from receiving the commands. - * * software issues : * * the software in the remote control or the bed may be malfunctioning, preventing the bed from responding to the commands. - * * mechanical issues : * * there may be a mechanical issue with the bed, such as a loose connection, that is preventing it from responding to the commands from the remote control. # # # recommendations - * * inspect the remote control : * * check for any damage or loose connections on the remote control. if any damage is found, replace the remote control. - * * inspect the electrical connection : * * check the electrical connection between the remote control and the bed. ensure that the connection is secure and that there are no loose wires. - * * update the software : * * check if there are any software updates available for the remote control or the bed. if any updates are available, install them. - * * inspect the bed : * * check the bed for any mechanical issues, such as loose connections or damaged components. if any issues are found, contact a qualified technician to repair the bed. @topic:7


electrostatic, electromagnetic, magnetic or radioactive fields. sensitive devices caution electrostatic discharge ( esd ) can damage or destroy electronic components. handle static - sensitive components only at static - safe workstation. caution assume that all electrical and electronic components of the monitor a electrostatic discharge is a sudden current flowing from a charged object to another object or to ground. electrostatic charges can accumulate on common items such as foam drinking cups, cellophane tape, synthetic clothing, untreated foam packaging material, and untreated plastic bags and work folders, to name only a few. electronic components and assemblies, if not properly protected against esd, can be permanently damaged or destroyed when near or in contact with electrostatically charged objects. when you handle components or assemblies that are not in protective bags and you are not sure whether they are static - sensitive, assume that they are static - sensitive and handle them accordingly. service manual perform all service procedures in a static - protected environment. always use techniques and equipment designed to protect personnel and equipment from electrostatic discharge. remove static - sensitive components and assemblies from their static - shielding bags only at static - safe workstations — a properly grounded table and grounded floor mat — and only when you are wearing a grounded wrist strap ( with a resistor of at least 1 megohm in series ) or other device. use only grounded tools when inserting, adjusting, or removing static - sensitive components and assemblies. remove or insert static - sensitive components and assemblies only with monitor power turned off. insert and seal static - sensitive components and assemblies into their original static - shielding bags before removing them from static - protected areas. always test your ground strap, bench mat, conductive work surface, and ground cord before removing components and assemblies from their protective bags and before beginning any disassembly or assembly procedures. 8 safety welch [UNK] connex® spot monitor 9 overview @topic:10


# # # issue - monitor not linking with central monitor # # # impact - reduced patient monitoring capabilities - potential safety risks if patient data is not being transmitted correctly # # # possible causes - incorrect cl address on the monitor - network connectivity issues - central monitor malfunction # # # recommendations - verify the cl address on the monitor and ensure it is correct. - check network connectivity and cables to ensure they are secure and functioning properly. - check the central monitor to ensure it is functioning properly and has the correct settings. - contact the equipment vendor for support if the issue persists. @topic:16


3 - 4. 2 select the shutdown button. 3 in the confirmation window that appears, select the yes button. the monitor shuts down. repairing the monitor 5 - 2 suresigns vs4 service guide removing the battery removing the battery caution before removing the battery, perform a monitor hard shutdown. to remove the battery : step 1 shut down the monitor. see “ shutting down the monitor ” on page 5 - 2. 2 disconnect the ac power cord from the rear of the monitor. 3 tip the monitor and insert a flathead screwdriver into the slot in the bottom of the case under the battery cover. caution do not try to remove the battery cover by inserting the screwdriver into the vents in the cover. this can damage the battery case cover. 4 slightly twist the screwdriver to pop the battery cover off of the case. repairing the monitor suresigns vs4 service guide 5 - 3 removing the battery 5 press down on the battery retaining clips, and pull the battery out of the monitor by the ribbon. reinstalling the battery to reinstall the battery : step 1 orient the battery so that the contacts and ribbon are on the right. 2 insert the battery into the empty battery compartment and push it in until the battery snaps into place behind the metal retaining clips. repairing the monitor 5 - 4 suresigns vs4 service guide removing a fuse replace the battery cover by inserting it into the battery opening with the two tabs facing up. snap the battery cover into place by pressing it firmly against the monitor case. removing a fuse to remove a fuse in the ac power connector : step 1 disconnect the ac power cord from the rear of the monitor. 2 remove the battery from the monitor ( see “ removing the battery ” on page 5 - 3 ). use needle nose pliers to lift the fuse holder away from ac power @topic:19


# # # issue - monitor not powering on # # # impact - inability to monitor patient vital signs # # # possible causes - * * faulty power supply : * * the power supply may have failed, preventing the monitor from receiving power. - * * loose connections : * * the power cord may be loose or damaged, preventing electricity from reaching the monitor. - * * internal circuit failure : * * a component within the monitor's circuitry may have failed, causing the device to malfunction. # # # recommendations - * * check power supply : * * ensure that the power supply is properly connected and functioning correctly. - * * inspect power cord : * * examine the power cord for any damage or loose connections. replace the cord if necessary. - * * perform internal diagnostics : * * use diagnostic tools or consult the manufacturer's guidelines to identify any internal circuit issues. - * * request further assistance : * * if the above steps do not resolve the issue, contact the manufacturer or a qualified technician for repair. @topic:2


# # # issue - bed is unable to adjust # # # impact - patient discomfort and potential health risks due to prolonged incorrect positioning - inefficient use of nursing time and resources # # # possible causes - * * mechanical obstruction : * * foreign objects, such as wood or debris, can become lodged within the bed's mechanisms, preventing proper movement. - * * electrical malfunction : * * electrical components, such as wires or motors, may have failed, disrupting the bed's power supply or control systems. - * * software error : * * the bed's software, which controls its movements, may have encountered a bug or encountered compatibility issues. - * * hydraulic leak : * * the bed's hydraulic system, which provides power for adjustments, may have a leak, resulting in insufficient pressure to operate the bed. - * * structural damage : * * the bed's frame or other components may have been damaged through wear and tear or mishandling, affecting its stability and functionality. # # # recommendations - * * thorough inspection : * * examine the bed carefully to identify any visible signs of obstruction, damage, or electrical issues. - * * removal of obstructions : * * if foreign objects are present, carefully remove them to free up the bed's mechanisms. - * * electrical troubleshooting : * * check the bed's power supply, wiring, and motors for any signs of damage or malfunction. use a multimeter to test for electrical continuity and proper voltage levels. - * * software updates : * * if a software error is suspected, contact the manufacturer for software updates or troubleshooting instructions. - * * hydraulic system repair : * * inspect the hydraulic system for leaks or damage. tighten any loose connections or replace faulty components as necessary. - * * structural assessment : * * assess the bed's frame and components @topic:1


# # issue - unstable bed adjustment buttons # # impact - difficulty for healthcare professionals and patients to adjust the bed to the desired position - potential safety hazards if the bed moves unexpectedly # # possible causes - loose plug on remote control ( already addressed by bme ) - fault in the remote control - fault in the bed control unit - wiring issue # # recommendations - ensure that the remote control plug is securely connected - inspect the remote control for any visible damage or loose components - perform a diagnostic test on the bed control unit to check for any faults - check the wiring between the remote control, bed control unit, and bed for any loose connections or breaks - if the issue persists, consult with a biomedical engineer for further troubleshooting and repair @topic:7


# # # issue - patient cannot get out of bed due to malfunctioning bed rails. # # # impact - patient safety hazard - patient discomfort - nursing staff workload increased # # # possible causes - loose or damaged bed rail motor - electrical fault - software glitch - user error # # # recommendations - inspect bed rail motor for damage or loose connections. - check electrical connections for any loose wires or shorts. - update software if necessary. - train nursing staff on proper use of bed rails. - replace bed rail motor if necessary. @topic:6


# # # issue - the bed cannot be adjusted. # # # impact - patients may not be able to get into or out of bed safely. - nurses and other healthcare staff may have difficulty providing care to patients. # # # possible causes - * * faulty remote control : * * the remote control may not be sending the correct signals to the bed. - * * damaged wiring : * * the wiring between the remote control and the bed may be damaged. - * * defective bed : * * the bed itself may be defective. # # # recommendations - * * check the remote control : * * inspect the remote control for any damage. if the remote control is damaged, it should be replaced. - * * check the wiring : * * check the wiring between the remote control and the bed for any damage. if the wiring is damaged, it should be repaired or replaced. - * * inspect the bed : * * inspect the bed for any damage. if the bed is damaged, it should be repaired or replaced. @topic:1


# # # issue - cuff leakage # # # impact - inaccurate vital signs measurements, which can delay or compromise patient care. # # # possible causes - deterioration of the cuff material over time - damage to the cuff during handling or storage - improper cuff size or fit - air leak in the tubing or connections # # # recommendations - regularly inspect and replace cuffs as per manufacturer's guidelines. - handle cuffs carefully to prevent tears or punctures. - ensure proper cuff size and fit for accurate measurements. - check tubing and connections for leaks and replace if necessary. @topic:5


# # # issue the philips suresigns vs2 vital signs monitor is not charging. # # # impact the monitor cannot be used to monitor patient vital signs if it is not charged. # # # possible causes - the ac power cord is damaged or not properly connected. - the battery is not properly installed or is faulty. - the charging port on the monitor is damaged. - the monitor's power supply is faulty. # # # recommendations - check the ac power cord for damage and ensure that it is properly connected to the monitor and the power outlet. - check the battery to ensure that it is properly installed and is not faulty. - check the charging port on the monitor for damage. - if the above steps do not resolve the issue, the monitor may need to be repaired or replaced. @topic:11


# # # issue - remote control failure # # # impact - inability to operate the electric bed remotely # # # possible causes - remote control malfunction - connection issue between remote control and bed - software glitch # # # recommendations - replace the remote control - check the connection between the remote control and the bed - contact the manufacturer for technical support @topic:7


# # # issue * * adjusted feet do not move. * * # # # impact * * inability to adjust the height or angle of the bed. * * # # # possible causes - relay malfunction - the relay may not be receiving power or may have failed internally. - wiring issues - the wiring connecting the relay to the power source or to the motor may be damaged or disconnected. - motor failure - the motor responsible for adjusting the feet may have failed or become jammed. # # # recommendations * * troubleshooting * * 1. check if the relay is receiving power using a voltmeter. 2. inspect the wiring for any visible damage or disconnections. 3. listen for any unusual noises coming from the motor when attempting to adjust the feet. * * repairs * * 1. if the relay is not receiving power, replace it. 2. if the wiring is damaged, repair or replace it as necessary. 3. if the motor has failed, replace it. * * preventive maintenance * * 1. regularly inspect the wiring and connections to ensure they are secure and in good condition. 2. clean and lubricate the motor as per manufacturer's recommendations. 3. conduct routine tests to ensure the relay is functioning properly. @topic:1


# # # issue : monitors, physiologic, central station battery has deteriorated. # # # impact : - device may not be able to operate in the event of a power outage. # # # possible causes : - battery is at the end of its lifespan. - battery has been exposed to extreme temperatures. - battery has been overcharged or discharged. # # # recommendations : - replace the battery with a new one. - ensure that the battery is stored and operated within the recommended temperature range. - avoid overcharging or discharging the battery. @topic:11


* check the status of the backup battery and replace it if necessary to ensure continuous timekeeping during power outages. - * * update software or firmware : * * if the issue is suspected to be software or firmware - related, contact the manufacturer or qualified service personnel for updates or patches to address the problem. - * * troubleshoot hardware : * * if hardware malfunction is suspected, perform diagnostic tests and consult with qualified service personnel to identify and repair any faulty components. - * * train users : * * provide clear instructions and training to technicians responsible for setting the time on medical devices to minimize the risk of user errors. @topic:11


. 19. remove and discard the old light assemblies. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 117 4. 38 safeview™ alerts chapter 4 : removal, replacement, and adjustment procedures 20. connect the bed to ac power. if the lights flash yellow and green, there is a technical problem with the lights. make sure all part installations and cable connections are correct. 21. put the bed is in the safe condition as follows : • put the bed in the low position. • put the applicable siderails up as configured ( see “ configure the side - rails for the safe bed condition ” on page 4 - 119 ). • set the brake. 22. put a minimum of 50 lb ( 23 kg ) of weight on the bed. 23. activate the bed exit alarm system, and then do these checks to make sure the lights operate correctly : a. with the bed in the safe condition ; the lights are on green. b. raise, and then lower the bed. the lights flash yellow when the bed is raised, and the lights are on green when the bed is in the low position. c. lower, and then raise each siderail ( two head end, and as applicable, one or both foot end ). the lights flash yellow when one of the siderails is lowered, and the lights are on green when all applicable siderails are up. d. release, and then set the brake. the lights flash yellow when the brake is released, and the lights are on green when the brake is set. e. deactivate the bed exit alarm system. the lights are off. 24. remove the 50 lb ( 23 kg ) of weight from the bed. 25. do the “ function checks ” on page 2 - 5. page 4 - 118 careassist® @topic:9


# # # issue - medical cart fails to turn on, with an error message indicating " domain fail. " # # # impact - the medical cart is essential for patient care, and its failure can disrupt hospital operations. # # # possible causes - the domain configuration is incorrect or the domain controller is unavailable. - network connectivity issues are causing the medical cart to fail to join the domain. - the medical cart has a hardware or software issue that is preventing it from joining the domain. # # # recommendations - check the domain configuration and ensure that the domain controller is accessible. - troubleshoot the network connection to the medical cart. - if the domain configuration is correct and the network is working properly, contact the manufacturer of the medical cart for technical support. @topic:13


. - to set the time of day at which you want the report to print every day : select start hour and start minute and select the required time from the pop - up list - to set the time interval in minutes between two scheduled reports : select rep. freq. ( hr ) and rep. freq. ( min ) and select the time interval from the pop - up list. if you are setting up an end case report, these settings will be inactive ( “ grayed - out ” ). toggle scheduled rep. to off if the report is an end case report only. 5 repeat the procedure for all auto reports you want to set up. all auto reports or scheduled reports set to on print automatically at the predefined trigger. be aware that the monitor ’ s memory for reports is limited. if the memory is full, auto reports cannot be printed and the information may be lost. setting up individual print jobs to adjust the appearance of individual print jobs, in the reports menu, 1 select main setup - > reports - > setup reports to enter the setup reports menu. 2 select report and then select the report you want to set up. 334 checking printer settings 27 printing patient reports 3 select report type and then select the reports template you want the report selected in step 2 to use. the selection of templates listed depends on the report type selected. each template includes patient demographic data, and each realtime report also includes alarm and inop information. in addition, the templates include : visiblewaves : all waves currently visible, in the order they appear on the screen. all waves : all measured waves, rt waves : all currently measured realtime waves, according to the monitor ’ s priority list. hires waves : all measured hires waves oxycrg waves : the oxycrg / neonatal event review waves. vital signs : trend information in tabular @topic:8


# # # issue - loss of locking mechanism on the bed. # # # impact - bed is potentially unstable or unable to be locked securely. # # # possible causes - * * missing lock : * * the lock mechanism has been lost or misplaced. # # # recommendations - * * replace the lock : * * locate and install a replacement lock for the bed to ensure proper functionality and patient safety. @topic:6


# # # issue - the cause of failure for the monitors lcd, olympus oev - 261h 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 has affected the operation of the device and may have prevented it from being used for patient care. # # # possible causes - the device may have been damaged during testing or packing. - the device may have been mishandled or dropped. - the device may have been exposed to extreme temperatures or humidity. - the device may have a manufacturing defect. # # # recommendations - to prevent similar failures in the future, the following recommendations should be considered : - ensure that devices are handled carefully during testing and packing. - inspect devices for damage before use. - store devices in a cool, dry environment. - train users on the proper use of the device. - perform regular maintenance on the device. @topic:2


##0 se5 % 6 se0 se0 se6 % 4 se0 se0 se7 % 0 se0 se2 se8 % 481 40 specifications spo2 smart alarm delay - detailed specifications deviation from violated alarm limit onmedium short 0 se0 se1 se9 % 0 se0 se0 se > 9 % nbp nbp performance specifications measurement ranges adult : 30 to 270 mmhg ( 4 to 36 kpa ) pedi : 30 to 180 mmhg ( 4 to 24 kpa ) neo : 30 to 130 mmhg ( 4 to 17 kpa ) adult : 10 to 245 mmhg ( 1. 5 to 32 kpa ) pedi : 10 to 150 mmhg ( 1. 5 to 20 kpa ) neo : 10 to 100 mmhg ( 1. 5 to 13 kpa ) systolic diastolic adult : 20 to 255 mmhg ( 2. 5 to 34 kpapedi : 20 to 160 mmhg ( 2. 5 to 21 kpa ) neo : 20 to 120 mmhg ( 2. 5 to 16 kpa ) mean adult : 40 to 300 bpm pulse rate pedi : 40 to 300 bpm neo : 40 to 300 bpm max. std. deviation : 8 mmhg ( 1. 1 kpa ) max. mean error : ±5 mmhg ( ±0. 7 kpaaccuracy pulse rate measurement accuracy 40 to 100 bpm : + 5 bpm 101 to 200 bpm : ±5 % of reading 201 to 300 bpm : ±10 % of reading ( average over nbp measurement cycle ) pulse rate range 40 to 300 bpm auto / manual / sequence : adult : 30 seconds neonatal : 25 seconds tat : 20 seconds maximum time : adult / pedi : 180 seconds neo : 90 seconds typical for normal adult can 2 seconds cuff inflation time adult : @topic:8


# # # issue - abnormal noise # # # impact - potential patient discomfort or distress - interference with healthcare provider's ability to monitor the patient's condition - reduced effectiveness of the medical device # # # possible causes - loose components - worn or damaged gears - malfunctioning motor - electrical issues # # # recommendations - * * inspect * * the device for any loose or damaged components. - * * lubricate * * any moving parts that may be causing friction. - * * replace * * any worn or damaged gears or other components as necessary. - * * test * * the device thoroughly to ensure proper functionality. - * * document * * the repairs and maintenance performed. - * * consider * * the possibility of an electrical issue and consult with an electrician if necessary. - * * monitor * * the device closely after repairs to ensure the issue has been resolved. @topic:24


# # output # # # issue - medcart cannot be used # # # impact - delay in patient care - loss of data # # # possible causes - hardware failure - software malfunction - user error # # # recommendations - check the hardware for any damage or loose connections. - restart the software and check for any error messages. - ensure that the user is properly trained on how to use the medcart. @topic:13


* * issue : * * equipment failure of monitors lcd, model fs - p3102ds * * impact : * * the equipment is not functional and cannot be used for patient monitoring. * * possible causes : * * - lack of proper maintenance or calibration - electrical problems - physical damage - compatibility issues with other devices - user error - unknown cause * * recommendations : * * - check if the equipment is properly connected and receiving power. - perform a comprehensive inspection of the equipment for any signs of physical damage or loose connections. - review the maintenance records to ensure that the equipment has been regularly serviced and calibrated. - check for compatibility issues with other devices that the equipment is connected to. - consult with the manufacturer for troubleshooting and repair instructions. - if the cause of failure cannot be determined, contact a qualified biomedical engineer for further investigation and repair. @topic:2


# # # issue the backup battery of the electric bed has failed. # # # impact the electric bed is unable to operate without a functional backup battery. this can pose a safety hazard to patients and staff if the power supply to the hospital is interrupted. # # # possible causes * the backup battery is old and has reached the end of its lifespan. * the backup battery has been damaged by a power surge or other electrical fault. * the backup battery has been improperly installed or maintained. # # # recommendations * replace the backup battery with a new one. * inspect the electrical system of the bed to ensure that there are no other faults. * test the bed to ensure that it is operating properly. @topic:9


# # # issue - failure of the acceleromyograph device due to internal damage and unavailability of replacement parts. # # # impact - inability to use the device for monitoring neurological activity and muscle movement. # # # possible causes - * * physical damage : * * the cracked frame may have caused internal components to become loose or damaged. - * * component failure : * * the device may have experienced a malfunction of critical electronic components due to age, wear, or a manufacturing defect. - * * discontinued production : * * the manufacturer has discontinued producing replacement parts for this device model, making repairs impossible. # # # recommendations - * * replace device : * * acquire a new acceleromyograph device from an alternative manufacturer that meets the hospital's needs. - * * investigate cause : * * determine the underlying cause of the device failure to prevent similar issues in the future. this may involve examining other devices of the same model or consulting with the manufacturer. - * * establish maintenance protocols : * * implement regular maintenance and inspection procedures to proactively identify and address potential issues with medical equipment. - * * consider upgrades : * * explore the possibility of upgrading to a newer device model that offers improved functionality and support. @topic:12


# # # issue - bed is unable to be adjusted. # # # impact - patient discomfort - delays in patient care # # # possible causes - * * control box failure : * * the control box is responsible for sending electrical signals to the bed's motors, allowing the bed to be adjusted. if the control box is damaged or malfunctioning, the bed may not be able to receive or process these signals, resulting in the bed being unable to move. - * * faulty electrical connections : * * loose or damaged electrical connections between the control box and the bed's motors can prevent the bed from receiving the necessary power and signals. - * * damaged motor : * * if the bed's motor is damaged or malfunctioning, it may not be able to generate the necessary force to move the bed. - * * software issues : * * in some cases, software issues can prevent the bed from responding to commands from the control box. # # # recommendations - * * repair or replace the control box : * * if the control box is damaged or malfunctioning, it will need to be repaired or replaced. - * * inspect electrical connections : * * check all electrical connections between the control box and the bed's motors. tighten any loose connections and replace any damaged cables. - * * test the motor : * * check the bed's motor to ensure that it is functioning properly. if the motor is damaged, it will need to be replaced. - * * update software : * * if the bed is experiencing software issues, update the software to the latest version. @topic:1


# # # issue : cuff failure # # # impact : inaccurate blood pressure readings # # # possible causes : - cuff leakage or rupture - cuff damage or wear - cuff not properly attached or inflated # # # recommendations : - replace the cuff - inspect the cuff for damage or leaks - ensure the cuff is properly attached and inflated according to the manufacturer's instructions @topic:3


pressure, press / temp for all languages apart from danish, italian, chinese and japanese, order also the local language bezel as shown in the previous “ list of parts ” m3014 - 6891a | 451261009461 exchange m3014a mms extension with not shown co2, pressure, press / temp for all languages apart from danish, italian, chinese and japanese, order also the local language bezel as shown in the previous “ list of parts ” m3014 - 6861a | 451261009601 exchange m3014a mms extension with not shown co2, cardiac output / continuous cardiac output, pressure, press / temp for all languages apart from danish, italian, chinese and japanese, order also the local language bezel as shown in the previous “ list of parts ” m3015 - 6801a | 453563332431 exchange m3015a mms extension with not shown pressure / temperature, english. ( old hardware, s / n prefix : de020xxxxx ) * for all languages apart from french, danish and chinese, order also the local language bezel as shown in the previous " list of parts ". m3015 - 6802a | 451261005311 exchange m3015a mms extension with not shown pressure / temperature, english. ( new hardware, s / n prefix : de435xxxxx ) * for all languages apart from french, danish and chinese, order also the local language bezel as shown in the previous " list of parts ". m3015 - 6831a | 453563477871 exchange m3015a mms extension not shown without pressure / temperature, english. ( old hardware, s / n prefix : de020xxxxx ) * for all languages apart from french @topic:19


* * issue : * * cuff deterioration * * impact : * * impaired patient monitoring and inaccurate readings * * possible causes : * * - prolonged use without proper maintenance - frequent inflation and deflation of the cuff - exposure to moisture, heat, or chemicals - physical damage or punctures to the cuff * * recommendations : * * - regular inspection and maintenance of the cuff - use of high - quality cuffs designed for specific medical devices - training of healthcare professionals on proper cuff handling and maintenance procedures - monitor cuff life and replace it as per manufacturer's guidelines - protect the cuff from environmental hazards, including spills, moisture, and extreme temperatures @topic:5


* * possible causes * * * * 1. physical damage : * * * the ac power cord may have been accidentally cut or pinched, causing internal wire damage. * rough handling or repeated bending of the cord can lead to stress fractures. * * 2. electrical faults : * * * internal insulation damage can cause short circuits or open circuits, preventing current flow. * loose connections or faulty components within the power cord can also lead to electrical issues. * * 3. overheating : * * * excessive heat generated by the equipment or external sources can damage the insulation or conductors of the power cord. * overcurrent conditions can lead to overheating and accelerated deterioration. * * 4. environmental factors : * * * exposure to moisture, extreme temperatures, or corrosive substances can degrade the materials and insulation of the power cord. * rodents or other animals may chew on the cord, causing damage. @topic:12