# # # issue - drawer cannot close. # # # impact - the medical cart cannot be used properly, which could lead to delays in patient care or even medical errors. # # # possible causes - loose or missing screws or bolts - misaligned drawer tracks - damaged drawer latch - broken drawer handle # # # recommendations - inspect the drawer for any loose or missing screws or bolts. tighten any loose screws or bolts and replace any missing ones. - check the alignment of the drawer tracks. adjust the tracks if necessary so that the drawer slides smoothly in and out. - inspect the drawer latch for any damage. replace the latch if it is damaged. - inspect the drawer handle for any damage. replace the handle if it is damaged. @topic:21


# # # issue microswitch adjustment failure # # # impact the bed's electrical functions may not operate properly, affecting patient care and safety. # # # possible causes - microswitch misalignment - microswitch damage - faulty wiring or connections - circuit board damage # # # recommendations - check the microswitch alignment and adjust if necessary. - inspect the microswitch for damage and replace if needed. - inspect the wiring and connections for loose or broken wires and repair as necessary. - if the circuit board shows signs of damage ( e. g., burnt components, broken traces ), replace it. - test the bed's electrical functions after repairs to ensure proper operation. @topic:1


# # # issue - monitor does not power on. # # # impact - inability to monitor vital signs of patients. # # # possible causes - power cord is not connected. - power cord is damaged. - power outlet is not working. - monitor is not receiving power from the power outlet. # # # recommendations 1. check if the power cord is properly connected to the monitor and the power outlet. 2. inspect the power cord for any damage. if the power cord is damaged, replace it with a new one. 3. verify that the power outlet is working by plugging in another device. 4. contact the manufacturer of the monitor for further troubleshooting assistance. @topic:2


# # # issue - faulty lead wire # # # impact - intermittent or incorrect patient data - delays in diagnosis and treatment - patient discomfort or harm # # # possible causes - physical damage to the lead wire ( e. g., cuts, crimps, fraying ) - loose connections - incompatible lead wire with the monitor - electrical interference - software glitches # # # recommendations - inspect the lead wire for any visible damage. - ensure that the lead wire is securely connected to the patient and the monitor. - verify that the lead wire is compatible with the monitor. - eliminate potential sources of electrical interference. - update the monitor's software if necessary. @topic:18


# # # issue 02 sat ( oxygen saturation ) reading not available due to sudden power failure. # # # impact inability to monitor patient's oxygen saturation levels, which is a critical vital sign for respiratory assessment and management. # # # possible causes - power outage or surge - malfunctioning power supply unit - loose connections in the power supply system # # # recommendations - check the power source and ensure that the equipment is properly connected. - reset the equipment if possible. - if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repairs. @topic:4


# # # issue * bed cannot be lowered. # # # impact * patients may be uncomfortable or unable to get out of bed. * nurses may be unable to provide proper care. # # # possible causes * electrical fault in the bed controls. * mechanical failure in the bed lift mechanism. * defective pressure sensor. # # # recommendations * check the electrical connections to the bed controls. * inspect the bed lift mechanism for any damage or obstruction. * test the pressure sensor to ensure it is functioning properly. * replace any faulty components. @topic:1


# # # issue - display shows wavy lines # # # impact - impaired patient monitoring data visualization # # # possible causes - faulty display panel - loose or damaged display cables - interference from external electrical devices - software malfunction # # # recommendations - check for loose or damaged cables connecting the display to the main unit. - ensure that the device is not located near any sources of electrical interference. - inspect the display panel for any cracks or damage. - update the software to the latest version if available. - if the issue persists, contact the manufacturer for further troubleshooting and repair options. @topic:2


# # # issue - equipment not working due to broken signal wire # # # impact - equipment is unable to send or receive signals. # # # possible causes - broken signal wire - loose or disconnected connections - damaged equipment - software issue # # # recommendations - replace the broken signal wire. - check and tighten all connections. - inspect the equipment for any damage. - update the equipment's software to the latest version if necessary. @topic:16


# # # issue the given input does not specify a cause of failure for the medical device. # # # impact this lack of information prevents the biomedical engineer from properly diagnosing and repairing the device. # # # possible causes the biomedical engineer can infer that the cause of failure is likely related to the device being loaned out to another department. # # # recommendations the biomedical engineer should request more information from the department that borrowed the device to determine the exact cause of failure. once the cause of failure is known, the biomedical engineer can then make appropriate recommendations for repair or replacement. @topic:12


# # # issue - battery failure # # # impact - incapacitation of the device during transportation or emergency situations. - potential risk to patient safety if the device fails during critical procedures. # # # possible causes - battery degradation over time - improper charging or maintenance - manufacturing defect # # # recommendations - regular battery maintenance and replacement according to manufacturer's recommendations. - proper charging and storage practices to extend battery life. - consider investing in higher - capacity batteries or external power sources for extended use. - consult with the manufacturer or a qualified biomedical engineer for further troubleshooting and resolution. @topic:11


# # # issue - the telemetry ekg module is not able to measure signals. # # # impact - the telemetry ekg module is unable to transmit patient data to the central monitoring system. # # # possible causes - damaged equipment - incorrectly calibrated equipment - loose connections - interference from other devices - software malfunction # # # recommendations - inspect the equipment for any visible damage. - check the calibration of the equipment. - check the connections between the equipment and the patient and make sure they are secure. - move the equipment away from any potential sources of interference. - restart the equipment. - if the problem persists, contact the manufacturer for further troubleshooting assistance. @topic:16


# # # issue * bed is unable to adjust # # # impact * patient discomfort * difficulty in providing medical care * potential safety hazard # # # possible causes - faulty remote control - malfunctioning motor or actuator - mechanical obstruction - electrical issues # # # recommendations - replace or repair the remote control - inspect and test the motor and actuator - check for any blockages or obstructions - verify electrical connections and power supply @topic:1


# # # issue - the bed's wheels cannot be locked. # # # impact - the bed may move unexpectedly, posing a safety hazard to the patient and staff. # # # possible causes - the locking mechanism is damaged. - the locking lever is not engaged properly. - the wheels are worn or damaged. - the bed frame is bent or damaged. # # # recommendations - inspect the locking mechanism for damage. - ensure that the locking lever is fully engaged. - replace any worn or damaged wheels. - inspect the bed frame for any bending or damage. - replace any damaged components as necessary. # # # additional notes - the exact cause of the failure should be identified and addressed to prevent recurrence. - regular maintenance and inspection of the bed should be performed to ensure its proper functioning. - the bed should be used in accordance with the manufacturer's instructions to minimize the risk of failure. @topic:6


* * issue : * * monitor and central station not functioning. * * impact : * * inability to monitor patient's vital signs and provide appropriate care. * * possible causes : * * * * 1. power failure : * * - power outage or surge - loose or damaged power cord - faulty power supply * * 2. network connection issue : * * - disconnected or damaged network cable ( lan cable ) - network configuration error - malfunctioning network switch or router * * 3. hardware malfunction : * * - internal component failure ( e. g., motherboard, cpu ) - defective monitor or central station display - worn or damaged sensors * * 4. software glitch : * * - operating system corruption - application software failure - software updates causing conflicts * * recommendations : * * * * 1. check power supply : * * - verify that the power cord is securely connected to both the device and the power outlet. - check for any damage to the power cord. - if necessary, replace the power cord with a new one. * * 2. troubleshooting network connection : * * - ensure that the lan cable is firmly plugged into the device and the network port. - test the lan cable with another device to rule out cable issues. - check the network configurations on the device and the network switch / router. * * 3. inspect for hardware issues : * * - look for any loose or damaged components inside the device. - check the display of the monitor and central station for any signs of damage. - clean the sensors to remove any dirt or debris. * * 4. check software issues : * * - reboot the device to potentially resolve software glitches. - update the software if necessary, but ensure that the updates are compatible with the device. - consult the manufacturer's documentation or technical support for further guidance. @topic:16


and security settings allow the medical cart to access the wi - fi network. @topic:13


# # # issue - failure to connect to the server for patient data retrieval. # # # impact - inability to display patient information on the vital signs monitor, which can delay patient care. # # # possible causes - * * server malfunction : * * the server responsible for providing patient data may be experiencing technical issues, such as software bugs or hardware failures. - * * network connectivity issues : * * the connection between the monitor and the server may be interrupted due to network problems, such as unstable wi - fi or ethernet connections. - * * firewall restrictions : * * firewalls may be blocking the communication between the monitor and the server, preventing the data from being exchanged. - * * incorrect configuration : * * the monitor or the server may not be configured correctly to allow for proper communication. # # # recommendations - * * verify server status : * * check the status of the server to ensure it is operational and accessible. if necessary, contact the it team or the vendor for assistance. - * * troubleshoot network connectivity : * * inspect the network connections and cables to ensure they are properly connected and functioning. if wireless, check for signal strength and consider using a wired connection if possible. - * * configure firewall settings : * * review the firewall settings on both the monitor and the server to ensure that communication ports are open and accessible. - * * update software and firmware : * * ensure that the monitor and the server are running the latest software and firmware versions to minimize potential bugs and improve compatibility. - * * reset the monitor : * * if other troubleshooting steps fail, try resetting the monitor to its default settings. this may clear any temporary issues causing the communication error. @topic:16


# # # issue - the medical cart is not turning on. # # # impact - the medical cart cannot be used to transport patients or equipment. # # # possible causes - the battery is dead. - the power cord is not plugged in. - the power switch is not turned on. - the fuse is blown. - the circuit breaker is tripped. - the motherboard is damaged. # # # recommendations - check the battery and make sure it is charged. - check the power cord and make sure it is plugged into a working outlet. - turn on the power switch. - check the fuse and make sure it is not blown. - check the circuit breaker and make sure it is not tripped. - if the above steps do not solve the problem, the motherboard may be damaged and will need to be replaced. @topic:13


# # # issue - machine not displaying parameter graphs # # # impact - inability to monitor patient's physiological parameters - delay in diagnosis and treatment # # # possible causes - faulty module - non - functional air pump - damaged control board # # # recommendations - replace the faulty module - replace the non - functional air pump - replace the damaged control board - regular maintenance and calibration of the device to prevent future failures @topic:2


# # # issue broken camera control unit # # # impact the device cannot capture images, which could affect patient diagnosis and treatment. # # # possible causes - faulty hardware - loose connections - software errors - damage to the camera unit # # # recommendations - replace the camera control unit - inspect the device for loose connections and repair or replace as necessary - update the device software - contact the manufacturer for further troubleshooting assistance @topic:2


# # # issue - the medical cart is not functioning properly. # # # impact - the medical cart is essential for providing patient care. if it is not functioning properly, it can impact the quality and safety of care. # # # possible causes : - the medical cart may not be connected to a power source. - the medical cart may have a malfunctioning component. - the medical cart may have a software issue. # # # recommendations - check the power source to ensure that the medical cart is connected to a power source. - inspect the medical cart for any loose or damaged components. - contact the manufacturer of the medical cart for further troubleshooting and repair instructions. @topic:13


service guide suresigns vs2 ” and vsi vital signs monitors release b. 01 english philips part number 4535 643 24531 printed in usa march 2012 first edition mau ia a philips suresigns vs2 * and vsi vital signs monitors service guide release b. o1 english philips notice proprietary information this document contains proprietary information, which is protected by copyright. copyright copyright © 2012 koninklijke philips electronics n. v. all rights reserved trademark acknowledgements suresigns is a registered trademark of koninklijke philips electronics n. v. other product names may be trademarks of their respective owners. manufacturer philips medical systems 3000 minuteman road andover, ma 01810 - 1085 ( 978 ) 687 - 1501 document number 4535 643 24531 warranty disclaimer the information contained in this document is subject to change without notice. philips medical systems makes no warranty of any kind with regard to this material, including, but not limited to, the implied warranties or merchantability and fitness for a particular purpose. philips medical systems shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material. printing history new editions of this document incorporate all material updated since the previous edition. update packages may be issued between editions and contain replacement and additional pages to be merged by a revision date at the bottom of the page. pages that are rearranged due to changes on a previous page are not considered revised. the documentation printing date and part number indicate its current edition. the printing date changes when a new edition is printed. ( minor corrections and updates that are incorporated at reprint do not cause the date to change. ) the document part number changes when extensive technical changes are incorporated. first edition aereas eco e pesan ne @topic:10


# # # issue - defective blood pressure ( bp ) cuff connector # # # impact - inability to accurately measure patient's blood pressure # # # possible causes - wear and tear - damage due to mishandling - manufacturing defect # # # recommendations - replace the defective connector with a new one - ensure proper handling of the device to prevent future damage - consider preventive maintenance and inspection to identify and address potential issues before they escalate into failures @topic:3


# # # issue - medical cart does not turn on. # # # impact - the medical cart cannot be used to transport patients or medical supplies. # # # possible causes - the power supply is not connected. - the power switch is not turned on. - the fuse is blown. - the battery is dead. - the motherboard is damaged. # # # recommendations - check the power supply and make sure it is connected. - turn on the power switch. - replace the fuse. - charge the battery. - contact biomedical engineering to repair the motherboard. @topic:13


# # # issue : bed is in poor condition and side rails are rusted, making it unsuitable for patient use. # # # impact : bed is no longer safe or functional for patient use, posing a potential risk to patient safety. # # # possible causes : - lack of regular maintenance and cleaning - excessive use and wear and tear - exposure to moisture or corrosive substances - age and deterioration of materials # # # recommendations : - contact manufacturer or authorized service provider for repair or replacement of bed - establish a regular maintenance schedule to prevent future issues - educate staff on proper use and care of equipment - consider purchasing new or refurbished beds to replace aging or damaged equipment @topic:9


# # # issue - battery drains quickly # # # impact - reduced device functionality and reliability # # # possible causes - faulty battery or battery charger - excessive power consumption - damaged battery terminals or contacts - loose connection between the battery and the device # # # recommendations - replace the battery with a new one - check the battery charger for proper functionality - inspect the battery terminals and contacts for damage - tighten the connection between the battery and the device @topic:11


# # # issue - malfunctioning cuff in vital signs monitor # # # impact - inability to accurately measure blood pressure, potentially leading to misdiagnosis or delayed treatment. # # # possible causes - cuff damage due to wear and tear, improper handling, or improper storage. - defect in the cuff material or manufacturing process. - failure of the cuff inflation system, such as a leak or malfunctioning pump. # # # recommendations - regularly inspect and maintain the cuff, ensuring proper storage and handling. - replace the cuff if it shows signs of damage or wear. - test the inflation system regularly to ensure proper functionality. - calibrate the monitor regularly to ensure accurate blood pressure measurements. - consider using alternative blood pressure monitoring methods, such as non - invasive or invasive techniques, if the cuff is consistently malfunctioning. @topic:5


* * issue : * * central ekg monitor failure * * impact : * * patients cannot receive proper monitoring, potentially leading to undetected medical issues * * possible causes : * * * * * loose or damaged vac cable : * * the central ekg monitor relies on a stable power supply. a loose or damaged vac cable can cause power interruptions, leading to the device shutting down. * * * faulty or overheated cpu : * * the cpu is the central processing unit of the monitor. a faulty or overheated cpu can result in system malfunctions and device failure. * * * internal component failure : * * the central ekg monitor consists of numerous electronic components. a failure in any of these components can cause the device to malfunction or shut down. * * * software glitches : * * software errors or updates can sometimes cause unexpected device failures. * * * user error : * * inadvertent actions or improper device handling can result in damage or failure. * * recommendations : * * * * * inspect the vac cable : * * ensure that the vac cable is properly inserted and secured. inspect the cable for any visible damage or loose connections. * * * check the cpu : * * monitor the cpu temperature and fan performance. replace the cpu if overheating or other issues are detected. * * * troubleshoot internal components : * * use diagnostic tools or consult with a qualified technician to identify any faulty components within the device. * * * update software : * * ensure that the central ekg monitor is running on the latest software version. contact the manufacturer for firmware updates or patches. * * * train users : * * provide proper training to users on how to operate the device safely and effectively. @topic:18


107157 7 * me 107157 7 * mt 107154 107154 107154 * m107158 107158 * x107153 107153 107153 7 * xt 107152 107152 7 * xx 107163 105933 7 * we 107153 107153 107153 07152 7 * wt 105933 107152 7 * wx 05933 107163 * varies depending on the model number of your device. field replaceable units welch [UNK] connex® spot monitor 94 3rd edition service kits for a subsequent component failure use this table to determine the correct part to order if you encounter a component failure after upgrading using the components in the 3rd edition service kit for first component failure. note for a first component failure, refer to the 3rd edition service kits for a first braun braun thermometer dock main surete board mp plus nellcor device model masimo nonin number 7 * ce, 7 * ct, 7 * cx, 7 * me, 7 * mt, 7 * mx, 105931 105932 105925 105940 105933 105941 105948 7 * xe, 7 * xt, 7 * xx, 7 * we, 7 * wt, 7 * wx * varies depending on the model number of your device. list of 3rd edition service kits to determine the correct replacement part for your unit, always provide the serial number and model when ordering. material number service kit description number 1 105945 srv kit csm, battery door srv kit 2 cell lithium - ion battery batt22 2 srv kit csm, back housing * 3 105923 srv kit csm, end cap 105939 4 srv kit csm, speake5 105942 srv kit csm, ni @topic:19


# # # issue - wooden bed guard cannot be raised # # # impact - the patient may be at risk of falling out of bed. # # # possible causes - the motor that raises the bed guard is not working. - the remote control is not working. - the bed guard is not properly attached to the bed. # # # recommendations - check the motor to see if it is working. - check the remote control to see if it is working. - check the bed guard to make sure it is properly attached to the bed. @topic:6


# # # issue replacement of blood pressure ( bp ) cuff on the philips suresigns vs2 + vital signs monitor. # # # impact unable to accurately monitor patient's blood pressure. # # # possible causes bp cuff was improperly fitted or damaged. # # # recommendations replace bp cuff according to manufacturer's instructions. ensure bp cuff is the correct size for the patient. check for any damage to the bp cuff or tubing. calibrate the vital signs monitor after replacing the bp cuff. @topic:15


# # # issue - cuff bp deteriorated and unable to stay on the patient's arm. # # # impact - accurate blood pressure readings cannot be obtained. # # # possible causes - cuff bp may be old and worn out. - cuff bp may not be the correct size for the patient. - cuff bp may not be properly inflated. # # # recommendations - replace the cuff bp with a new one. - ensure that the cuff bp is the correct size for the patient. - properly inflate the cuff bp according to the manufacturer's instructions. @topic:3


# # # issue - occlusion of filter in capnograph # # # impact - inability to monitor patient's end - tidal carbon dioxide ( etco2 ) levels # # # possible causes - clogged filter due to : - buildup of mucus, secretions, or other contaminants - improper placement or sealing of filter - damaged or defective filter # # # recommendations - replace the filter with a new one. - ensure proper placement and sealing of the filter. - inspect the filter regularly for any signs of damage or wear. - clean or replace the filter as per manufacturer's instructions. @topic:4


# # # issue - the bed does not have power # # # impact - the bed cannot be used to move the patient # # # possible causes - the plug is bent - the electrical outlet is not working - the power cord is damaged # # # recommendations - check the plug and make sure it is not bent - check the electrical outlet to make sure it is working - replace the power cord if it is damaged @topic:9


# # # issue - the intellivue mx700 bedside physiologic monitor is not linking to the central monitor. # # # impact - the central monitor will not be able to display the patient's vital signs. - this could lead to delays in diagnosis and treatment. # # # possible causes - the mona302 cable is not connected properly. - the central monitor is not configured properly. - the intellivue mx700 bedside physiologic monitor is not functioning properly. # # # recommendations - check the mona302 cable connections. - verify that the central monitor is configured properly. - if the issue persists, contact philips technical support. @topic:16


# # cause of failure : wood guardrail is loose # # possible causes - wear and tear - loose or missing screws - improper installation # # recommendations - check and tighten all screws and bolts holding the guardrail in place. - inspect the guardrail for any damage or wear. - reinstall the guardrail if necessary. @topic:6


from the new c. o. device, and replaces the current one. the message disappears when start c. o. is selected. c. o. / cco safety information warning catheter constant - make sure that the arterial catheter constant for the measurement is appropriate computation constant - make sure that the computation constant for the measurement is appropriate to the injectate volume, injectate temperature and catheter type used. iabp - do not perform transpulmonary thermodilution measurements on patients undergoing iabp treatment. cco accuracy - accuracy of the cco measurement and all the derived values may be influenced by patients with valve diseases or artificial valves. c. o. and mri - do not use the cardiac output interface cable in magnetic resonance imaging aortic graft patients - do not use an arterial catheter in the arteria femoralis when it is contra indicated, for example, with patients who have an aortic graft. caution during the cardiac output measurement procedure the blood temperature alarms are inactive. this is indicated by a crossed - out alarm symbol next to the temperature numeric. making alarms inactive during this procedure prevents false alarms. the alarms are automatically reactivated when you have completed the measurement procedure. 239 13 monitoring cardiac output 240 14 warning measurements from an mms extension connected to an x2 are not available when the x2 is running on its own battery power. they are only available when the x2 is powered by external power : when connected to a host monitor, to the external power supply ( m8023a ) or to the battery extension ( 865297 ). use the co2 measurement to monitor the patient's respiratory status and to control patient ventilation. there are two methods for measuring carbon dioxide in the patient's airway : mainstream measurement uses a co2 sensor attached to an airway adapter directly @topic:17


# # # issue : - physiological vital signs monitor not reading spo2 values. # # # impact : - inability to accurately monitor patient's oxygen saturation levels, which is crucial for assessing respiratory function and overall health. # # # possible causes : - * * faulty spo2 sensor : * * the sensor responsible for measuring oxygen saturation may be damaged or malfunctioning. - * * loose or damaged spo2 cable : * * the cable connecting the sensor to the monitor may be loose or damaged, causing intermittent or no readings. - * * software glitch : * * a software issue in the monitor may prevent it from recognizing or processing the spo2 readings correctly. - * * incompatibility with sensors : * * the monitor may not be compatible with the specific spo2 sensor being used. # # # recommendations : - * * replace spo2 sensor : * * if the sensor is suspected to be faulty, replace it with a new one to eliminate the potential cause of failure. - * * check and repair spo2 cable : * * inspect the cable for damage or loose connections. replace or repair the cable as necessary. - * * update software : * * check if there are any available software updates for the monitor and install them to address potential software glitches. - * * verify sensor compatibility : * * ensure that the spo2 sensor being used is compatible with the monitor's specifications. if not, obtain a compatible sensor. @topic:4


# # # issue - bed is not adjustable # # # impact - patient discomfort and / or safety hazard # # # possible causes - loose or damaged control wires - faulty control panel - mechanical failure ( e. g., broken motor ) # # # recommendations - inspect control wires for damage and ensure they are properly connected - test control panel for proper functionality - contact the manufacturer for support if mechanical failure is suspected @topic:1


# # # issue - device is displaying a " replace battery " message. # # # impact - device is unable to accurately measure vital signs. # # # possible causes - battery is dead. - battery is not seated properly. - battery is not compatible with the device. - surge protector is bad. - outlet is not working. - circuit breaker has tripped. # # # recommendations - replace the battery. - reseat the battery. - verify that the battery is compatible with the device. - replace the surge protector. - try a different outlet. - reset the circuit breaker. @topic:11


* * issue : * * unable to adjust knee motor on electric hospital bed. * * impact : * * inability to properly position the patient on the bed, compromising comfort and safety. * * possible causes : * * * * * defective motor : * * the knee motor may be faulty or damaged, preventing it from responding to adjustment commands. * * * electrical issues : * * wiring or connections related to the motor may be compromised, interrupting power supply or communication. * * * control unit malfunction : * * the electronic control unit responsible for adjusting the motor may not be functioning correctly. * * * software bugs : * * if the bed's software controls the motor, a software glitch or bug may be causing the adjustment failure. * * * mechanical interference : * * obstacles or debris may be obstructing the motor's movement or preventing proper gear engagement. * * recommendations : * * * * * inspect the motor : * * examine the knee motor for any visible damage or looseness. * * * check electrical connections : * * ensure that all wiring and connectors related to the motor are secure and free from damage. * * * diagnose the control unit : * * use diagnostic tools to verify the functionality of the control unit and identify any potential issues. * * * update software : * * if applicable, check for software updates that may address any known bugs or compatibility issues. * * * eliminate mechanical interference : * * inspect the area around the motor for any obstructions that may be affecting its operation. * * * replace defective parts : * * if the motor, control unit, or other related components are found to be faulty, they should be replaced with genuine spare parts. @topic:9


# # # issue * both the bed rails and remote control are not functioning as expected. # # # impact * patient safety is compromised due to the inability to adjust the bed rails. * patient comfort is affected due to the inability to adjust the bed position using the remote control. # # # possible causes # # # # bed rails * loose or broken wire connections * faulty motor or electrical components * mechanical damage to the rails # # # # remote control * dead or weak batteries * damaged buttons or switches * faulty circuit board # # # recommendations # # # # bed rails * inspect the wire connections and ensure they are secure. * test the motor and electrical components to identify any faults. * check for any mechanical damage and repair or replace damaged parts as necessary. # # # # remote control * replace the batteries with new ones. * inspect the buttons and switches for any damage. * test the circuit board for proper functionality and replace it if needed. # # # additional recommendations * refer to the manufacturer's service manual for specific troubleshooting and repair instructions. * perform regular maintenance checks on the bed to prevent future failures. * provide adequate training to staff on the proper use and maintenance of the bed. @topic:7


a need for monitoring the physiological parameters of patients. warning the monitors are not intended for use in an mri environment or in an oxygen - enriched environment ( for example, hyperbaric chambers ). manufacturer ’ s information you can write to philips at this address philips medizin systeme boeblingen gmbh hewlett - packard - str. 2 71034 boeblingen germany visit our website at : www. philips. com. © copyright 2002 - 2008. koninklijke philips electronics n. v. all rights reserved. bis manufacturer ’ s information bisx, the bis engine, the dsc, the patient interface cable and the bis sensor are manufactured by aspect medical systems : aspect medical systems, inc 141 needham st newton, ma 02464 usa 1 - 617 - 559 - 7000 free call : l - 888 - bis _ index 1 - 888 - 247 - 4633 email : bis _ info @ aspectms. com web : www. aspectmedical. com address of the eu authorized representative : aspect medical systems international b. v. rijnzathe 7d2 3454 pv de meern the netherlands phone : + 31. 30. 662. 9140 email : amsint @ aspectms. com trademark acknowledgement picco™ is a trademark of pulsion medical systems ag. bispectral index and bis are trademarks of aspect medical systems inc, and are registered in the usa, eu and other countries. the following are trademarks of nellcor puritan bennett incorporated : nellcor®, durasensor®, dura - y®, oxiband r, oxicliq®, oximax®. max - fast® is a trademark of mallinckrodt inc. 402 symbols 38 installation and specifications microstream®, filterline®, and smart capnoline® @topic:8


# # # issue - cuff of vital signs monitor is deteriorated. # # # impact - the patient's blood pressure cannot be measured accurately. # # # possible causes - the cuff is old and has been used frequently. - the cuff has been damaged. # # # recommendations - the cuff should be replaced with a new one. - the cuff should be inspected regularly and replaced as needed. @topic:5


selecting alert suspension mode " page 40 ). bed exit alerts * check that the bed is physically connected to the hospital's communications system when a bed exit alert is raised, a signal is automatically sent to the duty nurse. • if the bed has a " nurse call " function, the light under the nurse call • symbol flashes for 1 minute. if the system acknowledges reception of the signal during this time, the light turns green. otherwise, it the light also goes out if the caregivers confirm reception of the alert. if the bed detects a connection fault ( cable not connected or fault ), a discontinuous signal sounds when the bed exit alert is raised. age 3 backrest ( head ) angle alert the backrest ( head ) angle alert allows the caregiver to program a sound alert when the angle of the head section is less than 30° or 45°. a message appears on the gci when the head section descends below the selected angle. this information can be sent to the duty nurse by a compatible wi - fi system. the adjustable head section angle alert is longer operational when the bed switches to battery mode. to activate this function backrest ( head ) angle : bed exit alert : is disarmed 1. 25° ngle alert : position required position, at an angle greater than 30° or 45°. s disarmed alert exiting < 30° alert out of bed < 45° press alerts on the gci. 2. backrest ( head ) angle : 40° set the backrest ( head ) angle detection to the required angle : less than 30° or 45°. 3. angle alert : s armed alert to deactivate the backrest ( head ) angle detection < 30° alert press alerts on the gci. 1. < 45° press detection active. 2. yes. the backrest ( head ) angle detection @topic:26


page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature probe. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. troubleshooting suresigns vs2 * and vsi service guide 4 - 21 error codes code error message possible cause action 867 ( 24 ) temp module malfunc ( 24 ) ambient temperature too high. verify that the venting slots of the temperature module are not blocked and are free of dust. verify that the ambient temperature does not exceed operating specifications. if the problem persists, replace the temperature probe. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 25 ) temp module malfunc ( 25 ) ambient temperature too low. verify that the ambient temperature does not exceed operating specifications. if the problem persists, replace the temperature probe. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 27 ) temp module malfunc ( 27 ) battery or power supply voltage exceeds maximum value. replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 28 ) temp module malfunc ( 28 ) battery or power supply voltage below minimum value. replace the temperature module. see “ removing the temperature module ” on page 5 - 6. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 47 ) temp module malfunc ( 47 ) internal calibration resistor ( rcal ) on the board is damaged. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace @topic:22


# # # issue - probe oxygen sat failure # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - faulty probe - loose connection between probe and monitor - incorrect calibration of probe - electrical interference # # # recommendations - replace faulty probe - clean and tighten connections between probe and monitor - calibrate probe according to manufacturer's instructions - eliminate sources of electrical interference, such as nearby electrical equipment or cell phones @topic:4


# # # issue - the physiologic monitor is unable to measure blood pressure ( bp ) values. - the cuff is inflating and deflating, but no values are being displayed. # # # impact - clinicians are unable to obtain accurate bp measurements, which can delay diagnosis and treatment. - patients may experience discomfort or anxiety due to repeated cuff inflations without successful measurements. # # # possible causes - occluded or damaged * * bp cuff * * or tubing - loose connection between the cuff and the monitor - malfunctioning * * pressure transducer * * within the monitor - software or firmware issue with the monitor # # # recommendations - * * inspect the bp cuff and tubing * * for any visible damage or blockages. - * * tighten the connection * * between the cuff and the monitor. - * * check the pressure transducer * * for proper calibration and functionality. - * * update the software or firmware * * on the monitor if an update is available. - * * consult the manufacturer's instructions * * for further troubleshooting steps. - * * contact a qualified biomedical engineer * * for assistance if the issue cannot be resolved by the troubleshooting steps above. @topic:14


you want from the list of available waves. if you do not see change numeric in the menu, this screen may be configured to always display the numeric beside its wave. changing the wave will automatically change the numeric. the changed screen is shown with an asterisk in the monitor info line. in the change screen menu, the changed screen is shown linked to the original screen and marked up to three modified screens can be accessed via the change screen menu. to recall screens, either select the name of the screen in the change screen menu. or use the previous arrow at the top of the change screen menu to move back in the screen history. the ten most recently - used screens including up to three modified screens can be accessed. • 37 1 introduction after a patient discharge, the monitor's default screen is shown. modified screens are still available in the change screen menu. if the monitor is switched off and then on again, modified screens are erased from the monitor's memory and cannot be recalled. if a modified screen was the last active screen when the monitor was switched off, it is retained ( unless automat. default is configured to yes ). you can connect a second display, showing the same screen as the main display, to your monitor, for viewing only. independent displays mx600 / 700 / if you have the optional independent display interface, you can connect a second display which can be 800 configured and operated individually using standard input devices. for monitors with multiple displays and multiple input devices, the usage and behavior can be configured according to specific requirements at installation ( for example, use for two independent ing of mouse input across two displays ). for details refer to the service guide. when two operators are using two displays, the scope of an action depends on the type of operation : patient monitoring operations such as silence or pause alarms take effect for the monitor as a whole, the results will @topic:10


71660 2 handle, cpr, red careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 95 control cables — d model and newer beds chapter 5 : parts list control cables — d model and newer beds figure 5 - 38. control cables — d model and newer beds 195 page 5 - 96 careassist® and careassist® es bed service manual ( man330 rev 4 ) control cables — d model and newer beds chapter 5 : parts list table 5 - 38. control cables — d model and newer beds item number part number quantity description 1 141805 1 sidecom® communication system cable 2 141806 1 ( per side ) siderail cable 3 71761 1 pendant cable 4 137763 1 cable, external alarm 5 ( not shown ) 71073 1 pendant, without sidecom® communication system 6 ( not shown ) 72781 1 pendant, with sidecom® communica¬ tion system 7 ( not shown ) 141807 1 ( per side ) siderail interconnect cable 8 ( not shown ) 154236 1 harness, battery with fuse holder, f model beds 9 ( not shown ) 154239 1 harness, switch adapter, f model beds 10 ( not shown ) 154237 1 cable, sidecom power, f model beds careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 97 auxiliary outlet chapter 5 : parts list auxiliary outlet chapter 5 : parts list table 5 - 39. auxiliary outlet item number part number quantity description 1 139905 1 auxiliary outlet box 2 139906 1 auxiliary outlet cover 3 44507 1 circuit breaker, 8 a, 250 v ac 4 140387 1 protective transparent boot 5 147739 1 cable 6 4214102 9 screw 7 @topic:26


# # # issue - faulty spo2 sensor # # # impact - inability to accurately monitor blood oxygen saturation levels # # # possible cause - damaged or defective spo2 sensor cable # # # recommendations - replace the spo2 sensor cable - inspect the spo2 sensor for any visible damage - ensure the spo2 sensor is properly connected to the patient and the monitor - calibrate the spo2 sensor according to the manufacturer's instructions @topic:4


# # # issue - loose module lock # # # impact - potential for module to dislodge and cause damage or injury - interruption of patient monitoring # # # possible causes - faulty lock mechanism - improper installation or maintenance - excessive force applied to module - worn or damaged components # # # recommendations - inspect and replace faulty or damaged components - ensure proper installation and maintenance procedures are followed - avoid applying excessive force to modules - regularly inspect and service equipment to prevent future failures @topic:12


# # # issue - the printer is not outputting an image when a print command is sent. # # # impact - the user will not be able to print the necessary documents or images. # # # possible causes - the image signal cable is disconnected. - the printer is not properly configured. - the printer is not receiving power. - the printer is not receiving the print command. # # # recommendations - check the image signal cable and make sure it is securely connected. - check the printer configuration and make sure it is set to receive print commands. - check the power supply to the printer and make sure it is receiving power. - check the printer's network connection and make sure it is able to receive print commands. @topic:28


* * cause of failure : unavailable * * the provided information does not specify the cause of failure for the monitor lcd. the technician should investigate further to determine the root cause of the issue. @topic:2


# # # issue - the telemetric electrocardiography monitor ( philips m2601b ) is not functioning properly due to a leak in the blood pressure bulb. # # # impact - the monitor cannot accurately measure blood pressure, which can lead to incorrect diagnoses and treatment decisions. - the monitor may also be unable to transmit data to other devices, such as a central monitoring station. # # # possible causes - the blood pressure bulb may have been damaged during use. - the bulb may have become detached from the monitor. - the bulb may have a hole or tear. # # # recommendations - inspect the blood pressure bulb for damage. - if the bulb is damaged, replace it with a new one. - if the bulb is not damaged, check the connection between the bulb and the monitor. - if the connection is loose, tighten it. - if the bulb has a hole or tear, replace it with a new one. @topic:15


# # # issue - scanner barcode not working on medical cart # # # impact - reduced efficiency and accuracy of inventory management and patient care # # # possible causes - dirty or damaged barcode scanner - misaligned barcode scanner - loose or disconnected cables - software issues - incorrect scanner settings # # # recommendations - clean the barcode scanner with a soft cloth. - realign the barcode scanner according to the manufacturer's instructions. - check and tighten all cables. - update the scanner software to the latest version. - adjust the scanner settings to optimize performance. @topic:23


# # # issue - adjusted up and down with noise and vibration. # # # impact - potential patient discomfort - reduced accuracy of medical device measurements # # # possible causes - loose wiring - mechanical misalignment - damaged components # # # recommendations - inspect and tighten all wiring connections. - check for mechanical defects or misalignment. - if damage is suspected, contact the manufacturer for repair. @topic:24


, see the suresigns vs4 instructions for use. performing routine maintenance suresigns vs4 service guide 2 - 1 maintaining the battery maintaining the battery about the battery the rechargeable lithium ion battery used in the monitor is a smart battery with built - in circuitry that communicates battery status information to the monitor. battery power lasts a minimum of four hours of continuous monitoring with no printing and one nbp measurement every 15 minutes. observe these guidelines : if a battery shows damage or signs of leakage, replace it immediately. never use a faulty battery in the monitor. never dispose of the battery in a normal waste container. never leave a battery inside the monitor if it is not used for a long period of time. never store a battery that is more than 50 % charged. note — for information about the battery status indicators, see the suresigns vs4 instructions for use. viewing battery information 2 - 2 as a battery ages, its capacity decreases and the battery status indicator becomes increasingly less accurate, relative to the total number of charges and discharges. select the battery info button to display information about the battery. performing routine maintenance suresigns vs4 service guide to view information about the battery : maintaining the battery step 1 open the system diagnostics menu. see “ accessing the system diagnostics menu ” on page 3 - 10. 2 select the battery info button. the battery info window opens. battery info manufacturer eonemoli chemistry lion serial number : # 17403 manufact. date 06 / 27 / 12 cycle count 95 max error 100 % relative charge 86 % absolute charge 79 % battery name e013r voltage 12503 ( mv ) current 664 ( ma ) temperature 299. 50 ( k ) 26. 50 ( c ) full capacity 7261 ( mah ) design capacity 7200 ( mah ) “ recondition note @topic:11


# # # issue - sensor is torn. # # # impact - the device cannot measure vital signs. # # # possible causes - the sensor may have been damaged during use. - the sensor may have been improperly installed. # # # recommendations - replace the sensor with a new one. - make sure the sensor is properly installed. @topic:22


# # # issue - module spo2 falling out of the physiologic monitor. # # # impact - interruption of patient monitoring. - potential harm to the patient if the spo2 level is not monitored accurately. # # # possible causes - the module spo2 is not properly secured in the monitor. - the module spo2 is defective. - the monitor is defective. # # # recommendations - ensure that the module spo2 is properly secured in the monitor. - test the module spo2 to ensure that it is functioning properly. - if the module spo2 is defective, replace it. - if the monitor is defective, repair or replace it. @topic:4


* * issue : * * nibp monitor ( casmed 740 ) malfunctioning due to a new cuff being used. * * impact : * * accurate blood pressure readings cannot be obtained, potentially leading to incorrect patient care decisions. * * possible causes : * * * * * compatibility issues : * * the new cuff may not be compatible with the monitor. * * * defective cuff : * * the new cuff may be defective or damaged. * * * improper installation : * * the cuff may not have been installed correctly, causing leaks or inaccurate readings. * * recommendations : * * * * * verify cuff compatibility : * * ensure that the new cuff is specifically designed for the casmed 740 nibp monitor. * * * inspect the cuff : * * examine the cuff for any visible damage or defects. * * * ensure proper installation : * * follow the manufacturer's instructions carefully for installing the cuff, including positioning and securing it securely around the patient's arm. * * * test and calibrate the monitor : * * perform a test and calibration procedure to ensure accurate blood pressure readings after installing the new cuff. * * * consider further investigation : * * if compatibility, installation, and testing do not resolve the issue, consider sending the cuff to a biomedical engineering department or manufacturer for further examination. @topic:15


# # # issue - cuff bp is deteriorated. # # # impact - the physiological vital signs monitor cannot measure blood pressure accurately. # # # possible causes - the cuff bp may have been exposed to moisture, heat, or other environmental factors that have caused it to deteriorate. - the cuff bp may have been used excessively, which has caused it to wear out. - the cuff bp may have been damaged during cleaning or maintenance. # # # recommendations - replace the cuff bp with a new one. - inspect the cuff bp regularly for signs of wear or damage. - clean and maintain the cuff bp according to the manufacturer's instructions. - ensure that the cuff bp is used correctly and according to the manufacturer's instructions. @topic:3


and reseat the lcd signal cable. see “ front case disassembly procedures ” on page 8 - 41 the lcd is bad replace the lcd. see “ removing the lcd ” on page 8 - 41 the main board malfunctioned. replace the main board see " removing the main pcb ” on page 8 - 31. i turn on the monitor and the opening screen and / or color bar starts, but then just hangs. the main board is defective. replace the main pcb. see " removing the main pcb ” on page 8 - 31. the monitor does not respond to the navigation wheel or front panel buttons there is a bad connection to the main board. ensure that all connectors to the main board are seated correctly. the monitor keypad or navigation wheel is broken. replace the front panel or navigation wheel. see “ front case disassembly procedures ” on page 8 - 41 and " removing the navigation wheel assembly board ” on page 8 - 43. the main board has malfunctioned. replace the main board. see “ removing the main pcb ” on page 8 - 31. 7 - 8 troubleshooting troubleshooting charts alarm problems symptom possible cause action audible alarms do not sound there is a bad connection to the ensure that the connection to speaker is speaker. correct. the speaker is bad. replace the speaker. see “ removing the fan and / or speaker assembly ” on page 8 - 21 the main board has replace the main board. see “ removing the malfunctioned. main pcb ” on page 8 - 31. nbp problems symptom possible cause action the nbp cuff does not inflate the tube or cuff is kinked. straighten the tube or cuff. there is an air leak in the air tube or cuff. replace the cuff and ensure that there is no air leakage in the @topic:16


* * issue : * * cuff leak in bedside physiologic monitor * * impact : * * inaccurate blood pressure measurements, potential patient harm * * possible causes : * * - cuff damage - loose connections - worn or damaged tubing - improper cuff application * * recommendations : * * - replace the faulty cuff with a new one. - inspect and tighten connections between the cuff, tubing, and monitor. - check tubing for any signs of damage or wear. - ensure proper cuff application, following manufacturer's instructions. - retest the monitor to verify accurate blood pressure measurements. @topic:3


air filter mats on a regular basis. depending on the frequency of use and the environmental conditions ( dust etc. ), the interval can range from 6 to 24 months. cleaning the air filter mats the air filters are located on the right and left side of the battery conditioner. perform the procedure below for each side. 1 remove the 2 screws securing the filter cover and take off the cover. 2 remove the filter mat and clean the dust out by shaking. 3 re - insert the mat and refit the cover and screws. 214 5 repair and disassembly ) replacing the fan 1 turn the battery conditioner upside down and remove the 5 screws at the bottom with a t20 screwdriver. 2 lift the bottom cover up at the front and pull it off 3 unplug the fan connector from the main board. 4 lift the fan out of the battery conditioner housing. 215 [ 5 repair and disassembly ] 5 when replacing the fan make sure the connector is plugged in correctly as shown in the photograph below 216 parts this section lists the replacement and exchange parts for the following philips intellivue patient monitoring system components : • ‘ ‘ mx400 / 450 / 500 / 550 parts ” on page 218 • ‘ ‘ remote control parts ” on page 225 • “ multi - measurement module ( mms ) parts ” on page 225 • “ mms extension parts ( m3012a, m3014a, m3015a / b ) ” on page 233 • “ intellivue x2 part numbers ” on page 235 • “ smart battery charger part numbers ” on page 241 [ 6 parts ] mx400 / 450 / 500 / 550 parts ( 31 ) rear housing mx400 / 450 ( 34 ) handle ( 17 ) advanced system l / f bd. ( 3 ) standard system l / f bd. ( 14 ) msl @topic:19


# # # issue * the electric hospital bed ( huntleigh contoura 390 ) is not adjustable. # # # impact * patients may not be able to get into or out of bed safely or comfortably. * nurses and other healthcare staff may have difficulty providing care to patients in bed. # # # possible causes * * 1. remote control malfunction : * * * the replacement remote control may be faulty or not properly paired with the bed. * * 2. electrical connection issues : * * * there may be a loose wire or connection between the remote control, the bed, or the power source. * * 3. mechanical failure of the bed mechanism : * * * the bed's motor or other mechanical components may have failed, preventing it from adjusting. * * 4. software glitch : * * * the bed's software may have encountered an error that is preventing it from responding to the remote control commands. # # # recommendations * * 1. test the remote control : * * * replace the batteries in the remote control and ensure that it is properly paired with the bed. * * 2. check electrical connections : * * * inspect the wires and connections between the remote control, the bed, and the power source. tighten any loose connections and replace any damaged wires. * * 3. inspect the bed mechanism : * * * examine the bed's motor, gears, and other mechanical components for any signs of damage or wear. if any issues are found, consult a qualified technician for repair. * * 4. update the software : * * * if the bed has a software update available, apply it to the device and test its functionality. * * 5. further troubleshooting : * * * if the above recommendations do not resolve the issue, consult the manufacturer's documentation or contact a qualified technician for further troubleshooting and repair. @topic:7


# # # issue - inaccurate timekeeping on patient monitors # # # impact - potential delays in patient care - incorrect documentation of patient events - confusion among healthcare providers # # # possible causes - malfunctioning internal clock - incorrect time zone settings - software bugs - power outages - human error ( incorrect time setting during maintenance or repair ) # # # recommendations - * * immediate actions : * * - manually adjust the time on the monitors to the current time using the appropriate controls. - ensure that the monitors are set to the correct time zone. - check the software version and update it if necessary. - * * preventive measures : * * - perform regular preventive maintenance checks to identify and address potential clock malfunctions. - establish a protocol for setting and verifying the time on all monitors during maintenance or repair. - consider using a centralized timekeeping system to ensure accuracy across all monitors. - * * additional notes : * * - it is crucial to address timekeeping inaccuracies promptly to minimize the impact on patient care. - bme ( biomedical engineering ) technicians should be trained to properly set and verify the time on patient monitors. - healthcare providers should be aware of the potential for timekeeping errors and should report any discrepancies they observe. @topic:29


# # # issue - the electric bed is not adjustable. # # # impact - patients may not be able to get into or out of bed safely. - nurses and other healthcare providers may have difficulty providing care to patients in bed. # # # possible causes - the power cord is loose or damaged. - the bed frame is damaged. - the control panel is not working. - the motor is not working. # # # recommendations - inspect the power cord for damage and ensure that it is securely plugged into an outlet. - inspect the bed frame for damage and repair or replace any damaged parts. - check the control panel for damage and repair or replace any damaged parts. - test the motor by manually adjusting the bed and listening for any unusual noises or vibrations. if the motor is not working, it may need to be replaced. @topic:1


# # # issue - toco transducer value is not correlating with uterine contractions. - toco transducer value remains elevated at 120 - 130, even when uterine contractions are not present. - attempting to adjust the settings temporarily resolves the issue, but the value soon rises again. # # # impact - inaccurate toco readings can lead to improper management of labor and delivery. - falsely elevated toco readings may lead to unnecessary interventions, such as induction of labor or cesarean section. - failure to detect uterine contractions can lead to delayed interventions, such as failure to diagnose fetal distress or uterine rupture. # # # possible causes - faulty toco transducer - loose or damaged connections - incorrect calibration of the toco transducer - electrical interference from other devices - settings on the monitor are incorrect # # # recommendations - replace the toco transducer. - check for loose or damaged connections, including the cable and connectors on the transducer itself. - recalibrate the toco transducer according to the manufacturer's instructions. - check for electrical interference from other devices, such as radios or cell phones. - ensure that the settings on the monitor are correct, and that the toco transducer is properly connected to the monitor. @topic:20


# # # issue - the electric bed, huntleigh contoura 360, is unable to adjust. # # # impact - patients may be unable to get into or out of bed, which can lead to discomfort and pressure sores. - nurses and other healthcare providers may be unable to properly care for patients, which can lead to delays in treatment and recovery. # # # possible causes - the remote control cable is broken. - the remote control is not functioning properly. - the bed motor is not working. - the bed frame is damaged. # # # recommendations - inspect the remote control cable for damage and replace it if necessary. - test the remote control to ensure that it is functioning properly. - check the bed motor for signs of damage or wear and tear. - inspect the bed frame for any damage that could be preventing the bed from adjusting. @topic:1


# # # issue - monitor not linking to the central system # # # impact - inability to monitor patient's vital signs remotely - increased risk of errors in patient care # # # possible causes - server issues - incorrect ip configuration - network connectivity problems - software bugs # # # recommendations - * * verify that the server is functioning properly. * * - * * check the ip configuration of the monitor. * * - * * troubleshoot the network connection. * * - * * update the software on the monitor. * * - * * contact the manufacturer for support. * * # # # cause of failure the cause of failure in the given input is * * incorrect ip configuration * *. the bme technician discovered that the server had a problem and needed to be set up with a new ip. after the technician set up the new ip, the monitor was able to link to the central system and function properly. @topic:16


safety tests replacing the temperature module e power - on self test e alarms test e pneumatic leakage test e all safety tests e temperature test replacing the lcd e power - on self test e alarms test e pneumatic leakage test e all safety tests e touch screen calibration recommended frequency perform the test procedures at the recommended frequency outlined in the following table. caution the frequency recommendations in the following table do not supersede local requirements. always perform locally required testing in addition to the testing outlined in the table. suggested testing frequency preventive maintenance nbp calibration once every two years. battery reconditioning when the max error is 10 % or greater. tympanic temperature calibration! once a year. performance e predictive temperature accuracy once every two years, or if you suspect the * nbp accuracy test measurement 1s incorrect. e spo, e nurse call relay ” once every two years. performance verification testing 3 - 2 suresigns vs4 service guide required test equipment safety in accordance with iec 60601 - 1 ¢ enclosure leakage current e ground integrity e patient leakage current once a year or after repairs where the monitor has been opened ( front and back separated ) or the monitor has been damaged by impact. 1. requires a covidien calibration module. for more information, see “ tympanic temperature test ” on page 3 - 18. 2. when used as part of facility protocols. required test equipment the following table lists the additional test equipment that you need to perform each of the tests in this chapter. many of these tests also use the standard accessories that are shipped with the monitor. to perform this test you need this test equipment “ visual test ” on page 3 - 12 none “ power - on self test ” on page 3 - 12 none “ alarms test ” on page 3 - 13 nbp cuff @topic:22


* * issue : * * * bed's footboard detached * * impact : * * * patient safety hazard * potential for patient injury * disruption of patient care * * possible causes : * * * faulty installation * loose or damaged screws or bolts * wear and tear over time * improper use or overloading of the bed * manufacturing defect * * recommendations : * * * * * immediate action : * * * remove the bed from service until it is repaired. * secure the patient in a safe location. * * * troubleshooting : * * * inspect the footboard and screws / bolts for damage or looseness. * check the bed's installation and assembly instructions. * review the maintenance records for the bed. * * * repair : * * * replace or repair any damaged or loose screws / bolts. * if necessary, replace the footboard. * * * preventive measures : * * * implement a regular maintenance schedule for the bed. * train staff on proper use and handling of the bed. * monitor the bed for signs of wear and tear. * consider upgrading to a more robust bed model. * * * documentation : * * * document the incident and investigation findings thoroughly. * notify the manufacturer if a manufacturing defect is suspected. @topic:6


# # # issue battery ups is not storing charge. # # # impact - interruption of power supply to connected medical devices - potential loss of patient data or device settings - increased risk of device malfunction or failure # # # possible causes - * * battery degradation : * * over time, battery cells can lose their ability to store charge due to chemical reactions or physical damage. - * * improper charging : * * battery charging systems that are not properly calibrated or maintained can overcharge or undercharge the battery, leading to degradation. - * * temperature fluctuations : * * extreme temperatures can accelerate battery degradation. - * * physical damage : * * impact, vibration, or other physical stress can damage the battery cells. # # # recommendations - * * replace the battery : * * the most immediate solution is to replace the faulty battery with a new one. - * * check the charging system : * * verify that the charging system is functioning properly and is not overcharging or undercharging the battery. - * * monitor battery health : * * regularly monitor battery performance to identify and address any issues before they become critical. - * * maintain proper storage conditions : * * store batteries in a controlled environment with stable temperature and humidity to prolong their lifespan. - * * provide training : * * ensure that personnel responsible for charging and maintaining batteries are properly trained and follow best practices. @topic:11


# # # issue - broken plug head on electric hospital bed # # # impact - the bed cannot be plugged in and used for patient care. # # # possible causes - the plug head may have been damaged during handling or transportation. - the plug head may have been overtightened, causing it to break. - the plug head may have been exposed to excessive heat, causing it to melt or become brittle. # # # recommendations - inspect the plug head for damage. repair or replace the plug head if necessary. - instruct staff to handle and transport the bed with care. - train staff on the proper way to plug in the bed. @topic:9


# # # issue - the wheels of the vital signs monitor are making a loud noise. # # # impact - the noise may be annoying or distracting to patients and staff. - the noise may make it difficult to hear other sounds, such as alarms or patient breathing. - the noise may indicate that the wheels are not functioning properly, which could lead to a safety hazard. # # # possible causes - the wheels may be dirty or dusty. - the wheels may be worn or damaged. - the bearings in the wheels may be dry or damaged. - the wheels may be misaligned. # # # recommendations - inspect the wheels for dirt and debris and clean as necessary. - inspect the wheels for wear or damage and replace as necessary. - lubricate the bearings in the wheels. - align the wheels properly. @topic:24


vicinity in a medically used room. after system installation incl. protective measures, a system test is required to ensure that the resulting equipment leakage current and applied part leakage current does not exceed the limits of iec 60601 - 1 - 1. device | inside or | outside of patient vicinity 68 me device ( iec 60601 - 1 ) me device ( iec 60601 - 1 ) functional e - — 5 device connection e " inside or " e outside of patient vicinity patient vicinity separation dbvice, if rlecessdry medically used room for any it equipment ( iec60950 ) operated in patient vicinity ensure that the equipment leakage current does not exceed the limits described in iec 60601 - 1. use a separation device to ensure compliance. after installation of it equipment in patient vicinity, an enclosure leakage current test is required. ( iec 60601 - 1 ) device inside or |. outside of $ patient vicinity | functional connection device inside or outside of patient vicinity patient vicinity = separation dbvice, if rlecessdry medically used room me device display, either ( iec 60601 - 1 ) ( iec 60950 ) or — 00 medical grade 1 | | device inside or | [ s functional!'inside or outside of e jh connection i outside of patient | e = b — — — — — patient vicinity - 35 = i — — — l vicinity separation dbvice, if medically used room 69 if the combined devices forming the medical electrical system are connected to the same multiple portable socket outlet, ensure that the resulting protective earth leakage current and equipment leakage current do not exceed the limits of iec 60601 - 1 - 1. the medical electrical devices or it equipment may be located in or outside the patient vicinity in a medically used room. avoid using multiple portable socket outlets. if the limits of @topic:10


is incorrect, except mainstream co2 accuracy check, spo2 performance sidestream co2 accuracy check and flow check - required once a year. performance assurance tests ecg sync pulse performance nbp performance invasive pressure performance temperature accuracy m3014a capnography extension performance tests microstream co2 performance test c. o. performance test visual inspection after each service event. safety visual tests once every two years and after repairs where the power supply has been sone ee removed or replaced or the monitor has patient leakage current been damaged by impact. system test once every two years * m3015a with the old hardware rev. a ( i. e. serial no. deo20xxxxx ) also require the co ; pump / co, ; scrubber replacement procedure. this is required every three years or after 15000 operating hours. 29 3 testing and maintenance when to perform tests when to perform tests this table tells you when to perform specific tests. the corresponding test procedures are described in the following sections all tests listed below must be performed on the monitor itself and its host monitor. when to perform tests installation installation of a monitor in combination with | perform visual inspection, power on and a medical or non - medical device connected to | system tests the same multiple socket outlet. installation of monitor with intellivue perform visual inspection, power on and iit instrument telemetry ( iit ) communication test installation of monitor with intelli vue perform visual inspection, power on and 802. 11 bedside adapter intellivue 802. 11 bedside adapter communication test installation of a monitor with short range perform visual inspection, power on and srr radio ( srr ) communication test installation of networked monitor ( lan ) perform visual inspection and power on test preventive maintenance preventive maintenance perform preventive maintenance tests and procedures : - nbp calibration - microstream co2 calib @topic:10


# # # issue - hair entangled around the wheel # # # impact - equipment malfunction # # # possible causes - wheel bearings worn or damaged - hair caught in the wheel due to improper storage or handling # # # recommendations - inspect and clean the equipment regularly to remove any hair or debris - store the equipment in a clean and dry environment - lubricate the wheel bearings regularly to prevent wear and damage - train staff on proper handling of the equipment to prevent hair entanglement @topic:24


ecg sync pulse * 119, 132 troubleshooting the individual measurements or applications * 135 troubleshooting with the support tool 135 u unpacking * 201 unpacking and checking the shipment ¢ 201 upgrades * 236 v valve test * 84 viewing battery details * 106 visual inspection * 36 voltage setting * 210 w warnings and cautions * 11 warnings, cautions, and safety precautions * 38 what causes the conditioning message on the monitor? * 109 what is a medical electrical system? ¢ 65 what is battery conditioning? * 108 when should battery conditioning be performed? * 108 when to perform tests ¢ 31 who should perform repairs * 113, 137 who should use this guide * 9 why is battery conditioning necessary? * 108 window battery status * 104 260 @topic:11


# # # issue - nibp monitor is not able to measure blood pressure ( bp ) due to a faulty cup bp. # # # possible causes - the cup bp may be damaged or malfunctioning. - the connection between the cup bp and the nibp monitor may be loose or faulty. - the software or firmware of the nibp monitor may be corrupted or outdated. # # # recommendations - inspect the cup bp for any visible damage or wear. - check the connection between the cup bp and the nibp monitor to ensure that it is secure. - update the software or firmware of the nibp monitor if necessary. - if the issue persists, contact the manufacturer of the nibp monitor for further assistance. @topic:15


# # # issue : drawer cannot be opened # # # impact : cart cannot be used to store or transport medical equipment. # # # possible causes : - * * solenoid failure * * : the solenoid is responsible for controlling the opening and closing of the drawer. if the solenoid is faulty, the drawer may not be able to open. - * * mechanical obstruction * * : there may be an obstruction, such as a foreign object or debris, preventing the drawer from opening. - * * software issue * * : a software glitch may be interfering with the operation of the solenoid or the drawer mechanism. # # # recommendations : 1. * * replace the solenoid * * : if the solenoid is determined to be faulty, it should be replaced with a new one. 2. * * remove any obstructions * * : check for any foreign objects or debris that may be preventing the drawer from opening and remove them. 3. * * check the software * * : verify that the software is up to date and not experiencing any glitches. if necessary, perform a software update or reboot the cart. @topic:21


# # # issue - the bed is not able to adjust its height or position. # # # impact - the patient may not be able to get in or out of bed safely. - the patient may not be able to be positioned comfortably for treatment or procedures. # # # possible causes - power failure - electrical problem - mechanical problem - software problem # # # recommendations - check the power supply to the bed. - inspect the electrical connections to the bed. - inspect the mechanical components of the bed for any damage or wear. - check the software on the bed for any updates or errors. @topic:1


man330 rev 4 ) page 4 - 53 4. 17 siderail control p. c. board chapter 4 : removal, replacement, and adjustment procedures figure 4 - 25. siderail control p. c. board isopropyl alcohol is flammable and toxic to skin, eyes, and the respiratory tract. do not use near an open flame. do not use in confined areas. personal injury may occur. 10. using rags and isopropyl alcohol, clean the mounting area where the switch panel ( a ) was located. replacement 1. connect the new switch panel cable ( e ) to the siderail control p. c. board ( f ). 2. connect the siderail cables ( g ) to the siderail control p. c. board ( f ). 3. install the siderail control p. c. board ( f ) onto the stiffener ( d ). 4. install the stiffener ( d ) into the siderail ( b ). 5. install the six screws ( c ) to secure the stiffener ( d ) to the siderail ( b ). page 4 - 54 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 17 side rail control p. c. board chapter 4 : removal, replacement, and adjustment procedures 6. remove the wax paper backing from the new switch panel ( a ). 7. install the new switch panel ( a ) onto the siderail ( b ). 8. to make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 - 5. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 55 4. 18 patient pendant chapter 4 : removal, replacement, and adjustment procedures 4. 18 patient pendant tools required : small blade screwdriver removal @topic:26


# # # issue the medical cart is rebooting. # # # impact the medical cart is not available for use, which could lead to delays in patient care. # # # possible causes - the medical cart's power supply is not stable. - the medical cart's software is not up to date. - there is a hardware issue with the medical cart. # # # recommendations - check the medical cart's power supply and make sure that it is stable. - update the medical cart's software to the latest version. - if the issue persists, contact a biomedical engineer for further troubleshooting. @topic:13


# # # issue - vital signs wrist monitors are not connecting to the web. # # # impact - this issue may impact patient care by delaying or preventing the collection of vital sign data. # # # possible causes - the monitors may not be properly configured. - the network connection may be unstable or down. - the web application may be experiencing technical difficulties. # # # recommendations - ensure that the monitors are properly configured and connected to the network. - test the network connection and ensure that it is stable and reliable. - contact the web application vendor for support if the issue persists. @topic:16


# # # issue - medical cart drawer is unable to close properly. # # # impact - inability to store and secure medical supplies and equipment. # # # possible causes - * * loose solenoid nut : * * the solenoid nut that secures the solenoid to the drawer may have become loose over time due to vibrations or wear and tear. - * * damaged solenoid : * * the solenoid itself may be damaged or defective, preventing it from engaging with the drawer and securing it shut. - * * obstructed drawer track : * * debris or foreign objects may have accumulated on the drawer track, preventing the drawer from closing smoothly. - * * misaligned drawer : * * the drawer may have become misaligned with the cabinet, causing it to bind and preventing it from closing properly. # # # recommendations - * * tighten solenoid nut : * * inspect the solenoid nut and tighten it securely using the appropriate wrench. - * * replace solenoid : * * if the solenoid is damaged or defective, it should be replaced with a new one of the same model and specifications. - * * clean drawer track : * * remove any debris or foreign objects from the drawer track using a soft cloth or brush. - * * adjust drawer alignment : * * if the drawer is misaligned, adjust its position by loosening the screws that secure it to the cabinet and aligning it properly. @topic:21


# # # issue - keypad failure # # # impact - inability to operate the bed, electric device - reduced functionality and usability of the device # # # possible causes - electrical or mechanical damage to the keypad - software or firmware issues # # # recommendations - replace the keypad with a new one - update the software or firmware as necessary - inspect and troubleshoot the electrical and mechanical components of the keypad to identify and repair any damage @topic:25


# # # issue - equipment : bed, electric - band : huntleigh - model : 25800 e / l # # # impact - the bed's head can only be adjusted intermittently. # # # possible causes - loose wiring # # # recommendations - the technician has already inspected and repaired the loose wiring. the bed should now be able to be adjusted properly. @topic:1


# # # issue - cuff is deteriorated # # # impact - cannot measure blood pressure accurately # # # possible causes - cuff is not properly inflated - cuff is damaged or leaking - air hose is kinked or blocked - sensor is malfunctioning # # # recommendations - replace cuff - inspect and repair or replace air hose - inspect and repair or replace sensor - calibrate the device @topic:3


# # # issue - bed is not adjustable # # # impact - patients are unable to use the bed for proper positioning or treatment procedures. # # # possible causes - remote control cord disconnected from control box # # # recommendations - reconnected remote control cord to control box. - tested bed and confirmed that it is now adjustable. @topic:1


. the blood pressure range is : systolic, 30 mmhg — 270 mmhg and diastolic, 10 mmhg — 245 mmhg. the accuracy is + 5 mmhg, with a standard deviation no greater than 8 mmhg. nbp processing uses an oscillometric technique to provide needed measurements at selected intervals. this technique uses an inflatable sphygmomanometer cuff similar to those used by clinicians in routine measurements. at the default inflation pressure, a motorized pump inflates the cuff to approximately 160 mmhg ( adult mode ) initially, at which point the pressure effectively stops the flow of blood. then, under monitor control, the pressure in the cuff is gradually reduced, while a pressure transducer detects the pressure and transmits the parameter signal to the nbp input circuitry. as the pressure is reduced, blood flows in the previously occluded artery, and changes the measurements made by the transducer. the point at which oscillation increases sharply is defined as systolic pressure. as the cuff continues to deflate, the oscillation amplitude increases to a maximum, and then decreases. the peak oscillation amplitude is defined as the mean arterial pressure. the point at which the system detects a rapid decrease in oscillation is defined as the diastolic pressure. theory of operation a - 6 suresigns vs4 service guide block diagram components spo, processing the spo, module measures oxygen saturation in the blood using an optical spectrophotometry technique. it is based on the differences in the absorption of red and infrared light by oxygenated and deoxygenated hemoglobin. a pulse oximeter passes red and infrared light into an arteriolar bed and measures changes in light absorption during the pulsatile cycle. the light sources are red and infrared light emi @topic:17


# # # issue : nibp monitor not functioning properly # # # impact : patient monitoring, blood pressure measurement # # # possible causes : - defective cuff : the cuff used to measure blood pressure may be damaged or worn out, resulting in incorrect readings. - malfunctioning pump : the pump responsible for inflating and deflating the cuff may be faulty, leading to improper pressure application. # # # recommendations : - replace the cuff : if the cuff is found to be damaged, it should be replaced with a new one to ensure accurate blood pressure measurements. - inspect the pump : the pump should be inspected to identify any electrical or mechanical issues. if any defects are found, the pump should be repaired or replaced. - calibrate the monitor : once the cuff and pump have been repaired or replaced, the monitor should be calibrated to ensure accurate readings. @topic:15


# # # issue - the equipment ( suresigns vs4 ) is missing a blood pressure ( bp ) cuff. # # # impact - the equipment cannot be used to measure blood pressure. # # # possible causes - the cuff was not included with the equipment when it was delivered. - the cuff was lost or damaged. # # # recommendations - request a new cuff from the manufacturer. - check the equipment documentation to verify that the cuff is included. - train staff on the proper handling and storage of equipment and accessories. @topic:5


# # # issue * the bed's side rails are not locking into place properly. # # # impact * this could pose a safety risk to the patient, as they could fall out of the bed. # # # possible causes * the side rails may be damaged or bent. * the locking mechanism may be malfunctioning. * the bed may not be level, which could prevent the side rails from engaging properly. # # # recommendations * inspect the side rails for any damage or bending. * check the locking mechanism to ensure that it is functioning properly. * level the bed to ensure that the side rails can engage properly. * if the problem persists, contact the bed manufacturer for further assistance. @topic:6


# # # issue the cuff bp cannot secure the patient's arm. # # # impact the patient's vital signs cannot be accurately measured. # # # possible causes - the cuff bp is old and worn out. - the cuff bp is not the correct size for the patient. - the cuff bp is not inflated properly. # # # recommendations - replace the cuff bp. - use the correct size cuff bp for the patient. - inflate the cuff bp properly. @topic:3


used ( aka local - 5 ) 21 not used ( aka local - 6 ) 22 not used ( aka local - 7 ) 23 service manual troubleshooting 157 to obtain the severity number, subtract the ( facility times 8 ) value from the pri value. the severity number is one of the following : severity description number merg 0 a condition that should be corrected immediately alert 1 critical critical conditions, such as hard device errors 2 rror messageerror 3 warning messages warning 4 conditions that are not errors but may require attention 5 notice nformation messageinfo 6 debug messages 7 debug sample calculation / interpretation for each of the sample error logs presented, we can determine the following : < 13 > 2014 - 09 - 26t12 : 18 : 45. 000 + 00 : 00 wa _ nibpd [ 1326 ] : nibpmanualbpcancelstate - enter < pri > = 13 isodate 2014 - 09 - 26t12 : 18 : 45. 000 + 00 : 00 msghdr wa _ nibpd [ 1326 ] : = = msg nibpmanualbpcancelstate = = facility = < pri > ÷8 = 13÷8 = 1. 625 = 1 when rounded down = user - level messages severity = < pri > - ( facility x 8 ) = 13 - ( 1 x 8 ) = 13 - 8 = 5 = notice < 150 > 2014 - 09 - 08t05 : 55 : 00. 000 + 00 : 00 wa _ spo2nonind [ 1521 ] : code 1, spo2 sensor not onnected < pri > = 150 isodate = 2014 - 09 - 08t05 : 55 : 00. 000 + 00 : 00 msghdr = wa _ spo2nonind [ 1521 ] : msg code 1, spo2 sensor @topic:22


# # # issue the cause of failure in the given input is that the monitor basket came loose. # # # impact the impact of this failure is that the monitor cannot be used safely. the basket could fall off, causing the monitor to fall and injure a patient or staff member. additionally, the monitor may not be able to be used at all if the basket is not properly attached. # # # possible causes - the basket was not properly attached in the first place. - the basket was damaged and was not able to be attached properly. - the basket was bumped or knocked loose. # # # recommendations - ensure that the basket is properly attached before using the monitor. - inspect the basket regularly for damage. - use caution when moving or transporting the monitor to avoid bumping or knocking the basket loose. @topic:2


# # # issue - the electric bed cannot be wheeled into the elevator on the 2nd floor. # # # impact - patients and staff may not be able to access the elevator, causing delays and inconvenience. # # # possible causes - the elevator is too small to accommodate the bed. - the bed is too heavy or bulky to be wheeled into the elevator. - there is an obstruction in the elevator that prevents the bed from being wheeled in. - the bed is not properly balanced or is leaning too far to one side. - the wheels on the bed are not functioning properly. - the technician who tested the bed did not follow the proper procedures. # # # recommendations - verify the measurements of the elevator and the bed to ensure that the bed can fit inside the elevator. - ensure that the bed is properly balanced and not leaning too far to one side. - check the wheels on the bed to make sure that they are functioning properly. - retrain the technician on the proper procedures for testing the bed. - consult with the manufacturer of the bed or elevator for further guidance. @topic:9


# # issue the equipment is not functioning properly after being relocated to the er trauma room. # # impact the equipment is essential for monitoring patient vital signs and providing critical care in the er trauma room. its failure could delay or compromise patient care. # # possible causes - improper handling or damage during relocation - incorrect installation or configuration - environmental factors in the new location, such as temperature or humidity fluctuations # # recommendations - thoroughly inspect the equipment for any visible damage or loose connections. - verify that it is properly installed and configured according to the manufacturer's instructions. - check the environmental conditions in the new location and ensure they meet the equipment's specifications. - consider the possibility of underlying mechanical or electrical issues that may have been exacerbated during relocation. - if the problem persists, consult with the equipment manufacturer or a qualified biomedical engineer for further troubleshooting and repairs. @topic:12


# # # issue - the nibp monitor has come loose from the mounting plate on the pole. # # # impact - the monitor may fall and be damaged, or it may disconnect from the patient, causing a loss of vital data. # # # possible causes - the mounting plate may not have been properly secured to the pole. - the monitor may have been bumped or jostled, causing it to come loose from the mounting plate. - the mounting plate may be damaged, preventing it from securely holding the monitor. # # # recommendations - check that the mounting plate is properly secured to the pole. - inspect the mounting plate for any damage. - if the mounting plate is damaged, replace it with a new one. - if the monitor has been bumped or jostled, inspect it for any damage. - if the monitor is damaged, repair or replace it. @topic:2


# # # issue - the intellivue mp70 bedside physiologic monitor is not powering on. # # # impact - the monitor is essential for patient monitoring in the icu, and its failure can lead to delays in diagnosis and treatment, which can have a negative impact on patient outcomes. # # # possible causes - power cord or power supply failure - internal component failure - software issue # # # recommendations - check the power cord and power supply to ensure they are securely connected and functioning properly. - inspect the monitor for any physical damage or loose connections. - try resetting the monitor by unplugging it from the power source and then plugging it back in. - if the issue persists, contact philips technical support for further assistance. @topic:2


# # # issue - cuff is degraded. # # # impact - the monitor may not be able to accurately measure vital signs. # # # possible causes - the cuff may be old and worn out. - the cuff may have been exposed to excessive heat or moisture. - the cuff may have been punctured or damaged. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - store the cuff in a cool, dry place. @topic:5


# # # issue - the bed's footboard latch is loose, causing the footboard to fall down. # # # impact - the patient may fall out of bed if the footboard falls down. # # # possible causes - the footboard latch is not tightened properly. - the footboard latch is damaged. - the footboard is too heavy for the latch to hold. # # # recommendations - tighten the footboard latch properly. - replace the footboard latch if it is damaged. - make sure that the footboard is not too heavy for the latch to hold. @topic:6


# # # issue - footswitch is intermittently unresponsive when adjusted at icu5 r. 7. this may lead to the inability to adjust the bed position using the footswitch. # # # impact - inconvenient and time - consuming manual adjustment of the bed position. - delays in patient care and discomfort for the patient. # # # possible causes - loose or damaged footswitch connection - faulty footswitch component - electrical interference at icu5 r. 7 # # # recommendations - inspect the footswitch connection and ensure it is secure. - test the footswitch functionality in a different location to rule out electrical interference. - if the issue persists, replace the footswitch. - perform regular maintenance and inspections to prevent similar issues in the future. @topic:1


# # # issue - loose, missing, broken, or detached probe. # # # impact - inaccurate or no fetal monitoring. # # # possible causes - physical damage to the probe cable or connectors - poor maintenance or handling of the equipment - age or wear and tear on the probe # # # recommendations - inspect the probe cable and connectors for any visible damage. - ensure the probe is securely attached to the equipment and patient. - handle the equipment carefully to avoid damage. - perform regular maintenance and calibration of the equipment. - replace damaged or worn - out probes as necessary. - train staff on the proper use and handling of the equipment. @topic:20


# # # issue - damaged insulation on the lead wire # # # impact - patient safety concern - risk of electrical shock or fire - reduced accuracy of ecg measurements # # # possible causes - * * aging and wear * * : the lead wire is subjected to repeated bending and flexing, which can weaken the insulation over time. - * * exposure to chemicals * * : the lead wire may have come into contact with cleaning agents or other chemicals that have damaged the insulation. - * * physical damage * * : the lead wire may have been accidentally cut or crimped, damaging the insulation. # # # recommendations - * * replace the lead wire immediately * * : the damaged lead wire should be replaced with a new one to ensure patient safety and accurate ecg measurements. - * * inspect other lead wires * * : other lead wires that are connected to the same monitor should be inspected for signs of damage. - * * review usage and handling procedures * * : the hospital should review the usage and handling procedures for ecg monitors to minimize the risk of damage to lead wires. - * * consider using wireless telemetry * * : wireless telemetry systems can eliminate the use of lead wires, reducing the risk of damage and improving patient comfort. @topic:18


# # # issue - the nibp monitor is not able to measure oxygen saturation ( spo2 ). # # # impact - the hospital staff is unable to monitor the patient's oxygen levels. # # # possible causes - the spo2 probe is not connected properly. - the spo2 probe is damaged. - the nibp monitor is not functioning properly. # # # recommendations - check the connection of the spo2 probe. - replace the spo2 probe. - contact the manufacturer of the nibp monitor for further troubleshooting. @topic:4


* * possible cause of failure : * * - * * improper use : * * the equipment was used improperly for a purpose it was not intended for, which could have caused damage or malfunction. in this case, the bed was used as a backup bed, which may not have been within its intended use. * * recommendations : * * - ensure that equipment is used only for its intended purpose to prevent misuse or damage. - provide clear instructions and training on the proper use of equipment to prevent improper operation. - establish clear policies and procedures for equipment use and maintenance to avoid unauthorized or inappropriate usage. @topic:9


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 - description : biomedical engineer ( bme ) found that the equipment was rebooting and could not access windows. # # # impact - the equipment could not be used for its intended purpose. # # # possible causes - bios misconfiguration - hardware failure - software corruption # # # recommendations - check the bios settings and make sure that they are correct. - if the bios settings are correct, then check the hardware for any signs of damage. - if the hardware is undamaged, then reinstall the windows operating system. @topic:13


the section on using the batteries for details ac power led green while the monitor is connected to ac power ( mains ) 3 1 basic operation introducing the intellivue family intellivue mp40 / mp50 the intellivue mp40 / mp50 ( m8003a / m8004a ) patient monitor has a 12 - inch tft lcd flat panel svga display. the standard input devices for the mp50 are the touchscreen and integrated navigation point ; the mp40 is supplied with an integrated navigation point only. up to six waves can be shown on mp40 / mp50 screens, 12 ecg traces can be shown on the 12 - lead ecg screen. the mp40 / mp50 can be connected to one of the multi - measurement modules ( mms ) and any one of the mms extensions. the intellivue family plug - in measurement modules can be connected to its four integrated plug - in module slots with plug - and - play convenience ( the only exception is the sv0 2 module, ml021 a, which cannot be used with the mp40 / mp50 ). the flexible module rack ( m8048a ) cannot be used with the mp40 / mp50. mp40 / mp50 major parts and keys mp40 / mp50 left side 1 2 1 color - coded alarm lamps 2 alarms off lamp 3 model indicator 4 ecg out 5 navigation point 6 part number and serial number 7 mounting quick - release lever ( when this is pressed the monitor is not fixed on the mounting ) 8 plug - in module slots 4 introducing the intellivue family 1 basic operation mp40 / mp50 front panel 1 1 2 3 4 5 6 7 on / standby switch on / standby led error led battery status led ac power operation led “ read the documentation ” symbol mounting quick - release lever ( when this is pressed @topic:10


# # # issue - spo2 cable on patient transport monitor failed # # # impact - unable to monitor patient's oxygen saturation # # # possible causes - cable could be damaged, kinked, or loose # # # recommendations - * * inspect the cable for any visible damage, kinks, or loose connections * * - * * replace the cable if necessary * * - * * make sure the cable is properly connected to the monitor and the patient * * - * * perform regular preventative maintenance on the monitor * * @topic:4