# # # issue - wi - fi network outage # # # impact - inability to use the medical cart's software and access patient data # # # possible causes - * * problem with the hospital's wi - fi network : * * a temporary outage or a configuration issue in the hospital's wi - fi network could prevent the medical cart from connecting. - * * issue with the medical cart's wi - fi module : * * a hardware or software issue with the medical cart's built - in wi - fi module could cause it to lose connection to the network. - * * misconfiguration of the medical cart's network settings : * * the medical cart's network settings may have been incorrectly configured, preventing it from connecting to the wi - fi network. - * * interference from other devices : * * wireless interference from other devices in the hospital, such as multiple medical devices or mobile phones, could disrupt the medical cart's wi - fi connection. # # # recommendations - * * check the hospital's wi - fi network : * * verify that the hospital's wi - fi network is operational and there are no reported outages or issues. - * * restart the medical cart : * * power cycling the medical cart can resolve temporary software or hardware issues that may be causing the wi - fi connection problem. - * * inspect the medical cart's wi - fi antenna : * * ensure that the medical cart's wi - fi antenna is properly connected and not damaged. - * * verify the medical cart's network settings : * * check the medical cart's network settings to ensure they are configured correctly for the hospital's wi - fi network. - * * move the medical cart to a different location : * * if possible, move the medical cart to a different location within the hospital to minimize wireless interference from other devices @topic:13


# # # issue : medical cart monitor not turning on ( black screen ) # # # impact : inability to use the medical cart for patient care. # # # possible causes : - power supply issue - loose or damaged cables - faulty monitor - software or firmware issue - boot failure # # # recommendations : - check the power supply and ensure it is properly connected and receiving power. - inspect the cables for any loose connections or damage, and replace if necessary. - try rebooting the device by cycling the power. - contact the manufacturer for further troubleshooting or repair if the issue persists. - ensure that the software and firmware are up - to - date to minimize the risk of boot failure. consider using a power surge protector to protect the equipment from voltage fluctuations. @topic:13


# # # issue - equipment failure due to cuff leakage # # # impact - interruption in patient monitoring - inaccurate vital signs measurements - potential for patient harm # # # possible causes - cuff damaged or worn - air leak in the cuff or tubing - malfunctioning pump # # # recommendations - replace the cuff with a new one - inspect the tubing and connectors for leaks - check the pump for proper functioning - regularly calibrate and maintain the equipment to prevent future failures @topic:5


# # # issue - bed not adjusting # # # impact - patient discomfort - difficulty providing care # # # possible causes - remote control not functioning - electrical issue - mechanical issue # # # recommendations - replace remote control - check electrical connections - inspect mechanical components @topic:1


# # # issue - knee adjustment is not functioning. # # # impact - inability to properly position the bed, which can lead to discomfort and potential injury to the patient. # # # possible causes - * * faulty remote control : * * the remote control may be defective or damaged, causing it to send incorrect signals to the bed. - * * electrical malfunction : * * there may be a problem with the electrical system of the bed, preventing the knee adjustment mechanism from receiving power. - * * mechanical failure : * * the knee adjustment mechanism itself may be malfunctioning due to wear and tear, or a broken or disconnected component. - * * software issue : * * if the bed is controlled by software, there may be a glitch or bug that is interfering with the knee adjustment function. # # # recommendations - * * inspect and test the remote control : * * check if the remote control is sending the correct signals, and replace it if necessary. - * * troubleshoot the electrical system : * * use a multimeter to test for voltage and continuity in the electrical system, and repair any faults. - * * examine the knee adjustment mechanism : * * visually inspect the mechanism for any visible damage or wear, and tighten or replace any loose or broken components. - * * update the software : * * if the bed is software - controlled, check for any available updates and install them to resolve potential software issues. @topic:9


# # # issue - * * elevated reading * * on patient transport monitor ( philips suresigns vs2 + ) # # # impact - * * inaccurate patient monitoring : * * falsely elevated readings may lead to incorrect diagnoses and treatment decisions, potentially compromising patient safety. # # # possible causes - * * sensor malfunction : * * faulty sensor may be providing erroneous data, leading to overestimation of parameter values. - * * calibration error : * * incorrect calibration may have shifted the readings higher than actual values. - * * electrical interference : * * external electromagnetic fields or faulty wiring may disrupt signals and cause increased readings. - * * software glitch : * * software bugs or updates may introduce errors in data processing, leading to inflated values. # # # recommendations - * * recalibrate device : * * verify and recalibrate the monitor using appropriate standards and equipment. - * * inspect sensor : * * examine the sensor for any physical damage or loose connections that may be affecting data transmission. - * * isolate electrical interference : * * identify and eliminate potential sources of electromagnetic interference, such as nearby electrical equipment or power lines. - * * update software : * * check for software updates and apply them if necessary to address any known software issues. - * * consult philips support : * * contact the manufacturer for technical assistance or further troubleshooting guidance. @topic:20


# # # issue - spo2 sensor is not giving any readings - blood pressure ( bp ) is not being measured # # # impact - inability to monitor patient's vital signs ( spo2 and bp ) - delay in diagnosis and treatment # # # possible causes * * spo2 sensor not giving readings : * * - loose or disconnected sensor - damaged sensor - faulty sensor - interference from other light sources * * bp not being measured : * * - loose or disconnected cuff - damaged cuff - incorrect cuff size - faulty blood pressure transducer - air leak in the system # # # recommendations - inspect the spo2 sensor for any loose connections or damage. - replace the spo2 sensor if it is damaged or faulty. - ensure there are no other light sources near the spo2 sensor that could interfere with its readings. - inspect the bp cuff for any loose connections or damage. - replace the bp cuff if it is damaged or if it is not the correct size for the patient. - ensure the blood pressure transducer is functioning properly. - inspect the system for any air leaks. @topic:4


##moral or the axillary artery. the picco method requires a pressure measurement made using either the m1006b pressure module, or a m3001a / m3002a mms, or a measurement extension module m3015a, m3014a, or m3012a. ( a pressure from an external device may not be used. ) you will also need a conventional central venous ( cvp ) line and an arterial catheter from pulsion medical systems. you must use the approved catheters and puncture locations. measuring continuous cardiac output every time c. o. is measured with the picco method, the monitor uses this c. o. value and the result of the pulse contour analysis to calculate a patient - specific calibration factor. the monitor uses this value to compute cco and the other continuous hemodynamic parameters. cco values are calculated on a beat - to - beat basis and then averaged over a 12 - second time frame. the calculated values are displayed as numerics on the monitor screen. measuring systemic vascular resistance the monitor uses cco, an arterial pressure, and cvp to calculate a continuous svr value. if a continuously measured cvp value is not available, the monitor uses a preset, static cvp value to calculate the svr ( you will see the inop message svr set cvp used ). if the bsa is available, the monitor uses the cci to calculate the svri. a cco or cci from an external device can also be used for the svr / svri calculation. svr / svri settings can be changed in the setup svr / svri menu. to enter the menu, select - > main setup - > measurements - > svr or svri. to display a svr / svri numeric on the screen, select @topic:17


# # # issue - equipment : monitors, physiologic, vital signs - band : philips - model : suresigns vm4 - cause of failure : time is incorrect # # # impact - inaccurate patient monitoring - delays in patient care # # # possible causes - internal clock malfunction - power outage - incorrect time setting # # # recommendations - replace internal clock if malfunctioning - ensure uninterrupted power supply - verify correct time setting and regularly calibrate the device @topic:29


# # # issue - bed not adjusting # # # impact - patient discomfort - difficulty in providing care - increased risk of injury # # # possible causes - remote control malfunction - electrical fault - mechanical failure # # # recommendations - replace remote control - inspect electrical connections and wiring - lubricate and adjust mechanical components @topic:1


. recorder won't run. recorder interface not working correctly. unplug the module. plug it back in and try it again in a few seconds. ( watch for the led to flash. ) poor print quality. printhead dirty. clean the printhead. printhead failure. exchange the module. paper not feeding properly. paper roll off center. center paper roll on roller guides. dirty roller. clean roller. module does not lock into 4 - slot rack. locking plates defective. remove and exchange the locking plates. 98 troubleshooting guide 4 troubleshooting mib / rs232 symptoms cause of failure failure isolation and remedy agm connected to an rs232 port not functioning the mib / rs232 port is not configured for agm check configuration of the mib / rs232 ports in configuration mode the cable between agm and monitor is not connected correctly or defective check cable connection, replace cable if necessary the mib / rs232 board is in a wrong slot ( slot has been changed after software configuration or an additional board has been plugged in ) verify correct placement of the 1 / o boards the mib / rs232 board is defective check board and replace if necessary external device not receiving data the mib / rs232 port is not configured for data export check configuration of the mib / rs232 ports in configuration mode the wrong data export protocol driver is configured in the monitor check the export protocol required by the attached device and configure the monitor accordingly the cable between the external device and the monitor is not connected correctly or defective check cable and replace if necessary the external device does not support the version of the data export protocol used in the monitor check if the device supports the version of the data export protocol. upgrade device or monitor if necessary ( if matching versions exist ). a terminal concentrator is used in between the device and the monitor @topic:16


talhouet, 56330 pluvigner, france la presente declaration de conformite est etablie sous la seule responsabilite du fabricant this declaration of conformity is issued under the sole responsibility of the manufacturer identification du produit ad315a identification of the product brand name : hill - rom rade name : hill - rom 900 accype : l1900b4 with adescription et identification du produit : lit avec module smartsynch tm ( communication wi - fi avec solution hill - rom ) product description and identification : bed with smartsynchtm module ( wi - fi communication solution powered by hill - rom ) l'objet de la declaration decrit ci - dessus est conforme a la legislation d'harmonisation de l'union applicable : the object of the declaration described above is in conformity with the relevant union harmonisation legislation : • directive 2014 / 53 / ue ( red ) [UNK] appliques article 3. 1 a ( 2014 / 53 / ue ) : en 60601 - 1 : 2006 / am1 : 2013 en 60601 - 2 - 52 : 2010 / en 62311 : 2008 ( protection de la sante et securite des utilisateurs / safety & protection of the users'health ) article 3. 1 b ( 2014 / 53 / ue ) : en 60601 - 1 - 2 : 2015, draft etsi en 301 489 - 17 v3. 2. 0 : 2017 ( compatibilite electromagnetique / electromagnetic compatibility ) article 3. 2 ( 2014 / 53 / ue ) : etsi en 300 328 v2. 1. 1 : 2016, etsi en 301 893 v2. 1. 1 : 2017 ( utilisation efficace et utilisation opt @topic:10


# # # issue keyboard of the philips intellivue mx40 telemetric physiologic monitor is not working. # # # impact the monitor cannot be used to display patient data, which can delay diagnosis and treatment. # # # possible causes * * * keyboard cable is damaged. * * the cable may have been pinched, cut, or otherwise damaged, preventing the keyboard from communicating with the monitor. * * * keyboard malfunction. * * the keyboard itself may have failed due to a manufacturing defect or other internal issue. * * * monitor malfunction. * * the monitor may not be able to recognize the keyboard due to a software or hardware issue. # # # recommendations * * * inspect the keyboard cable for damage. * * if the cable is damaged, replace it. * * * try a different keyboard. * * if the new keyboard works, the original keyboard is likely faulty and should be replaced. * * * contact the manufacturer. * * if the issue persists, contact the manufacturer of the monitor for further troubleshooting assistance. @topic:27


# # # issue the sphygmomanometer, electronic ( casmed, model 740 ) turns off when unplugged. # # # impact inability to monitor and measure blood pressure accurately, leading to potential patient harm. # # # possible causes - battery exhaustion or malfunction - loose or damaged power cord / connector - internal power supply failure - software or firmware issue # # # recommendations 1. * * test battery : * * - replace the battery with a new one. - ensure the battery is correctly inserted and making good contact. 2. * * inspect cords and connectors : * * - examine the power cord and connections for any visible damage, loose connections, or corrosion. - tighten any loose connections or replace the cord if necessary. 3. * * check internal power supply : * * - contact the manufacturer or a qualified service technician to assess and repair or replace the internal power supply if needed. 4. * * reset device : * * - if available, consult the user manual for instructions on resetting the device. - this may resolve any software or firmware issues. 5. * * notify biomedical engineering : * * - report the issue and findings to the biomedical engineering department for further investigation and resolution. 6. * * preventive maintenance : * * - establish a regular maintenance schedule to check batteries, cords, and connections, and ensure proper functionality of the device. @topic:11


# # # issue - the vital signs monitor's blood pressure measurement basket malfunctioned. # # # impact - inability to accurately measure blood pressure, potentially leading to incorrect patient diagnoses or treatment decisions. # # # possible causes - * * corrosion or oxidation : * * the basket, which is made of metal, may have corroded or oxidized over time, causing it to jam or become loose. this can be caused by exposure to moisture or bodily fluids. - * * mechanical wear and tear : * * with repeated use, the basket may have become worn or damaged, causing it to malfunction. this could be due to frequent insertion and removal of the blood pressure cuff. - * * improper installation : * * if the basket was not properly installed during the previous repair, it could have caused misalignment or other issues that led to its failure. # # # recommendations - * * thorough cleaning and inspection : * * inspect the basket for any visible damage, corrosion, or oxidation. clean it thoroughly to remove any debris or contaminants. - * * lubrication : * * apply a medical - grade lubricant to moving parts of the basket to reduce friction and prevent jamming. - * * proper installation : * * ensure that the basket is installed correctly according to the manufacturer's instructions. - * * regular maintenance : * * schedule regular maintenance checks for the vital signs monitor, including inspection and cleaning of the blood pressure measurement basket. - * * replacement : * * if the basket is severely damaged or cannot be repaired, it should be replaced with a new one. @topic:15


or installing suitable wall boxes to accommodate the faceplates. • pulling cables warning never run power cables through the same conduit or trunking used for system cables. • installing wall boxes it is the customer's responsibility to provide and install wallboxes to house faceplates. the customer must notify the philips installation coordinator of which size is to be used. procedures for philips personnel before you begin the procedures in the installation sections, ensure that the customer has completed all necessary preparations outlined in the previous section, " procedures for local staff. " monitor m8003a and m8004a site requirements space requirements the situating of the monitor should be planned such that the nursing staff are able to monitor the patient with relative ease, with all patient connectors and controls readily available and the displays clearly visible. the location should also allow access to service personnel without excessive disruption and should have sufficient clearance all round to allow air circulation. maximum dimensions and weight : size ( wxhxd ) 365 x 330 x 217 mm weight 6. 7 kg ( 14. 8 lb ) environmental requirements the environment where the mp40 / mp50 monitor will be used should be reasonably free from vibration, dust and corrosive or explosive gases. the ambient operating and storage conditions for the mp40 / mp50 monitor must be observed. if these conditions are not met, the accuracy of the system will be affected and damage can occur. temperature operating : 0 to 35°c ( 32 to 95°f ) storage : - 20 to 60°c ( - 4 to 140°f ) humidity operating : 20 % to 85 % relative humidity ( rh ) ( non - condensing ) 249 8 site preparation remote device site requirements storage : 5 % to 85 % relative humidity ( rh ) altitude operating : om to 3000m ( 10000 ft. ) storage : 0m to 12000m ( @topic:10


in pump noise. if the value is within the tolerance limits, continue with part 2 of the leakage check. 72 3 testing and maintenance ] 6 if the value is outside the tolerance limits, there is a leakage between the pump outlet and the mc 02 outlet. 7 open the mms extension or mp5 and check the tubing connections at the pump outlet and the extension gas outlet. if the connections are good, then there is a leakage in the tubing and you must exchange the mms extension or the mc02 assembly of the mp5 respectively. part 2 1 disconnect the flowmeter from the part 1 setup and connect the flowmeter inlet to the m3015a gas outlet or the mp5 mc02 gas outlet. 2 leave the calibration line connected to the m3015a inlet or the mp5 mc02 inlet.. 3 block the inlet of the calibration line using your fingertip and observe the flowmeter display. the value on the flowmeter ( x2 ) should decrease to between 0 and 4 ml / min, accompanied by an audible increase in pump noise. the cell pressure shown in the status line on the display should decrease to between 300 and 500 mmhg. do not block the inlet for longer than 25 seconds as this will lead to an ‘ ‘ occlusion ” inop. if the value is within the tolerance limits, there are no leakages and the leakage check is completed ; proceed to the pump check. 4 if the value is not within the tolerance limits, there is a leakage between the calibration line inlet and the pump inlet. 5 check the calibration line connections and open the m3015a or mp5 to check the tubing connections at the pump inlet and the m3015a or mp5 mc02 gas inlet. if the connections are good, try replacing the cal @topic:17


##uration 191 fusion beat pacemakers 152 infection control 411. and ecg monitoring 152 g annotation 342 information center 113, 114 combi - events 340 transferring patients 113, transferring patients using iit 114 injectate guidelines for c. o. 235 injectate volume setting ( c. o. ) 230 inops 59, 64, 389 empty, dgedv / gedvi 226 getting started 48 global trend time 320 event episode recording 344 event episode types 334 from external devices 389 indicators 59 silencing 63 installation 447 res 313 event pre - timevent retriggering 337 graphic trends report 319 event review recording 343 ground check ( bis ) 288 intermittent bundle branch block 156 h intermittent mandatory ventilation hardkey71 intravascular dyshemoglobins ( spo2 ) 192 manual event triggers 339 setting up ner 338 events pop - up keys 335 inops 71 intrinsic rhythm 152 nvasive pressure 21in - vivo calibration, svo2 274, 276 526 monitor settings 39 ipc 50 deskinput devices 51 n 52 mainstream co2 242, 247, 256 accessories 242, 256 measuring 243, 247 maintenance 415 iso point ( st ) 169 itbv / itbvi 226 schedule 415 visual inspection 415 multi - measurement module 133 j ecg connector 133. manual detection mode ( resp ) 187, 188 apnea alarms 188 and point ( st ) n and k anually triggering evn2o correction 250 manufacturer's information 444 t 17permmason - likar lead system 143 permanent kemax hold setting ( co2 ) 241 l nbp 203 label conflict resolution 44 labels 44 adult cuffs 425 measurement 41, 42 alarm source 209 etting up 41 ansi / aami sp10 - 1992 203 automatic mode, enabling 208 on and off 4wave speed, changing 42 lactate measurement 352 comfort cuff kits 423 @topic:8


# # # issue - faulty spo2 cable # # # impact - inaccurate or discontinued monitoring of oxygen saturation levels, which can lead to delays in diagnosis and treatment. # # # possible causes - physical damage to the cable, such as cuts or tears - loose connections - manufacturing defects # # # recommendations - replace the spo2 cable with a new one. - inspect the cable regularly for any signs of damage and replace it as necessary. - ensure that all connections are secure. - consider using a different brand or model of spo2 cable if the issue persists. @topic:4


page 129 ) 115 4 troubleshooting troubleshooting guide boot phase failures 116 external external power connection not ok check that the external power sources power led are powered and the power cord and does not light the msl cable are ok and connected h en external power supply or power cable | exchange external power supply or connected to defective power cable external power or host | msl cable defective exchange msl cable monitor flex cable to hif board not connected | check flex cable connection to hif correctly board flex cable to hif board defective exchange flex cable to hif board hif board defective exchange display assembly msl power board defective exchange msl power board main board defective exchange main board combined battery defective check battery and replace, if necessary mei flex cable to hif board not connected | check flexible cable connection to sem t positioned correctl hif board and displ led remains | 9i not positioned correctly. oard and display off after flex cable to hif board defective exchange flex cable to hif board pressing board defect exchange displ bl power on hif board defective xchange display assembly button : iit module defective disconnect cables and boards : integrated measurements defective - iit module nbp pump defective - measurement block - nbp pump then try to switch on the monitor again. msl power board defective main board defective exchange msl power board and try to switch the monitor on again. exchange main board. add boards in reverse order and try again with each board. red power main board defective exchange main board oreo iit module defective disconnect cables and boards : led stays on integrated measurements defective - ht module continuously nbp pump defective - measurement block msl power board defective - nbp pump - msl power board then try to switch on the monitor again. troubleshooting guide 4 troubleshooting red power connect support tool directly to host on @topic:16


# # # issue - wheeled noise # # # impact - it makes the user unpleasant to use. # # # possible causes - the wheels are not lubricated properly. - the bearings in the wheels are worn out. - the wheels are not aligned properly. # # # recommendations - lubricate the wheels with a suitable lubricant. - replace the bearings if they are worn out. - align the wheels properly. @topic:24


# # # issue - equipment indicates an air leak. # # # impact - the accuracy and reliability of patient vital signs measurements may be compromised. # # # possible causes - faulty connector : the connection between the monitoring device and the patient's vitals may be loose or damaged, leading to an air leak. - internal leak : a leak within the monitoring device's internal components can also cause an air leak. # # # recommendations - * * replace the connector : * * if a faulty connector is suspected, it should be replaced with a new one to ensure a secure connection and prevent air leaks. - * * inspect internal components : * * if the connector replacement does not resolve the issue, further inspection of the device's internal components may be necessary to identify and repair any internal leaks. - * * regular maintenance : * * to minimize the risk of air leaks and other equipment failures, regular maintenance and calibration of biomedical devices is essential. this includes periodic inspections and testing to ensure proper functioning and early detection of potential issues. @topic:15


# # # issue - the scanner on the medical cart was set to " enter after scan " instead of " tab after scan ". # # # impact - the drawer would not open after scanning a patient's hn ( hospital number ). # # # possible causes - the scanner was not properly configured. - the scanner settings were changed by a user or technician. # # # recommendations - the scanner was reconfigured to " tab after scan " and tested successfully. - technicians and users should be instructed on proper scanner configuration and usage. @topic:23


# # # issue philips suresigns vs4 monitor has a worn cuff fabric. # # # impact the worn cuff fabric may lead to inaccurate or unreliable vital sign readings, which can affect patient monitoring and diagnosis. # # # possible causes the cuff fabric may have worn out due to : - repeated use over time - wear and tear from cleaning and disinfection - poor storage conditions # # # recommendations 1. replace the worn cuff fabric with a new one. 2. inspect cuff fabrics regularly for signs of wear and tear. 3. follow the manufacturer's instructions for proper cleaning, disinfection, and storage of cuff fabrics. 4. if the cuff fabric is damaged beyond repair, consider replacing the entire monitoring device. @topic:5


# # # issue - module gas g5 not reading values # # # impact - inability to monitor patient's gas levels during transport # # # possible causes - incorrect connection of cables - faulty module - software issue # # # recommendations - ensure that all cables are securely connected to the correct ports - replace the module if necessary - update the software if available @topic:20


# # # issue - cuff leak resulting in inaccurate blood pressure readings. # # # impact - compromised patient monitoring and safety due to unreliable blood pressure measurements. # # # possible causes - cuff degradation over time due to wear and tear. - improper cuff inflation or deflation techniques. - cuff damage caused by external factors, such as punctures or tears. # # # recommendations - regularly inspect and replace cuffs as per manufacturer's guidelines. - ensure proper cuff inflation and deflation procedures are followed. - handle cuffs with care to prevent damage. - calibrate the blood pressure monitor regularly to ensure accurate readings. - train staff on proper cuff handling and monitoring techniques. @topic:3


# # # issue battery not charging on philips intellivue mx450 bedside physiologic monitor. # # # impact the affected monitor cannot operate on battery power, which could result in patient safety concerns if the primary power source were to fail. # # # possible causes * faulty battery * faulty charging circuit * faulty connection between the battery and charging circuit # # # recommendations * * troubleshooting steps : * * 1. ensure that the monitor is connected to a working power outlet. 2. disconnect and reconnect the battery to the monitor. 3. inspect the battery and charging contacts for any damage or debris. 4. if the issue persists, contact the manufacturer for technical support. * * corrective actions : * * * if a faulty battery is identified, replace it with a new one. * if a faulty charging circuit is identified, repair or replace the circuit board. * if a faulty connection is identified, clean or replace the affected component. * * preventive measures : * * * regularly inspect batteries and charging contacts for any damage or debris. * ensure that the monitor is connected to a reliable power source. * follow the manufacturer's instructions for proper battery maintenance and charging procedures. @topic:11


# # # issue - the cuff of the vital signs monitor is damaged. # # # impact - the monitor cannot take accurate blood pressure readings. # # # possible causes - the cuff may have been damaged by : - being over - inflated - being pinched or punctured - being exposed to extreme temperatures # # # recommendations - replace the damaged cuff with a new one. - inspect the cuff regularly for damage. - do not over - inflate the cuff. - do not pinch or puncture the cuff. - avoid exposing the cuff to extreme temperatures. @topic:5


# # # issue - broken headboard hinge on the bed # # # impact - bed cannot be used # # # possible causes - excessive weight on the headboard - mishandling of the bed - manufacturer defect # # # recommendations - inspect the bed for other damage - replace the broken hinge - train staff on proper handling of the bed - contact the manufacturer to report the issue @topic:6


# # # issue * sensor ber 3 dan 4 tidak terdeteksi # # # impact * tidak dapat memonitor aktivitas listrik otak pasien secara akurat * dapat menunda diagnosis atau perawatan yang tepat # # # possible causes * kabel sensor longgar atau rusak * sensor tidak terpasang dengan benar ke elektroda * elektroda tidak membuat kontak yang baik dengan kulit pasien * sensor rusak * masalah dengan unit utama bis vista * gangguan elektromagnetik # # # recommendations * periksa dan kencangkan kabel sensor * periksa dan pasang kembali sensor ke elektroda dengan benar * pastikan elektroda menempel dengan baik pada kulit pasien * ganti sensor jika rusak * periksa unit utama bis vista untuk masalah apa pun * singkirkan kemungkinan gangguan elektromagnetik @topic:12


# # # issue - slow login to vsm system # # # impact - delays in patient monitoring and diagnosis - reduced efficiency of healthcare professionals # # # possible causes - * * network issues : * * poor signal strength, slow internet connection, or network congestion can cause delays in data transmission from the device to the vsm system. - * * system overload : * * excessive load on the vsm system from multiple devices or a large number of users can slow down login processes. - * * software bugs : * * software malfunctions or glitches within the vsm system or the device's firmware can cause login issues. - * * hardware failure : * * a faulty cable, port, or device component can disrupt data transfer and affect login functionality. # # # recommendations - * * network troubleshooting : * * verify network connectivity and signal strength. contact the it department to resolve any network issues. - * * system optimization : * * optimize the vsm system by reducing the number of devices connected or users logged in during peak hours. - * * software updates : * * install the latest software updates for both the vsm system and the device to fix bugs and improve performance. - * * hardware inspection : * * inspect cables, ports, and device components for any damage or loose connections. replace or repair faulty components as needed. @topic:16


# # # issue - cuff on the vital signs monitor is degraded # # # impact - accurate blood pressure readings may not be obtained # # # possible causes - normal wear and tear of the cuff - damage to the cuff from improper use or storage - cuff is not the correct size for the patient # # # recommendations - replace the cuff with a new one - inspect the cuff regularly for signs of wear and tear - store the cuff properly when not in use - ensure that the cuff is the correct size for the patient @topic:5


# # # issue failure of philips monitor, model : intellivue x2 to communicate with other devices. # # # impact inability to monitor patient vital signs, data transfer, and connectivity with other hospital systems. # # # possible causes - * * loose or damaged cables : * * the cable connecting the monitor to the patient or other devices may be loose, damaged, or disconnected. - * * communication protocol issues : * * the monitor and the other devices may be using different communication protocols, preventing proper communication. - * * software or firmware problems : * * bugs or glitches in the monitor's software or firmware can cause communication failures. - * * network or server issues : * * if the monitor relies on a network or server for communication, problems with these components can impact connectivity. - * * physical damage to the monitor : * * a physical fault within the monitor, such as a failed component or damaged circuitry, can prevent it from communicating. # # # recommendations 1. * * check cables : * * inspect all cables connecting the monitor to other devices. ensure they are securely connected and not damaged. 2. * * verify communication settings : * * confirm that all devices are using the same communication protocol and settings. 3. * * update software and firmware : * * check if there are any available software or firmware updates for the monitor. these updates may resolve communication issues. 4. * * troubleshoot network connectivity : * * check if the network or server is experiencing any problems by running diagnostic tests or contacting it support. 5. * * contact manufacturer support : * * if the issue persists, reach out to the manufacturer of the monitor for technical assistance and repairs if necessary. @topic:16


# # # issue - swapped ear thermometer # # # impact - incorrect temperature readings - potential patient safety hazards # # # possible causes - miscommunication during setup - improper storage or handling - malfunction of the ear thermometer # # # recommendations - implement clear communication protocols for device setup and maintenance - ensure proper storage and handling of equipment - regular testing and calibration of the ear thermometer to identify any malfunctions @topic:20


certification _ authority _ - _ g6. pem verisign _ class _ 3 _ public _ primary _ certification _ authority _ - _ g4. pem verisign class _ 3 _ public _ primary _ certification _ authority _ - _ g5. pem veri _ sign _ class _ 3 _ public _ primary _ certification _ authority _ - _ g3. pem comodo ecc _ certificate _ authority. pem comodo certificate _ authority. pem symantec class _ 3 _ public _ primary _ certification _ authority _ - _ g4. pem go daddy _ root _ certificateauthority _ - _ g2. pem comodo _ rsa _ certificate _ authority. pem verisign universal _ root _ certification _ authority. pem to add a certificate from your computer : from the main screen, click the new configuration tab. 1. use the drop down menu to select ca root certificate. 2. provide a name for the configuration by typing in the field to enter a user friendly name and then click continue. 3. list configurations new configuration customer verification new configuration select the product that you would like to configure. ca root certificate provide a user friendly name for your configuration. ertcontinue select the product use location. ( choices include : hospital or physicians office or clinic. ) 4. click save and continue. 5. lick ca root certifi6. summary it ( required ) cert a root certificca root certificate setting select an optional ca root certificate. selected ca root certificate ave and continue back 7. click select an optional ca root certificate. service manual connex direct 227 ca root certificate selection welch ally ca root certificate must be in pem or der formats failure to abide by these restrictions will cause the certificate to be ignored by the device list configurations configuration name : cert rag @topic:10


# # # issue * electric bed is not adjusting up or down # # # impact * patients may not be able to get into or out of bed * patients may be uncomfortable if they are not able to adjust the bed to a comfortable position * nurses and other healthcare staff may have difficulty providing care to patients if they are not able to adjust the bed # # # possible causes * * * power outage : * * the bed may not be receiving power, which could prevent it from adjusting. * * * loose or damaged electrical connections : * * the electrical connections between the bed and the power source may be loose or damaged, which could also prevent the bed from adjusting. * * * faulty motor : * * the motor that powers the bed may be faulty, which could prevent the bed from adjusting. * * * damaged or worn - out gears : * * the gears that allow the bed to adjust may be damaged or worn out, which could also prevent the bed from adjusting. * * * software issue : * * the software that controls the bed may be malfunctioning, which could prevent the bed from adjusting. # # # recommendations * * * check the power source : * * make sure that the bed is plugged into a power outlet and that the outlet is working. * * * inspect the electrical connections : * * look for any loose or damaged electrical connections between the bed and the power source. tighten any loose connections and replace any damaged connections. * * * test the motor : * * try to manually adjust the bed up and down. if the motor is not working, it will need to be replaced. * * * inspect the gears : * * look for any damaged or worn - out gears. if any gears are damaged or worn out, they will need to be replaced. * * * update the software : * * if the software that controls the bed is malfunctioning @topic:1


* * issue : * * medical cart opens to a selected boot screen upon startup. * * impact : * * the medical cart cannot be used until the boot issue is resolved. * * possible causes : * * * the boot option is set to boot from a device other than the computer's hdd. * * recommendations : * * * enter the boot options and change the boot order to boot from the computer's hdd. * if the issue persists, check the hdd for any damage or failures. @topic:13


# # # issue - unable to adjust the electric bed. # # # impact - patient discomfort and potential for further injury. - delay in treatment or procedures. # # # possible causes - power supply issue. - remote control malfunction. - motor failure. - mechanical problem with the bed frame or actuators. # # # recommendations 1. * * check the power supply. * * ensure that the bed is properly plugged into a power outlet and that the power switch is turned on. 2. * * test the remote control. * * replace the batteries if necessary and check for any damage to the buttons or wiring. 3. * * inspect the motor and wiring. * * look for any loose wires or damaged components. 4. * * check the bed frame and actuators. * * ensure that all components are properly aligned and that there is no debris or damage. 5. * * reset the bed. * * unplug the bed from the power outlet and wait 30 seconds before plugging it back in. this may reset any electronic malfunctions. 6. * * contact the manufacturer. * * if the above steps do not resolve the issue, contact the manufacturer of the bed for further troubleshooting and repair. @topic:1


# # # issue the electric bed, model contoura 390, manufactured by huntleigh, is not adjusting properly. # # # impact patients may not be able to get into or out of bed safely or comfortably. the bed may not be able to be positioned properly for medical procedures. # # # possible causes - broken or damaged remote control - electrical problems with the bed - mechanical problems with the bed # # # recommendations - inspect the remote control for any damage. if the remote control is damaged, it will need to be replaced. - check the electrical connections to the bed. if the electrical connections are loose or damaged, they will need to be repaired. - inspect the mechanical components of the bed for any damage or wear. if the mechanical components are damaged or worn, they will need to be repaired or replaced. @topic:1


# # # issue * request for spare bed # # # impact * the spare bed is not available for use, which could lead to a delay in patient care. # # # possible causes * the spare bed has not been ordered. * the spare bed has been ordered but has not yet arrived. * the spare bed is in use and cannot be spared. # # # recommendations * order a spare bed if one is not already on hand. * follow up with the vendor to ensure that the spare bed is delivered as soon as possible. * if the spare bed is in use, explore other options for providing a bed for the patient, such as transferring the patient to another unit. @topic:9


# # # issue - loose connection between power outlet and headwall # # # impact - interruption of power supply to the bed - inability to adjust the bed # # # possible causes - wear and tear on the power outlet or plug - loose or damaged wiring - improper installation # # # recommendations - inspect the power outlet and plug for damage or wear - tighten the connection securely - check the wiring for loose or damaged connections - ensure the bed is properly installed and grounded - if the problem persists, contact a qualified biomedical engineer or electrician @topic:9


# # issue - faulty equipment basket # # impact - potential for patient injury - device downtime # # possible causes - improper handling of equipment - mechanical wear and tear - manufacturing defect # # recommendations - inspect equipment baskets regularly for signs of damage - handle equipment with care - replace baskets that show signs of wear or damage - report any suspected manufacturing defects @topic:12


# # # issue - the bed, electric by huntleigh ( model : enterprise 8000 ) is not functioning properly. - specifically, the device is not adjusting correctly. # # # impact - the malfunctioning device may pose a safety hazard to patients and staff. - it may also cause discomfort or pain to patients. # # # possible causes - the device may not have been reset properly. - the device may have a faulty component. - the device may not be calibrated correctly. # # # recommendations - verify that the device was reset properly according to the manufacturer's instructions. - inspect the device for any visible damage or loose connections. - calibrate the device according to the manufacturer's instructions. - if the problem persists, contact the manufacturer for further assistance. @topic:1


# # # issue - ekg cable failure # # # impact - inability to monitor patient's ekg - delay in diagnosis and treatment - patient discomfort # # # possible causes - damaged ekg cable - loose connections - improper cable maintenance - electrical interference # # # recommendations - inspect the ekg cable for any visible damage or kinks. - ensure that the cable is securely connected to the monitor and the patient. - perform regular cable maintenance and cleaning. - check for any sources of electrical interference that could be affecting the cable. @topic:18


# # # issue - the bed's footboard is not elevating. # # # impact - this issue can make it difficult for patients to get in and out of bed, and can also make it difficult for nurses to provide care. # # # possible causes - the motor that drives the footboard may be faulty. - the footboard may be obstructed by something. - the control panel may be malfunctioning. # # # recommendations - check the motor and replace it if necessary. - clear any obstructions from the footboard. - replace the control panel if necessary. @topic:1


* * issue : * * faulty spo2 cable * * impact : * * patient monitoring accuracy and safety could be compromised. * * possible causes : * * * physical damage to the cable, such as cuts or fraying * moisture or contaminants entering the cable * electrical faults within the cable * compatibility issues between the cable and the monitor * * recommendations : * * * inspect the cable thoroughly for any visible damage. * clean the cable with an appropriate disinfectant if necessary. * ensure the cable is compatible with the monitor and patient. * replace the cable promptly if any damage or faults are found. * provide regular training and supervision to staff on proper cable handling and maintenance. @topic:4


# # # issue - the electric bed was malfunctioning, with the head of the bed unexpectedly moving up and down. # # # impact - this could lead to injury or discomfort to the patient, or to damage to the bed itself if the movement is too severe. # # # possible causes - the most likely cause of this issue is a failure in the control system of the bed. the control system is responsible for sensing the position of the bed's head and foot and for adjusting the motors accordingly. if the control system fails, the bed may move unexpectedly. - another possible cause of this issue is a failure in the bed's mechanical system. the mechanical system is responsible for moving the bed's head and foot. if the mechanical system fails, the bed may not move smoothly or may move unexpectedly. # # # recommendations - the first step in troubleshooting this issue is to check the control system for any signs of failure. this can be done by visually inspecting the control system for any loose connections or damage. if any loose connections are found, they should be tightened. if any damage is found, the control system should be replaced. - if the control system is not the cause of the issue, then the mechanical system should be checked for any signs of failure. this can be done by visually inspecting the mechanical system for any loose connections or damage. if any loose connections are found, they should be tightened. if any damage is found, the mechanical system should be repaired or replaced. @topic:1


# # # issue - printer not printing # # # impact - inability to print patient records or other important documents # # # possible causes - paper jam - ink cartridge empty or malfunctioning - printer driver issue - cable connection issue - power issue # # # recommendations - check for paper jams and remove any obstructions. - replace the ink cartridge if it is empty or malfunctioning. - update the printer driver if necessary. - ensure that the printer is properly connected to the computer and power source. - check the power supply and ensure that the printer is receiving power. @topic:28


# # # issue - broken remote control cable # # # impact - inability to operate the bed remotely, which can inconvenience patients and caregivers. # # # possible causes - * * 5w borrowed the bed : * * it is possible that the remote control cable was damaged while the bed was being moved or used by another ward or department. - * * mishandling by staff : * * the cable may have been accidentally pulled or stepped on, causing it to break. - * * defective materials : * * there may have been a flaw in the cable's construction that made it more susceptible to breakage. # # # recommendations - * * handle with care : * * instruct staff to be careful when handling the bed and its accessories, including the remote control. - * * regular inspections : * * conduct regular inspections of the bed and its components to identify any potential issues early on. - * * proper storage : * * ensure that the bed and remote control are stored properly when not in use to prevent damage. - * * consider wireless control : * * explore the use of wireless remote controls, which eliminate the risk of cable breakage. - * * contact manufacturer : * * if the issue persists despite following these recommendations, contact the manufacturer of the bed for further troubleshooting and support. @topic:7


probe error ( 34 ) probe not characterized / calibrated. replace probe. if the problem persists, replace the suresigns vm4 temperature module. see " removing the suresigns vm4 temperature module ” on page 8 - 8. 866 ( 45 ) temp probe error ( 45 ) measurement below allowable temperature values and far below the low ambient and / or patient limits. verify conditions at 80 f and 50 f respectively. if conditions are valid and problem persists, replace the temperature probe. if the problem persists, replace the suresigns vm4 temperature module. see “ predictive temperature ( suresigns vm4 ) ” on page 6 - 16, or " removing the suresigns vm4 temperature module ” on page 8 - 8. troubleshooting 7 - 19 error codes code description possible cause action 866 ( 46 ) temp probe error ( 46 ) measurement above allowable temperature values and far above the high ambient and / or patient limits. verify conditions at 80 f and 50 f respectively. if conditions are valid and problem persists, replace the temperature probe. if the problem persists, replace the suresigns vm4 temperature module. see “ predictive temperature ( suresigns vm4 ) ” on page 6 - 16, or " removing the suresigns vm4 temperature module ” on page 8 - 8. 866 ( 52 ) temp probe error ( 52 ) probe not characterized / calibrated. replace probe. if the problem persists, replace the suresigns vm4 temperature module. see " removing the suresigns vm4 temperature module ” on page 8 - 8. 866 ( 63 ) temp probe error ( 63 ) probe well missing or not installed properly shut down and restart the monitor. if the problem persist @topic:20


# # # issue - the alarm sounds when the device is in use. # # # impact - the alarm may be a nuisance to the patient and staff. - the alarm may indicate a problem with the device, which could lead to inaccurate readings. # # # possible causes - the alarm may be caused by a problem with the device's sensor. - the alarm may be caused by a problem with the device's software. - the alarm may be caused by a loose connection. # # # recommendations - check the device's sensor for any damage or debris. - inspect the device's software for any updates or patches. - tighten any loose connections. - if the problem persists, contact the manufacturer for further assistance. @topic:26


# # # issue - unable to measure spo2 ( saturation of oxygen ) # # # impact - inability to monitor patient's oxygen levels accurately # # # possible causes - malfunctioning spo2 sensor - loose or damaged spo2 probe - electrical interference from other devices - patient movement or low perfusion # # # recommendations - check the spo2 sensor for damage or loose connections. - ensure the spo2 probe is properly placed on the patient's finger or earlobe. - identify and eliminate any electrical interference from nearby devices. - monitor the patient's movement and reposition the spo2 probe if necessary. - if the issue persists, contact the manufacturer for further troubleshooting assistance. @topic:4


# # # issue - biomedical engineer ( bme ) inspected the bed and found it to be functioning normally. # # # impact - the bed is unavailable for patient use. # # # possible causes - the technician did not perform a thorough inspection of the bed. - the bed is not actually functioning normally and the technician missed a problem. - the technician is not qualified to inspect medical devices. # # # recommendations - the technician should perform a more thorough inspection of the bed. - the bed should be sent to a qualified technician for inspection. - the hospital should provide training to technicians on how to properly inspect medical devices. @topic:9


monitor. repairing the monitor suresigns vs2 * and vsi service guide 5 - 1 tools required for service tools required for service the following tools and equipment are required to disassemble, repair, and re - assemble the monitor : e small phillips screwdriver + torx t10, t20 screwdrivers e medium flathead screwdriver e 10 mm wrench * 6mm wrench e needle - nose pliers + esd mat and wrist strap shutting down the system perform a hard shutdown whenever you need to power down the monitor for repair. this ensures that all patient and system data is saved in memory. to perform a hard shutdown : step 1 select the system button. the system menu appears. 2 select the shutdown button. 3 in the window that appears, select the yes button. the monitor shuts down. repairing the monitor 5 - 2 suresigns vs2 * and vsi service guide removing the battery removing the battery dispose of used batteries in an environmentally responsible manner. do not dispose of the battery in warning normal waste containers. consult your hospital administrator to find out about local arrangements. caution before you remove the battery, perform a hard shutdown. to remove the battery : step 1 perform a hard shutdown ( see “ shutting down the system ” on page 5 - 2 ) and disconnect the power cord from the rear of the monitor. 2 if your monitor has a tabletop base, remove it by removing the two torx t20 screws from the bottom of the base. repairing the monitor suresigns vs2 * and vsi service guide 5 - 3 removing the battery 3 remove the torx t10 screw from the battery cover on the bottom of the monitor. battery cover y repairing the monitor 5 - 4 suresigns vs2 * and vsi service guide removing the battery installing the battery to install the battery @topic:19


##baric chambers, in explosive atmospheres, in the presence of flammable gases or vapors, with oxygen teoutdoors or to transport a patient in a vehicle, - moving the bed over soft ground or inappropriate surfaces, moving the bed along slopes of over 10° ( with or without a patient ). climatic restrictions ervice temperatur + 10° to + 40° c 30 % - 85 % service humidity working atmospheric pressure 700 hpa to 1, 060 hpa precautions for transport and storage the following conditions must be met to ensure that the bed and its accessories are shipped and stored in complete safety. during shipment, the bed must be : when stored, the bed must be : - in the low positio - in the low position - in " function lock out " mode - in " function lock out " mode covered, brakes applied protected from fluid ingress - covered, brakes applied, strapped protected from fluid ingrea. transport does not include the transfer of the bed between wards with or without patients. climatic restrictions on transport and storage transport / storage temperature - 30° to + 50° c transport / storage hygrometry 20 % - 85 % transport / storage atmospheric pressure 700 hpa to 1, 060 hpa age 9 during shipment or storage, beds should not be stacked one on top the other. technical specifications hill - rom has an ongoing continuous improvement policy. therefore specifications are liable to be altered without notice. l + w l 8° h c b1 b2 s1 h value features maximum width ( w ) 995 mm maximum length ( without extension ) ( l ) maximum length ( with extension closed ) ( l ) maximum length ( with extension open ) ( l + ) length of the head half - siderail protection ( b1 ) length of the foot half - siderail protection ( b2 ) siderail protection height ( without mattress ) ( s @topic:9


| * * issue * * | * * impact * * | * * possible causes * * | * * recommendations * * | | - - - | - - - | - - - | - - - | | device won't turn on | inability to monitor patient's vital signs | damaged internal circuit board | contact the manufacturer for warranty repair | @topic:12


# # # issue - the bed is not able to adjust. # # # impact - the bed cannot be used by patients. # # # possible causes - the body of the bed is damaged. # # # recommendations - the body of the bed should be replaced. @topic:1


# # # issue - failure to generate alarms when vtech alarms are detected # # # impact - patient safety may be compromised as critical alarms may not be detected and responded to promptly # # # possible causes - malfunctioning alarm system - loose connections or wiring issues - software bugs or glitches - incorrect alarm settings - environmental interference # # # recommendations - perform a thorough inspection of the alarm system, including all sensors, wiring, and connections - recalibrate the alarm settings and ensure they are accurate - check for any software updates or patches that may address the issue - conduct a comprehensive test of the alarm system under simulated vtech alarm conditions - consult with the manufacturer or a qualified biomedical engineer for further troubleshooting and support @topic:26


# # # issue - defective cuff in nibp monitor # # # impact - inaccurate blood pressure readings - patient safety concerns # # # possible causes - worn or damaged cuff - cuff not properly attached to the monitor - cuff not appropriate for patient's arm circumference - cuff leak # # # recommendations - replace the defective cuff with a new one. - ensure that the cuff is properly attached to the monitor. - select a cuff that is appropriate for the patient's arm circumference. - inspect the cuff regularly for signs of wear or damage. - calibrate the nibp monitor according to the manufacturer's instructions. @topic:15


# # # issue - the electric bed is failing to lock. # # # impact - the patient may not be able to stay in bed safely. # # # possible causes - * * the lock switch is faulty. * * this can be due to a mechanical failure or a problem with the electrical connection. - * * the lock mechanism is broken. * * this can be due to wear and tear or damage from a fall or other incident. - * * the bed frame is bent or damaged. * * this can cause the lock to not engage properly. # # # recommendations - * * inspect the lock switch. * * check for any loose connections or damage. if the switch is faulty, it will need to be replaced. - * * inspect the lock mechanism. * * look for any signs of wear or damage. if the mechanism is broken, it will need to be repaired or replaced. - * * inspect the bed frame. * * check for any bends or damage. if the frame is damaged, it will need to be repaired or replaced. @topic:6


# # # issue - medical cart bdms 01 is unable to boot up. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - equipment is not connected to power. - bios settings are incorrect. - boot order is not set correctly. - hard drive or ssd has failed. - operating system is corrupted. # # # recommendations - check that the equipment is connected to power. - reset the bios settings to defaults. - set the boot order to boot from the hard drive or ssd. - replace the hard drive or ssd if it has failed. - reinstall the operating system if it is corrupted. @topic:13


the printer resolution according to the printer capabilities configure the printer color support to ^ off " check specifications make sure you are using the correct cable measure ecg pulse out with oscilloscope. check ecgout connector assembly replace ecg connector exchange main board make sure that the host monitor has software revision f. o or higher. exchange mslpower board exchange main board check msl connection to host monitor 129 4 troubleshooting troubleshooting guide status log 130 msl on host monitor defective see troubleshooting section in the host monitor ’ s service guide image sticking if a static image is displayed for a long time on an lcd display, image sticking, 1. e. a temporarily retained image, may occur. to eliminate image sticking, switch off the display and switch it back on again. it is also recommended to use the moving image in standby mode. many events that occur during start - up or regular monitoring are logged in the status log. the status log can be printed and cleared. not all entries in the status log are errors. h | 1720 20050 1 4 apr 02 16 : 37 c | 1721 21050 1 4 apr 02 15 : 37 the status log window shows logged events which caused a reboot of the system component ( monitor or measurement block ). to enter the status log window, select main setup - > revision. the following list opens up : - status log - product - appl. sw - config - boot - language select status log. the first column in the log identifies the event class ( * c ^': caused a cold start, “ h ” : caused a hot start, “ n ” : no restart, for information only ). column 3 and 4 identify the event source and event code. column 4 counts the number of occurrences of the event. the last column shows the time and date of the last occurrence of the event. @topic:28


# # # issue * cuff bp ( blood pressure cuff ) is damaged. # # # impact * unable to measure patient's blood pressure accurately. # # # possible causes * cuff bladder may have been overinflated, causing damage. * cuff hose may have been kinked or pinched, causing damage. * cuff may be too old and has deteriorated over time. # # # recommendations * replace cuff with a new one. * inspect cuff hose for any kinks or pinches. * ensure cuff is not overinflated. * regularly check cuff for signs of deterioration. @topic:3


check monitor temnop tone the temperature inside the monitor is too high. check that the monitor ventilation is not obstructed. if the situation continues, contact your service personnel. check mouse perform a visual and functional check of the mouse input device. contact your service personnel. inop tone check msl voltagnop tone there is a problem with the voltage of the measurement link ( msl ). contact your service personnel. check network coninop tone the monitor is receiving network topology information from more than one source, e. g. the database server and an application server. contact your service personnel.!! check pairinellow tone there is a problem with device pairing. check that the monitor and telemetry device are correctly!! check patient id there is a mismatch between patient data in two connected devices. resolve the mismatch to allow settings and data synchronization. ellow ton81 4 patient alarms and inops what to do check screen res. the screen you have selected uses a resolution which is not supported by the display. the monitor will show a generic screen instead until you select a different screen. nop toncontact your service personnel if you want the screen deleted from the profile ( s ) to avoid this in heck settingnop tone if this inop appears, check the monitor and patient settings before you resume monitoring. if the settings are unexpected, there may be a problem with the monitor software. contact your service check speedpoinnop tone perform a visual and functional check of the speedpoint input device. contact your service personnel. check touch inpunop tone check waves perform a visual and functional check of the touch input device. contact your service personnel. the options purchased with this monitor may not support the number of waves required to show the selected screen, so some waves or high resolution trends are missing from the screen. select @topic:22


# # # issue - cuff is not measuring accurately. # # # impact - the device is not providing accurate vital signs readings, which could lead to incorrect treatment decisions. # # # possible causes - * * cuff is damaged. * * this could be due to wear and tear, or it could have been damaged during use. - * * cuff is not the correct size for the patient. * * this could cause the cuff to be too tight or too loose, resulting in inaccurate readings. - * * cuff is not properly connected to the device. * * this could cause the cuff to not inflate or deflate properly, resulting in inaccurate readings. - * * device is malfunctioning. * * this could be due to a hardware or software problem. # # # recommendations - inspect the cuff for any damage. if the cuff is damaged, it should be replaced. * * [ action for bme ] * * - ensure that the cuff is the correct size for the patient. * * [ action for bme ] * * - properly connect the cuff to the device. * * [ action for bme ] * * - if the above steps do not resolve the issue, the device may need to be repaired or replaced. * * [ action for bme ] * * @topic:5


# # # issue - equipment : monitor, physiologic, vital signs - brand : philips - model : suresigns vs4 - description : bme detected a broken cable, resulting in intermittent spo2 readings. the issue was resolved by replacing the cable. # # # impact - intermittent spo2 readings can compromise patient monitoring and timely intervention in critical situations. # # # possible causes - wear and tear of the spo2 cable due to frequent use and handling. - damage to the cable during cleaning or storage. - loose connections between the cable and the monitor or sensor. # # # recommendations - regularly inspect spo2 cables for any signs of damage or wear, such as cuts, fraying, or loose connections. - handle and store cables carefully to prevent damage. - ensure proper training for staff on the safe handling and maintenance of spo2 cables. - establish a protocol for routine replacement of spo2 cables based on usage and manufacturer's recommendations. - maintain an adequate stock of replacement cables to address failures promptly. @topic:4


# # # issue - bed is making noise # # # impact - discomfort or agitation for patients - difficulty sleeping or resting for patients - increased workload for nurses or other healthcare providers # # # possible causes - loose nuts or bolts - worn or damaged bearings - misaligned gears - malfunctioning motor - electrical issues # # # recommendations - inspect the bed for loose nuts or bolts and tighten them as needed. - lubricate the bearings and gears to reduce friction and noise. - check the alignment of the gears and adjust as necessary. - test the motor to ensure it is functioning properly. - inspect the electrical connections and repair or replace any damaged wires or components. @topic:9


# # # issue - spo2 reading is constantly high, even when the sensor is not attached to the patient. # # # impact - incorrect spo2 readings can lead to improper medical decisions. # # # possible causes - faulty spo2 sensor - loose connection between the sensor and the monitor - problem with the monitor's software or hardware # # # recommendations - replace the spo2 sensor. - check the connection between the sensor and the monitor. - update the monitor's software or hardware if necessary. - calibrate the monitor according to the manufacturer's instructions. - monitor the patient's spo2 levels closely to ensure accuracy. @topic:4


# # # issue - pulse oximetry is not able to measure the oxygen saturation ( spo2 ) value. # # # impact - the medical team cannot monitor the patient's oxygen saturation level, which is a critical parameter for assessing the patient's respiratory status. # # # possible causes 1. * * faulty sensor cable : * * the sensor cable that connects the pulse oximeter to the patient's finger or earlobe may be damaged, causing the device to fail to accurately measure the spo2 value. 2. * * loose connection : * * the sensor cable may not be securely connected to the pulse oximeter or the patient, leading to intermittent or inaccurate readings. 3. * * damaged sensor : * * the sensor itself may be damaged or malfunctioning, preventing it from detecting the patient's pulse and oxygen saturation levels. 4. * * other equipment malfunctions : * * other equipment connected to the patient, such as an ekg machine or ventilator, may be interfering with the pulse oximeter's readings. # # # recommendations 1. * * inspect the sensor cable for any damage, such as cuts, breaks, or loose connections. * * if damage is found, replace the cable with a new one. 2. * * ensure that the sensor cable is securely connected to both the pulse oximeter and the patient. * * 3. * * if the sensor is damaged or malfunctioning, it should be replaced with a new one. * * 4. * * check for any other equipment that may be interfering with the pulse oximeter's readings and disconnect or relocate the equipment as necessary. * * @topic:4


* * issue : * * - battery failure in philips intellivue mp40 ( m8003a ) patient transport monitor * * impact : * * - potential disruption of patient monitoring during transport * * possible causes : * * - battery depletion due to extended use or age * * recommendations : * * - regular battery maintenance and replacement as per manufacturer's guidelines - ensure availability of spare batteries for critical transport situations - consider using external power sources during prolonged monitoring sessions @topic:11


select the screen trend to open the screen trend menu, 2 select change trend - > add trend and select a screen trend from the pop - up list. activating the cursor for screen trends to activate the cursor for screen trends : 1 select the screen trend. 2 select activate cursor you can now use the arrow keys to move the cursor across the time line. the values measured at the cursor time are shown next to the cursor. to de - activate the cursor, ♦ select main screen. changing the screen trend view ♦ to switch between tabular, graphic, histogram and horizon views, select the screen trend then select change view and select the required view. 280 screen trends 21 trends tabular view aperiodic measurements such as nbp, c. o., c. i., and wedge can be viewed as a screen trend in tabular form. the measured values and their timestamps are shown, with the measurement label. the trend time for tabular screen trends depends on the space available on the screen. up to 30 measurements or 12 hours information can be shown. nbp 15 : 15 120 / 80 ( 95 ) 16 : 30 120 / 80 ( 95 ) mmhg 15 : 30 120 / 80 ( 95 ) 16 : 45 120 / 80 ( 95 ) 15 : 45 120 / 80 ( 95 ) 17 : 00 120 / 80 ( 95 ) 16 : 00 120 / 80 ( 95 ) 17 : 15 120 / 80 ( 95 ) 16 : 15 120 / 80 ( 95 ) 17 : 30 120 / 80 ( 95 ) histogram view the histogram view presents a combination of graphical trend and histogram. the histogram is on the right hand side in a horizontal presentation with vertical gridlines representing 23 %, 50 %, 75 % and 100 %. each column shows the @topic:8


# # # issue - * * telemetry not set up for central monitor use * * < br > # # # impact - * * inability to monitor patient's electrocardiography ( ekg ) data remotely * * < br > # # # possible causes - * * configuration error : * * telemetry settings not properly configured on the device. - * * hardware issue : * * malfunctioning telemetry module or transmitter. - * * connectivity issue : * * weak or interrupted wireless connection between the device and the central monitor. < br > # # # recommendations - * * check telemetry settings : * * verify that telemetry is enabled and properly configured on the device. - * * inspect hardware : * * examine the telemetry module and transmitter for any physical damage or loose connections. - * * troubleshoot connectivity : * * check for any obstructions or interference between the device and the central monitor. if necessary, adjust the position of the device or relocate the central monitor. - * * consult manufacturer : * * if the issue persists, contact the device manufacturer for technical support and guidance. @topic:16


* error reporting and analysis : * * - establish a system for reporting and analyzing equipment failures. - use this data to identify recurring issues and implement corrective actions. * * manufacturer support : * * - contact the manufacturer for technical support and assistance with troubleshooting and repairs. - stay updated with firmware updates and software patches. @topic:12


# # # issue - the bed's head can be adjusted up but not down. # # # impact - the patient may not be able to get into or out of bed safely. - the patient may not be able to be positioned comfortably for medical procedures. # # # possible causes - defective control box - faulty wiring - problem with the motor # # # recommendations - replace the control box. - check the wiring for damage and repair as necessary. - test the motor to ensure that it is functioning properly. @topic:1


# # # issue - damaged ekg lead # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) # # # possible causes - physical damage to the lead, such as cuts or kinks - electrical malfunction within the lead # # # recommendations - replace the damaged lead with a new one - regularly inspect all leads for signs of damage - follow proper handling and storage procedures for leads to prevent damage @topic:18


# # # issue - cuff deterioration # # # impact - the physiologic monitor ( bedside ) may not be able to accurately measure blood pressure. this could lead to incorrect treatment decisions being made. # # # possible causes - the cuff may be old and worn out. - the cuff may have been damaged. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - inspect the cuff for damage before use. - ensure that the cuff is the correct size for the patient. @topic:3


# # # issue - equipment : electric bed - manufacturer : huntleigh - model : enterprise 8000 - problem : knee section does not lower properly # # # impact - patients may not be able to get into or out of bed comfortably or safely. - nurses and other medical staff may have to strain to move patients, which could lead to injuries. # # # possible causes - mechanical failure in the knee section - electrical fault in the bed's motor or wiring - user error in operating the bed # # # recommendations - biomedical engineer ( bme ) should inspect the knee section for any mechanical damage or blockages. - bme should test the bed's motor and wiring to ensure they are functioning properly. - bme should provide training to clinical staff on how to properly operate the bed. - manufacturer should be contacted for further technical support if needed. @topic:9


the physiologic monitor for further assistance. @topic:8


# # # issue - the connex spot monitor is not measuring blood pressure. # # # impact - this could lead to inaccurate blood pressure readings, which could result in incorrect treatment decisions. # # # possible causes - the cuff may not be properly inflated. - the sensor may be faulty. - the monitor may be defective. # # # recommendations - check that the cuff is properly inflated. - replace the sensor. - replace the monitor. @topic:15


# # # issue the bed cannot be adjusted. # # # impact the patient may not be able to be positioned comfortably or safely. # # # possible causes - the cord between the control box and the remote control on the right side was crushed by the bed and broken. # # # recommendations - the cord was repaired and the bed is now functioning normally. @topic:1


# # # issue - loose basket # # # impact - this could lead to the device becoming unstable and falling, which could cause injury to patients or staff. # # # possible causes - a screw or bolt may have come loose, allowing the basket to become loose. - the basket may have been damaged, causing it to become loose. # # # recommendations - inspect the device for any loose screws or bolts and tighten them as needed. - if the basket is damaged, it should be replaced. - regularly inspect the device for any signs of damage or wear and tear. @topic:24


frame ( p ). 24. remove the two screws ( q ) and washers ( r ) that attach the column cover ( s ) to the foot hilow column ( g ). 25. remove the cover ( s ). 26. remove the screw ( t ) from the load cell bracket ( u ). 27. mark the locations of where the cable ties, load cell cables, and the column power cable attach to the bed. 28. cut and remove the cable ties that attach the load cell cables to the weigh frame ( v ). 29. move the column ( g ) towards the foot end of the bed ( k ) until the load cell bracket ( u ) is clear of the weigh frame ( v ). 30. remove the load cell bracket ( u ) from the column ( g ). 31. put the load cell bracket on top of the weigh frame ( u ). 32. remove the column ( g ) from the bed ( k ). replacement 1. put the new foot hilow column ( g ) in position on the bed ( k ). make sure the two covers ( f ) are toward the foot end of the bed. 2. remove the cover ( f ) on the base of the new column ( g ). 3. run the foot hilow column cable to the central rail. 4. tie the string around the column cable. 5. pull the string so the column cable goes to the power supply. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 71 4. 22 foot ftilow column ( b model and newer beds ) chapter 4 : removal, replacement, and adjustment procedures 6. run the column cable to the power supply rc. board. 7. connect the column cable to the power supply p. c. board. 8. disconnect the head hilow column from @topic:26


* * issue * * the wheels on the casmed 740 vital signs monitor are broken. * * impact * * the monitor cannot be moved easily, which could lead to delays in patient care. * * possible causes * * * the wheels were not properly maintained. * the wheels were damaged during transport. * the wheels were overloaded. * * recommendations * * * inspect the wheels regularly and replace them if they are damaged. * transport the monitor carefully. * do not overload the monitor. @topic:24


# # # issue the cuff bp connector is damaged. # # # impact the patient's blood pressure cannot be accurately monitored. # # # possible causes * the cuff bp connector may have been damaged during use. * the cuff bp connector may have been damaged during cleaning. * the cuff bp connector may have been damaged due to age or wear and tear. # # # recommendations * the cuff bp connector should be replaced. * the cuff bp connector should be cleaned regularly. * the cuff bp connector should be inspected for damage regularly. @topic:14


# # # issue - equipment : physiologic monitor ( bedside ) - band : medrad - model : veris 8600 mri - description : the biomedical engineer ( bme ) found that the co2 graph was not showing up. initial troubleshooting steps did not resolve the issue, so the company was contacted, and they will come to train on how to use the device on 29 / 1 / 58 at 3 : 00 pm. # # # impact - the bme is unable to monitor the patient's co2 levels, which is a critical parameter for patient safety. # # # possible causes - the co2 sensor may be faulty. - the co2 sensor may not be properly calibrated. - the co2 sensor may not be properly connected to the monitor. - the monitor may not be properly configured to display the co2 graph. - the monitor may be experiencing a software or hardware issue. # # # recommendations - the bme should contact the company to have the co2 sensor checked and calibrated. - the bme should check the connections between the co2 sensor and the monitor. - the bme should check the monitor's configuration to ensure that it is set to display the co2 graph. - the bme should contact the company to have the monitor serviced if necessary. @topic:4


# # # issue * * cuff on bedside physiologic monitor is damaged. * * # # # impact - inability to accurately measure patient's vital signs. # # # possible causes - * * physical damage : * * accidental damage, misuse, or rough handling. - * * wear and tear : * * prolonged use or exposure to extreme temperatures. - * * defective material : * * manufacturing issues leading to premature failure. # # # recommendations - * * replace the damaged cuff : * * install a new, compatible cuff to restore functionality. - * * inspect the cuff regularly : * * check for signs of damage or wear to prevent unexpected failures. - * * handle the equipment with care : * * use proper techniques to avoid physical damage. - * * train staff : * * educate users on the correct usage and maintenance of the equipment. - * * consider planned maintenance : * * schedule regular inspections and preventive maintenance to catch potential issues early. @topic:5


# # # issue : motor failure in electric bed. # # # impact : the bed cannot be adjusted to the appropriate height for patient care. # # # possible causes : - * * motor malfunction : * * the motor may have failed due to a mechanical or electrical issue. - * * control board failure : * * the control board may not be sending the appropriate signals to the motor. - * * wiring issue : * * loose or damaged wiring may be preventing the motor from receiving power. - * * old or worn - out motor : * * the motor may have reached the end of its lifespan and needs to be replaced. - * * incorrect replacement part : * * the replacement motor used was not compatible with the bed. # # # recommendations : - * * troubleshoot the motor : * * inspect the motor for any obvious signs of damage or wear. use a multimeter to test for continuity and resistance. - * * check the control board : * * examine the control board for any burned or damaged components. test the signal outputs to the motor. - * * inspect the wiring : * * check for loose or damaged wires between the motor, control board, and power source. - * * replace the motor : * * if the motor is found to be faulty, replace it with a compatible motor and test the bed. - * * verify compatibility : * * ensure that the replacement motor is compatible with the specific bed model. - * * regular maintenance : * * implement a regular maintenance schedule to inspect the bed for any potential issues and address them promptly. @topic:9


measurement label of any measurement whose alarm switched off. messages window, then select the alarm limits pop - up key, or select the alarm limits smartkey, if configured. to open the alarm limits window, either select any alarm field to open the alarm aj so 8 5 50 alarr ^ i limits 62 alarm limits 3 alarms 1 \ 1 2 1 measurement labels, with alarms off symbol where appropriate 2 current alarm limits 3 graphic view of current yellow and red alarm limits and currently monitored measurement value. off indicates the measurement is switched off ♦ select show st limits to expand the list of st leads and view the currently set alarm limits. selecting hide st limits hides the list again. you can use the pop - up keys that open with the alarm limits window to perform common tasks : - all al. on / all al. off, - all lim. narrow / all lim. wide to set narrow or wide alarm autolimits for all measurements. - print limits / record limits to print a list of all current alarm limit settings on a connected printer or recorder. these pop - up keys are not available in the window for changing individual alarm limits which you access by selecting the measurement label in the alarm limits window. changing alarm limits to change individual measurement alarm limits using the measurement ’ s setup menu, 1 in the measurement ’ s setup menu, select the alarm limit you want to change. this calls up a list of available values for the alarm limit. 63 3 alarms alarm limits 2 select a value from the list to adjust the alarm limit. alternatively, you can use the keys in the measurement change limits window, which you access by selecting the measurement label in the alarm limits window. 1 parameter label 2 high re d alarm ( view only ) 3 high yellow alarm field. select to open a pop - up list of high alarm limits 4 alarms on / off key - select to toggle between alarms on or off 5 preview @topic:8


# # # issue - loose bolts between the monitor and the mounting bracket # # # impact - potential for the monitor to fall or become unstable, which could lead to injury to the patient or staff - inability to accurately monitor the patient's vital signs # # # possible causes - improper installation of the monitor - wear and tear over time - vibration or movement of the mounting bracket # # # recommendations - check the bolts regularly and tighten them as needed - ensure that the mounting bracket is securely attached to the wall or ceiling - avoid placing the monitor in an area where it will be subject to excessive vibration or movement @topic:12


# # # issue - vital signs monitor not displaying accurate readings # # # impact - incorrect patient monitoring data - potential for delayed or incorrect treatment # # # possible causes - malfunctioning cuff - loose connections - damaged cables # # # recommendations - change cuff - inspect and tighten all connections - test cables for damage and replace if necessary @topic:5


addition, when the monitor detects a system error, it writes that error to a log. the log includes a timestamp for when the error occurred. for detailed information on errors and error codes, see ‘ ‘ error codes ” on page 7 - 14. to view the error log : 1. in the system diagnostics menu, rotate the wheel to highlight the error log button, then press the wheel to view the error log. 7 - 32 troubleshooting testing the led the error log window displays, showing the error log entry, timestamp, unique error code, description of the error, and an optional block of error information. error log time code description 12 / 15 / 05 12 / 17 / 05 06 : 12 : 44 13 : 22 : 04 25 2 ethernet hardware failure c02 communications failure print return note — the error description text always displays in english regardless of current localization settings. 2. to view the errors, use the window scroll bar ( if all errors do not fit in the window ). you can also use the wheel on the monitor to scroll through the window. 3. to clear the error count and log, see the section, “ resetting parameters ” on page 7 - 32. 4. to print the error log to the recorder ( optional ), in the error log window, rotate the wheel to the print button, then press the wheel. testing the led to test the monitor led : 1. in the system diagnostics menu, turn the wheel to highlight the led test button, then press the wheel to select the test. a window appears describing the expected led behavior during the test. if the battery led is working properly, it : • lights in yellow for five seconds • lights in green for five seconds • flashes in yellow for five seconds • flashes in green for five seconds the power led remains green during the test. troubleshooting 7 - 33 8 @topic:22


# # # issue - equipment : beds, electric - band : hill - rom - model : 405, p1140b - description : the bme inspection found that the bed cannot be repaired. the bme proceeded to discard the bed. # # # impact - the bed is no longer available for use by patients. - the hospital may have to purchase a new bed. # # # possible causes - the bed may have been damaged beyond repair. - the bed may have been too old or worn out to be repaired. - the bed may have been used incorrectly or abused. # # # recommendations - the bme should inspect the bed to determine the cause of failure. - the hospital should consider purchasing a new bed if the current bed cannot be repaired. - the hospital should train staff on how to use and maintain the bed properly. @topic:9


# # # issue - the drawer of the medical cart is not bouncing back. # # # impact - the drawer cannot be used to store and retrieve items easily. # # # possible causes - the spring that is responsible for bouncing back the drawer is jammed or broken. - the track that the drawer slides on is dirty or obstructed. - the drawer is overloaded. # # # recommendations - inspect the spring and replace it if necessary. - clean the track and lubricate it with a silicone - based lubricant. - reduce the weight of the items stored in the drawer. @topic:21


# # # issue - remote lock failure # # # impact - inability to adjust bed position remotely # # # possible causes - malfunctioning remote - faulty wiring - mechanical damage to lock mechanism # # # recommendations - replace remote - inspect and repair wiring - service or replace lock mechanism @topic:7


* * issue : * * monitors, patient transport ( mindray, beneview t1 ) is unable to measure blood pressure ( bp ). * * impact : * * this failure prevents the device from accurately monitoring a patient's bp, which is crucial for patient safety and treatment. * * possible causes : * * - * * hardware failure : * * the ic on the main board may have malfunctioned or burned out, causing the device to fail. - * * software glitch : * * a software error could be preventing the device from properly communicating with the bp sensor or from processing the bp data. - * * improper maintenance : * * lack of proper maintenance, such as not regularly cleaning the device or not performing routine calibrations, could have contributed to the failure. - * * external interference : * * electromagnetic interference ( emi ) from other medical equipment or environmental factors could be disrupting the device's functionality. - * * user error : * * the device may have been used incorrectly or in a manner not intended by the manufacturer, leading to its failure. * * recommendations : * * - * * inspect and repair hardware : * * the bme should thoroughly inspect the main board and replace any damaged components, particularly the ic identified as the source of the failure. - * * update software : * * the bme should check for software updates and install any available updates to address potential software glitches. - * * enhance maintenance practices : * * establish a regular schedule for cleaning and calibrating the device to prevent future hardware issues. - * * minimize emi : * * identify possible sources of emi and take steps to reduce or eliminate their interference with the device. - * * train users : * * provide proper training to device users to ensure they are using it correctly and according to manufacturer's instructions. @topic:15


# # # issue the philips suresigns vs2 vital signs monitor is giving false readings for oxygen saturation ( sat ) before the probe is attached to the patient. # # # impact - false readings can lead to incorrect medical decisions, delays in treatment, and patient harm. - false high readings can lead to unnecessary interventions, such as intubation or oxygen therapy. - false low readings can lead to missed diagnoses of hypoxia and other critical conditions. # # # possible causes - faulty sensor probe - loose or damaged cable connections - electrical interference from other medical devices - software glitch # # # recommendations - replace the sensor probe. - check all cable connections to make sure they are secure and undamaged. - move the monitor away from other medical devices to minimize electrical interference. - contact philips technical support to report the issue and request a software update if necessary. @topic:4


# # # issue * remote control not functioning properly. # # # impact * inability to operate the bed remotely, potentially causing inconvenience to patients and staff. # # # possible causes * malfunctioning remote control components ( e. g., buttons, sensors ) * loose connections between the remote control and the bed * battery issues # # # recommendations * * * 1. check the remote control batteries : * * ensure that the batteries are properly installed and have sufficient power. replace if necessary. * * * 2. verify proper connections : * * inspect the connection between the remote control and the bed. ensure that the connection is secure and the cables are not damaged. * * * 3. inspect remote control components : * * examine the remote control buttons, switches, and sensors for any visible damage or wear. clean or replace any faulty components as needed. * * * 4. contact the manufacturer : * * if the issue persists, contact the manufacturer of the bed or the remote control for technical support and guidance. they may provide further troubleshooting steps or suggest repairs. @topic:7


* * issue : * * remote control failure in bed, electric equipment ( model uq2000b ). * * impact : * * the equipment cannot be operated due to the malfunctioning remote control. * * possible causes : * * * internal hardware failure within the remote control. * damage to the remote control's buttons or other components. * interference with the remote control's wireless signal. * battery depletion. * * recommendations : * * * * * replace the remote control : * * the most straightforward solution is to obtain a replacement remote control from the manufacturer or a qualified supplier. * * * inspect the remote control : * * if a replacement is not immediately available, visually inspect the remote for any obvious signs of damage, such as broken buttons or loose wires. clean the remote's contacts with a soft cloth to remove any debris. * * * check batteries : * * ensure that the remote control's batteries are fully charged or replaced if necessary. * * * check signal interference : * * identify and eliminate any potential sources of signal interference, such as other wireless devices or strong magnetic fields. * * * reset the equipment : * * in some cases, resetting the equipment itself may resolve the issue with the remote control. consult the equipment's user manual for specific reset procedures. @topic:7


# # # issue - remote control housing is loose and falling apart # # # impact - difficulty or inability to use the remote control effectively to operate the bed # # # possible causes - age and wear and tear - physical damage, such as being dropped or mishandled - poor design or manufacturing defects # # # recommendations - repair the remote control by gluing the housing back together or replacing the entire remote control. - if the damage is due to age or wear and tear, consider replacing the remote control with a new one. - if the damage is due to physical damage, inspect the remote control for other damage and have it repaired or replaced as needed. - if the damage appears to be due to poor design or manufacturing defects, contact the manufacturer for warranty repair or replacement. @topic:7


# # # issue - equipment : lcd monitor ( make : sony, model : lmd - 2451mt ) - issue reported by biomedical engineering ( bme ) technician : monitor intermittently fails to power on or powers on erratically. - bme technician has inspected the ac adapter and found no visible damage. - bme technician is unable to send the ac adapter for repairs due to ongoing use of the equipment. # # # impact - intermittent power failure of the lcd monitor affects the department's ability to monitor patient vital signs and other medical data. # # # possible causes - defective ac adapter - loose or faulty connection between the ac adapter and the monitor - problem with the monitor's internal power supply # # # recommendations - request procurement of a new ac adapter to replace the malfunctioning one, allowing the original ac adapter to be sent for repairs. - bme technician should inspect the connection between the ac adapter and the monitor for any loose or damaged components. - if the issue persists after replacing the ac adapter, further troubleshooting may be required to identify the root cause within the monitor's internal power supply. @topic:2


# # # issue - the monitor cannot use the vsm program. # # # impact - the monitor cannot be used to monitor vital signs. # # # possible causes - the monitor's software is not up to date. - the monitor's hardware is damaged. - the vsm program is not installed on the monitor. - the vsm program is not compatible with the monitor. # # # recommendations - update the monitor's software. - replace the monitor's hardware. - install the vsm program on the monitor. - contact the manufacturer of the vsm program to ensure compatibility with the monitor. @topic:22


* * issue : * * not specified * * impact : * * not specified * * possible causes : * * * * * transit damage : * * damage may have occurred during transportation back from the borrowing hospital. * * * improper handling : * * negligence or mishandling by the borrowing hospital's staff. * * * environmental factors : * * exposure to extreme temperatures, humidity, or other environmental hazards during the borrowing period. * * * defective components : * * the device may have had underlying defects or malfunctions that were not detected during initial testing. * * * unauthorized modifications : * * the borrowing hospital may have made unauthorized modifications to the device, compromising its functionality. * * recommendations : * * * * * thorough inspection : * * conduct a comprehensive inspection of the device to identify any physical damage or signs of mishandling. * * * functional testing : * * perform thorough functional testing to verify the device's performance and detect any potential issues. * * * review transit logs : * * obtain and review the transit logs to determine if the device was handled properly during transportation. * * * contact borrowing hospital : * * communicate with the borrowing hospital to inquire about any incidents or unusual circumstances that may have contributed to the failure. * * * consult manufacturer : * * if necessary, consult with the equipment manufacturer to obtain technical support and troubleshooting assistance. @topic:12


# # # issue * defective shelf on medical cart # # # impact * potential patient injury * risk of medical equipment falling off the cart * reduced efficiency and productivity of healthcare staff # # # possible causes * wear and tear due to frequent use and heavy loading * improper assembly or maintenance of the cart * use of the cart for purposes it is not designed for * lack of regular inspections and preventive maintenance # # # recommendations * implement regular inspections and maintenance schedules for medical equipment, including carts * train staff on proper handling and use of medical carts * ensure that all medical carts are assembled and maintained according to manufacturer's instructions * replace or repair any defective shelves promptly to prevent further damage or injury * consider upgrading old or frequently malfunctioning medical carts to newer models with improved safety features @topic:31