# # # issue - equipment malfunction : the philips expression mr200 bedside physiologic monitor failed to power on. # # # impact - patient monitoring : the malfunctioning monitor prevented the healthcare team from accurately monitoring the patient's vital signs. - care delivery : the lack of accurate monitoring information could delay or compromise patient care. # # # possible causes - loose ac power cord : the biomedical engineer ( bme ) identified a loose connection in the ac power cord as the cause of the monitor's failure to power on. # # # recommendations - regular inspections : to prevent similar incidents in the future, regular inspections of medical equipment, including power cords, should be conducted to ensure secure connections. - proper maintenance : biomedical engineers should follow manufacturer guidelines for proper maintenance and handling of medical equipment to minimize the risk of equipment failure. - backup monitoring systems : hospitals should consider having backup monitoring systems in place to ensure continuity of patient monitoring in the event of equipment malfunction. @topic:2


# # # issue : medical cart battery shows - 1 and scan to open drawer not working # # # context : biomedical engineers ( bmes ) are responsible for maintaining and repairing medical equipment in hospitals. in this scenario, a bme is troubleshooting a medical cart that is experiencing issues with its battery and drawer. # # # possible causes : - * * battery failure : * * the battery may be faulty or damaged, causing it to display an incorrect charge level ( - 1 ). this could prevent the cart from functioning properly. - * * power supply issues : * * there could be a problem with the power supply to the cart, which could affect both the battery charge and the drawer operation. - * * software glitch : * * a software glitch in the cart's operating system could cause the scan to open the drawer to malfunction. - * * mechanical issue : * * there could be a mechanical issue with the drawer itself, preventing it from opening when scanned. - * * communication error : * * if the cart is connected to a network, there could be a communication error between the cart and the server, preventing the drawer from opening. # # # recommendations : - * * inspect the battery : * * check the battery physically for any signs of damage or leakage. if necessary, replace the battery with a new one. - * * verify power supply : * * ensure that the cart is properly connected to a power source and that the power supply is functioning correctly. - * * restart the cart : * * restarting the cart can clear any software glitches that may be causing the issue. - * * inspect the drawer : * * check if there are any obstructions or mechanical issues preventing the drawer from opening. if necessary, clean or lubricate the drawer mechanism. - * * check network connectivity : * * if the cart is connected @topic:13


# # # issue - bed locked in mode and unable to adjust # # # impact - patient discomfort - difficulty providing care - delay in treatment # # # possible causes - software glitch - mechanical failure - user error # # # recommendations - check and ensure the bed is not locked in mode - restart the bed by unplugging it from the power outlet and plugging it back in - if the bed is still locked, contact a qualified biomedical engineer for further assistance @topic:1


alarms are available on an x2 or mp5 when connected to a host monitor ( companion mode is indicated ). alarms become active again as soon as the x2 or mp5 is disconnected from the host monitor. • when connected to a host monitor ( companion mode is indicated ), no alarm tones are available on the intellivue x2 or mp5. alarm tone configuration the audible alarm indicators of your monitor are configurable. in the monitor ’ s configuration mode, you can : • increase the alarm volume of unacknowledged alarms at regular intervals • change the interval between alarm sounds ( iso / iec standard alarms only ) • change the base volume of the red and yellow alarm tones and the inop tones • change the alarm sound to suit the different alarm standards valid in different countries. traditional audible alarms ( hp / agilent / philips / carenet ) • red alarms and red inops : a high pitched sound is repeated once a second. • two - star yellow alarms and yellow inops : a lower pitched sound is repeated every two seconds. • one - star yellow alarms ( short yellow alarms ) : the audible indicator is the same as for yellow alarms, but of shorter duration. • standard inops : an inop tone is repeated every two seconds. 57 3 alarms audible alarm indicators iso / i ec standard audible alarms • red alarms and red inops : a high pitched tone is repeated five times, followed by a configurable pause. • two - star yellow alarms and yellow inops : a lower pitched tone is repeated three times, followed by a configurable pause. • one - star yellow alarms ( short yellow alarms ) : the audible indicator is the same as for yellow alarms, but of shorter duration. • standard inops : a lower pitched tone is repeated twice, followed by a pause. changing the alarm tone volume ♦ the alarm volume symbol @topic:8


# # # issue - wheels not spinning - equipment is difficult to move - equipment is not securely attached to base # # # impact - impaired mobility of equipment - potential for equipment to fall or tip over - difficulty in providing patient care # # # possible causes - broken wheel or wheels - loose bolts or screws - worn bearings # # # recommendations - replace broken wheels - tighten loose bolts or screws - lubricate worn bearings @topic:24


# # # issue - malfunctioning bed # # # impact - patient discomfort - nursing staff inefficiency - increased risk of patient falls - potential for injury to patient or staff # # # possible causes - mechanical failure of the bed frame or components - electrical failure of the bed controls or wiring - software malfunction - user error # # # recommendations - inspect the bed for any visible damage or loose parts. - test the bed controls to ensure they are functioning properly. - check the electrical connections to the bed to ensure they are secure and not damaged. - review the bed's user manual to ensure it is being used correctly. - contact the manufacturer or a qualified technician if the bed is not functioning properly. @topic:9


* * issue : * * - equipment failure * * impact : * * - central ekg moniter turned off * * possible causes : * * - loose plug on the equipment * * recommendations : * * - replaced the loose plug with a new one - tested the equipment and verified its functionality @topic:18


# # # issue - oxygen sensor failure in the patient transport monitor. # # # impact - inaccurate or unavailable oxygen saturation readings, which is important for patient monitoring. # # # possible causes - * * manufacturing defect : * * the sensor may have been defective from the start. - * * wear and tear : * * prolonged use or mishandling can damage the sensor. - * * corrosion : * * exposure to moisture or other corrosive substances can affect the sensor's performance. - * * electrical malfunction : * * electrical issues within the monitor can disrupt the sensor's function. # # # recommendations * * immediate actions : * * - replace the faulty sensor with a new one. - calibrate the monitor to ensure accurate readings. * * preventive measures : * * - regularly inspect and clean the sensor. - avoid exposure to corrosive substances or extreme temperatures. - handle the device carefully to prevent damage. - conduct routine maintenance and testing to detect potential issues early. * * follow - up actions : * * - monitor the performance of the replaced sensor. - if the issue persists, investigate further to identify any systemic problems. @topic:4


# # # issue - * * broken spo2 extension cable * * # # # impact - * * inability to use the patient monitor in room 17 * * # # # possible causes - * * the previous patient may have pulled on the cable, causing it to break. * * - * * the cable may have been damaged during transport. * * - * * the cable may have been defective. * * # # # recommendations - * * replace the broken cable with a new one. * * - * * inspect the cable for any signs of damage before using it. * * - * * avoid pulling on the cable when connecting or disconnecting it from the patient monitor. * * @topic:4


mmhg ( 5. 3 kpa ) 60 mmhg ( 8. 0 kpa ) 20 mmhg ( 2. 6 kpa ) ibp map ( mean ) 110 mmhg ( 14. 6 kpa ) 70 mmhg ( 9. 3 kpa ) 90 mmhg ( 12. 0 kpa ) 50 mmhg ( 6. 6 kpa ) 70 mmhg ( 9. 3 kpa ) 24 mmhg ( 3. 2 kpa ) temperature 102. 2°f 39°c 96. 8°f 36°c 102. 2°f 39°c 96. 8°f 36°c 102. 2°f 39°c 96. 8°f 36°c setting alarm and audio disables you can control whether a user can disable alarms and / or turn off the audio. the default is to allow alarm and audio disables. to set whether or not a user can disable alarms / audio : 1. open the system admin section of the system menu. see “ accessing the system admin menu ’ ’ on page 5 - 2. 2. rotate the wheel until the allow alarm disable or allow audio off checkbox is highlighted. 3. press the wheel to insert a check in the box to allow a user to disable alarms or turn off the audio. 4. press the main screen button on the front panel to close the menu. setting demo mode demo mode lets you demonstrate the monitor without monitoring parameters. demo mode simulates all the low - level data source components, including nbp. demo mode generates alarms when alarm settings are exceeded. the default is regular user mode. entering or exiting demo mode always resets the patient trend data. 1. open the system admin section of the system menu. see “ accessing the system admin menu ’ ’ on page 5 - 2. 2. rotate the wheel @topic:8


# # # issue - motor failure # # # impact - inability to adjust the height and angle of the bed # # # possible causes - malfunctioning motor - worn or damaged motor components - electrical fault # # # recommendations - replace the motor - inspect and repair or replace any worn or damaged components - check for electrical faults and correct as necessary @topic:9


# # # issue - cuff bp deterioration # # # impact - inability to accurately measure blood pressure. # # # possible causes - repeated use over time - exposure to moisture or chemicals - improper storage or handling # # # recommendations - replace cuff bp with a new one. - regularly inspect cuff bp for signs of wear or damage. - store and handle cuff bp properly according to manufacturer's instructions. - train staff on proper use and handling techniques for cuff bp. @topic:3


# # # issue - scanner not charging # # # impact - unable to use the scanner # # # possible causes - loose or dirty charging terminals - damaged charging cable - faulty scanner # # # recommendations - clean the charging terminals on both the scanner and the charging cable. - inspect the charging cable for any damage and replace if necessary. - test the scanner with a different charging cable to rule out a faulty cable. - if the scanner still does not charge, it may need to be repaired or replaced. @topic:23


hold time contents m8023a external power supply performance specifications m8023a external power supply ( for m3002a ) performance specifications power consumptiopower specifications 12 w averag30 w pealine voltage 00 to 240 v current 1. 3 to 0. 7 a frequency ower 50 / 60 hz ndicators mms m3001a performance specifications m3001a mms performance specifications trend data buffered memory if powered by monitor trends trend data, patient identification and all active settings contents integrated pc ( ipc ) performance specifications pc components intel core 2 duo sp9300 / sp9400 processor olid - state drive 100 gb or above gb ram 865244 remote control 865244 remote control performance specifications power ( when not connected to the usb interface of the monitor ) two aa primary cells 469 40 specifications interface specifications mx400 / 450 / 500 / 550 / 600 / 700 / 800 interface specifications | mx400 / 450 / 500 / 550 / 600 / 700 / 800 tanda100 - base - tx ( ieee 802. 3 clause 25 ) network connector rj45 ( 8 pin ) solation basic insulation ( reference voltage : 250 v ; test voltage : 1500 v ) standard ib / rs232 ieee 1073 - 3. 2 - 2000 connectors rj45 ( 8 pin ) mode software - controllable bcc ( rxd / txd cross over ) or dcc ( rxd / txd straight through ) not available for the advanced system interface mx400 / 450 / 500 / 550 5 v ±5 %, 100 ma ( max. ) owebasic insulation ( reference voltage : 250 v ; test voltage : 1500 v ) usb 2. 0 full - speed ( embedded host ) isolation standard connector usb interface usb series " standard a " receptacle low power port 4. 4v min ; max. load for all ports together @topic:10


shock hazard : do not open the monitor or measurement device. contact with exposed electrical components may cause electrical shock. always turn off and remove power before cleaning the sensor, monitor or measurement device. do not use a damaged sensor or one with exposed electrical contacts. refer servicing to qualified service personnel. caution use the m3014a mms extension and the optional c0 2 measurement in the x2 with philips approved accessories only. refer to the instructions for use provided with the accessory. 216 measuring co 2 using m3014a or x2 14 monitoring carbon dioxide preparing to measure mainstream c0 2 you must perform a zero as described in this procedure each time you use a new airway adapter. 1 attach the sensor connector to the c0 2 connector on the mms extension, or on the x2 ( when the optional c0 2 measurement is integrated ). 2 wait 2 minutes, allowing the sensor to reach its operating temperature and a stable thermal condition. 3 4 5 choose the appropriate airway adapter and connect it to the sensor head. the airway adapter clicks into place when seated correctly. to zero the sensor : - expose the sensor to room air and keep it away from all sources of c0 2 including the ventilator, the patients breath and your own. - in the setup menu for the c0 2, select start zero cal. - when you see the message zero done at < date and time > on the status line, the zero calibration is finished and you can begin monitoring. install the airway adapter at the proximal end of the circuit between the elbow and the ventilator y - section. warning to prevent stress on the endotrachial tube, support the sensor and airway adapter. position sensor cables and tubing carefully to avoid entanglement or potential strangulation. do not apply excessive tension to any cable. replace @topic:17


# # # issue : vital signs monitor not functioning due to battery failure and inability to connect to power source. # # # impact : - inability to monitor patient's vital signs, including heart rate, blood pressure, and oxygen saturation levels. - delay in diagnosis and treatment, potentially compromising patient safety. - increased workload for healthcare providers who must manually monitor vital signs, leading to potential errors. # # # possible causes : - battery degradation due to extended use or improper storage. - loose or damaged power cord or connection port. - internal component failure preventing the device from charging or using the power cord. # # # recommendations : - * * replace battery : * * acquire and install a new battery compatible with the device model. - * * check power cord and connection : * * ensure that the power cord is securely connected to both the device and the power outlet. inspect for any visible damage or loose connections. - * * troubleshoot internal components : * * if the battery and power cord are not the cause, consider internal component failure and contact the manufacturer or a qualified technician for further diagnosis and repair. @topic:11


# # # issue - equipment : monitor, patient transport - band : welch allyn - model : propaq lt - description : discovery of a broken cuff bp tube ; ordered replacement parts due to unusually large bp cuff size. bme investigation revealed a broken cuff tube, which was replaced and tested, restoring normal equipment function. # # # impact - interruption of patient monitoring during transport - potential for inaccurate blood pressure readings # # # possible causes - oversized bp cuff - excessive force or pressure applied to the cuff - wear and tear from repeated use # # # recommendations - ensure that the correct size bp cuff is used for the patient. - train staff on proper cuff inflation techniques to avoid excessive force or pressure. - establish a regular maintenance schedule to inspect and replace bp cuffs as needed. - consider using bp cuffs with reinforced or durable materials to withstand wear and tear. @topic:3


# # # issue - incorrect location of the department. # # # impact - equipment may be used in the wrong department, leading to delays in patient care or incorrect treatment. # # # possible causes - miscommunication between departments. - lack of proper documentation or labeling. - clerical error. # # # recommendations - establish clear communication channels between departments to ensure accurate information transfer. - implement a system for tracking and documenting equipment movements. - provide regular training for staff on proper equipment management procedures. @topic:12


# # # issue - remote control cable was found to be broken. # # # impact - unable to adjust the bed. # # # possible causes - the cable may have been damaged due to wear and tear. - the cable may have been cut or pinched. - the cable may have been disconnected from the bed or remote control. # # # recommendations - the cable was repaired and reconnected. - the bed was tested and is now functioning properly. @topic:7


# # # issue - the bed's feet are unable to be adjusted. # # # impact - the patient may be unable to get into or out of bed. - the patient may be unable to position themselves comfortably in bed. # # # possible causes - the locking mechanism for the feet is not working properly. - the motor that adjusts the feet is not working properly. - the control panel for the bed is not working properly. # # # recommendations - inspect the locking mechanism for the feet and make sure that it is working properly. - inspect the motor that adjusts the feet and make sure that it is working properly. - inspect the control panel for the bed and make sure that it is working properly. - if the problem cannot be resolved by inspecting the above components, then the bed may need to be replaced. @topic:1


# # # issue - battery failure in philips suresigns vs4 vital signs monitor # # # impact - interruption of patient monitoring, potentially leading to delayed or missed medical interventions. # # # possible causes - * * battery life exceeded : * * the battery has reached the end of its expected lifespan and can no longer hold a charge. - * * battery damage : * * the battery may have been physically damaged, causing internal failure. - * * electrical fault : * * a malfunction in the monitor's electrical system could prevent the battery from charging or functioning properly. # # # recommendations - * * replace battery regularly : * * monitor the battery's lifespan and replace it according to the manufacturer's recommendations. - * * inspect battery physically : * * check the battery for any signs of damage, such as swelling, cracks, or corrosion. - * * troubleshoot electrical system : * * if battery damage is ruled out, have a qualified technician inspect the monitor's electrical system for any faults. - * * consider alternative power sources : * * explore the use of external power sources, such as ac power adapters or uninterruptible power supplies ( ups ), as backup measures. - * * establish routine maintenance : * * implement a regular maintenance schedule to monitor the monitor's overall performance and identify any potential issues before they cause failures. @topic:11


# # # issue : arm of lcd monitor cannot be adjusted downwards # # # impact : inability to adjust monitor to optimal viewing position # # # possible causes : arm adjustment is locked # # # recommendations : unlock the arm adjustment mechanism @topic:2


# # # issue * the electric bed is not responding to adjustments. # # # impact * inability to provide proper patient care. * patient discomfort and potential safety hazards. # # # possible causes * malfunctioning remote control unit ( no. 39 black remote ). * electrical issues within the bed or power supply. * mechanical failure or misalignment of bed components. * software glitch or system error. # # # recommendations * * * inspect the remote control unit : * * * check if the batteries are fresh. * examine for any visible damage or loose connections. * * * verify electrical connections : * * * ensure that the bed is properly plugged into a power source. * inspect the power cord and wall socket for any damage. * * * examine bed components : * * * check the bed's mechanical parts ( e. g., actuators, gears ) for any obstructions or damage. * ensure that the bed frame is properly aligned and stable. * * * troubleshooting software : * * * if applicable, consult the manufacturer's user manual for any diagnostic or reset procedures. * * * consider professional assistance : * * * if the issue persists after following these recommendations, contact a qualified biomedical engineer for further diagnosis and repair. @topic:7


40 brady sp02 [ % ] 100 90 high 90 80 low esp [ rpm80 30 high 20 10 low manual 17 : 00 21 : 00 1 : 00 5 : 00 9 : 00 13 : 00 # hr ( pulse ) time pulse ( hr ) sp02 desat so 80 desat : 50×20 dheat so 80 degat : 3098 resp low < 30 1 8 apr 8 : 26 2 8 арг 8 : 46 low < 30 8 apr 12 : 21 2 low : 830 8 apr 13 : 22 4 low : < 30 apr 13 : 2manual manual 5 manu manual philips general hospital page 1 ( last ) 346 26 event surveillance event episode reports the event episode report documents the patient information from the currently - selected event. see " event recordings " on page 343 for an explanation of the report elements. 12345678 bob jones event surveillance : episode time : 8 apr 02 13 : 22 apr 02 13 : 40 : 26 160 b pulse 95 bpm $ 1 % standard * * * desat spo2 rb 20 rpm low r ( pulse ) sp02 resp + 5 sec + 10 sec 2. 5 m / 13 : 22 - 5 sec - 7 - - 7 - - 2 - ) 160 bpm hr s nrp hout malf flood ro transduc uolak check setup * * fulso low pules 95 bpm abp 115 / 0 ( 104 ) 51 % * * aber ep02 * * * desat c. z. port 4. e 35 mag atc02 incoz 0 milg awrr * * arr lon 20 xpa kr 20 rpm treat 39. 9 °c a treet fla tblood - 7 - 0 teore 26. 8 °c - 13. 0 e tcor 3√36 philips age 1 @topic:8


# # # issue - vital signs monitor not taking accurate blood pressure measurements due to loose connection. # # # impact - incorrect blood pressure readings, which can lead to misdiagnosis or inappropriate treatment. # # # possible causes - loose connection between the blood pressure cuff and the monitor. - damaged or faulty blood pressure cuff or tubing. - improper calibration of the monitor. # # # recommendations - ensure that the blood pressure cuff is properly connected to the monitor and that all tubing is secure. - inspect the blood pressure cuff and tubing for any damage or leaks. - calibrate the monitor according to the manufacturer's instructions. - contact the manufacturer for further assistance if the issue persists. @topic:14


# # # issue - cuff of the physiologic vital signs monitor is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure. # # # possible causes - cuff may have been damaged due to : - over - inflation - punctures - tears # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated and not over - inflated. - inspect the cuff regularly for any damage. @topic:5


# # # issue equipment is not turning on, and the display is showing rainbow colors. # # # impact inability to monitor patient vital signs accurately. # # # possible causes - loose or damaged power cord - faulty display panel - internal hardware failure - software malfunction - incompatible power source # # # recommendations - ensure that the power cord is securely connected to both the device and the power outlet. - check for any physical damage to the power cord or display panel. - reset the device by unplugging it for a few minutes and then plugging it back in. - contact the manufacturer for technical support if the issue persists. - verify that the device is being powered by a compatible power source with the correct voltage and amperage. @topic:2


the spo, module e power - on self test ° spo, test e pneumatic leakage test e all safety tests performance verification testing suresigns vs2 * and vsi service guide 3 - 1 recommended frequency after complete these tests replacing the temperature module + power - on self test e alarms test ¢ temperature test e pneumatic leakage test e all safety tests replacing the wireless module e power - on self test e alarms test e pneumatic leakage test e all safety tests recommended frequency perform the test procedures at the recommended frequency outlined in the following table. caution the frequency recommendations in the following table do not supersede local requirements. always perform locally required testing in addition to the testing outlined in the table. suggested testing frequency preventive maintenance nbp calibration once every two years. battery reconditioning once every six months. performance e temperature accuracy once every two years, or if you suspect the + nbp accuracy test measurement 1s incorrect. e spo, + nurse call relay! before first use, and then once every two years. safety in accordance with iec 60601 - 1 e enclosure leakage current once a year and after repairs where the monitor has been opened ( front and back separated ) or if the e ground integrit sta monitor has been damaged by impact. e patient leakage currents 1. when used as part of facility protocols. performance verification testing 3 - 2 suresigns vs2 * and vsi service guide required test equipment required test equipment the following table lists the additional test equipment that you need to perform each of the tests in this chapter. many of these tests also use the standard accessories that are shipped with the monitor. to perform this test you need this test equipment “ visual test ” on page 3 - 11 none “ power - on self test ” on page 3 - 11 none “ alarms test ” on @topic:10


# # # issue - the electric bed, manufactured by huntleigh and model contoura 390, is not functioning properly. the leg adjustment feature is not working. # # # impact - the inability to adjust the leg position of the bed can cause discomfort and pain for the patient. it can also make it difficult for healthcare professionals to provide proper care. # # # possible causes - the technician has identified that the cause of the failure is related to the leg adjustment mechanism. the specific cause could be : - electrical issue with the motor or wiring - mechanical issue with the gears or other components - software issue with the control unit # # # recommendations - the technician should troubleshoot the issue by checking the electrical connections, inspecting the mechanical components, and updating the software if necessary. - if the issue cannot be resolved, the technician should contact the manufacturer for further assistance. @topic:1


# # # issue - cuff of the monitor, patient transport ( philips intellivue x2 ( m3002a ) ) located at er bed1 is leaking. # # # impact - accurate blood pressure measurement is compromised, potentially leading to incorrect treatment decisions. # # # possible causes - * * cuff damage : * * the cuff may have been damaged during use, causing air to leak. - * * valve malfunction : * * the valve in the cuff that regulates air flow may be defective, allowing air to escape. - * * incorrect cuff size : * * using an incorrect cuff size can lead to improper seal and air leakage. # # # recommendations - * * replace the cuff : * * the leaking cuff should be replaced with a new one of the correct size. - * * inspect the valve : * * the valve in the cuff should be examined to ensure proper function. - * * ensure proper cuff technique : * * the cuff should be placed correctly on the patient's arm, with the arrow aligned with the brachial artery and the cuff inflated to the recommended pressure. - * * retrain staff on cuff usage : * * staff should be retrained on proper cuff placement and inflation techniques to prevent future damage. @topic:3


# # # issue - spo2 mulfunction # # # impact - the patient's oxygen saturation levels cannot be accurately monitored. - this could lead to a delay in diagnosis and treatment, which could have serious consequences. # # # possible causes - the spo2 sensor is damaged or malfunctioning. - the sensor is not properly attached to the patient's finger. - the patient's finger is not properly positioned in the sensor. - the patient is moving too much. - the patient has poor circulation. # # # recommendations - inspect the spo2 sensor for any damage or malfunction. - make sure the sensor is properly attached to the patient's finger. - make sure the patient's finger is properly positioned in the sensor. - ask the patient to stop moving. - if the patient has poor circulation, warm their hand or foot. - if the problem persists, replace the spo2 sensor. @topic:4


# # # issue - faulty spo2 cable # # # impact - impaired patient monitoring due to inaccurate or missing vital parameter ( oxygen saturation ) # # # possible causes - cable damage due to wear and tear, mishandling, or improper storage - loose connections at either end of the cable - internal cable malfunction # # # recommendations - replace the faulty spo2 cable with a new or known - good one - inspect all other cables and connections associated with the patient monitoring system - implement regular maintenance and inspection protocols for all medical devices to prevent future failures @topic:4


# # # issue - damaged bp line # # # impact - unable to obtain accurate blood pressure readings - delays in patient care - increased risk of patient complications # # # possible causes - wear and tear over time - improper handling or storage - damage caused during equipment repair or maintenance # # # recommendations - replace the damaged bp line with a new one - inspect all bp lines regularly for signs of wear or damage - handle and store bp lines carefully according to manufacturer's instructions - train staff on proper handling and maintenance of bp lines @topic:14


# # # issue : - * * equipment : * * bed, electric, ob & gyn - * * band : * * huntleigh - * * model : * * gynae 1 # # # cause of failure : - * * nots came off on the 15th room bed's head. * * # # # impact : - the equipment is not working properly due to missing nots on the head of the bed in the 15th room. # # # possible causes : - the nits were not properly tightened or may have come off due to wear and tear. - the head of the bed may have been moved or adjusted, causing the nits to come loose. - there may be a design flaw that causes the nits to come off easily. # # # recommendations : - * * inspect * * : check all the nits on the equipment to ensure they are properly tightened. - * * replace * * : if any nits are missing or damaged, replace them with new ones. - * * lubricate * * : lubricate the nits and moving parts to prevent wear and tear. - * * reevaluate * * : monitor the equipment regularly to ensure it is functioning properly and that the nits are staying in place. - * * design * * : if the nits continue to come off despite regular maintenance, consider making design modifications to improve their stability. @topic:9


# # # issue - monitor not linking with central system # # # impact - inability to monitor patient data remotely - increased workload for nurses and doctors - potential patient safety issues # # # possible causes 1. equipment malfunction 2. problem with server 3. incorrect ci address setup # # # recommendations 1. check and troubleshoot equipment 2. contact it support to resolve server issues 3. reconfigure ci address to ensure correct setup 4. test and verify functionality @topic:16


# # # issue - electrical power is not reaching the medical device. # # # impact - the medical device will not function properly or may not function at all. # # # possible causes - the power cord is not properly connected to the medical device or to the electrical outlet. - the electrical outlet is not functioning properly. - the circuit breaker or fuse for the electrical outlet has tripped or blown. - there is a break in the power cord. - there is a problem with the internal wiring of the medical device. # # # recommendations - check the power cord connections at both ends. - try plugging the medical device into a different electrical outlet. - reset the circuit breaker or replace the fuse for the electrical outlet. - inspect the power cord for any damage. - have a qualified technician inspect the internal wiring of the medical device. @topic:12


# # # issue - cuff blood pressure ( cuff bp ) is damaged. # # # impact - vital signs monitoring may be inaccurate. # # # possible causes - cuff may be old and worn. - cuff may have been damaged by improper use. - cuff may have been damaged by external factors ( e. g., liquid spill ). # # # recommendations - replace damaged cuff with a new one. - inspect cuff regularly for signs of wear and damage. - use cuff properly according to manufacturer's instructions. - protect cuff from excessive moisture and other environmental hazards. @topic:3


* * issue : * * remote control failure. * * impact : * * impaired functionality of the electric bed. * * possible causes : * * - * * defective remote control : * * malfunctions due to electronic component damage, circuit board issues, or battery problems. - * * damaged wiring : * * broken or loose connections between the remote control and the bed, preventing signal transmission. - * * interference : * * strong electromagnetic fields or other wireless devices can interfere with the remote control's signal. - * * software glitches : * * bugs or errors in the remote control's firmware can cause it to malfunction. * * recommendations : * * - * * replace the remote control : * * if the original remote is damaged beyond repair, replace it with a new or refurbished one. - * * check wiring connections : * * inspect the cables connecting the remote to the bed for damage or loose connections. repair or replace any faulty wiring. - * * eliminate interference : * * move competing wireless devices away from the bed or use shielded cables to minimize electromagnetic interference. - * * update software : * * if available, update the remote control's firmware to address any known bugs or performance issues. @topic:7


devices. - * * contact it support : * * if the issue persists after trying the above steps, contact the hospital's it support team for further assistance. they can troubleshoot the network issue and provide a resolution. @topic:16


* * issue : * * battery level on medical cart is displaying - 1 %. * * impact : * * - reduced functionality or potential shutdown of the medical cart. - interruption of patient care or medical procedures. * * possible causes : * * - faulty battery or battery connector. - software glitch or firmware issue. - excessive power consumption by the medical cart's components. * * recommendations : * * - * * immediate actions : * * - contact the equipment manufacturer ( bdms ) as scheduled on 06 / 10 / 2022. - observe the battery level closely and report any significant changes. - * * preventive measures : * * - ensure regular maintenance of the medical cart, including battery replacement as needed. - update the software or firmware of the medical cart to the latest version. - optimize the power consumption of the medical cart by adjusting settings or removing unnecessary accessories. - * * follow - up : * * - monitor the battery level of the medical cart after the manufacturer's inspection. - implement any recommended maintenance or repair actions promptly. - consider implementing a preventive maintenance schedule to monitor and replace batteries regularly. @topic:13


21 qd1653a 1 level ball 22 72792 1 spring, siderail, foot careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 23 footboard and headboard — a model beds chapter 5 : parts list footboard and headboard — a model beds figure 5 - 7. footboard and headboard — a model beds m330 006 table 5 - 7. footboard and headboard — a model beds item number part number quantity description 1 71650 1 label 2 ca0004 1 footboard or headboard assembly 3 71549 1 cpr label page 5 - 24 careassist® and careassist® es bed service manual ( man330 rev 4 ) plastic sleep deck — a model beds chapter 5 : parts list plastic sleep deck — a model beds figure 5 - 8. plastic sleep deck — a model beds table 5 - 8. plastic sleep deck — a model beds quantity description 1 71038 1 sleep surface panel, backrest 2 71037 1 sleep surface panel, seat 3 71036 1 sleep surface panel, knee 4 71035 1 sleep surface panel, foot 5 71515 8 rivet, plastic 6 34400 2 tape strip, bed exit 7 71525 2 bracket 8 71526 1 weldment, cpr bracket and spacer, rh 9 10 71527 1 weldment, cpr bracket and spacer, lh 11 vi0615a 20 screw careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 25 motor control box — a model beds chapter 5 : parts list motor control box — a model beds chapter 5 : parts list table 5 - 9. motor control box — a model beds item number part number quantity description 1 vi0608a 2 screw 2 vi0 @topic:26


# # # issue the connex spot monitor, a vital signs monitor manufactured by welch allyn, is experiencing a failure. the issue appears to be related to the device's inability to charge its battery. # # # impact the failure of the monitor to charge its battery could have a significant impact on its ability to provide reliable and accurate monitoring of vital signs. this could potentially compromise patient safety and disrupt clinical workflow. # # # possible causes the following are possible causes for the monitor's failure to charge its battery : - * * defective battery : * * the battery may have reached the end of its lifespan or may have a manufacturing defect that prevents it from holding a charge. - * * faulty charging circuitry : * * the monitor's charging circuitry may be malfunctioning, preventing the battery from receiving power. - * * improper charging technique : * * the monitor may not be properly connected to the charger, or the charger may not be providing sufficient power. # # # recommendations to resolve the issue and restore the monitor to proper working order, the following recommendations should be followed : - * * replace the battery : * * if the battery is suspected to be defective, it should be replaced with a new one. - * * inspect the charging circuitry : * * the monitor's charging circuitry should be inspected for any signs of damage or malfunction. if necessary, the faulty components should be repaired or replaced. - * * verify proper charging technique : * * ensure that the monitor is properly connected to the charger and that the charger is providing sufficient power. if necessary, try using a different charger or outlet. - * * perform additional testing : * * once the issue has been addressed, additional testing should be performed to verify that the monitor is functioning properly and that the battery is charging correctly. @topic:11


# # # issue - bed is not adjustable. # # # impact - patients may not be able to be positioned comfortably or safely. - caregivers may have difficulty moving patients. # # # possible causes - the bed is locked. - the electric motor is not working. - the control panel is not functioning. # # # recommendations - check if the bed is locked. if it is, unlock it. - check the electric motor to make sure it is working. - if the control panel is not functioning, replace it. @topic:1


# # # issue * * bed brakes failing * * # # # impact * patient safety hazard * potential for falls and injuries * increased risk of lawsuits # # # possible causes * worn or damaged brake pads * loose or disconnected brake cables * malfunctioning brake mechanism * hydraulic fluid leaks # # # recommendations * inspect brake pads and cables regularly for wear and damage * tighten loose connections and replace worn or damaged parts * test brake function regularly * train staff on proper use of bed brakes @topic:6


# # # issue - no cause of failure is clearly defined. # # # impact - difficulty in determining the root cause of the device failure. - inability to effectively plan maintenance and preventative measures for similar devices. # # # possible causes - the technician repairing the device may have made an error in diagnosing the fault. - the hospital's documentation of the device's condition may have been incomplete or inaccurate. # # # recommendations - the technician should review the device's maintenance history and user manuals to identify any potential causes of the failure. - the hospital should establish a clear documentation process for recording the condition of medical devices when they are received after being borrowed. @topic:12


# # # issue - the battery is not charging. # # # impact - the monitor may not be able to be used during a power outage. # # # possible causes - the battery is dead. - the battery is not properly connected. - the charger is not working. - the power outlet is not working. # # # recommendations - check the battery and replace it if necessary. - make sure the battery is properly connected. - check the charger and replace it if necessary. - check the power outlet and make sure it is working. @topic:11


* * issue : * * - battery failure * * impact : * * - equipment shutdown - data loss - risk to patient safety * * possible causes : * * - battery is old or damaged - battery has been discharged too deeply - battery charger is malfunctioning * * recommendations : * * - replace the battery with a new one - ensure the battery charger is working properly - train staff on proper battery handling and maintenance procedures - regularly inspect and test batteries to identify any potential issues early on @topic:11


# # # issue - equipment is rebooting frequently # # # impact - decreased efficiency and productivity - increased risk of data loss or corruption - potential harm to patients if medical devices are affected # # # possible causes - software glitches - hardware malfunctions - power supply issues - overheating - user error # # # recommendations - update software to the latest version - inspect hardware for any loose connections or damaged components - ensure power supply is stable and within acceptable range - monitor temperature of equipment and ensure it is not overheating - provide user training to minimize operational errors @topic:13


# # # issue - control box malfunction ( inability to adjust bed height ) # # # impact - compromised patient positioning and comfort - potential safety risk for patients and healthcare providers - reduced efficiency in providing patient care # # # possible causes - wear and tear over time - electrical or mechanical component failure - damage due to improper handling or cleaning # # # recommendations - replace the faulty control box with a new one from the manufacturer - perform regular maintenance and inspections to monitor equipment condition - ensure proper handling and cleaning practices to minimize damage - train healthcare staff on proper use and maintenance of the equipment @topic:9


# # # issue - intermittent loss of signal from the pulse oximeter # # # impact - inaccurate or delayed readings of oxygen saturation levels - potential for missed or delayed diagnoses - increased risk of patient harm # # # possible causes - loose or faulty connection between the pulse oximeter cable and the monitor - damaged or kinked pulse oximeter cable - interference from other electronic devices - low battery in the pulse oximeter # # # recommendations - inspect the pulse oximeter cable and connections for any loose or damaged components - replace the pulse oximeter cable if it is damaged or kinked - move the pulse oximeter away from other electronic devices that may be causing interference - replace the battery in the pulse oximeter if it is low @topic:4


a tone sounds. the lcd turns off. 7 - 4 troubleshooting troubleshooting charts troubleshooting charts use the following charts to diagnose and fix monitor problems. the charts describe a monitor problem by symptom, list a possible cause, then a suggested action. check the first possible cause listed, then perform the associated action to repair the problem. perform all actions in the order that they appear in a chart. monitor problems can be related to : • power • display • alarms • nbp unit • measurements, including : - temperature - spo, - etc0 2 - ecg / respiration • recorder if using the following troubleshooting charts does not solve the problem, see “ running system diagnostics ” on page 7 - 25. troubleshooting 7 - 5 troubleshooting charts power problems symptom possible cause action i cat : ’ t turn on the monitor with ac power, but can with battery power. the cord is unplugged or broken. ensure that the ac power cord is plugged into an outlet. the fuse is blown. replace the fuse. see " removing a power connector fuse ” on page 8 - 7. the power supply cable has malfunctioned. replace the dc in cable. see “ removing the power supply ” on page 8 - 30. the power supply has malfunctioned. check output voltage on power supply. if you do not measure 15 v, replace the power supply. see " removing the power supply ” on page 8 - 30. the ac power connector has malfunctioned. replace the ac connector. see “ removing the ac power connector ” on page 8 - 36. the monitor keypad is worn. replace the front panel. see " removing the lcd ” on page 8 - 41. the main board has malfunctioned. replace the main board. see " removing the main pcb ” @topic:2


# # # issue : barcode scanner not working # # # impact - delay in patient care - inaccuracy in medical records - increased workload for healthcare providers # # # possible causes : * * 1. bent or damaged copper terminal * * - the copper terminal that charges the scanner may have been bent or damaged, causing a loose connection between the scanner and the charging base. - this can result in the scanner being unable to receive power or communicate with the charging base. * * 2. software glitch * * - a software glitch in the scanner or the charging base may be preventing the scanner from reading barcodes. - software updates or reinstallation may be necessary to resolve the issue. * * 3. dirty or obstructed optical window * * - the optical window of the scanner may be dirty or obstructed, preventing it from reading barcodes. - cleaning or clearing the optical window may resolve the issue. * * 4. weak or dead battery * * - the scanner may have a weak or dead battery, preventing it from functioning properly. - the battery should be checked and replaced if necessary. # # # recommendations : * * 1. inspect copper terminal * * - inspect the copper terminal that charges the scanner for any signs of bending or damage. - if the terminal is damaged or bent, it should be replaced or repaired. * * 2. update or reinstall software * * - check if there are any available software updates for the scanner or the charging base. - if so, install the updates and test the functionality of the scanner. * * 3. clean optical window * * - use a soft cloth or brush to gently clean the optical window of the scanner. - ensure that there is no dirt, debris, or other obstructions blocking the window. * * 4. replace battery * * - check the battery status of the scanner. @topic:23


# # # issue - medical cart bdms 01 reboots unexpectedly, resulting in interrupted patient care. # # # impact - delays in patient treatment - frustration and inconvenience for patients and healthcare providers - potential data loss or corruption # # # possible causes - * * software issues : * * corrupted software, outdated drivers, or malware can lead to system instability and unexpected reboots. - * * hardware failures : * * faulty components, such as memory modules, hard drives, or power supplies, can cause hardware failures that trigger reboots. - * * electrical issues : * * power surges, fluctuations, or loose connections can disrupt the electrical supply to the medical cart, causing it to reboot. - * * environmental factors : * * extreme temperatures, humidity, or dust can damage electronic components and lead to reboots. - * * user error : * * incorrect operation or improper handling of the medical cart can cause accidental reboots. # # # recommendations - * * software updates : * * regularly update the medical cart's operating system and software applications to ensure compatibility and address any known vulnerabilities. - * * hardware diagnostics : * * perform regular hardware diagnostics to identify potential component failures or issues. - * * power management : * * ensure a stable and reliable power supply to the medical cart. use surge protectors and uninterruptible power supplies ( ups ) as necessary. - * * environmental control : * * maintain a controlled environment with appropriate temperature, humidity, and dust levels to prevent damage to electronic components. - * * user training : * * provide adequate training to all users of the medical cart to ensure proper operation and handling. - * * monitoring and monitoring : * * implement remote monitoring and alert systems to detect and address potential issues before they lead to reboots. - * * preventive maintenance : @topic:13


# # # issue : cuff deterioration # # # impact : inaccurate blood pressure readings # # # possible causes : - * * age and wear : * * cuffs can deteriorate over time due to repeated use and exposure to moisture and chemicals. - * * improper storage : * * storing cuffs in extreme temperatures or without proper protection can damage the material. - * * excessive force : * * applying excessive force when inflating the cuff can stretch or tear the tube. - * * material defects : * * manufacturing defects or the use of low - quality materials can cause the cuff to weaken prematurely. # # # recommendations : - * * regular inspection : * * periodically inspect cuffs for signs of deterioration, such as cracks, bulges, or leaks. - * * proper storage : * * store cuffs in a cool, dry place away from direct sunlight and chemicals. - * * careful handling : * * avoid over - inflating the cuff and handle it gently during use. - * * use of quality materials : * * choose cuffs made from durable and long - lasting materials such as nylon or polyurethane. - * * regular replacement : * * replace cuffs according to manufacturer's recommendations or when signs of deterioration become evident. @topic:3


# # # issue - unable to send vital signs data to the vsm system. # # # impact - inability to monitor patient's vital signs remotely. # # # possible causes - * * incorrect configuration of the vsm system * * - * * network connectivity issues * * - * * hardware failure of the monitor * * - * * software bugs in the monitor or vsm system * * - * * human error * * # # # recommendations - check the configuration of the vsm system and ensure that the monitor is properly connected. - verify network connectivity between the monitor and the vsm system. - perform hardware diagnostics on the monitor to identify any potential issues. - update software on the monitor and vsm system to address any known bugs. - train staff on proper operation of the monitor and vsm system to minimize human error. @topic:22


# # # issue - the cause of failure is that the bp cuff fabric does not have a nipple. # # # impact - the patient cannot have their blood pressure measured. # # # possible causes - the nipple may have fallen off. - the nipple may have been damaged. - the cuff may have been purchased without a nipple. # # # recommendations - replace the bp cuff fabric with a new one that has a nipple. @topic:3


in the domain / subdomain users or group. 1. service manual connex direct 225 examples : ou = ouname, dc = domain prefix, dc = domain suffix ou = someou, dc = some domain, dc = com ou = serviceou, dc = hillrom, dc = com ou = serviceou, dc = eastcoast, dc = hillrom, dc = com test network connection perform a lookup of the default naming context to test the network connection to the active directory server and to test the use of the administrator user name and password, and domailookup. 1. touch test network connection to test the connection from the device to the active sm load ca root certificate via configuration file ( someconfigfile - signed. waconfig ) generated by log into the configuration tool https : / / config. welchallyn. com / configurator /. our email address and password and click sign in. enter welch allyn product v1. 9. 3 email address password sign in don't have an account? register here orgot your password? reset it here! the my configurations screen appears. my configurations [UNK] licensing serial number ookup by serial number csm 0 ervice order nern ookup by service order number and ern rrp 0 there are no configurations. welch [UNK] connex® spot monitor 226 connex direct configure a ca root certificate using the configuration tool select the product that you would like to configure. you can now load self - signed security certificates onto the connex spot monitor ( csm ) to ensure secure communication with an authenticated server on the network. csm is also pre - loaded with the following certificates : go daddy _ class _ 2 _ certification _ authority. pem symantec class _ 3 _ public _ primary _ certification @topic:10


suppressed until 30 seconds after the transducer finishes zeroing. 1 turn off the stopcock to the patient. 189 12 monitoring invasive pressure zeroing the pressure transducer 2 vent the transducer to atmospheric pressure, to compensate for the static and atmospheric pressure exerted on the transducer. 3 in the setup menu for the pressure, select zero < press >. 4 when you see the message < press > zero done at < date and time > on the status line, ( for example, abp zero done at 13 mar 02 23. 35 ) close the stopcock to atmospheric pressure, and open the stopcock to the patient. caution when using high frequency ventilation, ensure that the tubing from the ventilator does not touch the arterial line, or connect with it indirectly, while zeroing the pressure. this could cause small pressure variations which can interfere with the zero procedure. using the zero hardkey pressing the zero hardkey for two seconds on the m1006b pressure module starts a zero for the pressure currently measured with the module. pressing the zero hardkey for two seconds on the m3001a multi - measurement module zeros the pressure being measured by the multi - measurement module and the pressures from any connected mms extensions. zeroing all pressures simultaneously warning before zeroing all pressures, make sure that all pressure transducers are vented to atmospheric pressure. if you are measuring pressures with more than one measuring device, using the zero press smartkey to initiate the zeroing calls up a list of all active pressures. select the pressure you want to zero or select all press to zero all pressures simultaneously. troubleshooting the zero the status line lists the probable cause of an unsuccessful zero : message corrective action unable to zero - equipment malfunction the hardware is faulty. contact your service personnel. unable to zero - excessive offset make sure the transducer is vent @topic:17


# # # issue - central monitor is not linking. # # # impact - the central monitor is unable to receive and display patient data from the bedside monitor. - this can lead to delayed or inaccurate patient care. # # # possible causes - there may be a problem with the network connection between the bedside monitor and the central monitor. - the ip address of the bedside monitor may not be set correctly. - the server that hosts the central monitor software may be down or experiencing problems. - the bedside monitor may be malfunctioning. # # # recommendations - check the network connection between the bedside monitor and the central monitor. - verify that the ip address of the bedside monitor is set correctly. - restart the server that hosts the central monitor software. - if the issue persists, contact the manufacturer of the bedside monitor for assistance. @topic:16


* * issue : * * medical cart is displaying an error message " - 1 " * * impact : * * the medical cart is not functioning properly and may not be able to be used to transport patients or equipment. * * possible causes : * * * software or hardware issue with the medical cart itself * problem with the medical cart's connection to the hospital's network or power supply * user error * * recommendations : * * * * * restart the medical cart. * * this may resolve the issue if it is caused by a software glitch. * * * check the medical cart's connections to the hospital's network and power supply. * * make sure that the connections are secure and that the medical cart is receiving power. * * * inspect the medical cart for any damage. * * if there is any damage, the medical cart may need to be repaired or replaced. * * * contact the medical cart's manufacturer or a qualified biomedical engineer. * * they can help to diagnose and repair the problem. @topic:13


qualified technician for further diagnosis and repair. @topic:12


# # # issue : side - rail assist spring failure # # # impact : reduced safety for patient and staff # # # possible causes : - loose or missing nuts, bolts, or springs - wear and tear from frequent use - improper installation or maintenance # # # recommendations : - check and tighten all loose nuts, bolts, and screws - replace any missing or worn components - provide regular maintenance and inspections to ensure proper operation @topic:6


# # # issue : raugkan yang tidak dapat disesuaikan # # # impact : pasien tidak dapat dilindungi dari jatuh atau cedera. # # # possible causes : - mekanisme penguncian yang rusak - komponen yang bengkok atau rusak - masalah listrik # # # recommendations : - periksa mekanisme penguncian dan ganti jika diperlukan. - periksa apakah ada komponen yang bengkok atau rusak dan ganti jika diperlukan. - pastikan koneksi listrik berfungsi dengan benar. @topic:12


* * issue : * * worn cuff * * impact : * * inaccurate blood pressure readings * * possible causes : * * * cuff is not properly sized for the patient's arm * cuff is not properly inflated * cuff is damaged or cracked * cuff has been overused * * recommendations : * * * replace the cuff with a new one that is the correct size for the patient's arm * ensure that the cuff is properly inflated * inspect the cuff for any damage or cracks * limit the use of the cuff to only when necessary @topic:3


rev 4 ) page 4 - 29 4. 8 foot section motor chapter 4 : removal, replacement, and adjustment procedures figure 4 - 16. foot motor 15. remove the foot motor ( j ) from the bed. replacement 1. perform the removal procedure in the reverse order. caution : make sure that the elastic found on the new motors is not wound around the motor body before removing it ( cut ). if necessary, turn the motor end rod in the appropriate direction to unwind this elastic. indeed, it is used to indicate the correct position of the switches and internal end of travels of the motor. the incorrect position of these elements may damage the motor or the structure of the bed. 2. remove the elastic from the motor. 3. to make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 - 5. page 4 - 30 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 9 head hilow column ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 9 head hilow column ( a model beds ) tools required : 13 mm socket ratchet extension ( 2 ) jack stands removal 1. set the brakes. 2. remove the headboard. 3. raise the head section to the full up position. warning : do not work under an unsupported load. install applicable temporary supports. failure to do so could cause personal injury or equipment damage. 4. place the jack stands under the articulating frame. 5. lower the articulating frame onto the jack stands. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 6. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 7. remove the power supply @topic:26


##t / qtc interval monitoring the qt interval is defined as the time between the beginning of the q - wave and the end of the t - wave. it measures the total duration of the depolarization ( qrs duration ) and repolarization ( st - t ) phases of the ventricular action potential. qt interval monitoring can assist in the detection of prolonged qt interval syndrome. r the qt interval ( 1 ) has an inverse relationship to heart rate. faster heart rates shorten the qt interval and slower heart rates prolong the qt interval. therefore there are several formulas used to correct the qt interval for heart rate. the heart rate corrected qt interval is abbreviated as qtc. the monitor uses as a default the bazett correction formula and the alternative fridericia formula can be selected in ode. for qt interval monitoring to be effective, basic or enhanced arrhythmia monitoring should be turned on. qt measurement algorithm the qt values are updated every five minutes except in the initial phase ( first five minutes ) where they are updated once per minute. normal or atrial paced beats and beats with a similar morphology are averaged to form a representative waveform for further processing. normal beats followed by a premature qrs will be excluded from the measurements to prevent the premature beat from obscuring the end of the t - wave. if the algorithm cannot form a representative waveform, for example because the morphology of the beats is too varied, a cannot analyze qt inop will be generated after 10 minutes. this is also the case if normal beats have been falsely labeled so that the algorithm does not have enough valid beats to make qt measurements. no qt value is calculated if the qt - hr is > 150 bpm ( adult ) or > 180 bpm ( pedi / neo ). 175 6 ecg, arrh @topic:8


# # # issue : shelving on medical cart is damaged # # # impact : equipment is not safe for use and may cause injury to patients or staff. # # # possible causes : - the shelving may have been overloaded, causing it to bend or break. - the shelving may have been hit or bumped, causing it to become damaged. - the shelving may have been made of a material that is not strong enough to withstand the demands of medical use. # # # recommendations : - inspect the shelving for any damage and replace it if necessary. - ensure that the shelving is not overloaded. - train staff on how to properly use and handle the medical cart. - consider using a different type of shelving that is more durable and resistant to damage. @topic:31


client certificate. client authentication is enabled, load a valid client certificate. but no client certificate is loaded. no client certificate loaded. information certificate close to expiration information client certificate xpires within 30 days. date. service manual troubleshooting 211 larm prioritpossible causmessage unable to connect due to invalid client certificate. 1a000a corrupted or invalid certificate. update the client certificate. oftware update messagealarm priority ossible causmessage software updatethe manifest file transfer timed verify the connection and retry. out or connection was lost nformation manifest transfer timed out. verify connection and retry. oftware update : package file transfer imed out. verify connection and retry the package file transfer timed verify the connection and retry. n was lost information software update : there was an invalid token file verify and update the token file. information invalid token file. software update : unable to find manifest file on server. the manifest file was not found verify the manifest file is on the server. on the server information regenerate the software package and retry. software update : unable to verify manifest file signaturethe manifest file signature verification failed. information software update : ackage file the package file is corruptdoes not have expected regenerate the sinformation package and retry. software update : the package file cannot be found verify the package file is on the server. information unable to find ge file. software updateat least one of the sub systems restart the monitor. failed to install information nstallation failed. eboot and retryoftware updateinformation the partition is running out of free up adequate space needed to space perform the upgrade. upgrade unsuccessful. nsufficient disk spacesoftware update : are update : the current firmware version is try to update to an earlier software update unsuccessful. lower than the @topic:16


# # # issue - inability to obtain blood pressure ( bp ) measurements # # # impact - delayed or inaccurate diagnosis - inability to monitor bp changes - potential for adverse events related to hypotension or hypertension # # # possible causes - * * cuff and bulb deterioration : * * the cuff and bulb are essential components for obtaining accurate bp measurements. over time, they can deteriorate due to wear and tear, resulting in inaccurate readings or failure to obtain measurements altogether. - * * defective sensor : * * the sensor in the bp monitor is responsible for detecting the pressure changes in the cuff. a defective sensor can lead to inaccurate or erratic readings. - * * electrical malfunction : * * electrical malfunctions within the bp monitor can disrupt its normal operation, leading to failure or inaccurate measurements. # # # recommendations - * * regular maintenance and inspection : * * the cuff and bulb should be inspected regularly for signs of deterioration. if necessary, they should be replaced promptly. - * * calibration and validation : * * the bp monitor should be calibrated and validated regularly to ensure accurate measurements. - * * troubleshooting : * * if the bp monitor is not obtaining accurate measurements, troubleshooting steps should be performed to identify the root cause of the failure. this may include checking the cuff and bulb, the sensor, and the electrical connections. - * * training : * * biomedical engineers and technicians should receive training on the proper use and maintenance of bp monitors to minimize the risk of failures. @topic:14


# # # issue low battery # # # impact the medical cart may not be able to function properly if the battery is not replaced. # # # possible causes - the battery may be old and need to be replaced. - the battery may not have been charged properly. - there may be a problem with the battery charger. # # # recommendations - replace the battery. - check the battery charger to make sure it is working properly. - contact a biomedical engineer if the problem persists. @topic:13


# # # issue * the bed's side rails cannot be locked into place, posing a safety hazard to the patient. # # # impact * the patient could fall out of the bed if the side rails are not locked in place. * this could result in serious injury or even death. # # # possible causes * the locking mechanism is broken or damaged. * the side rails are not properly aligned. * the patient is too heavy for the bed. * the bed is not properly assembled. # # # recommendations * inspect the locking mechanism for damage. * ensure that the side rails are properly aligned. * check the patient's weight against the bed's weight capacity. * reassemble the bed according to the manufacturer's instructions. @topic:6


# # # issue - equipment malfunction due to broken bolt. # # # impact - inability to use the medical device for patient care. - potential for patient harm if the device is used in a compromised state. # # # possible causes - manufacturing defect - excessive force applied to the bolt during assembly or maintenance - wear and tear over time - corrosion or rust # # # recommendations - replace the broken bolt with a new one of the same size and specifications. - inspect the device for any other signs of damage or wear. - train staff on proper handling and maintenance of the device to prevent future failures. - regularly schedule preventative maintenance checks to identify and address potential issues before they become critical. @topic:12


either automatically or manually. ♦ to change the resp detection mode, in the setup resp menu, select detection to toggle between the settings. auto detection mode in auto detection mode, the monitor adjusts the detection level automatically, depending on the wave height and the presence of cardiac artifact. note that in auto detection mode, • the detection level ( a dotted line ) is not displayed on the waveform, 166 changing the size of the respiration wave 8 monitoring respiration rate ( resp ) • the algorithm expects a heart rate and therefore needs at least 3 electrodes attached to the patient. if you are monitoring respiration with only two electrodes, the detection algorithm becomes less sensitive which may result in reduced breath detection performance. use auto detection mode for situations where : • the respiration rate is not close to the heart rate • breathing is spontaneous, with or without continuous positive airway pressure ( cpap ) • patients are ventilated, except patients with intermittent mandatory ventilation ( imv ). manual detection mode in manual detection mode you must set the resp detection level. • in the setup resp menu, select manual up or manual down. use the dotted detection level line in the resp waveform to determine when the desired level is reached. once set, the detection level will not adapt automatically to different respiration depths. it is important to remember that if the depth of breathing changes, you may need to change the detection level. use manual detection mode for situations where : • the respiration rate and the heart rate are close. • patients have intermittent mandatory ventilation. • respiration is weak. try repositioning the electrodes to improve the signal. resp detection modes and cardiac overlay in auto detection mode : if you are monitoring resp and the ecg is switched off, the monitor cannot compare the ecg and resp rates to detect cardiac overlay. the res @topic:17


* * issue : * * patient monitor ( intellivue mx40 ) not powering on * * impact : * * inability to monitor patient's vital signs, potentially leading to delayed or ineffective care. * * possible causes : * * * * * defective power supply : * * the unit may not be receiving adequate power from the power source. * * * faulty power cord : * * the cord connecting the unit to the power outlet may be damaged. * * * internal hardware failure : * * a component within the unit, such as a capacitor or circuit board, may have malfunctioned. * * recommendations : * * * * * verify power source : * * ensure the power outlet is functioning and the unit is properly plugged in. * * * inspect power cord : * * check the cord for any visible damage or loose connections. * * * contact support : * * if the issue persists, contact the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. * * * consider alternative monitoring devices : * * as a backup, utilize other available monitoring devices until the issue can be resolved. * * * schedule regular maintenance : * * regular equipment inspections and maintenance can help identify and prevent potential failures in the future. @topic:2


# # # issue - the medical cart has suddenly turned off while in use. # # # impact - interruption of patient care and potential delays in treatment. - loss of critical data or medical records. # # # possible causes - power outage : verify that the power outlet is providing electricity and that the cart's power cord is securely connected. - overheating : check for any signs of overheating, such as unusual noises or odors coming from the cart. - software malfunction : a software glitch or bug may have caused the cart to shut down unexpectedly. - electrical fault : inspect the cart's electrical components for any loose connections, damaged wires, or short circuits. - battery failure : the cart's battery may be depleted or faulty, preventing it from staying powered on. # # # recommendations - test the power outlet with another device to rule out power issues. - allow the cart to cool down if it is overheating. - update the software or contact the manufacturer for technical support if a software malfunction is suspected. - contact an electrician or biomedical engineer to inspect and repair any electrical faults. - replace the battery if it is found to be faulty or depleted. @topic:13


temperature not fthe temperature module log errodetection mechanism detected an error temperature not functional. 3080e the temperature module calibration error detection mechanism detected probe malfunction. replace probe. if very low the problem persists, replace the module. an error connect temperature probe. the temperature 3080f probe malfunction. replace probe. if very low the problem persists, replace the module. module detected no robe connected probe malfunction. replace probe. if very low the problem persists, replace the module. the temperature module cannot read the probe eeprom correctly or the probe left the factory ithout being tested. replace temperature probe. 30810 temperature not funinternal malfunction. if the problem ersists, replace the module. the temperaturmodule has an invalid events index there is a problem reading the temperature module eeprom or saving to the monitor eeprom n biotech mode. internal malfunction. if the problem ersists, replace the module. temperature not functio service manual troubleshooting 193 alarm riority ossible causmessage probe malfunction. replace probe. if very low replace temperature probe. code 30813 the temperaturmodule has a the problem persists, replace the problem m. internal malfunction. if the problem, replace the module. temperature the temperature module temp config acquire failure internal malfunction. if the problem temperature not futhe temperaturmodule temp config release failure temperature not fhe temperaturinternal malfunction. if the problem s, replace the module. module temp config invalid ptr failure internal malfunction. if the problem the temperature temperamodule internal error. persists, replace the module. eeprom not initialized unable to detect new @topic:20


# # # issue - incorrect patient information on medical device # # # impact - delayed or incorrect treatment - patient safety risk # # # possible causes - * * data entry error : * * the user who entered the patient information may have made an error, leading to incorrect data being displayed on the device. - * * equipment malfunction : * * the medical device may have experienced a hardware or software issue that caused the patient information to be corrupted or lost. - * * user error : * * the user may have inadvertently entered incorrect information, such as misidentifying the patient or entering the wrong name. # # # recommendations - * * verify patient information : * * before using the device, always verify the patient information displayed on the device with the patient's medical record. - * * retrain staff : * * ensure that all staff who use the device are properly trained on data entry procedures and how to identify and correct errors. - * * implement data entry validation : * * the device should be configured to validate data entries and alert the user to any errors or discrepancies. - * * regular maintenance : * * perform regular maintenance and inspections of the device to prevent hardware or software malfunctions that can affect data integrity. @topic:12


# # # issue - central monitor display failure # # # impact - inability to monitor patient vital signs - potential patient safety hazard # # # possible causes - * * cpu malfunction : * * the central monitor is unable to process and display data due to a cpu failure. - this could be a hardware or software issue. - * * power supply issue : * * the central monitor may not be receiving adequate power, resulting in a display failure. - * * software glitches : * * software bugs or corruption can cause the central monitor to malfunction and result in a display issue. - * * cable connections : * * loose or damaged cables connecting the central monitor to other components can disrupt data transmission and cause a display failure. # # # recommendations - * * verify cpu functionality : * * diagnose and repair any cpu malfunctions, either through hardware replacement or software updates. - * * check power supply : * * ensure that the central monitor is receiving adequate power and that all power connections are secure. - * * troubleshoot software : * * update software or patch any known bugs that may be causing the display issue. - * * inspect cable connections : * * inspect all cables connecting the central monitor to other components and ensure they are securely fastened and not damaged. @topic:2


# # # issue - heart reference sensor expired # # # impact - the ev1000 cardiac output monitor may not be able to accurately measure cardiac output. # # # possible causes - the heart reference sensor is a consumable item that has a limited lifespan. - the sensor may have been damaged or exposed to excessive moisture. # # # recommendations - replace the heart reference sensor. - inspect the sensor for any damage or contamination. - ensure that the sensor is properly installed and calibrated. @topic:22


# # # issue - battery life on the intellivue mx450 monitor is low. # # # impact - the monitor may shut down unexpectedly, which could lead to a loss of patient data or a delay in treatment. # # # possible causes - the battery is not properly seated in the monitor. - the battery is not fully charged. - the battery is old and needs to be replaced. - there is a problem with the monitor's charging system. # # # recommendations - check that the battery is properly seated in the monitor. - charge the battery for at least 24 hours. - replace the battery if it is old or damaged. - contact the manufacturer if the problem persists. @topic:11


# # # issue - broken extension cable connector # # # impact - inability to connect spo2 cable to patient monitor, resulting in lack of oxygen saturation data. # # # possible causes - physical damage to the connector, such as bending or crushing. - manufacturing defects or material degradation. - wear and tear from repeated use. # # # recommendations - * * immediate action : * * replace the broken extension cable connector with a new one. - * * preventive maintenance : * * - inspect all spo2 cables and connectors regularly for signs of damage. - handle cables and connectors with care to avoid bending or crushing. - consider using protective sleeves or covers for cables. - * * equipment management : * * - establish a proper inventory and maintenance schedule for spo2 cables and connectors. - train staff on proper handling and storage of equipment. - consider having spare cables and connectors readily available for quick replacements. @topic:4


# # # issue - bedside handler malfunction # # # impact - patient safety compromise - reduced patient comfort - increased workload for healthcare staff # # # possible causes - failure of the bedside handler - loose or damaged wiring - software malfunction - user error # # # recommendations - inspect the bedside handler for any damage or loose connections. - check and tighten all wiring connections. - update the software if an update is available. - train staff on the proper use of the bedside handler. - replace the bedside handler if necessary. @topic:12


# # # issue the motor in the foot of the bed, electric mb - acc73 by huntleigh has failed. # # # impact the bed is unable to be used for patients. # # # possible causes * the motor may have been overloaded. * the motor may have been damaged by a power surge. * the motor may have simply worn out over time. # # # recommendations * replace the motor. * inspect the power supply to the bed to ensure that it is not overloading the motor. * consider purchasing a surge protector to protect the bed from power surges. * schedule regular maintenance of the bed to prevent future problems. @topic:9


by replacing the sensor with an applicable spo2 tester. if the message persists, replace the module. replace the spo2 cable. 040900 the spo2 cable is not ecognized by the monitor replace the spo2 cable. if the problem is still present, verify module functionality by replacing the sensor with an applicable he spo2 cable is defreplace the spo2 cable. 040a00 service manual troubleshooting 177 ossible causlarm prioritmessage spo2 tester. if the message persists, replace the module. connect spo2 sensor. if the problem is still present, replace the spo2 cable. if the problem is still present, verify the module functionality by replacing the sensor with an applicable spo2 tester. if the message persists, replace the module. sensor not connected. the spo2 sensor is not clear to retry. 040b00 connected to the monitor replace spo2 sensor. if the problem is still present, replace the spo2 cable. if the problem is still present, verify the module functionality by replacing the sensor with an applicable spo2 tester. if the message persists, eplace the module. the sensor has expired. replace the po2 sensor. 040c00 the spo2 sensor has expired replace spo2 sensor. if the problem is still present, replace the spo2 cable. if the problem is still present, verify the module functionality by replacing the sensor with an applicable spo2 tester. if the message persists, eplace the module. incompatible sensor. the spo2 sensor is not ed by the monitor eplace the spo2 eplace the spo2 replace spo2 sensor. if the problem is still present, replace the spo2 cable. if the problem is @topic:20


# # # issue - equipment : medical cart - brand : bdms - model : bdms 01 - description : unable to login to windows. # # # impact - the medical cart cannot be used for patient care. # # # possible causes - incorrect password. - network issue. - software issue. - hardware issue. # # # recommendations - verify the password with the it department. - check the network connection. - contact the vendor for support. - replace the hardware if necessary. @topic:13


* * issue : * * the medical cart ( bdms 01 ) is failing due to a connectivity issue. specifically, the device is unable to access the hospital's wi - fi network. * * impact : * * the inability to access wi - fi network can prevent the medical cart from performing its intended functions, such as accessing patient records, monitoring vital signs, or administering medication. this can impact patient care and workflow efficiency. * * possible causes : * * * * * incorrect network settings : * * the medical cart may be configured with incorrect network settings, such as an incorrect ip address or subnet mask. * * * hardware issues : * * there may be a hardware issue, such as a faulty wi - fi adapter or antenna, that is preventing the device from connecting to the network. * * * software bugs : * * software bugs or glitches can also cause connectivity issues. * * * network congestion : * * if the hospital's wi - fi network is experiencing high traffic or interference, it may affect the medical cart's ability to connect. * * * firewall or security settings : * * the hospital's firewall or security settings may be blocking the medical cart from accessing the network. * * recommendations : * * * * * check network settings : * * verify that the medical cart's network settings are correct and match the hospital's network. * * * inspect hardware : * * physically inspect the wi - fi adapter and antenna for any damage or loose connections. * * * update software : * * install any available software updates or patches for the medical cart. * * * troubleshoot network : * * perform a network scan or contact the hospital's it support to check for any network issues or congestion. * * * review firewall and security settings : * * ensure that the hospital's firewall and @topic:13


snap - ins x you can select snap - ins for this console from those available on your computer and configure the selected set of snap - ins. for extensible snap - ins, you can configure which extensions are enabled. available snap - ins : selected snap - ins : console root edit extensions... snap - in vendor certificates - current user microsoft cor... activex control remove authorization manager microsoft cor... microsoft cor... certificates component services move up microsoft cor... computer managem... microsoft cor... move down device manager microsoft cor... microsoft and.. add > disk management microsoft cor... event viewer foldemicrosoft cor... group policy object... microsoft cor... microsoft cor... ip security monitor ip security policy m... microsoft cor... microsoft cor... ink to web address advanced... description : the certificates snap - in allows you to browse the contents of the certificate stores for yourself, a service, or a computer. ok cancel in the next dialog box, select computer account and click next. 5. select local computer and click finish. 6. from the " add or remove snap - ins " window, click ok. 7. click > to view the certificates folder. when you open any certificates folder, you will see certificates displayed in the right pane. 8. import / install the ad server certificate into the following folder : certificates ( local computer ). fie action view favortes window help console rost expiration date del pup friendly namnone cenficate template domain controller actions sound to hound by n - actor. prica sta enficates local compute nactor secgandek. com client authentication server authentication penena @topic:10


, end cap 105923, back housing ( includes battery, speaker foam, 6 screws, and labels ) note the back housing is not available for direct purchase. welch allyn limits availability of certain parts to authorized service personnel only. these limitations are required to maintain product safety or maintain current regulations. note reassembly is the reverse of disassembly. remove the temperature module or housing the monitor is configured with either a sure temp or braun thermoscan pro 6000 temperature module. proceed with the disassembly steps that apply to your device. remove the sure temp module 1. disconnect the ribbon cable by lifting the connector. service manual 2. remove the phillips screw that holds the module in place. lift the module out of the left side slot. 3. it item : note reassembly is the reverse of disassembly. 54 disassembly and repair welch [UNK] connex® spot monitor remove the braun thermoscan pro 6000 module 1. disconnect the ribbon cable by lifting the connector. remove the phillips screw that holds the module in place. 2. 3. lift the module out of the left side slot. service manual kit item : 105941, braun thermoscan pro 6000 dock note reassembly is the reverse of disassembly. disassemble the main pca board remove the speaker 1. disconnect the speaker wire. 2. remove the speaker. reassembly notes kit item : 105942, speaker note reassembly is not the reverse of disassembly. 56 disassembly and repair welch [UNK] connex® spot monitor when replacing the speaker 1. while holding the speaker, guide the wire through the hole in the pump assembly and drop the speaker into place. connect the speaker wire to the @topic:19


# # # issue equipment failure # # # impact the equipment is not able to function properly. # # # possible causes - the equipment may have been damaged during use. - the equipment may have been improperly calibrated. - the equipment may have been used with incompatible accessories. # # # recommendations - inspect the equipment for damage. - calibrate the equipment according to the manufacturer's instructions. - use only compatible accessories with the equipment. @topic:12


# # # issue the central monitors have failed, causing them to become inoperable. # # # impact the failure of the central monitors has several potential impacts : - the medical staff will be unable to monitor the patient's vital signs, which could lead to a delay in diagnosis or treatment. - the patient may experience discomfort or pain if they are not being properly monitored. - the hospital may incur financial losses if the central monitors are not repaired or replaced promptly. # # # possible causes the following are some possible causes of the central monitors'failure : - power outage : the central monitors may have lost power due to a power outage. - ups failure : the ups ( uninterruptible power supply ) may have failed, causing the central monitors to lose power. - electrical surge : an electrical surge may have damaged the central monitors. - hardware failure : a hardware component of the central monitors may have failed. - software error : a software error may have caused the central monitors to malfunction. # # # recommendations the following are some recommendations for resolving the issue : - check the power supply to the central monitors. if the power is out, restore power to the monitors. - check the ups to ensure that it is functioning properly. if the ups is not functioning properly, replace the ups. - inspect the central monitors for any signs of damage. if there is any damage, the monitors may need to be repaired or replaced. - contact the manufacturer of the central monitors for technical support. @topic:2


# # # issue - device displayed " select patient " screen upon boot # # # impact - interrupted device operation and patient monitoring # # # possible causes - corrupted software - hardware malfunction - user error ( incorrect patient selection ) # # # recommendations - verify patient selection with user. - power cycle device. - check for software updates. - contact manufacturer for repair or replacement if necessary. @topic:11


# # # issue - monitor is not displaying gas values # # # impact - inability to monitor patient's gas levels, which could lead to adverse events # # # possible causes - loose connection between the monitor and the g5 - m1019a machine - faulty cable - malfunctioning monitor or g5 - m1019a machine # # # recommendations - inspect the cable connection and ensure it is secure - replace the cable if it is damaged - test the monitor and g5 - m1019a machine to verify that they are functioning properly @topic:22


# # # issue - plugged damaged # # # impact - the medical device may not function properly or may be unsafe to use. # # # possible causes - the plug may have been damaged due to : - physical damage ( e. g., dropped, stepped on ) - electrical damage ( e. g., power surge ) - chemical damage ( e. g., corrosion ) # # # recommendations - inspect the plug for any visible damage. - if the plug is damaged, replace it with a new one. - ensure that the medical device is properly grounded. - regularly inspect the medical device and its accessories for any signs of damage. @topic:12


12 02 stand ard hr ( pulse ) st - ii manual sp02 5 23 jan 08 : 32 02 stand ard hr ( pulse ) st - ii sp02 low 95 < 96 the measurements in the event group are shown in the next columns, marked “ parameter 1, parameter 2... ”, along with the event values measured at the time of the event. for each event, the trigger values are shown. this section of the recording is a4 or letter size, so that it fits in a patient file. event episode recordings event episode recordings are divided into four sections. 1 the first section shows the patient information and the event group of the episode with the event values for the group measurements. the trigger symbol marks the event trigger. 2 the second section shows the waveforms recorded during the episode. the trigger moment is marked with a triangle and divides the episode into the pre / post time. any calibration marks and grid marks on the screen are automatically printed on the recording. if there are four measurements in the event group being recorded, two waveforms will be recorded in two separate waveforms segments. 1. 91min green, sarah 37549201 23 jan 02 10 : 43 ner standard : hr ( pulse ) tachy 130 > 120 sp02 resp high 80 > 75 2. 3. 4. 6. 25 mm / sec + 10sec hr 130 bpm sp02 98 % rr 80 rpm pleth resp * * resp high hr 130 bpm pulse 130 bpm cvp ( -? - ) mmhg < + 0 mv > sp02 98 %. intervention rr 80 rpm * * resp high * * tachy nbp equip malf 304 documenting events 24 event surveillance 3 the third section shows the most important vital signs information, including numerics, active alarms, and any annotations @topic:8


# # # issue - bed alarm cable failure # # # impact - inability to monitor patient safety # # # possible causes - cable damage due to improper handling or wear and tear - loose connections or frayed wires - electrical interference or power surge # # # recommendations - * * inspect cables regularly : * * check for any signs of damage or wear, including cuts, nicks, or exposed wires. - * * handle cables carefully : * * avoid bending or pulling cables excessively during use and storage. - * * secure connections : * * ensure that all cable connections are tight and secure, using appropriate connectors and adapters. - * * protect from interference : * * route cables away from potential sources of electrical interference, such as power lines or other medical devices. - * * consider grounding : * * ensure that the bed alarm system is properly grounded to prevent electrical hazards. - * * replace defective cables : * * immediately replace any damaged or non - functional bed alarm cables to restore proper patient monitoring. @topic:26


thigh section. 5. install the cable as shown on the label. 6. ccella. therapa age 46 connect the plug to the bed connector ( it clicks into place ). 7. install the hard surface of the thigh section. 8. 9. attach the mattress to the middle section of the frame with the straps. 10. adjust the length of the straps. 11. unfold the mattress. 12. fold back the folding mattress clamp ( see " folding mattress clamp " page 20 ) 13. open the cover at the head end and check that the deflation plug is screwed tight. 14. connect the power cord to the wall outlet. make sure that the device is correctly installed and attached, well centered on the sleep surface and securely fixed to the board at the foot end to avoid the formation of entrapment zones and check the space at the head of the bed ( see " headboard " ctivating the m1. make sure that the mattress is properly installed ( see " installing the mattress " press mattress on the gci. 2. mcm press start. 3. the mattress switches to initialization mode. a beep 4. start sounds after 20 minutes, indicating that the mattress is perational. mattress 45 the status of the mattress switches to on in the default mode. the alp and mcm are active. 5. page 47 continuous low pressure ( clp ) mode clp press clp to select this mode. the corresponding control turns green. clp the patient is supported at an optimal low pressure controlled by the i - mmersion sensor. alternating low pressure ( alp ) mode alp. 1. 1. 1. 1. 1. 1 press alp to select this mode.. the corresponding control turns green. alp the patient is supported at an optimal low pressure controlled by the i - mmersion sensor. the cushions def @topic:9


# # # issue - the physiological vital signs monitor is freezing. # # # impact - the clinical staff is unable to monitor the patient's vital signs accurately. - this could lead to a delay in diagnosis and treatment. - it could also lead to an incorrect diagnosis or treatment. # # # possible causes - hardware failure - software failure - power supply issue - loose connections - environmental factors # # # recommendations - check the power supply to the device. - check the connections to the device. - restart the device. - update the device software. - contact the manufacturer for assistance. @topic:2


g cm aami uzbekistan 60 lb in aami vanuatu 60 ib in aami venezuela 60 ib in aami viet nam 50 k g cm iec virgin islands ( british ) 50 k g cm aami virgin islands ( us ) 60 lb in aami wallis and futuna islands 60 lb in aami western sahara 50 k g cm iec yemen 50 k g cm aami zambia 60 ib in aami zimbabwe 60 ib in aami 458 alarm and measurement default settings 39 default settings appendix alarm and measurement default settings settings are only entered once per table row if they are the same for all patient categories. alarm default settings alarm settings factory default h10 / h20 / h40 h30 ( deviations from hi0 / 20 / 40 ) alarm volume 5 alarms off 2 min pause al. 5min enabled pause al. lomin enabled auto alarms off off alarm off reminder off visual latching red & yell red only audible latching red & yell off alarm reminder on reminder time 3 min alarm sounds traditional red alarm interval 10 sec yel. al. interval 20 sec alarm low 4 2 red alarm volume alarm vol + 2 yell. alarm volume alarm vol + 0 inop volume alarm vol + 0 auto increase vol. 2 steps increase vol delay 20 sec keep blinking no relay 1 sensitiv. r & y & c relay 2 sensitiv. red & yell relay 3 sensitiv. red cyanrelaylatency 5 sec yel. relay latency 2 sec alarm text standard no centr mon min vol 4 459 ecg, arrhythmia, st and qt default settings 39 default settings appendix ecg, arrhythmia, st and qt default settings ecg settings factory defaults h10 / h20 / h40 h30 ( deviations from h10 / 20 / 40 ) adult pedi neo adult pedi neo high limit 120 bpm 160 @topic:8