# # # issue the temperature sensor on the philips suresigns vs4 vital signs monitor is not providing accurate readings. # # # impact this issue could lead to incorrect patient temperature measurements, which could have serious consequences for patient care. for example, if a patient's temperature is too high or too low, the doctor may not be able to make the correct diagnosis or prescribe the appropriate treatment. this result could cause delayed or incorrect treatment, prolonged hospital stays, or even death. in addition, inaccurate temperature readings could cause false alarms, which could lead to unnecessary interventions. # # # possible causes * * 1. sensor malfunction : * * the temperature sensor could have failed altogether or has become damaged and is no longer reading temperatures accurately. * * 2. software error : * * there could be a software error that is causing the monitor to display incorrect temperature readings. * * 3. calibration issue : * * the monitor may not have been calibrated correctly, which could lead to inaccurate temperature readings. * * 4. incorrect probe : * * the incorrect probe may be attached to the monitor, which would result in inaccurate temperature readings. # # # recommendations * * * verify the probe : * * ensure that the correct probe is attached to the monitor. * * * check the calibration : * * recalibrate the monitor according to the manufacturer's instructions. * * * inspect the sensor : * * inspect the temperature sensor for any damage. if the sensor is damaged, it should be replaced. * * * contact the manufacturer : * * if the steps above do not resolve the issue, contact the manufacturer for technical support. @topic:20


# # # issue - scanner not functioning # # # impact - delay in patient care - inaccurate or incomplete patient data - reduced efficiency and productivity # # # possible causes - power supply issue - faulty scanner hardware - software malfunction - loose or damaged cables - improper user operation # # # recommendations * * troubleshooting steps : * * - * * verify power supply : * * ensure the base charging station is properly connected and receiving power. - * * inspect cables : * * check all cables connecting the scanner to the base charging station for any damage or loose connections. - * * reset scanner : * * power cycle the scanner by turning it off and on again. - * * update software : * * if available, install any pending software updates for the scanner. * * further investigation and repair : * * - * * contact vendor support : * * if troubleshooting steps do not resolve the issue, reach out to the equipment vendor for technical assistance. - * * schedule repair : * * if the issue is determined to be a hardware malfunction, schedule a repair with a qualified biomedical engineer. - * * replace scanner : * * if the scanner cannot be repaired, consider replacing it with a new unit. * * preventive measures : * * - * * regular maintenance : * * perform regular maintenance checks on the scanner and base charging station to identify and address any potential issues early on. - * * proper handling and storage : * * handle the scanner and its components with care to prevent damage. store it in a clean, dry, and temperature - controlled environment. - * * user training : * * provide proper training to users on how to operate the scanner safely and effectively. @topic:23


# # # issue - cuff bp leakage # # # impact - inaccurate blood pressure readings # # # possible causes - cuff bp deterioration # # # recommendations - replace the cuff bp with a new one @topic:3


* * issue : * * physiologic monitor ( bedside ) not displaying ekg graph and generating noise when connected to patient. * * impact : * * patient monitoring is compromised, potentially leading to delayed diagnosis and treatment. * * possible causes : * * * * * faulty ekg leads : * * the leads connecting the patient to the monitor may be damaged or malfunctioning, resulting in poor signal transmission. * * * defective ekg module : * * the module responsible for processing the ekg signals may be defective, causing the graph to not appear. * * * electrical interference : * * noise in the environment, such as electromagnetic interference from other medical devices or power lines, can disrupt the ekg signal. * * * improper patient preparation : * * the patient's skin may not be adequately cleaned or prepared, leading to poor electrode contact and signal quality. * * recommendations : * * * * * check ekg leads : * * inspect the leads for any visible damage or disconnections. replace any damaged leads. * * * troubleshoot ekg module : * * use a tester to verify the functionality of the ekg module. if defective, replace the module. * * * eliminate electrical interference : * * move the patient or equipment to a location with less electrical noise. use shielded cables and ground loops to minimize interference. * * * prepare patient properly : * * clean the patient's skin thoroughly and apply electrodes securely to ensure optimal signal transmission. * * * schedule further troubleshooting : * * if the above recommendations do not resolve the issue, schedule a visit from the manufacturer's service technician for further troubleshooting and repair. @topic:18


# # # issue the nibp monitor device is not holding a charge due to battery issues. # # # impact the device may not be able to be used, resulting in delayed or missed patient care. # # # possible causes - the battery is not properly connected. - the battery is not the correct type for the device. - the battery is defective. - the device has a power problem. # # # recommendations - check the battery connection and ensure it is properly seated. - replace the battery with the correct type for the device. - test the battery to ensure it is functioning properly. - check the device for any power problems, such as a loose wire or connection. @topic:11


# # # issue * mainboard failure # # # impact * the monitor is unable to function properly. * patient monitoring may be interrupted. # # # possible causes * * * software incompatibility : * * the installed software version may not be compatible with the mainboard. this can occur after a software update or hardware replacement. * * * hardware defects : * * the mainboard may have experienced a malfunction or component failure. this can be caused by age, wear and tear, or environmental factors. * * * improper maintenance : * * the mainboard may not have been properly maintained, leading to damage or reduced functionality. * * * power surge or other electrical issues : * * the mainboard may have been damaged by a power surge or other electrical malfunction. * * * physical damage : * * the mainboard may have been damaged due to impact, dropping, or other physical events. # # # recommendations * * * verify software compatibility : * * ensure that the installed software version is compatible with the mainboard. * * * inspect for hardware defects : * * check the mainboard for any visible damage or loose connections. * * * perform maintenance : * * regularly maintain the monitor according to manufacturer's recommendations. * * * protect from electrical issues : * * use surge protectors and ensure proper electrical grounding. * * * handle with care : * * avoid dropping or subjecting the monitor to excessive shock or vibration. @topic:2


# # # issue - scanner is not scanning. # # # impact - delays in patient care. - inaccurate patient records. - increased risk of patient harm. # # # possible causes - * * equipment failure : * * the scanner itself may be malfunctioning. this could be due to a number of factors, such as a loose connection, a defective component, or a software issue. - * * user error : * * the scanner may not be being used correctly. this could be due to a lack of training or experience, or to a misunderstanding of the scanner's operation. - * * environmental factors : * * the scanner may be being used in an environment that is not conducive to its operation. this could be due to factors such as excessive heat, humidity, or dust. # # # recommendations - * * equipment failure : * * if the scanner is suspected to be malfunctioning, it should be taken out of service and inspected by a qualified technician. the technician can then repair or replace the defective component. - * * user error : * * if the scanner is not being used correctly, the user should be provided with additional training or support. the user should also be given the opportunity to practice using the scanner before using it on patients. - * * environmental factors : * * if the scanner is being used in an environment that is not conducive to its operation, the environment should be modified to meet the scanner's requirements. this may involve installing air conditioning or dehumidification equipment, or moving the scanner to a different location. @topic:23


x2 monitor is to be used in internal examinations on the heart or brain ensure that the monitor is connected to an equipotential grounding system. grounding the monitor is an electrical class ii device in which the protection against electric shock does not rely on basic insulation and a protective earth conductor but on double and / or reinforced insulation. warning the functional earth conductor is required for emc purposes. it has no protective function against electric shock! the protection against electric shock in this device is provided by double and / or reinforced insulation. do not use additional ac mains extension cords or multiple portable socket - outlets. if a multiple portable socket - outlet without an approved separating transformer is used, the interruption of its protective earthing may result in equipment leakage currents equal to the sum of the individual earth leakage currents, so exceeding allowable limits. electrical requirements line voltage connection the mp2 / x2 external power supply uses < 50w ( 1. 3 to 0. 7 a ). line voltage the mp2 / x2 external power supply may be operated on ac line voltage ranges of 100 to 240v ( 50 / 60 hz ). connecting non - medical devices the standard iec - 60601 - 1 - 1 applies to any combination of medical and non - medical electrical devices, where at least one 1s a medical electrical device. therefore iec - 60601 - 1 - 1 must still be met after all devices are connected. for further details refer to the testing and maintenance section. warning do not use a device in the patient vicinity if it does not comply with iec - 60601 - 1. the whole installation, including devices outside of the patient vicinity, must comply with iec - 60601 - 1 - 1 ; one reasonable solution may be the use of an isolation transformer. if the monitor is used with battery operation, always use an isolation transformer when connecting an additional display @topic:10


# # # issue - bed is not adjustable # # # impact - the patient may not be able to be positioned comfortably. - the bed may not be able to be used for its intended purpose. # # # possible causes - electrical : - the power cord may be loose or damaged. - the control box may not be properly connected. - the motor may not be getting power. - mechanical : - the drive system may be jammed or broken. - the bed may be overloaded. # # # recommendations - electrical : - check the power cord for damage. - reseat the control box. - check the motor for power. - mechanical : - check the drive system for damage. - reduce the weight on the bed. @topic:1


# # # issue - bar code scanner failure # # # impact - delay in patient care - errors in medication administration - inefficient workflow # # # possible causes - defective bar code scanner - depleted battery - software glitch - physical damage to the scanner - misalignment of the scanner with the bar code - interference from other devices emitting electromagnetic radiation # # # recommendations - replace the bar code scanner if it is defective. - ensure that the battery is fully charged before use. - check for software updates and install them if necessary. - inspect the scanner for any physical damage and repair or replace it if necessary. - align the scanner properly with the bar code and ensure that there is no interference from other devices. @topic:23


instructions 227 assembling mounts 227 connections 227 installing interface boards 229 connection of devices via the mib / rs232 interface 231 installing the docking station 231 installing remote devices 232 mounting the 15 ” remote display ( m8031a ) 232 connections 232 mounting the 15 ” remote display ( m8031b ) 232 connections 233 mounting the 17 ” remote display ( m8033a / b / c ) 233 connections 233 video cable wiring schematics 235 multi - measurement server 235 attaching the mms to a mount 235 detaching the measurement server from a mount 236 positioning the measurement server on a clamp mount 236 mounting the bis engine to the monitor 237 mounting the wireless ethernet adapter to the monitor 238 connections 241 msl cable termination 241 9 ps / 2 keyboard / mouse243 philips clinical network ( wired ) 244 philips clinical network ( wireless ) 244 nurse call relay244 connections244 ecg out functionality245 connections245 configuration tasks245 setting altitude and line frequency246 configuring the equipment label246 configuring the printer246 8 site preparation introduction247 site planning247 roles & responsibilities247 site preparation responsibilities247 procedures for local staff248 procedures for philips personnel249 monitor m8003a and m8004a site requirements249 space requirements249 environmental requirements249 temperature249 humidity249 altitude250 battery storage250 electrical and safety requirements ( customer or philips ) 250 safety requirements250 electrical requirements250 remote device site requirements250 connecting non - medical devices251 multi - measurement server m3001a 252 space requirements multi - measurement server m3001a252 environmental requirements multi - measurement server m3001a252 cabling options and conduit size requirements252 mounting253 remote displays ( m8031a ) 253 space requirements253 environmental requirements254 electrical and @topic:19


# # # issue - cuff bp wear and tear # # # impact - inaccurate bp measurements - potential for patient harm due to incorrect treatment decisions # # # possible causes - extended use of the cuff - improper storage or handling - exposure to extreme temperatures # # # recommendations - regularly inspect cuffs for wear and tear - replace cuffs according to the manufacturer's recommendations - properly store and handle cuffs to prevent damage @topic:3


# # # issue - jaga tampilan central monitor tidak menampilkan 1 tampilan # # # impact - petugas medis tidak dapat memantau pasien dengan benar. # # # kemungkinan penyebab - * * board power supply rusak. * * - * * sambungan antara board power supply dan monitor longgar atau rusak. * * - * * monitor rusak. * * # # # rekomendasi 1. * * periksa board power supply : * * - periksa apakah ada komponen yang terbakar atau rusak. - ukur tegangan pada titik uji yang relevan. - ganti board power supply jika perlu. 2. * * periksa koneksi : * * - periksa apakah semua konektor terpasang dengan benar dan aman. - bersihkan konektor jika ada korosi atau kotoran. 3. * * periksa monitor : * * - pastikan monitor menerima daya. - periksa apakah ada kerusakan fisik pada monitor. - ganti monitor jika perlu. @topic:2


this equipment not expressly approved by philips medical systems may cause harmful radiofrequency interference and void our authority to operate this equipment. the maximum antenna gain permitted ( for devices in the 5250 - 5350 mhz and 5470 - 5725 mhz bands ) as stated in rss - 210. the maximum antenna gain permitted ( for devices in the 5725 - 5825 mhz band ) complies with the e. i. r. p. limits specified for point - to - point operation, as stated in rss - 210. 462 40 specifications the device for the band 5150 - 5250 mhz is only for indoor usage to reduce potential for harmful interference to co - channel mobile satellite systems. aution high power radars are allocated as primary users ( meaning they have priority ) of 5250 - 5350 mhz and 5650 - 5850 mhz and these radars could cause interference and / or damage to le - lan devices. intellivue 802. 11 bedside adapter ce compliances : ce this device is compliant to council directive 2006 / 95 / ec ( low voltage directive ) & 2004 / 108 / ec ( emc directive ) & 1999 / 5 / ec ( radio equipment and telecommunications terminal equipment directive ) ceo the radio device used in this product is in compliance with the essential requirements and other relevant provisions of directive 1999 / 5 / ec ( radio equipment and telecommunications terminal equipment directive ). class 2 radio equipment. member states may apply restrictions on putting this device into service or placing it on the market. this product is intended to be connected to the publicly available interfaces ( pai ) and used throughout the eea. intellivue instrument telemetry ism ( 2. 4ghz option j47 wmts adapter ) fcc and industry canada radio compliance : this device complies with part 15 of the fcc rules and rss - 210 of industry canada @topic:10


# # # issue - spo2 cable failure # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - broken or damaged cable - loose connections # # # recommendations - replace the spo2 cable - check connections for tightness - regularly inspect the spo2 cable for damage @topic:4


# # # issue - the physiological bedside monitor ( nihon kohden pvm - 4763 ) is not displaying accurate data due to a faulty lead. # # # impact - clinicians may make incorrect diagnoses or treatment decisions based on erroneous patient data. - patient safety may be compromised. # # # possible causes - * * damaged lead : * * the lead connecting the patient to the monitor may be damaged, causing intermittent or complete loss of signal. - * * loose connection : * * the lead may not be properly connected to the monitor or the patient, resulting in poor signal transmission. - * * defective monitor : * * the monitor itself may be malfunctioning, leading to incorrect processing of the lead signal. # # # recommendations - * * inspect the lead : * * check the lead for any visible damage, such as cuts, tears, or broken wires. - * * ensure proper connection : * * verify that the lead is securely connected to the monitor and the patient. - * * test the monitor : * * use a test lead or simulator to determine if the monitor is functioning correctly. - * * replace the lead : * * if the lead is damaged or unable to be repaired, replace it with a new one. - * * contact the manufacturer : * * if the issue persists after inspecting the lead and monitor, contact the manufacturer for technical support. @topic:22


# # # issue - * * spo2 not detected. * * the patient's spo2 levels cannot be accurately measured, which can lead to incorrect treatment decisions. # # # impact - * * delayed or incorrect treatment. * * if the patient's spo2 levels are not accurately measured, the healthcare team may not be able to provide them with the appropriate treatment. this can lead to delayed treatment, incorrect treatment, or even death. # # # possible causes - * * damaged spo2 cable. * * the spo2 cable is responsible for transmitting the patient's spo2 data to the monitor. if the cable is damaged, the data may not be transmitted correctly, which can lead to inaccurate readings. - * * faulty spo2 sensor. * * the spo2 sensor is responsible for measuring the patient's spo2 levels. if the sensor is faulty, it may not be able to accurately measure the patient's spo2 levels. - * * software glitch. * * a software glitch in the monitor can also lead to inaccurate spo2 readings. # # # recommendations - * * inspect the spo2 cable for damage. * * if the cable is damaged, it should be replaced. - * * test the spo2 sensor. * * the spo2 sensor should be tested to ensure that it is functioning properly. - * * update the monitor's software. * * if the monitor's software is out of date, it should be updated. @topic:4


# # # issue - battery not charging # # # impact - the monitor may not be able to function properly if the battery is not charged. # # # possible causes - battery is defective - charging port is defective - battery is not properly seated in the charging port - software issue # # # recommendations - replace the battery - check the charging port for damage - ensure that the battery is properly seated in the charging port - update the software @topic:11


# # # issue - motor for adjusting footrest is not functioning. # # # impact - patient may be uncomfortable or unable to use the bed. # # # possible causes - motor failure - electrical connection issue - mechanical fault # # # recommendations - inspect the motor for any visible damage or loose connections. - check the electrical connections to the motor and ensure they are secure. - test the motor using a diagnostic tool. - if the motor is determined to be faulty, replace it. - inspect the mechanical components of the footrest adjustment mechanism for any damage or obstructions. @topic:1


# # # issue - the patient transport monitor is not consistently capturing ekg signals when connected to the ekg cable. # # # impact - this issue could impact patient care by preventing accurate monitoring of vital signs. # # # possible causes - the ekg cable may be dirty or damaged, preventing proper signal transmission. - the monitor may be malfunctioning, causing intermittent signal reception. - the ekg cable may not be properly connected to the monitor or the patient, resulting in poor signal quality. # # # recommendations - clean the ekg cable with an appropriate disinfectant and inspect it for any damage. - if the cable is damaged, replace it with a new one. - ensure that the ekg cable is properly connected to both the monitor and the patient. - test the monitor's functionality by connecting it to a known - good ekg cable and patient simulator. @topic:18


environnement certified hill - rom 900 accella bed is designed, manufactured and checked to reduce environmental impact up to end of life ( limitation of transformation energy of the materials, heavy metal - free finishing products, possibility to recycle, etc. ). • compliant with inmetro regulation no. 384 of december 28, 2020 and the compulsory certification of electrical equipment according to the requirements of the brazilian national health surveillance agency - anvisa - rdc nr 27, 2011 - 06 - 21 and in - 06 - 21. seguranca cf004 compulsorio inmetro electromagnetic emissions compliance a this device meets all the requirements related to electromagnetic compatibility, in accordance with the standard iec 60601 - 1 - 2 and the directives applicable to medical devices, and has passed all the tests to demonstrate that it meets these requirements. it is most improbable that users experience problems due to deficient electromagnetic immunity. however, electromagnetic immunity is always relative, and standards are based on anticipated environments of usage. if the user notices that the device behaves unusually, and especially if this behavior is intermittent and occurs when in the vicinity of radio or tv transmitters, cell phones or electrosurgical equipment, this may be a sign of electromagnetic interference. if such behavior occurs, users must try to move the equipment well clear of the origin of the interference with the device. the hill - rom 900 accella bed must not be used close to or on top of other items of equipment. if this is necessary, the hill - rom 900 accella bed must be tested to confirm that it functions properly in the required configuration. make sure that the hill - rom 900 accella bed functions correctly when used in the vicinity of other electric appliances. mobile and portable radio frequency ( rf ) communication equipment may damage the electric medical equipment. electric medical equipment demands special precautions regarding electromagnetic compatibility ( emc ) @topic:10


# # # issue the cause of failure for the philips intellivue mp40 ( m8003a ) monitor is not clearly indicated in the provided input. however, it mentions that the monitor was tested with a bis sensor and the test results were within acceptable error ranges. the test also showed that the monitor could read values from all available slots. # # # impact the impact of the failure is not specified in the input. however, a monitor that cannot accurately read values from a sensor could lead to incorrect patient monitoring and potentially compromise patient safety. # # # possible causes the following are some possible causes for the monitor failure : 1. * * faulty bis sensor : * * the bis sensor itself may be defective, leading to inaccurate readings on the monitor. 2. * * incompatible software : * * the monitor's software may not be compatible with the bis sensor, resulting in communication issues or incorrect readings. 3. * * hardware malfunction : * * there could be a hardware fault or damage within the monitor that is affecting its ability to read values from the bis sensor. 4. * * user error : * * the technician may have made an error during the testing process, such as not properly connecting the sensor to the monitor. # # # recommendations to resolve the issue, the following recommendations can be made : 1. * * test with a different bis sensor : * * use a different bis sensor to determine if the issue is with the specific sensor or the monitor. 2. * * check software compatibility : * * ensure that the monitor's software is compatible with the bis sensor and update the software if necessary. 3. * * inspect and troubleshoot hardware : * * carefully inspect the monitor for any physical damage or loose connections. perform diagnostic tests to isolate any hardware issues. 4. * * recheck user procedures : * * review the testing procedures and ensure that all steps @topic:22


# # # issue - battery failure # # # impact - device may not be able to function properly in the event of a power outage - data loss # # # possible causes - * * battery degradation over time * * - all batteries have a limited lifespan, and will eventually need to be replaced - * * improper charging or discharging * * - overcharging or undercharging a battery can shorten its lifespan - * * environmental factors * * - extreme temperatures or humidity can damage batteries # # # recommendations - * * replace the battery regularly * * - the recommended replacement interval for batteries varies depending on the type of battery and the environment in which it is used - * * charge and discharge the battery properly * * - follow the manufacturer's instructions for charging and discharging the battery - * * store the battery in a cool, dry place * * - avoid exposing the battery to extreme temperatures or humidity @topic:11


# # # issue - the electric ob & gyn bed manufactured by seers medical, model sm8563, is making a noise when lowered. # # # impact - noise can be disruptive and uncomfortable for patients and staff. - if the noise is severe, it may indicate a more significant underlying issue that could affect the bed's functionality or safety. # # # possible causes - worn or damaged gears or bearings in the bed's lowering mechanism. - insufficient lubrication of moving parts. - misalignment or binding of components. - loose or damaged fasteners. - electrical issues, such as a faulty motor or wiring. # # # recommendations - * * inspect the bed's lowering mechanism * * for any visible signs of damage or wear. - * * lubricate all moving parts * * according to the manufacturer's instructions. - * * check the alignment and fit of components * * to ensure they are moving smoothly and without binding. - * * tighten any loose fasteners * * and replace any damaged ones. - * * inspect the electrical components * * for any signs of damage or loose connections. - if the issue persists or if any signs of significant damage are observed, * * consult with a qualified biomedical engineer * * for further diagnosis and repair. @topic:9


# # # issue - cause of failure : air leak from the joint # # # impact - the monitor may not be able to accurately measure patient vital signs. # # # possible causes - the joint may not have been properly tightened. - the joint may have been damaged. - the patient may be moving around too much, causing the joint to loosen. # # # recommendations - check the joint to make sure it is properly tightened. - if the joint is damaged, replace it. - instruct the patient to minimize movement so that the joint does not loosen. @topic:5


# # # issue the central monitor, manufactured by hewlett packard, model m3150a, is unable to adjust properly. # # # impact the inability to adjust the central monitor may affect its accuracy and effectiveness in monitoring patient vital signs. this could lead to incorrect diagnoses or treatments. # # # possible causes - * * hardware issue * * : there could be a malfunctioning component in the monitor that prevents it from adjusting properly. - * * software issue * * : the monitor's software may contain bugs or errors that affect its adjustment functionality. - * * calibration error * * : the monitor may not have been properly calibrated, leading to incorrect adjustments. - * * external interference * * : electromagnetic interference or other external factors may be disrupting the monitor's adjustment mechanism. # # # recommendations * * 1. troubleshooting : * * - inspect the monitor for any physical damage or loose connections. - check the power supply and ensure that the monitor is receiving adequate voltage. - perform a self - test or diagnostics to identify any hardware or software issues. * * 2. repair or replacement : * * - if the troubleshooting process identifies a hardware issue, the faulty component may need to be repaired or replaced. - if the issue is related to the monitor's software, a software update or replacement may be necessary. * * 3. calibration : * * - ensure that the monitor is calibrated according to the manufacturer's specifications using appropriate calibration equipment. * * 4. environmental control : * * - minimize electromagnetic interference by ensuring that the monitor is not located near other medical devices or sources of interference. @topic:2


# # # issue - vital signs monitor is experiencing intermittent power failures. # # # impact - the monitor may not be able to accurately record and display patient vital signs, which could lead to delayed or incorrect treatment decisions. # # # possible causes - * * battery failure : * * the battery may be nearing the end of its lifespan and no longer able to provide adequate power to the monitor. - * * electrical fault : * * there may be a loose connection or other electrical fault that is causing the monitor to lose power intermittently. - * * software glitch : * * a software glitch could be causing the monitor to malfunction and experience power failures. # # # recommendations - * * replace battery : * * if the battery is suspected to be failing, it should be replaced with a new one. - * * inspect electrical connections : * * all electrical connections should be inspected for looseness or damage. any loose connections should be tightened, and any damaged wires should be replaced. - * * update software : * * if a software glitch is suspected, the monitor's software should be updated to the latest version. - * * contact manufacturer : * * if the issue cannot be resolved by following the above steps, the manufacturer should be contacted for further assistance. @topic:2


##® and careassist® es bed service manual ( man330 rev 4 ) 4. 38 safeview™ alerts chapter 4 : removal, replacement, and adjustment procedures configure the siderails for the safe bed condition at a minimum, the two head - end siderails must be up for the lights to show green. to configure the system so that one or both of the foot siderails must also be up for the lights to show green, do as follows : 1. put the two head - end and one or both of the foot - end siderails in the up position. 2. press these controls at the same time for five seconds : knee up, knee down, bed up, and bed down. the lights will flash green for three seconds to let you know the configuration was set. 3. to change the configuration so that only the two head - end siderails must be up, do step 2 with only the two head - end siderails up. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 119 4. 38 safeview™ alerts chapter 4 : removal, replacement, and adjustment procedures notes : page 4 - 120 careassist® and careassist® es bed service manual ( man330 rev 4 ) chapter 5 parts list service parts ordering using the parts lists in this manual, identify the part number ( s ) you require. find the product number and serial number on the product identification label ( a ) ( see figure 5 - 1 on page 5 - 1 ). figure 5 - 1. product identification label location m330 072 careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 1 service parts ordering chapter 5 : parts list call hill - rom technical support at ( 800 ) 44 @topic:26


# # # issue - vital signs monitor is not measuring nbp ( non - invasive blood pressure ) values. # # # impact - clinicians will not have accurate nbp readings for patients. # # # possible causes - leaky cuff - faulty sensor or transducer - loose or damaged cables - software or hardware issues with the monitor # # # recommendations - replace the cuff with a new one. - check the sensor or transducer for any damage or debris. - inspect the cables for any loose connections or damage. - restart the monitor and check for any error messages or software updates. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:15


check the vsm system logs or performance metrics to identify any potential system issues that may affect monitor connectivity. @topic:16


# # # issue - noisy hospital bed # # # impact - discomfort for patients and staff - potential distraction during procedures # # # possible causes - loose or damaged components - worn - out bearings - improper lubrication # # # recommendations - inspect the bed for loose or damaged parts and tighten or replace as necessary. - grease the bearings and other moving parts according to the manufacturer's instructions. - adjust the bed settings to minimize noise and vibration. @topic:9


a grey background in a black and white document. a caution the caution statements in this manual identify conditions or practices that could result in damage to the equipment or other property, or loss of data. a follow instructions for use ( ifu ) - - mandatory action. 7d hillrom. com a printed copy of the ifu can be ordered from welch allyn for delivery within calendar days. ower symbolstand - bower plubattery absent or faulty alternating current power alternating current power present, battery is charging battery welch [UNK] connex® spot monitor rechargeable battery lternating current rated power input, dc rated power input, ac lithium - ion battery direct current ( dc ) li - ion protective earth ( pe ) connectivity symbols ethernet bluetooth® usb nurse call wireless signal strength pull best ( 4 bars ) good ( 3 barsfair ( 2 bars ) eak ( 1 bar ) no connection ( blank ) miscellaneous symbols manufacturer defibrillation - proof type bf applied parts product identifier serial number # sn china rohs markings for reorder number ref control of pollution caused by electronic information service manual 3 environmentally friendly usperiod in years. do not reuse, single usdevice electrical and electronic equipment. do not dispose as unsorted municipal waste. call for maintenance non - ionizing electromagnetic radiation ( ( ) ) ask lighprescription only or " foby or on the order of a licensed medical professional " x onlhis way ufragile ↑↑ ip = international protection marking australian communications and media authority ( acma ) radio compliance mark ( rcm ). ipx2 x no object ingress rating 2 protected against vertically falling water drops when enclosure tilted up t15° global trade item number 50°c ( 122°f ) tin ax - 20°c ( - 4°f ) min keep dry recy @topic:10


# # # issue - cal co2 failed # # # impact - the patient's end - tidal co2 ( etco2 ) levels cannot be accurately measured, which can lead to incorrect treatment decisions. # # # possible causes - * * faulty adapter : * * the adapter that powers the monitor may be malfunctioning, causing the monitor to receive insufficient power. - * * defective sensor : * * the co2 sensor within the monitor may be faulty, preventing accurate measurements of etco2. - * * software glitch : * * a software glitch within the monitor may be interfering with the co2 calibration process. # # # recommendations - * * replace the adapter : * * if the adapter is determined to be faulty, it should be replaced with a new one. - * * inspect the sensor : * * the co2 sensor should be inspected for any damage or contamination. if necessary, the sensor should be cleaned or replaced. - * * update software : * * if a software glitch is suspected, the monitor should be updated to the latest software version. - * * perform a comprehensive diagnostic test : * * a comprehensive diagnostic test should be performed to identify any other potential issues that may be contributing to the failure. - * * contact the manufacturer : * * if the issue cannot be resolved after following the above recommendations, the manufacturer should be contacted for further assistance. @topic:4


# # # issue the connector on the physiologic monitor is loose and cannot be connected to another monitor. # # # impact the monitor cannot be used to monitor a patient's vital signs. # # # possible causes - the connector may have been damaged. - the connector may not have been properly tightened. - the connector may be incompatible with the other monitor. # # # recommendations - inspect the connector for damage. - tighten the connector. - if the connector is damaged or incompatible, replace it. @topic:2


# # # issue - keypad malfunction in a paramount bed pa - 6000 # # # impact - inability to operate the bed's functions effectively, potentially affecting patient care. # # # possible causes - wear and tear over time due to frequent use. - corrosion or damage to the keypad surface. - loose connections or faulty wiring. - manufacturing defects. # # # recommendations - replace the faulty keypad with a new one. - inspect the keypad regularly for signs of wear or damage. - clean and maintain the keypad according to manufacturer's instructions. - contact the manufacturer or authorized service provider for further assistance if necessary. @topic:25


. 16 fuses ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures 4. 16 fuses ( a model beds ) tools required : t15 torx® 1 screwdriver t25 torx® screwdriver 13 mm socket ratchet removal 1. set the brakes. 2. raise the bed to its highest position. shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 3. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 4. remove the two screws ( a ) and washers ( b ) from the power supply cover ( c ) ( see figure 4 - 24 on page 4 - 52 ). 5. remove the cover ( c ). 6. for ac power fuses ( e ), do as follows : a. remove the fuse cover ( d ) from the ac power rc. board ( f ). b. remove the fuses ( e ). 7. for the battery fuse ( i ), do as follows : a. locate the battery cable ( g ). b. locate the inline fuse holder ( h ) on the battery cable ( g ). c. open the inline fuse holder ( h ) by twisting the two halves in opposite directions. d. remove the fuse ( i ). replacement 1. perfonn the removal procedure in reverse order. 1. torx® is a registered trademark of acument intellectual properties, llc. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 4 - 51 4. 16 fuses ( a model beds ) chapter 4 : removal, replacement, and adjustment procedures 2. to make sure the careassist® bed operates correctly, do the “ function checks ” on page 2 - 5. @topic:26


# # # issue remote control cable failure. # # # impact the bed cannot be operated using the remote control. # # # possible causes - the cable is damaged. - the cable is not properly connected. - the remote control is damaged. # # # recommendations - inspect the cable for damage. - check that the cable is properly connected to the bed and the remote control. - if the cable is damaged, replace it. - if the remote control is damaged, replace it. @topic:7


# # # issue - the bed was not functioning properly. # # # impact - the patient was unable to use the bed. - the hospital staff was unable to provide care to the patient. # # # possible causes - the bed was dirty. - the bed was not properly maintained. - the bed was not properly assembled. # # # recommendations - the bed should be cleaned regularly. - the bed should be properly maintained. - the bed should be properly assembled. @topic:9


# # # issue - co2 zero cal not passing # # # impact - inaccurate co2 readings # # # possible causes - faulty co2 sensor - damaged co2 sensor cable - miscalibration # # # recommendations - replace co2 sensor - repair or replace co2 sensor cable - recalibrate the monitor - conduct regular maintenance and calibration checks @topic:4


* * issue : * * bed cannot be adjusted * * impact : * * patient discomfort, delayed treatment, reduced patient satisfaction * * possible causes : * * * * * mechanical failure : * * faulty hydraulics, broken gears, damaged motor * * * electrical issues : * * malfunctioning power supply, damaged wiring, loose connections * * * operator error : * * improper use of controls, exceeding weight capacity * * * component wear and tear : * * worn - out bearings, stretched cables, corroded springs * * recommendations : * * * * * immediate action : * * * check for any visible mechanical or electrical damage * verify proper operation of controls * inspect for signs of wear or corrosion * * * further investigation : * * * use diagnostic tools to identify specific source of failure * consult with manufacturer or authorized technician * * * corrective measures : * * * replace or repair faulty components * improve maintenance schedule to prevent future failures * train staff on proper operation and safety protocols * * * preventative measures : * * * regular inspections and maintenance * proper handling and storage of equipment * training and certification for operators * use of patient lift assist equipment when appropriate @topic:9


# # # issue - cuff bp is deteriorated and needs to be replaced. # # # impact - inaccurate blood pressure readings. - patient safety is compromised. # # # possible causes - cuff bp is not maintained regularly. - cuff bp is used excessively. - cuff bp is damaged or punctured. # # # recommendations - replace the deteriorated cuff bp with a new one. - perform regular maintenance on all medical devices. - train staff on proper use and maintenance of medical devices. @topic:3


# # # issue - nut loss from bed rails # # # impact - potential for patient falls - discomfort for the patient - inability to use the bed for its intended purpose # # # possible causes - loose or missing nuts - corrosion or wear on the nuts - overtightening of the nuts - improper installation of the nuts # # # recommendations - inspect the bed rails regularly for loose or missing nuts. - tighten the nuts to the manufacturer's specifications. - replace corroded or worn nuts. - ensure the nuts are installed correctly. - use thread - locking compound to prevent the nuts from loosening. @topic:6


# # # issue - battery failure # # # impact - interruption of patient care - increased risk of patient injury - equipment downtime # # # possible causes - battery life cycle exceeded - battery not properly maintained - electrical fault in the equipment # # # recommendations - regularly monitor battery life and replace batteries as needed - ensure batteries are properly charged and stored - inspect equipment for electrical faults and repair or replace as needed @topic:11


# # # issue : - equipment failure of an electric bed # # # impact : - patient care may be affected due to the lack of proper medical equipment. # # # possible causes : - the cause of failure is stated as " 5w borrowed the bed to make an extra bed. " - this suggests that the equipment was not used for its intended purpose. # # # recommendations : - revert the usage of the bed to its proper function. - ensure that medical equipment is used according to its intended purpose to prevent improper functionality or breakdown. - implement or reinforce policies to prevent unauthorized usage of medical devices. - provide adequate training to staff on the proper use of equipment. - conduct regular inspections and maintenance of medical equipment to detect and prevent potential issues. @topic:9


##s extension cords or multiple portable socket - outlets. if a multiple portable socket - outlet without an approved isolation transformer is used, the interruption of its protective earthing may result in enclosure leakage currents equal to the sum of the individual earth leakage currents, so exceeding allowable limits. • do not connect any devices that are not supported as part of a system. • any non - medical device placed and operated in the patient ’ s vicinity must be powered via an approved isolation transformer that ensures mechanical fixing of the power cords and covering of any unused power outlets. • the on / standby switch does not disconnect the monitor from the ac power source. to disconnect, unplug the power cable. • always ensure that the monitor is positioned so that the ac power plug is easily accessible, to allow disconnection of the monitor from the ac power source. 259 [ 7 installation instructions ] connections the following figure shows the cable and interface board connections : 1 2 3 4 5 6 8 7 1 protective earth screw hole 2 ac power input with clamp 3 equipotential ground connector 4 wired network connector ( color - coded in orange ) 5 video out connector ( digital / analog ) 6 usb rear connector ( for remote control, keyboard, pointing devices, printer ) 7 optional interfaces 8 release switch for connected measurement modules optional interfaces optional interface description alarm 1 flexible nurse call interface card 260 7 installation instructions ] optional interface description dual medical information bus ( mib ) rs232 interface card ( color - coded yellow ) intellibridge eclo interface board ( color - coded dark gray ) old labeling new labeling advanced system interface : single rs232 / 5v interface card nurse call additional usb slots connection of devices via the rs232 / 5v interface or mib / rs232 i / o board the configuration of a specific rs232 port can be viewed in config mode @topic:10


replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 48 ) temp module malfunc ( 48 ) internal calibration resistor ( rcal ) is damaged. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 49 ) temp module malfunc ( 49 ) internal circuit validation resistor ( ptb ) is damaged. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. troubleshooting 4 - 22 suresigns vs2 * and vsi service guide error codes code error message possible cause action 867 ( 50 ) temp module malfunc ( 50 ) | internal circuit validation shut down ( see “ shutting down the resistor ( ptb ) is damaged. system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 51 ) temp module malfunc ( 51 ) | a / d measurement timed out shut down ( see “ shutting down the and did not finish in the system ” on page 5 - 2 ) and restart the allowed time slot. monitor. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 59 ) temp module malfunc ( 59 ) | battery or power supply replace the temperature module. see voltage below maximum “ removing the temperature module ” value. on page 5 - 6. 867 ( 60 ) temp @topic:20


at least twice the height of pace pulses. • the qrs complex should be tall and narrow • the p - waves and the t - waves should be less than 0. 2 mv. for ease of identification on the screen, the pacer spikes can be configured to have a fixed size. they are then shown in the background as a dotted lines. the length of the dotted line is fixed to the wave channel height and is independent of the actual pacer amplitude. setting the paced status ( pace pulse rejection ) • in the setup ecg menu, select paced to toggle between yes and no. you can also change the paced status in the patient demographics window. when paced is set to yes : - pace pulse rejection is switched on. this means that pacemaker pulses are not counted as extra qrs complexes. - pace pulse marks are shown on the ecg wave as a small dash ( only when the pacer spikes are not configured to have a fixed size ) - the paced symbol is displayed on the main screen. when paced is set to no, pacer spikes are not shown in the ecg wave. be aware that switching pace pulse rejection off for paced patients may result in pace pulses being counted as regular qrs complexes, which could prevent an asystole event from being detected. avoiding pace pulse repolarization tails some unipolar pacemakers display pace pulses with repolarization tails. these tails may be counted as qrss in the event of cardiac arrest or other arrhythmias. if you note a visible repolarization tail, choose a lead that decreases the size of the repolarization tail. 120 changing the size of the ecg wave 6 ecg, arrhythmia, st and qt monitoring 1 repolarization tail ( note width ) changing the size of the ecg wave if any of the displayed ecg waves is too small or clipped @topic:8


# # # issue - the electric bed is not adjusting. # # # impact - the bed cannot be adjusted to the patient's desired position, which may cause discomfort or even injury. # # # possible causes - loose ac cord connection. # # # recommendations - ces plugged the cord back in securely and the bed is now working properly. @topic:1


# # # issue - * * high temperature reading * * # # # impact - * * inaccurate patient temperature readings * * - * * misdiagnosis or improper treatment * * # # # possible causes - * * faulty temperature probe * * - * * miscalibrated temperature sensor * * - * * hardware malfunction within the monitor * * - * * environmental factors ( e. g., high room temperature, exposure to heat sources ) * * # # # recommendations - * * replace the temperature probe * * - * * calibrate the temperature sensor * * - * * inspect the monitor for any physical damage or loose connections * * - * * ensure the monitor is placed in a well - ventilated area with minimal exposure to heat sources * * - * * monitor the temperature readings regularly and document any abnormal findings * * - * * contact the manufacturer's technical support for assistance * * @topic:20


# # # issue - remote control broken # # # impact - inability to operate the bed remotely # # # possible causes - physical damage ( e. g., drop, impact ) - electrical fault - software malfunction # # # recommendations - replace the remote control - inspect the bed for any other damage - test the bed with a new remote control to ensure proper operation - consider preventive maintenance to minimize future failures @topic:7


# # # issue - scanner is unable to scan # # # impact - delay in patient care - inaccuracy in medical records # # # possible causes - * * hardware failure : * * the scanner may be malfunctioning due to a faulty component or loose connection. - * * software glitch : * * the software controlling the scanner may have encountered a bug or corruption. - * * environmental factors : * * excessive heat, humidity, or dust can interfere with the scanner's operation. - * * user error : * * the scanner may not have been properly calibrated or used. # # # recommendations - * * hardware inspection : * * check for any loose connections or damaged components in the scanner. - * * software update : * * install any available software updates for the scanner. - * * environmental control : * * ensure the scanner is operating in a suitable environment. - * * user training : * * provide training to users on the proper use and maintenance of the scanner. @topic:23


# # # issue - equipment not able to adjust # # # impact - unable to use the equipment for patient care # # # possible causes - fuse issue - malfunction in adjustment mechanism - electrical wiring issue # # # recommendations - verify that the fuse is properly installed and not blown - inspect the adjustment mechanism for any damage or debris - check the electrical wiring for any loose connections or breaks @topic:24


* * issue : * * spo2 readings inaccurate * * impact : * * patient monitoring may be compromised * * possible causes : * * - faulty spo2 cable - damaged sensor - patient movement - poor skin perfusion - interference from other medical devices * * recommendations : * * - replace the spo2 cable with a new one. - inspect the sensor for any damage. - ensure that the patient is stationary and the sensor is placed properly. - check for any potential interference from other medical devices. @topic:4


# # # issue the philips suresigns vs4 vital signs monitor is not sending data to the hospital's central monitoring system. # # # impact the hospital staff is unable to remotely monitor the vital signs of patients using the philips suresigns vs4 vital signs monitor. this could lead to delays in the detection of patient deterioration, which could have serious consequences. # # # possible causes * the philips suresigns vs4 vital signs monitor is not connected to the hospital's wi - fi network. * the philips suresigns vs4 vital signs monitor is not configured to send data to the hospital's central monitoring system. * the hospital's central monitoring system is not configured to receive data from the philips suresigns vs4 vital signs monitor. # # # recommendations * check that the philips suresigns vs4 vital signs monitor is connected to the hospital's wi - fi network. * check that the philips suresigns vs4 vital signs monitor is configured to send data to the hospital's central monitoring system. * check that the hospital's central monitoring system is configured to receive data from the philips suresigns vs4 vital signs monitor. @topic:22


# # # issue - the bed side rails are not descending. # # # impact - the patient may be at risk of falling if the bed side rails cannot be raised or lowered. # # # possible causes 1. the control panel may be faulty. 2. the motor that drives the side rails may be malfunctioning. 3. the limit switch that tells the motor when to stop moving the side rails may be out of adjustment. 4. the wiring between the control panel, motor, and limit switch may be damaged. # # # recommendations 1. inspect the control panel for any visible damage or loose connections. 2. test the motor by manually moving the side rails up and down. if the motor is not functioning properly, it will need to be replaced. 3. check the limit switch to make sure that it is properly adjusted. if the limit switch is out of adjustment, it will need to be recalibrated. 4. inspect the wiring between the control panel, motor, and limit switch for any damage or loose connections. if the wiring is damaged, it will need to be repaired or replaced. @topic:6


##45 operates in both of the 1395 - 1400 and 1427 - 1432 mhz bands. under u. s. federal communications commission ( fcc ) rules, authorized healthcare providers must register their wmts devices with an authorized frequency coordinator designated by the fcc. the american society for healthcare engineering ( ashe ) is the current designated frequency coordinator. registration / coordination is a two - step process. step 1 : registration : register the healthcare facility on - line, from the ashe website ( www. ashe. org ( http : / / www. ashe. org \ n ) ). click on the link for wireless medical telemetry service and come to the registration page. fill out the details, and pay the associated fee as per the instructions provided. you will receive confirmation of this registration. confirmation must be received before proceeding to the next step. step 2 : frequency coordination : along with confirmation of registration, you will receive access information necessary to perform this second step, frequency coordination. this step involves logging the equipment and frequencies used into the fcc ’ s database, so as to identify any existing potential interference and to help prevent potential future interference. coordination is accomplished via the ashe website. click on the links for wireless medical telemetry service and then frequency coordination. the way the coordination process 1s executed as of today, it will need to be repeated twice for the m4840a system ; once for the 1395 - 1400 mhz band, and then again for the 1427 - 1432 mhz band, both of which are used concurrently by the philips product. there is a separate fee for each coordination request, which varies between $ 250 and $ 2000, depending upon the number of transmitting devices used and the band / s of operation. coordination is executed by a company named comsearch, on behalf of ashe. to fill in the frequency coordination forms, you'll need to know the following : - the county @topic:10


# # # issue - charge does not enter # # # impact - the device cannot be used wirelessly. # # # possible causes - the charging port is loose. - the battery is damaged. # # # recommendations - replace the damaged battery. - tighten the charging port. @topic:11


# # # issue the philips intellivue mp70 bedside physiologic monitor is experiencing intermittent power failures. # # # impact this issue can have a significant impact on patient care. the monitor is essential for monitoring vital signs, and a power failure could result in a loss of data or even a patient's death. # # # possible causes there are several possible causes for this issue, including : - loose electrical connections - faulty power supply - damaged circuit board - software error # # # recommendations the technician should take the following steps to troubleshoot the issue : 1. check the electrical connections to the monitor. make sure that the power cord is securely plugged into the outlet and that the monitor is properly connected to its power supply. 2. if the electrical connections are secure, try replacing the power supply. 3. if the power supply is not the issue, the technician may need to replace the circuit board. 4. if the circuit board is not the issue, the technician may need to update the software on the monitor. # # # conclusion the technician should use the information provided in this report to troubleshoot and repair the philips intellivue mp70 bedside physiologic monitor. by following the recommendations in this report, the technician can help to ensure the safety of patients and the quality of patient care. @topic:2


the monitor : attempt to configure settings that don't apply in current authenticatiomode on radio invalid radio configuration. reconfigure and try gain. 35000c check the radio configuration. if the very low problem is still present, reset the radio to factory defaults. if the problem persists, check for software update and apply it. if still present, e the radio. invalid sdc parameter. the laird sdk rejects a parametebeing configured. invalid radio check the radio configuration. if the very low problem is still present, reset the configuration. reconfigud radio to factory defaults. if the problem persists, check for software update and apply it. if still present, e the radio. radio not functional. unrecognized. there is a check for a software update and apply it. if still present, replace the radio. version compatibility error if the radio or the monitor adds new features and software upgrade of the radio fails after the monitor successfully updates 35000e 202 troubleshooting welch [UNK] connex® spot monitor alarm ossible causmessage riority radio not functional. no statistics file. there is an 35000f internal software error on the radio indicating a linux kernel check for a software update and apply it. if still present, replace the radio. error check for a software update and apply it. if still present, replace the radio. radio not functional. missing interface. there is an 350010 internal software error on the radio indicating a linux kernel error or failure to initialize the network interface radio not functional. 350011 check for a software update and apply it. if still present, replace thradio. unknown interface. there is a software communication issue between the host and the radio invalid wep key length. wekeys should be 10 or 26 haracters long. invalid @topic:16


# # # issue - noisy adjustment # # # impact - the noisy adjustment may cause discomfort to patients and disrupt the hospital environment. # # # possible causes - lack of lubrication - worn or damaged gears - misalignment of components # # # recommendations - lubricate the equipment regularly. - inspect gears for wear and damage, and replace as necessary. - check for misalignment of components and correct as needed. @topic:24


# # # issue - equipment : central station monitor screen failure # # # impact - inability to display patient data and monitor patient status. # # # possible causes - hardware failure : damaged screen, loose connections, faulty components within the monitor. - software issues : corrupted software or malfunctioning drivers. - improper handling or storage : exposure to extreme temperatures, physical stress, or incorrect storage conditions. - ageing or wear and tear : degraded components or outdated technology over time. # # # recommendations - * * immediate action : * * - replace the faulty monitor with a backup or spare unit to maintain patient monitoring. - * * troubleshooting : * * - check for any obvious signs of damage, such as broken wires or loose connections. - inspect the software and driver settings to ensure they are correct and up - to - date. - * * repair or replacement : * * - contact the manufacturer or a qualified biomedical engineer for repair or replacement of the faulty monitor. - * * preventive maintenance : * * - implement regular maintenance and calibration schedules to identify and address potential issues early on. - use protective equipment to safeguard the monitor from damage during handling and storage. @topic:2


admit the patient. quick admitting a patient use quick admit to quickly admit a patient using only a limited set of demographic data. 1 select the quick admit smartkey. 2 enter the required data ( id fields or last name depending on configuration ) with the keyboard or barcode scanner. 108 5 managing patients and equipment 3 select enter. in the confirmation window, select confirm to stop monitoring for the previous patient the monitor ( if confirmation is configured ). r free u4 check that patient category and paced status are correct for the new patient. 5 check the current profile and, if necessary, load an appropriate profile. 6 if the monitor is connected to an information center and only the id field is entered, the patient name may be set to - - at the information center, depending on the configuration. complete the rest of the demographic details as soon as possible to fully identify the patient on the network, on the monitor and on printed reports. to complete the details, open the patient demographics window and uired fields. to edit the patient information after a patient has been admitted, select the patient name field on the main screen to open the patient demographics window, and make the required changes. piic ix if data has been provided by a hospital information system, you will not be able to edit it on the monitor. there are several ways to end monitoring for a patient, depending on whether there is an information center connection, and on the configuration of the information center and the monitor. discharging a patient and removing the monitor from a patient are described here. you can also end monitoring by admitting a new patient, as described in " when a patient is already admitted " on page 107. depending on your configuration, monitoring for a patient may end automatically when the monitor has been powered off or in standby mode for a set time, or when no basic measurements have been made for a set time. warning always end monitoring for @topic:10


# # # issue - * * keypad [UNK] [UNK] * * - * * [UNK] [UNK] [UNK] [UNK] [UNK] * * - * * weigh keypad [UNK] [UNK] * * # # # impact - * * [UNK] 法 [UNK] [UNK] [UNK] [UNK] * * - * * [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] * * - * * [UNK] [UNK] 安 [UNK] 風 [UNK] * * # # # possible causes - * * [UNK] [UNK] [UNK] [UNK] ： * * [UNK] [UNK] [UNK] [UNK] 、 [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 。 - * * [UNK] [UNK] [UNK] [UNK] ： * * [UNK] [UNK] [UNK] [UNK] 、 [UNK] [UNK] 不 [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 。 - * * [UNK] [UNK] [UNK] [UNK] ： * * [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 出 [UNK] [UNK] [UNK] ， [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 法 正 [UNK] [UNK] [UNK] 。 # # # recommendations - * * [UNK] [UNK] [UNK] 有 [UNK] [UNK] 和 [UNK] [UNK] [UNK] * * - * * [UNK] [UNK] 有 [UNK] [UNK] 的 [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] * * - * * [UNK] 新 [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] * * - * * 定 [UNK] [UNK] [UNK] 和 保 [UNK] [UNK] [UNK] * * - * * [UNK] [UNK] [UNK] 人 [UNK] [UNK] [UNK] [UNK] [UNK] 的 [UNK] [UNK] ， [UNK] [UNK] 保 [UNK] [UNK] 安 [UNK] 和 正 [UNK] [UNK] [UNK] * * @topic:25


# # # issue - the spo2 cable is damaged from use. # # # impact - the patient's spo2 levels cannot be accurately monitored. - early detection of desaturation may be missed. - unstable patient condition or position may lead to undetected desaturation. - the patient may experience adverse events such as hypoxia or bradycardia. # # # possible causes - wear and tear from repeated use - improper handling or storage - external damage ( e. g., from contact with sharp objects ) - manufacturing defects # # # recommendations - replace the spo2 cable with a new one immediately. - inspect the new cable for any damage before use. - handle and store the cable properly to prevent further damage. - regularly check the spo2 cable for signs of wear and tear. - consider purchasing a spare spo2 cable for backup in case of emergencies. @topic:4


# # # issue - the monitor is not functioning properly. # # # impact - the monitor is unable to accurately measure vital signs. - the monitor is unable to provide timely alerts to medical staff. - the monitor is unable to provide data for diagnosis and treatment. # # # possible causes - shortage of monitoring devices - failure to calibrate the monitor regularly - damage to the monitor due to improper handling or storage - insufficient training of staff on the use of the monitor # # # recommendations - use of preventive maintenance to regularly check the equipment and replace any worn or damaged parts. - proper training of staff on the use and maintenance of the monitor. - use of a backup monitor in case of failure of the primary monitor. @topic:2


# # # issue - cuff bp telah rusak # # # impact - perangkat tidak dapat digunakan untuk mengukur tekanan darah pasien secara akurat # # # possible causes - cuff bp telah digunakan dalam jangka waktu yang lama - cuff bp tidak dirawat dengan baik - cuff bp digunakan pada pasien yang salah # # # recommendations - ganti cuff bp secara teratur - rawat cuff bp dengan benar - gunakan cuff bp pada pasien yang tepat @topic:3


# # # issue the bed is not adjustable. # # # impact the patient cannot be positioned properly for treatment or care. # # # possible causes - the power supply to the bed is not working. - the control panel is not functioning properly. - the motors that adjust the bed are not working. - the bed frame is damaged. # # # recommendations - check the power supply to the bed. - if the power supply is working, check the control panel. - if the control panel is not functioning properly, replace it. - if the motors that adjust the bed are not working, replace them. - if the bed frame is damaged, replace it. @topic:1


# # # issue - cuff leakage # # # impact - inaccurate blood pressure measurements - potential for patient harm # # # possible causes - cuff damage - loose or worn cuff connector - puncture or tear in the cuff material - faulty pressure transducer # # # recommendations - replace the cuff with a new one. - inspect the cuff connector for damage and replace if necessary. - check the cuff material for punctures or tears and replace if damaged. - test the pressure transducer to ensure proper functioning. @topic:3


, in the setup st analysis menu, select st analysis to toggle between on and off. selecting leads for st analysis you select which leads to use for st analysis in the setup st analysis menu. to see the current list of leads selected for st analysis : 1 2 enter the setup st analysis menu. select setup st leads. this opens the setup st leads pop - up window. leads chosen for st monitoring are listed here. there are two pop - up keys at the bottom of the screen : add delete if all leads are already selected, the add pop - up key is disabled. to choose a lead for st monitoring : 1 select the add key at the bottom of the setup st leads window. this opens the choices pop - up window. 145 6 ecg, arrhythmia, st and qt monitoring understanding the st display 2 choose a lead from the list for st monitoring. this closes the choices window and adds the selected lead to the list of chosen leads. to disable st monitoring for a lead : 1 choose a lead from the list in the setup st leads window. 2 select the delete key. this removes this lead from the list. note the order in which st leads are listed in the setup st leads menu determines the order in which st leads are displayed on the monitor screen. to change the order in which st leads are displayed, 1 in the setup st leads menu, choose a lead from the list. 2 select the sort up or sort down key to move the lead up or down in the list. understanding the st display your monitor screen may be configured to look slightly different from the illustrations. 104 st - ii 1. 2 st - v 2. 5 st - avr - 3. 0 1 st numerics 2 current hr alarm limits 3 current heart rate st numerics up to 12 st numerics plus the st index can be displayed on @topic:8


# # # issue - equipment failure # # # impact - interruption of patient care - delay in diagnosis and treatment - potential harm to patients # # # possible causes - equipment malfunction - human error - environmental factors # # # recommendations - regular maintenance and calibration of equipment - proper training of staff - use of redundant systems @topic:12


# # # issue - monitor does not start or stops working intermittently - blood pressure cuff pressure is too high # # # impact - inability to monitor patient vital signs - patient discomfort # # # possible causes - faulty power supply or connection - software glitch - malfunctioning pressure sensor - incorrect cuff size or placement - air leak in the cuff system # # # recommendations - check and ensure a stable power supply. - restart the monitor and perform a self - test. - inspect the pressure sensor and tubing for damage or leaks. - use the correct cuff size and ensure proper placement on the patient's arm. - calibrate the blood pressure cuff according to manufacturer's instructions. - if the issue persists, contact the manufacturer for further troubleshooting and potential repairs. @topic:14


# # # issue ekg is not functioning. # # # impact the monitor cannot accurately record the patient's electrocardiogram ( ecg ), which is essential for monitoring the heart's electrical activity. # # # possible causes - faulty ekg cable ( red lead, ll ) # # # recommendations - replace the faulty ekg cable. - test the monitor to ensure that it is functioning properly. @topic:18


# # # issue - cuff of the sphygmomanometer is leaking. # # # impact - the sphygmomanometer will not be able to accurately measure blood pressure. # # # possible causes - the cuff may be old and worn out. - the cuff may have been punctured or damaged. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - inspect the cuff for any damage. - make sure that the cuff is the correct size for the patient. @topic:3


##s extension parts ( m3012a, m3014a, m3015a and m3016a ) 192 mms extension part numbers - release mechanisms 192 mms extension part numbers - top cover, flex cable and link bar 193 mms extension part numbers - front bezels 193 exchange parts list 195 smart battery charger part numbers 197 7 installation instructions 199 out - of - hospital transport - standards compliance 199 electromagnetic interference ( srr ) 201 installation checklist 201 unpacking and checking the shipment 201 initial inspection 202 claims for damage 202 repacking 202 mounting the monitor 203 mounting the monitor using the anti - slip pad 203 mounting the monitor using the mms mount and mounting clamp 205 connecting the monitor to ac mains 209 host monitor as power source 209 external power supply m8023a ( standard with mp2, optional with x2 ) 210 checking out the monitor 211 configuration tasks 212 checking country - specific default settings 212 setting altitude, line frequency, ecg cable colors and height & weight units 213 configuring the equipment label 213 configuring ip address, subnet mask and default gateway 214 configuration settings for cscn routed bedside monitors ( rbm ) 214 configuring routed bedside monitors support 215 setting the date and time 215 handing over the monitor 216 philips clinical network ( wired ) 216 philips intellivue information center 216 intellivue instrument telemetry ( iit ) 217 short range radio 218 configuring srr channels 218 ecg sync pulse 221 msl cable termination 222 8 site preparation 225 introduction 225 site planning 225 roles & responsibilities 226 monitor site requirements 228 space requirements 228 environmental requirements 228 electrical and safety requirements ( customer or philips ) 220 connecting non - medical devices 230 philips medical lan 230 9 mp2 / x2 product structure 23 ] upgrades 238 10 default settings appendix 241 country - specific default settings 24 ] 11 index 251 introduction this @topic:10


# # # issue the capnograph ( capnocheck plus ) is displaying falsely elevated oxygen ( o2 ) readings. # # # impact inaccurate o2 readings can lead to incorrect patient management decisions, potentially compromising patient safety. # # # possible causes * * 1. faulty or dirty filter : * * a clogged or damaged filter can interfere with the accurate measurement of co2 and o2 levels. * * 2. calibration error : * * improper calibration of the device can result in inaccurate readings. * * 3. sensor malfunction : * * a faulty sensor responsible for measuring o2 levels can lead to elevated readings. * * 4. contamination : * * foreign particles or contaminants in the sample line or sensor can affect sensor performance. * * 5. equipment compatibility issues : * * incompatibility between the capnograph and the bci band can result in inaccurate readings. # # # recommendations * * 1. replace or clean the filter : * * regularly replace or clean the filter to ensure optimal performance. * * 2. calibrate the device : * * calibrate the capnograph according to manufacturer specifications to ensure accuracy. * * 3. inspect the sensor : * * visually inspect the o2 sensor for damage or contamination. replace if necessary. * * 4. check for contamination : * * inspect the sample line and sensor for any foreign particles or contaminants. clean or replace as needed. * * 5. verify equipment compatibility : * * ensure the capnograph and bci band are compatible and configured correctly. * * 6. consult the manufacturer : * * if the issue persists, contact the manufacturer for technical support or further troubleshooting. @topic:4


# # # issue the medical device, an electric bed by paramount bed ( model a9700e - 0204j ) is not functioning properly. # # # impact the failure of the electric bed impacts patient care within the hospital, particularly in the 7c ward, which has borrowed the equipment. # # # possible causes the cause of the failure is identified as : - the bed was borrowed by the 7c ward. # # # recommendations to address this issue, the following recommendations are suggested : - investigate the reason for the bed being borrowed by the 7c ward. - assess if the bed was being used for its intended purpose. - if the bed was not being used for its intended purpose, provide training or guidance to prevent similar occurrences in the future. - ensure that proper maintenance procedures are followed to maintain the functionality of the bed. @topic:9


rate 1 to 99 pvcs / minute 1 pvc vent tach hr 20 to 300 bpm 5 bpm vent tach run 3 to 99 pvcs / minute 1 pvc vent rhythm run 3 to 99 pvcs / minute 1 pvc svthr 120 to 300 bpm 5 bpm svt run 3 to 99 sv beats 1 sv beat st high - 19. 8 to + 20 mm 0. 2 mm st low - 20 to + 19. 8 mm 0. 2 mm qtc high 200 ms to 800 ms 10 ms steps aqtc high 30 ms to 200 ms 10 ms steps ecg / arrhythmia / st supplemental information as required by aami ec11 / 13 respiration excitation waveform sinusoidal signal, 260 | ±a, 40. 5 khz noise suppression rl drive gain 44 db max., max. voltage 1. 8 vrms 430 measurement specifications 38 installation and specifications ecg / arrhythmia / st supplemental information as required by aami ec11 / 13 time to alarm for tachycardia vent tachycardia 1 mvpp, 206 bpm gain 0. 5, range 6. 5 to 8. 4 seconds, average 7. 2 seconds gain 1. 0 range 6. 1 to 6. 9 seconds, average 6. 5 seconds gain 2. 0, range 5. 9 to 6. 7 seconds, average 6. 3 seconds vent tachycardia 2 mvpp, 195 bpm gain 0. 5, range 5. 4 to 6. 2 seconds, average 5. 8 seconds gain 1. 0, range 5. 7 to 6. 5 seconds, average 6. 1 seconds gain 2. 0, range 5. 3 to 6. 1 seconds, average 5. 7 seconds tall t - wave rejection capability exceeds ansi / aami ec 13 sect. 3. 1. 2 @topic:8


# # # issue - medical cart is experiencing error messages and is not functioning properly. # # # impact - inability to use the medical cart for patient care. - delays in patient care. - potential safety hazards if the medical cart is used in an unsafe condition. # # # possible causes - * * hardware failure : * * the medical cart's hardware components, such as the computer, display, or wheels, may have failed. - * * software failure : * * the medical cart's software may have become corrupted or outdated. - * * electrical failure : * * the medical cart's power supply or wiring may have malfunctioned. - * * user error : * * the medical cart may have been mishandled or used incorrectly. - * * environmental factors : * * the medical cart may have been exposed to extreme temperatures, humidity, or other environmental conditions that have damaged its components. # # # recommendations - * * restart the medical cart : * * this may resolve minor software issues. - * * update the medical cart's software : * * ensure that the medical cart is running the latest software version. - * * inspect the medical cart's hardware : * * look for any signs of damage or wear and tear. - * * check the medical cart's power supply and wiring : * * ensure that the medical cart is receiving power and that its wiring is secure. - * * contact the medical cart's manufacturer : * * if the issue cannot be resolved by following the above steps, contact the manufacturer for assistance. @topic:13


# # # issue the bed / stretcher lock is not rotating. # # # impact the bed / stretcher cannot be moved or adjusted. # # # possible causes - the lock mechanism is jammed or damaged. - the lock release button is not functioning properly. - the bed / stretcher frame is bent or damaged. # # # recommendations - inspect the lock mechanism for any damage or obstructions. - check the lock release button for proper operation. - ensure that the bed / stretcher frame is not bent or damaged. - if the lock mechanism is damaged, it may need to be replaced. - if the lock release button is not functioning properly, it may need to be repaired or replaced. - if the bed / stretcher frame is bent or damaged, it may need to be repaired or replaced. @topic:6


# # # issue - bed cannot be adjusted at the foot end. # # # impact - patient safety and comfort may be compromised. - staff may have difficulty accessing the patient and performing necessary procedures. # # # possible causes - faulty motor in the foot end of the bed. - electrical issues in the control panel or wiring. - mechanical problems with the bed frame or adjustment mechanisms. # # # recommendations - replace the faulty motor. - inspect the control panel and wiring for any damage or loose connections. - check the bed frame and adjustment mechanisms for any signs of wear or damage. - if the issue cannot be resolved by the technician, the bed may need to be replaced. @topic:1


# # # issue bed not responding to pressure # # # impact patient care may be compromised if the bed cannot be adjusted # # # possible causes - loose ac cord - faulty actuator - broken control panel - power supply issues # # # recommendations - check ac cord for damage and ensure it is securely plugged in. - inspect the actuator for any visible damage or loose connections. - test the control panel to ensure it is functioning properly. - contact the manufacturer or qualified biomedical engineer for further troubleshooting and repair. @topic:1


##020b measurement module. the spo2 performance specifications in this section apply to devices with philips spo2 technology. for spo2 performance specifications valid for other spo2 technologies, refer to the instructions for use provided with these complies with iso 9919 : 2005 / en iso 9919 : 2009 ( except alarm system ; alarm system complies witiec 60601 - 2 - 49 : 2001 ). measurement validation : the spo2 accuracy has been validated in human studies against arterial blood sample reference measured with a co - oximeter. pulse oximeter measurements are statistically distributed, only about two - thirds of the measurements can be expected to fall within the specified ared to co - oximeter measurements. display update period : typical : 2 seconds, maximum : 30 seconds. maximum with nbp inop 479 40 specifications spo2 performance specifications po2 0 to 100 % range he specified accuracy is the root - mean - square rms ) difference between he measured values and the reference values m1191a, m1191al, m1191b, m1191bl, m1192a = 2 % ( 70 % to 100 % ) m1193a, m1194a, m1195a, m1196a, m1196s = 3 % ( 70 % to 100 % ) m1191t, m1192t, m1193t ( adult ), m1196t = 3 % ( 70 % to 100 % ) accuracy m1193t ( neonate ) = 4 % ( 70 % to 100 % ) philips disposable sensors with m1943a ( l ) : m1132a, m1133a ( adult / infant ), m1134a ( adult / infant ) = 2 % m1901b, m1902b, m1903b, m1 @topic:17


# # # issue - vital signs monitor displaying inaccurate values. # # # impact - incorrect patient monitoring could lead to delayed or improper medical intervention. # # # possible causes - faulty tack care system ( mentioned in the description ). - sensor or probe malfunction. - software or calibration issues. - external interference ( e. g., electromagnetic fields ). # # # recommendations - * * inspect and test the tack care system : * * verify its functionality and pinpoint any potential defects. - * * check sensor and probe connections : * * ensure they are secure and not damaged. - * * perform software updates and calibration : * * install the latest software and calibrate the device according to the manufacturer's instructions. - * * rule out external interference : * * identify and eliminate any potential sources of electromagnetic fields that could affect the monitor's readings. - * * consider consulting with the manufacturer : * * they may provide additional troubleshooting steps or support. - * * monitor the device closely : * * track its performance after resolving the issue to ensure accuracy and reliability. @topic:20


# # # issue - ekg lead wire is faulty # # # impact - patient monitoring may be inaccurate or unreliable - alarm system may not function properly - patient safety may be compromised # # # possible causes - damage to the lead wire - loose connection between the lead wire and the monitor - electrical interference # # # recommendations - replace the faulty lead wire - inspect the lead wire for any damage - ensure that the lead wire is properly connected to the monitor - eliminate any sources of electrical interference @topic:18


# # # issue - broken spo2 cable # # # impact - inaccurate oxygen saturation readings - potential patient harm # # # possible causes - cable damage due to : - mishandling - excessive bending or pulling - kinking # # # recommendations - inspect cable for any visible damage before use. - handle cable with care, avoiding sharp bends or excessive force. - replace damaged cable as soon as possible. - train staff on proper cable handling techniques. @topic:4


##mic, oxygenation and ventilation variables are computed. the calculation results, including the input parameters, are stored for later review using the trend service. drug calc the drug calc application aids in calculating drug dosages for patients. pv loops the pv loops application compares graphic representations of airway waves to help detect changes in the patient airway condition. battery interface managers mdse provides battery operation of the monitor. the mdse ( medical data service element ) interface manager is responsible for the exchange of real - time data between the intellivue patient monitoring system display unit and the measurement servers and flexible module server as well as between the intellivue patient monitoring system display unit and other devices attached to the network. mdse establishes and maintains a data communication link between the devices. it provides configuration information about the remote device to applications in the local device and it allows the exchange of measurement data and status information between the devices. 34 monitor theory of operation 2 theory of operation functional block description printer the printer interface manager provides a high level interface to a printer. it provides means to : • establish a connection to the printer • transfer data to the printer • get status of the printer • close connection to the printer the printer interface manager also supervises the connection to the printer and whether the printer accepts data ( for example paper out ). the printer interface manager notifies the operator in such cases. display & operator interface the display and operator interface manager performs the following tasks : • screen presentation of real - time and stored physiological measurement data, alarm condition data and status information received from the mdse interface manager, the alarm service or other intellivue patient monitoring system modules • screen presentation of operating controls ( control windows ) • processing of operating control commands received from hif control interface. the module verifies and interprets the received commands and forwards them to other software modules of the intellivue patient monitoring system @topic:10


# # # issue - remote control of bed, electric, band contoura, model mb - acc73 is not functioning. # # # impact - patients may not be able to adjust the bed's position or other settings using the remote control. # # # possible causes - the following are the possible causes of the failure : - the remote control may be damaged. - the batteries in the remote control may be dead. - the receiver in the bed may be malfunctioning. # # # recommendations - the following actions are recommended to resolve the issue : - inspect the remote control for any damage. if the remote control is damaged, replace it. - replace the batteries in the remote control. - inspect the receiver in the bed for any damage. if the receiver is damaged, replace it. - if the issue persists, contact the manufacturer of the bed for further assistance. @topic:7


# # # issue - the cuff bp is torn and cannot be used to secure the device to the patient's arm. # # # impact - the device cannot be used to monitor the patient's vital signs. # # # possible causes - the cuff bp may have been damaged during use or storage. - the cuff bp may have been improperly attached to the device. # # # recommendations - replace the cuff bp with a new one. - ensure that the cuff bp is properly attached to the device. @topic:5


on the monitor screen. they can be configured to show beside the measurement numerics, beside the ecg wave, or beside the st snippet. a positive st value indicates st segment elevation ; a negative value indicates depression. st numerics are displayed in the order in which you select st leads for analysis. if there is additional space in the field assigned to st numerics, the monitor will display extra numerics in the order in which they appear in the setup st analysis - > setup st leads list. any st leads switched on for analysis that do not fit in the assigned numerics field are shown in succession in place of the last st numeric. st index the st index numeric ( stindx ) is the sum of the absolute values for the st leads v2, v5, avf. because it is based on absolute values, it is always a positive number. if you haven ’ t selected one of the leads v2, v5, and avf for st analysis, the stindx numeric will display a question mark ♦ to switch the st index numeric on or off for display, in the setup st analysis menu, select st - index to toggle between on and off. 146 updating st baseline snippets 6 ecg, arrhythmia, st and qt monitoring st snippets st snippets show a one second wave segment for each measured st lead. the most recent snippet is drawn in the same color as the ecg wave, usually green, superimposed over the stored baseline snippet, drawn in a different color. the comparison shows any deviation in the measurement since the baseline snippet was stored, for example as a result of a procedure carried out on the patient. the information is updated once per minute. if you do not see st snippet @topic:8


* * issue : * * monitor, philips intellivue x2 ( m3002a ) has been canceled due to system test. * * impact : * * unknown at this time. * * possible causes : * * - faulty equipment - improper setup - user error - environmental factors * * recommendations : * * - inspect the equipment for any visible damage. - ensure that the equipment is properly connected and powered. - check the system settings to ensure that they are correct. - contact the manufacturer's technical support team for assistance. @topic:2


# # # issue monitors, bedside, physiologic intelliuv mp90 ( m8010a ) failed to send parameter to the anesthesia record. # # # impact the anesthesia record did not receive the parameter data, resulting in a lack of vital sign information. # # # possible causes - faulty connection between the monitor and the anesthesia record - software glitch in the monitor or anesthesia record - hardware failure in the monitor or anesthesia record # # # recommendations - check and secure the connection between the monitor and the anesthesia record. - update the software on the monitor and anesthesia record to the latest version. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:22


light assembly bracket ( h ) to the end of the bed. keep the three screws ( i ). b. remove the light assembly bracket ( h ). 14. do as follows for each new light assembly ( j ) : a. install the light ( k ) on the bracket ( h ) so the screw holes on the light ( k ) and the bracket ( h ) are aligned. b. install two screws ( l ) to attach the light ( k ) to the bracket ( h ). c. put the light assembly bracket ( h ) in the position where the old light assembly bracket was removed. make sure the screw holes on the bed and the bracket ( h ) are aligned. note : the light assemblies are left - and right - side specific. d. install the three screws ( i ) to attach the light assembly ( j ) to the bed. page 4 - 116 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 38 safeview™ alerts chapter 4 : removal, replacement, and adjustment procedures 15. from the foot end of the bed, put the new light assembly cables ( m ) to the siderail interface p. c. board. remove the cable ties and the old light assembly cables ( m ), and then install new cable ties to hold the new light assembly cables ( m ) on the bed. caution : failure to wear an antistatic strap when you handle electronic components could cause component damage. 16. put on the antistatic strap. 17. at the siderail interface p. c. board, disconnect the old light assembly cables from positions p38 and p39 ( see figure 4 - 53 on page 4 - 117 ). figure 4 - 53. cable connection 18. connect the new light assembly cables to positions p38 and p39 ( the cables are not connector specific ). @topic:26


# # # issue the cause of failure is due to 3 faulty tele cables : bmc12611, bmc12610, and bmc06119. these cables are used with the philips intellivue trx telemetric electrocardiography monitor. # # # impact the faulty cables prevent the monitor from accurately transmitting and receiving electrocardiography ( ecg ) signals. this could lead to incorrect or delayed diagnosis and treatment of patients, potentially impacting their health and well - being. # # # possible causes the following are some possible causes for the failure of the tele cables : - physical damage to the cables, such as cuts or breaks - corrosion or oxidation of the cable connectors - manufacturing defects or poor quality materials - improper handling or storage of the cables # # # recommendations to address this issue, the following recommendations are made : - * * replace the faulty tele cables : * * the three faulty tele cables ( bmc12611, bmc12610, and bmc06119 ) should be replaced with new or refurbished cables. - * * inspect other cables : * * other tele cables used with the monitor should be inspected for any signs of damage or wear and tear. any suspicious cables should be replaced. - * * handle cables with care : * * care should be taken when handling and storing the tele cables to prevent damage. they should be coiled properly and stored in a dry and protected environment. - * * regular maintenance : * * the monitor and its accessories, including the tele cables, should be regularly maintained and inspected by qualified technicians to ensure proper functioning and prevent future failures. - * * training : * * biomedical engineers and technicians should be trained on the proper handling, maintenance, and troubleshooting of medical devices, including the tele cables used with the philips intellivue trx tel @topic:18


# # # issue : - raug ganteung lock ma dai # # # impact : - the bed cannot be used safely without functioning bed rails. # # # possible causes : - the spring in the bed rail has come loose. - the locking mechanism is defective. # # # recommendations : - replace the spring in the bed rail. - replace the locking mechanism if it is defective. - perform regular inspections and maintenance on the bed to prevent future failures. @topic:6


# # # issue - cuff bp ( blood pressure ) is damaged. # # # impact - the vital signs monitor cannot accurately measure blood pressure. # # # possible causes - cuff wear and tear due to age and usage. - cuff not properly maintained or cleaned. - cuff used on a patient with an unusually large or small arm. # # # recommendations - replace the cuff bp with a new one. - regular maintenance and cleaning of the cuff bp. - ensure the cuff bp is the appropriate size for the patient. @topic:3


##43200 there is a problem with the spo2 positive led voltage a malfunction is detected. there very low re two possible causes of these failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's board. a malfunction is detected. there very low spo2 rebooting043300 there is a problem with the spo2 led drive voltage failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's spo2 rebooting. 043400 a malfunction is detected. there very low are two possible causes of these failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be eplaced, and if problem is still there is a problem with the spo2 positive preamp voltage service manual roubleshooting ossible causlarm prioritmessage ain boarda malfunction is detected. there very low spo2 rebooting. 043500 there is a problem with the sor id failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is @topic:20


. c. board. if this solves the problem perform the “ final actions ” on page 2 - 12, otherwise contact hill - rom technical support. 9. test the patient pendant and siderail controls. a. disconnect the patient pendant and siderails. b. connect a known good part. c. connect the patient pendant and siderails to the good part one at a time, testing the functions after a part is connected. 10. make sure that the patient pendant and caregiver siderail controls operate correctly. the functions are operational. yes no ■i — » replace the patient pendant or siderail as required. if this solves the problem perfonn the “ final actions ” on page 2 - 12, otherwise contact hill - rom technical support. 11. go to “ final actions ” on page 2 - 12. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 2 - 15 2. 2 lockout malfunction chapter 2 : troubleshooting procedures 2. 2 lockout malfunction note : the symptom of this fault is after pressing the lockout button, none of the indicators flash. note : the bed not down indicator does not flash in the steps that include the asterisk symbol ( * ). 1. at least one of the other functions operate correctly. yes no i - > go to rap 2. 1. 2. verify the correct connection in the interface box : a. swap siderail cable connections inside the interface box ( a model beds ) or inside the power supply ( b model and newer beds ). b. press the lockout control. all the indicators flash ( * ). yes no ■i — > go to step 4. 3. replace the siderail interface pc. board ( refer to procedure 4. 15 ) ( a model beds ) or ( refer to @topic:9