is installed. 9. disassemble the radio module. 146 10. remove the iit system board or wlan adapter board.. reassembly procedure 1. stick the rubber airguide onto the airguide cage half as shown below. 2. place the airguide cage half with rubber airguide onto the plastic tubes on the measurement assembly. make sure the rubber airguide is seated properly. 147 3. make sure the posts of the airguide cage are inserted into the prepared holes on the main board. 4. ifan iit or wlan module is to be installed, insert the iit system board or wlan adapter board as shown below. the iit system board or wlan adapter board must be fitted under the white hooks. 5. plug the antenna cable into the iit radio module or wlan module. 148 < > e piiddiiii ent ja h j, meer a = i lt | bef i tox pm | fo e tee g? [ zm " ti | stai ps = a 4e gp is l a as a tg un ius liu title non - us version note use only the right antenna connector. 6. install the iit radio module / wlan module onto the iit system board / wlan adapter board. make sure the antenna is placed into the prepared guiding rail. 149 7. insert the plastic airguide cover. for the wlan installation, the airguide cover is grey. be sure to use the appropriate airguide cover. note make sure the antenna cable is not covering the post connectors for the nbp flex. 8. position the antenna as shown below. make sure that the antenna is not covering any connectors. 9. insert the silicon tubes and make sure they are seated correctly. exchanging the loudspeaker 1. remove the battery as decri @topic:19


# # # issue - loose connector - bp leak # # # impact - inaccurate or delayed patient monitoring - potential for patient harm # # # possible causes - wear and tear - improper maintenance - manufacturing defect # # # recommendations - regular inspection and maintenance of equipment - proper training of staff on equipment operation and maintenance - use of high - quality components and materials - conducting regular risk assessments and implementing appropriate control measures @topic:12


# # # issue the nibp monitor ( brand : invivo research, model : 1400r - 220 ) has failed due to a broken blood pressure ( bp ) line. # # # impact the monitor is unable to accurately measure blood pressure, which can lead to incorrect diagnosis and treatment decisions. # # # possible causes * the bp line may have been physically damaged, such as by being cut or pinched. * the bp line may have become faulty due to age or wear and tear. * the bp line may have been incorrectly attached to the monitor. # # # recommendations * inspect the bp line for any damage. if any damage is found, replace the line. * ensure that the bp line is correctly attached to the monitor. * regularly inspect and replace bp lines as needed to prevent future failures. @topic:15


a / d converter is inoperative, or the pressure transducer offset is too large. replace the nbp assembly. see “ removing the nbp module ” on page 8 - 33. if the problem persists, replace the main pcb. see " removing the main pcb ” on page 8 - 31. 818 ( 15 ) nbp equip malfunc ( 15 ) nbp abnormal, unrecoverable system errors with internal firmware. replace the nbp assembly. see “ removing the nbp module ” on page 8 - 33. if the problem persists, replace the main pcb. see " removing the main pcb ” on page 8 - 31. 7 - 16 troubleshooting error codes code description possible cause action 818 ( 25 ) nbp equip malfunc ( 25 ) nbp hardware has malfunctioned because of no data replace the nbp assembly. see “ removing the nbp module ” on page 8 - 33. if the problem persists, replace the main pcb. see " removing the main pcb ” on page 8 - 31. 819 nbp equip malfunc - not calibrated nbp not calibrated shut down and restart the monitor. if the problem persists, recalibrate the nbp unit. see “ nbp test ” on page 6 - 9. 833 ( 1 ) spo? equip malfunc ( 1 ) sp0 2 rom checksum error replace the spo? board. see “ removing the spo? board ” on page 8 - 28. 833 ( 2 ) spo? equip malfunc ( 2 ) sp0 2 ram test error replace the spo? board. see “ removing the spo? board @topic:20


# # # issue - nibp ( non - invasive blood pressure ) reading is not displaying. # # # impact - inability to monitor and measure patient's blood pressure. # # # possible cause - malfunction of nibp hose leading to air leakage, causing the pump to fail. # # # recommendations - replace the faulty nibp hose with a new one. - use a spare nibp hose from a non - operational device as a temporary solution. - repair or replace the original nibp hose if possible. @topic:15


10. 0 175 9 monitoring sp0 2 setting spc ^ / pleth as pulse source setting sp0 2 / pleth as pulse source 1 in the setup sp0 2 menu, select pulse ( sp0 2 ) to enter the setup pulse menu. 2 in the setup pulse menu, select system pulse and select sp0 2 from the pop - up list. setting up tone modulation if tone modulation is on, the qrs tone pitch lowers when the sp0 2 level drops. remember, the qrs tone is derived from either heart rate or pulse depending on which is currently selected as the active alarm source. ♦ in the setup sp0 2 menu, select tone modulation to toggle between yes ( for on ) and no ( for off ). tone modulation is licensed under us patent us 4, 653, 498 from nellcor puritan bennett incorporated. setting the qrs volume ♦ in the setup sp0 2 menu, select qrs volume and set the appropriate qrs tone volume. calculating sp0 2 difference when a second sp0 2 measurement is present ( either through the sp0 2 module or through an external device ), the monitor displays both sp0 2 values, and calculates the difference between them. the second value is subtracted from the first. 1 from the main setup menu, select measurements. 2 from the setup asp0 2 menu, select first sp0 2. 3 choose the first measurement source. 4 select second sp0 2. 5 choose the second measurement source. 176 10 monitoring nbp this monitor uses the oscillometric method for measuring nbp. in adult and pediatric mode, the blood pressure measurements determined with this device comply with the american national standard for electronic or automated sphygmomanometers ( ansi / aami sp10 - 1992 ) in relation to mean error and standard deviation, when compared to intra - arterial or aus @topic:17


# # # issue - cuff bp ( blood pressure ) malfunction # # # impact - inaccurate blood pressure readings - potential for patient harm if undetected # # # possible causes - cuff bp damage # # # recommendations - replace cuff bp - test equipment to ensure proper functionality @topic:3


negligent use, any alterations or repairs not in accordance with hill - rom ’ s manuals or perfonned by others in such manner as in hill - rom ’ s sole judgment affects the product materially and adversely, shall void these warranties. these warranties do not cover failures due to misuse, abuse, neglect, or lack of routine maintenance. no employee or representative of hill - rom is authorized to change these warranties in any way or grant any other warranty unless in writing and signed by a hill - rom officer. these warranties provide specific legal rights ; but, there may be other available rights, which vary from state to state, province to province, or country to country. revised july 6, 2001 hill - rom company, inc., 1069 state route 46 e, batesville, in 47006 - 9167 page 5 - 4 careassist® and careassist® es bed service manual ( man330 rev 4 ) warranty chapter 5 : parts list notes : careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 5 recommended spare parts chapter 5 : parts list recommended spare parts for a recommended spare parts list to service five or more units, see table 5 - 1 on page 5 - 6. table 5 - 1. recommended spare parts part number quantity description 71073 1 pendant, without sidecom® communication system 72781 1 pendant, with sidecom® communication system 128593 2 fuse, ac ( a model beds ) 128594 2 fuse, battery 128595 2 fuse, sidecom® communication system 72992 1 power cord ( a model beds ) ve0137c 1 head motor ve0138c 1 thigh motor ve0139b 1 foot motor ag0036 1 hilow column ( a model beds ) 71434 1 @topic:26


# # # issue the electric bed is unable to measure weight. # # # impact patients'weight cannot be accurately measured, which may affect their treatment plans. # # # possible causes * * * faulty load cell : * * the load cell, which measures the weight of the patient, may be malfunctioning. * * * damaged wiring : * * the wiring connecting the load cell to the display unit may be damaged. * * * software malfunction : * * the software that calculates and displays the weight may be malfunctioning. * * * malfunctioning motor : * * the motor responsible for raising and lowering the bed may be malfunctioning, affecting the weight measurement. # # # recommendations * * * inspect the load cell : * * check for any visible damage or loose connections. * * * test the wiring : * * use a multimeter to check the continuity of the wiring. * * * update the software : * * contact the manufacturer to obtain the latest software updates. * * * calibrate the motor : * * ensure the motor is properly calibrated and functioning correctly. * * * replace faulty components : * * if any faulty components are identified, replace them with original parts from the manufacturer. @topic:25


# # # issue - ekg lead wire ( lead i, ii, iii ) is not detecting the heart's electrical activity and displaying it on the monitor. # # # impact - clinicians cannot accurately monitor the patient's heart rhythm and electrical activity. # # # possible causes - * * broken or damaged ekg lead wires * * : inspect the lead wires for any visible damage, such as cuts, tears, or loose connections. - * * loose or disconnected connections * * : ensure that the lead wires are securely connected to the patient and the monitor. - * * faulty lead wires * * : if the lead wires are not visibly damaged or loose, they may be faulty and need to be replaced. - * * patient - related factors * * : excessive body hair, skin dryness, or movement can affect the electrical contact between the electrodes and the skin. # # # recommendations - visually inspect the lead wires for any damage and replace them if necessary. - ensure that the lead wires are securely connected to the patient and the monitor. - prepare the patient's skin by shaving or cleaning it with an alcohol swab to improve electrical contact. - if the issue persists, refer to the manufacturer's user manual for troubleshooting steps or contact technical support. - replace the lead wires every 3 - 6 months, or as per manufacturer guidelines. @topic:18


# # # issue - the central monitor is displaying an incorrect time. the reported issue is that the time " does not match " but does not provide enough detail to specify by how much or in which direction. # # # impact - in any medical setting, accurate timekeeping is crucial for various reasons, such as medication administration, patient monitoring, and documentation of patient care. incorrect time can lead to delays, errors, and potential harm to patients. # # # possible causes - * * systemic time synchronization error : * * the central monitor may not be properly synchronized with a reliable time source, such as a network time protocol ( ntp ) server or a dedicated time synchronization device. this could lead to gradual time drift, resulting in an incorrect time display. - * * battery backup issue : * * some central monitors have a backup battery to maintain the correct time during power outages. if the battery is depleted or faulty, the time may reset to the default or an incorrect value when the power is restored. - * * software or firmware glitch : * * software or firmware issues within the central monitor can disrupt the timekeeping function, causing the display to show an incorrect time. - * * hardware malfunction : * * a hardware component within the central monitor, such as the clock chip or the display unit, may have failed or become damaged, leading to an incorrect time display. - * * user error : * * it is possible that the technician who recently set the time on the central monitor made a typographical error or incorrectly input the time. # # # recommendations - * * check time synchronization : * * verify if the central monitor is properly configured to synchronize with a reliable time source. if not, establish the synchronization to ensure accurate timekeeping. - * * inspect battery backup : * * @topic:29


# # # issue - remote and motor are not communicating with each other. # # # impact - the bed cannot be moved or adjusted using the remote control. # # # possible causes - faulty remote control - faulty motor - loose connections between the remote control and the motor - software glitch # # # recommendations - check the remote control for any visible damage or loose connections. - check the motor for any signs of wear or damage. - tighten any loose connections between the remote control and the motor. - reset the bed's software by unplugging it from the power source and then plugging it back in. - contact the bed manufacturer for further assistance if the problem cannot be resolved. @topic:7


# # # issue - the monitoring device is unable to measure physiological parameters. # # # impact - patients may not receive timely and accurate medical care, which could lead to adverse outcomes. # # # possible causes - the provided information indicates that the device is functional, but the * * sender has only provided the connecting wire * *, while physiological sensors are missing. without complete setup, measurements cannot be obtained. # # # recommendations - confirm that all necessary sensors and accessories are provided together with the device. - check if the connecting wire is compatible with the device and the required sensors. - ensure that the sensors are properly connected to the device and the patient. @topic:22


# # # issue - vital sign monitor is unable to measure spo2 due to a broken spo2 cable. # # # impact - clinicians will be unable to monitor the patient's oxygen saturation levels, which is a critical parameter for assessing patient status. # # # possible causes - the spo2 cable may have been damaged due to : - excessive bending or pulling - pinching or crushing - exposure to chemicals or fluids - normal wear and tear # # # recommendations - replace the broken spo2 cable with a new one. - inspect the new cable regularly for any signs of damage. - handle the cable with care to prevent future damage. - train staff on proper handling and maintenance of spo2 cables. @topic:4


- ensure that the staff is trained on the proper use of the bed - provide clear instructions for using the bed to patients and visitors - if user error is suspected, provide additional training and supervision @topic:9


m1904b, m1131a, m1133a ( neonate ), m1134a ( neonate ) = 3 % ( 70 % to 100 % ) r nellcorpb sensors with m1943a ( l ) : maxa, maxal, maxp, maxi, maxn, d - 25, d - 20, i - 20, n - 25, oxicliq a, p, i, n = 3 % ( 70 % to 100 % ) [UNK] masimo reusable sensors with lnop mp12 or lnc mp10 : lnop dc - i, lnop dc - ip, lnop yi ( adult / pedi / infant ), lncs dc - 1, lncs dc - ip, lncs yi ( adult / pedi / infant ) = 2 % ( 70 % to 100 % ) lnop yi ( neonate ), lncs yi ( neonate ) = 3 % ( 70 % to 100 % ) lnop tc - i, lncs tc - i : 3. 5 % ( 70 % to 100 % ) [UNK] masimo disposable sensors with lnop mp12 or lnc mp10 : lnop adt, lnop adtx, lnop pdt, lnop pdtx, lnop inf - l, lnop neo - l ( adult ), lncs adtx, lncs adtx - 3, lncs pdtx, lncs pdtx - 3, lncs inf, lncs inf - 3, lncs neo ( adult ), lncs neo - 3 ( adult ) = 2 % ( 70 % to 100 % ) lnop neo - l ( neonate ), @topic:8


# # # issue - battery failure in nibp monitor ( casmed, model 750 ) # # # impact - inability to accurately measure blood pressure - potential delays in patient care - inaccurate vital signs data # # # possible causes - * * battery degradation over time : * * batteries have a limited lifespan and may gradually lose their ability to hold a charge. - * * corrosion or damage to battery terminals : * * corrosion or damage can prevent the battery from making proper electrical contact with the device. - * * faulty battery charger : * * a defective battery charger may not properly charge the battery, leading to a loss of power. - * * overcharging : * * overcharging can damage the battery and reduce its capacity to hold a charge. - * * battery manufacturing defect : * * the battery may have been defective from the manufacturer, leading to premature failure. # # # recommendations - * * regular battery maintenance : * * regularly check batteries for signs of degradation and replace them as needed. - * * inspect battery terminals : * * inspect battery terminals for corrosion or damage and clean them if necessary. - * * use proper charging equipment : * * ensure that the correct battery charger is being used for the device. - * * avoid overcharging : * * do not leave batteries charging for extended periods of time. - * * contact manufacturer : * * if the battery failure persists after replacing the battery, contact the manufacturer for further troubleshooting. - * * consider using a backup battery : * * a backup battery can provide temporary power in case of primary battery failure. @topic:11


spare monitor available or utilizing telemetry systems. @topic:16


# # # issue - unable to operate medical cart due to unresponsive keyboard buttons. # # # impact - delays in patient care, as medical information cannot be entered or accessed promptly. - frustration and inconvenience for healthcare professionals. # # # possible causes - * * moisture infiltration : * * spillage or condensation may have caused moisture to penetrate the keyboard, damaging the electrical contacts beneath the buttons. - * * mechanical damage : * * physical impact or repeated use over time may have loosened or dislodged the buttons or their connections. - * * software glitch : * * an issue with the firmware or software that controls the keyboard may have resulted in button malfunction. # # # recommendations - * * thoroughly inspect the keyboard : * * check for any visible signs of damage, such as broken buttons, loose connections, or corrosion. - * * clean the keyboard : * * remove any debris or moisture from the buttons and their surroundings. use compressed air or a soft brush to gently clean the contacts. - * * update firmware or software : * * if available, check for any software or firmware updates that may resolve the issue. - * * contact the manufacturer or a qualified biomedical engineer : * * if self - troubleshooting is unsuccessful, consult the manufacturer or a qualified expert for further diagnostics and repairs. - * * maintain regular maintenance : * * establish a regular cleaning and inspection schedule to prevent future keyboard failures. @topic:27


# # # issue - the medical cart is experiencing intermittent power issues, causing it to turn on and off unexpectedly. # # # impact - inability to use the medical cart for patient care, leading to delays in treatment. - potential safety hazard if the cart malfunctions during use. # # # possible causes - loose electrical connections on the power board. - faulty electrical components on the power board. - power supply issues within the hospital's electrical system. # # # recommendations - inspect the power board for any loose connections and tighten as necessary. - replace any faulty electrical components on the power board. - contact the hospital's electrical maintenance team to investigate potential issues with the power supply. - conduct regular maintenance and inspections of the medical cart to prevent future power issues. @topic:13


# # # issue - battery failure in a bedside physiologic monitor. # # # impact - loss of vital physiological data, including ecg, blood pressure, and pulse oximetry. - patient safety is compromised. # # # possible causes - battery reaching end of life. - battery exposed to extreme temperatures or humidity. - battery overcharged or undercharged. - battery damaged due to physical impact. # # # recommendations - replace the battery with a new one of the same type and capacity. - calibrate the monitor according to the manufacturer's instructions. - check for any signs of battery leakage or damage. - regularly monitor battery life and replace it before it reaches end of life. - ensure proper storage and handling of the battery to avoid damage. @topic:11


# # # issue - non - functional time display on nibp monitor # # # impact - inability to monitor patient's vital parameters accurately, specifically blood pressure and time. # # # possible causes - loose ribbon cable connecting the display to the mainboard - faulty display module - software bug # # # recommendations - tighten or replace the loose ribbon cable - test the display module by swapping it with a known - good module - update the software to the latest version and check for bug fixes @topic:29


# # # issue - equipment : vital signs monitor - make and model : philips suresigns vs2 + - description : the vital signs monitor is not able to measure blood pressure due to a faulty cuff. # # # impact - the vital signs monitor is unable to accurately measure blood pressure. - this can lead to incorrect diagnosis and treatment of patients. # # # possible causes 1. cuff is defective or damaged. 2. the cuff is not properly connected to the monitor. 3. the monitor's software is not functioning properly. 4. the monitor's hardware is not functioning properly. # # # recommendations 1. replace the cuff with a new one. 2. ensure that the cuff is properly connected to the monitor. 3. update the monitor's software to the latest version. 4. contact the manufacturer for assistance if the problem persists. @topic:15


# # # issue - cuff malfunction # # # impact - the patient's blood pressure cannot be accurately measured. - the patient may not receive the appropriate treatment as a result. # # # possible causes - the cuff may be damaged. - the cuff may not be the correct size for the patient. - the cuff may not be properly inflated. # # # recommendations - replace the cuff. - use the correct size cuff for the patient. - properly inflate the cuff. @topic:3


# # # issue : lcd monitor display not full screen # # # impact : inability to view medical images properly # # # possible causes : - incorrect display settings - faulty lcd panel - loose or damaged cables - graphics card or motherboard malfunction # # # recommendations : - check and adjust the display settings to ensure they are set to the correct resolution and aspect ratio. - inspect the lcd panel for any physical damage or blemishes. - tighten or replace loose cables connecting the monitor to the computer or other devices. - verify that the graphics card and motherboard are functioning correctly by running diagnostics or replacing components if necessary. @topic:2


be set from 0 to 10 ( 0 means off ). 121 6 ecg, arrhythmia, st and qt monitoring changing the ecg filter settings ♦ to change the qrs volume, in the setup ecg menu select qrs volume and then select the appropriate volume from the pop - up list. changing the ecg filter settings the ecg filter setting defines how ecg waves are smoothed. an abbreviation indicating the filter type is shown underneath the lead label on the monitor display. filter settings do not affect st measurement. ♦ to change the filter setting, in the setup ecg menu, select filter and then select the appropriate setting. - monitor : use under normal measurement conditions. - ext. monitor : use for pediatric and neonatal patients when diagnostic quality is required but low frequency interference or a wandering baseline may be expected. the upper edge frequency is the same as the diag setting and the lower edge frequency is the same as the monitor setting. - filter : the filter reduces interference to the signal. it should be used if the signal is distorted by high frequency or low frequency interference. high frequency interference usually results in large amplitude spikes making the ecg signal look irregular. low frequency interference usually leads to a wandering or rough baseline. in the operating room, the filter reduces artifacts and interference from electro - surgical units. under normal measurement conditions, selecting filter may suppress the qrs complexes too much and thus interfere with the clinical evaluation of the ecg displayed on the monitor. this does not affect the ecg analysis performed by the monitor. if autofil ter is set to on in configuration mode, the filter setting will automatically be set to filter if electromagnetic interference is detected. - diag : use when diagnostic quality is required. the unfiltered ecg wave is displayed so that changes such as r - wave notching or discrete elevation or depression of the st segments are visible @topic:8


# # # issue co2 value is missing on the philips intellivue mp40 patient monitor. # # # impact accurate monitoring of co2 levels is essential for patient care. missing co2 values can lead to delayed diagnosis and treatment, which can have serious consequences for the patient. # # # possible causes * the " standby " button was pressed and held, which caused the co2 value to be suppressed. * a loose connection between the co2 sensor and the monitor. * a malfunctioning co2 sensor. * a software glitch in the monitor. # # # recommendations * check if the " standby " button is pressed and release it if it is. * inspect the connection between the co2 sensor and the monitor and ensure that it is secure. * replace the co2 sensor if it is suspected to be malfunctioning. * contact the manufacturer if the issue persists after trying the above steps. @topic:4


# # # issue - monitor in room 9 is not linking with the central monitor. # # # impact - the medical staff cannot monitor the patient's vital signs remotely. - the patient's condition may deteriorate without being detected. - the hospital may be held liable for any adverse events that occur due to the monitor not linking properly. # # # possible causes - the monitor is not properly connected to the network. - the network is down. - the monitor is defective. - the central monitor is not properly configured. - the monitor in room 9 is not compatible with the central monitor. # # # recommendations - check the monitor's network connection. - check the network status. - restart the monitor. - contact the manufacturer of the monitor. - contact the hospital's it department. - replace the monitor. @topic:16


# # # issue - bed is not adjustable # # # impact - patient's comfort and safety may be compromised - nursing staff may have difficulty caring for the patient # # # possible causes - electrical fault - mechanical failure - control system failure # # # recommendations - inspect the electrical connections and wiring for damage or loose connections - check the mechanical components for any signs of wear or damage - test the control system to ensure it is functioning properly - replace any damaged or faulty components - perform regular maintenance to prevent future failures @topic:1


##ometer values with the displayed values. 7 document the value displayed by the monitor ( xl ). 8 if the difference between the manometer and displayed values is greater than 3 mmhg or if the nbp pump assembly has been exchanged, calibrate the mms. if not, proceed to the leakage test. 9 to calibrate the mms, select close valves off then calibrate nbp and wait for the instrument to pump up the expansion chamber. wait a few seconds after pumping stops until enterprval is highlighted and then move the cursor to the value shown on the manometer. if one of the following prompt messages appears during this step, check whether there is leakage in the setup : - nbp unable to calibrate - cannot adjust pressure — nbp unable to calibrate — unstable signal 10 press confirm. if the inop nbp equipment malfunction message occurs in monitoring mode, go back to service mode and repeat the calibration procedure. nbp leakage test the nbp leakage test checks the integrity of the system and of the valve. it is required once every two years and when you repair the mms or x2 or replace parts. 1 if you have calibrated, repeat steps 2 to 6 from the accuracy test procedure so that you have 280 mmhg pressure on the expansion chamber. 2 watch the pressure value for 60 seconds. 67 [ 3 testing and maintenance ] 3 calculate and document the leakage test value ( x2 ). x2 = pi - p2 where pi is the pressure at the beginning of the leakage test and p2 is the pressure displayed after 60 seconds. the leakage test value should be less than 6 mmhg note the leakage test value of 6 mmhg applies for an expansion chamber of 250ml. when using a different size of expansion chamber, @topic:17


emitting diodes ( leds ). a photo diode provides detection. to identify the oxygen saturation of arterial hemoglobin, the monitor uses the pulsatile nature of arterial flow. during systole, a new pulse of arterial blood enters the vacuolar bed, and both blood volume and light absorption increase. during diastole, blood volume and light absorption reach their lowest point. the measurement is based on the difference between maximum and minimum absorption, focusing on the pulsatile arterial blood. in addition to the oximetry function, the measurement can also provide the heart rate. predictive temperature module the predictive temperature module is a fully integrated microprocessor - based thermistor thermometer that takes oral, axillary, and rectal temperatures for all patient populations. the monitor provides two types of temperature measurement : e predictive e monitored predictive measurements in predictive mode, the monitor measures the patient ’ s temperature for approximately 4 seconds for oral measurements and approximately 16 seconds for axillary and rectal measurements. the monitor then displays the final measurement. if the monitor cannot get a reading after 1 minute, it automatically switches to monitored mode. monitored measurements in monitored mode, the monitor measures the patient ’ s temperature continuously and displays the temperature in the numeric pane as long as the probe is in contact with the patient. use monitored mode only when a situation prevents accurate predictive measurement. note — temperature measurements taken in monitored mode are not saved to a patient record. theory of operation suresigns vs4 service guide a - 7 block diagram components tympanic temperature module the tympanic temperature module is an infrared ear canal thermometer with measurement site equivalence modes including oral, core, and rectal equivalent temperatures for all patient populations. the tapered probe tip is designed for proper ear canal alignment. in ear ( ear @topic:17


sensor ) are dry. if you are not ure that the connector is dry, replace the pic until it has dried. if this inop persists, contact your service personnel. bis sensor usagnop tone excessive sensor usage. replace sensor. a cyclic impedance check will start automatically. bis sqi < 15nop tone if the signal quality is below 15 %, no bis numerics can be derived. this s may occur as a result of artifacts such as those generated from motion or the presence of electrocautery devices. make sure the sensor is properly attached to the patient. manually initiate a cyclic impedance check. make sure all electrodes pass the test. make sure the patient is completely relaxed ( even small motions of the facial muscles affect the signal quality ). bis unplugged plug in the bis module. silencing this inop switches off the measurement. nop tonbisx disconnectenop tone the bisx is not connected to the bis module or the bis interface board. silencing this inop switches the measurement off. bisx incompatiblnop tone the bisx software is not compatible with the bis module or with the mp20 / mp30 monitor software. a software upgrade may be required. contact your service personnel. bisx malfunctionop tone the bisx is faulty. disconnect and reconnect it to the module or bis interface board. if the inop mp20 / mp30 malfunction on interface board. if the inop persists, contact your service personnel. inop message, indication what to do awfchange awpchange scale awvchange scale spiro alarms suppr spiro cannot meas spiro gas compens? airway flow signal exceeds range of selected scale. adjust scale to display complete wave. airway pressure signal exceeds range of selected @topic:22


# # # issue - electric bed producing excessive noise # # # impact - patient discomfort - difficulty for healthcare providers to communicate with patients - potential disruption of sleep patterns # # # possible causes - loose or worn components, such as bearings or gears - electrical issues, such as a malfunctioning motor or loose connections - improper adjustment of the bed frame or mattress - environmental factors, such as high humidity or dust buildup # # # recommendations - * * inspection : * * inspect the bed for loose or damaged components, such as bearings, gears, or electrical connections. - * * cleaning : * * remove any dust or debris that may have accumulated on the bed frame or mattress. - * * lubrication : * * apply lubricant to moving parts, such as bearings and gears, to reduce friction and noise. - * * adjustment : * * ensure that the bed frame and mattress are properly adjusted to minimize vibration and noise. - * * replacement : * * if the issue persists after inspection and cleaning, consider replacing worn or damaged components. - * * monitoring : * * regularly monitor the bed's performance to detect any early signs of noise issues and address them promptly. @topic:9


to help the patient lift some of his / her weight so as to assist the nursing staff with their work. this position is not designed to allow patients to transfer themselves alone. failure to do so could result in material damage or injury. 2 3 4 3 position 1 ( blue ) : tuck - away position, • position 2 ( blue ) : normal ( egress ) position,. position 3 ( yellow ) : patient transfer aid position,. position 4 ( red ) : " incorrect ”, risk of bed tipping. • 1 2 3 patient helper handle the patient helper handle must be positioned between lugs a and b to avoid any the patient handle on the patient helper can be adjusted to the patient. b adjust the height of the hanis a right angle at the elbow. it is easier for the patient to change position in the bed, making for greater comfort and 90 % place the patient handle on the patient helper arm when not in use, in order eliminate any obstruction ( see photo below ). if the bed is equipped with both an adjustable patient helper ( ad081d - ad811a ) and an iv pole ( ad165a, d148a, ad298a or ad299a ), do not use the patient helper " tuck - away " position as this may interfere with he iv pole. four egress handles enable mobile patients to get in and out of the bed with assistance when moving to a chair. ill - [UNK] with half - siderails. if the bed is fitted with ad272b siderails ( see " ad272b * siderails " page 54 ), the articulated section to which the handle is fixed must be raised before maneuvering the siderail. 2 - click - / \ \ \ - click - if the bed was not originally fitted with egress handles, @topic:9


# # # issue - device : oxygen saturation sensor, serial number : 1145g35242 - symptom : unable to obtain readings # # # impact - inability to accurately monitor patient's oxygen saturation levels - potential delays in diagnosis and treatment # # # possible causes - faulty sensor - loose or disconnected cables - interference from other devices - software malfunction # # # recommendations 1. * * inspect the sensor and cable : * * - ensure the sensor is properly attached to the patient's finger or earlobe. - check the cables for any damage or loose connections. 2. * * check for interference : * * - move the sensor away from other electrical devices that could cause interference. 3. * * restart the monitor : * * - turn the monitor off and back on to reset any software issues. 4. * * verify sensor compatibility : * * - confirm that the sensor is compatible with the specific monitor model. 5. * * replace the sensor if necessary : * * - if the above steps do not resolve the issue, replace the oxygen saturation sensor with a new one. 6. * * contact the manufacturer : * * - if the problem persists after replacing the sensor, contact the manufacturer for further support. @topic:4


100 pa s ( 2 ) : p / xl or s ( 2 ) : f / xl * safety ( 3 ) perform safety test ( 3 ) : equipment leakage current - single fault condition ( open earth ) with mains cable : maximum leakage current ( x2 ) : < = 300 pa s ( 3 ) : p / x2 or s ( 3 ) : f / x2 * safety ( 4 ) perform safety test ( 4 ) : applied part leakage current - single fault condition, mains on applied part. maximum leakage current ( xi ) ; < = 50 i ^ a ( cf ) s ( 4 ) : p / xl or s ( 4 ) : f / xl * system ( sys 1 - 2 ) perform the system test according to subclause 19. 201 of lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16, if applicable, after forming a system equipment leakage current : sysl < = 100 pa ( normal condition ) sys2 < = 300pa ( single fault condition sys : psysl / psys2 or sys : fsysl / fsys2 * system ( sys 3 ) perform the system test according to subclause 19. 201 of lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16, if applicable, after forming a system protective earth leakage current if medical electrical system components are connected to the same multiple portable socket outlet : sys3 < = 300 pa sys : psys3 or sys : fsys3 * key : p = pass, f = fail, x or sys = test value to be recorded, * = record the worst - case results and the associated switch positions ( e @topic:10


# # # issue the battery of the philips suresigns vs3 physiologic vital signs monitor has deteriorated and needs to be replaced. # # # impact the monitor cannot function properly with a depleted battery, which can lead to inaccurate or incomplete patient data and potentially compromise patient care. # # # possible causes - natural battery life degradation over time - excessive or prolonged use of the monitor without charging - malfunction of the battery or charging circuit # # # recommendations - replace the battery with a new one from an authorized supplier. - ensure the new battery is compatible with the monitor model. - perform regular maintenance checks to monitor battery health and prevent future failures. - train staff on proper battery handling and charging practices to extend battery life. @topic:11


# # # issue - loose screws on the back of the monitor. # # # impact - the monitor may fall or become unstable. # # # possible causes - screws may have been loosened during transport or assembly. - screw threads may be stripped or damaged. - screws may not have been tightened properly. # # # recommendations - inspect the screws on the back of the monitor and tighten any loose screws. - if the screws are stripped or damaged, replace them with new screws. - ensure that the screws are tightened properly. @topic:2


# # # issue - oxygen saturation ( sat ) readings are not being measured correctly # # # impact - accurate monitoring of oxygen saturation levels is essential for patient safety. - incorrect readings can lead to delays in treatment or inappropriate treatment decisions. # # # possible causes - the oxygen saturation monitor is faulty. - the oxygen saturation sensor is not properly connected to the patient. - the oxygen saturation sensor is damaged or defective. - the oxygen saturation sensor is not calibrated correctly. # # # recommendations - check the oxygen saturation monitor for any visible damage or loose connections. - ensure that the oxygen saturation sensor is properly connected to the patient and that the sensor is not damaged. - calibrate the oxygen saturation monitor according to the manufacturer's instructions. - if the problem persists, replace the oxygen saturation sensor. @topic:4


# # # issue - the drawer on the medical cart cannot be opened. # # # impact - the medical cart cannot be used to transport medical supplies or equipment. # # # possible causes - the drawer is jammed. - the drawer latch is broken. - the drawer tracks are not aligned. - the drawer is overloaded. # # # recommendations - inspect the drawer for any obstructions. - unload the drawer and try to open it again. - check the drawer latch for any damage. - check the drawer tracks for any misalignment. - if the problem persists, contact a qualified technician. @topic:21


# # # issue * the patient transport monitor's spo2 cable is not functioning. # # # impact * the patient's oxygen saturation levels cannot be accurately monitored. # # # possible causes * the spo2 cable is damaged. * the spo2 cable is not properly connected to the monitor or the patient. * the spo2 sensor is not functioning properly. # # # recommendations * check the spo2 cable for any damage, such as cuts, breaks, or loose connections. * ensure that the spo2 cable is securely connected to the monitor and the patient. * check the spo2 sensor to make sure that it is clean and free of any obstructions. * if the problem persists, replace the spo2 cable or sensor. @topic:4


# # # issue - motor for the up / down adjustment of the bed is not working # # # impact - the bed cannot be adjusted to the desired height, which can make it difficult for patients to get in and out of bed or for caregivers to provide care. # # # possible causes - the motor itself may be faulty. - the wiring to the motor may be damaged. - the control panel for the bed may be malfunctioning. # # # recommendations - inspect the motor for any visible damage. - check the wiring to the motor for any breaks or loose connections. - test the control panel to ensure that it is functioning properly. - if the motor is faulty, it will need to be replaced. - if the wiring is damaged, it will need to be repaired or replaced. - if the control panel is malfunctioning, it will need to be repaired or replaced. @topic:1


# # # issue - adjustable feature of the bed is not functioning. # # # impact - patient may not be able to adjust the bed to a comfortable position. # # # possible causes * * - loose or damaged wiring. * * the input mentions that the ac power cord was in poor condition and replaced. it is possible that the connection to the adjustable motor or other components was not properly secured or damaged during the replacement. * * - faulty adjustable motor. * * the motor responsible for adjusting the bed may have failed due to electrical or mechanical issues. * * - control panel malfunction. * * the control panel that allows the user to adjust the bed may have a problem. * * - software glitch. * * if the bed is controlled by software, there could be a software malfunction causing the adjustable functionality to fail. # # # recommendations * * - inspect wiring. * * check all wiring connections related to the adjustable function, including the ac power cord, motor connections, and any other relevant cables. ensure they are secure and not damaged. * * - test motor. * * isolate the adjustable motor and test it separately to determine if it is functioning correctly. * * - examine control panel. * * check the control panel for any loose connections, damaged buttons, or other issues. * * - update software. * * if applicable, check for any available software updates for the bed and install them if necessary. * * - seek professional help. * * if the issue persists after following the above recommendations, consider consulting with a qualified biomedical engineer or technician for further diagnosis and repair. @topic:1


# # # issue - battery failure in bedside physiologic monitor. # # # impact - inability to monitor patient's vital signs accurately. # # # possible causes - * * battery degradation : * * batteries have a limited lifespan and may need to be replaced over time. - * * faulty charging system : * * the charging system within the monitor may not be functioning properly, preventing the battery from being fully charged. - * * battery misalignment : * * if the battery is not properly aligned within the monitor, it may not make contact with the charging terminals. # # # recommendations - * * replace battery : * * replace the battery with a new one to ensure optimal performance. - * * check charging system : * * inspect the charging system for any loose connections or damaged components. - * * realign battery : * * make sure the battery is properly aligned within the monitor and making good contact with the charging terminals. @topic:11


# # # issue - malfunctioning bed due to loose locking nut on the wheel, leading to potential safety hazards. # # # impact - patient safety compromised due to bed instability. - inconvenience and discomfort for patients and medical staff. # # # possible causes - inadequate maintenance and inspection of the bed. - excessive wear and tear due to prolonged use or improper handling. - manufacturing defect in the locking mechanism. # # # recommendations - establish a regular maintenance schedule to inspect and tighten all bolts and nuts regularly. - conduct thorough inspections of all movable components of the bed, including wheels, rails, and motors. - train staff on proper handling and usage of the bed to minimize wear and tear. - consider using higher - quality locking mechanisms or replacing the bed if the issue persists. @topic:6


# # # issue - the bme technician was unable to fix the philips suresign vs4 vital signs monitor due to an unidentified failure in the vsm system. # # # impact - the vital signs monitor is unable to transmit patient vital signs data to the central monitoring system, which may result in delayed or incorrect patient care. # # # possible causes - the vsm system may be malfunctioning due to a hardware or software issue. - the vital signs monitor may not be properly connected to the vsm system. - there may be a configuration issue with the vsm system or the vital signs monitor. # # # recommendations - the bme technician should troubleshoot the vsm system to identify the exact cause of the failure. - the bme technician should verify that the vital signs monitor is properly connected to the vsm system. - the bme technician should check the configuration of the vsm system and the vital signs monitor to ensure that they are compatible. - if the bme technician is unable to resolve the issue, they should contact the manufacturer of the vsm system or the vital signs monitor for further assistance. @topic:22


operation and vsm system integration. - establish clear maintenance and troubleshooting procedures. - foster a culture of continuous improvement and reporting of any issues encountered. @topic:12


# # # issue - the physiological vital signs monitor cannot measure oxygen saturation ( sat ). # # # impact - inaccurate or incomplete patient monitoring data. - potentially delayed or incorrect treatment decisions. # # # possible causes - faulty probe connection - damaged probe - sensor calibration issues - electrical interference - software malfunction # # # recommendations - * * check probe connection : * * ensure the probe is securely connected to the monitor and the patient. - * * replace probe : * * if the probe is damaged or does not work after cleaning, replace it with a new one. - * * calibrate sensors : * * follow the manufacturer's instructions to calibrate the oxygen saturation sensor. - * * check for electrical interference : * * identify and eliminate any sources of electrical interference, such as nearby electronic devices or power cables. - * * software troubleshooting : * * update the monitor's software to the latest version if necessary. if the issue persists, contact the manufacturer for technical support. @topic:4


# # # issue * failure of the bedside physiologic monitor due to a faulty ekg cable. # # # impact * inability to accurately monitor patient's vital signs, including heart rate, rhythm, and ecg. * potential for delayed or missed diagnosis and treatment. # # # possible causes * broken or damaged ekg cable * loose connections between the cable and the monitor or patient * electrical interference from other devices * software or firmware issues within the monitor # # # recommendations * replace the faulty ekg cable with a new one. * ensure all connections are secure and tight. * check for electrical interference from nearby devices and relocate the monitor if necessary. * contact the manufacturer for technical support if the issue persists or if software or firmware updates are required. @topic:18


# # # issue - the bedside physiologic monitor is not displaying readings. # # # impact - the clinician will not be able to monitor the patient's vital signs. # # # possible causes - the sensor is not connected properly. - the sensor is damaged. - the monitor is not receiving power. - the monitor is not configured correctly. # # # recommendations - check the sensor connection. - replace the sensor. - check the power supply to the monitor. - configure the monitor according to the manufacturer's instructions. @topic:2


# # issue - failed equipment : bedside physiologic monitor ( philips intellivue mp90 ) # # impact - limited or no functionality of the monitor # # possible causes - loose or disconnected cover on the device. # # recommendations - ensure that the cover is securely attached to the device. inspect the device for any other loose or disconnected components. - if the issue persists, contact the manufacturer or a qualified medical equipment technician for further troubleshooting and repair. @topic:2


# # # issue - no signal # # # impact - the patient's vital signs cannot be monitored. - delays in diagnosis and treatment. - increased risk of adverse events. # # # possible causes - loose or disconnected wires - faulty sensors - software errors - interference from other electronic devices # # # recommendations - check all wires and connections. - replace faulty sensors. - update software. - move the device away from sources of interference. @topic:2


# # # issue - limit switch not functioning properly, causing the drawer to remain open # # # impact - inability to properly store medical supplies and equipment in the drawer # # # possible causes - misalignment of the limit switch - damage to the limit switch - electrical connection issues # # # recommendations - adjust the position of the limit switch to ensure proper alignment with the drawer - inspect the limit switch for any damage and replace if necessary - verify the electrical connections to the limit switch are secure and free of corrosion @topic:21


# # # issue sensor is blinking and not reading values. # # # impact unable to monitor patient's vital signs accurately. # # # possible causes 1. defective pulse oximetry sensor 2. loose connection between sensor and monitor 4. interference from external light sources 5. damaged or obstructed pulse oximetry probe 6. patient movement causing poor sensor contact # # # recommendations 1. replace the pulse oximetry sensor with a new one. 2. ensure that the sensor is securely connected to the monitor. 3. check for external light sources that may be interfering with the sensor. 4. ensure that the pulse oximetry probe is placed correctly and is not obstructed. 5. minimize patient movement to prevent poor sensor contact. 6. check for any damage to the sensor or the cable. @topic:20


# # # issue - equipment : bed, electric - band : universal quality - model : uq2000 - description : adjusted the up - down function and found that it was not working. # # # impact - the patient cannot be moved up or down in the bed, which can cause discomfort and make it difficult to perform medical procedures. # # # possible causes - * * power supply : * * the bed may not be receiving power from the wall outlet or the power cord may be damaged. - * * control panel : * * the control panel may be faulty or the buttons may not be working properly. - * * actuator : * * the actuator, which is the motor that moves the bed up and down, may be faulty or damaged. # # # recommendations - check the power supply to the bed and make sure that the power cord is securely plugged into the wall outlet. - check the control panel for any damage or loose connections. - if the power supply and control panel are working properly, then the actuator may need to be replaced. @topic:1


# # # * * issue * * - medical cart bdms 01 is malfunctioning due to a frozen key icon in the program. # # # * * impact * * - the medical cart cannot be used for transporting patients or accessing medical supplies, impacting patient care and workflow efficiency. # # # * * possible causes * * - * * software glitch : * * a software error or corruption may have caused the key icon to freeze, preventing the cart from responding to commands or input. - * * faulty input device : * * the keyboard or other input device, such as a mouse or touchscreen, may be malfunctioning, causing incorrect signals to be sent to the program. - * * hardware issue : * * a hardware component, such as the motherboard or graphics card, may be defective or damaged, affecting the program's functionality. # # # * * recommendations * * - * * restart the system : * * turning off the cart and restarting it may resolve any temporary software glitches. - * * check input devices : * * inspect the keyboard, mouse, and any other input devices for any physical damage or connectivity issues. replace or repair faulty devices as needed. - * * update software : * * if available, install any software updates provided by the manufacturer. these updates may include bug fixes or improvements that could resolve the issue. - * * inspect hardware : * * if software updates do not resolve the problem, the cart may need to be inspected by a qualified technician. they can diagnose hardware issues and perform repairs or replacements. - * * contact manufacturer support : * * if the issue persists, contact the manufacturer's support team for further assistance and troubleshooting guidance. @topic:30


the patient. the information is updated once per minute. if you do not see st snippets on the screen, select the screen name in the monitor info line and select a screen configured to show snippets from the pop - up list of available screens. 66 6 ecg, arrhythmia, st and qt monitoring st view window the st view window shows a current st snippet and numeric with a baseline snippet and numeric. the two snippets are in different colors, so that you can differentiate between them easily and see at a glance which numerics belong to which snippet. in the upper left corner the current lead and the iso / j - point mode for the current snippet and the baseline snippet is shown. on the right side all available st numerics are shown. the date and time of the baseline snippet is shown at the bottom of the window. the st view window opens with the st pop - up keys current / baseline / overlap ( to select viewing mode ), show points / hide points, update baseline, record st, ste view, adjust st points, st map, setup st and arrow keys for scrolling through the available leads. to view the st view window, select any snippet on the screen. st view x 0. 0 0. 0 1 iso st 0. 0 0. 0 0. 0 2 manual 0. 0 0. 0 3 manual iii avr 0. 0 0. 0 avl 0. 0 0. 0 avf 0. 0 0. 0 4 0. 0 0. 0 0. 1 0. 1 v2 v3 0. 2 0. 1 5 0. 1 0. 1 v4 v5 0. 1 0. 1 0. 0 0. 1 v6 st 0. 0 iso sec st baseline from 27 oct @topic:8


# # # issue - the remote control was not working. # # # impact - the patient was unable to use the bed. # # # possible causes - the remote control was damaged. - the remote control was not properly connected to the bed. - the bed was not properly functioning. # # # recommendations - the remote control was replaced. - the remote control was properly connected to the bed. - the bed was tested to ensure that it was functioning properly. @topic:7


lulublue cyan ( light lueblue ) blue ) ap settingedadult neo alarms from dia. dia. dia. 0 / 4 ( 264 / 16 ( 2060 / 4 ( 26 ) 0 / 0 ( 04 / - 4 ( 12ow limit 24 / - 4 ( 12 ) larms on on on disabled disabled extreme alarms disabled δ extreme high 5 5 5 δ extreme low 5 5 5 sys. high clamp / dia. high clamp ( mean 45 / 20 ( 25 ) high clamp ) 65 / 5 ( 35 ) 5 / 5 ( 35sys. low clamp / dia. low clamp ( mean / - 5 ( - 55 / - 5 ( 55 / - 5 ( 5low clamp ) scale 30 30 30 mean only no no no filter 12 hz 12 hz 12 hz yes yes yes rtifact suppr60 sec mmhg 0 se0 seunit mmhg mmhg color yelloyellow yellow icp, ic1, ic2 settings neo dult pedi larms from mean eamean 0 / 2 ( 40 / 2 ( 414 / 6 ( 10 ) / - 4 ( 0 / - 4 ( 0 / - 4 ( 0ow limit alarms on on on disabled isabled xtreme alarms disabled δ extreme high 10 10 10 δ extreme low 10 10 10 sys. high clamp / dia. high clamp ( mean 20 / 10 ( 15 ) high clamp ) 5 / 5 ( 1015 / 5 ( 10 ) 516 41 default settings appendix icp, ic1, ic2 settings edadult neo sys. low clamp / dia. low clamp ( mean / - 5 ( - 5 / - 5 ( - 50 / - 5 ( - 5 ) low clamp ) scale 30 30 30 mean only eyes yes filter 12 hz 12 hes 12 hz @topic:8


: 5. 0 lb / 2. 27 kg 44 lb / 20 kg 7000 - mws rear bin : 4. 0 lb / 1. 81 kg 44 lb / 20 kg front bin : 5. 0 lb / 2. 27 kg rear bin : 4. 0 lb / 1. 81 kg 7000 - apm nurse call specifications nurse call connection specifications nurse call 24v at 500ma maximum nibp specifications 134 appendix welch [UNK] connex® spot monitor nibp specifications meets or exceeds iec / iso 80601 - 2 - 30 standards fouff pressure range uff pressure rangystolic rangadult : 30 to 260 mmhg ( stepbp, surebp ) pediatric : 30 to 260 mmhg ( stepbp, surebpneonate : 20 to 120 mmhg ( stepbp ) iastolic rangadult : 20 to 220 mmhg ( stepbp, surebp ) pediatric : 20 to 220 mmhg ( stepbp, surebpneonate : 10 to 110 mmhg ( stepbp ) cuff inflation target adult : 160 mmhg ( stepbp ) pediatric : 140 mmhg ( stepbpneonate : 90 mmhg ( stepbp ) maximum target pressure adult : 280 mmhg ( stepbp, surebp ) pediatric : 280 mmhg ( stepbp, surebpneonate : 130 mmhg ( stepbp ) maximum : 150 seconds lood pressure accuracmeets or exceeds ansi. aami sp10 : 2002 standards for noninvasive blood pressure accuracy ( + 5 mmhg mean arterial pressure ( map ) range adult : 23 to 230 mmhg ( stepbp, surebp ) the formula used to calculate map yields an ate value. pediatric : 23 to 230 mmhg ( stepbp, surebpneonate : 13 to @topic:17


# # # issue - ekg cable failure # # # impact - inaccurate or no ekg readings - patient monitoring may be compromised # # # possible causes - cable damage due to wear and tear - loose connections - electrical interference # # # recommendations - replace the ekg cable with a new one - inspect the cable for any visible damage - ensure that the cable is properly connected to the monitor and patient - check for any sources of electrical interference in the area @topic:18


# # # issue - faulty finger probe # # # impact - inability to accurately monitor patient's vital signs - delays in diagnosis and treatment - increased risk of patient harm # # # possible causes - physical damage to the probe - electrical malfunction - software bugs - improper handling or storage of the probe # # # recommendations - inspect the probe for any visible damage - test the probe using a simulator or other compatible device - update the software on the monitor - handle and store the probe according to manufacturer's instructions - procure a new finger probe if necessary @topic:20


# # # issue the ear thermometer on the philips suresigns vs4 vital signs monitor is not functioning properly and cannot measure temperature. # # # impact this issue prevents the monitor from accurately measuring patient temperature, which can delay diagnosis and treatment. # # # possible causes according to the provided information, the cause of failure is a faulty temperature probe. other possible causes could include : 1. * * electrical failure : * * a short circuit or other electrical failure could disrupt the probe's ability to function. 2. * * mechanical damage : * * the probe may have been damaged due to mishandling or wear and tear. 3. * * software error : * * a malfunction in the monitor's software could interfere with the probe's operation. # # # recommendations 1. * * replace the temperature probe : * * the faulty probe should be replaced with a new one. 2. * * inspect other components : * * check the monitor's electrical connections, wiring, and software to ensure there are no other underlying issues. 3. * * calibrate the monitor : * * after replacing the probe, calibrate the monitor to ensure accurate temperature measurements. 4. * * monitor performance : * * regularly monitor the monitor's performance to ensure it is functioning correctly. 5. * * train staff : * * train staff on proper handling and maintenance of the monitor to prevent future failures. @topic:20


# # # issue - charger module failure # # # impact - device malfunction - potential patient safety hazard # # # possible causes - manufacturer defect - wear and tear - environmental factors ( e. g., temperature, humidity ) # # # recommendations - regular preventive maintenance - replacement of faulty components - ensure proper use and handling of equipment - consider using more durable or reliable components in future designs @topic:11


# # # issue - drawer sliding track is broken. # # # impact - drawer cannot be closed. # # # possible causes - excessive force applied to drawer. - drawer overloaded. - drawer track misaligned or damaged. - drawer track not properly lubricated. # # # recommendations - inspect drawer and track for damage. - clean and lubricate drawer track. - adjust drawer track alignment. - replace damaged drawer track. - train staff on proper use of medical cart. @topic:21


# # # issue : medical cart cannot be turned on # # # impact - inability to use the medical cart for patient care - delays in patient care - potential safety hazard if the cart is needed for emergency procedures # # # possible causes : - power supply failure - loose or disconnected wiring - faulty control board - battery failure # # # recommendations : - verify that the power supply is providing the correct voltage ( 29 - 32v ) - check for loose or disconnected wires and tighten or reconnect as necessary - replace the control board if it is found to be faulty - replace the battery if it is found to be faulty - perform a thorough inspection of the medical cart to identify any other potential defects # # # additional considerations : - ensure that the technician has the necessary training and certification to perform repairs on the medical cart - document the repair process and any parts replaced for future reference - follow the manufacturer's guidelines for maintenance and repair @topic:13


board remote alarm device defective replace remote alarm device alarm sound is isued, but no leds light up led failure replace alarm device 85 4 troubleshooting troubleshooting guide remote extension device symptoms possible causes of failure failure isolation and remedy remote input device ( for example mouse / keyboard ) attached to the remote extension device does not function remote extension device is not connected to the monitor. check cabling and connections input device not connected properly check cabling to input device in the remote extension device input device defective replace input device remote extension device defective replace remote extension device remote device i / o board in the wrong slot check i / o matrix in installation instructions remote device i / o board defective replace i / o board buttons on the remote extension device do not function but input device attached is functioning remote extension device defective replace remote extension device navigation point symptoms possible causes of failure failure isolation and remedy navigation point attached directly to the monitor not functioning navigation point not connected properly check cabling navigation point defective replace navigation point speed point attached to remote extension box not functioning remote extension device is not connected to the monitor. check cabling and connections point not connected properly check cabling to speedpoint in the remote extension device point defective replace point remote extension device defective replace remote extension device remote device i / o board in the wrong slot check i / o matrix in installation instructions remote device i / o board defective replace i / o board navigation point knob rotation, joystick control or selection control not functioning navigation point defective replace navigation point inop message check input devices is issued navigation point or other input device defective perform a visual and functional check of all the monitor input devices. replace input devices if necessary. 86 troubleshooting guide 4 troubleshooting keyboard / mouse not functioning symptoms possible causes of failure failure isolation and remedy keyboard / mouse attached directly to the monitor not functioning keyboard / mouse not connected properly check cabling keyboard / mouse defective replace keyboard / mouse ps @topic:16


# # # issue - bed alarm not working after technician replaced the power cord. # # # impact - patient safety : alarms are essential for alerting staff to patient changes, and a non - functional alarm could delay or prevent appropriate medical attention. - operational efficiency : a malfunctioning bed alarm can disrupt patient care and workflow. # # # possible causes - incorrect wiring during power cord replacement. - loose or damaged connection between the bed alarm and the bed. - faulty bed alarm unit. # # # recommendations 1. * * verify wiring * * : ensure that the power cord is securely connected and that the wiring is correct according to the manufacturer's instructions. 2. * * check connections * * : inspect the connection between the bed alarm and the bed for any loose or damaged pins or cables. tighten or replace any loose connections. 3. * * test bed alarm unit * * : disconnect the bed alarm from the bed and test it with another power source to determine if the unit itself is defective. 4. * * contact manufacturer * * : if the above steps do not resolve the issue, contact the manufacturer for further troubleshooting and support. @topic:26


# # # issue - bedside monitor in room 323 not connecting to the network # # # impact - the monitor cannot be used to monitor patients'vital signs. # # # possible causes - the monitor's network configuration is incorrect. - the monitor's network cable is not connected properly. - the network switch port that the monitor is connected to is not working properly. - the network is down. # # # recommendations - check the monitor's network configuration and make sure that it is correct. - check the monitor's network cable and make sure that it is connected properly. - check the network switch port that the monitor is connected to and make sure that it is working properly. - if the network is down, contact the network administrator to have it fixed. @topic:16


# # # issue - remote control malfunction # # # impact - inability to operate the medical device effectively # # # possible causes - physical damage to the remote control - electrical malfunction - battery depletion - software glitch # # # recommendations - inspect the remote control for any visible damage - check the battery level and replace if necessary - reset the remote control by following the manufacturer's instructions - contact the manufacturer for further troubleshooting and repair @topic:7


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# # # issue - nibp monitor failure due to faulty oxygen saturation ( spo2 ) sensor. # # # impact - inability to accurately measure and monitor oxygen saturation levels in patients. # # # possible causes - * * faulty spo2 sensor * * : the spo2 sensor may have malfunctioned or become damaged, leading to inaccurate readings or complete failure to detect oxygen saturation. - * * loose connection * * : the spo2 sensor may have become disconnected or had a loose connection, resulting in intermittent or no signal transmission. - * * interference from external sources * * : electromagnetic interference from nearby devices or electrical equipment may have affected the spo2 sensor's performance. # # # recommendations - * * replace the spo2 sensor * * : to resolve the issue, the technician should replace the faulty spo2 sensor with a new one. - * * check connections * * : ensure that the spo2 sensor is securely connected to the nibp monitor and all cables are properly plugged in. - * * minimize interference * * : identify and eliminate any potential sources of electromagnetic interference in the vicinity of the nibp monitor to improve spo2 sensor performance. - * * regular maintenance * * : conduct regular preventive maintenance and calibration of the nibp monitor to detect and address potential issues before they cause failures. @topic:4


# # # cause of failure : monitor is not linked with central server due to server issues, require ci address re - configuration. @topic:16


# # # issue the cause of failure is unknown. # # # impact the bed's physiologic monitors cannot accurately monitor the patient's vital signs. # # # possible causes - the incorrect signal wire was plugged into the device. - the signal wire is damaged. - the device itself is faulty. # # # recommendations 1. * * verify the signal wire connections. * * the bme technician should check that the signal wire is plugged into the correct port on the device and that the connection is secure. 2. * * inspect the signal wire for damage. * * if the signal wire is damaged, it will need to be replaced. 3. * * test the device. * * once the signal wire has been checked and repaired, the bme technician should test the device to verify that it is functioning properly. 4. * * if the problem persists, the device should be replaced. * * @topic:22


# # # issue - the mri - safe physiological monitor is not working properly. # # # impact - the monitor cannot be used to monitor patients during mri scans. # # # possible causes - the monitor could be defective. - the monitor could be improperly configured. - the monitor could be incompatible with the mri scanner. # # # recommendations - test the monitor with a different mri scanner. - check the monitor's configuration settings. - contact the manufacturer of the monitor or mri scanner for support. # # # note the input states that the cause of failure is unknown, so the above recommendations are based on the most likely causes of failure. @topic:2


own bed alarms use the silence permanent key on screen or the silence hardkey. visual alarm status information in the other bed window • if individual alarms are switched off at the other bed, this is indicated by the crossed alarm symbol beside the measurement numeric. • if alarms are switched off at the other bed, the message alarms off is shown in the other bed window. • in the embedded other bed window, the crossed speaker symbol in the upper right hand indicates that the volume of the audible alarm status change notification for the other beds in the care group is set to zero at the overview monitor. 115 5 managing patients care groups care group alarms changes in the alarm status of beds in a care group are announced visually and audibly at all other beds in the same care group. the visual and audible indicators used depend on the monitor and information center configuration. when an alarm is detected at another bed in the care group, • the alarm status is shown in the care group overview bar as an icon. • a message informing you about the care group alarm is shown in the monitor status line. • if configured, the other bed window, the alarming beds window or the my care group window may pop up on the screen ( if automatic alarm notification is enabled at the bedside monitor and at the information center ). the automatic alarm notification is suppressed when a window, menu or pop - up keys are active. • if configured, an audible status change notification is issued. the tone type and volume can be configured. automatic alarm notification can be switched off permanently in the monitor ’ s configuration mode or at the information center. to temporarily disable and re - enable automatic alarm notification at the bedside monitor, for example if you want to carry out a procedure, in monitoring mode : 1 select the network symbol on the monitor screen to call up the network menu. 2 select auto window to toggle between the settings enabled and disabled. this @topic:10


# # # issue * rauganging does not lock # # # impact * patient safety hazard. there is a risk that a patient could fall out of bed. # # # possible causes * damaged locking mechanism * loose or missing screws * worn or damaged gasket * bent or misaligned frame * faulty electrical connection # # # recommendations * inspect the locking mechanism for damage. * check for loose or missing screws. * check for a worn or damaged gasket. * check for bent or misaligned frame. * check for faulty electrical connection. * replace damaged parts. * tighten loose screws. * repair or replace worn or damaged gasket. * straighten or align bent frame. * repair or replace faulty electrical connection. * test the bed to ensure that the locking mechanism is working properly. @topic:6


# # # issue - the bed's side rails cannot be adjusted. # # # impact - the patient may not be able to get in or out of bed safely. - the patient may be uncomfortable or at risk of falling. # # # possible causes - the motor that drives the side rails may be defective. - the control panel may be malfunctioning. - the wiring may be damaged. - the side rails may be obstructed. # # # recommendations - inspect the motor, control panel, and wiring for any damage. - check if the side rails are obstructed by anything. - if the motor is defective, it may need to be replaced. - if the control panel is malfunctioning, it may need to be repaired or replaced. - if the wiring is damaged, it may need to be repaired or replaced. - if the side rails are obstructed, the obstruction should be removed. @topic:6


##® is a trademark of mallinckrodt inc. masimo masimo set®, and lnop are federally registered trademarks of the masimo corporation.,, tm eset are trademarks of icu medical, inc. other product and company names mentioned in this book may be trademarks of their respective owners. the monitors use open source software. for details check the license screen via main setup, symbols these symbols can appear on the monitor and its associated equipment. ymbols caution, refeccompanying a equipotential grounding protective earth documents start a measurement applied part has special protection against electric shocks ( type bf according to stop a measurement iec 60601 - 1 ) and idefibrillator proof ms power - ondicator standby } error led alternating current connection direction connection direction indicator indicator 445 40 specifications symbols lectrical outpuconnector has speciaelectrical inpundicator protection against electric shocks and is defibrillator proof ( typcf according to iec 60601 - 1 ) indicator ( in some cases gas output indicator ) ( in some cases gas input indicator ) ndicatogas output ata input / outpumanufacturer's namand address usb interface symbolnon - i ( ( ) ) ) symboalways use separatcollection for waste identifies الmonth of electrical and electronic anufacture equipment ( weee ) 2009 - 07 ardiac outpupressure connectonbp connectoconnector monitor supports 12 - lead ecg temperature spo2 connector connector uses fast spoalgorithm masimo set masimo set technology nellcor oximax compatible fas fanellcor fast oximax orks here alarms on / off silence alarms alarms switched off ack kemain screen smartkeys enter the measurement zero the invasive pressure transdu @topic:10


# # # issue - bed is not adjustable # # # impact - patient discomfort - difficulty in providing care - increased risk of injury # # # possible causes - faulty remote control - loose wiring - faulty motor - power supply issue # # # recommendations - inspect and test the remote control for proper functionality. - check all wiring connections for tightness and continuity. - test the motor for any signs of damage or malfunction. - verify that the power supply is providing the correct voltage and amperage to the bed. @topic:7


# # # issue - electric bed is not able to adjust its height. # # # impact - patients may not be able to get in or out of bed safely. - patients may not be able to be positioned comfortably for medical procedures. # # # possible causes - the bed's electrical plug is not securely plugged in. - the bed's electrical cord is damaged. - the bed's motor is malfunctioning. - the bed's control panel is malfunctioning. # # # recommendations - check the bed's electrical plug to make sure it is securely plugged in. - inspect the bed's electrical cord for any damage. - if the bed's electrical cord is damaged, replace it. - if the bed's motor is malfunctioning, contact the manufacturer for repairs. - if the bed's control panel is malfunctioning, contact the manufacturer for repairs. @topic:1


# # # issue the electric bed ( huntleigh contoura 390 ) is not adjusting properly. # # # impact patients may not be able to get into or out of bed safely, which could lead to falls or other injuries. # # # possible causes - the control box is faulty. - the motor is not working properly. - the wiring is damaged. # # # recommendations - replace the control box. - repair or replace the motor. - inspect and repair the wiring. @topic:1


any recorder strips and printouts. see the section on " easi ecg lead placement " on page 145 for electrode placement diagrams. about ecg leads to make it possible to compare measured ecg signals, the electrodes ( or lead sets ) are placed in standardized positions, forming so - called " leads ". to obtain ecg signals optimized for use in diagnosis and patient management in different care environments, different lead sets in varying lead placements can be used. you can use either standard lead placements or easi lead placements with this monitor. when placing electrodes, choose a flat, non - muscular site where the signal will not be interfered with by either movement or bones. correct lead placement is always important for accurate diagnosis. 138 6 ecg, arrhythmia, st and qt monitoring especially in the precordial leads, which are close to the heart, qrs morphology can be greatly altered if an electrode is moved away from its correct location. ecg leads monitored resp is measbetween electrodes : these leads are available : if you are using a 3 - electrode set ra and ll a 5 - electrode set ra and ll a 6 - electrode set ra and ll a 10 - electrode set i, ii, iii, avr, avl, avf, v1, v2, v3, v4, v5, v6 ra and ll i and a an easi 5 - electrode set i, ii, iii, avr, avl, avf, v1, v2, v3, v4, v5, v6 to change the ecg lead set, when adding leads : place the additional electrodes as required - the monitor automatically recognizes the new lead placement. • when removing leads : there are two possibilities - removing the complete chest leads block or removing individual leads. if you unplug the @topic:8


# # # issue the contoura 360 electric bed from huntleigh is experiencing a failure in the knee motor, rendering it unable to adjust the knee position. # # # impact the failure of the knee motor in the contoura 360 electric bed has a significant impact on patient care. the inability to adjust the knee position can lead to discomfort, pressure sores, and impaired mobility for patients. additionally, it can make it difficult for healthcare professionals to provide proper care and treatment. # # # possible causes the cause of failure in the contoura 360 electric bed's knee motor can be attributed to several factors. these include : - * * mechanical failure : * * the knee motor may have suffered a mechanical failure, such as a broken gear or worn - out component. this can be caused by excessive use, improper maintenance, or a manufacturing defect. - * * electrical failure : * * the knee motor may have experienced an electrical failure, such as a short circuit or burned - out component. this can be caused by fluctuations in power supply, faulty wiring, or a damaged control board. - * * software error : * * the knee motor may be experiencing a software error that is preventing it from functioning properly. this can be caused by a glitch in the software or a corrupted file. # # # recommendations to resolve the failure in the contoura 360 electric bed's knee motor, the following recommendations are suggested : - * * inspect the knee motor : * * inspect the knee motor for any obvious signs of damage, such as broken gears, worn - out components, or loose connections. - * * check the power supply : * * ensure that the bed is connected to a stable power source and that there are no fluctuations in power supply. also, check the wiring for any damage or loose connections. - * * update the software : * * if available, check for any software @topic:9


# # # issue - broken bp connector # # # impact - cuff cannot inflate and connect to the tubing - monitoring of vital signs is affected # # # possible causes - loose or damaged connection - excessive force applied to the connector - faulty or worn - out connector # # # recommendations - inspect the connector for any damage or loose connections. - replace the connector if it is damaged or worn out. - tighten the connection securely, but avoid applying excessive force. - ensure that the tubing is connected properly to the cuff and the connector. - monitor the device regularly to prevent future failures. @topic:5


bed controls when installing the traction equipment. this will avoid any injuries. 1. the safe working load specifications allow for a substantial safety margin. a please refer to the fitting instructions provided with the accessory when fitting the accessory. a line manager is on each side of the head end of the bed. the line manager helps to keep lines ( such as iv lines, suction lines, etc. ) togetherand away from the articulating frame. the flexibility of the line manager lets you bend it in any direction. make sure the lines are not pinched or kinked and there is sufficient slack in the lines for bed articulations and patient movement. failure to do so could cause injury or equipment damage. a do not wrap the power corx - ray - transparent adjustable head section ( ad242a ) * * the x - ray - transparent adjustable head section accessory allows a cassette for 35 x 43 cm x - ray films ( as per the standard en iso 4090 ) to be installed in order to take chest x - rays. it is installed in place of the hard surface of the head section. the type ( foam or air ), the materials, the density and the thickness of the mattress, and the weight and morphology of the patient can affect the quality of the x - ray images. the best way to produce x - rays of an optimal quality is to get as close to the patient as possible. the radiologist is responsible for deciding on the best solution to take the x - ray according to the medical target and the hospital's protocol adapted to the patient's illness. note : for patients weighing more than 100kg, the user must adjust the angle of the head section and the position of the patient to produce quality images. installing the accessory 1. remove the mattress to gain access to the hard surface of the head section. 2. 3. install and clip the accessory in @topic:9


# # # issue ekg is not being measured # # # impact the patient's ekg cannot be monitored, which can lead to missed or delayed diagnosis and treatment of cardiac conditions. # # # possible causes - the ekg cables are not properly connected to the patient or to the monitor. - the ekg electrodes are not properly placed on the patient's skin. - the ekg leads are damaged or faulty. - the ekg monitor is not properly calibrated. - the patient has a cardiac arrhythmia that is causing the ekg signal to be distorted. # # # recommendations - check that the ekg cables are properly connected to the patient and to the monitor. - check that the ekg electrodes are properly placed on the patient's skin. - replace the ekg leads if they are damaged or faulty. - calibrate the ekg monitor according to the manufacturer's instructions. - if the patient has a cardiac arrhythmia, consult with a physician to determine the best course of treatment. @topic:18


# # # issue : barcode scanner malfunction in philips suresigns vs4 vital signs monitor # # # impact : inability to scan patient identification barcodes, compromising patient safety and efficiency # # # possible causes : - * * loose wi - fi connection : * * the monitor may have lost its wi - fi connection, causing the barcode scanner to malfunction. - * * software glitch : * * a software issue could prevent the barcode scanner from functioning properly. - * * hardware damage : * * physical damage to the barcode scanner or its connection cable could result in failure. # # # recommendations : - * * reconnect wi - fi : * * ensure a stable wi - fi connection between the monitor and the hospital network. - * * restart the monitor : * * power cycling the monitor can resolve minor software glitches that may be causing the issue. - * * inspect hardware : * * check the barcode scanner and its cables for any visible damage or loose connections. - * * contact manufacturer support : * * if the issue persists, reach out to philips support for further troubleshooting and potential repairs. @topic:23


# # # issue the electric hospital bed is not consistently responding to the remote control. # # # impact the bed's functionality is compromised, potentially impacting patient care. # # # possible causes 1. * * malfunctioning remote control : * * the remote control may have electrical or mechanical issues that prevent it from transmitting signals to the bed. 2. * * bed control unit failure : * * the control unit may be experiencing electrical or software problems that inhibit it from receiving or processing signals from the remote. 3. * * wiring problems : * * loose or damaged wiring between the remote, control unit, and bed can disrupt signal transmission. 4. * * battery issues ( if applicable ) : * * if the remote uses batteries, they may be weak or have degraded, affecting its ability to transmit signals. 5. * * intermittent bed motor : * * the bed's motor may have intermittent issues, causing the bed to respond erratically to the remote control. # # # recommendations 1. * * inspect and test the remote control : * * check for loose connections, physical damage, and battery performance. replace the remote if necessary. 2. * * examine the bed control unit : * * look for any loose connections, blown fuses, or damaged components. consider replacing or repairing the control unit as needed. 3. * * inspect the wiring : * * check for any loose, damaged, or frayed wires. replace or repair any problematic wiring. 4. * * replace the batteries : * * replace the remote's batteries with new ones to ensure optimal signal strength. 5. * * diagnose and repair the bed motor : * * if the motor is suspected to be faulty, use appropriate diagnostic tools to pinpoint the issue and perform repairs. @topic:7


# # # issue - remote control failure # # # impact - inability to operate the bed remotely, which can hinder patient care and comfort. # # # possible causes - damaged or malfunctioning remote control buttons - electrical connection issues between the remote control and the bed - malfunctioning receiver unit within the bed # # # recommendations - inspect the remote control for any visible damage or loose connections. - test the remote control with new batteries to rule out a power issue. - check the electrical connections between the remote control and the bed for any loose wires or damaged terminals. - if the issue persists, consider replacing the remote control or consulting a qualified biomedical engineer for further troubleshooting. @topic:7


# # # issue - monitor cannot hold a charge. # # # impact - monitor cannot be used without being plugged into a power outlet. - this could lead to a loss of vital data if the monitor is not plugged in during a critical event. # # # possible causes - the battery is not making good contact with the terminals. - the battery is old and needs to be replaced. - the charging circuit in the monitor is not working properly. # # # recommendations - check the battery terminals for corrosion or damage. clean the terminals if necessary. - replace the battery with a new one. - test the charging circuit in the monitor to make sure it is working properly. @topic:11


# # # issue remote key stuck and unable to adjust leg down # # # impact patient cannot adjust the bed to a comfortable position. # # # possible causes * remote control malfunction * wiring issue * motor issue # # # recommendations * replace remote control * check wiring connections * inspect motor for any damage or obstruction @topic:7


# # # cause of failure : missing or damaged cable # # # possible causes : - cable is not properly attached to the monitor or sensor. - cable is damaged due to wear and tear or improper handling. - cable has been chewed by animals or insects. # # # recommendations : - inspect the cable for any visible damage or loose connections. - replace the cable if it is damaged or missing. - ensure that the cable is properly secured to the monitor and sensor. - store the cable in a safe and protected environment when not in use. @topic:2


* * issue : * * temperature probe malfunction * * impact : * * inaccurate temperature readings * * possible causes : * * * faulty temperature probe * connection issues * calibration error * software glitch * * recommendations : * * * replace the temperature probe * inspect and tighten connections * perform calibration and verify accuracy * update firmware if necessary * contact the manufacturer for technical support @topic:20


recently - measured impedance status of the electrodes. although bis may still be measured when the electrode status is red or yellow, for best performance, all electrodes should be green. in addition, if the measured electrode - to skin impedance of any electrode or electrode combination is above the limit, or if disconnected electrodes are detected, an inop will be issued, either bis high f. 3 2 bis yclic check : 15 may startcycliccheck reference electrode 1 ground electrode 2 3 signal electrode ( s ) 4 time of the most recent cyclic check electrode - to - skin symbol action color impedance reconnect electrode, or check the sensor - to - skin contact. if necessary, clean and dry electrode has no skin contact red skin. too much signal noise, check sensor - to - skin contact. press sensor more firmly to skin. if necessary, clean and ray? check sensor - to - skin contact. press sensor more firmly to skin. if necessary, clean and yellow ↑ o action necessarimpedance within valid range depending on your configuration, in addition to the symbols, the impedance value in kohm displayed. be a89 9 monitoring bthe smoothing rate defines how the monitor averages the bis value. to change the smoothing rate, in the setup bis menu, select smoothing rate then choose either : 15 sec : this provides increased responsiveness to changes in the patient's state. 30 sec : this provides a smoother bis trend with decreased variability and sensitivity to artifacts. - to switch the bis measurement on or off : in the setup bis menu, select bis and then on or off as required. • to switch individual numerics provided by the bis module on or off : in the setup bis menu, select sqi, tp, sef, sr, emg, or bursts and then on or off as required. • changing the scale @topic:17


. 1a0005 check the data and try again. if the problem persists, contact your systeadministrator. the host is in a state that cannot accept the message. add the patient id to the record. data rejected. patient d required. 1a0006 the message has a missing data rejected. clinician id required1a0007 add the clinician id to the record. the message is missing a clinician id the message has a mismatched time data rejected. time mismatch. 1a0008 ensure that the clock on the monitor and the server match. connect the device to an active network very low so that the clinician id can be imported. unable to establish network no network connection is available communications. a0009 no connection for send. o connection for send. information none send not successful. send not successful. information none error in record. trgain nrs / ecs / cs / nce nack thspecific and can be fixed by a clinician in the next record information for nrs / ecs / cs / nce data was successfuly sent over none usb / bt send successful. information ystem messagepossible cause larm prioritmessage 000001 restart the monitor n / a restart the monitor 000002 n / a 000003 restart the monitor n / a 208 troubleshooting welch [UNK] connex® spot monitor larm prioritpossible cause message / 000004 restart the monitor 000005 restart the monitor n / a restart the monitor 000006 n / a the kernel image is corruptrestart not possible internal hardware n / a internal hardware failure. the root file system is corrupted, restart the monitor. if the restart not possible n / a problem persists, replace the main pcba. reprogram the eepromproble @topic:16


* * issue : * * vital signs monitor is providing inaccurate high readings. * * impact : * * incorrect readings can lead to inappropriate clinical decisions and patient harm. * * possible causes : * * - * * cuff deterioration : * * the cuff may have become worn or damaged over time, leading to inaccurate pressure measurements. - * * sensor malfunction : * * the sensor responsible for detecting blood pressure may be malfunctioning, causing inaccurate readings. - * * electrical interference : * * external electrical sources may be interfering with the monitor's operation, resulting in erroneous readings. * * recommendations : * * - * * replace cuff : * * the cuff should be replaced with a new, undamaged one to ensure accurate pressure measurements. - * * test sensor : * * the sensor should be tested to verify its functionality and accuracy. if faulty, it should be repaired or replaced. - * * check for electrical interference : * * identify any potential sources of electrical interference and relocate the monitor or use shielding techniques to minimize its impact. - * * calibrate monitor : * * the monitor should be calibrated regularly according to the manufacturer's specifications to ensure accurate readings. - * * monitor patient : * * ensure close monitoring of the patient's vital signs to verify the accuracy of the readings from the monitor. @topic:15


. see “ accessing the system admin menu ” on page 5 - 2. 2. rotate the wheel until the alarm tone menu is highlighted. 3. press the wheel, then rotate it to select the default setting for alarm tone. the options are : • philips • iec 4. press the wheel again to save the setting. 5. press the main screen button on the front panel to close the menu. configuring the monitor 5 - 7 setting the minimum alarm tone volume setting the minimum alarm tone volume you can configure the alarm volume to control the minimum volume that a user can set on the monitor. the default setting is 3. to set the minimum alarm tone volume : 1. open the system admin section of the system menu. see “ accessing the system admin menu ” on page 5 - 2. 2. rotate the wheel until the minimum alarm tone volume menu is highlighted. 3. press the wheel, then rotate it to select the default setting for the minimum alarm tone volume that a user can set. the volume options are : 1 - 9 4. press the wheel again to save the setting. 5. press the main screen button on the front panel to close the menu. setting the alarm pause duration alarm pause mode disables audible alarm notification for all current and future alarms for a configured time. if the user presses the alarm button twice in two seconds. alarm pause mode activates, and a small banner appears at the top of the screen. this banner displays the message “ audio paused ”, and counts down the remaining seconds until alarm pause mode ends. when alarm pause ends, all current alarms become audible ( except technical alarms ), even if previously silenced before entering alarm pause mode. when alarms are paused, the nurse call signal does not alarm. this does not affect other alarm indication methods. the default setting is 120 seconds. to configure the @topic:8


* * issue : * * vital signs monitor displays intermittent o2sat readings and end tidal co2 is not functioning. * * impact : * * inaccurate patient monitoring information, which can impact clinical decision - making and patient safety. * * possible causes : * * 1. * * faulty o2sat sensor cable : * * the cable connecting the o2sat sensor to the monitor may be damaged or malfunctioning, resulting in unreliable readings. 2. * * damaged end tidal co2 sensor or module : * * the sensor or module responsible for measuring end tidal co2 may be defective or experiencing issues, causing the monitor to display incorrect or no readings. * * recommendations : * * 1. * * inspect and replace o2sat sensor cable : * * verify the integrity of the cable and replace it if necessary. ensure the cable is properly connected to both the sensor and the monitor. 2. * * troubleshoot and repair end tidal co2 sensor or module : * * examine the sensor for any external damage or loose connections. if necessary, consult the manufacturer's instructions or seek assistance from a qualified technician to diagnose and repair the issue. 3. * * monitor patient closely : * * while troubleshooting the issue, closely monitor the patient's vital signs using alternative methods, such as a pulse oximeter and capnography device. 4. * * document the issue : * * record all relevant information regarding the malfunction, including the time of occurrence, any observed symptoms, and any troubleshooting steps taken. @topic:4


# # # issue - faulty spo2 adaptor cable # # # impact - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes - physical damage to the cable ( e. g., cuts, crimps ) - electrical malfunction within the cable - compatibility issues between the cable and the monitor or spo2 sensor # # # recommendations - replace the faulty spo2 adaptor cable with a new one. - ensure that the new cable is compatible with the monitor and spo2 sensor. - inspect the cable regularly for any signs of damage or wear. - store the cable properly to prevent damage. @topic:4