# # # issue - cuff not inflating # # # impact - inability to measure blood pressure. # # # possible causes # # # # equipment - damaged cuff - faulty air compressor - obstruction in air line - loose connections # # # # patient - patient movement during inflation - excessive limb circumference # # # diagnostic steps - check the cuff for damage or leaks. - test the air compressor by connecting it to a known - good cuff. - inspect the air line for any obstructions. - verify that all connections are secure. - monitor the patient during inflation to ensure they are not moving their limb. - measure the patient's limb circumference to ensure that the cuff is the correct size. # # # recommendations - replace damaged cuff. - repair or replace faulty air compressor. - clear any obstructions in the air line. - secure all connections. - instruct the patient to remain still during inflation. - use a cuff that is the correct size for the patient's limb circumference. @topic:3


##s, replace the module. temperature not functionathis message is not supported by the rature modulinternal malfunction. if the problem ersists, replace the module. temperature not functhe temperature module has run ouof memory. temperature not internal malfunction. if the problem ersists, replace the module. the temperature module received a invalid parameter temperature nointernal malfunction. if the problem the parameter provided by the temperature modulis outside of the allowable range for he specified message. temperature not functionainternal malfunction. if the problem, replace the module. he temperaturodule messagequires an objectbut did not contain one. he temperature odule object provided with the message could nobe deserialized. internal malfunction. if the problem temper 190 troubleshooting welch [UNK] connex® spot monitor alarm priority ossible causmessage temperature not functionhe temperaturinternal malfunction. if the problem persists, replace the module. module object could ot be serialized. internal malfunction. if the problem ersists, replace the module. temperature not functhe temperature module message iperforming a ery low request / action when the module state prohibits the request / action. temperature not functioninternal malfunction. if the problem ersists, replace the module. the temperature module requested item is not currentlavailable due to the module state. temperature not fuinternal malfunction. if the problem the temperature odule factorcalibration information is corrupt. temperature not functthe temperaturinternal malfunction. if the problem module user settingre corrupt. persists, replace the module. temperature not functional. 30509 internal malfunction. if the problem the temperature module calibration is @topic:20


# # # issue - monitor orbgh times are inaccurate. # # # impact - inaccurate patient monitoring data, which could lead to improper or delayed treatment. # # # possible causes - the monitor's internal clock is not set correctly. - the monitor is not receiving a time signal from a reliable source. - there is a hardware issue with the monitor that is preventing it from displaying the correct time. # # # recommendations - check the monitor's internal clock settings and adjust them as necessary. - ensure that the monitor is connected to and receiving a time signal from a reliable source. - if the issue persists, contact the manufacturer's support line for further assistance. @topic:29


# # # issue the wheels of the philips suresigns vs2 vital signs monitor cart are stiff and noisy. # # # impact the cart is difficult to move, which can cause inconvenience and potential safety hazards. the noise may also be disruptive to patients and staff. # # # possible causes * lack of lubrication * damaged or worn wheels * bent or misaligned frame * obstruction in the wheel bearings # # # recommendations * lubricate the wheels and bearings. * inspect the wheels for damage or wear and replace if necessary. * check the frame for any bends or misalignments and correct if needed. * remove any obstructions from the wheel bearings. @topic:24


bug fixes and performance improvements. - * * reinstall program : * * if other troubleshooting measures fail, consider reinstalling the medcart program to resolve any software corruption or configuration errors. - * * contact technical support : * * in cases where the issue cannot be resolved through self - troubleshooting, contact the manufacturer's technical support for assistance and guidance. @topic:13


# # issue the bed is unable to weigh the patient. # # impact this can lead to inaccurate patient weight measurements, which can impact treatment decisions. # # possible causes based on the input, the following could be the cause of bed unable to weigh the patient : - a loose connection between the bed and the weighing scale. - a faulty weighing scale. - a problem with the bed's electrical system. # # recommendations to resolve this issue, the following steps can be taken : - check the connection between the bed and the weighing scale to make sure it is secure. - test the weighing scale using a known weight to see if it is functioning properly. - if the weighing scale is not functioning properly, replace it. - if the bed's electrical system is not functioning properly, have it repaired by a qualified electrician. @topic:25


steps, consult the manufacturer of the bed for further troubleshooting and repair instructions. @topic:1


# # # issue - the philips intellivue mp20 ( m8001a ) patient transport monitor is unable to measure blood pressure ( bp ). # # # impact - the inability to measure bp accurately can lead to delays in diagnosis and treatment, which can have serious consequences for the patient's health. # # # possible causes - the internal bp pump may be faulty. - the bp cuff may be damaged or not properly connected. - the monitor's software may be corrupted. - there may be a problem with the electrical connection between the monitor and the patient. # # # recommendations - inspect the bp pump and tubing for damage or leaks. - check the bp cuff to make sure it is the correct size and is properly inflated. - update the monitor's software to the latest version. - inspect the electrical connections between the monitor and the patient to make sure they are secure. - if the problem persists, contact the manufacturer for further troubleshooting assistance. @topic:15


# # # issue - cuff of vital sign monitor is deteriorated. # # # impact - the device may not be able to accurately measure vital signs, such as blood pressure or pulse. - this could lead to delays in diagnosis and treatment, or incorrect treatment decisions. # # # possible causes - cuff age : cuffs typically have a lifespan of 2 - 3 years, depending on usage. - cuff wear and tear : cuffs can be damaged through repeated use, such as by being inflated too tightly or being exposed to harsh chemicals. - cuff cleaning : cuffs should be cleaned regularly to prevent the buildup of bacteria and other contaminants, which can damage the material. # # # recommendations - inspect the cuff regularly for signs of damage, such as cracks or fraying, and replace it if necessary. - avoid inflating the cuff too tightly, as this can damage the material and lead to inaccurate readings. - clean the cuff regularly according to the manufacturer's instructions. - use a cuff that is the appropriate size for the patient. @topic:5


# # # issue - battery failure # # # impact - monitor may not be able to operate without a working battery. - false readings or alarms may be generated due to malfunctioning battery. # # # possible causes - battery life has been exceeded. - battery has not been properly maintained. - battery has been damaged due to mishandling. # # # recommendations - replace battery with a new one of the correct type and specifications. - ensure that the battery is properly installed and connected. - follow the manufacturer's instructions for battery maintenance and replacement. - if the battery failure persists, contact the manufacturer or a qualified technician for further troubleshooting and repair. @topic:11


# # # issue - the cause of failure is not clear from the given input. # # # impact - the impact of the failure is not known. # # # possible causes - there could be a number of possible causes for the failure, including : - the technician may have made a mistake when changing the ac power cord. - the new ac power cord may be defective. - the medical device may be faulty. # # # recommendations - the technician should investigate the cause of the failure and take steps to correct the issue. this may include : - checking the connections of the ac power cord. - testing the new ac power cord. - troubleshooting the medical device. @topic:12


# # # issue monitor not linking to central system # # # impact - inability to monitor patient data centrally - delay in patient care # # # possible causes - problem with the server - incorrect ci address settings on the monitor - network connectivity issues # # # recommendations - verify the server is functioning properly - check and correct the ci address settings on the monitor - troubleshoot network connectivity issues @topic:16


# # # issue - * * the electrocardiogram ( ecg ) monitor is not displaying all of the lead signals. * * # # # impact - * * this can make it difficult for clinicians to accurately diagnose and treat patients. * * # # # possible causes - * * the lead wires may be damaged or loose. * * - * * the electrodes may be dirty or not making good contact with the patient's skin. * * - * * the monitor may be malfunctioning. * * # # # recommendations - * * inspect the lead wires and electrodes for damage or loose connections. * * - * * clean the electrodes and make sure they are making good contact with the patient's skin. * * - * * if the problem persists, the monitor may need to be replaced. * * @topic:18


# # # issue - cuff bp not reading values # # # impact - inability to monitor patient's blood pressure, leading to potential delays in treatment and adverse outcomes. # # # possible causes - cuff bp is damaged or deteriorated - air leak in the cuff or tubing - sensor malfunction - software issue # # # recommendations - * * replace cuff bp : * * if the cuff is visibly damaged or deteriorated, replace it with a new one. - * * inspect for air leaks : * * check the cuff, tubing, and connections for any leaks. seal any leaks with appropriate tape or connectors. - * * test sensor : * * use a test kit or follow the manufacturer's instructions to test the functionality of the sensor. replace the sensor if it is defective. - * * update software : * * contact the manufacturer or vendor to check for any software updates that may resolve the issue. - * * calibrate equipment : * * ensure that the equipment is calibrated regularly according to the manufacturer's specifications. @topic:14


# # # issue - equipment not turning on # # # impact - the medical cart cannot be used, which could delay patient care. # # # possible causes - the equipment may have overheated due to continuous use, causing it to shut down. # # # recommendations - allow the equipment to cool down for a short period before attempting to use it again. - if the equipment still does not turn on, contact the manufacturer or a qualified technician for further assistance. @topic:13


# # # issue - electric bed's knee adjustment is not functioning. # # # impact - patient discomfort and difficulty in positioning. - delays in patient care and procedures. # # # possible causes - loose wiring or connections - malfunctioning knee actuator or motor - faulty control panel or software # # # recommendations 1. * * check wiring and connections : * * ensure that all cables and connectors are securely attached and not frayed or damaged. tighten any loose connections. 2. * * inspect knee actuator : * * examine the knee actuator for any visible signs of damage or wear. check for proper lubrication and ensure that the gears are functioning smoothly. 3. * * test control panel : * * verify that the control panel is responding to commands correctly. check for any loose buttons or faulty displays. 4. * * update software : * * if available, install the latest software update for the bed, as it may resolve any software - related issues affecting knee adjustment. 5. * * contact manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for technical support and potential repair or replacement of faulty components. # # # additional notes - ensure that the bed is properly calibrated according to the manufacturer's guidelines. - regularly inspect and maintain the bed to prevent future failures. - keep a record of any maintenance or repairs performed on the bed for future reference. @topic:9


# # # issue - worn cuff # # # impact - vital signs ( blood pressure ) may be inaccurate # # # possible causes - the cuff is old and has been used frequently. - the cuff has been damaged. # # # recommendations - replace the cuff. - inspect the cuff regularly for signs of damage. @topic:3


# # # issue - nibp ( non - invasive blood pressure ) is not working. # # # impact - inability to accurately monitor patient's blood pressure, which is crucial for managing health conditions and making clinical decisions. # # # possible causes - * * faulty sensor : * * the pressure sensor used to measure blood pressure may be malfunctioning or damaged. - * * electrical issues : * * wiring or connections may be loose or faulty, causing intermittent or complete failure of the nibp function. - * * software errors : * * bugs or glitches in the monitor's software may disrupt the nibp functionality. - * * clogged tubing : * * tubes used to transmit air pressure may be blocked, preventing accurate pressure readings. - * * calibration issues : * * the nibp module may require calibration to ensure accurate measurements. # # # recommendations - * * inspect sensor : * * check the pressure sensor for any visible damage or debris that could interfere with its operation. - * * examine wiring : * * inspect all wiring and connections for loose or broken wires, and ensure they are securely attached. - * * update software : * * check for any available software updates from the manufacturer that may address nibp issues. - * * clean tubing : * * disconnect and clean the tubing used for pressure measurement, removing any blockages or obstructions. - * * calibrate device : * * perform a calibration procedure according to the manufacturer's instructions to ensure accurate readings. - * * consult manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further technical support or guidance on specific troubleshooting measures. @topic:15


* * issue : * * broken head jack on hospital bed * * impact : * * the hospital bed may not be able to be used, which could delay or cancel patient care. * * possible causes : * * * the head jack may have been damaged by a patient or staff member. * the head jack may have been defective or of poor quality. * the head jack may have been installed incorrectly. * * recommendations : * * * replace the head jack with a new one. * inspect the head jack for any damage or defects before installing it. * ensure that the head jack is installed correctly according to the manufacturer's instructions. * educate staff on the proper use of the head jack. * purchase head jacks from a reputable manufacturer. @topic:1


# # # issue - face of the machine was black out # # # impact - bme could not use the device # # # possible causes - the machine automatically blacks out because of no user interacted with it over 30 minutes. # # # recommendations - user should interact with the device over 30 minutes in order to prevent the machine from automatically blacking out. @topic:13


# # # issue : - unable to adjust equipment # # # impact : - the equipment cannot be used for its intended purpose. # # # possible causes : - * * mechanical failure : * * the adjustment mechanism may be broken or jammed. - * * electrical failure : * * the electrical components responsible for adjusting the equipment may have failed. - * * improper configuration : * * the equipment may not have been configured correctly for adjustment. - * * human error : * * the technician may have made an error during the adjustment procedure. # # # recommendations : - inspect the adjustment mechanism for any damage or obstructions. - check the electrical connections and wiring for any loose or faulty components. - review the equipment's user manual for proper configuration instructions. - if the issue persists, consult a qualified biomedical engineer for further troubleshooting and repair. @topic:12


# # # issue - cuff has degraded due to age # # # impact - inaccurate blood pressure readings - potential harm to patient if blood pressure is not monitored accurately # # # possible causes - cuff was not properly maintained - cuff was used too frequently - cuff was exposed to extreme temperatures or humidity # # # recommendations - replace the cuff with a new one - inspect the cuff regularly for signs of wear and tear - store the cuff in a cool, dry place - follow the manufacturer's instructions for use and maintenance @topic:3


is part of the system. • ensure that any functional connections between parts of the medical electrical system are isolated by a separation device according to lec / en 60601 - 1 - 1 or lec / en 60601 - 1 + a1 ed. 3 clause 16 to limit increased equipment leakage currents caused by current flow through the signal connections where necessary ( e. g. leakage current coming from non - medical electrical equipment into medical electrical equipment or building ground voltage differences providing leakage current through grounded data cables ). this only works if the equipment leakage current of the respective medical electrical system parts is not exceeded under normal conditions. this isolation is especially important where the non - medical electrical equipment leakage currents can pass to the medical electrical equipment in the system or building ground voltage differences can pass to the medical electrical equipment via ground in a data cable connection in the system • avoid increase of equipment leakage currents when non - medical electrical equipment within the medical electrical system is used. this only applies when if the equipment leakage current of the respective medical electrical system parts is not exceeded under normal conditions. use of an additional protective earth connection, separation device or additional non - conductive enclosures are options that can prevent a problem. • within the patient environment it is important to limit electrical potential differences between different parts of a system. if necessary, use potential equalization equipment ( equipotential cable ) or additional protective earth connections. • medical electrical equipment used in medical rooms must be connected to potential equalization equipment ( equipotential cable ) to avoid electrical potential differences. check your local requirements for details. required protective measures at system instaiiation for any it equipment ( iec60950 - 1 ) operated in the patient environment ensure that the equipment leakage current does not exceed the limits described in lec 60601 - 1. use a separation device to ensure compliance. after installation of it @topic:10


# # # issue the electric bed's remote control is not functioning correctly, specifically with the up and down adjustments. # # # impact patients may be unable to adjust the bed to their desired position, which can impact their comfort and mobility. # # # possible causes * * * faulty remote control : * * the remote control may have malfunctioned or sustained damage, preventing it from sending signals to the bed. * * * loose or disconnected wiring : * * the wiring between the remote control and the bed may be loose or disconnected, disrupting the signal transmission. * * * software glitch : * * a software issue within the bed's control system may be interfering with the remote control's functionality. # # # recommendations * * * inspect the remote control : * * check the remote control for any visible damage or loose buttons. replace it if necessary. * * * check wiring connections : * * verify that the wiring harness between the remote control and the bed is properly connected and secure. * * * reset the bed's control system : * * turn off the bed, wait a few minutes, and then turn it back on. this may reset the system and resolve any software glitches. * * * contact the manufacturer : * * if the issue persists, reach out to the manufacturer for technical support and possible repairs. @topic:7


# # # issue - monitors spo2 cannot measure values # # # impact - inability to monitor patient's oxygen saturation levels, which is essential for patient safety # # # possible causes - malfunctioning of the spo2 sensor - loose or damaged spo2 cables or connections - problems with the monitor itself # # # recommendations - replace the spo2 sensor - check the integrity of all spo2 cables and connections - restart the monitor or perform a factory reset if necessary @topic:4


# # # issue : - central monitor is unable to print. # # # impact : - inability to print patient information, waveforms, and other critical data. - delay in medical decision - making and patient care. # # # possible causes : - * * hardware failure : * * - faulty print head - loose or disconnected cables - malfunctioning printer mechanism - * * software issues : * * - print driver errors - corrupted software - communication issues with the central station - * * user error : * * - incorrect print settings - improper paper loading - * * other : * * - paper tray empty - ink cartridge empty or depleted # # # recommendations : * * troubleshooting steps : * * 1. * * check the paper tray : * * ensure that there is sufficient paper and that it is correctly loaded. 2. * * check the ink cartridge : * * replace the ink cartridge if it is empty or depleted. 3. * * restart the central monitor : * * power it off and then back on to reset the system. 4. * * verify print settings : * * ensure that the correct printer and paper size are selected in the print driver settings. 5. * * check cables and connections : * * inspect all cables and connections between the central monitor, printer, and computer to ensure they are secure and intact. 6. * * update software : * * check if there are any pending software updates for the central monitor or printer and install them. 7. * * contact technical support : * * if the issue persists after troubleshooting, seek assistance from the manufacturer's technical support team. * * preventive measures : * * 1. regularly perform preventive maintenance on the central monitor to identify and address potential issues. 2. keep software and firmware up to date to ensure optimal performance. 3. train users on proper operation and maintenance procedures to minimize user errors @topic:28


# # # issue the intellivue mp70 bedside physiologic monitor cannot measure blood pressure. # # # impact - the nursing staff cannot obtain accurate blood pressure readings from the patient. - this can lead to delays or errors in diagnosis and treatment. # # # possible causes - the blood pressure transducer is not connected properly. - the blood pressure transducer is faulty. - the monitor's software is not configured correctly. - the monitor is not receiving power. # # # recommendations - check the connection of the blood pressure transducer. - replace the blood pressure transducer. - reconfigure the monitor's software. - ensure that the monitor is receiving power. @topic:15


* * issue : * * monitor not functioning properly * * impact : * * patient monitoring may be compromised. * * possible causes : * * - faulty wiring or cable connection - malfunctioning hardware or software - software compatibility issues - power supply problems * * recommendations : * * - check and ensure proper wiring and cable connections. - perform a thorough hardware and software diagnostic test. - update software if necessary. - check power supply for any fluctuations or outages. # # # additional considerations for biomedical engineers : - * * specific cause of failure : * * broken white cable - * * steps taken : * * inspected and replaced broken cable, confirmed functionality - * * additional notes : * * - consider the age and condition of the monitor and its components. - regularly inspect and maintain equipment to prevent future failures. - document all troubleshooting steps and repairs for future reference. - consult with the manufacturer or biomedical engineering team if necessary. @topic:2


timely preventive maintenance to minimize future failures. @topic:12


# # # issue - battery failure # # # impact - the suresigns vs4 monitor may not be able to power on or maintain power, which could lead to inaccurate or interrupted patient monitoring. # # # possible causes - the battery has reached the end of its lifespan and needs to be replaced. - the battery may have been damaged due to improper handling or storage. # # # recommendations - regularly check and replace batteries as recommended by the manufacturer. - use only genuine batteries specifically designed for the suresigns vs4 monitor. - store batteries in a cool, dry place and avoid exposing them to extreme temperatures. @topic:11


445 - 3720 with the following information : • customer account number • purchase order number • product number • serial number • part number ( s ) to promptly order parts, request part prices and availability, or follow up on a service order, use the following hill - rom fax number : ( 812 ) 934 - 8472 terms : • net 30 days • f. o. b. batesville, in • prepaid shipping charges added to invoice • all orders shipped ground transportation unless specified address all inquiries to : attn technical support — parts hill - rom company, inc. 1069 state route 46 e batesville in 47006 - 9167 address all return goods to : attn service stores distribution center door d23 hill - rom company, inc. county road 300e batesville in 47006 - 9167 note : to eliminate possible delays or incorrect billings, do not return any items without a return material authorization ( rma ) number. when a return is requested, an rma packet is included with each order. this packet includes an rma number, instructions, and a shipping label. if an rma number is not available, obtain one by phoning hill - rom technical support at ( 800 ) 445 - 3720. page 5 - 2 careassist® and careassist® es bed service manual ( man330 rev 4 ) exchange policy chapter 5 : parts list exchange policy the following are policies for in - warranty and out - of - warranty exchanges from hill - rom. in - warranty exchanges in some cases, hill - rom will request that parts / products be returned for inspection. when this occurs, you are expected to return parts / products within 30 days of receipt of the exchange part. if you fail to return the inoperative parts / products within the 30 day period, hill - rom will @topic:9


# # # issue - * * no graph displayed * * # # # impact - inability to monitor patient's vital signs. # # # possible causes - * * faulty connection : * * the physiologic monitor may not be properly connected to the patient's body, resulting in no data being transmitted. - * * malfunctioning module : * * the module responsible for displaying graphs may be faulty or not properly installed. - * * software error : * * a software bug may prevent the device from displaying graphs correctly. - * * hardware issue : * * a hardware component responsible for graph display may have failed. # # # recommendations - * * check connections : * * ensure that the physiologic monitor is properly connected to the patient's body and that the connections are secure. - * * reseat module : * * remove and reinsert the module suspected to be causing the issue. - * * update software : * * if a recent software update was installed, try rolling back to a previous version to determine if the software is the cause. - * * contact manufacturer : * * if none of the above solutions resolve the issue, contact the manufacturer for further troubleshooting and potential repair. @topic:22


# # # issue the " bed, electric " manufactured by paramount bed ( model : metis ) experienced a failure that prevented it from opening. # # # impact the failure of the bed prevented the patient from being moved or repositioned. # # # root cause - * * defective control box * * - * * loose connections * * - * * software glitch * * # # # common causes - * * electrical faults * * - * * mechanical problems * * - * * user error * * # # # recommendations * * troubleshooting steps : * * 1. check the power supply and make sure the bed is plugged in. 2. inspect the control box for any loose connections or damage. 3. try resetting the bed by unplugging it for a few minutes and then plugging it back in. 4. if the bed still does not open, contact the manufacturer for further assistance. 5. * * inspect the control box * * for any loose connections or damage. 6. * * reset the bed * * by unplugging it for a few minutes and then plugging it back in. 7. * * contact the manufacturer * * for further assistance if the problem persists. * * preventive measures : * * 1. * * regular maintenance * * and inspections of the bed can help prevent failures. 2. * * proper training * * of staff on the use and care of the bed can reduce the risk of user error. 3. * * having a backup bed available * * can minimize the impact of a failure. * * additional notes : * * - the cause of failure should be thoroughly investigated to prevent recurrence. - the bed should be tested after repairs to ensure proper functionality. - documentation of the failure and repairs should be kept for future reference. @topic:9


# # # issue - the bedside physiologic monitor is not taking accurate readings. # # # impact - this could lead to inaccurate patient monitoring, which could have serious consequences. # # # possible causes - the spo2 sensor may be malfunctioning. - the spo2 sensor may not be properly attached to the patient. - the monitor may not be properly calibrated. # # # recommendations - check the spo2 sensor for any damage or defects. - make sure that the spo2 sensor is properly attached to the patient's finger or toe. - calibrate the monitor according to the manufacturer's instructions. @topic:4


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


# # # issue the spo2 cable failed due to deterioration over time. # # # impact the patient's vital signs cannot be accurately monitored, which could compromise their safety. # # # possible causes - the cable is old and has been used extensively. - the cable has been damaged due to improper handling or storage. - the cable is not compatible with the monitor. # # # recommendations - regularly inspect spo2 cables for signs of wear and tear. - replace spo2 cables according to the manufacturer's recommendations. - ensure that spo2 cables are properly stored and handled. - use only compatible spo2 cables with the appropriate monitor. @topic:4


# # # issue - the lcd monitor is flickering. # # # impact - the flickering can be distracting and annoying for patients and staff. - it can also make it difficult to read the information displayed on the monitor. # # # possible causes - * * faulty backlight : * * the backlight is responsible for illuminating the lcd panel. if the backlight is faulty, it can cause the monitor to flicker. - * * loose connections : * * the flickering can also be caused by loose connections between the monitor and the computer or power supply. - * * software issues : * * in some cases, the flickering can be caused by software issues. # # # recommendations - * * replace backlight : * * if the backlight is faulty, it will need to be replaced. - * * check connections : * * make sure that all the connections between the monitor and the computer or power supply are secure. - * * update software : * * if the flickering is caused by software issues, try updating the software. @topic:2


: 165 ±15 mmhg initial cuff inflation pressure pedi : 130 ±15 mmhneo : 100 ±15 mmhadult / pedi : 300 mmheo : 150 mmhg maximum cuff pressure 1 min, 2 min, 2. 5 min, 3 min, 10 min, 15 min, 20 min, 30 min, 45 min, 1h, 2h, auto mode repetition times stat mode cycle time 5 minutes 482 40 specifications nbp performance specifications inflation pressure dult 20 to 120 mmhg ( 3 to 16 kpa ) pediatric 20 to 80 mmhg ( 3 to 11 kpa ) 20 to 50 mmhg ( 3 to 7 kpa ) 170 seconds neonatal dult / pediatriautomatic deflation after neonatal 85 seconds measurement validation : in adult and pediatric mode, the blood pressure measuremewith 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 auscultatory measurements ( depending on the configuration ) in a representative patient population. for the auscultatory reference the 5th korotkoff sound was used to determine the diastolic in neonatal mode, the blood pressure measurements determined with this device comply with the american national standard for electronic or automated sphygmomanometers ( ansi / aami sp10 - 1992 and aami / ansi sp10a - 1996 ) in relation to mean error and standard deviation, when compared to intra - arterial measurements in a representative patient population. nbp alarm specifications systolic djustment angadult : 30 to 270 mmhg ( 4 to 36 kpa ) pedi : 30 to 180 mmhg ( 4 to 24 kpa ) neo : 30 to 130 mmhg ( 4 to 17 kpa ) adult @topic:17


you insert the probe / catheter and perform a calibration. although the warmup message disappears from the screen after one minute, it is preferable to let the optical module warm up for 10 minutes for best accuracy. 2 position the optical module to avoid contact with liquids. fluid entering the catheter - optical module connection will impair measurement performance. 3 place the optical module on the catheter tray in the space provided and open the lid. 4 for instructions on the placement of fiber optic catheters / probes, refer to the documentation provided with the accessory. after insertion the s0 2 probe / catheter is thin and flexible, treat it carefully. avoid kinking, bending or grasping the probe / catheter with forceps or a hemostat. damage to the fiber results in low intensity light and a sudden decrease in intensity readings. refer to the documentation provided with the fibre - optic probe / catheter, paying special attention to any precautions, warnings or contraindications. secure the optical module directly attached or in close proximity to the patient, to avoid placing excessive tension on the catheter, which would result in movement of the catheter tip from the optimal position in the patient. you must perform an in - vivo calibration once the probe / catheter is in place. the probe / catheter should be replaced after it has been in place for 72 hours. caution do not apply excessive tension to any sensor cable or part of the catheter. 246 preparing to monitor with the ml oil a narrow module 17 monitoring intravascular oxygen saturation performing in - vivo calibration perform an in - vivo calibration : • when you place the catheter in a patient. • if the catheter was disconnected from the optical module. • when the catheter has been in the patient for 24 hours. @topic:17


# # # issue the cuff on the philips suresigns vs2 + vital signs monitor is degraded, resulting in inaccurate blood pressure readings. # # # impact accurate blood pressure readings are essential for monitoring a patient's health and making informed clinical decisions. a degraded cuff can lead to inaccurate readings, which can potentially compromise patient safety. # # # possible causes the cuff can degrade over time due to factors such as : - wear and tear from repeated use - exposure to moisture or chemicals - improper storage or handling # # # recommendations to address this issue, the biomedical engineer should : - replace the degraded cuff with a new one. - ensure proper storage and handling of the cuff to prevent future degradation. - regularly inspect the cuff for signs of wear or damage. - calibrate the monitor according to manufacturer's specifications to ensure accurate readings. @topic:15


# # # issue - cuff leak # # # impact - inaccurate blood pressure measurements - potential for patient harm # # # possible causes - damaged cuff - improper cuff placement # # # recommendations - inspect the cuff for damage and replace if necessary - ensure the cuff is properly placed on the patient's arm @topic:3


# # # issue - equipment : vital signs monitor - model : philips suresigns vs2 - issue : unable to charge the device # # # impact - the device will not be able to be used for monitoring patients'vital signs. # # # possible causes - faulty power cord - loose connection between the power cord and the device - damaged electrical outlet - faulty battery # # # recommendations - inspect the power cord for any damage. if the cord is damaged, replace it. - ensure that the power cord is securely connected to both the device and the electrical outlet. - try using a different electrical outlet. - if the battery is faulty, replace it. @topic:11


# # # issue * the bed's legs cannot be adjusted ( up - down ). # # # impact * the patient may be uncomfortable or in pain if the bed cannot be adjusted to a comfortable position. * the bed may be unsafe if it cannot be adjusted to a stable position. # # # possible causes * the leg locks may be damaged or misaligned. * the leg motors may be damaged or not receiving power. * the control panel may be damaged or not sending the correct signals to the motors. # # # recommendations * inspect the leg locks for damage or misalignment. if damage is found, replace the leg locks. if misalignment is found, adjust the leg locks so that they are properly aligned. * inspect the leg motors for damage or loose connections. if damage is found, replace the leg motors. if loose connections are found, tighten the connections. * inspect the control panel for damage or loose connections. if damage is found, replace the control panel. if loose connections are found, tighten the connections. @topic:1


# # # issue - cuff leak on philips suresigns vs2 vital signs monitor # # # impact - inaccurate blood pressure readings - potential for patient harm if incorrect blood pressure readings are used to make clinical decisions # # # possible causes - wear and tear on cuff - damage to cuff during use or storage - cuff not properly seated on patient's arm # # # recommendations - replace cuff with a new one - regularly inspect cuff for signs of wear and tear - ensure cuff is properly seated on patient's arm before taking blood pressure reading @topic:14


label. 395 timer setup pop - up keys when you open the timers window and select a timer, then select the setup key, the setup opens and a selection of pop - up keys appear to let you activate and control the timers. indowhen selecting this pop - up key lets you.... pop - up keys start stop the timer, allowing either restarting after a pause ( start key ) or clearin ( clear key ). stop clear the timer, ending this timer episode. clear return to the timer window showing all active timers timers the timer type, display color of the timer and whether a window automatically pops up on expiry are uration mode for each timer label. the remaining timer settings can be made in monitoring mode. if you change settings when a timer is running it will not be stopped. the timer will continue to count but the new settings will be applied. to display the setup window for a timer, in the timers window, select the required timer, then select the setup key or • select a timer on the screen then select setup timers. • you can select from a variety of specific labels, for example tourniquet, infus, docu or from four non - specific labels timera, timerb, timerc, and timerd. when you assign a label to a timer, the monitor automatically applies the associated configuration settings to this timer, but the timer continues counting and is not reset. to select a label, in the timers window : 1 select the required timer and display the setup window. select label. 2 3 run time the run time can be set between 1 minute and 96 hours. no limit timers have no run time. 1 select the required timer and display the setup window. select run time. 2 3 timer counting direction imers can count up or down, showing elapsed time or remaining time. @topic:8


# # # issue : - non - functioning electric bed. # # # impact : - inability to adjust the bed's position, which can impact patient comfort, safety, and clinical care. # # # possible causes : - * * control box failure : * * the device's control box is responsible for receiving and executing commands to adjust the bed's position. if the control box fails, the bed will not respond to any commands. # # # recommendations : - replace the control box with a new one, as instructed by the manufacturer. - ensure that the new control box is compatible with the bed model and has been properly installed. - test the bed thoroughly after replacing the control box to verify its functionality. - consider procuring a backup control box or bed to minimize downtime in case of future failures. @topic:1


# # # issue - biomedical engineering ( bme ) technician observed cuff for blood pressure ( bp ) monitor is broken and cause vital sign monitor malfunction. # # # impact - patient's bp cannot be accurately measured, which can lead to incorrect diagnosis and treatment. # # # possible causes - cuff is torn or damaged due to wear and tear. - cuff is not properly attached to the monitor. - cuff is not the correct size for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly attached to the monitor. - use the correct size cuff for the patient. @topic:5


# # # issue - equipment : monitors, patient transport - band : philips - model : intellivue x2 ( m3002a ) - description : battery failure due to end of life. # # # impact - device may not be able to power on or operate properly during transport. # # # possible causes - battery has reached the end of its lifespan. # # # recommendations - replace the battery with a new one. - monitor the battery health regularly and replace it before it reaches the end of its lifespan. @topic:11


# # # issue - equipment : monitors, physiologic, vital signs - band : philips - model : suresigns vs4 - issue : machine cannot scan patient's name and send vsm # # # impact - delay or inability to obtain patient data can impact patient care. # # # possible causes - bme received notification that the equipment is unable to scan patient names and send vsm. # # # recommendations - check for any loose connections or cables. - ensure that the equipment is properly configured and connected to the hospital network. - update the equipment's software if necessary. - if the issue persists, contact the manufacturer for further troubleshooting. @topic:22


# # issue - the medical cart's operating system is stuck on the " please wait " message. # # impact - the medical cart is not able to function properly. - this can lead to delays in patient care. # # possible causes - the medical cart's operating system is corrupted. - the medical cart's hard drive is failing. - the medical cart's motherboard is failing. # # recommendations - restart the medical cart. - if the medical cart does not restart, contact the manufacturer. - if the manufacturer is unable to fix the medical cart, it may need to be replaced. @topic:13


# # # issue - intermittent signal # # # impact - patient monitoring may be affected - alarm systems may not function properly - data may be lost # # # possible causes - loose connection in the signal cable - damaged signal cable - faulty signal amplifier - interference from other devices - software issue # # # recommendations - inspect the signal cable for loose connections or damage - replace the signal cable if necessary - check the signal amplifier for proper function - identify and eliminate any sources of interference - update the software if necessary @topic:16


# # # issue * the monitor is not charging. # # # impact * the monitor cannot be used for patient transport. # # # possible causes * the charger is not functioning properly. * the charging port on the monitor is damaged. * the battery in the monitor is dead. # # # recommendations * check the charger to make sure that it is functioning properly. * inspect the charging port on the monitor for any damage. * replace the battery in the monitor. * reflash monitor * if the above steps do not resolve the issue, the monitor may need to be serviced by a qualified technician. @topic:11


# # # issue - water tap has excessive water volume # # # impact - risk of alarm activation # # # possible causes - water tap is faulty # # # recommendations - replace water tap @topic:26


# # # issue - sudden shutdown of the xltek protektor 64 channel intraoperative neurophysiology monitor during a surgical procedure. # # # impact - interruption of real - time monitoring of the patient's neurological function during surgery, potentially compromising patient safety. - delay in surgery and potential scheduling conflicts. - loss of data if the monitor was not properly shut down before the power outage. # # # possible causes - electrical surge due to the use of a power strip and subsequent electrical spark. # # # recommendations - avoid using power strips or extension cords to connect medical equipment, especially in critical care areas. - ensure proper electrical grounding of all medical equipment. - provide adequate electrical surge protection for all critical medical equipment. - establish a clear protocol for handling power outages and equipment failures during surgical procedures. - train medical staff on the proper use and maintenance of medical equipment, including proper shutdown procedures. - consider investing in redundant monitoring systems to minimize the impact of equipment failures during critical procedures. @topic:12


* * issue : * * cuff and velcro straps are damaged. * * impact : * * the monitor cannot accurately measure vital signs. * * possible causes : * * * * * normal wear and tear : * * cuffs and velcro straps can become damaged over time due to repeated use and cleaning. * * * improper use : * * cuffs and velcro straps can be damaged if they are not used or stored properly. for example, they may be folded or twisted in a way that damages the material. * * * manufacturing defect : * * in rare cases, cuffs and velcro straps may be damaged due to a manufacturing defect. * * recommendations : * * * * * inspect cuffs and velcro straps regularly : * * check for any signs of damage, such as tears, cracks, or fraying. replace any damaged parts immediately. * * * use and store cuffs and velcro straps properly : * * follow the manufacturer's instructions for using and storing cuffs and velcro straps. avoid folding or twisting them in a way that could damage the material. * * * purchase high - quality cuffs and velcro straps : * * choose cuffs and velcro straps that are made from durable materials and are designed to withstand repeated use and cleaning. * * * consider using disposable cuffs : * * disposable cuffs can be a good option for reducing the risk of damage and contamination. @topic:5


# # # issue > broken remote casing # # # impact > - difficulty in using the remote control > - potential for further damage to the remote or the bed # # # possible causes > - accidental damage > - wear and tear > - manufacturing defect # # # recommendations > - replace the broken casing > - inspect the remote for any other damage > - check the bed for any potential hazards or damage caused by the broken casing > - train staff on proper handling and maintenance of the remote control and the bed > - consider using a protective cover for the remote control to prevent future damage @topic:7


setting in the general recording setup window defines how every recorded ecg wave, irrespective of template or recording type, will appear on the recorder strip. this does not affect the displayed ecg wave, or printed ecg reports. to change the ecg gain setting for recordings, 1 in the setup recording menu select general 2 select ecg gain. 3 select the required setting : - auto : the wave recording will use the same scale as the ecg wave on the monitor screen - 5 mm / mv, 10 mm / mv, 20 mm / mv : the wave recording will use a scale of 5, 10, or 20 millimeters per millivolt. 325 26 recording recording priorities recording priorities manually - started recordings have priority over automatically - started recordings. if an automatically - triggered alarm recording is running, and a realtime or delayed recording is manually started, the alarm recording is stopped and the manually - requested recording is started. more recent manually - started recordings have priority over older manually - started recordings. if a manually - started recording is running, and another manually - started recording is triggered, then the older recording is stopped and the more recent manually - started recording is started. alarm recordings are prioritized according to alarm priority. if an alarm recording triggered by a yellow alarm is running and a new alarm recording is triggered by a red alarm, the yellow alarm recording is stopped and the red alarm recording is started. sample recording strip the information printed on the recording strip includes the patient name and mrn, bed number, date and time of recording, recording speed, and recording code. active alarm and inop messages as well as numerics for all currently monitored measurements are also printed. recording strip annotations are printed at the beginning of the recording strip and updated at regular intervals, every 15 minutes for recordings made at speeds lower than 6. 25 mm / s, and every 60 seconds for @topic:8


# # # issue - bedside rail knob loose. # # # impact - patient may fall out of bed. # # # possible causes - loose nut on knob. # # # recommendations - tighten nut on knob. @topic:6


# # # issue - the medical cart cannot connect to the hardware. # # # impact - the medical cart cannot be used for its intended purpose. # # # possible causes - the med driver is not running automatically. - the med driver is not installed correctly. - the hardware is not connected properly. - the hardware is faulty. # # # recommendations - restart the med driver. - reinstall the med driver. - check the hardware connections. - replace the hardware. @topic:13


##tour calculation for cco is below 0 mmhg or above 300 mmhg. cco pulse overrang numeric is replaced by inop tone c. o. the pulse rate of the pressure used for pulse contour calculation for cco is below 30 bpm or above 240 bpm. cco / tbl no transd numeric is replaced by -? - inop tone c. o. no transducer attached to the module or catheter disconnected. cco recalibrate numeric is replaced by c. o. the most recent cco or cci calibration was made over 8 hours ago or the arterial pressure measurement used for cco calculation has been zeroed after the cco calibration was performed. you should recalibrate cco or cci with transpulmonary c. o. measurements at least every 8 hours or when the hemodynamic condition of the patient has changed. the pressure measurement must be zeroed before a cco calibration. 81 4 patient alarms and inops technical alarm messages ( inops ) inop message, indication source what to do central : tele only inop tone monitor system connectivity via telemetry device is limited ( no alarms, only local numerics ) when in companion mode and host monitor does not have system connectivity. only telemetry device parameters can be displayed at central station. charge batt1 / batt2 now inop tone batteries battery must be charged. connect the monitor to mains power or exchange the battery. charger malfunc inop tone, battery led may flash batteries there is a problem with the battery charger in the monitor. connect the monitor to mains power and contact your service personnel. check alarm lamps inop tone. monitor perform a visual check of the alarm lamp to establish whether there is a problem. contact your service personnel to check the @topic:17


# # # issue - spo2 cable failure # # # impact - inability to accurately monitor patient's oxygen saturation levels # # # possible causes - physical damage to the cable, such as cuts or crimps - loose or damaged connectors - internal electrical failure # # # recommendations - inspect the spo2 cable for any visible damage. - ensure that the connectors are securely attached to both the monitor and the patient's finger. - if the cable is damaged, replace it with a new one. - test the spo2 cable with a known - good monitor to confirm that it is functioning properly. @topic:4


# # # issue - vital signs monitor is displaying abnormally high blood pressure readings. # # # impact - this could lead to incorrect patient assessments and treatment decisions. # # # possible causes - * * malfunctioning sensor : * * the sensor responsible for measuring blood pressure could be faulty, leading to inaccurate readings. - * * battery issue : * * a low battery can affect the monitor's performance, including the accuracy of blood pressure readings. - * * software glitch : * * a software error could cause the monitor to display incorrect readings. # # # recommendations - * * calibrate the equipment : * * recalibrate the vital signs monitor to ensure accurate readings. - * * replace the battery : * * if the battery is below 85 %, replace it with a new one to ensure optimal performance. - * * check for software updates : * * contact the manufacturer to inquire about any available software updates that may address the issue. - * * contact technical support : * * if the issue persists after following these recommendations, contact the manufacturer's technical support team for further assistance. @topic:15


# # # issue - the remote control of the bed, electric, model contoura 360 from huntleigh is malfunctioning, causing the bed to be inoperable. # # # impact - patients may be unable to adjust the bed's position, which can lead to discomfort, pain, and delayed recovery. - healthcare providers may be unable to properly position patients, which can hinder treatment and diagnostic procedures. # # # possible causes - * * electrical issue : * * the remote control may not be receiving power due to a faulty connection, damaged wiring, or a malfunctioning power supply. - * * mechanical issue : * * the remote control's buttons or switches may be worn or broken, preventing proper signal transmission. - * * software issue : * * a glitch or bug in the remote control's software may be causing it to malfunction. - * * radio interference : * * other electronic devices in the hospital environment may be interfering with the remote control's radio signal. # # # recommendations - * * troubleshooting : * * - check the power connection to the remote control and ensure it is securely plugged in. - inspect the wiring leading to the remote control for any damage or loose connections. - verify that the power supply is functioning properly. - * * mechanical inspection : * * - examine the buttons and switches on the remote control for any signs of damage or wear. - clean any dirt or debris that may be interfering with their function. - * * software update : * * - if possible, check for any available software updates for the remote control and install them. - * * radio frequency scanning : * * - use a radio frequency scanner to identify any potential sources of interference and move them away from the remote control's operating range. - * * replacement : * * - if none of the above measures resolve the issue @topic:7


# # # issue - hanging bracket of the charging dock is broken. # # # impact - the charging dock may not be able to securely hold the medical device, which could lead to damage to the device or injury to the patient. - the medical device may not be able to be charged, which could lead to downtime and inconvenience. # # # possible causes - the hanging bracket may have been damaged due to improper handling or excessive force. - the hanging bracket may have been made from a material that is not strong enough to withstand the weight of the medical device. - the hanging bracket may have been installed incorrectly. # # # recommendations - inspect the hanging bracket for damage and replace it if necessary. - use caution when handling the medical device to avoid damaging the hanging bracket. - ensure that the hanging bracket is installed correctly. - consider using a different type of hanging bracket that is made from a more durable material. @topic:11


wheel, 4 - 32 leds, 4 - 34 nbp module, 3 - 13 nurse call relay, 3 - 20 pneumatic leakage, 3 - 16 power on, 3 - 11 speaker, 4 - 31 spo,, 3 - 13 temperature, 3 - 16 testing and inspection guidelines, 3 - 1 tests performing, overview, 3 - 9 recommended frequency, 3 - 2 recording results, 3 - 3 theory of operation block diagram, a - 1 communications board, a - 3 front panel assembly, a - 5 main board, a - 3 monitored temperature, a - 6 navigation wheel, a - 5 nbp assembly, a - 3 nurse call, contacts, a - 5 power management, a - 4 power supply, a - 4 predictive temperature, a - 6 recorder, a - 5 speaker, a - 4 spo ) processing, a - 6 wireless module, a - 6 tools required for repairing monitors, 5 - 2 troubleshooting ac power, 4 - 6 audible alarms, 4 - 7 diagnosing problems, 4 - 3 leds, 4 - 6 nbp, 4 - 8 nurse call, 4 - 11 recorder, 4 - 10 spo, readings, 4 - 9 temperature measurement problems, 4 - 9 usb hub, 4 - 11 index - 3 suresigns vs2 * and vsi service guide u usb hub, troubleshooting, 4 - 11 v verification tests alarms, 3 - 12 nbp accuracy, 3 - 14 nbp, calibration, 3 - 15 nurse call relay, 3 - 20 performing, 3 - 9 pneumatic leakage, 3 - 16 power - on self test, 3 - 11 predictive temperature, 3 - 16 safety, 3 - 17 spo,, 3 - 13 temperature, 3 - 17 visual, 3 - 11 viewing battery information, 2 - 2 error log, @topic:19


# # issue - the bed alarm cord is broken and cannot be used. # # impact - patients may not be able to call for help if they need it. - this could lead to serious injuries or even death. # # possible causes - the cord may have been damaged due to wear and tear. - the cord may have been chewed by rodents. - the cord may have been pinched or cut by furniture or equipment. # # recommendations - replace the bed alarm cord immediately. - inspect the cord regularly for damage. - protect the cord from damage by routing it away from furniture and equipment. @topic:26


# # # issue - cuff leak # # # impact - inaccurate blood pressure measurements - patient discomfort - delays in patient care # # # possible causes - damaged cuff - loose cuff connections - improper cuff placement - worn or damaged cuff bladders # # # recommendations - replace the cuff with a new one - inspect cuff connections for looseness - ensure proper cuff placement on the patient's arm - calibrate the monitor after replacing the cuff @topic:3


# # # issue the wheels on the philips suresings vs2 monitor are not working, preventing the device from being moved. # # # impact the monitor cannot be moved to a different location, which could delay or prevent patient care. # # # possible causes - the wheels may be damaged or broken. - the wheel bearings may be worn or damaged. - the wheel locks may be engaged. - the floor may be uneven or obstructed. # # # recommendations - inspect the wheels for damage or breakage. - check the wheel bearings for wear or damage. - disengage the wheel locks. - ensure that the floor is even and free of obstructions. - if the issue persists, contact a qualified biomedical engineer for further troubleshooting and repair. @topic:24


# # # issue - bed adjustment difficulties # # # impact - compromised patient care and comfort - reduced efficiency for healthcare providers # # # possible causes - deteriorated keypad buttons - frayed and broken keypad connecting wires # # # recommendations - replace the keypad with a compatible spare part. - inspect and replace any other damaged components or wiring as necessary. - schedule regular maintenance and inspections to prevent similar issues in the future. @topic:25


# # # issue low battery # # # impact the device may not function properly or may turn off unexpectedly. # # # possible causes - battery is worn out and needs to be replaced. - battery is not properly installed. - device is not charging properly. # # # recommendations - replace the battery with a new one. - ensure that the battery is properly installed. - check the device's charging cable and power supply. @topic:11


# # # issue - the device is out of service, preventing timely access to vital signs monitoring for patients. # # # impact - delayed or compromised medical care - increased risks to patient safety - reduced efficiency in clinical workflow # # # possible causes - * * battery failure : * * the battery may have reached the end of its useful life or may have experienced a sudden malfunction. - * * power supply issues : * * the device may not be receiving adequate power from the mains or from the battery backup. - * * software or hardware malfunction : * * a technical fault or software bug may have caused the device to stop functioning properly. # # # recommendations 1. * * check and replace battery : * * inspect the battery and replace it if necessary. ensure that the correct type and size of battery is used. 2. * * verify power supply : * * confirm that the device is properly connected to the mains and that the battery is fully charged. if necessary, check the power cord and power outlet for any damage. 3. * * troubleshoot malfunction : * * perform a thorough inspection of the device, including any visible damage or loose connections. if possible, run diagnostic tests to identify the specific cause of the malfunction. 4. * * contact manufacturer : * * if the cause of the failure cannot be identified or resolved in - house, contact the device manufacturer for technical support and possible repair. 5. * * keep up with maintenance : * * regularly scheduled maintenance and preventive checks can help identify potential issues early on and prevent unexpected failures. @topic:11


# # # issue - the bed's side rails are not consistently lifting up or down. # # # impact - this could be a hazard to the patient, as they could fall out of the bed if the side rails are not properly secured. # # # possible causes - the locking mechanism for the side rails may be damaged or misaligned. - the springs that assist in lifting the side rails may be broken or stretched out. - the lubrication on the side rails may be insufficient, causing them to stick. # # # recommendations - inspect the locking mechanism for damage or misalignment and repair or adjust as necessary. - replace any broken or stretched springs. - lubricate the side rails to ensure smooth operation. @topic:6


##ing a recording strip to a patient record or other patient documentation. 327 26 recording reloading paper reloading paper m1116b 1 use the latch on the right side of the recorder door to pull the door open. 2 remove the empty core. 3 insert a new roll so that it fits snugly into its housing and the paper end is feeding from the top. recommended paper : 40477a and 40477b. 4 pull out some paper and fold along the front edge at a 45° angle. this makes it easier to feed the paper under the roller as shown. 5 feed the paper through and pull some paper out from the top of the roller. 6 close the recorder door. 7 to test if paper is loaded correctly, start a recording. if no printing appears, paper may be loaded backwards. try reloading the paper. mp20 / mp30 1 2 3 4 use the latch on the right side of the recorder door to pull the door open. remove the empty core. insert a new roll and secure it in place on the paper holder. the paper feeds from the bottom of the roll and over the top of the recorder door. recommended paper : m4816a and m4817a. with at least one inch of paper extending beyond the edge of the door, swing the recorder door up and push it firmly closed. 5 to test if paper is loaded correctly, start a recording. if no printing appears, paper may be loaded backwards. try reloading the paper. caution when the recorder is disabled ( by removal from its slot, door open, or out of paper ), any alarm recordings will be sent to the central station recorder, if there is one. if no recorder is available, alarm recordings may be lost during the time the recorder is disabled. the message no alarm recording available will be displayed. this message is not shown if printer is configured as the alarm @topic:8


* * issue * * : cuff bp deterioration * * impact * * : inability to accurately measure blood pressure, potentially leading to incorrect patient care decisions. * * possible causes * * : * * * normal wear and tear * * : blood pressure cuffs can deteriorate over time due to frequent use and exposure to moisture. * * * incorrect usage * * : using the cuff improperly, such as over - inflating it, can damage the cuff. * * * environmental factors * * : extreme temperatures or humidity can affect the cuff's materials. * * * manufacturing defects * * : occasionally, cuffs may have manufacturing defects that make them prone to premature failure. * * recommendations * * : * * * regular inspection and maintenance * * : regularly inspect blood pressure cuffs for signs of wear and tear or damage. replace cuffs as recommended by the manufacturer. * * * proper usage * * : train staff on the correct usage of blood pressure cuffs, including proper inflation and deflation techniques. * * * environmental control * * : store and use cuffs in appropriate environmental conditions. * * * vendor selection * * : consider purchasing cuffs from reputable vendors with a track record of reliability. * * * training * * : provide training to staff on how to properly inspect and use blood pressure cuffs. @topic:3


* * issue : * * battery failure in philips intellivue mp5 ( m8105a ) patient transport monitor * * impact : * * device requires constant power connection, limiting portability and flexibility. * * possible causes : * * - * * battery degradation : * * batteries naturally degrade over time, reducing their capacity and lifespan. - * * excessive charging / discharging cycles : * * frequent charging and discharging can shorten battery life. - * * exposure to extreme temperatures : * * high or low temperatures can damage battery cells. - * * manufacturer defect : * * in rare cases, battery failures can occur due to manufacturing defects. * * recommendations : * * - * * replace the battery : * * install a new battery that meets the manufacturer's specifications. - * * monitor battery health : * * regularly check battery status and replace it as needed to prevent unexpected failures. - * * optimize charging habits : * * avoid overcharging or deep discharging by following recommended charging practices. - * * store equipment in a climate - controlled environment : * * protect batteries from extreme temperatures to prolong their lifespan. - * * consider preventative maintenance : * * schedule regular maintenance to inspect and replace aging components, including batteries. @topic:11


# # # issue - cuff missing # # # impact - inability to use the vital signs monitor # # # possible causes - the cuffs were not properly secured and fell off. - the cuffs were stolen. - the cuffs were damaged and discarded. # # # recommendations - ensure that the cuffs are properly secured before using the monitor. - keep the monitor in a secure location when not in use. - inspect the cuffs regularly for damage. - replace the cuffs if they are damaged or if they are no longer able to hold air. @topic:5


# # # issue - electrical bed ( beds, electric ) model centuris from hill - rom is not able to adjust up or down. # # # impact - the bed cannot be used for patient care. # # # possible causes - the control box is not working. # # # recommendations - the biomedical engineer ( bme ) has canceled the use of the bed. - a work order has been created for the repair. - the bed is currently located in room 4 on the 15d floor. - waiting for a quote from the vendor. @topic:1


, without sidecom® communication system 7 ( not shown ) 72781 1 pendant, with sidecom® communica¬ tion system careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 31 interface control box — a model beds chapter 5 : parts list interface control box — a model beds chapter 5 : parts list table 5 - 12. interface control box — a model beds item number part number quantity description 1 vi0601a 13 screw with confirmer 2 ca0021 1 bracket, lh, painted 3 71441 1 lid, junction box 4 5 vi0426 3 screw, plastic 6 71434 1 p. c. board, siderail interface 7 71667 1 p. c. board assembly, sidecom® communication system ( universal television ( utv ) junction ) 71793 1 sidecom® communication system pc. board ( five - wire ) 71791 1 sidecom® communication system pc. board ( wired radio ) 8 71440 1 junction box 9 71704 1 vertical seal, base bed 71705 1 vertical seal, communication 71552 1 vertical seal, sidecom® communication system models 10 ca0022 1 bracket, rh, painted careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 33 base frame — b and c model beds chapter 5 : parts list page 5 - 34 careassist® and careassist® es bed service manual ( man330 rev 4 ) base frame — b and c model beds chapter 5 : parts list table 5 - 13. base frame — b and c model beds item number part number quantity description 1 vi0610a 8 screw 2 132180 2 cover, column 3 s30545k 4 cover 4 71649 1 label @topic:26


# # # issue - monitor does not turn on. # # # impact - inability to monitor patient's physiological parameters, such as heart rate, blood pressure, and respiratory rate. # # # possible causes - failed main board. # # # recommendations - replaced the failed main board with a new one. - tested the monitor to ensure proper functionality. - documented the repair and maintenance history for future reference. @topic:2


high limit alarm is generated when the qtc value exceeds the set limit for more than 5 minutes. the aqtc alarm is generated when the difference between the current value and the baseline value exceeds the set limit for more than 5 minutes. the cannot analyze qt inop and the? _ will be displayed when no qt measurement could be calculated for 10 minutes. up to this time the previous valid value will be displayed. the following additional messages on the cause of the invalid measurements may also be displayed. additional message cause of invalid qt measurement qt startup qt monitoring was just turned on or has been reset asystole or leads off 1 not all specified leads needed to perform qt analysis are available, or 2 asystole condition is detected insufficient valid leads not enough valid qrs complexes to generate a qt measurement invalid rhythm for qtc not enough valid rr intervals to generate qt - hr, the averaged hr used for qtc calculation high qt - hr qt - hr exceeds the specified upper limit of 150 bpm ( for adults ) or 180 bpm ( for neonates and pediatrics ) small r wave r - wave of the signal is too small small t wave t - wave of the signal is too small end of t not detected end of the t - wave cannot be accurately detected qt out of range qt measurement is outside the specified range of valid qt values ( 200 - 800 msec ) qtc out of range qtc measurement is outside the specified range of valid qtc values ( 200 - 800 msec ) qtc erratic qtc measurements are not stable 158 switching qt monitoring on and off 6 ecg, arrhythmia, st and qt monitoring switching individual qtc alarms on and off each qtc alarm can be switched off individually. ♦ to switch an alarm on or off, in the setup qt analysis menu, select q @topic:8


# # # issue - * * bed is unable to be adjusted. * * # # # impact - * * patient discomfort. * * - * * difficulty providing care. * * # # # possible causes - * * remote control is locked. * * - * * electrical issue. * * - * * mechanical issue. * * # # # recommendations - * * check if the remote control is locked. * * - * * inspect the electrical connections. * * - * * inspect the mechanical components. * * @topic:1


output : # # # issue - bed not adjusting # # # impact - inability to position patient comfortably or safely - may delay or prevent medical procedures # # # possible causes - * * electrical issue : * * loose plug in control box - * * mechanical issue : * * faulty motor or gearbox - * * control system issue : * * broken switch or damaged wiring # # # recommendations - check and reconnect all electrical connections - inspect motor and gearbox for damage or wear - test control system to identify any faulty components - consider replacing defective parts as needed - perform regular preventive maintenance to minimize future failures @topic:1


# # # issue - equipment failure # # # impact - inability to monitor vital signs # # # possible causes - cuff size not suitable for patient - cuff damaged or defective - air leak in cuff or tubing - connector not properly secured # # # recommendations - replace the cuff with the correct size for the patient - inspect the cuff and tubing for damage or defects - check for air leaks in the cuff or tubing - ensure that the connector is properly secured @topic:5


# # # issue - the bed is not going up or down. # # # impact - the patient cannot be positioned properly. - the bed cannot be transported. # # # possible causes - the remote is not working properly. - the bed is not plugged in. - the bed is not responding to the remote. - the bed is not calibrated properly. # # # recommendations - check the remote to make sure it is working properly. - check the bed to make sure it is plugged in. - try resetting the bed. - contact the manufacturer for assistance. @topic:1


# # # issue the provided information does not specify a detailed issue that caused the failure of the biomedical device. # # # impact the impact of the failure is not mentioned in the context. # # # possible causes based on the given information, the only possible cause of failure is : - * * maintenance * * : cleaning procedures may have affected the functionality of the device. # # # recommendations to resolve the issue and prevent future occurrences, the following recommendations can be considered : - * * review cleaning procedures * * : ensure that the cleaning procedures used are appropriate for the specific device and its components. - * * train technicians * * : provide proper training to technicians on the correct cleaning methods and handling of equipment. - * * use compatible cleaning solutions * * : only use cleaning solutions that are compatible with the device materials and are recommended by the manufacturer. - * * follow manufacturer's instructions * * : strictly adhere to the manufacturer's instructions for cleaning and maintenance to avoid potential damage. - * * regular inspections * * : conduct routine inspections of the device to identify any potential issues early on. - * * calibration and testing * * : after cleaning, perform calibration and testing to ensure the device is functioning correctly before returning it to service. @topic:12


# # # issue - spo2 sensor not lighting up # # # impact - inability to accurately measure patient's oxygen saturation levels # # # possible causes - faulty spo2 sensor cable - damage to the spo2 sensor itself - malfunctioning monitor port or circuitry # # # recommendations - * * inspect the spo2 sensor cable : * * ensure that the cable is not damaged or frayed. check the connections at both ends to make sure they are secure. replace the cable if necessary. - * * examine the spo2 sensor : * * look for any physical damage or discoloration. clean the sensor with an alcohol wipe to remove any debris. if the sensor is damaged, replace it. - * * check the monitor port : * * disconnect the spo2 sensor cable from the monitor and inspect the port. ensure that there is no damage to the pins or contacts. clean the port with an alcohol wipe if necessary. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further assistance. @topic:4


# # # issue - request to replace the blood pressure cuff. # # # impact - the current blood pressure cuff is too large for the patient, which may result in inaccurate blood pressure readings. # # # possible causes - the cuff may have been sized incorrectly during the initial setup of the monitor. - the patient may have gained or lost weight since the cuff was last sized. # # # recommendations - replace the blood pressure cuff with a properly sized one. - ensure that the cuff is properly inflated and deflated during use. - monitor the patient's blood pressure regularly to ensure that it is accurate. @topic:3


the main pca board. 2. separate the main pca board from the front housing 1. disconnect the power switch flex cable from the main pca board. lift the antenna board straight up out of its slot and let it hang. 2. service manual 3. remove the main pca board from the front housing. reassembly notes note reassembly is the reverse of disassembly. remove the spo2 insert 1. turn over the main pca board and remove the 2 t - 10 torx screws attaching the sensor insert to the main pca board. 58 disassembly and repair welch [UNK] connex® spot monitor 2. turn over the main pca board again so that the spo2 board is facing you ; then disconnect the to disconnect the insert from the pump manifold, hold the black pump manifold with one hand and tilt the top of the insert away from the main pca board with the other hand. 3. remove the 2 t - 10 torx screws from the power harness, and remove the power harness from the spo2 insert. reassembly notes spo2 insert options are masimo, nellcor, nonin, or none. kit items : 105926, masimo insert only 105927, nellcor insert only • 105929, nonin insert only 105928, no spo2 insert only service manual note reassembly is not the reverse of disassembly, but it is the same for each insert. when replacing the spo2 insert complete the following steps : attach the power harness to the spo2 insert. ( see " attach the power harness to the insert. " ) install any new spo2 board, if applicable. ( see the reassembly notes in " remove the spo2 @topic:19


##mp module malfunc ( 60 ) | battery or power supply replace the temperature module. see voltage exceeds minimum “ removing the temperature module ” value. on page 5 - 6. 867 ( 61 ) temp module malfunc ( 61 ) | reference voltage circuit shut down ( see “ shutting down the under voltage or unstable. system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 62 ) temp module malfunc ( 62 ) | the module is not calibrated. | replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 65 ) temp module malfunc ( 65 ) | problem saving to the shut down ( see “ shutting down the module ’ s eeprom. system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 66 ) temp module malfunc ( 66 ) | the module ’ s non - volatile shut down ( see “ shutting down the calibration memory error system ” on page 5 - 2 ) and restart the detection mechanism monitor. detected an error. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 67 ) temp module malfunc ( 67 ) | problem reading / writing to shut down ( see “ shutting down the the module ’ s eeprom. system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. troubleshooting suresigns vs2 * and vsi service guide 4 @topic:22


the main board. see “ removing the main pcb ” on page 8 - 31. the co 2 readings area unreliable the c02 tube is kinked. check the tube and make sure that it is straight. there has been some external problem. ensure that all external c0 2 reading requirements are met and that the patient is not moving excessively. the c0 2 board is not calibrated. calibrate the c0 2 board. see “ co7 gas measurement calibration check ” on page 6 - 14. troubleshooting 7 - 11 troubleshooting charts ecg / respiration measurement problems symptom possible cause action there are no ecg readings the ecg leads are off. ensure that the leads are connected. the ecg cable is broken. ensure that the cable is in good working order. the ecg 3 / 5 wire is not configured correctly. correct the ecg configuration. the front end board has malfunctioned. replace the front end board. see “ removing the front end assembly ” on page 8 - 24. the main board has malfunctioned. replace the main board. see “ removing the main pcb ” on page 8 - 31. i ’ m getting unreliable ecg readings the ecg leads are off. ensure that the ecg leads are connected. there has been some external problem. ensure that all external ecg reading requirements are met and that the patient is not moving excessively. ensure proper skin preparation has been performed. see the suresigns vm series patient monitors instructions for use. the front end board has malfunctioned. replace the front end board. see “ removing the front end assembly ” on page 8 - 24. there are no respiration readings the respiration leads are off. ensure that the respiration leads are connected. the front end has malfunctioned. replace the front end @topic:20


# # # issue - medical cart fails to turn on # # # impact - inability to use the medical cart for its intended purposes, such as transporting medical supplies and equipment. # # # possible causes - * * loose or disconnected power cord : * * the power cord may have become loose or disconnected from either the medical cart or the electrical outlet. - * * power supply issue : * * the power supply within the medical cart may have failed. - * * faulty cpu : * * the central processing unit ( cpu ) of the medical cart may have malfunctioned, preventing it from turning on. - * * hardware or software issues : * * there may be a problem with the internal hardware or software of the medical cart, such as a corrupted operating system or a faulty component. # # # recommendations - * * check the power cord : * * ensure that the power cord is securely connected to both the medical cart and the electrical outlet. try plugging the medical cart into a different outlet to rule out any issues with the original outlet. - * * reset the medical cart : * * if the power cord is securely connected, try resetting the medical cart by turning it off and then back on again. - * * inspect the cpu : * * examine the cpu for any loose connections or physical damage. if any issues are found, contact a qualified technician for repairs. - * * contact technical support : * * if the issue persists after trying the above steps, contact the manufacturer or a qualified technician for further troubleshooting and repairs. @topic:13


# # # issue - the philips suresigns vs4 vital signs monitor is not measuring spo2. # # # impact - clinicians cannot accurately monitor a patient's oxygen saturation levels. # # # possible causes - the spo2 sensor cable is damaged or faulty. - the spo2 sensor is not properly connected to the patient. - the vital signs monitor is not properly configured to measure spo2. - the patient's finger is not properly positioned in the spo2 sensor. # # # recommendations - inspect the spo2 sensor cable for damage or defects. if the cable is damaged, replace it. - ensure that the spo2 sensor is properly connected to the patient's finger. - verify that the vital signs monitor is properly configured to measure spo2. - position the patient's finger correctly in the spo2 sensor. @topic:4


in accordance with your country's laws for equipment containing electrical and electronic parts. for disposal of parts and accessories such as thermometers, where not otherwise specified, follow local regulations regarding disposal of hospital waste. you can disassemble the monitor, mms, fms and modules as described in the service guide. you will find detailed disposal information on the following web page : http : / / www. healthcare. philips. com / main / about / sustainability / recycling / pm. wpd the recycling passports located there contain information on the material content of the equipment, including potentially dangerous materials which must be removed before recycling ( for example, batteries and parts containing mercury or magnesium ). do not dispose of electrical and electronic equipment as unsorted municipal waste. collect it separately, so that it can be safely and properly reused, treated, recycled, or recovered. 417 38 maintenance and troubleshooting disposing of empty calibration gas cylinders empty the cylinder completely by pushing in the pin of the regulator valve or by pulling out the pin of the fill valve using a tire valve stem wrench or a pair of needle nose pliers. 1 when the cylinder is empty, either remove the valve stem from the fill ( or regulator ) hole, or drill hole in the cylinder. 2 write " empty " on the cylinder and dispose of it appropriately for scrap metal. 3 warning ensure that the cylinder is completely empty before trying to remove the valve stem or drill a hole ihe cylinder. 18 39 accessories this chapter lists philips - approved accessories for use with patient monitors as described in this document. you can order parts and accessories from philips supplies at www. medical. philips. com or consult your local philips representative for details. some accessories may not be available in all warning reuse : never reuse disposable transducers, sensors, accessories and so forth that are intended for single use @topic:10


# # # issue the bed is not adjustable. # # # impact - this could be a safety hazard, as it could cause patients to fall or be otherwise injured. - it could also be uncomfortable for patients, as they may not be able to find a comfortable position. # # # possible causes - the motor that adjusts the bed may have failed. - the control panel may be malfunctioning. - the wiring may be damaged. - the mattress may be too heavy for the bed to adjust. # # # recommendations - inspect the motor, control panel, and wiring for any damage. - weigh the mattress to ensure that it is not too heavy for the bed. - if any damage is found, repair or replace the damaged parts. @topic:1


# # # issue - remote control for the electric bed not working # # # impact - patient may not be able to adjust the bed position - can lead to discomfort or pain - may delay patient care # # # possible causes - loose or disconnected cable - damaged remote control - malfunctioning bed control unit # # # recommendations - check the cable connections and ensure they are secure - test the remote control with a different bed to isolate the issue - contact the manufacturer or a qualified technician for further diagnosis and repair @topic:7


# # # issue - unable to log into the medical cart # # # impact - the medical cart cannot be used to access patient information or provide care. # # # possible causes * * 1. incorrect login credentials : * * - the user may have entered the wrong username or password. - the user's account may have been disabled or locked. * * 2. network connectivity issues : * * - the medical cart may not be connected to the hospital's network. - the network may be experiencing technical difficulties. * * 3. software issues : * * - the login software on the medical cart may be malfunctioning. - the medical cart may not be running the latest software version. # # # recommendations * * 1. verify login credentials : * * - check that the user is entering the correct username and password. - if the user's account has been disabled or locked, contact the hospital's it department. * * 2. check network connectivity : * * - ensure that the medical cart is connected to the hospital's network. - contact the hospital's it department to troubleshoot any network issues. * * 3. update software : * * - check if there is a newer version of the login software available. - if so, install the update and try logging in again. * * 4. contact technical support : * * - if the above steps do not resolve the issue, contact the manufacturer of the medical cart for technical support. @topic:13


# # # issue - equipment : central monitor - make : hewlett packard - model : m3150a - description : the display screen is blank due to a loose lan cable connection. the cable was reconnected securely, resolving the issue. # # # impact - inability to monitor patient vitals and other critical information during diagnostic and treatment procedures. # # # possible causes - loose lan cable connection between the monitor and other network devices. - faulty or damaged lan cable. - network connectivity issues. # # # recommendations - ensure secure connections for all cables and cords connecting the monitor to other devices. - regularly inspect and replace lan cables if they show signs of damage. - troubleshoot network connectivity issues to ensure stable network connections. - provide training to staff on proper handling and maintenance of medical devices. - implement routine maintenance checks to identify and address potential issues early on. @topic:16


##ration chapter 6 : general procedures 11. use the + and - switches ( next to the calibration switch ) to adjust the weight to match the calibration weight. 12. the calibration weight is 100 lb ( 45. 4 kg ). 13. when the correct weight is shown, press and release the calibration switch. the display shows calo. do not touch the bed as it zeroes. 14. when the bed has zeroed, the display shows cali and one tone sounds. 15. add the 100 lb ( 45. 4 kg ) calibration weight to the left head of the bed over the load cell. do not touch the bed ( see figure 6 - 2 on page 6 - 16 ). note : for best results, put the weight over the load cell. figure 6 - 2. calibration weight position 16. after approximately 30 seconds the display shows cal2 and two tones will sound. note : the time may be different because of the environmental conditions. page 6 - 16 careassist® and careassist® es bed service manual ( man330 rev 4 ) 6. 1 scale calibration chapter 6 : general procedures 17. remove the calibration weight. do not touch the bed. 18. after approximately 30 seconds, the display shows cal3 and three tones sound. 19. add the calibration weight to the left foot of the bed over the load cell. do not touch the bed. 20. after approximately 30 seconds, the display shows cal4 and four tones sound. 21. remove the calibration weight. do not touch the bed. 22. after approximately 30 seconds, the display changes to cal5 and five tones sound. 23. add the calibration weight to the right foot of the bed, over the load cell. do not touch the bed. 24. after approximately 30 seconds, the @topic:25


# # # issue - cuff leak # # # impact - inaccurate blood pressure readings - patient discomfort # # # possible causes - worn or damaged cuff bladder - loose or disconnected cuff tubing - improper cuff size or application # # # recommendations - replace the cuff with a new one - inspect the cuff tubing and connections for damage and ensure they are secure - use the appropriate cuff size for the patient's arm circumference - apply the cuff snugly, but not too tightly @topic:3


# # # issue cuff is not working. # # # impact patient monitoring may be inaccurate or incomplete. # # # possible causes - cuff is not properly connected to the monitor. - cuff is damaged or has a leak. - cuff is not the correct size for the patient. - connector is loose - air tubing is blocked # # # recommendations - verify that the cuff is properly connected to the monitor and to the patient. - inspect the cuff for damage or leaks. - ensure that the cuff is the correct size for the patient. - tighten the connector - clear the air tubing @topic:5


# # # issue - cuff bp does not have a connector. # # # impact - the patient's blood pressure cannot be monitored. # # # possible causes - the connector may have become disconnected or damaged. - the cuff may not be compatible with the monitor. # # # recommendations - inspect the cuff and connector for any damage. - replace the connector if it is damaged. - ensure that the cuff is compatible with the monitor. - retrain staff on proper use and maintenance of equipment. @topic:14


# # # issue the cuff was not changed. # # # impact the patient may not be able to receive proper monitoring. # # # possible causes * the technician did not have the correct cuff. * the technician did not know how to change the cuff. * the cuff was not available. # # # recommendations * the technician should be trained on how to change the cuff. * the hospital should have a policy in place for when the cuff needs to be changed. * the hospital should have a supply of cuffs on hand. @topic:5


# # # issue : cuff leak # # # impact : inaccurate blood pressure readings # # # possible causes : - worn cuff threads - damaged cuff - loose cuff connection # # # recommendations : - inspect the cuff for wear or damage. - tighten the cuff connection securely. - replace the cuff if it is damaged or worn. @topic:3


# # # issue - * * failure to monitor vital signs. * * - inability to power the device. # # # impact - inability to monitor the patient's vital signs accurately. - potential for adverse patient outcomes. # # # possible causes - * * battery not properly installed. * * - * * battery not compatible with the device. * * - * * battery not charged. * * - * * defective battery. * * # # # recommendations - * * ensure the battery is installed correctly. * * - * * verify that the battery is compatible with the device. * * - * * charge the battery before installing it. * * - * * replace the battery if it is defective. * * @topic:11


# # # issue - the medical cart displays an error message indicating a " - 1 % " reading. # # # impact - the medical cart may not be functioning properly, which could affect patient care. # # # possible causes - sensor malfunction - electrical fault - software glitch # # # recommendations - inspect the sensors for damage or misalignment. - check the electrical connections for loose or damaged wires. - update the software to the latest version. - contact the manufacturer for further troubleshooting and repair. @topic:13


) that is off. the screen displays the color bar for about five seconds. the lcd is off and the charging led lights ( when the battery is available ). the philips splash screen appears in one second and a tone sounds. the main screen appears. software reset ( system or user ). the screen displays the color bar for about five seconds. the lcd turns off and the charging led lights ( when the battery is available ). the philips splash screen appears in one second and a tone sounds. the main screen appears. plug ac power cord into a monitor that is off ( battery only ). press the on / standby key. the screen displays the color bar for about five seconds. the lcd is off and the charging led lights ( when the battery is available ). the philips splash screen appears and a tone sounds. the new patient menu displays for new patient settings. after the new patient menu is acknowledged, the main screen appears. troubleshooting suresigns vs4 service guide troubleshooting tables user action expected result press the on / standby key when the monitor is in standby mode ( ac and / or battery ). a tone sounds. the new patient menu displays the new patient setting. after the new patient menu is acknowledged, the main screen appears. press the on / standby key when the monitor is on ( ac and / or battery ). the philips splash screen appears and the lcd turns off. select shutdown in the system menu. the philips splash screen appears and a tone sounds. the lcd turns off. troubleshooting tables use the following tables to diagnose and fix monitor problems. the tables describe a monitor problem by symptom, list a possible cause, and suggest actions. check the first possible cause listed, and then perform the associated action to repair the problem. perform all actions in the order that they appear in a table. monitor problems are categorized @topic:22


##ate temperature probe remote start switch ( if used ). - follow your hospital standards to avoid unintentional extraction of the c. o. catheter. scable using the mounting clip shipped with each c. o. interface cable. you may also find it helpful to loop the c. o. interface cable, tape the loop, and attach it to the undersheet of the patient's bed plug the thermistor connection cable of the pa catheter into the thermistor connector. 4 connect the injectate temperature probe to the injectate temperature probe housing. 5 check that the correct measurement method is selected. 6 if a catheter is already connected to the cardiac output interface cable, the monitor automatically recognizes the method used. if not, in the setup c. o. menu, select method and then select right heart. ice - bath setup for rh thermodilution c. o. measurements if you are using the flow - through method illustrated above, the injectate temperature is measured at the time of injection by the temperature probe in the injectate temperature probe housing. if you are using the ice - bath setup, the injectate temperature probe and the injectate are both placed in an ice - bath and the probe measures the temperature of the contents of the ice bucket. check that the correct computation constant is entered in the procedure window. this can be found in the documentation supplied with the catheter and is based on the injectate volume, injectate temperature and catheter type. to change the value, in the procedure window, select computation constant and use the pop - up keypad to enter the correct value. 1 enter the procedure window. 2 when you see the message ready for new measurement, select the pop - up key start c. o.. if the measuring mode is set to auto the start c @topic:17


technical support and further troubleshooting assistance. @topic:12


# # # issue - keyboard delay # # # impact - affects the user's ability to interact with the medical cart. # # # possible causes - * * battery failure : * * the keyboard's battery may be depleted, causing it to malfunction. - * * dirt or debris accumulation : * * the keyboard may be contaminated with dirt or debris, interfering with its operation. - * * hardware failure : * * an internal hardware component of the keyboard may have failed. # # # recommendations - * * replace the battery : * * the technician has already replaced the keyboard's battery. - * * clean the keyboard : * * the technician has cleaned the keyboard to remove any dirt or debris. - * * test the keyboard : * * the technician has tested the keyboard to ensure it is functioning properly. - * * if the issue persists, further troubleshooting may be required : * * this could involve inspecting the keyboard's hardware, replacing any faulty components, or consulting the manufacturer for support. @topic:27