# # # issue the philips intellivue mp70 bedside physiologic monitor is not powering on and the blood pressure ( bp ) cuff is deteriorated. # # # impact the monitor is unable to be used for patient monitoring, which can delay or compromise patient care. # # # possible causes 1. * * deteriorated bp cuff : * * a deteriorated bp cuff can cause inaccurate or unreliable bp readings, which can lead to incorrect patient assessments and treatment decisions. 2. * * monitor malfunction : * * the monitor itself may have malfunctioned due to electrical or mechanical issues, preventing it from powering on or displaying readings. # # # recommendations 1. * * replace bp cuff : * * replace the deteriorated bp cuff with a new one to ensure accurate bp readings. 2. * * troubleshoot monitor : * * perform troubleshooting steps on the monitor to identify and resolve any electrical or mechanical issues. this may involve checking power connections, cables, fuses, and other components. 3. * * contact manufacturer : * * if the troubleshooting steps do not resolve the issue, contact the manufacturer for support and guidance on further repair or replacement options. @topic:14


# # # issue the equipment is failing due to a usage issue. # # # impact the failure of the equipment could lead to a delay in patient care. # # # possible causes - the equipment is not being used properly. - the equipment is being used for a purpose that it was not designed for. - the equipment is being used in an environment that it was not designed for. # # # recommendations - ensure that the equipment is being used properly. - ensure that the equipment is being used for the purpose that it was designed for. - ensure that the equipment is being used in an environment that it was designed for. - provide additional training to staff on the proper use of the equipment. - consider purchasing additional equipment to meet the needs of the hospital. @topic:12


# # # issue - nibp monitor ( ge healthcare dinamap procare 100 ) is experiencing battery charging issues. - battery drains quickly. # # # impact - inability to use the nibp monitor for extended periods due to rapid battery drainage. - potential delays in patient care or inaccurate readings due to a malfunctioning battery. # # # possible causes 1. * * defective battery : * * the battery may be faulty or have reached the end of its lifespan, causing it to hold a charge for a shorter duration. 2. * * damaged charging port : * * the charging port on the nibp monitor or the battery charger may be damaged, preventing proper charging. 3. * * power adapter issues : * * the power adapter used to charge the battery may be faulty or incompatible, resulting in insufficient power delivery to charge the battery effectively. 4. * * battery sensor malfunction : * * a malfunctioning battery sensor may not be accurately detecting the battery's charge level, leading to incorrect battery status indications. 5. * * software glitch : * * a software glitch in the nibp monitor may interfere with the battery charging process. # # # recommendations 1. * * replace battery : * * replace the battery with a new one of the same type to eliminate the possibility of a defective battery. 2. * * inspect charging port : * * examine the charging port on the nibp monitor and battery charger for any physical damage or obstructions. clean and inspect the contacts to ensure proper connection. 3. * * check power adapter : * * verify that the power adapter is compatible with the nibp monitor and is providing sufficient power. check the cable for any damage or loose connections. 4. * * test battery sensor : * * use a battery tester or consult the manufacturer's instructions @topic:11


# # # issue the bed's height cannot be adjusted. # # # impact this can make it difficult for patients to get in and out of bed, and can also make it difficult for nurses to care for patients. # # # possible causes - electrical issue - mechanical issue - broken components # # # recommendations - inspect the bed's electrical connections and wiring. - check the bed's mechanical components for any damage or wear. - if necessary, replace any broken components. - test the bed to ensure that it is functioning properly. @topic:1


# # # issue : - patient transport monitor is unable to perform non - invasive blood pressure ( nibp ) measurements. # # # impact : - clinicians are unable to accurately monitor patient's blood pressure during transport, which could lead to delayed or incorrect treatment decisions. # # # possible causes : - * * cuff failure : * * the cuff used to inflate during nibp measurements may be damaged or worn out, preventing it from creating an adequate seal around the patient's arm. - * * defective tubing : * * the tubing connecting the cuff to the monitor may be damaged or kinked, restricting the flow of air and preventing proper cuff inflation. - * * monitor malfunction : * * the monitor itself may be malfunctioning, causing it to be unable to properly control cuff inflation and deflation. # # # recommendations : - * * inspect the cuff : * * check the cuff for any damage or wear, such as tears, punctures, or loose connections. replace the cuff if necessary. - * * examine the tubing : * * inspect the tubing for any damage, kinks, or obstructions. replace the tubing if necessary. - * * test the monitor : * * perform a diagnostic test on the monitor to ensure it is functioning properly. if the monitor fails the test, it should be repaired or replaced. @topic:15


# # # issue - st value not displaying # # # impact - inability to monitor patient's st segment, a crucial parameter for diagnosing and managing cardiac conditions # # # possible causes - faulty sensor or lead - damaged or loose wiring - misconfigured settings - software or hardware malfunction # # # recommendations - check and replace the sensor or lead if necessary. - inspect and tighten all wiring connections. - verify that the monitor's settings are correct. - contact the manufacturer's technical support for further troubleshooting or software updates. - perform a comprehensive system check to identify any other potential issues. @topic:20


121 ) pressure value from shut down ( see “ shutting down the second pressure sensor not | monitor ” on page 5 - 2 ) and restart the available. monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 122 ) | nbp equip malfunc ( 122 ) the 5 - volt supply voltage | shut down ( see “ shutting down the value is too high or low. monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. troubleshooting 4 - 14 suresigns vs4 service guide error codes code description possible cause action 818 ( 123 ) nbp equip malfunc ( 123 ) error from the 5 - volt regulator. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 124 ) nbp equip malfunc ( 124 ) the 12 - volt supply voltage value is too high or low. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 128 ) nbp equip malfunc ( 128 ) offset of pressure sensor 1 is out of range. shut down ( see “ shutting down the monitor ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ removing the main board ” on page 5 - 31. 818 ( 129 ) nbp e @topic:22


# # # issue - device failure # # # impact - inability to accurately monitor patient's vital signs - potential for adverse patient outcomes # # # possible causes - battery depletion # # # recommendations - regular maintenance and battery replacement - training of biomedical engineers on proper device maintenance and troubleshooting @topic:11


# # # issue the telemetry electrocardiography monitor ( philips model m2601b ) is measuring vital signs lower than expected. # # # impact the inaccurate measurements provided by the monitor can potentially lead to incorrect diagnoses and treatment decisions, compromising patient care and safety. # # # possible causes * * 1. sensor malfunction : * * - faulty sensor or loose connections within the equipment - interference from external electromagnetic sources * * 2. calibration error : * * - improper calibration of the device, resulting in inaccurate measurements * * 3. software glitch : * * - bugs or errors in the software controlling the device's operation * * 4. power supply issues : * * - insufficient or unstable power supply can affect the device's functionality * * 5. environmental factors : * * - extreme temperatures or humidity levels can impact the sensor readings # # # recommendations * * 1. verify sensor operation : * * - inspect the sensor for any damage or loose connections - check the integrity of the cables and connectors * * 2. recalibrate the device : * * - follow the manufacturer's guidelines for calibration using a certified simulator * * 3. check software updates : * * - if available, update the software to eliminate any known bugs or glitches * * 4. ensure stable power supply : * * - verify that the power supply is adequate and stable - use a surge protector or uninterruptible power supply ( ups ) * * 5. control environmental factors : * * - ensure the device is operating within the recommended temperature and humidity ranges @topic:20


##0 2 only ) 173 assessing a suspicious sp0 2 reading 173 changing the averaging time 174 understanding sp0 2 alarms 174 pleth wave 175 perfusion numeric 175 perfusion change indicator 175 setting sp0 2 / pleth as pulse source 176 setting up tone modulation 176 setting the qrs volume 176 calculating sp0 2 difference 176 10 monitoring nbp 177 introducing the oscillometric nbp measurement 177 preparing to measure nbp 178 starting and stopping measurements 180 enabling automatic mode and setting repetition time 181 enabling sequence mode and setting up the sequence 181 iii choosing the nbp alarm source 182 switching pulse from nbp on / off 182 assisting venous puncture 183 calibrating nbp 183 11 monitoring temperature 185 making a temp measurement 185 calculating temp difference 186 12 monitoring invasive pressure 187 setting up the pressure measurement 187 zeroing the pressure transducer 189 adjusting the calibration factor 191 displaying a mean pressure value only 191 changing the pressure wave scale 191 optimizing the waveform 191 using the wave cursor 192 non - physiological artifact suppression 192 choosing the pressure alarm source 192 calibrating reusable transducer cpj840j6 194 calculating cerebral perfusion 195 calculating pulse pressure variation 195 measuring pulmonary artery wedge pressure 196 editing the wedge 197 identifying the pressure analog output connector 198 13 monitoring cardiac output 199 hemodynamic parameters 200 using the c. o. procedure window 201 accessing the setup c. o. and setup cco menus 202 entering the hemocalc window 202 measuring c. o. using the picco method 202 measuring c. o. using the right heart thermodilution method 207 documenting c. o. measurements 208 c. o. injectate guidelines 209 c. o. / cco curve alert messages 210 c. o. / cco prompt messages 211 c. o. / cco warning messages 212 c @topic:17


# # # issue : - no wave signal on spo2 cable # # # impact : - inability to accurately monitor patient's oxygen saturation levels. # # # possible causes : - damaged spo2 cable - faulty sensor in the spo2 probe - loose connection between the cable and the monitor - software malfunction in the monitor - interference from other electronic devices # # # recommendations : - replace the spo2 cable and retest the monitor. - inspect the spo2 probe for any visible damage or loose connections. - ensure the cable is securely connected to both the monitor and the patient. - contact the manufacturer for technical support if the issue persists. - perform regular maintenance and calibration of the monitor to prevent similar issues in the future. @topic:4


* * issue : * * electric bed's weight scale is not functioning. * * impact : * * inability to accurately monitor patient weight. * * possible causes : * * * * * equipment malfunction : * * the weight scale sensor or other internal components may have failed. * * * incorrect setup or miscalibration : * * the bed may not have been properly assembled or calibrated, leading to inaccurate readings. * * * user error : * * staff may not be adequately trained to operate the bed's weight scale function. * * recommendations : * * * * * inspect the equipment : * * check for any visible damage or loose connections that could indicate a malfunction. * * * verify setup : * * ensure that the bed is assembled and calibrated according to manufacturer's instructions. * * * provide training : * * train staff on proper operation of the weight scale function. * * * contact support : * * if the issue persists, reach out to the manufacturer or a qualified technician for further troubleshooting and repair. @topic:25


# # # issue - cannot move patient's name # # # impact - delays patient discharge # # # possible causes - patient not yet discharged by the department # # # recommendations - contact the department and request that the patient be discharged - once the patient is discharged, the bme can move the patient's name @topic:13


# # # issue - bed adjustment malfunction # # # impact - inability to adjust the bed's position, hindering patient care and comfort # # # possible causes - mechanical failure ( e. g., broken gears, loose connections ) - electrical malfunction ( e. g., faulty wiring, power supply issues ) - software bugs or glitches - operator error ( e. g., incorrect button presses ) # # # recommendations - * * mechanical inspection : * * check for loose or damaged parts, lubrication issues, and ensure proper alignment. - * * electrical inspection : * * verify power supply, examine wiring connections, and test electrical components ( e. g., motors, actuators ). - * * software troubleshooting : * * update software if necessary, reset the system, or consult the manufacturer for technical support. - * * operator training : * * ensure that staff is properly trained on the operation of the bed, including adjustment features and safety precautions. - * * regular maintenance : * * schedule regular checkups and preventive maintenance to detect potential issues early on. - * * coordination with manufacturer : * * if the problem persists, contact the manufacturer for further troubleshooting and repair assistance. @topic:9


# # # issue - the railing of the electric bed cannot be lowered. # # # impact - the patient may be at risk of falling out of the bed. - the patient may be unable to get out of bed independently. # # # possible causes - the latch is broken. - the railing is obstructed. - the motor is not working. # # # recommendations - replace the latch. - clear any obstructions from the railing. - test the motor to ensure it is working properly. @topic:6


* * issue * * : cuff leak on nibp monitor * * impact * * : inaccurate blood pressure measurements, which can lead to improper patient care decisions. * * possible causes * * : - * * damaged cuff material * * : tears or holes in the cuff material can allow air to escape. - * * loose or disconnected tubing * * : disconnections or improper fittings can create air leaks. - * * age or wear of cuff * * : over time, the cuff material can become brittle and more prone to leaks. - * * incorrect cuff size * * : using a cuff that is too small or too large for the patient's arm can result in leaks. - * * malfunction of the air pump * * : if the air pump is not properly inflated or deflated, it can cause the cuff to leak. * * recommendations * * : - * * inspect the cuff and tubing * * : visually examine the cuff for any damage or tears. check the tubing for any loose or disconnected fittings. - * * replace damaged components * * : if the cuff or tubing is damaged, replace it with new parts. - * * calibrate the monitor * * : ensure that the monitor is calibrated according to the manufacturer's instructions. - * * use the correct cuff size * * : choose the appropriate cuff size based on the patient's arm circumference. - * * monitor the patient's blood pressure measurements * * : pay attention to the patient's blood pressure measurements and report any inconsistencies or unusual readings. @topic:14


* * issue : * * keyboard " m " key not working * * impact : * * unable to input data using the keyboard * * possible causes : * * 1. obstruction by foreign object ( e. g., paper clip ) * * recommendations : * * 1. inspect the keyboard for any obstructions or debris 2. remove any obstructions found 3. test the keyboard to ensure functionality @topic:27


# # # issue - the medical cart is not working and has been reported as not functioning. # # # impact - the medical cart is an essential piece of equipment for the hospital staff, and its failure could impact patient care and safety. # # # possible causes - the cause of failure is not specified in the given input. # # # recommendations - the following steps are recommended to troubleshoot and resolve the issue : - check if the medical cart is properly plugged into a power outlet. - check if the power switch on the medical cart is turned on. - check if there are any loose cables or connections. - reboot the medical cart by turning it off and then back on again. - if the issue persists, contact a qualified technician for assistance. @topic:13


##ly is the reverse of disassembly. remove the touchscreen and display ribbon cable main pca board note the touchscreen contains a serial number : tfc - k9700rtwv37tr or tfc - k9700rtwv55. removal and reassembly steps are the same for both serial numbers, except that the tfc - k9700rtwv37tr serial number has an integrated soldered ) lcd flex cable. note the tfc - k9700rtwv55 touchscreen and display ribbon cable ( available as service kit item : 108241, srv kit hw a - f, lcd with touchscreen ) works with the 409703 - 16 csm main board and with existing software versions. when using the tfc - k9700rtwv37tr touchscreen and display ribbon cable ( available as service kit item 108121, srv kit csm, lcd with touchscreen new ), you are required to upgrade your device with the newer 409703 - 18 csm main board, the new lcd touchscreen, and upgrade the software to 1. 41 or greater. 1. for the tfc - k9700rtwv55 serial number, carefully separate the lcd flex cable from its connector on the main pca board by pulling the cable straight up. 2. turn over the main pca board so that the notch on the board faces you. service manual on the side of the main pca board with the notch, carefully lift the lcd past the tabs, and tilthe lcd upward. 3. remove the gaff tape covering the bale connector and set it aside for reassembly. 4. 5 5. carefully lift the bale ( locking mechanism ) of the lcd flex cable connector on the main pca board and remove the @topic:19


# # # issue the nibp monitor is not measuring values correctly. the cuff is inflating with too much pressure and deflating too slowly. # # # impact this issue could lead to inaccurate blood pressure readings, which could have serious consequences for patient care. # # # possible causes - equipment / hardware error : the nibp monitor may be faulty or damaged - cuff issues : the cuff may be incorrectly sized or damaged, or may not be properly attached to the patient - human error : the nibp monitor may not have been properly calibrated or used # # # recommendations - check the equipment for any damage or errors. if the equipment is damaged, it should be repaired or replaced. - check the cuff for any damage or leaks. if the cuff is damaged or leaking, it should be replaced. - ensure that the cuff is the correct size for the patient. - ensure that the cuff is properly attached to the patient. - calibrate the nibp monitor according to the manufacturer's instructions. - train staff on the proper use of the nibp monitor. @topic:15


# # # issue - battery service required # # # impact - equipment is unable to operate properly - patient safety may be compromised # # # possible causes - battery is depleted - battery is faulty - battery is not properly connected # # # recommendations - replace the battery - check the battery connections - contact the manufacturer for further assistance @topic:11


* * possible causes : * * * technician oversight or error * lack of sufficient information or training * communication breakdown between team members * equipment malfunction or defect * incorrect or incomplete documentation @topic:12


# # # * * issue * * the user reports pain when the blood pressure cuff is inflated. # # # * * impact * * the patient may experience discomfort or pain, which can lead to anxiety and decreased cooperation during the procedure. # # # * * possible causes * * * * 1. cuff size : * * the cuff may be too small or too large for the patient's arm, causing it to cut off circulation or put pressure on the nerves. * * 2. cuff condition : * * the cuff may be worn or damaged, causing it to leak air or become uncomfortable. * * 3. cuff placement : * * the cuff may not be positioned correctly on the patient's arm, causing it to squeeze or pinch the skin. * * 4. user error : * * the user may be inflating the cuff too quickly or to a pressure that is too high for the patient. # # # * * recommendations * * * * 1. check cuff size : * * ensure that the cuff is the correct size for the patient's arm. * * 2. inspect cuff condition : * * examine the cuff for any signs of wear or damage, such as tears, cracks, or leaks. * * 3. position cuff correctly : * * place the cuff snugly around the patient's upper arm, with the bottom edge about 1 inch ( 2. 5 cm ) above the elbow crease. * * 4. adjust inflation pressure : * * begin by inflating the cuff to a pressure that is slightly higher than the patient's usual blood pressure. gradually increase the pressure until the desired reading is obtained. * * 5. monitor patient response : * * observe the patient for any signs of discomfort or pain. if the patient experiences pain, immediately deflate the cuff and check for any underlying issues. @topic:3


# # # issue * unable to obtain accurate physiological data from the patient. # # # impact * delayed or inaccurate diagnosis and treatment. * patient discomfort or harm. # # # possible causes * the spare equipment is not properly calibrated or compatible with the patient's condition. * the spo2 and ekg cables are not properly connected or are damaged. * the spare equipment is not properly grounded or is experiencing electrical interference. * the patient's physiology is not compatible with the spare equipment's sensors. # # # recommendations * ensure that the spare equipment is properly calibrated and compatible with the patient's condition. * inspect the spo2 and ekg cables for damage and ensure they are properly connected. * verify that the spare equipment is properly grounded and is not experiencing electrical interference. * if the patient's physiology is not compatible with the spare equipment's sensors, consider using alternative monitoring methods. * monitor the patient's condition closely while using the spare equipment and be prepared to intervene if necessary. @topic:22


# # # issue - electric bed is not functioning properly # # # impact - patients may not be able to use the bed safely or comfortably - nurses and other healthcare professionals may have difficulty providing care to patients in the bed # # # possible causes - loose ac power cord - loose connections within the bed - faulty motor or other electrical component - damage to the bed frame or other structural components # # # recommendations - inspect the ac power cord and connections for any loose or damaged wires - check for any loose connections within the bed - test the motor and other electrical components to ensure they are functioning properly - inspect the bed frame and other structural components for any damage @topic:9


# # # issue * equipment not receiving power. # # # impact * inability to use the device for patient care. # # # possible causes * faulty power cord or connection. * internal electrical component failure. * power outlet not functioning. # # # recommendations * inspect the power cord and connections for damage or loose wires. * verify that the power outlet is functioning. * refer to the manufacturer's service manual for troubleshooting and repair instructions. * consult with an authorized biomedical engineer for further assistance if necessary. @topic:12


# # # issue : bed not locking securely # # # impact : patient safety hazard, potential for injury # # # possible causes : - worn or damaged locking mechanism - misaligned or loose mounting hardware - electrical component failure - mechanical obstruction preventing proper locking # # # recommendations : - inspect and clean the locking mechanism for signs of wear or damage. - tighten or adjust any loose mounting hardware. - verify the electrical components are functioning correctly using a multimeter. - remove any obstructions that may be preventing the lock from engaging properly. @topic:6


# # # issue - the remote control cable for the huntleigh 25800 e / l electric bed was found to be faulty during a routine inspection. # # # impact - the bed could not be operated remotely, which could cause inconvenience and delay in patient care. # # # possible causes - the cable may have been damaged due to wear and tear, mishandling, or accidental cutting. - the cable may have been exposed to excessive heat or moisture, which could have weakened the insulation and caused the wires to short - circuit. - the cable may have been faulty from the manufacturer, although this is less likely. # # # recommendations - the faulty cable was replaced with a new one. - the bed was tested and found to be functioning properly. - to prevent similar failures in the future, it is recommended to : - handle the cables with care and avoid bending or kinking them. - inspect the cables regularly for any signs of damage or wear and tear. - keep the cables away from heat sources and moisture. @topic:7


* * issue : * * - medical cart drawer cannot be closed. * * impact : * * - inability to securely store medical supplies and equipment. - risk of spillage or loss of items from the drawer. * * possible causes : * * - * * keyhole activation : * * the keyhole behind the drawer handle was activated, preventing the drawer from closing properly. - * * key malfunction : * * the key may be damaged or jammed, making it difficult to lock the drawer. - * * drawer alignment : * * the drawer may be misaligned or damaged, causing it to catch on the frame. - * * handle obstruction : * * an object or debris may be blocking the handle, preventing it from operating smoothly. * * recommendations : * * - * * keyhole inspection : * * examine the keyhole for any obstructions or damage. clean the keyhole if necessary. - * * key replacement : * * if the key appears damaged, order a replacement key and replace it. - * * drawer adjustment : * * check the drawer's alignment and ensure it is properly seated within the frame. adjust the drawer if necessary. - * * handle clearing : * * remove any obstructions or debris that may be hindering the handle's operation. @topic:21


# # # issue - monitor base is loose. # # # impact - monitor may not be securely attached to the patient transport, which could lead to the monitor falling or becoming damaged. # # # possible causes - the screws that secure the monitor base to the patient transport may have become loose. # # # recommendations - tighten the screws that secure the monitor base to the patient transport. @topic:12


# # # issue - the bed's locking mechanism is not functioning properly. # # # impact - the bed cannot be safely used by patients or staff. - this could lead to patient injuries or accidents. # # # possible causes - the locking mechanism may be damaged. - the locking mechanism may be dirty or obstructed. - the locking mechanism may not be properly adjusted. # # # recommendations - inspect the locking mechanism for damage. - clean and lubricate the locking mechanism. - adjust the locking mechanism according to the manufacturer's instructions. @topic:6


# # # issue the bed's legs cannot be adjusted down. # # # impact the bed cannot be lowered to a comfortable height for the patient. # # # possible causes * the control box is not sending the correct signal to the motors. * the motors are not receiving power. * the motors are not functioning properly. * the legs are obstructed. # # # recommendations * check the control box and ensure that it is sending the correct signal to the motors. * check the power supply to the motors. * inspect the motors for any damage or obstructions. * if the issue persists, contact the manufacturer for further assistance. @topic:1


# # # issue - the bedside physio - logic monitor's blood pressure cuff is not inflating due to a faulty air pump. # # # impact - the monitor is unable to accurately measure blood pressure. # # # possible causes - the air pump has failed. - the tubing connecting the pump to the cuff is damaged. - the cuff is damaged. # # # recommendations - replace the air pump. - inspect the tubing for damage and replace if necessary. - inspect the cuff for damage and replace if necessary. @topic:14


# # # issue - the cause of failure is that the ac plug terminal is broken. # # # impact - the equipment cannot be used because it cannot be connected to the power supply. # # # possible causes - the equipment was dropped or mishandled. - the ac plug terminal was not properly crimped. - the ac plug terminal was exposed to excessive heat or moisture. # # # recommendations - inspect the equipment for any other damage. - replace the ac plug terminal. - ensure that the ac plug terminal is properly crimped. - protect the ac plug terminal from excessive heat or moisture. @topic:12


# # # issue - railside control fails to lock # # # impact - patient safety at risk due to lack of bed rails to prevent falls and entrapment. # # # possible causes - malfunctioning locking mechanism - broken or damaged contact switch - electrical wiring issue - software glitch - loose or misaligned components - excessive wear and tear over time - insufficient lubrication leading to difficulty in locking - user error, such as improper use or overloading the bed # # # recommendations * * 1. troubleshooting : * * - check if the rails are properly aligned and seated. - verify electrical connections and test the contact switch. - inspect the locking mechanism for any damage or debris. - update the software if necessary. * * 2. maintenance and repair : * * - lubricate moving parts to ensure smooth operation. - tighten any loose components and adjust as needed. - replace any broken or damaged parts, such as the locking latch or switch. * * 3. user training : * * - instruct users on proper bed operation and weight limits. - emphasize the importance of locking the bed rails before patient transfer. * * 4. monitoring and prevention : * * - establish a regular inspection and maintenance schedule for the bed and its components. - document any incidents or near misses related to bed rail failure. - consider implementing fall prevention protocols and safety devices to mitigate risks. @topic:6


# # # issue the device is not sending patient data to the vsm system. # # # impact this issue could have several negative impacts, including : - patient data may not be available to clinicians in a timely manner. - this could lead to delays in diagnosis and treatment. - patient safety could be compromised. # # # possible causes several possible causes could be responsible for this issue, including : - the device is not properly connected to the vsm system. - the vsm system is not functioning properly. - there is a problem with the device's software or firmware. - there is a hardware problem with the device. # # # recommendations to resolve this issue, the following steps should be taken : - check the physical connection between the device and the vsm system. - ensure that the vsm system is functioning properly. - update the device's software or firmware to the latest version. - if the problem persists, contact the device manufacturer for technical support. @topic:16


# # # issue equipment measuring blood pressure readings is lower than expected. # # # impact incorrect or inaccurate blood pressure readings could lead to improper treatment decisions. # # # possible causes 1. faulty calibration of the device. 2. damage to the equipment's sensor or other components. 3. inadequate or improperly trained personnel using the device. 4. interference from other medical devices or electrical equipment. # # # recommendations 1. * * verify the calibration of the device. * * ensure that the equipment is calibrated according to the manufacturer's guidelines, and use certified reference standards. 2. * * inspect the equipment for visible damage. * * check for any loose connections, cracked hoses, or other signs of wear and tear. 3. * * ensure proper training for personnel. * * users should be adequately trained on the use, maintenance, and troubleshooting of the device. 4. * * identify and eliminate interference from other sources. * * move the device away from potential sources of electrical or magnetic interference, such as other medical equipment or power lines. 5. * * contact the manufacturer for support. * * if the issue persists, consult the manufacturer for further troubleshooting and repair recommendations. @topic:14


< date and time >, remove the manometer tubing, syringe and extra stopcock. we recommend you replace the transducer dome and tubing with sterile ones. label the transducer with the calibration factor shown in the cal. factor field in the pressure's 8 reconnect the patient and start measuring again. 9 the status line lists the probable cause of an unsuccessful calibration. corrective action message unable to calibrate - equipment contact your service department. the pressure hardware is malfunction faulty. out of range make sure that you have selyou are applying to the transducer, and repeat the calibration. make sure that the transducer is connected and try again. no - unable to calibrate no r make sure there are no disturbances to the transducer, and epeat the calibration. unable to calibrate - unstable 220 message corrective action unable to calibrate - perform no valid zero. zero the transducer. the monitor can calculate the difference between mean arterial pressure and the intracranial pressure. the difference is labeled cpp. in the main setup menu, select measurements. 1 select cpp. 2 in the setup cpp menu, select which arterial pressure source should be used in the calculation. 3 calculating pulse pressure variation note : pulse pressure variation can be calculated in two different ways on this monitor - directly from the pressure measurement or in conjunction with the cco measurement. refer to the cardiac output chapter for information on ppv from cco. only one ppv can be active at a time. pulse pressure variation ( ppv ) is calculated from beat - to - beat arterial pressure pressure is the difference between the systolic and the diastolic pressure values for a single beat. pulse pressure variation is defined as the maximal pulse pressure less the minimum pulse pressure divided by the @topic:17


# # # issue - wood bed rail spring detached # # # impact - patients may fall from the bed # # # possible causes - spring fatigue - rough handling of the bed rail # # # recommendations - inspect wood bed rails regularly for signs of wear or damage - handle bed rails with care - if a spring becomes detached, replace it immediately @topic:6


# # # issue cuff is not staying attached # # # impact patient's vital signs cannot be accurately monitored # # # possible causes - cuff is too loose - cuff is damaged - velcro on cuff is worn out - cuff is not the correct size for the patient # # # recommendations - ensure that the cuff is the correct size for the patient - check the cuff for any damage - replace the velcro on the cuff if it is worn out - retrain staff on proper cuff placement and monitoring procedures @topic:5


# # # issue - monitor is freezing # # # impact - inability to monitor patient's vital signs, which could lead to delays in diagnosis and treatment. # # # possible causes - software glitch - hardware failure - loose connections - power supply issues # # # recommendations - restart the monitor. - check the connections between the monitor and the patient. - check the power supply to the monitor. - if the problem persists, contact the manufacturer for further troubleshooting. @topic:2


# # # issue - spo2 parameter not displaying on physiologic monitor # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - faulty spo2 sensor or cable - malfunctioning spo2 board within the monitor - software issue within the monitor - loose connection between the spo2 sensor and the monitor # # # recommendations - check the spo2 sensor and cable for any damage or loose connections. - if the sensor and cable appear to be functioning properly, the spo2 board within the monitor may need to be replaced. - update the monitor's software to the latest version if necessary. - contact the manufacturer or a qualified technician for further troubleshooting and repair. @topic:4


# # # issue - monitor unable to measure spo2. # # # impact - inability to monitor patient's oxygen saturation levels. # # # possible causes - faulty spo2 sensor - loose connection between sensor and monitor - malfunctioning monitor - incorrect settings on the monitor - patient movement interfering with sensor signal # # # recommendations - * * check the spo2 sensor : * * inspect the sensor for any damage or loose connections. if damaged, replace the sensor. - * * secure the sensor : * * ensure the sensor is securely attached to the patient's finger or toe. - * * restart the monitor : * * turn the monitor off and back on to reset any software glitches. - * * review the monitor settings : * * verify that the spo2 settings are correct. - * * check patient positioning : * * ensure that the patient's hand or foot is not moving excessively, as this can interfere with the sensor signal. - * * contact biomedical engineering : * * if the issue persists, contact biomedical engineering for further troubleshooting and repair. @topic:4


# # # issue - control box not matching the bed model # # # impact - inability to adjust bed height or other functions # # # possible causes - mismatched control box installed during previous repair or replacement - incorrect control box model selected for the specific bed model - faulty control box # # # recommendations - verify compatibility of control box with bed model using manufacturer's documentation or consult with supplier - check if control box firmware is up to date - inspect control box for any visible damage or loose connections - if necessary, replace control box with the correct model and ensure proper installation @topic:1


# # # issue - cuff deterioration # # # impact - inaccurate blood pressure measurements # # # possible causes - frequent use - improper storage - exposure to extreme temperatures # # # recommendations - regular maintenance and calibration - proper storage in a cool, dry place - replacement of cuff if necessary @topic:3


# # # issue the medical cart's drawers are not bouncing back properly. # # # impact this issue can make it difficult to use the medical cart, as the drawers may not open or close properly. this could lead to delays in patient care or even accidents. # # # possible causes * * 1. the drawer tracks may be dirty or obstructed. * * this can prevent the drawers from moving smoothly. * * 2. the drawer springs may be weak or damaged. * * this can prevent the drawers from bouncing back properly. * * 3. the drawer guides may be misaligned. * * this can cause the drawers to bind or stick. # # # recommendations * * 1. clean the drawer tracks and remove any obstructions. * * * * 2. inspect the drawer springs and replace any that are weak or damaged. * * * * 3. adjust the drawer guides so that the drawers move smoothly. * * if the issue persists, it may be necessary to contact a qualified biomedical engineer for further assistance. @topic:21


# # # issue * the mindray beneview t1 patient transport monitor is experiencing intermittent readings from the spo2 sensor. # # # impact * the intermittent spo2 readings may result in inaccurate patient monitoring and potential harm to the patient. # # # possible causes * the cause of the failure is not explicitly stated in the input, but it is possible that the issue is due to a faulty o2 sensor cable. # # # recommendations * replace the o2 sensor cable. @topic:4


# # # issue the bed's legs are not locking securely. # # # impact the patient may be at risk of falling if the bed collapses. # # # possible causes - the locking mechanism is damaged or worn. - the bed frame is bent or damaged. - the legs are not properly aligned. - the bed is overloaded. # # # recommendations - inspect the locking mechanism for damage or wear. - inspect the bed frame for bends or damage. - check that the legs are properly aligned. - ensure that the bed is not overloaded. - replace any damaged or worn parts. - repair or replace the bed frame if necessary. - adjust the legs so that they are properly aligned. - reduce the weight on the bed. @topic:6


# # # issue - the patient monitor displays " replace battery " message. # # # impact - the patient monitor may not be able to accurately measure vital signs. - this could lead to incorrect treatment decisions. # # # possible causes - the battery is actually low and needs to be replaced. - the battery is not making good contact with the terminals. - the battery charger is not working properly. - the patient monitor is not communicating properly with the battery. # # # recommendations - replace the battery. - clean the battery terminals and the battery charger contacts. - test the battery charger. - contact the manufacturer of the patient monitor for further troubleshooting assistance. @topic:11


# # # issue - damaged spo2 cable and cover # # # impact - the monitor cannot display accurate spo2 readings, which is a critical parameter for patient monitoring. # # # possible causes - normal wear and tear - accidental damage - improper use or storage # # # recommendations - inspect the spo2 cable and cover regularly for any signs of damage. - replace damaged spo2 cable and cover immediately. - handle and store the spo2 cable and cover with care. - train staff on proper use and maintenance of the spo2 cable and cover. @topic:4


# # # issue - remote control for bed adjustment is not functioning. # # # impact - patient discomfort due to inability to adjust bed position. - increased workload for nursing staff to manually adjust the bed. # # # possible causes - * * remote control hardware failure : * * internal components of the remote control, such as buttons or sensors, may have malfunctioned. - * * damage to remote control wires or connections : * * the wires or connections between the remote control and the bed control unit may have been damaged. - * * software issues : * * a software glitch in the remote control or the bed control unit may be preventing communication between the two devices. - * * bed control unit failure : * * the bed control unit itself may have malfunctioned, preventing it from receiving signals from the remote control. # # # recommendations - * * inspect the remote control : * * check for any physical damage, such as cracked casing or loose buttons. - * * check the wires and connections : * * examine the wires and connections between the remote control and the bed control unit for any damage or loose connections. - * * try using a different remote control : * * if available, try using a different remote control to eliminate the remote control as the source of the problem. - * * reset the bed control unit : * * unplug the bed control unit from the power source for a few minutes, then plug it back in to reset it. - * * contact the manufacturer : * * if the problem persists, contact the manufacturer of the bed for further troubleshooting and repair options. @topic:7


# # # issue - broken bed locking mechanism # # # impact - inability to securely lock the bed in place, posing a safety hazard for patients # # # possible causes - wear and tear over time - improper use or handling - manufacturing defect # # # recommendations - replace broken locking mechanism - inspect and maintain bed regularly - train staff on proper use of equipment @topic:6


* * issue : * * - remote control cable is damaged. * * impact : * * - the bed's functions cannot be controlled remotely. * * possible causes : * * - the cable has been physically damaged, such as being cut or crushed. - the cable has become disconnected from the bed or remote control. - the cable is faulty. * * recommendations : * * - inspect the cable for damage and repair or replace it as needed. - check the connections between the cable and the bed and remote control to ensure they are secure. - test the cable to confirm that it is functioning properly. @topic:7


# # # issue - touchscreen malfunction # # # impact - inability to monitor patient vital signs and provide critical care # # # possible causes - faulty touchscreen hardware - software bugs or glitches - damaged or worn out touchscreen overlay - calibration issues # # # recommendations - inspect the touchscreen for physical damage or wear - update the device software to the latest version - replace the touchscreen overlay if necessary - re - calibrate the touchscreen according to the manufacturer's instructions - if the issue persists, contact the manufacturer for further troubleshooting and repair @topic:2


* * issue : * * bed is not functioning properly. * * impact : * * patient care may be delayed or compromised. * * possible causes : * * - * * equipment - related : * * - malfunctioning motor - electrical issues - mechanical damage - * * usage - related : * * - excessive weight on the bed - improper handling or use * * recommendations : * * - * * equipment - related : * * - inspect the equipment for visible damage or loose connections. - check the motor and electrical components for proper functioning. - refer to the manufacturer's instructions for maintenance and troubleshooting. - * * usage - related : * * - ensure that the bed is used according to manufacturer's guidelines. - train staff on proper handling and operation of the bed. @topic:9


# # # possible causes - defective actuator - loose or damaged wiring - faulty control panel - software glitch - power supply issue # # # recommendations - inspect the actuator for signs of damage or wear - check wiring connections for looseness or damage - test the control panel for proper functionality - update software if necessary - ensure that the equipment is receiving adequate power @topic:7


# # # issue - noise is present in the physiological monitoring graphs, making it difficult to read accurate values. # # # impact - inability to accurately monitor patient's neurological activity during intraoperative procedures. # # # possible causes - external signal interference from other medical devices. # # # recommendations - investigation of possible external signal sources and implementation of mitigation measures, such as shielding or grounding. - further evaluation of the acquisition pod and other hardware components to rule out any underlying hardware issues. @topic:2


# # # issue the bed is making a loud noise. # # # impact the noise is disruptive to patients and staff. it can also be a sign of a more serious problem with the bed. # # # possible causes * the bed alarm is set too high. * the bed is not properly lubricated. * the bed is damaged. # # # recommendations * check the bed alarm settings and adjust them as necessary. * lubricate the bed according to the manufacturer's instructions. * if the bed is damaged, contact the manufacturer for repairs. @topic:9


# # # issue - bed not adjusting up or down # # # impact - patient discomfort - difficulty with patient care # # # possible causes - loose electrical connection - electrical fault - mechanical failure # # # recommendations - check and tighten all electrical connections. - inspect the electrical system for any faults. - contact the manufacturer for further assistance. @topic:1


# # # issue - loose bed screws # # # impact - reduced bed stability - potential patient safety hazard - increased risk of equipment damage # # # possible causes - inadequate tightening of screws during assembly - screw loosening due to vibration or excessive use - corrosion or wear of screws # # # recommendations - regularly inspect and tighten bed screws - use threadlocker or other anti - vibration measures to prevent screw loosening - replace screws as needed @topic:6


# # # issue - modul is not working # # # impact - the monitor may not be able to display patient vital signs accurately, which could lead to delayed or incorrect treatment. # # # possible causes - the body modul may be defective. - the connection between the body modul and the monitor may be loose or damaged. - the software on the monitor may be out of date. # # # recommendations - replace the body modul. - check the connection between the body modul and the monitor. - update the software on the monitor. @topic:20


# # # issue - the bed is unable to adjust its height. # # # impact - this issue can prevent the bed from being used for its intended purpose, which can delay or even prevent medical procedures from being performed. # # # possible causes - there are several potential causes for this failure, including : - a problem with the electrical system - a mechanical problem with the bed's lifting mechanism - a software problem # # # recommendations - to troubleshoot this issue, the technician should : - check the electrical connections to the bed - inspect the bed's lifting mechanism for any damage or obstructions - update the bed's software to the latest version - if the problem persists, the technician should contact the manufacturer for further assistance @topic:1


# # # issue : - cuff has deteriorated. # # # impact : - the patient's blood pressure cannot be accurately measured. # # # possible causes : - the cuff is old and worn out. - the cuff has been exposed to harsh chemicals or temperatures. - the cuff has been used incorrectly. # # # recommendations : - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - use the cuff correctly according to the manufacturer's instructions. @topic:3


applies an ( m3014a only ) 02 in the setup co2 menu, select oxy. corr and select a value between 20 % and 100 %, the default value is 20 %. if you are not measuring the expired o2, estimate it by subtracting 5 % from the inspired o2 then select the nearest value from the list. ( m3014a only ) 250 correctiohumidity at installation, the monitor is configured to automatically apply either body temperature pressure saturated ( btps ) or ambient temperature pressure dry ( atpd ). to see which, go to the setup co2 menu, and scroll down to look at hum. corr or humidity corr.. ₂o in the setup co2 menu, select n₂o corr. and turn on or off. if n2o is present in the ventilation gas mixture, you must turn this on. ( m3016a mainstream and m3015a / b microstream only ) if the n2o correction is not available in the setup co2 menu, the co2 measurement in your mms extension does not require n2o correction or it is setup with gas corr. ( see below ). in the setup co2 menu, select gas corr. and select helium, n2o or turn off. if helium or n2o is present in the ventilation gas mixture, you must make on. gas ( m3014a only ) if the gas correction is not available in the setup co2 menu, the co2 measurement in your mms extension does not require n2o or helium correction or the n2o correction is setup with n2o corr. ( see above ). in the setup co2 menu, select agt. corr and select the concentratanesthetic agent ( between 0. 0 % and 20. 0 % ). @topic:17


# # # issue - cuff is broken # # # impact - unable to accurately measure blood pressure # # # possible causes - normal wear and tear - cuff was not properly maintained - cuff was damaged during use # # # recommendations - replace the cuff with a new one - inspect the cuff regularly for signs of damage - follow the manufacturer's instructions for proper use and maintenance of the cuff @topic:3


# # # issue - cuff of monitor, patient transport ( welch allyn, propaq lt ) is damaged # # # impact - unable to obtain accurate blood pressure readings - may result in incorrect treatment decisions # # # possible causes - normal wear and tear - mishandling of the equipment - use of incompatible accessories # # # recommendations - replace the damaged cuff with a compatible replacement - inspect the cuff regularly for signs of damage - ensure that the cuff is properly connected to the monitor - train staff on the proper use and maintenance of the equipment @topic:3


and the thigh section. this function prevents patients from slipping. trendelenburg / reverse trendelenburg the sleep surface can be titled in two ways : • reverse trendelenburg ( foot end in low position ). the complete trendelenburg function is available at all heights of the sleep surface. a spirit level on the foot half - siderail can be used to check that the sleep surface is horizontal. a before using this function, check that : [UNK] the bed frame extension is securely locked in one of the notches and that nothing ( e. g., objects, accessories, power cables, tubes ) or persons especially children ) are under the sleep surface. [UNK] the patient's limbs are within the sleep surface, there is enough space between the head of the bed and the partition, especially for trendelenburg, [UNK] no accessories ( iv pole in particular ) may come into contact with the fittings, check that the drainage devices do not come into contact with the floor. • age 30 electrical trendelenburg / reverse trendelenburg the electrical trendelenburg / reverse trendelenburg is operated using the the half - siderail. a before using this function, check that the hilow is enabled. to tilt the sleep surface : b press the required function ( a ) or ( b ) at the same time, • release the button when the required angle is attained.. this function can be used without a mains power supply thanks to the battery. boost patient position mechanism before using this function, check that the hilow is enabled. this function puts the sleep surface sections in the flat position and inclines it into the trendelenburg position to 7°. it also activates the p - max mode of the combined mattress *. oost to activate this function, press and hold the boost button and release when at the required angle. [UNK] function can be used without a mains power supply thanks @topic:9


* * issue : * * failed vital signs monitor * * impact : * * inability to accurately monitor vital signs, delaying patient assessment and treatment decisions. * * possible causes : * * * * 1. defective blood pressure ( bp ) cuff : * * * ruptured or torn bp cuff can cause inaccurate blood pressure readings. * excessive pressure during blood pressure measurement can overstretch and damage the cuff. * * recommendations : * * * replace the bp cuff with a new and properly fitting one. * train staff on the correct technique for measuring blood pressure to avoid excessive pressure. # # # additional possible causes and recommendations : * * 2. electrical malfunction : * * * faulty wires or connections within the monitor can cause it to fail. * inspect the monitor for any loose or damaged wires. * perform electrical testing to identify the malfunctioning component. * * 3. software glitch : * * * software bugs or errors can cause the monitor to behave erratically. * check for software updates from the manufacturer. * reset the monitor to its factory settings if possible. * * 4. improper maintenance or calibration : * * * failure to regularly clean or calibrate the monitor can affect its accuracy. * follow the manufacturer's maintenance and calibration guidelines. * regularly clean the sensors and other components to prevent dirt accumulation. @topic:15


# # issue - the bed's rail guard is not locking properly. # # impact - patient safety hazard - inconvenience to patient and staff # # possible causes - worn or damaged locking mechanism - misaligned rail guard - bent or damaged components # # recommendations - inspect the locking mechanism for damage or wear. - ensure that the rail guard is properly aligned. - replace any bent or damaged components. - retest the locking mechanism to ensure proper operation. @topic:6


# # # issue - equipment failure due to keypad malfunction # # # impact - inability to operate the electric bed, affecting patient comfort and safety # # # possible causes - the provided information indicates that the keypad is the cause of failure. however, the input lacks a clear indication of why the keypad malfunctioned. * * possible root causes for keypad failure : * * - faulty keypad components ( e. g., worn - out or damaged buttons ) - loose connections between the keypad and the control board - software glitches or electrical malfunctions within the keypad # # # recommendations to resolve the issue, the following steps can be taken : * * immediate actions : * * - confirm the keypad failure by testing the buttons and inspecting the keypad for any visible damage. - if possible, use an alternative control method for the bed ( e. g., hand control or remote ). * * investigative and corrective actions : * * - * * inspect the keypad : * * check for loose connections, broken wires, or damaged buttons. replace or repair any faulty components as needed. - * * troubleshoot electrical connections : * * use a multimeter to test the continuity of wiring and connections between the keypad and the control board. repair or replace any faulty connections. - * * review software updates : * * contact the equipment manufacturer to inquire about any software updates or patches that may address keypad issues. - * * calibrate the keypad : * * if applicable, follow the manufacturer's instructions to calibrate the keypad to ensure proper button functionality. * * preventive and maintenance actions : * * - * * minimize frequent use of bed rails : * * train staff to avoid excessive or unnecessary use of bed rails, which can strain the keypad and associated components. - * * regular maintenance @topic:25


* * issue : * * electric bed unable to adjust * * impact : * * patients may experience discomfort or difficulty in using the bed. * * possible causes : * * * * * faulty motor : * * the motor responsible for adjusting the bed may have failed or become damaged. this could be due to wear and tear, manufacturing defects, or improper handling. * * * electrical malfunction : * * a break in the electrical circuit or a faulty component ( e. g., wiring, switch ) could prevent the motor from receiving power or operating correctly. * * * sensor or feedback mechanism issue : * * sensors or feedback mechanisms used to detect the bed's position or adjust its movement may be malfunctioning, leading to the inability to adjust the bed correctly. * * recommendations : * * * * * replace or repair the motor : * * if the motor is faulty, it should be replaced or repaired by a qualified technician. * * * troubleshoot electrical components : * * inspect the electrical wiring, switches, and other components for any breaks or loose connections. replace or repair any faulty components as necessary. * * * check sensors and feedback mechanisms : * * ensure that sensors and feedback mechanisms are properly calibrated and functioning correctly. clean or replace any faulty sensors or adjust the feedback system as needed. * * * ensure proper maintenance : * * regularly inspect and maintain the bed according to the manufacturer's guidelines to prevent future failures and ensure optimal performance. @topic:1


# # # issue - the cuff of the vital signs monitor is torn or damaged. # # # impact - the monitor cannot accurately measure blood pressure. # # # possible causes - the cuff is old or worn out. - the cuff has been damaged by being pinched or cut. - the cuff has been improperly stored. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear or damage. - store the cuff properly when not in use. @topic:5


# # # issue - the module gas philips g7 ref : 886173 sn : de43808997 is not displaying a zero value when the zero button is pressed. # # # impact - the inability to accurately zero the module gas may lead to incorrect readings, which could have serious consequences for patient safety. # # # possible causes - * * moisture : * * the module gas may have been exposed to moisture, which can cause the sensors to malfunction. - * * contamination : * * the module gas may have been contaminated with salt or other substances, which can interfere with the sensors. - * * calibration : * * the module gas may not have been properly calibrated. # # # recommendations - * * check for moisture : * * inspect the module gas for any signs of moisture. if moisture is present, use a hair dryer or other source of warm air to dry it out. - * * clean the module gas : * * if the module gas is contaminated, clean it with a mild detergent and water. - * * calibrate the module gas : * * calibrate the module gas according to the manufacturer's instructions. - * * if the above steps do not resolve the issue, contact the manufacturer for further assistance. * * @topic:20


# # # issue - the medical cart is not logging in. # # # impact - the medical cart cannot be used for patient care. # # # possible causes - the medical cart is not connected to the internet. - the medical cart has the wrong login credentials. - the medical cart has a software issue. # # # recommendations - check that the medical cart is connected to the internet. - verify that the medical cart has the correct login credentials. - contact the manufacturer of the medical cart for assistance with troubleshooting the software issue. @topic:13


# # # issue - mouse not working # # # impact - inability to operate the monitor or central station # # # possible causes - faulty mouse - loose or damaged mouse cable - mouse driver issues - firmware issues # # # recommendations - replace the mouse if it is faulty. - check the mouse cable for any damage or loose connections. - update the mouse driver if necessary. - contact the equipment manufacturer for assistance if the issue persists. @topic:30


# # # issue - vital signs monitor is not functioning correctly # # # impact - inability to monitor patient's vital signs, including oxygen saturation # # # possible causes - faulty oxygen sensor cable # # # recommendations - replace the oxygen sensor cable - calibrate the monitor according to manufacturer's instructions - verify that the monitor is properly connected to the patient - ensure that the patient is properly positioned for accurate monitoring @topic:4


##nnect, unplug the power cable. monitoring after a power failure if the monitor is without power for less than one minute, monitoring will resume with all active settings unchanged. if the monitor is without power for more than one minute, the behavior depends on your configuration. if automat. default is set to yes, the default profile will be loaded when power is restored. if automat. default is set to no, all active settings are retained, if power is restored within 48 hours. the automat. default setting is made in configuration mode. networked monitoring you can connect your monitor to an information center on a network, using one of the optional interfaces : • standard wired lan • wireless lan • intellivue instrument telemetry system ( iit ) warning do not connect patient monitors to the standard hospital network. additionally, when the intellivue x2 or mp3 is equipped with iit and declared at the information center as a telemetry device, it allows data continuity when paired to a host monitor. after disconnection from the host monitor, it continues to monitor the patient during transport and provides continuous data to the same sector on the information center. ( see “ assigning two devices to one patient ” on page 265. ) 42 using remote applications 1 basic operation if your monitor is connected to a network, a network symbol is displayed in the upper left corner next to the bed label. to see details about the care group, the monitoring equipment, and technical information about the network, ♦ mp20 / mp30 / mp40 / mp50 - select the monitor info line to enter the setup menu, then select bed information. ♦ mp60 / mp70 / mp80 / mp90 - in the monitor info line, select the bed label. be aware that some network - based functions may be limited for monitors on wireless networks in comparison to those on wired networks. print @topic:10


# # # issue - bed lock failure # # # impact - patient safety hazard - inconvenient for patient care # # # possible causes - wear and tear - improper use - manufacturing defect # # # recommendations - inspect bed locks regularly for signs of wear or damage. - train staff on proper use of bed locks. - contact the manufacturer for any necessary repairs or replacements. @topic:6


* * issue : * * remote control unit failure * * impact : * * inability to adjust the bed * * possible causes : * * - * * electrical fault : * * a short circuit, broken wire, or other electrical issue within the remote control unit could prevent it from sending signals to the bed. - * * mechanical damage : * * physical damage to the remote control unit, such as a cracked casing or broken buttons, could prevent it from functioning properly. - * * software glitch : * * a software malfunction within the remote control unit could cause it to become unresponsive or to send incorrect signals to the bed. - * * battery failure : * * if the remote control unit is battery - operated, a dead or weak battery could prevent it from transmitting signals. - * * interference with wireless signals : * * wireless signals from other devices, such as cell phones or medical equipment, could interfere with the communication between the remote control unit and the bed. * * recommendations : * * - * * inspect the remote control unit for visible signs of damage : * * check for broken casing, loose buttons, or exposed wires. - * * test the batteries : * * replace the batteries and check if the remote control unit starts functioning properly. - * * check for wireless interference : * * identify any potential sources of wireless interference and remove them or move the bed away from them. - * * reset the remote control unit : * * some remote control units have a reset button that can be pressed to restore factory settings and resolve software glitches. - * * contact a qualified biomedical engineer : * * if the issue cannot be resolved with the above steps, contact a qualified biomedical engineer who can diagnose and repair the remote control unit or the bed itself. @topic:7


# # # issue - malfunctioning temperature sensor # # # impact - inaccurate temperature readings - potential for patient harm due to incorrect diagnosis and treatment # # # possible causes - faulty temperature probe - loose connections between probe and monitor - damage to temperature sensor circuit # # # recommendations - replace the temperature probe - check and tighten all connections between the probe and the monitor - inspect the temperature sensor circuit for damage and repair or replace as necessary @topic:20


# # # issue - failed module in the pressure measurement system of the philips intellivue mx700 bedside physiologic monitor. # # # impact - inability to accurately measure blood pressure, potentially leading to incorrect treatment decisions and patient harm. # # # possible causes - * * defective module : * * the pressure measurement module itself may have a manufacturing defect or have experienced damage during use. - * * electrical system malfunction : * * a fault in the electrical system, such as a loose connection or faulty wiring, could prevent the module from receiving power or communicating properly. - * * software error : * * a software glitch or corruption can cause the module to malfunction and not display correct measurements. - * * environmental factors : * * exposure to extreme temperatures, vibration, or moisture can over time damage or impair the module's functionality. # # # recommendations - * * replace the pressure measurement module : * * the most direct solution is to replace the defective module with a new one. - * * inspect electrical system : * * carefully check the electrical connections and wiring for any signs of damage or looseness. ensure that the power supply is stable and meets the device's specifications. - * * update software : * * if a software error is suspected, the device's software should be updated to the latest version. - * * monitor environmental conditions : * * avoid exposing the device to extreme temperatures, vibration, or moisture, as these can contribute to component failure. @topic:15


# # # issue - ekg waveform is distorted and unreliable. # # # impact - inability to accurately monitor and interpret patient's electrocardiogram ( ecg ) signals. - delays in diagnosis and treatment. # # # possible causes - faulty ekg cable ( green lead ). # # # recommendations - replace the ekg cable with a new one. - verify that the new cable is properly connected and functioning correctly. - regular maintenance and inspection of ekg equipment and cables to prevent similar issues in the future. @topic:18


# # # issue - ac plug cannot retract fully into the medical cart. # # # impact - the medical cart cannot be used properly as the power cord is not securely stored. this could lead to tripping hazards or electrical accidents. # # # possible causes - the ac plug may have been pulled out too far, damaging the retraction mechanism. - there may be a foreign object blocking the retraction mechanism. - the retraction mechanism may be malfunctioning due to wear and tear. # # # recommendations - inspect the ac plug for any damage. if the plug is damaged, it should be replaced. - check for any foreign objects that may be blocking the retraction mechanism. if any foreign objects are found, they should be removed. - if the retraction mechanism is malfunctioning, it should be repaired or replaced by a qualified technician. @topic:31


# # # issue oxygen saturation ( o2 sat ) monitoring is not functioning correctly. # # # impact inaccurate o2 sat readings can lead to delayed or incorrect medical decisions, potentially impacting patient safety. # # # possible causes * faulty o2 sat sensor * damaged cable connecting the sensor to the monitor * loose or disconnected cable * monitor malfunction # # # recommendations * replace the o2 sat sensor. * inspect the cable for damage and replace if necessary. * ensure the cable is securely connected to both the sensor and the monitor. * test the monitor to verify proper functionality. @topic:4


# # # issue - motor failure in electric bed # # # impact - inability to adjust bed height - patient discomfort and safety concerns # # # possible causes - motor overload due to excessive weight or improper use - mechanical failure due to wear and tear - electrical fault in motor or wiring # # # recommendations - check and adjust bed weight capacity to ensure it is not exceeded - instruct users on proper bed operation - inspect and replace worn components as needed - troubleshoot electrical connections and ensure proper grounding - contact manufacturer for technical support if necessary @topic:9


# # # issue - vital signs monitor not measuring spo2 ( blood oxygen saturation ). # # # impact - clinicians will not be able to accurately monitor patient's oxygenation status. - this could lead to delayed or incorrect treatment, potentially compromising patient safety. # # # possible causes - faulty spo2 sensor - loose or damaged spo2 cable - malfunctioning monitor - patient's skin pigmentation or nail polish interfering with sensor readings # # # recommendations - replace spo2 sensor. - inspect and secure spo2 cable connections. - check monitor for any error messages or indications of malfunction. - clean patient's finger and remove any nail polish that could obstruct sensor readings. - if the issue persists, escalate to a senior biomedical engineer or the manufacturer for further troubleshooting and repair. @topic:4


# # # issue - bed is not adjustable # # # impact - patient discomfort - difficulty with patient care - increased risk of accidents # # # possible causes - loose plug in head of bed - faulty wiring - malfunctioning motor - software issue # # # recommendations - check and tighten plug in head of bed - inspect wiring for damage - test motor and replace if necessary - contact manufacturer for software updates @topic:1


# # # issue physiological monitor ( bedside ) providing inaccurate readings. # # # impact inaccurate patient monitoring data can lead to improper or delayed medical interventions, potentially compromising patient safety. # # # possible causes - * * sensor malfunction : * * faulty sensors within the monitor can result in incorrect measurement of vital parameters. - * * calibration issues : * * improper calibration or drift over time can lead to inaccurate readings. - * * electrical interference : * * electromagnetic or radio frequency interference can disrupt the monitor's signal processing, affecting measurement accuracy. - * * software errors : * * software bugs or glitches can interfere with data collection and calculations, causing inaccurate results. - * * display or readout errors : * * the monitor's display or readout may malfunction, leading to misinterpretation of the measured values. # # # recommendations to address the failure of the bedside physiological monitor : - * * inspect sensors : * * check for any visible damage, loose connections, or debris that may hinder their proper functioning. - * * verify calibration : * * ensure that the monitor has been calibrated recently and that the calibration procedures were followed correctly. - * * assess electrical environment : * * identify and eliminate potential sources of electromagnetic or radio frequency interference near the monitor. - * * update software : * * check for software updates or patches that may resolve any known bugs or glitches impacting measurement accuracy. - * * compare with another device : * * if possible, connect an alternative monitor to the patient to compare readings and verify the accuracy of the original monitor. - * * contact the manufacturer : * * if the issue persists or cannot be resolved through the above steps, contact the equipment manufacturer for technical assistance or a possible repair or replacement. @topic:20


displays real - time data • controls the attached multi - measurement modules • alarms in the case of patient or equipment problems • offers limited data storage and retrieval ( trending ) • interfaces to the philips clinical network and other equipment a monitor with just a single integrated measurement module can be connected to additional building blocks to form a monitoring system with a large number of measurements and additional interface capabilities and multiple slave displays. these elements cooperate as one single integrated real - time measurement system. 11 [ 2 theory of operation ] system boundaries the following diagram discusses specific boundaries within the overall system with respect to their openness and real - time requirements : system boundaries o measurement connections built - in measurement block o philips clinical network ( wired lan ) connects multiple patient monitors, information centers, application servers ; closed system, only philips qualified products ( tested and with regulatory approval ) are connected. philips is responsible for guaranteed real - time functionality and performance o philips clinical network ( wireless ) like philips clinical network ( wired ) lan, however due to current wireless technologies available it has reduced bandwidth, longer latencies, reduced functionality o hospital lan, internet standard network, not under philips control, no guaranteed service, no real - time requirements 12 2 theory of operation ) hardware building blocks the following hardware building blocks make up the monitoring system : intellivue mx400 / 450 / 500 / 550 the intellivue mx400 / 450 / 500 / 550 monitor : • integrates the display and processing unit into a single package • uses a 9 " tft wvga color display ( mx400 ) • uses a 12 " tft wxga color display ( mx450 / 500 ) • uses a 15 " tft wxga color display ( mx550 ) • uses the touch screen as primary input device ; a remote control and computer devices such as mice, trackball, and keyboard can be added optionally • has an optional built - @topic:10


# # # issue - the bed is not adjustable. # # # impact - the bed cannot be used to provide proper care to patients. # # # possible causes - * * electrical failure : * * the electrical components of the bed may have failed, preventing the bed from adjusting. - * * mechanical failure : * * the mechanical components of the bed may have failed, such as the motors or gears. - * * software failure : * * the software that controls the bed's operation may have failed. - * * user error : * * the bed may not be adjusted properly by the user. # # # recommendations - * * electrical failure : * * check the electrical connections and components of the bed to identify and repair any faults. - * * mechanical failure : * * inspect the mechanical components of the bed for any damage or wear and tear. replace or repair any faulty components. - * * software failure : * * contact the manufacturer to obtain a software update or repair the software. - * * user error : * * ensure that the user is properly trained on how to operate the bed. @topic:1


# # # issue - the keypad is locked, preventing the user from inputting commands to adjust the bed. # # # impact - the patient cannot be repositioned or adjusted to a comfortable position. - the bed cannot be raised or lowered to assist with patient care. # # # possible causes - the keypad may have been accidentally locked by a user. - the keypad may have a faulty switch or connection. - the software controlling the keypad may be malfunctioning. # # # recommendations 1. * * check the keypad for any visible damage or loose connections. * * ensure that the keypad is properly connected to the bed frame. 2. * * try restarting the bed by unplugging it from the power outlet and plugging it back in. * * this may reset the keypad and resolve the issue. 3. * * contact the manufacturer or a qualified technician if the problem persists. * * they can diagnose and repair the issue, such as replacing a faulty switch or updating the software. @topic:25


- condensing ) storage : 10 to 90 % rh ( non - condensing ) altitude operating : up to 2400m ( 8000 ft. ) storage : up to 12200m ( 40000 ft. ) electrical and safety requirements voltage ranges : 90v to 264v ( 13. 5afuse ) voltage selection : wide range input, no voltage selection required power consumption : 60 watts maximum remote displays - m8033b space requirements size ( wxhxd ) 404mm x 401mm x 234mm ( 15. 9 ” x 15. 8 ” x 9. 2 ” ) weight 255 8 site preparation remote device site requirements without deskstand : 4. 8 kg ( 10. 6 lbs ) with deskstand : 8. 8 kg ( 20 lbs ) environmental requirements temperature operating : 0 to 40°c ( 32 to 104°f ) storage : - 20 to 63°c ( - 4 to 140°f ) humidity operating : 10 to 90 % rh ( non - condensing ) storage : 10 to 90 % rh ( non - condensing ) altitude operating : up to 2438m ( 8000 ft. ) storage : up to 12192m ( 40000 ft. ) electrical and safety requirements voltage ranges : 100v to 240v voltage selection : wide range input, no voltage selection required power consumption : 30 watts maximum remote displays - m8033c space requirements size ( wxhx d ) 410mm x 362mm x 103mm ( 16. 1 ” x 14. 25 ” x 4. 1 ” ) weight without deskstand : 7 kg ( 15. 4 lbs ) with deskstand : 10. 8 kg ( 20 lbs ) environmental requirements temperature operating : 0 to 40°c ( 32 to 104°f ) storage : - 20 to 60°c ( - 4 to 140°f ) humidity operating : 20 @topic:19


# # # issue - equipment malfunction due to change of blood pressure ( bp ) cuff. # # # impact - monitoring of patient's vital signs may be inaccurate or unavailable. # # # possible causes - incompatible bp cuff - improper cuff placement - cuff damage # # # recommendations - verify compatibility of bp cuff with equipment. - ensure proper placement of cuff on patient's arm. - inspect cuff for damage and replace if necessary. - train staff on correct use and maintenance of equipment. @topic:3


is not charging, an estimate of the monitoring time this represents. battery power gauge : : 34 this shows the remaining battery power. it is divided into sections, each representing 20 % of the total power. if three sections are filled, as in this example, this indicates that 60 % battery power remains. if no battery is detected, a blank battery gauge marked with a flashing red x is displayed. if no data is available from the battery, a question mark is shown in the gauge. if there are problems or changes in the status of the battery this is indicated by a blank battery gauge l is red, this indicates a critical situation. alternates with the battery gauge on the main screen. the red flashes. critical battery situation or malfunction. check in the battery status window to see which malfunction indicator is displayed, or refer to the inop, to identify the cause. check in the battery status window to identify the cause. 406 monitoring time available : while the monitor is running on battery power, a time is displayed below the battery power gauge. no time is displayed when the monitor is running on external power. this is the estimated monitoring time available with the current battery power. note that this time fluctuates depending on the system load ( the display brightness and how many measurements you to access the battery status window and its associated pop - up keys, select the battery status information on the screen, or select main setup then battery. capacity, remaining tells you how much power is left in the battery. • timetoempty tells you approximately how long you can continue to use the monitor with this battery. note that this time fluctuates depending on the system load ( the display brightness and how many measurements and recordings you carry out ). • timetofull is shown in place of timetoempty if the monitor is connected to mains power, and tells you @topic:11


# # # issue - setting the parameters on the x2 monitor to display the sat spo2 graph. # # # impact - the monitor may not display the sat spo2 graph correctly. # # # possible causes - incorrect parameter settings on the monitor. # # # recommendations - verify that the parameters on the monitor are set correctly. - consult the manufacturer's instructions for guidance on how to set the parameters. - if the problem persists, contact the manufacturer for assistance. @topic:4


# # # issue bed is not adjusting. # # # impact patient may not be able to get in or out of bed, or may be uncomfortable in bed. # # # possible causes - electrical issue - mechanical issue - software issue # # # recommendations - check the electrical connections to the bed. - check the mechanical components of the bed for any damage or wear. - update the software on the bed. @topic:1


# # # issue - cuff is damaged # # # impact - inaccurate blood pressure readings - patient discomfort # # # possible causes - normal wear and tear - excessive use - improper storage - manufacturing defect # # # recommendations - inspect the cuff regularly for any signs of damage or wear - handle the cuff with care - store the cuff in a cool, dry place - replace the cuff if it is damaged or if it is more than 5 years old @topic:3


r - r interval ) with detected pace pulse ( s ). ( for paced patients only ) no beat and pace pulse detected for > 1. 75 * ( the averaged r - r interval ). ( for x x * * pacer not pacing x x * sva run of supraventriculsvt run limit and heart rate > the svt x hr higheart rate the high hr alarm limit x x ( see note ) ( see note ) hr loheart rate the low hr alarm limit x x ( see note ) ( see note ) afiatrial fibrillation waveform detected x atrial fibrillation no longer detected fothe configured afib end delay time consistently irregular rhythm ( irregular r - r intervals ) * end afib x * * irregular hr x * end irregular hr x note : * * hr high / low are available only if hr alarms are configured to " yellow ", and * hr high / low are available only if hr alarms are configured to " short yellow ". ecg alarms can be switched on and off and the high and low alarm limits changed just like other measurement alarms, as described in the " alarms " chapter. special alarm features which apply only to re. extreme alarm limits for heart rate the extreme rate alarms, extreme tachy and extreme brady, generated by the active alarm source, either hr or pulse, are set in configuration mode by adding a set value ( the a value ) to the high and low alarm limits. extreme brady limit 1 2 2 3 3 extreme tachy limit 4 extreme bradco 5 lo 5 [UNK] extreme tachy 6 5 6 ecg, arrhythmia, st and qt monitoring you need to know which value has been configured for your monitor. changing the high and low alarm limits automatically changes the extreme alarm limits within the allowed range. to see the extreme rate alarms set for your monitor, in @topic:8


* * issue : * * failed to measure vital signs * * impact : * * patient monitoring is compromised * * possible causes : * * * * * defective cuff : * * the cuff may be torn, punctured, or otherwise damaged, preventing it from inflating properly and obtaining accurate readings. * * * loose or disconnected cuff connection : * * the cuff may not be properly connected to the monitor, resulting in no or incorrect readings. * * * software malfunction : * * the monitor's software may malfunction, leading to incorrect or no readings. * * * damaged sensor : * * the sensor in the cuff may be damaged, affecting the ability to measure blood pressure. * * recommendations : * * * * * test with a different cuff : * * to rule out a defective cuff, connect a known - good cuff and check if the readings are correct. * * * ensure proper connection : * * inspect the cuff connection to the monitor and ensure it is secure and not loose. * * * reboot the monitor : * * a software malfunction may be resolved by rebooting the monitor. * * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer for further troubleshooting and possible repair or replacement of the device. @topic:14


# # # issue - broken ekg cable ( white cable ) # # # impact - inability to accurately monitor patient's electrocardiogram ( ecg ) # # # possible causes - physical damage to the cable ( e. g., bending, crushing, fraying ) - improper handling or storage of the cable - manufacturing defect in the cable # # # recommendations - inspect the cable regularly for signs of damage and replace if necessary. - handle and store the cable carefully to prevent damage. - report any suspected manufacturing defects to the equipment manufacturer. - train staff on proper handling and maintenance of medical devices. @topic:18


# # # issue equipment : beds, electric brand : hill - rom model : care assist es220 issue : scale function frozen # # # impact inability to accurately weigh patients. # # # possible causes - sensor malfunction - wiring issue - software glitch # # # recommendations - check sensor connections and wiring. - perform software updates or resets. - replace faulty sensors or components as needed. - calibrate the scale according to manufacturer's instructions. @topic:25


# # # issue : monitors, bedside, physiologic philips intellivue mx750 is not sending parameter values to anarecord for the first 15 minutes after being turned on. # # # impact : - delay in recording patient data - incomplete patient records - potential for incorrect treatment decisions # # # possible causes : - problem with the connection between the monitor and anarecord - issue with the anarecord software - problem with the monitor's software - configuration issue in the monitor or anarecord # # # recommendations : - check the physical connection between the monitor and anarecord. - update the anarecord software. - update the monitor's software. - reconfigure the monitor and anarecord according to the manufacturer's instructions. @topic:22


6 suresigns vs2 * and vsi service guide upgrading the software upgrading the software caution before you upgrade the software, you can back up the system settings by exporting the current configuration settings or by recording them on the worksheets provided in the suresigns vs2 * and vsi installation and configuration guide. for more information, see the suresigns vs2 * and vsi installation and configuration guide. never downgrade the software to an earlier version. doing so may cause hardware incompatibility and loss of system settings and patient records. the current software version is displayed on the start - up screen and the system information window. when you upgrade the software : + charge the battery before upgrading the software. + never perform a software upgrade with the monitor connected to a patient. disconnect any usb peripherals. + do not upgrade the software through a usb hub. if the usb port has a clamp in place, you may need to remove the clamp to ensure that the flash drive fits properly. ¢ if you upgrade from software version b. 01. 34 with portuguese, norwegian, danish, finnish, russian, or swedish configured, the language defaults to english and all system settings and patient data will be deleted from the monitor during the upgrade. to prevent loss of your patient data, ensure it has been exported to the ehr, print it, or save it to a usb drive for storage. exported patient data, however, cannot be imported back into the monitor. for detailed information about saving patient data, see the instructions for use for your monitor. after the upgrade starts : + do not unplug the monitor. e do not remove the usb flash drive. ¢ do not press any keys. if the upgrade is inadvertently interrupted and the main board data is lost, replace the main board. for more information, see “ replacing the main board ” on page @topic:22


# # # issue the medical cart cannot boot into windows properly and displays a reboot message. # # # impact the medical cart cannot be used for its intended purpose, which may affect patient care. # # # possible causes - corrupted operating system files - hardware issues, such as a faulty hard drive or memory module - virus or malware infection - improper bios settings # # # recommendations 1. restart the medical cart and enter the bios settings. 2. check the boot order to ensure that the hard drive is set as the first boot device. 3. reset the bios settings to default. 4. run a diagnostic test on the hard drive and memory module to check for any errors. 5. scan the medical cart for viruses or malware using an antivirus software. 6. if the issue persists, contact the manufacturer for further assistance. @topic:13


# # # issue the electric hospital bed is not able to adjust the leg section of the bed. # # # impact the patient may not be able to get into or out of bed comfortably or safely. the patient may also be at risk of injury if the bed is not able to be adjusted to a safe and stable position. # # # possible causes * the control box may be faulty. * the motor that adjusts the leg section of the bed may be faulty. * the wiring between the control box and the motor may be faulty. * the remote control for the bed may be faulty. # # # recommendations * check the control box for any loose connections or damage. * check the motor for any signs of wear or tear. * check the wiring between the control box and the motor for any breaks or damage. * check the remote control for any signs of damage. * if any of these components are found to be faulty, they should be replaced. @topic:1


# # # issue : - cuff tab is damaged. # # # impact : - vital signs cannot be accurately measured. # # # possible causes : - cuff tab is old and worn out. - cuff tab was damaged during cleaning or disinfection. - cuff tab was damaged by a patient or staff member. # # # recommendations : - replace the cuff tab. - ensure that the cuff tab is properly cleaned and disinfected. - train staff on how to properly use and handle the cuff. @topic:5


# # # issue - damaged electrical plug # # # impact - potential electrical hazard - device malfunction # # # possible causes - improper handling of the device - faulty manufacturing of the plug - wear and tear over time # # # recommendations - inspect the electrical plug and replace it if damaged. - train staff on proper handling of medical devices. - consider using surge protectors to prevent damage from power surges. - regular maintenance and inspection of medical devices should be carried out. @topic:12


# # # issue - the relay is not able to adjust the head up. # # # impact - the electric bed cannot be used to adjust the patient's position. # # # possible causes - the control box is faulty. # # # recommendations - replace the control box. @topic:1


# # # issue - spo2 probe is intermittently disconnecting ( reading " 0 % " ) # # # impact - inaccurate or missing spo2 data - potential for patient safety issues if spo2 drops below a critical level and is not detected # # # possible causes - faulty spo2 probe ( ipx2 # 1516g 65750 ) # # # recommendations - replace the spo2 probe with a new one - ensure the spo2 probe is securely connected to the patient's finger - monitor the spo2 reading closely to ensure it is accurate and stable @topic:4


# # # issue * the bed's control box and remote are missing. # # # impact * the bed cannot be adjusted, which could lead to patient discomfort or injury. # # # possible causes * the control box and remote may have been lost or stolen. * the control box may have malfunctioned and been removed for repair. * the remote may have been damaged and discarded. # # # recommendations * check with the nursing staff to see if the control box and remote have been found. * if the control box and remote cannot be found, order new ones from the manufacturer. * if the control box has malfunctioned, contact the manufacturer for repair or replacement. * if the remote has been damaged, order a new one from the manufacturer. @topic:7


# # # issue - the module of the bedside physiologic monitor is broken. # # # impact - the monitor cannot be used to monitor patient's vital signs. # # # possible causes - the module may have been dropped or hit. - the module may have been exposed to excessive heat or moisture. - the module may have been damaged by a power surge. # # # recommendations - replace the broken module. - inspect the monitor for any other damage. - test the monitor to ensure that it is working properly. @topic:2


vs2 * and vsi service guide error codes code error message possible cause action 866 ( 75 ) temp probe error ( 75 ) problem reading the temperature probe eeprom correctly or the probe was not factory tested. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature probe. 866 ( 78 ) temp probe error ( 78 ) probe error. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 866 ( 79 ) temp probe error ( 79 ) module memory error. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 866 ( 80 ) temp probe error ( 80 ) software is trying to turn off the probe heater, but the heater feedback signal says it is still on. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the temperature probe. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 866 ( 81 ) temp probe error ( 81 ) software is trying to turn on the probe heater, but the heater feedback signal says it is still off. shut down ( see “ shutting down the system ” on page @topic:22


# # # issue - unable to adjust the equipment # # # impact - the equipment cannot be used for its intended purpose. # # # possible causes - faulty adjustment mechanism - misalignment of components - broken or damaged parts # # # recommendations - inspect the adjustment mechanism for any damage or wear. - check the alignment of the components to ensure they are properly engaged. - replace any broken or damaged parts. - calibrate the equipment to ensure accurate readings. @topic:12


# # # issue - velcro cuff is deteriorated. # # # impact - the cuff may not be able to hold the patient's arm securely, which could lead to inaccurate blood pressure readings. - the cuff may be uncomfortable for the patient. # # # possible causes - the cuff is old and has been used extensively. - the cuff has been exposed to chemicals or other harsh conditions. - the cuff has been improperly cleaned or stored. # # # recommendations - the cuff should be replaced with a new one. - the cuff should be cleaned and stored properly according to the manufacturer's instructions. @topic:3


# # # issue - bed not adjusting # # # impact - patient discomfort - delays in patient care # # # possible causes - electrical issue - mechanical issue - hydraulic issue - software issue - user error # # # recommendations - check power supply and connections - inspect mechanical components for damage or wear - test hydraulic system for leaks or blockages - update software if necessary - provide training to users on proper operation of the bed @topic:1


* * issue : * * the ob & gyn electric bed makes a noise. * * impact : * * the noise may disrupt examinations or patient recovery. * * possible causes : * * > - loose or worn components > - damaged or malfunctioning motor > - electrical issues * * recommendations : * * * inspect the bed for any loose or damaged parts. * test the motor and its connections. * check electrical wiring for breaks or loose connections. @topic:9