# # # issue - headrest adjustment failure # # # impact - inability to adjust the headrest, affecting patient comfort and procedure accessibility. # # # possible causes - shorted control box - faulty relay in the head function circuit # # # recommendations - replace the faulty relay to restore headrest adjustment functionality. - further investigate the control box to determine the cause of the short circuit and prevent recurrence. @topic:1


* * issue : * * - bed unable to adjust at the foot end * * impact : * * - patients may experience discomfort or difficulty entering or exiting the bed - delays in patient care * * possible causes : * * - * * electrical fault : * * damage to the electrical wiring or components responsible for foot end adjustment - * * mechanical failure : * * issues with the motor, gears, or other mechanical parts involved in foot end adjustment * * recommendations : * * - * * electrical fault : * * - inspect the electrical wiring for any signs of damage or loose connections - test the electrical continuity of the wiring and components - replace any damaged components as necessary - * * mechanical failure : * * - check for any binding or obstruction interfering with the movement of the foot end mechanism - lubricate all moving parts as required - repair or replace any faulty mechanical components @topic:1


# # # issue - faulty cuff ( replace cuff u1880s ), # # # impact - inaccurate vital signs measurements can lead to improper diagnosis and treatment. # # # possible causes - cuff not properly inflated or deflated - worn or damaged cuff # # # recommendations - replace the cuff with a new, compatible cuff ( recommend u1880s ) - inspect the cuff regularly for signs of wear or damage - ensure the cuff is properly fitted to the patient - train staff on correct cuff inflation and deflation procedures - consider implementing automated cuff inflation and deflation systems to reduce human error @topic:5


# # # issue - monitor not charging. # # # impact - monitor cannot be used. - patient data may be lost. - hospital staff may be unable to monitor patient's vital signs. # # # possible causes - faulty adapter - faulty power cord - faulty monitor - faulty battery # # # recommendations - replace the adapter. - replace the power cord. - test the monitor with a different power source. - replace the battery. @topic:11


# # # issue * * failure to send patient data to the vsm system * * # # # impact * * delayed patient care or inaccurate medical records * * # # # possible causes * * cause of failure : patient information not linked in vsm system * * # # # recommendations * * ensure that patient information is scanned and linked in the vsm system before proceeding with any tests or treatments. * * * * additional recommendations : * * * * * train staff on the importance of scanning patient information. * * * * * regularly audit the vsm system to ensure that patient information is being linked correctly. * * * * * implement a system to automatically link patient information in the vsm system. * * @topic:2


# # # issue the cuff bp ( blood pressure cuff ) is leaking, which prevents the device from accurately measuring blood pressure. # # # impact the patient's blood pressure cannot be accurately measured, which can lead to incorrect treatment decisions. # # # possible causes * the cuff bp may be damaged. * the cuff bp may not be properly attached to the patient. * the cuff bp may be the wrong size for the patient. # # # recommendations * inspect the cuff bp for damage. * replace the cuff bp if it is damaged. * ensure that the cuff bp is properly attached to the patient. * select the correct size cuff bp for the patient. @topic:3


# # # issue - the medical cart's screen is rebooting. # # # impact - the medical cart may not be able to be used properly. # # # possible causes - the screen may be defective. - the software may be corrupt. - the power supply may be unstable. # # # recommendations - replace the screen. - reinstall the software. - check the power supply. @topic:13


# # # issue - high - low column makes a loud noise when adjusted and cannot be adjusted to the lowest level. # # # impact - patients may not be able to get into or out of bed safely. - nurses and other caregivers may have difficulty moving patients in bed. # # # possible causes - the high - low column is damaged. - the motor in the high - low column is starting to fail. - there is rust on the high - low column. # # # recommendations - replace the high - low column. - inspect the motor in the high - low column and replace it if necessary. - clean the rust off the high - low column. @topic:9


# # # issue - bed cannot be adjusted. # # # impact - patient care may be compromised if the bed cannot be adjusted to a comfortable position. - the hospital may lose revenue if the bed cannot be used. # # # possible causes - electrical component failure - mechanical component failure - user error # # # recommendations - check the electrical connections and components. - inspect the mechanical components for any damage or wear. - train users on how to properly operate the bed. @topic:1


# # # issue - monitor not charging properly # # # impact - monitor may not be able to be used in an emergency situation. - patient data may be lost if the monitor is not able to charge. # # # possible causes - the battery may not be properly seated. - the battery may be defective. - the charger may be defective. - there may be a problem with the electrical outlet. - technician did not trouble shoot battery to determine if battery is dead or the charger. # # # recommendations - ensure that the battery is properly seated. - replace the battery if it is defective. - replace the charger if it is defective. - check the electrical outlet to ensure that it is working properly. - technician should troubleshoot battery to isolate the issue, if battery is dead then replace, if battery is okay then change charger. @topic:11


# # # issue - monitor displays an error message # # # impact - patient monitoring may be interrupted or inaccurate # # # possible causes - faulty cuff - loose or disconnected connection - software glitch - hardware failure # # # recommendations - replace the cuff - check and tighten all connections - restart the monitor - contact the manufacturer for technical support @topic:5


# # # issue - electric hospital bed not adjustable # # # impact - patient discomfort - difficulty providing care # # # possible causes - faulty motors - electrical issues - mechanical failure # # # recommendations - check the motors and electrical connections for any damage or loose wires. - inspect the mechanical components for wear or misalignment. - reset the bed's control panel. - if the bed is still not adjustable, contact the manufacturer for assistance. @topic:1


# # # issue - cuff damaged # # # impact - blood pressure measurements may be inaccurate or unavailable. # # # possible causes - cuff may have been overinflated or underinflated, causing damage - cuff may have been exposed to moisture or other contaminants, leading to deterioration - cuff may have been used excessively, leading to wear and tear # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly inflated and deflated according to the manufacturer's instructions. - protect the cuff from moisture and other contaminants. - monitor the cuff for signs of wear and tear and replace it as needed. @topic:3


% ) m1191t, m1192t, m1193t ( adult ), m1196t = 3 % ( 70 % to 100 % ) ml 193t ( neonate ) = 4 % ( 70 % to 100 % ) philips disposable sensors with m1943a ( l ) : ml 132a, ml 133a ( adult / infant ) - 2 % m1901b, m1902b, m1903b, m1904b, m1131a, m1133a ( neonate ) = 3 % ( 70 % to 100 % ) nellcorpb® sensors with m1943a ( l ) : max - a, max - al, max - p, max - i, max - n, d - 25, d - 20, 1 - 20, n - 25, oxicliq a, p, i, n = 3 % ( 70 % to 100 % ) masimo reusable sensors® with lnop mp12 or lnc mp10 : lnop dc - i, lnop dc - ip, lnop yi, lncs dc - i, lncs dc - ip : 2 % ( 70 % to 100 % ) lnop tc - i, lncs tc - i : 3. 5 % ( 70 % to 100 % ) masimo disposable sensors® with lnop mp12 or lnc mp10 : lnop adt, lnop adtx, lnop pdt, lnop pdtx, lnop inf - l, lncs adtx, lncs pdtx, lncs inf - l : 2 % ( 70 % to 100 % ) lnop neo - l, lnop neopt - l, lncs @topic:8


the drug calculator helps you to manage infusions by calculating one of these values at a time. term definition units dose total quantity of drug to be delivered to the patient over time amount units per time or per kg / time, if the drug is weight - dependent rate volume of the mixture to be delivered to the patient over time ml / hour amount amount of drug to be added to diluent to make up a mixture ng, meg *, mg, g, munit, unit, where g stands for gram volume quantity of mixture of diluent and drug ml concentration ratio of the amount of drug to the solution volume amount units per ml standardized rate 1ml volume of the mixture to be delivered to the patient per hour ml / hr * be aware that your hospital may use either ‘ pg ’ or ‘ meg ’ as an abbreviation for microgram. these abbreviations are equivalent. warning before you administer any drug, always check that the correct calculation units and patient category are selected. consult your pharmacy if you have questions. decisions on the choice and dosage of drugs administered to patients must always be made by the physician in charge. the drug calculator performs calculations based on the values input during use, it does not check the plausibility of the calculations performed. accessing the drug calculator ♦ to access the drug calculator, select main setup - > calculations - > drug calculator, or select the drug calculator smartkey, if configured. 343 28 using the drug calculator performing drug calculations performing drug calculations using the service support tool, a list of drugs can be configured for the monitor containing pre¬ defined dosage recommendations and unit settings. selecting the arrow beside the drug name in the drug calculator window opens a list of configured drugs. contact your pharmacist if you have any questions about the drugs in the list. if any drug @topic:17


# # # issue - the probe cord of the philips suresigns vs2 vitals signs monitor is broken. # # # impact - the monitor will not be able to accurately measure vital signs. # # # possible causes - the probe cord may have been damaged due to : - wear and tear - accidental pulling or bending - exposure to chemicals or liquids # # # recommendations - replace the probe cord. - inspect the probe cord regularly for any signs of damage. - handle the probe cord with care to avoid damage. @topic:20


# # # issue * monitor detached from stand # # # impact * potential patient safety hazard * inaccurate vital signs monitoring * delays in patient care # # # possible causes * loose or missing locking mechanism * damaged stand or monitor * improper handling or maintenance # # # recommendations * inspect locking mechanism regularly for tightness and damage * ensure proper handling and transport of equipment * follow manufacturer's maintenance guidelines * train staff on proper use and maintenance of equipment @topic:2


# # # issue - the cuff of the bedside physiologic monitor is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure. - this could lead to incorrect treatment decisions being made. # # # possible causes - the cuff may have been damaged during use. - the cuff may have been exposed to excessive heat or moisture. - the cuff may have been improperly stored. # # # recommendations - replace the damaged cuff with a new one. - inspect the monitor and cuff regularly for signs of damage. - store the monitor and cuff in a cool, dry place. @topic:5


# # # issue - equipment : monitors, physiologic, vital signs - model : 740 - brand : casmed - symptom : device powers off when ac power is disconnected, despite a functional battery. # # # impact - interruption of patient monitoring during power outages or emergencies. # # # possible causes - * * loose battery terminal connections : * * poor contact between the battery terminals and the device's internal circuitry can prevent the battery from supplying power when ac power is unavailable. - * * faulty battery : * * although the battery was initially suspected, it is still possible that a manufacturing defect or damage during handling or storage could have compromised its functionality. - * * internal power supply malfunction : * * a component failure within the device's power supply circuitry could prevent it from switching over to battery power when needed. - * * software glitch : * * a software bug or corruption can interfere with the device's power management operations, causing it to behave unexpectedly. # # # recommendations 1. * * inspect and secure battery connections : * * ensure that the battery terminals are clean, free of corrosion, and properly seated within the device. tighten any loose connections as necessary. 2. * * reevaluate battery functionality : * * perform a thorough battery test using specialized equipment to verify its voltage, capacity, and overall health. replace the battery if it fails to meet specifications. 3. * * examine internal power supply : * * inspect the power supply circuitry for any signs of damage, such as burnt or discolored components. if any abnormalities are observed, consult a qualified technician for further diagnosis and repair. 4. * * update or reset software : * * if a software glitch is suspected, consider updating the device's software to the latest version or performing a factory reset. 5. * * refer to manufacturer ' @topic:11


# # # issue the physiologic monitor ( mobile ) is not displaying anything on the screen. # # # impact the device is unable to provide patient monitoring data, which can delay or prevent timely medical intervention. # # # possible causes - hardware failure : display panel or connecting cables may be defective. - software error : operating system or application software may be corrupted or malfunctioning. - power supply issue : battery or power adapter may not be providing sufficient power to the device. - physical damage : device may have been dropped or subjected to external impact. # # # recommendations * * troubleshooting steps : * * 1. * * verify power source : * * ensure the device is properly connected to a power source and that the battery is charged. 2. * * check display panel and cables : * * inspect the display panel for any damage and ensure all cables are securely connected. 3. * * restart the device : * * turn the device off and back on to attempt a software reset. 4. * * update software : * * if available, check for any software updates and install them. * * if the issue persists, consider the following : * * - * * contact the manufacturer : * * seek technical support from the manufacturer of the device for further troubleshooting assistance. - * * schedule a repair : * * if the device is under warranty, arrange a repair with the manufacturer or an authorized service provider. - * * replace the device : * * if the device is not repairable, consider replacing it with a new or refurbished unit. @topic:2


# # # issue - failure of the bed to lower # # # impact - inability to move the patient - potential for patient injury - inconvenience for staff # # # possible causes - * * fault with the bed's lowering mechanism : * * this could include a broken spring, a jammed gear, or a malfunctioning motor. - * * fault with the bed's electrical system : * * this could include a loose wire, a blown fuse, or a faulty control panel. - * * fault with the bed's hydraulic system : * * this could include a leak in the hydraulic lines, a faulty pump, or a blocked valve. - * * overloaded bed : * * the bed may be overloaded with weight, which could prevent it from lowering properly. - * * improper assembly or maintenance : * * the bed may not have been properly assembled or maintained, which could lead to a fault developing. - * * user error : * * the user may be operating the bed incorrectly, which could cause it to fail to lower. # # # recommendations - * * inspect the bed's lowering mechanism : * * look for any broken springs, jammed gears, or malfunctioning motors. - * * check the bed's electrical system : * * check for any loose wires, blown fuses, or faulty control panels. - * * inspect the bed's hydraulic system : * * check for any leaks in the hydraulic lines, faulty pumps, or blocked valves. - * * ensure that the bed is not overloaded : * * the bed should not be overloaded with weight, which could prevent it from lowering properly. - * * properly assemble and maintain the bed : * * the bed should be properly assembled and maintained according to the manufacturer's instructions. - * * train users on the proper operation of the bed : * * users should be @topic:1


# # # issue - cause of failure : moved the monitor and ec80 to different positions # # # impact - none # # # possible causes - the technician may have mistakenly swapped the positions of the monitor and ec80. - the technician may have been following incorrect instructions. - the equipment may have been damaged during the swap. # # # recommendations - ensure that the technician is properly trained on the equipment before performing any maintenance. - provide clear and concise instructions to the technician on how to perform the swap. - inspect the equipment after the swap to ensure that it is functioning properly. @topic:2


# # # issue - motor failure in bed adjustment # # # impact - inability to adjust bed height, affecting patient comfort and safety # # # possible causes - worn or damaged motor brushes - faulty wiring or connections - overloading of the motor - insufficient lubrication # # # recommendations - replace worn or damaged motor brushes - inspect and repair wiring and connections - check the load on the motor and ensure it is within specifications - lubricate the motor according to manufacturer's instructions @topic:9


# # # issue - broken electrical cord # # # impact - the bed may not be able to be used, which could delay patient care. # # # possible causes - electrical cord was damaged during transport or storage - electrical cord was pinched or cut - electrical cord was not properly connected to the bed or power outlet # # # recommendations - inspect the electrical cord for any damage. - if the electrical cord is damaged, replace it. - make sure that the electrical cord is properly connected to the bed and power outlet. - avoid pinching or cutting the electrical cord. @topic:9


# # # issue - co2 sensor is not showing any value. # # # impact - inability to monitor patient's co2 levels, which can be essential for diagnosis and treatment of respiratory conditions. # # # possible causes - malfunction of the co2 sensor itself - faulty wiring or connections between the sensor and the monitor - software or firmware issues within the monitor - incorrect calibration or setup of the monitor # # # recommendations - inspect the co2 sensor for any physical damage or loose connections. - check the wiring and connections between the sensor and the monitor for any breaks or damage. - update the monitor's software or firmware to the latest version. - recalibrate the monitor according to the manufacturer's instructions. - consider replacing the co2 sensor if necessary. @topic:4


# # # issue - display screen malfunction. # # # impact - inability to monitor patient's vital signs accurately. - delay in diagnosis and treatment. - increased risk of patient complications. # # # possible causes - * * hardware failure : * * - malfunctioning display unit. - loose or damaged connections. - power supply issues. - * * software glitches : * * - corrupted software or firmware. - incompatible software updates. - * * environmental factors : * * - extreme temperatures or humidity. - physical damage caused by impact or mishandling. - * * age and wear : * * - deterioration of components over time. # # # recommendations - * * troubleshooting : * * - verify power supply and connections. - check for software updates or reinstall software. - * * repair : * * - replace faulty display unit or components. - recalibrate the monitor. - * * preventive maintenance : * * - regular inspection and cleaning of the monitor. - software updates to address known issues. - * * training : * * - ensure proper handling and use of the monitor. - * * consideration of upgrade : * * - upgrading to a more advanced model with improved display technology. @topic:2


# # # issue - broken remote control. # # # impact - inability to control the bed's functions remotely. # # # possible causes - accidental damage ( dropping, impact ). - wear and tear. - electrical malfunction. # # # recommendations - * * replace the remote control. * * this is the most straightforward solution and will restore full functionality to the bed. - * * inspect the remote control for any other damage. * * if there is any visible damage, such as cracks or loose buttons, it should be replaced. - * * check the battery in the remote control. * * a weak or dead battery can cause the remote control to malfunction. replace the battery if necessary. - * * contact the manufacturer of the bed for technical assistance. * * they may be able to provide additional troubleshooting tips or repair instructions. @topic:7


# # # issue - battery failure # # # impact - reduced accuracy of patient monitoring - interruption of patient care # # # possible causes - battery aging - battery damage - loose battery connections # # # recommendations - replace battery regularly as per manufacturer's recommendations - inspect battery for any damage or leaks - ensure that battery connections are secure - monitor battery voltage and replace it when it reaches a low level - train staff on proper battery handling and maintenance procedures @topic:11


# # # issue - cuff bp leak # # # impact - inaccurate blood pressure measurements - potential for patient harm ( e. g., over - or under - treatment ) # # # possible causes - cuff bp is old and worn out - cuff bp has been punctured or damaged - cuff bp is not the correct size for the patient # # # recommendations - replace cuff bp with a new one of the correct size - check cuff bp for leaks and damage regularly - train staff on proper use and maintenance of cuff bp @topic:3


# # # possible causes - faulty connector - damaged ac line cord - equipment malfunction @topic:12


# # # issue - lock of bed wheel falls off # # # impact - patient safety : if the bed wheel lock falls off, the bed may become unstable and the patient could fall. - staff safety : if the staff attempts to move the bed with a loose wheel lock, they could be injured. - equipment damage : the bed could be damaged if it is dropped or moved with a loose wheel lock. # # # possible causes - the wheel lock was not properly installed or tightened. - the wheel lock is worn or damaged. - the bed was moved or bumped, causing the wheel lock to loosen. # # # recommendations - inspect the wheel locks regularly for wear or damage. - tighten the wheel locks properly before moving the bed. - move the bed carefully to avoid bumping or jarring it. @topic:6


# # # issue the bed rails on the hill - rom p1440a bed cannot be lowered. # # # impact the patient is unable to get out of bed safely. # # # possible causes - the bed rails are not properly lubricated. - the bed rails are damaged. - the bed rails are not properly installed. - the bed rails are not properly adjusted. - the bed rails are not properly secured. - the bed rails are not properly maintained. # # # recommendations - lubricate the bed rails. - inspect the bed rails for damage. - reinstall the bed rails. - adjust the bed rails. - secure the bed rails. - maintain the bed rails. @topic:6


# # # issue - the technician found that one of the pins on the bedside physiologic monitor was bent and unable to be inserted into the module. # # # impact - the monitor cannot be used to monitor the patient's vital signs. # # # possible causes - the most likely cause of the bent pin is that it was not inserted into the module correctly. this could have happened if the technician was not paying attention or if the module was not properly aligned. - another possible cause is that the pin was damaged during shipping or handling. # # # recommendations - to prevent this issue from happening again, the technician should make sure to insert the pins into the module correctly. they should also inspect the module for any damage before using it. - if the pin is damaged, it will need to be replaced. the technician should contact the manufacturer for instructions on how to do this. @topic:2


# # # issue - medical cart cannot be charged. - battery is stuck at 9 %. # # # impact - the medical cart cannot be used for patient care. # # # possible causes - faulty charging port - faulty battery - software issue # # # recommendations - check the charging port for damage or debris. - clean the charging port with a cotton swab and alcohol. - try a different charger. - replace the battery. - contact the manufacturer for technical support. @topic:13


# # # issue the vital signs monitor is displaying abnormally high readings. # # # impact this could lead to incorrect patient care decisions being made, as the monitor is providing inaccurate information about the patient's vital signs. # # # possible causes * * * sensor malfunction : * * the sensor that is measuring the patient's vital signs may be malfunctioning, causing it to provide inaccurate readings. * * * electrical interference : * * electrical interference from other medical devices or equipment in the area could be affecting the monitor's readings. * * * software glitch : * * a glitch in the monitor's software could be causing it to display incorrect readings. # # # recommendations * * * check the sensor : * * inspect the sensor that is measuring the patient's vital signs for any damage or loose connections. if the sensor is damaged, it should be replaced. * * * check for electrical interference : * * turn off any other medical devices or equipment in the area that could be causing electrical interference. if the monitor's readings improve, then electrical interference is likely the cause of the problem. * * * restart the monitor : * * restart the monitor to see if this resolves the issue. * * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the monitor for further assistance. @topic:15


# # # issue - frequent jamming of the bed's push buttons # # # impact - impaired bed operation - potential safety hazard for patients and healthcare professionals # # # possible causes - faulty push buttons - debris or dirt accumulation in the push buttons - misalignment or damage of the push button mechanism # # # recommendations - inspect the push buttons for damage or debris. - clean the push buttons thoroughly to remove any foreign particles. - check the alignment and operation of the push button mechanism. if necessary, adjust or replace any damaged components. - consider replacing the push buttons or push button assembly if the issue persists. - consult with the equipment manufacturer for further troubleshooting and repair guidance. @topic:7


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 # # # impact - the medical cart is not functioning properly due to a faulty wheel. # # # possible causes - the wheel may have been damaged due to excessive use or wear and tear. - the wheel may have been improperly installed. - the wheel may have been made of a defective material. # # # recommendations - inspect the wheel for any visible damage. - check the wheel's alignment and ensure that it is properly installed. - replace the wheel with a new one if necessary. - consider using a higher quality wheel that is less likely to fail. @topic:24


# # # issue - color distortion on lcd monitor # # # impact - inability to accurately display patient information and images # # # possible causes - misaligned color settings - faulty display panel - loose or damaged cables - software or hardware issues # # # recommendations * * immediate actions : * * - check and adjust color settings using the monitor's on - screen controls. - inspect the display panel for any visible damage or dust accumulation. - ensure all cables are securely connected and undamaged. * * long - term measures : * * - update the monitor's firmware or software to the latest version. - contact the manufacturer or a qualified technician for further diagnosis and repair if necessary. - implement regular maintenance and calibration procedures to prevent future color distortion issues. @topic:2


# # issue - monitor not connecting to the bed # # impact - inability to monitor patient's vital signs - delays in providing appropriate medical care # # possible causes - loose or damaged cables - faulty monitor or bed - software or hardware issues # # recommendations - check and ensure that all cables are securely connected - inspect the monitor and bed for any visible damage - restart the monitor and bed - update the software or firmware if necessary - contact the manufacturer for technical support @topic:2


# # # issue - electric bed not adjusting properly. # # # impact - patients may not be able to get in or out of bed safely or comfortably. - staff may have to manually adjust the bed, which can be difficult and time - consuming. # # # possible causes - faulty transformer in the control box. # # # recommendations - replace the transformer with a new or refurbished unit. - check the wiring and connections to the transformer. - test the bed to ensure that it is functioning properly. @topic:1


# # # issue - cuff bp deterioration # # # impact - inaccurate blood pressure readings - patient safety risk # # # possible causes - age and wear - exposure to chemicals or moisture - excessive use # # # recommendations - regularly inspect and replace cuff bp as needed - follow manufacturer's instructions for use and maintenance - store cuff bp in a clean and dry environment @topic:3


instructions for use intellivue patient monitor mp20 / 30, mp40 / 50, mp60 / 70 / 80 / 90 release g. o with software revision g. ox. xx patient monitoring philips part number m8000 - 9001k printed in germany 09 / 08 4512 610 29531 m8000 - 9001k table of contents 1 basic operation introducing the intellivue family 1 devices for acquiring measurements 9 operating and navigating 19 operating modes 27 understanding screens 28 connecting additional displays to the monitor 29 using the xds remote display 30 using the visitor screen 30 understanding profiles 30 understanding settings 32 changing wave speeds 34 freezing waves 34 using labels 36 entering measurements manually 39 changing monitor settings 39 checking your monitor revision 40 getting started 40 disconnecting from power 42 networked monitoring 42 using remote applications 43 using the x2 or mp5 with a fiost monitor 44 2 what ’ s new? what ’ s new in release g. o? 45 what ’ s new in release f. o? 46 what ’ s new in release e. o? 48 what ’ s new in release d. o? 50 what ’ s new in release c. o? 50 what ’ s new in release b. l? 52 what ’ s new in release b. o? 53 what ’ s new in release a. 2? 54 3 alarms visual alarm indicators 56 audible alarm indicators 57 acknowledging alarms 59 pausing or switching off alarms 60 alarm limits 61 reviewing alarms 66 latching alarms 68 testing alarms 69 alarm behavior at on / off 69 1 alarm recordings 69 4 patient alarms and inops 71 patient alarm messages 71 technical alarm messages ( inops ) 77 5 managing patients 101 admitting a patient 101 quick admitting a patient 103 editing patient information 103 discharging a patient 104 transferring patients 105 data upload from an mms 108 care groups 111 6 ecg, arrhythmia, st and q @topic:10


# # issue - remote control failure # # impact - inability to operate the electric bed. - potential inconvenience or discomfort for patients. # # possible causes - * * battery failure : * * the remote control batteries may be depleted or damaged. - * * circuit board malfunction : * * internal components of the remote control circuit board may have failed. - * * button failure : * * the buttons on the remote control may be damaged or malfunctioning. - * * water damage : * * the remote control may have been exposed to water or moisture, which can damage its internal components. - * * physical damage : * * the remote control may have been dropped or subjected to impact, causing damage. # # recommendations * * 1. check batteries : * * - ensure that the remote control batteries are fresh and have a sufficient charge. replace the batteries if necessary. * * 2. clean remote control : * * - gently clean the remote control with a soft cloth and disinfectant to remove any dirt or debris that may interfere with its functionality. * * 3. reset remote control : * * - refer to the manufacturer's instructions to reset the remote control. this may involve reprogramming the buttons or recalibrating the device. * * 4. repair or replace remote control : * * - if the above steps do not resolve the issue, the remote control may need to be repaired or replaced. consult with the manufacturer or a qualified technician for repair options. * * 5. inspect bed connections : * * - ensure that the electric bed is properly connected to a power source and that there are no loose or damaged connections. * * 6. inspect bed actuator : * * - if the bed is unable to move despite having a functioning remote control, the bed actuator may be faulty. inspect the actuator for any obvious damage or @topic:7


# # # issue - keypad detached from the electric bed. # # # impact - impaired functionality of the electric bed, limiting its use for patient care. # # # possible causes - * * degradation of adhesive : * * the adhesive used to secure the keypad to the bed may have deteriorated over time, leading to the keypad becoming detached. - * * excessive use : * * frequent or improper use of the keypad, such as pressing too hard or using sharp objects to operate it, could have caused the adhesive to weaken. - * * defective keypad : * * the keypad itself may have been defective, resulting in weak adhesion to the bed. - * * improper installation : * * the keypad may not have been properly installed initially, leading to insufficient adhesion and eventual detachment. # # # recommendations - * * replace keypad : * * the detached keypad should be replaced with a new one that is compatible with the electric bed. - * * securely fasten keypad : * * ensure that the new keypad is securely fastened using a high - quality adhesive that is suitable for the surface of both the keypad and the bed. - * * inspect regularly : * * regularly inspect the keypad for any signs of detachment or damage, and address any issues promptly. - * * proper usage training : * * provide training to users on the proper handling and usage of the electric bed, including the keypad, to minimize the risk of damage. @topic:25


# # # issue - equipment : unable to adjust the head down position # # # impact - the inability to adjust the head down position may limit the range of motion and positioning of the patient. # # # possible causes - * * remote control malfunction : * * the replacement remote control may not be properly calibrated or may have a defect. - * * motor failure : * * the motor responsible for adjusting the bed's head position may have failed. - * * mechanical obstruction : * * there may be debris or other obstructions blocking the movement of the headrest mechanism. - * * electrical fault : * * a loose connection or faulty electrical component may be causing the motor to malfunction. # # # recommendations - * * verify remote control : * * ensure that the replacement remote is properly programmed and functional. - * * test motor function : * * manually check the motor's operation by applying voltage to its terminals. - * * inspect for mechanical obstructions : * * examine the headrest mechanism for any foreign objects or physical damage. - * * check electrical connections : * * ensure that all electrical connectors are tightly secured and that there are no damaged wires. - * * replace faulty components : * * if the motor or remote control is found to be defective, replace it with a compatible spare part. - * * contact manufacturer : * * if the issue persists after troubleshooting, contact the equipment manufacturer for further technical support. @topic:1


# # # issue : - the philips suresigns vs2 monitor is not charging. # # # impact : - the monitor cannot be used to monitor vital signs, which could lead to delayed or missed diagnoses. # # # possible causes : - the charging cable is damaged. - the charging port on the monitor is damaged. - the battery is dead. - the power supply is not working. # # # recommendations : 1. check the charging cable for damage. if the cable is damaged, replace it. 2. check the charging port on the monitor for damage. if the port is damaged, contact a qualified technician to repair it. 3. replace the battery. 4. check the power supply to make sure that it is working properly. @topic:11


# # # issue - equipment not displaying readings # # # impact - inability to monitor patient's vital signs, leading to potential delays in diagnosis and treatment # # # possible causes - * * hardware failure : * * - faulty main board as identified by the repair company - * * software issues : * * - outdated or corrupted software that prevents the device from displaying readings - * * faulty connections : * * - loose or damaged cables or sensors that prevent data from being transmitted to the display # # # recommendations * * hardware : * * - replace the main board if it is confirmed to be faulty - inspect all cables and connections to ensure they are secure and free of damage * * software : * * - update the software to the latest version - reset the device to its factory settings to eliminate any corrupted software * * other : * * - perform a thorough cleaning of the device to remove any dust or debris that may interfere with its operation - consult with the manufacturer for further troubleshooting and repair options @topic:2


tcpc02, 6 / bx. 15210 - 64020 989803100851 gas cal 2 cylinders for tcpc02, 6 / bx. m2267a 989803106081 calibration regulator m3015 - 47301 989803143081 ms _ sc02 lbsply calibration line 13907a 989803100361 calibration tube assembly 453564178121 453564178121 m _ agm flowmeter tsi m1013 - 64002 451261014851 m g1 iv g1 / g5 leakage test kiter ) m1026 - 60146 453563467211 m _ agm tubing wt - manifold seals ( loea ) 243 [ 6 parts ] 244 7 installation instructions the information contained in this chapter should enable the mx400 / 450 / 500 / 550 to be installed ready for use ( the preparation and planning should be adhered to as specified in the site preparation section ). configuration of the system is explained in the configuration guide. installation should be carried out by qualified service personnel, either by the hospital ’ s biomedical department, or by philips support. the monitor is suitable for use in au medically used rooms which fulfill the requirements regarding electrical installation according to iec60364 - 7 - 710 ’ ’ requirements for special installations or locations - medical locations, or corresponding local regulations. for mechanical and electrical installation, you need technically qualified personnel with a knowledge of english. additionally, for monitor configuration, you need clinically qualified personnel with a knowledge of the use environment. as the first step in preparing the monitor for use, follow the installation instructions given in this chapter. electromagnetic emissions the monitor is suitable for use in the electromagnetic environment specified in the table below. you must @topic:10


# # # issue defective cable # # # impact physiological vital signs monitor malfunction # # # possible causes - cable damage - wear and tear - improper handling # # # recommendations - inspect cable for visible damage - test cable continuity - replace cable if necessary - handle cable with care to prevent further damage - implement a regular maintenance schedule to prevent future failures @topic:22


inspect and maintain the locking mechanism. @topic:24


* * issue : * * medical cart restarts continuously * * impact : * * interrupted or delayed patient care, decreased efficiency, and potential safety concerns * * possible causes : * * * * * failed ssd card : * * as identified in the input, the ssd card was determined to be faulty. this can lead to data corruption and system instability, causing the cart to restart repeatedly. * * * power supply issues : * * faulty power supply can provide insufficient or unstable voltage to the cart's components, leading to unexpected restarts. * * * software glitches : * * bugs or compatibility issues in the operating system or application software can cause the cart to crash or restart. * * * hardware malfunctions : * * other hardware components, such as the motherboard, ram, or hard drive, may be malfunctioning and causing the cart to restart. * * recommendations : * * * * * ssd card replacement : * * replace the faulty ssd card with a new or refurbished one to resolve the data corruption and system instability issues. * * * power supply inspection : * * verify the power supply and ensure it is providing the correct voltage to the cart. replace the power supply if necessary. * * * software update or troubleshooting : * * install the latest software updates or troubleshoot any software issues that may be causing the restarts. * * * hardware diagnostics : * * perform a comprehensive hardware diagnostic test to identify any other malfunctioning components and replace them as needed. * * * vendor support : * * contact the manufacturer of the medical cart for technical support and assistance in diagnosing and resolving the issue. @topic:13


a measurement from those listed for which you want to change the alarm condition that triggers an alarm recording. this opens a pop - up list. for the desired measurement ( s ), choose the alarm condition to trigger an alarm recording : 5 red only : an alarm recording will automatically be triggered when the measurement enters a red alarm condition. red & yellow : both yellow and red alarms will trigger an alarm recording. off : disables automatic alarm recording. refer to the " recording " chapter for details of how to set up a recording. 73 3 alarms 74 patient alarms and inops this chapter lists patient alarms alphabetically, and technical alarms ( inops ) arranged by the source of the inop and then alphabetically, irrespective of their priority. all alarms and inops are listed here ; the ones which can appear on your monitor will depend on the model and the individual options. atient alarm messagethe measurement labels and abbreviations for pressure, temperature, spo2, and anesthetic alarms are explained in the individual chapters. some alarms may be shown at the information center in shortened form, when transferred through intellivue instrument telemetry. these shortened alarm texts are included in the list and identified ith the note " at information center ". refer to your intellibridge device driver instructions for use for patient alarms from connected external devices. refer to your gas module instructions for use for patient alarms and inops from the gas modules. refer to your intellivue tcg10 instructions for use for patient alarms and inops from the tcg10. larm messagrom condition indication afiyellow alarm lamp, short yelloalarm tone ecg / arrhythmia atrial fibrillation waveform detected * * apnenumeric flashes, red alarm lampalarm tone co2, resp, spirometry respiration has preset ap @topic:8


# # # issue - ekg interference # # # impact - incorrect ekg measurements and readings # # # possible causes - faulty electrical connections from the device to the patient - malfunctioning of the device's ekg module - interference from other electrical devices in the vicinity - incorrect setup or configuration of the device # # # recommendations - check all electrical connections leading from the device to the patient, ensuring they are properly seated and secure - inspect the device's ekg module for any visible defects or damage - identify any other electrical devices in the vicinity that may be emitting electromagnetic interference and take steps to relocate or shield them - verify the device's setup and configuration settings according to the manufacturer's instructions and ensure they are optimal for the patient's condition @topic:18


# # # issue - low blood pressure ( bp ) reading # # # impact - inaccurate patient monitoring # # # possible causes - malfunctioning pump # # # recommendations - replace the pump @topic:15


# # issue - the cuff of the vital signs monitor has deteriorated. # # impact - the monitor may not be able to take accurate vital signs measurements. # # # possible causes - normal wear and tear - damage from improper use or storage - exposure to extreme temperatures or humidity # # recommendations - replace the cuff - inspect the monitor regularly for other signs of wear or damage - store the monitor in a cool, dry place when not in use - follow the manufacturer's instructions for use and maintenance @topic:5


# # # issue - the control box of the electric bed ( huntleigh contoura 390 ) is not functioning properly. # # # impact - the bed cannot be adjusted, which may inconvenience or pose a safety hazard to patients. # # # possible causes - * * electrical fault : * * the control box may have experienced an electrical surge or short circuit, damaging its internal components. - * * mechanical failure : * * the control box's mechanical components may have malfunctioned, such as a broken switch or loose connection. - * * software glitch : * * the control box's software may have encountered a bug or corruption, causing it to behave erratically. - * * improper use : * * the control box may have been used improperly, such as being dropped or mishandled. # # # recommendations - * * electrical inspection : * * conduct an electrical inspection of the control box to identify any potential faults. - * * mechanical inspection : * * disassemble the control box and inspect its mechanical components for damage or wear. - * * software update : * * check for any available software updates for the control box. - * * maintenance : * * regularly maintain the control box according to the manufacturer's instructions, including cleaning and lubrication. - * * training : * * ensure that staff is properly trained on how to operate the bed safely and correctly. @topic:32


transcutaneous measurements cannot replace arterial blood gas monitoring. however, you can use transcutaneous monitoring to reduce the frequency of arterial sampling. the values at tissue level will not be the same as those measured arterially because the measurement is transcutaneous. they correlate with ( track closely ) the arterial values. for example, a drop in transcutaneous values usually indicates a corresponding drop in arterial values. transcutaneous values will not always correlate with blood samples taken from the capillary blood of the heel ( heelsticks or astrups ). identifying tcgas module components 1 press to enter setup tcgas menu 2 press to start calibration 3 calibration chamber 1 4 transducer connector 2 3 4 233 16 monitoring tcgas setting the tcgas sensor temperature setting the tcgas sensor temperature 1 in the setup tcgas menu, select transducer temp. 2 choose a temperature value appropriate for your patient ’ s age, weight and physical condition in accordance with your hospital policy. usually, a higher transducer temperature gives a better correlation and a quicker response time. however, higher temperatures also increase the risk of skin burns. most physicians prefer a temperature between 42°c ( 107°f ) and 44°c ( 111°f ), and a site time of four hours or less. usually, the higher the transducer temperature, the less the site time should be. whenever you change the temperature setting, the monitor forces you to make a new calibration. using the tcgas site timer availability and behavior of the site timer depend on your monitor ’ s configuration. warning prolonged continuous monitoring may increase the risk of undesirable changes in skin characteristics, such as irritation, reddening, blistering or burns. if the site timer is disabled, the transducer will heat indefinitely while on a patient. change the site regularly, @topic:17


# # # issue - hospital department 5r lent a telemetry electrocardiography monitor ( philips m2601b ) to department 6r. # # # impact - the monitor was tested and found to be functioning properly before being lent to department 6r. # # # possible causes - the cause of failure is not explicitly stated in the provided information. however, it is possible that the monitor may have been damaged during transport or improper use by department 6r. # # # recommendations - investigate the cause of failure by inspecting the monitor for any physical damage or malfunction. - if the monitor is found to be damaged, repair or replace it as necessary. - provide training to department 6r staff on the proper use and handling of the monitor to prevent future failures. @topic:16


##ch which has not yet been resolved ( > 15 minutes ). 91 4 patient alarms and inops technical alarm messages ( inops ) inop message, indication source what to do ra lead off numeric is replaced by -? - inop tone. ecg the ra electrode has become detached from the patient or the lead set has been changed. reattach the electrode or select new lead setup in the setup ecg menu to confirm the new lead set. rap inops press see < pressure label > inops ( under pressure ). rem. alarmdev. malf inop tone monitor there is a problem with the connection to the remote alert device. contact your service personnel to check the remote alert device and its connections. rem. display malf. remote display there is a problem with an input device at the remote display. perform a visual and functional check of all input devices. contact your service personnel.!! /!!! replace battery t severe yellow / red inop tone. during this inop, alarms cannot be paused or switched off. telemetry the battery in the telemetry device is almost empty and must be replaced. resp equip malf numeric is replaced by -? - inop tone. resp contact your service personnel. the resp hardware is faulty. resp erratic numeric is replaced by resp the monitor has detected too many artifacts in the measured resp signal. check that the ra and ll electrodes are correctly attached and have not dried out. resp leads off numeric is replaced by -? - inop tone. resp not all the required leads for resp monitoring are attached. make sure that the ra and ll leads are attached. rl lead off numeric is replaced by for 10 seconds ; inop tone. ecg the rl electrode has become detached from the patient or the lead set has @topic:10


# # # issue - side rail loose # # # impact - patient safety hazard - discomfort or injury to patient # # # possible causes - loose or missing bolts - damaged side rail mechanism - improper installation or maintenance # # # recommendations - inspect side rails regularly for loose or missing bolts. - ensure side rails are properly installed and maintained according to manufacturer's instructions. - if side rails are loose, tighten bolts or replace damaged components as necessary. - train staff on proper use and maintenance of side rails. @topic:6


# # # issue the control box of the electric bed is malfunctioning. # # # impact the bed cannot be adjusted, which can affect the patient's comfort and safety. # # # possible causes * electrical fault in the control box * mechanical failure in the bed's mechanism * loose or broken wires * damaged or worn - out components # # # recommendations * inspect the control box for any visible damage or loose connections. * perform electrical tests to check for faults in the wiring and components. * disassemble and inspect the bed's mechanism for any mechanical issues. * replace any damaged or worn - out components. * reassemble and test the bed to ensure proper functionality. @topic:9


# # # issue the bed is not able to adjust the head position and remains stuck in a specific position. # # # impact - patient discomfort and inability to adjust their position for optimal comfort and therapeutic benefits. - prolonged immobility can lead to complications such as pressure sores, muscle weakness, and other health issues. - delay in patient care and increased workload for healthcare professionals who need to manually adjust the bed position. # # # possible causes considering the information provided, the following possible causes for the failure can be identified : - * * mechanical obstruction : * * a mechanical obstruction, such as jammed gears or a misaligned motor, could prevent the bed from adjusting the head position smoothly. - * * electrical fault : * * an electrical fault or malfunction in the motor or control system could cause the bed to stop responding to commands to adjust the head position. - * * software issue : * * if the bed is controlled by software, a bug or glitch in the software could lead to the malfunction. - * * battery issue : * * the newly replaced batteries may not be properly connected or may be defective, causing insufficient power supply to the bed's adjustment mechanism. # # # recommendations to address this issue, the following recommendations can be considered : - * * thorough inspection : * * conduct a thorough inspection of the bed's mechanical components, electrical connections, and software ( if applicable ) to identify any visible signs of damage or malfunction. - * * testing : * * test the bed's functionality by attempting to adjust the head position several times. observe the bed's response and listen for any unusual noises or indications of resistance. - * * troubleshooting : * * based on the results of the inspection and testing, troubleshoot the potential causes. if a mechanical obstruction is suspected, attempt to clear the obstruction by removing any foreign objects or @topic:1


# # # issue - * * monitor does not display. * * # # # impact - the monitor cannot be used to display patient data, which can delay treatment and put the patient at risk. # # # possible causes - * * hardware failure : * * the monitor's display may have failed due to a hardware issue, such as a broken screen or a faulty connection. - * * software failure : * * the monitor's software may have crashed or become corrupted, which can prevent the display from working properly. - * * power supply issue : * * the monitor may not be receiving enough power to operate properly, which can cause the display to fail. # # # recommendations - * * inspect the monitor for any physical damage. * * if the screen is broken or there are any loose connections, the monitor will need to be repaired or replaced. - * * restart the monitor. * * sometimes a simple restart can fix software issues that are causing the display to fail. - * * check the power supply. * * make sure that the monitor is plugged into a working outlet and that the power cord is not damaged. - * * if the monitor still does not display after trying the above troubleshooting steps, contact the manufacturer for further assistance. * * @topic:2


# # # issue - the electric bed from huntleigh ( model : enterprise 5000 ) cannot be adjusted. # # # impact - the bed cannot be used to position patients comfortably or safely. # # # possible causes - * * electrical fault : * * the electrical system of the bed may have malfunctioned, preventing the motors from operating. - * * mechanical failure : * * the mechanical components of the bed, such as the gears or hydraulics, may have failed, preventing the bed from moving. - * * control unit failure : * * the control unit of the bed may have malfunctioned, preventing the bed from responding to commands. - * * loose connections : * * loose connections in the wiring or components of the bed may prevent it from functioning properly. - * * overload : * * the bed may have been overloaded with weight beyond its capacity, causing damage to the motors or mechanical components. # # # recommendations - the technician should inspect the electrical system of the bed for any loose connections or faulty components. - the technician should examine the mechanical components of the bed for any signs of wear, damage, or misalignment. - the technician should check the control unit of the bed to ensure it is functioning properly and receiving power. - the technician should ensure the bed is not overloaded with weight beyond its capacity. - if any issues are found, the technician should repair or replace the faulty components as necessary. @topic:1


able to provide accurate readings. @topic:10


# # # issue - medical cart is not functioning properly. - the medical cart's screen is displaying a black error message. # # # impact - the medical cart is unavailable for use, which may impact patient care. # # # possible causes - the medical cart may have a hardware or software issue. - the medical cart may be experiencing a power issue. - the medical cart may be experiencing a connectivity issue. # # # recommendations - the biomedical engineer should inspect the medical cart to identify the cause of the error. - the biomedical engineer should repair or replace the medical cart as necessary. - the biomedical engineer should test the medical cart to ensure that it is functioning properly. @topic:13


# # # issue * spo2 cable is damaged. # # # impact * the patient's oxygen saturation levels cannot be accurately monitored. * this could lead to serious health complications, such as respiratory arrest. # # # possible causes * the cable could have been damaged by being pinched, pulled, or cut. * the cable could have been exposed to excessive heat or moisture. * the cable could be defective. # # # recommendations * replace the damaged cable with a new one. * inspect the cable regularly for signs of damage. * store the cable in a cool, dry place. @topic:4


* * cause of failure : * * cuff bp ( blood pressure ) is faulty * * possible causes : * * - cuff bp may have worn out over time due to regular use. - cuff bp may have been punctured or damaged during use. - cuff bp may not have been properly calibrated or maintained. * * recommendations : * * - replace the faulty cuff bp with a new one. - ensure regular maintenance and calibration of cuff bp to prevent future failures. - train staff on proper use and handling of the cuff bp to minimize damage and prolong its lifespan. @topic:3


# # # issue - cuff damage # # # impact - incorrect vital sign readings # # # possible causes - age degradation - overuse - physical damage # # # recommendations - replace the cuff @topic:5


# # # issue - the philips suresigns vs3 monitor has detached from its base, resulting in the inability to obtain spo2 readings. # # # impact - failure to accurately monitor spo2 levels can compromise patient safety, as it is a crucial parameter for assessing respiratory function. # # # possible causes - * * improper installation or handling : * * the monitor may not have been securely attached to the base, causing it to detach due to inadvertent movement. - * * defective base or mounting mechanism : * * the base or mounting mechanism may have been faulty, resulting in the monitor's inability to remain attached. - * * sustained stress or vibration : * * excessive vibration or stress on the monitor may have weakened the connection between the monitor and the base, leading to detachment. # # # recommendations - * * secure installation : * * ensure that the monitor is properly and securely attached to the base according to the manufacturer's instructions. - * * regular inspections : * * conduct routine inspections of the base and mounting mechanism to identify any potential defects or damage that could compromise the monitor's stability. - * * avoid excessive movement or vibration : * * minimize unnecessary movement or exposure to excessive vibration to prevent strain on the monitor and its connection to the base. - * * contact manufacturer or service provider : * * if the issue persists despite following the above recommendations, contact the manufacturer or a qualified service provider for further troubleshooting and repair. @topic:4


6 x 97. 5 mm 1. 4 x 3. 9 x 3. 8 in ithout cables m1034a is interface module iameter x height95. 3 x 63. 5 mm 3. 8 x 2. 5 in 499 g ( 1. 1 lb ) bisx with pic plus cable ( 1. 22 m, 4 ft ) and cable to bis module sc digital signal convert130 g ( 4. 6 oz ) ( without cabling ) 66 x 25 x 107 mm with pic plus cable ( 1. 22 m, 4 ft ) 2. 6 x 1. 0 x 4. 25 in is engin170 g ( 6. 0 oz ) 43 x 93 x 95 mm 1. 7 x 3. 7 x 3. 7 in 40 g ( 8. 4 oz36 x 99. 6 x 97. 5 mm 1. 4 x 3. 9 x 3. 8 in m1032a vuelink module 200 g ( 7. 0 oz ) 36 x 99. 6 x 102. 5 mm 865115 1. 4 x 3. 9 x 4. 0 in with d - sub 9 - pin malor female connector without cable and strain relief 35 x 17 x 57 mm 865114 35 g ( 1. 1 oz ) 1. 4 x 0. 7 x 2. 1 in 25 g ( 0. 8 oz ) 21. 5 x 17 x 65 mm 0. 9 x 0. 7 x 2. 6 in 507. 5 g ( 17. 9 oz ) 73 x 99. 6 x 97 mm m1116b thermal array recorder module 2. 9 x 3. 6 x 3. 9 in. without navigatoknob < 250 g ( < 8. 8 oz ) 53 x 165 x 23 mm 865244 emote control 2. 1 x 6. 5 x 0. 9 in 36 x 103 @topic:19


# # # issue * the biomedical engineer ( bme ) replaced the battery in a casmed 740 physiologic vital signs monitor. * after the battery replacement, the bme tested the device and found that it was working normally. * despite the successful battery replacement and testing, the device has since failed. # # # impact * the failure of the device could have serious consequences for patient care. * the device may be unable to provide accurate vital signs readings, which could lead to incorrect diagnoses and treatment decisions. * the failure of the device could also result in a loss of patient data, which could impact patient care and billing. # # # possible causes * the battery replacement may have been performed incorrectly. * the new battery may be defective. * there may be another underlying issue with the device that was not identified during the battery replacement. # # # recommendations * the bme should investigate the cause of the failure and take steps to correct the problem. * the bme should also ensure that the device is working properly before it is put back into service. * the bme should consider sending the device to the manufacturer for repair if the problem cannot be resolved on - site. @topic:11


# # # issue - nibp monitor ( casmed 750 ) is not able to measure blood pressure ( bp ). # # # impact - accurate bp measurement is essential for proper patient care and monitoring. - inaccurate or lack of bp readings can lead to delayed or incorrect diagnosis and treatment. # # # possible causes - * * defective sensor : * * the sensor responsible for detecting blood pressure may be faulty or damaged, resulting in incorrect or no readings. - * * loose connections : * * loose connections between the sensor, cuff, and monitor can disrupt signal transmission and affect measurement accuracy. - * * software malfunction : * * software issues or bugs in the monitor can cause incorrect processing or display of bp values. - * * improper cuff placement : * * incorrect cuff placement, such as being too loose or tight, can affect the accuracy of bp readings. - * * patient factors : * * patient factors, such as obesity or arrhythmias, can make it difficult to obtain accurate bp readings. # # # recommendations - * * verify sensor functionality : * * test the sensor using a bp simulator or alternative device to ensure it is working correctly. - * * inspect connections : * * check all connections between the sensor, cuff, and monitor for tightness and proper alignment. - * * update software : * * if software issues are suspected, contact the manufacturer for software updates or troubleshooting guidance. - * * recalibrate the device : * * perform a calibration procedure to ensure the monitor is providing accurate bp measurements. - * * reassess cuff placement : * * ensure the cuff is placed correctly on the patient's arm, according to the manufacturer's specifications. - * * consult with medical staff : * * discuss patient factors that may affect bp readings and seek appropriate medical advice for troubleshooting. @topic:15


# # # issue the cause of failure is not specified in the given input. # # # impact the impact of the failure is not specified in the given input. # # # possible causes - the equipment may have been damaged during transport from the hospital. - the equipment may have been mishandled by the technician. - the equipment may have a manufacturing defect. # # # recommendations - the technician should inspect the equipment for any signs of damage. - the technician should test the equipment to ensure that it is functioning properly. - the technician should contact the manufacturer of the equipment if the problem cannot be resolved. @topic:12


# # # issue - connector loosened # # # impact - inability to adjust bed position # # # possible causes - wear and tear - rough handling - loose screws # # # recommendations - tighten connector securely - inspect connector regularly for signs of wear and tear - handle equipment carefully to avoid damage - train staff on proper positioning of bed to prevent excessive strain on connector @topic:1


> battery to enter the battery status window. ♦ to check the charge status of a battery that is not connected to a monitor or battery charger, press the black dot marked “ push ” on the labeled side of the battery. the remaining charge is indicated by four leds on the electronic fuel gauge directly above the dot. each led represents 25 % of charge. if all leds are lit, the battery is fully charged, if only one led is lit, 25 % or less charge is left. mp20 / 30 / 40 / 50 only recording mp20 / 30 / 40 / 50 373 35 using batteries replacing a battery replacing a battery mp40 / mp50 you can replace batteries without switching off the monitor, if you replace them one at a time and if the remaining battery has sufficient power. the battery missing inop is suppressed for 30 seconds while you exchange each battery. mp20 / mp30 when using the monitor with only one battery, insert the new battery before removing the previous battery, to avoid leaving the monitor without power. to replace batteries, 1 press the battery compartment latch to open the battery compartment door. 2 to replace battery 1, rotate the battery retainer until the battery can be removed. to replace battery 2, rotate the battery retainer until the battery can be removed. 3 pull gently on the canvas strap to move the battery towards you, then grasp the battery and pull it out fully. 4 slide the new battery into position, making sure that the battery contacts are facing in the correct direction, as outlined on the inside of the battery compartment door. 5 repeat with the second battery if required. 6 center the battery retainer and close the battery compartment door. optimizing battery performance the performance of rechargeable batteries may deteriorate over time. battery maintenance as recommended here can help to slow down this process. 374 optimizing battery performance 35 using batteries display @topic:11


##81 451261026081 cbl safety test ecg 451261026141 451261026141 cbl safety test ibp 451261026071 451261026071 cbl safety test m1006a / b # c01 phone jack 451261026041 451261026041 cbl safety test sp02 ( mms / m1020b ) 451261026171 451261026171 cbl safety test c. o. 451261026091 451261026091 cbl safety test eeg 451261026131 451261026131 cbl safety test temp 451261026031 451261026031 cbl safety test c02 ( m3014a ) 453564127781 453564127781 cbl safety test inteuibridge 453564127771 453564127771 cbl cable ay. scv02 m1012 - 61601 453563227731 m _ co conn test adapter cardiac output table 6 capnography - respironics mainstream part number 12nc description m2506a gas verification gas m2505a gas cylinder regulator table 7 capnography - respironics sidestream part number 12nc description m2267a 989803106081 calibration regulator 242 6 parts ) part number 12nc description 13907a 989803100361 calibration tube assembly m2506a gas verification gas m2776a straight sample line table 8 capnography - micro stream oridion part number 12nc description 15210 - 64010 989803100841 gas cal 1 cylinders for tc @topic:19


# # # issue - electric bed is unable to adjust its height. # # # impact - patient's comfort and safety may be compromised. - delays in patient care and procedures. # # # possible causes - faulty control panel - loose or damaged electrical connections - mechanical failure of the lifting mechanism - software or firmware issues # # # recommendations - inspect the control panel for any visible damage or loose connections. - check the electrical connections and ensure they are secure. - inspect the lifting mechanism for any signs of damage or wear and tear. - contact the manufacturer for technical support and to determine if any software or firmware updates are available. - in case of mechanical failure, consider replacing the affected components. @topic:1


# # # issue - equipment is not receiving a signal. # # # impact - the device cannot be used for monitoring the patient. # # # possible causes - the signal cable is not connected properly. - the signal source ( e. g., bedside monitor ) is not turned on. - the signal source is not sending the correct signal. - the device is not set to receive the correct signal. # # # recommendations - check that the signal cable is connected properly at both ends. - check that the signal source is turned on and is sending the correct signal. - check that the device is set to receive the correct signal. - if the problem persists, contact the manufacturer of the device for further troubleshooting. @topic:16


# # # issue the remote control for the huntleigh contoura 360 electric bed is damaged, preventing the bed from being operated remotely. # # # impact * healthcare providers may experience difficulty in adjusting the bed for patients. * patients may be unable to adjust the bed on their own, leading to discomfort or safety concerns. # # # possible causes * the remote control may have been accidentally dropped or knocked over. * the remote control may have been mishandled or subjected to excessive force. # # # recommendations * inspect the remote control for visible damage, such as cracks or broken buttons. * replace the damaged remote control with a new or refurbished one. * train healthcare providers on proper handling and storage of the remote control. * consider using a more durable remote control or providing additional protective measures to prevent future damage. @topic:7


# # # issue - * * spo2 value cannot be measured * * # # # impact - inability to accurately monitor patient's oxygen saturation levels, which could lead to adverse patient outcomes # # # possible causes - * * faulty spo2 sensor or cable : * * the spo2 sensor or cable may be damaged or malfunctioning, preventing accurate measurement of oxygen saturation levels. - * * improper sensor placement : * * the spo2 sensor may not be properly placed on the patient's finger or earlobe, resulting in inaccurate readings. - * * interference from other medical devices : * * certain medical devices, such as electrosurgical units or mri machines, can cause electromagnetic interference that can interfere with spo2 measurements. - * * patient factors : * * patient factors such as low perfusion, skin pigmentation, or movement can affect the accuracy of spo2 measurements. # # # recommendations - * * inspect the spo2 sensor and cable : * * check for any visible damage or loose connections. replace the sensor or cable if necessary. - * * ensure proper sensor placement : * * place the spo2 sensor on a clean, dry area of the patient's finger or earlobe, with the sensor facing upwards. - * * minimize electromagnetic interference : * * move the patient away from any potential sources of electromagnetic interference. - * * consider patient factors : * * take into account any patient factors that may affect spo2 readings, such as low perfusion or movement. @topic:4


# # # issue - cuff is not measuring values accurately # # # impact - incorrect patient vital signs measurements - delayed or incorrect treatment decisions # # # possible causes - damaged or faulty cuff - loose or disconnected cuff connections - hardware or software malfunction in the monitor - incorrect cuff placement or size # # # recommendations - replace the cuff with a new or known working one - check and tighten all cuff connections - troubleshoot the monitor for hardware or software issues - ensure proper cuff placement and size according to patient specifications @topic:5


# # # issue - monitor's screen does not turn on after software update # # # impact - the monitor cannot be used to display patient data, which can delay or compromise patient care. # # # possible causes - faulty software update - power supply issue - hardware failure - loose connections # # # recommendations 1. * * check the power supply. * * ensure that the monitor is properly connected to a power source and that the outlet is working. 2. * * inspect the cables and connections. * * look for any loose or damaged cables, especially the video cable connecting the monitor to the central station. 3. * * reset the monitor. * * turn off the monitor and unplug it from the power source. wait for a few minutes and then plug it back in and turn it on. 4. * * reinstall the software. * * if possible, reinstall the latest version of the software from a trusted source. 5. * * contact the manufacturer. * * if the problem persists, contact the manufacturer of the monitor for further assistance. they may be able to provide remote support or dispatch a technician to repair the device. @topic:2


# # # issue • the navigator device is not displaying images from the olympus camera. # # # impact • the inability to view images from the olympus camera may hinder the provision of accurate diagnoses and impede treatment decisions. # # # possible causes • incorrect settings of the composite video input channel on the navigator device • faulty connections between the olympus camera and the navigator device • malfunctioning of the olympus camera • issues with the navigator device's software or hardware # # # recommendations * * troubleshooting steps : * * 1. verify that the composite video input channel on the navigator device is set correctly. 2. inspect the connections between the olympus camera and the navigator device, ensuring they are secure and free from damage. 3. attempt to power cycle both the olympus camera and the navigator device. 4. if the issue persists, contact the manufacturer of the olympus camera or the navigator device for further assistance. * * preventive measures : * * 1. establish clear guidelines for setting up and operating medical devices to minimize the risk of incorrect configurations. 2. provide regular training to staff on the proper use and maintenance of medical devices. 3. implement a preventative maintenance program to identify and address potential issues before they escalate into major failures. 4. keep records of all maintenance and troubleshooting activities for future reference and analysis. @topic:2


# # # issue - battery on medical cart is reporting - 1 % charge, indicating a potential failure # # # impact - the medical cart may not be able to operate properly or may shut down unexpectedly, potentially impacting patient care and safety # # # possible causes - battery is faulty or not holding a charge - battery charger is not functioning properly - electrical issue with the medical cart # # # recommendations - replace the battery with a new one - check the battery charger and cables for any damage or loose connections - inspect the medical cart for any loose wires or damaged components - contact the vendor for further troubleshooting and support @topic:13


# # # issue - nibp dinamap monitor is giving an error message. # # # impact - the monitor is not able to take accurate blood pressure measurements. # # # possible causes - the cuff is not being used correctly. - the monitor is set to auto mode. - the monitor has been used for an extended period of time. # # # recommendations - ensure that the cuff is being used correctly. - set the monitor to manual mode. - if the monitor has been used for an extended period of time, restart it. @topic:15


# # # issue - charging port of medical cart scanner damaged # # # impact - scanner unable to charge # # # possible causes - * * physical damage : * * external impact or improper handling could have broken the charging port. - * * electrical fault : * * electrical surge or faulty wiring could have damaged the charging circuit. # # # recommendations - * * equipment inspection : * * inspect the charging port for visible damage or loose connections. - * * electrical troubleshooting : * * check for continuity in the charging circuit and inspect for burnt or damaged components. - * * replacement of charging port : * * if damage is confirmed, replace the charging port with a compatible model. @topic:23


# # # issue - printer not working # # # impact - inability to print patient data, charts, and other important documents # # # possible causes - paper jam - printer driver issues - faulty printer cable - power issues - ink cartridge issues # # # recommendations # # # # troubleshooting steps 1. * * check for paper jams : * * open the printer and remove any jammed paper. ensure that the paper tray is properly loaded. 2. * * verify printer driver : * * ensure that the correct printer driver is installed and updated. check device manager or the manufacturer's website for the latest drivers. 3. * * inspect printer cable : * * disconnect and reconnect the printer cable to both the printer and the computer. ensure that it is securely plugged in and not damaged. 4. * * power cycle printer : * * turn off the printer, wait a few minutes, and then turn it back on. this can reset any temporary glitches. 5. * * replace ink cartridge : * * if the ink cartridge is low or empty, replace it with a new one. ensure that the cartridge is compatible with the printer model. 6. * * software issue : * * run the printer's diagnostic software to identify any software - related issues. update the printer's firmware if necessary. # # # # additional recommendations - * * regular maintenance : * * regularly clean the printer and perform any maintenance tasks recommended by the manufacturer. - * * consider a backup printer : * * have a spare printer available as a backup in case of equipment failure. - * * train staff : * * train hospital staff on how to troubleshoot and resolve common printer issues. - * * vendor support : * * if the troubleshooting steps do not resolve the issue, contact the printer manufacturer or vendor for further assistance. @topic:28


##0616a 2 washer 3 71460 1 control box assembly ( does not contain batteries ) 4 128593 2 fuse, ac 5 qd1642a 2 battery 6 qd1755a 1 cable assembly 7 154236 1 cable assembly 8 128594 1 fuse, battery 9 128595 1 fuse, sidecom® communication system careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 27 cpr cables — a model beds chapter 5 : parts list cpr cables — a model beds figure 5 - 10. cpr cables — a model beds table 5 - 10. cpr cables — a model beds item number part number quantity description 1 71527 1 weldment, cpr bracket and spacer 2 vi0615a 8 screw 3 71520 1 cpr cable 4 71526 1 weldment, cpr bracket and spacer, rh 5 6 71660 2 handle, cpr, red 7 si0499 2 nut page 5 - 28 careassist® and careassist® es bed service manual ( man330 rev 4 ) cpr cables — a model beds chapter 5 : parts list notes : careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 29 control cables — a model beds chapter 5 : parts list control cables — a model beds chapter 5 : parts list table 5 - 11. control cables — a model beds item number part number quantity description 1 71459 1 sidecom® communication system cable 2 71762 1 ( per side ) siderail cable 3 71666 1 interface p. c. board cable 4 qd1678g 1 foot hilow column extension cable 5 71761 1 pendant cable 6 ( not shown ) 71073 1 pendant, @topic:26


# # # issue - monitor not linking to central system # # # impact - lack of real - time patient monitoring and data transfer to central system. # # # possible causes - incorrect ci address configuration on the device. - network connectivity issues between the device and the central system. - server problems on the central system. # # # recommendations - verify and ensure the correct ci address is set on the device. - troubleshoot network connectivity issues by checking cables, connections, and network switches. - contact the central system support team to resolve any server - related issues. @topic:16


# # # issue - physiologic monitor ( bedside ) model argus csm from schiller is experiencing screen freezing issue. # # # impact - the device is unable to display patient data and alarms, which can delay patient care or compromise patient safety. # # # possible causes - software glitch - hardware malfunction - loose connections - power supply issues # # # recommendations - * * technical recommendation * * : - restart the device to clear any software glitches. - inspect the device for any loose connections or damaged cables. - check the power supply and ensure it is providing stable voltage. - if the issue persists, contact the manufacturer for further technical support. - * * clinical recommendation * * : - use an alternative bedside monitor to monitor the patient's vital signs during troubleshooting. - notify the nursing staff and physician of the device malfunction to ensure patient safety is maintained. @topic:2


# # # issue the medical cart's battery is rapidly discharging at a rate of - 1 % per cycle, even after the bme has performed a driver boot and a version update. # # # impact the medical cart is a critical piece of equipment in the hospital setting, used for transporting patients, medications, and other supplies. a rapidly discharging battery could lead to the cart becoming inoperable at a critical moment, potentially compromising patient safety. # # # possible causes - faulty battery - problem with the charging system - software issue # # # recommendations - replace the battery with a new one. - check the charging system for any loose connections or damage. - contact the manufacturer for assistance with troubleshooting the software issue. @topic:13


# # # issue : the cause of failure is not specified. # # # impact : the technician cannot determine the root cause of the equipment failure, which may lead to : - delays in patient care - increased risk of patient harm - increased maintenance costs # # # possible causes : - lack of documentation or training on the specific equipment - inadequate troubleshooting skills - misdiagnosis of the problem - external factors ( e. g., power outage, environmental conditions ) # # # recommendations : - refer to equipment manuals or consult with the manufacturer for specific troubleshooting procedures. - enhance technician training and skills in equipment diagnostics. - implement a systematic troubleshooting process to ensure accurate identification of the root cause. - monitor equipment performance and environmental conditions to identify potential contributing factors. @topic:12


# # # issue the connector of the nibp monitor is damaged. # # # impact the nibp monitor cannot be used to measure blood pressure. # # # possible causes - the connector was not properly connected. - the connector was damaged due to wear and tear. - the connector was damaged due to a sudden impact. # # # recommendations - ensure that the connector is properly connected. - inspect the connector for damage on a regular basis. - replace the connector if it is damaged. @topic:15


# # # issue bedside rail detached # # # impact - patient safety hazard - injury to patient or staff # # # possible causes - loose or damaged screws or bolts - worn or broken rail - failure to properly engage the rail locks - external force or impact # # # recommendations - inspect the rails regularly for any signs of damage or wear - ensure that all screws and bolts are properly tightened - train staff on how to properly engage the rail locks - avoid applying excessive force to the rails - consider using a different type of rail if the current one is prone to detachment @topic:6


* * issue : * * - monitor is freezing * * impact : * * - unreliable patient monitoring - delays in patient care * * possible causes : * * - malfunctioning internal wiring ( ribbon cable ) * * recommendations : * * - technician cleaned the ribbon cable inside the device - tested the device to verify functionality @topic:2


# # # issue the bed is not able to be adjusted. # # # impact this issue prevents the bed from being used for patient care. # # # possible causes * * * relay not working : * * the relay is a component of the bed's electrical system that is responsible for controlling the movement of the bed. if the relay is not working, the bed will not be able to adjust. * * * loose remote control plug : * * the remote control is used to operate the bed. if the remote control plug is loose, the bed will not be able to receive commands from the remote control. # # # recommendations * * * check the relay : * * the relay should be checked to see if it is working properly. if the relay is not working, it should be replaced. * * * tighten the remote control plug : * * the remote control plug should be tightened to ensure that the bed is able to receive commands from the remote control. * * additional notes : * * * the technician should also check the bed's electrical system to ensure that there are no other issues that could be causing the bed to not adjust. * the technician should also document the findings of the inspection and repair in the bed's maintenance log. @topic:1


* * issue : * * failure to detect spo2 signal. * * impact : * * inability to accurately monitor patient's oxygen saturation levels. * * possible causes : * * - * * loose sensor connection : * * the pulse oximetry sensor may not be properly attached or secured to the patient's finger or earlobe, resulting in intermittent or absent signal. - * * damaged sensor : * * the sensor may be malfunctioning or damaged due to physical wear and tear, affecting signal transmission. - * * faulty cables or connections : * * loose or damaged cables connecting the sensor to the monitor can disrupt signal transmission. - * * software or system error : * * a software glitch or system malfunction can cause the monitor to fail to process or display the spo2 signal correctly. * * recommendations : * * - * * check sensor connection : * * ensure that the sensor is firmly attached and seated properly on the patient's body. - * * inspect sensor : * * examine the sensor for any visible damage or defects. replace if necessary. - * * test cables and connections : * * disconnect and reconnect cables to ensure proper connection. inspect cables for signs of damage or fraying. - * * check system status : * * verify that the monitor is functioning correctly by checking its status lights, display, and software versions. - * * consult manufacturer : * * if the issue persists, contact the manufacturer for technical assistance or troubleshoot the problem further using their documentation. @topic:4


# # # issue - the electric bed cannot be adjusted up or down. # # # impact - patient discomfort and potential safety hazard. # # # possible causes - broken wire or connection in the control panel. - malfunctioning motor or gearbox. - software error in the bed's computer. - loose or damaged wires in the bed's electrical system. - broken or damaged switch or button. - power supply issues. # # # recommendations - check the wires and connections in the control panel and the bed's electrical system for any breaks or damage. - test the motor and gearbox to ensure they are functioning properly. - update the software in the bed's computer if necessary. - replace any loose or damaged wires or buttons. - check the power supply to the bed to ensure it is working properly. @topic:1


# # # cause of failure : air leak # # # issue - monitor displaying " cuff leak " alarm - hose leak detected during initial inspection # # # impact - patient monitoring may be compromised due to inaccurate blood pressure readings # # # possible causes - damaged or disconnected hose connection # # # recommendations - check and tighten all hose connections - replace damaged hoses as needed - ensure proper inflation and deflation of the cuff - perform regular preventative maintenance to minimize the risk of future leaks @topic:3


# # # issue - intermittent physiological parameter monitoring # # # impact - inaccurate or delayed physiological parameter readings - interference with patient care and decision - making # # # possible causes - * * dirty contacts between the monitor and the cable : * * corrosion or debris on the contact points can prevent proper signal transmission. - * * faulty cable : * * damage to the cable can cause intermittent signal loss. - * * loose connections : * * loose or disconnected plugs or connectors can disrupt signal transmission. - * * signal interference : * * electromagnetic interference from other devices can interfere with the monitor's ability to receive signals. - * * software glitches : * * software errors or bugs can cause the monitor to malfunction intermittently. # # # recommendations - * * clean the contacts : * * disconnect the cable and clean the contact points on both the monitor and the cable using an alcohol swab or a contact cleaner. - * * inspect the cable : * * visually inspect the cable for any signs of damage, such as cuts, crimps, or cracks. replace the cable if necessary. - * * secure the connections : * * ensure that all plugs and connectors are properly inserted and tightened. - * * minimize signal interference : * * move the monitor away from potential sources of electromagnetic interference, such as cell phones or wireless devices. - * * update software : * * check for and install any available software updates for the monitor to address potential bugs or glitches. @topic:2


# # issue : - deterioration of the cuff fabric # # impact : - inaccurate blood pressure measurements # # possible causes : - wear and tear due to frequent use - exposure to moisture, heat, or chemicals # # recommendations : - replace the cuff with a new one from the stock. - regularly inspect and maintain the cuff to prevent further deterioration. - train staff on proper handling and storage of the equipment to avoid damage to the cuff. - consider purchasing a cuff with a longer lifespan or better durability. @topic:3


# # # issue - knee section of the bed is not adjustable # # # impact - patient may not be able to get into or out of bed comfortably - bed may not be able to be used for certain procedures # # # possible causes - motor lock is broken # # # recommendations - replace the motor lock - the bme should also check the motor and other components of the bed to ensure that they are functioning properly @topic:9


# # # issue - the monitor is experiencing intermittent signal transmission. # # # impact - accurate patient monitoring may be compromised. # # # possible causes - faulty or damaged signal cable - loose or intermittent connections in the signal pathway - malfunctioning sensor or transducer - software or firmware issues in the monitor or other connected devices # # # recommendations - * * verify and replace signal cable : * * inspect the cable for any visible damage or loose connections. replace the cable with a new one if necessary. - * * inspect and tighten connections : * * ensure all connections in the signal pathway are secure and properly tightened. avoid overtightening. - * * test sensor or transducer : * * perform a diagnostic test on the sensor or transducer to determine if it is functioning correctly. replace if necessary. - * * update software or firmware : * * check for any available software or firmware updates for the monitor or other connected devices. apply updates as needed. - * * troubleshoot network connectivity : * * if the monitor is connected to a network, check for any network issues or configurations that may be affecting signal transmission. - * * contact technical support : * * if the issue persists after following these recommendations, contact the manufacturer's technical support for further assistance. @topic:2


battery. see “ reconditioning the battery ” on page 2 - 3. troubleshooting 4 - 6 suresigns vs2 * and vsi service guide display problems troubleshooting tables symptom possible cause action the power is on, but the monitor | the monitor is in standby mode. press the on / standby key to end screen is blank. standby mode. the main board malfunctioned. replace the main board. see “ replacing the main board ” on page 5 - 22. the lcd is faulty. replace the lcd. see “ removing the lcd ” on page 5 - 28. the monitor displays random or distorted graphics with a white background. the lcd cable is not attached correctly. open the monitor and reseat the lcd signal cable. see “ removing the lcd ” on page 5 - 28. the lcd malfunctioned. replace the lcd. see “ removing the lcd ” on page 5 - 28. the main board malfunctioned. replace the main board. see “ replacing the main board ” on page 5 - 22. the monitor turns on and the opening screen and / or color bar starts, but then freezes. the main board malfunctioned. replace the main board. see “ replacing the main board ” on page 5 - 22. alarm problems symptom possible cause action a flashing red / white box with the message audio failed appears on the screen. the speaker malfunctioned. clear the error message by performing the speaker test or clearing the error log. see “ testing the speaker ” on page 4 - 31 or “ clearing patient data ” on page 4 - 37. the connection to the speaker is faulty. ensure that the connection to the speaker is correct. clear the error message by performing the speaker test or clearing the error log. see “ testing the speaker ” on page 4 - 31 or “ clearing patient @topic:22


* * issue : * * * equipment error * * impact : * * * inability to monitor patient's vital signs accurately * potential delay in diagnosis and treatment * increased patient discomfort * * possible causes : * * * * * hardware malfunction : * * component failure, loose connections, power supply issues * * * software glitch : * * bugs, system updates, incompatibilities * * * environmental factors : * * heat, humidity, interference * * * user error : * * incorrect handling or maintenance * * * other : * * battery depletion, sensor detachment * * recommendations : * * * * * troubleshooting : * * check power connections, sensors, and cables. * * * reset : * * restart the equipment. * * * calibration : * * verify and adjust the accuracy of sensors. * * * software updates : * * install latest patches and updates to address known issues. * * * environmental optimization : * * ensure proper temperature, humidity, and interference control. * * * user training : * * provide training on proper operation and maintenance procedures. * * * replacement or repair : * * if troubleshooting fails, consider replacing or repairing the faulty component. @topic:2


# # # issue - cuff deterioration # # # impact - inability to take accurate blood pressure measurements # # # possible causes - normal wear and tear - improper storage - exposure to extreme temperatures or moisture # # # recommendations - replace the cuff with a new one - inspect the cuff regularly for signs of wear and tear - store the cuff in a cool, dry place - avoid exposing the cuff to extreme temperatures or moisture @topic:3


# # # issue - failure of medical cart bdms 01 due to low battery. # # # impact - the medical cart is unable to function properly, which may impact patient care. # # # possible causes - the battery may have been depleted due to : - excessive use - malfunctioning charger - battery not properly seated - battery is reaching its end of life # # # recommendations - replace the battery with a fully charged one. - check the battery charger for proper functionality. - ensure the battery is properly seated in the cart. - monitor the battery level regularly and replace it as needed. @topic:13


# # # issue - loose control cable # # # impact - the bed may not function properly or may be unsafe to use. # # # possible causes - the control cable may have become loose over time due to wear and tear. - the control cable may have been damaged during transport or installation. - the control cable may not have been properly secured when the bed was assembled. # # # recommendations - inspect the control cable for any signs of damage or wear. - tighten the control cable if it is loose. - if the control cable is damaged, replace it with a new one. - ensure that the control cable is properly secured when the bed is assembled. @topic:7


* * issue : * * * equipment : beds, electric * make : hill - rom * model : basic care, p1440a * failure : unable to repair * * impact : * * * the bed is out of service, impacting patient care and potentially leading to delays in treatment. * * possible causes : * * * * * aging : * * the bed may have reached the end of its useful life, leading to mechanical failures. * * * usage : * * heavy or improper use can stress the equipment components, causing early wear and tear. * * * corrosion : * * exposure to bodily fluids or moisture can cause corrosion of critical parts. * * * electrical issues : * * faulty wiring or components can disrupt the bed's functionality. * * * design flaws : * * manufacturing defects or design limitations can create vulnerabilities that lead to failures. * * recommendations : * * * * * regular maintenance : * * implement a comprehensive maintenance schedule to inspect, clean, and lubricate the bed regularly, reducing the risk of failures. * * * proper use : * * ensure that the bed is used according to manufacturer guidelines to avoid unnecessary wear and tear. * * * corrosion prevention : * * protect the bed from moisture and bodily fluids by using barriers and cleaning surfaces regularly. * * * electrical inspection : * * regularly inspect electrical connections and components for signs of damage or loose connections. * * * component replacement : * * replace worn or damaged components promptly to prevent further failures. * * * equipment replacement : * * if the bed cannot be repaired, consider replacing it with a newer model to ensure patient safety and minimize downtime. @topic:9