be exchanged, only the battery has to be removed. — remove the battery as described above. remove the handle as described above. remove the display as described above. remove the nbp pump assembly as described above. remove the power board as described above. remove the ecg out connector as described above. remove the loudspeaker as described above. remove the iit module as described above. pe x. e 209 9 remove the airways to the nbp pump as described above. 158 10. remove the pins holding the rear housing. 11. remove the rear housing. there might be a slight resistance due to the rubber sealing. replace the rear housing. tip due to the sealing, the housing may stick tight. in this case, a screwdriver can be used to loosen the bottom housing. 12. reassemble the monitor by performing the above steps in reverse order. 13. check the labeling on your old rear housing and apply the respective labels to your new rear housing. su | it wmts module ( 14 gh ) sa e oo ] wwe 14. perform the leakage tests as described in the testing and maintenance section. 159 removing the measurements 1. remove the battery as decribed above. remove the handle as described above. remove the display as described above. remove the nbp pump assembly as described above. remove the loudspeaker as described above. remove the rear housing as described above. ^ ox e up der dw hold the main housing as shown below and press the measurements downwards. there will be a slight resistance due to the sealing. note the measurements can only be loosened if both sides are loosened simultaneously. if the measurements are only loosened on one side and get stuck, press the loosened side back down and try again. 8. when reassembling the measurements, make sure the cable is seated correctly. the plastic nose of the connector @topic:19


# # # issue the electric hospital bed, model contoura 360 manufactured by huntleigh, is not able to adjust the knee section. # # # impact the failure of the bed to adjust the knee section can impact patient care and comfort. patients may not be able to get into a comfortable position, which can lead to pain and discomfort. additionally, the bed may not be able to be used for certain procedures, such as surgery, if the knee section cannot be adjusted. # # # possible causes the cause of the failure may be due to a number of factors, including : * * * electrical : * * there may be a problem with the electrical system of the bed, such as a loose wire or a faulty component. * * * mechanical : * * there may be a mechanical problem with the bed, such as a broken gear or a jammed motor. * * * hydraulic : * * there may be a problem with the hydraulic system of the bed, such as a leak or a faulty valve. # # # recommendations to troubleshoot the issue, the following steps can be taken : * * * inspect the electrical system : * * check for any loose wires or faulty components. * * * inspect the mechanical system : * * check for any broken gears or jammed motors. * * * inspect the hydraulic system : * * check for any leaks or faulty valves. * * * consult the manufacturer's service manual : * * if the problem cannot be identified by inspecting the bed, consult the manufacturer's service manual for further troubleshooting steps. * * * contact the manufacturer : * * if the problem cannot be resolved by following the manufacturer's service manual, contact the manufacturer for assistance. @topic:1


# # # issue the cause of failure is not clearly identified in the given input. # # # impact the impact of the failure is not mentioned in the given input. # # # possible causes - the test monitor may be faulty. - the module bis may be faulty. - the sim bis sensor may be faulty. - the connection between the test monitor, the module bis, and the sim bis sensor may be faulty. # # # recommendations - test the test monitor using a known - good module bis and sim bis sensor. - test the module bis using a known - good test monitor and sim bis sensor. - test the sim bis sensor using a known - good test monitor and module bis. - check the connections between the test monitor, the module bis, and the sim bis sensor. @topic:22


# # # issue - cuff is damaged. # # # impact - the vital signs monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may have been over - inflated. - the cuff may have been punctured. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one. - ensure that the cuff is the correct size for the patient. - train staff on how to properly inflate the cuff. @topic:3


* * issue : * * motor on the electric bed was not functioning properly * * impact : * * patient discomfort, delayed care * * possible causes : * * - motor was not properly connected - motor was faulty - control board was faulty * * recommendations : * * - check connections of motor - replace motor - replace control board @topic:9


* * issue : * * - faulty suction cup ( tin duk gae ) * * impact : * * - impaired monitoring of vital signs * * possible causes : * * - physical damage or wear and tear - improper maintenance or handling * * recommendations : * * - inspect the suction cup regularly for signs of damage or wear. - clean and disinfect the suction cup according to manufacturer's instructions. - handle the device with care, avoiding excessive force or twisting. - replace the suction cup if it is damaged or worn. @topic:12


# # # issue - spo2 probe cable faulty. # # # impact - inaccurate oxygen saturation readings. # # # possible causes - broken cable. - loose connection. - faulty sensor. # # # recommendations - replace the spo2 probe cable. - inspect the cable for any visible damage. - check the connections to ensure they are secure. - test the sensor to confirm it is functioning properly. @topic:4


# # # issue - inability to measure blood pressure due to faulty cuff # # # impact - delay in patient monitoring - missed or inaccurate blood pressure readings - potential for adverse patient outcomes # # # possible causes - cuff is torn, damaged, or loose. - cuff is not the correct size for the patient. - cuff is not properly inflated. - there is a problem with the cuff connection to the monitor. # # # recommendations - inspect the cuff for any damage. - ensure that the cuff is the correct size for the patient. - inflate the cuff properly according to the manufacturer's instructions. - check the connections between the cuff and the monitor. - replace the cuff if it is damaged or torn. - calibrate the monitor regularly to ensure accurate readings. @topic:3


# # # issue the monitor is not linking to the central monitor. # # # impact this issue can impact patient care by preventing the medical team from having a complete view of the patient's vital signs. # # # possible causes * loose or damaged lan cable * network configuration issues * software issues on the monitor or central monitor # # # recommendations * check the lan cable and ensure it is securely connected to both the monitor and the central monitor. * verify the network configuration settings on both the monitor and the central monitor. * update the software on both the monitor and the central monitor to the latest version. * contact the manufacturer for further troubleshooting assistance if the issue persists. @topic:16


# # # issue - head of the bed is not elevating # # # impact - patient discomfort - difficulty performing medical procedures - increased risk of injury to patient or staff # # # possible causes - * * loose motor wires : * * the wires connecting the motor to the bed frame may have become loose, preventing the motor from functioning correctly. - * * faulty motor : * * the motor itself may have failed, preventing it from functioning at all. - * * control panel malfunction : * * the control panel that operates the bed may have malfunctioned, preventing it from sending signals to the motor. - * * power supply issue : * * the bed may not be receiving power, preventing it from operating at all. # # # recommendations - * * check motor wires : * * ensure that the wires connecting the motor to the bed frame are securely fastened. - * * test motor : * * disconnect the motor from the control panel and test it using a multimeter to verify its functionality. - * * inspect control panel : * * visually inspect the control panel for any signs of damage or loose connections. - * * check power supply : * * ensure that the bed is receiving power by checking the power outlet and the fuse box. @topic:1


##ged. amber flashing light + amber maintenance light : the comfort battery and / or the emergency battery are flat and must be charged immediately, or the batteries are disconnected. + the comfort battery is totally flat. night light a night light under the bed frame, which can be switched on or off using the caregiver half - siderail keypads, can be used to quickly see whether the bed is in the low position at night for greater safety. once activated, the night light comes on and changes color green : the bed is in the low position. • orange : the bed is not in the low position. • pr a never allow a non - qualified person to operate this function and check that no obstacles ( e. g., limbs, accessories, objects, power cords ) or persons are under the head section. this function is used in emergencies ( e. g., reanimation, heart massage, etc. ) or in the event of a power failure. on the hill - rom 900 accella bed, there are two ways to operate the cpr function : cpr handle ppressing the handle mechanically returns the adjustable head section to the flat position, automatically aligns the hilow with the higher side and deflates the combined mattress *. as soon as the head section is flat, the handle can be released and the automatic leveling continues ( unless another movement is activated ). cpr button press and hold the cpr button on the caregiver half - siderail keypads. all the sections of the sleep surface return to the flat position, the bed frame is aligned with the lower side and the combined mattress * deflates. cpr note : to reset the mattress, see " cpr " page 49. failure to connect the equipotential cable may result in corporal injury. when direct intravascular or intracardiac connections are in use, the electric @topic:9


# # # issue - loose basket locking mechanism # # # impact - impaired patient transport safety - potential for basket detachment - risk of injury to patients or staff # # # possible causes - equipment mishandling or misuse - worn or damaged locking mechanism - loose or missing screws or bolts - failed or improperly installed fasteners # # # recommendations - inspect the locking mechanism regularly for any signs of damage or wear. - ensure that all screws and bolts are properly tightened and secure. - train staff on proper equipment handling and operation. - replace or repair any damaged or defective components promptly. - implement a regular maintenance program to identify and address potential issues before they become critical. - use cable ties as a temporary measure to secure the basket until permanent repairs can be made. @topic:24


# # # issue - the patient monitor is not connected to the central monitor # # # impact - the patient's vital signs cannot be monitored remotely - the patient's condition may not be known to the medical team promptly # # # possible causes - the lan cable is not connected properly - the ip address is not correct - the switch or router is not functioning properly - the firewall is blocking the connection - the central monitor is not functioning properly # # # recommendations - check the lan cable and make sure it is connected properly - verify the ip address and make sure it is correct - check the switch or router and make sure it is functioning properly - disable the firewall and see if the connection works - check the central monitor and make sure it is functioning properly - if the problem persists, contact the vendor for support @topic:16


# # # issue - bed cannot be adjusted # # # impact - patient discomfort - difficulty performing patient care procedures # # # possible causes - faulty remote control - problem with the electrical wiring - issue with the bed's motors or mechanical components # # # recommendations - replace the remote control with a new one - inspect the electrical wiring for any damage or loose connections - check the bed's motors and mechanical components for any signs of wear or damage @topic:1


# # # issue - keyboard failure on bdms medical cart model bdms 01. # # # impact - the medical cart cannot be used due to the inoperable keyboard. # # # possible causes * * based on the provided information : * * - depleted keyboard battery. * * other possible causes : * * - keyboard hardware malfunction - software compatibility issues - physical damage to the keyboard or its connections # # # recommendations - replace the depleted battery. - if battery replacement doesn't resolve the issue, perform further troubleshooting to identify the root cause. - verify that the keyboard is compatible with the medical cart software. - inspect the keyboard and its connections for any visible damage. - contact the manufacturer or a qualified technician for assistance if the issue persists. @topic:27


# # # issue - bme conducted an on - site inspection and found that the upper right - hand side of the foot switch was shorted due to a broken wire. # # # impact - the equipment could not be used. # # # possible causes - the wire may have been damaged during use or handling. - the wire may have been improperly connected. # # # recommendations - the wire was repaired and the equipment was tested and found to be working properly. @topic:1


# # # issue * probe spo2 is not detecting signals. # # # impact * inability to monitor patient's oxygen saturation levels. * delayed or inaccurate diagnosis and treatment decisions. * potential patient harm due to undetected oxygen desaturation. # # # possible causes * damaged or loose probe connection * faulty probe * patient movement causing misalignment of probe * excessive ambient light interference * patient's skin color or condition affecting signal detection * software or hardware malfunction in the monitor # # # recommendations * * * check probe connection : * * ensure the probe is securely plugged into the monitor and the patient's finger. * * * inspect probe : * * look for any physical damage or discoloration. clean the probe if necessary. * * * adjust probe placement : * * reposition the probe on the patient's finger and ensure it is properly aligned. * * * minimize light interference : * * shield the probe from bright lights or direct sunlight. * * * consider patient factors : * * evaluate the patient's skin color, texture, and any underlying conditions that may affect signal detection. * * * troubleshoot monitor : * * perform a self - test on the monitor to identify any software or hardware issues. * * * contact manufacturer : * * if the problem persists, contact the manufacturer for technical support or a replacement probe. @topic:4


# # # issue - bed is unresponsive to adjustments # # # impact - patients cannot be positioned properly for treatment - nursing staff may have difficulty moving patients - bed may be unsafe to use # # # possible causes - * * bed is rusty and corroded. * * this can prevent the motors from working properly. - * * battery is dead or depleted. * * this will prevent the bed from receiving power. - * * control panel is not functioning properly. * * this can prevent the user from adjusting the bed. - * * loose or damaged wiring. * * this can prevent the bed from receiving power or from functioning properly. # # # recommendations - * * inspect the bed for rust and corrosion. * * if any is found, it should be cleaned and repaired. - * * replace the battery. * * - * * inspect the control panel for any damage. * * if any is found, it should be replaced. - * * check the wiring for any loose or damaged connections. * * if any are found, they should be repaired or replaced. @topic:1


high levels of ambient light or strobe lights or flashing lights ( such as fire alarm lamps ). ( hint : cover application site with opaque material. ) — electromagnetic interference. - excessive patient movement and vibration. sp0 2 signal quality indicator ( fast sp0 2 only ) the sp0 2 numeric is displayed together with a signal quality indicator ( if configured and enough space is available ) which gives an indication of the reliability of the current values. the level to which the triangle is filled shows the quality of the signal ; the indicator below shows a medium signal quality, the signal quality is at a maximum when the triangle is completely filled. assessing a suspicious sp0 2 reading traditionally, pulse rate from sp0 2 was compared with heart rate from ecg to confirm the validity of the sp0 2 reading. with newer algorithms, such as fast - sp0 2, this is no longer a valid criteria because the correct calculation of sp0 2 is not directly linked to the correct detection of each pulse. when pulse rate is very low, or strong arrhythmia is present, the sp0 2 / pleth pulse rate may differ from the heart rate calculated from ecg but this does not indicate an inaccurate sp0 2 value. if you doubt the measured sp0 2, use the signal quality indicator ( if available ) or the pleth wave and perfusion indicator instead to assess the signal quality. note with pulse oximetry, sensor movement, ambient light ( especially strobe lights or flashing lights ) or electromagnetic interference can give unexpected intermittent readings when the sensor is not attached to a patient. especially bandage - type sensor designs are sensitive to minimal sensor movement that might occur when the sensor is dangling. 173 9 monitoring sp02 changing the averaging time changing the averaging time depending on the monitor configuration, you may be able to change the averaging time for the sp0 2 values. the averaging time @topic:4


# # # issue - electric hospital bed is not adjustable # # # impact - patients may be unable to get in or out of bed - patients may be uncomfortable if the bed is not in the correct position - caregivers may be unable to provide proper care to patients # # # possible causes - electrical issue - mechanical issue - software issue # # # recommendations - check the electrical connections to the bed - inspect the mechanical components of the bed for any damage - update the software on the bed, if available - replace any damaged components - contact the manufacturer for assistance if the problem cannot be resolved @topic:1


# # # issue - error code e83 appears on the nibp monitor. # # # impact - the nibp monitor is unable to take accurate blood pressure measurements. # # # possible causes - cuff is not properly connected to the monitor. - cuff is too loose or too tight. - cuff is damaged. - air leak in the cuff or tubing. - monitor is not calibrated correctly. # # # recommendations 1. check that the cuff is properly connected to the monitor. 2. adjust the cuff to the correct size for the patient. 3. inspect the cuff for any damage. 4. check for any air leaks in the cuff or tubing. 5. calibrate the monitor according to the manufacturer's instructions. 6. if the error code persists, contact the manufacturer for further assistance. @topic:15


# # # issue * * * equipment malfunction : * * electrical bed model care assist es by hill - rom will not lower its legs. # # # impact * * * patient safety : * * the patient may experience discomfort or injury if the bed is not able to be lowered to a safe or comfortable position. * * * patient care : * * the patient may have to be manually moved or transferred to another bed, which can be painful or time - consuming. * * * nursing staff workload : * * the nursing staff may have to spend more time assisting the patient, which can take away from other patient care tasks. # # # possible causes * * * electrical system failure : * * the electrical system that controls the bed's leg movement may have failed. this could be due to a loose connection, a damaged wire, or a faulty component. * * * mechanical failure : * * the mechanical system that controls the bed's leg movement may have failed. this could be due to worn gears, a broken spring, or a damaged linkage. * * * software failure : * * the software that controls the bed's leg movement may have crashed or become corrupted. # # # recommendations * * * troubleshooting : * * the technician should troubleshoot the electrical system and mechanical system to identify the source of the failure. * * * repair or replacement : * * if the failure is due to a faulty component, the component will need to be repaired or replaced. if the failure is due to a mechanical issue, the mechanical system will need to be repaired or replaced. * * * software update : * * if the failure is due to a software issue, the software will need to be updated. * * * retraining : * * the nursing staff should be trained on how to use the bed safely and how to troubleshoot common problems. @topic:9


# # # issue - control box power receptacle is broken and loose. # # # impact - the bed cannot be adjusted. # # # possible causes - the control box power receptacle is old and worn out. - the control box power receptacle has been damaged by being bumped or dropped. - the control box has been exposed to water or other liquids. # # # recommendations - replace the control box power receptacle if it is old and worn out. - protect the control box from being bumped or dropped. - keep the control box away from water and other liquids. @topic:1


# # # issue - the bed cannot measure the weight of the patient. # # # impact - the medical staff cannot accurately monitor the patient's weight, which is crucial for their care. # # # possible causes - the technician has not yet received training on how to use the new equipment. - the equipment is not functioning properly. - there is a patient occupying the bed, which prohibits the technician from accessing it for repairs. # # # recommendations - the hospital should arrange for the technician to receive training on the new equipment as soon as possible. - the technician should check if the equipment is functioning properly and, if not, contact the manufacturer for repairs. - the hospital should consider purchasing a second bed so that patients can be moved to a different bed while the faulty bed is being repaired. @topic:9


# # # issue - broken plug head # # # impact - the device cannot be used properly. # # # possible causes - external force or impact - ageing or wear and tear - manufacturing defect # # # recommendations - replace the broken plug head with a new one. - inspect the device regularly for any other damage. - train the users to handle the device properly to prevent future damage. @topic:12


# # # issue - frequent screen freezing on the central monitor # # # impact - patient monitoring and data collection are compromised, potentially leading to delays in diagnosis and treatment. - loss of patient data and disruption of the workflow. - increased stress and workload for healthcare staff. # # # possible causes - hardware defects in the monitor, such as faulty components or connections. - software bugs or glitches causing the system to freeze. - electrical issues, such as power fluctuations or poor grounding, leading to intermittent power supply to the monitor. - environmental factors, such as excessive heat or humidity, affecting the monitor's functionality. - incorrect monitor settings or configurations. # # # recommendations * * troubleshooting : * * - restart the monitor to clear any temporary software issues. - check all cables and connections to and from the monitor to ensure they are secure and not damaged. - verify the power supply to the monitor is stable and properly grounded. - inspect the monitor for any physical damage or signs of overheating. * * maintenance : * * - perform regular preventive maintenance on the monitor to identify and address potential issues early on. - keep the monitor's software up to date with the latest firmware or service packs to fix known bugs. - ensure the monitor is placed in an environment with appropriate temperature and humidity levels. * * repair : * * - if troubleshooting and maintenance do not resolve the issue, suspect hardware defects and consider contacting the manufacturer's certified technicians for repair or replacement. - check the warranty status of the monitor and follow proper repair procedures to maintain optimal performance and patient safety. @topic:2


# # # issue the philips suresigns vs4 vital signs monitor experienced a failure due to excessive cuff pressure. # # # impact the monitor was unable to accurately measure vital signs, potentially compromising patient care. # # # possible causes - the cuff was inflated to an excessive pressure, either manually or by the monitor's automatic inflation system. - the cuff was not properly sized for the patient, resulting in excessive pressure on the arm. - the monitor's inflation system malfunctioned, causing the cuff to be inflated to an excessive pressure. # # # recommendations - ensure that the cuff is properly sized for the patient and inflated to the correct pressure. - calibrate the monitor's inflation system regularly to prevent malfunction. - monitor the patient's vital signs closely and adjust the cuff pressure if necessary. @topic:15


short range radio installation of the short range radio interface should be performed by philips service personnel. before installing an srr infrastructure it might be necessary to perform a site a survey to determine available channels. this should be performed by philips telemetry installation experts. configuring srr channels hardware setting : main setup - > hardware - > srr channel 268 7 installation instructions ] srr channel settings only apply for monitors that have a short range radio interface installed. they must be set to match the hospital ’ s wireless infrastructure. srr channel settings are hardware settings and will typically be set by service personnel at installation. refer to your configuration guide for details. srr channel settings configuration implications channel use this setting to configure the srr channel the monitor should use. srr provides a total of 16 channels in the ism ( 2. 4 ghz ) band. the channels are labeled 11 to 26. up to two srr connections can be established per channel. the ism band is not exclusively reserved for srr applications. it is also used by, for example, wireless lan ( wlan ) and the intellivue telemetry network. for this reason, depending on the hospital ’ s existing wireless infrastructure, a number of srr channels might already be occupied by other wireless applications. to achieve the best srr performance possible, follow these recommendations : • usage of wlan together with srr may cause interferences. each wlan network uses at least four of the 16 srr channels. if the use of wlan cannot be avoided, limit the number of channels used for the wlan infrastructure to a minimum. • usage of bluetooth devices together with srr may cause interferences. bluetooth devices automatically change channels regardless of whether a channel is already used by another component of the wireless infrastructure and therefore interfere with srr connections. • usage of cordless phones using the is @topic:10


* * issue : * * leaking pump in blood pressure monitor ( bpm ) * * impact : * * * inaccurate blood pressure readings * potential harm to patient if not detected * downtime due to repairs * * possible causes : * * * manufacturing defect * wear and tear * damage during transportation or handling * improper maintenance * * recommendations : * * * replace the leaking pump with a new one. * thoroughly inspect the bpm for other potential issues. * implement a regular maintenance schedule to prevent future failures. * train personnel on proper handling and maintenance of the bpm. * consider purchasing a backup bpm to minimize downtime in the event of repairs. @topic:15


# # # issue electric bed is not able to be adjusted ( up / down, head / foot ) # # # impact patient cannot be positioned comfortably or safely # # # possible causes - cable connection issue - motor failure - control panel malfunction # # # recommendations - check and make sure the power cord is properly plugged into the outlet and that the motor is securely connected to the bed frame. - inspect the motor for any signs of damage or wear and tear. - test the control panel to ensure that it is functioning properly. @topic:1


# # # issue bed is not adjustable. # # # impact patients may not be able to be positioned correctly for treatment or comfort. # # # possible causes - motor failure - control panel failure - wiring issue # # # recommendations - check the motor for proper operation. - inspect the control panel for any damage or loose connections. - check the wiring for any breaks or shorts. @topic:1


# # # issue - unable to adjust bed # # # impact - patient discomfort - difficulty in providing care - delays in treatment # # # possible causes - loose or disconnected connector on electric bed # # # recommendations - check and re - connect connector securely - inspect wires and cables for damage - ensure bed is properly grounded @topic:1


# # # issue - scanner failure # # # impact - inability to scan patients or documents # # # possible causes - faulty scanner component - loose or damaged connector - dirty or misaligned contacts # # # recommendations - replace the faulty scanner component - tighten or replace the loose or damaged connector - clean and align the contacts - ensure that the scanner is properly connected to the power source and computer - perform regular maintenance and calibration of the scanner @topic:23


# # # issue - the cause of failure is not properly described. # # # impact - the technician may not be able to troubleshoot the issue correctly, leading to unnecessary downtime for the equipment. # # # possible causes - the technician may not have properly tested the equipment. - the equipment may have been damaged during transport or storage. - there may be a software or hardware issue. # # # recommendations - the technician should ensure that the equipment has been fully tested and is working properly. - the equipment should be handled with care to avoid damage. - the technician should consult with the manufacturer or a qualified service provider if the issue cannot be resolved. @topic:12


direction of the measurement connectors. positioning the measurement server on a clamp mount if you have your measurement server on the clamp mount, you can have it in one of four positions. you can reposition it as follows : 1 press and hold the mount latch toward the clamp screw. rotate the measurement server and mount until you get it to the position you want. 2 release the mount latch, and make sure it is clicked into one of the four slots on the back of the mount. connections the cable specifications and part numbers for through wau solutions of the m3001a are described in the site preparation section of this manual. 264 7 installation instructions ] msl cable termination the following installation procedure describes how to install the wall installation cable kit when the patient monitor and the measurement server are not located at the same site. the kit consists of two connector boxes and a cable ( 15m or 25m ). for this procedure you need the insertion tool ( m3086 - 43801 ) and a small screwdriver. 1 draw the msl cable through the wall from the site of the monitor to the site of the measurement server. each msl face plate kit contains two connector boxes ; one in - going and one out - going. ( the us version contains an additional rectangular wall - mounting plate ). note the installation procedure is the same for both connector boxes. this means you must perform steps 3 to 8 of this procedure twice. the connectors on each box are different, so you must ensure that the correct box is placed at the correct location. the dots on the plastic angled cover indicates at which site you should install the box : at monitor site syiiibob on cable coiiiiectoi ’ at mms site symbols on cable at monitor site connector at measurement server site if there are no dots on the cover, symbols are used : is connector box ( in ) and @topic:19


# # # issue - equipment : bedside physiologic monitor - brand : philips - model : efficia cm100 - * * problem * * : cuff connector is missing. # # # impact - the monitor cannot be used to measure vital signs. # # # possible causes - the cuff connector was not properly connected. - the cuff connector was damaged. - the cuff connector was lost. # # # recommendations - check that the cuff connector is properly connected. - if the cuff connector is damaged, replace it. - if the cuff connector is lost, order a new one. @topic:5


# # # issue - remote control failure # # # impact - inability to operate the bed # # # possible causes - physical damage ( e. g., cracked or broken remote ) - electrical malfunction - software issues # # # recommendations - replace or repair the remote control - inspect the electrical connections - update the software ( if applicable ) - train staff on proper handling and use of the equipment @topic:7


serial number menu appears. reset serial number serial number : select the serial number button. a keyboard appears. back cancel enter the serial number ( from the label on the back of the monitor ), and then select the ok button to save the change. select the apply button. in the window that appears, select the ok button. the monitor restarts. repairing the monitor 5 - 26 suresigns vs2 * and vsi service guide replacing the main board setting the system configuration caution when the monitor performs a self test, it first checks its system configuration. if you replace the main board, you must reprogram the system configuration. the system configuration settings must match the hardware installed on the monitor. incorrect settings may result in system malfunction alarm messages and the monitor not starting up. if this happens, correct the system configuration settings. to reset the system configuration : step 1 access the system diagnostics menu. for detailed information, see “ running system diagnostics ” on page 4 - 29. 2 select the maintenance > > button. 3 in the window that appears, enter the password, 1 - 2 - 9, as shown : please enter the password : 4 select the ok button. the complete system diagnostics menu, including the maintenance options, appears. system diagnostics nbp cycle count : 36 vs2 * lcd usage hours : 231 only errors : 0 error log self test dejen ico audio test battery info keys test network test nbp test reset s / n clear data repairing the monitor suresigns vs2 * and vsi service guide 5 - 27 removing the lcd in the system diagnostics menu, select the configuration button. the configuration menu appears : configuration : or'o ) predictive temp o ) wireless select each option to be used. note — for detailed information about the wireless settings, see the suresigns vs2 * and vsi @topic:10


# # # issue - faulty spo2 cable # # # impact - inaccurate or unreliable oxygen saturation readings - potential patient safety concerns # # # possible causes - physical damage to the cable ( e. g., cuts, kinks ) - loose connections at either end of the cable - internal component failure - software or firmware issues # # # recommendations - replace the faulty cable with a new or known - good one. - ensure that the cable is properly connected to both the monitor and the patient. - if the issue persists, contact the equipment manufacturer for further troubleshooting and repair options. - regularly inspect and maintain spo2 cables to prevent future failures. @topic:4


* * issue : * * failure of patient transport monitors to connect to the central monitor system * * impact : * * impeded patient monitoring and potential delays in treatment * * possible causes : * * - * * incorrect monitor configuration : * * the monitors were not configured with the correct names, preventing them from being recognized by the central monitor system. * * recommendations : * * - * * ensure proper configuration : * * verify that all monitors are configured with the correct names and settings. - * * review documentation : * * refer to the manufacturer's documentation or consult with the biomedical engineer team for guidance on proper configuration. - * * test connectivity : * * conduct thorough testing of the monitors to ensure they can connect to the central monitor system and transmit patient data effectively. @topic:16


# # # issue - vital signs monitor is displaying unstable temperature readings. # # # impact - incorrect temperature readings can lead to misdiagnosis and inappropriate treatment decisions. # # # possible causes - malfunctioning temperature sensor - incorrect calibration - electrical interference - software glitch # # # recommendations - calibrate the temperature sensor using a nist - traceable thermometer. - check for any loose connections or damaged wires. - ensure that the monitor is not placed near sources of electrical interference, such as mri machines or power lines. - update the monitor's software to the latest version. - if the problem persists, contact the manufacturer for further troubleshooting and repair. @topic:20


# # # issue - the patient cannot adjust the bed using the remote control. # # # impact - this makes it difficult for the patient to get comfortable and move around in bed. # # # possible causes - the remote control is not working properly. - the remote control is not communicating with the bed. - the buttons on the remote control are not working properly. - the lock knob on the remote control is not working properly. # # # recommendations - check the batteries in the remote control and replace them if necessary. - check the connection between the remote control and the bed. - clean the buttons on the remote control with a cotton swab and alcohol. - tighten the lock knob on the remote control. @topic:7


( config mode ) 152 changing lead schoosing electrode sites 138 conventional 12 - lead 143 co2 241 database 339 larms, apnea delay 25trends 319 external pacing electrodes 152 date, setting 47 default profile 40 filter settings 137 alarms, specific 251 fusion beat pacemakers 15intrinsic rhythm 152 modified 12 - lead 143. new lead setup 139 pacemaker failure 152 awrr alarm limits 252 default settings 501 defibrillation 152, 28checking transducer accuracy 247 correction, humidity 250 and arrhythmia monitoring 15and ecg monitoring 152 during eeg monitoring 284 delayed recording 360 deleting events 339 demonstration mode 36. desat alarm, spo2 200 detection modes ( resp ) 186 device driver 390, 393 corrections 250, 260 filterline 249 rate adaptive pacemakers 152 unfiltered 137 mainstream accessories 242, 256 measuring mainstream 243, 247 measuring microstream 249 method, mainstream 241. method, microstream 241. method, sidestream 241 microstream accessories 249 microstream extension 248 removing exhaust gases 246, 250 transducer, calibrating 247 transducer, using 247 troubleshooting 417 wave size 136 ecg analog output 447 ecg cable 152 for operating room 152 ecg cables, connecting 13ecg connector 133. language conflict with mdiagnostic ( ecg filter setting ) 137 disabling touch operation 30 disconnect inops 64 silencing 63 ecg electrode colors 139 ecg electrode placement 152 during electrosurgery 152 ecg gain 362, 371 wave scale, adjusting 250, 260 ecg lead labels 139. ecg lead placement 138 co2 ( mainstream ) 437, 438 infection control 411. recommended substances 412 display 156, 166, 186, 206 accessories 242, 256 choosing easi / standard 1ecg leads monitored 139 ecg report 371, 379 co @topic:8


# # # issue - faulty wheels on the bedside physiologic monitor # # # impact - impaired mobility of the monitor, hindering effective patient care and monitoring - potential safety hazards if the monitor is not securely positioned # # # possible causes - wear and tear over time - rough handling or accidental damage - manufacturer defect # # # recommendations - regular inspection and maintenance of the monitor's wheels - prompt replacement of worn or damaged wheels - proper handling and transportation of the monitor to prevent damage - contact the manufacturer if there is a suspected defect @topic:24


# # # issue - cause of failure : rail guard is not adjustable # # # impact - patient safety - patient comfort - efficiency of care # # # possible causes - malfunctioning or damaged lock mechanism - obstruction in the rail guard mechanism - misalignment of the rail guard # # # recommendations - inspect the lock mechanism for damage or wear and tear - check for any obstructions in the rail guard mechanism - ensure that the rail guard is properly aligned @topic:6


# # # issue : - lcd monitor not displaying image # # # impact : - inability to monitor patient health parameters # # # possible causes : - loose connection in the splitter box # # # recommendations : - ensure all connections are secure - test the device to verify functionality @topic:2


# # # issue : - failure of vital signs monitor due to a faulty ac power cord. # # # impact : - interruption of patient monitoring, potentially affecting patient safety. # # # possible causes : - damage to the ac power cord due to mishandling or wear and tear. - loose connection between the power cord and the monitor. # # # recommendations : - replace the faulty ac power cord with a new one. - ensure proper handling and storage of the power cord to prevent damage. - check the connection between the power cord and the monitor to ensure a secure fit. - regularly inspect and test all medical devices to identify potential issues early on. - consider providing training to staff on proper handling and maintenance of medical equipment. @topic:2


# # # issue - cause of failure is mentioned as " testing the bed adjustment function ". # # # impact - lack of clarity on the actual issue leading to the equipment failure. # # # possible causes - incomplete documentation of the issue. - miscommunication or lack of understanding during the troubleshooting process. # # # recommendations - provide a clear and detailed description of the observed issue, including any error messages or specific symptoms. - ensure proper communication and documentation during troubleshooting to accurately capture the cause of failure. - establish a standardized process for documenting equipment failures and their causes to improve accuracy and consistency. @topic:9


# # # issue the bed is not adjustable. # # # impact the patient may be unable to get in or out of bed, or may be uncomfortable in bed. # # # possible causes - the bed is locked. - the motor is not working. - the control panel is not working. # # # recommendations - check the bed to see if it is locked. if it is, unlock it. - if the bed is not locked, check the motor to see if it is working. if it is not, replace the motor. - if the motor is working, check the control panel to see if it is working. if it is not, replace the control panel. @topic:1


1 - 94 + am. 2 ; iec 60601 - 1 - 1 : 2000 ; en 60601 - 1 - 1 : 2001 ; iec 60601 - 1 - 2 : 2001 + a1 : 2004 ; en 60601 - 1 - 2 : 2001 + a1 : 2006. the possibility of hazards arising from software errors was minimized in compliance with iso 14971 : 2007, en 60601 - 1 - 4 : 1996 + a1 : 1999 and iec 60601 - 1 - 4 : 1996 + a1 : 1999. classification ( according to iec 60601 - 1 ) : class 1, type cf, continuous operation. the bis and nmt measurement use a type bf applied part. 456 40 specifications physical specifications maximum weight comments product w x h x d < 12 kg ( < 26. 4 lb ) < 478 x 364 x 152 mm < 18. 82 x 14. 33 x 5. 98 in < 392 x 321 x 163 mm < 15. 43 x 12. 64 x 6. 42 in < 404 x 308 x 184 mm < 15. 91 x 12. 13 x 7. 24 in < 327 x 288 x 182 mm < 12. 87 x 11. 34 x 7. 17 in < 327 x 288 x 182mm < 12. 87 x 11. 34 x 7. 17 in < 274 x 288 x 178 mm. < 10. 79 x 11. 34 x 7. 01 in 188 x 96. 5 x 51. 5 mm 7. 4 x 3. 8 x 2 in 188 x 99 x 86 mm. 4 x 3. 9 x 3. 4 in mx800 monitor without cable management without cable management < 9. 5 kg ( < 20. 9 lb ) x600 / mx700 m < 7. 3 kg ( < 16. 1 lb ) mx550 monitor < 6. 0 kg ( < @topic:10


# # # issue the electric bed's side rails are failing to raise. # # # impact the patient will not be able to use the side rails for safety. # # # possible causes - the motor that raises the side rails is not working. - the switch that activates the motor is not working. - the wiring that connects the motor to the switch is damaged. - the software that controls the motor is not working. - the rails are obstructed by debris. # # # recommendations 1. inspect the motor for any visible damage or loose connections. 2. test the switch with a multimeter to ensure it is working properly. 3. inspect the wiring for any damage or loose connections. 4. update the software if necessary. 5. remove any debris that may be obstructing the rails. 6. replace any defective components. 7. test the side rails to ensure they are working properly. @topic:6


# # # issue - equipment failure due to battery replacement # # # impact - device downtime - interruption of patient care # # # possible causes - battery replacement : - improper battery installation or removal - faulty battery or battery connection - incorrect battery type used # # # recommendations - ensure proper battery installation and removal procedures are followed. - use genuine and compatible batteries recommended by the manufacturer. - verify the battery type and voltage before replacement. - train technicians on correct battery handling techniques. - implement a preventive maintenance schedule to monitor battery health and replace them as needed. @topic:11


started recording is triggered, then the older recording is stopped and the more recent manually - started recording is started. alarm recordings are prioritized according to alarm priority. if an alarm recording triggered by a yellow alarm is running and a new alarm recording is triggered by a red alarm, the yellow alarm recording is stopped and the red alarm recording is started. recording strip the information printed on the recording strip includes the patient name and mrn, bed number, date and time of recording, recording speed, and ( except when the information is printed above the waves ) recording code. active alarm and inop messages as well as numerics for all currently monitored ts are also printed. recording strip annotations are printed at the beginning of the recording strip, either before or above the waves depending on the configuration. the annotations are updated at regular intervals, every 15 minutes for recordings made at speeds lower than 6. 25 mm / s, and every 60 seconds for recordings made at speeds greater or equal to 6. 25 mm / s. when annotations are configured to appear above the ave, it may not be possible to print them all when the runtime of the recording is too short. 6 28 recording the recording strip code printed in the first line of the initial annotation has up to seven characters, specifying recording type, operating mode, application area, patient category, and delay time, if applicable. it is only included when annotations are configured to appear before the waves. code meaning recording type 90 realtime delayed 8a ов alarm context ( procedures ) 91 onitoring demo onfiguratservice application area i icu 0 0 or ccu c nicu n atient categordult ediatric eonatal n recorded waveforms a selection of up to three waveforms is recorded, marked with wave labels and wave scale information. wave scale information can @topic:8


# # # issue - ball lock rusted, causing the locking force from the locking shaft to loosen. # # # impact - the equipment may not be able to lock securely, which could lead to patient injury. # # # possible causes - the ball lock and inner ring of the locking shaft were rusted. # # # recommendations - clean the rust from the ball lock and inner ring of the locking shaft. - reassemble the equipment and test it to ensure that it is working properly. @topic:6


# # # issue - spo2 sensor failure on physiologic monitor ( bedside ) device. # # # impact - potential inaccuracy or failure of spo2 monitoring. # # # possible causes - * * faulty sensor : * * manufacturing defect or degradation over time. - * * loose connection : * * poor contact between the sensor and the device or the patient's finger. - * * environmental interference : * * strong electromagnetic fields or excessive moisture. - * * patient factors : * * poor peripheral perfusion, excessive movement, or dark skin tone. # # # recommendations - * * replace the faulty sensor : * * ensure a secure connection and confirm functionality. - * * check for loose connections : * * inspect and tighten all cables and connectors. - * * minimize environmental interference : * * avoid using the device near potential sources of electromagnetic interference. - * * optimize patient positioning : * * ensure proper placement of the sensor and minimize patient movement. - * * consider patient factors : * * use appropriate sensor probes for dark skin tones and adjust settings to compensate for poor peripheral perfusion. - * * train clinical staff : * * educate them on proper device usage, troubleshooting techniques, and the importance of regular maintenance. - * * implement regular maintenance schedule : * * conduct periodic inspections and calibrations to prevent future failures. @topic:4


# # # issue - vital signs monitor's cuff is malfunctioning. # # # impact - vital signs cannot be measured accurately, which can lead to delays in diagnosis and treatment. # # # possible causes - cuff is damaged or worn out. - cuff is not properly connected to the monitor. - monitor is not functioning properly. # # # recommendations - replace the cuff. - check the connection between the cuff and the monitor. - test the monitor to ensure that it is functioning properly. @topic:5


# # # issue - cuff is deteriorating due to usage. # # # impact - vital signs monitoring may be inaccurate or unreliable. # # # possible causes - normal wear and tear - improper cuff maintenance ( e. g., not cleaning or drying properly ) - cuff is too old or has exceeded its lifespan - cuff is not the correct size for the patient # # # recommendations - replace the cuff with a new one. - ensure that the cuff is properly cleaned and dried after each use. - inspect the cuff regularly for signs of wear or damage. - follow the manufacturer's instructions for proper cuff maintenance and replacement. @topic:5


# # # issue - vital signs monitor displays unstable blood pressure ( bp ) readings. # # # impact - inaccurate bp readings can lead to misdiagnosis and inappropriate treatment. # # # possible causes - loose cable connection # # # recommendations - biomedical engineer ( bme ) tightened the loose cable connection. the monitor is now working properly. @topic:14


# # # issue - bed is not functioning due to missing remote control. # # # impact - inability to use the bed for patient care. # # # possible causes - remote control was lost or misplaced. - remote control was damaged. - failure in the communication system between the remote control and the bed. # # # recommendations - replace the missing remote control. - inspect the remote control for any damage and repair or replace it if necessary. - troubleshoot the communication system between the remote control and the bed to ensure a proper connection. @topic:7


* * issue * * the battery of the philips intellivue mx450 bedside physiologic monitor is displaying an exclamation mark ( "! " ). * * impact * * the exclamation mark on the battery indicates a problem, potentially affecting the device's ability to provide reliable monitoring. * * possible causes * * * faulty battery cell * battery connection issues * firmware problems * internal hardware failure * * recommendations * * 1. * * verify battery connection : * * ensure that the battery is securely connected to the monitor. 2. * * reset the monitor : * * turn the monitor off and back on to clear any temporary issues. 3. * * contact philips support : * * if the issue persists, contact philips technical support for further assistance. they may suggest battery replacement, firmware updates, or further troubleshooting steps. 4. * * consider battery replacement : * * if the battery has been heavily used or is old, it may need to be replaced to ensure optimal performance. 5. * * check internal hardware : * * in rare cases, the exclamation mark may indicate an internal hardware failure. this requires professional repair by a qualified technician. @topic:11


be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be eplaced, and if problem is still 180 troubleshooting welch [UNK] connex® spot monitor ossible causlarm prioritmessage ain boardthere is an spo2 watchdog failure spo2 rebooting. 042100 a malfunction is detected. there very low failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's spo2 not functional. 042200 there is an invalid spo2 board a malfunction is detected. there very low type are two possible causes of these are two possible causes of these failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present replace the monitor's board. there is an invalid spo2 master a malfunction is detected. there very low control state are two possible causes of these spo2 rebooting042300 are two possible causes of these failures. first, the power provided to the board is out of specification. in this case, the failure may be cleared once the underlying cause is removed. second, the board has an actual hardware failure and recovery is not possible. it is recommended that the spo2 module be replaced, and if problem is still present @topic:20


# # # issue the physiologic monitor, model m1166a from hewlett packard, has experienced a failure. the cause of the failure has been identified as a faulty lead + trunle. # # # impact the faulty lead + trunle has rendered the physiologic monitor inoperable, leading to the following impacts : - inability to monitor patient's physiological parameters, such as heart rate, respiratory rate, and oxygen saturation levels. - potential delays in diagnosis and treatment due to lack of accurate and timely patient data. - increased risk of adverse patient outcomes due to delayed or missed interventions. # # # possible causes the following factors may have contributed to the failure of the lead + trunle : - * * physical damage : * * the lead + trunle may have sustained physical damage due to mishandling, improper storage, or excessive use. - * * electrical malfunction : * * a defect in the electrical components of the lead + trunle could have led to its failure. - * * material degradation : * * the materials used in the lead + trunle may have degraded over time due to exposure to environmental factors, such as heat, humidity, or chemicals. # # # recommendations to prevent similar failures in the future, the following recommendations are advised : - * * proper handling and storage : * * handle and store the lead + trunle according to the manufacturer's instructions to minimize physical damage. - * * regular maintenance and inspection : * * perform regular maintenance and inspections to identify and address any potential issues before they lead to failure. - * * use of high - quality materials : * * use lead + trules made from high - quality materials that are resistant to degradation and ensure long - lasting durability. - * * training : * * provide proper training to staff on the correct use and @topic:2


# # # issue - the physiologic monitor ( m1046b ) is not linking to the control monitor. # # # impact - the medical staff cannot properly monitor the patient's vital signs, which could lead to delays in diagnosis and treatment. # # # possible causes - * * loose or damaged cables. * * the cables that connect the physiologic monitor to the control monitor may be loose or damaged, preventing the devices from communicating with each other. - * * incorrect settings. * * the settings on the physiologic monitor or the control monitor may be incorrect, preventing the devices from linking. - * * hardware failure. * * a hardware failure in either the physiologic monitor or the control monitor could prevent the devices from linking. # # # recommendations - * * check the cables. * * inspect the cables that connect the physiologic monitor to the control monitor for any loose connections or damage. replace any damaged cables. - * * verify the settings. * * check the settings on both the physiologic monitor and the control monitor to ensure that they are correct. - * * test the hardware. * * if the cables and settings are correct, test the hardware of the physiologic monitor and the control monitor by connecting them to a different device. this will help to determine if the failure is in the physiologic monitor, the control monitor, or both. @topic:16


# # # issue - the battery in the medical cart is not functioning correctly. # # # impact - the medical cart cannot be used to transport patients or medical supplies. - this could lead to delays in patient care or even patient harm. # # # possible causes - the battery is old and needs to be replaced. - the battery is not properly connected. - the battery is defective. # # # recommendations - replace the battery. - check the connections to the battery. - contact the manufacturer of the medical cart for troubleshooting assistance. @topic:13


# # # issue - the equipment is not able to be adjusted. # # # impact - the equipment cannot be used for patient care. # # # possible causes - * * motor failure : * * the motor may not be functioning properly, preventing the equipment from adjusting. - * * control failure : * * the control unit may not be able to send signals to the motor, again preventing the equipment from adjusting. - * * mechanical problems : * * there may be mechanical problems within the equipment that are preventing it from adjusting, such as loose or broken belts or gears. # # # recommendations - * * check motor : * * test the motor to see if it is functioning properly. if the motor is not functioning properly, replace it. - * * check control : * * test the control unit to see if it is sending signals to the motor. if the control unit is not sending signals to the motor, replace it. - * * check mechanical problems : * * inspect the equipment for any mechanical problems that could be preventing it from adjusting, such as loose or broken belts or gears. fix any mechanical problems that you find. @topic:24


# # # issue - cuff leak # # # impact - the bp cuff is leaking, which could lead to inaccurate blood pressure readings. this could have serious consequences for patient care, as inaccurate readings could lead to incorrect treatment decisions. # # # possible causes - the cuff may be damaged or old. - the cuff may not be properly inflated. - the cuff may not be the correct size for the patient. - the gauge may be defective. # # # recommendations - inspect the cuff for damage or wear. if the cuff is damaged, it should be replaced. - ensure that the cuff is properly inflated. the cuff should be inflated to a snug fit, but not too tight. - ensure that the cuff is the correct size for the patient. the cuff should be large enough to fit snugly around the patient's upper arm, but not so large that it is loose. - if the gauge is suspected to be defective, it should be replaced. @topic:3


# # # issue - limit switch not being pressed while the bed is locked. # # # impact - alarm sounds. # # # possible causes - limit switch not properly positioned. # # # recommendations - adjust the position of the limit switch to ensure it is pressed when the bed is locked. @topic:26


# # # issue - the medical cart's program is displaying an error message " cannot connect hardware. " # # # impact - the medical cart may not be able to function properly, which could impact patient care. # # # possible causes - the medical cart's hardware may not be properly connected. - the medical cart's software may be outdated or corrupted. - the medical cart's power supply may be faulty. # # # recommendations 1. check that the medical cart's hardware is properly connected. 2. update the medical cart's software. 3. check the medical cart's power supply. 4. if the problem persists, contact the medical cart's manufacturer. @topic:13


# # # issue nibp monitor unable to measure blood pressure # # # impact - inaccurate patient monitoring - delayed diagnosis and treatment - compromised patient safety # # # possible causes - faulty o - ring in the connector - malfunctioning sensor or transducer - software or hardware issues - electrical malfunctions # # # recommendations 1. * * replace o - ring : * * replace the damaged o - ring in the connector to ensure a proper seal and prevent air leakage. 2. * * inspect sensor : * * examine the sensor and transducer for any damage or contamination. clean and adjust the sensor if necessary. 3. * * troubleshoot electronics : * * check the electrical connections, circuit boards, and software for any malfunctions. perform diagnostic tests to identify the root cause. 4. * * calibrate device : * * recalibrate the nibp monitor to ensure accurate measurements. 5. * * monitor performance : * * regularly test and monitor the nibp monitor to ensure optimal performance and early detection of any issues. 6. * * maintain equipment : * * establish a preventive maintenance schedule to regularly inspect, clean, and service the nibp monitor to prevent premature failure. @topic:15


##s vs4 installation and configuration guide. after you replace the main board, you must reset the monitor serial number and reconfigure the system. for information about resetting the serial number, see “ resetting the serial number ” on page 5 - 34. for information about configuring the system, see “ setting the system configuration ” on page 5 - 35. to remove the main board : step 1 separate the front and rear monitor case assemblies. see “ separating the front and rear case assemblies ” on page 5 - 12. 2 remove the main board assembly. see “ removing the main board assembly ” on page 5 - 18. repairing the monitor suresigns vs4 service guide 5 - 31 removing the main board 3 remove the front end assembly. see “ removing the front end assembly ” on page 5 - 24. 4 remove the five t10 screws from the main board. pn ra kai x 3 g p : repairing the monitor 5 - 32 suresigns vs4 service guide removing the main board 5 disconnect the nbp tubing from the main board. nbp tubing 6 disconnect the four cables from the connectors on the main board. 7 remove the board from the assembly. repairing the monitor suresigns vs4 service guide 5 - 33 resetting the serial number resetting the serial number when you replace the main board, you must reset the serial number. the serial number appears in a label ( marked [ sn ] ) on the back of the monitor. to reset the serial number : step 1 open the maintenance options of the system diagnostics menu. see “ accessing maintenance options ” on page 3 - 11. 2 select the reset s / n button. the reset serial number menu appears. reset serial number serial number : ( _ us93619750 _ i + ) 3 select the serial number @topic:19


# # # issue - the electric bed has a faulty knee motor. # # # impact - the bed is unable to be adjusted properly, which could lead to discomfort or injury to the patient. # # # possible causes - the motor itself is defective. - the wiring to the motor is damaged. - the control panel is not functioning properly. # # # recommendations - replace the motor. - check the wiring to the motor. - test the control panel. @topic:9


# # # issue the monitor, physiologic, vital signs, model : suresigns vs4, by philips is not scanning hn. # # # impact the device is unable to perform its intended function, which is to monitor vital signs. this could have a negative impact on patient care. # # # possible causes - network issue - hardware issue - software issue # # # recommendations - contact the manufacturer for troubleshooting assistance. - check the network connection. - inspect the device for any physical damage. - update the device software, if possible. @topic:22


# # # issue the bedside physiologic monitor is not displaying accurate readings. # # # impact the monitor is essential for monitoring the patient's vital signs, and inaccurate readings could lead to incorrect treatment decisions. # # # possible causes the following are some possible causes of the monitor's failure : - faulty sensor - loose connection - software glitch - hardware malfunction # # # recommendations the following steps should be taken to troubleshoot the issue : - check the sensor and connection. make sure that the sensor is properly connected to the monitor and that there is no damage to the cable. - restart the monitor. this may clear any software glitches that may be causing the problem. - contact the manufacturer. if the above steps do not resolve the issue, the manufacturer should be contacted for further assistance. @topic:20


# # cause of failure : improper handling during transportation * * description * * : the bed was moved from the opd 6bihs1 ward back to the ivf department. during the transportation, the bed may have experienced excessive shaking, jolting, or impacts, which could have damaged its internal components or connections. # # # impact : - malfunction or failure of the bed's electrical or mechanical systems - potential safety hazards for patients or staff if the bed becomes unstable or inoperable # # # possible causes : - rough handling by movers - inadequate cushioning or support during transportation - exceeding weight or size limits - collisions or impacts with other objects or surfaces # # # recommendations : - establish clear protocols for the safe and proper transportation of medical equipment. - train movers on proper handling techniques and the importance of using appropriate equipment. - ensure that beds are adequately secured and protected during transportation. - inspect beds for any damage or abnormalities before and after transportation. - perform functional testing to verify that the bed is operating correctly after transportation. - consider using specialized transport equipment or services designed for handling medical devices. @topic:9


# # # issue - user reported that the sphygmomanometer is not working. # # # impact - the sphygmomanometer is an essential piece of equipment for measuring blood pressure. a malfunctioning sphygmomanometer can lead to inaccurate readings, which can have serious consequences for patient care. # # # possible causes - the sphygmomanometer may not be receiving power. - the batteries may be dead. - the cuff may be leaking air. - the tubing may be kinked or blocked. - the sensor may be faulty. # # # recommendations - check that the sphygmomanometer is plugged into a power outlet. - replace the batteries. - inspect the cuff for leaks. - inspect the tubing for kinks or blockages. - test the sensor. - if the problem persists, contact a qualified biomedical engineer. @topic:14


# # # issue - battery failure # # # impact - device malfunction - inability to monitor vital signs accurately # # # possible causes - battery aging - overcharging - battery damage # # # recommendations - replace the battery with a new one. - check the battery charger and charging cable for any damage or loose connections. - follow the manufacturer's instructions for charging and maintaining the battery. - monitor the battery level regularly and replace it when it starts to weaken. @topic:11


* * issue : * * remote failure * * impact : * * inability to use the bed, electric, huntleigh contoura 360, resulting in potential disruptions to patient care. * * possible causes : * * * * * physical damage : * * the remote may have been dropped, knocked, or otherwise damaged, causing internal components to malfunction. * * * electrical issues : * * faulty wiring, loose connections, or power surges can damage the remote's circuitry. * * * software glitches : * * bugs or errors in the remote's firmware can lead to unexpected behavior or failures. * * * battery issues : * * worn - out batteries can provide insufficient power, causing the remote to malfunction. * * * age and wear : * * over time, the remote's components may deteriorate and become less reliable. * * recommendations : * * * * * inspect the remote : * * examine the remote for any visible damage, such as cracks, dents, or broken buttons. * * * check connections : * * ensure that all wires and plugs are securely connected and that there are no loose contacts. * * * update firmware : * * if available, check for software updates and install them to address any known issues. * * * replace batteries : * * if the batteries are old or weak, replace them with new ones. * * * consider replacement : * * if the remote cannot be repaired or is severely damaged, it may be necessary to replace it with a new one. @topic:7


01 - t3 02 t4 o2 - t4 f4 - c4 3 f3 - c3 f4 c4 ontage d c3 3 - p3 c4 4 - p4 p3 p4 pfp2 - t6 fp1 t5 fp1 - t5 t6 the electrode locations are labeled according to the international 10 - 20 electrode placement system. 280 8 monitoring eeg front " frontel perletal fp3 etempora a1 nasion inion left right 02 a b top of head the impedance limit can be set for all electrodes simultaneously in the setup eeg menu, or in the eeg impedance / montage window using the pop - up keys. if the limit is exceeded during monitoring, an inop will appear and the graphic impedance indicator will change. to change the impedance limit, either use the pop - up keys that appear with the eeg impedance / montage window, or • in the setup eeg menu, select impedance limit to call up a list of selections between 0 and 30 kohm, then select the required limit from this list. • about electrode - to - skin impedance electrode - to - skin impedance is the main quality indicator for the measured eeg signal. during normal eeg monitoring, electrode - to - skin impedance is measured continuously and disconnected electrodes are detected. the impedance value for each single, independent signal electrode is displayed in the eeg impedance / montage window. if the measured electrode - to skin impedance of one or more electrodes is above the limit, an inop will be issued. for impedance measurement at least two electrodes, plus the reference electrode, must be connected. lectrode / skdisplayed impedance value no value ction color impedance red electrode not connected 0 k2 ( fixed @topic:8


# # # issue - cuff bp ( blood pressure ) has no connector, therefore the monitor cannot measure the blood pressure. # # # impact - patient's blood pressure cannot be monitored accurately. # # # possible causes - the connector was not attached properly. - the connector was damaged. - the connector was not compatible with the monitor. # # # recommendations - check if the connector is attached properly. - replace the connector if it is damaged. - make sure that the connector is compatible with the monitor. @topic:14


# # # issue - display not showing image # # # impact - patient monitoring may be compromised - lack of visibility of patient's vital signs - delay in medical intervention # # # possible causes - loose connection in the splitter box - faulty display cable - failed display panel - power supply issue # # # recommendations - ensure proper connection of all cables and connectors, including the splitter box. - replace the display cable if necessary. - test the display panel for functionality. - verify the power supply to the monitor. - consult with the manufacturer for further troubleshooting and repair options. @topic:2


# # issue intermittent loss of spo2 signal # # impact patients may not receive accurate spo2 monitoring, leading to potential missed or delayed interventions # # possible causes - loose or damaged spo2 sensor - faulty sensor cable - malfunction of the intellivue mx550 monitor - interference from other medical devices - low battery in the spo2 sensor # # recommendations - check the spo2 sensor connection and ensure it is secure - replace the spo2 sensor cable if it is damaged or loose - test the intellivue mx550 monitor with a different spo2 sensor to rule out a monitor malfunction - identify and mitigate any potential sources of interference from other medical devices - replace the battery in the spo2 sensor if it is low - contact philips technical support for further assistance if the issue persists after implementing the recommended troubleshooting steps @topic:4


# # # issue - remote control malfunction # # # impact - inability to operate the hospital bed # # # possible causes - defective remote control # # # recommendations - replace the remote control @topic:7


# # # issue - the bedside physiologic monitor is not displaying any information on the screen. # # # impact - this can prevent the healthcare team from monitoring the patient's vital signs accurately. # # # possible causes - * * loose signal cable : * * the signal cable that connects the monitor to the patient's module may have become loose, causing the screen to go dark. - * * faulty signal cable : * * the signal cable may be damaged or faulty, preventing the transmission of data to the monitor. - * * faulty monitor : * * the monitor itself may be malfunctioning and unable to display information. # # # recommendations - * * reseat the signal cable : * * ensure that the signal cable is properly connected to both the monitor and the patient's module. - * * inspect the signal cable : * * check the signal cable for any damage or kinks. if the cable is damaged, it should be replaced. - * * power cycle the monitor : * * turn the monitor off and then back on. this can reset the monitor and potentially resolve the issue. - * * if the above steps do not resolve the issue, the monitor may need to be replaced. * * @topic:2


# # # issue - the hospital bed cannot be adjusted. # # # impact - the patient cannot be positioned comfortably in the bed. - the patient may be at risk of injury if they cannot be properly positioned. # # # possible causes - the remote control is not working properly. - the electrical cord is damaged. - the bed motor is not working properly. - the bed frame is damaged. # # # recommendations - check the remote control to make sure that it is working properly. - check the electrical cord for any damage. - check the bed motor to make sure that it is working properly. - check the bed frame for any damage. - if any of these components are found to be damaged, they should be replaced. @topic:1


# # # issue - change ac power cord # # # impact - the device may not be able to receive power from the power outlet. # # # possible causes - the ac power cord is damaged or faulty. - the ac power cord is not properly connected to the device or the power outlet. # # # recommendations - replace the ac power cord with a new one. - ensure that the ac power cord is properly connected to the device and the power outlet. - test the device to make sure that it is working properly. @topic:12


# # # issue - the medical cart is rebooting. # # # impact - the medical cart cannot be used. # # # possible causes - the boot option is set to p0. - the boot option is set to disable. - there is a hardware problem. # # # recommendations - set the boot option to disable. - if the problem persists, contact the manufacturer. @topic:13


* * issue : * * medical cart bdms 01 reboots unexpectedly. * * impact : * * the medical cart is unavailable for use, which can delay patient care. * * possible causes : * * * * * hardware failure : * * a faulty component, such as the power supply, motherboard, or ram, can cause the medical cart to reboot unexpectedly. * * * software failure : * * a corrupted operating system or software program can also cause the medical cart to reboot unexpectedly. * * * virus or malware : * * a virus or malware infection can damage system files and cause the medical cart to reboot unexpectedly. * * * user error : * * incorrect use of the medical cart, such as turning it off or unplugging it improperly, can also cause it to reboot unexpectedly. * * recommendations : * * * * * hardware troubleshooting : * * if the medical cart is experiencing hardware problems, a biomedical engineer should inspect the device for any loose connections, damaged components, or other signs of hardware failure. * * * software troubleshooting : * * if the medical cart is experiencing software problems, a biomedical engineer should check for any corrupted files or software conflicts. they may also need to reinstall the operating system or software program. * * * virus or malware scanning : * * if the medical cart is infected with a virus or malware, a biomedical engineer should run a virus scan and remove any infected files. * * * user training : * * a biomedical engineer should provide training to users on how to properly use the medical cart to avoid user errors. @topic:13


# # # issue - * * equipment : * * bed, electric - * * brand : * * hill - rom - * * model : * * care assist es230 - * * description : * * - bme ( biomedical engineer ) detected a burning smell from the control box. - the control box was replaced with a new one ( s9083 ). - the device is now functioning normally after the replacement. # # # impact - the failure of the control box prevented the bed from functioning properly, potentially impacting patient care. # # # possible causes - * * control box failure : * * - electrical malfunction - component failure - damage from external factors # # # recommendations - * * regular inspections : * * - conduct routine inspections of the bed, including the control box, to identify any potential issues early on. - * * preventive maintenance : * * - implement a preventive maintenance schedule to proactively replace or repair aging or failing components. - * * training : * * - ensure that healthcare professionals are adequately trained on the proper use and maintenance of the bed. - * * monitoring : * * - consider installing sensors or monitoring devices to detect any abnormalities in the control box's operation. @topic:9


# # # issue - defective cuff bp # # # impact - inability to obtain accurate blood pressure measurements # # # possible causes - wear and tear on the cuff material - improper storage or handling - manufacturing defects # # # recommendations - replace the cuff bp with a new one - ensure proper storage and handling of the device - contact the manufacturer for assistance if the problem persists @topic:3


# # # issue - drawers cannot be closed # # # impact - drawers cannot be used properly, potentially compromising the safety and efficiency of medical procedures. # # # possible causes - loose bolts - bent or deformed drawer guides - obstruction in the drawer tracks - wear and tear of drawer components # # # recommendations - tighten loose bolts. - replace bent or deformed drawer guides. - clear any obstructions from the drawer tracks. - replace worn or damaged drawer components. @topic:21


# # # issue - equipment malfunction, specifically a capnograph device not reading values. # # # impact : - inability to monitor patient's respiratory status accurately, which can compromise patient safety. # # # possible causes : - * * power supply issue : * * adapter was not connected to the device, leading to insufficient power supply. # # # recommendations : - ensure that the correct adapter is connected to the device and that the power supply is stable. * * additional possible causes : * * - * * sensor malfunction : * * the sensor responsible for detecting co2 levels may be faulty. - * * software issue : * * a software glitch or corruption might affect the device's functionality. - * * mechanical failure : * * internal components, such as pumps or valves, may have malfunctioned. * * additional recommendations : * * - perform a thorough inspection of the sensor, cables, and connections to rule out any physical damage or loose contacts. - check for software updates and install them if available. - if possible, test the device with a different sensor or on a different patient to isolate the issue. - consult the manufacturer's manual or contact technical support for further troubleshooting and repair options. @topic:4


# # # issue the device is freezing. # # # impact the device is not able to provide accurate and reliable patient data, which could lead to incorrect decisions being made about patient care. # # # possible causes - power supply issues - software glitches - hardware failures # # # recommendations - check the power supply and make sure that the device is properly plugged in. - if the device is still freezing, contact the manufacturer for assistance. @topic:2


# # # issue - the cause of failure is not clearly stated. # # # impact - the impact of the failure is not known. # # # possible causes - the following are possible causes of the failure : - the remote control is not working properly. - the bed is not receiving power. - the bed is not responding to the commands from the remote control. # # # recommendations - the following are recommendations for addressing the failure : - check the remote control to make sure that it is working properly. - check the bed to make sure that it is receiving power. - check the bed to make sure that it is responding to the commands from the remote control. - if the problem persists, contact the manufacturer of the bed for assistance. @topic:7


# # # issue : electric bed is not adjustable. # # # impact : patients may be unable to get in or out of bed, or may be uncomfortable in bed. # # # possible causes : - electrical fault - mechanical fault - software fault - user error # # # recommendations : - check the electrical connections. - check the mechanical components for damage or wear. - update the software. - train users on the proper operation of the bed. @topic:1


# # # issue the bed is not adjustable. # # # impact patients may not be able to get in or out of bed, or may be uncomfortable if the bed is not in the correct position. # # # possible causes - the ac power cord is loose. - the control box is not functioning properly. - the motor is not working. - the bed frame is damaged. # # # recommendations - check the ac power cord to make sure it is securely plugged into the outlet and the control box. - inspect the control box for any damage. - test the motor by manually adjusting the bed. - inspect the bed frame for any damage. - if the problem cannot be resolved, contact a qualified biomedical engineer. @topic:1


# # # issue - scanner is not functioning. # # # impact - delay in patient care. - loss of revenue due to equipment downtime. - frustration among healthcare staff. # # # possible causes - loose scanner nut. - dead battery. - software glitch. - hardware failure. # # # recommendations - tighten the scanner nut. - charge the battery. - restart the equipment. - contact the manufacturer for further troubleshooting and repair. @topic:23


nurse call connector | opt | b b § ethernet port $ usb port 4 j o defib sync port 100 - 240v - 50 / 60hz 120va | - 1 t 1, 6a 250v power supply ground lug a caution, consult accompanying documents csa mark sterile sterile s compliance with weee standard © defibrillator proof equipment v regulatory and safety specifications declaration c€ the suresigns vm4, vm6, and vm8 patient monitors are class lib devices and comply with the requirements of the council directive 93 / 42 / eec of 14 june 1993 concerning medical devices and carry ce - marking accordingly. authorized eu representative philips medizin systeme boblingen gmbh hewlett - packard str. 2 71034 boblingen germany rx only caution : united states federal law restricts this device to sale by or on the order of a physician. safety standards parameter specification ul 60601 - 1, can / csa c22. 2 no. 601. 1 - m90, en / iec60601 - 1 amendments 1 and 2, en / iec60601 - 2 - 27, 1ec60601 - 1 - 2 : 2001, en12470 - 3 protection class class i, internally powered equipment, per iec 60601 - 1 degree of protection type cf defibrillator - proof : per iec 60601 - 1 mode of operation continuous vi contents introduction - - 1 - 1 overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - 1 in this chapter - - -. - - - - - - - - - - - - - - - - - - - - -. 1 - 1 monitor overview... @topic:10


should now be started. if you select no, the sepsis resuscitation bundle is extended for 1 hour. sepsis management bundle the stabilization recommendations from the sepsis management bundle are presented and the implementation of the recommendations is monitored. when the sepsis management bundle phase begins, the protocolwatch screen is automatically updated ( if configured and available on the monitor ). in the lower area of the screen, the list of recommendations for the sepsis management bundle replaces the list for the sepsis resuscitation bundle. the timer shows the combined time for both phases. monitoring the sepsis management bundle recommendations when you select the lower area of the protocolwatch screen, the sepsis management bundle window appears. if you do not have the protocolwatch screen displayed, the sepsis management bundle window appears automatically once every six hours. 317 25 protocolwatch ssc sepsis protocol protocolwatch show details protocol log confirm remind 15 min the low dose steroids recommendation and / or the drotrecognin alfa recommendation may not appear if they have been configured not to do so for your hospital. check the low dose steroids administered box when you have started steroid therapy or the low dose steroids contra - indicated box if this treatment is contra - indicated for your patient. check the drotrecogin alfa administered box when you have started recombinant human activated protein c therapy or the drotrecogin alfa contra - indicated box if this treatment is contra - indicated for your patient. the boxes for glucose and inspiratory plateau pressure can only be checked when the timer has reached 20 hours to ensure that the stabilization of these values is achieved long - term. check these boxes if the recommendation has been fulfilled. recommendations which have been fulfilled are shown in gray with the time fulfilment was entered. to see more details about the recommendations, select the show details key. select confirm when the @topic:8


# # # issue * bed is not adjusting # # # impact * patient discomfort and potential injury * delay in medical care * increased workload for healthcare staff # # # possible causes * loose ac power cord * faulty control panel * worn or damaged motor * software glitch # # # recommendations * ensure that the ac power cord is securely plugged into the outlet. * inspect the control panel for any signs of damage or wear. * check the motor for any abnormal noises or vibrations. * disconnect the bed from power and reconnect it to reset the software. * if the problem persists, contact a qualified biomedical engineer for further troubleshooting and repair. @topic:1


it will negatively impact patient diagnosis or treatment. emissions and immunity the suresigns vs4 vital signs monitor is designed and evaluated to comply with the emissions and immunity requirements of international and national emc standards. see table b - 1 through table b - 4 for detailed information regarding declaration and guidance. the emc standards state that manufacturers of patient - coupled equipment must specify immunity levels for their systems. see table b - 2 and table b - 3 for this detailed immunity information. see table b - 4 for recommended minimum separation distances between portable and mobile communications equipment and the product. immunity is defined in the standard as the ability of a system to perform without degradation in the presence of an electromagnetic disturbance. degradation in system performance is a qualitative assessment which can be subjective. caution should, therefore, be taken in comparing immunity levels of different devices. the criteria used for degradation is not specified by the standard and can vary with the manufacturer. guidance and manufacturer ’ s declaration the suresigns vs4 vital signs monitor is intended for use in the electromagnetic environment specified in the following tables. the customer or the user of the product should assure that it is used in such an environment. table b - 1 electromagnetic emissions emissions test compliance electromagnetic environment guidance rf emissions group 1 the suresigns vs4 vital signs monitor uses rf energy only cispr 11 for its internal function. therefore, its rf emissions are very low and not likely to cause any interference in nearby electronic equipment. rf emissions class b cispr 11 harmonic emissions | class a the suresigns vs4 vital signs monitor is suitable for use in iec 61000 - 3 - 2 all establishments, including domestic establishments and those directly connected to the public low - voltage power supply network that supplies buildings used for domestic purposes. voltage complies fluctuations / flicker emissions iec 61000 - 3 - 3 electromagnetic compatibility b - 2 suresigns vs4 service guide @topic:10


# # # issue - cuff of suresings vs4 monitor is cracked and needs to be replaced. # # # impact - the monitor cannot be used to measure vital signs accurately, which can delay patient care. # # # possible causes - * * cuff is old and has become brittle. * * over time, the material of the cuff can break down, making it more susceptible to cracking. - * * cuff has been over - inflated. * * if the cuff is inflated to a pressure that is too high, it can cause the material to stretch and crack. - * * cuff has been exposed to chemicals or other harsh substances. * * chemicals can damage the material of the cuff, making it more likely to crack. # # # recommendations - * * replace the cuff. * * the cracked cuff should be replaced with a new one that is the correct size for the patient. - * * inspect the cuff regularly. * * the cuff should be inspected regularly for signs of wear and tear. if any damage is found, the cuff should be replaced. - * * avoid over - inflating the cuff. * * the cuff should be inflated to the pressure that is recommended by the manufacturer. - * * protect the cuff from chemicals and other harsh substances. * * the cuff should be stored in a clean, dry place away from chemicals and other harsh substances. @topic:5


# # # issue - replaced battery # # # impact - reduced battery life, potential equipment downtime, increased maintenance costs. # # # possible causes - battery failure - battery not properly charged or maintained - equipment not compatible with new battery # # # recommendations - inspect and test battery regularly - ensure battery is properly charged and maintained according to manufacturer's instructions - verify equipment compatibility with new battery - consider replacing battery with a higher capacity model to extend battery life @topic:11


9 problem led 9 switching on 9 relearning arrhythmia 138 reloading recorder paper 328 reminder, alarm 59 remote alarm device alarms remote device 7 remote alarm display 7 remote applications minimize 43 refresh 43 using 43 window size 43 remote speedpoint 21 removing a module 10 replacing batteries 374 repolarization tails 120 report cardiac output 341 event review 306 reports alarm limits 339 battery reports 373 calculations 287 choosing paper size 335 contents 338 drip table 346 drug calculator 346 ecg 342 end case 334 loops 362 patient trends 278 realtime report 340 re - routing 336 scheduled 334 setting up 333 st map 154 stopping printouts 332 titration table 346 trends 272 re - routing reports 336 resampling vitals 284 resolution trends 276 resolving patient mismatch 109 resp accessories 381 resp alarms apnea alarm delay time 168 resp detection level and apnea detection 168 resp detection modes and cardiac overlay 167 changing 166 resp display 166 resp monitoring and cardiac overlay 165 resp safety information 168 resp wave changing size 167 changing speed 168 respiratory loops source device 361 restarting paused alarms 61 results table ( c. o. ) 201 resuscitation bundle recommendations 316 re - triggering events 296 retrolental fibroplasia ( sp02 ) 174 review calculations 285 reviewing alarm messages 66 reviewing alarms 66 reviewing alarms window 67 rh method computation constant 208 rhythm status messages ( arrhythmia monitoring ) 137 right heart thermodilution method ( c. o. ) 207 right heart thermodilution setup ( c. o. ) 207 rs - 232 interface symbol 403 rule of six 344 runtime setting recording runtime 325 rvsw / rvswi 200 s safety maintenance interval 378 monitor 413 safety information batteries 376 bis 263 c. o. / cco 212 ecg 132 resp 168 safety test 448 @topic:8


# # # issue central monitor time is incorrect. # # # impact - reduced accuracy and reliability of patient monitoring data. - potential for errors in patient care due to inaccurate timekeeping. # # # possible causes - malfunctioning internal clock in the central monitor. - loose or damaged connections between the central monitor and the network time server. - incorrectly configured time settings on the central monitor. - power outage or other disruption to the network time server. # # # recommendations 1. check the connections between the central monitor and the network time server to ensure they are secure and undamaged. 2. verify that the time settings on the central monitor are correct and match the network time server. 3. contact the manufacturer of the central monitor for technical assistance if the issue persists. @topic:29


# # # issue - machine is not showing / recording values. # # # impact - inability to accurately monitor patient's neurological activity. # # # possible causes - defective sensor - loose / damaged wiring - software malfunction # # # recommendations - replace the sensor. - inspect and tighten all wiring connections. - update the software to the latest version. - calibrate the machine according to the manufacturer's instructions. @topic:2


# # # issue - equipment not functioning properly # # # impact - patient care may be delayed or compromised # # # possible causes - * * remote control malfunction * * - * * software glitch * * - * * power supply issues * * - * * mechanical failure * * - * * user error * * # # # recommendations - * * check the remote control batteries. * * - * * power cycle the equipment. * * - * * inspect the power cord for damage. * * - * * check the equipment's software for updates. * * - * * contact the manufacturer for support. * * - * * train staff on proper use of the equipment. * * @topic:32


* * cause of failure : * * * * * defective cuff connection : * * the cuff connection may have been damaged or worn out, causing air to leak and disrupting the proper measurement of vital signs. @topic:5


# # # issue - electrical equipment is not functioning properly. # # # impact - the medical device may not be able to perform its intended function, which could impact patient care. # # # possible causes - the equipment may have a loose or damaged cord. - the equipment may have been overloaded. - there may be a problem with the electrical outlet. # # # recommendations - check the cord for any damage or loose connections. - make sure the equipment is not overloaded. - try plugging the equipment into a different electrical outlet. - if the problem persists, contact a qualified technician. @topic:12


# # # issue - reboot loop # # # impact - interruption of medical procedures - loss of patient data - safety hazard # # # possible causes - corrupted operating system - hardware failure - software conflict - power supply issues # # # recommendations - check the integrity of the operating system and reinstall if necessary. - inspect the hardware for any loose connections or damaged components. - identify and resolve any software conflicts. - ensure the medical cart is plugged into a stable power supply. # # # additional troubleshooting steps - check the bios settings to ensure they are correct. - run diagnostics tests to identify any hardware issues. - update the software to the latest version. - consult with the manufacturer for technical support. @topic:13


# # # issue - battery incorrectly displaying - 1 % # # # impact - inaccurate battery level readings - potential for device to unexpectedly shut down # # # possible causes - malfunctioning battery - software error - driver issue # # # recommendations - replace the battery - update the device software - reinstall the device driver @topic:11


# # # issue the philips suressigns vs4 vital signs monitor does not provide accurate temperature readings. # # # impact the inaccurate temperature readings could lead to incorrect patient care decisions. # # # possible causes the following are some possible causes of the inaccurate temperature readings : - the probe may not be fully inserted into the patient's ear. - the probe may be damaged. - the monitor may be malfunctioning. - the patient may have a fever or hypothermia. # # # recommendations the following are some recommendations to resolve the issue : - ensure that the probe is fully inserted into the patient's ear. - inspect the probe for any damage. - if the probe is damaged, replace it with a new one. - if the monitor is malfunctioning, contact the manufacturer for repairs. - if the patient has a fever or hypothermia, consult with a physician to determine the appropriate course of treatment. @topic:20


# # # issue battery drain on medical cart # # # impact reduced mobility of medical cart, which could lead to delays in patient care or other operational issues. # # # possible causes - faulty battery - software issue with the medical cart - power adapter malfunction # # # recommendations - replace the battery - update the software on the medical cart - inspect the power adapter for any damage or loose connections - monitor the battery life of the medical cart regularly to ensure it is functioning properly @topic:13


# # # issue patient transport monitor ( ptm ) intellivue mp20 of philips brand is unable to measure patient's oxygen saturation ( spo2 ) due to faulty sensor. # # # impact delayed or inaccurate medical diagnosis and treatment in critical care settings # # # possible causes - malfunctioning spo2 sensor - loose or damaged spo2 cable # # # recommendations - replace the defective spo2 sensor - inspect spo2 cable for any damage or loose connections. @topic:4