# # # issue - the monitor, bedside, physiologic, series iv, manufactured by witt biomedical, was taken from room 1 and sent to a warehouse to be used with the x - ray cath lab. however, the cath lab department requested that a ge monitor from room 2 be moved to room 1 instead of the philips monitor, which was subsequently removed from the department. # # # impact - the philips monitor is no longer available for use in room 1. - the cath lab department is unable to use the ge monitor in room 1. # # # possible causes - miscommunication between the cath lab department and the hospital staff responsible for managing the medical equipment. - lack of documentation or a clear process for handling equipment transfers. - failure to consider the compatibility of the ge monitor with the x - ray cath lab in room 1. # # # recommendations - establish a clear and documented process for managing the movement of medical equipment within the hospital. - ensure that all stakeholders are involved in the decision - making process when moving equipment. - verify the compatibility of equipment before making any changes to the setup. - regularly review and update the inventory of medical equipment to ensure that it is accurate and up - to - date. - provide training to staff on the proper handling and management of medical equipment. @topic:12


# # # issue - remote control for electric bed is not working # # # impact - patient may not be able to operate the bed safely and comfortably # # # possible causes - remote control is damaged - connection between remote control and bed is faulty - batteries in remote control are dead - bed's receiver is malfunctioning # # # recommendations - inspect remote control for damage - check connection between remote control and bed - replace batteries in remote control - test bed's receiver @topic:7


# # # issue - equipment failure due to ups malfunction # # # impact - interruption of patient monitoring - potential risk to patient safety # # # possible causes - ups is not powering the monitor properly - ups is not providing clean power - ups is not maintaining the correct voltage - ups is not able to provide enough power to the monitor # # # recommendations - inspect the ups and identify the cause of failure - replace the ups if necessary - check the power supply to the ups - check the voltage at the monitor - check the amperage at the monitor - check the ground connection at the monitor - verify that the monitor is compatible with the ups @topic:11


# # # issue - * * remote control failure * * # # # impact - inability to adjust bed, impacting patient comfort and mobility # # # possible causes * * - defunct remote control : * * the remote control may have malfunctioned due to electrical issues, physical damage, or battery failure. * * - receiver malfunction : * * the bed's receiver, which receives signals from the remote control, may be faulty due to electrical issues or damage. * * - signal interference : * * external factors such as electromagnetic interference or proximity to other devices may disrupt communication between the remote control and the receiver. # # # recommendations - * * inspect remote control : * * verify battery life, check for physical damage, and perform basic troubleshooting steps. - * * test receiver : * * use a separate remote control or diagnostic tools to determine if the receiver is functioning properly. - * * eliminate interference : * * identify any potential sources of interference and relocate them or implement shielding measures. - * * replace faulty component : * * if the remote control or receiver is found to be defective, replace the affected component with a compatible part. - * * regular maintenance : * * implement a regular maintenance schedule to inspect and clean both the remote control and receiver to prevent future failures. @topic:7


* * possible cause of failure : * * * * * damaged or loose cuff : * * the cuff may have been damaged during use or handling, resulting in a leak that prevents proper inflation and measurement of blood pressure. * * recommendations : * * * * * replace the cuff : * * replacing the cuff with a new one will resolve the issue and ensure accurate blood pressure measurements. * * * regular maintenance and inspection : * * conduct regular maintenance and inspections of the equipment, including the cuffs, to identify any early signs of damage or wear and tear. * * * proper handling and storage : * * handle and store the cuffs carefully to prevent damage and maintain their functionality. * * * training for users : * * provide training to users on proper handling and storage of the equipment to avoid damage to the cuffs. @topic:3


calibration. for a trial to be eligible for calibration, the pressure signal must be continuously available and undisturbed starting 30 seconds before the first c. o. measurement of the series. do not zero the ent, change the pressure label, or disturb the pressure signal in any other ay dther nthis time. a pressure signal for cco was available during the measurement ( valid for calibration ) cal 232 13 monitoring cardiac output? cal a disturbed pressure signal for cco was available during the measurement ( valid for calibration ) no adequate pressure signal for cco was available during the measurement ( no valicalibration data ) n / a this trial is more than 15 minutes older than the most recent trial and has expired for cco calibration ( no valid calibration data ) exp measuring c. o. using the right heart thermodilution method in the right heart thermodilution method, a fluid of known volume and temperature is injected into the right atrium through the proximal port of a pulmonary artery ( pa ) ( swan - ganz ) catheter. the injectate bolus mixes with the blood in the right ventricle and the change in blood temperature is measured with a thermistor at the distal end of the catheter in the pulmonary artery. 1 c. o. module 2 c. o. interface cable 1 remote start switch 3 thermistor connector 4 5 thermistor connection cable pa catheter 6 2 7 housing 68 injectate syringe 9 3 45 4 8 ethe pa line using a pa catheter. 1 up 33 13 monitoring cardiac output attach the injectate temperature probe housing to the pa line. 2 plug the c. o. interface cable into the c. o. module or measurement extension module and connect. interface cable : 3 injectate @topic:17


# # # issue - broken knob control on nibp monitor. # # # impact - inability to adjust device settings, potentially affecting patient monitoring and treatment. # # # possible causes * * 1. physical damage : * * - accidental bump or drop of the device. - excessive force applied to the knob. * * 2. wear and tear : * * - gradual deterioration of knob materials due to repeated use over time. * * 3. design flaw : * * - poorly designed knob prone to breakage or malfunction. # # # recommendations * * 1. replace knob control : * * - obtain a new knob control from the manufacturer or an authorized vendor. - ensure proper installation and testing. * * 2. improve handling practices : * * - provide training to staff on proper handling and storage of the device. - establish guidelines to prevent accidental damage. * * 3. contact manufacturer : * * - if the knob control breaks frequently, contact the manufacturer to report the issue and request a design review. - consider requesting a replacement device if the issue persists. @topic:2


# # # issue - inability to adjust bed inclination - bed locked in an inclined position # # # impact - patient discomfort - difficulty providing care - potential safety hazard for patient # # # possible causes - malfunctioning motor - faulty wiring - software glitch - mechanical obstruction # # # recommendations - inspect motor and wiring for any visible damage or loose connections. - check for any software updates or resets that may resolve the issue. - examine the bed frame and mechanisms for any obstructions or misalignments. - contact the manufacturer for technical assistance or repair if the problem persists. - ensure proper maintenance and calibration of the bed equipment to prevent future failures. @topic:1


# # # issue - lcd monitors are not functioning as expected. # # # impact - inability to monitor patient vital signs. # # # possible causes - equipment failure - incorrect settings - faulty cables / connections # # # recommendations - check equipment for damage or malfunction. - verify settings are correct. - inspect and ensure cables / connections are secure. - consult with the manufacturer for further troubleshooting steps. @topic:2


# # # issue - the electric bed, model enterprise 8000, manufactured by huntleigh, is unable to adjust the head of the bed upwards. # # # impact - patients may be uncomfortable if they are unable to adjust the head of their bed. - nurses and other healthcare providers may have difficulty providing care to patients if they are unable to adjust the head of the bed. # # # possible causes - the locking bolt on the right side of the headboard has come loose. # # # recommendations - the technician has tightened the locking bolt and the bed is now working properly. - the technician has requested that the company come and inspect the bed again. @topic:1


# # # issue the cuff of the monitor, bedside, physiologic from philips ( model : intellivue mp70 ( m8007a ) ) is leaking. # # # impact the leaking cuff can lead to inaccurate blood pressure readings, which can have serious consequences for patient care. # # # possible causes the cuff may be leaking due to : - damage to the cuff - loose connections between the cuff and the monitor - a defective cuff # # # recommendations - replace the cuff. - inspect the connections between the cuff and the monitor and tighten any loose connections. - contact the manufacturer to report the issue and request a replacement cuff if necessary. @topic:3


# # # issue - bed is not adjustable # # # impact - inability to adjust patient positioning for comfort, treatment, or procedures # # # possible causes - defective electrical components - mechanical failure of the adjustable mechanisms - software or firmware issues - user error or improper operation # # # recommendations - * * troubleshooting : * * - check for loose connections or damaged cables - verify power supply and ensure it is properly connected - power cycle the bed by turning it off and on again - inspect the adjustable mechanisms for any visible damage or obstructions - * * mechanical inspection : * * - remove any obstacles or objects preventing the bed from adjusting - inspect the gears, motors, and actuators for signs of wear or damage - * * electrical inspection : * * - use a multimeter to test for continuity and voltage in the electrical components - check for any loose or frayed wires - * * software / firmware update : * * - if available, check for any software or firmware updates that may address the issue - * * user training : * * - ensure that users are properly trained on the correct operation of the bed - * * referral to manufacturer : * * - if the issue cannot be resolved by the on - site technician, contact the manufacturer for technical support or replacement parts @topic:1


* * cause of failure : * * * * temp probe failure * * * * issue : * * the temp probe is providing inaccurate readings, indicating higher temperatures than normal. * * impact : * * this inaccurate temperature data can lead to : - incorrect monitoring of patient's vital signs - misleading medical decisions - potential harm to the patient * * possible causes : * * - * * probe damage : * * physical damage to the probe or its sensor - * * loose connections : * * poor electrical connections between the probe and the monitor - * * calibration error : * * incorrect calibration of the temp probe - * * software issue : * * a malfunction in the software responsible for processing temperature data * * recommendations : * * - * * replace the temp probe : * * obtain a new temp probe and replace the faulty one. - * * inspect connections : * * check all electrical connections between the probe and the monitor for loose or damaged wires. - * * recalibrate the device : * * perform a full calibration of the monitor using an accredited calibration lab to ensure accurate readings. - * * update software : * * if necessary, update the software on the monitor to address any known issues that could affect temperature readings. - * * monitor performance : * * regularly check the accuracy of the monitor's temperature readings to ensure continued functionality. @topic:20


set to off, 12 lead ecg reports will be labelled 12 lead ecg report, and captured 12 - lead ecgs will not be annotated at the information center. warning do not use ecg analysis interpretation statements and measurements for 12 - lead ecgs obtained using the modified ( mason - likar ) limb electrode placement. this may lead to misdiagnosis since the modified ( mason - likar ) limb electrode placement does not look the same as the conventional 12 - lead ecg and may mask inferior infarction due to calculated axis, r, p and t wave magnitudes shifts and st slope. do not export 12 - lead ecgs obtained using the modified ( mason - likar ) limb electrode placement. captured 12 - lead ecgs using the modified ( mason - likar ) limb electrode placement exported from the information center are not annotated with the mason - likar label. capture 12 - lead 128 if the monitor is connected to an information center via a wired network, the capture 12 - lead smartkey may be configured. selecting this exports 12 - lead ecg information to the information center for analysis. for details see the instructions for use supplied with the information center. easi ecg lead placement 6 ecg, arrhythmia, st and qt monitoring easi ecg lead placement using a standard 5 - electrode set in easi lead placement you can monitor up to 12 standard ecg leads simultaneously and continuously at the bedside. easi provides a monitoring method for trending st segment changes that can provide an early indication of ischemia. warning easi - derived 12 - lead ecgs and their measurements are approximations to conventional 12 - lead ecgs. as the 12 - lead ecg derived with easi is not exactly identical to the 12 - lead conventional ecg obtained from an electrocardiograph, it should not be used for diagnostic interpretations @topic:8


# # # issue - the vital signs monitor is not responding to any commands. # # # impact - the patient's vital signs cannot be monitored accurately. - this could lead to a delay in diagnosis and treatment, which could have serious consequences. # # # possible causes - the monitor is not receiving power. - the monitor's battery is dead. - the monitor's power cord is damaged. - the monitor's software is malfunctioning. - the monitor's hardware is damaged. # # # recommendations - check that the monitor is plugged into a power outlet and that the power cord is not damaged. - if the monitor is plugged in and the power cord is not damaged, try replacing the battery. - if the monitor still does not respond, contact the manufacturer for assistance. @topic:2


in order to expedite service, we request you furnish the following infonnation : customer identification number, product model number, serial number, and description of problem. a qualified specialist will provide, via telephone ( united states and canada ), or fax ( outside the united states and canada ), troubleshooting assistance for facility personnel and provide necessary parts to make repairs. if troubleshooting determines the need for on¬ site technical service, a qualified service representative will be dispatched. replacement of non - technical items will be the responsibility of the customer. if requested by hill - rom, products or parts for which a warranty claim is made shall be returned prepaid to hill - rom ’ s factory. out of warranty exchange policy after the expiration of the original warranty, upon request, hill - rom will ship as a replacement, components such as selected : motors and printed circuit boards, for like units returned to hill - rom by the original purchaser at a substantial savings. please call hill - rom technical support department for current pricing. parts availability policy hill - rom will offer parts for new and remanufactured products for ten ( 10 ) years from date of sale ; for communications products for five ( 5 ) years from date of sale. note : some original component parts and assemblies may not be available ; functional equivalents may be substituted. the foregoing warranties are exclusive and in lieu of all other express warranties and implied warranties, including but not limited to, the implied warranties of merchantability and fitness of purpose. hill - rom ’ s obligation under these warranties shall not include any liability for loss of profits, direct, indirect or consequential damages or delays some states, provinces, or countries do not allow the exclusion or limitation of incidental or consequential damages, so the above exclusion or limitation may not apply. any improper or ne @topic:12


# # # issue : control board failure leading to inability to adjust the bed # # # impact : inability to use the bed for patient care, leading to inconvenience and potential delays in treatment. # # # possible causes : - * * defective components * * on the control board, such as faulty capacitors or resistors. - * * overheating * * due to excessive power consumption or poor ventilation. - * * water damage * * or other environmental factors that can corrode or short - circuit the electronics. - * * age - related wear and tear * * of the bed's electrical components. - * * improper handling or maintenance * *, such as dropping the bed or failing to clean it regularly. # # # recommendations : - * * repair or replace the control board : * * a qualified biomedical engineer should inspect the control board and determine the cause of failure. if possible, the board should be repaired, or it may need to be replaced. - * * inspect and replace faulty components : * * if specific components on the control board are identified as the cause of failure, they should be replaced. - * * check for loose connections : * * ensure that all electrical connections are secure and free of corrosion. - * * ensure proper ventilation : * * make sure the bed is placed in a well - ventilated area to avoid overheating. - * * schedule regular maintenance : * * establish a regular maintenance schedule to clean and inspect the bed, including its electrical components. - * * train staff on proper handling : * * educate staff on the proper handling and maintenance of the bed to prevent future failures. @topic:9


# # # issue - equipment : medical cart - band : bdms - model : bdms 01 # # # impact - instrument displayed a locked icon on screen # # # possible causes - key lock not engaged properly # # # recommendations - engage key lock properly @topic:30


##75a small adult 20. 5 - 28. 5 cm 10. 4 cm m4574a pediatric 15. 0 - 21. 5 cm 8. 0 cm m4573a infant 9 - 15 cm 5. 6 cm m4572a neonatal / infant cuffs ( disposable, non - sterile ) cuffs limb circumference ( cm ) bladder width part no. tubing size 1 3. 1 to 5. 7 cm 2. 2 cm m1866a m1596b ( 1. 5m ) or m1597b ( 3m ) size 2 4. 3 to 8. 0 cm 2. 8 cm m1868a size 3 5. 8 to 10. 9 cm 3. 9 cm m1870a size 4 7. 1 to 13. 1 cm 4. 7 cm m1872a invasive pressure accessories these transducers and accessories are designed to have special protection against electric shocks ( particularly regarding allowable leakage currents ), and are defibrillator proof. if you are using the m3012a hemodynamic mms extension, and you want to measure temperature and invasive pressure at the same time, we recommend that you use the pressure transducer cpj840j6, with a round module connector piece, and not a transducer with a square connector. pressure transducers with square connectors may make it difficult to connect the adjacent temperature connector at the same time. transducer, accessories, sensor kits part no reusable pressure transducer 5 pv /. v / mmhg sensitivity cpj840j6 sterile disposable pressure domes for cpj840j6 ( pack of 50 ) cpj84022 transducer holder for cpj840j6 ( pack of 4 ) cpj84046 iv pole mount for @topic:8


# # # issue - the bed is not able to adjust and is displaying an error code h01. # # # impact - the patient may not be able to be positioned comfortably or safely. - the bed may be unusable, which could lead to delays in patient care. # # # possible causes - the control box is faulty. - the control box is not properly connected to the bed. - the bed is not properly grounded. - the bed is overloaded. # # # recommendations - replace the control box. - check the connections between the control box and the bed. - ensure that the bed is properly grounded. - reduce the load on the bed. @topic:1


# # # issue - cuff leakage - loose connector # # # impact - inability to accurately measure blood pressure # # # possible causes - deteriorated or damaged cuff - worn or loose connector # # # recommendations - replace the cuff with a new one - replace the connector with a new one - ensure the connector is securely locked in place before use - regularly inspect the cuff and connector for signs of wear or damage @topic:3


replace the battery board. see “ removing the battery connector board ” on page 5 - 42. the main board malfunctioned. replace the main board. see “ removing the main board ” on page 5 - 31. the monitor does not turn on with either ac or battery power. the lcd, cables, battery, power supply, or main board malfunctioned. follow the steps in the power troubleshooting flowchart on the following page. only one of the charging led colors is displayed. the membrane switch assembly malfunctioned. replace the front panel. see “ separating the front and rear case assemblies ” on page 5 - 12. the following message is displayed : battery service required the max error value exceeds 8 %. the full capacity value is one half of the design capacity value. recondition the battery. see “ reconditioning the battery ” on page 2 - 4. display problems symptom possible cause action the power is on, but the monitor the monitor is in standby mode. press the on / standby key to end screen is blank. standby mode. lcd is faulty. the connection with the backlight ensure that there is a proper connection between the cable, lcd, and main board. the main board malfunctioned. replace the main board. see “ removing the main board ” on page 5 - 31. troubleshooting 4 - 4 suresigns vs4 service guide troubleshooting tables symptom possible cause action the monitor displays random or distorted graphics with a white background. the lcd signal cable is not attached correctly. open the monitor and reseat the lcd signal cable. see “ removing the lcd assembly ” on page 5 - 44. the lcd malfunctioned. replace the lcd. see “ removing the lcd assembly ” on page 5 - 44. the main board malfunctioned. replace the main board @topic:16


# # # issue - the medical cart's solenoid coil is stuck while in use. # # # impact - the medical cart may not be able to function properly. - the medical cart may not be able to be used to deliver medication or other supplies to patients. # # # possible causes - the solenoid coil may be dirty or clogged. - the solenoid coil may be damaged. - the solenoid coil may not be properly lubricated. # # # recommendations - clean the solenoid coil with a soft cloth and a mild detergent. - inspect the solenoid coil for any damage. - lubricate the solenoid coil with a light oil. - if the solenoid coil is still not working properly, replace the solenoid coil. @topic:21


# # # issue : bp connector missing. # # # impact : unable to monitor blood pressure accurately. # # # possible causes : - the connector may have been dislodged or lost during use. - the connector may have become damaged or broken. # # # recommendations : - check the equipment for any signs of damage or dislodgement. - replace the missing connector with a new one. - ensure that the connector is securely attached to the equipment. - train staff on the proper use and maintenance of the equipment. @topic:14


# # # issue - cuff of the physiologic monitor is leaking # # # impact - the physiologic monitor may not be able to accurately measure blood pressure - incorrect blood pressure readings can lead to incorrect diagnosis and treatment # # # possible causes - the cuff may be damaged or torn - the cuff may not be properly connected to the monitor - the cuff may be the wrong size for the patient # # # recommendations - inspect the cuff for any damage or tears - ensure that the cuff is properly connected to the monitor - use the correct size cuff for the patient - replace the cuff if it is damaged or leaking @topic:3


* * issue : * * spo2 cable is damaged * * impact : * * inability to monitor patient's oxygen saturation levels * * possible causes : * * - physical damage to the cable, such as cuts, tears, or punctures - loose connections between the cable and the monitor or patient - electrical malfunction within the cable * * recommendations : * * - inspect the cable for any visible damage and replace it if necessary. - ensure that the connections between the cable and the monitor and patient are secure. - test the cable with a known - good oxygen saturation monitor to verify its functionality. - if the issue persists, consult with the manufacturer for further troubleshooting assistance. @topic:4


# # # issue remote control does not adjust up and down positions. # # # impact the device cannot be adjusted to the desired height, which may affect patient comfort and safety. # # # possible causes - faulty remote control - damaged wiring or connection - software issue in the device - mechanical issue with the bed's adjustment mechanism # # # recommendations - inspect the remote control for any physical damage or loose connections. - check the wiring and connections between the remote control and the bed. - test the remote control with other compatible devices to determine if it is functioning correctly. - contact the manufacturer or a qualified technician to investigate and repair any mechanical issues with the bed's adjustment mechanism. - update the device's firmware or software if a software issue is suspected. @topic:7


# # # issue - noise when adjusting bed upwards # # # impact - potential disturbance to patients and staff - reduced comfort for patients # # # possible causes - rust on the base shaft of the bed - lack of lubrication # # # recommendations - clean and lubricate the base shaft - inspect the bed regularly for signs of corrosion or wear - consider replacing the base shaft if necessary @topic:9


# # # issue - cuff deterioration # # # impact - inability to measure blood pressure # # # possible causes - cuff wear and tear - prolonged use - improper storage # # # recommendations - replace the cuff with a new one - inspect and maintain cuffs regularly - store cuffs properly to avoid damage @topic:3


using fast fourier transformation ( fft ) to provide a frequency spectrum displayed as a compressed spectral array ( csa ). the csa window provides an overview of the patient ’ s eeg values over time. it may be configured to look slightly different on your monitor. ♦ to view the csa window permanently embedded on a screen, select a screen configured to display the csa window. ♦ to view the csa window over the current screen, select the eeg csa smartkey, if configured, or select setup eeg or main setup then show csa. the csa contains the following information status line lead label for example, fpl - t3, fp2 - t4 csa label csa1 or csa2 according to eeg channel montage label for example, montage a filter settings for example, 1 - 30 hz buffer label and time the buffer and interval between spectral lines on the csa current sef threshold can only be changed in configuration mode spectral lines the energy at each frequency is computed and displayed as a spectral line trendlines eeg values are sampled at configured time intervals and displayed as color - coded trendlines. trendlines are available for the three frequency numerics ( sef, ppf, mdf ) annotations :? inop marker jt filter change marker © montage change marker 253 18 monitoring eeg changing eeg settings changing csa settings when csas are shown embedded on the main screen, select the csa to show the pop - up keys. when the csa is shown in a window over the current screen, the pop - up keys are always displayed. setup csa this menu entry lets you buffer choose one of the three pre - configured buffers. a buffer defines the interval between the spectral lines displayed in the csa. on / off sef / mdf / ppf switch the trendline of the specific numeric on or off changing eeg settings be aware that any changes made @topic:8


# # # issue - missed to check the condition of the bed when borrowing from another room. - failure to communicate the usage of the bed to the other room after borrowing. # # # impact - the bed may not be in good condition and could pose a safety hazard to the patient. - the original room may not have a bed available for use, which could delay patient care. # # # possible causes - lack of communication between the two rooms. - failure to follow proper protocols for borrowing equipment. - the bed was not properly inspected before being borrowed. # # # recommendations - establish clear protocols for borrowing equipment, including communication between the two rooms and inspection of the equipment before borrowing. - train staff on the importance of following proper protocols. - conduct regular inspections of all equipment to ensure it is in good working condition. @topic:9


# # # issue : equipment malfunction # # # impact : surgery delay, patient harm # # # possible causes : - software bug - hardware failure - user error # # # recommendations : - restart the equipment. - update the software. - check the hardware connections. - contact the manufacturer for support. @topic:12


# # # issue - equipment malfunction due to damaged cable. # # # impact - loss of monitoring capability. # # # possible causes - physical damage to the cable during transfer. - electrical fault causing cable damage. # # # recommendations - inspect the cable for any visible damage. - perform electrical testing to identify any faults. - replace the damaged cable with a new one. - handle the equipment with care during transportation to prevent cable damage. - ensure proper storage of cables to avoid kinking or crimping. - train staff on proper handling of medical equipment to prevent cable damage. @topic:2


# # # issue the cuff bp is leaking. # # # impact the patient's blood pressure cannot be accurately measured. # # # possible causes * the cuff bp is old and worn. * the cuff bp is not properly attached to the patient. * the cuff bp is defective. # # # recommendations * replace the cuff bp with a new one. * make sure the cuff bp is properly attached to the patient. * test the cuff bp to make sure it is working properly. @topic:3


batteries if the system detects that the comfort and / or emergency batteries are totally flat, the amber battery charge light on the caregiver keypads in the head half - siderails flashes and the fault - maintenance ind. icator light comes on. they must be immediately recharged. • end - of - life equipment the bed and its accessories should be cleaned and disinfected before de - customers should adhere to all federal, state, regional, and / or local laws and regulations as it pertains to the safe disposal of medical devices and accessories. if in doubt, the user of the device shall first contact hill - rom technical support for guidance on safe disposal protocols ( directive 2012 / 19 / eu ). • as regards the battery, never dispose of the batteries which contains substances and dangerous metals for the environment and the health ( directive 2006 / 66 / eec ). all components complies with substances of very high concern ( svhc ) regulation ( directive 1907 / 2006 / eec ) on registration, evaluation and authorization and restriction of chemicals ( reach ), except the gci parts in the tables below. description : xtal 25. 0mhz 30ppm r abm7 - 25. 000mhz - d2y - t abracon corp part number : manufacturer : substance identification : diboron trioxide / lead monoxide ( lead oxide ) substance concentration : 3767 ppm / 105766 ppm substance location : screen part of the gci / screen part of the gci lithium battery 3v cr2032 description : art number : cr2032mfr renata batteries u. s. manufacturer : 1, 2 - dimethoxyethane ; ethylene glycol dimethyether ( egdme ) substance identification : substance concentration : substance location : 1 - 3. 5 % @topic:24


# # # issue - battery is not displaying percentage. # # # impact - inability to accurately monitor battery life, which could lead to unexpected device shutdown. # # # possible causes - faulty battery - software glitch - manufacturer defect # # # recommendations - replace the battery with a new one. - contact the manufacturer to report the issue and request a replacement battery. - update the device software to the latest version. @topic:11


# # # issue - equipment failure : the acceleromyograph is displaying a " cable disconnected " error message. # # # impact - the acceleromyograph cannot be used to measure patient movement, which can delay diagnosis and treatment. # # # possible causes - the cable connecting the acceleromyograph to the patient is loose or damaged. - the acceleromyograph's internal wiring is loose or damaged. - the acceleromyograph's software is malfunctioning. # # # recommendations - inspect the cable connecting the acceleromyograph to the patient for any damage. if the cable is damaged, replace it. - if the cable is not damaged, unplug the cable from the acceleromyograph and then plug it back in. - if the error message persists, contact the manufacturer of the acceleromyograph for technical support. @topic:2


# # # issue - remote control failure on a hill - rom centuris electric bed. # # # impact - inability to operate the bed's functions remotely, which can inconvenience patients and impede the efficiency of hospital staff. # # # possible causes - * * defective remote control components : * * the remote control's circuit board, buttons, or other components may have malfunctioned, leading to its failure. - * * physical damage : * * the remote control may have been dropped or subjected to other physical impact, causing damage to its internal components. - * * software issues : * * a software glitch or corruption in the remote control's firmware could have caused it to malfunction. # # # recommendations - * * inspect the remote control : * * examine the remote control for any visible damage or loose components. - * * replace components : * * if a physical inspection reveals damaged components, replace them with new ones. - * * update firmware : * * if the issue is suspected to be software - related, check for firmware updates and install them if available. - * * consider manufacturer repair : * * if the remote control is still under warranty, contact the manufacturer for repair or replacement. - * * maintain equipment : * * follow proper handling and maintenance procedures to minimize the risk of future remote control failures. @topic:7


# # # issue : monitor is not functioning properly # # # impact : the monitor may not be providing accurate readings, which could lead to incorrect diagnosis or treatment. # # # possible causes : - battery failure - malfunctioning hardware - software issues - improper calibration # # # recommendations : - replace the battery - inspect the hardware for any damage or loose connections - reinstall or update the software - calibrate the monitor according to the manufacturer's instructions @topic:11


# # # issue - malfunctioning remote control # # # impact - inability to adjust the equipment # # # possible causes - damaged remote control wiring # # # recommendations - replacement of remote control @topic:7


# # # issue the cause of failure is that the bme ( biomedical engineer ) received a notification to move the equipment to a new location. # # # impact the impact of this failure is that the equipment cannot be used in its original location. this could lead to delays in patient care or even a patient being transferred to a different hospital. # # # possible causes there are several possible causes for this failure. one possibility is that the equipment was not properly installed in the first place. another possibility is that the equipment was damaged during the move. finally, it is also possible that the equipment was not compatible with the new location. # # # recommendations the following recommendations can help to prevent this type of failure from happening in the future : - ensure that the equipment is properly installed in the first place. - ensure that the equipment is properly maintained. - ensure that the equipment is compatible with the location where it is being used. - train staff on how to properly use and maintain the equipment. @topic:12


* * issue : * * bed is not adjusting * * impact : * * patient discomfort, inconvenience, and potential harm if the bed cannot be adjusted for safety or medical reasons. # # # * * possible causes : * * - * * electrical failure : * * broken or damaged wiring, loose connections, or faulty electrical components. - * * mechanical failure : * * faulty gears, motors, or hydraulic systems that prevent the bed from adjusting. - * * control panel malfunction : * * broken buttons, damaged circuitry, or software issues that prevent the bed from responding to commands. - * * limit switch failure : * * malfunctioning limit switches may prevent the bed from adjusting fully or in certain directions. # # # * * recommendations : * * 1. * * check the electrical connections : * * inspect the wiring and connections for any signs of damage or looseness. tighten any loose connections and replace any damaged wires. 2. * * inspect mechanical components : * * check for any signs of wear, damage, or corrosion on the gears, motors, and hydraulic systems. repair or replace any damaged components as necessary. 3. * * troubleshoot the control panel : * * test the buttons and circuitry to identify any malfunctioning components. reset the software if necessary and update it to the latest version. 4. * * verify limit switch functionality : * * check the limit switches to ensure they are functioning properly and are not preventing the bed from adjusting fully. adjust or replace the limit switches as needed. 5. * * consult the manufacturer's manual : * * refer to the manufacturer's instructions for specific troubleshooting steps and repair procedures. 6. * * contact a qualified technician : * * if the above steps do not resolve the issue, contact a qualified biomedical engineer or medical equipment technician for further diagnosis and repair. @topic:1


# # # issue - bed does not adjust in height # # # impact - inability to adjust bed to patient's needs - patient discomfort or safety concerns # # # possible causes * * electrical system : * * - faulty motor - damaged wiring or connections - malfunctioning control unit * * mechanical system : * * - broken or worn gears - damaged hydraulic system - misalignment of components * * software issue : * * - corrupted software in the control unit - malfunctioning sensors * * other factors : * * - overloading or improper use of the bed - lack of maintenance or calibration # # # recommendations - * * electrical system : * * - test the motor and connections for continuity and resistance - inspect wiring for damage and replace any faulty components - check the control unit for proper functionality - * * mechanical system : * * - inspect gears, hydraulics, and other mechanical components for damage or wear - realign any misaligned parts - lubricate moving parts as necessary - * * software issue : * * - reset the control unit and reinstall the software - check for software updates and apply them - calibrate the sensors - * * other factors : * * - ensure the bed is not overloaded - train staff on proper use and maintenance of the bed - perform regular maintenance and calibration schedules @topic:1


# # # issue - alarm volume is too loud # # # impact - excessive noise can cause discomfort and distraction for patients and staff, interfere with patient monitoring, and contribute to noise pollution in the hospital environment. # # # possible causes - incorrect alarm volume settings - faulty alarm speaker or amplifier - software malfunction # # # recommendations - check and adjust the alarm volume settings according to manufacturer's specifications or hospital protocols. - inspect the alarm speaker or amplifier for any damage or loose connections. - perform a software update or reset if recommended by the manufacturer. - consult with the biomedical engineering team for further troubleshooting and repair if needed. @topic:26


# # # issue - lead wire disconnection # # # impact - interruption of patient monitoring # # # possible causes - loose lead wire connections - damaged lead wires - faulty lead wire connectors # # # recommendations - check all lead wire connections and ensure they are secure. - replace damaged lead wires. - test lead wire connectors with a multimeter to identify any faults. @topic:18


##ment - ameublement. com france www. fcba. fr the nf environnement marking guarantees performance and ecology : [UNK] / durability • health / safety • environment visit the website for more information www. nf - environnement - ameublement. com the nf environnement certified hill - [UNK] 900 bed is designed, • manufactured and checked to reduce environmental impact up to end of life ( limitation of transformation energy of the materials, heavy metal - free finishing products, possibility to recycle, etc. ). inmetro rule nr. 350, september 06, 2010 and mandatory certification of electrical equipment under requirements of national health surveillance agency - anvisa - rdc nr. 27, 2011 - 06 - 21 and in 03, 2011 - 06 - 21. • seguranca compulsorio inmetro complies with electromagnetic emission standards a this device meets all the requirements related to electromagnetic compatibility, in accordance with the standard iec 60601 - 1 - 2 and the directives applicable to medical devices, and has passed all the tests to demonstrate that it meets these requirements. it is most improbable that users experience problems due to deficient electromagnetic immunity. however, electromagnetic immunity is always relative, and standards are based on anticipated environments of usage. if the user notices that the device behaves unusually, and especially if this behavior is intermittent and occurs when in the vicinity of radio or tv transmitters, cell phones or electrosurgical equipment, this may be a sign of electromagnetic interference. if such behavior occurs, users must try to move the equipment well clear of the origin of the interference with the device. the hill - rom® 900 bed must not be used close to or on top of other items of equipment. if this is necessary, the hill - rom® 900 bed must be tested to confirm that it functions properly @topic:10


# # # issue - remote control not functioning # # # impact - inability to adjust the bed's position, compromising patient comfort and safety - delay in patient care and increased workload for healthcare providers # # # possible causes - fault in the remote control unit - problem with the receiver on the bed - interference from other wireless devices - misalignment of the receiver and the transmitter - low battery in the remote control - software glitch in the remote control or the bed # # # recommendations - * * check the remote control batteries : * * ensure they are fresh and have sufficient charge. - * * inspect the remote control for damage : * * look for any physical damage, such as cracks, loose buttons, or water damage. - * * restart the remote control : * * remove the batteries and reinsert them after a few seconds. - * * verify the alignment of the receiver and transmitter : * * ensure the receiver is properly connected to the bed and is in the line of sight of the remote control. - * * test with another remote control : * * if available, try using a different remote control to eliminate the possibility of a faulty unit. - * * contact the manufacturer for technical support : * * if the above steps do not resolve the issue, reach out to the manufacturer for assistance. - * * consider replacing the remote control unit : * * if the failure is due to a faulty remote control, replacing it may be necessary. - * * inspect the receiver on the bed : * * check for any loose connections, damaged wires, or other issues that may affect its functionality. - * * check for software updates : * * contact the manufacturer to inquire about any available software updates that may resolve the problem. @topic:7


# # # issue - the bed's side rail is detaching. # # # impact - patient safety hazard : the patient could fall out of bed if the side rail is not securely attached. # # # possible causes - * * defect in the side rail mechanism : * * the side rail may not be properly designed or manufactured, causing it to detach easily. - * * wear and tear : * * the side rail mechanism may have become worn or damaged over time, reducing its ability to stay attached. - * * misuse : * * the bed may have been used improperly, such as excessive force being applied to the side rail, causing it to detach. - * * improper assembly : * * the side rail may not have been assembled or installed correctly, leaving it loose and prone to detaching. # # # recommendations - * * inspect the side rail mechanism : * * check for any defects or damage that may be causing it to detach. - * * lubricate the side rail mechanism : * * apply lubricant to the moving parts of the side rail to reduce friction and improve its function. - * * tighten the side rail : * * ensure that the side rail is securely fastened to the bed frame using the appropriate tools. - * * train staff and patients on proper use : * * educate staff and patients on the correct way to use the bed and avoid applying excessive force to the side rail. - * * schedule regular maintenance : * * perform preventative maintenance on the bed to identify and address any potential issues with the side rail mechanism before it becomes a safety hazard. @topic:6


# # # issue : false ekg error # # # impact : inaccurate patient monitoring # # # possible causes : - user error : incorrect placement of electrodes or poor skin contact. - patient factors : irregular heart rate or tremors can interfere with ekg signal acquisition. - equipment malfunction : faulty sensors or cables can lead to distorted or interrupted ekg signals. # # # recommendations : - ensure proper electrode placement and skin preparation. - monitor patient for arrhythmias or tremors that may affect ekg readings. - inspect ekg leads and sensors for damage or loose connections. test with a known good patient to isolate the issue. - contact the manufacturer or qualified service technician for further troubleshooting and repair if necessary. @topic:18


# # issue - equipment : monitors ( physiological ) - brand : philips - model : intellivue mx550 * * problem : * * patient's vital signs are not displayed on the monitor. # # impact - delay in patient monitoring and assessment. - potential for misdiagnosis or delayed treatment due to lack of accurate vital information. # # possible causes - disconnected cables ( dvi, lan ) # # recommendations - ensure that both the dvi and lan cables are securely connected to the monitor and the patient's bedside unit. - check the [UNK] [UNK] and connectors for any physical damage or loose connections. - reset the monitor by unplugging it from the power outlet and plugging it back in. - if the issue persists, contact the biomedical engineering team for further troubleshooting and repair. @topic:2


tag : save change... 5. si change device configuration settings serial number etwork policy server certificgenerate elect certificate folder browse etwork policy server certificate paconfirm password generate network policy server certificate package load select existing package browse configure close use the browse button to select the folder where the customer certs are kept - this will fill in the select certificate folder field with a path to the customer certificates. 6. service manual connex direct 231 rowse for foplease select a location where certificate package is generated ibraries e secomputer local disk ( c : ) recycle. biaxeda boot d certs ok cancel server validation only certificate if the certificate created for server validation ( such as eap - peap with enable server validation checked ), the folder created should only contain a'ca cert '. a client certificate is not required. the network policy server certificate password and confirm password fields are inactive for editing, however, the device needs to load the corresponding ca root certificate to authenticate. the ca root certificate needs to be loaded onto both the device for successful peap authentication. username password • ca root certificate ( installed - via wast ) client authentication certificate if the certificate to be created is for client authentication ( such as eap - tls ) the folder created should have a'ca cert'and a'client certificate '. the network policy server certificate password field and confirm password field will need to be filled in with the password created for the client cert at creation time. note the wast does not verify the client password is correct, it only loads to the csm radio for authentication. this password must be known for the client to authenticate to the network. welch [UNK] connex® spot monitor 232 connex direct s change device configuration settings bluetooth device configuration device software rollback @topic:18


# # # issue - monitor does not display ppv values. # # # impact - inability to monitor patient's respiratory status accurately. # # # possible causes - faulty sensor or cable - improper calibration - software glitch - hardware malfunction # # # recommendations - check sensor and cable connections. - calibrate the monitor according to manufacturer's instructions. - update software to the latest version. - contact philips technical support for further troubleshooting and possible repair. @topic:20


# # # issue - drawer cannot be opened # # # impact - inability to access medical supplies and equipment stored in the drawer # # # possible causes - drawer mechanism malfunction - obstruction in the drawer track - faulty lock or key # # # recommendations - verify that the drawer mechanism is functioning properly. - inspect the drawer track for any obstructions or damage. - check the lock and key for any defects or misalignment. - if necessary, replace the faulty drawer mechanism, track, or lock. - lubricate the drawer track to ensure smooth operation. - ensure that the key is inserted correctly and rotated fully to unlock the drawer. - train staff on proper handling of the medical cart to prevent future issues. @topic:21


# # # * * issue * * - equipment : bed, electric - band : mpl - model : 2283 - description : the technician found a problem with the adjustment button and replaced it. after testing, the device functioned normally. however, the bed unexpectedly adjusts itself. # # # * * impact * * - patient safety and comfort may be compromised. - the bed may malfunction, increasing the risk of injury to patients or staff. # # # * * possible causes * * - faulty button replacement - electrical issues - software malfunction - mechanical issues ( e. g., loose connections, broken springs ) # # # * * recommendations * * - * * immediate : * * - isolate the bed from patients and staff. - unplug the device and prevent unauthorized use. - * * further investigation : * * - conduct a thorough examination of the adjustment button, electrical connections, and software. - check for any loose or damaged components. - * * repair and preventative measures : * * - replace any faulty parts and ensure proper installation. - update software if necessary. - perform regular maintenance and inspections to prevent similar issues in the future. - * * communication and documentation : * * - inform the responsible department and manufacturer about the issue. - document all steps taken during troubleshooting and repair. @topic:1


# # # issue - remote control of the electric bed is not functioning. # # # impact - difficulty or inability to adjust the position of the bed, which can affect patient comfort and care. # # # possible causes * * 1. battery failure : * * the batteries in the remote control may be depleted or faulty, preventing it from transmitting signals to the bed. * * 2. wireless interference : * * other wireless devices in the vicinity, such as medical equipment or mobile phones, may be interfering with the signal between the remote control and the bed. * * 3. damaged receiver : * * the receiver unit within the bed that receives signals from the remote control may be malfunctioning or damaged. * * 4. wiring or connection issues : * * loose or damaged wiring connections between the remote control, receiver, or bed may prevent proper signal transmission. * * 5. firmware malfunction : * * software issues or bugs within the remote control or bed system may be causing the remote control to malfunction. # # # recommendations - * * check batteries : * * inspect and replace the batteries in the remote control, ensuring they are fresh and properly inserted. - * * eliminate wireless interference : * * if possible, remove or relocate other wireless devices that could be interfering with the signal. - * * inspect receiver : * * examine the receiver unit within the bed for any signs of damage or loose connections. - * * examine wiring : * * inspect all wiring connections between the remote control, receiver, and bed for loose or damaged wires. tighten or replace any loose connections. - * * update firmware ( if applicable ) : * * if the remote control or bed system has software updates available, install them to address potential firmware issues. @topic:7


* * issue : * * the cause of failure is not clearly specified in the input. * * impact : * * * unable to determine the root cause of the monitor failure. * potential for recurrence of the issue. * delay in patient care. * * possible causes : * * * lack of information in the input. * incorrect or incomplete diagnostic testing. * overlooked hardware or software faults. * * recommendations : * * * gather additional information from the technician, such as : * specific symptoms or error messages observed during testing. * detailed steps taken during the diagnostic process. * review the testing protocols to ensure they are comprehensive and appropriate for the device. * consult with the manufacturer or a certified biomedical equipment technician for further troubleshooting and repair. * document the findings and recommendations to prevent future occurrences. @topic:2


deflate alternately in a lasting about 10 minutes. a the therapeutic modes are no longer operational when the bed switches to battery mode. maximum inflation mode ( p - max ) p - max press p - max on the gci, or briefly press the boost button on the ct this mode. oosttm the corresponding control turns green. - max after 20 minutes, the system automatically returns to the initial therapeutic mode in order to reduce the risks incurred in the non -. after activating the p - max mode, it is possible to return to the previously selected therapeutic mode by pressing p - max, alp ou clp. a if the bed switches to battery mode when the mattress is in p - max mode, the latter remains active permanently. in this case, it is necessary to connect the bed to the mains power supply to return the mattress to a therapeutic mode. remaining in p - max mode for a lengthy period can result in discomfort for the patient. mcm * the microclimate management system is activated automatically when the accella therapy system is switched on. the corresponding control turns green. mcm it can be deactivated by pressing mcm. age 48 cpr pressing the cpr button on the caregiver keypads or pressing the handle on the adjustable head section activates the cpr function. cpr has been activated the mattress deflates in approximately 30 seconds. press rearm matress to restore normal operation of the mattress. rearm mattresthe mattress cpr function only works if the mattress is active and its battery is fully charged ( it takes 24 hours to charge the battery ). the mattress switches to transport mode ( battery mode ) when the bed is moved. if the bed switches to battery mode : the therapeutic modes are no longer operational. • if the mattress is in p - max mode, the latter remains permanently active. • a backup battery maintains the cp @topic:9


permanent key and select measurements. then select the measurement name from the popup list. with this permanent key you can access any setup menu in the monitor. • via the measurement selection key. this guide always describes the entry method using the setup menu. but you can use any method you prefer. switching a measurement on and off when a measurement is off, its waves and numerics are removed from the monitor ’ s screen. the monitor stops data acquisition and alarming for this measurement. a measurement automatically switches off if you disconnect its module or mms. if you disconnect a transducer, the monitor replaces the measurement numeric with question marks. 1 enter the measurement ’ s setup menu and select the measurement. 2 select the measurement name to toggle between on and off. the screen display indicates the active setting. switching numerics on and off for some measurements, such as eeg, you can choose which numerics to view on the screen. • in the measurement ’ s setup menu, select the numeric name to toggle between on and off. for example in the setup eeg menu, select the eeg numeric name to toggle between on and off. adjusting a measurement wave • to quickly adjust wave - related measurement settings ( such as speed or size ), select the measurement wave itself. this displays the measurement wave menu, which has only wave - related measurement settings. 33 1 basic operation changing wave speeds changing wave speeds lowering the wave speed compresses the wave and lets you view a longer time period. increasing the speed expands the waveform, giving you a more detailed view. the monitor distinguishes three groups of wave speed settings, • respiratoryspeed, for all respiratory waves : c0 2, anesthetic agents and ( ) 2 • eeg speed, for all eeg and bis waves • global speed, for all waves not included in @topic:8


# # # issue : - medical cart is not connecting to the medcart program. # # # impact : - the medical cart cannot be used to access medical records or other necessary information. # # # possible causes : - the wifi connection is not working. - the medcart program is not installed on the medical cart. - the medcart program is not configured correctly. - there is a problem with the medical cart's hardware or software. # # # recommendations : - check the wifi connection. - install the medcart program on the medical cart. - configure the medcart program correctly. - contact the manufacturer of the medical cart for assistance. @topic:13


of infancy, has not been established. if operating under conditions according to the emc standard en 60601 - 1 - 2 ( radiated immunity 3v / m ), field strengths above 1v / m may cause erroneous measurements at various frequencies. therefore it is recommended to avoid the use of electrically radiating equipment in close proximity to the espiration measurement unit. to monitor respiration, use only the non - or ecg accessories listed in the resp section of the accessories chapter. you cannot measure respiration if you are using an orange or ecg cable set. 188 8 monitoring respiration rate ( resp ) this is because of the higher internal impedance of the or cable set, required for use if electrosurgery is being performed. rate adaptive pacemakers implanted pacemakers which can adapt to the minute ventilation rate may occasionally react on the impedance measurement used by patient monitors for the determination of the resp value and execute pacing with the maximum programmed rate. switching off the resp measurement can prevent this. 189 8 monitoring respiration rate ( resp ) 90 monitoring spo2 philips pulse oximetry uses a motion - tolerant signal processing algorithm, based on fourier artifact suppression technology ( fast ). it provides four measurements : oxygen saturation of arterial blood ( spo2 ) - percentage of oxygenated hemoglobin in relation to. the sum of oxyhemoglobin and deoxyhemoglobin ( functional arterial oxygen saturation ). pleth waveform - visual indication of patient's pulse. • minute. pulse rate ( derived from pleth wave ) - detected pulsations per : • perfusion indicator - numerical value for the pulsatile portion of the measured signal caused brterial pulsation. • the monitors are also compatible with spo2 technologies from other manufacturers. refer to the instructions for use provided with these devices @topic:17


# # # issue - cuff of the bedside physiologic monitor is damaged # # # impact - inaccurate or unreliable patient vital signs monitoring # # # possible causes - normal wear and tear - improper use or handling of the cuff - ageing of the cuff material # # # recommendations - regularly inspect the cuff for any signs of damage or wear - replace the cuff if it is damaged or worn - handle the cuff with care to avoid damage - follow manufacturer's instructions for use and maintenance @topic:5


# # # issue - cuff is not able to measure blood pressure. # # # impact - incorrect blood pressure readings or no readings at all. - delayed or inaccurate diagnosis and treatment. # # # possible causes - defective cuff - loose or damaged cuff tubing - air leak in the cuff or tubing - problem with the blood pressure transducer - software or hardware issue with the monitor # # # recommendations - replace the cuff with a new one. - inspect the cuff tubing for any damage or leaks. - check the blood pressure transducer for any damage or loose connections. - update the monitor's software or firmware to the latest version. - if the issue persists, contact the equipment manufacturer for further assistance. @topic:14


# # # issue - battery life has expired. # # # impact - monitor, patient transport device cannot be used until the battery is replaced. # # # possible causes - the battery has reached the end of its lifespan. - the battery is not properly connected. - the battery is not compatible with the device. # # # recommendations - replace the battery with a new one that is compatible with the device. - ensure that the battery is properly connected. - check the device's manual for specific battery requirements. @topic:11


# # # issue - the medical cart's drawer cannot be closed properly. # # # impact - the technician is unable to use the medical cart effectively, as the drawer cannot be closed to secure its contents. # # # possible causes - the drawer track may be broken or misaligned. - the drawer may be obstructed by an object. - the drawer latch may be damaged or misaligned. # # # recommendations - inspect the drawer track for any breaks or misalignment. adjust or replace the track if necessary. - remove any obstructions that may be preventing the drawer from closing properly. - check the drawer latch for any damage or misalignment. repair or replace the latch as needed. @topic:21


# # # issue - the bed is not able to adjust its head. # # # impact - the patient may be uncomfortable or unable to use the bed properly. # # # possible causes - * * remote control issue * * : the remote control may be malfunctioning or it may have lost its connection to the bed. - * * wiring issue * * : there may be a loose or damaged wire that is preventing the bed from adjusting. - * * mechanical failure * * : the bed's mechanics may have failed, preventing it from adjusting. # # # recommendations - * * check remote control * * : check the remote control's batteries and make sure that it is paired with the bed. - * * inspect wiring * * : inspect the wiring for any loose or damaged connections. tighten any loose connections and replace any damaged wires. - * * contact manufacturer * * : if the remote control and wiring are not the issue, contact the manufacturer of the bed for further assistance. @topic:1


to install the intellivue 802. 11 bedside adapter, please refer to the section on installing interface boards. 1 plug in the cable connection between the proxim wireless ethernet adapter or the intellivue instrument telemetry ( iit ) adapter and the monitor. 238 installing remote devices 7 installation instructions 2 attach the wireless ethernet adapter or the iit adapter to the mounting device with four screws ( wireless ethernet adapter : 0. 6 - 32 x 0. 25, iit : m3x8 ). cable not shown in the picture, picture shows proxim wireless ethernet adapter only 3 insert the cable into the cable clamp as shown below and then attach the mounting device and the cable clamp to the monitor using an m3xl6 screw and an m3x20 screw with washer for the cable clamp. proxim wireless ethernet adapter iit adapter 239 7 installation instructions installing remote devices frequency coordination ( usa only ) : frequency coordination is a registration and coordination process for wireless medical telemetry devices used in the u. s. a. which operate in the fcc - allocated wireless medical telemetry service ( wmts ) bands ( 608 - 614 mhz, 1395 - 1400 mhz, 1427 - 1432 mhz ). the m8001 / 2a # j45 and the m8004 / 5a with the intellivue instrument telemetry adapter m2638a operate in both of the 1395 - 1400 and 1427 - 1432 mhz bands. under u. s. federal communications commission ( fcc ) rules, authorized healthcare providers must register their wmts devices with an authorized frequency coordinator designated by the fcc. the american society for healthcare engineering ( ashe ) is the current designated frequency coordinator. registration / coordination is a two - step process. step 1 : registration : register the @topic:10


# # # issue battery is not charging. # # # impact the vital signs monitor will not be able to operate without a charged battery. # # # possible causes - power supply is not functioning properly. - battery is not making proper contact with the power supply. - battery is damaged. # # # recommendations - check the power supply by connecting it to another known good device. - reseat the battery and ensure it is making proper contact. - replace the battery. @topic:11


# # # issue the beds, electric, hill - rom, care assist es100 bed is not able to adjust up or down. # # # impact the bed is not able to be used by patients and is causing inconvenience. # # # possible causes * motor failure * power supply failure * control panel failure * wiring failure * structural failure # # # the impact on the business : * loss of revenue due to the inability to use the bed * increased costs due to the need to purchase a new bed * loss of reputation due to the inconvenience caused to patients # # # recommendations - the bme should first check the power supply to the bed to ensure that it is functioning properly. - if the power supply is functioning properly, the bme should then check the control panel to ensure that it is functioning properly. - if the control panel is functioning properly, the bme should then check the motor to ensure that it is functioning properly. - if the motor is functioning properly, the bme should then check the wiring to ensure that it is functioning properly. - if the wiring is functioning properly, the bme should then check the structural integrity of the bed to ensure that it is functioning properly. - if the bme is unable to determine the cause of the failure, they should contact the manufacturer of the bed for assistance. @topic:9


# # # issue - battery failure # # # impact - equipment downtime - patient discomfort - increased risk of falls # # # possible causes - battery age - battery usage - incorrect battery installation - electrical fault in the equipment # # # recommendations - regularly inspect and replace batteries according to the manufacturer's recommendations. - use batteries that are compatible with the equipment. - ensure that batteries are installed correctly. - check the electrical system of the equipment for any faults. @topic:11


issue : medical equipment failure impact : - delay in patient care - inaccurate patient data - increased risk of patient harm possible causes : - deterioration of equipment components recommendations : - regular maintenance and inspection of medical equipment - proper training of staff on equipment usage - documentation of equipment malfunctions and repairs @topic:12


# # # issue monitor will not power on. # # # impact patient monitoring is unavailable. # # # possible causes - power supply failure - battery failure - motherboard failure - power switch failure # # # recommendations - check the power supply and battery. - if the power supply and battery are good, replace the motherboard. - if the motherboard is replaced and the monitor still does not power on, replace the power switch. @topic:2


* * issue : * * high blood pressure reading * * impact : * * inaccurate patient monitoring, potential for misdiagnosis and inappropriate treatment * * possible causes : * * * faulty sensor or transducer * kinked or obstructed blood pressure cuff * improper cuff placement * patient movement or muscle tension * vasoconstriction or arterial stiffness * hardware malfunction within the monitor * * recommendations : * * * recalibrate the monitor and verify the accuracy of the sensor * check the blood pressure cuff for any damage or obstructions * ensure proper cuff placement and size for the patient * instruct the patient to remain still and relaxed during the measurement * consider assessing for other causes of high blood pressure, such as underlying medical conditions or medication side effects * consult with a senior biomedical engineer or physician if the issue persists @topic:14


# # # issue * * bed fails to adjust the head position downward. * * # # # impact * * inability for proper patient positioning, potentially leading to discomfort or complications. * * # # # possible causes * * failed bearing in the headrest actuator. * * # # # recommendations * * replace the failed bearing in the headrest actuator. * * @topic:1


# # # issue - blood pressure ( bp ) measurements are not displaying on the patient transport monitor. # # # impact - the lack of accurate bp readings can compromise patient care, as it is a vital sign used to monitor and assess a patient's condition. # # # possible causes - incorrect connection of the cuff connector to the bp cuff. # # # recommendations - ensure that the cuff connector is correctly inserted into the bp cuff. # # # additional notes - the issue was resolved by swapping the connection of the cuff connector, which restored the ability to measure bp. @topic:14


# # # issue - the monitors, physiologic, vital signs, casmed, model 740 is not measuring values correctly. # # # impact - the incorrect measurements could lead to inaccurate patient data, which could result in incorrect treatment decisions. # # # possible causes - * * defective sensor : * * the sensor that measures the patient's vitals may be defective, resulting in inaccurate readings. - * * software glitch : * * the software that controls the monitor may have a glitch that is preventing it from measuring values correctly. - * * hardware failure : * * a hardware component within the monitor may have failed, causing the monitor to malfunction. - * * improper calibration : * * the monitor may not have been calibrated correctly, leading to inaccurate measurements. # # # recommendations - * * inspect the sensor : * * check the sensor for any visible damage or loose connections. - * * update the software : * * if available, update the software on the monitor to the latest version. - * * test the hardware : * * use a diagnostic tool or test equipment to check the hardware components of the monitor. - * * calibrate the monitor : * * calibrate the monitor according to the manufacturer's instructions to ensure accurate measurements. - * * consult with the manufacturer : * * if the issue persists after performing the above steps, contact the manufacturer for further assistance. @topic:20


select main setup - > measurements - > < external device name > to enter the setup menu for the connected device, headed setup < external device name >. 3 in the device setup menu, select device, select the correct device from the list, and confirm the selection. 4 connect the external device to the module ( e ) and switch it on. once the vuelink device has been correctly connected, you can select the external device smartkey and then select the setup device pop - up key to access the setup < external device name > menu for the connected device. caution selecting the wrong device can cause unpredictable system behavior. rectify this by switching off the external device when it is safe to do so, and selecting the correct device. changing vuelink waves and numerics displayed to change the waves and numerics from the vuelink module displayed on the screen, 1 select main setup - > measurements - > < external device name > to enter the setup menu for the connected device. 2 select the item you want to change, then select the new item from the pop - up list, or select show device data to view the device data window. 3 close the setup menu. the monitor takes a few seconds to activate the change. viewing the vuelink device data window to view the vuelink device data window, either • select the setup hardkey on the vuelink module or the external devices smartkey, and then select the < device name > pop - up key, or • in the setup < device name > menu, select show device data. select the device data window then the setup device key to open the setup menu for the connected device. 352 using vuelink screens 30 vuelink modules using vuelink screens your monitor may be configured to show vuelink device data permanently on the screens. select the device data window to display the external device pop - up @topic:10


# # # issue the electric bed manufactured by huntleigh ( model : contoura 360 ) is not adjusting as intended. # # # impact the failure of the electric bed to adjust properly can have several negative impacts : - * * patient discomfort : * * patients may experience discomfort if the bed cannot be adjusted to a comfortable position. - * * impaired patient care : * * healthcare providers may have difficulty providing proper care to patients if the bed cannot be adjusted to facilitate procedures or treatments. - * * increased risk of falls : * * patients may be at an increased risk of falls if the bed cannot be adjusted to a safe height or position. # # # possible causes several factors could contribute to the failure of the electric bed to adjust properly : - * * electrical issues : * * faulty wiring, loose connections, or a malfunctioning motor could prevent the bed from adjusting. - * * mechanical issues : * * worn or damaged gears, chains, or other mechanical components could hinder the bed's adjustment. - * * software issues : * * malfunctions in the bed's software or control system could disrupt its ability to adjust. - * * overloading : * * exceeding the weight capacity of the bed could strain its motors and lead to failure. # # # recommendations to address the issue of the electric bed not adjusting properly, the following recommendations can be implemented : - * * electrical inspection : * * thoroughly inspect the electrical components of the bed, including wiring, connections, and the motor, to identify any faults. - * * mechanical inspection : * * examine the mechanical components of the bed, such as gears, chains, and joints, for signs of wear or damage. - * * software update : * * if applicable, check for and install any available software updates for the bed's control system. - * * load management : * * ensure that the weight placed @topic:1


the internal connections to the alarm lamps. check batt temp inop tone battery the temperature of one or both batteries is too high. check that ventilation openings ( if applicable ) are not blocked and monitor is not exposed to heat. check drugsettings inop tone monitor there was a problem loading the drug settings. check that the settings are complete and correct. check ecg settings inop tone telemetry synchronization of ecg settings between the monitor and information center has failed. check that the ecg settings in use are appropriate.!! check ecg source inop tone monitor the telemetry device and the monitor both have valid ecg signals. unpair the telemetry device and the monitor if they are no longer used for the same patient. check flex texts inop tone monitor check the names of the monitor menus, for example the labels for screens, profiles, event or trend group names, before you resume monitoring. if they are unexpected, there may be a problem with the monitor software. contact your service personnel. checklnternvoltage at information center monitor potential problem with alarm lamps, display or interfaces detected. contact your service personnel. this inop will appear on the monitor as check monitor func. check keyboard inop tone monitor perform a visual and functional check of the keyboard. contact your service personnel. check main board 2 inop tone. monitor there is a problem with the second main board in the monitor. contact your service personnel. check monitor func inop tone. monitor potential problem with alarm lamps, display or interfaces detected. contact your service personnel. this inop may appear on the information center as checklnternvoltage. check monitor temp inop tone monitor the temperature inside the monitor is too high. check that the monitor ventilation is not obstructed. if the situation continues, contact your service personnel. @topic:22


. figure 4 - 24. fuses page 4 - 52 careassist® and careassist® es bed service manual ( man330 rev 4 ) 4. 17 side rail control p. c. board chapter 4 : removal, replacement, and adjustment procedures 4. 17 siderail control p. c. board tools required : t25 torx® 1 screwdriver t15 torx® screwdriver screwdriver isopropyl alcohol rags note : removing the switch panel from the siderail requires the installation of a new switch panel. removal 1. set the brakes. 2. raise the bed to its highest position. 3. raise the siderail to the up and locked position shock hazard : unplug the bed from its power source. failure to do so could cause personal injury or equipment damage. 4. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. caution : use extreme care when removing the switch panel. failure to do so could cause damage to the seating area of the switch panel on the siderail. 5. starting on the bottom edge, remove the switch panel ( a ) from the siderail ( b ) ( see figure 4 - 25 on page 4 - 54 ). 6. remove the six screws ( c ) securing the stiffener ( d ) to the siderail ( b ). 7. disconnect the switch panel cable ( e ) from the siderail control rc. board ( f ). 8. disconnect the siderail cables ( g ) from the siderail control rc. board ( f ). 9. remove the siderail rc. board ( f ) from the stiffener ( d ). 1. torx® is a registered trademark of acument intellectual properties, llc. careassist® and careassist® es bed service manual ( man @topic:26


replace it immediately. • never use a faulty battery in the monitor. • dispose of batteries in an environmentally - responsible manner. consult the facility administrator or your local philips representative for local arrangements. never dispose of the battery in a normal waste container. • batteries should never remain inside the monitor if they are not used for a long period of time. batteries should always be charged no more than 50 % when stored. note — to maximize the life of the monitor ’ s lithium ion battery, philips recommends that the battery be fully recharged ( overnight ) at least once per month. battery indicators you can check the status of the battery ( level of charge ) by : • the battery led on the monitor • the battery status pane • battery messages and alarms battery led when you first receive the monitor, the battery charge may be low. you should connect the monitor to an ac power source before using it on battery power alone. the charging led on the front panel provides the charging status of the battery. charging led the color of the led shows how much charge remains on the battery : led color charge level green full or nearly full flashing green medium yellow low flashing yellow nearly discharged 6 - 20 performance verification testing performing verification tests battery status pane the battery status pane on the bottom of the lcd screen also indicates battery status. \ ntm battery status battery messages and alarms a technical alarm could indicate a low and / or improperly functioning battery. the following technical alarms indicate a low or problem battery : message description low batt remaining battery power is very low. extreme low batt battery is nearly discharged. temp module malfunc there is a module malfunction. see the error log for details. error could be caused by the battery or power supply voltage being out of range in addition, a service error code could indicate a problem with the battery. service error codes are written to the error log. the following are @topic:11


# # # issue - cuff of the bedside physiologic monitor is damaged and needs to be replaced. # # # impact - the monitor may not be able to accurately measure the patient's vital signs, such as blood pressure, heart rate, and oxygen saturation. this could lead to incorrect treatment decisions and potentially harm the patient. # # # possible causes - the cuff may have been damaged during use, such as by being punctured or torn. - the cuff may have been exposed to harsh chemicals or solvents. - the cuff may have been damaged by excessive heat or cold. # # # recommendations - replace the damaged cuff with a new one. - inspect the cuff regularly for any signs of damage. - avoid exposing the cuff to harsh chemicals or solvents. - avoid exposing the cuff to excessive heat or cold. @topic:5


# # # issue - " automatic repair " message appears on medical cart bdms 01. # # # impact - medical cart bdms 01 is not functioning properly. - hospital staff may be unable to access the medical cart's contents. - patients may not receive the necessary medical attention. # # # possible causes - disk error in the windows operating system. - corrupted or missing system files. - hardware failure. # # # recommendations - * * restart the medical cart. * * this may resolve the issue if it is caused by a temporary software glitch. - * * update the windows operating system. * * this may install important updates that fix compatibility issues and security vulnerabilities. - * * run a virus scan. * * a virus infection could be causing the disk error. - * * check the hardware. * * a loose or damaged component could be causing the issue. - * * contact the manufacturer. * * if the issue persists, contact the manufacturer of the medical cart for further assistance. @topic:13


# # # issue - loose lamp # # # impact - poor visibility during procedures - potential for surgical errors # # # possible causes - improper installation or maintenance - wear and tear - vibration or movement # # # recommendations - ensure proper installation and maintenance of the lamp according to the manufacturer's instructions. - regularly inspect the lamp for any signs of damage or loosening. - install anti - vibration mounts or padding around the equipment to minimize vibration and movement. @topic:12


| issue | impact | possible causes | recommendations | | - - - | - - - | - - - | - - - | | mouse not functioning | unable to use the mouse to navigate the medical cart | mouse is in bluetooth mode instead of 2. 4g mode | switch the mouse to 2. 4g mode | @topic:30


# # # issue : - alarm volume cannot be adjusted to the lowest setting. # # # impact : - alarms may be too loud and startling for patients and staff. # # # possible causes : - the alarm volume setting is locked. - the volume control is not functioning properly. - there is a software issue with the monitor. # # # recommendations : - check the alarm volume setting and ensure that it is not locked. - clean the volume control and test it. - update the monitor software to the latest version. @topic:26


# # # issue - dvd record cannot record data to dvd # # # impact - inability to record and store important medical data and images # # # possible causes - faulty dvd record drive - incompatible dvd format - damaged or defective dvd media - software issues # # # recommendations - verify the dvd record drive is functioning properly by testing it with a known - good dvd. - ensure that the dvd format is compatible with the dvd record drive. - use high - quality, undamaged dvds. - update or reinstall the software associated with the dvd record drive. @topic:12


# # # issue - medical device ( monitor, physiologic, vital signs ) is not functioning properly. # # # impact - the device is unable to accurately monitor the patient's vital signs. - this could lead to a delay in diagnosis and treatment, which could have serious consequences for the patient's health. # # # possible causes - the device may have been damaged during transport from x - ray open ( 1b ) to mri cadiac ( bc ). - the device may not be compatible with the mri machine. - the device may not be properly calibrated. # # # recommendations - inspect the device for any damage. - verify that the device is compatible with the mri machine. - calibrate the device according to the manufacturer's instructions. @topic:2


# # # issue - the issue is that the user interface ( ui ) of the laparoscopic monitor is misaligned, with the image on the screen being offset from the frame of the monitor. # # # impact - the misalignment of the ui could impact the usability of the monitor, making it difficult for the surgeon to visualize and interact with the image on the screen. this could lead to delays in surgery, errors in diagnosis, or even patient harm. # # # possible causes - the most likely cause of the misalignment is a loose or damaged connection between the monitor and the video source. this could be due to a faulty cable, a loose connector, or a problem with the monitor's input circuitry. - another possible cause is a software issue, such as a corrupted driver or a bug in the monitor's firmware. # # # recommendations - to troubleshoot the issue, the technician should first check the connections between the monitor and the video source. if the cables are loose or damaged, they should be replaced. if the connectors are loose, they should be tightened. - if the connections are secure, the technician should try restarting the monitor and the video source. this can help to clear any software glitches that may be causing the misalignment. - if the issue persists, the technician should contact the manufacturer of the monitor for further assistance. @topic:2


# # # issue touchscreen is not responding accurately to user input. # # # impact users may have difficulty operating the device, leading to delays or errors in patient monitoring. # # # possible causes - miscalibration of the touchscreen - dirt or debris on the touchscreen - faulty touchscreen hardware # # # recommendations 1. * * calibrate the touchscreen : * * use the built - in calibration tool to align the touchscreen with the physical location of the user's touch. 2. * * clean the touchscreen : * * use a soft, lint - free cloth and a mild cleaning solution to remove any dirt or debris. 3. * * inspect the touchscreen hardware : * * if calibration and cleaning do not resolve the issue, inspect the touchscreen hardware for any visible damage or loose connections. 4. * * replace the touchscreen : * * if the touchscreen hardware is damaged, replace it with a new one. 5. * * update the device firmware : * * check if there is a firmware update available for the device. installing the latest firmware may resolve touchscreen - related issues. @topic:2


# # # issue the device is not functioning properly. # # # impact the device is not able to accurately monitor the patient's vital signs. this could lead to incorrect treatment decisions being made. # # # possible causes the most likely cause of the failure is the replacement of the battery. it is possible that the battery was not properly installed or that it is not compatible with the device. # # # recommendations the technician should check the battery to ensure that it is properly installed and that it is the correct type of battery. if the battery is not the issue, the technician should further troubleshoot the device to determine the cause of the failure. @topic:11


will always record the currently selected anesthetic agent. - for high - resolution recordings only the any agent setting is available. 61 28 recording overlap : define whether the recorded waveforms will be printed overlapping or beside each other. speed : choose the recording print speed. • • time delay time : delayed recordings start documenting on the recorder strip from a pre - set before the recording is started. this interval is called the " delay time " and can be set as specified in " overview of recording types " on page 360. this setting can only be changed in configuration im • mode. run time : see how long this type of recording is configured to run. this setting can only be changed in configuration mode. continuous recordings run indefinitely. central config : if available in the general menu, select this setting to use the recording settings made ected recorder. the ecg gain setting in the general recording setup window defines how every recorded ecg wave, irrespective of template or recording type, will appear on the recorder strip. this does not affect the displayed ecg wave, or printed ecg reports. to change the ecg gain setting for recordings, g menu select general. 1 1 select ecg gain. 2 select the required setting : 3 auto : the wave recording will use the same scale as the ecg wave on the monitor scree5 mm / mv, 10 mm / mv, 20 mm / mv : the wave recording will use a scale of 5, 10, or 20 millimeters millivolt. per manually - started recordings have priority over automatically - started recordings. if an automatically - triggered alarm recording is running, and a realtime or delayed recording is manually started, the alarm recording is stopped and the manually - requested recording is started. more recent manually - started recordings have priority over older manually - started recordings. if a manually - started recording is running, and another manually - started @topic:8


# # # issue - ekg lead wire is damaged. # # # impact - inability to accurately monitor patient's electrocardiogram. # # # possible causes - physical damage to the lead wire, such as cuts, tears, or kinks. - electrical damage to the lead wire, such as a short circuit or a break in the wire. - age and wear of the lead wire. # # # recommendations - inspect the lead wire for any visible damage. - test the lead wire using a lead wire tester. - replace the lead wire if it is damaged. - handle and store the lead wire carefully to prevent damage. @topic:18


# # # issue - cuff bp ( blood pressure ) on the philips suresigns vs2 + vital signs monitor is defective. # # # impact - the defective cuff bp may result in inaccurate blood pressure readings, which could lead to improper medical decisions. # # # possible causes - the cuff bp may have been damaged during use. - the cuff bp may have been subjected to excessive wear and tear. - the cuff bp may have been improperly stored. # # # recommendations - replace the defective cuff bp with a new one. - inspect the cuff bp regularly for signs of damage or wear and tear. - store the cuff bp in a cool, dry place. @topic:15


# # # issue - * * keypad failure * * on a huntleigh enterprise 8000 electric bed. # # # impact - the bed may not be able to be operated properly, which could affect patient care. # # # possible causes - the keypad may have been damaged due to frequent use of the bed's up / down controls. # # # recommendations - inspect the keypad for any visible damage. - if the keypad is damaged, replace it. - train staff on proper use of the bed's controls to prevent further damage. @topic:25


# # # issue : unable to weigh patients # # # impact : inaccurate patient weight measurements, potentially affecting treatment decisions and patient safety. # # # possible causes : - * * hardware failure : * * malfunctioning load cells or weighing mechanisms. - * * software issues : * * corrupted or outdated software, causing communication errors between components. - * * electrical problems : * * faulty wiring or connections, affecting power supply to the weighing system. - * * user error : * * improper setup or calibration of the bed, leading to incorrect measurements. - * * environmental factors : * * extreme temperatures or humidity, interfering with the accuracy of the weighing mechanisms. # # # recommendations : - * * troubleshooting : * * - reset the bed and retest to verify if it resolves the issue. - check for any loose or damaged wires or connections. - ensure the bed is properly calibrated according to manufacturer's instructions. - * * comprehensive inspection : * * - if troubleshooting does not resolve the issue, perform a thorough inspection of the hardware, software, and electrical components. - * * component replacement : * * - replace any faulty load cells, weighing mechanisms, or electrical components as necessary. - * * calibration and verification : * * - recalibrate the bed and verify its accuracy using known weights or a calibration tool. - * * user training : * * - ensure that staff are properly trained on the operation and calibration of the bed to prevent user error. - * * regular maintenance : * * - conduct regular preventive maintenance to identify potential issues and address them proactively. @topic:25


# # # issue - failed to turn on the tele program - transfer ping not found - hard disk failure # # # impact - inability to monitor patient's vital signs centrally - potential for delayed or missed medical interventions - loss of data and potential corruption of other files # # # possible causes - hard disk failure - loose or damaged lan cable - software corruption or compatibility issues - power supply issues - hardware malfunction # # # recommendations - replace the hard drive - inspect and secure lan cable connections - update or reinstall software - check power supply and ensure proper voltage - contact the manufacturer or qualified technician for further troubleshooting and repair @topic:16


# # # issue - spo2 probe is not detecting oxygen saturation # # # impact - inability to monitor patient's oxygen saturation levels - delays in diagnosis and treatment - compromised patient safety # # # possible causes - loose or disconnected spo2 probe - damaged spo2 probe - faulty spo2 cable - incorrect placement of spo2 probe on patient - interference from other devices - electrical issues # # # recommendations - ensure the spo2 probe is securely connected to the patient and the monitor. - inspect the spo2 probe and cable for any damage or loose connections. - check the electrical connections of the monitor and spo2 probe. - rule out interference from other devices by moving the monitor and patient to a different location. - try using a different spo2 probe to eliminate the possibility of a faulty probe. - refer to the manufacturer's instructions for proper placement and use of the spo2 probe. @topic:4


* * issue : * * battery on medical cart indicates - 1 % charge * * impact : * * medical cart may not function properly if battery is not charged * * possible causes : * * * * * battery is not properly seated in the cart. * * this can happen if the battery is not securely fastened or if the cart is not level. * * * battery is defective. * * this can happen if the battery is old or if it has been damaged. * * * charging system is not functioning properly. * * this can happen if the charger is not plugged in or if the charging system is damaged. * * * software issue. * * this can happen if the software that controls the battery is not functioning properly. * * recommendations : * * * * * reseat the battery. * * make sure that the battery is securely fastened in the cart and that the cart is level. * * * check the battery. * * if the battery is old or damaged, it may need to be replaced. * * * check the charging system. * * make sure that the charger is plugged in and that the charging system is functioning properly. * * * contact the manufacturer. * * if the problem persists, contact the manufacturer of the medical cart for assistance. @topic:13


# # # issue - cuff leakage in vital signs monitor # # # impact - inaccurate blood pressure measurements - potential for patient harm due to incorrect diagnosis or treatment # # # possible causes - physical damage to the cuff ( e. g., tear, puncture ) - worn or deteriorated cuff material - improper cuff inflation or deflation - loose or damaged tubing connections # # # recommendations - * * immediate actions : * * - replace the cuff with a new one. - test the monitor to ensure proper functionality. - * * root cause investigation : * * - inspect the cuff for any visible damage. - check the tubing connections for leaks. - review the maintenance history of the monitor to identify any potential underlying issues. - * * preventive measures : * * - implement a regular maintenance schedule for all vital signs monitors. - train staff on proper cuff usage and maintenance techniques. - regularly monitor the condition of cuffs and replace them when necessary. - consider using cuffs with anti - leakage features or materials. @topic:3


# # # issue - cuff of the physiologic bedside monitor is damaged. # # # impact - the monitor may not be able to accurately measure blood pressure, which could lead to incorrect treatment decisions. # # # possible causes - the cuff may have been damaged due to improper use, such as over - inflation or deflation. - the cuff may have been damaged due to a manufacturing defect. # # # recommendations - replace the cuff with a new one. - train staff on proper use of the monitor to prevent future damage to the cuff. @topic:5


# # # issue - the hospital bed is not responding to button commands. # # # impact - patients cannot be repositioned or moved as needed. - nurses and other medical staff cannot perform their jobs efficiently. # # # possible causes - faulty button control board - loose or damaged wires - power supply issue - software glitch # # # recommendations - replace the button control board - inspect and repair or replace any loose or damaged wires - check the power supply and ensure it is functioning properly - update the software if necessary @topic:7