# # # issue * cuff bp ( blood pressure cuff ) is defective. # # # impact * the device cannot accurately measure blood pressure. * this can lead to incorrect diagnosis and treatment decisions. # # # possible causes * the cuff may be damaged or punctured. * the cuff may be the wrong size for the patient. * the cuff may not be properly attached to the patient. # # # recommendations * inspect the cuff for damage or punctures. * ensure that the cuff is the correct size for the patient. * properly attach the cuff to the patient. * replace the cuff if necessary. @topic:3


all electrodes are measured automatically and the results are shown in the bis window. 86 19 monitoring bis is module 1? bis bisx 2 3 patient interface cable 3 bis bis sensor 4 if you are monitoring bis using the bisx, 1 connect the bisx to the bis module a. b. use the clip on the rear of the bisx to affix it in a position convenient for your patient, not above the patient's head. attach the bis sensor to the patient following the instructions supplied with the sensor. 2 make sure that the patient's skin is dry. be aware that a wet sensor or a salt bridge may cause erroneous bis and impedance values. a variety of sensors are available for use in the or and icu environments. caution ensure that the bisx does not come into prolonged contact with your patient's skin, as it may mfort. the bisx may remain connected to a patient during defibrillation as long as the sensor is not located between the defibrillator pads. attach the patient interface cable ( pic ) to the bisx. 3 connect the bis sensor to the pic. 4 as soon as a valid sensor is detected, the impedances of all electrodes are measured automatically and the results are shown in the bis window. manufacturer's information bis engine, dsc, bisx, the patient interface cable and the bis sensors are manufactured by covidien llc. 287 9 monitoring bis bis continuous impedance check this checks : the combined impedance of the signal electrodes plus the reference electrode. • this is done continuously and does not affect the eeg wave. as long as the impedances are within the valid range, there is no notification of this check or its results.. wave, this is done every ten minutes and takes approximately 4 seconds. it causes an artifact in the eeg and the message ground check @topic:10


# # # issue cuff bp does not release air completely. # # # impact - patient discomfort - inaccurate blood pressure measurements - prolonged blood pressure measurement time # # # possible causes - damaged or blocked air release valve - kinked or obstructed air hose - malfunctioning cuff pump - software or firmware issues # # # recommendations - inspect the air release valve for damage or blockages. clean or replace the valve if necessary. - check the air hose for kinks or obstructions. replace the hose if necessary. - test the cuff pump for proper function. repair or replace the pump if necessary. - update the software or firmware if available. - calibrate the device according to the manufacturer's instructions. - document the repair and any recommendations for further preventive maintenance. @topic:3


# # # issue - biomedical engineer ( bme ) discovered that the bedside physiologic monitor is not displaying ekg readings due to a broken lead ll cable. # # # impact - inability to accurately monitor patient's ekg, potentially impacting diagnosis and treatment decisions. # # # possible causes - * * broken lead ll cable : * * the cable connecting the patient to the monitor may have become damaged or severed, preventing the transmission of ekg signals. - * * loose connection : * * the lead ll cable may not be securely connected to either the patient or the monitor, causing intermittent or no readings. - * * malfunction in monitor : * * the monitor itself may have a fault that is preventing it from processing the ekg signals from the lead ll cable. # # # recommendations - * * replace lead ll cable : * * obtain a new lead ll cable and replace the damaged or broken one. - * * check connections : * * ensure that the lead ll cable is securely connected to both the patient and the monitor. - * * troubleshoot monitor : * * if replacing the lead ll cable and checking connections do not resolve the issue, troubleshoot the monitor according to manufacturer's instructions to identify any potential malfunctions. @topic:18


# # # issue - the philips suresigns vsi monitor is displaying low systolic and diastolic blood pressure readings. # # # impact - incorrect blood pressure readings can lead to inaccurate patient assessment and treatment, potentially compromising patient safety. # # # possible causes * * 1. cuff - related issues : * * - loose or improperly attached cuff - cuff too small or too large for the patient's arm - air leak in the cuff * * 2. equipment malfunction : * * - faulty sensor or transducer - malfunctioning pressure gauge - electrical or software issues * * 3. patient factors : * * - hypotension ( low blood pressure ) - arrhythmias ( irregular heartbeats ) - peripheral vascular disease ( narrowing of arteries ) * * 4. user error : * * - incorrect cuff placement or inflation technique - misinterpretation of readings # # # recommendations - * * check the cuff : * * ensure it is the correct size, properly attached, and has no air leaks. - * * inspect the equipment : * * examine the transducer, pressure gauge, and electrical connections for any visible damage or malfunctions. - * * verify patient factors : * * check for hypotension or other conditions that could affect blood pressure readings. - * * train users : * * provide proper training on cuff placement and inflation techniques, as well as interpreting readings accurately. - * * calibrate the equipment : * * regularly calibrate the monitor with a certified pressure measurement standard to ensure accuracy. - * * consult the manufacturer : * * if the issue persists, contact the equipment manufacturer for further troubleshooting or repair. @topic:15


# # # issue - test failure after installing the 4k set with the beacon monitor ( temporary ) ( devices installed to work together : bmc18159 / 7, bmc18159 / 8, bmc16258, bmc16252, bmc16253, bmc16254, bmc16255, bmc18159 / 4 ) # # # impact - the orbht department is unable to use the icg set as planned. # # # possible causes - the 4k set is not compatible with the beacon monitor. - the signal cables were not properly connected. - there is a problem with one of the devices that are connected to the 4k set or beacon monitor. - installation errors # # # recommendations - ensure that the 4k set is compatible with the beacon monitor. - verify that the signal cables are properly connected. - test each of the devices that are connected to the 4k set or beacon monitor to identify the source of the problem. - ensure that the installation was done correctly. @topic:16


# # # issue - central monitor is not linking with the system. # # # impact - the central monitor is not able to receive data from the bedside monitors, which could lead to delays in patient care. # # # possible causes - the ci address in the bedside monitor is not set correctly. - the server has a problem. # # # recommendations - set the ci address in the bedside monitor to the correct value. - setup a new ci address on the server @topic:16


# # # issue - faulty spo2 cable # # # impact - inability to monitor patient's oxygen saturation levels # # # possible causes - damaged cable - loose connections - incompatible cable # # # recommendations - replace the spo2 cable with a new one. - ensure that the cable is securely connected to both the patient and the monitor. - check the compatibility of the cable with the monitor and the patient's spo2 sensor. - inspect the cable for any visible damage. @topic:4


for your patient. this may cause interference on the respiration or invasive pressure measurements. you can measure pressure using an x1 or x2 multi - measurement module ( mms ), one of the mmextensions or the pressure plug - in module - labeled as press. with the plug - in module you may see a wave channel before the pressure cable is plugged in - with the mms this will not be the case. cable. 1 2 flush the system to exhaust all air from the tubing. ensure that the transducer and stopcocks are free of air bubbles. 3 warning if air bubbles appear in the tubing system, flush the system with the infusion solution again. air bubbles may lead to a wrong pressure reading. connect the pressure line to the patient catheter. 4 if you are using an infusion pressure cuff with the pressure line, attach the pressure cuff to the fluid to be infused. inflate it according to your standard hospital procedure, then start the infusion. 5 6 position the transducer so that it is level with the heart, approximately at the level of the 213 warning if measuring intracranial pressure ( icp, ic1 or ic2 ) with a sitting patient, level the transducer with the top of the patient's ear. incorrect leveling may give incorrect values. selecting a pressure for monitoring tell the monitor the source of the pressure you want to monitor by selecting an appropriate pressure label. the label is a unique identifier for each type of pressure. when you choose a label, the monitor uses that label's stored settings, for example color, wave scale and alarm settings. the label also determines which algorithm is used to process the pressure signal, so an incorrect label can lead to pressure values. in the setup < press label > menu, select label. 1 2 description label arterial blood arterial blood pressure ( @topic:17


select mode to open the mode window. select auto or manual mode. 2 note auto mode is not available if the ptc or dbs stimulation mode is selected. selecting the repeat time ( only available in auto mode ) repeat time allows you to select the time intervals between automatic nmt measurementsnote this function is not available in the ptc and dbs mode. in the setup nmt window : 1 select repeat time to open the repeat time window. select the required setting. 2 to set the stimulation current. in the setup nmt window : 1 select current to open the current window. select the required setting. 2 if you are modifying a previously calibrated current, select confirm. 3 caution changing the stimulation current after calibration invalidates the stored reference data. 298 setting a pulse width sets the duration of the stimulation pulse. : click on pulse width to open the pulse width window. 1 2 select the required setting. select confirm if you wish to modify a previously calibrated pulse width. 3 caution changing the stimulation pulse after calibration invalidates the stored reference data. value lifetime displays the time after which an nmt numeric value disappears from the resting display. the value lifetime setting is visible ( grayed out ) in the setup nmt window. the setting can only be nmt tone volume enters a list of selections to adjust the audio volume of the nmt stimulation tone. if not zero, each nmt stimulation pulse is indicated by a short beep. you can change the nmt tone volume in the setup nmt window. alarms tofcnt high limit alarm in the setup nmt window : 1 select the tofcnt high lim. 2 select limit : 0, 1, 2, 3. nmt alarm suppress depending upon your configuration, the tofcnt high alarm maybe supphas reached 0 for the first time. this setting can only be changed in the @topic:8


# # # issue - monitor is unresponsive or frozen. # # # impact - inability to monitor patient's vital signs. # # # possible causes - software glitch - hardware failure # # # recommendations - restart the monitor. - if the monitor does not restart, check the power supply and connections. - if the monitor still does not restart, contact the manufacturer's technical support. # # # additional information - the cause of failure is listed as " monitor freeze ". this could be due to a software glitch or a hardware failure. - the band and model of the monitor are not specified in the input. this information could be helpful in troubleshooting the issue. @topic:2


# # # issue - the electric bed is not adjustable. # # # impact - patients may not be able to get in or out of bed safely. - nurses and other caregivers may have difficulty positioning patients. # # # possible causes - the bed's power supply may be interrupted. - the bed's motor may be damaged. - the bed's control panel may be malfunctioning. - the bed's software may be corrupted. # # # recommendations - check the bed's power supply to make sure it is plugged in and turned on. - inspect the bed's motor for any signs of damage. - check the bed's control panel to make sure it is functioning properly. - contact the bed's manufacturer for technical support. @topic:1


# # # issue - connector detached from the device # # # impact - the device cannot measure and display vital signs accurately. # # # possible causes - the connector was not properly secured during the previous use. - the connector was damaged during storage or transportation. - the device was subjected to excessive force or vibration. # # # recommendations - ensure that the connector is properly secured before using the device. - inspect the connector for damage before and after each use. - handle the device with care to avoid damage to the connector. - if the connector is damaged, replace it with a new one. @topic:2


# # # issue - bed is not adjusting properly. # # # impact - patient discomfort - delayed treatment - increased risk of injury # # # possible causes - power outage - loose wiring - broken remote control - malfunctioning motor - software glitch # # # recommendations - check the power supply. - inspect the wiring for any loose connections. - test the remote control. - contact the manufacturer for assistance in repairing or replacing the motor. - update the software to the latest version. @topic:1


# # # issue - the electric bed's head cannot be adjusted. # # # impact - the patient may not be able to get into or out of bed safely. - the patient may not be able to be positioned comfortably. # # # possible causes - the motor that adjusts the head of the bed is not working properly. - the wiring to the motor is damaged. - the control panel is not working properly. - the bed frame is damaged. # # # recommendations 1. check the motor to see if it is working properly. 2. check the wiring to the motor for any damage. 3. check the control panel to see if it is working properly. 4. inspect the bed frame for any damage. 5. replace any damaged parts. 6. test the bed to make sure that it is working properly. @topic:1


# # # issue - discolored display on monitors lcd s5583p # # # impact - impaired visibility of medical data and images - potential diagnostic errors or delayed treatment # # # possible causes - malfunctioning display panel - incorrect rgb settings - software or firmware issues - interference from external devices # # # recommendations - * * verify display panel : * * inspect the display panel for any physical damage, scratches, or other defects. - * * check rgb settings : * * ensure that the rgb values are correctly calibrated. consider performing a " white balance " adjustment as recommended by kosin. - * * update software / firmware : * * check for any available software or firmware updates for the monitor. install updates as necessary. - * * eliminate external interference : * * check if any other nearby devices are emitting electromagnetic interference that could affect the monitor's display. - * * consult with kosin : * * if the issue persists after following the above steps, contact kosin for further assistance or potential component replacement. @topic:2


# # # issue - battery failure # # # impact - monitor may not be able to operate in case of power outage - patient transport may be delayed or interrupted # # # possible causes - battery has reached the end of its lifespan - battery is not properly installed - battery is not charging properly # # # recommendations - replace the battery per exact specifications ( 10. 8 v lithium ion ) - verify that the battery is installed correctly - ensure the battery is charging properly @topic:11


* * issue : * * saturation ( spo2 ) probe failure * * impact : * * monitoring patient's oxygen saturation levels is compromised. * * possible causes : * * - broken or damaged spo2 probe cable ( as indicated in the " cause of failure " field ) - loose connections between the probe and the monitor - malfunctioning monitor - interference from external sources ( e. g., electromagnetic radiation ) * * recommendations : * * 1. * * check the spo2 probe cable : * * inspect the cable for any visible damage or breaks. replace the cable if it is found to be faulty. 2. * * secure connections : * * ensure that the probe is properly connected to the monitor and that all cables are securely fastened. 3. * * troubleshoot the monitor : * * verify if the monitor is functioning correctly by testing it with a known - good spo2 probe. if the monitor is found to be faulty, contact the manufacturer for repair or replacement. 4. * * mitigate external interference : * * identify and minimize any potential sources of electromagnetic interference that may disrupt the spo2 signal. @topic:4


# # # issue - equipment : central monitor - brand : hewlett packard - model : m3150a - description : blank display leading to backup display being used. # # # impact - inability to monitor patient vitals, resulting in potential delays in diagnosis and treatment. - reduced efficiency in patient care due to limited visibility of patient data. # # # possible causes - faulty display panel - malfunctioning power supply to the display - loose or damaged cables connecting the display to the monitor - software errors or hardware defects within the monitor # # # recommendations - replace the faulty display panel if necessary - inspect and replace the power supply or cables if damage is detected - update software or replace the monitor if hardware defects are identified - regularly inspect and maintain equipment to prevent similar issues in the future @topic:2


# # # issue - monitor unable to power on or maintain power. - vital signs measurements may not be accurate or reliable. # # # impact - delay in patient care - patient safety compromised # # # possible causes - faulty battery - battery not properly installed - battery not compatible with the device - battery not adequately charged # # # recommendations - test the battery to ensure it is functioning properly. - verify that the battery is installed correctly according to the manufacturer's instructions. - ensure that the battery is compatible with the device. - charge the battery fully before using it. - bme should follow sop for replacement of batteries in medical device @topic:11


# # # issue - equipment not functioning properly due to missing air hose and cuff, and deteriorated original cuff. # # # impact - inability to use the equipment for patient monitoring, leading to potential delays in diagnosis and treatment. # # # possible causes - missing or damaged air hose and cuff could be due to improper storage, mishandling, or natural wear and tear over time. - deterioration of the original cuff could be caused by repeated use, improper cleaning, or exposure to harsh chemicals or environments. # # # recommendations - * * replace air hose and cuff : * * order and install new air hose and cuff to ensure proper operation of the equipment. - * * regular inspection and maintenance : * * establish a regular schedule for inspecting and maintaining medical devices to identify and address any potential issues early on. - * * proper handling and storage : * * train staff on the proper handling and storage of medical devices to minimize the risk of damage or loss of components. - * * documentation : * * keep records of inspections, repairs, and replacements to track maintenance history and identify recurring issues. @topic:5


# # # issue - jack 연결 모듈 작동 안 [UNK] # # # impact - 환자 모니터링 장비의 정확하고 [UNK] 수 [UNK] 작동에 [UNK] 미칠 수 [UNK] # # # possible causes - 결함 [UNK] 잭 - [UNK] 와이어 [UNK] 케이블 - 모듈의 [UNK] 연결 - 전력 공급 문제 # # # recommendations - 결함이 [UNK] 잭 교체 - 와이어 [UNK] 케이블 검사 [UNK] 교체 ( 필요한 경우 ) - 모듈 다시 연결 확인 - 전력 공급 확인 [UNK] 문제 해결 ( 필요한 경우 ) @topic:12


# # # issue : tv not connected to central # # # impact : monitor data not being displayed on central station # # # possible causes : - faulty connection between tv and central station - incorrect settings on tv or central station - interference from other devices # # # recommendations : - check and secure all physical connections between tv and central station - verify proper settings on tv and central station - eliminate potential sources of interference ( e. g., other wireless devices, power surges ) @topic:16


# # # issue - cuff is not inflating # # # impact - unable to measure vital signs accurately # # # possible causes - faulty cuff - loose or damaged air hose - air leak in the system - malfunctioning pump # # # recommendations - replace the cuff with a new one. - inspect the air hose for any loose connections or damage and replace if necessary. - check the system for any air leaks and seal them accordingly. - service the pump if it is suspected to be malfunctioning. @topic:5


and equipment, but also offering the possibility to keep the multi - measurement module at the current bed for use with the next patient ( with the warning before doing a transfer ensure that no other patient is using the destination bed and / or equipment from the destination bed. when a patient is transferred you need to check that the patient has all the required monitoring piic ix 1 connect the multi - measurement module to the patient monitor at the destination bed. a question window will open, asking whether you want to transfer the patient to this bed. select the yes pop - up key to complete the transfer. 2 piic ix if the monitor at the destination bed is not free : select the patient name field at the top of the monitor to open the patient demographicwindow. 1 select new patient to free up the monitor. 2 system. 3 select find patient and enter your patient's name to get the patient data from the when you select your patient from the list, you will be asked to confirm that the patient should be transferred into this bed. after confirmation the transfer is complete. ystem. transferring a centrally - monitored patient piic scenario : a centrally - monitored patient is moved to another monitoring location on the same information center database server without interrupting the collection of patient trend information. 1 before you disconnect the mms from the monitor, select the patient name field or select the patient demogr. smartkey to open the patient demographics window, then select the transfer pop - up key. if the patient is not admitted or not monitored by an information center, the transfer key is inactive ( " grayed - out " ). 2 remove the mms and any connected extensions from the monitor. 3 silence the resulting mms unplugged inop. 4 connect the mms to the transport monitor and monitor your patient during the move. 1 5 managing patients and equipment at the new location, connect the mm @topic:10


# # # issue - physiologic monitor ( bedside ) device is not sending signals to the central monitoring equipment. # # # impact - the central monitoring system will not receive data from the patient. - this can lead to delays in treatment or even misdiagnosis. # # # possible causes - the cable connecting the device to the central monitoring system is not properly connected or damaged. - the device is not properly configured to send signals to the central monitoring system. - the central monitoring system is not properly configured to receive signals from the device. - the device is malfunctioning. # # # recommendations - check the cable connecting the device to the central monitoring system and make sure it is properly connected and undamaged. - check the device's configuration to make sure it is properly configured to send signals to the central monitoring system. - check the central monitoring system's configuration to make sure it is properly configured to receive signals from the device. - if the device is still not sending signals to the central monitoring system, it may be malfunctioning and should be replaced. @topic:2


) ) 19 : 15 02 / 07 / 2020 bed mb c / 1 emporary display at add / remove part100 g reset / tare new patienbefore installing a new patient, it is necessary to erase the preceding patient's data. 1. press parameters on the gci. press new patient. 2. new this function deletes the history, deactivates the various alerts and performs a reset / tare operation. patient preparing the bed for a reset / tare operation * or initializing the beexit alerts system * 1. ensure the bed is on a flat surface and that the frame is horizontal ( + / - 2° ). check that the transport chock protecting the weigh system have been removed from their housing. 2. hill - rom recommend to keep the transport chocks. in order to protect the weigh system, they can be re - used in case of bed transfer to another place or building. install the mattress, cushions, sheets and blankets, and all other accessories that bed. 3. the weight of these additional articles must not exceed 65 kg or 45 kg, depending on the destination of the product and the maximum patient weight ( see " technical specifications " page 10 ). no more than 39 kg must be added at a time. age 42 check that neither the mattress nor any accessories are touching the fixed parts of the bed ( and in particular the head section ) and that no traction is applied to the parts installed above and below the sleep surface ( e. g., power cable and air mattress pipes ). if necessary, remove the headboard. 4. headboard ncorrect positiocorrect positiozero / tare 1. press scale on the gci. e - 0. 5kg - min 10kg - max 250kg press zero / tare. 2. @topic:9


* * issue : * * the medical cart is displaying an error message of " - 1. " * * impact : * * the medical device may not be functioning properly or may be unsafe to use. * * possible causes : * * - the technician did not replace the serviceport number correctly. - the serviceport number is not configured correctly. - the medical cart is not receiving power. - there is a problem with the medical cart's hardware or software. * * recommendations : * * - check that the serviceport number has been replaced correctly. - configure the serviceport number correctly. - check that the medical cart is receiving power. - inspect the medical cart for any physical damage or loose connections. - if the problem persists, contact the manufacturer for technical support. @topic:13


# # # issue - * * control box failure * * resulting in inability to adjust the bed. # # # impact - * * patient discomfort and reduced mobility * * due to inability to adjust the bed to a comfortable or functional position. # # # possible causes - * * power supply issues : * * electrical problems, power surges, or loose connections can disrupt power to the control box. - * * component failure : * * malfunctioning components within the control box can cause it to fail, such as damaged wiring, faulty switches, or compromised circuitry. - * * software errors : * * software glitches or bugs in the control system can result in incorrect signals being sent to the bed's motors. # # # recommendations - * * electrical troubleshooting : * * inspect power cables, sockets, and connections for any loose or damaged elements. ensure a stable power supply. - * * component inspection and repair : * * disassemble the control box and inspect its components for visual signs of damage ( e. g., burnt wires, broken switches ). repair or replace any faulty components. - * * software diagnostics and updates : * * run diagnostics to identify any software errors or bugs. install firmware updates or troubleshoot the software with the manufacturer's support. - * * regular maintenance and inspection : * * implement a schedule for regular maintenance and inspection of the bed and control box to detect any potential issues early on. @topic:9


# # # issue - battery reached end of life and needs to be replaced. # # # impact - device will not be able to operate without a functioning battery. # # # possible causes - battery has been in use for an extended period of time. - battery has been subjected to extreme temperatures or other environmental conditions that have damaged it. - battery has been overcharged or discharged, which has shortened its lifespan. # # # recommendations - replace the battery with a new one of the same type and capacity. - charge the battery for the recommended amount of time before using it. - avoid exposing the battery to extreme temperatures or other environmental conditions that could damage it. - do not overcharge or discharge the battery. @topic:11


# # # issue - the philips suresigns vs4 monitors are measuring temperature incorrectly, resulting in high temperature readings. # # # impact - inaccurate temperature readings can lead to misdiagnosis and improper treatment. # # # possible causes - * * malfunctioning temperature sensor : * * the temperature sensor in the device is not working properly, leading to incorrect readings. - * * calibration error : * * the device has not been calibrated or was calibrated incorrectly, resulting in inaccurate measurements. - * * connection issues : * * the temperature sensor may not be properly connected to the device, [UNK] [UNK] [UNK] [UNK] [UNK] [UNK] 。 - * * environmental factors : * * extreme temperatures or electromagnetic interference can affect the accuracy of the temperature readings. # # # recommendations - * * verify temperature sensor : * * clean the temperature sensor and check its connections to ensure proper functioning. - * * calibrate the device : * * perform a full calibration of the device according to the manufacturer's instructions. - * * inspect connections : * * check all electrical connections related to the temperature sensor and the device to ensure they are secure and free of damage. - * * monitor environmental conditions : * * ensure that the device is operated within the recommended temperature and humidity range and away from sources of electromagnetic interference. - * * consult manufacturer : * * contact the manufacturer for technical support and troubleshooting guidance. @topic:20


# # # issue : - inability to adjust the bed due to a faulty remote control. # # # impact : - patient discomfort and inconvenience - potential delays in patient care - reduced efficiency for healthcare providers # # # possible causes : - malfunctioning remote control due to : - electrical issues - battery failure - mechanical damage - software glitches - compatibility issues between the remote control and the bed - external interference from other devices or power fluctuations # # # recommendations : - * * immediate actions : * * - * * replace the remote control : * * swap out the faulty remote control with a known working one. - * * test functionality : * * verify that the replacement remote control operates the bed as intended. - * * preventive measures : * * - * * regular maintenance : * * conduct routine inspections of the remote control and bed for any signs of wear or damage. - * * train staff : * * ensure that staff are properly trained on the use and maintenance of the bed and remote control. - * * consider alternative controls : * * explore options for alternative control mechanisms, such as wired or app - based controllers, to minimize the impact of remote control failure. - * * further investigation : * * - if the replacement remote control does not resolve the issue, investigate potential electrical or compatibility problems : - check electrical connections and voltage stability. - ensure compatibility between the remote and the bed. @topic:7


# # # possible cause of spoz not working within given input context - the spo2 sensor may be faulty or damaged. - the spo2 sensor may not be properly connected to the monitor. - the spo2 sensor may be incorrectly placed on the patient's finger. - the patient's finger may be too cold or too dark for the spo2 sensor to get a reading. # # # recommendations - * * check that the spo2 sensor is properly connected to the monitor. * * - * * make sure that the spo2 sensor is correctly placed on the patient's finger. * * - * * warm up the patient's finger if it is cold. * * - * * if the spo2 sensor is still not working, replace it with a new one. * * @topic:4


* * issue : * * keypad on the head end of the bed is faulty. * * impact : * * - inability to adjust the bed position. - patient discomfort or safety hazard due to improper bed positioning. - reduced efficiency and productivity for healthcare staff. * * possible causes : * * - * * mechanical failure : * * damage to the keypad buttons or internal components due to excessive wear and tear or accidental impact. - * * electrical failure : * * short circuits, loose connections, or power fluctuations leading to keypad malfunction. - * * software glitch : * * bugs or errors in the software controlling the keypad functionality. - * * environmental factors : * * extreme temperature, humidity, or exposure to liquids or chemicals that can affect the keypad's performance. - * * user error : * * mishandling or incorrect operation of the keypad, resulting in damage or improper function. * * recommendations : * * - inspect the keypad for any visible damage or loose connections. - clean the keypad surface to remove any dirt or debris that may interfere with its operation. - check the electrical connections to ensure they are secure and not damaged. - reset the bed controller or software to address potential software glitches. - calibrate the keypad to verify its proper functioning and response to user inputs. - educate healthcare staff on proper handling and operation of the bed keypad to prevent future damage. @topic:25


# # # issue - cuff bp leaking # # # impact - inaccurate or unreliable blood pressure measurements # # # possible causes - damaged cuff fabric - loose or damaged cuff connections - worn or cracked cuff tubing - malfunctioning pressure sensor # # # recommendations - inspect the cuff for any physical damage or wear. - ensure that the cuff connections are secure and tight. - replace any damaged or cracked tubing. - calibrate and test the pressure sensor to ensure proper accuracy. - regularly inspect and maintain the monitor and its accessories to prevent future failures. @topic:3


" display side " to the panel adapter board as shown below. note when replacing the panel adapter board, the monitor must have the ( hardware ) serial number reloaded. support tool mark2 is required to perform this task. for details please refer to the support tool instructions for use. removing the alarm led board ( mx450 / mx500 ) 1 separate the front and back of the monitor as described in “ separating the front and back of the monitor ” on page 146. 2 if short range radio boards are installed, disconnect the short range radio connector ( s ) from the panel adapter board. 155 [ 5 repair and disassembly ] 3 remove the screws from the two clamps holding the display housing frame. 4 release the two clamps by pushing them upwards. 5 release the latch at the bottom of the frame by pushing it forwards, then lift up the frame. 6 disconnect the alarm led connector from the panel adapter board. 156 5 repair and disassembly ) 7 remove the two screws from the alarm led board. 8 remove the alarm led board. removing the alarm led board ( mx550 ) 1 separate the front and back of the monitor as described in “ separating the front and back of the monitor ” on page 146. 2 if short range radio boards are installed, disconnect the short range radio connector ( s ) from the panel adapter board. 157 [ 5 repair and disassembly ] 3 remove the screws from the two clamps holding the display housing frame. 4 release the two clamps by pushing them upwards. 5 release the latch at the bottom of the frame by pushing it forwards, then lift up the frame. 6 disconnect the alarm led connector from the panel adapter board. 158 5 repair and disassembly ) 7 remove the two screws from the alarm @topic:19


# # # issue : spo2 cable breakage # # # impact : - loss of oxygen saturation monitoring - patient safety risk - inconvenience and delay in patient care # # # possible causes : - physical damage to cable ( e. g., cuts, tears, kinks ) - corrosion or oxidation of cable connectors - loose connections - incorrect handling or storage of cable # # # recommendations : - inspect cables regularly for damage or wear. - ensure proper handling and storage of cables. - tighten any loose connections. - replace damaged cables promptly. - conduct regular preventive maintenance on equipment to identify and address potential cable issues. @topic:4


# # # issue the patient requires a larger blood pressure cuff. # # # impact the patient may not receive accurate blood pressure readings if they are using a cuff that is too small. this could lead to incorrect treatment decisions. # # # possible causes - the patient has a larger arm circumference than the standard cuff size. - the patient is obese. - the patient has a lymphedema. # # # recommendations - replace the cuff with a larger size. - ensure that the cuff is properly inflated. - monitor the patient's blood pressure readings closely. @topic:3


# # # issue - the equipment failed to function after replacing the battery. # # # impact - the failure of the equipment could impact patient monitoring and care. # # # possible causes - the replacement battery may not have been of the correct type or voltage. - the battery may not have been properly installed. - there may be other underlying electrical or mechanical issues with the equipment. # # # recommendations - verify that the replacement battery is of the correct type and voltage. - check that the battery is properly installed. - perform a thorough inspection of the equipment for any other potential issues. - if the issue persists, contact the manufacturer for further support. @topic:11


• there is no gap between the top and bottom cover testing to ensure that the mms is functioning correctly, you must perform safety tests and a performance check on it. please refer to the sections " maintaining the instrument " and " testing the instrument ". measurement server extensions - exchanging the top cover and the dual link bar this section describes the exchange procedures for : • the top cover with new release mechanism • the dual link bar for all measurement server extension ( mse ) types ( m3012a, m3014a, m3015a, m3016a ). dual link bar msl connector _ ( msl flex cable inside the dual link bar ) top cove exchange procedures note please follow the disassembly and reassembly steps closely. tools required : a thin - bladed screwdriver and a thick - bladed screwdriver, esd mat and wrist strap warning • do not open the mse while it is connected to a monitor. • parts inside the instrument may be contaminated with bacteria. protect yourself from possible infection by wearing examination gloves during this procedure. note once you have reassembled the mse, you must perform a performance check on it. please refer to the sections " maintaining the instrument " and " testing the instrument ". 157 5 repair and disassembly measurement server extensions - exchanging the top cover and the dual link bar removing the l front cover position the thin - bladed screwdriver in the small slot provided for this purpose. the front cover ( bezel ) then clicks away from the extension. remove the front cover note there might be a slight resistance when you remove the front cover. removing the mounting pin 1 position the mse on the dual link bar with the measurement connector hardware facing upwards and the arm of the dual link bar away from you. there are four long mounting pins threaded into the mse in each of the four corners @topic:19


# # # issue - cuff large of the welch allyn 71wx vital signs monitor is becoming increasingly difficult to secure, potentially leading to inaccurate or unreliable blood pressure readings. # # # impact - inaccurate or unreliable blood pressure readings can result in : - improper diagnosis and treatment of hypertension or hypotension. - incorrect administration of medications. - compromised patient safety. # # # possible causes : - * * wear and tear : * * cuffs, especially the larger sizes, can deteriorate over time due to frequent use and cleaning. - * * improper storage : * * improper storage conditions, such as exposure to excessive heat or moisture, can weaken the adhesive on the cuff. - * * patient movement : * * during blood pressure measurement, patient movement can put excessive strain on the cuff, leading to premature failure. - * * defective cuff : * * manufacturing defects or material imperfections can compromise the cuff's integrity, affecting its ability to secure properly. # # # recommendations : - * * regular inspection and maintenance : * * regularly inspect the cuff for signs of wear or damage, and replace it if necessary. - * * proper storage : * * store cuffs in a cool, dry place, away from direct sunlight and extreme temperatures. - * * proper use technique : * * ensure that the cuff is properly secured around the patient's arm, without excessive tightness or looseness. - * * patient cooperation : * * instruct patients to remain still during blood pressure measurement to minimize strain on the cuff. - * * consider cuff alternatives : * * explore alternative cuff options, such as disposable cuffs or cuffs designed specifically for patients with larger arm circumferences. @topic:5


# # # issue - bed alarm is not working properly, causing safety concerns for patients. # # # impact - without a functioning bed alarm, patients are at risk of falling out of bed or developing pressure injuries. # # # possible causes - - bed alarm settings were not configured correctly. # # # recommendations - - check and adjust the bed alarm settings as per the manufacturer's instructions. - - ensure that both the bed unit and the counter alarm are working properly. @topic:26


# # # issue - cuff of the philips intellivue mp70 ( m8007a ) bedside physiologic monitor is deteriorated. # # # impact - the monitor may not provide accurate blood pressure readings. this could lead to incorrect diagnosis and treatment decisions. # # # possible causes - the cuff may be old and worn out. - the cuff may have been exposed to heat or moisture. - the cuff may have been damaged during use. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - store the cuff in a cool, dry place. - handle the cuff with care. @topic:14


connectors and symbols'1 white ecg / resp connector 2 blue sp0 2 connector 3 red nbp connector 4 & 5 combined pressure ( red ) and temperature ( brown ) connector - connect either invasive pressure transducer or temperature probe. you might have a version of the mms that does not have this connector. 11 1 basic operation devices for acquiring measurements 12 devices for acquiring measurements 1 basic operation x2 multi - measurement module ( m3002a ) the x2 multi - measurement module ( mms ) can simultaneously monitor 3 -, 5 -, 6 - or 10 - lead ecg ( including arrhythmia and st monitoring ), respiration, spc ^, nbp and either invasive pressure and temperature, or cc ^. it has a color touchscreen display. the x2 has the added capability to operate as a stand - alone monitor, and can be powered by a rechargeable battery. this makes it particularly suited to transport situations. when the x2 is disconnected from the original host monitor, it continues to monitor the patient as a stand - alone monitor running on battery power, eliminating the need for a separate transport monitor. when the x2 is connected to a new host monitor, it resumes its role as mms, ensuring fully continuous monitoring. for details of using the x2 as a stand - alone monitor, refer to the intellivue x2 instructions for use. when connected to a host monitor ( companion mode is indicated ), the x2 takes power from the host, including that required for battery charging. the x2 can also be powered by ac mains when not connected to a host monitor using the optionally available external power supply ( m8023a ). see the intellivue x2 instructions for use for details. x2 overview 1 on / standby switch 2 power and battery indicators ( see @topic:10


##ing tables nbp problems symptom possible cause action the nbp cuff does not inflate. the air tube or cuff is bent or twisted. straighten the tube or cuff. air leak in the air tube or cuff. replace the cuff and ensure that there is no air leakage in the tube. the nbp module malfunctioned. replace the nbp pump module. see “ removing the nbp module ” on page 5 - 36. the nbp pump filter is blocked. replace the nbp pump filter. see “ removing the nbp filter ” on page 5 - 38. the main board malfunctioned. replace the main board. see “ removing the main board ” on page 5 - 31. nbp measurements are not displayed. wrong cuff size, or incorrect cuff placement. use proper cuff size, ensure proper cuff placement. initial pressure setting is incorrect. specify the correct initial pressure. for more information, see the suresigns vs4 installation and configuration guide. the air tube is bent or twisted or there is air leakage in the air tube or cuff. ensure that the tube is straight and not kinked. replace the cuff and ensure that there is no air leakage in tube. external problem. ensure that all external blood pressure reading requirements are met and that the patient is not moving excessively. for more information about measuring nbp, see the suresigns vs4 instructions for use. the nbp pump filter is blocked. replace the nbp pump filter. see “ removing the nbp filter ” on page 5 - 38. nbp module error. replace the pump module or main board. see “ removing the nbp module ” on page 5 - 36 or “ removing the main board ” on page 5 - 31. troubleshooting 4 - 6 suresigns @topic:15


# # # issue - device is experiencing intermittent power loss, causing the device to turn off and on repeatedly. # # # impact - interruptions in patient monitoring and treatment. - potential safety hazard for patients if monitoring is interrupted during critical procedures. - reduced efficiency and effectiveness of medical staff. # # # possible causes - * * power supply issues : * * loose connections, faulty cables, or a failing power supply unit. - * * component failure : * * a malfunctioning component within the device, such as a capacitor, resistor, or ic chip. - * * software glitches : * * bugs or errors in the device's software that interfere with its normal operation. - * * environmental factors : * * extreme temperatures, humidity, or electromagnetic interference can affect the device's performance. # # # recommendations - * * troubleshooting power supply : * * check connections, replace cables, and test the power supply unit. - * * component - level diagnosis : * * use diagnostic tools and schematics to identify and replace faulty components. - * * software updates : * * if available, install any necessary software updates to address bugs or glitches. - * * environmental optimization : * * ensure the device is operating within the recommended temperature, humidity, and electromagnetic interference levels. - * * preventative maintenance : * * regular inspections and scheduled maintenance can help prevent future failures by identifying and addressing potential issues early on. @topic:11


# # # issue the cause of failure for the monitors lcd equipment, model fs - p3102ds, is unknown. # # # impact the impact of this failure is unknown. # # # possible causes the possible causes of this failure could be : - a problem with the equipment itself - a problem with the power supply - a problem with the cables or connections - a problem with the software # # # recommendations the following recommendations are suggested : - check the equipment for any obvious damage. - check the power supply to make sure it is working properly. - check the cables and connections to make sure they are secure. - check the software to make sure it is up to date and functioning properly. - if the problem persists, contact the manufacturer for assistance. @topic:2


# # # issue - monitor, patient transport ( philips intellivue mp40 ) measures bp every 3 minutes instead of the standard 5 - minute interval. # # # impact - incorrect or unreliable bp readings. - potential for missed or delayed diagnosis of underlying conditions. # # # possible causes - incorrect configuration settings. - software malfunction. - sensor or hardware issue. # # # recommendations 1. * * check configuration settings : * * access the main menu > operation > configuration screen and ensure the bp measurement interval is set to 5 minutes. 2. * * reset the device : * * perform a power cycle by turning the device off and on again. 3. * * inspect sensors and hardware : * * examine the bp sensor and cuff for any damage or loose connections. ensure the bp cuff is properly inflated to the appropriate pressure. 4. * * update software : * * if available, download and install any software updates for the device. 5. * * contact technical support : * * if the issue persists, contact the manufacturer's technical support team for further assistance. @topic:15


were performed. ♦ to review individual calculations, select the calculation in the calculation review window and then select the original calc pop - up key. the storage time for calculations is the same as the trend database storage time configured for the monitor. so if trends are stored for 48 hours, the calculations will also be stored for 48 hours. performing calculations you must check that all input values are appropriate for your patient before performing calculations. 1 select the calculations smartkey to open the calculations window. 2 select the calc type field and select the required calculation type for display. 3 check the calculation time in the calc time field. when you enter the calculation window, this field will show either the current time or the time of the most recent available c. o. measurement, depending on your monitor configuration. - to choose a different calculation time, select the calc time field. this calls up a list showing the timestamps of calculations performed earlier. select a time from this list, or select select time to enter a time of your choice. - to enter the current time, select the resample vitals pop - up key. if you choose the current time, the monitor will resample all the required values that are continuously monitored. 4 enter any values that must be entered or edited manually. select the value field and then use the pop - up keypad to enter the required values. select enter to confirm each entered value. manually - entered values are marked with an asterisk ( * ). 285 22 calculations entering values for calculations entering values for calculations the monitor automatically enters any available values for calculations. for aperiodically - measured values such as c. o., the monitor will re - use the most recent value in the calculation database until a new value becomes available. ♦ to enter calculations values manually or edit automatically - entered values, select the value field to open the on - screen @topic:8


# # # issue - weight measurements provided by the device are inaccurate. # # # impact - incorrect patient weight measurements can lead to incorrect dosage calculations for medications and treatments. # # # possible causes - * * malfunctioning load cell : * * the load cell is responsible for measuring the weight of the patient. a malfunctioning load cell can provide inaccurate measurements. - * * loose connections : * * the machine relies on internal connections to accurately transmit weight data. loose connections can lead to faulty communication and incorrect weight readings. - * * software error : * * software errors can disrupt the proper functioning of the machine, including accurate weight measurement. # # # recommendations - * * inspect the load cell : * * ensure that the load cell is properly connected and functioning correctly. if any damage or wear is observed, the load cell may need to be replaced. - * * check connections : * * verify that all internal and external connections are secure. tighten any loose connections or replace damaged cables as necessary. - * * update software : * * if possible, update the machine's software to the latest version to address any software - related issues. - * * calibrate the machine : * * regularly calibrate the machine with known weights to ensure accurate weight measurements. - * * preventive maintenance : * * establish a regular preventive maintenance schedule to inspect, clean, and test the machine to prevent future failures and maintain optimal performance. @topic:25


# # # issue - spo2 sensor provides inaccurate readings. # # # impact - inaccurate spo2 readings can lead to delayed or incorrect treatment decisions. # # # possible causes - faulty spo2 sensor cable - interference from other medical devices - incorrect sensor placement - patient movement # # # recommendations - replace the spo2 sensor cable. - ensure that there is no interference from other medical devices. - place the sensor correctly on the patient's finger or earlobe. - minimize patient movement during spo2 measurement. @topic:4


# # # issue - battery not charging # # # impact - device may not be able to operate without power - loss of patient data # # # possible causes - faulty battery - faulty charging circuit - loose connection # # # recommendations - replace the battery - check the charging circuit for any damage - ensure that the battery is properly connected @topic:11


# # # issue - cuffs are essential components of physiological monitors, providing accurate and reliable monitoring of vital signs. - deteriorated cuffs can compromise the accuracy of measurements and lead to misinterpretation of patient status. # # # impact - inaccurate monitoring of vital signs can result in delayed or incorrect treatment decisions. - improper cuff inflation or deflation can cause discomfort or pain to patients. # # # possible causes - cuffs are subjected to repeated use and wear and tear, which can lead to deterioration over time. - improper storage or handling of the cuffs can also contribute to their damage. # # # recommendations - regular inspection and maintenance of cuffs is crucial to ensure their proper functioning. - biomedical engineers should inspect cuffs for signs of deterioration, such as cracks, leaks, or excessive stretching. - cuffs should be replaced promptly when they show signs of deterioration or if they fail to inflate or deflate properly. - proper storage and handling of cuffs can extend their lifespan. cuffs should be stored in a clean, dry environment and protected from extreme temperatures or moisture. @topic:5


# # # issue : - faulty electric bed # # # impact : - patient safety and comfort may be compromised - difficulty in providing patient care - reduced efficiency in hospital operations # # # possible causes : - lack of a control box - electrical malfunction - mechanical failure # # # recommendations : - replace the missing control box - inspect the electrical components and repair or replace as necessary - check the mechanical components for any damage or wear and tear - regular maintenance and preventive checks to avoid future failures @topic:9


# # # issue - cuff is damaged and needs to be replaced. # # # impact - the vital signs monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may have been punctured or torn. - the cuff may be too old and worn out. - the cuff may not be the correct size for the patient. # # # recommendations - replace the cuff with a new one that is the correct size for the patient. - inspect the cuff regularly for signs of damage. - replace the cuff if it is damaged or worn out. @topic:3


# # # issue - broken connector ( white ) - broken ac power cord - exposed wires # # # impact - nibp monitor is unable to function properly - potential safety hazard due to exposed wires - may cause inaccurate readings or malfunction # # # possible causes - excessive force applied to the connector - physical damage to the power cord - wear and tear over time - poor maintenance or handling # # # recommendations - replace the broken connector and ac power cord with new ones. - inspect the device regularly for any other potential issues. - handle the device carefully to avoid further damage. - ensure that the power cord is plugged into a grounded outlet. - follow the manufacturer's guidelines for maintenance and use. @topic:2


# # # issue faulty cuff # # # impact inaccurate blood pressure readings # # # possible causes - cuff ripped or torn - cuff too small or too large - cuff not properly attached to the monitor # # # recommendations - replace the cuff with a new one of the correct size - ensure the cuff is properly attached to the monitor - inspect the cuff regularly for any signs of damage or wear @topic:3


# # # issue electric bed is not adjusting up or down # # # impact patient discomfort, difficulty with patient care # # # possible causes - faulty motor or actuator - broken or damaged wiring - loose or disconnected electrical connections - control panel malfunction - software issue # # # recommendations - check the motor and actuator for any visible damage or loose connections. - inspect the wiring for any breaks or damage. - tighten or reconnect any loose electrical connections. - reset the control panel by unplugging the bed and plugging it back in. - contact the manufacturer for further troubleshooting and repair instructions. @topic:1


# # # issue - slow performance and frequent computer crashes # # # impact - delays and interruptions in medical procedures - loss of data or damage to medical records # # # possible causes - * * fan failure : * * overheating can lead to system instability and crashes. - * * other hardware issues : * * failing components, such as the hard drive or memory, can cause performance issues. - * * software conflicts : * * incompatible or outdated software can interfere with system stability. - * * malware or viruses : * * infections can damage system files and slow down performance. # # # recommendations - replace the failed fan to ensure adequate cooling. - diagnose and replace any other failing hardware components. - update software to the latest versions and ensure compatibility with the system. - implement anti - malware and antivirus measures to prevent infections. - monitor system performance regularly and conduct preventative maintenance to identify and address potential issues early on. @topic:13


# # # * * issue : * * smoke and burnt smell from a nibp monitor # # # * * impact : * * equipment failure, potential hazard # # # * * possible causes : * * - electrical fault ( e. g., short circuit, loose connections ) - component failure ( e. g., malfunctioning capacitor, resistor ) - overheating due to excessive use or ventilation issues # # # * * recommendations : * * - * * immediate actions : * * - turn off the equipment and disconnect it from the power source. - ventilate the area to dissipate toxic fumes. - inspect the equipment for visible signs of damage or loose components. - * * troubleshooting : * * - check for loose connections, broken wires, or damaged components. - verify the power supply and ensure it is within the specified range. - run diagnostics or self - test functions to identify any internal faults. - * * repairs : * * - if the cause of failure can be identified and is repairable, contact the manufacturer or a qualified technician. - replace any damaged or malfunctioning components. - conduct thorough safety checks before returning the equipment to service. - * * preventive measures : * * - regularly inspect and maintain the equipment as per the manufacturer's instructions. - ensure proper ventilation to prevent overheating. - train staff on proper handling and maintenance of medical devices. @topic:2


# # # issue the medical cart is not connecting to the internet. # # # impact the bme team is unable to troubleshoot the issue with the equipment. # # # possible causes - the medical cart may not be within range of the wi - fi network. - the medical cart may have an issue with its wi - fi receiver. - the wi - fi network may be down. - the medical cart may have a software glitch. - the medical cart may have a hardware issue. # # # recommendations - try moving the medical cart to a different location to see if it can connect to the internet. - contact the it team to check the status of the wi - fi network. - try rebooting the medical cart. - contact the manufacturer of the medical cart for troubleshooting assistance. @topic:13


# # # issue - knee motor failure # # # impact - patient discomfort - reduced mobility - increased risk of infection # # # possible causes - * * electrical fault : * * a short circuit or other electrical fault can damage the motor. - * * mechanical failure : * * the motor may have become jammed or worn out over time. - * * improper maintenance : * * the motor may not have been properly lubricated or serviced, leading to wear and tear. # # # recommendations - * * inspect the motor for any visible damage. * * - * * test the motor for continuity and resistance. * * - * * check the motor brushes for wear and tear. * * - * * lubricate the motor according to the manufacturer's instructions. * * - * * schedule regular maintenance for the motor to prevent future failures. * * @topic:9


# # # issue - cuff bp ( blood pressure ) failure on intellivue mx700 monitor # # # impact - inability to accurately measure blood pressure, which can compromise patient care and safety. # # # possible causes - cuff bp degradation due to wear and tear or improper storage - damaged velcro straps or connectors - weakened or detached outer fabric # # # recommendations - replace the cuff bp with a new one. - inspect and replace the velcro straps or connectors if necessary. - ensure proper storage and handling of equipment to prevent future degradation. - regularly calibrate and maintain the monitor to ensure accurate measurements. @topic:14


* * issue : * * beds, electric, hill - rom, care assist es100 have a sticking bed rail and noise when lifting up and down. * * impact : * * the patient's safety and comfort may be compromised if the bed rail is not functioning properly. * * possible causes : * * - the bed rail may be rubbing against another surface, such as the bed frame, causing increased friction and making it difficult to move. - there may be a lack of lubrication at the pivot points of the bed rail, causing increased friction and making it difficult to move. - the bed rail may be damaged or misaligned, preventing it from moving smoothly. * * recommendations : * * - inspect the bed rail and identify any areas where it may be rubbing against another surface. if any areas are found, adjust the bed rail or the other surface to eliminate the rubbing. - lubricate the pivot points of the bed rail with a silicone - based lubricant. - inspect the bed rail for any damage or misalignment. if any damage or misalignment is found, repair or replace the bed rail as necessary. @topic:6


# # # issue - bed alarm can't be set. # # # impact - the patient may not be able to get help if they need it. - the patient may be injured if they fall out of bed. # # # possible causes - the bed alarm is not properly set up. - the bed alarm is defective. - the bed alarm is not compatible with the bed. # # # recommendations - check the bed alarm settings. - replace the bed alarm if it is defective. - contact the manufacturer of the bed if the bed alarm is not compatible with the bed. @topic:26


# # # issue - error in push button # # # impact - bed cannot be adjusted # # # possible causes - faulty push button - loose connection in push button wiring - malfunction in control unit # # # recommendations - replace the push button - check and tighten the connections in push button wiring - inspect the control unit and replace if necessary @topic:1


# # # issue - remote control cover has come off and broken into pieces. # # # impact - the remote control cannot be used to operate the bed. # # # possible causes - the remote control was dropped or knocked over. - the remote control was not properly stored. - the remote control is old and the cover has become brittle. # # # recommendations - replace the remote control with a new one. - store the remote control in a safe place when not in use. - inspect the remote control regularly for signs of wear and tear. @topic:7


performance test marker pulse is displayed before the t - wave begins spo2 performance test this test checks the performance of the spo2 measurement. tools required : none 1. connect an adult spo2 transducer to the spo2 connector. 2. measure the spo » value on your finger ( this assumes that you are healthy ). 3. the value should be between 95 % and 100 %. expected test results spo2 performance test 95 % and 100 % 78 measurement validation the spo2 accuracy has been validated in human studies against arterial blood sample reference measured with a co - oximeter. in a controlled desaturation study, healthy adult volunteers with saturation levels between 70 % and 100 % sao2 were studied. the population characteristics for those studies were : - about 50 % female and 50 % male subjects - age range : 18 to 45 - skin tone : from light to black note a functional tester cannot be used to assess the accuracy of a pulse oximeter monitor. however, it can be used to demonstrate that a particular pulse oximeter monitor reproduces a calibration curve that has been independently demonstrated to fulfill a particular accuracy specification. nbp performance test this section describes nbp test procedures. the monitor must be in service mode and the screen " service a " must be selected to perform these tests. the nbp performance test consists of : - nbp accuracy test - nbp leakage test - nbp linearity test - valve test nbp accuracy test this test checks the performance of the non - invasive blood pressure measurement. connect the equipment as shown : expansion chamber — uu manometer 79 tools required : - reference manometer ( includes hand pump and valve ), accuracy 0. 2 % of reading. - expansion chamber ( volume 250 ml + / - 10 % ) - appropriate tubing. in service mode, the @topic:17


# # # issue - the medical cart displays a " boot windows " message on startup. # # # impact - the medical cart is unable to boot properly and access its intended medical software and functions. this could potentially delay or disrupt patient care. # # # possible causes - corrupted system files or operating system - hardware failure, such as a faulty hard drive or motherboard - bios settings may be incorrect - loose cables or connections within the medical cart # # # recommendations * * troubleshooting steps : * * 1. * * restart the medical cart : * * turn off the cart completely and then turn it back on. 2. * * check bios settings : * * ensure that the bios is configured to boot from the correct device, such as the hard drive or usb drive. 3. * * inspect and tighten connections : * * inspect all cables and connections within the medical cart to ensure they are properly seated and secure. 4. * * run system diagnostics : * * utilize built - in system diagnostics tools or software to check for any hardware or operating system issues. * * repair options : * * 1. * * reinstall operating system : * * if the system files or operating system are corrupt, a reinstall may be necessary. 2. * * replace faulty hardware : * * if the system diagnostics identify a faulty component, such as the hard drive or motherboard, replacement may be required. 3. * * contact manufacturer support : * * if the troubleshooting and repair options above do not resolve the issue, contact the manufacturer of the medical cart for technical assistance. @topic:13


# # # issue - cuff is not attached properly. # # # impact - incorrect blood pressure readings. - patient discomfort. # # # possible causes - broken or missing cuff plug. - damaged cuff attachment point. # # # recommendations - replace the cuff plug. - repair or replace the cuff attachment point. @topic:3


with the minimum recommended separation distance between rf communications equipment and the product. the cables, sensors / transducers, and other accessories for which compliance is claimed are listed in the beginning of this guide. e use of accessories, transducers, and cables other than those specified may result in increased emissions and / or decreased immunity of the suresigns vs4 vital signs monitor. e the suresigns vs4 vital signs monitor should not be used adjacent to or stacked with other equipment. if adjacent or stacked use is necessary, the monitor should be observed to verify normal operation in the configuration in which it is used. reducing electromagnetic interference the suresigns vs4 vital signs monitor and associated accessories can be susceptible to interference from other rf energy sources and continuous, repetitive, power line bursts. examples of other sources of rf interference are other medical electrical devices, cellular products, information technology equipment, and radio / television transmission. if interference is encountered, as demonstrated by dramatic variations in physiological parameter measurement values, attempt to locate the source. assess the following : e — is the interference due to misplaced or poorly applied electrodes or sensors? if so, re - apply electrodes and sensors correctly according to directions in the product ’ s instructions for use. e — is the interference intermittent or constant? ¢ does the interference occur only in certain locations? e does the interference occur only when in close proximity to certain medical electrical equipment? e do parameter measurement values change dramatically when the ac line cord is unplugged? once the source is located, attempt to attenuate the interference by distancing the product from the source as much as possible. if assistance is needed, contact your local philips representative. electromagnetic compatibility suresigns vs4 service guide b - 1 restrictions for use artifact on physiological parameters caused by electromagnetic interference should be evaluated by a physician or physician authorized personnel to determine if it @topic:10


to check the validity period of every certificate in the chain. this item can only be set to enabled, if an ca certificate has been installed. valid values are disabled or enabled. 280 7 installation instructions ] wlan diagnostic window the wlan diagnostic window provides wlan status information which can be used for troubleshooting purposes. main setup = > network = > wlan diagnostic wlan diagnostic wireless on check wlan security mode mac wlan 0097 3498 87ec ip address wlan 172. 31. 11. 15 ip address 172. 31. 10. 03 server ip 172. 31. 10. 165 subnet mask 255. 255. 0. 0 countr ^ r 1000 / 1276 wmm mode disabled mode 802. 11bg security mode wpa2enterpr. authentication peap inner athentic. mschap ’ 72 peap version default peap label default user ncude username anonymous ident. anon ^ mious certificatecheck enabled ca certificate installed ssid philips rate 54, 0 mb / s active channel 9 rssi 65 - coxm. status connected mac ap wlan ooao f8ce d231 in the wlan diagnostic window, the wireless lan address information is shown ( mac address, ip addresses and subnet mask ) as well as the active security settings, wlan mode, ssid as well as country setting, which are all not editable in this window. in addition, the following status information is shown : wireless lan state of the wireless adapter. off indicates inactive or just starting. on indicates operational. does not take the wireless state into account. 281 [ 7 installation instructions ] check wlan country wmm mode rssi conn. status active channel rate mac ap wlan indicates that a configuration issue has been detected. the message text depends on the operating mode. the configured country code and the dynamically @topic:18


# # # issue : - module not linking with display - display screen blackout # # # impact : - inability to monitor patient's physiological parameters - interruption of patient care and treatment # # # possible causes : - broken / damaged module - loose connections - malfunctioning display unit # # # recommendations : - replace or repair the damaged module - ensure secure connections between components - test the display unit to verify functionality - calibrate the display to ensure accurate readings - perform regular maintenance and inspections to prevent future failures @topic:2


* * issue : * * equipment failure * * impact : * * patient care may be compromised due to the lack of a functional electric bed. * * possible causes : * * * * * age : * * the bed is old and has likely exceeded its expected lifespan. * * * usage : * * the bed may have been subjected to heavy or improper use, leading to wear and tear. * * * lack of maintenance : * * regular maintenance and inspections may not have been performed, resulting in the accumulation of dirt and debris. * * * environmental factors : * * the bed may have been exposed to extreme temperatures or humidity, which can damage the electronics. * * recommendations : * * * replace the old bed with a new one that meets the hospital's needs and safety standards. * implement a regular maintenance schedule to ensure that all equipment is inspected and serviced regularly. * train staff on proper use and handling of hospital equipment. * control environmental factors, such as temperature and humidity, to minimize the risk of damage to equipment. @topic:9


# # # issue - monitor not linking to central # # # impact - inability to monitor patient's vital signs and provide necessary care # # # possible causes - incorrect ip address configuration - faulty network connection - hardware malfunction # # # recommendations - verify the ip address configuration of the monitor and central system to ensure they are correct - check the network cables and connections to ensure they are secure and functioning properly - if the issue persists, contact philips technical support for further assistance or consider replacing the faulty hardware component @topic:16


segment measurements to change the trend scales for a measurement in the current segment : 1 in the segment menu, select the measurement label 2 select upper to change the upper limit of the scale or lower to change the lower limit of the scale. optimum scale to have the monitor automatically select an optimum scale for viewing, based on current values, ♦ in the segment menu, select optimum scale. this scale change is temporary. when the graphical trend window is closed the scale reverts back to the setting in parameter scales. to switch off automatic optimum scaling, ♦ in the segment menu, select optimum scale again. trend group to add or remove measurements for this trend group or change the order of the existing measurements : 1 in the segment menu, select change group 2 use the add, change, sort up and sort down popup keys to change or re - order the group as required. no. of segments in an embedded graphical trend window, you can select the number of segments to be displayed in the segment menu : ♦ in the segment menu, select no. of segments 275 21 trends setting up trends trend groups the measurements grouped in trend groups define the trends displayed together in the vital signs or graphics trends windows and printed in trends reports and recordings. the sequence of the measurements in the group defines the order in which they are displayed. measurements listed between dotted line separators are displayed overlapping. the trend group all contains all available measurements, you cannot change the order or selection of this group. to change the selection of measurements in a trend group, either use the change group setting in the segment menu or : 1 select main setup - > trends - > trend groups 2 select the trend group you want to change and use the pop - up keys to add, change, or delete the selection of measurements trended. to temporarily change the order in which the measurements are displayed in a group, 1 select main @topic:8


##015a : less than 18 seconds. awrr high adult / pedi : 10 to 100 rpm neo : 30 to 150 rpm under 20 rpm : 1 rpm steps over 20 rpm : 5 rpm steps m3002a / m3014a / m3016a : less than 14 seconds m3015a : less than 18 seconds. awrr low adult / pedi : 0 to 95 rpm neo : 0 to 145 rpm m3015a : settings < 20 rpm : less than 8 seconds > 20 rpm : less than 18 seconds m3002a / m3014a / m3016a settings < 20 rpm : less than 4 seconds > 20 rpm : less than 14 seconds apnea delay 10 to 40 seconds 5 second steps set apnea delay time + 4 seconds ( m3002a / m3014a / m3016a ) or 8 seconds ( m3015a ) interfering gas and vapor effects on c0 2 measurement values the specified deviations for m3002a / m3014a are valid when the appropriate corrections are switched on and set correctly. gas or vapor gas level ( % volume fraction ) m3002a / m3014a m3015a additional deviation due to gas interference, measured at 0 - 40 mmhg c0 2 nitrous oxide 60 ±1 mmhg ±5 % halothane 4 ±2 mmhg ±5 % enflurane 5 ±2 mmhg ±5 % isoflurane 5 ±2 mmhg ±5 % sevoflurane 5 ±2 mmhg ±5 % xenon 80 - 5 mmhg ±5 % helium 50 ±1 mmhg ±5 % metered dose inhaler propellants - not specified for use desflurane 15 + 3 mmhg ±5 % 442 measurement specifications 38 installation and specifications ethanol 0. 1 ±1 mmhg @topic:17


. pay special attention to current densities exceeding 2 ma r. m. s / cm² for : any electrodes. stimulation modes the nmt module provides four stimulation modes : train - of - four ( tof ). single twitch ( twitch ) • post - tetanic count ( ptc ) • double - burst stimulation ( dbs ) • train - of - four ( tofin this mode four stimuli are applied every 500 milliseconds ( 2 hz ). each stimulation of the train causes the muscle to contract. the fade in the individual response to each single stimulation provides a basis for evaluation. the nmt module then calculates a tof ratio ( tofrat ) value in % using the ratio between the fourth and the first twitch. when fewer than four twitches are detected, the monitor displays a tof count ( tofcnt ) value instead, this represents the number of responses to the four tof stimulation pulses. post - tetanic count ( ptc ) the post - tetanic count stimulation pattern starts with a sequence of four current pulses, delivered every 500 milliseconds ( 2 hz ). if a muscle response is detected, the ptc sequence is stopped and the responses are reported as tof measurement. if there is no muscle response, the sequence continues with a five seconds long tetanic stimulation of current pulses delivered at 50 hz, followed by a pause of 3 seconds, followed by 20 single current pulses delivered every second ( 1 hz ). muscle response detection is active only during the first 4 single pulses and the last 20 single pulses. during the last 20 pulses, the ptc value is incremented with each detected muscle response. single twitch ( twitch ) if this mode is configured the nmt module measures the response to single electrical stimuli applied to peripheral motor nerves. the module sends a single pulse and measures the strength of the resulting twitch @topic:8


to 100 mmhg ( 1. 5 to 13 kpa ) mean adult : 20 to 255 mmhg ( 2. 5 to 34 kpa ) pedi : 20 to 160 mmhg ( 2. 5 to 21 kpa ) neo : 20 to 120 mmhg ( 2. 5 to 16 kpa ) pulse rate adult : 40 to 300 pedi : 40 to 300 neo : 40 to 300 accuracy max. std. deviation : 8 mmhg ( 1. 1 kpa ) max. mean error : ±5 mmhg ( ±0. 7 kpa ) 435 38 installation and specifications measurement specifications nbp performance specifications pulse rate measurement accuracy 40 to 100 bpm : ±5 bpm 101 to 200 bpm : ±5 % of reading 201 to 300 bpm : ±10 % of reading ( average over nbp measurement cycle ) pulse rate range 40 to 300 bpm measurement time typical at hr > 60 bpm auto / manual / sequence : 30 seconds ( adult ) 25 seconds ( neonatal ) stat : 20 seconds maximum time : 180 seconds ( adult / pediatric ) 90 seconds ( neonates ) cuff inflation time typical for normal adult cuff : less than 10 seconds typical for neonatal cuff : less than 2 seconds initial cuff inflation pressure adult : 165 ±15 mmhg pedi : 130 ±15 mmhg neo : 100 ±15 mmhg auto mode repetition times 1, 2, 2. 5, 3, 5, 10, 15, 20, 30, 45, 60 or 120 minutes stat mode cycle time 5 minutes venipuncture mode inflation inflation pressure adult 20 to 120 mmhg ( 3 to 16 kpa ) pediatric 20 to 80 mmhg ( 3 to 11 kpa ) neonatal 20 to 50 mmhg ( 3 to 7 kpa ) automatic deflation after adult / pediatric 170 seconds neonatal 85 seconds measurement validation : in adult and pediatric mode, the @topic:17


# # # issue - the headrest of the electric bed is not sturdy. # # # impact - the patient may experience discomfort or injury if the headrest is not able to support their head properly. # # # possible causes - the headrest may be made of a material that is not strong enough to support the patient's head. - the headrest may not be properly attached to the bed frame. - the bed frame may be damaged, which is causing the headrest to be unstable. # # # recommendations - the biomedical engineer should inspect the headrest to determine the cause of the problem. - the biomedical engineer should replace the headrest if it is made of a material that is not strong enough to support the patient's head. - the biomedical engineer should tighten the screws that attach the headrest to the bed frame. - the biomedical engineer should inspect the bed frame for damage and repair or replace the bed frame if necessary. @topic:1


# # # issue - the bed is not adjustable # # # impact - the bed cannot be used to position the patient, which can lead to discomfort or injury. # # # possible causes - the bed is locked - the bed's motor is not working - the bed's control panel is not working - the bed's power cord is not plugged in # # # recommendations - check if the bed is locked. if it is, unlock it. - check if the bed's motor is working. if it is not, replace the motor. - check if the bed's control panel is working. if it is not, replace the control panel. - check if the bed's power cord is plugged in. if it is not, plug it in. - if the problem persists, contact the manufacturer for assistance. @topic:1


# # # issue - solenoid failure, resulting in the inability to open the drawer. # # # impact - inability to access medical supplies and equipment stored in the drawer, potentially delaying patient treatment or care. # # # possible causes - electrical fault or damage to the solenoid coil. - mechanical wear or misalignment of the solenoid components. - power supply issues, such as insufficient voltage or current. - wear or damage to the drawer mechanism, preventing the solenoid from engaging properly. # # # recommendations - replace the faulty solenoid with a new one. - inspect the electrical connections and wiring for damage or loose connections. - check the power supply to ensure it is providing adequate voltage and current. - lubricate or adjust the drawer mechanism as necessary to ensure smooth movement. - conduct regular maintenance and inspections to prevent future failures and ensure the reliability of the medical cart. @topic:21


# # # issue - swapped ear thermometer # # # impact - decreased patient monitoring accuracy - healthcare provider may misjudge patient condition # # # possible causes - technical error during equipment setup and replacement - miscommunication between healthcare professionals # # # recommendations - ensure proper equipment setup and training for healthcare professionals - establish clear communication channels regarding equipment repairs and replacement - implement a preventive maintenance program to reduce future equipment related failures @topic:20


# # # issue - the electrical cord was disconnected from the bed. # # # impact - the bed was unable to be powered on and could not be used. # # # possible causes - the electrical cord may have been accidentally disconnected by staff or patients. - the electrical cord may have been damaged. # # # recommendations - inspect the electrical cord for damage. if the cord is damaged, replace it. - secure the electrical cord so that it cannot be accidentally disconnected. @topic:9


# # # issue battery has failed and needs to be replaced. # # # impact device may not function properly or may have reduced functionality. # # # possible causes - battery has reached the end of its lifespan. - battery has been damaged due to physical or electrical abuse. - battery has been discharged too deeply or too quickly. - battery has been exposed to extreme temperatures. # # # recommendations - replace the battery with a new one of the same type and capacity. - ensure that the battery is properly installed and connected. - avoid discharging the battery too deeply or too quickly. - avoid exposing the battery to extreme temperatures. - perform regular maintenance on the device to prevent future battery failures. @topic:11


# # # issue the bed is not able to lower the foot end. # # # impact the patient may not be able to get out of bed or may be uncomfortable if the bed is not in the correct position. # # # possible causes - the motor that adjusts the foot end of the bed may be faulty. - the wiring to the motor may be damaged. - the control panel may be malfunctioning. # # # recommendations 1. check the motor for any signs of damage or wear. if the motor is faulty, it will need to be replaced. 2. check the wiring to the motor for any damage. if the wiring is damaged, it will need to be repaired or replaced. 3. check the control panel for any signs of damage or wear. if the control panel is malfunctioning, it will need to be replaced. @topic:1


# # # issue monitor cuff leak. # # # impact inaccurate blood pressure readings. # # # possible causes - cuff is too loose or too tight. - cuff bladder is damaged. - cuff tubing is leaking. - pressure transducer is not working properly. # # # recommendations 1. inspect the cuff for proper fit and condition. 2. replace the cuff if it is damaged. 3. inspect the cuff tubing for leaks. 4. replace the pressure transducer if it is not working properly. 5. calibrate the monitor to ensure accurate blood pressure readings. @topic:3


# # # issue - bp pump failure # # # impact - inability to measure bp # # # possible causes - bp pump malfunction # # # recommendations - replace the bp pump with a new one. @topic:15


and pto configurations to ensure respiratory data transmission is enabled and configured correctly. - match sampling rates and impedance settings to ensure compatibility. * * 4. check device compatibility : * * - consult the device manuals or manufacturer's support to determine if the monitor and pto are compatible for respiratory monitoring. update software or hardware if necessary. * * 5. troubleshooting signal issues : * * - move the equipment away from potential sources of electrical interference. - ensure the patient is positioned comfortably and that the lead has good skin contact. - consider using a signal conditioner or amplifier to improve signal quality. @topic:20


enter the patient ’ s weight. - bsa : the monitor calculates the body surface area automatically. - date of birth : enter the patient ’ s date of birth. enter this in the form dd / mm / yyyy. - age : the monitor calculates the patient age automatically. - gender : choose male or female. - notes : enter any extra information about the patient or treatment. 5 select confirm. the patient status changes to admitted. 102 quick admitting a patient 5 managing patients patient category and paced status the patient category setting determines the algorithm the monitor uses to process and calculate some measurements, the safety limits that apply for some measurements, and the alarm limit ranges. the paced setting determines whether the monitor shows pacemaker pulses or not. when paced is set to no, pace pulses are fdtered and therefore do not show in the ecg wave. warning patient category and paced status will always contain a value, regardless of whether the patient is fully admitted or not. if you do not specify settings for these fields, the monitor uses the default settings from the current profile, which might not be correct for your patient. patient category changing the patient category may change the arrhythmia and nbp alarm limits. always check alarm limits to make sure that they are appropriate for your patient. paced status for paced patients, you must set paced to yes. if it is incorrectly set to no, the monitor could mistake a pace pulse for a qrs and fail to alarm during asystole. admitting a centrally - monitored patient you can admit a patient at either the bedside or the information center. when you admit a patient, the patient ’ s name appears on the bedside monitor and the information center. if you do not fill in all patient information required by the information center, the information center may reject the admission. complete all the required fields and try again to admit the patient. quick @topic:8


# # # issue - scanner not charging # # # impact - unable to use the scanner for medical purposes. # # # possible causes - broken charging port # # # recommendations - order a new scanner for the department. @topic:23


# # # issue - remote control breakage # # # impact - inability to operate the electric bed # # # possible causes - accidental damage - wear and tear - poor handling # # # recommendations - handle remote control with care - regularly inspect remote control for damage - replace remote control if damaged @topic:7


# # # issue - the physiological vital signs monitor ( phillips suresigns vs2 + ) has two issues : - it makes a loud noise when turned on. - the spo2 cable is damaged, resulting in inaccurate readings. # # # impact - the monitor cannot be used to accurately measure vital signs. - the noise may be disruptive to patients and staff. # # # possible causes * * loud noise when turned on : * * - a loose or damaged internal component may be causing the noise. - a problem with the power supply or electrical wiring may also be to blame. * * damaged spo2 cable : * * - physical damage to the cable, such as a cut or tear, can cause it to malfunction. - loose connections or a faulty sensor may also lead to inaccurate readings. # # # recommendations * * loud noise when turned on : * * - inspect the monitor for any loose or damaged components. - check the power supply and electrical wiring for any problems. - if the issue persists, contact the manufacturer for repair or replacement. * * damaged spo2 cable : * * - replace the damaged cable with a new one. - ensure that the cable is properly connected to the monitor and the patient. - if the issue persists, there may be a problem with the spo2 sensor. contact the manufacturer for assistance. @topic:20


# # # issue - cuff bp deteriorated - velcro deteriorated - external fabric deteriorated # # # impact - inability to properly secure cuff to patient's arm # # # possible causes - normal wear and tear - improper storage - excessive use # # # recommendations - replace cuff bp and connectors - ensure proper storage and handling of equipment - monitor equipment for signs of deterioration and take appropriate action @topic:5


# # # issue - the bed's electric head adjustment is not functioning. # # # impact - the patient's comfort and ability to receive medical care may be compromised. # # # possible causes - there may be a problem with the control panel, the electric motor, or the wiring. # # # recommendations - inspect the control panel for any loose connections or damaged components. - test the electric motor to ensure it is receiving power and functioning properly. - inspect the wiring for any breaks or shorts. - if the problem cannot be identified or resolved, contact the manufacturer for assistance. # # # additional notes : - the technician should document the repairs made and test the bed to ensure it is functioning properly before returning it to service. - the technician should also provide the patient with instructions on how to use the bed safely and effectively. @topic:1


# # # issue : battery failure # # # impact : vital signs monitor malfunction # # # possible causes : - battery has reached its end of life - battery is not properly seated - battery terminals are corroded - battery is not the correct type for the monitor # # # recommendations : - replace the battery with a new one of the correct type - ensure that the battery is properly seated - clean the battery terminals if they are corroded - contact the manufacturer if the problem persists @topic:11


# # # issue : electrical cord retraction failure # # # impact : - inability to properly store and transport the medical cart # # # possible causes : - damaged or obstructed electrical cord - faulty retraction mechanism # # # recommendations : - inspect the electrical cord for damage or obstructions. - test the retraction mechanism to ensure smooth operation. if the mechanism is faulty, it may require servicing or replacement. - ensure that the electrical cord is properly aligned and not twisted or kinked during storage or transport. @topic:13


* * issue : * * dinamap procare 100 vital signs monitor failing calibration * * impact : * * inaccurate patient vital signs readings, potential for incorrect diagnoses and treatments * * possible causes : * * - * * incorrect calibration procedure : * * the technician may not have followed the correct calibration protocol or used the appropriate calibration equipment. - * * faulty sensor or transducer : * * a problem with the sensor or transducer that measures the patient's vital signs can lead to calibration errors. - * * electrical interference : * * external electrical interference from other medical devices or lighting can disrupt the monitor's calibration. - * * software errors : * * bugs or glitches in the monitor's software can cause calibration problems. - * * physical damage : * * the monitor may have been damaged due to mishandling or environmental factors, such as extreme temperatures or humidity. * * recommendations : * * - * * thoroughly review and follow the calibration procedure : * * ensure that the technician has the correct equipment and is following the manufacturer's instructions precisely. - * * inspect and test the sensor and transducer : * * check for any signs of damage, wear, or loose connections. perform diagnostic tests to confirm proper functionality. - * * eliminate external electrical interference : * * identify and remove sources of electrical noise that may be affecting the monitor. - * * update software and firmware : * * install the latest software and firmware updates from the manufacturer to address potential bugs. - * * inspect for physical damage : * * examine the monitor for any visible damage, such as cracks, dents, or loose components. if necessary, refer to a qualified repair technician for further assessment. @topic:20


the duration for which alarms are paused during alarm pause mode : 1. open the system admin section of the system menu. see “ accessing the system admin menu ” on page 5 - 2. 2. rotate the wheel until the alarm pause duration menu is highlighted. 5 - 8 configuring the monitor setting the minimum nurse call alarm priority 3. press the wheel, then rotate it to select the default setting for alarm pause duration. the options are ( seconds ) : • 30 • 60 • 90 • 120 • 180 4. press the wheel again to save the setting. 5. press the main screen button on the front panel to close the menu. setting the minimum nurse call alarm priority the nurse call signal is a physical connection on the monitor that can connect to a variety of external signals ; for example, lights, alarm buzzers, or paging systems. when any alarm condition exists, the nurse call signal activates. you can configure the alarm priority that triggers the nurse call signal. pausing ( or turning off ) alarms, turns off the nurse call signal. the nurse call alarm priority is the minimum alarm priority level that triggers the nurse call signal ; this value is inclusive. in other words, if the value is set to medium, then anything other than a low priority alarm triggers the nurse call signal. the default is low. to configure the nurse call alarm priority : 1. in the system admin menu, rotate the wheel until the minimum nurse call alarm priority menu is highlighted. 2. press the wheel, and then rotate it to select low, medium, or high priority. 3. press the wheel to save the selected priority. 4. press the main screen button on the front panel to close the menu. configuring the monitor 5 - 9 setting the nbp auto interval setting the nbp auto interval you can specify how often the @topic:8


# # # issue - inability to adjust the bed. # # # impact - patient discomfort and reduced mobility. - difficulty providing adequate patient care. # # # possible causes * * hardware * * - * * remote control malfunction : * * the remote control is not able to send signals to the bed, preventing adjustments. * * bed malfunction : * * the bed mechanism is not responding to signals from the remote control. this could be due to : - faulty electrical components ( e. g., wiring, motors, actuators ) - mechanical issues ( e. g., broken gears, loose connections ) - software errors * * other * * * * power supply issue : * * the bed is not receiving power, preventing it from responding to the remote control. # # # recommendations * * diagnostics : * * - inspect the remote control for visible damage or loose batteries. - check the electrical connections between the bed and the power source. - verify the integrity of the electrical components and mechanical systems within the bed. * * troubleshooting : * * - replace the batteries in the remote control. - reset the bed's power supply by unplugging it and then plugging it back in. - if the above steps do not resolve the issue, contact the equipment manufacturer for further troubleshooting and repairs. @topic:7


* * issue : * * motor head cannot be adjusted. * * impact : * * the bed cannot be adjusted to the desired height or position, which can make it difficult for patients to get in and out of bed and for staff to provide care. * * possible causes : * * * the motor head is not receiving power. * the motor head is not properly connected to the bed frame. * the motor head is damaged. * * recommendations : * * * check the power supply to the motor head. * check the connections between the motor head and the bed frame. * if the motor head is damaged, it will need to be replaced. @topic:1


# # # issue - equipment not functioning # # # impact - patient care may be impacted - patient transport may be delayed # # # possible causes - blown fuse - power supply issue - equipment malfunction # # # recommendations - replace blown fuse - check power supply - contact biomedical engineer for further troubleshooting @topic:12