##wi ) right cardiac work ( rcw ) right cardiac work index ( rcwi ) right ventricular stroke work ( rvsw ) right ventricular stroke work index ( rvswi ) extra vascular lung water index ( evlwi ) intrathoracic blood volume index ( itbvi ) global end diastolic volume index ( gedvi ) arterial oxygen content ( ca0 2 ) venous oxygen content ( cv0 2 ) arteriovenous oxygen content ( cav0 2 ) oxygen availability index ( d02i ) oxygen consumption ( v0 2 ) oxygen consumption index ( v0 2 i ) oxygen extraction ratio ( 0 2 er ) alveolar - arterial oxygen difference ( aad0 2 ) percent arteriovenous shunt ( qs / qt ) minute volume ( minvol ) compliance ( comp ) dead space ( vd ) dead space / tidal volume ratio ( vd / vt ) alveolar ventilation ( alvent ) the hemodynamic calculations available depend on the cardiac output measurement method being used and the regulatory standards that apply for your hospital : see the c. o. chapter for availability details. viewing calculations ♦ select the calculations smartkey to open the calculations window. ♦ select the calc type field and select the required calculation type for display. 283 22 calculations viewing calculations calculations windows this example calculations window shows the hemodynamic calculations window. the ventilation and oxygenation windows are similar. c, i ilculations l 75 in hemi adynamic 125. 0 1. 80 m2 100. 0 ml lvsw 58. 5 9 - m rcw 1. 74 k 9 - m rvsw 21. 76 9 - m resample perform vitals calc print / record calculations i on / off on / off datetime ranges i 1 p 03 11 : s c. i. 4. 44 l @topic:17


044300 there is an internal software malfunction in the main pcba. update the software. if the problem persists, replace the module. the spo2 module received an invalid command spo2 rebooting. 044400 there is an internal software malfunction in the main pcba. update the software. if the problem persists, replace the odule. spo2 rebooting. 044500 the spo2 module received a command that would result in more output than the baud rate can support there is an internal software malfunction in the main pcba. update the software. if the problem persists, replace the odule. spo2 rebooting. 044600 the spo2 module received a command that requires an application that is not present there is an internal software malfunction in the main pcba. update the software. if the problem persists, replace the module. spo2 rebooting. 044700 the spo2 module received a ommand while still locked there is an internal software malfunction in the main pcba. update the software. if the problem persists, replace the module. spo2 low sat signal quality spo2 reapply the sensor to the patient. very low if the problem is still present, replace the spo2 sensor. if the problem is still present, replace the cable. if the problem is still present, verify module functionality by replacing the sensor with an applicable spo2 tester. if the message persists, low signal quality. check sensor. 044f00 spo2 rebooting. 045000 low pr confidence reapply the sensor to the patient. very low if the problem is still present, replace the spo2 sensor. if the problem is still present, replace the cable. if the problem @topic:20


check the calibration together with this catheter. test expected test results invasive pressure performance test 200 mmhg ± 5 mmhg temperature performance test this test checks the performance of the temperature measurement. tools required : patient simulator ( with 0. 1 °c or 0. 2°f tolerance ). 1 connect the patient simulator to the temperature connector. 2 configure the patient simulator to 40°c or 100°f. 3 the value should be 40°c ± 0. 2°c or 100°f ± 0. 4°f. test expected test results temperature performance test 40°c ± 0. 2°c or 100°f ± 0. 4°f m3014a capnography extension performance tests the procedures below describe the mainstream and sidestream c02 performance tests for the m3014a capnography extension. mainstream c02 accuracy check tools required : • three airway adapters • verification gas m2506a • gas cylinder regulator m2505a you also need a local barometric pressure rating received from a reliable local source ( airport, regional weather station or hospital weather station ) which is located at the same altitude as the hospital. procedure : 1 attach the m2501a co 2 sensor to the patient monitor. attach an airway adapter to the sensor. make sure that the sensor is disconnected from the patient circuit. 2 switch on the patient monitor. 3 enter the monitor ’ s service mode. 4 using the sensor status provided in the m2501a serial protocol, wait for the m2501a sensor to warm up to its operating temperature. 5 the default setting for gas temperature is 22°c. if the gas temperature is significantly above or below this value, correct the gas temperature setting. 6 zero the sensor on the airway adapter being used in this test. ensure zero gas is set to room air 7 attach a regulated @topic:17


# # # issue - equipment not displaying parameter values on the screen. # # # impact - inability to monitor patient's vital parameters accurately, leading to delayed or incorrect treatment decisions. # # # possible causes - loose signal cables connected to the module. # # # recommendations - * * immediate : * * - tighten the loose signal cables to ensure proper connection. - test the device to verify if the issue is resolved. - * * preventive : * * - regularly inspect signal cables and connections to prevent future loose connections. - train staff on proper handling and maintenance of medical equipment. @topic:22


# # # issue > beds, electric, hill - rom, care assist es100 device alarms are not working properly. # # # impact > without functioning bed alarms, the patient's safety may be compromised. the patient may be at risk of falling or other injuries if they are able to get out of bed without the alarm sounding. # # # possible causes > the cause of the malfunction was identified as setting * * * bed alarm * * * # # # recommendations > to fix the issue, the biomedical engineer should : - verify that the bed alarm is properly configured. - check the alarm sensors to ensure that they are functioning properly. - test the alarm system to ensure that it is working properly. - document the findings and any corrective actions taken. @topic:26


# # # issue - spo2 sensor failure # # # impact - unable to monitor patient's oxygen saturation levels # # # possible causes - damaged or faulty spo2 sensor - loose or disconnected cable - interference from external sources ( e. g., electromagnetic fields ) # # # recommendations - replace the spo2 sensor with a new one - ensure that the cable is securely connected to both the sensor and the monitor - check for any nearby sources of electromagnetic interference and relocate the monitor if necessary @topic:4


# # # issue - monitor is not charging. # # # impact - the monitor cannot be used to monitor patient's vital signs. # # # possible causes - the ac power cord is not properly connected to the adapter. - the adapter is not properly connected to the monitor. - the battery is not properly connected to the monitor. - the battery is dead. - the monitor's charging circuit is faulty. # # # recommendations - check the ac power cord connections. - check the adapter connections. - check the battery connections. - replace the battery. - contact a qualified biomedical engineer to troubleshoot the monitor's charging circuit. @topic:11


# # # issue : - system failure causing the bed not to function properly # # # impact : - patient discomfort or safety hazard due to the inoperable bed. # # # possible causes : - loose plug connection # # # recommendations : - securely connect the plug to ensure a stable electrical connection. @topic:9


system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1051 system error cannot initialize nbp. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1052 system error memory error. shut down ( see “ shutting down the system ” on page 5 - 2 ) and restart the monitor. if the problem persists, replace the main board. see “ replacing the main board ” on page 5 - 22. 1053 system error loss of monitoring. informational message. no action required. 4 - 28 troubleshooting suresigns vs2 * and vsi service guide running system diagnostics running system diagnostics if you cannot identify a problem by using the troubleshooting tables on page 4 - 5 or the error code table on page 4 - 12, run the system diagnostics software. to access the system diagnostics software : » inthe service menu, select the diagnostics button. for information about opening the service menu, see “ accessing the system admin menu ” on page 3 - 4. the system diagnostics menu appears. system diagnostics lcd usage hours : 231 nbp cycle count : 36 errors : 0 self test display test recorder test vs2 * only audio test battery info led test keys test network test when the system diagnostics menu is open : e patient monitoring stops + the charging led turns off troubleshooting suresigns vs2 * and vsi service guide 4 - 29 running the self test accessing the maintenance options note — you must enter a second password to access the maintenance options. only trained biomedical engineers or support persons should access the maintenance options @topic:22


# # # issue - equipment : monitors, bedside, physiologic - band : philips - model : intellivue mx700 - description : the bme found that the screen is gray because the machine fell from the wall. the bme sent it to the company for repair. the company sent a quotation for consideration. # # # impact - the patient monitor is not working, which can delay or prevent patient care. # # # possible causes - the fall from the wall may have damaged the internal components of the monitor, including the display screen. - the impact may have caused the monitor to lose power or become disconnected from the power source. - the monitor may have been damaged by water or other liquids if it fell into a puddle or was splashed. - the monitor may have been damaged by dust or other particles if it fell into a dusty environment. # # # recommendations - inspect the monitor for any visible damage, such as cracks or dents. - check the power cord and connections to ensure that the monitor is receiving power. - try restarting the monitor by turning it off and then back on. - if the monitor is still not working, contact the manufacturer or a qualified repair technician. @topic:2


##03a m8004a m8005a m8007a m8008a m8010a upgrading the number of waves upgrade from 3 to 4 waves a04 not offered not offered optional optional standard standard standard standard standard standard upgrade from 4 to 6 waves a06 not offered not offered optional optional optional optional optional optional optional standard upgrade from 4 to 8 waves a07 not offered not offered not offered not offered optional optional optional optional optional standard upgrade from 6 to 8 waves a08 not offered not offered not offered not offered optional optional optional optional optional optional upgrade from 6 to 12 waves all not offered not offered not offered not offered not offered not offered not offered not offered not offered optional upgrade from 8 to 12 waves a12 not offered not offered not offered not offered not offered not offered not offered not offered not offered optional clinical applications extended database c03 not offered not offered not offered not offered not offered not offered optional optional optional standard neonatal event review c04 not offered not offered optional optional optional optional optional optional optional standard drug calculator c05 not offered not offered optional optional optional optional standard standard standard standard basic event surveillance c06 not offered not offered not offered not offered optional optional optional optional optional standard advanced event surveillance c07 not offered not offered not offered not offered not offered not offered optional optional optional standard information portal c17 not offered not offered not offered not offered optional optional optional optional optional standard advanced hemodynamic capability c30 not offered not offered optional optional standard standard standard standard standard standard support of 4th pressure c31 not offered not offered not offered not offered optional optional standard standard standard standard anesthesia oleh support c90 not offered not offered not offered not offered optional optional optional optional optional standard protocol watch severe sepsis screening p01 not offered | not offered | not offered | not offered | not offered | not offered | not offered | @topic:8


# # # issue - broken sat cable # # # impact - inability to measure patient's oxygen saturation levels # # # possible causes - wear and tear from regular use - damage caused by mishandling - manufacturing defect # # # recommendations - inspect cables regularly for any signs of damage - handle cables with care and avoid sharp bends - use high - quality cables designed for medical use - consider using disposable cables to minimize the risk of damage - maintain a spare supply of cables to ensure quick replacement in case of failure @topic:4


test must only be performed once the device is connected to another electrical device / system. if the medical electrical system has not been tested as a standalone device, the device has to be tested as a standalone device ( without connection to the system ) and as part of the system ( with connection to the system ). connect the detachable power cord of the device under test to the safety analyzer ’ s test mains port. connect the enclosure test lead of the safety analyzer to the enclosure of the device under test as described in the ’ ’ equipment leakage test ” section. refer to the documentation that accompanies the safety analyzer for further details on how to set up the test. test expected test results equipment leakage current test ( normal condition ) sysl < = 100 | lia equipment leakage current test ( single fault condition ) sys2 < = 300 | lia after the testing of the device as a standalone device and as part of the system, check that the resulting values ( without connection and with connection to the system ) do not differ by more than + / - 10 % from each other. if the devices in the medical electrical system are connected to a multiple portable socket outlet the resulting protective earth leakage current needs to be determined. all system components must be connected to the multiple portable socket outlet and be switched on during this measurement. test expected test results protective earth leakage current of multiple socket outlets sys3 < = 300 | lia 62 3 testing and maintenance ] refer to the documentation that accompanies the safety analyzer for further details on how to set up the test. preventive maintenance procedures noninvasive blood pressure measurement calibration carry out the noninvasive blood pressure measurement performance tests at least every two years, or as specified by local laws ( whichever comes first ). microstream c02 calibration carry out the microstream co 2 calib @topic:10


# # # issue - ekg cable failure # # # impact - patient monitoring data may be inaccurate or unavailable. - this could lead to delayed or incorrect medical treatment. # # # possible causes - the ekg cable may be damaged or defective. - the ekg cable may not be properly connected to the patient or the monitor. - the patient may be moving excessively, causing the ekg cable to become disconnected. - the monitor may be malfunctioning. # # # recommendations - inspect the ekg cable for any damage or defects. - ensure that the ekg cable is properly connected to the patient and the monitor. - if the patient is moving excessively, try to secure them in place or use a different type of ekg cable. - if the monitor is malfunctioning, contact the manufacturer for service. @topic:18


# # # issue - the beds, electric equipment model ka - 64000 is not functioning properly. - when adjusting the leg section of the bed, there is a loud noise and the bed cannot be adjusted down. # # # impact - the bed cannot be used to adjust the patient's position, which can impact their comfort and recovery. - the loud noise can be disruptive to patients and staff. # # # possible causes - * * remote control is locked : * * the remote control may be locked, preventing the bed from being adjusted. - * * loose or bent support bar : * * the support bar that holds the leg section of the bed may have become loose or bent, causing it to rub against other parts of the bed and make noise. # # # recommendations * * 1. check the remote control : * * ensure that the remote control is unlocked and functioning properly. * * 2. inspect the support bar : * * check the support bar for any signs of looseness or bending. if the bar is loose, tighten it using the appropriate tools. if the bar is bent, it may need to be replaced. * * 3. test the bed : * * once the support bar has been checked, test the bed to ensure that it is functioning properly and that there is no longer any noise or difficulty adjusting the leg section. @topic:1


# # # issue the physiologic monitor is not displaying accurate vital signs. # # # impact the patient's health could be compromised if the monitor is not displaying accurate vital signs. # # # possible causes - the probe is not connected properly. - the probe is damaged. - the probe is not compatible with the monitor. - the monitor is not functioning properly. # # # recommendations - check the probe connection. - inspect the probe for damage. - ensure that the probe is compatible with the monitor. - contact a qualified biomedical engineer to troubleshoot the monitor. @topic:20


# # # issue toco transducer head malfunction # # # impact inaccurate or unreliable fetal monitoring data, which could lead to delayed or incorrect diagnoses and treatment decisions. # # # possible causes * * defects in the manufacturing process : * * faulty materials or assembly errors during production can result in a defective transducer head. * * wear and tear from regular use : * * constant use over time can lead to wear and tear on the transducer head, compromising its performance. * * improper handling or storage : * * rough handling or incorrect storage conditions can damage the transducer head, affecting its functionality. * * environmental factors : * * exposure to extreme temperatures, humidity, or other environmental stressors can accelerate the degradation of the transducer head. * * electrical failures : * * faulty wiring or electrical components within the transducer head can cause it to malfunction. # # # recommendations * * regular maintenance and calibration : * * adhere to the manufacturer's recommended maintenance and calibration schedule to detect and address potential issues early on. * * proper handling and storage : * * handle and store the transducer head according to the manufacturer's instructions to prevent damage. * * training of users : * * educate users on the proper handling and care of the transducer head to minimize risks of damage. * * quality control during manufacturing : * * implement rigorous quality control measures during the manufacturing process to ensure the production of high - quality transducer heads. * * advancements in transducer technology : * * explore advancements in transducer technology, such as wireless or disposable transducers, which may offer improved durability and reliability. @topic:12


# # # issue - bed alarm failure # # # impact - inability to alert staff to patient needs - increased risk of patient falls or other safety incidents # # # possible causes - malfunctioning bed alarm system - loose or damaged wires - faulty sensors - software glitch - user error # # # recommendations - replace or repair the bed alarm system - inspect and tighten all wires - test all sensors for proper operation - update software if necessary - train staff on proper use of bed alarms - consider implementing a redundant alarm system for increased safety @topic:26


* * issue : * * vital signs monitor cuff pressure transducer failure * * impact : * * - inaccurate blood pressure readings - potential for patient harm * * possible causes : * * - cuff pressure transducer failure - cuff tubing damage / deterioration - electronic circuitry failure * * recommendations : * * - replace cuff pressure transducer - inspect and replace any damaged / deteriorated cuff tubing - inspect and test electronic circuitry @topic:3


# # # issue - battery not charging # # # impact - device cannot be used if the battery is not charging. - patient safety may be compromised. # # # possible causes - battery is defective. - charger is defective. - device is defective. # # # recommendations - replace the battery. - replace the charger. - contact the manufacturer for further troubleshooting. @topic:11


# # # issue * heart rate reading is always 100 beats per minute ( bpm ), regardless of the patient's actual heart rate. # # # impact * incorrect heart rate readings can lead to misdiagnosis and inappropriate treatment. * for example, a patient with a heart rate of 50 bpm may be treated for bradycardia ( slow heart rate ) when they do not have this condition. # # # possible causes * * * faulty sensor : * * the sensor that detects the patient's heart rate may be damaged or malfunctioning. * * * loose connections : * * there may be a loose connection between the sensor and the monitor. * * * software glitch : * * the monitor's software may have a glitch that is causing it to display an incorrect heart rate reading. # # # recommendations * * * check the sensor : * * inspect the sensor for any damage or dirt. clean the sensor if necessary. * * * check the connections : * * ensure that all connections between the sensor and the monitor are tight and secure. * * * restart the monitor : * * turn the monitor off and then back on again. this may clear any software glitches that are causing the incorrect reading. * * * contact biomedical engineering : * * if the above steps do not resolve the issue, contact biomedical engineering for further assistance. @topic:15


monitor and a protocol with dynamic speed negotiation is used some terminal concentrators do not support changing the transmission speed ( baud rate ) dynamically. check if the connection works without the concentrator the mib / rs232 board is in a wrong slot ( slot has been changed after software configuration or an additional board has been plugged in ) verify correct placement of the 1 / o boards the mib / rs232 board is defective check board and replace if necessary detailed protocol problem consult the data export protocol document. 99 4 troubleshooting troubleshooting guide flexible nurse call relay symptoms cause of failure failure isolation and remedy inop message check nurse call relay is issued nurse call relay board defective replace nurse call relay i / o board. monitor alarmed, nurse call did not activate incorrect configuration ( relay latency, relay trigger ) check monitor configuration ( see configuration guide ) connection of cable to monitor or nurse call system not correct check cable connections nurse call relay board is in the wrong slot. verify correct placement of the i / o boards the nurse call relay board is defective replace nurse call relay board basic nurse call relay symptoms cause of failure failure isolation and remedy monitor alarmed, nurse call did not activate incorrect configuration ( relay latency relay trigger ) check monitor configuration ( see configuration guide ) connection of cable to monitor or nurse call system not correct check cable connections advanced system interface board is in the wrong slot. verify correct placement of the system interface board the advanced system interface board is defective replaceadvanced system interface board troubleshooting the ecg out / alarm led symptoms cause of failure failure isolation and remedy no ecg - out signal to the defib disconnect the mms and defib cable. switch the monitor off then on again. observe the red led in the ecg out section. ( note that the led can only be observed if the housing bottom is removed ). internal electronic defects : @topic:16


# # # issue - faulty lead wire. # # # impact - inaccurate or interrupted patient monitoring. # # # possible causes - normal wear and tear from repeated use. - damage to the wire due to mishandling or improper storage. # # # recommendations - regularly inspect lead wires for signs of wear or damage. - handle and store lead wires carefully to avoid damage. - replace lead wires when they become faulty to ensure accurate and reliable patient monitoring. @topic:18


# # # * * issue * * - wifi not connecting to the computer of the medical cart. # # # * * impact * * - the medical cart cannot access the internet or communicate with other devices on the network. # # # * * possible causes * * - the computer is out of range of the wifi signal. - the wifi signal is weak or intermittent. - the computer's wifi adapter is not working properly. - there is a problem with the wifi network. # # # * * recommendations * * - move the medical cart closer to the wifi access point. - check the wifi signal strength and ensure that it is strong and stable. - restart the computer and the wifi router. - update the computer's wifi drivers. - contact the it department for assistance. @topic:13


# # # issue : - battery degradation # # # impact : - impaired device functionality - reduced monitoring accuracy - potential safety hazards due to unreliable vital signs readings # # # possible causes : - * * age and usage : * * batteries have a limited lifespan and deteriorate over time with repeated charging and discharging cycles. - * * environmental factors : * * extreme temperatures, humidity, or exposure to chemicals can accelerate battery degradation. - * * manufacturing defects : * * occasionally, batteries may have inherent flaws or weaknesses that lead to premature failure. - * * improper storage or handling : * * storing batteries in inappropriate conditions or subjecting them to physical stress can damage their components. - * * overcharging or deep discharging : * * exceeding the recommended charging voltage or allowing the battery to completely discharge can shorten its lifespan. # # # recommendations : - * * regular maintenance : * * regularly monitor battery health, including voltage, current, and capacity, to identify any signs of degradation. - * * scheduled battery replacement : * * establish a replacement schedule based on the manufacturer's recommendations or observed degradation rates. - * * proper storage : * * store batteries in a cool, dry place with moderate humidity and avoid exposing them to extreme temperatures. - * * careful handling : * * avoid physical impacts or mishandling that could damage the battery or its terminals. - * * optimize charging practices : * * follow the manufacturer's guidelines for charging voltage and duration, and avoid overcharging or deep discharging. - * * investigate root causes : * * if battery failures occur prematurely or frequently, investigate the underlying causes to address any systemic issues. @topic:11


# # # issue unable to charge the philips suresigns vs2 vital signs monitor. # # # impact the device cannot be used to monitor patient vital signs. # # # possible causes - faulty charging cable or adapter - faulty battery - issue with the charging port on the device - issue with the device's internal circuitry # # # recommendations 1. check the charging cable and adapter for any damage. replace if necessary. 2. replace the battery with a known - good one. 3. inspect the charging port on the device for any damage or debris. clean if necessary. 4. contact the manufacturer for further troubleshooting and repair. @topic:11


* * issue : * * bed not adjusting to desired head - down position * * impact : * * patient discomfort, delayed care, increased risk of complications * * possible causes : * * * obstruction : something may be blocking the movement of the headrest, such as a misplaced sheet or a foreign object. * mechanical failure : a component within the bed's mechanism may have malfunctioned, preventing it from adjusting properly. * electrical malfunction : a power outage or electrical surge may have damaged the bed's electronic components. * misalignment : the headrest may have become misaligned, causing it to bind and prevent proper adjustment. * worn or damaged parts : over time, components within the bed may wear out or become damaged, leading to performance issues. * * recommendations : * * * check for obstructions : ensure that there are no objects or debris blocking the movement of the headrest. * verify electrical connections : ensure that the bed is properly plugged in and that there are no loose connections. * inspect mechanical components : check for any loose or damaged parts that may be affecting the bed's functionality. * realign headrest : if the headrest has become misaligned, attempt to reposition it manually. * consult with manufacturer or biomedical engineer : if the issue cannot be resolved through these steps, contact the manufacturer or a biomedical engineer for further troubleshooting and repairs. @topic:1


# # # issue - failed micro switch of bp button # # # impact - monitor cannot measure blood pressure - incomplete vital signs monitoring # # # possible causes - worn - out micro switch due to frequent use - manufacturing defect # # # recommendations - regularly replace micro switch as per manufacturer's recommended maintenance schedule - use high - quality micro switches to ensure durability @topic:15


* * issue : * * medical cart scanner not functioning * * impact : * * inability to use the medical cart for transporting patients or medical equipment * * possible causes : * * * faulty scanner hardware * loose connections * software glitches * power supply issues * * recommendations : * * * inspect the scanner and its connections for any visible damage or loose wires * check the power supply to the scanner * update the software if available * if the issue persists, contact the manufacturer for further troubleshooting assistance @topic:23


# # # issue - remote control not functioning # # # impact - inconvenience for patient and staff - may delay or interrupt patient care # # # possible causes - * * remote control : * * - physical damage ( e. g., cracked casing, broken buttons ) - electrical fault ( e. g., loose connections, burned - out components ) - software malfunction # # # recommendations - * * troubleshooting : * * - inspect the remote control for any visible damage. - test the buttons and functions to identify specific issues. - * * repairs : * * - if the remote control is physically damaged, it may need to be replaced. - if the remote control has an electrical fault, a biomedical engineer can diagnose and repair the issue. - * * maintenance : * * - regularly inspect remote controls for signs of wear or damage. - avoid dropping or mishandling the remote control. - train staff on proper usage and storage of the remote control. @topic:7


* * issue : * * broken monitor basket * * impact : * * monitor may not be stable or secure, which could lead to damage to the monitor or injury to the patient or healthcare worker. * * possible causes : * * * excessive weight placed in the basket * rough handling of the monitor * faulty basket design or materials * * recommendations : * * * use the monitor basket only for its intended purpose and do not overload it. * handle the monitor carefully and avoid bumping or dropping it. * inspect the basket regularly for any signs of damage or wear and tear. * if the basket is damaged, replace it immediately. * consider using a different type of basket that is more durable and less likely to break. @topic:24


# # # issue * * equipment in question : * * lcd monitor, model lmd - 2451mt by sony * * symptom : * * lcd monitor not turning on, remains unresponsive # # # impact * * immediate : * * inability to display patient data, monitor vital signs, or access necessary medical information. * * long - term : * * reduced patient safety, delayed diagnoses, impaired communication among healthcare professionals, increased stress on healthcare staff. # # # possible causes * * 1. power supply issues : * * - * * loose or disconnected power cable : * * ensure the power cable is securely connected to the monitor and the power source. - * * electrical surges or fluctuations : * * check if there have been recent power outages or surges. - * * faulty power supply : * * inspect the power supply for any visible damage or overheating. * * 2. internal component failure : * * - * * backlight malfunction : * * the backlight may have failed, preventing the image from being displayed. - * * circuit board issue : * * a faulty circuit board can prevent the monitor from receiving power or processing data. - * * display panel damage : * * the display panel may be physically damaged, preventing it from displaying an image. * * 3. software glitch : * * - * * corrupted firmware : * * software updates or system crashes can corrupt the firmware, causing the monitor to malfunction. - * * compatibility issues : * * the monitor may not be compatible with the operating system or other devices connected to it. # # # recommendations * * 1. basic troubleshooting : * * - * * reseat cables : * * disconnect and reconnect the power cable and any other cables connected to the monitor. - * * perform a hard reset : @topic:2


the pop - up key for the device you want to check ( e. g. m3002a, m8102a ) the part numbers listed in the monitor revision screen do not necessarily reflect the part numbers required for ordering parts. please refer to the parts section for the ordering numbers. note the system serial number can also be found on the cover of the msl connector. software compatibility matrix for a detailed software compatibility matrix, please refer to the intellivue compatibility matrix on your documentation dvd. for further information on m3001a hw / sw compatibility, please refer to the parts section. 110 compatibilty with mms the following table shows the compatibility between the monitor and x2 software revisions when x2 is used as an mms. compatibility with information center the following tables show the compatibility between the mp2 / x2 / mp5 and the information center software revisions. the first table shows the compatibility if mp2 / x2 / mp5 are used as pure monitor or measurement module. the second table shows the compatibility if the mp2 / x2 / mp5 are used in companion mode i. e. as monitor and measurement module. obtaining replacement parts see parts section for details on part replacements. 111 troubleshooting guide problems with the monitor are separated into the categories indicated in the following sections and tables. check for obvious problems first. if further troubleshooting instructions are required refer to the troubleshooting tables. taking the recommended actions discussed in this section will correct the majority of problems you may encounter. however, problems not covered here can be resolved by calling philips response center or your local representative. checks for obvious problems when first troubleshooting the instrument, check for obvious problems by answering basic questions such as the following : 1. is the battery adequately charged? 2. is the ac power cord connected to the external power supply ( m8023a ) and @topic:22


the display changes to cal6 and six tones sound. 25. remove the calibration weight. do not touch the bed. 26. after approximately 30 seconds, the display changes to cal7 and seven tones sound. 27. add the calibration weight to the right head of the bed over the load cell. do not touch the bed. 28. after approximately 30 seconds, the bed beeps. note : b model beds may not beep depending on the volume. 29. move the calibration weight to the middle of the bed. 30. take a weight reading. 31. make sure the weight shown on the scale display matches the calibration weight. 32. remove the calibration weight. 33. raise the head section to the highest position. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 6 - 17 6. 1 scale calibration chapter 6 : general procedures warning : failure to unplug the bed could cause personal injury or equipment damage. 34. unplug the bed from its power source. let the bed sit for 60 seconds for the battery to time out. 35. install the battery cover ( b ) on the power supply ( c ) ( see figure 6 - 1 on page 6 - 15 ). 36. install the four screws ( a ) to attach the battery cover ( b ) to the power supply ). 37. plug the bed into an applicable power source. 38. do the “ function checks ” on page 2 - 4. page 6 - 18 careassist® and careassist® es bed service manual ( man330 rev 4 ) chapter 7 accessories accessories table 7 - 1. accessories list product number description p158a infusion support system ( iss ) transfer pole p27601 oxygen tank holder p2217 iv pole p734ea1 mattress pad extend @topic:24


# # # issue - bed not adjusting and displaying an error code. # # # impact - patients may not be able to get in or out of bed safely. - nurses and other caregivers may have to lift patients manually, which could lead to injuries. # # # possible causes - faulty motor - broken or loose wire - software glitch - power supply issue # # # recommendations - check the motor for any signs of damage or wear. - inspect the wiring for any breaks or loose connections. - update the software to the latest version. - check the power supply to ensure that it is providing the correct voltage and amperage. - if the above steps do not resolve the issue, contact the manufacturer for further assistance. @topic:1


* * issue * * * remote control not responding * * impact * * * inability to adjust bed settings * potential discomfort or injury to patient * * possible causes * * * * * loose connection : * * the remote control may not be securely connected to the bed or the wiring harness. * * * damaged wiring : * * internal wiring within the remote control or connecting cables may have been damaged, causing intermittent or complete failure. * * * faulty remote control : * * electronic components within the remote control may have malfunctioned, rendering it inoperable. * * * software glitch : * * the software controlling the remote control may be experiencing errors or bugs that prevent it from functioning properly. * * recommendations * * * * * inspect and tighten connections : * * ensure that the remote control is firmly plugged into the bed and that all wiring is secure. * * * check for wire damage : * * inspect wires for visible signs of breaks, cuts, or corrosion. use a multimeter to test continuity and identify potential damage. * * * test remote control separately : * * if possible, test the remote control with a different bed to determine if the issue is with the remote or the bed itself. * * * contact the manufacturer : * * reach out to the manufacturer for technical assistance, replacement parts, or firmware updates that may resolve the issue. * * * consider replacement : * * if the issue cannot be resolved by the aforementioned steps, it may be necessary to replace the remote control or affected components. @topic:7


configuration. trends reports can be printed on central or local printers. to make a vital signs recording, ♦ in the vital signs window, select the print / record pop - up key, then select the record vitals pop - up key. vital signs recordings print the trend data for the current group and trend period shown in the vital signs window. trends databases depending on the purchased options and the monitor ’ s configuration, the trends databases store information for up to 32 measurements for up to 72 hours. the values in the trends database are stored as measured by the monitor, they are not averaged values. the trend resolution defines how often a value is stored. in general, if more than one value is available for storage in the trends database, the most recent value is used. some values in the trends are marked with arrows. this indicates that for this time period, more values were available and the most recent one is shown. example database configuration in this example, we see that the monitor stores the most recent data at the highest resolution, older data are stored at a lower resolution. “ 4 hours @ 12 second resolution ” means that the monitor stores trend data every 12 seconds, for the most recent four hours. - 48 hours - 24 - 4 hours hours now — | - 1 - 1 — [UNK] - time 4 hours @ 12 second resolution - 24 hours @ 1 minute resolution i 48 hours @ 3 minute resolution aperiodic trends database aperiodic trends do not count toward the maximum number of trends allowed by the trend configuration. trend data for aperiodic measurements is stored in a separate database and timestamped with the measurement time. 278 screen trends 21 trends trending multiple - value measurements some measurements generate multiple values, for example invasive pressure measurements can provide systolic, diastolic, and mean values. these values are trended as separate measurements. screen trends trends configured to display permanently on special monitor screens are @topic:8


# # # issue the spo2 extension cable is intermittently connecting and disconnecting. # # # impact the patient's spo2 levels may not be accurately monitored, which could lead to delayed treatment or incorrect treatment decisions. # # # possible causes * the port on the monitor or the cable may be dirty or obstructed. * the cable may be damaged. * the monitor or the cable may be malfunctioning. # # # recommendations * clean the port on the monitor and the cable with a cotton swab and alcohol. * inspect the cable for any damage. * if the cable is damaged, replace it. * if the monitor is malfunctioning, contact the manufacturer for repair or replacement. @topic:4


# # # issue - cuff bp adult connects of the cuff bp came out on the phillip x2 machine at bed 6 # # # impact - the device cannot measure blood pressure accurately # # # possible causes - the cuff bp was not connected properly - the cuff bp was damaged # # # recommendations - check if the cuff bp is connected properly - replace the cuff bp if it is damaged @topic:3


# # # issue - the cause of failure is not specified. # # # impact - the equipment may not be functioning properly and could pose a risk to patients. # # # possible causes - the technician may have not properly tested the equipment. - the equipment may have a manufacturing defect. - the equipment may have been damaged during shipping or handling. # # # recommendations - the technician should re - test the equipment to confirm that it is functioning properly. - if the equipment continues to fail, the technician should contact the manufacturer for assistance. - the technician should follow the manufacturer's instructions for testing and maintaining the equipment. - the technician should inspect the equipment for any damage and report any damage to the manufacturer. @topic:12


# # # issue - the cause of failure is not specified in the given input. # # # impact - unknown # # # possible causes - the technician may have not identified the cause of failure. - the technician may have not documented the cause of failure. # # # recommendations - the technician should investigate the cause of failure and document it in the appropriate location. - the technician should provide the cause of failure to the biomedical engineer so that the engineer can take appropriate action. @topic:12


select any numeric, then select change numeric and select svr or svri from the list of available numerics. 202 measuring c. o. using the picco method 13 monitoring cardiac output measuring pulse pressure variation note : pulse pressure variation can be calculated in two different ways on this monitor - in conjunction with cco or directly from the pressure measurement. refer to the invasive pressure chapter for information on ppv from pressure. only one ppv can be active at a time. pulse pressure variation ( ppv ) is calculated from beat - to - beat arterial pressure values. pulse pressure is the difference between the systolic and the diastolic pressure values for a single beat. pulse pressure variation is defined as the maximal pressure less the minimum pressure divided by the average of these two pressures. warning • the monitor calculates ppv from beat - to - beat values of the arterial pressure selected for cco. the circumstances under which the calculation of a ppv value is clinically meaningful, appropriate and reliable must be determined by a physician. • the clinical value of the derived ppv information must be determined by a physician. according to recent scientific literature, the clinical relevance of ppv information is restricted to sedated patients receiving controlled mechanical ventilation and mainly free from cardiac arrhythmia. • ppv calculation may lead to inaccurate values in the following situations : - at respiration rates below 8 rpm - during ventilation with tidal volumes lower than 8 ml / kg - for patients with acute right ventricular dysfunction ( “ cor pulmonale ” ). • the ppv measurement has been validated only for adult patients 203 13 monitoring cardiac output measuring c. o. using the picco method setting up the picco c. o. measurement 1 set up the arterial line using the arterial catheter ( transpulmonary catheter ) and the transducer kit from @topic:17


* * issue * * : central monitor doesn't link * * impact * * : the monitoring system cannot receive data from the bedside monitor, affecting patient care. * * possible causes * * : * * * incorrect ci address configuration * * : the ip address or port number used for the ci address may be incorrect, preventing the monitor from connecting to the central system. * * * server issues * * : the central server may be experiencing technical difficulties, such as a software glitch or hardware failure, affecting its ability to communicate with the bedside monitor. * * * network connectivity problems * * : network cables or routers may be damaged or malfunctioning, causing intermittent or complete loss of connectivity between the bedside monitor and the central server. * * * firewall restrictions * * : the hospital's firewall may be blocking communication between the bedside monitor and the central server, requiring adjustments to the firewall rules. * * recommendations * * : * * * verify ci address configuration * * : ensure that the ci address settings in the bedside monitor match the ip address and port number of the central server. * * * check server status * * : contact the it department to verify the status of the central server and resolve any issues. * * * inspect network connectivity * * : inspect network cables and routers for any physical damage or loose connections. test network connectivity using a network analyzer or ping commands. * * * adjust firewall rules * * : collaborate with the it department to review and modify firewall rules to allow communication between the bedside monitor and the central server. @topic:16


* * issue : * * bed locking failure * * impact : * * inability to safely position or transport patient * * possible causes : * * - * * mechanical failure : * * - broken or jammed locking mechanism - loose bolts or screws - faulty motor or actuator - * * electrical failure : * * - faulty wiring or connections - malfunctioning control panel - power supply issues - * * user error : * * - improper locking procedure - using the bed for purposes it is not designed for * * recommendations : * * - * * visual inspection : * * check for any physical damage or loose components. - * * electrical testing : * * use a multimeter to verify proper voltage and continuity. - * * functional testing : * * attempt to lock and unlock the bed multiple times. - * * lubrication : * * apply a light lubricant to moving parts if necessary. - * * replacement : * * if the issue persists, consider replacing the locking mechanism or other affected components. - * * user training : * * ensure that hospital staff is adequately trained on proper bed locking procedures. @topic:6


# # # issue - cuff on the device is deteriorated. # # # impact - the device may not be able to accurately measure blood pressure. # # # possible causes - the cuff may be old and worn out. # # # recommendations - the cuff should be replaced with a new one. @topic:3


t pvcs, v. bigeminy, v. trigeminy, multif. pvcs, pause, svt, irregular hr, missed beat, pvcs / min and afib. ♦ to switch individual alarms on or off, in the setup arrhythmia menu, select the alarm from the list to toggle between on and off. the monitor displays the inop message some ecg alrms off, if configured, when more alarms are switched off than configured in your active profile. switching all yellow arrhythmia alarms on or off all yellow arrhythmia alarms can be switched on and off together. to do this, ♦ in the setup arrhythmia menu, select all yellow off or all yellow on. adjusting the arrhythmia alarm limits some arrhythmia alarms have limits which can be individually adjusted. they are : vtach hr, vtach run, pvcs / min, vent rhythm, svt hr, svt run, asystole thresh., pause threshold. 1 to adjust alarm limits, in the setup arrhythmia menu, select the alarm to be adjusted. 2 select the appropriate setting from the pop - up list. 140 arrhythmia alarms 6 ecg, arrhythmia, st and qt monitoring arrhythmia alarm timeout periods normally, an arrhythmia alarm is announced when an alarm condition is detected. however, there are certain situations that can inhibit the audible and visible indications of the alarm even though the alarm condition was detected. these include : • if a more serious alarm condition is active in the same chain • if a timeout period is in effect for a particular alarm • if a timeout period is in effect for a higher alarm in that chain. see “ arrhythmia alarm chaining @topic:8


# # # issue - damaged power cord # # # impact - the device may not function properly or may be unsafe to use. # # # possible causes - the power cord may have been damaged due to excessive use, wear and tear, or accidental damage. - the power cord may have been chewed by rodents or other animals. - the power cord may have been pinched or crushed by heavy objects. - the power cord may have been exposed to extreme heat or cold. # # # recommendations - inspect the power cord for any signs of damage, such as cuts, tears, or frayed wires. - if the power cord is damaged, replace it with a new one. - avoid placing the power cord in areas where it may be pinched or crushed. - avoid exposing the power cord to extreme heat or cold. - if the power cord has been chewed by rodents or other animals, contact a pest control company to have the problem resolved. @topic:12


# # # issue the cuff of the bedside physiologic monitor has deteriorated and is no longer functioning properly. # # # impact the monitor cannot accurately measure vital signs, such as blood pressure and heart rate. this could lead to incorrect treatment decisions and patient harm. # # # possible causes * cuff is not properly inflated or deflated * cuff is damaged or leaking * cuff is too large or too small for the patient * cuff is not connected properly to the monitor # # # recommendations * replace the cuff with a new one * ensure that the cuff is properly inflated or deflated * check for damage or leaks in the cuff * ensure that the cuff is the correct size for the patient * connect the cuff properly to the monitor @topic:5


# # # issue - keyboard is not working on some keys. # # # impact - the medical cart cannot be used for data entry or other keyboard - based activities. # # # possible causes - the keyboard is not properly connected to the medical cart. - the keyboard is damaged. - the keyboard driver is not installed or is not functioning properly. # # # recommendations - check the connection between the keyboard and the medical cart. - if the keyboard is damaged, replace it. - reinstall the keyboard driver. @topic:27


# # # issue - scanner fails to fire # # # impact - inability to use the medical cart effectively # # # possible causes - loose battery terminals not making contact with the copper terminals # # # recommendations - ensure that the battery terminals are securely connected to the copper terminals and that the connections are tight. @topic:23


# # # issue - equipment : bed, electric - band : huntleigh - model : contoura 360 # # # impact - bed cannot be adjusted # # # possible causes - faulty remote control - problem with bed motor or electronics - issue with bed frame or mechanics # # # recommendations - replace the remote control ( as per bme report ) - inspect the bed motor, electronics, and frame for any damage or issues - test the bed with a different remote control to rule out a remote issue - contact the manufacturer for further troubleshooting and support - consider performing a comprehensive maintenance and safety check on the bed to ensure optimal performance @topic:7


# # # issue the remote control for the electric bed is not functioning properly. # # # impact the patient is unable to adjust the bed's position, which can lead to discomfort or pain. # # # possible causes - the remote control is damaged. - the batteries in the remote control are dead. - the receiver unit in the bed is malfunctioning. # # # recommendations - replace the remote control. - replace the batteries in the remote control. - test the receiver unit in the bed to ensure it is functioning properly. @topic:7


# # # issue - battery degradation # # # impact - reduced battery life - reduced device uptime - potential for data loss - possible safety hazard # # # possible causes - normal battery wear and tear - excessive battery usage - improper charging practices - environmental factors ( temperature, humidity ) - manufacturing defect # # # recommendations - replace the battery as recommended by the manufacturer. - follow the manufacturer's instructions for charging and discharging the battery. - use a battery conditioner or charger that is specifically designed for the device. - avoid exposing the battery to extreme temperatures or humidity. - contact the manufacturer if the battery is replaced and the issue persists. @topic:11


# # # issue - the medical cart is not turning on and displays a " low battery " message on the mainboard. # # # impact - the medical cart is unable to be used for patient care, potentially impacting patient care and outcomes. # # # possible causes - the battery is drained and needs to be charged. - the battery is defective and needs to be replaced. - the mainboard is defective and needs to be repaired or replaced. - the power supply is not functioning properly. # # # recommendations - charge the battery and test the medical cart to ensure it is functioning properly. - if the battery is defective, replace it with a new one. - if the mainboard is defective, repair or replace it. - inspect the power supply for any damage or defects. @topic:13


escriptiono. feature lcd scree7 " color touchscreen provides a graphical user interface 1 thermometry 2 secures the sure temp unit to the monitor 3 battery charge and power - up status indicator the led indicates the charging and power - up status wheconnected to ac power : green : the battery is charged amber : the battery is charging flashing : the monitor is powering up ower button 4 blue button on lower - left corner of the monitor : powers on the monitor 20 controls, indicators, and connectors welch [UNK] connex® spot monitor no. feature description places the monitor into sleep mode, except when an alarm condition is active ( brief press ) wakes up the monitor from sleep mode back - bottom - left view 9 1 © 8 6 4 3 2 no. feature description houses the battery ( captive screw secures cover to onitor ) 1 attery compartm2 ibp connects nibp cable to monitor provides a connection to an external computer for testing and software upgrades sb client por3 sb porconnects apm work surface to monitor 4 connects apm work surface or any accessory to the onitor 5 power connection provides a hardwired connection to the computer network ethernet rj - 45 6 provides a connection to a hospital nurse call system nurse call 7 spo2 connects chosen spo2 system to monitor 8 thermometry configuration shown features suretemp module and probe connection port 9 service manual controls, indicators, and connectors 21 apm this section applies only to devices with an accessory power management ( apm ) stand. the apm is an accessory stand with work surface, power supply for enhanced device run time, and organizational bins to arrange sensors and cables for available parameters. 1 description no. feature houses the battery 1 indicates charge level of battery 2 3 powers light under apm work surface 22 controls, indicators, and connectors welch @topic:10


# # # issue - battery failure # # # impact - interruption of patient monitoring - potential for inaccurate readings # # # possible causes - battery has reached end of life - battery not properly charged - battery not compatible with device # # # recommendations - regularly replace batteries according to manufacturer's guidelines - charge batteries per manufacturer's instructions - ensure that batteries are compatible with the device @topic:11


# # # issue the electric bed, model 900b by hill - rom, is not able to adjust downward. # # # impact the patient may not be able to get into or out of the bed safely. the bed may not be able to be used for its intended purpose. # # # possible causes - the bed's power cord is not plugged in. - the bed's control panel is not working. - the bed's motor is not working. - the bed's gears are stripped. - the bed's frame is bent. # # # recommendations 1. check the bed's power cord to make sure it is plugged in. 2. check the bed's control panel to make sure it is working. 3. check the bed's motor to make sure it is working. 4. check the bed's gears to make sure they are not stripped. 5. check the bed's frame to make sure it is not bent. @topic:1


# # # issue - the philips intellivue mx550 bedside physiologic monitor is giving frequent alarms to new users. # # # impact - the frequent alarms may be causing annoyance and disruption to the new users. - the alarms may be causing the new users to miss or ignore important alarms. # # # possible causes - the alarm settings may be set too high or too low. - the monitor may be malfunctioning. - the new users may not be properly trained on how to use the monitor. # # # recommendations - set the alarm settings to the appropriate levels. - test the monitor to ensure that it is functioning properly. - provide proper training to new users on how to use the monitor. @topic:22


dult 20. 5 28. 0 cm small adult 14. 0 21. 5 cm ediatric 10. 0 15. 0 cm infant 425 9 accessories neonatal / infant single patient cuffs cuffs limb circumference part no. tubing a - luer connector b - iso 80369 - 1 compliant connector ize 1 3. 1 to 5. 7 cm m1866a / b for a - version cuffs : size 2 4. 3 to 8. 0 cm m1868a / b m1596b ( 1. 5 m ) or m1597b 5. 8 to 10. 9 cm size 3 m1870a / b for b - version cuffs : 7. 1 to 13. 1 cm 1872a / b size 4 m1596c ( 1. 5 m ) or m1597c ( 3 m ) ize 5 ( infant10 to 15 cm 1873neonatal / infant single patient, soft cuffs limb circumference tubing part no. cuffs 1596c ( 1. 5 mm1866s size 1 3. 1 to 5. 7 cm or m1868s size 2 4. 3 to 8. 0 cm 1597c ( 3 m5. 8 to 10. 9 cm size 3 m1870s size 4 7. 1 to 13. 1 cm 1872s ize 5 ( infantm1873s 10 to 15 cm neonatal / infant cuff kits cuff kits part no. standard, single patient, luer connector : 10 x m1866a, 10 x m1868a, 10 x m1872a, and 20 x m1870a 1820 - 600standard, single patient, iso 80369 - 1 compliant connector : 5 x m1866b, 10 x m1868b, 989803167541 20 x m1870b, 10 x @topic:8


# # # issue - equipment : monitor, physiologic, vital signs - band : philips - model : suresigns vs2 # # # impact - cuff is damaged and needs to be replaced. # # # possible causes - the cuff may have been damaged due to : - excessive use - mishandling - improper storage # # # recommendations - replace the cuff with a new one. - inspect the equipment regularly for any signs of damage. - handle the equipment with care to avoid further damage. @topic:5


. select any monitor to see the other patient window for that bed. other units lets you view a list of all the care units in your care domain. select any care unit to view a list of the information centers connected to it. select an information center to see a list of the monitors connected to it. select any monitor to see the other patient window for that bed. alarming beds lets you view a list of all beds in your care group with an unacknowledged alarm. the beds are listed in order of alarm severity. my care group x beds from : room 2 room 4 ^ bed 2 * * bed 4 bed 8 room 1 room 3 room 5 bb lcv4 smith, mary jones, paul, 1 murphy, sarah miller, john t * baker, jane green, liza scott, james black, harald z 113 5 managing patients care groups viewing the other bed window the other bed window lets you view a subset of the waveform and numeric information from another bed on the same network. waves and numeric information from another bed are delayed. if configured, other bed information is displayed in color, using the colors defined by the information center. the other bed window can be configured to popup automatically when an alarm occurs at another bed. to avoid too many windows appearing ( for example, in large care groups ) and covering the monitor ’ s own bed data on the screen, you can temporarily disable this automatic popup : 1 select main setup > network > auto window 2 select disabled when automatic popup is disabled in this way, an icon will appear as a reminder in the care group overview bar next to the monitor ’ s own bed label to open the other bed window, ♦ mp60 / mp70 / mp80 / mp90 : select the required bed label or patient name in the care group overview bar. if you are in a unit group with many beds, the my @topic:10


# # # issue - the bed's side rails are stuck and cannot be lowered. # # # impact - the patient may be unable to get out of bed safely. - the patient may be uncomfortable or in pain. - the bed may be unusable, which could disrupt patient care. # # # possible causes - the side rails are damaged or obstructed. - the side rail release mechanism is not working properly. - the bed is not properly assembled. - the patient is putting too much weight on the side rails. # # # recommendations - check the side rails for damage or obstructions. - test the side rail release mechanism to make sure it is working properly. - make sure the bed is properly assembled. - instruct the patient to avoid putting too much weight on the side rails. @topic:6


* * issue : * * bed end does not elevate when pressing the button * * impact : * * inability to adjust the bed for patient comfort and safety * * possible causes : * * 1. * * malfunctioning foot up button : * * the button may be faulty and not sending a signal to the motor responsible for elevating the foot end. 2. * * electrical fault : * * a loose wire or damaged circuit could be interrupting the electrical connection between the button and the motor. 3. * * motor failure : * * the motor that raises the foot end may have become damaged or worn out, preventing it from functioning properly. 4. * * mechanical problem : * * a jammed or obstructed mechanism could be blocking the movement of the foot end. 5. * * software error : * * a software glitch in the bed's control system could be causing the button to behave erratically. * * recommendations : * * 1. * * inspect the foot up button : * * check the button for any signs of damage or wear. replace it if necessary. 2. * * test electrical connections : * * use a multimeter to verify the continuity of the wiring between the button and the motor. tighten any loose connections. 3. * * examine the motor : * * inspect the motor for visible damage or signs of burnout. replace the motor if it is faulty. 4. * * inspect mechanical components : * * ensure that the foot end is not obstructed or jammed by debris or other objects. 5. * * reset the software : * * if possible, reset the bed's software to its default settings. @topic:1


# # # issue : - cuff fell off during measurement # # # impact : - interrupted or inaccurate vital sign monitoring # # # possible causes : - * * loose cuff : * * the cuff may not have been securely fastened to the patient's arm or leg. - * * damaged cuff : * * the cuff may have been torn or punctured, compromising its ability to inflate and maintain pressure. - * * incompatible cuff : * * the cuff may not have been the correct size or type for the patient, leading to inadequate inflation or pressure loss. - * * operator error : * * the healthcare professional may not have properly inflated or secured the cuff according to manufacturer's instructions. # # # recommendations : - * * secure the cuff properly : * * ensure the cuff is snugly wrapped around the patient's limb and the hook - and - loop closure is fastened securely. - * * inspect the cuff regularly : * * check the cuff for any damage or wear and replace as needed. - * * use the correct cuff size : * * refer to the manufacturer's guidelines to determine the appropriate cuff size for the patient's limb circumference. - * * follow proper inflation procedures : * * inflate the cuff to the recommended pressure and release it slowly to avoid rapid deflation. - * * train healthcare staff : * * provide clear instructions and training on proper cuff usage and maintenance to minimize operator error. @topic:5


# # # issue * ekg lead cable is defective and unable to capture heart rate. # # # impact * inability to accurately monitor patient's heart rate. # # # possible causes * physical damage to the lead cable, such as cuts, kinks, or breaks. * loose connections or poor contact between the lead cable and the patient or the monitor. * internal component failure within the lead cable. # # # recommendations * visually inspect the lead cable for any visible damage or defects. * ensure that the lead cable is properly connected to both the patient and the monitor. * test the lead cable with a known - good patient to verify its functionality. * consider replacing the lead cable if damage or malfunction is confirmed. @topic:18


# # # issue - monitor does not link to central monitor. # # # impact - inability to monitor patient's physiological data remotely. - increased risk of patient complications or adverse events. # # # possible causes - incorrect ci address configuration on the monitor. - damaged or loose cable connections. - software or firmware issues on the monitor or central monitor. - interference from other medical devices. # # # recommendations - verify and correct the ci address configuration on the monitor. - inspect and replace any damaged or loose cable connections. - update the software or firmware on the monitor and central monitor if necessary. - check for and устранить interference from other medical devices. - if the issue persists, contact the equipment manufacturer for further troubleshooting and repair. @topic:16


# # # issue - equipment is not turning on or functioning properly. # # # impact - this can impact patient care and safety, as well as the efficiency of the hospital staff. # # # possible causes - * * hardware failure : * * this could be due to a number of factors, such as a loose connection, a faulty component, or a power surge. - * * software failure : * * this could be due to a corrupted file, a virus, or a software update that has not been properly installed. - * * user error : * * this could be due to the user not following the proper operating procedures, or not being properly trained on how to use the equipment. - * * power outage : * * this could be due to a power outage in the hospital, or a problem with the equipment's power supply. - * * environmental factors : * * this could be due to the equipment being exposed to extreme temperatures, humidity, or dust. # # # recommendations - * * troubleshooting hardware issues : * * inspect the equipment for any loose connections or damaged components. if a component is damaged, it will need to be replaced. - * * troubleshooting software issues : * * try restarting the equipment. if this does not solve the problem, try reinstalling the software. - * * providing user training : * * ensure that all users are properly trained on how to use the equipment. - * * ensuring proper power supply : * * make sure that the equipment is plugged into a working power outlet. if the power supply is not working properly, it will need to be repaired or replaced. - * * protecting the equipment from environmental factors : * * ensure that the equipment is stored in a clean, dry, and temperature - controlled environment. @topic:12


# # # issue device is unable to connect to central. # # # impact device may be unable to transmit patient data to the central monitoring system, which could result in delayed or inaccurate care. # # # possible causes - incorrect network configuration - firewall or other security settings blocking communication - hardware or software issue with the device # # # recommendations - verify the network configuration of the device and ensure that it is correct. - check the firewall or other security settings on the device and ensure that they are not blocking communication. - contact the manufacturer of the device for technical support if the issue cannot be resolved by verifying the network configuration or security settings. @topic:16


# # # issue - monitor is not displaying any image. # # # impact - the monitor cannot be used to display patient data or medical images. this can lead to delays in diagnosis and treatment. # # # possible causes - * * defective monitor : * * the monitor may have a defective display panel or other internal components. - * * loose or damaged cables : * * the cables connecting the monitor to the power source or video source may be loose or damaged. - * * power supply issues : * * the power supply to the monitor may be interrupted or insufficient. - * * software issues : * * the software controlling the monitor may be malfunctioning. # # # recommendations - * * check the cables : * * ensure that the cables connecting the monitor to the power source and video source are securely connected and not damaged. - * * inspect the monitor : * * look for any visible signs of damage, such as cracks or broken components. - * * check the power supply : * * verify that the power supply to the monitor is adequate and uninterrupted. - * * restart the monitor : * * turn off the monitor and then turn it back on. this may resolve software issues. - * * contact the manufacturer : * * if the issue persists, contact the manufacturer of the monitor for further assistance. @topic:2


# # # issue - keyboard drawer cannot be extended # # # impact - impaired access to keyboard and controls, potentially hindering patient care. # # # possible causes - loose or misaligned screw ( s ) - damaged or obstructed drawer mechanism # # # recommendations - tighten loose screws or replace misaligned ones - inspect drawer mechanism for damage or obstructions - if necessary, lubricate moving parts or replace damaged components @topic:21


# # # issue raug gan tua keng patiyat # # # impact safety hazard for patients and staff # # # possible causes - raug gan tua keng patiyat kak yua - screw keng raug gan tua keng patiyat yua klao - raug gan tua keng patiyat mi tua lek # # # recommendations - check raug gan tua keng patiyat and screws - tighten screws if necessary - replace raug gan tua keng patiyat if damaged @topic:24


# # # issue - equipment : patient transport monitor - brand : philips - model : intellivue x2 ( m3002a ) - description : the unit cannot power on. # # # impact - the unit cannot be used to monitor patients. # # # possible causes - the battery is dead. - the battery is not properly connected. - the power cord is not plugged in. - the power supply is not working. - the unit is damaged. * * - equipment has been dropped * * # # # recommendations * * 1. check the battery. * * - ensure that the battery is fully charged and properly connected. * * 2. check the power cord. * * - ensure that the power cord is securely plugged into the unit and the power outlet. * * 3. check the power supply. * * - verify that the power supply is functioning properly by testing it with another device. * * 4. inspect the unit for damage. * * - look for any signs of damage, such as cracks or dents. * * 5. contact the manufacturer. * * - if you are unable to resolve the issue, contact the manufacturer for assistance. * * 6. replace equipment * * @topic:2


# # # issue - unable to set values on the screen # # # impact - inability to use the device for patient monitoring # # # possible causes - faulty touchscreen - software glitch - incorrect settings - hardware issue # # # recommendations - check the touchscreen for any damage or debris. clean the screen with a soft cloth and try again. - update the device's software to the latest version. - verify that the settings are correct. consult the device's user manual or contact the manufacturer for assistance. - if the issue persists, contact the manufacturer for repairs. @topic:2


used for the criteria applied. caution use the modules with philips approved accessories only. refer to the instructions for use provided with the accessory. selecting a measurement label always select a measurement label before inserting a catheter / probe. use the sv0 2 label when the catheter / probe will be located in the pulmonary artery ( measuring mixed venous oxygen saturation ). this is the only label which allows the measurement value to be used to calculate oxygen extraction ( see “ calculating oxygen extraction ” on page 248 ) and in the standard oxygen calculations. use the scv0 2 label when the catheter / probe will be located in a central vein ( measuring central venous oxygen saturation. use the s0 2 label in all other cases. to select a measurement label : 1 select main setup > measurements > < s0 2 > 2 select label. 3 select the appropriate label for the catheter / probe location. 242 preparing to monitor with the ml021a wide module 17 monitoring intravascular oxygen saturation preparing to monitor with the ml021a wide module in addition to the measurement module, you need a hospira opticath catheter, and 50131 optical module. use only the hospira accessories listed in the accessories section. 1 optical module 2 balloon inflation stopcock 3 hospira fiber optic catheter 4 optical reference 5 enter setup / calibration connect the optical module ( hospira 50131 ) to the measurement module. allow the optical module to warm up before you perform a calibration. although the warm up message disappears from the screen after one minute, hospira recommends letting the optical module warm up for 15 minutes for best accuracy. please refer to the instructions for the optical module. to avoid false alarms during the pre - insertion calibration and insertion of the catheter into the patient, the monitor automatically suspends alarms @topic:17


# # # issue - medical cart is displaying an error message " can't connect to hardware " # # # impact - medical cart is unable to connect to the necessary hardware, which may prevent it from functioning properly. # # # possible causes - the hardware is not properly connected to the medical cart. - the hardware is defective. - the medical cart's software is outdated or corrupted. - the medical cart's power supply is not functioning properly. # # # recommendations - check the connections between the hardware and the medical cart. - replace the hardware if it is defective. - update or reinstall the medical cart's software. - check the medical cart's power supply and replace it if necessary. @topic:13


next to the hr numeric. - paced mode unconfirmed when paced mode is set to off, pacer spikes are not shown in the ecg wave. be aware that switching pace pulse rejection off for paced patients may result pace pulses being counted as regular qrs complexes, which could prevent event from being detected. in in when the paced mode has not yet been set for a patient, the paced symbol will have a question mark indicating the unconfirmed mode. when the paced mode is unconfirmed, pace pulse rejection is switched on. avoiding pace pulse repolarization tails some unipolar pacemakers display pace pulses with repolarization if you note a visible repolarization tail, choose a lead that decreases the size of the repolarization tail. repolarization tail ( note width ) 1 1 if any of the displayed ecg waves is too small or clipped, you can change the size of one or all of the ecg waves on the screen. 136 6 ecg, arrhythmia, st and qt monitoring changing the adjustment factor only changes the visual appearance of the ecg wave on the screen. it does not affect the ecg signal analyzed by the monitor. comparing the wave size to the 1 mv calibration bar on the ecg wave segment can help you to get an idea of the true ecg signal strength. if you choose a fixed adjustment factor, the 1 mv calibration bar will be the same size for all the displayed ecg waves. if you i choose auto size, or an individual size using the size up / size down keys, the calibration bar may be a different size for each wave. to change the size of an individual ecg wave select the wave segment you want to change. this calls up the lead menu for this segment. 1 in the lead menu, select size up to increase wave size or size down to @topic:8


# # # issue - equipment : bed, electric - band : huntleigh - model : enterprise 8000 - description : the bed rails are not locking into place. # # # * * possible causes * * - * * damaged lock mechanism : * * the lock mechanism may be damaged or worn out, preventing it from engaging properly with the bed rails. - * * misalignment : * * the lock mechanism may be misaligned, causing it to not engage with the bed rails correctly. - * * dirt or debris : * * dirt or debris may have accumulated in the lock mechanism, preventing it from functioning properly. # # # * * recommendations * * - * * inspect the lock mechanism : * * check the lock mechanism for any damage or wear and tear. if the lock is damaged, it should be replaced. - * * realign the lock mechanism : * * adjust the lock mechanism so that it aligns correctly with the bed rails. - * * clean the lock mechanism : * * remove any dirt or debris from the lock mechanism using a clean cloth and mild detergent. - * * lubricate the lock mechanism : * * apply a small amount of lubricant to the lock mechanism to ensure smooth operation. - * * test the lock mechanism : * * test the lock mechanism to ensure that it is functioning properly. @topic:6


the connector from the iit module and replace the cable. 5 remove the three screws securing the pca board and exchange the board. 6 reassemble the iit box by performing the above steps in reverse order. exchanging the iit module 1 perform steps 1 to 3 of the procedure exchanging the pca board or the flex cable. 178 docking station 5 repair and disassembly 3 remove the antenna connector. 4 lift out the iit module and exchange it. 5 reassemble the iit box by performing the above steps in reverse order. docking station the following sections describe the exchange of the main board and the flex cable of the docking station. 179 5 repair and disassembly docking station exchanging the main board 1 remove the metal covers covering the alarm and video connectors and i / o slots.. 2 remove the six screws at the bottom of the docking station and lift the bottom cover off. 180 docking station 5 repair and disassembly 3 remove the four screws securing the metal plate and lift it off. 4 remove the two screws next to the video connector. 5 remove the two screws on the main board. 181 5 repair and disassembly docking station 6 push the platic tips through the board, lift the board up and remove the flex cable holder under the board. 7 unplug the flex cable from the main board and remove the board. 8 perform the above steps in reverse order to reassemble the docking station. 182 docking station 5 repair and disassembly reassembly note : make sure that the main board is placed on top of the metal flaps at the front of the docking station and not below.. exchanging 1 2 the flex cable perform the steps listed under “ exchanging the main board ”. remove the eight screws and lift off the metal sheet to the side. 183 5 repair @topic:19


# # # issue - monitor not linking # # # impact - inability to monitor patient's physiologic parameters - potential for patient safety incidents # # # possible causes - loose or disconnected network cable - malfunctioning network port on the monitor or network switch - network configuration issues - software glitch on the monitor # # # recommendations - check and ensure that the network cable is securely connected to the monitor and network switch - check the network port on the monitor and network switch for any damage or debris - verify the network configuration on the monitor and network switch - restart the monitor to resolve any software glitches @topic:16


protocol is now available on all intellivue monitors ( mp20 to mp90 ). depending on the monitor model, and in some cases on the option purchased, you may have only the screening phase implemented or the complete protocol. if a patient has been screened on arrival on a monitor with the screening option, then transferred to intensive care when sepsis is confirmed, the current state, the settings and the log from the ssc sepsis protocol will be transferred with the mms to the new monitor. should it be necessary, you can also select the correct phase of the protocol at the new monitor manually. qt / qtc interval monitoring qt interval monitoring is used to assist in the detection of prolonged qt interval syndrome. the qt interval is measured and the heart - rate corrected qt value, qtc, is calculated. the monitor also provides a aqtc value which tracks variation in the qt interval in relation to a baseline value. high alarm limits can be set for qtc and aqtc enabling alarm notification. manual data entry measurement values ( for example lab data or manually measured temperatures ) can be entered manually into the monitor and stored in the database. they can then be used for trends, reports and also be displayed as a numeric on screen, if required. horizon trend enhancements the trend indicator arrow indicates how the patient trend has developed in a set time period. this period is now configurable and can be set to 10 minutes, 5 minutes or 2 minutes. the horizon ( or baseline ) can now be set to a range or to a specific value. connecting an mp5 to a monitor ( companion mode is indicated ) the mp5 monitor can be connected to one of the mp20 to mp90 monitors ( then called the host monitor ) and used like an mms. this provides monitoring continuity in transport situations allowing measurement data and patient demographics from the mp @topic:8


# # # issue - cuff degradation # # # impact - vital signs monitoring may be inaccurate or unavailable. # # # possible causes - normal wear and tear - improper storage or handling - defective materials # # # recommendations - regularly inspect cuffs for signs of degradation. - replace cuffs as needed to ensure accurate monitoring. - ensure proper storage and handling to prolong the life of the cuffs. - consider using cuffs with longer lifespans or higher durability ratings. @topic:5


rang100 db uppression ratio - 100 % spectral edge frequency ( sef ) 0. 5 - 30. 0 hz total power ( tp ) - 100 db bisx only ) 0 - 30 / mbursts < 0. 3 µv rms ( 2. 0 μv peak - to - peak ) noise wave scale with gridlines on : ±25 μv, ±50 μv, ±100 μv, ±250 μv with gridlines off : 50 μv, 100 μv, 200 μv, 500 μv 048 ms0. 25 100 hz ( - 3 db ) bandwidth 0. 25 hz, 1 hz, 2 hz ( - 3 db ) ow pass filt30 hz, 50 hz, 70 hz, 100 hz ( - 3 db ) notch filters ( for line frequency ) 0 hz, 60 hz to 999 impedance measurement range bis alarm specifications larm delaangadjustment 0 - 100 bis high / low alarm max. 2 seconds 1 nmt nmt performance specifications stimulation output 100, 200, or 300 μsecs ; monophasic rectangle pulse current pulse urrent rang5 to 60 ma in increments of 5 ma urrent accurac±5 % or 2 ma, whichever is greatekohm maximum skin resistance maximum output voltage 300 v ±10 % 0 to 200 % ( resolution : 1 % ) anual, or 1 sec, 12 sec, 30 sec none twitch minimum recovery time 494 40 specifications nmt performance specifications tof count ( tofcnt0 to 4 ( resolution : 1 ) train - of - four stimulation mode tof ratio ( tofrat ) epeat time 5 to 150 % ( resolution : 1 ) manual, or 12 sec, 30 sec, 1 min, 5 min, 10 min, 15 min, 30 minimum recovery time 0 se0 to 20 ( resolution : 1 @topic:8


* * issue : * * failure to measure patient weight * * impact : * * * delays in medical assessments and treatment * compromised patient safety * inaccurate documentation * * possible causes : * * * * * faulty load cells or sensors : * * the load cells or sensors responsible for measuring weight may be malfunctioning. * * * electrical issues : * * wiring problems, loose connections, or faulty electrical components can cause the scale to malfunction. * * * software errors : * * bugs or glitches in the software controlling the scale can lead to inaccurate readings. * * * overload or improper use : * * attempting to weigh someone who exceeds the scale's weight capacity or not using it according to manufacturer's instructions can damage the equipment. * * * mechanical problems : * * worn - out parts, misalignment, or damage to the scale's mechanical components can affect its functionality. * * recommendations : * * * * * troubleshoot electrical issues : * * check for loose connections, damage to wiring, and malfunctioning electrical components. * * * inspect load cells or sensors : * * ensure that the load cells or sensors are properly calibrated, clean, and free from damage. * * * update software : * * if available, check for updates to the software controlling the scale and install them to resolve any bugs or glitches. * * * follow proper use instructions : * * adhere to the manufacturer's guidelines for using the scale, including weight capacity and positioning requirements. * * * perform regular maintenance : * * schedule routine inspections and maintenance to identify potential issues early and prevent failures. @topic:25


# # # issue the electric bed manufactured by hill - rom ( model : basic care, p1440a ) is unable to adjust its position. # # # impact patients may experience discomfort or difficulty in receiving medical treatment due to the inability to adjust the bed's position. # # # possible causes * * 1. electrical malfunction : * * - faulty wiring or electrical components within the bed's motor or control system. * * 2. mechanical failure : * * - worn or damaged gears, bearings, or other mechanical components responsible for adjusting the bed's position. * * 3. software glitch : * * - issues with the software that controls the bed's movement, leading to communication errors between the control panel and the bed's motors. * * 4. user error : * * - incorrect operation or handling of the bed, such as overloading or improper use of the adjustment controls. # # # recommendations * * 1. electrical inspection : * * - check electrical connections, wiring, and components for signs of damage or loose connections. * * 2. mechanical inspection : * * - examine mechanical components such as gears, bearings, and actuators for wear, damage, or misalignment. * * 3. software update : * * - verify if there are any available software updates for the bed's control system and apply them if necessary. * * 4. user training : * * - ensure proper training and instruction for healthcare professionals on the correct operation and maintenance of the bed. * * 5. regular maintenance : * * - conduct routine inspections and maintenance on the bed to identify and address potential issues before they result in failures. @topic:9


##zels * 193 mms extension part numbers - release mechanisms * 192 mms extension part numbers - top cover, flex cable and link bar * 193 mms extension parts ( m3012a, m3014a, m3015a and m3016a ) e 192 mms extensions - exchanging the top cover, msl flex cable and the dual link bar * 167 modifications * 10 monitor applications * 21 monitor defaults ° 239 monitor site requirements ° 228 monitor software block diagram * 23 monitor theory of operation * 13 mounting the mms mount to the fms ( m8048a ) ° 208 mounting the monitor * 203 mounting the monitor onto the rollerstand * 208 mounting the monitor using the anti - slip pad * 203 mounting the monitor using the mms mount and mounting clamp ° 205 mp2 / x2 product structure * 232 msl cable termination * 222 n nbp accuracy test * 82 nbp leakage test * 83 nbp linearity test * 84 nbp performancetest * 82 network related problems * 125 noise check e 91 noninvasive blood pressure measurement calibration * 79 nurse call relay performance test ° 93 o obtaining replacement parts * 115 optimizing battery performance * 107 optional hardware * 17 other regular tests ° 101 out - of - hospital transport - standards compliance * 199 p parts e 187 parts and accessories * 10 passwords * 10 pcb replacement level support * 114 performance * 10 performance assurance tests e 35, 79 persistent data storage system service * 21 philips clinical network * 22 philips clinical network ( wired ) * 216 philips intelli vue information center * 216 philips medical lan e° 230 power connecting * 210 connection * 209 power distribution * 17 power loss alarm buzzer performance test ( only if multi - port nurse call connector board is installed ) ° 95 power on test ° 36 preventive maintenance procedures * 79 256 ixodd ] printer @topic:10


# # # * * issue * * - equipment not powering on # # # * * impact * * - inability to monitor vital signs, which can delay or compromise patient care - loss of patient data # # # * * possible causes * * - * * power supply issue : * * - faulty power cord - malfunctioning electrical outlet - battery depletion # # # * * recommendations * * - * * check the power cord : * * ensure it is securely connected to the device and the power outlet. inspect the cord for any damage. - * * test the power outlet : * * use a voltmeter or plug another device into the outlet to confirm if it is providing power. - * * replace the battery : * * if the device is battery - operated, replace the depleted battery with a new one. - * * contact the manufacturer or qualified biomedical engineer : * * if the issue persists, notify the appropriate authority for further troubleshooting and repair. @topic:11


# # # issue - setting for automatic blood pressure measurement ( bp ) every 5 minutes is incorrect. # # # impact - incorrect blood pressure readings or delayed detection of changes in blood pressure. # # # possible causes - the technician who initially set up the device may have inadvertently entered the incorrect setting. - the device's software may have experienced a glitch that caused the incorrect setting to be applied. # # # recommendations - the technician should verify and correct the blood pressure measurement setting to ensure that it is set to the desired interval. - the technician should check the device's software for updates and install any necessary updates to prevent similar issues from occurring in the future. @topic:15


# # # issue the medical cart's scanner was not functioning properly. # # # impact the medical staff was unable to use the scanner to scan patient information and medical records. # # # possible causes * battery was loose. * scanner was not properly connected to the medical cart. * scanner was not properly calibrated. # # # recommendations * the biomedical engineer ( bme ) inspected the scanner and found that the battery was loose. * the bme tightened the battery and reattached the scanner to the medical cart. * the bme tested the scanner and confirmed that it was working properly. @topic:23


# # # issue - nut came loose and the bed broke # # # impact - patient could fall out of bed - patient could be injured # # # possible causes - nut was not tightened properly - nut was made of a weak material - bed was overloaded - bed was used in a rough manner # # # recommendations - tighten all nuts properly - use nuts made of a strong material - do not overload the bed - use the bed in a gentle manner @topic:6


# # # issue medical cart cannot connect to hardware. # # # impact the medical cart is not able to function properly, which can delay or prevent patient care. # # # possible causes * the cable connecting the medical cart to the hardware is loose or damaged. * the hardware is not powered on. * the hardware is not compatible with the medical cart. * the software on the medical cart is not up - to - date. * there is a problem with the network connection. # # # recommendations * check the cable connecting the medical cart to the hardware and tighten or replace it if necessary. * ensure that the hardware is powered on. * verify that the hardware is compatible with the medical cart. * update the software on the medical cart if necessary. * troubleshoot the network connection to ensure that it is working properly. @topic:13


page 4caster control endboard lock label * nformation page 3information page 73 values of ground continuity and leak urrent bed label of the 250 kg swl version * hill - rom s. a. s - z1 du talhouet 56330 pluvigner - france 50k9. 999 continuitue a la terre / earth continiuty / dauererdschluss hms 9. 999 courant de fuite a la terre / earth leakage current / erdableitstrom ma information page 11 hill - rom electrical controls control pendant * ( l1900b0 / l1900b2 ) raise thigh section * raise autocontour * lower thigh lower autocontour * raise hilow atient egreslower hilow trendelenburg * hair positioreturn sleep surface to flat reverse trendelenburg * hill - rom lock control ( 1 ) control pendant * ( l1900b3 ) nurse call hill - rom 12 lateral caregiver unit * ( li900b2 ) electric emergenctrendelenburg * ( shock ) ( 1 ) ( 2 ) night light * ( 1 ) fault indicator light. maintenance required. lock / unlock hilow ( 1 ) lock / unlock djustable head lock / unlock adjustable thigh section * ( 1 ) section ( 1 ) foot control pendant * ( l1900b0 / l1900b2 ) lock / unlock djustable head h - rom section ( 1 ) ock / unlock djustable thigh section * ( 1 ) lock / unlock hilow ( 1 ) lock control ( 1 ) control unit on a flexible arm * ( l1900b0 / l1900b2 ) lock control ( 1 ) hom 1. functions available only to the caregiver bilateral hilow pedal with caregiver mode * hill - @topic:9


, an abnormal rhythm ( for example, ventricular bigeminy ), or an ectopic event ( for example, pair pvcs ). 139 6 ecg, arrhythmia, st and qt monitoring arrhythmia alarms yellow arrhythmia alarms yellow arrhythmia alarms are short yellow alarms specific to arrhythmia - related patient conditions. depending on your monitor and information center configuration, they may be shown with one or two stars. the heart rate alarms ( high hr and low hr ) can be configured as short yellow or standard yellow alarms. when they are standard yellow alarms they exist independently of the other arrhythmia alarms and no timeout periods apply. warning when arrhythmia analysis is on, all yellow ecg and arrhythmia alarms are short yellow alarms ( one - star ). this means that the yellow alarm lamp and the tones are active for six seconds only, after which the blinking numeric and the alarm message remain for up to three minutes. the only exception to this are the hr high and low alarms which can be configured as standard yellow alarms. red alarms behave as usual. arrhythmia alarms and latching when using arrhythmia analysis, visual latching and audible latching should be on for red alarms, or at least visual latching should be on. because of the transient nature of arrhythmia alarms, many arrhythmia conditions may go unnoticed if alarm latching is off. this setting can only be changed in configuration mode. switching individual arrhythmia alarms on and off some arrhythmia alarms can be individually switched on or off. they are : pacer not capture, pacer not pace, non - sustain vt, vent rhythm, run pvcs, pair pvcs, r - on - t @topic:8


# # # issue - language setting was changed inadvertently # # # impact - the device may display information in an unfamiliar language, which could lead to errors in interpretation and operation. # # # possible causes - inadvertent key press by the user. # # # recommendations - train users on the proper operation of the device, including how to change the language setting. - consider adding a language lock feature to the device to prevent unauthorized changes. @topic:27


# # # issue the philips suresigns vs2 physiologic monitor ( bedside ) is not able to measure spo2. # # # impact the inability to measure spo2 can lead to incorrect patient monitoring and treatment decisions. spo2 is a measure of the oxygen saturation of the blood and is used to assess the adequacy of oxygenation. inaccurate spo2 readings can lead to missed diagnoses and inappropriate treatment. # # # possible causes - faulty spo2 sensor - loose or disconnected spo2 cable - interference from other electronic devices - poor skin perfusion - patient movement # # # recommendations - check the spo2 sensor for any damage or debris. if the sensor is damaged, it will need to be replaced. - ensure that the spo2 cable is securely connected to the monitor and the patient. - move the spo2 sensor to a different location on the patient's body. - check the patient's skin perfusion. if the skin is pale or cold, it may be necessary to warm the patient's extremities. - if the patient is moving, try to stabilize the patient's body. - if the problem persists, contact the manufacturer of the monitor for further troubleshooting assistance. @topic:4


# # # issue the electric bed cannot be adjusted. # # # impact patient discomfort, delayed care, increased workload for staff # # # possible causes - mechanical failure : the bed's motors, gears, or other mechanical components may be malfunctioning. - electrical failure : the bed's electrical system may be experiencing a problem, such as a loose connection or a faulty circuit board. - software failure : the bed's software may be experiencing a bug or glitch that is preventing it from functioning properly. - user error : the bed may not be being operated correctly, or the user may not be aware of all of its features. # # # recommendations - inspect the bed for any obvious signs of damage or wear and tear. - check the bed's electrical connections to ensure that they are secure. - reset the bed's software by unplugging it from the power outlet and then plugging it back in. - contact the bed's manufacturer for technical support. - train staff on the proper use and maintenance of the bed. @topic:1