# # # issue - cuff failure on the welch allyn 53000 bedside blood pressure monitor # # # impact - inability to accurately measure blood pressure # # # possible causes - cuff bladder rupture due to age or wear - leakage in the cuff bladder or tubing - faulty connection between the cuff and monitor # # # recommendations - replace the damaged cuff with a new one - inspect the tubing and connectors for any damage or leaks - ensure that the cuff is properly connected to the monitor - perform a calibration test to verify the accuracy of the blood pressure measurements @topic:3


# # # issue - equipment : lcd monitors - brand : sony - model : lmd - 2451mt - description : the biomed engineer ( bme ) has tested the equipment and found no symptoms of the reported issue. overall, the equipment is working properly. # # # impact - the issue is described as " display screen black out ". this could lead to difficulties in monitoring patient data, impacting the quality of care provided. # # # possible causes - loose or damaged cable connections - faulty power supply - internal hardware failure - software bugs # # # recommendations to troubleshoot the issue, the following steps are recommended : 1. check the cable connections between the monitor and the power source. ensure that they are securely connected and not loose. 2. verify that the power supply is providing adequate voltage and current to the monitor. test the power supply using a multimeter to ensure it is within specifications. 3. if the cable connections and power supply are functioning properly, the issue may lie within the internal hardware. consult the manufacturer's documentation for troubleshooting steps specific to this model. 4. if the issue persists, consider updating the software to the latest version or performing a factory reset to eliminate any potential software bugs. @topic:2


# # # issue : spo2 probe cable failure # # # impact : - inaccurate or unavailable spo2 readings - potential patient safety concerns # # # possible causes : - normal wear and tear - physical damage to the cable - faulty manufacturing # # # recommendations : - regular inspection and maintenance of the spo2 probe cable - proper handling and storage of the cable - replacement of the cable if damage or deterioration is observed - use of high - quality, medically approved spo2 probe cables - training of staff on proper use and maintenance of spo2 monitoring equipment @topic:4


# # # issue - the beds, electric, hill - rom, care assist es cannot be used to weigh patients. # # # impact - patients cannot be weighed, which can delay or prevent diagnosis and treatment. # # # possible causes - the weight sensor is not calibrated. - the weight sensor is damaged. - the weight sensor is not connected properly. - the beds, electric, hill - rom, care assist es is not turned on. - the beds, electric, hill - rom, care assist es is not in the correct mode. - the beds, electric, hill - rom, care assist es is overloaded. # # # recommendations - calibrate the weight sensor. - replace the weight sensor. - connect the weight sensor properly. - turn on the beds, electric, hill - rom, care assist es. - put the beds, electric, hill - rom, care assist es in the correct mode. - reduce the load on the beds, electric, hill - rom, care assist es. @topic:25


# # # issue - the monitor's readings are not being displayed on the central monitor. # # # impact - the medical staff will not be able to monitor the patient's vital signs effectively. # # # possible causes - the ci address value displayed on the monitor is incorrect. - the ci address value on the monitor is not set to match the ci address value of the central monitor. - the monitor is not communicating properly with the central monitor. # # # recommendations - set the ci address value on the monitor to match the ci address value of the central monitor. - verify that the monitor is communicating properly with the central monitor. @topic:16


# # # issue - bed not adjusting # # # impact - patient discomfort, care delays # # # possible causes - electrical - loose connections, damaged wiring - mechanical - worn or broken gears, misaligned components - control system - faulty remote, malfunctioning control board # # # recommendations - check electrical connections and wiring for damage or looseness. - inspect mechanical components for wear, misalignment, or damage. - test remote and control board for proper functionality. - consult with manufacturer for specific troubleshooting steps. @topic:1


until their internal eot ( end of travel ) is reached. the maximum inclination can be reached as long as ac power or battery backup is available. page 3 - 10 careassist® and careassist® es bed service manual ( man330 rev 4 ) electrical system ( b model and newer beds ) chapter 3 : theory of operation electrical system ( b model and newer beds ) the specifications of the bed are as follows : table 3 - 5. specifications description specification type of protection against electric shock ( according to iec 60601 - 1 ) class i degree of protection against electric shock ( according to iec 60601 - 1 ) type b protection against harmful ingress of water ( according to iec 60529 ) ipx4 intermittent operation 10 % 3 min / 30 min maximum power load 4. 2 a table 3 - 6. voltage and frequency voltage ± 10 % frequency maximum current ( amps ) idle current ( amps ) 100 50 / 60 hz 5. 75. 57 110 50 / 60 hz 4. 99. 48 115 50 / 60 hz 4. 99. 48 120 50 hz 5. 58. 44 120 60 hz 5. 3. 184 127 50 / 60 hz 4. 95. 48 220 50 / 60 hz 3. 1. 31 230 50 / 60 hz 2. 75. 29 240 50 / 60 hz 2. 46. 29 refer to the schematic diagram at the end of this section to obtain specific information for the cabling. the bed is operated by a power supply unit. this unit controls the electrical functions of the bed : hilow, head section and knee section with automatic contour, and foot section. these functions are perfonned by motors using a very low voltage. careassist® and careassist® es bed service manual ( man330 rev 4 ) page 3 - 11 electrical system ( b model and newer beds ) chapter @topic:9


# # # issue - monitor is not functioning due to a faulty battery. # # # impact - the patient could be at risk if the monitor is not functioning properly. - the hospital could lose revenue if the monitor is not repaired quickly. # # # possible causes - the battery could be old and worn out. - the battery could have been damaged. - the battery could be defective. # # # recommendations - replace the battery with a new one. - inspect the battery for any damage. - if the battery is defective, contact the manufacturer. @topic:11


# # # issue - * * excessive noise during operation * * # # # impact - * * potential distraction and discomfort for patients and staff * * - * * difficulty in monitoring patient's respiratory status * * # # # possible causes - * * failed or loose internal components : * * screws, wires, or other components may have become loose or damaged, causing rattling or vibration. - * * malfunctioning fan or pump : * * the fan or pump used to circulate air through the capnograph may be malfunctioning, producing excessive noise. - * * blockage in tubing : * * a blockage in the tubing connecting the capnograph to the patient's breathing circuit can create resistance, leading to increased pressure and noise. - * * electrical interference : * * electromagnetic interference from nearby equipment or faulty wiring can disrupt the capnograph's operation, causing abnormal sounds. # # # recommendations - * * inspect the device for loose components : * * tighten any loose screws, wires, or connections. - * * check the fan or pump : * * ensure that the fan or pump is operating smoothly and is not making any unusual noises. - * * clear any blockages in tubing : * * remove any obstructions from the tubing and ensure that it is properly connected to the patient's breathing circuit. - * * rule out electrical interference : * * move the capnograph away from potential sources of electromagnetic interference, such as other medical devices or power lines. - * * calibrate the device : * * perform a calibration check to ensure that the capnograph is operating within specified parameters. @topic:20


# # # issue - loud noise from medical cart # # # impact - may interfere with patient care - may cause discomfort or annoyance to patients and staff # # # possible causes - dust accumulation on the motherboard fan # # # recommendations - regularly clean the motherboard fan to prevent dust accumulation @topic:13


# # # issue : * * technician reported issue with bed after performing inspection * * # # # impact : * * bed may not be safe or functional for patient use * * # # # possible causes : - the technician may have missed an issue during the inspection. - the bed may have been damaged during transport to the new location. - the bed may have been exposed to fluids or other hazards that could have caused damage. - there may have been a previous issue with the bed that was not discovered during the inspection. # # # recommendations : - the technician should re - inspect the bed to ensure that there are no issues. - if the technician finds any issues, they should be reported to the appropriate person for repair. - the bed should be tested by a qualified technician to ensure that it is safe for patient use. - the bed should be monitored for any further issues. @topic:9


# # # issue - the bed's electric remote control unit is faulty. # # # impact - the technician was unable to adjust the bed's foot section up or down due to the faulty remote control unit. # # # possible causes - the remote control unit may have been damaged due to : - physical impact ( dropping or hitting ) - electrical surge or power failure - water or moisture damage # # # recommendations - replace the faulty remote control unit with a new one. - check the bed's electrical connections to ensure they are secure and free of any damage. - test the bed's functionality with the new remote control unit to verify that the issue has been resolved. @topic:7


# # # issue - head of the bed is damaged and not sturdy # # # impact - risk of injury to patients or staff - discomfort for patients - inability to use the bed safely # # # possible causes - * * design flaw * * - * * manufacturing defect * * - * * improper use * * - * * wear and tear * * # # # recommendations - * * replace the head of the bed. * * - * * inspect other beds for similar damage. * * - * * update maintenance procedures * * - * * train staff on proper bed use * * @topic:6


* * issue : * * cuff leak on a philips intellivue mp70 ( m8007a ) bedside physiologic monitor. * * impact : * * the monitor may not be able to accurately measure blood pressure, which could lead to incorrect treatment decisions. * * possible causes : * * * * * defective cuff : * * the cuff may have a hole or tear, causing air to leak out. * * * improper cuff application : * * the cuff may not have been properly inflated or secured, allowing air to escape. * * * damaged tubing : * * the tubing connecting the cuff to the monitor may be damaged, allowing air to leak out. * * recommendations : * * * replace the cuff with a new, undamaged one. * ensure that the cuff is inflated properly and secured snugly around the patient's arm. * inspect the tubing connecting the cuff to the monitor for any damage and replace as necessary. * test the monitor to ensure that it is accurately measuring blood pressure. @topic:14


# # # issue - the electric bed ( bed, electric ) is unable to be adjusted. # # # impact - the bed cannot be used to provide appropriate patient care, such as adjusting the patient's position for comfort or medical procedures. # # # possible causes - faulty remote control - malfunctioning motor or actuator - loose or damaged wiring - software glitch # # # recommendations - replace the remote control if necessary. - inspect the motor and actuator for signs of damage or wear. - check the wiring for loose connections or damage. - update the software if there are any available updates. @topic:1


# # # cause of failure : - band : huntleigh - model : gynae 1 by analyzing the provided input, it is difficult to determine the exact cause of failure for the medical device. more information about the device, its current condition, and the specific issue it is experiencing is necessary to accurately identify the cause of failure. # # # recommendations : - gather more information about the device, including its specifications, current operating conditions, and any recent changes that may have been made. - inspect the device thoroughly to identify any visible signs of damage or malfunction. - consult the device's manufacturer or a qualified technician for further troubleshooting and diagnosis. @topic:12


problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 84 ) temp module malfunc ( 84 ) | signal q & c is turned on and | shut down ( see “ shutting down the the heater voltage is not high | system ” on page 5 - 2 ) and restart the enough. monitor. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 867 ( 85 ) temp module malfunc ( 85 ) | heater hardware fail - safe shut down ( see “ shutting down the should have turned off, but system ” on page 5 - 2 ) and restart the did not. monitor. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. troubleshooting 4 - 24 suresigns vs2 * and vsi service guide error codes code error message possible cause action 868 temp error. the front end will now reset itself. no data from temperature. allow the monitor to reset. verify that the temperature module is seated correctly and secured to the side of the monitor. check the temperature adapter board connection cable. if the problem persists, replace the temperature module. see “ removing the temperature module ” on page 5 - 6. 881 speaker malfunc the speaker failed. to clear the message, run the speaker test or clear the error log. see “ testing the speaker ” on page 4 - 31 or “ clearing patient data ” on page 4 - 37. if the problem persists, replace the speaker. see “ replacing the speaker ” on page 5 - 15. 882 wireless malfunc the wireless firmware cannot load. replace the wireless board. see “ removing the wireless board ” on page 5 - 32. 1025 system error could not @topic:20


# # # issue - drawers fail to eject # # # impact - interruption of patient care - delay in treatment - frustration among medical staff # # # possible causes - solenoid coil sticking or malfunctioning - mechanical obstruction preventing drawer ejection - electrical fault in the control system # # # recommendations - inspect and clean the solenoid coil for debris or corrosion. - check for any mechanical obstructions in the drawer mechanism. - test the electrical connections and circuitry for proper function. - lubricate moving parts to reduce friction and sticking. - calibrate the drawer ejection mechanism to ensure smooth operation. - if the issue persists, consult the manufacturer or a qualified biomedical engineer for further troubleshooting and repair. @topic:21


# # # issue - cuff deterioration # # # impact - inaccurate vital sign measurements - patient discomfort # # # possible causes - prolonged use - excessive wear and tear - poor maintenance # # # recommendations - regular cuff inspection and replacement - proper cuff inflation technique - use of cuff covers to protect the cuff from moisture and dirt @topic:5


, deflate the balloon and report the incident in accordance with hospital policy, because the pulmonary artery could be accidently ruptured, and the wedge value derived will not reflect the patient ’ s hemodynamic state, but will merely reflect the pressure in the catheter or balloon. identifying the pressure analog output connector press cv _ analog output ( module [UNK] press - » 0 « - oo - h 1 - a m1006b, option cj01 only ) 198 13 monitoring cardiac output the cardiac output ( c. o. ) measurement invasively measures cardiac output and other hemodynamic parameters using a technique called thermodilution. this can be used to determine the flow rate of a system by introducing a cold solution into the system and measuring the resulting drop in temperature at a downstream site. the temperature change is displayed as a curve in the c. o. procedure window, and the monitor calculates the c. o. value from this curve. the c. o. value is inversely proportional to the area under the curve. as cardiac output varies continuously, a series of measurements must be carried out to achieve a reliable c. o. average value. always use the average of multiple thermodilution measurements for therapy decisions. the measurements can be carried out using the right heart thermodilution method or the picco method ( transpulmonary thermodilution ). • the right heart method is available with - c. o. module m1012a, standard and option # c10 - m3012a hemodynamic measurement extension module, options # c05 and # c10 - m3014a capnography measurement extension module, option # c05 and # c10 • the picco method is available with - c. o. module m1012a, option # c10 - m301 @topic:17


# # # issue the beds, electric equipment by hill - rom has a care assist es model that is unable to measure weight. # # # impact patients and healthcare professionals cannot accurately monitor patient weight, which can affect treatment decisions and patient outcomes. # # # possible causes * the weight scale sensor may be faulty or damaged. * the electrical connection between the scale and the bed may be loose or broken. * the software that calculates the weight may be malfunctioning. # # # recommendations * check the weight scale sensor for damage or defects. * inspect the electrical connections between the scale and the bed. * update or reinstall the software that calculates the weight. * contact the manufacturer for further assistenza. @topic:25


* * issue : * * - spo2 sensor cable failure. * * impact : * * - patient monitoring data accuracy compromised. * * possible causes : * * - damaged or faulty spo2 sensor cable. * * recommendations : * * - replace the faulty cable with a new one. - ensure proper handling and maintenance of the equipment to prevent similar issues in the future. - consider using a different brand or model of cable if the issue persists. @topic:4


# # # issue - stiff bed rails # # # impact - inability to adjust the bed rails, which could lead to patient discomfort or safety concerns. # # # possible causes - * * lack of lubrication : * * the springs that attach the bed rails to the bed frame may not be properly lubricated, causing them to become stiff and difficult to move. - * * corrosion : * * the springs may be corroded, which can also cause them to become stiff and difficult to move. - * * mechanical damage : * * the springs may be damaged, which can prevent them from functioning properly. # # # recommendations - * * lubricate the springs : * * apply a lubricant, such as wd - 40, to the springs to reduce friction and make them easier to move. - * * inspect the springs for corrosion : * * if the springs are corroded, they should be replaced. - * * inspect the springs for mechanical damage : * * if the springs are damaged, they should be repaired or replaced. @topic:6


# # # issue - ekg module is not reading the green ekg lead. # # # impact - the ekg module is not able to accurately record the patient's heart activity. # # # possible causes - the green ekg lead is not connected properly. - the green ekg lead is damaged. - the ekg module is malfunctioning. # # # recommendations - check the connection of the green ekg lead. - if the connection is secure, replace the green ekg lead. - if the new ekg lead does not resolve the issue, the ekg module may need to be repaired or replaced. @topic:18


rd board 00 & > n 7r cnli'3 < 00 o 3. lcd assembly 4 modules panel adapter piex main board ecg out msl l / f dual mib / rs232 interface parallel printer interface flexible nurse call relay l / f dual ps2 inter face s ystem interface boa rc remote device interface lan ( wireless ) lan ( wired ) ^ bas. alarm relays slave video out ~ okina i nterfc docking i n mms cpu ace intellivue mp50 the mp50 monitor : • integrates the display and processing unit into a single package • uses a 12. 1 ” tft xga color display • uses the philips touchscreen and philips navigation point as primary input devices. computer devices such as mice, trackball, and keyboard can be added optionally. • has an optional 4 - slot module rack • supports the mms and mms extensions 20 monitor theory of operation 2 theory of operation building blocks : battery rack boa rd board lcd touch assembly panel d to < n co 7£ 0 crct = 3 " 3. rt 4 modules dual mib / rs232 interface parallel printer interface flexible nurse call relay l / f dual ps2 interface main board s ystem interface remote device interface - [UNK] ( wireless ) [UNK] ( wired ) ^ bas. alarm relays slave video out docking int erface mms cpu optional hardware an integrated 4 - slot module rack and a battery board can be ordered optionally. one slot is provided for one of two available system interface boards. if the monitor is ordered with the wireless lan option a wireless transmitter is required. for further details regarding the wireless network please refer to the m3185a philips clinical network documentation. powersupply heatsink powerplug mms mount 4 - s lot rack battery compartment figure 1 mp40 / 50 rear 21 2 theory of operation monitor theory @topic:10


# # # issue - spo2 cable failure # # # impact - inaccurate or missing spo2 readings - potential for patient harm if spo2 levels are not monitored accurately # # # possible causes - damaged or faulty cable - loose or disconnected connections - exposure to moisture or other environmental conditions - age or wear and tear # # # recommendations - replace the spo2 cable with a new one - inspect the cable and connections for any damage or loose connections - avoid exposing the cable to moisture or other environmental hazards - regularly inspect and maintain the cable and monitor to prevent future failures @topic:4


# # # issue - icp monitor is not turning on. - transducer not detected error is displayed. # # # impact - delay in patient monitoring. - potential for inaccurate or delayed diagnosis. # # # possible causes - * * power supply issues : * * faulty power cord, loose connections, or power outage. - * * transducer malfunction : * * damaged transducer, loose cable, or incorrect transducer type. - * * software glitches : * * corrupted software or firmware, system bugs. - * * hardware failure : * * faulty printed circuit board ( pcb ), loose components, or damaged sensors. # # # recommendations - * * power supply : * * - check the power cord and connections. - ensure a steady power supply. - * * transducer : * * - replace the transducer with a known working one. - check the transducer cable for damage or loose connections. - ensure the transducer is compatible with the monitor. - * * software : * * - restart the monitor to clear any software glitches. - update the software if necessary. - * * hardware : * * - inspect the monitor for loose components or damaged sensors. - consider sending the monitor for professional repair if the issue persists. @topic:2


directly inserted into the patient's breathing system. this method is available using the m3014a capnography extension and the m3016a mainstream co2 extension, or the x2 with the optional co2 • measurement. sidestream measurement takes a sample of the respiratory gas with a constant sample flow from the patient's airway and analyzes it with a remote co2 sensor built into the measurement system. philips offers the sidestream co2 measurement in the m3014a capnography extension or the x2 with the optional co2 measurement, and the microstream method of sidestream co2 measurement in the m3015a / b microstream co2 extension. refer to your gas module instructions for use, if you are using a gas module to monitor co2. warning correlation : the etco2 readings do not always correlate closely with paco2, especially in neonatal patients and patients with pulmonary disease, pulmonary embolism or inappropriate ventilation. harmaceuticals in aerosols : do not measure co2 in the presence of pharmaceuticals in aerosolsexplosion hazard : do not use in the presence of flammable anesthetics or gases, such as a flammable anesthetic mixture with air, oxygen or nitrous oxide. use of the devices in such an environment may present an explosion hazard. failure of operation : if the measurement or a sensor fails to respond as described, do not use it until the situation has been corrected by qualified personnel. 241 low etco2 values : leakages in the breathing system or sampling system may cause the displayed etco2 values to be significantly too low. always connect all components securely and check for leaks according to standard clinical procedures. displacement of the nasal or combined nasal oral cannulas can cause lower than actual etco2 readings. even with combined nasal oral cannulas @topic:17


note — you must reseat the battery if the following message appears : no data from battery. please see your service guide. for detailed information, see “ removing the battery ” on page 5 - 3. 3 to view the entire list of results, select the list to activate scrolling. the battery info window provides detailed information about battery capacity and charging status, including : cycle count : the number of full charge and discharge cycles calculated by the battery. max error : the expected margin of error in the state of the charge calculation. the max error value is the difference between the relative charge value and the absolute charge value. relative charge : the predicted remaining battery capacity, expressed as a percentage of full capacity. the value in the relative charge field decreases as the battery ages. the battery status icon hee ( u | ) is a graphic representation of the relative charge. absolute charge : the predicted remaining battery capacity, expressed as a percentage of design capacity. full capacity : the predicted capacity of the battery when it is fully charged. the value in the full capacity field decreases as the battery ages. the difference between the value in the full capacity field and the value in the design capacity field is an indication of battery condition. design capacity : the capacity of a new battery. performing routine maintenance suresigns vs4 service guide 2 - 3 maintaining the battery reconditioning the battery reduces the max error value, and in turn, increases the accuracy of the relative charge. when condit the monitor is in suspend mode, the battery service required message appears if the following ions are met : the max error value exceeds 8 %. the full capacity value is one half of the design capacity value. recondition the battery to clear the message. for information about the battery reconditioning procedure, see “ reconditioning the battery ” on page 2 - 4. reconditioning the battery reconditioning the @topic:11


# # # issue the cause of failure for the physiologic vital signs monitor ( philips suresings vs2 ) is not clear from the given input. # # # impact the impact of this issue is also not clear from the given input. # # # possible causes some possible causes of failure for this device include : - the new cuff may not be compatible with the device. - the cuff may be defective. - the device may be defective. # # # recommendations based on the given input, the following recommendations can be made : - verify that the new cuff is compatible with the device. - inspect the cuff for any defects. - if the cuff is not defective, then the device should be inspected for any defects. @topic:15


# # # issue - the electric bed in ward 11d is not functioning. # # # impact - patients in ward 11d are unable to use the bed, which may impact their comfort and care. # # # possible causes - the bed may be malfunctioning due to a power outage or surge. - the bed may be damaged or broken. - the bed may not be properly plugged in or turned on. - the bed may need to be serviced or repaired. # # # recommendations - check the power supply to the bed and ensure that it is turned on. - inspect the bed for any visible damage or broken parts. - try resetting the bed by unplugging it and plugging it back in. - contact the manufacturer or a qualified technician to service or repair the bed. @topic:9


# # # issue - sensor not working - spo2 cannot be measured # # # impact - patient monitoring is compromised - clinical decision - making may be delayed or inaccurate # # # possible causes - sensor probe malfunction - damaged or disconnected sensor cable - inadequate power supply - software or hardware failure in the monitor # # # recommendations - replace the sensor probe - inspect and repair the sensor cable - check the power supply and connections - update software or replace hardware components if necessary @topic:4


# # # issue - bed scale is not functioning properly. # # # impact - patients cannot be weighed accurately, which can affect their treatment plans. # # # possible causes - * * loose or disconnected wiring : * * the electrical wiring that connects the bed scale to the rest of the system may have become loose or disconnected. this can prevent the bed scale from receiving power or sending data to the display. - * * faulty load cells : * * the load cells are the sensors that measure the weight of the patient. if a load cell is faulty, it can provide inaccurate readings. - * * software problems : * * the software that controls the bed scale may have become corrupted or damaged. this can cause the bed scale to malfunction or display incorrect readings. # # # recommendations - * * check the wiring : * * inspect the wiring that connects the bed scale to the rest of the system. make sure that all connections are tight and secure. - * * test the load cells : * * use a weight to test each load cell individually. if a load cell is faulty, it should be replaced. - * * update the software : * * if the software that controls the bed scale has become corrupted or damaged, it should be updated. @topic:25


# # # issue * connector broken and damaged # # # impact * medical device cannot be used effectively # # # possible causes * connector was not properly installed * connector was subjected to excessive force * connector was exposed to chemicals or moisture * connector was damaged during transport or storage # # # recommendations * inspect connector for damage before using medical device * install connector properly according to manufacturer's instructions * avoid subjecting connector to excessive force * protect connector from exposure to chemicals or moisture * store and transport medical device carefully to avoid damage to connector @topic:2


# # # issue - equipment not functioning properly # # # impact - patient care may be delayed or compromised # # # possible causes - the given cause of failure is " adjustment of the headrest is not possible ". - the technician has already identified and fixed the issue with the control box. - further investigation is required to determine the root cause of the headrest adjustment issue. # # # recommendations - check the headrest motor, wiring, and control panel. - test the headrest adjustment function with a patient simulator or a known good test object. - consult the manufacturer's service manual or contact the manufacturer's technical support for guidance. @topic:1


# # # issue the physiologic monitor ( propaq lt ) is unable to measure blood pressure ( bp ). # # # impact this issue prevents the device from providing accurate bp readings, which are essential for monitoring a patient's vital signs and making informed medical decisions. # # # possible causes * * 1. defective cuff : * * the cuff is an essential component for measuring bp. a defective or worn - out cuff can result in inaccurate readings or complete failure to measure bp. * * 2. calibration issues : * * the device may require regular calibration to ensure accurate measurements. if calibration is overdue or not performed correctly, it can lead to incorrect bp readings. * * 3. software or hardware malfunction : * * internal software or hardware components within the device may have malfunctioned, causing the bp measurement function to fail. * * 4. user error : * * incorrect use or handling of the device by healthcare professionals can contribute to its failure. for example, the cuff may not be properly inflated or positioned, or the device may not be operated according to manufacturer guidelines. # # # recommendations * * 1. inspect and replace cuff : * * examine the cuff for any visible damage or wear. if necessary, replace the cuff with a new one to ensure a proper fit and accurate measurements. * * 2. calibrate the device : * * ensure that the device is calibrated regularly according to the manufacturer's recommendations. calibration involves using a known reference pressure to verify and adjust the device's readings. * * 3. troubleshoot software or hardware issues : * * contact the manufacturer or qualified technicians to investigate and repair any software or hardware malfunctions. they can diagnose the problem and perform repairs or replacements as needed. * * 4. train healthcare professionals : * * provide proper training to @topic:14


# # # issue - incorrect or incomplete configuration of bed alarm settings. # # # impact - increased risk of patient falls or other safety concerns due to malfunctioning bed alarm system. # # # possible causes - human error during initial setup or subsequent adjustments. - software glitch or hardware malfunction causing incorrect alarm behavior. - lack of proper training or understanding of alarm configuration procedures. # # # recommendations - * * verify alarm configuration : * * ensure that all alarm settings are correctly configured according to manufacturer's specifications and user requirements. - * * test alarm functionality : * * regularly test the bed alarm system to verify proper operation and identify any potential issues. - * * provide clear instructions : * * provide comprehensive documentation and training to users on proper alarm configuration and operation. - * * consider redundant systems : * * implement additional safety measures, such as alarms on patient monitors or nurse call systems, to supplement the bed alarm system. - * * regular maintenance and updates : * * perform routine maintenance and software updates to ensure the bed alarm system is functioning optimally. - * * monitor system performance : * * track and analyze alarm logs to identify trends or patterns that may indicate potential problems or areas for improvement. - * * train staff on proper use : * * ensure that all staff members are trained on safe and effective use of the bed alarm system. @topic:26


* * issue : * * abnormal ground connection in welch allyn physiologic vital signs monitor, model 71wx. * * impact : * * - patient safety hazard due to potential electrical leakage - inaccurate vital signs readings * * possible causes : * * - broken or damaged ground plug - loose or disconnected ground wire - internal electrical fault * * recommendations : * * - replace or repair the ground plug - inspect and tighten the ground wire connection - contact the manufacturer for further troubleshooting or repair - ensure proper grounding of the equipment to prevent future failures @topic:2


# # # issue - remote control cable failure # # # impact - inability to adjust the electric bed remotely # # # possible causes - physical damage to the cable due to mishandling or wear - electrical malfunction due to faulty wiring or components - connection issues between the cable and the bed or remote control # # # recommendations - inspect the cable for any visible damage or wear - check the cable connections to ensure they are secure and free of corrosion - test the cable using a multimeter to determine if there is any electrical fault - replace the cable if it is damaged or malfunctioning - use the bed with caution until the cable is repaired or replaced to avoid any accidents caused by sudden adjustments @topic:7


# # # issue - broken bed rail lock pin # # # impact - reduced patient safety - increased risk of patient falls - reduced staff efficiency # # # possible causes - wear and tear - manufacturing defect - patient abuse - improper use # # # recommendations - inspect bed rail locks regularly for signs of wear or damage. - replace any damaged or worn locks immediately. - train staff on proper use of bed rails. - monitor patients who are at risk of falls. @topic:6


# # # issue - equipment malfunction : the electric bed's safety feature, the side rail, is not functioning properly due to a broken locking plate. # # # impact - patient safety hazard : a non - functioning side rail poses a fall risk for patients, especially those who are elderly or have mobility issues. # # # possible causes - * * manufacturing defect : * * a faulty locking mechanism or weak material used in the side rail's construction. - * * wear and tear : * * prolonged use or excessive force applied to the side rail can cause the locking plate to break. - * * improper maintenance : * * lack of regular inspections or lubrication of the side rail's moving parts. - * * user error : * * forceful or inappropriate use of the side rail, such as pulling it up or down with excessive force. # # # recommendations - * * immediate repair : * * replace the broken locking plate and ensure that the side rail is functioning properly. - * * regular maintenance : * * schedule routine inspections and lubrication of the side rail's moving parts to prevent wear and tear. - * * staff training : * * educate staff on proper handling and use of the bed's safety features, including the side rails. - * * quality control : * * implement a system to verify the functionality and safety of all medical devices before they are put into use. - * * consideration of alternative safety measures : * * explore additional safety measures, such as bed alarms or bed mats, to mitigate the risk of falls in patients with mobility issues. @topic:6


you can switch between battery - powered and mains - powered ( ac ) operation without interrupting monitoring. when an x2 or mp5 is connected to a host monitor, no battery data from the x2 is visible on the host. battery inops, however, are displayed. the batteries recharge automatically whenever the monitor is connected to mains power. battery operation may not be available in all geographies. battery power indicators the battery led and battery status information on the main screen, in combination with inop messages and prompts, help you keep track of the battery power status. the indicators always show the remaining capacity in relation to the battery ’ s actual maximum capacity, which may lessen as the battery ages. you can see the actual capacity in the battery status window. mp20 / 30 / when both batteries are empty the monitor switches off automatically. 40 / 50 battery led the battery led on the front panel of the monitor is indicated by a battery symbol. 370 battery power indicators 35 using batteries mp20 / 30 / battery led colors if the monitor is connected to mains power, this means if the monitor is running on battery power, this means green battery power is > 90 % yellow batteries charging ( battery power < 90 % ) red, flashing less than 10 minutes power remaining red, flashes intermittently battery malfunction battery malfunction mp40 / 50 if only one battery is inserted during charging, the battery led is yellow during charging and switches only off when the battery is charged. battery status on the main screen battery status information can be configured to display permanently on all screens. it shows the status of each of the batteries detected and the combined battery power remaining, with an estimate of the monitoring time this represents. battery status symbols : these symbols tell you the status of the batteries ( see table below ) and which battery compartments they are in, either 1 or 2. battery power gauge : @topic:11


# # # issue - broken bed rail # # # impact - patient safety hazard - inability to use the bed safely - discomfort for the patient # # # possible causes - wear and tear - improper use - manufacturing defect # # # recommendations - regularly inspect the bed rails for any signs of damage or wear and tear. - instruct patients and staff on the proper use of the bed rails. - replace the bed rails if they are damaged or worn. - consider using a different type of bed rail that is more durable or less likely to break. @topic:6


# # # issue - deteriorated cuff # # # impact - inaccurate vital signs measurement # # # possible causes - wear and tear - improper storage - overuse # # # recommendations - regular inspection of cuff - proper storage conditions - replacement of cuff as needed @topic:5


# # # issue - equipment : medical cart - manufacturer : bdms - model : bdms 01 - description : the equipment cannot open the drawer. # # # impact - the equipment was unable to be used for its intended purpose. # # # possible causes - drawer lock malfunction - mechanical failure - software issue # # # recommendations - inspect the drawer lock for any damage or obstructions. - check the mechanical components of the drawer for any signs of wear or damage. - update the software to the latest version. @topic:21


# # # issue - cuff is not working. # # # impact - the monitor cannot accurately measure blood pressure. # # # possible causes - the cuff is damaged. - the cuff is not properly connected to the monitor. - the cuff is not inflated to the correct pressure. - the monitor is not calibrated correctly. # # # recommendations - inspect the cuff for damage. - ensure that the cuff is properly connected to the monitor. - inflate the cuff to the correct pressure. - calibrate the monitor. - send the cuff to be inspected by a qualified technician. @topic:14


# # # issue - missing bed rail lock # # # impact - patient safety hazard due to potential for falls from bed # # # possible causes - lock was not properly secured when the bed was assembled - lock was damaged or broken - lock was removed for cleaning or maintenance and not replaced # # # recommendations - inspect all bed rails to ensure that all locks are present and securely fastened - replace any damaged or broken locks - ensure that all staff is trained on proper assembly and maintenance of the bed - consider installing bed alarms or other safety measures to prevent falls @topic:6


# # # issue - room 327 is not linking with the central monitor. # # # impact - the medical staff in room 327 will not be able to monitor patients'vital signs remotely. # # # possible causes - the ci address is set to manual instead of multicast. - the network settings are not configured correctly. - the central monitor is not functioning properly. # # # recommendations - change the ci address setting from manual to multicast. - verify that the network settings are configured correctly. - contact the vendor for support if the central monitor is not functioning properly. @topic:16


# # # issue : - central monitor is not linking to bedside monitor values. # # # impact : - inability to accurately monitor patient's physiological parameters. # # # possible causes : - incorrect authentication settings on the bedside monitor preventing the central monitor from accessing and linking to the data. # # # recommendations : - change the authentication setting from optional to normal to allow the central monitor access to the data. @topic:16


# # # issue - remote control is not functioning properly. # # # impact - inability to adjust the bed's position. - inconvenience for the patient. # # # possible causes - * * remote control is not calibrated. * * - * * remote control is defective. * * - * * batteries in the remote control are dead. * * - * * receiver on the bed is not functioning properly. * * - * * wiring between the remote control and the bed is damaged. * * # # # recommendations - * * calibrate the remote control. * * - * * replace the remote control. * * - * * replace the batteries in the remote control. * * - * * inspect the receiver on the bed for damage. * * - * * inspect the wiring between the remote control and the bed for damage. * * @topic:7


# # # issue - the bed cannot be adjusted # # # impact - the patient may not be able to get into or out of bed. - the patient may not be able to be positioned comfortably. - the patient may be at risk of injury if the bed is not adjusted correctly. # # # possible causes - the bed's motor is not working. - the bed's electrical system is not working. - the bed's remote control is not working. - the bed's controls are locked. - the bed is not properly assembled. # # # recommendations 1. check the bed's motor to make sure that it is working properly. 2. check the bed's electrical system to make sure that it is working properly. 3. check the bed's remote control to make sure that it is working properly. 4. check the bed's controls to make sure that they are not locked. 5. make sure that the bed is properly assembled. 6. if the problem persists, contact the manufacturer for assistance. @topic:1


# # # issue - cuff failure in a physiologic vital signs monitor # # # impact - interrupted monitoring of vital signs - loss of accurate patient data - potential delayed or inadequate treatment # # # possible causes - natural wear and tear of the cuff material leading to tears or punctures - incorrect cuff size or improper application - overinflation or excessive pressure applied to the cuff - exposure to extreme temperatures or humidity - chemical damage or contamination # # # recommendations - inspect cuffs regularly for signs of damage and replace as necessary - train staff on proper cuff placement and inflation techniques - use patient - appropriate cuff sizes - protect cuffs from extreme environments and spills - clean and disinfect cuffs according to manufacturer guidelines @topic:5


# # # issue - broken remote control or receiver - faulty wiring or connections - software glitch or hardware malfunction # # # impact - inability to operate the bed remotely, potentially hindering patient care - increased risk of patient falls or injuries - reduced efficiency and workflow for healthcare staff # # # possible causes - physical damage to the remote or receiver, such as dropping or impacts - loose or damaged wiring connections between the bed and remote - power surges or fluctuations causing damage to the electronics - software bugs or hardware defects leading to communication issues # # # recommendations - inspect the remote and receiver for any visible damage or loose components - check all wiring connections for tightness and continuity - power cycle the bed to reset the electronics - contact the manufacturer or a qualified technician for further troubleshooting and repair # # # additional considerations - the technician should also consider the patient's safety and mobility when diagnosing and resolving the issue - prompt repair is crucial to ensure the bed's functionality and prevent potential patient safety risks - regular maintenance and periodic inspections can help prevent such failures and ensure optimal performance of the medical device @topic:7


# # # issue - audio alarm failure in philips suresigns vs2 + vital signs monitor # # # impact - inability to emit audible alarms for critical patient monitoring parameters - reduced patient safety due to delayed or missed alerts # # # possible causes - malfunctioning speaker system - loose or disconnected wiring - software glitch - power supply issues # # # recommendations - confirm the cause of failure by isolating the speaker system and checking for loose connections. - replace the speaker or repair any damaged wiring if necessary. - update or reset the software if a glitch is suspected. - ensure proper power supply to the device. - consider replacing the monitor if repairs are not successful or cost - effective. - notify the manufacturer or an authorized service provider for further troubleshooting and support. @topic:2


# # # issue remote control sticker replacement # # # impact inability to operate the bed using the remote control # # # possible causes - physical damage to the remote control's button pad ( e. g., torn or disconnected circuit ) - malfunctioning of the remote control's button pad due to electrical issues or component failure - software glitch within the remote control or the bed's control system # # # recommendations 1. * * inspect the remote control's button pad : * * check for any visible signs of damage, such as tears or breaks in the circuit. use a multimeter to test the continuity of the button pad's circuits. 2. * * troubleshoot electrical issues : * * check the remote control's battery and replace it if necessary. inspect the wiring and connections between the remote control and the bed's control system for any loose or damaged components. 3. * * update software : * * if the remote control or the bed's control system has available software updates, install them to address any potential software glitches. 4. * * refer to the manufacturer's instructions : * * consult the equipment manual or contact the manufacturer for specific troubleshooting and repair guidance related to the remote control. @topic:7


# # # issue - the bedside physiologic monitor is not recording blood pressure ( bp ) data in the trend. # # # impact - the clinical team will not be able to view the patient's bp trends and may not be able to make appropriate medical decisions. # # # possible causes - the bp sensor is not properly connected. - the bp sensor is defective. - the monitor is not configured to record bp data in the trend. - the monitor is not set to measure bp automatically. - the patient's bp is not high enough to be measured by the monitor. # # # recommendations - check the bp sensor connection. - replace the bp sensor if it is defective. - configure the monitor to record bp data in the trend. - set the monitor to measure bp automatically. - if the patient's bp is too low to be measured by the monitor, use a manual bp cuff to measure the patient's bp. @topic:14


# # # issue the electric bed is no longer functioning and is unable to be repaired. # # # impact - patients may not be able to receive proper care. - staff may be unable to perform their duties effectively. # # # possible causes - the bed may have been damaged during use. - the bed may have been improperly maintained. - the bed may have reached the end of its useful life. # # # recommendations - replace the bed with a new one. - increase the frequency of bed maintenance. - train staff on proper bed use. @topic:9


# # # issue - cuff bp failure # # # impact - unable to accurately measure blood pressure. # # # possible causes - * * cuff damage : * * the cuff may be torn or punctured, causing air leaks that affect the accuracy of the measurement. - * * tubing damage : * * the tubing connecting the cuff to the monitor may be damaged or kinked, preventing proper air flow and pressure transmission. - * * pressure sensor malfunction : * * the pressure sensor within the cuff may be faulty, resulting in incorrect readings. - * * electrical issues : * * loose connections or faulty electrical components can disrupt the communication between the cuff and the monitor. # # # recommendations - * * inspect the cuff : * * check for any visible damage or tears in the cuff material. - * * examine the tubing : * * inspect the tubing for kinks, cracks, or obstructions. - * * test the pressure sensor : * * use a calibration device to verify the accuracy of the pressure sensor. - * * troubleshoot electrical connections : * * check for loose or damaged wires and connections. - * * replace defective components : * * if any damaged or faulty components are identified, replace them with new ones. - * * regular maintenance : * * perform routine maintenance checks to identify and address potential issues early on. @topic:3


# # # issue - broken spo2 cable # # # impact - patient monitoring may be inaccurate or unavailable. # # # possible causes - physical damage to the cable - corrosion of the cable connectors - loose connections - manufacturing defect # # # recommendations - replace the spo2 cable with a new one. - inspect the cable for any visible damage. - clean the cable connectors with a cotton swab and alcohol. - ensure that the cable is securely connected to the monitor and the patient. - if the problem persists, contact the manufacturer for further troubleshooting. @topic:4


# # # issue the equipment is not charging its battery. # # # impact the equipment cannot be used if its battery is not charged. # # # possible causes - the power outlet is not providing power. - the power cord is damaged. - the battery is damaged. - the charging port on the equipment is damaged. # # # recommendations - check the power outlet to ensure that it is providing power. - check the power cord for any damage. - replace the battery if it is damaged. - contact the manufacturer of the equipment if the charging port is damaged. @topic:11


measurements in predictive mode, the monitor measures the patient ’ s temperature for approximately four seconds for oral measurements and approximately 16 seconds for axillary and rectal measurements. the monitor then displays the final measurement. if the monitor cannot get a reading after one minute, it automatically switches to monitored mode. monitored measurements in monitored mode, the monitor measures the patient ’ s temperature continuously and displays the temperature in the numeric pane as long as the probe is in contact with the patient. you use monitored mode when a situation prevents accurate predictive measurement. note — temperature measurements taken in monitored mode are not saved to a patient record. wireless module a - 6 the wireless module includes a radio board and an antenna. the module provides wireless connectivity for the monitor. the radio board interfaces with the main board through a 20 - pin connector. the antenna interfaces with the radio board through a mmcx ( micro - miniature coaxial ) connector. the module supports all 802. 1 1a, 802. 11b, and 802. 11g data rates and automatically adjusts data rates and operational modes based on various environmental factors. theory of operation suresigns vs2 * and vsi service guide warning b electromagnetic compatibility this appendix lists the tests and compliance levels that make the suresigns vs2 * and vsi vital signs monitors suitable for use in the specified electromagnetic environment according to en / iec 60601 - 1 - 2 : 2001. medical electrical equipment can either generate or receive electromagnetic interference. this product has been evaluated for electromagnetic compatibility ( emc ) with the appropriate accessories according to en / iec 60601 - 1 - 2 : 2001, the international standard for emc for medical electrical equipment. this iec standard has been adopted in the european union as the european norm, en / iec 60601 - 1 - 2 : 2001. radio frequency ( rf ) interference from nearby transmitting devices can degrade @topic:10


# # # issue : nibp monitor wheels failure # # # impact : nibp monitor cannot be moved easily or safely, which can affect patient care. # # # possible causes : - worn or damaged wheels - misaligned wheels - loose or missing wheel bearings - wheel axles bent or broken - floor obstruction or debris causing wheel to jam # # # recommendations : - inspect wheels for wear, damage, or misalignment. - check wheel bearings for looseness or missing parts. - examine wheel axles for any bends or breaks. - clean or remove any floor obstructions or debris that may obstruct wheel movement. - replace worn or damaged wheels, adjust wheel alignment, tighten wheel bearings, or repair wheel axles as necessary. - perform regular preventive maintenance on the nibp monitor to prevent future wheel failures. @topic:24


# # # issue remote control for the electric bed is missing. # # # impact the bed cannot be operated remotely, which may cause inconvenience to the patient and healthcare staff. # # # possible causes - the remote control was misplaced or lost. - the remote control was damaged. - the remote control was not included with the bed when it was purchased. # # # recommendations - search for the missing remote control. - if the remote control is damaged, replace it with a new one. - if the remote control was not included with the bed, order one from the manufacturer. @topic:7


* * issue : * * sent cuff for inspection * * impact : * * unable to use the device until the cuff is returned * * possible causes : * * * cuff may be damaged or malfunctioning. * cuff may not be properly connected to the device. * device may not be compatible with the cuff. * * recommendations : * * * inspect the cuff for any damage or missing parts. * ensure that the cuff is properly connected to the device. * check the device's compatibility with the cuff. * replace the cuff if necessary. @topic:5


# # # issue the nibp monitor, model dinamap pro 300, manufactured by ge healthcare, is experiencing an issue where the spo2 sensor is drawing too much current, causing the device to fail. # # # impact the failure of the spo2 sensor can lead to inaccurate or missing patient data, which can impact patient care and safety. additionally, the device may need to be taken out of service for repair, which can lead to scheduling delays and increased costs. # # # possible causes * * * faulty spo2 sensor : * * the spo2 sensor may be damaged or defective, causing it to draw too much current. * * * electrical issues : * * loose connections or other electrical issues may lead to increased current draw. * * * software errors : * * faulty software or firmware can cause the device to over - power the spo2 sensor. # # # recommendations * * * replace the spo2 sensor : * * the first step is to replace the spo2 sensor with a new one to eliminate the possibility of a faulty sensor. * * * inspect electrical connections : * * check all electrical connections between the spo2 sensor and the device for loose or damaged wires. * * * update software : * * update the device's software to the latest version to address any known software bugs. * * * contact technical support : * * if the above steps do not resolve the issue, contact the manufacturer's technical support team for further assistance. @topic:4


window appears. 3 select yes. 4 to save the setting, press the on / standby key and then restart the monitor. troubleshooting suresigns vs2 * and vsi service guide 4 - 35 viewing, exporting, and printing ( vs2 * monitor only ) the error log viewing, exporting, and printing ( vs2 * monitor only ) the error log 4 - 36 when the monitor detects an error, it displays a message in the message area and saves the error to the error log. the log includes a timestamp that indicates when the error occurred. to clear the error count and log, see “ resetting parameters ” on page 4 - 35. for detailed information about errors and error codes, see “ error codes ” on page 4 - 12. to view the error log : step 1 in the system diagnostics menu, select the error log button. the error log window opens. each error log entry includes a timestamp, a unique error code, a description of the error, and an optional block of error information. error log time description 06 / 21 / 11 03 : 31 : 00 system error 12 / 16 / 11 10 : 10 : 10 system error 12 / 17 / 11 12 : 30 : 04 system error 12 / 18 / 11 01 : 30 : 00 temp probe error ( 63 ) 12 / 19 / 11 10 : 30 : 30 system error r 12 / 20 / 11 12 : 30 : 04 system error vs2 only 2 to view the entire list of errors, select the list to activate scrolling. 3 to save the error log to a usb flash drive : + insert a compatible usb flash drive into the usb port on the rear of the monitor. ¢ inthe error log window, select the save button. the error log is saved to the usb flash drive as an. xls file. 4 on the vs2 * monitor only @topic:22


# # # issue the electric bed, specifically the huntleigh contoura 390, is not responding to adjustment commands. # # # impact patients may not be able to be positioned comfortably or safely for medical procedures or recovery. # # # possible causes below are possible causes for the electric bed not responding to adjustment commands : - * * power issue : * * ensure that the bed is properly plugged in and that the power source is functioning. check for any loose connections or damaged cords. - * * control unit malfunction : * * the control unit, which receives and interprets adjustment commands, may be faulty. inspect the control unit for any visible damage or loose connections. - * * motor failure : * * the motor responsible for moving the bed may have failed. listen for any unusual noises or vibrations coming from the bed when attempting to adjust it. - * * mechanical obstruction : * * something may be obstructing the movement of the bed, preventing it from adjusting properly. check underneath the bed for any objects or debris that could be interfering with the mechanism. # # # recommendations - * * troubleshooting : * * perform the following troubleshooting steps : - verify power source and connections. - inspect the control unit for damage or loose connections. - listen for unusual noises or vibrations from the motor. - check for any mechanical obstructions under the bed. - * * contact manufacturer : * * if the troubleshooting steps do not resolve the issue, contact the manufacturer of the bed for further assistance. they may provide technical support or dispatch a technician to repair the bed. @topic:1


# # # issue the bed, electric is not able to be adjusted downward. # # # impact the patient may not be able to get into or out of the bed, or may be uncomfortable in the bed. # # # possible causes - the remote control is not working properly. - the motor that adjusts the bed is not working properly. - the bed frame is damaged. # # # recommendations - check the remote control batteries and make sure that the remote is paired with the bed. - check the motor and make sure that it is getting power and that the connections are secure. - inspect the bed frame for any damage. @topic:1


# # # issue - the bed is not adjusting. # # # impact - the patient cannot be properly positioned for care. - the patient may experience discomfort or pain. - the patient's condition may worsen. # # # possible causes - the control box is faulty. - the power supply to the bed is interrupted. - the bed frame is damaged. - the bed motor is not functioning properly. # # # recommendations - inspect the control box for any damage or loose connections. - check the power supply to the bed to ensure that it is functioning properly. - examine the bed frame for any damage or obstructions. - test the bed motor to ensure that it is functioning properly. - replace any faulty components as necessary. - calibrate the bed according to the manufacturer's instructions. @topic:1


##4 1 label, caregiver control, bed function, bed exit, rh 17 vi0601a 12 or 24 screw 18 72581 1 support, siderail p. c. board 19 72656 4 standoff, p. c. board mount 20 125939 1 siderail signal conditioning p. c. board, rh 71514 1 siderail signal conditioning p. c. board, lh 21 72820 1 label, angle indicator, rh 72821 1 label, angle indicator, lh 22 qd1653a 1 level ball 23 129442 1 spacer 24 131857 1 label, scale ( english ) 133011 1 label, scale ( japanese ) 133012 1 label, scale ( simplified chinese ) 133013 1 label, scale ( french ) 133015 1 label, scale ( traditional chinese ) 133016 1 label, scale ( thai ) 133017 1 label, scale ( korean ) 133018 1 label, scale ( portuguese ) 133019 1 label, scale ( spanish ) page 5 - 66 careassist® and careassist® es bed service manual ( man330 rev 4 ) head siderail — c model beds chapter 5 : parts list notes : careassist® and careassist® es bed service manual ( man330 rev 4 ) page 5 - 67 motor control box — c model beds chapter 5 : parts list motor control box — c model beds chapter 5 : parts list table 5 - 26. motor control box — c model beds item number part number quantity description 1 vi0601a 7 screw 2 132547 1 cover assembly, battery compartment 3 qd1642a 2 battery, 12 v 4 132219 2 washer 5 128816 1 transformer, north america 128829 1 transformer, international 6 137613 1 assembly @topic:26


# # # issue - cuff bp dinamap broken # # # impact - unable to accurately measure blood pressure # # # possible causes - * * cuff bp dinamap : * * - * * damaged or broken : * * physical damage to the cuff or tubing can cause it to leak air or fail to inflate properly. - * * defective valve : * * a malfunctioning valve within the cuff can prevent proper inflation or deflation. - * * electrical failure : * * an electrical fault in the cuff or its components can cause it to malfunction. - * * outdated or incompatible : * * using an outdated or incompatible cuff with the monitor can lead to improper measurements or failure. # # # recommendations - * * replace the cuff bp dinamap : * * the best solution is to replace the broken cuff with a new and compatible one. - * * check for electrical faults : * * if electrical faults are suspected, the monitor and cuff should be inspected by a qualified technician. - * * calibrate the monitor : * * once the cuff is replaced, the monitor should be calibrated to ensure accurate blood pressure measurements. - * * train staff : * * ensure that staff is properly trained on the use and maintenance of the monitor and cuff bp dinamap. - * * follow manufacturer's guidelines : * * adhere to the manufacturer's instructions for proper operation and maintenance of the equipment. @topic:3


# # # issue - telemetric electrocardiography ( ecg ) monitor is not receiving signals. # # # impact - hospital staff cannot accurately monitor a patient's heart activity. - this can lead to delays in diagnosis and treatment, and potentially even patient harm. # # # possible causes - the following are possible causes for the lack of signal : - the ecg monitor is not properly connected to the patient. - the ecg monitor is not turned on. - the ecg monitor's batteries are dead. - the ecg monitor's electrodes are not properly placed on the patient. - the ecg monitor is receiving interference from other electrical devices. - the ecg monitor's software is not up to date. - the ecg monitor's hardware is faulty. # # # recommendations - the following are recommendations for addressing the lack of signal on the ecg monitor : - check the cables and connections between the ecg monitor, electrodes, and patient. - check that the ecg monitor is turned on. - charge or replace the ecg monitor's batteries. - check that the ecg monitor's electrodes are properly placed on the patient. - move the ecg monitor away from other electrical devices that may be causing interference. - update the ecg monitor's software. - contact the ecg monitor's manufacturer for assistance. @topic:18


cable ) es no 432 39 accessories product number description comments oximax adapter cable ( 3 m cable ) m1943nl no es hilips disposabnellcor disposable and eusable sensorsavailable from nellcor / covidien only. adapter cable for oxicliq sensors oc - 3 yes es masimo lnop reusable sensors the philips m3001a / m3002a option a01 and the m1020b option a01 spo2 module use masimo certified pulse oximetry for reduced noise and low perfusion performance with masimo sensors under the masimo nr & lp protocol available from masimo. masimo r & lp ertifieproduct number description adult finger sensor ( > 30 kg ) n / a lnop dci es pediatric finger sensor ( 10 - 50 kgmulti - site sensor ( > 1 kg ) ear sensor ( > 30 kg ) nop dcip n / a es no n / a nop yi es no lnop tc - i yes no masimo lncs reusable sensors product number description ncs dci adult finger sensor ( > 30 kg ) n / a es no pediatric finger sensor ( 10 - 50 kgmulti - site sensor ( > 1kg ) ear sensor ( > 30 kg ) n / a lncs dcip es no n / a ncs yi yes no n / a lncs tc - i yes no masimo lnop disposable adhesive sensors product number description ption a01 optiadult sensor ( > 30 kg ) n / a nop adt es no adult sensor ( > 30 kg ) n / a nop adtx es no pediatric sensor ( 10 - 50 kg ) nop pdt yes no 433 39 accessories product number description @topic:8


# # # issue - the bed is not adjusting up or down. # # # impact - the patient cannot be positioned properly, which can lead to discomfort and pain. - the medical staff cannot perform procedures efficiently. # # # possible causes - the remote control is not working properly. - the bed motor is not functioning properly. - the bed frame is damaged. - the bed is not properly connected to the power source. # # # recommendations - check the batteries in the remote control and replace them if necessary. - test the remote control by pressing the buttons and observing the bed's response. - check the bed motor by listening for a humming noise when the bed is adjusted. - inspect the bed frame for any damage, such as cracks or broken welds. - ensure that the bed is properly connected to the power source by checking the plug and outlet. - if the problem persists, contact a qualified biomedical engineer for further assistance. @topic:1


# # # issue - cuff is deteriorated. # # # impact - the blood pressure monitor may not be able to accurately measure blood pressure. # # # possible causes - the cuff may have been used for an extended period of time. - the cuff may have been exposed to harsh chemicals or environments. - the cuff may have been damaged during use. # # # recommendations - replace the cuff with a new one. - inspect the cuff regularly for signs of wear and tear. - handle the cuff with care to avoid damage. @topic:3


) not shown e usb clamp not shown speaker 4535 642 08091 6 - 3 35 spo, board 4535 640 20531 6 - 2 17 temperature module, predictive and probe cover 4535 641 04821 6 - 2 21 holder temperature module, tympanic 4535 643 57791 6 - 2 33 temperature probe cover holder, predictive, 4535 641 24601 6 - 2 22 temperature probe, predictive, retainer clip 4535 640 82891 not shown usb hub 4535 640 39661 not shown wireless board 4535 642 70101 6 - 1 38 wireless upgrade kit 9898 031 81201 not shown replacement parts and assembly drawings suresigns vs4 service guide assembly drawings assembly drawings see “ spare parts ” on page 6 - 1 for the part numbers referenced in the following figures. figure 6 - 1 front case assembly replacement parts and assembly drawings suresigns vs4 service guide assembly drawings figure 6 - 2 rear case assembly replacement parts and assembly drawings suresigns vs4 service guide 6 - 4 assembly drawings figure 6 - 3 rear case assembly, top view replacement parts and assembly drawings suresigns vs4 service guide 6 - 5 power cords power cords 6 - 6 the following table lists the available power cords and their part numbers. power cord ( 903 ), 2. 4 m 8120 - 5429 taiwan, us, canada, latin america, singapore, caribbean, laos power cord ( 902 ), 2 m 8120 - 1689 portugal, korea, russia, south america, indonesia, west indies, libya power cord ( 906 ), 2 m 8120 - 2104 switzerland power cord ( 917 ), 2 m 8120 - 4211 india, south africa power cord ( 901 ), 2 m 8120 - 4475 australia power cord @topic:19


# # # issue the ob & gyn bed's net is not adjustable. # # # impact the bed cannot be used for its intended purpose. # # # possible causes - the net's adjustment mechanism is broken. - the net's adjustment mechanism is not properly lubricated. - the net's adjustment mechanism is not properly connected to the bed. - the bed's control panel is not functioning properly. - the bed's power supply is not functioning properly. # # # recommendations - inspect the net's adjustment mechanism for damage. - lubricate the net's adjustment mechanism. - check that the net's adjustment mechanism is properly connected to the bed. - check that the bed's control panel is functioning properly. - check that the bed's power supply is functioning properly. @topic:1


dispose of used batteries promptly and in accordance with local recycling regulations. about the battery the rechargeable lithium - ion batteries used in the monitor are regarded as smart batteries because they have built - in circuitry. ( this circuitry communicates battery status information to the monitor. ) actual current / voltage : depends on smart battery request and monitor configuration. the approximate charging time is 3 hours with the monitor switched off and up to 5 hours during monitor operation, depending on the monitor configuration. note batteries will discharge within about 20 days if they are stored inside the monitor without ac power connection. checking the battery status when the monitor is connected to the ac power supply, the battery charges automatically. the battery can be charged remotely from the monitor by using the battery charger. use only the 865432 smart battery conditioner. battery status ( level of charge ) is indicated in several ways : • led on the front panel of the monitor. • battery gauge. • display of battery time below gauge. • battery status window. • inop messages. the ac power led is only on when the power cord is connected and ac power is available to the monitor. in this case, the battery can be either charging or fuuy charged. the battery led can be green, yellow, or red depending on the following conditions : battery led colors if the monitor is connected to ac power, this means if the monitor is running on battery power, this means green battery full ( > 90 % ) 97 [ 3 testing and maintenance ] battery led colors if the monitor is connected to ac power, this means if the monitor is running on battery power, this means yellow battery charging ( battery power < 90 % ) red, flashing < 10 minutes power remaining red, flashes intermittently battery or charger malfunction 1, 2 battery or charger malfunction!, 2 red, flashing when on / standby switch is pressed not @topic:11


# # # issue - the electric bed is not functioning properly. # # # impact - the patient is unable to use the bed, which can cause discomfort and pain. - the staff is unable to move the patient, which can delay treatment. # # # possible causes - the bed is not plugged in. - the power cord is damaged. - the control panel is not functioning properly. - the motor is not working. - the battery is dead. # # # recommendations - check if the bed is plugged in. - inspect the power cord for any damage. - check the control panel for any loose connections or damage. - test the motor by trying to move the bed. - replace the battery if it is dead. @topic:9


# # # issue - memory of the led monitor is full, preventing further recordings. # # # impact - inability to record patient data, which is essential for monitoring and diagnosis. # # # possible causes - prolonged use of the monitor without regular data removal. - excessive accumulation of data due to high - frequency recordings. - software glitch or corrupted data. # # # recommendations - regular maintenance and data removal to prevent memory overload. - adjust recording settings to optimize data storage. - contact the manufacturer or a qualified technician to inspect and resolve any underlying software issues. - consider implementing data management policies to ensure efficient storage and retrieval of patient records. @topic:2


# # # issue - broken oxygen saturation ( sat ) cable # # # impact - patient's oxygen saturation levels cannot be accurately monitored. - this could lead to delayed diagnosis and treatment of hypoxia, which can be life - threatening. # # # possible causes - physical damage to the cable, such as kinking or crushing. - corroded or loose connections. - manufacturing defect. # # # recommendations - inspect the cable for any signs of physical damage. - tighten any loose connections. - replace the cable if it is damaged or corroded. - use high - quality cables and connectors that are compatible with the monitor. - train staff on the proper handling and maintenance of medical equipment. @topic:4


# # # issue - monitor not charging - electrical shock - like noise # # # impact - inability to monitor vital signs accurately - potential hazard to patients and staff # # # possible causes - loose cable connections - damaged or faulty charging port - internal electrical malfunction # # # recommendations * * immediate : * * - disconnect the monitor and secure the loose cable connections. - check for visible damage to the charging port or cables. * * further investigation : * * - perform a thorough electrical safety check on the monitor using a multimeter. - contact the manufacturer or a qualified technician for further diagnosis and repair. * * prevention : * * - regular maintenance and inspection of biomedical equipment to ensure proper connections and functionality. - use only approved cables and accessories for connecting devices. - train staff on proper handling and care of equipment. @topic:11


##ist® es bed service manual ( man330 rev 4 ) initial actions chapter 2 : troubleshooting procedures problem solution foot section malfunction go to rap 2. 7 on page 2 - 21. trendelenburg / reverse trendelenburg malfunction go to rap 2. 8 on page 2 - 23. bed connected to ac power, brakes not applied detection malfunction go to rap 2. 9 on page 2 - 24. cpr malfunction go to rap 2. 10 on page 2 - 27. braking malfunction go to rap 2. 11 on page 2 - 28. steering malfunction go to rap 2. 12 on page 2 - 29. siderail detection switch malfunction ( f model beds ) go to rap 2. 25 on page 2 - 42. table 2 - 2. scale display errors problem solution scale error 0 go to rap 2. 13 on page 2 - 30. scale error 1 go to rap 2. 14 on page 2 - 31. scale error 2 go to rap 2. 15 on page 2 - 32. scale error 3 go to rap 2. 16 on page 2 - 33. scale error 5 go to rap 2. 17 on page 2 - 34. table 2 - 3. scale display errors — c and newer model beds problem solution scale error 0 go to rap 2. 18 on page 2 - 35. scale error 1 go to rap 2. 19 on page 2 - 36. scale error 2 go to rap 2. 20 on page 2 - 37. scale error 3 go to rap 2. 21 on page 2 - 38. scale error 4 go to rap 2. 22 on page 2 - 39. scale error 5 go to rap 2. 23 on page 2 - 40. service required led flashes go to rap 2. 24 on page 2 - 41. careassist® and careassist® es bed service manual ( man @topic:9


# # # issue - cuff deterioration # # # impact - inaccurate or unreliable blood pressure measurements # # # possible causes - extended use - damage during cleaning or disinfection - exposure to high temperatures or humidity - poor maintenance practices # # # recommendations - regular inspection and maintenance of cuffs - replacement of cuffs according to manufacturer guidelines - proper cleaning and disinfection techniques - storage in a controlled environment to prevent damage @topic:3


# # # issue the physiologic monitor, model intellivue mp70 ( m8007a ) from philips, is not displaying readings. # # # impact this issue can affect patient care as the monitor is unable to provide accurate and timely information about the patient's vital signs. # # # possible causes - faulty wiring or connections - malfunctioning sensors - software glitches - hardware failure # # # recommendations - verify that the monitor is properly connected to the patient and that all cables are secure. - inspect the sensors for any damage or loose connections. - check for any software updates that may be available. - if the issue persists, replace the monitor or contact the manufacturer for further troubleshooting. @topic:22


# # # issue - remote control of the electric bed is not working. # # # impact - patients are unable to operate the bed independently, which can lead to discomfort and inconvenience. # # # possible causes - * * electrical fault : * * there may be a problem with the electrical connection between the remote control and the bed, or within the remote control itself. - * * defective remote control : * * the remote control may have been damaged or malfunctioning. - * * software issue : * * there may be a software problem with the remote control or the bed that is causing the remote control to not function properly. # # # recommendations - * * check electrical connections : * * ensure that the electrical connection between the remote control and the bed is secure and undamaged. - * * inspect the remote control : * * look for any visible damage or loose components on the remote control. - * * test the remote control : * * try using a different remote control with the bed to determine if the issue is with the remote control itself or with the bed. - * * contact the manufacturer : * * if the above steps do not resolve the issue, contact the manufacturer of the bed for further troubleshooting assistance. they may be able to provide technical support or arrange for a replacement remote control. @topic:7


# # # issue : medical cart is showing incorrect patient names and allowing dispensing of medications. # # # impact : this issue prevents the proper identification of patients and could result in medication errors. # # # possible causes : - patient names from other medical carts are appearing on this cart. # # # recommendations : - verify that the patient names on the medical cart match the patients actually assigned to that cart. - ensure that the correct medical cart is being used for each patient. - restrict access to the medical cart to authorized personnel only. - implement a system to track the movement of medical carts and prevent unauthorized changes. - train staff on how to properly use medical carts and identify any potential issues. @topic:13


# # # issue - central monitor does not link # # # impact - unable to monitor patient's vital signs remotely # # # possible causes * * 1. network connectivity issues : * * - check if the monitor is connected to the hospital network and if the network is functioning properly. - verify that the monitor's ip address and subnet mask are correct. * * 2. firewall or security restrictions : * * - ensure that the firewall is not blocking communication between the monitor and the central system. - check if any security policies are preventing the monitor from connecting to the central system. * * 3. server configuration issues : * * - verify that the central system is configured to accept connections from the monitor. - check if the central system's ip address and port settings are correct. * * 4. monitor hardware or software issues : * * - inspect the monitor for any physical damage or loose connections. - check if the monitor's software is up - to - date and free of any bugs. # # # recommendations * * 1. troubleshooting network connectivity : * * - run a ping test to verify connectivity between the monitor and the central system. - check the network cables and connectors for any damage or loose connections. - reset the monitor's network settings to factory defaults. * * 2. reviewing firewall or security settings : * * - contact the it department to verify firewall rules and security policies. - ensure that the monitor has been granted appropriate permissions to connect to the central system. * * 3. verifying server configuration : * * - check the central system's event logs for any error messages related to monitor connectivity. - contact the central system's administrator to verify its configuration settings. * * 4. inspecting monitor hardware and software : * * - visually inspect the monitor for any signs of damage. - update the monitor's software @topic:16


# # # issue - spo2 signal failure # # # impact - the patient's oxygen saturation levels cannot be monitored accurately. - this could lead to delayed or incorrect treatment, which could have serious consequences for the patient. # # # possible causes - faulty spo2 sensor - damaged or disconnected spo2 cable - loose or corroded electrical connections - interference from other medical devices - patient movement # # # recommendations - check the spo2 sensor for any damage or contamination. - ensure that the spo2 cable is properly connected to the monitor and the sensor. - check the electrical connections for any loose or corroded wires. - move the patient away from any other medical devices that could be causing interference. - if the issue persists, contact the manufacturer of the monitor for further troubleshooting assistance. @topic:4


* * issue : * * biomedical equipment failure * * impact : * * downtime of equipment, potential patient safety issues, increased workload for staff * * possible causes : * * - * * defective battery : * * the newly installed battery may have been defective or damaged during installation. - * * improper installation : * * the battery may not have been properly connected or secured, leading to power loss. - * * electrical fault : * * there may be an electrical fault in the device that is preventing the battery from charging or discharging properly. - * * software glitch : * * a software issue may be interfering with the battery management system. * * recommendations : * * - * * test the battery : * * use a battery tester to confirm that the new battery is functioning properly. - * * check installation : * * verify that the battery is correctly connected and secured. - * * troubleshoot the device : * * perform a thorough inspection of the device to identify any electrical faults or software glitches. - * * contact the manufacturer : * * consult with the manufacturer for technical support and further troubleshooting guidance. @topic:11


# # # issue - electric bed is not adjustable # # # impact - patient discomfort - difficulty in providing care - increased risk of falls # # # possible causes - * * hardware failure : * * faulty motor, gearbox, or switches - * * software failure : * * incorrect settings or software bugs - * * electrical failure : * * broken wires, loose connections, or power supply issues - * * mechanical failure : * * worn or damaged parts, such as gears or bearings # # # recommendations - * * troubleshooting : * * - check power supply and connections - inspect for loose wires or damaged components - reset the bed's settings to factory defaults - * * repair : * * - replace faulty hardware ( e. g., motor, switches ) - update software or reprogram the bed - repair or replace damaged electrical components - lubricate or replace worn mechanical parts - * * preventive maintenance : * * - regular inspection and cleaning of the bed - software updates to address bugs - training for staff on proper use and maintenance @topic:9


# # # issue - bed is not elevating # # # impact - inability to position the patient for procedures or examinations # # # possible causes - obstruction in the air lines - faulty air compressor - leak in the air lines - electrical fault in the control panel - malfunctioning solenoid valve # # # recommendations - inspect and clear any obstructions in the air lines. - check the air compressor for proper operation and replace if necessary. - examine the air lines for leaks and seal any breaches. - troubleshoot the electrical components of the control panel and replace faulty parts. - test and replace the solenoid valve if found to be malfunctioning. @topic:1


baggage if traveling by air. packaging if you return the battery with the device, remove the battery, seal the battery in an antistatic plastic bag, and place the battery in the position reserved for the battery near the device in the original shipping carton. • if you return the battery separately, package the battery in the replacement battery's ing box. if the original shipping carton or replacement battery shipping box is unavailable, consult the manufacturer website for information about shipping lithium - ion batteries. warning safety risk. do not ship any battery that has been physically damaged or shows signs of leakage unless you receive specific instructions which meet the requirements for the shipment of lithium - ion batteries. dispose of damaged or leaking batteries in an environmentally safe manner consistent with local regulations. service manual overview 13 note in the united states, the applicable regulations can be found in the code of federal regulations ( cfr ). refer to 49 cfr 173. 185 for shipping lithium - ion batteries by air or ground. use 49 cfr 172. 102 sections a54 and a101 to find the special provisions for shipping lithium - ion batteries. l - - - clean the device. b. note to ensure safe receipt of your device by the service center and to expedite processing and return of the device to you, thoroughly clean all residues from the device before you ship it to welch allyn. for decontamination and cleaning requirements, see : decontamination and cleaning requirements for returns in the cleaning requirements section. if a returned device is found to be contaminated with bodily fluids, it will be returned at the owner's expense. united states federal regulations prohibit the processing of any device contaminated with blood - borne pathogens. welch allyn thoroughly cleans all returned devices on receipt, but any device that cannot be adequately cleaned cannot be repaired. put the device, enclosed in a plastic bag with a packing list, into the original @topic:11


# # # issue : blank screen on medical cart ( model : bdms 01 ) # # # impact : inability to use the medical cart for patient care # # # possible causes : - windows operating system issue # # # recommendations : - restart the medical cart - run " sfc / scannow " command in command prompt as administrator to repair corrupted system files @topic:13


# # # issue - cuff failure on welch allyn connex spot monitor # # # impact - accurate patient monitoring may be compromised. # # # possible causes - cuff deterioration due to age, wear and tear, or improper storage. # # # recommendations - regularly inspect and replace cuffs as per manufacturer's guidelines. - store cuffs properly in a cool, dry environment to prevent premature deterioration. - consider investing in high - quality cuffs from reputable manufacturers known for their durability. - train staff on proper cuff handling and maintenance techniques. @topic:5


# # # issue - bed is not adjustable and making noise # # # impact - patient discomfort - delayed or disrupted care # # # possible causes - low battery in the battery box - friction in the moving parts # # # recommendations - charge the battery in the battery box - lubricate the moving parts with wd - 40 @topic:9


# # # issue - the bed is not working properly. # # # impact - the patient cannot use the bed. - the hospital staff cannot move the patient. # # # possible causes - the battery is dead. - the battery is not connected properly. - the battery is not the correct type. - the battery is too old. # # # recommendations - replace the battery. - make sure the battery is connected properly. - make sure the battery is the correct type. - replace the battery every 2 - 3 years. @topic:9


# # # issue - medical cart with a bdms 01 computer has a purple screen and reboots due to a hard drive issue. # # # impact - the medical cart computer is not usable, which could impact patient care and / or staff efficiency. # # # possible causes - hard drive failure - bios settings - loose connection between the hard drive and the computer - corrupted operating system # # # recommendations - * * troubleshooting steps : * * - check the bios settings to ensure that the hard drive is detected. - reseat the hard drive to ensure a secure connection. - run a diagnostic test on the hard drive to check for errors. - * * repair / replacement options : * * - if the hard drive has failed, it will need to be replaced. - if the bios settings or a loose connection are causing the issue, these can be corrected without replacing the hard drive. - if the operating system is corrupted, it may need to be reinstalled. - * * preventive measures : * * - regularly back up the computer's data to prevent data loss in the event of a hard drive failure. - keep the computer's software and firmware up to date to prevent software - related issues. - use a surge protector to protect the computer from power surges. @topic:13


# # # issue - the bed headboard is installed on the wrong side. # # # impact - the bed may not be able to be used properly. # # # possible causes - the bed was assembled incorrectly. - the headboard was damaged. - the headboard was not properly secured. # # # recommendations - check the assembly instructions for the bed. - inspect the headboard for any damage. - secure the headboard properly. @topic:6


# # # issue - cannot connect to hardware # # # impact - the medical cart cannot be used. # # # possible causes - the hardware is not connected properly. - the hardware is damaged. - the software is not installed properly. - the software is not compatible with the hardware. - the network is down. # # # recommendations - check that the hardware is connected properly. - if the hardware is damaged, replace it. - reinstall the software. - make sure that the software is compatible with the hardware. - check the network connection. @topic:13


# # # issue - blood pressure measurement is not possible when the battery level drops below 80 %. # # # impact - inaccurate blood pressure readings can lead to incorrect diagnosis and treatment decisions. # # # possible causes - faulty battery - battery contacts not making good connection - circuit board issue # # # recommendations - replace the battery with a new one. - clean the battery contacts with a cotton swab dipped in isopropyl alcohol. - if the issue persists, contact the manufacturer for further troubleshooting and repair. @topic:11


# # # issue - slack of the bed guard is broken. - left remote control wire is broken. # # # impact - the bed guard cannot be raised or lowered. - the left remote control cannot be used. # # # possible causes - * * slack of the bed guard is broken : * * - the slack is made of metal and can break due to wear and tear. - the slack can also be broken if it is accidentally hit or dropped. - * * left remote control wire is broken : * * - the wire is made of copper and can break due to wear and tear. - the wire can also be broken if it is accidentally cut or pulled. # # # recommendations - * * slack of the bed guard is broken : * * - replace the slack. - * * left remote control wire is broken : * * - replace the wire. @topic:7


# # # issue - wi - fi connection failure on medical cart # # # impact - interruption of patient care and monitoring - delayed or inaccurate diagnosis and treatment - loss of data or records # # # possible causes - * * network issues : * * - weak or unstable wi - fi signal - interference from other devices - firewall or security restrictions - * * device issues : * * - faulty wi - fi module or antenna - software glitches or operating system updates - battery or power supply issues - * * other : * * - physical obstructions ( e. g., walls, furniture ) - misconfiguration of wi - fi settings on the device - incorrect password or encryption type - user error ( e. g., accidental disconnection ) # # # recommendations * * troubleshooting steps : * * - check the strength and stability of the wi - fi signal in the area. - verify the wi - fi settings on the device are correct and match the network parameters. - ensure the battery or power supply is functioning properly. - restart the medical cart and the wi - fi network equipment. - check for any firmware updates or software patches that may resolve the issue. * * preventive measures : * * - ensure the wi - fi network has adequate coverage and bandwidth throughout the hospital. - regularly maintain and update network equipment and devices. - conduct periodic wi - fi site surveys to identify potential interference sources. - train staff on proper wi - fi usage and troubleshooting procedures. - consider implementing backup wi - fi or cellular connectivity options for critical devices. @topic:13


# # # issue - electric hospital bed fails to adjust up and down # # # impact - inability to adjust patient positioning for comfort or medical procedures - potential discomfort or harm to patients # # # possible causes - loose wiring for the motor # # # recommendations - ensure all connections are secure - test the equipment thoroughly before returning it to service @topic:1


# # # issue - the bed is unable to be adjusted. # # # impact - the patient may be unable to get into or out of bed safely. - the patient may be uncomfortable in bed. - the patient may be at risk for injury. # # # possible causes - the control box is not functioning properly. - the power supply is not functioning properly. - the bed frame is damaged. - the mattress is too heavy for the bed. # # # recommendations - check the control box and power supply to make sure they are functioning properly. - inspect the bed frame for damage. - weigh the mattress to make sure it is not too heavy for the bed. - if the problem cannot be resolved, contact a qualified biomedical engineer. @topic:1


# # # issue - equipment : bed, electric - band : hill - rom - model : care assist es - calibration issue : the scale may have been miscalibrated, leading to inaccurate weight readings. # # # impact - incorrect weight measurements can have serious implications for patient care and treatment plans. it can affect drug dosage calculations, nutritional assessments, and other medical decisions. # # # possible causes - * * miscalibration of the scale * * : the scale may need to be recalibrated to ensure accurate weight readings. - * * mechanical or electrical issue * * : there may be an underlying mechanical or electrical issue with the scale that is affecting its accuracy. - * * environmental factors * * : external factors such as temperature, humidity, or vibrations can influence the accuracy of the scale. - * * human error * * : the scale may have been mishandled or used incorrectly, leading to inaccurate readings. # # # recommendations - * * recalibrate the scale * * : perform a thorough recalibration of the scale to ensure accurate weight readings. - * * inspect and test the scale * * : carefully inspect the scale for any signs of damage or mechanical issues. conduct comprehensive testing to verify its functionality. - * * consider environmental factors * * : ensure that the scale is placed in a stable environment free from extreme temperatures, humidity, or vibrations. - * * train staff on proper usage * * : provide training to staff on the correct usage and handling of the scale to prevent human error. - * * schedule regular maintenance * * : establish a regular maintenance schedule to ensure the scale remains in optimal working condition and to prevent future failures. @topic:25