Volume 18, Number 4 ________________________________________January 2000

Message from the President

Happy Holidays!!

I hope everyone has enjoyed their holidays. The date of this greeting is January 1, 2000. I'm still alive and employed!

I hope to see many of you at the January meeting. We can share Y2K stoires.

Happy New Year! I hope everyone has a very prosperous 2000. See you at the meeting.

Y2K

Well the new year, decade, century, and millennium have finally arrived. Although the Y2K problems turned out to be minimal, just minor inconviences of resetting dates, another aspect of Y2K has occured. Seems recently a BMET installed a pcb from inventory into an upgraded (Y2K compliant) device. Well the pcb contained an older version of an EEPROM that was not compliant. So be aware that the tentacles of this seemly never ending story can affect your inventory or your ISO's inventory of parts for such things as defibrillators, EEG's, EKG's, IV pumps, etc. Good Luck and Happy New Year!

PM vs Repairs

Do you measure Preventive Maintenance (PM) time against Unschedule Maintenance time? This would be done over a long period of time, year vs year, and would include classes of equipment such as defibrillators, ventilators, sterilizers, etc., as well as your entire maintenance activity. The intent of this measurement is to determine if your PM efforts are having the the desirable effects of reducing breakdowns and unscheduled maintenance time.

Unfortunately, unscheduled maintenance time does not correlate directly to breakdowns because the time needed to effect the repair is influenced by the training of the service person, availability of service literature, test equipment, parts, etc. However, a general idea of the effectiveness of your program can be determined if you also keep in mind the level of PM being performed by your staff.

Many maintenance activities include performing safety inspections, operational checks and service provider best guess of the extent of preventive maintenance such as: removing dust from the interior, cleaning filters, applying a little oil or grease here and there, etc. We do these things for reasons other than preventive breakdowns. If you actually have established PM procedures (those things that when performed help to ensure the inherent reliability of the item) and they are performed consistently over the measurment period, are seperate from other procedures, and you trap the time separately for PM, your breakdowns should decrease significantly.

Additionally, you alson need to consider the reason for your breakdowns and whether or not they could have been prevented by some PM procedure. For instance, if the breakdown was because of an electronic component, there is probably little if anything you could do to extend the useful life of that component or prevent the breakdown. If on the other hand the power supply overheated and destroyed a couple of power transistors because you didn't clean or change a filter, then that would have been a preventable breakdown.

Determining the efectiveness of your PM program can become complex and time consuming. The problem can be further compounded by trying to compare your results against other organizations.

Terrence P. Tracy HMCS USN (Ret)
E&TM Navy Functional Representative
Joint Medical Logistics Functional Development Center (JMLFDC)
 

BMETs Web Site

BMET Rich Richardson has agreed to take on the responsibility of resurrecting and maintaining our web site. The latest word is that Rich is in the final stages of going online, a temporary delay due to a personal move should shortly be concluded, after which time Rich should have the site up and running. I will notify those of you with an email address on file as soon as possible or stay tuned to the newsletter for our new address (domain name). Additionaly, Rich will be constantly looking for information to post, so as you come across interesting problems, web sites, job opportunities, etc. Please email Rich at (see bottom of page).

Airshields 450 QT Incubator:
Loose Screw

The following problem comes to you coutesy of William D. Knight from the University of California, Davis Medical Center.

While performing my semi-annual checks on Neonatal ICU equipment, I have found the same critical problem four of these incubators. This problem is easy to overlook.

The screw is on the left side of the hood and secures the white plastic air deflector, which doubles as a guide and upper support for the mattress tray when it is in the extended postion. This screw goes through the Plexiglass and the left side hood support bar covers the screw head. Previous models had 2 screws securing the deflector/support, but now this is the ONLY one on the left front.

I found this same screw loose (to the point of disconnection from the air deflector/tray support) on all units of this model that I checked.

You can remove the four screws on the left side hood support bar to free the hood from the bar and gain access to this screw head. I used Locktite on the screw when I tightened it up.

You can test if this screw is loose by trying to wiggle the left front deflector/support at the front.

RECALL

Fluke Multi-meter (electrical voltage and continuity tester)

Model: T-2

Reason: Corrosion within the battery compartment could cause the device to lose power ... causing it to fail to warn or the presence of live electrical current and posing a shock, electrocution or burn hazard to consumers.

Affected Units: S/N below 74165430

Picker

Picker has changed their name to Marconi Medical Systems.

Endoscope Public Advisory Warning

HP 78100/101 Telemetry

A little primer to help in troubleshooting on how the HP analog telemtry works in reference to the ECG, INOP and RANGE/BATTERY signals.
First, the ECG waveform comes out on pin 1 of the board edge connector (used for connection to the Central) and pin 6 of the board edge is used for the INOP and RANGE/BATTERY signals. Also the ECG waveform is available at the Phone Jack on the tip and the INOP and RANGE/BATTERY is on the ring. Let me explain the ECG and INOP functions first. They have nothing to do with the RANGE/BATTERY. You can loose the ECG 3 ways. First is by opening a patient lead connection. This will cause an INOP. In fact, we short all 3 leads together (no signal) during our testing procedure. You should not get an INOP, but rather just a straight line on the waveform. The second way to loose an ECG wave is by removing the battery or having the battery voltage drop too low. If this occurs, you will get a RANGE/BATTERY condition. The 3rd way is to go beyond the receiving range and this will cause a low RF signal and cause a RANGE/BATTERY condition. When the RF circuit in the receiver does not get a strong enough RF (not ECG) signal, this is what triggers the RANGE/BATTERY circuit.
Next is what to check for. The easiest place to test is at the phone jack on the back of the receiver. Connect to the ring of the jack with even a cheap DC voltmeter. You will measure 0V. This will also give you a RANGE/BATTERY indication on the front panel. If you ever loose power to the receiver, it will send this same signal to the Central Station. Next put in a good battery. You should now measure approximately 1.5VDC. Your RANGE/BATTERY light should go out and the INOP light come on. Next plug in a patient cable and short all the leads together. Or connect to a simulator. It doesn't even need to be turned on. The voltage at the ring should now go to approximately 3VDC and both INOP and RANGE/BATTERY lights be off. At this point, if you now turn on your simulator, you should get a waveform at the tip of this jack. The ring (status) should stay at the 3v level.

As a side note: Some non-HP receivers such as the Escort and other devices do display some non-standard waveforms such as a triangle wave or use other methods.

Free Technical Support on HP (Agilent) try:
Quality Monitor Systems (719)596-2187

Courtesy of:
Dennis Heath
Originally posted to BIOMEDTALK-L@LISTSERV.AOL.COM
July 21, 1999

© 2000 Baltimore Medical Engineers and Technicians Society
Content of page maintained by Rich Richardson.