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What This Guide Helps With
Troubleshooting reports that will not print, incomplete printouts, blank output, communication errors, paper problems, or incorrect printer and report settings.
Step-by-Step Troubleshooting
1. Ensure Patient Safety First
Do not allow printer troubleshooting to interfere with active patient monitoring.
If printed documentation is clinically required:
- Confirm that patient waveforms, numerics, and alarms remain available on the monitor.
- Notify the clinical team that printed reports may be temporarily unavailable.
- Use an approved alternate documentation or printing method when required.
- Move the patient to another verified monitor if the printing problem is associated with broader monitor instability.
Expected outcome: Patient monitoring and required clinical documentation continue safely.
Continue Clinical Engineering troubleshooting only when it can be performed without disrupting patient care.
2. Confirm the Exact Failure
Determine and document whether:
- No report is produced.
- The print request remains pending.
- The report is incomplete or stops unexpectedly.
- The output is blank, faint, distorted, or unreadable.
- The wrong report type or destination is selected.
- The printer displays an offline, paper, cover, communication, or supply-related indication.
- Printing fails from one monitor or from multiple monitors.
Expected outcome: The failure is clearly identified as a printer, accessory, network, configuration, or monitor-specific issue.
3. Verify Monitor Operation
Confirm that the IntelliVue monitor:
- Is powered normally.
- Is not frozen or repeatedly restarting.
- Displays patient data without unrelated system errors.
- Responds normally to menu and report commands.
If the monitor is unstable, discontinue printer troubleshooting and address the broader monitor problem first.
Expected outcome: The monitor operates normally apart from the report-output issue.
4. Check the Printer or Recorder Power
For an external printer or recorder:
- Confirm that it is powered on.
- Verify that the power cord and power supply are fully connected.
- Test the receptacle with an approved electrical tester.
- Check for power, ready, warning, or error indicators.
- Confirm that the device is not in sleep, offline, or error status.
If power is restored and printing works normally, document the correction and stop.
Expected outcome: The output device powers on and reaches a ready state.
5. Inspect Paper and Consumable Conditions
Check for:
- Empty paper tray or paper roll.
- Incorrect paper size or type.
- Improperly installed paper.
- Jammed, folded, damp, or damaged paper.
- Open printer cover or recorder door.
- Incorrect thermal-paper orientation, when applicable.
- Low toner, depleted ink, or other supply warnings on approved external printers.
Correct only external consumable or loading problems according to hospital procedure.
If normal output resumes, stop.
Expected outcome: Paper and consumables are correctly installed, and no supply-related error remains.
6. Inspect External Cables and Connections
Check all accessible connections between the monitor, information center, network outlet, printer, recorder, or interface device.
Look for:
- Loose connectors.
- Damaged cable jackets.
- Bent or recessed connector pins.
- Strain at cable ends.
- Disconnected network cables.
- Damaged wall jacks or couplers.
- Contamination or fluid intrusion.
Reconnect each cable securely.
Do not force damaged connectors into place.
Expected outcome: All required external connections are secure and visibly undamaged.
7. Confirm the Correct Report Destination
Review the available report or print destination on the monitor or associated system.
Verify that:
- The intended printer or recorder is selected.
- The destination has not been changed to an unavailable device.
- The selected report type is supported by the configured output device.
- The monitor is assigned to the correct care unit, information center, or network printer.
- The report is not being sent to a central destination that is offline.
Do not change protected institutional configuration without authorization.
Expected outcome: The report is directed to the correct and available output destination.
8. Attempt a Simple Test Report
When safe, request a basic report that does not require extended patient-data collection.
Observe whether:
- The print command is accepted.
- A status or error message appears.
- The printer begins processing.
- A partial page is produced.
- The report reaches a different configured destination.
If a simple report prints but a specific report does not, the problem may involve report configuration, stored data, or software rather than the printer hardware.
Expected outcome: The test identifies whether the failure affects all reports or only a specific report type.
9. Check for a Printer-Side Error
Inspect the printer or recorder display and indicators for:
- Offline status.
- Paper jam.
- Cover open.
- Supply warning.
- Memory or processing error.
- Communication failure.
- Paused print queue.
- Repeated startup or self-test failure.
Clear only routine external errors that do not require disassembly.
If the error immediately returns, remove the printer from service for evaluation.
Expected outcome: The output device reaches a normal ready condition without recurring errors.
10. Test With Known-Good External Components
When compatible and approved, substitute one component at a time:
- Known-good communication cable.
- Known-good network patch cable.
- Known-good printer or recorder.
- Known-good monitor connection point.
- Known-good paper or approved consumable.
Do not substitute unapproved consumer accessories.
If the problem follows the cable, printer, or accessory, remove that component from service.
Expected outcome: The defective external component is isolated.
11. Determine Whether the Problem Is Local or System-Wide
Check whether another IntelliVue monitor can print to the same destination.
Also determine whether the affected monitor can print to another approved destination.
Possible findings include:
- One monitor fails while others print normally: suspect local configuration, cabling, or monitor communication.
- Multiple monitors fail to the same printer: suspect printer, print server, information center, or network issue.
- All printers or reports are unavailable: escalate to the appropriate Clinical Engineering, IT, or Philips support group.
Expected outcome: The issue is narrowed to the monitor, printer, network, server, or departmental system.
12. Check Network Availability
For network-based printing, verify:
- The monitor has its normal network connection.
- Network-link indicators are present when applicable.
- The wall jack and patch cable are connected.
- The monitor is communicating with the Philips Information Center or related system.
- No broader network outage has been reported.
- The printer or print server is reachable by the responsible support group.
Do not alter IP addresses, VLAN assignments, server settings, or security configuration without authorization.
Expected outcome: Network communication required for report output is available.
13. Perform a Controlled Restart When Appropriate
If permitted by hospital policy and the monitor is not supporting an active patient:
- End or preserve the patient case according to clinical workflow.
- Power down the affected printer or recorder.
- Restart the output device.
- Restart the monitor only when necessary and authorized.
- Allow all systems to reconnect fully before retesting.
Do not restart a central station, server, or shared system without coordination.
If the issue resolves after restart, verify repeatable operation before returning the device to service.
Expected outcome: Temporary communication or software conditions are cleared.
14. Verify Normal Operation
After correcting the issue:
- Print at least one complete test report.
- Confirm the report is readable.
- Verify the correct patient, date, time, waveform, and report type.
- Confirm the printer returns to ready status.
- Check that no new monitor or network alarms appear.
- Remove test printouts containing protected health information according to hospital policy.
Expected outcome: Report output is complete, accurate, legible, and repeatable.
If the Problem Persists
If power, paper, consumables, cables, destinations, settings, network availability, and known-good external components have been checked, the common external causes have been ruled out.
The problem may involve:
- Internal printer or recorder failure.
- Monitor communication hardware.
- Philips Information Center configuration.
- Print-server or network-service failure.
- Corrupted software or report configuration.
- Internal power or processing circuitry.
The affected device should be:
- Removed from service when required report output cannot be reliably produced.
- Labeled Out of Service.
- Sent for repair, bench evaluation, or authorized Philips service.
- Escalated to IT when evidence indicates a network, server, or print-queue problem.
Knowing when to stop and escalate is proper troubleshooting.
Clinical Use Tip
Do not troubleshoot report output in a way that interrupts active monitoring. Confirm that clinical staff have another approved method to view, store, or document required patient information before removing or restarting equipment.
Work Order Documentation (CCR Method)
CCR = Complaint, Cause, Resolution
Complaint
What was reported by the clinical staff.
Example:
"Clinical staff reported that the Philips IntelliVue MX monitor accepted print commands, but no patient report was produced."
Cause
What was observed during troubleshooting.
Example:
"The configured network printer was offline because its network patch cable was disconnected at the wall jack."
Resolution
What action was taken.
Example:
"Reconnected the printer network cable, confirmed ready status, printed a complete test report, and returned the system to service."
Helpful Details to Include (If Known)
- Monitor remained operational
- Printer power verified
- Outlet tested
- Paper or consumables checked
- Printer error indicators recorded
- External cables inspected
- Network cable swapped
- Correct print destination verified
- Test report attempted
- Other monitors tested
- Alternate printer tested
- Information Center communication verified
- Restart performed
- Report legibility verified
- Final device status documented
- IT or Philips support notified
Final Thought
Safe troubleshooting begins by preserving patient monitoring, then checking power, paper, connections, output selection, and network communication. Isolating whether the failure is local or system-wide supports appropriate escalation and accurate CCR documentation.
That is successful troubleshooting.