PT.

MITRA KARYA ALKESINDO

Medical – Hospital Equipment, Supplier Barang dan Jasa Perumahan
Bulak Indah Blok A No 35, Kalibaru, Cilodong - Depok Hp : 081546214250,
Email : mitrakaryaalkesindo@gmail.com

Service Request Type: Service Request Number:

Service Report Corrective Repair 2022-05-31/06

Customer Details

Customer Name: RSUI Depok Location: Jakarta-Indonesia

PO #: Mr.Defri Contact Phone: +6285155228333
Contact Nome: Email Address:
Initial Problem Description:

Equipment Details

System ID: 204AA42 Initial Equipment Status: Repair and Maintenance

Serial Number: 60764873205944 Entitlement: -
Injector Stellant
Product Description: REV-B

Activity Description
Activity #: Activity Close Dote:
Activity Type: Field Support Engineer Name: Sukrisdianto
Tube Slice Reading: -
Problem Description: Error code 311 System error detected

Couse/ Diagnosis: May 31-2022 :

- Error code 311 ( Docking sensor A & B failure )

Resolution/ Service Performed: May 31-2022 :

- Check and inspect electricity supply(OK)
- Check and inspect all fuse (OK)
- Check and inspect console Unit (OK)
- Check and inspect communication head unit from console injector (OK)
- Check and inspect sensor autodocking A & B Failur
- Check and inspect dual motor DC syringe from head injector (OK)
- Check and inspect keypad head syringe injector (OK)
- Check and inspect idler from head syringe injector (OK)
- Check and inspect lock nut ¼-20 from syringe injector (OK)
- Check and inspect belt pulley (OK)
- Check and inspect bearing from syringe injector (OK)
- Check and inspect gasket from syringe inejctor (OK)
- Reinsert component from head dual syringe injecto
Page No.1 of 2
 - Calibration sensor docking A&B (OK)
- Calibrate system potentiometer, flex ring
- Cleaning docking sensor A&B (OK)
- Realign potentiometer B. Align with gear train and recalibrate (OK)
- Recalibrate the Touch Screen (OK)
- Check and inspect all system and result calibration ( OK )
- Injector read
Recommendotion :

 Your MEDRAD Stellant CT Injection System must be properly maintained to ensure

that it is in peak operating condition. Your individual maintenance system and schedule
depends upon how your injection system is used, the type of procedures performed,
and frequency of use. The following maintenance schedule is recommended for the
system

 Daily:

The piston rod or rods should be thoroughly cleaned after each use. Before use
each day, the system should be cleaned and inspected, using the procedures
outlined in this section. Ensure that all system safety and warning labels are in
place and are legible

 Monthly:
Once a month, the entire system should be thoroughly inspected and cleaned,
and an Operational Checkout should be performed
 Annually:

As part of an annual maintenance program performed by a qualified MEDRAD

Service Representative or authorized dealer, both Electrical Leakage and Ground
Continuity checks should be performed
 Note :
Failures which occur due to lack of proper maintenance will not be covered
under warranty

Page No.2 of 2
 Service Request Type: Corrective Repair
Service Report Request Number: 220518-6

Date Time Hours Labour Type

May 31,2022 14:00-21:23 Onsite and
repair

Ports Used Details

PortNumber 0tY Description Asset Serial No

Expense Tracker

Expense Dote Type 0tY Comments

Engineer Signoture: Customer Signoture:

31-May-2022 15:00
SUKRISDIANTO Mr.Defri

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