System, PM Procedure For Symbia Evo Excel CSTD MI02-001.805.07 MI02-001.831.04

Symbia
Maintenance Instructions
System
PM Procedure for Symbia Evo Excel
The Symbia Evo Excel PM Protocol is required to be completed for these instructions.
The protocol MI02-001.832.04.06.XX is required for these instructions
2 Document Version / Disclaimer / Copyright
Document Version
Siemens Healthcare GmbH reserves the right to change its products and services at any
time.
In addition, manuals are subject to change without notice. The hardcopy documents cor‐
respond to the version at the time of system delivery and/or printout. Versions to hard‐
copy documentation are not automatically distributed.
Please contact your local Siemens Healthineers office to order a current version or refer to
our website http://www.siemens-healthineers.com.
Disclaimer
Siemens Healthcare GmbH provides this documentation “as is” without the assumption of
any liability under any theory of law.
The content described herein requires superior understanding of our equipment and may
only be performed by qualified personnel who are specially trained for such installation
and/or service.
Copyright
“© Siemens Healthineers, 2014” refers to the copyright of a Siemens Healthineers entity
such as:
Siemens Healthcare GmbH - Germany
Siemens Shenzhen Magnetic Resonance Ltd. - China
Siemens Shanghai Medical Equipment Ltd. - China
Siemens Healthcare Private Ltd. - India
Siemens Medical Solutions USA Inc. - USA
Siemens Healthcare Diagnostics Inc. - USA and/or
Siemens Healthcare Diagnostics Products GmbH - Germany
Symbia MI02-001.831.04.06.02 Page 2 of 101 © Siemens Healthineers, 2014

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Table of Contents 3
1 Revision History 5
2 General 6
2.1 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.1.1 High voltage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.1.2 Automatic procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.1.3 Bloodborne pathogens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.2 System Maintenance Times. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2.2.1 System Maintenance Cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2.2.2 Full Maintenance (Every 12 months) . . . . . . . . . . . . . . . . . . . . . . 7
2.3 System Preventive Parts Replacement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2.3.1 Gantry UPS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
3 Preparations 9
3.1 Required Documents and Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

3.1.1 Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
3.1.2 Cleaning Materials. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
3.2 Required Tools and Materials for SPECT . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
3.2.1 Required Consumables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
4 Part 1: System and Accessories with Covers on 13
4.1 Visually inspect gantry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

4.2 Minimum floor clearance for SPECT Gantry . . . . . . . . . . . . . . . . . . . . . . . . . 15
4.3 Check PPM monitor settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
4.4 Check motion disabled in dvd mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
4.5 Visually inspect Front PHS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
4.6 Check rollers on Front PHS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
4.7 Light Rail Touchpad Check (perform only if LRTPs are present) . . . . . . . . . . 20
4.8 Visually inspect Rear PHS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
4.9 Check labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
4.10 Checking the patient positioning aids. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
4.11 Collimator Cart Swivel Caster Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
4.11.1 Collimator Cart Swivel Caster Inspection . . . . . . . . . . . . . . . . . . . 24
4.12 CCC and L-arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
4.13 Verify hand controller(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
4.14 SLD1 Flapper and Look Ahead Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
4.15 Hand Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
4.16 Trunnion Brakes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
4.17 Rotate brakes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
4.18 Gantry UPS Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
4.18.1 Gantry UPS Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
4.18.2 Gantry UPS Replacement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
4.19 Check Monitor Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
4.20 SLD Drift . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
© Siemens Healthineers, 2014 MI02-001.831.04.06.02 Page 3 of 101 Symbia

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4 Table of Contents
4.21 Control Box E-Stop for SPECT Gantry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

4.22 Left/right E-Stop buttons for the SPECT Gantry . . . . . . . . . . . . . . . . . . . . . . . 47
4.23 Detector Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
4.23.1 View most recent QC performed. . . . . . . . . . . . . . . . . . . . . . . . . . 48
4.23.2 10M intrinsic verification flood . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
5 Part 2: Covers Removed Checks 50
5.1 SRS Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

5.2 Software Backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
5.3 Run Error Checking on C: and D: Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
5.4 Run Disk Defragmenter on C: and D: Drive . . . . . . . . . . . . . . . . . . . . . . . . . . 58
5.5 SPECT Gantry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
5.5.1 SLD Belt Tension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
5.5.2 Trunnion chain slack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
5.5.3 Check cables at motion points for wear . . . . . . . . . . . . . . . . . . . . 61
5.5.4 LLD 1 and LLD 2 visual acme screw check. . . . . . . . . . . . . . . . . . . 61
5.5.5 Lubricating LLD1 and LLD2 acme screws . . . . . . . . . . . . . . . . . . . 63
5.5.6 SLD1 and SLD2 visual acme screw check . . . . . . . . . . . . . . . . . . . 64
5.5.7 Lubricating SLD1 and SLD2 acme screw . . . . . . . . . . . . . . . . . . . . 65
5.5.8 Lubricating the Trunnion1 chain & Trunnion2 chain . . . . . . . . . . 65
5.5.9 Gantry Foot Tilt Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
5.5.10 Load Bearing Bolt Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
5.6 Swivel Caster & Wheel Lubrication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
5.6.1 Swivel Caster & Wheel Lubrication . . . . . . . . . . . . . . . . . . . . . . . . 87
5.7 Front PHS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
5.7.1 Back up nut and its switch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
5.7.2 Lubricate the Acme Screw. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
5.8 Rear PHS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
5.8.1 Backup nut check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
5.8.2 Check rollers for damage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
5.8.3 Up down acme screw lubrication . . . . . . . . . . . . . . . . . . . . . . . . . 92
5.9 Rotate Limit Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
5.10 Lubricating the rotate ring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
5.11 Final Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
6 List of Hazard IDs 100

08.17
Revision History 1 5
Rev. Date Action

01 07/2014 Initial release.
Added gantry UPS checks
02 11/2014
Added SLD drift test
Removed L-Arm calibration
03 11/2015 Modified method for verifying IQ
reduced PM time
Page 13 - Change WD-40 to WD-40 (or equivalent). Remove p/n and state
to source locally.
04 03/2016
Page 41 - Modified table for SLD drift inspection
Page 92 - Change WD-40 to WD-40 (or equivalent)
Add check of Light Rail Touchpads
CUT1 06/2016
Add Cart Present Sensor check
05 10/2016 No Changes from CUT1
Add Swivel Caster Inspection & Cart Wheel Lubrication (expand CAPA
43612 to include Symbia)
Per defect 188698, modify SLD Drift Check (replace entire SLD assembly if
06 08/2017 issue found)
Per defect 177253, modify Load Bearing Bolt Check (cleanup & add note to
tighten all assembly bolts if issue found)
Change M24 Grease to Lithium Grease (sustaining change)

08.17
6 2 General
2.1 Safety

All safety warnings must be adhered to.
The guidelines contained in the service documents must be strictly followed.
 WARNING
Protective earth cables inadvertently left disconnected could expose to hazardous
voltage.
Electrical shock is possible.
 Verify that any protective earth conductors are connected after any servicing
is performed that requires the protective earth cables to be disconnected.
(289497)
2.1.1 High voltage
Risk of electric shock!

Dangerous voltages may be present.
 Switch off the main power supply before working on the system and secure the system
against unintended switch-on.
Allow at least two minutes discharge time after switching off the system.
2.1.2 Automatic procedures
Risk of injury!
 When a program is running with automatic movements or automatic radiation.

Do not leave the system unattended.
2.1.3 Bloodborne pathogens
Infection caused by blood-borne pathogens:

Handling parts of the system that may have come into contact with patients may lead to
 infections caused by blood-borne pathogens.
Take appropriate precautions against exposure to blood-borne pathogens!

08.17
General 2 7
2.2 System Maintenance Times
2.2.1 System Maintenance Cycle
Full Maintenance on Symbia Evo Excel System every 12 months

Preventive Parts Replacement - Gantry UPS Battery every 4 years
2.2.2 Full Maintenance (Every 12 months)

The PM procedure has been structured into two main sections:
Part 1: System and Accessories with Covers On 4.5 hours

Part 2: Covers Removed 6 hours

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8 2 General
2.3 System Preventive Parts Replacement
2.3.1 Gantry UPS

Below is the table specifying how often to change the Gantry UPS battery, according to
whichever UPS is being utilized.
UPS’s should only be replaced as needed, based on defect or repair.
UPS type Battery Replacement

Part number cycle
EATON 9PX5K 10531369 4 years

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Preparations 3 9
3.1 Required Documents and Materials
3.1.1 Documents
The following documents may be needed to complete this procedure:
n Symbia Evo Excel Maintenance Protocol (MI02-001.832.04)
n General Safety Notes (TD00-000.860.01)
n ECG Recurrent Safety Checks for Quality Assurance (MI04-001.820.04)
n Symbia Series Safety Procedure (NM02-001.860.01)
n Symbia Evo Gantry Covers R&R (MI02-COR.841.22)
n Symbia Evo Excel Front PHS Covers Install (MI02-COR.814.08)
n Symbia Series Startup and QC Procedure (NM02-001.820.01)
n Symbia Evo Excel Label Locator Procedure (MI02-001.812.03)
n Symbia Evo/Evo Excel Installation Procedure (MI02-001.814.01)
n Disposal for Critical Substance Components (NM02-001.861.01)
Obsolete/replaced parts and materials used during maintenance or servicing of the
equipment should be properly disposed according to the Symbia S and T Series Dis‐
posal Instructions.
3.1.2 Cleaning Materials

n Soft cloth for monitor screen
n Disposable wipes
n Cleaning agent for system components (e.g. Plexiglas cleaner, soap suds, or commer‐
cially available cleanser)

08.17
10 3 Preparations
3.2 Required Tools and Materials for SPECT

Tab. 1 Tools required for PM
Tool name Section of PM

tool used
Standard Siemens CSE service tool kit 1,2
ESD Vacuum 1,2
Metric set of allen wrenches 1
Standard set of metric tools 1
Sliding calipers or ruler 2
Feeler gauge 2
Torque wrench (8-45Nm) 2
Deep socket (24 mm) 2
Scale 2
Tape measure 2
Mechanical Force Gauge; examples below: 2
Fig. 1: Force Gauges
1 2 3
(1) LG-010 (10183533)

(2) IMADA (TTIMADA-FG)
(3) IMADA (FB-10)

08.17
Preparations 3 11
Tool name Section of PM

tool used
Protective conductive resistance tester and manufacturer’s operating in‐ 2
structions; example below:
Fig. 2: Fluke 1503
Leakage current meter and manufacturer’s operating instructions; example 2

below. (Only required for external ECG)
Fig. 3: Fluke ESA612
3.2.1 Required Consumables

The following materials are needed to perform maintenance on the system.
Item Part Qty Where used Section of

number PM consum‐
able used
Grease MOLUB-ALLOY 936 7763803 1 Gantry rotate ring 2
Grease Mobilith (heavy duty multipurpose) 8723178 1 acme screws of LLDs, 2
SLDs, L-arms, and rear
PHS up/down

08.17
12 3 Preparations
Item Part Qty Where used Section of

number PM consum‐
able used
Lubricant; Lithium; 30 Gramme 5536867 1 Trunnion chains (only if 2
the chain is dry), and L-
Arm gears
Lithium Grease Cartridge 4352535 1 Front PHS ball screw 2
WD-40 Oil spray can source 1 Rear PHS rollers 1,2
(or equivalent penetrating oil/water-displacing spray) locally
Touch-up Paint 9003 White Smooth HG 10909056 1 Covers 1,2
Touch-up Paint 9003 White Matte/Texture 10909057 1 Covers 1,2
Touch-up Paint 9006 Grey Matte/Texture 10909058 1 Covers 1,2
Touch-up Paint Cool Grey 5U Smooth HG 10909059 1 Covers 1,2
Touch-up Paint Cool Grey 5U Smooth Matte 10909060 1 Covers 1,2
Brush Acid Swabbing 8515335 6 apply grease on acme 2
screws of LLDs, SLDs, L-
arms, and rear PHS
RPS Roller Molded 5970731 8 Rear PHS 2
Disposable Wipes 8515343 1 box cleaning 1,2
Plug Button, .75 MTG 5970764 4 Rear PHS 1
Caulking Gun 5208124 1 apply grease on SPECT 2
rotate ring
Grease Gun 7327229 1 Front PHS ball screw 2
An example of the caulking gun and grease gun are shown in the following figures:
Fig. 4: Caulking gun Fig. 5: Grease gun

08.17
Part 1: System and Accessories with Covers on 4 13
 WARNING
Risk of accident and injury!
Failure to observe the guidelines specified in this document may lead to serious
injury or loss of life.
 The guidelines contained in this document must be strictly followed. See the
General Safety section.
 Refer to the Prerequisites section, before starting this section, for required documents
and materials and removal of covers.

08.17
14 4 Part 1: System and Accessories with Covers on
4.1 Visually inspect gantry

n Look for safety-relevant wear or damage on the system housings
n Check all housing parts of the gantry
n Verify there is no funiture/walls ≤ 500mm (19.7”) of the gantry
SI No safety-relevant damages on the gantry
SI Furniture/walls are over minimum distance from gantry

08.17
4.2 Minimum floor clearance for SPECT Gantry

Check the minimum distance between the SPECT gantry crossbeam and the floor.
The following figure shows the location where the minimum clearance should be
checked:
Fig. 6: Gantry to Floor Measurement
1. Check the minimum distance of 1.38 inches / 3.51 cm between the SPECT gantry
crossbeam and the floor.
2. If this distance is less than the minimum distance, investigate the cause of the failure.
The gantry will have to be raised up until it satisfies this minimum clearance.
If the height of the SPECT gantry is altered or changed in any way, then complete system

alignment, will have to be performed.
For instructions on system alignment, refer to the Symbia Installation Procedure and
Startup and QC Procedure.
3. Record the distance measured.

PM Minimum clearance (1.38 inches/3.51 cm) between the SPECT gantry crossbeam
and the floor checked

08.17
4.3 Check PPM monitor settings

Check that the image position and the contrast/brightness are acceptable on the PPM
QIQ PPM Monitor settings checked

08.17
4.4 Check motion disabled in dvd mode

1. Move Radial 1/SLD1 off the home flag.
2. While in PPM mode, press the home all button on the PPM display.
3. Keep 1 finger positioned above the Proceed button on the PPM. Use the other hand
to place the PPM in dvd mode
4. Wait 10 seconds and touch on the PPM where the Proceed button was.
5. No motion should occur. If motion does occur, then replace the PPM.
SI Motion disable on PPM when in dvd mode

08.17
4.5 Visually inspect Front PHS

n Check all housing parts of the Front PHS
n Check the upper part of the PHS including the top surface
SI No safety-relevant damages on the Front PHS

08.17
4.6 Check rollers on Front PHS

n Wipe or scrape off excess dirt and debris from all rollers. Use a vacuum if necessary.
n Check for wear on the pallet and guide strip, as this can indicate poor alignment be‐
tween the front bed pallet and the rear bed rollers.
Fig. 7: PHS Guide Strip
1
(1) Guide Strip Location
SI Rollers under the pallet checked

08.17
4.7 Light Rail Touchpad Check (perform only if LRTPs are

present)
Fig. 8: LRTP Check Location
1. Observe the Hand Controller.

2. One at a time, press each of the four LRTP assemblies in the middle area of the touch‐
pad (as shown in the picture above).
3. Verify that activation occurs for each of the four touchpads.
When activation occurs, observe that the lighted buttons that control motion go out
on Hand Controller (you may also be able to hear motion go down).
SI Light Rail Touchpads checked

08.17
4.8 Visually inspect Rear PHS

n Check all housing parts of the Rear PHS
n Check the upper part of the PHS including the top surface
SI No safety-relevant damages on the Rear PHS

08.17
4.9 Check labels

If any label has peeled off the system or a component, replace the label. To identify the
label as well as the correct location of it, refer to the system’s Label Locater Procedure
( Symbia Evo Excel Label Locator Procedure / MI02-001.812.03)
SI All labels checked

08.17
4.10 Checking the patient positioning aids

This section tests the attachment of patient positioning supports to the PHS.
n Inspect the patient positioning aids for damage (i.e. head cradle, holder, pads...).
Fig. 9: armrest example Fig. 10: head cradle example
n Check the accessory bracket at the head-end of the table for damage.
n Check the lock-in mechanism on the patient positioning aids by attaching to PHS.
- The lock-in mechanism must function correctly to ensure safe and secure position‐
ing of the aids.
SI Patient positioning aids checked, without visible damage

08.17
4.11 Collimator Cart Swivel Caster Inspection
4.11.1 Collimator Cart Swivel Caster Inspection

1. Inspect the two swivel casters on each collimator cart. The bearing cover and fork
base should be parallel, and perpendicular to the caster stem.
Fig. 11: Proper Caster Alignment

08.17
2. In the diagram below, the bearing cover and fork base are not parallel.
Action: Replace Caster
Fig. 12: Caster Misalignment
 Bearings may be visible, or may be partially visible.

08.17
3. In the diagram below, the caster stem is not perpendicular with the bearing cover and
fork base.
Action: Replace Caster
Fig. 13: Caster Misalignment
4. Look for evidence of the caster wheel rubbing the frame. There will be evidence of
black wheel-marks on the frame. This also indicates an issue with the caster.
Action: Replace Caster.
Fig. 14: Caster wheel rubbing against frame
SIM Swivel Casters Inspected

08.17
4.12 CCC and L-arm

This section is to be performed for systems that have collimator carts.
Prerequisite: Collimators that are stored in the collimator cart are installed on the system.
1. Check for damage/looseness of the CCC docking kit.

Fig. 15: Docking Kit Assembly
(1) Screws to tighten the docker connector bracket

(2) Check this connector for damage or looseness
- If the CCC docking plate is loose, tighten the two bolts that holds the docking plate
to the base frame of the front PHS.
- Retighten the bolts (position 1 of the previous figure) that holds the docker brack‐
et to the docking plate.
- Check for damage or looseness of the CCC connector (position 2 of the previous
figure ).

08.17
2. Retighten the cart stop plate and cart set screws
Fig. 16: Cart Stop Plate
3. Using the Hand Controller, lower the patient bed to its lowest position.
4. Partially insert the CCC into the cart docker.
Insert the CCC far enough to activate the Cart Present Sensor, but not far enough to
mate with the CCC cable connector on the cart docker (about 12-16 inches).
5. Initiate a Home from the PPM.
 Be prepared to activate the E-Stop if the Cart Present Sensor is faulty.
6. Verify that no gantry motion occurs, and that the following message appears on the
PPM:
“Clear Collimator Cart Docking Channel”
7. Remove the CCC from the cart docker, and move it back to its storage location.
8. Initiate collimator change to remove collimators from the system.
9. Check that the cable connector on the collimator cart aligns properly to the connector
on the CCC docking plate during the collimator change operation.
10. Verify the metal grounding spring on the docker kit is making contact with the cart.

08.17
11. Check that the set screws on each of the wheels of the collimator cart are tight. Re‐
tighten if necessary.
Fig. 17: Cart wheels
(1) Set screws
 The set screws should line up with the flat edge of the wheel frame cylinder.
12. Extend drawer so that there is approximately 1 inch from fully extending and making
contact with L-arm.

08.17
13. Retighten the drawer handle bolts and collimator drawer plate bolts. Torque to 8.0
Nm.
Fig. 18: Collimator drawer
(1) screws for the drawer handle

(2) screws holding the collimator drawer plate
14. Check for any leaking oil around the drawer dampener.
15. Tighten the bolts (2 on each side) on the L-Arm that are shown in the following fig‐
ure. Torque to 8.0 Nm
Fig. 19: L - Arm
(1) Tighten these two bolts

08.17
16. Look for wear or damage on the wear indicator (1 on each side) on the L-Arm in the
position shown in the figure. If the wear indicator is worn out, remove and replace
with a new one.
Fig. 20: Wear Block
() Right (10182255)
Left (10182256)
17. Leave the L-Arms mounted to the system and tighten the bolts that hold the L-Arm
assembly to the back of the tub shown in the following figure.
Fig. 21: L-Arm Bolt Locations on Tub

08.17
18. By hand, apply up and down force to the L-arm by the area closest to the gantry. No
movement of the L-arm should be observed. If movement is observed there may be
problems with the acme screw.
Fig. 22: measured gap between open L arm and Tub
19. Extend collimator drawer to continue collimator removal.

20. Listen for any noise during the L-arm travel and if necessary grease the acme screws
with the Mobilith grease (p/n 8723178) or the L-arm gears with the Lithium grease.
21. Repeat above steps for the other detector with the other collimator drawer. Once
complete, the collimators should be removed from the system.
22. Repeat steps 11-13 for drawers that have yet to be checked.
23. Repeat steps 8-14 for all other collimator carts present.
PM L-Arms checked
PM Cart Present Sensor checked
PM Collimator Cart checked

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4.13 Verify hand controller(s)

1. In Diagnostics select Display > Display - Hand Controller Mask
2. Click Run.
3. Check that buttons: "Start/Stop”, “Bed Index”, and “Laser” show MASKED, and all other
buttons show ENABLED and then test passes.
4. Look for any wear or damage on the cable(s).
SI Hand controller(s) checked

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4.14 SLD1 Flapper and Look Ahead Sensors
 SLD 1 flapper and the sensors at the back of yoke can be tested at the same time. The
steps to check their functionality are described below.
1. Home the system.

2. Create a test patient on the syngo MI Applications main page.
3. Move the front PHS pallet in towards the gantry with the hand controller until the pal‐
let is extended beyond the surface of both detectors.
 Do not place pallet directly below the flapper.
4. Place an empty box as a dummy patient onto the pallet.

5. Select the test patient, and then select Example Wholebody (DH) workflow from the
list of available workflows on the right side of the syngo MI Applications main page.
6. Modify scan parameters to the fastest allowable scan.
7. From the Camera Parameters tab of the workflow deselect the Apply Uniformity
Correction option.
8. The AutoContour option from the Stop Conditions tab should be checked.
9. Change Scan Speed to 60 cm/min from Stop Conditions tab.
10. Click on Prepare Acquisition and then click on Start button.
11. Both detectors will move in towards the dummy patient and will stop as soon as the
light rails on the detectors detect the dummy patient.
12. Once the PHS starts to move, press the SLD 1 flapper from gantry rear. Detector 1
should move up simulating the condition when the patient feet touches the flapper.
This indicates that SLD1 flapper is functional.
Fig. 23: SLD1 Flapper
(1) flapper
13. Now cover both yoke 1 sensors (one at a time and then both) with your hand. Detec‐
tor 1 should move up simulating the condition when the patient feet are in front of
those yoke sensors. This indicates that both yoke1 sensors are functional.

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Fig. 24: Look Ahead Sensors
SI SLD1 flapper checked
SI Sensors at the back of yoke1 checked

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4.15 Hand Switch

1. Enter Diagnostics and check the functionality of the hand switch by running the All
Tests> Symbia Gantry> Display> Display Device - States diagnostic.
2. While executing the test, leave the bed in its non-pivoted position and see what the
Display Device - States displays.
- When the bed is pivoted, At gurney will display
- When the bed is not pivoted, At gantry will display
3. Exercise the hand switch, pivot the bed, and repeat the above steps.
Fig. 25: Hand Switch
SI Hand Switch Checked

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4.16 Trunnion Brakes

1. Enter local service page.
2. In Diagnostics select All Tests > Symbia Gantry > Display - Devices present
3. Click Run.
4. A list of devices that are present on the system will appear at the bottom right box.
5. Check for Trunnion Brake 1 and Trunnion Brake 2. Both their states should show as
present
6. Now select Display - Devices States from the Display menu and then click Run
7. A list of devices and their states will appear at the bottom right box.
8. Check for Trunnion Brake 1 and Trunnion Brake 2. Both their states should show as
engaged
9. With the hand controller position the system to a 180 degree configuration.
10. Use hand controller to rotate each trunnion (one at a time). While pressing the trunn‐
ion rotate button, each trunnion will start rotating; then the click sound of the brake
will be heard when the hand controller is released. Verify that there is no further mo‐
tion of rotation.
SI Trunnion1 & Trunnion2 brakes checked

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4.17 Rotate brakes

In order to perform Check rotate brakes, the low energy collimators need to be installed.

If IQ SPECT collimators are installed, the check results in an error.
Ensure that IQ SPECT collimators are not on the system before completing Check rotate
brakes.
1. Home the system.

2. In Diagnostics select Display - Devices present.
3. Click Run.
4. Check for Rotate Brake 1 and Rotate Brake 2. Both their states should show as
present
5. Now select Display - Devices States from the Display menu and then click Run.
6. Check for Rotate Brake 1 and Rotate Brake 2. Both their states should show as en‐
gaged.
7. Now select Test - Test Redundant Rotate Brakes and click Run.
8. The detectors will configure to a 90 degree configuration and the gantry will rotate so
Detector 1 is at 85 degrees.
9. After the system stops rotating, the click sound of the brake can be heard and the win‐
dow will display Brake 1 of the Rotate Axis is OK. Verify that there is no
further motion of rotation.
10. Then the second brake will click and the window will display Brake 2 of the Ro
tate Axis is OK. Verify that there is no further motion of rotation.
11. The window should display Pass. If either brake fails, stop and investigate.
SI Rotate brake checked

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4.18 Gantry UPS Checks
4.18.1 Gantry UPS Cleaning

Clean the outside of the system with a vacuum cleaner.
PM Gantry UPS cleaned
4.18.2 Gantry UPS Replacement

Below is the table specifying how often to change the Gantry UPS battery, according to
whichever UPS is being utilized.
UPS’s should only be replaced as needed, based on defect or repair.
UPS type Battery Replacement

Part number cycle
EATON 9PX5K 10531369 4 years
Exchanging UPS battery

Fig. 26: Battery Replacement
1. Remove the center cover of the front panel

2. Remove the two screws to open the left side of the front panel
3. Remove the two screws to pull out the metal protection cover of the battery
 A ribbon cable connects the LCD control panel to the UPS. Do not pull on the cable or
disconnect it.
4. Pull out the plastic handle of the battery pack, and slide the pack out slowly on to a
flat and stable surface. Use two hands to support the battery pack.

08.17
5. Verify that the replacement batteries have the same rating as the batteries being re‐
placed.
6. Put the new battery pack into the UPS. Push the battery pack firmly to ensure a proper
connection.
7. Screw back the metal protection cover and the front panel, then clip the center cover.

08.17
4.19 Check Monitor Settings

Check the image position and the contrast/brightness are acceptable to the computer
QIQ Monitor settings checked

08.17
4.20 SLD Drift

The criteria to pass this test is to perform the checks in this section and not put the sys‐
tem into a persistent motion error.
Detector at 180 deg. (on the Bottom)
1. Install the highest energy collimators.
2. Using the hand controller rotate the system and position the detector under test at
180 degrees (bottom of the orbit / below the patient).
3. Using the control button on hand controller, move the detector in as far as it will go.
4. Refer to the table below to determine the correct SLD position (cm) for the type of col‐
limators that are installed. Drive SLD OUT (down toward home position) using the
control button and press the E-STOP button when the correct position on the PPM is
reached according to the table column “Min”. See the table below.
 Keep the control button pressed until after you hit the E-STOP. Do not release the control
button before pressing E-STOP.
5. Observe the detector for at least 30 seconds. (If the axis is drifting it will cause a “per‐
sistent motion error (PME)” – let axis slip until it stops). See the PPM screenshot on
next page for an example of a PME. Persistent motion error occurs after 5mm of trav‐
el.
If you encounter a “Persistent Motion Error” before completing the test on both SLD’s in
 both directions, the error will need to be cleared in order to continue. The existence of a
PME is an indication for replacement of the SLD drive assembly. Please contact the RSC
for further instructions.
PPM Position (cm)

Part Number Description Min Mid Max
N/A None 14.6 23.6 32.6
10183368 Smartzoom HR 10.2 19.2 28.2
7331965 Hi Sensitivity 11.9 20.9 29.9
7331957 Ultra High Res 10.8 19.8 28.8
7332062 LE Fan Beam 10.8 19.8 28.8
7331981 Extra High Energy 9.2 18.2 27.2
7332054 High Energy 8.3 17.3 26.3
7331973 LE High Res 11.9 20.9 29.9
7331882 LEAP 11.9 20.9 29.9
7332005 Medium Energy 10.2 19.2 28.2

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PPM Position (cm)

Part Number Description Min Mid Max
10764171 LPHR 11.1 20.1 29.1
10764172 LP Fan Beam 10.8 19.8 28.8
Fig. 27: PPM
6. Press the green E-STOP reset button to restore power back to the gantry.
7. Drive SLD OUT (down toward home position) using the control button and press the
E-STOP button when the correct position on the PPM is reached according to the pre‐
vious table column “Mid”.

08.17
sistent motion error” – let axis slip until it stops).
Fig. 28: Persistent Motion Error
10. Drive SLD OUT (down toward home position) using the control button and press the
E-STOP button when the correct position on the PPM is reached according to the pre‐
vious table column “Max”.
12. Drive SLD OUT again a short distance using the control button. Release the button and
let it stop normally once it starts moving.
Detector at 0 deg. (on top)
1. Position the Detector under test at 0 degrees (top of the orbit / above the patient)
2. Using the control button on hand controller move the SLD OUT until home position on
the PPM is reached.
3. Refer to Table 1 to determine the correct SLD position (cm) for the type of collimators
that are installed. Using the control button on hand controller move the SLD IN and
press the E-STOP button until correct position on the PPM is reached according to the
previous table column “Max”.
 Keep the control button pressed until after you hit the E-STOP. Do not release the control
button before pressing E-STOP.

08.17
sistent motion error” – let axis slip until it stops).
6. After 30 seconds Drive SLD IN again and press the E-STOP button as soon as correct
position on the PPM is reached according to the previous table column “Mid”.
8. Drive SLD IN using the control button and press the E-STOP button until correct posi‐
tion on the PPM is reached according to the previous table column “Min”.
10. Drive SLD IN again a short distance using the control button. Release the button and
let it stop normally once it starts moving.
Rotate gantry to inspect other detector
1. Rotate the gantry so that the bottom detector is on top now.
2. Repeat all the steps listed in “Detector at 180 deg.” and “Detector at 0 deg.” above.
SI SLD drift inspected

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4.21 Control Box E-Stop for SPECT Gantry

1. Position the PHS into the gantry
2. Home the system.
3. Press the remote emergency stop on the Control Box.
4. The PHS should not move to its home position.
SI Remote emergency circuit checked for SPECT gantry

08.17
4.22 Left/right E-Stop buttons for the SPECT Gantry

This section verifies the left/right emergency stops for SPECT gantry.
 All motor-driven system movements on the gantry must shut down when the Emergen‐
cy STOP button is pressed.
1. Use the left hand controller to rotate the detectors.

2. Press the left E-Stop button.
3. Motion should stop. Releasing and pressing the hand controller should NOT enable
motion.
4. Press the green RESET button besides the E-Stop button. This should clear the E-Stop.
You should now have motion.
5. Repeat steps 1-4 to test the right E-Stop button.
SI Left/Right emergency STOP circuit checked for SPECT gantry

08.17
4.23 Detector Testing

To verify that both detectors are operating within specifications, view the most recent QC
the customer has performed. Verify QC is up to date and within specifications. In addi‐
tion, perform a 10M intrinsic verfication flood. If QC is out of spec or out of date, inform
the customer that they need to perform QC.
4.23.1 View most recent QC performed
QC Method Schedule Specification

Intrinsic Verification or Daily Intrinsic Verification: Integrated 5% (CFOV) 6% (UFOV), Differential:
Extrinsic Verification or 2.5% (CFOV) 3% (UFOV)
Extrinsic sweep Extrinsic Verification: Integrated 5% (CFOV) 6% (UFOV), Differential:

3.5% (CFOV) 4% (UFOV)
Tune Weekly N/A
Intrinsic Calibration Monthly N/A. Use verification specs following the calibration
MHR Monthly Parallel Hole: ≤ 10mm (COR), ≤ 5mm (Axial shift), ≤ 0.8 degrees
(Back Projection),
Fan Beam: ≤ 10mm (COR), ≤ 5mm (Axial shift), ≤ 0.5 degrees (Back
Projection), ≤ 8mm(Principal Ray)
SMARTZOOM: ≤± 20mm (COR), ≤ ±5mm (Axial shift), ≤± 2.0 de‐
grees (Back Projection), ≤± 10mm (Principal Ray X & Y), ≤± 5 de‐
grees (Principal Ray Angle X & Y), 4480mm-6268mm (Long Focal
Length X), 4703mm-5837mm (Long Focal Length Y),
482mm-590mm (Short Focal Length X), 472mm-604mm (Short Fo‐
cal Length Y)
Sensitivity Calibration Monthly tolerances specified in software
(For users performing
quant studies only)
CT Quality daily tolerances specified in software
CT Constancy Monthly tolerances specified in software
QIQ QC is up to date and within specification
4.23.2 10M intrinsic verification flood

Perform a 10M intrinsic verification flood. Verify results are within specifications.
 If the system has the AutoQC Option, the AutoQC Co57 point source may be used in‐
stead.

08.17
QIQ Intrinsic Flood Performed and Within Spec

08.17
50 5 Part 2: Covers Removed Checks
 WARNING
 Refer to the Prerequisites section, before starting this section, for required documents
and materials and removal of covers.

08.17
Part 2: Covers Removed Checks 5 51
5.1 SRS Check

1. Go to Local Service.
2. Click on File & Image Tools.
Fig. 29: File & Image Tools
3. In the Source drop down menu select File.

4. In the Action drop down menu select Transfer from System.
5. In the File Type drop down menu select Any File.
6. In the to Target drop down menu select RdiagServer.
7. In the Site Directory C:\ menu select the boot.ini file to transfer the server
8. Click Go.
9. The transfer progress window will open.
10. Verify file has been transferred successfully. If transfer fails troubleshoot using Sie‐
mens Remote Service Troubleshooting Guide (print no: TDIT-SRS.840.01)
SW SRS connection working

08.17
5.2 Software Backup

Things to check before starting backup steps:
1. Log in as esoft user.
2. Confirm that no acquisition is running.
3. Verify:
- For Symbia T Series: that ICS is able to communicate with IRS and SNAC
- For Symbia S: e.soft/ syngo MI workplace.A/AP is able to communicate with SNAC
Backup
1. Open Syngo local service page and log in to service page using service key and pass‐
word as shown in following figure.
Fig. 30: Local Service Login Page
 For the Symbia T Series backup e.soft/syngo MI Applications, CT, Camera and SW settings
and make sure that SNAC & IRS are up and running while you backup above settings.

08.17
2. In local service main menu page, click on the “Backup & Restore” button, as shown in
the following figure.
Fig. 31: Local Service Main Menu
3. Select Backup under Command drop-down box on the left hand side of the “Backup &
Restore” window.
4. Select CD-R drive as the Location.
5. Select one Settings at a time( Fig. 32 Page 54) from Packages drop down combo
box based upon the Symbia workstation type.
a) SW Settings: Select SW Settings in order to save SW settings.
b) esoft Settings or Syngo MI settings: Select esoft Settings or Syngo MI settings
as shown in the following figure.
c) Camera Settings: It is necessary to backup camera settings for both automatic
and manual SNAC install mode. Select Camera-Settings to save SNAC settings.
d) CT Settings: Backup for CT Settings is available on Symbia T Series Systems only.
Select CT Settings to save CT settings
6. Click Go at the bottom of the local service page.
7. A backup file would be saved in pre-selected drive (In this case CD-R drive).
8. Wait until Ready is displayed.
9. User can find these files by verifying each file name and file creation date.

08.17
10. Continue the above steps to backup all settings and save the settings files on CD-R.
Fig. 32: Backup e.soft settings
11. Click Home and close the local service by closing the browser window. Verify that
backup files on CD is not corrupted. In order to test this, copy all the backup files from
CD to “D:\” drive. If copy works fine, then most likely CD is not corrupted. In case of
failure, use above steps to archive backup settings again on CD.
SW Software backup performed

08.17
5.3 Run Error Checking on C: and D: Drive

Disk Error check should be performed on all the drives to fix any bad file systems and to
retrieve data from the bad sectors. Running disk error check may prompt the user to re‐
start the computer in which the check will be performed before Windows start. The error
check should be preformed in administrator mode.
 Applications software must not be running to perform the error check.
 While this tool is running, perform next steps in this PM.
1. Log in as Administrator.
2. Double Click on My Computer.
3. Highlight C: or D: Drive and right mouse click and click Properties.
4. Click the Tools tab.

08.17
5. Click Check Now.

Fig. 33: Error Checking
6. Dialog box “Check disk” options will appear.

7. Check the boxes Automatically fix file system errors and Scan for and attempt re‐
covery of bad sectors.

08.17
8. Click Start.
Fig. 34: Check disk options
9. The following message will appear:

Fig. 35: Disk check could not be performed
10. Click Yes.

11. Reboot the system and allow scandisk to run.
12. Select the opposite drive selected previously and run scandisk again on this drive.
13. Continue on to next steps while this tool is running.
 Run Scandisk must be performed on both the C: and D: drive.
SW Error checking on C: and D: drives performed successfully

08.17
5.4 Run Disk Defragmenter on C: and D: Drive

Disk defragment for both drives may take up an hour, this time may be used to perform
the next check and put covers back on the system if performing a partial PM.
 syngo MI Applications software must not be running to perform the disk defragmenter.
 While this tool is running, perform next steps in this PM.
1. Click on Start >Programs > Accessories > System Tools > Disk Defragmenter
2. Highlight D: Drive and click Defragment
Fig. 36: Disk Defragmenter
3. Wait until defragmentation is completed

Fig. 37: Defragmentation completed

08.17
4. Click Close
5. Highlight C: Drive and click Defragment
Fig. 38: Disk Defragmenter
6. Continue on to next steps while this tool is running.

7. When defragment is complete, Click Close
 Disk Defragmenter must be performed on both the C: and D: drive.
SW Disk Defragmenter on C: and D: drives performed successfully

08.17
5.5 SPECT Gantry
5.5.1 SLD Belt Tension

1. Remove SLD1 covers.
2. Push against the middle of the belt with the mechanical force gauge.
3. At 4 lb. force, the belt should deflect 0.080” +/- 0.010 (2.03 mm +/- 0.25)
Fig. 39: SLD Belt Tension Measurement
4. Use a straight edge and force meter to measure the previously mentioned deflection.
5. If the belt is loose, use the 3 bolts as shown in the following fig‐
ure( 1/Fig. 40 Page 60) in order to achieve the proper tension and then tighten
them to 8.0 Nm.
Fig. 40: SLD Belt Tightening
(1) 3 belt tightening bolts

08.17
PM SLDs belt tension checked
5.5.2 Trunnion chain slack

n Rotate the trunnions and check that they are moving freely and are not binding.
PM Slack on both trunnion chains checked
5.5.3 Check cables at motion points for wear

1. Using the hand control, move each LLDs, SLDs, and trunnions from its minimum to
maximum limits.
- Verify that cable tracks properly during all motions.
- Make sure that the cables will not be pinched.
- Look for wear or damage on the cables. The cable insulation must be intact and
cannot show cracks
2. It should not be possible to fall over the cables, they should not run randomly across
the floor or across sharp edges
PM cables checked
5.5.4 LLD 1 and LLD 2 visual acme screw check

Removal of LLD Plastic Covers
1. Remove gantry front bore covers, front and bottom covers, front strip covers. The LLD
rail channel covers do not need to be removed.

08.17
2. Remove screws from top rails from each LLD.

Fig. 41: top rail screws
3. Pull back on rails.
 Take care when pulling back on rails, do not bend rails as they can easily break. If neces‐
sary, the bottom screws can be removed but be cautious that rail does not fall.
Visually inspect LLD acme screws

1. Check for any debris on the LLD1 screw.

08.17
2. Check that the LLD1 sensors are clean. Wipe off any grease (if any) from the sensors.
Fig. 42: End of LLD acme screw Fig. 43: opto sensors
(1) remove excess grease
(1) Check for grease on these 2 opto sensors
3. Remove any excess grease from both ends of the LLD1 screw.
4. Repeat the above steps for LLD2
PM LLD1 and LLD2 acme screws visually inspected
5.5.5 Lubricating LLD1 and LLD2 acme screws

1. Move detector 1 to 90 degrees and detector 2 to 270 degrees as seen on the PPM.
2. Wipe off any existing grease (if present) from the sides of each LLD acme screw. You
can use the hand controller in order to move the LLD axis.
3. Start applying Mobilith grease (p/n 8723178) with a brush.
4. Continue applying grease until the entire length of the acme screw is covered.
5. Use hand controller to move LLD stage, allowing coverage to entire screw length.
6. Finish applying grease on both LLDs acme screws.
7. After applying grease, clean off any grease (if any) on the LLD sensors that are located
on the sides of LLD.
8. Enter NM diagnostics and run Cycle - LLD1, Cycle - LLD2
9. Each axis should be cycled from its minimum to maximum limits at least 3 times. This
will spread the grease that was applied on each axis uniformly.
10. After the cycling has been done, wipe off any excess grease from each axis.
PM LLD1 and LLD2 acme screws lubricated

08.17
5.5.6 SLD1 and SLD2 visual acme screw check
1. Move detector 1 to 90 degrees and detector 2 to 270 degrees as seen on the PPM.
2. Locate the SLD drive acme screw.
Fig. 44: SLD Acme screw
3. Either peel back the top bellow, or remove the bellow that is located at the back of the
SLD acme screw by unscrewing from SLD saddle plate only.
Fig. 45: Removal of bellows covering SLD acme screws
4. Check for any debris on the SLD1 screw.

5. Check that the SLD1 sensors are clean. Wipe off any grease (if any) from the sensors.
6. Remove any excess grease from the sides of the SLD1 screw.
7. Repeat the above steps for SLD2 screw.

08.17
PM SLD1 and SLD2 acme screws visually inspected
5.5.7 Lubricating SLD1 and SLD2 acme screw

1. Using the hand controller, exercise the SLD axis to inner most position to allow access
the entire acme screw.
Fig. 46: SLD axis at inner most position
2. Start applying Mobilith grease (p/n 8723178) with a brush.

3. Continue applying grease until the entire length of the acme screw is covered.
4. Use hand controller to move SLD stage, allowing coverage to entire screw length.
5. Finish applying grease on both SLDs acme screws.
6. Enter NM diagnostics and run Cycle SLD1, Cycle - SLD2
8. Listen for any noise during the SLD travel and if necessary add more grease to the
acme screw.
10. After applying grease, attach bellows back to SLD saddle plate.
PM SLD1 and SLD2 noise checked
PM SLD 1 and SLD 2 acme screws lubricated
5.5.8 Lubricating the Trunnion1 chain & Trunnion2 chain
 The lubrication of the trunnion chains should only be performed if the chains are dry.

08.17
Fig. 47: Drawing of trunnion
(1) Trunnion
(2) Trunnion chain

08.17
1. Examine both trunnion chains.

Fig. 48: Trunnion Chain Location
2. If either chain is dry, apply a thin layer of Lithium grease (5536867) to the dry trunn‐
ion chain(s).
3. Do not over lubricate to cause the grease to drip off the chain(s).
PM Both trunnion chains lubricated
5.5.9 Gantry Foot Tilt Switch
Activating the tilt switch will trigger Persistent Error. Enter Diagnostics before adjust‐
 ment in order to run Recover - Persistent Errors to clear the error it causes. If this is not
possible, go in and out of Manual mode to clear error.
Under normal conditions, the gantry tilt switch is closed. Hence when the gantry tilt
 switch is closed, the system has high voltage. When this switch is open (scenario when
the gantry tilts), the high voltage will turn off.

08.17
Follow the steps described below in order to test this switch. Go into NM Diagnostics be‐
fore starting these steps:
1. Make sure that the hand control lights are on.

2. Remove necessary covers to access to gantry tilt switch on the left front gantry foot.
3. Remove the gantry tilt switch by loosing the two nuts (that holds the switch) on gan‐
try foot left.
4. As soon as the switch is removed, you will observe that the high voltage gets switched
OFF by listening to the high voltage fan or observing the lights on the hand control
are off.
5. Check the function of the switch:
a) Reinstall the switch to close the switch.
b) In Diagnostics Run Recover - Persistent Errors
c) Verify the high voltage turns back on by listening to the high voltage fan or ob‐
serving the hand control lights are on.
6. After the gantry tilt switch is checked, place the tilt switch bracket between the two
nuts, position the bracket with the switch being activated with the inner part of the
foot plate as shown in the following figure:
Fig. 49: Gantry tilt switch
7. In Diagnostics Run Recover - Persistent Errors to clear the error that the tilt switch
causes, or go in and back out of Manual mode.
SI Gantry tilt switch checked

08.17
5.5.10 Load Bearing Bolt Checks
5.5.10.1 Overview
The following checks in this section are to verify that all bolts bearing weight are tight. If
any of the checks fail, the failure must be corrected before the system can be used again
clinically. The following methods are used to determine if a bolt is tight:
n Feeler Gauge: Checking for separation of the joint with a feeler gage. The feeler gage
is used as a probe only. No amount of separation in a joint is acceptable. 0.004” feeler
gage is specified for all of the checks as anything thinner may not have enough stiff‐
ness to stand up to the constant probing that is required. If a feeler gauge of the
specified value is unavailable, use a gauge that is closest to .004”. A “Torque Tighten‐
ing Value” may be given. This is for reference in case of a failure, the torque value for
tightening is available for tightening the bolt checked.
n Applying a specified tightening torque to the bolts in the joint. Typically, two torque
values are given. The first torque value is the specified “check” value which is 70% of
the specified “Torque Tightening Value”. The instructions are to check the torque val‐
ue at the specified “Torque Check Value”. If movement of the bolt is observed (failure),
then the bolt is to be tightened to the value specified as “Torque Tightening Value”. If
no movement of the bolt is observed during the check, the check has passed and no
further action is required.
n Visually inspecting bolt stripes alignment.
If one loose bolt is discovered on a load bearing assembly during the checks in this sec‐

tion, then every load bearing bolt in that assembly should be tightened.
Tighten the assembly bolts using the value from the "Torque Tightening Value" column
in the table below.
Tab. 2 Load Bearing Bolt check Summary
Check Name Type of check Torque Check Torque Tightening

Value Value
Caudal Tilt Detector - Clutch Torque 50 in-lb (5.6 N-m) 71 in-lb (8 N-m)
Connection (Detector 2)
Feeler Gauge N.A. 71 in-lb (8 N-m)
Caudal Tilt Pivot Connections Torque 50 in-lb (5.6 N-m) 71 in-lb (8 N-m)
(Detector 2)
Feeler Gauge N.A. 71 in-lb (8 N-m)
Fixed Detector- Yoke Sides to Feeler Gauge N.A. 164 in-lb (18.5 N-
Tub Connection (Detector 1) m)
Fixed and Caudal Tilt Yoke Torque 220 in-lb (25 N-m) 310 in-lb (35 N-m)
Arm Connection to Detector
1
Fixed and Caudal Tilt Yoke Torque 280 in-lb (32 N-m) 403 in-lb (45.5 N-
Arm Connection to Detector m)
2

08.17
Check Name Type of check Torque Check Torque Tightening

Value Value
Yoke to Trunnion Torque 23 ft-lb (31 N-m) 33 ft-lb (44.5 N-m)

Trunnion to SLD Connection Feeler Gauge N.A. 310 in-lb (35 N-m)
SLD to LLD Connection Feeler Gauge N.A. 164 in-lb (18.5 N-
m)
Stiffening Ribs visual N.A. 310 in-lb (35 N-m)
Ring to Base Frame Connec‐ visual N.A. Old: 90 ft-lb (122 N-
tions- side connection m)
New 130 ft-lb (176
N-m)
Ring to Base Frame Connec‐ new: visual New: N.A. New: 130 ft-lb (176
tions- lower connection old: N.A. old: N.A. N-m)
old: N.A.
Motor Connection Feeler Gauge N.A. 310 in-lb (35 N-m)
Motor Mount Connection Feeler Gauge N.A. 310 in-lb (35 N-m)
5.5.10.2 Caudal Tilt Detector - Clutch Connection (Detector 2)
1. Rotate the gantry so that detector 1 is at 180 degrees with caudal tilt at 0 degrees.
Fig. 50: Detector 1 180 degrees
2. Using a torque wrench, apply 50 in-lb (5.6 N-m) torque to the four screws holding the
pivot to the detector (left side of detector 2). Apply no more torque than this for the

08.17
inspection. If movement of the bolt is observed this test is considered failed. For
tightening specification, see “Torque value for tightening if required” below.
Fig. 51: Clutch screw access holes
Torque Value for tightening if required: 71 in-lb (8 N-m)

3. Rotate the gantry so that detector 1 is at -90 degrees.
Fig. 52: Detector 1 -90 degrees

08.17
4. With a 0.004” (0.100 mm) feeler gauge check the connection between the clutch and
the yoke arm. The feeler gauge should be placed between the eight screw heads and
the clutch.
Fig. 53: 8 clutch screw heads
Torque value for tightening if required: 71 in-lb (8 N-m)

SI Caudal Tilt Detector - Clutch Connection (Detector 2) Checked
5.5.10.3 Caudal Tilt Pivot Connections (Detector 2)
1. Rotate the gantry so that detector 1 is at 180 degrees with caudal tilt at 0 degrees.
2. Using a torque wrench, apply 50 in-lb (5.6 N-m) torque to the four screws holding the
pivot to the detector (left side of detector 2). Apply no more torque than this for the

08.17
inspection. If movement of the bolt is observed this test is considered failed. For
tightening specification, see “Torque value for tightening if required” below.
Fig. 55: Pivot screw access holes

3. Rotate the gantry so that detector 1 is at 90 degrees.

08.17
4. With a 0.004” (0.100 mm) feeler gauge check the connection between the pivot and
the yoke arm. The feeler gauge should be placed between the eight screw heads and
the pivot.
Fig. 57: 8 pivot screw heads

SI Caudal Tilt Detector - Pivot Connection (Detector 2) Checked
5.5.10.4 Fixed Detector- Yoke Sides to Tub Connection (Detector 1)

(1) Yoke to tub side connection

08.17
2. With a 0.004” (0.100 mm) feeler gauge check the connection between the yoke side
and the tub side at several locations around the perimeter of the left side of detector
1.
Fig. 59: Yoke side to tub connection
Torque value for tightening if required: 164 in-lb (18.5 N-m)

3. Rotate the gantry so that detector 1 is at -90 degrees.
Fig. 60: Detector 1 -90 degrees
(1) Yoke to tub side connection
4. Repeat the same checks as in step 2 on the right side of detector 1.

SI Fixed Detector- Yoke Sides to Tub Connection (Detector 1) Checked

08.17
5.5.10.5 Fixed and Caudal Tilt Yoke Arm Connections

2. Using a torque wrench, apply 220 in-lb (25 N-m) to each of the 8 screws/side on de‐
tector 1. Perform this check on both sides of Detector 1 (16 bolts in total). If move‐
ment of the bolt is observed this test is considered failed. For tightening specification,
see “Torque value for tightening if required” below.
Fig. 62: Fixed yoke side arm screws (8)

3. Using a torque wrench, apply 280 in-lb (32 N-m) to each of the 8 screws/side on de‐
tector 2. Perform this check on both sides of Detector 2 (16 bolts in total). If move‐

08.17
ment of the bolt is observed this test is considered failed. For tightening specification,
see “Torque value for tightening if required” below.
Fig. 63: Caudal tilt yoke side arm screws (8)
Torque Value for tightening if required: 403 in-lb (45.5 Nm)

SI Fixed and Caudal Tilt Yoke Arm Connections Checked
5.5.10.6 Yoke to Trunnion

2. Using a torque wrench, apply a torque of 23 ft-lb (31 N-m) on each of the six bolts in a
star pattern starting with bolt 1 that connect the yoke back to the trunnion. Perform
this check on both detectors. If movement of the bolt is observed this test is consid‐

08.17
ered failed. For tightening specification, see “Torque value for tightening if required”
below.
Fig. 65: Installation bolt check pattern
Torque Value for tightening if required: 33 ft-lb

SI Yoke to Trunnion Checked
5.5.10.7 Trunnion to SLD Connection


08.17
2. Using a 0.004” feeler gauge, check for any gaps between the Trunnion Inner Housing
and the SLD Base on Detector 2.
Fig. 67: Trunnion Inner Housing to SLD connection check

4. Using a 0.004” feeler gauge, check for any gaps between the Trunnion Inner Housing
and the SLD Base on Detector 1.
Tightening torque if required: 310 in-lb (35 N-m)

08.17
SI Trunnion to SLD Connection Checked
5.5.10.8 SLD to LLD Connection

2. Using a 0.004” feeler gauge, check for any gaps between the SLD Saddle Plate and the
LLD Saddle Plate.
Fig. 70: Location of LLD to SLD connection Fig. 71: LLD to SLD connection check

08.17

4. Repeat step 2 on Detector 1.

SI SLD to LLD Connection Checked
5.5.10.9 Stiffening Ribs

The connection between the stiffening ribs and the donut plate should be checked visual‐
ly. Each of the bolts that had the stiffening ribs to the donut plate are striped. Locate the
bolts and confirm that the stripes on the bolts line up with the stripes on the donut plate.

08.17
Fig. 73: Two bolts connect each rib to the donut plate

SI Stiffening Ribs Checked
5.5.10.10 Ring to Base Frame Connections

Side Connection
The side connections between the ring and the base frame should be checked visually.
Each bolt is striped. Visually compare the stripe on the bolt to the corresponding stripe on
the frame to verify that they still line up.

08.17
Fig. 74: Older gantry connection (2 bolts) Fig. 75: Newer gantry connection (5 bolts)
Torque value for tightening if required: Old: 90 ft-lb (100 N-m), New 130 ft-lb (176 N-m)
Lower Connection
n On a newer system, Visually compare the stripe on the bolt to the corresponding
stripe on the frame to verify that they still line up.
Torque value for tightening: 130 ft-lb (176 N-m)
Fig. 76: Newer gantry lower connection (6 bolts)

08.17
n On an older system, the bolts holding the ring to the base are inaccessible and do not
have to be checked.
Fig. 77: Older gantry lower connection ( 2 rear bolts)
SI Ring to Base Frame Connections Checked
5.5.10.11 Motor Connection

1. Using a 0.004” feeler gauge, check for any gaps between the gearbox mounting bars
and the gearbox mounting plate.

08.17
Fig. 78: Motor to ring connection

SI Motor Connection Checked
5.5.10.12 Motor Mount Connection

Using a 0.004” feeler gauge, check for any gaps between both gearbox mounting bars
and the ring.

08.17
Fig. 79: Motor mounts to ring connection

SI Motor Mount Connection Checked

08.17
5.6 Swivel Caster & Wheel Lubrication
5.6.1 Swivel Caster & Wheel Lubrication

Swivel Caster Lubrication
1. Required Tools/Supplies
- Grease Gun (with flexible hose)
- Grease Gun Tip
- Lithium Grease Cartridge
2. There are two sets of bearings on each swivel caster (above and below the caster fork
base).
Fig. 80: Swivel Caster Bearing Locations

08.17
3. Apply grease to both sets of bearings at three evenly-spaced locations around the
shaft.
Fig. 81: Apply Grease to Upper & Lower Bearings
4. Rotate the caster a few times to distribute the grease.

5. Wipe off any excess grease.
Collimator Cart Wheel Lubrication
1. Examine all four collimator cart wheels. Check each wheel for the presence of a Zerk
fitting.
Fig. 82: Collimator Cart Wheel - Zerk fitting locations
2. All wheels with a Zerk fitting should be lubricated.

3. Apply grease to the wheel (Lithium grease).
4. Wipe off any excess grease.
PM Swivel Casters Lubricated
PM Cart Wheels Lubricated

08.17
5.7 Front PHS
5.7.1 Back up nut and its switch
Back up nut will trigger Persistent Error. Enter Diagnostics before adjustment in order to
 run Recover - Persistent Errors to clear the error it causes. If this is not possible, go in and
out of Manual mode to clear error.
Fig. 83: Symbia Evo Excel FPHS
(1) Backup Nut Sensor
1. Trigger the backup nut sensor by pushing the ball in the direction of the arrow..
Fig. 84: Backup Nut Sensor: Ball
2. As soon as switch is removed, you will observe that the high voltage gets switched
OFF by listening to the high voltage fan or by observing the hand controls lights are
off.

08.17
3. In Diagnostics Run Recover - Persistent Errors

Verify the high voltage turns back on by listening for the fan or observing the hand
control lights are on
SI Back up nut checked
5.7.2 Lubricate the Acme Screw

Fig. 85: Symbia Evo Excel FPHS Acme Screw
1. Remove the bellows covers on the front PHS to access the ball screw.
2. Use the hand controller to move the front PHS to its upper limit.
3. Wipe off any existing grease (if present) from the acme screw.
4. Use a brush and the Lithium grease cartridge (4352535) to apply grease to the acme
screw..
5. Enter NM diagnostics and run Cycle- front PHS Up/Down; one test at a time only
PM Ball screw lubricated

08.17
5.8 Rear PHS
5.8.1 Backup nut check
 If adjustment of the backup nut is necessary, you must be in Diagnostics before adjust‐
ment to run Gantry > Recover - Persistent Errors to clear the error it causes
1. Activate the backup nut switch as shown in the figure below

Fig. 86: back up nut switch
2. As soon as the switch is activated, you will observe that the high voltage gets switch‐
ed OFF by listening to the high voltage fan.
3. In Diagnostics Run Recover - Persistent Errors.
Verify the high voltage turns back on by listening for the fan.
SI Backup nut checked

08.17
5.8.2 Check rollers for damage

n Check for noise or resistance on the rear bed rollers.
n Remove or loosen shoulder bolt, clean and lubricate with WD-40 (or equivalent).
n If the first 2 rows of rollers (the ones that are towards the SPECT gantry) are worn out,
replace them.
Fig. 87:
(1) Plastic rollers
SI Rollers checked
5.8.3 Up down acme screw lubrication

1. Remove the covers on the rear PHS to access the rear PHS acme screw.
2. Use the hand controller to move the rear PHS to its upper limit.
3. Wipe off any existing grease (if present) from the sides of up/down acme screw.
4. Apply Mobilith grease (p/n 8723178) uniformly over the acme screw with the help of
a brush.
5. Apply a thin coating to the entire area of the screw.
6. Cycle rear PHS Up/Down and remove the excess from the screw ends and nut.
PM Up down acme screw lubricated

08.17
5.9 Rotate Limit Sensors

1. Hold the clockwise gantry rotate button and manually activate/block the Clockwise
Sensor (simulating the cable track).
Fig. 88: Rotate limit sensors
() Clockwise Sensor
() Counterclockwise Sensor
2. Gantry rotation should stop.

3. Hold the counterclockwise gantry rotate button and manually activate/block the
Counterclockwise Sensor (simulating the cable track).
4. Gantry rotation should stop.
Fig. 89: Rotate limit sensors
() Clockwise Sensor
() Counterclockwise Sensor
SI Rotate limit sensors checked

08.17
5.10 Lubricating the rotate ring

1. Home the system from the PPM. This will configure the system to 180 degrees.
2. Move the rotate ring from -135 degrees to +405 degrees with the hand controller.
Check that the rotate ring moves smoothly.
3. Check clearance of all parts, that none will restrict motion.
4. Check that cables track properly without the possibility of pinching.
5. Place the rotate axis back in the home position. Home the system or use the hand
controller to perform.
6. Remove covers surrounding the drive motor assembly.
7. Visually confirm the SPECT gantry is at home position. The cable handler should be at
the position shown below.
 Permanent damage can occur to the cable handler if over rotated. At no time during this
procedure should the cable handler exceed either it’s CW or CCW limit switches.
8. Remove the shroud covering the drive pinion gear. This is necessary because it was
not designed to hold the amount of grease that may drip off in this area during the
grease procedure.
9. Place some plastic sheets, towels, or disposable wipes under the drive pinion gear to
prevent excess grease from hitting the frame and the floor.
10. Before applying any new grease, wipe off any large accumulations of old grease or
debris from the ring, drive gear, gear shroud, and surrounding frame.
11. Obtain the grease (Molub-Alloy 936: Siemens part number 7763803) and caulking
gun (05208124). Cut the tip off the end of the tube so that a 6mm (1/4”) bead will be
able to flow.
12. The grease must be applied at the location shown below while the ring is rotating
clockwise. The clockwise ring rotation will act to pull the grease into the meshing
teeth of the ring and drive gears and spread it across the width of the teeth.
Fig. 90:
13. Enter NM diagnostics and select Cycle-Gantry Rotate from the diagnostic list. Enter 5
for number of cycles when asked by the system. This will cause the gantry to rotate 5
times back and forth between it’s minimum and maximum limits.

08.17
14. The ring will first rotate CCW from the home position to it’s CCW end of travel. Point
the caulking gun at approximately the middle of the teeth (position 1 in the picture
above). Start dispensing a continuous bead of grease as soon as the gantry starts ro‐
tating CW for the first time. Continue dispensing the grease for one full revolution of
the ring. After the grease has been applied for one revolution, allow the ring to con‐
tinue rotating CW until it’s end of travel, then allow the ring to rotate CCW back to it’s
starting point.
15. The process of re-greasing a previously greased ring should consume approximately
1/3 of the tube of grease (corresponds to 65 - 74 mm or 2.5” - 3” of travel on the
caulking gun handle).
 If the ring starts out looking dry (typical if the previous grease application was inade‐
quate), then as much as 3/4 amount of the tube is needed.
16. Allow the ring to rotate back and forth between it’s limits four additional times until it
stops. These additional revolutions will act to mostly spread the grease across the full
width of the teeth. Much of the grease will be squeezed out onto the wipes below
while this is occurring.
17. Some dry spots may be present, use a brush and spread grease across full width of all
teeth. Use hand controller to rotate ring in increments of 20 to 30 degrees until the
entire ring is covered.
18. Wipe off any excess grease that may be present on the face of the ring, face of the
drive gear, or the frame. Clean up and discard the wipes that were placed on the
floor.
19. Reinstall the gear shroud covering the drive pinion gear.
20. In Diagnostics, run Cycle - Rotate.
21. Home system.
22. Reinstall covers.
SI Gantry rotate operation checked
PM Rotate ring lubricated

08.17
5.11 Final Steps
 WARNING
Installing the system covers

n Refer to Cover Removal and Replacement Procedure to install all the covers back onto
the system
n All metal system covers have a plug or screw connection for the protective conductor.
Ensure that the protective conductor cable is connected to this point when the system
covers are installed. The protective conductor cable is included with the components.
SIM Covers and protective conductor cables are installed
Measurement of the protective ground resistance

n With the system off, check the protective conductor connections at all metal sections
of the housing of the components.
 Use protective conductor resistance tester and operating instructions.
 The measurement results will not be accurate if the cables were rolled up dur‐
ing the measurement.
Measurement points on system:
Fig. 91: Gantry power plug (Symbia S systems)
(1) Ground pin
SI Gantry: protective conductor resistance ≤ 300 mΩ

n From: Ground pin on gantry power plug

08.17
n To: Uncoated metal part on gantry frame
Fig. 92: Gantry cover Fig. 93: Gantry side
1 1
(1) Uncoated metal part
(1) Uncoated metal part
SI Front PHS: protective conductor resistance ≤ 300 mΩ

n To: Uncoated metal part on PHS frame
Fig. 94: Front PHS Fig. 95: Cart docker on Front PHS
(1) Uncoated metal part (1) Uncoated metal part
SI Rear PHS: protective conductor resistance ≤ 300 mΩ

n To: Uncoated metal part on Rear PHS frame

08.17
Fig. 96: Power Plug 110 V Fig. 97: Power plug 230 V
(1) Ground connection (1) Ground connection
SI Workstation computer: protective conductor resistance ≤ 300 mΩ

n From: Ground pin at the plug of the power cord ( 1/Fig. 96 Page 98) and
( 1/Fig. 97 Page 98)
n To: Uncoated metal part on computer
SI DRS (if applicable): protective conductor resistance ≤ 300 mΩ
( 1/Fig. 97 Page 98)
n To: Uncoated metal part on computer
SI Workstation Monitor: protective conductor resistance ≤ 300 mΩ
( 1/Fig. 97 Page 98)
n To: BNC plug at monitor rear side
SI DRS Monitor (if applicable) : protective conductor resistance ≤ 300 mΩ
( 1/Fig. 97 Page 98)
n To: BNC plug at monitor rear side
IVY External ECG (no checks needed for internal): measured according to procedure
(MI04-001.820.04)( ECG Safety Checks for Quality Assurance / MI04-001.820.04)
SI Measurement of protective earth conductor current > 200mA (External ECG on‐
ly)
SI Measurement of protective earth conductor resistance (External ECG only) ≤ 300

mΩ
SI Measurement of the ECG leakage current < 1000μA (External ECG only)
SI Measurement of patient leakage current < 50μA (External ECG only)

Cleaning the system
n Clean the monitors.

08.17
n Clean the air inlets on the computers using a vacuum cleaner.

n Remove any dirt or contamination caused during maintenance.
SIM Monitors, computers, and system cleaned
Condition of the system checked
n Verify the system is powered on and simulate customer usage to ensure that the sys‐
tem is in good working condition before turning it over to the customer.
Q Condition of the system checked before returning to customer
You have now completed this section of the PM. All work performed on the system during
maintenance and the results obtained have to be documented in the Maintenance Proto‐
col provided. Provide the customer with the completed and signed protocol and return a
copy of it to your regional unit or field service, depending on organizational requirements
after performing the steps in this section titled Final Steps.

08.17
100 6 List of Hazard IDs
There are no Hazard IDs in this document.

08.17
All documents may only be used for
rendering services on Siemens
Healthcare Products. Any document
in electronic form may be printed
once. Copy and distribution of elec‐
tronic documents and hardcopies is
prohibited. Offenders will be liable
for damages. All other rights are re‐
served.
siemens-healthineers.com
Siemens Healthineers Headquarters

Siemens Healthcare GmbH
Henkestr. 127
91052 Erlangen
Germany
Telephone: +49 9131 84-0
siemens-healthineers.com
Print No.: MI02-001.831.04.06.02 | Replaces: MI02-001.831.04.05.02

Doc. Gen. Date: 08.17 | Language: English
Part No.: 10909158-VFT-000-06
© Siemens Healthineers, 2014

System, PM Procedure For Symbia Evo Excel CSTD MI02-001.805.07 MI02-001.831.04

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Symbia MI02-001.831.04.06.02 Page 2 of 101 © Siemens Healthineers, 2014

3.1 Required Documents and Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

4.1 Visually inspect gantry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

© Siemens Healthineers, 2014 MI02-001.831.04.06.02 Page 3 of 101 Symbia

4.21 Control Box E-Stop for SPECT Gantry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

5.1 SRS Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Symbia MI02-001.831.04.06.02 Page 4 of 101 © Siemens Healthineers, 2014

Rev. Date Action

© Siemens Healthineers, 2014 MI02-001.831.04.06.02 Page 5 of 101 Symbia

2.1.1 High voltage

Risk of electric shock!

2.1.2 Automatic procedures

 When a program is running with automatic movements or automatic radiation.

2.1.3 Bloodborne pathogens

Infection caused by blood-borne pathogens:

Symbia MI02-001.831.04.06.02 Page 6 of 101 © Siemens Healthineers, 2014

2.2 System Maintenance Times

2.2.1 System Maintenance Cycle

Full Maintenance on Symbia Evo Excel System every 12 months

2.2.2 Full Maintenance (Every 12 months)

Part 1: System and Accessories with Covers On 4.5 hours

© Siemens Healthineers, 2014 MI02-001.831.04.06.02 Page 7 of 101 Symbia

2.3 System Preventive Parts Replacement

2.3.1 Gantry UPS

UPS type Battery Replacement

EATON 9PX5K 10531369 4 years

Symbia MI02-001.831.04.06.02 Page 8 of 101 © Siemens Healthineers, 2014

3.1 Required Documents and Materials

3.1.2 Cleaning Materials

© Siemens Healthineers, 2014 MI02-001.831.04.06.02 Page 9 of 101 Symbia

3.2 Required Tools and Materials for SPECT

Tool name Section of PM

(1) LG-010 (10183533)

Symbia MI02-001.831.04.06.02 Page 10 of 101 © Siemens Healthineers, 2014

Tool name Section of PM

Leakage current meter and manufacturer’s operating instructions; example 2

3.2.1 Required Consumables

Item Part Qty Where used Section of

© Siemens Healthineers, 2014 MI02-001.831.04.06.02 Page 11 of 101 Symbia

Item Part Qty Where used Section of

Fig. 4: Caulking gun Fig. 5: Grease gun

Symbia MI02-001.831.04.06.02 Page 12 of 101 © Siemens Healthineers, 2014

© Siemens Healthineers, 2014 MI02-001.831.04.06.02 Page 13 of 101 Symbia

4.1 Visually inspect gantry

SI Furniture/walls are over minimum distance from gantry

Symbia MI02-001.831.04.06.02 Page 14 of 101 © Siemens Healthineers, 2014

4.2 Minimum floor clearance for SPECT Gantry

3. Record the distance measured.

© Siemens Healthineers, 2014 MI02-001.831.04.06.02 Page 15 of 101 Symbia

4.3 Check PPM monitor settings

Symbia MI02-001.831.04.06.02 Page 16 of 101 © Siemens Healthineers, 2014

4.4 Check motion disabled in dvd mode

© Siemens Healthineers, 2014 MI02-001.831.04.06.02 Page 17 of 101 Symbia

4.5 Visually inspect Front PHS

Symbia MI02-001.831.04.06.02 Page 18 of 101 © Siemens Healthineers, 2014

4.6 Check rollers on Front PHS

SI Rollers under the pallet checked

© Siemens Healthineers, 2014 MI02-001.831.04.06.02 Page 19 of 101 Symbia

4.7 Light Rail Touchpad Check (perform only if LRTPs are

1. Observe the Hand Controller.

SI Light Rail Touchpads checked

Symbia MI02-001.831.04.06.02 Page 20 of 101 © Siemens Healthineers, 2014