Preventive Maintenance Record

PM Service Date/Time:
Company Name: Asset Tag #:
City: System Serial #:
Department: Model #:
Contact Name: Software Version #:
Contact Email: Work Order #:
Safety Analyzer Model: Safety Analyzer Serial #:
Phantom Model: Phantom Serial #:

Inspection & Cleaning

Frequency
PM Task
SONOS All Other
Query Customer: Experienced Performance Issues? 6 month 12 month
Inspect Exterior, Peripherals & Power Cord for Damage 6 month 12 month
Inspect transducer cables, connectors, and lens for external damage. On TEE 6 month 12 month
transducers also check for bite marks and the TEE controls for proper operation.
Inspect & Clean Trackball 6 month 12 month
Inspect & Clean Monitor 6 month 12 month
Inspect & Clean Control Panels & Keyboard 6 month 12 month
Inspect Footswitch, Keypad & Remote Control Pad 6 month 12 month
Inspect Casters & Brakes 6 month 12 month
Clean System Filters & Fans 6 month 12 month
Check Articulation of Monitor, Keyboard & Control Panel 6 month 12 month

Performance

Frequency
PM Task
SONOS All Other
Execute Full Set of System Diagnostics 6 month 12 month
Check, Download & Clear Logs 6 month 12 month
Reset Patient Database (perform only if the customer has backed up the data) --- 12 month
Perform Hard-disk Maintenance --- 12 month
Check for Current Backup of System Settings and Configurations 6 month 12 month
Check that All User Controls & Lights Operational 6 month 12 month
Check ECG Cable and Trace on Screen 6 month 12 month
Check Operation of Major Applications (2D, M-Mode, 3D/4D, Doppler, etc.) 6 month 12 month
Verify PRS connection --- 12 month
Run the Transducer Test on systems where supported. Export the transducer test --- 12 month
log

Memo: 233572 24 October, 2014 Page 1 of 2

Preventive Maintenance Record

Peripherals

Frequency
PM Task
SONOS All Other
Test printers (if installed) for proper operation & clean if necessary 6 month 12 month
Test VCR (if installed) for proper operation & clean if necessary 6 month 12 month
Check digital recording devices (if installed) for proper operation --- 12 month

Safety Tests (System)

Frequency
PM Task
SONOS All Other
Measure the chassis to ground resistance of the power cord 6 month 12 month
Measure the earth leakage current (normal condition) 6 month 12 month
Measure the earth leakage current (single fault condition) 6 month 12 month
Measure the ECG leakage current (normal condition) 6 month 12 month
Measure the ECG leakage current (single fault condition) 6 month 12 month
Measure the ECG isolation leakage current 6 month 12 month

Safety Tests (Transducer)

Frequency
PM Task
SONOS All Other
Measure the transducer leakage current (normal condition) 6 month 12 month
Measure the transducer leakage current (single fault condition) 6 month 12 month
Measure the transducer isolation leakage current 6 month 12 month

Optional Transducer Performance Testing using a Phantom (USA only)

Frequency
PM Task
SONOS All Other
Check that the average brightness is the same at the edges and middle of the 12 month 12 month
image
Check that there are no vertical or radial oriented shadows from array element 12 month 12 month
dropout
Check/Compare (to last reading if available) the sensitivity and/or penetration 12 month 12 month
Check horizontal and vertical caliper measurement accuracy 12 month 12 month

Memo: 233572 24 October, 2014 Page 2 of 2