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SIREMOBIL Compact L
XP

Maintenance Protocol
System
Serial numbers 11000 and higher
Customer:

Address:

Fax / E-Mail:
Fax / E-Mail:

Department: Room:
Material-No.: Serial-No.:
Contract-No.: Expire date:
Order-No.: System - ID:
© Siemens, 2009

The instructions SPR2-135.831.10.02.02 are required for © Siemens, 2009

All documents may only be used for rendering
this protocol services on Siemens Healthcare Products. Any
10409105
document in electronic form may be printed
once. Copy and distribution of electronic docu-
ments and hardcopies is prohibited. Offenders
will be liable for damages. All other rights are re-
served.

Print No.: SPR2-135.832.10.02.02 English

Replaces: SPR2-135.832.10.01.02 Doc. Gen. Date: 02.12
CS PS SP
n.a.

2009
Protocol Date: Serial-No.:

Evaluating the Condition of the System

1Protocol

The system has no deficiencies. *

The system has slight deficiencies that have no effect on contin-
ued operation of the system. The deficiencies should be corrected
preventively. *
The system has serious deficiencies. For safety reasons, contin-
ued operation of the system is permitted only after successfully
correcting the deficiencies.

*) For imaging systems: The result of the image quality check shows no deviation from the
reference values.

The evaluation was performed after completing all work steps.

Signature:

Date: Name:

If required by country-specific regulations:

The customer or a representative has taken note of the result of the evaluation of the sys-
tem condition.

Signature:

Date: Name:

Remarks:

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02.12 CS PS SP
Protocol Date: Serial-No.:

Remarks Regarding the Protocol 1.1

The chapter numbers refer to the chapters in the instruction, which is referenced on the
cover page.
All pages have to have the serial number of the system and the date of maintenance in the
page header.
The assignment n.a. (not applicable) indicates that the checkpoint or measured value is not
used for this system.
On page 2 the completeness and the results of the maintenance work is confirmed.

Explanation of Abbreviations in the Protocol 0

Abbrev. Explanation Abbrev. Explanation

SI Safety Inspection PMF Preventive Maintenance, Operating
Value Check, Function Check
SIE Electrical Safety Inspection Q System Quality, Image Quality
SIM Mechanical Safety Inspec- QIQ Image Quality
tion
PM Preventive Maintenance QSQ System Quality Check
PMP Periodic Preventive Mainte- SW Software Maintenance
nance
PMA Preventive Maintenance CSE Customer Service Engineer
Adjustments

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02.12 CS PS SP
Protocol Date: Serial-No.:

Measuring Equipment and Measuring Instruments Used 1.2

Measuring instruments and measuring devices (phantoms, MR coils, etc.) may not be
entered in the table if they have already been entered in the mobile device.

Measuring equipment / -instruments Serial No. Date used

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02.12 CS PS SP
Protocol Date: Serial-No.:
OK not n.a.
OK
1 General Information

2 Visual inspection of exterior

PMP Damage to the system
PMP Damage to the network connection

Maintenance in this section was performed by:

Signature:

Date: Name:

3 Safety Inspection
3.1 Inspection of surroundings
3.1.1 Power sockets
SIE Damage
SIE Line voltage

3.2 Mechanical safety

SIM Covers
SIM Cable deflectors
SIM Cassette holder (if present)
SIM Foot brake
SIM Brakes
SIM C-Arm
SIM Wheels
SIM Lifting column
SIM Emergency Stop switch
3.2.1 External I.I. laser light localizer (if present)
SIM Mechanical system
SIM Function
3.2.2 Integrated I.I. laser light localizer (if present)
SIM Mechanical system
SIM Function
3.2.3 Integrated laser light localizer, close to tube (if present)
SIM Function

© Siemens, 2009 SPR2-135.832.10.02.02 Page 5 of 8 SIREMOBIL Compact L

02.12 CS PS SP
Protocol Date: Serial-No.:
OK not n.a.
OK
3.2.4 Monitor

Configured: Yes: Material No.:

No: Serial no.:

Signature:

Date: Name:

SIM Monitor(s)

Maintenance in this section was performed by:

Signature:

Date: Name:

3.2.4 Monitor

Configured: Yes: Material No.:

No: Serial no.:

Signature:

Date: Name:

SIM Monitor(s)

Maintenance in this section was performed by:

Signature:

Date: Name:

3.2.5 Labels
SIM Caution labels
SIM ID labels

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02.12 CS PS SP
Protocol Date: Serial-No.:
OK not n.a.
OK
3.3 Electrical safety
SIE Cables and connectors
SIE Fluoroscopic timer
SIE Audible warning signal
SIE X-ray indicators
SIE Radiation release switch
SIE Compulsory radiation shut-down
SIE Iris collimator
SIE Dose area product meter (if present)
SIE Air kerma meter (if present)

3.4 Operation
SIE Check the operating functions.

3.5 Voltage discharge rubber

SIE SIREMOBIL stand voltage discharge rubber
SIE Monitor trolley voltage discharge rubber

3.6 Image quality (IQ) quick test

SIE IQ quick test (performed under "Final result/quality inspection and main-
tenance")

3.7 Checks in accordance with IEC 62353

SI Checks in accordance with IEC 62353 (performance under "Final work
steps")

Maintenance in this section was performed by:

Signature:

Date: Name:

4 Maintenance, Operating Value / Functional Inspection

4.1 Maintenance
PMP Cleaning the system
PMP System ventilation
PMP Memoskop ventilation

4.2 Operating values, inspection

PMF Error memory

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Protocol Date: Serial-No.:
OK not n.a.
OK
4.3 Functional inspection
PMF Video printer (if present)
PMF Image rotation
PMF Slot diaphragm
PMF Monitor display of the iris collimator aperture
PMF Monitor display of the slot diaphragm positions

Maintenance in this section was performed by:

Signature:

Date: Name:

5 Final result/quality inspection and maintenance

SIE Image quality (IQ) quick test
PMP Upkeep
5.1 Final Work Steps
SI Checks in accordance with IEC 62353

Maintenance in this section was performed by:

Signature:

Date: Name:

6 Changes to Previous Version

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02.12 CS PS SP