ACUSON / SONOLINE

US
Maintenance Protocol
System

Planned Maintenance
Customer:

Address:

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

Department: Room:
Material-No.: Serial-No.:
Contract-No.: Expire date:
Order-No.: System - ID:

This document is valid for all products listed in the Mainte-

© Siemens, 2010

nance Instructions US00-000.831.01.XX.02. © Siemens, 2010

All documents may only be used for rendering
services on Siemens Healthcare Products. Any
document in electronic form may be printed
BJ
Siemens
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.: US00-000.832.01.11.02 English

Replaces: US00-000.832.01.10.02 Doc. Gen. Date: 10.10
n.a.

Part No.: n.a. 2010

Ultrasound
Protocol Date: Serial-No.:

The instructions US00-000.831.01.11.02 are required for this protocol

Evaluating the Condition of the System / Component
1Protocol 04399718

The system / component has no deficiencies. The image quality

test resulted in no differences from required reference values.
The system / component has slight deficiencies that have no affect
on continued operation of the system. However they should be
corrected preventively. The image quality test resulted in no differ-
ences from required reference values.
The system / component has serious deficiencies. For safety rea-
sons, continued operation of the system is permitted only after
successfully correcting the deficiencies.

After completing all work steps, an evaluation was performed.

Signature:

Date: Name:

The customer or a representative has taken note of the assessment of the

system condition (only if required in the country).

Signature:

Date: Name:

Remarks
e.g. Additional activities to be performed, customer wishes

Further Processing and Archiving of the Protocol

The protocol is a document and thus must be archived. After completing the test, it must
be filed in the corresponding register in the “System Owner Manual“ binder.

ACUSON / SONOLINE US00-000.832.01.11.02 Page 2 of 6 © Siemens, 2010

10.10 Ultrasound
Protocol Date: Serial-No.:

Remarks Regarding the Protocol 1.1

The protocol is valid as proof of quality for one check that must be performed on the system
/ component.
The check must be performed in the specified intervals.
The results of the check are entered in this protocol.
The chapter numbers in front of the checkpoints indicate the corresponding chapters in the
particular instructions (see cover page).
The protocol must be completely filled out by the Customer Service Engineer, i.e.:
• All boxes must be filled out. If a box does not apply to the system or if no entry needs to
be made, check the “n.a.“ box.
• Enter the Serial no.: and the date of the check in the header of each page so that each
page can be allocated to a check date.
• The measurement values for the measurements that must be performed during the
check must also be entered in the open spaces / tables provided for them.
• After completing the check, Page 2 of this protocol must be filled out and signed.

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

© Siemens, 2010 US00-000.832.01.11.02 Page 3 of 6 ACUSON / SONOLINE

10.10 Ultrasound
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

ACUSON / SONOLINE US00-000.832.01.11.02 Page 4 of 6 © Siemens, 2010

10.10 Ultrasound
Protocol Date: Serial-No.:
OK not n.a.
OK
1 Planned Maintenance
1.1 Affected Systems

1.2 Introduction

1.3 Required Tools, Materials, and Documents

1.4 Preparations
PM Discuss Customer Concerns
PM Maintain the Patient Database
PM Perform Disk Maintenance

1.5 Performing Maintenance

PM System History Analysis
PM Perform System Diagnostics Checks
PM Perform System Calibration (where applicable)
PM Clean the System
PM Clean and Inspect Transducers
PM Clean Air Filters
PM Clean the Trackball
PM Check Monitor / Flat Panel Display (FPD)
PM Perform Monitor Optimization Procedure
PM Calibrate the ABVS LCD
PM Clean the ABVS POD
PM Check Movement of User Controls
PM Check Mechanical Operation

Maintenance of this section was performed by:

Signature:

Date: Name:

1.6 Safety Checks

SI Check Wheels and Wheel Locks
SI Check Cooling Fans
SI Check the Power Cord
SI Check Electrical Safety
SI [For ABVS] Permanent Mounting Fixtures
SI Check ABVS Brakes

© Siemens, 2010 US00-000.832.01.11.02 Page 5 of 6 ACUSON / SONOLINE

10.10 Ultrasound
Protocol Date: Serial-No.:
OK not n.a.
OK
1.7 General System Maintenance
PM Check Modules and Cables
PM Check Mandatory/Non-Mandatory System Modifications
PM Check Loctite Usage During Assembly/Disassembly Procedures

1.8 Functional System Check

QSQ Check the System
QSQ Check Image Quality and Transducers
QSQ Check Air Filter

1.9 Network Setup Check

PMF Verify Network Settings (if applicable)

1.10 Peripheral Devices Check

QSQ B/W and Color Video Printers
QSQ VCR and/or DVR

1.11 Concluding the Maintenance

PM Check System / Preset Data (Backup)
PM Concluding the Maintenance

ACUSON / SONOLINE US00-000.832.01.11.02 Page 6 of 6 © Siemens, 2010

10.10 Ultrasound