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SIREMOBIL Compact / L
SP

Maintenance Protocol
System
Compact L und Compact Ser. Nr.:02001
Customer:

Address:

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

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

© Siemens 2008
The instructions SPR2-135.831.01.01.02 are required for The reproduction, transmission or use
of this document or its contents is not
this protocol permitted without express written
10409105
03780629
03776494 authority. Offenders will be liable for
damages. All rights, including rights
created by patent grant or registration
of a utility model or design, are
reserved.

Print No.: SPR2-135.832.01.01.02 English

Replaces: n.a. Doc. Gen. Date: 05.08
Protocol Date: Serial-No.:

Evaluating the Condition of the System / Component

1Protocol

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.

SIREMOBIL Compact / L SPR2-135.832.01.01.02 Page 2 of 12 Siemens

05.08 CS PS SP Medical Solutions
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 SPR2-135.832.01.01.02 Page 3 of 12 SIREMOBIL Compact / L

Medical Solutions 05.08 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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05.08 CS PS SP Medical Solutions
Protocol Date: Serial-No.:
OK not n.a.
OK
1 General Information

2 Inspection of exterior and surroundings

2.1 Visual inspection of exterior
PMP Damage to the system
PMP Damage to the network connection

2.2 Inspection of surroundings

2.2.1 Power outlets
SIE Damage
SIE Line voltage
SIE Internal line resistance

3 Safety inspection
3.1 Mechanical safety
SIM Cover panels
SIM Cable deflectors
SIM Cassette holder
SIM Foot brake
SIM Brakes
SIM C-arm
SIM Wheels
SIM Lifting column
SIM Emergency stop switch (Compact / L)
3.1.1 External I.I. laser light localizer

Option present: Yes: No:

Signature:

Date: Name:

SIM Mechanics
SIM Function

Maintenance of component was performed completely:

Signature:

Date: Name:

Siemens SPR2-135.832.01.01.02 Page 5 of 12 SIREMOBIL Compact / L

Medical Solutions 05.08 CS PS SP
Protocol Date: Serial-No.:
OK not n.a.
OK
3.1.2 Integrated I.I. laser light localizer

Option present: Yes: No:

Signature:

Date: Name:

SIM Mechanics
SIM Function

Maintenance of component was performed completely:

Signature:

Date: Name:

3.1.3 Integrated laser light localizer - close to tube

Option present: Yes: No:

Signature:

Date: Name:

SIM Mechanics
SIM Function

Maintenance of component was performed completely:

Signature:

Date: Name:

3.1.4 DICOM bridge

SIM Attachment

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05.08 CS PS SP Medical Solutions
Protocol Date: Serial-No.:
OK not n.a.
OK
3.1.5 Codonics printer

Option present: Yes: No:

Signature:

Date: Name:

SIM Mechanics
SIM Function

Maintenance of component was performed completely:

Signature:

Date: Name:

Siemens SPR2-135.832.01.01.02 Page 7 of 12 SIREMOBIL Compact / L

Medical Solutions 05.08 CS PS SP
Protocol Date: Serial-No.:
OK not n.a.
OK
3.1.6 Monitor(s) / displays

Present: Yes: Material No.:

No: Serial no.:

Signature:

Date: Name:

SIM Monitor(s) / displays

Maintenance of component was performed completely:

Signature:

Date: Name:

3.1.6 Monitor(s) / displays

Present: Yes: Material No.:

No: Serial no.:

Signature:

Date: Name:

SIM Monitor(s) / displays

Maintenance of component was performed completely:

Signature:

Date: Name:

3.1.7 Labels
SIM Warning labels
SIM Identification labels

SIREMOBIL Compact / L SPR2-135.832.01.01.02 Page 8 of 12 Siemens

05.08 CS PS SP Medical Solutions
Protocol Date: Serial-No.:
OK not n.a.
OK
3.2 Electrical safety
SIE Cables and plugs
SIE Fluoroscopic timer
SIE Audible warning signal
SIE Radiation displays
SIE Radiation release switch
SIE Compulsory radiation switch-off
SIE Dose rate
SIE Iris collimator
SIE Area-dose product measurement device
SIE Air kerma measurement device
SIE Codonics printer, cable breaks
3.2.1 Monitor(s) / displays

Present: Yes: Material No.:

No: Serial no.:

Signature:

Date: Name:

SIE Monitor(s) / displays

Maintenance of component was performed completely:

Signature:

Date: Name:

3.2.1 Monitor(s) / displays

Present: Yes: Material No.:

No: Serial no.:

Signature:

Date: Name:

SIE Monitor(s) / displays

Maintenance of component was performed completely:

Signature:

Date: Name:

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Medical Solutions 05.08 CS PS SP
Protocol Date: Serial-No.:
OK not n.a.
OK
3.3 Operation
SIE Check the operating functions.

3.4 Conductive rubber

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

3.5 Measurements
SIE Protective conductor test (performed under "Final work steps")
SIE Leakage current (performed under "Final work steps")

4 Maintenance, operating values and funct. inspect.

4.1 Maintenance
PMP Cleaning the system
PMP System ventilation
PMP Memoskop ventilation
4.1.1 DICOM bridge
PMP Ventilation
4.1.2 Codonics printer

Option present: Yes: No:

Signature:

Date: Name:

PMP Ventilation
PMP Cleaning

Maintenance of component was performed completely:

Signature:

Date: Name:

4.2 Operating values, inspection

PMF Error memory

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05.08 CS PS SP Medical Solutions
Protocol Date: Serial-No.:
OK not n.a.
OK
4.3 Functional inspection
PMF Video printer
PMF Video Recorder
PMF Laser camera system “Sneaker Net”
PMF DICOM bridge
PMF DICOM Connect
PMF Codonics printer - manual control panel
PMF 4 View
PMF Laser camera connection
PMF Image rotation
PMF Slot diaphragm
PMF Monitor display of the iris collimator aperture
PMF Monitor display of the slot diaphragm positions

5 Final result / quality inspect. & general maint.

SIE Image quality (IQ) quick test
SIE DICOM bridge IQ test
SIE Codonics printer IQ test
PMP Upkeep

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Medical Solutions 05.08 CS PS SP
Protocol Date: Serial-No.:
OK not n.a.
OK
5.1 Final work steps
SIE Protective conductor test
SIE Protective conductor resistance

Measuring circle according to VDE

0751-1, figure:
TP 1: Ω
TP 2: Ω
TP 3: Ω
TP 4: Ω
TP 5: Ω
TP 6: Ω
TP 7: Ω
TP 8: Ω

SIE Leakage current

Measuring circle according to VDE

0751-1, figure:
Measured value: mA
Line voltage: V
Corrected value: mA

6 Changes to Previous Version

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05.08 CS PS SP Medical Solutions