Pausch Medical GmbH Uroview® FD Maintenance Seite 1 von 4

Checklist Page 1 of 4

Report number: Employee ID number:

Field Service Engineer: Print name: Signature: Date:

Click here

Hospital or Clinic Name: State: Post Code: Country:

Click here
City:

Date of Maintenance: Started: Completed:

Click here Click here

Serial Number: Table Uroview® FD: HIRIS: Generator:

Type: Click here Click here Click here

Type Number No.: No.: No.:

semiannual yearly three year

Remarks:

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Uroview® FD
semiannual

annual

three year

Check according to Uroview® FD Installation

Manual (12 Maintenance Guidance)
 Comment

☐ ☒ ☐  Floor anchor

☐ ☒ ☐  Handheld operating unit

☐ ☒ ☐  Tabletop drive

☐ ☒ ☐  Lift and tilt drive

☐ ☒ ☐  Multi-function foot switch

☐ ☒ ☐  Monitor support arm and monitors

 Fluoroscopy and exposure foot

☐ ☒ ☐ switch

☐ ☒ ☐  Moving the tube support arm

☐ ☒ ☐  Electrical components board

☐ ☒ ☐  Electronics – Parameter Settings

☐ ☒ ☐  Tabletop

☐ ☒ ☐  Accessories

☐ ☒ ☐  Manuals

☐ ☒ ☐  Emergency stop function

☐ ☒ ☐  General Information

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Generator Spellman
semiannual

annual

Three year

Check according to Service Manual of the

EDITOR HFe X-Ray generator's  Comment

☐☒ ☐  Operating console:

☐☒ ☐  X-Ray Generator cabinet

☐☒ ☐  H.V Cables:

☐ ☐☒  ZST2 Battery replacement 3,6V

System
semiannual

annual

Three year

 Comment

 KV – control measurement
Use TEST ATH testsheet
Switch off AEC
No filters
50mAs

Format Para target actual actual

meter sf lf
☐☒ ☐
25 cm x 25 cm 60kV 60kV
±5kV
25 cm x 25 cm 70kV 70kV
±5kV
25 cm x 25 cm 80kV 80kV
±5kV

sf: small focus lf: large focus

☐☒ ☐  cutoff dose
Use TEST ATH testsheet
Filter: 21mm Al
Grid out
Put the dosemeter onto the measuring chamber next to the
mean chamber
Take measurements for all three chambers in normal mode
And one measurement for all 4 modes with the mean cham-
ber

Parameter Target / actual / ist

soll
Normal, Mittlere 4µGy
µGy
Messkammer ±0.2µGy
Normal, Linke 4µGy
µGy
Messkammer ±0.2µGy
Normal, Rechte 4µGy
µGy
Messkammer ±0.2µGy
Option 2, Mittlere 2µGy
µGy
Messkammer ±0.1µGy
Option 3, Mittlere 3µGy
µGy
Messkammer ±0.15µGy
Option 4, Mittlere 5µGy
µGy
Messkammer ±0.25µGy
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 dose rate
Use TEST ATH testsheet
Filter: --
Grid: --
Format: 43x43
continuous fluoro
dosemeter 30cm above table
☐ ☒ ☐
Parameter dose
maximum kV and mA µGy/sec ≤ 1088 µGy/sec
maximum kV and mA µGy/sec ≤ *

* if the local max dose is lower

 dose rate HLF

Use TEST ATH testsheet
Filter: --
Grid: --
Format: 43x43
continuous fluoro HLF
dosemeter 30cm above table
☐ ☒ ☐
Parameter dose
maximum kV and mA µGy/sec ≤ 2175 µGy/sec
maximum kV and mA µGy/sec ≤ *

* if the local max dose is lower

HIRIS
Semiannual

annual

Three year

Check according to Hiris Technical Manual

 Comment

 Detector calibration
☒ ☐ ☐
 Acceptance Test
☐ ☒ ☐  use document 01167543

01167563 Rev. 01