Mizuho Osi 6844 User manual

6844 INSITE Surgery Table T e c h n i c a l S e r v i c e s D e p a r t m e n t
Preventative Maintenance Checklist Phone: [phone] PST Fax: [phone]

Preventive Maintenance (PM) Checklist

INSITE Surgery Table

Model: 6844

Work Instruction number: 50603-15 Rev. A

Contact Information:

Date: ________________Model/Serial#: _______________________ Account #: ____________________
Hospital Name: _________________________________ City & State: ________________________________
Contact Name: _______________________ Position: ___________________ Phone: _____________________
Equipment Location: ________________________________________________________________________
Service Representative: _____________________ Service Organization: _______________________________
Service Rep. phone: ________________________ Home location: ____________________________________

Customer contact accepting service: ______________________ __________________ ____________
Name please print Signature Date

Service Representative: ________________________ _______________ ___________________
Name please print Signature Date

Using this report: Please proceed through each step and place an “x” in the “( )” as each item representing Pass Fail

( ) ( ) criteria is inspected. If a step has failed, please indicate with an “x” and note the reasons in the comments

section. If you resolve the failure, place an “x” in the “Pass” area and indicate the corrective action again in the
comments section. If you are unable to perform any Pass/Fail check, please contact Mizuho OSI Technical Services
for assistance and circle the check.

Biohazards when servicing equipment: Please take appropriate precautions for servicing potentially biohazard
contaminated equipment or working in biohazard surroundings. Wear protective surgical gloves and long sleeved
gowns at all times. If your gloves or protective clothing tears, replace immediately. Have the hospital staff clean the
equipment appropriately prior to servicing. Clean your tools that may become contaminated with biohazards prior to
placing back in your tool kit for removal from the location. If you suspect biohazards are present, do not handle until
they have been cleaned.

ESD Precautions: Electro-Static Discharge can damage sensitive electronic printed circuit boards. If you are
servicing components that are located near or in contact with PCBs or other sensitive devices, please ground
yourself with a proper ESD strap.

(If serviced by an outside service organization, the record must be reviewed, signed, and dated by Technical
Services. Refer to last page of this document).

50603-15 Rev. A ECN# 100249 Eff Date: 07/20/2012 Page 1 of 5

6844 INSITE Surgery Table T e c h n i c a l S e r v i c e s D e p a r t m e n t
Preventative Maintenance Checklist Phone: [phone] PST Fax: [phone]

Tools Required:

Normal handtools

Materials Required:

NW0635 Rev B. 6844 – INSITE Surgery Table Owner’s Manual

Pass

1. General Overall Condition

1.1 ( ) ( ) Table base is clean, without signs of hazardous contamination, and is consistent with proper care.

Fail

Comments: _________________________________________________________________________

1.2 ( ) ( ) All labels are intact and legible.

Verify attachment to base cover of “Warning – Not for Storage” label. If possible, advise customer of
potential table damage if items are stored on this surface.

Comments: _________________________________________________________________________

2. Power Input Inspection

2.1 ( ) ( ) Power Cord is free of wear, corrosion, and insulation cracks.
Comments: _________________________________________________________________________

2.2 ( ) ( ) Power Cord has OSI tag (indicating “Hospital Grade”) attached.
Comments: _________________________________________________________________________

2.3 ( ) ( ) Power Cord Base Receptacle is properly secured and operational.
Comments: __________________________________________________________________________________________________________________________________________________

2.4 ( ) ( ) ON/OFF Power Switch/Circuit Breaker is properly secured; plastic cover is not torn or pierced.
Comments: _________________________________________________________________________

3. Basic Controls

3.1 ( ) ( ) Power Switch ON

a. Connect the Power Cord to AC power source and also to a power receptacle.
b. Toggle Power Switch to “ON” (located on table-base panel). If illuminated, table is connected

to live AC power. If not illuminated, ta ble may still operate on internal battery power (Hand
Pendant buttons and lights will be illuminated).

c. Verify that the Three Circuit Breakers (located on table-base panel) are not tripped.
d. Verify that the Hand Pendant Battery Status “OK” LED illuminates green.

Comments: _________________________________________________________________________

50603-15 Rev. A ECN# 100249 Eff Date: 07/20/2012 Page 2 of 5

6844 INSITE Surgery Table T e c h n i c a l S e r v i c e s D e p a r t m e n t
Preventative Maintenance Checklist Phone: [phone] PST Fax: [phone]

3.2 ( ) ( ) Floor Lock ON

a. Using Control Panel, press and hold “Down to Lock” butto n until the green “Locked When

Lit”

light is illuminated.

b. Verify “Floor Locks” are deployed (all four locking feet make firm contact with the floor).
c. Repeat the process using the Hand Pendant.

Comments: _________________________________________________________________________

3.3 ( ) ( ) Floor Lock OFF

a. Using Control Panel, press and hold “Up to Unlock” button until the amber “ Stowed When

Lit” light is illuminated.

b. Verify that Floor Locks are fully retracted. Repeat the process using the Hand Pendant.

Comments: _________________________________________________________________________

3.4 ( ) ( ) Floor Lock Override

a. Press and hold the “Floor Lock Override” button (located under the Control Panel).
b. While holding “Floor Lock Override” button, press and hold any Hand Pendant button for

“Height Up/Down”, “Tren /Rev Tren”, and “Lateral Roll Left/Right”.

Comments: _________________________________________________________________________

3.5 ( ) ( ) Emergency Stop
Press the “Emergency Stop” button. Verify an audible beep sounds from the table and the red

LED illuminates and flashes.

a. To reset, t urn the Emergency Stop button in the d irection of the arrows until it

returns to the original position.

Comments: _________________________________________________________________________

4. Hand Pendant Control (Press and hold the Floor Lock button until the green light is illuminated)

4.1 ( ) ( ) Verify the following button functions operate on the INSITE Hand Pendant.

• “Height Up/Down” (run to its maximum limits)

• “Trendelenburg / Rev Trendelenburg” (run to its maximum limits)

• “Lateral roll Left / Right” (run to its maximum limits)

• “Return to Level” (run table to max heig ht up, rev tren,, and lateral roll right). Press and hold

Return to Level button, verify that the table goes back to level (+/-2deg) and to the lowest position

Comments: _________________________________________________________________________

.

50603-15 Rev. A ECN# 100249 Eff Date: 07/20/2012 Page 3 of 5

6844 INSITE Surgery Table T e c h n i c a l S e r v i c e s D e p a r t m e n t
Preventative Maintenance Checklist Phone: [phone] PST Fax: [phone]

5. Battery inspection

5.1 ( ) ( ) Disconnect AC Power Cord from the table. Verify that the Battery Status is gree n o n the Hand Pendant.

• If the battery status is green, repeat Ste p 4.1.

• If “Battery Status” LED is red, STOP - DO NOT CONTINUE. Charge the batteries for minimum

three hours . Ensure the table connected to live AC power and toggle the Power Switch to ON.

Comments: _________________________________________________________________________

6. Telescopic Shrouds / Sheet-metal Covers inspection

6.1 ( ) ( ) Using the Hand Pendant, p ress and hold the “Height Up” button, raising tabletop to maximum height

and toggle Power Switch to OFF.

• Visually inspect all stainless steel sheet-metal covers for damage; verify that they are not bent.

Comments: _________________________________________________________________________

7. Carbon Fiber / Trapeziodal frame inspection

7.1 ( ) ( ) Verify the following components are free of wear & tear, and damages:

• Carbon Fiber

• T-Handles

• Supine Top Release Bar

• Supine Top Latches

Comments: ________________________________________________________________________

8. Standard components inspection

8.1 Face Plate

Comments: ___________________________________________________________________________________

8.2 Chest Support Plate

Comments: ___________________________________________________________________________________

8.3 Chest Pad

Comments: ___________________________________________________________________________________

8.4 Leg Board with Pad

Comments: ___________________________________________________________________________________

8.5 Articulating Armboard with Pad

Comments: ___________________________________________________________________________________

8.6 Contoured Hip Pad, Left

Comments: ___________________________________________________________________________________

8.7 Contoured Hip Pad, Right

Comments: ___________________________________________________________________________________

8.8 Supine Top with Pad

Comments: ___________________________________________________________________________________

50603-15 Rev. A ECN# 100249 Eff Date: 07/20/2012 Page 4 of 5

6844 INSITE Surgery Table T e c h n i c a l S e r v i c e s D e p a r t m e n t
Preventative Maintenance Checklist Phone: [phone] PST Fax: [phone]

This section is reserved for Technical Services use only.

Reviewed: _________________________ Signature: ________________________ Date: __________

50603-15 Rev. A ECN# 100249 Eff Date: 07/20/2012 Page 5 of 5