Mizuho Osi 6850 User manual

6850 PROfx 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

PROFX Fractured Table

Model: 6850

Work Instruction Number 50603-11

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 Mizuhosi 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. Please 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 any part of the equipment inside that is near or in contact with PCB’s or other sensitive devices, please
properly 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 Dept. Refer to last page of this document).

50603-11 Rev. A ECN# 10016 Effective Date 3/9/2010 Page 1 of 4

6850 PROfx 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:

NW0506 6850 PROfx Table Owner’s Manual

Pass

1. General Overall Condition.

1.1 ( ) ( ) Table base is clean, without signs of hazardous contamination, 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 ( ) ( ) Check 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.

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

3. Basic Controls.

CCoommmmeennttss:: ___________________________________________________________

_

______________________________________________________________________________________

3.1 ( ) ( ) “Power Switch ON”.
a. Connect table Power Cord to AC power source and table power receptacle.
b. Turn Power Switch “ON” (located on table-base panel). If illuminated, table is connected to live AC
power. If no illumination, table may still operate on internal battery power (Hand Pendant control
buttons and lights will be illuminated).
c. Verify Three Circuit Breakers (located on table-base panel) are not tripped.
d. Verify Hand Pendant control Battery Status “OK” LED illuminates green.

Comments: _________________________________________________________________________

3.2 ( ) ( ) “Floor Lock ON”.
Using Control Panel, press and hold “Down Lock button” until the green “Locked When Lit”
illuminated. Verify “Floor Locks” are deployed (all four locking feet make firm contact with the floor.
Repeat the process using the Hand Pendant.

Comments: _________________________________________________________________________

50603-11 Rev. A ECN# 10016 Effective Date 3/9/2010 Page 2 of 4

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