Siemens Lithostar Modularis Vario Troubleshooting Guide

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Erlwein

LITHOSTAR MODULARIS

Troubleshooting Guide

System

Troubleshooting Guide

05531103

Print No.: Replaces: SPL1-130.840.01.04.02

SPL1-130.840.01.05.02

The reproduction, transmission or use of this document or its contents is not permitted without express written 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.

English Doc. Gen. Date: 04.05

2000

2 Revision / Disclaimer

1Revision / Disclaimer

Document revision level

The document corresponds to the version/revision level effective at the time of system delivery. Revisions to hardcopy documentation are not automatically distributed.

Please contact your local Siemens office to order current revision levels.

Disclaimer

The installation and service of equipment described herein is to be performed by qualified personnel who are employed by Siemens or one of its affiliates or who are otherwise authorized by Siemens or one of its affiliates to provide such services.

Assemblers and other persons who are not employed by or otherwise directly affiliated with or authorized by Siemens or one of its affiliates are directed to contact one of the local offices of Siemens or one of its affiliates before attempting installation or service procedures.

LITHOSTAR MODULARIS SPL1-130.840.01.05.02 Siemens AG

04.05 CS PS 24

Page 2 of 138

Medical Solutions

Table of Contents 3

1- 0Table of Contents

1 _______ General ________________________________________________________ 7

Safety Information and Protective Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Applicability and Regulations for the Country Organizations . . . . . . . . . . . . . . . . . . . 7

Required Tools and Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Required Aids and Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Product-specific Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Modularis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Modularis Vario . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

2 _______ LITHOSTAR MODULARIS Error List _______________________________ 13

Info, E00 and E99. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Water System, E10-E12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Water System, E14-E15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Controls, E20-E21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Controls, E22-E25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Controls, E26-E29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Monitoring, E31-E34. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Monitoring, E40-E48. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Monitoring, E49-E54. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

High Voltage Circuit, E60 - E67 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

High Voltage Circuit, E68 - E74 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

High Voltage Circuit, E75 - E78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Internal Errors, E80-E89. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Ultrasound, E90-E93 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Displays on the D3 Board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Text on the Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

"Chip card invalid" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

LITHOSTAR MODULARIS SIEMENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Missing Isocenter Cross on the Ultrasound System. . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

3 _______ Service Software _______________________________________________ 31

(Hyper) Terminal Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

German WINDOWS 95/98/NT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

English Windows 95/98/NT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Working with the (Hyper) Terminal Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Select Option: h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Select Option: p . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Select Option: d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Select Option: e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

Select Option: t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

Select Option: c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Select Option: a/b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Siemens AG SPL1-130.840.01.05.02 LITHOSTAR MODULARIS Medical Solutions

04.05 CS PS 24

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4 Table of Contents

Select Option: i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Select Option: u . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Select option: r. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Select Option: s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Software Download with Windows 95 / 98 / NT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Select Option: 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Text after Replacing the D3 Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

LITHOSTAR MODULARIS Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

4 _______ LITHOSTAR MODULARIS ________________________________________ 49

LITHOSTAR MODULARIS Parts Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Shock Wave Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Shock Wave Head Cover Panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Removing the Shock Wave Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Installing the Shock Wave Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Replacing the Isocenter Phantom. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Cooling Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Checking the Cooling Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Replacing the Cooling Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Filling the Cooling System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Filling the Coupling System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Emptying the Cooling System with the Old Pump (2/Fig. 10) . . . . . . . . . . . . . . . . . . 60

Emptying the Cooling system with the New Pump . . . . . . . . . . . . . . . . . . . . . . . . . . 61

Emptying the Coupling System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

Hose Pump Head in the Coupling System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Removing the Hose Pump Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Installing the Hose Pump Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Hose Pump Head in the Cooling System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Removing the Hose Pump Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Installing the Hose Pump Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

IWAKI Cooling Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

Removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

Charging Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

High Voltage Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

Cables in the Corrugated Tubing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

Air Suction Hose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Up to support arm serial number 0050 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Beginning with support arm serial number 0051 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

D3 Board or Chip Card Reader. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Notice for LITHOSTAR MODULARIS with the Gold Card: . . . . . . . . . . . . . . . . . . . . 76

Replacing the D3 Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

D3 Board Expansion (Ultrasound) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

Pressure Measurement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

Potentiometer for Angulation Drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

Angulation Drive (C-Arm Drive). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

LITHOSTAR MODULARIS SPL1-130.840.01.05.02 Siemens AG

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Medical Solutions

Table of Contents 5

SIREMOBIL Iso-C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Switches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Replacing Switches. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Adjusting the S1/S2 Switches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

Setting the Cam on the LITHOSTAR MODULARIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Balancing Spring for the Support Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90

Support Arm Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Rotary Joint Latch Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

Replacing the Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Sector Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Curved Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Final Work Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

5 _______ Isocenter with X-Ray ____________________________________________ 97

LITHOSTAR MODULARIS up to Support Arm Serial Number 0050 . . . . . . . . . . . . . . . 97

Adjustment Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

Adjusting the 0° Position. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Adjusting the 20° Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

Final Work Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

LITHOSTAR MODULARIS beginning with Support Arm Serial Number 0051 . . . . . . 103

Adjustment Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

Adjusting the 0° Position. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

Adjusting the 20° Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

Final Work Steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

LITHOSTAR MODULARIS as a "LithoShare" Procedure. . . . . . . . . . . . . . . . . . . . . . . 107

Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

6 _______ Isocenter with Ultrasound_______________________________________ 108

Preparations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108

Checking the Target on the Sonoline G20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110

Checking Image Tilt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112

Checking the Target on the Sonoline Adara. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

Checking Image Tilt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118

Checking the Target on the Sonoline Prima . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Checking Image Tilt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

7 _______ Memoskop Programming _______________________________________ 129

Standard Programming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129

8 _______ Ultrasound Device MUP Menu ___________________________________ 130

Selecting the MODULARIS Crosshairs on the SONOLINE G20 . . . . . . . . . . . . . . . . . 130

Ultrasound Localization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Selecting the MODULARIS Crosshairs on the SONOLINE Adara. . . . . . . . . . . . . . . . 131

Ultrasound Localization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Selecting the MODULARIS Crosshairs on the SONOLINE Prima . . . . . . . . . . . . . . . . 132

Ultrasound Localization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132

Siemens AG SPL1-130.840.01.05.02 LITHOSTAR MODULARIS Medical Solutions

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6 Table of Contents

Overview of Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

Read out the Software Version G20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134

Reading Out the Adara Software Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Reading Out the Prima Software Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136

9 _______ Changes to Previous Version ____________________________________ 137

LITHOSTAR MODULARIS SPL1-130.840.01.05.02 Siemens AG

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Medical Solutions

General 7

1General

Safety Information and Protective Measures 0

• Observe the safety measures described .

CAUTION

When performing service work and tests, observe:

¹ the product-specific safety information in the docu-

ments, as well as the general safety information contained in ARTD, Part 2.

¹ Disconnect the power cable when working on the sys-

tem.

¹ Disconnect the power cable when working on the sys-

tem.

¹ When working with the power on, observe the general

safety regulations.

¹ Observe ESD guidelines.

¹ Switch off the system prior to replace boards or assem-

blies.

¹ After completing all service work and reattaching the

cover panels, perform the ground wire measurement as specified in ARTD-002.731.17.

¹ Ground wire resistance may not exceed 0.2 Ohms.

¹ When servicing the power-on assembly (replacing the

power-on assembly or the power cable), the equivalent leakage current must be measured and documented.

¹ Tests and adjustments performed with radiation on are

identified by the radiation warning symbol x.

¹ Radiation protection must be worn during these types of

adjustments (refer to ARTD, Part 2).

Applicability and Regulations for the Country Organizations 0

Equivalent Leakage Current Measurement

The equivalent leakage current must be measured where applicable under the requirements of DIN VDE 0751, Part 1.

Where DIN VDE 0751 does not apply, the country organizations should comply with the following regulations (refer to ARTD - 002.731.17, as well as the safety-technical regulations for installation and maintenance).

The local national regulations apply primarily for the country organizations.

In the event that there are no existing local regulations, the following provisions should be observed in the interest of the safety of customers, patients, employees and third parties as well as the company.

Initial Measured Value

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Page 7 of 138

8 General

The equivalent leakage current measurement was performed at the factory and the value measured was entered in Test Protocol 1. The measurement was made at the line voltage and line frequency indicated in Test Protocol 1.

If the on-site line voltage or line frequency differs from the information indicated upon delivery of the Modularis Uro Plus, the values given are invalid. The values should be marked invalid (crossed out with the comment "invalid values" and the service engineer should sign and date this copy).

In this case, the equivalent leakage current must be measured again. The value may not exceed 1 mA according to DIN VDE 0751, Part 1.

The initial value measured must be documented.

Repeat measurements

When service or repair work is performed on the primary power supply circuit (e.g. repairs to the power-on circuit), the equivalent leakage current test must be repeated. The values measured in the subsequent test may not exceed the threshold value of 1 mA as specified in VDE 0751, Part 1. In addition, they may not exceed the initial measured value by more than 50%. If the value exceeds this threshold, the system must be repaired. The value measured must be documented.

LITHOSTAR MODULARIS SPL1-130.840.01.05.02 Siemens AG

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Medical Solutions

General 9

Required Tools and Test Equipment 0

NOTE

The specified articles are listed in the SCT (Catalog Service Tools) if nothing else is indicated (the STC is a component of the Spare Parts Catalog).

• Standard service equipment

• Service PC, see intranet, service laptop for CSEs

• PC connection cable, 5 m 99 00 440 RE999

• ESD equipment

• Bender safety tester 97 06 979 Y0526

• Digital voltmeter, e.g. FLUKE 187 99 94 831Y4290

• Shock wave pressure test unit 30 95 408 J1008

• Adapter for C-head 98 17 347 J1008

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10 General

Required Aids and Documents 0

• SIREMOBIL Iso-C Service Instructions SPR2-230.061.01..

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General 11

Product-specific Information 0

This document is valid for the established Lithostar Modularis and the new "low end lithotripter" called the Modularis Vario. Overview of difference between the two units:

Modularis 0

• (1) Shock wave head C with 120 mm focus depth.

• (2) Length of therapy arm incl. shock head = 1800 mm.

• (3) Energy charging unit with spark gap technology.

• (4) Docking technology implemented with docking plate.

Modularis Vario 0

• (1) Shock wave head C plus with a focus depth of 140 mm (*1) including an adapted

isocenter phantom.

• (2) Length of therapy arm incl. shock head = 900 mm.

• (3) Energy charging unit with fast high voltage switch (*2).

• (4) Docking technology implemented with docking mandrel.

Fig. 1: Modularis

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12 General

Fig. 2: Modularis Vario

*1 The shock wave head C Modularis unit. In this case, it is not different in every way. All new Modularis units will be

shipped with shock wave head C

with a 140-mm focal depth is upgradable for the normal

plus

(July 2003, except USA ).

plus

*2 The spark gap will no longer be used in the Multiline and Modularis Lithotripters. Beginning July 2003, all charging units will be equipped with the "Fast High Voltage Switch". This switch is not a consumable and not a spare part. Thus the only spare part is the charging unit.

NOTE

By observing the above mentioned differences, all known technical information is usable for the established Modularis and the Modularis Vario.

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LITHOSTAR MODULARIS Error List 13

2LITHOSTAR MODULARIS Error List

NOTE

Error messages from the SIREMOBIL Iso-C have not been listed. (Refer to the SIREMOBIL Iso-C service documents

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14 LITHOSTAR MODULARIS Error List

Info, E00 and E99 0

E00 Error Text: System was switched on.

Possible cause/action:

E99 Error Text: The system was switched off without deleting the therapy data.

Possible cause/action:

Press the Reset button.

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LITHOSTAR MODULARIS Error List 15

Water System, E10-E12 0

LITHOSTAR MODULARIS circuit diagram J1048, pages 13 and 14.

E10 Error Text: Cooling system losing water.

Possible cause/action:

Is water running out of the hoses?

switch o.k.?

min

D3.X3 board connection o.k.?

Fill the cooling system.

E11 Error Text: Maximum pressure in the cooling system exceeded.

Possible cause/action:

Pressure switch P

Are the hoses blocked, kinked?

switch o.k.?

max

responded.

max

D3.X3 board connection o.k?

Is the cooling unit operating?

Check the fill level in the cooling system.

E12 Error Text: Minimum pressure in the cooling system exceeded.

Possible cause/action:

Pressure switch P

Is water running out of the hoses and hose connections?

Air in the cooling system?

responded.

min

Check the fill level in the cooling system.

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16 LITHOSTAR MODULARIS Error List

Water System, E14-E15 0

E14 Error Text: Water level too low in the water reservoir tank.

Possible cause/action:

E15 Error Text: Coupling pressure not o.k.

Possible cause/action:

Not enough water in the tank.

Float switch in the tank o.k.?

D3.X3 board connection o.k.?

Completely fill the coupling bellows, deselect automatic pressure regulation, and drain the water.

Repair any leaks.

Refill the water in the reservoir tank.

Pressure sensor on the shock head o.k.?

If water can still be pumped out, the sensor is probably defective (refer to "Working with the Terminal Program: Show Diagnostic Data").

Suction hose correctly inserted in the coupling bellows?

Return hose kinked?

D3.X8 board connection o.k.?

Fill the coupling system.

If the error occurs only with obese patients, the suction hose in the coupling bellows may be kinked.

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LITHOSTAR MODULARIS Error List 17

Controls, E20-E21 0

If the control panel is dark: check fuse F5 on the D3 board.

E20 Error Text: No contact with the control unit (this error is visible only when

reading out the error log with the service PC).

Possible cause/action:

E21 Error Text: X-ray button on the control unit activated with switch-on.

Possible cause/action:

X5 connection cable correctly connected to the control unit?

Check the F5 fuse on the D3 board.

If the error occurs after replacing the D3 board: is X35 connector properly connected?

X-ray button stuck?

Control unit o.k.?

Cable o.k.?

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18 LITHOSTAR MODULARIS Error List

Controls, E22-E25 0

E22 Error Text: QRS signal from ECG unit missing, i.e. no ECG triggering pos-

sible.

Possible cause/action:

E23 Error Text: Motor for C-Arm movement in LITHOSTAR MODULARIS

Possible cause/action:

Trigger cable connected to ECG unit?

ECG triggering selected on the control unit? Trigger cable plugged in on D3.X70?

drawing too much current.

C-Arm moving freely?

SIREMOBIL Iso-C cable connected?

Brake in SIREMOBIL Iso-C can be released, i.e. is the motor not locked?

Brake connection cable in SM Iso-C o.k.? (D3.X38 - SM Iso-C)

Motor connection cable o.k. (board D3.X36)?

D3 board?

Motor connection cable o.k. (D3.X36 board)?

Settings for the SIREMOBIL Iso brakes o.k.? (Angulation and orbital in 0°. LITHOSTAR MODULARIS not coupled. Attach a spring balance at the handle near the I.I. Release the angulation brake and pull with the spring balance. The C-Arm must move when the spring balance indicates a value from 20N-30N

- preferably close to 20 N. Settings are made at the position where the angulation motor is coupled. Wrench size 30 mm, coupling must be removed). Also refer to SPR2-230.061.01... chapter 7.

D3 board?

E24 Error Text: C-Arm blocked.

No change on the actual value potentiometer in LITHOSTAR MODULARIS.

Possible cause/action:

E25 Error Text: C-Arm potentiometer not working.

Possible cause/action:

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C-Arm moving freely?

Potentiometer o.k.?

Correct tension on the belt?

Connection cable to potentiometer o.k.? (D3.X38)

Check the setting of the SIREMOBIL angulation brake (see E23)

Potentiometer connected?

Check the D3.X30 connector!

Connect the cable to the potentiometer.

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LITHOSTAR MODULARIS Error List 19

Controls, E26-E29 0

E26 Error Text: ECG option not installed.

Possible cause/action:

E27 Error Text: Control unit.

Possible cause/action:

E28 Error Text: C-Arm pivots in the wrong direction.

Possible cause/action:

E29 Error Text: Shock wave release button sticking.

Possible cause/action:

Warning message only.

Key sticking.

Replace control panel.

Cables connected incorrectly to the potentiometer or the motor?

Correct tension on the belt?

Check the setting of the SIREMOBIL angulation brake (see E23).

Check control unit. Circuit diagram J1048 - 25.

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20 LITHOSTAR MODULARIS Error List

Monitoring, E31-E34 0

E31 Error Text: Temperature sensor supplying incorrect data.

Possible cause/action:

E32 Error Text: The temperature at the shock wave head has exceeded the

Possible cause/action:

E34 Error Text: Temperature cannot be determined: could not access the ADC

Possible cause/action:

Temperature sensor o.k.?

D3.X2 connection cable o.k.?

The temperature difference can be read out on the service PC.

maximum value.

Let the shock wave head cool down, but do not switch the system off!

Check to ensure that the cooling unit is operating.

If the M1 cooling pump is running, the pump head may need to be replaced.

If the error reoccurs, check the function of the cooling unit.

when converting the analog values from the temperature sensor.

Voltage supply for the temperature sensors outside acceptable range.

D3.X2 connection cable o.k.?

D3 board?

Read out the temperature with the service PC.

Refer also to error 45.

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LITHOSTAR MODULARIS Error List 21

Monitoring, E40-E48 0

E40 Error Text: Cooling pump fuse defective.

Possible cause/action:

E41 Error Text: M1 cooling pump defective.

Possible cause/action:

E42 Error Text: Coupling pump defective.

Possible cause/action:

E43 Error Text: Fuse for coupling pump defective.

Possible cause/action:

E44 Error Text: 5 volt power supply defective.

Possible cause/action:

E45 Error Text: 18 volt power supply defective.

Possible cause/action:

F2 fuse on D3 board o.k.?

M1 motor o.k.? Circuit diagram J1048 - 13

D3.X7 connection cable o.k.?

M2 motor o.k.? Circuit diagram J1048 - 13

D3.X7 connection cable o.k.?

F3 fuse on D3 board o.k.?

Replace D3 board.

LED VCC18 on D3 board o.k.? Circuit diagram J1048 - 11

D3.X8 connection cable o.k.?

Check the power supply for the pressure sensors!

E46 Error Text: 17 volt power supply defective

Possible cause/action:

E47 Error Text: Valve and card terminal fuse defective?

Possible cause/action:

E48 Error Text: Reference for temperature sensors defective.

Possible cause/action:

LED VCC17 on D3 board o.k.?

Replace D3 board.

Short circuit?

F4 fuse on D3 board? Circuit diagram J1048 - 13

Check valve (coupling circuit).

Check card terminal.

Replace temperature sensors.

Replace D3 board.

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22 LITHOSTAR MODULARIS Error List

Monitoring, E49-E54 0

E49 Error Text: Reference potentiometer defective.

Possible cause/action:

E50 Error Text: -5 volt power supply defective.

Possible cause/action:

E52 Error Text: Battery voltage for battery-buffered RAM and real-time clock

Possible cause/action:

E53 Error Text: Incorrect data in the battery-buffered RAM.

Possible cause/action:

Short circuit in potentiometer for C-arm movement or potentiometer for ultrasound probe (only if option is available)?

D3.X38, D3.X28 connection cable (ultrasound option) o.k.?

Circuit diagram J1048 - 16/17.

Use the service PC to read the current potentiometer (menu "d").

For troubleshooting when the ultrasound option is available: Remove the board for the ultrasound option and cables X28 and X29 from the D3 board.

Replace D3 board.

too low.

Replace the lithium battery on the D3 board.

Normal occurrence during initial startup or after replacing the lithium battery.

Check the lithium battery!

Replace the D3 board.

Perform a software download!

E54 Error Text: Clock stopped (this message is also displayed when the bat-

tery is replaced)

Possible cause/action:

D3.X31 - XP7 connection cable present under the cover?

Set the clock!

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LITHOSTAR MODULARIS Error List 23

High Voltage Circuit, E60 - E67 0

LITHOSTAR MODULARIS circuit diagram J1048 - 12.

E60 Error Text: Charging current too low during the charging process.

Possible cause/action:

Check the line voltage!

Replace the charging / energy unit!

E61 Error Text: Overvoltage in the charging unit.

Possible cause/action:

System OFF

- 10 minute pause - System ON.

Replace the charging / energy unit!

E62 Error Text: Overtemperature in the charging unit.

Possible cause/action:

Heat in the LITHO MODULARIS?

System OFF - 10 minute pause - System ON.

Replace the charging / energy unit!

E63 Error Text: Capacitor defective in the charging / energy unit (out of toler-

ance).

Possible

Replace the charging / energy unit!

cause/action:

E64 Error Text: Default voltage not attained.

Current voltage after frequency converter (U

) is greater

nom

than selected voltage.

Possible cause/action:

Check the fiber optic cable!

Replace the charging / energy unit!

)

E65 Error Text: Charging voltage too high during the charging process.

Possible

Replace the charging / energy unit!

cause/action:

E66 Error Text: Default voltage incorrect.

Possible cause/action:

Check the fiber optic cable!

Replace the charging / energy unit!

)

E67 Error Text: No ignition of spark gap after trigger pulse (several times).

Possible cause/action:

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Check the fiber optic cable!

Replace the spark gap!

)

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24 LITHOSTAR MODULARIS Error List

High Voltage Circuit, E68 - E74 0

E68 Error Text: Charging current too high during charging process.

Possible cause/action:

E69 Error Text: Repeated self-ignition of the spark gap.

Possible cause/action:

E70 Error Text: Charging current too low after ignition!

Possible cause/action:

E71 Error Text: Charging current too high after ignition.

Possible cause/action:

E72 Error Text: No communication possible with the charging / energy unit.

Possible cause/action:

Replace the charging / energy unit!

Replace the spark gap!

Check the high voltage cable connections!

Check the high voltage connector!

Replace the shock wave head!

Check the high voltage cable!

Check the high voltage connector!

Replace the shock wave head!

Check the line voltage at the charging / energy unit!

Replace the fuse in the charging / energy unit!

Check the fiber optic cable!

)

Replace the charging / energy unit!

E73 Error Text: Message: Constancy limit reached.

Possible cause/action:

E74 Error Text: Constancy limit reached.

Possible cause/action:

) Before replacing the charging / energy unit, check the fiber optic cable (LWL):

For user information only.

Approx. 10-15 treatments still possible, then error 74 appears.

The constancy limit has been reached.

• Replace the following parts:

- shock wave head

- spark gap and

In addition, replace the water in the entire system!

• Disconnect the fiber optic cable at both ends and check by holding it up to the light

• Place it on the Clk (U5) of the D3 board and check whether light is visible.

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LITHOSTAR MODULARIS Error List 25

High Voltage Circuit, E75 - E78 0

E75 Error Text: Chip card terminal error (documented in error log only).

Possible cause/action:

E76 Error Text: Chip card expired

Possible cause/action:

E77 Error Text: Chip card communication error

Possible cause/action:

E78 Error Text: Charging process too long.

Possible cause/action:

E79 Error Text: Short circuit - call Service

Possible cause/action:

Check revision level for D3 board: Rev. 00 - 02: replace D3 board. Rev. 03 and higher: replace chip card reading device.

Wrong card or card incorrectly inserted.

Insert a new card.

Check revision level for D3 board: Rev. 00 - 02: replace D3 board. Rev. 03 and higher: replace chip card reading device

Cable? If the error reoccurs after replacing the D3 board, is the X33 connector properly connected?

Line voltage o.k.?

Replace the charging / energy unit!

High voltage cable or energy unit defect

Replace the cable or the energy unit!

) Before replacing the charging / energy unit, check the fiber optic cable (LWL):

• Disconnect the fiber optic cable at both ends and check by holding it up to the light

• Place it on the Clk (U5) of the D3 board and check whether light is visible.

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26 LITHOSTAR MODULARIS Error List

Internal Errors, E80-E89 0

E80 Error Text: Flash memory defective.

Possible cause/action:

E81 Error Text: CMOS pulse counter incorrect.

Possible cause/action:

E82 Error Text: Pulse counter backup incorrect

Possible cause/action:

E83 Error Text: CMOS chip card data incorrect

Possible cause/action:

E85 Error Text: Measurement acquisition incorrect.

Possible cause/action:

E86 Error Text: Flash memory defective

Not applicable for the user.

Read out the memory and perform a reset at the next opportunity.

If this error occurs repeatedly, D3 board must be replaced.

Possible cause/action:

E89 Error Text: Watchdog responded.

Possible cause/action:

Not applicable for the user.

Read out the memory and perform a reset at the next opportunity.

If this error occurs repeatedly, D3 board must be replaced.

Appears each time a reset is performed with the S3 switch on D3 board.

This error may occur if the system is switched off during initialization.

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LITHOSTAR MODULARIS Error List 27

Ultrasound, E90-E93 0

E90 Error Text:

Possible cause/action:

E91 Error Text:

Possible cause/action:

E92 Error Text: The two potentiometers have different values.

Possible cause/action:

E93 Error Text: Erroneous US values.

Possible cause/action:

No connection from LITHOSTAR to SONOLINE

Potentiometer skips.

Cable from potentiometer to D3 board ok? Potentiometer defect?

Fig. 3:

Dampness on the potentiometer.

C-MOS has lost values. Adjust the potentiometer (point "U" in the service menu).

Check the default values (see SPL1-130.038.01...).

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28 LITHOSTAR MODULARIS Error List

Displays on the D3 Board 0

Once the system is turned on, different symbols are displayed chronologically on the D3 board display .

Display Possible cause/action

0 System o.k. (only with the ultrasound localization option and if a communica-

tion was set up to the ultrasound device.)

d Software download.

1 Data transfer, the decimal point is blinking.

4 The receiving file is being checked.

5 Software download time too long.

7 Everything o.k. (only if no ultrasound localization option is available or if the

ultrasound device is turned off.)

- The service switch is set to normal mode - only for boards that still have no software.

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LITHOSTAR MODULARIS Error List 29

Text on the Console 0

"Chip card invalid" 0

• This message is displayed when:

- the gold card is still logged on a different LITHOSTAR MODULARIS

- D3 board was replaced and the "init counter" on the gold card is already set to 3.

- the card is defective.

In the normal mode, check whether the LED 174 on the D3 board blinks temporarily and then remains lit when turning it on.

LITHOSTAR MODULARIS SIEMENS 0

This message is displayed when too many errors occur. In this case, use the service PC to generate an error log.

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30 LITHOSTAR MODULARIS Error List

Missing Isocenter Cross on the Ultrasound System 0

There is no communication between the ultrasound system and the LITHOSTAR MODULARIS.

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Service Software 31

3Service Software

(Hyper) Terminal Program 0

The Windows (Hyper) Terminal program is used to retrieve error codes, settings, shock wave counts, etc. from the LITHOSTAR MODULARIS and to save them to diskette. The error log and therapy data can only be deleted from the CPU board using this (Hyper) Terminal program. This program is usually located under Accessories in Windows.

The following provides a short overview of the connection procedure.

The standard cable (99 00 440 RE999) is used as the connection cable between the service PC and the LITHOSTAR MODULARIS.

NOTE

Due to the numerous versions and languages for WINDOWS, the connection procedure is described in German and English.

If there are problems, use the Help function in the (Hyper) Terminal program.

The "Courier New" font is recommended for reading data stored on the diskette.

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32 Service Software

German WINDOWS 95/98/NT 0

Fig. 4: German_Windows 95_98_NT

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Service Software 33

English Windows 95/98/NT 0

Fig. 5: English_Windows 95_98_NT

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34 Service Software

Working with the (Hyper) Terminal Program 0

Once you create a connection between the service PC and the LITHOSTAR MODULARIS, press the "h" key to display the following text:

You will be notified if the software version is not compatible with the hardware version.

Refer to document SPL1-130.038.01... (Intranet) for default values.

Fig. 6:

The following will be displayed if the software version is not compatible with the hardware version:

Fig. 7:

Select Option: h 0

• Press the"h" key to display the input menu.

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Service Software 35

Select Option: p 0

• Press the "p" key to display the following text:

Fig. 8:

The total number of shock waves released are displayed. The counters for the shock head / capacitor / spark gap can be reset to zero.

Always perform this procedure when replacing one of these parts, i. e. the "spark gap" counter must be reset to zero if the charging unit is replaced.

Select Option: d 0

Press the "d" key to display the following text

Fig. 9:

Sensors (C-grade) Displays the temperature at the shock wave head in Celsius. The

difference between both temperature values may not exceed a maximum of 3° C.

HV (V) Displays the voltage at the high-voltage capacitor. If there is no

connection to the charging unit (i.e. fiber optic cable is removed), the value is 20460.

P-bellows (mV) Displays the pressure in the coupling bellows. P-automatic

selected and rinse ended: Q 500 mV - 2000 mV o.k.

C-arm pot. (mV) Current voltage at the potentiometer for the angulation motor.

US pot. 1/2 (mV) Current voltage at the potentiometer for the US applicator. Accept-

able difference: 50. When US localization is not available, the value is 9995.

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36 Service Software

Select Option: e 0

• Press the "e" key to display the following text:

Fig. 10:

• The number of errors in the error log is displayed (e.g. 100 error messages).

• The last 250 errors (maximum) are displayed in blocks of 20. Between these blocks is

the line "press space to continue, "x" to exit".

• To have a better overview, system power-up is shown with the code E00.

• The oldest error has the number 1; the most recent error is all the way at the top.

• The line "last watchdog error code" is internal information.

• The errors can only be deleted in the system after all error numbers have been viewed.

Select Option: t 0

• Press the "t" key to display the following text:

Fig. 11:

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Service Software 37

Displays all days for which therapy data exists, as well as the number of patients. To select the day: enter month/day/year.

• The following data is displayed for each treatment (max 40):

- each increase in energy level

- the number of shock waves for each of the energy levels (energy levels between 0.1 and 1.0 will be summarized in steps of 0.1)

- any errors that occurred

- the text output can be temporarily stopped at any time with the "Space" key.

Entering "A" is recommended only for saving all data to a diskette.

The data cannot be deleted until they have been read (on a workday).

Selecting delete will erase all therapy data.

Fig. 12:

• Example:

- 1:0012 - 12 shock waves triggered with an energy step of 0.1-1.0 (energy steps between 0.1 and 1.0 are summarized in intervals of 0.1).

- **E60 - error 60 has occurred.

- 32:0041 - 41 shock waves triggered with energy steps of 3.2.

- **E60 - error 60 has occurred again.

Fig. 13:

Once all of the therapy data for a day is listed, the above text will be displayed. Press the

"d" key to delete all therapy data.

Select Option: c 0

• Press the "c" key to display the following text:

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38 Service Software

Fig. 14:

Text: 4: 531...0 G init=2 .... ..... 04/13 ... 418

Explan.: *1 *2 *3 *4 *5 *6 *7 *8

• *1: sequential number of the card inserted.

• *2: serial number of the card.

• *3: a "gold" card was inserted, i.e. the input slot is closed.

• *4: init counter in the above example is init=2, i.e. the gold card was logged onto two dif-

ferent D3 boards.

• *5: n.a.

• *6: n.a.:

Card ejected

• *7: Date of ejection

• *8: System shock wave counter value when card was ejected

Card in system

• *7: Text: "Card locked to unit"

• *8: ............

Text: 5: 531...1 P 89956 0 0 04/13 ... 418

Explan.: *1 *2 *3 *4 *5 *6 *7 *8

• *1: sequential number of the card inserted

• *2: serial number of the card

• *3: a "pay per use" card was inserted

• *4: shock waves still present on the card

• *5: internal system card counter

• *6: number of shock waves registered on inserting the ppu card

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Service Software 39

Card ejected • *7: Date of ejection

• *8: System shock wave counter value when card was ejected

Card in system

• *7: Text: "Card locked to unit"

• *8: ............

Select Option: a/b 0

NOTE

• Press the"a" key to reduce the time by 50 ms, i.e. from 1200 ms to 1150 ms.

• Press the"b" key to increase the time by 50 ms, i.e. from 1200 ms to 1250 ms.

If there are problems decoupling the angulation motor, the motor follow-up time for relaxing the coupling can be changed. Time < 300 and > 5000 cannot be selected.

You do not have to save changes.

Select Option: i 0

• Press the "i" key to display the following text:

Fig. 15:

After pressing the "1" key and then the "h" key, the display for "selection option i now "reads": installed".

Select Option: u 0

• Press the "u" key to display the following text:

Fig. 16:

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40 Service Software

• If the potentiometer has to be adjusted (i.e., after the D3 board is replaced or after the

D3 ultrasound addition), proceed as follows:

• Push the probe receiver all the way to the front so that the space between the probe and

the isocenter phantom is very small when the isocenter phantom is raised.

• After pressing the "j" key, the following appears after "actual value": established value

(max. 500).

Fig. 17:

Fig. 18:

CAUTION

The following values can be altered only if approval is granted by Erlangen.

¹ The correct values can be found in document

SPL1-130.038.01... (Intranet).

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Service Software 41

Fig. 19:

Explanation:

The displayed position (distance and position) of the objects on the ultrasound image is calculated from the time difference between sending a signal and receiving the echo. The standard speed of sound in the human body is 1540 m/sec. However, this speed can vary depending on which tissue is being examined.

The position of the isocenter can be adjusted to ensure that the position of the cross matches the actual stone position on the ultrasound monitor.

This is possible with:

Fig. 20:

Fig. 21:

Every probe can be set to one of three settings:

Threshold value,

The point at which the "scale high" value is used (default 100 mm).

Fig. 2

Scale low, Fig. 2 Correction factor (default 7.7%) between 0 mm and the "threshold

value" (this value is useful for thin patients).

Scale high, Fig. 2 Correction factor (default 7.7%) between the "threshold value" and

end (this value is useful for obese patients).

Selecting the keys "t, l, h" (depending on the application) reduces the value. Select T, L, H to increase the value.

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42 Service Software

Select option: r 0

• Press the "r" key to change the "pulse rate"

- Selection: Fixed 2 Hz (USA) or variable 1/1.5/2 Hz

• After pressing the "h" key, display for "selection option r" shows the pulse rate that has

been set.

Select Option: s 0

CAUTION

Software downloads are possible only if the software and hardware are compatible.

The system and service PC may not be turned off during a software download.

¹ If this occurs, the D3 board must be replaced.

• Press the "s" key to display the following text:

Fig. 22:

After "1" has been entered, the software download must start within 60 seconds. If the 60 seconds elapses without starting the download, reselect "h" from the entry menu, reselect "s", etc.

Once the software download is complete, check that the values in the "ultrasound localization" menu for the applicators are identical to those in document SPL1-130.038.01.. (Intranet). If this is not the case, make the appropriate changes.

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Medical Solutions

Service Software 43

Software Download with Windows 95 / 98 / NT 0

Fig. 23: Software Download with Windows 95_98_NT

Do not select "capture text file" when downloading the software.

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44 Service Software

Select Option: 0 0

• Press the "o" key to switch from the right side to the left side of the table. This may be

done only if the table has also been mechanically modified, refer to MODULARIS Uro Installation and Startup Instructions. After pressing the "h" key, the display for "option o selection" will show which table was selected. The configuration shipped is the right table (Fig. 25 / p. 44).

Fig. 24:

Fig. 25: Left/right side version

Text after Replacing the D3 Board 0

• Press the "h" key to display the following text (the software is installed).

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Service Software 45

Fig. 26:

• Press the "n" key to display the following text.

Fig. 27:

• Press 1 or 2 and follow the instructions.

Fig. 28:

NOTE

This procedure cannot be undone!

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46 Service Software

Fig. 29:

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Medical Solutions

Service Software 47

LITHOSTAR MODULARIS Control Panel 0

Fig. 30:

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48 Service Software

Fig. 31:

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LITHOSTAR MODULARIS 49

4LITHOSTAR MODULARIS

LITHOSTAR MODULARIS Parts Overview 0

Assembly Comments Regarding Replacement

Function Item No.

Shock wave head C 16 11 008 Refer to description: Replace the Water, Also

Replace the M1 Pump Head, Reset the Counter to Zero

The shock wave head is shipped without the coupling bellows

Coupling bellows C 47 78 705 The clamping strap must be ordered separately!

Shock wave head

C plus

70 41 358 Refer to description: Replace the Water, Also

Replace the M1 Pump Head, Reset the Counter to Zero

The shock wave head is shipped without the coupling bellows

Coupling bellows

70 41 416 The clamping strap must be ordered separately!

C plus

High voltage cable 11 81 523 Refer to description, "Cables in Corrugated Tub-

ing"

High voltage connector 11 81 622 Refer to description,

Charging Unit 11 58 000 Refer to description,

Cooling Unit 47 78 002 Refer to description, Filling in the "Dates in the

Startup" box.

Pump 47 73 847

70 41 101

Coupling pump; Refer to description, Cooling Pump; Refer to description,

Temperature Sensor 55 31 277 Refer to description, "Cables in Corrugated Tub-

ing"

Pressure Sensor 55 31 243 Refer to description, "Cables in Corrugated Tub-

ing"

D3 Board 55 31 053 Refer to description,

Battery for D3 Board 31 46 073

Control Unit 55 31 129 No special instructions required

Perform a function test following replacement

Transformer and D1 Board

55 31 111 Make a note of the jumpers for the line voltage

230 V: 3 -5, 200V: 2 - 6, 120 V:1 - 5 and 4 - 7, 100 V: 1 -6 and 2 - 7

D1 Power Supply

55 31 301 Check fuses

Board

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50 LITHOSTAR MODULARIS

Angulation motor 55 31 392 Refer to description,

MODULARIS Support

55 31 020 Refer to description,

Arm

Articulated Joint Lock 55 31 608 Refer to description,

Potentiometer 70 50 433 Refer to description,

SIREMOBIL Switch 10 70 721 Refer to description,

CPL Adjustment Adapter.

47 78 754 Version A usable for C-head only

As of version B adaptable for C and C plus

Isocenter Phantom

Fig. 32: Parking the phantom

Fig. 33: Phantom work

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LITHOSTAR MODULARIS 51

Shock Wave Head 0

Shock Wave Head Cover Panels 0

• Switch the system off. Remove the cover panels on the system unit by removing the

screws.

• Remove the water reservoir tank and drain the remaining water.

• Reinstall the water reservoir tank.

• Switch the system on. Position the support arm in the horizontal position.

• Set S2 service switch on the D3 board to position 2 (service on).

• Select "service" on the control unit and then "coupling circuit".

• Press the corresponding key for "empty" (S6) on the control unit until the coupling bel-

lows is located next to the lens.

• Switch the system off.

• Only the equipment with ultrasound localization:

- Unscrew the two placement parts for the ultrasound.

- Ensure that the screw lengths are correct when tightening them.

• Remove the mounting screws (I/Fig. 33 / p. 50) for the upper cover panel on both sides

of the shock head.

• Push the buttons in the direction of the arrow on both sides of the isocenter phantom

(Fig. 33 / p. 50) and at the same time flip back the isocenter phantom (Fig. 32 / p. 50).

• Detach the upper cover panel, remove it towards the front.

• Push the buttons on both sides of the isocenter phantom in the direction of the arrow

(Fig. 32 / p. 50) and at the same time flip up the isocenter phantom (Fig. 33 / p. 50).

• If required, remove the 3 paneling screws from both lower cover panels and remove the

cover panels.

• Reinstall the cover panels in the reverse order after completion of all work.

Fig. 34: Removing swh

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52 LITHOSTAR MODULARIS

Fig. 35: swh socket

Removing the Shock Wave Head 0

System configuration n = several

Replace the shock wave head

• Remove the cover panels on the shock wave head (refer to "Shock Wave Head Cover

• Remove the coupling bellows, carefully pulling the small pin out of the air suction hose

1 LITHOSTAR MODULARIS and 1 SIREMOBIL Iso-C

Up to support arm S0050

For adjustment of isocenter on the shock wave head; refer to chapter "Isocenter with X-ray, up to Support Arm Serial Number 0050".

Beginning with Support Arm S0051

For adjustment of isocenter on the SIREMOBIL Iso-C; refer to chapter "Isocenter with X-ray, beginning with Support Arm Serial Number 0051".

Panels").

inside the coupling bellows (refer also to (Fig. 39 / p. 55) and (Fig. 40 / p. 55)).

1 LITHOSTAR MODULARIS and n SIREMOBIL Iso-C

It is important to follow this work flow to avoid having to readjust the isocenter on all SIREMOBILEs!

• Prior to replacing the shock wave head,

view the isocenter (the three C-Arm positions) and if possible, save it or make a hardcopy.

• Replace the shock wave head.

• Check the isocenter; the setting must be

identical to that of the defective shock wave head. If an adjustment is necessary, it must be made using the shock wave head setting; refer to chapter "Isocenter with X-ray, up to Support Arm Serial Number 0050".

• Loosen the four screws (V/Fig. 34 / p. 51) on the isocenter phantom using an Allen key

with a ball end, but do not remove them.

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LITHOSTAR MODULARIS 53

• Flip the isocenter phantom toward the front and completely remove it (this may be diffi-

cult).

- If the isocenter phantom has a serial number (2/Fig. 34 / p. 51), it can be removed by using two screw pulleys (1/Fig. 34 / p. 51) on the shock wave head.

• Open the Y8 valve (Fig. 42 / p. 58), i.e. switch the Y8 lever from horizontal = closed, to

vertical = open.

• Switch the system on.

• Set the S2 service switch on the D3 board to position 2 (service on).

• Select "service" on the control unit and then "cooling unit".

• Press the corresponding key for "empty" on the control unit until no more water flows

out.

• Set the S2 service switch on the D3 board to position 1 (service off).

• Switch the system off.

• Remove the 2 Allen screws (U/Fig. 35 / p. 52) underneath the shock wave head.

• Remove the screw (SL/Fig. 38 / p. 54) with the ground wire on the shock wave head.

• Wait at least 10 minutes after switching the system off. Then push the high-volt-

age connector down until the openings (O/Fig. 38 / p. 54) are accessible.

• Loosen the Allen screws in the openings (O/Fig. 38 / p. 54), but do not remove them.

• Disconnect all the water hoses at both interfaces of the shock wave head.

• Remove the shock wave head towards the front.

NOTE

Fig. 36: swh tube

There may be water remaining in the shock wave head.

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54 LITHOSTAR MODULARIS

Fig. 37: swh sensor

Fig. 38: swh adjustment

Installing the Shock Wave Head 0

• Shorten both hoses at the shock wave head corresponding to the dimensions in

(Fig. 36 / p. 53).

• Check that the spring-mounted temperature sensor (T/Fig. 37 / p. 54) is seated correct-

ly in the groove.

• Insert the air suction hose centrally through the shock wave head (L/Fig. 40 / p. 55).

• Install the new shock wave head from above and insert the water hoses; when doing

this, ensure that the hose marked in red (R/Fig. 38 / p. 54) is located next to the high-voltage connector and that the air suction hose underneath the shock wave head is neither kinked nor caught in the shock wave head.

• Attach the shock wave head with the Allen screws (O/Fig. 38 / p. 54) that are visible

through the opening.

• Push the high-voltage connector as far up as possible until the openings

(O/Fig. 38 / p. 54) are covered again.

• Reattach the screw (SL/Fig. 38 / p. 54) with the ground wire.

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LITHOSTAR MODULARIS 55

• Retighten the 2 Allen screws (U/Fig. 35 / p. 52) underneath the shock wave head.

• Place the isocenter phantom on top so that it is flush and secure it with the four screws

(V/Fig. 34 / p. 51) (use an Allen key with a ball end for this).

Fig. 39: swh air

Fig. 40: swh air tube

• Insert the air suction hose (L) as shown in (Fig. 39 / p. 55) and (Fig. 40 / p. 55) carefully

over the pin (ST) in the coupling bellows. Tie a knot to secure it (Fig. 39 / p. 55).

• Install the coupling bellows; when doing this, ensure that the pin (ST/Fig. 40 / p. 55) for

attachment of the hose is positioned at the highest point and is seated correctly in the clamp.

• Replace the hose pump head for cooling pump M1 (refer to the section "Hose Pump

Head in the Coupling System"). (Not necessary if the IWAKI pump is installed).

• Fill the cooling system (refer to the section "Filling the Cooling System").

• Fill the coupling system (refer to the section "Filling the Coupling System").

• Check the isocenter as described in (Isocenter with X-Ray / p. 97).

• Select "service" and then "coupling system" on the control unit.

• Activate the corresponding key for "empty" (S6) on the control unit until the coupling

bellows is located next to the lens.

• Reinstall the covers of the shock wave head according to the procedure for removal.

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56 LITHOSTAR MODULARIS

• Adjust the S2 service switch on the D3 board to position 1 (service off).

• Select "rinse" on the control unit and activate the cycle (ends automatically).

• Read out the counter for the shock wave head and record the value in the Operating

Protocol (in Register 4).

• Reset the counter (Service Software / p. 31).

• Connect the service PC to the board as described in (Service Software / p. 31).

• Read out both temperature values on the service PC; the difference may not exceed a

maximum of 3° C.

• Trigger shock waves: both temperature values should increase closely in parallel (DT e

3° C).

• Reattach the system cover.

• Perform a function test.

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Replacing the Isocenter Phantom 0

System configuration n = several

Replace the isocenter phantom

1 LITHOSTAR MODULARIS and 1 SIREMOBIL Iso-C

Up to support arm S0050

For adjustment of isocenter on the shock wave head, refer to chapter

(LITHOSTAR MODULARIS up to Support Arm Serial Number 0050/p.97)

Beginning with support arm S0051

For adjustment of isocenter on the SIREMOBIL Iso-C, refer to chapter

(LITHOSTAR MODULARIS beginning with Support Arm Serial Number 0051 / p. 103).

1 LITHOSTAR MODULARIS and n SIREMOBIL Iso-C

It is important to follow this work flow to avoid having to readjust the isocenter on all SIREMOBILEs!

• Prior to replacing the isocenter phantom,

view the isocenter (the three C-Arm positions) and if possible, save it or make a hardcopy.

• Replace the isocenter phantom.

• Check isocenter; the setting must be identi-

cal to that of the defective isocenter phantom. If an adjustment is necessary, it must be made via the shock wave head setting; refer to chapter (LITHOSTAR MODULARIS

up to Support Arm Serial Number 0050 / p. 97).

Fig. 41: Old pump

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58 LITHOSTAR MODULARIS

Fig. 42: New pump

Fig. 43: Bleeder valve

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LITHOSTAR MODULARIS 59

Cooling Unit 0

Checking the Cooling Unit 0

• Disconnect both cables at the B1 temperature switch (located on the cooling unit under-

neath the D3 board and the fiber optic connections).

• Connect both cables.

• Switch the system on.

• The fan and compressor in the cooling unit start up.

- If not, check the power supply.

- If o.k., replace the cooling unit.

• Switch the system off.

• Reconnect both cables.

Replacing the Cooling Unit 0

• Empty the coupling system and cooling system according to the instructions.

• Replace the cooling unit.

• Fill the coupling system and cooling system according to the instructions.

• Fill in the "Date of start up" box on the cooling unit label.

Filling the Cooling System 0

• Remove the system cover panels.

• Fill the water reservoir tank with distilled water.

• Switch the system on.

• Position the support arm in the horizontal position.

• Open the bleeder valve (cap K/Fig. 43 / p. 58) in the cooling unit by two turns (it should

remain open).

• Adjust the S2 service switch on the D3 board to position 2 (service on).

• Open the Y8 valve (Fig. 41 / p. 57) / (Fig. 42 / p. 58); i.e. switch the Y8 lever from hori-

zontal = closed to vertical = open.

• Select "service" on the control unit and then "cooling unit".

• Press the corresponding key for "fill" on the control unit until the water flowing from the

return line in the water reservoir tank is free of air bubbles. (the M1 hose pump will run as long as required, V188 on the D3 board goes on).

• Close the Y8 valve (Fig. 41 / p. 57) / (Fig. 42 / p. 58); i.e. switch the Y8 lever from verti-

cal - open to horizontal = closed.

• Set the S2 service switch on the D3 board to position 1 (service off).

• Switch the system off.

• Reattach the system cover panels.

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60 LITHOSTAR MODULARIS

Filling the Coupling System 0

• Remove the system cover panels.

• Fill the water reservoir tank with distilled water, if necessary.

• Switch the system on and position the support arm in the horizontal position

• Set the S2 service switch on the D3 board to position 2 (service on).

• Select "service" on the control unit and then "coupling system".

• Press the corresponding key for "fill" (S6) on the control unit until the coupling bellows

rounds out slightly.

• Check whether the air suction hose inside the coupling bellows is actually secured at

the top position (Installing the Shock Wave Head / p. 54) (Fig. 39 / p. 55).

• Set the S2 service switch on the D3 board to position 1 (service off).

• Select "rinse" on the control unit and activate the cycle; this function ends automatically.

• If air bubbles are visible in the coupling bellows, start the "rinse" cycle again.

• Switch the S2 service switch on the D3 board to position 2 (service on).

• Select "service" and then "coupling system" on the control unit.

• Press the corresponding key for "empty" (S6/Fig. 33 / p. 50) on the control unit until the

coupling bellows is located next to the lens.

• Switch the system off.

• Fill the water reservoir tank up to the fill line (Fig. 41 / p. 57) / (Fig. 42 / p. 58) with dis-

tilled water.

• Set the S2 service switch on the D3 board to position 1 (service off).

• Switch the system on. The "rinse" cycle will be activated automatically and the coupling

bellows will fill.

• Switch the system off.

• Fill the water reservoir tank with distilled water.

• Reattach the system cover panels.

Emptying the Cooling System with the Old Pump (2/Fig. 10) 0

• Remove the system cover panels.

• Remove the water reservoir tank and empty the water.

• Insert the return hose into the water reservoir tank.

• Position the support arm in the horizontal position.

• Open the Y8 valve (Fig. 41 / p. 57), i.e. switch the Y8 lever from horizontal = closed to

vertical = open.

• Switch the system on.

• Set the S2 service switch on the D3 board to position 2 (service on).

• Select "service" on the control unit and then "cooling unit".

• Press the corresponding key for "empty" on the control unit until no more water flows.

• Set the S2 service switch on the D3 board to position 1 (service off).

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LITHOSTAR MODULARIS 61

• Switch the system off.

Emptying the Cooling system with the New Pump 0

(3/Fig. 42 / p. 58)

• Remove the system cover panels from the basic unit.

• Remove the water reservoir tank and empty the water.

• Insert the return hose into the water reservoir tank.

• Position the support arm in the horizontal position.

• Open the Y8 valve (Fig. 42 / p. 58), i.e. switch the Y8 lever from horizontal = closed to

vertical = open.

• Exchange the two water connections on the cooling pump. (The two black-marked hos-

es are not connected).

• Switch the system on.

• Set the S2 service switch on the D3 board to position 2 (service on).

• Select "service" and then "cooling unit" on the control unit.

• Press the corresponding key for "empty" on the control unit until the water stops.

• Set the service switch on the D3 board to position 2 (service off).

• Switch the system off.

• Properly connect the two water connections to the cooling pump. (Both black-marked

hoses must be reconnected).

Emptying the Coupling System 0

• Remove the system cover panels on the basic unit.

• Remove the water reservoir tank and empty the water.

• Switch the system on.

• Position the support arm in the horizontal position.

• Set the S2 service switch on the D3 board to position 2 (service on).

• Select "service" and then "coupling system" on the control unit.

• Press the corresponding key for "empty" (S6) on the control unit until the coupling bel-

lows is located next to the lens.

• Switch the system off.

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Hose Pump Head in the Coupling System 0

Removing the Hose Pump Head 0

• Remove the system cover panels and the cover of the shock wave head.

• Empty the coupling system (refer to the section "Emptying the Coupling System").

• Switch the system off.

• Remove the safety latch on the hose pump head.

• Press the black latch (1/Fig. 41 / p. 57) / (1/Fig. 42 / p. 58) up or down and remove the

hose pump head from the drive.

• Open the 2 hose clamps and remove the hoses.

• Remove the hose pump head.

Installing the Hose Pump Head 0

• Place the hose pump head on the drive shaft and lock it into place.

• Reconnect the 2 hoses with the hose clamps. Ensure that the hoses are the correct

length, i.e. cut them to the same length as the old hoses.

• Fill the coupling system (refer to "Filling the Coupling System").

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Hose Pump Head in the Cooling System 0

Removing the Hose Pump Head 0

• Switch the system off.

• Open the system cover panel.

• Empty the cooling system (refer to the section "Emptying the Cooling System").

• Remove the safety latch on the hose pump head.

• Press the black latch (1/Fig. 41 / p. 57) down or up and remove the hose pump head

from the drive.

• Open the 2 hose clamps and disconnect the hoses.

• Remove the hose pump head.

Installing the Hose Pump Head 0

• Place the hose pump head on the drive shaft and latch it into position.

• Reconnect the 2 hoses with the hose clamps. Ensure that the hoses are the correct

length, i.e. cut them to the same length as the old hoses.

• Fill the cooling system (refer to the section "Filling the Cooling System").

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64 LITHOSTAR MODULARIS

IWAKI Cooling Pump 0

Removal 0

• Switch the system off.

• Open the system cover panel.

• Remove the fasteners on the pump.

• Remove the motor connections on the terminal block.

• Loosen the screws to remove the pump.

Installation 0

• Install the pump.

• Connect the motor connections.

• Connect the fasteners on the pump (The black-marked water hoses must be connect-

ed).

• Fill the cooling system (refer to the section "Filling the Cooling System").

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Charging Unit 0

Fig. 44: HV connection

Fig. 45: Charger mount

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66 LITHOSTAR MODULARIS

Fig. 46: Fiber optic cable

• Switch the system off and disconnect the power connector.

• Remove the cover panels (of the basic system unit).

• Disconnect the charging unit power cable.

• Wait at least 10 minutes after switching the system off. Then remove the cover on

the back high-voltage cable connection (Fig. 44 / p. 65).

• Remove the high voltage cable (HK/Fig. 44 / p. 65) and the ground wire

(SL/Fig. 44 / p. 65) by removing the screws.

• Remove the fiber optic cable from the charging unit.

• Remove the six Allen screws (IS/Fig. 45 / p. 65) (three on each side, right and left).

• Remove the old charging unit from the basic system unit and install the new one.

• Reattach the six Allen screws (IS/Fig. 45 / p. 65) and tighten them (three on each side,

right and left).

• Reconnect the fiber optic cable to the charging unit (check for correct connections).

• Reattach the ground wire and the high-voltage cable with the screws (Fig. 44 / p. 65).

• Reattach the cover on the high-voltage cable connection.

• Reconnect the power cable of the charging unit.

• Record the installation date on the charging unit (next to the capacitor).

• Switch the system on.

• Read out the counters for the charging unit and the spark gap and record the values on

the old charging unit.

• Reset the counter (Service Software / p. 31).

• Perform a function test.

• Switch the system off and reattach the system cover panel.

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Fig. 47: HV connector

Fig. 48: HV connector opening

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68 LITHOSTAR MODULARIS

Fig. 49: Replacing the HV cables

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High Voltage Connector 0

• Remove the cover panels of the basic system unit and the shock wave head.

• Remove the shock wave head (refer to the corresponding section).

• Remove the cover at the charging unit above the high-voltage connection by removing

the screws (Fig. 44 / p. 65).

• Remove the three clamps (N/Fig. 44 / p. 65) on the high-voltage connection.

• Push the high voltage cable (HK/Fig. 44 / p. 65) in the direction of the shock wave head

through the corrugated tubing until the high-voltage connector is accessible

(Fig. 47 / p. 67).

• Remove the screws (S/Fig. 47 / p. 67) on the high voltage connector.

• Push the metal housing (G/Fig. 48 / p. 67) above the high-voltage plug toward the

back.

• Open the cover (D/Fig. 48 / p. 67) of the high-voltage connector.

• Remove the connection clamps (M/Fig. 49 / p. 68) in the old high-voltage connector.

• Open the cable clamps (KS/Fig. 49 / p. 68) of the high-voltage connector.

• Connect the new high-voltage connector; reconnect and secure it in the reverse order

of removal.

• Push the high-voltage cable back in the direction of the charging unit (in the basic unit)

and connect it (Fig. 44 / p. 65).

• Install the shock wave head assembly (refer to the corresponding section).

• Attach all cover panels (refer to the corresponding sections).

Fig. 50: Removing the C body

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70 LITHOSTAR MODULARIS

Fig. 51: Sensor

Fig. 52: C body water supply

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LITHOSTAR MODULARIS 71

Cables in the Corrugated Tubing 0

Note: All cables must be disconnected from the shock wave head to replace parts of the corrugated tubing.

• Remove the cover panels on the basic system unit and the shock wave head.

• Remove the shock wave head (refer to the corresponding section).

• Push the temperature sensor slightly forward (T/Fig. 50 / p. 69) in the shock wave head

support and then push it back to the side.

• Secure the spiral spring to the sensor supply cable approx. 4 cm (X/Fig. 51 / p. 70) be-

hind the temperature sensor with adhesive tape to keep it from slipping back

(KB/Fig. 51 / p. 70).

• Up to support arm serial number 0050

- Remove the white teflon plate (TP/Fig. 50 / p. 69) by removing the screws.

- Now pull the water supply (W/Fig. 52 / p. 70) in the shock wave head somewhat forward and then push it back to the side.

• Beginning with support arm serial number 0051

- Remove the two screws (1/Fig. 53 / p. 71) .

- Remove the lower part (2/Fig. 53 / p. 71).

• Remove the column cover (Fig. 55 / p. 73).

• Do not cut open the cable that fastens the corrugated tubing to the support arm. It can

be opened with a slight turn of the screw.

• Unscrew the corrugated tubing (2/Fig. 55 / p. 73).

• Remove the disk (3/Fig. 56 / p. 73) from the corrugated tubing.

• Replace the corresponding cable in the corrugated tubing.

- If the "temperature sensor" cable is being replaced, the water supply from the defective one must be transferred to the new pressure sensor (for more information on this procedure, refer to the section "Air Suction Hose").

Fig. 53: C body

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72 LITHOSTAR MODULARIS

Fig. 54: Suction hose

• Up to support arm serial number 0050

- Place the water supply (W/Fig. 52 / p. 70) in the shock wave head in the same manner as was done during removal.

- Reattach the white teflon plate (TP/Fig. 50 / p. 69).

• Beginning with support arm serial number 0051

- Reattach the lower part (2/Fig. 53 / p. 71).

- Tighten the two screws (1/Fig. 53 / p. 71).

• Place the temperature sensor (T/Fig. 50 / p. 69) with the spiral spring from the back in

the shock wave head in the same manner as was done during removal; ensure that the spring force of the spring pushes the temperature sensor to the front (T/Fig. 50 / p. 69).

• Reattach the disk (3/Fig. 56 / p. 73) to the corrugated tubing, make sure the leads are

correctly connected.

- High voltage cable (4/Fig. 56 / p. 73)

- Tubing sections (5/Fig. 56 / p. 73)

- Other lead (6/Fig. 56 / p. 73)

• Reattach the corrugated tubing with the screws.

• Route the cables and the hoses according to (Fig. 56 / p. 73).

• Reattach the column cover panel.

• Install the shock wave head assembly (refer to the corresponding section).

• Reattach all cover panels (refer to the corresponding section).

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LITHOSTAR MODULARIS 73

Fig. 55: Column without cover

Fig. 56: Corrugated tubing

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74 LITHOSTAR MODULARIS

Air Suction Hose 0

Up to support arm serial number 0050 0

• Remove the cover panels of the basic system unit and the shock wave head.

• Remove the shock wave head (refer to the corresponding section).

• Pull the temperature sensor (T/Fig. 50 / p. 69) in the shock wave head support some-

what forward and then push it back through to the side.

• Secure the spiral spring to the sensor supply cable (X/Fig. 51 / p. 70) approx. 4 cm be-

hind the temperature sensor with adhesive tape (KB/Fig. 51 / p. 70) to keep it from slip- ping back.

• Remove the white teflon plate (TP/Fig. 50 / p. 69) by removing the screws.

• Push the high-voltage connector (W/Fig. 52 / p. 70) slightly to the side for better access

to the water supply (Fig. 52 / p. 70).

• Now pull the water supply (W/Fig. 52 / p. 70) with the center air suction hose slightly for-

ward in the shock wave head support and then push it back through to the side.

• Remove the front bracket connection(F/Fig. 57 / p. 74) on the water supply by remov-

ing the screws.

• Remove the front part (E/Fig. 57 / p. 74) of the water supply by removing the screws.

• Disconnect the old water hose.

• Install the new water hose and secure it with the appropriate hardware.

• Remove the front part (E/Fig. 57 / p. 74) of the water supply by removing the screws.

• Puncture the tubing with a needle (approx. 1 mm) twice at this point (<--/Fig. 57 / p. 74).

• Insulate the bracket connection of the water supply (F/Fig. 57 / p. 74) just removed, i.e.

attach new teflon insulation tape with the screws; when doing this, do not block the opening to the pressure sensor.

Fig. 57: Head water supply

• Install the water supply (W/Fig. 52 / p. 70) in the shock wave head support, following

the same procedure as for removal.

• Reinstall the white teflon plate (TP/Fig. 50 / p. 69).

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LITHOSTAR MODULARIS 75

• Install the temperature sensor (T/Fig. 50 / p. 69) with the spiral spring in the shock wave

head support following the same procedure as for removal in the reverse order; when doing this, make sure that the spring force of the spiral spring is pushing forward against the temperature sensor (Fig. 50 / p. 69).

• Install the shock wave head assembly (refer to the corresponding section).

• Reattach all cover panels (refer to the corresponding section).

Beginning with support arm serial number 0051 0

• Remove the covers of the basic system unit and the shock wave head.

• Empty the coupling system (refer to specific paragraph).

• Remove the coupling bellows.

• Remove both screws (1/Fig. 53 / p. 71).

• Pull out the lower part (2/Fig. 53 / p. 71).

• Remove the part with the air suction hose (1/Fig. 54 / p. 72).

• Replace the air suction hose.

• Pierce the hose two times with a needle (approx. 1mm) in the same manner the old

hose was pierced.

• Reassemble in the opposite order. Ensure proper positioning of the Allen screws dur-

ing reassembly.

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76 LITHOSTAR MODULARIS

D3 Board or Chip Card Reader 0

Notice for LITHOSTAR MODULARIS with the Gold Card: 0

• Do not use the Gold card to troubleshoot other systems!

• Changing the Gold card too many times will render it unusable.

• After each change of the Gold card to another system, the user must confirm this on the

control unit.

• The Gold card and the board each contain an internal counter; if these counters do not

have the same value, the counter values will increase.

• If the card must be changed due to service, the switch on the D3 board must be set to

service prior to beginning the service work. In this case, the counter values will not change. However, triggering of shock waves will be blocked but the system will initialize.

• If D3/M13 is being replaced, an internal counter on the Gold card will count up. The

Gold card will be automatically rendered unusable if the Init counter in the "Chip Card" menu exceeds "3".

• A new Gold card must be ordered from the sales department. After receiving the new

Gold card, the old card must be returned to SPL in Erlangen. If the card is not returned, full price will be charged.

Replacing the D3 Board 0

• Prior to installing a new board, if possible, read out the counter status and record the

value in the Operating Protocol (Protocols Register).

• Prior to removing the D3 the, remove the chip card (Gold card or pay-per-use) from the

reader.

- For Gold card only: Prior to ejecting the card, remove the reader from the covers by removing the screws (the insertion slot must be clear).

- Eject: Set the switch on the D3 board to the service mode. In the service menu, select chip card and eject.

• Switch the system off. Replace the D3 board. Prior to installing the board, check wheth-

er the battery is connected.

• If the ultrasound localization is available, assemble the D3 board on the new ultra-

sound addition.

• Switch the system on.

• Connect the service PC and then connect to the LITHOSTAR MODULARIS. Perform a

software download (Service Software / p. 31).

• Perform the system-specific settings: time, language, table right or left, pulse rate, ECG

triggering.

• Reset the S2 switch on the D3 board to the normal mode.

• Turn the system off and then on again.

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LITHOSTAR MODULARIS 77

• Depending on the language selected, the following text will appear on the control dis-

play panel of the LITHOSTAR MODULARIS:

- "Bitte eine LITHOCARD einlegen!"

- "Please insert a LITHOCARD!"

- "Introducir una LITHOCARD!"

- "Veuiller insérer une LITHOCARD!"

• Insert a "pay per use" card or a "gold card"

¹ If a gold card is inserted, the following text is displayed: "New LITHOCARD

Gold" inside! Increment INIT Counter? - Answer "Yes" to this question.

• For Gold card only: install the chip card reader.

• If the ultrasound localization is available, the potentiometer will have to be adjusted ac-

cordingly (see chapter on "Service software", select option: u).

• Check whether the default values for ultrasound are available (SPL1-130.038.01...)

and whether any necessary changes were made.

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78 LITHOSTAR MODULARIS

D3 Board Expansion (Ultrasound) 0

If the ultrasound addition is being replaced, the potentiometer will have to be adjusted accordingly (see chapter on "Service software", select option: u).

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LITHOSTAR MODULARIS 79

Pressure Measurement 0

Note: Coupling bellows (C-system), item number 16 12 337 must be used to perform the pressure measurement.

• Switch the system off.

• Remove the covers of the shock wave head (refer to the corresponding section).

• Remove the coupling bellows; when doing this, carefully pull the guide pin out of the air

suction hose (Fig. 39 / p. 55) / (Fig. 40 / p. 55).

• Loosen the four screws (V/Fig. 34 / p. 51) on the isocenter phantom but do not remove

them.

• Flip the isocenter phantom forward and remove it completely.

• Install the C-system coupling bellows for the pressure measurement.

• Fill the coupling system (refer to the corresponding sections).

• Remove any air bubbles in the coupling bellows. Install the adapter for the pressure

measurement.

• Perform the pressure measurement.

• The instructions for performing the pressure measurement are shipped with the shock

wave pressure test device (PTU).

• After completing the pressure measurement, restore the system to its previous status.

Fig. 58: Angulation drive

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80 LITHOSTAR MODULARIS

Fig. 59: Potentiometer shaft

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LITHOSTAR MODULARIS 81

Potentiometer for Angulation Drive 0

• Couple the LITHOSTAR MODULARIS to the SIREMOBIL Iso-C.

• Set the C-arm to 0°.

• Open the cover on the angulation drive (Fig. 58 / p. 79).

• Unsolder the cables at the potentiometer (P/Fig. 58 / p. 79)); when doing this, record

the color coding of the cables to the potentiometer connections to ensure correct reconnection.

• Remove the old potentiometer completely (P/Fig. 58 / p. 79).

• Install and solder in the new potentiometer.

• Set the potentiometer to 500 10 Ohms or 5.0 0.1 Volts (center position). The potenti-

ometer setting can also be checked using the Service PC (Service Software / p. 31).

• Tighten the toothed belt.

• Perform C-Arm adjustment as described in (Fig. 31 / p. 48).

• Reinstall the cover panels.

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82 LITHOSTAR MODULARIS

Angulation Drive (C-Arm Drive) 0

• Open the cover of the angulation drive.

• Disconnect the motor cable coming from the unit at the clamp (K/Fig. 58 / p. 79).

• Unsolder the cables at the potentiometer (P/Fig. 58 / p. 79); when doing this, record the

color coding of the cables to the potentiometer connections to ensure correct reconnection.

• Remove the old angulation drive completely.

• Install the new angulation drive. Do not tighten the mounting screws yet

(5/5a/Fig. 58 / p. 79).

• Adjust the C-Arm to 0°.

• Couple the LITHOSTAR MODULARIS to the SIREMOBIL Iso -C.

- The pin (6/Fig. 59 / p. 80) should go into the guide easily; if not, rotate the motor via the control panel of the LITHOSTAR MODULARIS.

- If the screws can still be loosened (5/5a/Fig. 58 / p. 79). Follow the correct sequence when tightening (5 up, 5 down, 5a up, 5a down/Fig. 58 / p. 79).

• Set the potentiometer to 500 10 Ohms or 5.0 0.1 Volts (center position). The potenti-

ometer setting can also be checked using the Service PC (Service Software / p. 31).

• Tighten the toothed belt.

• Adjust the C-Arm according to the description on pages (Fig. 31 / p. 48).

• Reattach the motor cover panel.

Fig. 60: Horizontal carriage cover

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Fig. 61: Support arm

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84 LITHOSTAR MODULARIS

SIREMOBIL Iso-C 0

System configuration n = several

Docking plate removal

1 LITHOSTAR MODULARIS and 1 SIREMOBIL Iso-C

Up to support arm S0050

For adjustment of the isocenter on the shock wave head; refer to chapter (LITHOSTAR MODULARIS up to

Support Arm Serial Number 0050 / p. 97).

Beginning with support arm S0051

For adjustment of isocenter on the SIREMOBIL Iso-C; refer to chapter

(LITHOSTAR MODULARIS beginning with Support Arm Serial Number 0051 / p. 103).

1 LITHOSTAR MODULARIS and n SIREMOBIL Iso-C

It is important to follow this work flow to avoid having to readjust the isocenter on all SIREMOBILEs!

• Prior to removing the docking plate, view

the isocenter (the three C-arm positions) and if possible, save it or make a hardcopy.

• Remove the docking plate (mark the posi-

tion on the SIREMOBIL Iso-C).

• Perform the necessary work on the SIRE-

MOBIL Iso-C.

• Secure the docking plate back in place.

• Check isocenter; the setting must be identi-

cal to how it was prior to removing the docking plate. If an adjustment is necessary, it must be made via the isocenter setting on the SIREMOBIL Iso-C; refer to chapter

(LITHOSTAR MODULARIS beginning with Support Arm Serial Number 0051 / p. 103).

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LITHOSTAR MODULARIS 85

Switches 0

CAUTION: Lift switch-off for the SIREMOBIL Iso-C may not function if the floor is not level. If this is the case, make use of the additional castors (see also Operating Instructions).

Replacing Switches 0

NOTE

If the docking plate was removed, the isocenter must be checked.

• Remove the docking plate by removing the screws.

• Remove the horizontal carriage cover of the SIREMOBIL:

- to do this, remove the six screws on the underside,

- expand the cover slightly and push it up (Fig. 60 / p. 82).

• Replace the switch.

• Reattach the horizontal carriage cover on the SIREMOBIL with the screws.

• Up to support arm serial number 0050

- Reattach the docking plate so that it is seated on the threads of the screws. Tighten the mounting screws with a torque of 18 Nm.

• Beginning with support arm serial number 0051

- Tighten the plate (9/Fig. 61 / p. 83) to a torque of 18 Nm.

- Tighten the plate (8/Fig. 61 / p. 83) to a torque of 10 Nm.

Fig. 62: Docking plate

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86 LITHOSTAR MODULARIS

Fig. 63: Docking schematic

Adjusting the S1/S2 Switches 0

• Adjustment of activating lever (Fig. 63 / p. 86).

• When activating the S1 pin (Fig. 61 / p. 83), movement of the vertical column is

blocked.

- When activating pin S2 (Fig. 61 / p. 83), movement of the vertical column are blocked in both directions.

• The screws behind the opening (7/Fig. 61 / p. 83) should be loosened only. Move the

switch until switching function is activated and tighten the screws.

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LITHOSTAR MODULARIS 87

Setting the Cam on the LITHOSTAR MODULARIS 0

NOTE

Necessary only if the switch on the SIREMOBIL Iso-C cannot be adjusted.

• Remove the knob (8/Fig. 62 / p. 85); lift up the ball and secure the axis against moving.

• Up to support arm serial number 0050

- Remove the countersunk screw (9/Fig. 62 / p. 85).

- Remove all screws from the covers.

- Firmly pull the handle apart (10/Fig. 62 / p. 85).

Fig. 64: Docking plate distance

Fig. 65: Adjustment nuts

• Beginning with support arm serial number 0051

- Remove all cover screws.

• Remove the upper portion of covers (11/Fig. 62 / p. 85).

• Couple the LITHOSTAR MODULARIS to the SIREMOBIL Iso-C.

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88 LITHOSTAR MODULARIS

• Raise the vertical column of the SIREMOBIL Iso-C until the LITHOSTAR MODULARIS

hooks onto the docking plate of the SIREMOBIL Iso-C (12/Fig. 64 / p. 87).

• Loosen the lock nut (13/Fig. 65 / p. 87).

• Rotate the threaded nut (14/Fig. 65 / p. 87) to adjust the cam (15/Fig. 65 / p. 87) so that

the switch is rotated. Upward movement of the SIREMOBIL Iso-C is blocked.

• Tighten the lock nut (13/Fig. 65 / p. 87)(13/Fig. 35).

• Temporarily attach the braking handle.

• Lock the LITHOSTAR MODULARIS and the SIREMOBIL Iso-C together.

• Downward movement must be blocked. If not:

- loosen the set screw (16/Fig. 65 / p. 87).

- rotate the lever until the switch is activated.

- tighten the set screw (16/Fig. 65 / p. 87).

• Reattach the covers.

Fig. 66: Column mount

Fig. 67: Balance arm

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Fig. 68: Spring mount

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90 LITHOSTAR MODULARIS

Balancing Spring for the Support Arm 0

• Position the support arm vertically.

• Remove covers from the cart.

• Remove the cover from the column/mount for ECG triggering.

• Remove the cover from the high voltage connector on the charge device (this simplifies

removing the spring mount).

• Remove the 3 screws (1/Fig. 66 / p. 88). Take out the spring mount.

• Remove the spring mount.

• Replace the balancing spring.

- If the mount is different from the one shipped, it must be replaced as well.

- Be sure to maintain the correct spacing (Fig. 68 / p. 89).

• Reinstall the spring mount.

• Perform the following check:

- position the support arm horizontally and place it in the docking position (center locking position).

- place a level on the support arm (1/Fig. 67 / p. 88).

- the air bubble can incline to the right, but not to the left (Fig. 67 / p. 88). If the air bub- ble moves to the left side, the spring must be replaced.

• Check the isocenter under radiation.

Fig. 69: Replacing the support arm

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Support Arm Replacement 0

• Remove the system cover panels and the covers on the shock wave head.

• Empty the coupling system (refer to "Emptying the Coupling System" section).

• Empty the cooling system (refer to "Emptying the Cooling System" section).

• Switch the unit off and disconnect it from the power supply.

• Remove the shock wave head (Shock Wave Head / p. 51).

• Remove the residual water from the hoses.

• If the ECG triggering option is available, remove the Sirecust from the docking station

and unscrew it.

• Open the charging unit and disconnect the high-voltage connection (Charging

Unit/p.65).

• Disconnect all cables and hoses in the unit coming out of the corrugated hose.

• Unscrew the corrugated hose (2/Fig. 55 / p. 73).

• Remove cables and hoses from the rotary joint.

NOTE

2 persons are required temporarily to replace the support arm.

• Loosen the 4 screws on the support arm mount (1/Fig. 69 / p. 90).

• Remove the old support arm and position the new one.

• Tighten the 4 mounting screws (1/Fig. 69 / p. 90) to 20 Nm torque.

• Push the cables and hoses through the opening of the rotary joint and run them down.

Refer to (Fig. 55 / p. 73) for the cable run. Fasten the corrugated hose to the rotary joint

(2/Fig. 55 / p. 73).

Fig. 70: D3 layout

• Check and, if necessary, correct the cable run in all positions of the support arm.

• Plug in or fasten cables and hoses again according to the designations. Refer to

(Fig. 70 / p. 91) for the connector designations on the D3 board.

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92 LITHOSTAR MODULARIS

• Install the water supply shipped with the support arm (Air Suction Hose / p. 74).

• Install the shock wave head completely (Installing the Shock Wave Head / p. 54).

• If the ECG triggering option is available, pull the trigger cable and cable for Sirecust

power supply upwards through the rotary joint.

• Strain-relieve the cable on the docking station and install docking station.

• Fill cooling system and coupling system (Filling the Cooling System / p. 59).

• Adjustment of the lift switch-off (Adjusting the S1/S2 Switches / p. 86).

• Adjustment of the clamping

- For docking plate serial numbers < 0050, turn in the screws (17/Fig. 65 / p. 87) on both clamping hooks symmetrically until the correct clamping force is reached. Then lock the screws again.

- For docking plate serial numbers > 0051 (see Installation and Setting Instructions SPL 1-130.033.01 page 4-2) .

• Adjustment of the angulation motor (Angulation Drive (C-Arm Drive) / p. 82).

• Check shot triggering and centering.

• Attach all cover parts.

Fig. 71: Rotary label

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Fig. 72: Changing probes

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94 LITHOSTAR MODULARIS

Rotary Joint Latch Replacement 0

• Remove the two labels (1/Fig. 71 / p. 92).

• Loosen the screws located below and remove the rotary joint lock.

• Remove any burrs that may be present on the catch holes.

• Install the new rotary joint lock.

• Affix the labels again.

• Check the latch in all positions.

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Replacing the Probe 0

Sector Probe 0

• Loosen the 6 screws (3 are not visible) (1/Fig. 72 / p. 93) and remove the sleeve

(2/Fig. 72 / p. 93).

• Attach the sleeve on the new probe. Pay particular attention to the positioning, the mark

((3/Fig. 72 / p. 93) and (4/Fig. 72 / p. 93) must be lined up.

• Tighten the 6 screws.

• Check the ultrasound isocenter.

Curved Probe 0

• Loosen the 8 screws (4 are not visible) (8/Fig. 72 / p. 93) and remove the sleeve

(7/Fig. 72 / p. 93).

• Attach the sleeve on the new probe. Pay particular attention to the positioning; the nar-

row side with the orange dot (6/Fig. 72 / p. 93) and (5/Fig. 72 / p. 93) must line up.

• Tighten the 8 screws.

• Check the ultrasound isocenter.

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96 LITHOSTAR MODULARIS

Final Work Steps 0

• Perform the ground wire measurement.

• Test all functions from the control panel.

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Isocenter with X-Ray 97

5Isocenter with X-Ray

LITHOSTAR MODULARIS up to Support Arm Serial Number 00500

NOTE

The ball will jump when zooming, but this has no effect.

Adjustment Procedure 0

Prerequisite: The potentiometer must be correctly adjusted on the motor.

Fig. 73:

If screws were loosened on the adjustment direction of the shock wave head, they must be tightened before checking the isocenter with X-ray.

NOTE

Before the isocenter can be checked or adjusted, the following settings must be performed on the SIREMOBIL Iso-C:

1. Camera rotation to 0°.

2. Deselect vertical image reverse (LED is off).

3. Deselect horizontal image reverse (LED off).

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Page 97 of 138

98 Isocenter with X-Ray

Fig. 74: Cross hair focusing

Fig. 75: hms 1 (head mounting socket)

Fig. 76: Left and right adjustment

Adjusting the 0° Position 0

• Remove the cover on the shock wave head (Shock Wave Head / p. 51).

• Couple the LITHOSTAR MODULARIS to the SIREMOBIL Iso-C as described in the op-

erating instructions. Do not couple the motor yet.

• Manually perform the orbital movement (angulation range approx. 30°).

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Medical Solutions

Isocenter with X-Ray 99

• Set the SIREMOBIL Iso-C to orbital and angulation direction 0°.

• Couple the motor.

• Flip up the isocenter phantom.

• Switch fluoro ON briefly.

The ball must be in the center of the cross (Fig. 74 / p. 98).

• If required, adjust the shock wave head as shown in (A or B/Fig. 76 / p. 98):

A: Loosen the screws

(1/Fig. 75 / p. 98) on both sides.

Shift it with the screws

(2/Fig. 75 / p. 98).

Retighten the screws

(1/Fig. 75 / p. 98) on both sides.

B: Loosen the screws (3/Fig. 75 / p. 98)

on both sides.

Shift it with the screws

(4/Fig. 75 / p. 98).

Retighten the screws (3/Fig. 75 / p. 98) on both sides.

Fig. 77: hms 2

Fig. 78: Iso-C high

Siemens AG SPL1-130.840.01.05.02 LITHOSTAR MODULARIS Medical Solutions

04.05 CS PS 24

Page 99 of 138

100 Isocenter with X-Ray

Fig. 79: Vertical adjustment

Adjusting the 20° Position 0

X X

NOTE

The position of the ball does not have to be identical in both 20° positions. However the tolerances must be maintained

(Fig. 74 / p. 98).

• Move the C-Arm into one of the two 20° positions.

• Switch fluoro ON briefly. The ball must be in the center of the cross (Fig. 74 / p. 98).

• Move the C-Arm into the other 20° position.

• Switch fluoro ON briefly. The ball in the adjustment area must be located in the center of

the centering cross (Fig. 74 / p. 98).

• The distance from the phantom to the center of the centering cross must be the same

for both 20° positions (with a maximum difference of 2 mm) (C/Fig. 79 / p. 100).

• If not, adjust the shock wave head as shown in (D or E/Fig. 79 / p. 100):

- Loosen the screws (5/Fig. 77 / p. 99) on both sides.

D: Move the C-Arm into the 20°

position as shown in

(D/Fig. 79 / p. 100) (viewed from

the table).

E: Move the C-Arm into the 20° position

as shown in (E/Fig. 79 / p. 100) (viewed from the table).

Correct the position of the shock wave head with the screw

(6/Fig. 77 / p. 99) as shown in (D/Fig. 79 / p. 100).

Correct the position of the shock wave head with the screw (6/Fig. 77 / p. 99) as shown in (E/Fig. 79 / p. 100).

• The shock wave head must be moved in parallel (see scale (7/Fig. 77 / p. 99)). The

screw (6/Fig. 77 / p. 99) is also located on the other side of the shock wave head sup- port. If the shock wave head cannot adjusted, "rotate" the docking plate at the SIREMOBIL Iso-C , i.e. the back part is higher than the front (8/Fig. 78 / p. 99).

LITHOSTAR MODULARIS SPL1-130.840.01.05.02 Siemens AG

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Medical Solutions

Siemens Lithostar Modularis Vario Troubleshooting Guide

Specifications and Main Features

Frequently Asked Questions

User Manual

2 Revision / Disclaimer

General 7

Safety Information and Protective Measures 0

Applicability and Regulations for the Country Organizations 0

Required Tools and Test Equipment 0

Required Aids and Documents 0

Product-specific Information 0

Modularis 0

Modularis Vario 0

LITHOSTAR MODULARIS Error List 13

Info, E00 and E99 0

Water System, E10-E12 0

Water System, E14-E15 0

Controls, E20-E21 0

Controls, E22-E25 0

Controls, E26-E29 0

Monitoring, E31-E34 0

Monitoring, E40-E48 0

Monitoring, E49-E54 0

High Voltage Circuit, E60 - E67 0

High Voltage Circuit, E68 - E74 0

High Voltage Circuit, E75 - E78 0

Internal Errors, E80-E89 0

Ultrasound, E90-E93 0

Displays on the D3 Board 0

Text on the Console 0

"Chip card invalid" 0

LITHOSTAR MODULARIS SIEMENS 0

Missing Isocenter Cross on the Ultrasound System 0

Service Software 31

(Hyper) Terminal Program 0

German WINDOWS 95/98/NT 0

English Windows 95/98/NT 0

Working with the (Hyper) Terminal Program 0

Select Option: h 0

Select Option: p 0

Select Option: d 0

Select Option: e 0

Select Option: t 0

Select Option: c 0

Select Option: a/b 0

Select Option: i 0

Select Option: u 0

Select option: r 0

Select Option: s 0

Software Download with Windows 95 / 98 / NT 0

Select Option: 0 0

Text after Replacing the D3 Board 0

LITHOSTAR MODULARIS Control Panel 0

LITHOSTAR MODULARIS 49

LITHOSTAR MODULARIS Parts Overview 0

Shock Wave Head 0

Shock Wave Head Cover Panels 0

Removing the Shock Wave Head 0

Installing the Shock Wave Head 0

Replacing the Isocenter Phantom 0

Cooling Unit 0

Checking the Cooling Unit 0

Replacing the Cooling Unit 0

Filling the Cooling System 0

Filling the Coupling System 0

Emptying the Cooling System with the Old Pump (2/Fig. 10) 0

Emptying the Cooling system with the New Pump 0

Emptying the Coupling System 0

Hose Pump Head in the Coupling System 0

Removing the Hose Pump Head 0

Installing the Hose Pump Head 0

Hose Pump Head in the Cooling System 0

Removing the Hose Pump Head 0

Installing the Hose Pump Head 0

IWAKI Cooling Pump 0

Removal 0

Installation 0

Charging Unit 0

High Voltage Connector 0

Cables in the Corrugated Tubing 0