Siemens Lithostar Modularis Vario Troubleshooting Guide

Erlwein
LITHOSTAR MODULARIS
Troubleshooting Guide
System
SP
Troubleshooting Guide
05531103
Print No.: Replaces: SPL1-130.840.01.04.02
SPL1-130.840.01.05.02
© Siemens AG
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
04.05 CS PS 24
Page 4 of 138
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
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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
04.05 CS PS 24
Page 6 of 138
Medical Solutions

General 7

1General
2-

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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04.05 CS PS 24
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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Page 8 of 138
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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Medical Solutions

LITHOSTAR MODULARIS Error List 13

2LITHOSTAR MODULARIS Error List
3-
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?
P
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?
P
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.
1
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.
1
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).
1
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!
1
)
Replace the charging / energy unit!
E73 Error Text: Message: Constancy limit reached.
Possible cause/action:
E74 Error Text: Constancy limit reached.
Possible cause/action:
1
) 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
or
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!
1
) 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
or
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.
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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