Siemens Mammomat Balance Maintenance Protocol

Print No.: SPB7

-

115.832.01.01.02

Replaces: n.a.

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

egistration of a utility model

English

MAMMOMAT Balance

Maintenance Protocol

Customer:

Department: Room:

Address:

Contact person: Telephone:
Cust. Specific n°: Customer n°

The Maintenance Instruction s

SPB7- 115.831.01…

are required for this protocol

Doc. Gen. Date: 05.04

SP

© Siemens AG 2004

grant or r
or_ design, _are_ reserved.

Maintenance Protocol Cust. N°:….………….

em

ualified

personnel who are employed by Siemens or one of its affiliates or who are otherwise

or

rized by Siemens or one of its affiliates are directed to contact one of the local offices of

Chapter Page Revision

all all 01

Document revision level

The document corresponds to the version/revision level effective at the time of syst
delivery. Revi sions 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 q
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
autho
Siemens or one of its affiliates before attempting installation or service procedures.

MAMMOMAT Balance SPB7-115.832.01 Page 2 of 10 Siemens AG
Maintenance Protocol Rev.01 05.04 Medical Solutions

Maintenance Protocol Cust. N°:….………….

SIEMENS office:

Information regarding the maintenance protocol

Address:

Region: Country:
Contact person: Telephone:
CSE in charge: Telephone:

Information regarding the maintenance protocol

The maintenance protocol serves as a quality record of the maintenance performed
Maintenance must be performed in the prescribed intervals.
The maintenance results must be entered in the maintenance protocol.
The page numbers in the check list at the end of the protocol refer to the corresponding
pages in the associated maintenance instructions (refer to the cover sheet).
The maintenance protocol must be completely filled out by the CSE in charge.
In other words,

• All fields must be completed. If a field does not apply to the system or if there is no
information to be entered, enter ’n.a. ’ in the field.

• The customer number must be entered in the header of every page (Cust.- No.) so that
every page is assigned to a customer.

• In case of complaints, enter the product identification (IVK = WE) for the component as
well as the type of complaint in the ’Open items’ table provided. Record the open items in
the table with the date and signature. Correction of these open points should also be
documented in this table along with the date and signature. If there are no open points,
draw a line through the entire table and enter the date/initials.

• Enter the values measured during the maintenance in the space / table provided.

• After completing the maintenance, fill out page 3 of the protocol and sign it.

Processing and archiving the maintenance protocol:

The maintenance protocol is considered a record and must be archived. It must be filed
after completion of maintenance in the corresponding Register of the Maintenance binder.
If necessary, a copy should be distributed to the customer.

MAMMOMAT Balance SPB7-115.832.01 Page 3 of 10 Siemens AG
Maintenance Protocol Rev.01 05.04 Medical Solutions