Siemens Modularis Uro Plus Service Instructions
MODULARIS Uro Plus
Service Instructions
SP
LITHOSTAR MODULARIS
© Siemens AG 2004
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
Print No.: SPL1-130.840.02.03.02 Doc. Gen. Date: 04.05
Replaces: SPL1-130.840.02.02.02
0 - 2 Revision Level
Chapter Page Rev.
all all 03
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.
MODULARIS Uro Plus SPL1-130.840.02 Page 2 of 4 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
Table of Contents 0 - 3
Page
1 _______General _______________________________________________________ 1 - 1
Safety information and protective measures . . . . . . . . . . . . . . . . . . . . . . 1 - 1
Scope of applicability and regulations for the subsidiaries . . . . . . . . . . . . . 1 - 1
Tools and measurement devices required. . . . . . . . . . . . . . . . . . . . . . . . 1 - 2
Auxiliary devices and documents required . . . . . . . . . . . . . . . . . . . . . . . 1 - 2
2 _______LITHOSTAR MODULARIS Error List _______________________________ 2 - 1
Info, E00 and E99 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 1
Water system, E10 – E12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 1
Water system, E14 – E15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 2
Controls, E20 – E21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 2
Controls, E22 – E25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 3
Controls, E26 – E29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 4
Monitoring, E31 – E34. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 5
Monitoring, E40 – E48. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 6
Monitoring, E49 – E54. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 7
High voltage circuit, E60 – E67 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 8
High voltage circuit, E68 – E74 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 9
High voltage circuit, E75 – E78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 10
Internal errors, E80 – E89 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 11
Ultrasound, E90 – E93 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 12
Displays on board D3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 13
Text on the Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 13
"Chip card invalid" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 13
LITHOSTAR MODULARIS SIEMENS . . . . . . . . . . . . . . . . . . . . . . . 2 - 13
Missing Iso-center cross on the ultrasound system . . . . . . . . . . . . . . . . . . 2 - 13
3 _______Service software _______________________________________________ 3 - 1
(Hyper) Terminal program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 1
German WINDOWS 95 / 98 / NT . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 2
English Windows 95 / 98 / NT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 3
Working with the Terminal program . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 4
select option: h. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 5
select option: p. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 5
select option: d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 5
select option: e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 6
select option: t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 7
select option: c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 9
select option: i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 10
select option: u. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 10
select option: r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 12
select option: s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 12
Software download with Windows 95 / 98 / NT . . . . . . . . . . . . . . . . . . 3 - 13
select option: 0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 14
Siemens AG SPL1-130.840.02 Page 3 of 6 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
0 - 4 Table of Contents
Page
Text after replacing board D3. . . . . . . . . . . . . . . . . . . . . . . . . . . .3 - 15
LITHOSTAR MODULARIS control panel . . . . . . . . . . . . . . . . . . . . . . . .3 - 16
4 ______ LITHOSTAR MODULARIS ________________________________________ 4 - 1
LITHOSTAR MODULARIS Parts overview . . . . . . . . . . . . . . . . . . . . . . . 4 - 1
Shock wave head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 2
Shock wave head covers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 2
Removing the shock wave head . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 3
Installing the shock wave head . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 5
Replace isocenter phantom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 7
Cooling unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 8
Checking the cooling unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 8
Replacing the cooling unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 9
Filling the cooling circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 9
Filling the coupling circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 9
Emptying the cooling circuit with the old pump (2/Fig. 10) . . . . . . . . . . . . .4 - 10
Emptying the cooling circuit with the new pump (3/Fig. 11) . . . . . . . . . . . .4 - 11
Emptying the coupling circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 11
Hose pump head in the coupling circuit . . . . . . . . . . . . . . . . . . . . . . . .4 - 12
Removing the hose pump head . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 12
Installing the hose pump head . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 12
Hose pump head in the cooling circuit . . . . . . . . . . . . . . . . . . . . . . . . .4 - 12
Removing the hose pump head . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 12
Installing the hose pump head . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 12
IWAKI cooling pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 13
Removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 13
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 13
High voltage connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 15
Air suction hose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 18
To support arm serial number 0050 . . . . . . . . . . . . . . . . . . . . . . . .4 - 18
From support arm serial number 0051 . . . . . . . . . . . . . . . . . . . . . . .4 - 19
Board D3 or Chip card reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 20
Notice for LITHOSTAR MODULARIS with the Gold card
Replacing board D3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 20
Board D3 Addition (Ultrasound) . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 21
Pressure measurement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 21
Potentiometer for angulation drive . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 22
Angulation drive (C-arm drive) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 23
Adjusting switches S1/S2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 26
Setting the cam on the LITHOSTAR MODULARIS. . . . . . . . . . . . . . . . . . .4 - 26
Balancing Spring for the Support Arm . . . . . . . . . . . . . . . . . . . . . . . . .4 - 28
Support arm replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 30
Replacement of rotary joint lock . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 32
Replacing the probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 32
Sector Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 32
Curved Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 33
: . . . . . . . . . . . . .4 - 20
MODULARIS Uro Plus SPL1-130.840.02 Page 4 of 6 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
Table of Contents 0 - 5
Page
Concluding work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 33
5 _______Iso-center with X-Ray ___________________________________________ 5 - 1
Adjustment procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 1
Adjusting the 0° position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 2
Adjusting the 20° position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 3
Concluding work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 4
Adjustment procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 5
Adjusting the 0° position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 6
Concluding work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 7
LITHOSTAR MODULARIS as "LithoShare" Execution . . . . . . . . . . . . . . . . . 5 - 8
Adjustment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 8
6 _______Iso-center with ultrasound _______________________________________ 6 - 1
Preparations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 - 1
Checking the target on the Sonoline G20 . . . . . . . . . . . . . . . . . . . . . . . . 6 - 2
Check of image tilt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 - 3
7 _______Memoskop Programming ________________________________________ 7 - 1
Standard programming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 - 1
8 _______MUP Menu Ultrasound Device ____________________________________ 8 - 1
Selection of the MODULARIS cross on the SONOLINE G20 . . . . . . . . . . . . . . 8 - 1
Ultrasound localization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 1
Selection of the MODULARIS cross on the SONOLINE Adara . . . . . . . . . . . . . 8 - 2
Ultrasound localization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 2
Ultrasound localization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 3
Label for ultrasound unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 4
MUT MODULARIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 4
Concluding work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 4
Overview of Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 5
Readout the Software Version G20 . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 7
Readout the Software Version Adara . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 7
9 _______Changes to the previous version__________________________________ 9 - 1
Siemens AG SPL1-130.840.02 Page 5 of 6 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
0 - 6 Table of Contents
Page
MODULARIS Uro Plus SPL1-130.840.02 Page 6 of 6 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
General 1
Safety information and protective measures 1
• Adhere to the safety measures described
1 - 1
WAR NING
Dangerous X-rax radiation and/or dangerous electrical voltage
during test and adjustment operations!
Disregarding safety precautions can result in death or serious
bodily injury.
The following points must be observed:
• Disconnect the power cable when working on the system.
• Ensure compliance with the general safety requirements when
working with the system under power.
• Switch off the power prior to replacing modules or boards.
• After all work has been completed and all covers have been
installed, perform the protective conductor test according to
ARTD-002.731.17...
• The protective conductor resistance must not exceed 0.2 ohms.
• When performing service work on the power-on module,
(replacing the power-on module or replacing the power cable),
the equivalent leakage current must be measured and recorded.
Checks and settings that need to be performed under X-ray radiation are identified by the radiation warning symbol .
When performing adjustments labeled as shown here, appropriate radiation protection measures must be taken (see ARTD,
Part 2).
Scope of applicability and regulations for the subsidiaries 1
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 subsidiaries 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 subsidiaries.
In the event that there are no existing local regulations, the following provisions should be
adhered to in the interest of the safety of customers, patients, employees and third parties
as well as the company.
Siemens AG SPL1-130.840.02 Page 1 of 2 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
1 - 2 General
Initial measured value
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 line voltage or the line frequency on-site deviates 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.
Tools and measurement devices required 1
NOTE
• Standard service equipment
• Service PC (see Intranet Service Laptop for CSE’s
• PC connection cable, 5 m 99 00 440 RE999
• ESD equipment
• Protective conductor meter 44 15 899 RV090
• Digital multimeter, e.g. FLUKE 187 99 94 831
• Shock wave pressure test unit 30 95 408 J1008
• Adapter for C-head 98 17 347 J1008
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).
Auxiliary devices and documents required 1
• SIREMOBIL Iso-C Service Instructions SPR2-230.061.01..
• Service Instructions Shock Wave Pressure Control SPL2-120.074.01..
MODULARIS Uro Plus SPL1-130.840.02 Page 2 of 2 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
LITHOSTAR MODULARIS Error List 2
2 - 1
NOTE
Error messages from the SIREMOBIL Iso-C have not been listed.
(Refer to the SIREMOBIL Iso-C service documents)
Info, E00 and E99 2
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.
Water system, E10 – E12 2
LITHOSTAR MODULARIS circuit diagram J1048, sheets 13 and 14.
E10 Error Text: Cooling system losing water.
Possible
cause/action:
E11 Error Text: Maximum pressure in the cooling circuit exceeded.
Possible
cause/action:
E12 Error Text: Minimum pressure in the cooling circuit exceeded.
Possible
cause/action:
Is water running out of the hoses?
-switch o.k.?
P
min
Board D3.X3 connection o.k.?
Fill the cooling circuit.
Pressure switch P
Are the hoses blocked, kinked?
P
-switch o.k.?
max
Board D3.X3 connection o.k?
Is the cooling unit operating?
Check the fill level in the cooling circuit.
Pressure switch P
Is water running out of the hoses and hose connections?
Air in the cooling system?
responded.
max
responded.
min
Check the fill level in the cooling circuit.
Siemens AG SPL1-130.840.02 Page 1 of 14 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
2 - 2 LITHOSTAR MODULARIS Error List
Water system, E14 – E15 2
E14 Error Text: Water level too low in the water reserve 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.?
Board D3.X3 connection o.k.?
Completely fill the coupling bellows, deselect automatic pres-
sure regulation, and drain the water.
Repair any leaks.
Refill the water in the reserve tank.
Pressure sensor on the shock head o.k.?
If water can still be pumped out, the sensor is probably defec-
tive (refer to "Working with the terminal program: show diagnostic data").
Suction hose correctly inserted in the coupling bellows?
Return hose kinked?
Board D3.X8 connection o.k.?
Fill the coupling circuit.
If the error only occurs with obese patients, the suction hose in
the coupling bellows may be kinked.
Controls, E20 – E21 2
If the control panel is dark: check fuse F5 on board D3.
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:
Connection cable X5 correctly connected to the control unit?
Check fuse F5 on board D3.
If the error occurs after replacing board D3 - is plug X35 pro-
perly connected?
X-ray button stuck?
Control unit o.k.?
Cable o.k.?
MODULARIS Uro Plus SPL1-130.840.02 Page 2 of 14 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
LITHOSTAR MODULARIS Error List 2 - 3
Controls, E22 – E25 2
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?
draws too much current.
C-arm moving freely?
SIREMOBIL Iso-C cable connected?
Brake in SIREMOBIL Iso-C can be released, i.e. the motor is
not locked?
Brake connection cable in SM Iso-C o.k.?
(D3.X38 - SM Iso-C)
Motor connection cable o.k. (board D3.X36)?
Board D3?
Motor connection cable o.k. (board D3.X36)?
Settings for the SIREMOBIL Iso brakes o.k.?
(Angulation and orbital in 0°. LITHOSTAR MODULARIS not
coupled. Place spring scale at the handle near the I.I. Release
angulation brake, pull with spring scale, the C-arm must move
when the spring balance indicates a value from 20N, 30N, the
closer to 20 N the better. Settings are made at the position
where the angulation motor is coupled. Wrench size 30 mm,
coupling must be removed).
Refer also to SPR2-230.061.01... Chapter 7.
Board D3?
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:
Siemens AG SPL1-130.840.02 Page 3 of 14 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
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 plug D3.X30!
Connect the cable to the potentiometer.
2 - 4 LITHOSTAR MODULARIS Error List
Controls, E26 – E29 2
E26 Error Text: ECG option not installed.
Possible
cause/action:
E27 Error Text: Control unit.
Possible
cause/action:
E28 Error Text: C-arm swivels in the wrong direction.
Possible
cause/action:
E29 Error Text: Shock wave release button sticks.
Possible
cause/action:
Warning message only.
Key sticks.
Replace control panel.
Cables connected wrong at 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.
MODULARIS Uro Plus SPL1-130.840.02 Page 4 of 14 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
LITHOSTAR MODULARIS Error List 2 - 5
Monitoring, E31 – E34 2
E31 Error Text: Temperature sensor supplies 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.?
Connection cable D3.X2 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 that the cooling unit is operating.
If M1 cooling pump is running pump head may need to be repla-
ced.
If the error recurs, 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.
Connection cable D3.X2 o.k.?
Board D3?
Read out the temperature with the service PC.
Refer also to error 45.
Siemens AG SPL1-130.840.02 Page 5 of 14 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
2 - 6 LITHOSTAR MODULARIS Error List
Monitoring, E40 – E48 2
E40 Error Text: Cooling pump fuse defective.
Possible
cause/action:
E41 Error Text: Cooling pump M1 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.
Fuse F2 on board D3 o.k.?
Motor M1 o.k.?
Circuit diagram J1048 – 13
Connection cable D3.X7 o.k.?
Motor M2 o.k.?
Circuit diagram J1048 – 13
Connection cable D3.X7 o.k.?
Fuse F3 on board D3 o.k.?
Replace board D3.
Possible
cause/action:
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 VCC18 on board D3 o.k. ?
Circuit diagram J1048 – 11
Connection cable D3.X8 o.k.?
Check the power supply for the pressure sensors!
LED VCC17 on board D3 o.k. ?
Replace board D3.
Short circuit?
Fuse F4 on board D3?
Circuit diagram J1048 – 13
Check valve (coupling circuit).
Check card terminal.
Replace temperature sensors.
Replace board D3.
MODULARIS Uro Plus SPL1-130.840.02 Page 6 of 14 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
LITHOSTAR MODULARIS Error List 2 - 7
Monitoring, E49 – E54 2
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: Replace the lithium battery on board D3.
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 application (only if option is available)?
Connection cable D3.X38, D3.X28 (ultrasound option) o.k.?
Circuit diagram J1048 – 16/17.
Use the Service PC to read the current potentiometer
(menu "d").
For troubleshooting: the ultrasound option is available; remove
the board for the ultrasound option and cables X28 and X29
from board D3.
Replace board D3.
too low.
Normal occurrence at initial start-up or after replacing the
lithium battery.
Check the lithium battery!
Replace board D3.
Perform a software download!
E54 Error Text: Clock stopped (this message is also displayed when the battery
is replaced)
Possible
cause/action:
Connection cable D3.X31 - XP7 present under the cover?
Set the clock!
Siemens AG SPL1-130.840.02 Page 7 of 14 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
2 - 8 LITHOSTAR MODULARIS Error List
High voltage circuit, E60 – E67 2
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 tole-
rance).
Possible
Replace the charging / energy unit!
cause/action:
E64 Error Text: Default voltage not attained.
Current voltage after frequency converter (U
) is greater than
nom
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).
Possible
cause/action:
Check the fiber optic cable!
Replace the charging/ energy unit!
1
)
MODULARIS Uro Plus SPL1-130.840.02 Page 8 of 14 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
LITHOSTAR MODULARIS Error List 2 - 9
High voltage circuit, E68 – E74 2
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 charging/ energy unit!
Check the connections of the high voltage cable!
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):
- Disconnect the fiber optic cable on both ends and check by holding it up to the light
or
- place it on the Clk (U5) of board D3 and check whether light is visible.
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
In addition, replace the water in the entire system!
Siemens AG SPL1-130.840.02 Page 9 of 14 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
2 - 10 LITHOSTAR MODULARIS Error List
High voltage circuit, E75 – E78 2
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: Call Service
Check execution level for board D3:
AS 00 - 02: replace board D3.
AS 03 and higher: replace chip card reading device.
Wrong card or card incorrectly inserted.
Insert a new card.
Check execution level for board D3:
AS 00 - 02: replace board D3.
AS 03 and higher: replace chip card reading device
Cable?
If the error recurs after replacing board D3, is plug X33 properly
connected?
Line voltage o.k.?
Replace the charging / energy unit!
Possible
cause/action:
1
) Before replacing the charging / energy unit, check the fiber optic cable (LWL):
- Disconnect the fiber optic cable on both ends and check by holding it up to the light
or
- place it on the Clk (U5) of board D3 and check whether light is visible.
HV-cable ok?
Short circuit?
MODULARIS Uro Plus SPL1-130.840.02 Page 10 of 14 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
LITHOSTAR MODULARIS Error List 2 - 11
Internal errors, E80 – E89 2
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: If this error occurs repeatedly, board D3 must be replaced.
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
Possible
cause/action:
Not applicable for the user.
Read out the memory and perform a reset at the next opportu-
nity.
If this error occurs repeatedly, board D3 must be replaced.
Not applicable for the user.
Read out the memory and perform a reset at the next opportu-
nity.
E89 Error Text: Watchdog responded.
Possible
cause/action:
If this error occurs repeatedly, board D3 must be replaced.
Appears each time a reset is done with switch S3 on board D3.
This error may occur if the system is switched off during initiali-
zation.
Siemens AG SPL1-130.840.02 Page 11 of 14 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
2 - 12 LITHOSTAR MODULARIS Error List
Ultrasound, E90 – E93 2
E90 Error Text:
Possible
cause/action: No connection from LITHOSTAR to SONOLINE
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:
Potentiometer skips.
Cable from potentiometer to board D3 ok?
Potentiometer defect?
5
Plug at US holder
Value between 1 -3 and 2-5
must be identical.
3
2
1
Dampness on the potentiometer.
C-MOS has lost values. Perform potentiometer adjustment
(Point "U" in the service menu).
Check default values (see SPL1-130.038.01...).
MODULARIS Uro Plus SPL1-130.840.02 Page 12 of 14 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
LITHOSTAR MODULARIS Error List 2 - 13
Displays on board D3 2
Once the system is turned on, different symbols are displayed chronologically on the display of board D3.
Display Possible cause/action
0 System o.k.
(only with the ultrasound localization option and if a communication was set
up to the ultrasound device.)
d Software download.
1 Data transfer, the decimal point is flashing.
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.
Text on the Console 2
"Chip card invalid" 2
This message is displayed when:
- the gold card is still logged on a different LITHOSTAR MODULARIS
- board D3 was replaced and the "init counter" on the gold card is already set at 3.
- the card is defective.
In normal mode, check whether the LED 174 on board D3 blinks temporarily and then
remains lit when turning it on.
LITHOSTAR MODULARIS SIEMENS 2
This message is displayed when too many errors occur. In this case, use the service PC
to generate an error log.
Missing Iso-center cross on the ultrasound system 2
There is no communication between the ultrasound system and the LITHOSTAR
MODULARIS.
Siemens AG SPL1-130.840.02 Page 13 of 14 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
2 - 14 LITHOSTAR MODULARIS Error List
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MODULARIS Uro Plus SPL1-130.840.02 Page 14 of 14 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
Service software 3
(Hyper) Terminal program 3
The Windows program (Hyper) Terminal 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 ser-
vice PC and the LITHOSTAR MODULARIS.
3 - 1
NOTE
In case of problems, use the Help function in the (Hyper) Terminal program.
The font "Courier New" is recommended for reading data stored on the diskette.
Due to the numerous versions and languages for WINDOWS, the
connection procedure is described in German and English.
Siemens AG SPL1-130.840.02 Page 1 of 18 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
3 - 2 Service software
German WINDOWS 95 / 98 / NT 3
Generate and switch on connection between Service PC and the D3.X9 (com 3 Service) board
Open the Hyper Terminal Program (located under "Windows" - "Zubehör")
in LITHOSTAR MODULARIS
Set switch S2 on board D3 to service
First time
connection ?
Click on Hypterm.exe
In the window " Beschreibung der Verbindung"
for the name: enter Litho / for the icon: select one and click OK
In the window "Rufnummer", select, com1 or com2 for the
Enter the following settings in the window:
Parität: keine, Stopbits: 2 , Protokoll: kein and click OK
connection, and click OK
Bits pro sekunde: 9600, Daten bits: 8
1
New
board?
Save
the data to
drive a: or c:
Yes
No
Perform software download - page 3-13
Yes
Menu: Click on "Übertragung" and select "Text aufzeichnen"
In the window "Datei aufzeichnen" accept the file path indicated or
search for the desired file path with "Browse"... then click "Start"
NoYes
Open the connection, e.g. Litho
Press the "H" key, the text is displayed
Perform the desired tasks (refer to pages 3-4 to 3-10)
Then in the "Übertragung" Menu , select "Text aufzeichnen" and select "Beenden"
In the "Datei" menu, click on exit
Enter the appropriate response to the other queries
Set switch S2 on board D3 back to normal and remove the connection cable
End
*Additional information: In order to save the information from LITHOSTAR MODULARIS, it is best to save
the desired file as a text file. Basic procedure: open Windows Explorer. Open the folder, e.g. Temp, then click on
MODULARIS Uro Plus SPL1-130.840.02 Page 2 of 18 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
the Datei menu and click "Neu / Textdatei". Enter the name for the text file.
Service software 3 - 3
English Windows 95 / 98 / NT 3
Generate and switch on connection between Service PC and the D3.X9 (com 3 Service) board
Open the Hyper Terminal Program (located under "Windows" - "Accessories")
in LITHOSTAR MODULARIS
Set switch S2 on board D3 to service
First time
connection ?
Click on Hypterm.exe
for the name: enter Litho ; for the icon: select one and click OK
In the window "Connect To " select : com1 or com2 and click OK
In the window" Connection Description "
Enter the following settings in the window:
Bits per second: 9600, Data bits: 8, Parity: none,
Stop bits: 2, Flow control: None, and click OK
1
Save the data
to drive c: or a:
New
board?
Yes
Yes
NoYes
Open the existing connection, e.g. Litho.ht
Perform software download - page 3-13
In the Transfer menu, select Capture Text..*
In the window " Capture Text " accept the file path indicated or
search for the desired file path with Browse.. and click Start
No
Press the "H" key to display the text
Perform the desired tasks (refer to pages 3-4 to 3-10 )
Then in the Transfer menu, select Capture Text and select Stop
In the File menu, click Exit
Enter the appropriate response to the other queries
Set switch S2 on board D3 back to normal and remove the connection cable
End
*Additional Information: In order to save the information from LITHOSTAR MODULARIS, it is best to save the
desired file as a text file. Basic procedure: open Windows Explorer, open the folder e.g. Temp, then click on the
Siemens AG SPL1-130.840.02 Page 3 of 18 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
"File" menu and click on New / Text file and enter the name for the text file.
3 - 4 Service software
Working with the Terminal program 3
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.
--------------< SIEMENS LITHOSTAR MODULARIS >------------- software version: V_ _ _ hardware:_ _ - _ _
select option:
==============
h: show this help screen
p: show pulse counters
d: show diagnostic data
e: show error log 100 errors present
t: show therapy data
c: show chipcard data
a/b: adjust c-arm turn-back (a=-, b=+) now: 1200 ms
i: install/remove option ECG-trigger now: not installed
u: adjust ultrasound localization
r: set pulse rate now: variable 1/1.5/2 Hz
s: download new software
o: change orientation of treatment table. Now: ------ ----- : \_/ :
(X) = Physician's place for (X) : :
endourolog. therapy : :
---------------
The following will be displayed if the software version is not compatible with the hardware
version:
--------------< SIEMENS LITHOSTAR MODULARIS >------------- software version: V_ _ _ hardware:_ _ - _ _
** Error: software is not compatible with hardware and/or EPLD-version **
** System will not work ! Please download appropriate software. **
select option:
==============
h: show this help screen
p: show pulse counters
...
...
o: change orientation of treatment table. Now: ------ ----- : \_/ :
(X) = Physician's place for (X) : :
endourolog. therapy : :
---------------
MODULARIS Uro Plus SPL1-130.840.02 Page 4 of 18 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
Service software 3 - 5
select option: h 3
• Press the "h" key to display the input menu.
select option: p 3
• Press the "p" key to display the following text:
=> P
number of pulses:
system: 3627
(1) shock head: 3627
(2) capacitor: 3627
(3) spark gap: 3627
select 1..3 to delete pulse counter, any other key to abort
please note values or save to file before deleting data !
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 3
Press the "d" key to display the following text
Ö
D
'x'=exit
sensors HV P-bellow C-arm poti US poti1 US poti2
(C-grade) (V) (mV (mV) (mV) (mV)
24.15 23.97 20 756 5100 6300 6250
24.21 24.00 20 749 5100 6300 6250
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
removed), the value is 20460.
P-bellow (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 poti1/2 (mV) Current voltage at the potentiometer for the US applicator. Accepta-
ble deviation: 50.
When US localisation is not available the value is 9995.
Siemens AG SPL1-130.840.02 Page 5 of 18 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
3 - 6 Service software
select option: e 3
• Press the "e" key to display the following text:
=> E
no. date time err code 100 error messages:
100 02/04/1999 14:43.20 E00:
.
.
.
002 02/04/1999 09:18.36 E70:
001 02/04/1999 09:18.27 E70:
last watchdog-error code: 3F
-- end of errorlog --
press key 'D' to delete error log, any other key to abort
please save error log to file before deleting it !
- The number of errors present in the Errorlog is indicated (e.g. 100 error messages), as
in this case.
- The last 250 errors maximum are indicated; these are shown in blocks of 20.
Between these blocks is the line "press space to continue, "x" to exit".
- In order to have a better overview, with the code E00 the system powerup is shown.
- 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.
MODULARIS Uro Plus SPL1-130.840.02 Page 6 of 18 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
Service software 3 - 7
select option: t 3
• Press the "t" key to display the following text:
=> T
available data:
date (m/d/y) no. of patients
----------------------------- 03/01/1999 4
03/02/1999 4
03/03/1999 3
03/04/1999 3
03/05/1999 5
03/06/1999 5
03/07/1999 9
03/12/1999 7
enter 'A' to list all data: 40 patients, approx. 20 kByte of data
or
enter date of one file to read, press 'space' to stop display
format mm/dd/yyyy (x=exit):
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 only recommended 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.
Siemens AG SPL1-130.840.02 Page 7 of 18 MODULARIS Uro Plus
Medical Solutions Rev. 03 04.05 CS PS 24
3 - 8 Service software
Content of Therapy log (selected day):
Patient no. 0001 start of therapy: 03/03/1999 17:03.15
---------- table of energy-level (*10) : pulses -----------
1:0012 ** E60: 32:0041 ** E60: -:.... -:.... -:.... -:.... -:.... -:....
-:.... -:.... -:.... -:.... -:.... -:.... -:.... -:.... -:.... -:....
-:.... -:.... -:.... -:.... -:.... -:.... -:.... -:.... -:.... -:....
-:.... -:.... -:.... -:.... -:.... -:.... -:.... -:.... -:.... -:....
End of therapy: 03/03/1999 17:03.24
Example:
- 1:0012 - 12 shock waves with an energy step between 0.1 and 1.0 (energy steps
between 0.1 and 1.0 are summarized in intervals of 0.1) released).
- **E60 - error 60 has occurred.
- 32:0041 - 41 shock waves with energy steps 3.2 released.
- **E60 - error 60 has occurred again.
---- end of therapy data ----
press key 'D' to delete all therapy data, any other key to abort
please save therapy data to file before deleting it !
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.
MODULARIS Uro Plus SPL1-130.840.02 Page 8 of 18 Siemens AG
Rev. 03 04.05 CS PS 24 Medical Solutions
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