Sensation
CT
Maintenance Protocol
System
Maintenance Protocol System
Customer:
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Expire date: |
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The instructions CT02-023.831.01.20.02 are required for this protocol
© Siemens |
2005 |
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.
Print No.: |
CT02-023.832.01.20.02 |
English |
Replaces: |
CT02-023.832.01.19.02 |
Doc. Gen. Date: 10.09 |
Protocol |
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Evaluating the Condition of the System / Component
The system / component has no deficiencies. The image quality test resulted in no differences from required reference values.
The system / component has slight deficiencies that have no affect on continued operation of the system. However they should be corrected preventively. The image quality test resulted in no differences from required reference values.
The system / component has serious deficiencies. For safety reasons, continued operation of the system is permitted only after successfully correcting the deficiencies.
After completing all work steps, an evaluation was performed.
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The customer or a representative has taken note of the assessment of the system condition (only if required in the country).
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Signature: |
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Remarks
e.g. Additional activities to be performed, customer wishes
Further Processing and Archiving of the Protocol
The protocol is a document and thus must be archived. After completing the test, it must be filed in the corresponding register in the “System Owner Manual“ binder.
Sensation |
CT02-023.832.01.20.02 |
Page 2 of 14 |
Siemens |
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10.09 |
H WS CS SD CT |
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Protocol |
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Remarks Regarding the Protocol
The protocol is valid as proof of quality for one check that must be performed on the system / component.
The check must be performed in the specified intervals.
The results of the check are entered in this protocol.
The chapter numbers in front of the checkpoints indicate the corresponding chapters in the particular instructions (see cover page).
The protocol must be completely filled out by the Customer Service Engineer, i.e.:
•All boxes must be filled out. If a box does not apply to the system or if no entry needs to be made, check the “n.a.“ box.
•Enter the Serial no.: and the date of the check in the header of each page so that each page can be allocated to a check date.
•The measurement values for the measurements that must be performed during the check must also be entered in the open spaces / tables provided for them.
•After completing the check, Page 2 of this protocol must be filled out and signed.
Explanation of Abbreviations in the Protocol
Abbrev. |
Explanation |
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Abbrev. |
Explanation |
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SI |
Safety Inspection |
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PMF |
Preventive Maintenance, Operating |
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Value Check, Function Check |
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SIE |
Electrical Safety Inspection |
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Q |
System Quality, Image Quality |
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SIM |
Mechanical Safety Inspec- |
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QIQ |
Image Quality |
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tion |
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PM |
Preventive Maintenance |
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QSQ |
System Quality Check |
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PMP |
Periodic Preventive Mainte- |
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SW |
Software Maintenance |
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nance |
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PMA |
Preventive Maintenance |
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CSE |
Customer Service Engineer |
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Adjustments |
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Siemens |
CT02-023.832.01.20.02 |
Page 3 of 14 |
Sensation |
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10.09 |
H WS CS SD CT |
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Protocol |
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Measuring Equipment and Measuring Instruments Used
Measuring instruments and measuring devices (phantoms, MR coils etc.) may not be entered in the table if they have already been entered in the mobile device.
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Measuring equipment / -instruments |
Serial No. |
Date used |
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Sensation |
CT02-023.832.01.20.02 |
Page 4 of 14 |
Siemens |
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10.09 |
H WS CS SD CT |
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Protocol |
Date: |
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Serial-No.: |
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OK not |
n.a. |
OK |
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1General
2Prerequisites
2.1Required tools and auxiliary materials
2.2Evaluating Reports
PM |
Checking system reports |
2.3Evaluating the logbook
PM |
Error statistics readout |
3 |
Safety Inspections |
3.1General
3.2Function Tests
3.2.1Measuring the patient leakage current (DIN VDE 751-1)
SI |
Patient leakage current checked |
3.2.2Checking the protective ground conductor resistance
3.2.3Checking the function of the door contact switch
SI |
Door contact switch checked |
3.2.4System: Checking the radiation preparation indicator
SI |
Radiation preparation indicators checked |
3.2.5System: Checking the radiation indicator
SI |
Radiation indicators checked |
3.2.6System: Checking the radiation monitor (108%)
SI |
Radiation switch-off checked |
Measured value: 
3.2.7System: Checking the emergency STOP circuit
SI |
Emergency STOP circuit checked |
3.2.8Gantry: Checking the tube cooling hoses
SI |
Tube cooling hoses checked |
3.2.9PHS: Checking the safety switches
SI |
Safety limit switches checked |
3.2.10PHS: Checking the spindle brake
SI |
Function of spindle brake checked |
3.2.11PHS: Checking the motor brake
SI |
Function of motor brake checked |
Siemens |
CT02-023.832.01.20.02 |
Page 5 of 14 |
Sensation |
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10.09 |
H WS CS SD CT |
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