Pausch Medical GmbH Uroview® FD Maintenance Seite 1 von 4
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Report number: Employee ID number:
Field Service Engineer: Print name: Signature: Date:
Click here
Hospital or Clinic Name: State: Post Code: Country:
Click here
City:
Date of Maintenance: Started: Completed:
Click here Click here
Serial Number: Table Uroview® FD: HIRIS: Generator:
Type: Click here Click here Click here
Type Number No.: No.: No.:
semiannual yearly three year
Remarks:
01167563 Rev. 01
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Uroview® FD
semiannual
annual
three year
Check according to Uroview® FD Installation
Manual (12 Maintenance Guidance)
Comment
☐ ☒ ☐ Floor anchor
☐ ☒ ☐ Handheld operating unit
☐ ☒ ☐ Tabletop drive
☐ ☒ ☐ Lift and tilt drive
☐ ☒ ☐ Multi-function foot switch
☐ ☒ ☐ Monitor support arm and monitors
Fluoroscopy and exposure foot
☐ ☒ ☐ switch
☐ ☒ ☐ Moving the tube support arm
☐ ☒ ☐ Electrical components board
☐ ☒ ☐ Electronics – Parameter Settings
☐ ☒ ☐ Tabletop
☐ ☒ ☐ Accessories
☐ ☒ ☐ Manuals
☐ ☒ ☐ Emergency stop function
☐ ☒ ☐ General Information
01167563 Rev. 01
Pausch Medical GmbH Uroview® FD Maintenance Seite 3 von 4
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Generator Spellman
semiannual
annual
Three year
Check according to Service Manual of the
EDITOR HFe X-Ray generator's Comment
☐☒ ☐ Operating console:
☐☒ ☐ X-Ray Generator cabinet
☐☒ ☐ H.V Cables:
☐ ☐☒ ZST2 Battery replacement 3,6V
System
semiannual
annual
Three year
Comment
KV – control measurement
Use TEST ATH testsheet
Switch off AEC
No filters
50mAs
Format Para target actual actual
meter sf lf
☐☒ ☐
25 cm x 25 cm 60kV 60kV
±5kV
25 cm x 25 cm 70kV 70kV
±5kV
25 cm x 25 cm 80kV 80kV
±5kV
sf: small focus lf: large focus
☐☒ ☐ cutoff dose
Use TEST ATH testsheet
Filter: 21mm Al
Grid out
Put the dosemeter onto the measuring chamber next to the
mean chamber
Take measurements for all three chambers in normal mode
And one measurement for all 4 modes with the mean cham-
ber
Parameter Target / actual / ist
soll
Normal, Mittlere 4µGy
µGy
Messkammer ±0.2µGy
Normal, Linke 4µGy
µGy
Messkammer ±0.2µGy
Normal, Rechte 4µGy
µGy
Messkammer ±0.2µGy
Option 2, Mittlere 2µGy
µGy
Messkammer ±0.1µGy
Option 3, Mittlere 3µGy
µGy
Messkammer ±0.15µGy
Option 4, Mittlere 5µGy
µGy
Messkammer ±0.25µGy
01167563 Rev. 01
Pausch Medical GmbH Uroview® FD Maintenance Seite 4 von 4
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dose rate
Use TEST ATH testsheet
Filter: --
Grid: --
Format: 43x43
continuous fluoro
dosemeter 30cm above table
☐ ☒ ☐
Parameter dose
maximum kV and mA µGy/sec ≤ 1088 µGy/sec
maximum kV and mA µGy/sec ≤ *
* if the local max dose is lower
dose rate HLF
Use TEST ATH testsheet
Filter: --
Grid: --
Format: 43x43
continuous fluoro HLF
dosemeter 30cm above table
☐ ☒ ☐
Parameter dose
maximum kV and mA µGy/sec ≤ 2175 µGy/sec
maximum kV and mA µGy/sec ≤ *
* if the local max dose is lower
HIRIS
Semiannual
annual
Three year
Check according to Hiris Technical Manual
Comment
Detector calibration
☒ ☐ ☐
Acceptance Test
☐ ☒ ☐ use document 01167543
01167563 Rev. 01
