Arcadis Orbic: System Maintenance Instructions

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ARCADIS Orbic
SP
Maintenance Instructions
System
Maintenance Instructions
The protocol SPR2-320.832.02.03.02 is required for

these instructions
08081080
© 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.
Print No.: SPR2-320.831.02.03.02 English

Replaces: SPR2-320.831.02.02.02 Doc. Gen. Date: 07.07
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 pro-
cedures.
ARCADIS Orbic SPR2-320.831.02.03.02 Page 2 of 42 Siemens AG

07.07 CS SD 24 Medical Solutions
Table of Contents 3
0 Table of Contents
1 _______ General information______________________________________________ 5
Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Required documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Systems equipped with a laser light localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Systems equipped with an I.I. laser light localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
For systems equipped with an integrated I.I. laser light localizer . . . . . . . . . . . . . . . . 6
Required tools, measurement and auxiliary devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Spare parts which may be needed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Emphasized texts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Safety information and protective measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
General safety information (in existing documents) . . . . . . . . . . . . . . . . . . . . . . . . . 11
General electrical safety information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Radiation safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Safety information - risk of infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Mechanical safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Systems equipped with an integrated I.I. laser light localizer . . . . . . . . . . . . . . . . . . 14
Systems equipped with an I.I. laser light localizer or a single tank laser light localizer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Information on the protective conductor resistance test . . . . . . . . . . . . . . . . . . . . . . 15
System leakage current measurement information . . . . . . . . . . . . . . . . . . . . . . . . . 16
Explanation of abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Maintenance interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
System maintenance interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Maintenance interval for 3D reconstruction in combination with a navigation system .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Technical Safety Checks (TSC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
2 _______ Inspection of exterior and surroundings____________________________ 28
Inspection of exterior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Inspection of surroundings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Power outlets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
3 _______ Safety inspection _______________________________________________ 30
Mechanical safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Electrical safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
4 _______ Maintenance, operating value/functional inspection __________________ 36
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Operating value inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Functional inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
5 _______ Final result/quality inspection and general maintenance ______________ 40
Siemens AG SPR2-320.831.02.03.02 Page 3 of 42 ARCADIS Orbic

Medical Solutions 07.07 CS SD 24
4 Table of Contents
Final work steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
6 _______ Changes to previous version _____________________________________ 42

General information 5
1-
1 General information
1.1 Requirements
NOTE If the system is equipped with 3D reconstruction, in combination
with a navigation system, the required maintenance has to be per-
formed together with a navigation system engineer.

1.2 Required documents
• Safety information according to ARTD, part 2

• Maintenance protocol SPR2-320.832.02..
• Main system adjustment instructions SPR2-310.842.02..
• Spare parts list
• Replacement of Parts: SPR2-320.841.02.01.01
• Replacement instructions for the TFT display
in use
• Technical safety checks - protocol* SP00-000.834.01...
1.2.1 Systems equipped with a laser light localizer
• Setting instructions (when laser light localizer SPR2-230.815.02..

is present, delivered until March 2006)
• Installation and setting instructions (when SP00-000.814.08...
laser light localizer is present, delivered
starting in April 2006)
1.2.2 Systems equipped with an I.I. laser light localizer
• Installation and setting instructions RXR2-120.814.01..
1.2.3 For systems equipped with an integrated I.I. laser light localizer
• Installation and setting instructions SPR00-000.814.07...

1.3 Required tools, measurement and auxiliary devices

NOTE The indicated items are listed in the STC (Service Tools Catalog)
unless otherwise stated (the STC is a component of the Spare
Parts Catalog) with the exception of items marked with "*".
• Standard tool kit*

• Set of Allen keys*
• Spring balance rated for up to 200 N e.g. 44 15 113 RH090
• Equivalent leakage current tester e.g. Safety Tester 51 38 727Y0766
Unimet 1100
• Ground wire tester e.g. Safety Tester 51 38 727Y0766
Unimet 1100
• Internal line resistance tester 84 28 104 Y4337
• DVM e. g. Fluke 8060A 97 02 101 Y4290
• Luminous density measuring device e.g. SPOTMETER for
SMfit ACT 77 52 848
• Densitometer (for previous MULTI- e.g. 97 02 416Y1996
SPOT
2000 option)
• Dosimeter, e.g. PTW Diados 97 17 612 Y0388
• Dynamic test kit 37 90 156 X1963
• Precision X-ray filter 99 00 598 XE999
• Set of resolution tests 28 71 820 RE999
• Set of radiation filters (10 x 0.3 mm) e.g. 44 06 120 RV090
• Set of radiation filters e.g. 97 98 596 G5321
• 25 mm AL measuring stand, type e.g.
26765 acc. to DIN 6868 Part 50*
or
• 1.2 mm Cu (e.g. of a set of radiation fil-
ters 44 06 120) plus
• 17 micrometer Cu strips 11 67 662
• Centering cross (only with Diamentor) e.g. 96 60 051 RE999
• Calibration phantom 77 51 620 G5486
(for previous 3D reconstruction option)

• Cable for connecting service PC to 99 00 440 RE999

host
• Service software* (see logbook)
• Sealing compound 34 43 009
• Special oil (Optimol Optipit) 55 07 525
• Special oil (Slic Pac PTFE) 55 07 517

1.4 Spare parts which may be needed

• Cable deflector steering castor large/ARCADIS Orbic stand
• Cable deflector wheels small/ARCADIS Orbic stand
• Touch-up paint
• Spray paint
• Every 36 months: Lead gel battery 08079738

1.5 Emphasized texts

Tab. 1 GEFAHR / DANGER
Bei einer unmittelbar drohenden Gefahr, die bei Nichtvermeidung

zum Tod oder zu einer schweren Körperverletzung führt.
Indicates when there is an immediate danger that leads to death

or serious physical injury.
Tab. 2 WARNUNG / WARNING
Bei einer Gefahr, die bei Nichtvermeidung zum Tod oder zu einer
schweren Körperverletzung führen kann.
Indicates a risk of danger that may lead to death or serious phys-

ical injury.
Tab. 3 VORSICHT / CAUTION
Bei einer Gefahr, die bei Nichtvermeidung zu einer leichten oder

mittleren Körperverletzung und/ oder zu einer Sachbeschädi-
gung führt oder führen kann.
Indicates a risk of danger that leads to slight or moderate physi-
cal injury and/or damage to property.
Tab. 4 ACHTUNG / NOTICE
Bei einer Gefahr, die bei Nichtvermeidung zu einem unerwünscht-

en Ergebnis oder Zustand führt oder führen kann (nicht Tod,
Körperverletzung oder Sachbeschädigung).
Indicates a risk of danger that if disregarded leads or may lead to
a potential situation which may result in an undesirable result or
state (not death, physical injury or property damage).
Tab. 5 HINWEIS / NOTE
Ist als Tipp zu verstehen. Der Anwender muss diese Anweisung

nicht unbedingt beachten. Er erfährt jedoch Vorteile, wenn er
dies tut.
Should be understood as a tip. The user does not absolutely
have to observe these instructions. However, there will be advan-
tages if he does.

1.6 Safety information and protective measures
1.6.1 General safety information (in existing documents)
WARNING Danger of injuries, death or material damage.

Non-compliance can lead to death, injury or material damage.
Please note:
¹ The product-specific safety information in these instruc-
tions,
¹ the general safety information in TD00-000.860.01... and
¹ the safety information in accordance with ARTD part 2.
1.6.2 General electrical safety information
WARNING Electrical safety!

Non-compliance can lead to severe injury or even death, as well
as material damage.
¹ Parts under electrical voltage are accessible when the
covers are open. To avoid danger, disconnect the system
from the power supply before opening the covers. Dis-
connect the power plug.
¹ If an uninterruptible power supply (UPS) is installed in
the system, the voltage output of the UPS must also be
deenergized or the voltage output plug must be discon-
nected.
¹ If work steps must be performed using electrical power,
the general safety information according to
TD00-000.860.01... must be observed.
CAUTION Electrical voltage!

Non-compliance can result in material damage.
¹ When working on the system, ESD regulations must be
observed.

1.6.3 Radiation safety information
WARNING X-ray radiation!

Non-compliance can lead to illness, irreversible damage to body
cells and the genotype, severe injury and even death.
During work on the system in which radiation must be released,

the radiation protection directives and the rules for radiation pro-
tection according to ARTD-002.731.02.. must be complied with.
Please note:
¹ Use available radiation protection devices.
¹ Wear radiation protection clothing (lead apron).
¹ Stay as far away as possible from the radiation source.
¹ Release radiation only if necessary.
¹ Set the radiation activity as low as possible. (Low kV and
mA values, short radiation time)
¹ Release radiation for as short a time as possible.
X ¹ Checks requiring the release of radiation are identified by
the radiation warning symbol shown on the left.
1.6.4 Safety information - risk of infection
WARNING Risk of infection due to pathogens!

Non-compliance can lead to severe injury and even death.
¹ This product can be contaminated by infected blood or
other bodily fluids.
¹ Avoid all contact with blood or other bodily fluids!
¹ Strictly observe the safety information in
ARTD-002.731.37.. regarding prevention of infectious dis-
eases during customer service calls.

1.6.5 Mechanical safety information
CAUTION Risk of injury from mechanical parts!

If not observed, minor to more severe injury, especially to the
hands, can occur.
¹ The C-arm of the system is manufactured from a carbon
fiber composite material. If the carbon fiber structure is
damaged, by collision, cuts or scrapes by tools, etc.,
individual carbon fibers or carbon fiber bundles can pro-
trude and injure the skin or penetrate the tissue of the
hand upon contact.
¹ Before starting work on the C-arm, make sure that the
carbon fiber structures are undamaged (visual inspec-
tion).
¹ If smaller superficial damage is detectable in the painted
area or in the area of the running surface edges of the
C-arm, wear work gloves and remove any protruding car-
bon fibers. Then carefully sand the damaged areas flat
with fine emery cloth and seal the damaged surface with
paint. A spray paint in the color of the C-arm can be used
for this purpose (see the Service Tool Catalog). Remove
any carbon fibers lying in the C-arm profile with a damp
sponge or cloth.
¹ If greater damage to the carbon fiber structure indicating
general or large-scale destruction of the carbon fiber
structure (e.g., crack formation or flaked-off places on
the running surfaces with torn carbon fibers) can be
detected, replace the C-arm.
CAUTION Risk of burns from hot parts or components!

If not observed, minor to more severe burns, especially on the
hands, can occur.
¹ Parts and components (e.g., power components, cooling
fin, electromagnetic brakes) that can exceed 50 degrees
Celsius during operation are accessible after the covers
are opened. To avoid burns, switch the system off before
touching parts or components and allow at least 5 min-
utes for it to cool down.

CAUTION Risk of injury from mechanical parts!

If not observed, minor to more severe injury, especially to the
hands, can occur.
¹ After the covers are opened, parts such as flat plugs,
threaded bolts, cut-off cable ties and component edges
are exposed, and if care is not taken, they can cause
crushing, scrapes and cuts to the skin, particularly to the
hands.
¹ Perform the required work with special care and attention
to detail.
¹ If necessary, wear work gloves.
1.6.6 Systems equipped with an integrated I.I. laser light localizer
CAUTION Laser emissions!

This product contains lasers of the class 1M.
Disregarding safety precautions can lead to bodily injury, espe-
cially to the retina of the eye, resulting in irreversible damage to
vision.
¹ Observe the safety information in ARTD-002.731.03...
When working with the laser light localizer, do not view
the laser beams directly with optical instruments.
1.6.7 Systems equipped with an I.I. laser light localizer or a single tank laser
light localizer
CAUTION Laser emissions!

This product contains class 2 lasers. (USA: class 2 laser).
Disregarding safety precautions can lead to bodily injury, espe-
cially to the retina of the eye, resulting in irreversible damage to
vision.
¹ Observe the safety information in ARTD-002.731.03...
When working with the laser light localizer, do not look
directly into the laser beam.
NOTE Laser emissions!

There is no direct hazard to the eye (blinking reflex). Nevertheless
do not look directly into the laser beam.

1.6.8 Information on the protective conductor resistance test

Observe the instructions in the "Safety Rules for Installation and Repair"
(ARTD-002.731.17 ...).
Additionally, country-specific regulations and norms must be observed.
The protective conductor resistance must be measured, documented, and evaluated dur-
ing maintenance.
NOTE For evaluation purposes, the first measured value and the values
documented during previous maintenance or safety checks must
be compared to the measured values. A sudden or unexpected
increase in the measured values may indicate a defect in the pro-
tective conductor connections - even if the limit value of 0.2 ohms
is not exceeded. (Protective conductor or contacts).
The measurement must be performed in accordance with DIN VDE 0751, Part 1 (refer to
ARTD Part 2). The protective conductor resistance for all touchable conductive parts must
be measured during the normal operating state of the system.
Make sure that control cables or data cables between the components of the system are
not mistaken for protective conductor connections.
During the measurement, the power cable and additional connection cables that also cre-
ate the protective conductor connection between system parts (e.g. monitor cable
between the basic unit and monitor trolley) must be moved section by section to detect
cable breaks.
The protective conductor resistance must not exceed 0.2 ohms.
Fig. 1: Measuring circuit for measuring the protective conductor resistance for units that are

disconnected from power, in compliance with DIN VDE 0751-1/2001-10, Fig. C2.
Pos. 1 = System
Pos. 2 = Application part type B (if available)
Pos. 3 = Measurement setup (integrated into measuring device)
The values determined, including the measuring points, must be recorded and evaluated
in the protective conductor resistance protocol.
The measuring procedure and the measuring device used (designation and serial num-
ber) must also be documented.
1.6.9 System leakage current measurement information
NOTE During maintenance, the system leakage current measurement

must be performed and recorded as a repeat measurement.
However, the first measured value must be newly determined and
a new protocol be must created under the following conditions:
- Lack of documentation for system leakage current measurement
- When local line voltage or line frequency deviates from the line
voltage and line frequency documented in the protocol (e.g., in
the event of a site/operator change)
- When a different procedure for measuring the system leakage
current than the one documented in the protocol is used.
For the purpose of traceability, reference to the new protocol must
be written in the old protocol. The reason for newly determining
the first measured value must be documented and confirmed with
a name and signature.
Observe the instructions in the "Safety Rules for Installation and Repair"
(ARTD-002.731.17 ...).
Additionally, country-specific regulations and norms must be observed.

WARNING Electrical voltage!

¹ The system leakage current measurement may be per-
formed on systems of protection class I only after the
protective conductor test has been passed.
First measured value

The first measured value was already determined and documented in the system leakage
current protocol. The measuring procedure was also recorded.
The measurement was performed with the recorded line voltage, line frequency and with
the recorded measuring equipment.
Measurement
Perform the measurement in accordance with DIN VDE 0751, Part 1 (see
ARTD-002.731.17....), and record the value determined.
The measuring procedure indicated in the protocol must be used.

If the first measured value has to be newly determined (see previous information), a mea-
suring procedure can be selected (direct measurement or differential measurement).
Measurement of the system leakage current according to the differential current method
(measurement setup according to (Fig. 2 / p. 17)) must be given preference, since this
method is not dangerous to the person performing the measurement and other persons.
However, please note the minimum resolution of the system leakage current measuring
instrument and any additional manufacturer's data restricting the use of the measuring
device.
Fig. 2: Measuring circuit for measuring the system leakage current according to the differential
current method in compliance with DIN VDE 0751-1/2001-10, Fig. C6 for protection

class I.
Pos. 1 = System
If the direct measurement of the system leakage current is used (measurement setup
according to (Fig. 3 / p. 18)), the system must be insulated during the measurement and
must not be touched.
Fig. 3: Measuring circuit for direct measurement of the system leakage current in compliance
with DIN VDE 0751-1/2001-10, Fig. C5 for protection class I.
Pos. 1 = System

WARNING Electrical voltage!

¹ No housing parts of the system may be touched during
direct measurement of the leakage current (measure-
ment setup according to (Fig. 3 / p. 18)).
¹ Third-person access to the system must be prevented.
The system must be switched on during measurement. Measuring devices with auto-
mated measuring sequences must therefore be set to manual measurement.
Enter the highest value in the system leakage current protocol.
This value must not exceed the permissible leakage current values according to DIN VDE
0751-1/2001-10, Table F.1, line "system leakage current for units according to remarks 1
and 3" of
2.5 mA.
Measure and record the current line voltage. If the measured line voltage deviates from
the nominal voltage, correct the measured value to the value corresponding to a measure-
ment at the nominal value of the line voltage. This must also be documented.
Document the measuring procedure (differential measurement or direct measurement)
and the measuring device used (designation and serial number).
In the case of repeat measurements, the measured value must also be evaluated.
NOTE For evaluation purposes, the first measured value and the values
documented during previous maintenance or safety checks must
be compared to the measured values. A sudden or unexpected
increase in the measured values may indicate that a fault has
occurred in the primary power supply circuit (insulation damage,
damage from moisture, defective interference suppressor, etc.) -
even if the limit value of 2.5 mA is not exceeded.
The evaluation is not necessary in the case of a new determination.

File the protocol sheet in the system binder or log book.

1.7 Explanation of abbreviations
Abbrev. Explanation
SI Safety inspection
SIE Electrical safety
SIM Mechanical safety
PM Preventive maintenance
PMP Periodic preventive maintenance
PMA Preventive maintenance adjustments
PMF Preventive check of operating values/functions
Q System quality, image quality
QIQ Image quality
QSQ System quality
SW Software maintenance
The steps identified by these abbreviations are listed as checkpoints in the Maintenance
Protocol and must be checked off there accordingly.
NOTE The sequence for the complete inspection and maintenance is

located in the following pages.
Each step must be performed annually, unless otherwise speci-
fied.

1.8 Maintenance interval
1.8.1 System maintenance interval
NOTE The maintenance interval applies to all maintenance work, except

for maintenance of the 3D reconstruction in combination with a
navigation system.
• 12 months
1.8.2 Maintenance interval for 3D reconstruction in combination with a navi-

gation system
NOTE If the system is equipped with the 3D reconstruction option in

combination with a navigation system, perform the maintenance
work listed below in the specified maintenance interval.
NOTE Take into account that the maintenance work listed below has to
be performed together with an engineer of the navigation system
manufacturer.
- SIM navigation system (if present)

I.I. ring damage
Correction of the seating of the I.I. cap
- SIE 3D reconstruction (if present)

Calibration of 3D reconstruction
Check of the limiting resolution
- SIE 3D reconstruction with navigation system (if present)

Check the overall navigation accuracy
• 6 months or after 150 patients at the latest (approx. 300x 3D scans)
UPS (Uninterrupted Power Supply)

• The lead-acid batteries of the UPS in the monitor cart are to be replaced every 36
months.

1.9 Technical Safety Checks (TSC)

Abbreviation: TSC = Technical Safety Checks
NOTE Within the purview of DIN VDE 0751-1, the operator of medical
engineering products has to perform technical safety checks at
regular intervals.
The checks listed in these maintenance instructions contain all
technical safety checks according to DIN VDE 0751-1 except for
the check of the completeness, presence and legibility of the nec-
essary operator documents.
A separate protocol with the print number SP00.000.834.01... is
available for each technical safety check.
In countries where DIN VDE 0751-1 applies, we recommend docu-
menting the maintenance results both in the maintenance proto-
col and in the TSC protocol. The protocols should be filled out
completely and handed over to the client after maintenance is
completed.
In the table below each technical safety check listed in the docu-
ment SP00.000.834.01... is assigned to the corresponding mainte-
nance work.
Technical safety checks, Maintenance instructions check/

Test protocol check comments
1 Identification data Please fill in the fields.
2 General checks n.a.
2.1 Visual inspection: Is there any damage 3.1 Mechanical safety,
affecting safety? Checks:
SIM cover panels
SIM cable deflectors
SIM foot brake
SIM brakes
SIM emergency stop switch
SIM monitors/displays
2.2 Are all cables and cable guides secure 3.2 Electrical safety, check: SIE cable and
and without any visible damage? plug
SIE voltage discharge rubber


2.3 Are undamaged accessories being 3.1 Mechanical safety,
used? checks:
SIM I.I. laser light localizer mechanics
SIM integrated laser light localizer
mechanics
SIM integrated laser light localizer function
SIM I.I. laser light localizer function
SIM laser light localizer, close to tube,
mechanics
SIM Laser light localizer, close to tube,
function
SIM navigation system
SIM cassette holder
2.4 Are all unit radiation protection devices 3.2 Electrical safety,
present and undamaged? checks:
(No on-site radiation shield) SIE fluoroscopy timer
SIE audible warning signal
SIE compulsory radiation switch-off
SIE check of the radiation release
switches
SIE dose rate
SIE radiation indicators
SIE iris collimator
SIE setting of cassette images
SIE Area dose product measuring unit
SIE air kerma measurement device
2.5 Are the required operator documents Operating instructions must be available.
complete, present and legible? Ask the customer for additional required
operator documents and check them for
completeness, availability, and legibility.
2.6 Are all warning labels in place and rec- 3.1 Mechanical safety,
ognizable? checks:
SIM warning signs
SIM ID labels


2.7 Are the operating symbols, light indica- 3.2 Electrical safety,
tors and button labels OK? check:
SIE check of the operating functions
3. Electrical checks n.a.
3.1 Measurement of ground wire resis- 3.2 Electrical safety,
tance check:
SIE ground wire test
5.1 Final work steps,
check:
SIE ground wire test
3.2 Measurement of leakage current or n.a.
equivalent leakage current
3.2.1 Leakage current measurement (for n.a.
units with fixed mains connection)
3.2.2 Equivalent system leakage current 3.2 Electrical safety,
(for units without fixed line voltage connec- check:
tion)
SIE leakage current
5.1 Final work steps,
check:
SIE leakage current
3.3 Measurement of patient leakage cur- n.a.
rent or equivalent patient leakage current
3.3.1 Patient leakage current measure- n.a.
ment
3.3.2 Equivalent patient leakage current n.a.
4. Mechanical checks n.a.
4.1. Are all wall, ceiling and floor mount- 3.1 Mechanical safety,
ings secure and without damage? checks:
SIM monitor(s) / displays
4.2 Are all mechanically moved system 3.1 Mechanical safety,
parts clean and smoothly running (lubri- checks:
cated, if required)?
SIM cover panels
SIM C-arm
SIM lifting column


4.3 Are the wire cables, belts and spindles 3.1 Mechanical safety,
free of wear and tear? checks:
SIM lifting column
SIM 3D reconstruction
4.4 Mobile equipment: Are the wheels, 3.1 Mechanical safety,
castors and brakes OK? checks:
SIM foot brake
SIM brakes
SIM wheels and castors
4.5 Is there any unusual noise during oper- 3.1. Mechanical safety,
ation (e.g. gearing)? checks:
SIM C-arm
SIM lifting column
5. Functional checks n.a.
5.1. Are the emergency stop switches 3.1. Mechanical safety,
functional? check:
SIM emergency stop switch
3.2 Electrical safety,
check:
SIE 3D reconstruction
5.2 Are the warning devices functioning 3.2 Electrical safety,
properly? checks:
SIE audible warning signal
SIE radiation indicators
5.3. Do all system movements stop prop- 3.1 Mechanical safety,
erly in their end positions? check:
SIM lifting column
3.2 Electrical safety,
check:
5.4 Does the collision protection stop sys- Check the collision protection, provided
tem movements properly? that it is installed.
Otherwise: n.a.


5.5 Are the safety distances (wall, floor, Check the measures provided that they
ceiling) met or ensured by other measures are installed.
(e.g. light barriers)? Otherwise: n.a.
5.6 Are other safety cutoffs (e.g. safety Check the measures provided that they
step plate) functioning properly? are installed.
Otherwise: n.a.
5.7 Are the table and system positions n.a.
reproducible (e.g. zero positions, slice
height, etc.)?
6. Product-specific checks 3.2 Electrical safety,
checks
SIE 3D reconstruction in combination with
a navigation system
SIE IQ quick test
7. Test result/evaluation: Evaluate the long-term trends of the pro-
tective conductor resistance and the leak-
age current by comparing the current
measurement values to those of the pre-
ceding technical safety checks.
A sudden or unexpected increase in the
measured values may indicate a
safety-related defect - even if the limit val-
ues are not exceeded.
Follow the instructions for checks in the
section on final work steps.
Enter the check result.
Have the operator, or a person authorized
by the operator, sign the TSC protocol.
Hand the TSC protocol over to the opera-
tor, or a person authorized by the operator.

28 Inspection of exterior and surroundings
2-
2 Inspection of exterior and surroundings
2.1 Inspection of exterior

PMP Damage
Inspect the entire system for damage, such as damage to the housing or paint.

Inspection of exterior and surroundings 29
2.2 Inspection of surroundings
2.2.1 Power outlets

SIE Damage
SIE Line voltage
SIE Internal line impedance
• Inspect the power outlets used for system operation for damage.
• Measure the line voltage and compare it to the line voltage label on the monitor trolley.
• Measure the internal line impedance.

30 Safety inspection
3-
3 Safety inspection
3.1 Mechanical safety

SIM Cover panels
• Remove the covers from the ARCADIS Orbic stand and monitor trolley.
• Check the cover panels for mechanical damage.
SIM Cable deflectors
• Inspect the cable deflectors on the stand and on the monitor trolley.
SIM Integrated I.I. laser light localizer mechanics (if present)
• Inspect the integrated I.I. laser light localizer for mechanical damage.
• Check the I.I. ring for damage and to make sure it is screwed in all the way.
SIM Integrated I.I. laser light localizer function (if present)
• Check the function of the laser diodes.
• Check the adjustability of the laser light fan beams on the focal point of the tube hous-
ing.
SIM I.I. laser light localizer mechanics (if present)
• Inspect the I.I. laser light localizer for mechanical damage.
• Mount the I.I. laser light localizer on the I.I. and ensure proper locking and seating.
When doing this, pay special attention to the tension band and its closure.
• Check the I.I. ring for damage.
SIM I.I. laser light localizer function (if present)
• Maintain the I.I. laser light localizer according to the installation and setting instructions
RXR2-120.814.01..
SIM Laser light localizer, close to tube - mechanics (if present)
• For systems equipped with I.I. cap (delivered until March 2006): Inspect the I.I. cap of
the laser light localizer for mechanical damage.
• For systems equipped with I.I. cap (delivered until March 2006): Install the I.I. cap of the
laser light localizer on the I.I. and ensure proper locking and seating.
• For systems equipped with I.I. cap (delivered until March 2006): Check the I.I. ring for
damage.
SIM Integrated laser light localizer, close to tube - function (if present)
• For systems equipped with I.I. cap (delivered until March 2006): Maintain the laser light
localizer according to the setting instructions SPR2-230.815.03...
• When laser light localizer is present, delivered starting in April 2006: Check the function
of the laser diodes.
• When laser light localizer is present, delivered starting in April 2006: Check the adjust-
ability of the laser light fan beams centered on the image intensifier.
SIM Navigation system (if present)
• Check the I.I. ring for damage.
• Install the I.I. cap of the navigation system and ensure proper locking and seating.

Safety inspection 31
SIM Foot brake

• Check the braking effect of the foot brakes of the ARCADIS Orbic stand and monitor
cart on a flat surface.
SIM Brakes
• Use the spring balance to check whether the orbital brake, angulation brake, swivel
brake, horizontal lift brake, and vertical lift brake reach the defined braking values in the
braked state (Replacement of Parts Instructions for ARCADIS Orbic).
SIM C-arm
• Perform all C-arm movements, checking for slackness of the bearings and bearing
noises.
SIM Wheels and castors
• Move the ARCADIS Orbic in a straight line on a level floor.
• Evaluate the straight and quiet movement of the ARCADIS Orbic.
• Replace any defective wheels or castors.
SIM Lifting column
NOTE There may not be any additional weight on the C-Arm, e.g. lead
aprons or other cover panels, during these checks and adjust-
ments.
• Switch on the system.

• Electrically move the lifting column over its entire lift range.
- while listening for noises and checking for play in the bearings.
- the lifting column movement must switch off automatically when the end positions are
reached.
• Operate the emergency stop button.
- The motorized vertical lift is blocked.
• Unlock the emergency stop button by pressing it lightly and turning to the left.
• Switch off the system.
• Lubricate the lifting column.
- Lubricate the bearing surfaces of the lifting column guide and the spindle.
SIM Emergency stop switch
• Press the emergency stop switch
The lifting column must not move when the "raise" and "lower" buttons on the main unit
control panel are pressed.
• Release the emergency stop switch
The lifting can be moved again.
SIM Warning signs
• Ensure that all required warning labels are attached and in good condition.
- Replace any labels that are difficult to read.

SIM ID labels
• Ensure that all required ID labels are attached and in good condition.
- Replace any labels that are difficult to read.
SIM TFT monitor(s)
• Check monitor(s) for damage.
• Check monitor(s) for proper attachment to the monitor cart.
• Check additional monitors for damage and proper attachment to the wall support/moni-
tor support system (if applicable).

3.2 Electrical safety

SIE Cables and plugs
• Check visible system cables and plugs for damage.
SIE Fluoroscopy timer
• Check: See section on "Compulsory radiation switch off".
SIE Acoustic warning signal
• Check: See section on "Compulsory radiation switch off".
SIE Compulsory radiation switch off
• Switch the system on
X • Test the functioning of the audible warning signal and compulsory radiation switch off (if
required) according to the country-specific regulations. Also check the functioning of
the fluoroscopic timer in this process.
NOTE The acoustic warning signal must sound every 4, 5.5, or 9.5 min-
utes of the fluoroscopic time depending on the programming. It
sounds again every 5 or 10 minutes. It is turned off by pressing the
-0- button once. Pressing this button again resets the fluoroscopic
timer to "0". Depending on the country-specific programming,
either the required radiation shut off does not occur or it occurs
every 5 or 10 minutes and then every 5 or 10 minutes after that.
SIE Check the radiation release switch

• Check the functioning of the hand and foot switches for radiation release.
X • Check the cables of the radiation release switches for mechanical damage.
• Move the cables and inspect them for breakage.
SIE Dose rate
• Switch the system on
X • Check the dose rate (see the adjustment instructions for ARCADIS Orbic)
SIE Radiation indicator
• Activate fluoroscopy briefly.
X ¹ The radiation indicator on the operating part of the ARCADIS Orbic stand and
the radiation indicator on the monitor trolley must light up.
• Switch the system off.
SIE Iris collimator
• Check the iris collimator and correct it if necessary.
X - Select I.I. full format and activate fluoroscopy briefly.
- The collimator blades must be clearly visible at the edges of the image.
- Select a zoom format and release fluoroscopy briefly.
- The collimator blades must be clearly visible at the edges of the image.

SIE Voltage discharge rubber

• Check the voltage discharge rubber on the ARCADIS Varic stand and the wheels and
castors of the monitor cart for damage or contamination, and replace or clean them as
necessary.
SIE 3D reconstruction (if present)
NOTE The calibration of the 3D reconstruction is part of the safety

inspection. It can, however, also be performed together with the
IQ quick test.
See chapter 5, "IQ quick test".
• Check the belt tension of the toothed belt for motor-controlled orbital movement.
• Press the emergency stop switch and perform a 3D scan.
The motor-controlled orbital movement must not start up.
• Deactivate (disengage) the emergency stop switch.
X • Start a further 3D scan. The 3D scan must be executed properly. The motor-controlled
orbital movement must stop at the end position of the C-arm.
• Calibrate the 3D reconstruction. See "IQ quick test".
• Check the 3D limiting resolution. See "IQ quick test".
• If the system is equipped with a navigation system, the required calibration of the 3D
reconstruction has to be performed together with a navigation system engineer. Before
starting calibration, make sure that the I.I. cap of the navigation system is in place. See
"IQ quick test".
SIE 3D reconstruction with navigation system (if present)
NOTE Checking the overall accuracy of the navigation system in combi-

nation of the 3D reconstruction is part of the safety inspection. It
can, however, also be performed together with the IQ quick test.
See chapter 5, "IQ quick test".
X • Check the overall accuracy of the navigation system together with a engineer of the
navigation system manufacturer. See "IQ quick test".
SIE Voltage discharge rubber
• Inspect the voltage discharge rubber on the SIREMOBIL stand and monitor trolley for
damage or dirt. If necessary, clean or replace it.

SIE Ground wire test
NOTE Observe the notes on the protective conductor test in the "Gen-
eral" chapter.
The protective conductor test is part of the safety inspection and
can only be carried out after all the covers have been closed.
See chapter "Final work steps"
• Perform, document and evaluate the protective conductor test after all work steps have
been completed and all cover panels closed. The protective conductor resistance must
not exceed 0.2 ohms. See chapter "Final work steps."
SIE System leakage current
NOTE Observe the instructions for the system leakage current measure-
ment in the "General" chapter.
The system leakage current measurement is part of the safety
inspection may be performed only after the protective conductor
test has been passed.
See chapter "Final work steps"
NOTE Measure, record, and evaluate the leakage current. Refer to the
"Final work steps" section.
• Perform, document and evaluate the leakage current measurement after all work steps
have been completed, all cover panels closed, and the protective conductor test has
been passed. The leakage current must not exceed 2.5 mA. See chapter "Final work
steps."

36 Maintenance, operating value/functional inspection
4-
4 Maintenance, operating value/functional inspec-
tion
4.1 Maintenance
PMP Cleaning the system
• Clean the entire system:
- Visible cables
- Exterior surfaces
- Contact surface of wheels
- Interior space
PMP System ventilation
• Clean the ventilation slots of the ARCADIS Orbic stand and monitor cart.

Maintenance, operating value/functional inspection 37
4.2 Operating value inspection

SIE Dose rate
X • Switch he system on.
• Check the dose rate (see the ARCADIS Orbic service instructions for this purpose).
PMF Event log
• Read out and evaluate the system event log.

38 Maintenance, operating value/functional inspection
4.3 Functional inspection

SIE TFT monitor
• Check the TFT monitor with the image quality assurance test.
SIE Air kerma measuring unit (if present)
• Check the air kerma measuring unit and test its accuracy. (See Main System Adjust-
ment Instructions SPR2-330.842.01...).
SIE Area dose product measuring unit (if present)
• Check the area dose product measuring unit and the calibration. (See Main System
Adjustment Instructions SPR2-330.842.01...).
PMF Laser camera connection (if present)
• Check the functioning of the laser camera connection.
PMF Check the operating function.
• Check all system operating functions.
PMF Monitor display of the iris collimator aperture
• Select I.I. full format.
• Close the iris collimator (X-iris) completely.
• Mark the diameter of the collimated iris collimator aperture on the monitor.
X • Release fluoroscopy briefly. The actual diameter of the iris collimator is visible. The
previously indicated monitor display must match the position and diameter of the actual
iris collimator aperture.
• Open the iris collimator completely.
• Mark the diameter of the collimated iris collimator opening on the monitor.
X • Release fluoroscopy briefly. The actual diameter of the iris collimator is visible. The
previously indicated monitor display must match the position and diameter of the actual
iris collimator aperture.
• Select I.I. zoom format.
• Close the iris collimator (X-iris) completely.
• Mark the diameter of the collimated iris collimator aperture on the monitor.
X • Release fluoroscopy briefly.
The actual diameter of the iris collimator is visible. The previously indicated monitor dis-
play must match the position and diameter of the actual iris collimator aperture.
• Open the iris collimator completely.
• Mark the diameter of the collimated iris collimator opening on the monitor.
The actual diameter of the iris collimator is visible. The previously indicated monitor dis-
play must match the position and diameter of the actual iris collimator aperture.
PMF PMF Monitor display of the slot diaphragm positions
• Select I.I. full format.
• Completely close the slot diaphragm and rotate the slot diaphragm from its basic posi-
tion.

Maintenance, operating value/functional inspection 39
• Mark the distance and angle of rotation of the displayed slot diaphragm position on the
monitor.
The actual position (distance of the plates and angle of rotation) of the slot diaphragm is
visible. The previously displayed monitor display must match the position and angle of
rotation of the actual slot diaphragm position.
• Open the slot diaphragm completely and rotate it again.
monitor.
• Select I.I. zoom format.
• Completely close the slot diaphragm and rotate the slot diaphragm from its basic posi-
tion.
monitor.
visible.
• The previously displayed monitor display must match the position and angle of rotation
of the actual slot diaphragm position.
• Open the slot diaphragm completely and rotate it again.
monitor.
NOTE Perform this check with the lowest possible kV values so that the
front edges of the slot diaphragm plate are effectively visualized.
PMF Battery replacement in the UPS

The lead-acid battery installed in the UPS must be replaced preventively every 36 months.
The replacement procedure is described in the supplied installation instructions from the
manufacturer as well as in Replacement of Parts Instructions SPR2-320.841.01.

40Final result/quality inspection and general maintenance
5-
5 Final result/quality inspection and general mainte-
nance
SIE Image quality (IQ) quick test
• Perform the image quality test according to the ARCADIS Orbic quality assurance
image quality test instructions. Include additional monitors as well (if applicable).
PMP General maintenance
• Entire system: Touch up any paint damage as needed.

Final result/quality inspection and general maintenance41
5.1 Final work steps

SIE Ground wire test
NOTE Observe the instructions for the protective conductor test in the
"General" chapter of these instructions.
• Measure, document, and evaluate the protective conductor resistance.

¹ The protective conductor resistance must not exceed 0.2 Ohm.
NOTE Evaluate the results by comparing the first measured value to the
corresponding values documented during preceding mainte-
nance procedures or safety checks.
A sudden or unexpected increase in the measured values may
indicate a defect in the ground wire connections (ground wire or
contacts) - even if the limit value of 0.2 Ohms is not exceeded.
SIE Leakage current
NOTE Observe the leakage current measurement instructions in the

"General" chapter of these instructions.
• Measure, document, and evaluate the leakage current.

¹ The leakage current must not exceed 2.5 mA.
NOTE Evaluate the results by comparing the first measured value to the
corresponding values documented during preceding mainte-
nance procedures or safety checks.
A sudden or unexpected increase in the measured values may
indicate that an error occurred in the primary circuit of the power
supply (damaged insulation, damage caused by water ingress or
humidity, defective interference suppressor, etc.) - even if the limit
value of 2.5 mA is not exceeded.

42 Changes to previous version
6-
6 Changes to previous version
Protocol layout changed


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The protocol SPR2-320.832.02.03.02 is required for

Print No.: SPR2-320.831.02.03.02 English

Document revision level

ARCADIS Orbic SPR2-320.831.02.03.02 Page 2 of 42 Siemens AG

2 _______ Inspection of exterior and surroundings____________________________ 28

3 _______ Safety inspection _______________________________________________ 30

4 _______ Maintenance, operating value/functional inspection __________________ 36

5 _______ Final result/quality inspection and general maintenance ______________ 40

Siemens AG SPR2-320.831.02.03.02 Page 3 of 42 ARCADIS Orbic

Final work steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

6 _______ Changes to previous version _____________________________________ 42

ARCADIS Orbic SPR2-320.831.02.03.02 Page 4 of 42 Siemens AG

Siemens AG SPR2-320.831.02.03.02 Page 5 of 42 ARCADIS Orbic

1.2 Required documents

• Safety information according to ARTD, part 2

1.2.1 Systems equipped with a laser light localizer

• Setting instructions (when laser light localizer SPR2-230.815.02..

1.2.2 Systems equipped with an I.I. laser light localizer

• Installation and setting instructions RXR2-120.814.01..

• Installation and setting instructions SPR00-000.814.07...

ARCADIS Orbic SPR2-320.831.02.03.02 Page 6 of 42 Siemens AG

1.3 Required tools, measurement and auxiliary devices

• Standard tool kit*

Siemens AG SPR2-320.831.02.03.02 Page 7 of 42 ARCADIS Orbic

• Cable for connecting service PC to 99 00 440 RE999

ARCADIS Orbic SPR2-320.831.02.03.02 Page 8 of 42 Siemens AG

1.4 Spare parts which may be needed

Siemens AG SPR2-320.831.02.03.02 Page 9 of 42 ARCADIS Orbic

1.5 Emphasized texts

Bei einer unmittelbar drohenden Gefahr, die bei Nichtvermeidung

Indicates when there is an immediate danger that leads to death

Tab. 2 WARNUNG / WARNING

Indicates a risk of danger that may lead to death or serious phys-

Tab. 3 VORSICHT / CAUTION

Bei einer Gefahr, die bei Nichtvermeidung zu einer leichten oder

Tab. 4 ACHTUNG / NOTICE

Bei einer Gefahr, die bei Nichtvermeidung zu einem unerwünscht-

Tab. 5 HINWEIS / NOTE

Ist als Tipp zu verstehen. Der Anwender muss diese Anweisung

ARCADIS Orbic SPR2-320.831.02.03.02 Page 10 of 42 Siemens AG

1.6 Safety information and protective measures

1.6.1 General safety information (in existing documents)

WARNING Danger of injuries, death or material damage.

1.6.2 General electrical safety information

WARNING Electrical safety!

CAUTION Electrical voltage!

Siemens AG SPR2-320.831.02.03.02 Page 11 of 42 ARCADIS Orbic

1.6.3 Radiation safety information

WARNING X-ray radiation!

During work on the system in which radiation must be released,

1.6.4 Safety information - risk of infection

WARNING Risk of infection due to pathogens!

ARCADIS Orbic SPR2-320.831.02.03.02 Page 12 of 42 Siemens AG

1.6.5 Mechanical safety information

CAUTION Risk of injury from mechanical parts!

CAUTION Risk of burns from hot parts or components!

Siemens AG SPR2-320.831.02.03.02 Page 13 of 42 ARCADIS Orbic

CAUTION Risk of injury from mechanical parts!

2 _ Inspection of exterior and surroundings______________________ 28

3 _ Safety inspection _________________________________________ 30

4 _ Maintenance, operating value/functional inspection ____________ 36

5 _ Final result/quality inspection and general maintenance ________ 40

6 _ Changes to previous version _______________________________ 42