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    XPW7-000 834 01 01 02

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    gustavo
    This document summarizes the results of a safety inspection test of a mammography system. The inspection included visual checks of documentation and components for damage or contamination, electrical safety tests measuring grounding and leakage currents, and functional checks to ensure proper operation. No significant deficiencies were found, though some minor issues were noted that require corrective action. The inspection was performed according to standard protocols to verify the system's safety.

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    © All Rights Reserved
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    XPW7-000 834 01 01 02

    Uploaded by

    gustavo
    14 views6 pages
    This document summarizes the results of a safety inspection test of a mammography system. The inspection included visual checks of documentation and components for damage or contamination, electrical safety tests measuring grounding and leakage currents, and functional checks to ensure proper operation. No significant deficiencies were found, though some minor issues were noted that require corrective action. The inspection was performed according to standard protocols to verify the system's safety.

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    XPW7-000.834.01.01.02

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    This document summarizes the results of a safety inspection test of a mammography system. The inspection included visual checks of documentation and components for damage or contamination, electrical safety tests measuring grounding and leakage currents, and functional checks to ensure proper operation. No significant deficiencies were found, though some minor issues were noted that require corrective action. The inspection was performed according to standard protocols to verify the system's safety.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    14 views6 pages

    XPW7-000 834 01 01 02

    Uploaded by

    gustavo
    This document summarizes the results of a safety inspection test of a mammography system. The inspection included visual checks of documentation and components for damage or contamination, electrical safety tests measuring grounding and leakage currents, and functional checks to ensure proper operation. No significant deficiencies were found, though some minor issues were noted that require corrective action. The inspection was performed according to standard protocols to verify the system's safety.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 6

    Mammography Systeme

    Safety-Related Tests Report


    System
    Safety Check per IEC 62353:2014-09

    Customer:

    Address:

    Fax / E-Mail:
    Fax / E-Mail:

    Department: Room:
    Material-No.: Serial-No.:
    Contract-No.: Expire date:
    Order-No.: System - ID:

    The instructions XPW7-000.833.01.01.XX are required for this protocol


    2 Report Date: Serial-No.:

    Final Evaluation
    Initial Measurement Repeat Measurement

    The evaluation was performed after completing all work steps.


    No deficiencies
    Slight deficiencies that require corrective measures. These must be recorded
    under Remarks.
    Significant deficiencies: The safety of the system is no longer assured. If these
    deficiencies are not corrected, there is a "risk for patients, users or third par‐
    ties".

    Signature:

    Date: Tester:

    If required by country-specific regulations:


    The customer or a representative has taken note of the result of the evaluation of the
    system condition.

    Signature:

    Date: Name:

    Remarks:

    Mammography Systeme XPW7-000.834.01.01.02 Page 2 of 6 © Siemens, 2017


    09.17 CS SLM XP PDM
    Report Date: Serial-No.: 3

    Remarks regarding the Protocol


    The chapter numbers refer to the chapters in the instruction, which is referenced on the
    cover page.
    All pages have to have the serial number of the system and the date of maintenance in
    the page header.
    The abbreviation n.a. (not applicable) indicates that the test item or measured value does
    not apply to this system.
    On page 2 the completeness and the results of the maintenance work is confirmed.

    Explanation of Abbreviations in the Report

    Abbrev. Explanation Abbrev. Explanation


    SI Safety Inspection SIE Electrical Safety Inspection
    SIM Mechanical Safety Inspection CSE Customer Service Engineer

    © Siemens, 2017 XPW7-000.834.01.01.02 Page 3 of 6 Mammography Systeme


    09.17 CS SLM XP PDM
    4 Report Date: Serial-No.:

    Measuring Equipment and Measuring Instruments Used


    Measuring instruments and measuring devices (phantoms, MR coils, etc.) may not be en‐
    tered in the table if they have already been entered in the mobile device.

    Measuring equipment / -instruments Serial No. Date Used

    Mammography Systeme XPW7-000.834.01.01.02 Page 4 of 6 © Siemens, 2017


    09.17 CS SLM XP PDM
    Report Date: Serial-No.: 5
    OK not n.a.
    OK

    1 General Notes
    1.5 Reason for the checks
    Q The check is performed as a safety check.
    Q The check is performed during startup.
    Q The check is performed after a repair.
    Q The check is performed during maintenance.

    2 Testing and inspection


    2.1 Visual inspection
    2.1.1 System inspections
    SI Check of the “complete and current” documents.
    SI Check of externally accessible fuses.
    SI Check of the safety-related markings.
    SI Check of the safety-related markings.
    SI Damage check.
    SI Check of contamination.
    2.1.2 Inspections of relevant accessories
    SI Check of relevant accessories.

    2.3 Grounding conductor measurement


    SIE Ground wire status (in milliohms)

    value:
    2.4 Device leakage current measurement on the AWS
    SIE Device leakage current (in milli A)

    value:

    SIE Equivalent leakage current (in milli A).

    value:
    2.5 Function check
    SIE Perform a function check.

    Check of this section was performed by:

    Signature:

    Date: Name:

    © Siemens, 2017 XPW7-000.834.01.01.02 Page 5 of 6 Mammography Systeme


    09.17 CS SLM XP PDM
    All documents may only be used for
    rendering services on Siemens
    Healthcare Products. Any document
    in electronic form may be printed
    once. Copy and distribution of elec‐
    tronic documents and hardcopies is
    prohibited. Offenders will be liable
    for damages. All other rights are re‐
    served.

    healthcare.siemens.com/services

    Siemens Healthineers Headquarters


    Siemens Healthcare GmbH
    Henkestr. 127
    91052 Erlangen
    Germany
    Telephone: +49 9131 84-0
    siemens.com/healthineers

    Print No.: XPW7-000.834.01.01.02 | Replaces: n.a.


    Doc. Gen. Date: 09.17 | Language: English
    © Siemens Healthcare GmbH, 2017

    siemens.com/healthineers

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