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Siemens LITHOSTAR Multiline SP, Start-Up Instructions

The Siemens LITHOSTAR Multiline SP is a cutting-edge medical product that ensures precision and efficiency in lithotripsy procedures. To get started with this advanced device, simply access our website and download the detailed Start-Up Instructions manual for free. Experience seamless usability and optimal results with Siemens LITHOSTAR Multiline SP.

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LITHOSTAR Multiline

 

RXL2-120.815.01

Page 4 of 4

Siemens AG

System manual

Rev. 02

02.05

CS PS 24

Medical Solutions

2 - 4

General Start-Up

 

Systems with the ultrasound option:

•

Remove the front cover (Fig. 2).

•

Install the uro insert.

•

Move the unit to the left so that board D31 is accessible.

•

Connect control cable X28 on board D31 and secure it with screws.

•

Reattach the cover.

Summary of Contents for LITHOSTAR Multiline SP

Page 1: ...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 SP System manual Start up Instructions ...

Page 2: ...ion 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 autho rized by Siemens or one of its ...

Page 3: ...ckwave Release Function 3 5 4 _______Start Up of Multiline System _____________________________________ 4 1 Service Software Installation and System Programming 4 1 Generator Start Up without High Voltage 4 2 Checking the Display on the Operating PC 4 2 Checking Selection of kV and mAs 4 2 Checking the Anode Starter 4 2 Generator Start Up with High Voltage 4 2 Generator Programming 4 3 Setting the...

Page 4: ... 6 13 PDA Sensor Adjustment 6 14 Image brightness for DR 6 16 G Check measurement of the B signal 6 17 H Resolution Test 6 18 7 ______ Start Up and Tests of the Options _________________________________7 1 ECG Triggering 7 1 Respiratory Triggering 7 1 Respiratory and ECG triggering 7 1 Release shock waves and check their synchronization to the pulse and respiration rates refer above 7 1 DICOM Conn...

Page 5: ...ost software parameter setting RXL2 120 032 Start up instructions SONOLINE U3 LH300 031 Repair instructions ultrasound localization RXL2 120 091 10 Standard Installation Tool Kit Service PC see Intranet Service Laptop for CSE s PC interface cable 5 m 99 00 440 RE999 Internal line impedance meter 84 28 104 RE999 Oscilloscope e g Fluke Scope Meter 73 92 074 Resolution test Type 41 28 71 820 RE999 17...

Page 6: ...ments required for the customer 2 Radiation protection 3 DHHS and identification labels Abbreviations and Symbols Used in these Instructions 1 When performing service work and tests adhere to the product specific safety information in the document as well as the general safety information contained in the ARTD Part 2 The oscilloscope must always be connected to ground Use the TEK isolation transfo...

Page 7: ...cording to ESD guidelines Preliminary Steps 1 Set switch S1 on board D 100 to SS OFF Fig 1 Tests and adjustments performed with radiation ON are identified by the radiation warning symbol Radiation protection must be worn during these types of adjust ments refer to ARTD part 2 Voltage is still present in transformer T1 and power on circuit D160 even after the generator is switched off see wiring d...

Page 8: ...LITHOSTAR Multiline RXL2 120 815 01 Page 4 of 6 Siemens AG System manual Rev 02 02 05 CS PS 24 Medical Solutions 1 4 Prerequisites General Information Fig 1 D110 D160 S2 V36 V35 S1 D100 ...

Page 9: ...1 Page 5 of 6 LITHOSTAR Multiline Medical Solutions Rev 02 02 05 CS PS 24 System manual POLYDOROS SX 65 80 1 M9 DIA T2 M16 BUS mouse Important Connect the system controller D320 XCS to Com 1 Connect the PC mouse to the PC BUS mouse connector D320 XCU to Com 1 3 2 1 ...

Page 10: ...manual Rev 02 02 05 CS PS 24 Medical Solutions 1 6 Prerequisites General Information POLYDOROS LX 30 50 1 X9 D160 H1 D291 D100 D110 D115 D220 M16 T2 K20 K30 F1F2 F3 SN D200 X5 Com 2 3 2 1 SPC Com 1 X5 Important The system controller D200 X5 must be connected to Com 1 ...

Page 11: ...tween two of the phases at the lower connections of the fuse holders for F1 F2 and F3 X2169 11 POLYDOROS LX X2206 10 POLYDOROS SX Switch the system breaker ON Use the multimeter to measure the voltage phase to phase consecutively Record the voltage measured in the Multiline test report Switch the system breaker OFF Measure the internal line impedance at M16 L1 L2 L3 using the internal line impedan...

Page 12: ...ord the measured value in the table below or in the Multiline test report To reach full generator power the measured internal power line impedance may not exceed the following value Switch the system breaker OFF Reinstall the knife fuses Reinstall the cover over the knife fuses ULine max RLine for POLYDOROS LX 50 Measured 400 V 10 0 15 Ohm max RLine for POLYDOROS SX 65 400 V 10 0 14 Ohm max RLine ...

Page 13: ...wave cabinet N12 ON Withdraw plug from pump M15 in N12 pump must not run dry Switch the system ON The message No contact to shock wave system appears on the PC monitor Fig 2 Switch the system breaker ON The red LED V23 and the lamps H1 and H2 must light up on power on circuit board D160 In the event of a fault check the fuses for transformer T1 below D160 X2169 11 12 and 19 and X2206 11 12 and 19 ...

Page 14: ...02 05 CS PS 24 Medical Solutions 2 4 General Start Up Systems with the ultrasound option Remove the front cover Fig 2 Install the uro insert Move the unit to the left so that board D31 is accessible Connect control cable X28 on board D31 and secure it with screws Reattach the cover ...

Page 15: ... set to open If not set it to open by holding the lower brass screw in place with a crescent wrench Open the red cap on the vent valve Open the quick couplings and pump outlet located on the right hand side behind the pump Turn on N12 using switch S1 until water runs out of the fast couplings Turn off N12 using switch S1 Connect the quick couplings and the pump Turn on N12 using switch S1 the cool...

Page 16: ...e voltage at measurement point X3 or MP X2 3 of board W11 0 Volts on board D1 at measurement point X3 This voltage must not change by more than 50 mVolts within 10 minutes The cooling unit must be switched off during this check Tighten the red cap of the vent valve If the voltage drops Leakage in the cooling circuit Solenoid valve Y1 is defective If no more air bubbles can be seen in the flow rate...

Page 17: ...acceptable range 1 80 V 0 25 V Connect the funnel for filling the water tank 2 Fig 2 Fill the water tank until the water level is between the two marks on the upper sight glass 1 Fig 2 Remove the funnel open the quick coupling on the water tank 2 Fig 2 Remove the elbow from the coupling bellows If there are air bubbles Fill the hose through the elbow using a syringe and a needle If the hose cannot...

Page 18: ...e the funnel release the quick connector on the water tank 2 Fig 2 Set the S2 switch on board W12 to the STANDARD MODE position Fig 1 Y3 valve open Fill the coupling bellows with water using the S1 button on W12 board Fig 1 Remove air bubbles in the coupling bellows using a syringe without a needle Fig 3 Set the S2 switch on board W12 to the EMPTY COUPLING BELLOWS position Fig 1 Y3 valve is open F...

Page 19: ...ig 1 Shockwave Release Function 3 Switch the system OFF Remove the left cover from the shock wave generator Record the start up data on the label inside the cover Reattach the cover Switch the system ON Check the switch positions on the high voltage charger the following positions must be selected Selectable Establish the coupling pressure refer to Operating PC monitor or Set the S3 switch W12 boa...

Page 20: ...LITHOSTAR Multiline RXL2 120 815 01 Page 6 of 6 Siemens AG System manual Rev 02 02 05 CS PS 24 Medical Solutions 3 6 Shock Wave System This page intentionally left blank ...

Page 21: ... LITHOSTAR Multiline RXL2 120 034 The System Programming is stored on the diskette FD SW POLYDOROS in the Struct dat file The diskettes are located in the Logbook Connect the service PC to the generator Refer to chapter 1 Switch on the system and the service PC Prior to turning the system over to the customer save the system programming on the FD SW POLYDOROS diskette back up Fig 1 The system was ...

Page 22: ...tarter 4 only if the cassette option is present Install the cassette holder and insert a cassette 35 x 43 Remove the cassette holder Generator Start Up with High Voltage 4 Switch the system OFF Set the SS switch on board D100 to ON Fig 1 Connect the oscilloscope to the appropriate test points on board D100 to check the tube voltage and the tube current for the following adjustments Remove the jump...

Page 23: ... The following provides a summary of these instructions XCS Software VE00J POLYDOROS SX or VD00A POLYDOROS LX and the Videomed Service Software VA01A must be installed on the service PC Connect the service PC to the generator Call the Software Manager in the Program Manager Mark the required version according to generator Select the Make to current version button Terminate the Software Manager wit...

Page 24: ...t field i e click ON with the mouse Continue to release exposures until the message Release next exposure disappears Click OK The query appears Next focus click cancel if second focus is set already If you need to perform the adjustment for the second focus click OK in the ADJ menu Select warm up and repeat the procedure Click OK after fluoro switches off Switch on an exposure in the Learn Filamen...

Page 25: ...test conditions can be found in the Operating Instructions Exposure Indicators on the Operating PC 4 only if the cassette option is present Select 77 kV 100 mAs 80 power at the service PC Release an exposure During the exposure radiation ON the radiation symbol must appear on the service PC The audible signal of the Operating PC must be activated for the duration of the exposure beeper signal Remo...

Page 26: ...pired no switch off with software version VE00J The buzzer can be reset at the Operating PC by pressing ESC prior to it being blocked Switch the system off Disconnect the oscilloscope Remove the mAs meter and reinstall the jumper on board D220 Checking and Adjusting the Shock Wave Head 4 Switch the system ON Remove the covers rubber plugs of the three holes in the upper shock wave head panel Move ...

Page 27: ...nto the coupling position Apply ultrasound contact gel to the coupling bellows Attach and secure PTU adapter M with screws Selection of energy step and measured values see Service Instructions Shock Wave Pressure and Position Control SPL2 120 074 01 Release shock waves Remove PTU adapter M and reinsert the rubber plugs Move the shock wave head into the park position after completing the measuremen...

Page 28: ...LITHOSTAR Multiline RXL2 120 815 01 Page 8 of 8 Siemens AG System manual Rev 02 02 05 CS PS 24 Medical Solutions 4 8 Start Up of Multiline System This page intentionally left blank ...

Page 29: ...nter marking by more than 1 cm Check whether the radiation field is correctly positioned with respect to the film field Acceptance Test according to X Ray Ordinance 16 for F R of Germany only If it has been assured that the factory settings have not changed the values in the test certificate and the films that were exposed at the factory can be used for the Acceptance Test Certificate The central ...

Page 30: ...ll format Switch fluoro ON and open the collimator blades completely I I format Check collimation for the zoom formats as well Ensure that the collimator blades are visible on the monitor for all formats Record the results in the test protocol in the section Fluoroscopic Field Limitation If this is not the case In the Adjustment menu select the Image Intensifier parameter and change the zoom forma...

Page 31: ... The IQC program must already be installed on the service PC or must be installed according to RXD0 000 73 01 The IQC program disk and the IQC data disk containing the corresponding IQC data RXD0 000 037 04 item no 37 67 410 X1963 are located in register 9 of the system binder Test Videomed DIM 6 After an adequate warm up time for Videomed DI Select the service software VIDEOMED DIM Use the IQC fl...

Page 32: ...be set The following flowchart displays only the basic steps of the IQ tests NOTE Is the IQC Program installed on the service PC no yes no yes Loaded protocol open Start IQC Program Load data from the system disk with Copy data Load data from file ALL Close protocol with Manager close protocol Open start up protocol with Manager Open new protocol and confirm with Yes Select IQ start up and confirm...

Page 33: ...lready been entered correctly at the factory Select General Data Check and add Customer data Add Test Info Fill in Test equipm continue with ESC Select Image intensifier Check and enter Temperature indica tor refer to instructions RXD 000 038 ADC measurement field Check and enter Light Path continue with ESC Select Fluoroscopy dose rate Select FL C00 continue with ESC ...

Page 34: ... rate refer to section A of this chapter Select Setting Adjustment of the skin dose rate Iris collimator refer to part B of this chapter Check of the max skin dose rate select skin dose rate refer to section C of this chapter continue with ESC Select Videomed DI Measure the B Signal Protocol Artifacts Corresponding instructions available with the F1 key Help Check resolution continue with ESC B1 f...

Page 35: ...rotocol in the system binder At present the snap shot for the 33 cm I I according to paragraph F can only be recorded in the supplied protocol Printer Menu Select Print protocol Print protocol Select Menu Copy data Copy data onto select Answer query fields If data already exists Overwrite Data has to be selected Menu Manager Close protocol Close test Menu Manager Quit IQC Program ...

Page 36: ...ng the service PC The required adjustment menus are described in the Start up Instructions System Configuration with the Service PC RXL2 120 034 02 Place the 2 1 mm Cu precision filter on the collimator Center the dosimeter chamber on the I I Establish the connection between the service PC and the generator Call up the XCS service software Enter User Identification and enter User name Name Enter G...

Page 37: ...the mA value so that the dose rate desired appears on the dosimeter Record the measurement value approx 3 1 mA Enter 300 mV in the B Signal value field Click OK Wait for the data to be transferred to the generator this may take some time Click Fluoroscopy on in the CCD Brightness Adjust field if the value 0 1 is not reached Exit the XCS software Switch fluoroscopy ON Read out the nominal actual va...

Page 38: ...The required adjustment menus are described in the Start up Instructions System Configuration with the Service PC RXL2 120 034 05 Place the 2 1 mm Cu precision filter on the collimator Center the dosimeter chamber on the I I With fluoroscopy ON check with the smallest zoom format Select the antiisowatt fluoroscopic curve on the operating PC Establish a connection between the service PC and the gen...

Page 39: ... algebraic sign Exit the XCS soft ware In case of deviations Connect the service PC to the Multiline Call up Parameter in the Adjustment menu Click Get from Unit Select Parameter am 7 TV Iris in the parameter groups Select Parameter FLUORO Zoom 0 Reduce or increase the TV iris value nominal actual in the Value Actual field If the TV iris value is negative nominal actual it should be reduced For ex...

Page 40: ...Multiline and login Release fluoro Call up Parameter in the Adjustment menu Click on Get from Unit Select the parameter am 7 TV Iris in the Parameter Groups menu Select the FLUORO Zoom 3 parameter In the Value Actual field reduce or increase the zoom value If the dose is too high increase the value After completing the change click Set Value The changed value is marked in the parameters window It ...

Page 41: ...input e g with lead rubber potential for burning Select Skindoserate in the Polydoros Service Adjustment window Exit the message window with OK Switch fluoro ON in the Skin Doserate window and leave it on until the generator has reached maximum kV Adjust the tube current so that the maximum skin dose rate of 9 R min is measured Exit the service program Exit the adjustment program via SYSTEM QUIT a...

Page 42: ...tests Ensure compliance with country specific regulations when setting the maximum acceptable values If such regulations do not apply enter SS OFF in this window Set 18 mA for 110 kV and 70 kV F DR Snapshot optional 6 Checking the dose image 6 When checking the dose image the tube housing cover must be installed and the Uro insert removed Insert the 2 1 mm precision radiation filter in the collima...

Page 43: ...tor until the sensor is clearly visible Measure the round inner measurement field and compare it with the standard value Set switch S1at the PDA sensor back to the starting position on board D100 service lamp goes out Standards table for PDA sizes on the Lucius Baer monitor Standards table for PDA sizes on the 44 cm Simomed monitor If the size of the PDA does not fall within the tolerance values p...

Page 44: ...nd with Fluoro on change the mA until a dose rate of 870 nGy s is measured at the I I input without a grid or 1444 nGy s with a grid Message line Start fluoroscopy with ON Set the dose to 870 nGy s 100 uR s at the I I input by increasing the tube current nominal value for PDA Remove the dose measurement chamber Open the collimator to max aperture Remove the cover of the light distributor Full form...

Page 45: ...er to 1 1 4 EP with R1 on board D100 If this range is not adequate change over to switch S2 on board D100 in the camera adapter and repeat the adjustment Remove the measurement chamber Leave 1 2 mm Cu filtration and exit the window with OK the window PDA Preadjust appears With fluoro ON check whether the value 0 1 is attained in the field Difference of expected to actual value Otherwise adjust pot...

Page 46: ... If a value deviates by more than 15 the value must be correspondingly changed in the Components Multiline menu under Adjustment Nominal Value Exit the menu with System Quit and repeat the procedure if necessary for the next measurement check Image brightness for DR 6 Preparation Set 70 kV for DR image 2 1 mm Cu filtration in the beam path Measure the image signal in the line center 60 Hz approx l...

Page 47: ...d in the Start Up Instructions System Configuration with the Service PC RX63 020 034 08 In addition steps that must be performed are described in the VIDEOMED DI Service Instructions RX52 022 061 01 Remove the cover from VIDEOMED DI M Connect the oscilloscope VIDEOMED DI M measurement point D1 X401 0V Ground at X406 Place 2 1 mm Cu filter on the collimator Switch the system ON and select the full ...

Page 48: ...d or if the minimum contrast is not visible Refer to the VIDEOMED DI Service Instructions RX52 022 061 01 Determine the resolution values or check the minimum contrast and enter the results in table 5 7 after a readjustment of the TV system DI DI M The tests and measurements that have been documented up to this point ensure that the system is functioning properly However to ensure customer satisfa...

Page 49: ...nection Respiratory and ECG triggering 7 Set up triggering for both as described above and select both at the same time Release shock waves and check their synchronization to the pulse and respiration rates refer above 7 Diamentor The Diamentor is calibrated at the factory Checking procedures and recalibration are described in the instructions accompanying the Diamentor DICOM Connect 7 Perform the...

Page 50: ...he ECG Monitor 7 Set the time in accordance with the Patient Monitor Instructions Start up of Sonoline Adara 7 Turn the unit on Refer to Chapter 4 System set up General system settings in the SONOLINE Adara Operating Instructions for setting the date time language and hospital name Attach the universal adjustment device Adjust the centering according to the Repair instructions ultrasound localizat...

Page 51: ...ng the start up Final Steps 8 If the shielding panels have been removed reinstall them Attach the labels from register 9 system binder at appropriate locations Install all cover plates except for the generator front panel and connect the protective conductors Measure the protective conductor resistance The input field Actual is filled with blanks These are not visible All banks must be deleted bef...

Page 52: ...aise the table Push the cassette holder upward during the movement This must block the drive and the LED s in the danger buttons must light up Push the EMERGENCY STOP button during the unit movement All movements must be switched off Clean the system For further information cleaning disinfecting refer to the Operating Instructions The manufacturer of this product requires information and the legis...

Page 53: ...ge 1 of 2 LITHOSTAR Multiline Medical Solutions Rev 02 02 05 CS PS 24 System manual Changes to previous version 9 Chap 0 Cover sheet revision table of contents generated again Chap 8 2 Information regarding installation report included ...

Page 54: ...LITHOSTAR Multiline RXL2 120 815 01 Page 2 of 2 Siemens AG System manual Rev 02 02 05 CS PS 24 Medical Solutions 9 2 Changes to previous version This page intentionally left blank ...

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