Ziehm Imaging, Inc.
Vision Installation Manual
MAN 06-0015, Rev. A
Page 1
M a i n t e n a n c e R e p o r t : I n t r o d u c t i o n
Maintenance Report
This is a master copy of Ziehm’s Maintenance Report for the ZIEHM
VISION C-Arm. Make photocopies and safeguard the original for future
use.
Introduction
You are required by the Food and Drug Administration (FDA) to perform the checks
and inspections described in this document, at least every six months. This is to ensure
that the x-ray system complies with federal regulations (specifically, the applicable
sections of CFR 21, Subchapter J - Radiological Health).
Responsibilities
The
equipment user
is responsible for ensuring that the maintenance steps described
in this procedure are performed every six months. Failure to comply with this require-
ment relieves the manufacturer and his agents of all responsibility in this matter.
The
equipment user
is responsible for ensuring that only service technicians certified
by the manufacturer perform the tests and adjustments described in this procedure.
Service technicians
are responsible for performing this procedure in the manner
described in this document.
Company Information
Please provide the following information:
Required Equipment
The following equipment and material is required to perform this procedure:
1. Digital multi meter (e.g., Fluke 8040A, or Fluke 87)
2. Dosimeter kit
3. Beam center target, 40-400-T10
4. Storage oscilloscope
5. Fluorescent cross, 44-14-538 RH090
6. Vinyl lead sheets (3 mm lead blocker)
7. Maintenance Record
Company Name:
Phone Number:
Address:
C-Arm Serial Number:
Location/Room Number:
Name of Technician:
