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Siemens MODULARIS Uro Plus, Инструкция по эксплуатации

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Iso-center with X-Ray

5 - 5

Siemens AG

 

SPL1-130.840.02

Page 5 of 8

MODULARIS Uro Plus

Medical Solutions

Rev. 03

04.05

CS PS 24

 

 

LITHOSTAR MODULARIS from support arm serial number 0051

Adjustment procedure

5

Prerequisite: The potentiometer must be correctly adjusted on the motor. 

If screws were loosened on the adjustment direction of the shock wave head they must be 
tightened before checking the iso-center with X-ray.

The ball will jump when zooming, but this has no effect.

Before the iso-center can be checked or adjusted, the following 
settings must be performed on the SIREMOBIL Iso-C:

1. Camera rotation to 0°.
2. Deselect image reverse vertical (LED is off).
3. Deselect image reverse horizontal (LED off).

NOTE

I.I. replacement 

X-ray tube / 

collimator repla-

cement 

Shock wave 

head 

replacement 

Iso-center adjustment 

0° position

Iso-center adjustment

-20° position

Iso-center adjustment

+20° position

Iso-center adjustment

0° position

Iso-center adjustment

-20° position

Iso-center adjustment

+20° position

1 LITHOSTAR

MODULARIS and several 

SIREMOBIL 

Iso-C

1 LITHOSTAR

MODULARIS and 

1

 SIREMOBIL Iso-C

No

Yes

Set iso-center the same as 

with support arm from serial 

number 0051

Yes

Check the iso-center; the setting must be identi-

cal to that of the defective shock wave head. To 

avoid having to readjust the iso-center on all 

SIREMOBILES, perform the same check as 

with support arm to serial number 0050 

Prior to replacing the shock wave head, view the 
iso-center (the three positions) and either save it 

or make a hardcopy.

Iso-center adjustment

0° position

Iso-center adjustment

-20° position

Iso-center adjustment

+20° position

Iso-center adjustment 0° position

Iso-center adjustment -20° position

Iso-center adju20° position

Concluding work

NOTICE

Содержание MODULARIS Uro Plus

Страница 1: ...G 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 Service Instructions LITHOSTAR MODULARIS ...

Страница 2: ...n 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 af...

Страница 3: ...nitoring E40 E48 2 6 Monitoring E49 E54 2 7 High voltage circuit E60 E67 2 8 High voltage circuit E68 E74 2 9 High voltage circuit E75 E78 2 10 Internal errors E80 E89 2 11 Ultrasound E90 E93 2 12 Displays on board D3 2 13 Text on the Console 2 13 Chip card invalid 2 13 LITHOSTAR MODULARIS SIEMENS 2 13 Missing Iso center cross on the ultrasound system 2 13 3 _______Service software _______________...

Страница 4: ... coupling circuit 4 11 Hose pump head in the coupling circuit 4 12 Removing the hose pump head 4 12 Installing the hose pump head 4 12 Hose pump head in the cooling circuit 4 12 Removing the hose pump head 4 12 Installing the hose pump head 4 12 IWAKI cooling pump 4 13 Removal 4 13 Installation 4 13 High voltage connector 4 15 Air suction hose 4 18 To support arm serial number 0050 4 18 From suppo...

Страница 5: ..._________ 6 1 Preparations 6 1 Checking the target on the Sonoline G20 6 2 Check of image tilt 6 3 7 _______Memoskop Programming ________________________________________ 7 1 Standard programming 7 1 8 _______MUP Menu Ultrasound Device ____________________________________ 8 1 Selection of the MODULARIS cross on the SONOLINE G20 8 1 Ultrasound localization 8 1 Selection of the MODULARIS cross on the...

Страница 6: ...0 6 Table of Contents MODULARIS Uro Plus SPL1 130 840 02 Page 6 of 6 Siemens AG Rev 03 04 05 CS PS 24 Medical Solutions Page ...

Страница 7: ...as well as the company Dangerous X rax radiation and or dangerous electrical voltage during test and adjustment operations Disregarding safety precautions can result in death or serious bodily injury The following points must be observed Disconnect the power cable when working on the system Ensure compliance with the general safety requirements when working with the system under power Switch off t...

Страница 8: ...erformed on the primary power supply circuit e g repairs to the power on circuit the equivalent leakage current test must be repeated The values measured in the subsequent test may not exceed the threshold value of 1 mA as specified in VDE 0751 Part 1 In addition they may not exceed the initial measured value by more than 50 If the value exceeds this threshold the system must be repaired The value...

Страница 9: ...or Text Cooling system losing water Possible cause action Is water running out of the hoses Pmin switch o k Board D3 X3 connection o k Fill the cooling circuit E11 Error Text Maximum pressure in the cooling circuit exceeded Pressure switch Pmax responded Possible cause action Are the hoses blocked kinked Pmax switch o k Board D3 X3 connection o k Is the cooling unit operating Check the fill level ...

Страница 10: ...n the shock head o k If water can still be pumped out the sensor is probably defec tive refer to Working with the terminal program show diagno stic data Suction hose correctly inserted in the coupling bellows Return hose kinked Board D3 X8 connection o k Fill the coupling circuit If the error only occurs with obese patients the suction hose in the coupling bellows may be kinked E20 Error Text No c...

Страница 11: ...ble o k board D3 X36 Settings for the SIREMOBIL Iso brakes o k Angulation and orbital in 0 LITHOSTAR MODULARIS not coupled Place spring scale at the handle near the I I Release angulation brake pull with spring scale the C arm must move when the spring balance indicates a value from 20N 30N the closer to 20 N the better Settings are made at the position where the angulation motor is coupled Wrench...

Страница 12: ...ssage only E27 Error Text Control unit Possible cause action Key sticks Replace control panel E28 Error Text C arm swivels in the wrong direction Possible cause action Cables connected wrong at the potentiometer or the motor Correct tension on the belt Check the setting of the SIREMOBIL angulation brake see E23 E29 Error Text Shock wave release button sticks Possible cause action Check control uni...

Страница 13: ...ceeded the maximum value Possible cause action Let the shock wave head cool down but do not switch the system off Check that the cooling unit is operating If M1 cooling pump is running pump head may need to be repla ced If the error recurs check the function of the cooling unit E34 Error Text Temperature cannot be determined could not access the ADC when converting the analog values from the tempe...

Страница 14: ...e Possible cause action Fuse F3 on board D3 o k E44 Error Text 5 volt power supply defective Possible cause action Replace board D3 E45 Error Text 18 volt power supply defective Possible cause action LED VCC18 on board D3 o k Circuit diagram J1048 11 Connection cable D3 X8 o k Check the power supply for the pressure sensors E46 Error Text 17 volt power supply defective Possible cause action LED VC...

Страница 15: ...on is available remove the board for the ultrasound option and cables X28 and X29 from board D3 E50 Error Text 5 volt power supply defective Possible cause action Replace board D3 E52 Error Text Battery voltage for battery buffered RAM and real time clock too low Possible cause action Replace the lithium battery on board D3 E53 Error Text Incorrect data in the battery buffered RAM Possible cause a...

Страница 16: ...0 minute pause System ON Replace the charging energy unit E63 Error Text Capacitor defective in the charging energy unit out of tole rance Possible cause action Replace the charging energy unit E64 Error Text Default voltage not attained Current voltage after frequency converter Unom is greater than selected voltage Possible cause action Check the fiber optic cable 1 Replace the charging energy un...

Страница 17: ...ck the high voltage connector Replace the shock wave head E72 Error Text No communication possible with the charging energy unit Possible cause action Check the line voltage at the charging energy unit Replace the fuse in the charging energy unit Check the fiber optic cable 1 Replace the charging energy unit E73 Error Text Message Constancy limit reached Possible cause action For user information ...

Страница 18: ...E77 Error Text Chip card communication error Possible cause action Check execution level for board D3 AS 00 02 replace board D3 AS 03 and higher replace chip card reading device Cable If the error recurs after replacing board D3 is plug X33 properly connected E78 Error Text Charging process too long Possible cause action Line voltage o k Replace the charging energy unit E79 Error Text Call Service...

Страница 19: ...xt Pulse counter backup incorrect Possible cause action If this error occurs repeatedly board D3 must be replaced E83 Error Text CMOS chip card data incorrect Possible cause action E85 Error Text Measurement acquisition incorrect Possible cause action E86 Error Text Flash memory defective Possible cause action Not applicable for the user Read out the memory and perform a reset at the next opportu ...

Страница 20: ...e cause action Potentiometer skips Cable from potentiometer to board D3 ok Potentiometer defect E92 Error Text The two potentiometers have different values Possible cause action Dampness on the potentiometer E93 Error Text Erroneous US values Possible cause action C MOS has lost values Perform potentiometer adjustment Point U in the service menu Check default values see SPL1 130 038 01 3 1 2 5 Val...

Страница 21: ...mains lit when turning it on LITHOSTAR MODULARIS SIEMENS 2 This message is displayed when too many errors occur In this case use the service PC to generate an error log Missing Iso center cross on the ultrasound system 2 There is no communication between the ultrasound system and the LITHOSTAR MODULARIS Display Possible cause action 0 System o k only with the ultrasound localization option and if ...

Страница 22: ...MODULARIS Uro Plus SPL1 130 840 02 Page 14 of 14 Siemens AG Rev 03 04 05 CS PS 24 Medical Solutions 2 14 LITHOSTAR MODULARIS Error List This page intentionally left blank ...

Страница 23: ...he CPU board using this Hyper Terminal program This program is usually located under Accessories in WINDOWS The following provides a short overview of the connection procedure The standard cable 99 00 440 RE999 is used as the connection cable between the ser vice PC and the LITHOSTAR MODULARIS In case of problems use the Help function in the Hyper Terminal program The font Courier New is recommend...

Страница 24: ...In order to save the information from LITHOSTAR MODULARIS it is best to save the desired file as a text file Basic procedure open Windows Explorer Open the folder e g Temp then click on the Datei menu and click Neu Textdatei Enter the name for the text file In the window Datei aufzeichnen accept the file path indicated or search for the desired file path with Browse then click Start Menu Click on ...

Страница 25: ...In order to save the information from LITHOSTAR MODULARIS it is best to save the desired file as a text file Basic procedure open Windows Explorer open the folder e g Temp then click on the File menu and click on New Text file and enter the name for the text file In the window Capture Text accept the file path indicated or search for the desired file path with Browse and click Start In the Transfe...

Страница 26: ... _ _ _ select option h show this help screen p show pulse counters d show diagnostic data e show error log 100 errors present t show therapy data c show chipcard data a b adjust c arm turn back a b now 1200 ms i install remove option ECG trigger now not installed u adjust ultrasound localization r set pulse rate now variable 1 1 5 2 Hz s download new software o change orientation of treatment tabl...

Страница 27: ...erature values may not exceed a maximum of 3 C HV V Displays the voltage at the high voltage capacitor If there is no connection to the charging unit i e fiber optic cable removed the value is 20460 P bellow mV Displays the pressure in the coupling bellows P automatic selected and rinse ended Q 500 mV 2000 mV o k C arm pot mV Current voltage at the potentiometer for the angulation motor US poti1 2...

Страница 28: ...o continue x to exit In order to have a better overview with the code E00 the system powerup is shown The oldest error has the number 1 the most recent error is all the way at the top The line last watchdog error code is internal information The errors can only be deleted in the system after all error numbers have been viewed E no date time err code 100 error messages 100 02 04 1999 14 43 20 E00 0...

Страница 29: ...evels energy levels between 0 1 and 1 0 will be summarized in steps of 0 1 any errors that occurred the text output can be temporarily stopped at any time with the Space key Entering A is only recommended for saving all data to a diskette The data cannot be deleted until they have been read on a workday Selecting delete will erase all therapy data T available data date m d y no of patients 03 01 1...

Страница 30: ...ck waves with energy steps 3 2 released E60 error 60 has occurred again Once all of the therapy data for a day is listed the above text will be displayed Press the d key to delete all therapy data Content of Therapy log selected day Patient no 0001 start of therapy 03 03 1999 17 03 15 table of energy level 10 pulses 1 0012 E60 32 0041 E60 End of therapy 03 03 1999 17 03 24 end of therapy data pres...

Страница 31: ...ck waves registered on inserting the ppu card Text 4 531 0 G init 2 04 13 418 Explan 1 2 3 4 5 6 7 8 Card ejected 7 Date of ejection 8 System shock wave counter value when card ejected Card in system 7 Text Card locked to unit 8 Text 5 531 1 P 89956 0 0 04 13 418 Explan 1 2 3 4 5 6 7 8 Card ejected 7 Date of ejection 8 System shock wave counter value when card ejected Card in system 7 Text Card lo...

Страница 32: ... 3 Press the u key to display the following text If the potentiometer has to be adjusted i e after board D3 is replaced or after the D3 ultrasound addition then perform the following procedure Push the probe receiver all the way to the front so that the space between the probe and the iso center phantom is very small when the iso center phantom is raised After pressing the j key after actual value...

Страница 33: ...ding on which tissue is being examined The position of the iso center can be adjusted to ensure that the position of the cross mat ches the actual stone position on the ultrasound monitor This is possible with Fig 1 Fig 2 The following values can only be altered if approval is given by Erlangen The correct values can be found in document SPL1 130 038 01 Intranet Convex Array Sector CAUTION change ...

Страница 34: ...ect h from the entry menu reselect s etc Once the software download is complete check that the values in the ultrasound localiza tion menu for the applicators are identical to those in document SPL1 130 038 01 Intranet If this is not the case make the appropriate changes threshold value fig 2 The point at which the scale high value is used default 100 mm scale low fig 2 Correction factor default 7...

Страница 35: ...iskette inserted Laufwerk beachten Protokoll select Xmodem Click Senden In the Send File window File name click Browse select the file with the bin extension on the diskette inserted observe drive Protocol select Xmodem Click Send In the Transfer menu select Send File During the data transfer 1 is displayed on board D3 and the decimal point flashes After the transfer a test is executed 2 is displa...

Страница 36: ...ly modified refer to MODULARIS Uro Installation and Start up instructions After pressing the h key the display for selection option o will show which table was selected Delivery configuration is right table Fig 3 Fig 3 o change orientation of treatment table Now _ X Physician s place for X endourolog therapy Right table Left table o change orientation of treatment table Now _ X Physician s place f...

Страница 37: ...text Press 1 or 2 and follow the instructions This procedure cannot be undone xxxxxxx Lithomodule n select system name before shipping software version V_ _ _ hardware _ _ _ _ select option h show this help screen p show pulse counters o change orientation of treatment table Now _ X Physician s place for X endourolog therapy N select number to define system name 1 SIEMENS 2 OEM customer you select...

Страница 38: ... the operating instructions Initialization Therapy menu therapy data is displayed Selection menu Orientation Pulses m in ECG triggering P regulation autom atic S2 activated Chip card Rinse Brightness S4 activated with pay per use option only Initialization Therapy menu therapy data is displayed Selection Orientation Pulses m in ECG triggering P regulation autom atic S2 activated S4 activated Chip ...

Страница 39: ...Adjust S2 Continue English German Spanish French Select the language desired with S5 S6 S2 Return end S3 S4 Selection S2 help more info S1 Return Reset counter S3 S4 selection S2 reset S1 yes S2 no Display the current software 1 system 2 operating unit Adjust S2 Move the C arm to 0 with the keys on the operating panel OK activate S1 Movement is slower than in the normal mode S3 S4 Selection S5 S6 ...

Страница 40: ...MODULARIS Uro Plus SPL1 130 840 02 Page 18 of 18 Siemens AG Rev 03 04 05 CS PS 24 Medical Solutions 3 18 Service software This page intentionally left blank ...

Страница 41: ...HLS 11 58 000 Replaces charging unit with spark gap 55 31 046 Cooling unit 47 78 002 Refer to description Fill in the dates of start up field Pump 47 73 847 70 41 101 Coupling pump Refer to description Cooling pump Refer to description Temperature sensor 55 31 277 Refer to description cables in corrugated tubing Pressure sensor 55 31 243 Refer to description cables in corrugated tubing Board D3 55...

Страница 42: ...w is located next to the lens Switch the system off Only the equipment with ultrasound localization Unscrew the two placement parts for the ultrasound Ensure that the screw lengths are correct when tightening them Remove the mounting screws I Fig 2 for the upper cover on both sides of the shock head Push the buttons in the direction of the arrow on both sides of the iso center phantom Fig 2 and at...

Страница 43: ... con figuration n several 1 LITHOSTAR MODULARIS and 1 SIREMOBIL Iso C 1 LITHOSTAR MODULARIS and n SIREMOBIL Iso C Replace shock wave head To support arm S0050 Adjustment of iso center on the shock wave head refer to chapter Iso cen ter with X ray to support arm serial number 0050 It is important to follow this workflow to avoid having to readjust the iso center on all SIREMOBILE Prior to replacing...

Страница 44: ...ter flows out Adjust service switch S2 on board D3 to position 1 service off Switch the system off Remove the 2 Allen screws U Fig 4 underneath the shock wave head Remove the screw SL Fig 7 with the protective conductor on the shock wave head Wait at least 10 minutes after switching the system off Then push the high voltage connector downward until the openings O Fig 7 are free Loosen the Allen sc...

Страница 45: ...ensure that the hose marked in red R Fig 7 is located next to the high voltage connector and that the air suction hose underneath the shock wave head is neither kinked nor caught in the shock wave head Attach the shock wave head with the Allen screws O Fig 7 visible through the opening Push the high voltage plug as far up as possible until the openings O Fig 7 are covered again Reattach the screw ...

Страница 46: ...ng circuit Check the iso center as described in chapter 5 Select service and then coupling circuit on the control unit Activate the corresponding key for empty S6 on the control unit until the coupling bellows is located next to the lens Reinstall the covers of the shock wave head according to the procedure for removal Adjust service switch S2 on board D3 to position 1 service off Select rinse on ...

Страница 47: ...is important to follow this workflow to avoid having to readjust the iso center on all SIREMOBILE Prior to replacing the iso center phantom view the iso center the three C arm positions and if possible save it or make a hardcopy Replace the iso center phantom Check iso center the setting must be identical to that of the defective iso center phantom If an adjustment is necessary it must be made via...

Страница 48: ...he temperature switch B1 located on the cooling unit underneath board D3 and the fiber optic connections Connect both cables together Switch the system on The ventilator and compressor in the cooling unit start up if not check the power supply if o k replace cooling unit Switch the system off Reconnect both cables Fig 10 Fig 11 Fig 12 1 Filling limit 3 Valve Y8 1 1 Valve Y8 Filling limit 2 K ...

Страница 49: ...ntrol unit until the water flowing from the return line in the water reserve tank is free of air bubbles hose pump M1 will run as long as required V188 glows on board D3 Close valve Y8 Fig 10 11 i e switch the Y8 lever from vertical open to horizontal closed Adjust service switch S2 on board D3 to position 1 service off Switch the system off Reattach the system covers Filling the coupling circuit ...

Страница 50: ...ch the system on The rinse cycle will be activated automatically and the coupling bellows will fill Switch the system off Fill the water reserve tank with distilled water Reattach the system covers Emptying the cooling circuit with the old pump 2 Fig 10 4 Remove the system covers Remove the water reserve tank and empty the water Insert the return hose into the water reserve tank Position the suppo...

Страница 51: ...position 2 service on Select service and then cooling unit on the control unit Activate the corresponding key for empty on the control unit until the water stops Set service switch S2 on board D3 to position 2 service off Switch the system off Properly connect the two water connections to the cooling pump Both black marked hoses must be reconnected Emptying the coupling circuit 4 Remove the system...

Страница 52: ...ith the hose clamps Ensure that the hoses are the correct length i e cut them to the same length as the old hoses Fill the coupling circuit refer to Filling the coupling circuit Hose pump head in the cooling circuit 4 Removing the hose pump head 4 Switch the system off Open the system cover Empty the cooling circuit refer to the section Emptying the cooling circuit Remove the safety latch on the h...

Страница 53: ...ystem off Open the system cover Remove the fasteners on the pump Remove the motor connections on the terminal block Loosen the screws to remove the pump Installation 4 Tighten the pump Connect the motor connections Connect the fasteners on the pump The black marked water hoses must be connected Fill the cooling circuit refer to the section Filling the cooling circuit ...

Страница 54: ...ew one Reattach the six Allen screws IS Fig 14 and tighten them three on each side right and left Reconnect the fiber optic cable to the charging unit check for correct connections Reattach the protective conductor and the high voltage cable with the screws Fig 13 Reattach the cover on the high voltage cable connection Reconnect the power cable of the charging unit Record the installation date on ...

Страница 55: ...ubing until the high voltage connector is accessible Fig 15 Remove the screws S Fig 15 on the high voltage connector Push the metal housing G Fig 16 above the high voltage plug toward the back Open the cover D Fig 16 of the high voltage connector Remove the connection clamps M Fig 17 in the old high voltage connector Open the cable clamps KS Fig 17 of the high voltage connector Connect the new hig...

Страница 56: ...the water supply W Fig 20 in the shock wave head somewhat forward and then push it back to the side From support arm serial number 0051 Remove the two screws 1 Fig 21 Remove the lower part 2 Fig 21 Remove the column cover Fig 23 Do not cut open the cable that fastens the corrugated tubing to the support arm It can be opened with a small movement of the screw Unscrew the corrugated tubing 2 Fig 23 ...

Страница 57: ...18 with the spiral spring from the back in the shock wave head in the same manner it was done during deinstallation ensure that the spiral force of the spring pushes the temperature sensor to the front Fig 18 Reattach the disk 3 Fig 24 to the corrugated tubing make sure the leads are correctly attached High voltage cable 4 Fig 24 Tubing sections 5 Fig 24 Other lead 6 Fig 24 Reattach the corrugated...

Страница 58: ...h voltage connector W Fig 20 slightly to the side for better access to the water supply Fig 20 Now pull the water supply W Fig 20 with the center air suction hose slightly forward in the shock wave head support and then push it back through to the side Remove the front bracket connection F Fig 25 on the water supply by removing the screws Remove the front part E Fig 25 of the water supply by remov...

Страница 59: ...pushing forward against the temperature sensor Fig 18 Install the shock wave head assembly refer to the corresponding section Reattach all covers refer to the corresponding section From support arm serial number 0051 4 Remove the covers of the basic system unit and the shock wave head Empty the coupling circuit refer to specific paragraph Remove the coupling bellows Remove both screws 1 Fig 21 Pul...

Страница 60: ...xceeds 3 A new Gold card must be ordered from the sales department After receiving the new Gold card the old card must be returned to SPL in Erlangen If the card is not returned full price will be charged Replacing board D3 4 Prior to installing a new board if possible read out the counter status and record the value in the operating protocol register protocol Prior to removing board D3 remove the...

Страница 61: ...e a constant energy output pressure measurements must be performed after working on the shock wave system In the case of statements of the operating staff about deviating pressure values the current values must be compared with the originally mea sured values before replacing the shock wave head Switch the system off Remove the covers of the shock wave head refer to the corresponding section Remov...

Страница 62: ...at the potentiometer P Fig 26 when doing this record the color coding of the cables to the potentiometer connections to ensure correct reconnection Remove the old potentiometer completely P Fig 26 Install and solder the new potentiometer Set the potentiometer to 500 10 ohms or 5 0 0 1 volts center position The potentiometer setting can also be checked with the Service PV Chapter 3 Tighten the toot...

Страница 63: ...mpletely Install the new angulation drive Do not tighten the mounting screws yet 5 5a Fig 26 Adjust the C arm to 0 Couple the LITHOSTAR MODULARIS to the SIREMOBIL Iso C The pin 6 Fig 27 should go easily into the guide if not rotate the motor via the control panel of the LITHOSTAR MODULARIS The screws can still be loosened 5 5a Fig 26 Follow the correct sequence when tightening 5 up 5 down 5a up 5a...

Страница 64: ...d if possible save it or make a hardcopy Remove the docking plate mark the position on the SIREMOBIL Iso C Perform the necessary work on the SIREMOBIL Iso C Tighten the docking plate back into place Check iso center the setting must be identical to how it was prior to removing the docking plate If an adjustment is necessary it must be made via the iso center setting on the SIREMOBIL Iso C refer to...

Страница 65: ...d the cover slightly and push it up Fig 28 Replace the switch Reattach the horizontal carriage cover to the SIREMOBIL with the screws To support arm serial number 0050 Reattach the docking plate so that it is seated on the threads of the screws Tighten the mounting screws with a torque of 18 Nm From support arm serial number 0051 Tighten the plate 9 Fig 29 with a torque of 18 Nm Tighten the plate ...

Страница 66: ... The screws behind the opening 7 Fig 29 should be loosened only Move switch until switching function is activated and tighten screws Setting the cam on the LITHOSTAR MODULARIS 4 Remove the knob 8 Fig 30 lift up the ball and secure the axis from shifting To support arm serial number 0050 Remove the countersunk screw 9 Fig 30 Remove all screws from the covers Firmly pull the handle apart 10 Fig 30 F...

Страница 67: ... onto the docking plate of the SIREMOBIL Iso C 12 Fig 32 Loosen the lock nut 13 Fig 33 Rotate the threaded nut 14 Fig 33 to adjust the cam 15 Fig 33 so that the switch is rotated Upward movement of the SIREMOBIL Iso C is blocked Tighten the lock nut 13 Fig 33 Temporarily attach the braking handle Lock the LITHOSTAR MODULARIS and the SIREMOBIL Iso C together Downward movement must be blocked If not...

Страница 68: ...the column mount for the ECG triggering Remove the cover from the high voltage connector on the charge device this simplifies removing the spring mount Remove the 3 screws 1 Fig 34 Take out the spring mount Remove the spring mount Replace the balancing spring If the mount is different from the ones delivered it must be replaced as well Be sure to have correct spacing Fig 36 Reinstall the spring mo...

Страница 69: ...m the following check position the support arm horizontally and place it in the docking position center locking position place a level on the support arm 1 Fig 35 the air bubble can point to the right but not to the left Fig 35 If the air bubble moves to the left side the spring must be replaced Check the iso center with radiation ...

Страница 70: ...tion is available remove Sirecust from docking station and unscrew this Open the charging unit and disconnect the high voltage connection refer to page 4 14 Disconnect all cables and hoses in the unit coming out from the corrugated hose Unscrew the corrugated hose 2 Fig 23 Remove cables and hoses from the rotary joint Loosen 4 screws of the support arm mounting 1 Fig 37 Remove the old support arm ...

Страница 71: ...ger cable and cable for Sirecust power supply upwards through the rotary joint Strain relieve the cable on the docking station and install docking station Fill cooling circuit and coupling circuit refer to page 4 9 Adjustment of the lift switch off see page 4 26 Fig 30 31 Adjustment of the clamping For docking plate serial number 0050 Turn in the screws see page 4 27 17 Fig 33 on both clamping hoo...

Страница 72: ...tch holes Replace brake pad Reinsert shaft Fasten the new rotary joint lock Tighten and counter brake screw The support arm must not move out of the verticle position on its own Affix the labels again Check the lock in all positions Replacing the probe 4 Sector Probe 4 Loosen the 6 screws 3 are not visible 1 Fig 40 and remove the sleeve 2 Fig 40 Attach the sleeve on the new probe Pay particular at...

Страница 73: ...e not visible 8 Fig 40 and remove the sleeve 7 Fig 40 Attach the sleeve on the new probe Pay particular attention to the positioning the narrow side with the orange dot 6 Fig 40 and 5 Fig 40 must form a line Tighten the 8 screws Check the ultrasound iso center Concluding work 4 Perform the protective conductor measurement Test all functions from the control panel ...

Страница 74: ...MODULARIS Uro Plus SPL1 130 840 02 Page 34 of 34 Siemens AG Rev 03 04 05 CS PS 24 Medical Solutions 4 34 LITHOSTAR MODULARIS This page intentionally left blank ...

Страница 75: ...ooming but this has no effect Before the iso center can be checked or adjusted the following settings must be performed on the SIREMOBIL Iso C 1 Camera rotation to 0 2 Deselect image reverse vertical LED is off 3 Deselect image reverse horizontal LED off NOTICE I I replacement X ray tube collimator replacement Shock wave head replacement Isocenter adjustment 20 position Isocenter check 20 position...

Страница 76: ...ange approx 30 Set the SIREMOBIL Iso C to orbital and angulation direction 0 Couple the motor Flip up the iso center phantom Switch FL ON briefly The ball must be in the center of the cross refer to Fig 1 If required adjust the shock wave head as shown in Fig 3 A or B Fig 1 Fig 2 Fig 3 A Loosen the screws 1 Fig 2 on both sides B Loosen the screws 3 Fig 2 on both sides Shift it with the screws 2 Fi...

Страница 77: ... the other 20 position Switch FL ON briefly The ball on the adjustment area must be located in the center of the centering cross refer to Fig 1 The distance from the phantom to the center of the centering cross must be the same for both 20 positions with a maximum deviation of 2 mm refer to C Fig 6 Fig 4 Fig 5 Fig 6 The position of the ball must not be identical in both 20 positi ons The tolerance...

Страница 78: ...IL Iso C i e the back part is higher than the front 8 Fig 5 If the connecting position of the docking plate has changed check the settings for the lift stop switch on the SIREMOBIL Iso C Tighten the screws 5 Fig 4 on both sides Concluding work 5 Perform the protective conductor measurement Perform a function check D Move the C arm into the 20 position as shown in D Fig 6 viewed from the table E Mo...

Страница 79: ...wave head replacement Iso center adjustment 0 position Iso center adjustment 20 position Iso center adjustment 20 position Iso center adjustment 0 position Iso center adjustment 20 position Iso center adjustment 20 position 1 LITHOSTAR MODULARIS and several SIREMOBIL Iso C 1 LITHOSTAR MODULARIS and 1 SIREMOBIL Iso C No Yes Set iso center the same as with support arm from serial number 0051 Yes Che...

Страница 80: ...0 Set the SIREMOBIL Iso C to orbital and angulation direction 0 Couple the motor Flip up the iso center phantom Turn fluoro ON briefly The ball must now be in the center of the cross refer to Fig 8 If not Slightly loosen the three screws on the RBV 1 Fig 9 Adjust the component with the crossing hair so that the ball is located in the cross hairs refer to Fig 8 After adjusting the setting retighten...

Страница 81: ...ion Use the adjustment screws 2 Fig 10 to adjust the support arm so that the ball is located in the cross hairs refer to Fig 8 Once the iso center is correctly set couple the LITHOSTAR MODULARIS again and tighten the eight screws 1 Fig 10 with a torque of 10 Nm Recouple the LITHOSTAR MODULARIS to the SIREMOBIL Iso C and check the switch setting on the SIREMOBIL Iso C for column stop and reset if n...

Страница 82: ...h LITHOSTAR MODULARIS from support arm serial number 0051 Setting the iso center must be performed on each SIREMOBIL Iso C Adjusting the potentiometer on the angulation motor can only be performed on one SIREMOBIL Iso C The mechanical adjustment of a motor can only be performed on one SIREMOBIL Iso C A Master SIREMOBIL Iso C must be defined where the potentio meter adjustment and motor adjustment ...

Страница 83: ...lso Operating Instructions Insert an ultrasound probe sector probe 1 Fig 2 or array probe 2 Fig 2 into the holder 3 Fig 1 Carefully insert the probe lead into the longitudinal groove 4 Fig 1 Plug in the lead 2 Fig 1 and connect the probe to the ultrasound unit Make the line connection marked orange between LITHOSTAR MODULARIS and ultrasound unit Fig 1 Fig 2 2 1 4 3 6 5 7 2 1 ...

Страница 84: ... 2 Fig 3 Press the Measurement key Freeze is deselected Shift the ultrasound probe as far as possible in the other direction Press the Measurement key and select the Set measuring mark Move to the center of the crosshair with the trackball A value of 151 mm 1 mm must appear in the display 2 Fig 4 If this is not the case the adjustment process for the potentiometer in the ultrasound arm must be rep...

Страница 85: ...ts of the syringe into the water bladder The valve has a self closing membrane Repeat the filling process until the water bladder if filled with approx 200 120 ml water After filling there must not be any air bubbles in the water bladder withdraw air bubbles with the syringe Apply contact gel to the isocenter phantom Fasten the water bladder 5 Fig 1 with the holding part 6 Fig 1 to the isocenter p...

Страница 86: ...selected on switching on If a second ultrasound probe is present then select the probe with the key Check that the ultrasound arm is as shown in Fig 1 if not align it The longitudinal groove must be visible 1 Fig 8 Fig 7 Fig 8 Value Setting with German English French Spanish 5 Fig 7 Set trackball to Edge white background then press and set value with Select controller FV Edge Côté Contorno 35 dB F...

Страница 87: ...the target line into the isocenter Press the key Move the cross with the trackball horizontally into the center of the white area on the isocenter phantom The displayed value for D2 2 Fig 9 must be between 1 and 5 mm This has validity only for the default values see instructions SPL1 130 038 01 Press the key Distance check side Press the key two times cross 1 is not required in this measurement Mo...

Страница 88: ...the password Select ok with the trackball Press the Set key With the trackball select the value for image tilt and increase it with the Set key Set half value of D2 Example D2 1 2 mm enter 06 Press the key Check the deviation if the white area is not in the center of the isocenter repeat the process After the setting fasten the holder for the ultrasound probe to the holding point 7 Fig 1 With ever...

Страница 89: ... the other direction Press the key and select the measuring point Use the track ball to move to the center of the crosshairs In the display F Fig 11 a value of see Table must appear that is relative to the probe If this is not the case the adjustment procedure must be repeated for the potentiometer in the ultrasound arm or the ultrasound arm must be replaced Press the key Freeze is deselected Fig ...

Страница 90: ...ough one of the valves 2 Fig 13 and empty the syringe contents in the water bladder The valve has a self closing membrane 3 Repeat steps 1 and 2 until the water bladder is filled with approx 100 120 ml water 4 After filling there may not be any air bubbles in the water bladder If there are any air bubbles remove them using the syringe Spread contact gel on the isocenter phantom Secure the water bl...

Страница 91: ...nglish French Spanish 6 dB C Fig 14 Set trackball to SI white background then actuate and set value with control SI Output Sortie Salida 20 dB B Fig 14 Knob B EV Gain Gain Ampl 3 A Fig 14 Set trackball to FV white background then actuate and set value with control FV Edge Côté Contorno 60 D Fig 14 Knob 60 dB E Fig 14 Set trackball to DR white background then actuate and set value with control DR D...

Страница 92: ...t 16a Fig 16 Press the key Move the track ball until the corss 1 is in the center of the isocenter crosshair The value displayed for D1 G Fig 16 must be between 33 and 36 mm if not move the probe appropriately in the longitudinal axis Press the key Move the cross 2 using the track ball onto the longitudinal axis of the target line in the isocenter M Fig 16a Press the key Move the cross using the t...

Страница 93: ... to the right is a positive sign in front Press the key Press the F4 key Press the 5 key Select MUP with the track ball Press the key Enter the password Use the track ball to select the appropriate probe during image tilt Press the key Enter half the value of D2 H Fig 16 Example H Fig 16 D2 1 2 mm Enter 06 Press the key Press the key twice Check the difference if white area 16b Fig 16 is not in th...

Страница 94: ...y in the other direction Press the key and select the measuring point Use the track ball to move to the center of the crosshairs In the display F Fig 18 a value of see Table must appear that is relative to the probe If this is not the case the adjustment procedure must be repeated for the potentiometer in the ultrasound arm or the ultrasound arm must be replaced Press the key Freeze is deselected ...

Страница 95: ...rough one of the valves 2 Fig 20 and empty the syringe contents in the water bladder The valve has a self closing membrane 3 Repeat steps 1 and 2 until the water bladder is filled with approx 100 120 ml water 4 After filling there may not be any air bubbles in the water bladder If there are any air bubbles remove them using the syringe Spread contact gel on the isocenter phantom Secure the water b...

Страница 96: ...lowing basic settings at the ultrasound unit Fig 21 Fig 22 Value Adjust using German English French Spanish 6 dB C Fig 21 Knob SI Output Sortie Salida 20 dB B Fig 21 Knob EV Gain Gain Ampl 3 A Fig 21 set track ball to FV highlighted in white then press FV Edge Côté Contorno 60 D Fig 21 Knob 60 dB E Fig 21 Knob DR Dyn Rng DR Cam Din 1 D B A E C ...

Страница 97: ...s 1 is in the center of the isocenter crosshair The value displayed for D1 G Fig 23 must be between 33 and 36 mm if not move the probe appropriately in the longitudinal axis Press the key Move the cross 2 using the track ball onto the longitudinal axis of the target line in the isocenter M Fig 23a Press the key Move the cross 2 using the track ball horizontally into the center of the white area 23...

Страница 98: ...t is a positive sign in front Press the key Press the F4 key Press the 5 key Select MUP with the track ball Press the key Enter the password Use the track ball to select the appropriate probe during image tilt Press the key Enter half the value of D2 H Fig 23 Example H Fig 23 D2 1 2 mm Enter 06 Press the key Press the key twice Check the difference if white area 23b Fig 23 is not in the center of ...

Страница 99: ...p CTRL U Mode of operation DL IDL DR SUB Roadmap Program name Standard Standard Standard Standard Standard Dose rate MID HIGH HIGH HIGH HIGH SIREMATIC normal HC2 HC2 n a DR850W n a Iodine n a Iodine SIREMATIC push HC2 HC2 n a DR850W n a n a Noise red Low K 4 K 4 K 4 n a n a Noise red High K 8 K 8 K 16 n a n a Dose reduction low n a high n a n a n a Dose reduction high n a high n a n a n a Auto LIH...

Страница 100: ...MODULARIS Uro Plus SPL1 130 840 02 Page 2 of 2 Siemens AG Rev 03 04 05 CS PS 24 Medical Solutions 7 2 Memoskop Programming This page intentionally left blank ...

Страница 101: ...ultrasound probe can be fastened is fitted to the shock wave head Only the following probes can be used C5 2 Convex Array 3 5 MHz Press the F6 key Select the MUP with the trackball Press the key Enter the password With the trackball select Litho mode without X ray With the trackball select Save Press the key Deselect the screen saver on the SONOLINE G20 refer to the SONOLINE G20 operating instruct...

Страница 102: ...ck wave head Only the following probes can be used Press the F4 key Press the 5 key Select the MUP with the trackball Press the key Enter the password Select Litho mode without X ray with the trackball Press the key Select Litho mode without X ray with the trackball Press the key Press the key two times Deselect the screen saver on the SONOLINE Adara refer to the SONOLINE Adara operating instructi...

Страница 103: ...ave head Only the following probes can be used Press the F4 key Press the 5 key Select the MUP with the trackball Press the key Enter the password Select Litho Mode no X ray with the trackball Press the key Activate Litho Mode no X ray with the trackball Press the key Press the key two times Deselect the screen saver on the SONOLINE Adara refer to the SONOLINE Adara operating instructions When a o...

Страница 104: ...und unit 8 Affix the supplied LITHOSTAR MODULARIS label to the monitor of the ultrasound unit 1 Fig 4 this label serves for identifying which ultrasound unit operates together with the LITHOSTAR MODULARIS MUT MODULARIS 8 The endoscopy trolley is started up by the manufacturer Concluding work 8 Refer to the Concluding work chapter Fig 4 SIEMENS 1 ...

Страница 105: ... Aus On Off Actif Inactiv Pren Apag Selecting the ultrasound localiza tion You can select either ultra sound monitoring or ultrasound localization Ziel Sektor Target Sector Cible sondes sectorelles Objetivo transd sect mecanico Value is set by the software and cannot be altered Ziel Array Target Array Cible sondes convexes Objetivo transductor curvo Value is set by the software and cannot be alter...

Страница 106: ... Device Baud Rate Baud rate Débits bauds Velocidad Baudio 9600 Check the settings with software default values download reload Datenlänge Data Length Longueur Données Cantidad de datos 8 Parität Parity Parté Paridad UNGERADE ODD IMP IMPAR Stop bit Stop bit Stop bit Stop bit 1 ACK Codierung ACK Code Code ACK Codigo ACK 06 ...

Страница 107: ...ftware Version Adara 8 Press the F4 key Press the 5 key Select service with the track ball Press the key Enter the password Use the track ball to select System configuration Press the key 8 Software version is indicated Readout the Software Version Prima Enter VERSION z Note the following You must have at minimum version V2 8 0 installed Use capital letters to make entries the key must only be use...

Страница 108: ...MUP Menu Ultrasound Device 8 8 Siemens AG SPL1 130 840 02 Page 8 of 8 MODULARIS Uro Plus Medical Solutions Rev 03 04 05 CS PS 24 This page intentionally left blank ...

Страница 109: ...s Medical Solutions Rev 03 04 05 CS PS 24 Changes to the previous version 9 Chapter 0 Cover sheet Revision status Table of Contents newly generated Chapter 3 Under German Windows 95 98 NT Stopbits changed to 1 Under English Windows 95 98 NT Stopbits changed to 1 ...

Страница 110: ...MODULARIS Uro Plus SPL1 130 840 02 Page 2 of 2 Siemens AG Rev 03 04 05 CS PS 24 Medical Solutions 9 2 Changes to the previous version This page intentionally left blank ...

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