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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.
Generator ............34 Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 3 of 52 Medical Solutions 08.05...
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Unit function ............50 13 ______ Changes to Previous Version _____________________________________ 51 LITHOSTAR Multiline RXL2-120.101.01.06.02...
± 8mm tolerance These tolerances apply to all dimensions indicated in these instructions, unless other tol- erances are specifically indicated after the value. The tolerance for torque values is ± 10%. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 8 of 52 08.05...
The steps identified by these abbreviations are part of the maintenance report and should be checked off upon completion. NOTE Unless otherwise indicated, the maintenance interval is 12 months. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 9 of 52 Medical Solutions 08.05 CS PS 24...
Image intensifier X-ray tube assembly cover Control PC Keyboard Mouse • Check the entire system for mechanical damage. • Replace or repair any defective parts. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 10 of 52 08.05 CS PS 24 Medical Solutions...
Ensure that there is free space around the unit to avoid collisions during unit movement. • Mark the locations of the additional devices or secure the units. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 11 of 52 Medical Solutions 08.05 CS PS 24...
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Safety inspections Safety inspections Remove the unit covers • Remove the side covers of the unit. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 12 of 52 08.05 CS PS 24 Medical Solutions...
The high voltage cables that can be touched and that conduct the tube current must be provided with a flexible, conductible shielding that has a maximum resistance of 1 ohm/m. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 13 of 52 Medical Solutions 08.05...
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• Switch off the signal generator. Do not reset the FL timer. Fluoro must switch off within 10 minutes. • Switch fluoroscopy OFF at the fluoro unit. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 14 of 52 08.05 CS PS 24...
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The protective conductor connection in the generator is the central protective conductor. (The protective conductor check must be performed again as a final step when the system is closed!) Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 15 of 52 Medical Solutions 08.05 CS PS 24...
• Check the limited range by moving unit G1 in the table cutout. Unit grip strip • Ensure that the unit grip strip is secure. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 16 of 52 08.05 CS PS 24...
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The yellow safety button lights up. • Move in the opposite direction of the unit blockage: Operate the safety button and the button on the tableside control panel. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 17 of 52 Medical Solutions 08.05 CS PS 24...
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Remove any interruptions in the light barrier. • Activate the safety cover on the shock wave head (L+R). Unit movements should not be possible. Yellow danger buttons light up. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 18 of 52 08.05 CS PS 24...
Check the battery on board D1 (≥ 2.7 V) and replace it at least once every 36 months. • Document this in the operating data report/log book. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 19 of 52 Medical Solutions 08.05 CS PS 24...
Check and document the pressure value. See Shock Wave Pressure and Position Check Service Instructions SPL2-120.074.01. • Check functioning of switch S28 "adjustment aid attached". (Blocking of the W-drive) LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 20 of 52 08.05 CS PS 24...
• After emptying the water tank, fill the coupling circuit in accordance with the start-up in- structions. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 22 of 52 08.05...
Remove the float from the holder in the cover. • Clean the sealing surfaces of the float holder and the vent hole (Fig. 1 / p. 23) with flow- ing water. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 23 of 52 Medical Solutions 08.05 CS PS 24...
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Fill the cooling system and set the flow according to the start-up instructions. • Replace the water filter, part no. 70 52 012 F 0428, if necessary. • Refill the water supply tank after the water has been changed. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 24 of 52 08.05...
• Remove excess lubricant from the bearing blocks and linear guides. Reattach the removed cover plate. Guide rail, W-drive (oil) Guide rails, orbital (oil) Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 25 of 52 Medical Solutions 08.05 CS PS 24...
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• Remove old or excess lubricant. • After oiling the W and O-drives, move them to the end positions several times to oil the guide rails evenly. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 26 of 52 08.05 CS PS 24...
Check the complete cooling unit for leaks. • Ensure that the intake and exhaust air slots at the cooling unit are dust-free. Clean them if necessary. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 27 of 52 Medical Solutions 08.05 CS PS 24...
Check whether the intake air and ventilation shafts are unobstructed when the cabinet is closed in order to ensure a fresh-air supply. • Remove any objects placed on the top of the cabinet! LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 28 of 52 08.05...
Cleaning the ventilation slots • Remove dust from the bottom of the ventilation slots. • Perform a functional check of the fan installed in MEMOSKOP. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 29 of 52 Medical Solutions 08.05 CS PS 24...
Function Cleaning the ventilation slots • Check the X-ray tube assembly fan for proper functioning. • Clean the ventilation slots at the X-ray tube assembly housing. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 30 of 52 08.05 CS PS 24 Medical Solutions...
The boards cannot be adjusted due to the complicated measuring setup! • Perform a functional check in accordance with Start-up Instructions RXL2-120.815... • Ensure proper functioning of the respiratory belt at both connection points. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 31 of 52 Medical Solutions 08.05 CS PS 24...
The signal is displayed on the physiological monitor. A trigger is only re- leased when a QRS complex is detected! • Perform a functional check in accordance with Start-up Instructions RXL2-120.815... (See the Triggering Shock Waves section). LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 32 of 52 08.05...
Operating value inspection Dose control Adjustment values • Check the dose during fluoroscopy. • (See Start-up Instructions RXL2-120.815... for the assigned value see the test report). Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 33 of 52 Medical Solutions 08.05 CS PS 24...
- An initial brief spiked overshoot (e-function < 3 ms, depending on the length of the HV cable) is the charging current of the HV capacitors and can be ignored (does not flow over the tube and therefore does not affect dose). LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 34 of 52 08.05...
Functional inspections Functional inspections PC keyboard Key functions • Ensure proper functioning of all control keys on the keyboard in accordance with the op- erating instructions. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 35 of 52 Medical Solutions 08.05 CS PS 24...
Functional inspections Triggering shock waves Triggering • Check shock wave triggering with and without respiratory and ECG triggering. (See the start-up instructions). LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 36 of 52 08.05 CS PS 24 Medical Solutions...
(Electrical Safety / p. 13) section: Time - radiation indicator. • Check the footswitch at the unit and control console. (See the radiation indicator function). Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 37 of 52 Medical Solutions 08.05 CS PS 24...
Unit footswitches - urology Function • Check all footswitch functions in accordance with the operating instructions. • Check the cables and plug connections for damage. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 38 of 52 08.05 CS PS 24 Medical Solutions...
Basic settings • Check the basic settings and functioning of the physiological monitor. Take the appro- priate amplification into account when displaying the monitoring signals. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 39 of 52 Medical Solutions 08.05 CS PS 24...
Check the cables and plug connections for damage. • Ensure proper functioning of the tableside control panel of the control console. • Ensure proper functioning of the ultrasound tableside control panel. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 40 of 52 08.05...
• Ensure proper movement of the mouse pointer on the control monitor. • If necessary, remove the ball from the mouse and clean the sensor. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 41 of 52 Medical Solutions 08.05 CS PS 24...
Component inspection 9.1.1 Television chain Image quality • Use the image quality test to check the image quality of the television chain. (See Start-up Instructions RXL2-120.815...). LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 42 of 52 08.05 CS PS 24 Medical Solutions...
Save the current system parameters and delete fault storage. (See Operating the Service Software "Backup"). • Document the various counter values in the "Operational certificate" log book. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 43 of 52 Medical Solutions 08.05 CS PS 24...
Check the predefined fixed collimator formats and adjust them if necessary in accor- dance with the setting instructions. • Check the settings of the collimator iris and adjust them if necessary in accordance with the setting instructions. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 44 of 52 08.05...
Check the centering of the cassette in the cassette holder with respect to the radiation field. • If necessary, adjust it in accordance with the setting instructions. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 45 of 52 Medical Solutions 08.05 CS PS 24...
Check the adjustment of the shock wave head. (See "Adjusting the isocenter" in the adjustment instructions). • If the ultrasound option is available, also check the isocenter with ultrasound. (See in- structions RXL-120.091..). LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 46 of 52 08.05...
Repair paint damage as necessary, for the paint number see Planning Guide RXL2-120.021.01. • Clean the tube cone from the inside (Only perform if the ultrasound option is available). Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 47 of 52 Medical Solutions 08.05 CS PS 24...
Log book Completeness • Check and document completed updates. • Fill out the system papers, check them for completeness, and add any missing informa- tion. LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 48 of 52 08.05 CS PS 24 Medical Solutions...
Final Work Steps Final Work Steps 12.1 Covers Installing unit covers • Reattach all covers and check them for damage. Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 49 of 52 Medical Solutions 08.05 CS PS 24...
- Replace them in the case of damage (see the spare parts list). Protective conductor test • Check the protective conductor when the system is closed in accordance with ARTD-002.731.17. (Also see the start-up instructions). LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 50 of 52 08.05 CS PS 24...
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Changes to Previous Version Changes to Previous Version Toothed belt, cone lenght (CL) drive added to "Inspection for Wear." Siemens AG RXL2-120.101.01.06.02 LITHOSTAR Multiline Page 51 of 52 Medical Solutions 08.05 CS PS 24...
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Changes to Previous Version LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG Page 52 of 52 08.05 CS PS 24 Medical Solutions...