Luminos Fusion

Maintenance Protocol
System
For Luminos Fusion

Customer: IMEX - SANTA MARIA DEL LAGO

Clínica infantil Colsanitas
Address: IMAGING EXPERTS AND HEALTHCARE

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

Department: Radiología Room:

Material-No.: Serial-No.: 31274
Contract-No.: Expire date:
Order-No.: 480200094365 System - ID:

The instructions XPD3-380.831.20.06.XX are required for this protocol

2 Protocol Date: 26/11/2021 Serial-No.: 31274

Evaluating the Condition of the System

The system has no deficiencies. * ✔
The system has slight deficiencies that have no effect on contin‐
ued operation of the system. The deficiencies should be corrected
preventively. *
The system has serious deficiencies. For safety reasons, continued
operation of the system is permitted only after successfully cor‐
recting the deficiencies.

*) For imaging systems: The result of the image quality check shows no deviation from
the reference values.

The evaluation was performed after completing all work steps.

Signature:

Date: 26/11/2021 Name: Julio Camacho

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:

Número disparos tubo 1: S: 43207 L: 16298

Número disparos tubo 2: S: 240 L: 1
Pendiente cambio de potenciómetros referente a la mesa,
ya que se bloquea intermitentemente.

Luminos Fusion XPD3-380.832.20.06.02 Page 2 of 18 © Siemens, 2013

08.17 HC SV CS SLM XP PDM
Protocol Date: 26/11/2021 Serial-No.: 31274 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 Protocol

Abbrev. Explanation Abbrev. Explanation

SI Safety Inspection PMF Preventive Maintenance, Operating
Value Check, Function Check
SIE Electrical Safety Inspection Q System Quality, Image Quality
SIM Mechanical Safety Inspec‐ QIQ Image Quality
tion
PM Preventive Maintenance QSQ System Quality Check
PMP Periodic Preventive Mainte‐ SW Software Maintenance
nance
PMA Preventive Maintenance Ad‐ CSE Customer Service Engineer
justments

© Siemens, 2013 XPD3-380.832.20.06.02 Page 3 of 18 Luminos Fusion

08.17 HC SV CS SLM XP PDM
4 Protocol Date: 26/11/2021 Serial-No.: 31274

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

Multímetro 179 37290538 26/11/21

Luminos Fusion XPD3-380.832.20.06.02 Page 4 of 18 © Siemens, 2013

08.17 HC SV CS SLM XP PDM
Protocol Date: 26/11/2021 Serial-No.: 31274 5
OK not n.a.
OK

2 General Visual Check

2.1 Visual Check per IEC 62353
SI Checking the cover panels ✔
SI Required operator documents present ✔
SI Checking the Cables, Corrugated Hoses ✔
SI Check the cable corrugated hoses (of mobile components). ✔
SI Checking the radiation protective panels ✔
SI Checking warning labels ✔

Work steps in this section were performed by:

Signature:

Date: 26/11/2021 Name: Julio Camacho

3 Cleaning the Components
PM Inspection of internal heat dissipation ✔
PM Cleaning ✔

Work steps in this section were performed by:

Signature:

Date: 26/11/2021 Name: Julio Camacho

4 Polydoros
4.2 Inspection and Maintenance
4.2.1 General Information
4.2.2 Checking the external Connections
SI Checking the external Voltage ✔
4.2.3 Checking the High Voltage Cables
SI Check the shielding on the HV cables. ✔
4.2.4 Radiation Displays
SI Check the radiation displays. ✔

© Siemens, 2013 XPD3-380.832.20.06.02 Page 5 of 18 Luminos Fusion

08.17 HC SV CS SLM XP PDM
6 Protocol Date: 26/11/2021 Serial-No.: 31274
OK not n.a.
OK

4.2.5 Performing Tube adjustment, Conditioning the X-Ray Tube(s)

PMA Tube adjustment performed. ✔

Work steps in this section were performed by:

Signature:

Date: Name:
4.3 IQ indirect technique (not necessary when constancy test is performed)
Option present: Yes: No:

Signature:

Date: Name:
4.3.1 Dose Rate IQ Initial Values
4.3.2 Indirect Technique Dose Rate
QIQ Indirect Technique ✔

Work steps in this section were performed by:

Signature:

Date: Name:
4.4 IQ IONTOMAT fields (not necessary when constancy test is performed)
Option present: Yes: No:

Signature:

Date: Name:

PM Selecting and Checking the Sensitivity of the IONTOMAT ✔

Fields
Work steps in this section were performed by:

Signature:

Date: Name:

Luminos Fusion XPD3-380.832.20.06.02 Page 6 of 18 © Siemens, 2013

08.17 HC SV CS SLM XP PDM
Protocol Date: 26/11/2021 Serial-No.: 31274 7
OK not n.a.
OK

5 Luminos Fusion
5.2 Inspection and Maintenance
5.2.1 Check for Collision Damage on Units with the Tilting Base
SIM Check of the Basic Unit for Damage ✔
5.2.2 Unit Base (Tilting Base)
PM Evaluating the error log ✔
SIMCheck the cables and corrugated hoses ✔
SIMCheck of the tilt Chain and cover Band and Lubrication ✔
SIMCheck the chain segment and tilt drive ✔
SIMChecking the floor mounting ✔
SIECheck the spacing of the limit switches and the potentiome‐ ✔
ter play.
5.2.3 Unit carrier
SIM Checking installation of the linear guide ✔
SI Check the gear shaft for any cracks. ✔
PMP Cleaning and Lubricating the Unit Support ✔
5.2.4 Tabletop
PMP
Clean and lubricate the tabletop, longitudinally and trans‐ ✔
versely
5.2.5 Tabletop with Aluminum Profile Rails
SI Deburr the tabletop ✔
PM Roll Pins/Threaded Inserts in the Profile Rail ✔
5.2.6 Column Longitudinal Drive
PMP Clean and lubricate the column longitudinal drive. ✔
SIM Tilt Drive - Checking the Safety Distances ✔
SI Spotfilm Device and Column Longitudinal Drive - Checking ✔
the Safety Distances
SI Tabletop Longitudinal - Checking the Safety Distances ✔
PMP Tabletop Transverse - Function Test ✔
PMP SID - Function Test ✔
SI Option: Compression, Checking the Friction Wheel ✔
SI Option: Compression, Checking the Safety Distances ✔
5.2.7 Unit, General Operation
SI Electrical / Mechanical Function Test of the Safety Devices ✔
5.2.7.1 Footrest
SI Perform a mechanical function test of the safety devices. ✔
5.2.7.2 Options:
PM Checking the Unit Control Console for Function and Damage ✔

© Siemens, 2013 XPD3-380.832.20.06.02 Page 7 of 18 Luminos Fusion

08.17 HC SV CS SLM XP PDM
8 Protocol Date: 26/11/2021 Serial-No.: 31274
OK not n.a.
OK

PM Checking the Unit Tableside Control Console for Function ✔

and Damage
PM Check the fluoro and exposure footswitch for function and ✔
damage.
Work steps in this section were performed by:

Signature:

Date: Name:

6 Spotfilm Device
Option present: Yes: No: ✔

Signature:

Date: Name:
6.2 Inspection and Maintenance
6.2.1 Spotfilm Device (Cassette Technique)
SI Cover Panels on the Spotfilm Device
PMP Spotfilm Device Function Test

Work steps in this section were performed by:

Signature:

Date: Name:
7 Multileaf Collimator/Universal Collimator
Option present: Yes: No: ✔

Signature:

Date: Name:

Material No.:

Serial no.:

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08.17 HC SV CS SLM XP PDM
Protocol Date: 26/11/2021 Serial-No.: 31274 9
OK not n.a.
OK

7.2 Inspection and Maintenance

SIM Checking the collimator mounting
PM Checking the Rotation Flange (if configured)
PMF Checking the Control Elements on the Collimator (if config‐
ured)
SIM Accessory rails under the collimator checked for wear.
PM Checking the Light Localizer Lamp (if configured)

Work steps in this section were performed by:

Signature:

Date: Name:
7 Multileaf Collimator/Universal Collimator
Option present: Yes: ✔ No:

Signature:

Date: Name:

Material No.:

Serial no.:

7.2 Inspection and Maintenance

SIM Checking the collimator mounting ✔
PM Checking the Rotation Flange (if configured) ✔
PMF Checking the Control Elements on the Collimator (if config‐ ✔
ured)
SIM Accessory rails under the collimator checked for wear. ✔
PM Checking the Light Localizer Lamp (if configured) ✔

Work steps in this section were performed by:

Signature:

Date: 26/11/2021 Name: Julio Camacho

© Siemens, 2013 XPD3-380.832.20.06.02 Page 9 of 18 Luminos Fusion

08.17 HC SV CS SLM XP PDM
10 Protocol Date: 26/11/2021 Serial-No.: 31274
OK not n.a.
OK

8 Monitor Carriage
Option present: Yes: ✔ No:

Signature:

Date: Name:
8.2 Inspection and Maintenance
SIM Checking the mounting of the monitors ✔

Work steps in this section were performed by:

Signature:

Date: Name:
9 DCS-F
Option present: Yes: No: ✔

Signature:

Date: Name:
9.2 Inspection and Maintenance
PMA Weight Compensation
PM Cover Panels
SI Stand, Display Support
PM Ceiling rails
SIM Ceiling Rail Mounting
SIM Carriage, Roller Bearings, Stops, Brakes
SIM Support Arm and Articulated Head
SIM Display Mount and Rotation
SIM Cables
SIM Displays
SIM Brakes
PM Cleaning
PM Electrical Connections
PM Cover Panels

Luminos Fusion XPD3-380.832.20.06.02 Page 10 of 18 © Siemens, 2013

08.17 HC SV CS SLM XP PDM
Protocol Date: 26/11/2021 Serial-No.: 31274 11
OK not n.a.
OK

PMF Stand Movements

Work steps in this section were performed by:

Signature:

Date: Name:
10 Support Arm System (Radiation Shield, Injector Head...)
Option present: Yes: No: ✔

Signature:

Date: Name:
10.2 Safety Inspection
SIM Check the mounting screws of the ceiling rails
PMP Mechanical Inspection
SI Check that the collision labels are legible

10.3 Cleaning
QSQ Clean the contact surface of the ceiling rails

Work steps in this section were performed by:

Signature:

Date: Name:
11 VERTIX PRO/TOP
Option present: Yes: No: ✔

Signature:

Date: Name:
11.2 Inspection and Maintenance
SIM Floor and Wall Mounting
SIM Support cable for vertical carriage

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08.17 HC SV CS SLM XP PDM
12 Protocol Date: 26/11/2021 Serial-No.: 31274
OK not n.a.
OK

SIM Steel support cable replaced (required every 3 years)

Startup Date: . .

Date of Last Replacement DD MMM YYYY

SIM VERTIX TOP support and safety cable, tilt mechanism

SIM Brakes and Stops
SIM Cover Panels and Accessories

Work steps in this section were performed by:

Signature:

Date: 26/11/2021 Name: Julio Camacho

12 Wall Stand
Option present: Yes: ✔ No:

Signature:

Date: 26/11/2021 Name: Julio Camacho

12.2 Inspection and Maintenance
PMP Cover Panels and Accessories ✔
SIM Wall Stand Mounting ✔
PMP Check and clean the contact surfaces. ✔
SIE Checking the Chain Break Switch ✔
PMF Checking the Movement Range ✔
PMF Checking the Chain ✔
PMF Checking the Braking Force ✔
PMF Checking the Control Elements ✔
PMF Checking the Springs and the Chain in the Pivot Unit ✔
PMP Check of the Cassette Bucky ✔

Work steps in this section were performed by:

Signature:

Date: 26/11/2021 Name: Julio Camacho

Luminos Fusion XPD3-380.832.20.06.02 Page 12 of 18 © Siemens, 2013

08.17 HC SV CS SLM XP PDM
Protocol Date: 26/11/2021 Serial-No.: 31274 13
OK not n.a.
OK

13 3D V Ceiling Stand
Option present: Yes: ✔ No:

Signature:

Date: 26/11/2021 Name: Julio Camacho

13.3 Inspection and Maintenance
13.3.1 Cleaning
PM Cleaning the Handgrips ✔
13.3.2 Cables and flexible, corrugated hoses
SI Checking the Cables, flexible, corrugated Hoses ✔
13.3.3 Longitudinal Rails and Transverse Track
PM Cleaning ✔
SIM Check the condition of the longitudinal rails, mounting ✔
screws and toothed belts.
PMP In addition, with the semi-automatic ceiling stand: stop de‐ ✔
tents and brake assembly in the longitudinal rail
PMP In addition, with the semi-automatic ceiling stand: Stop de‐ ✔
tents in the transverse track
SIM In addition, with the semi-automatic ceiling stand: Check ✔
the pivot arm on the corrugated hose holder.
SIM Check the condition of the transverse track and toothed ✔
belts.
SIM Flexible plastic chain plate, check the condition and installa‐ ✔
tion
SIM Check whether the dowel pins are installed correctly. ✔
SIM In the telescope carriage, check the position of the roller in ✔
the rail, and make sure the roller is properly secured.
SIM In the transverse carriage, check the position of the roller in ✔
the rail, and make sure the roller is properly secured.
SIM Checking the telescope carriage rollers in the rails ✔
SIM Checking the transverse carriage rollers in the rails ✔
SIM Check the screw torque. ✔
13.3.4 Telescope carriage
SIM Check the roller bearings on the telescope carriage for se‐ ✔
cure installation.
PMP Only with the semi-automatic ceiling stand: Check the brake ✔
assembly.
PMF Checking the Function of Lift Motor with Lift Brake. ✔
PMF Gas springs ✔

© Siemens, 2013 XPD3-380.832.20.06.02 Page 13 of 18 Luminos Fusion

08.17 HC SV CS SLM XP PDM
14 Protocol Date: 26/11/2021 Serial-No.: 31274
OK not n.a.
OK

SIM Weight compensation (spring-loaded mechanism) replaced ✔

(required every 8 years)
Startup Date: . .

Date of Last Replacement DD MMM YYYY

SIM Checking the Weight Compensation (spring-loaded mecha‐ ✔

nism)
SIM Check of the Safety Cable Length, only if no Gondola is in‐ ✔
stalled.
SIM Function Check of the Safety Switch (only if a safety ✔
switches are installed)
SIM Checking the plastic-coated Support and Safety Cables ✔
SIM Check of the Cable Break Safety Mechanism ✔
13.3.5 Support Arm
PMA Only with the fully automatic ceiling stand: Check the rota‐ ✔
tion movements of the support arm.
PMA Only with the semi-automatic ceiling stand: Rotation around ✔
the horizontal and vertical axis
SIM Mounting on the telescope ✔
PMP Check the movement and braking forces ✔

Work steps in this section were performed by:

Signature:

Date: 26/11/2021 Name: Julio Camacho

14 Fluoro Detector
14.2 Inspection and Maintenance
QIQ Calibration performed ✔

Startup Date: . .

Date of Last Procedure: DD MMM YYYY

Work steps in this section were performed by:

Signature:

Date: Name:

Luminos Fusion XPD3-380.832.20.06.02 Page 14 of 18 © Siemens, 2013

08.17 HC SV CS SLM XP PDM
Protocol Date: 26/11/2021 Serial-No.: 31274 15
OK not n.a.
OK

15 Tomography
Option present: Yes: No: ✔

Signature:

Date: Name:
15.2 Inspection and Maintenance
15.2.1 Tomography Direct Technique
QIQ Checking the Tomo Device ✔

Work steps in this section were performed by:

Signature:

Date: Name:
16 Automatic format selection direct technique (not necessa‐
ry when constancy test is performed)
Option present: Yes: No: ✔

Signature:

Date: Name:
16.2 Inspection and Maintenance
16.2.2 Checking the Light Field - Radiation Field
QIQ Checking the Light Field - Radiation Field
16.2.3 Checking the Center of Radiation Field - Center of Film
QIQ Coincidence of the Center of Radiation Field - Center of Film
16.2.4 Checking the Cassette Format - Radiation Field Size (for ACSS Systems only)
QIQ Checking the Cassette Format - Radiation Field Size

© Siemens, 2013 XPD3-380.832.20.06.02 Page 15 of 18 Luminos Fusion

08.17 HC SV CS SLM XP PDM
16 Protocol Date: 26/11/2021 Serial-No.: 31274
OK not n.a.
OK

16.2.5 Checking the Radiation Field Size to the Displayed Field Size
QIQ Checking the Radiation Field Size to the Displayed Field Size

Work steps in this section were performed by:

Signature:

Date: Name:
17 UPS / APC Smart 1500 VA UPS
Option present: Yes: No: ✔

Signature:

Date: Name:
17.2 Inspection and Maintenance
17.2.1 Replacing the Batteries
PMP Battery replacement required with every maintenance call.
17.2.2 Room Emergency Off
PMP Room Emergency Off

Work steps in this section were performed by:

Signature:

Date: Name:
18 IQ Test
18.2 Perform an IQ Test
QIQ IQ test performed ✔

Work steps in this section were performed by:

Signature:

Date: Name:

Luminos Fusion XPD3-380.832.20.06.02 Page 16 of 18 © Siemens, 2013

08.17 HC SV CS SLM XP PDM
Protocol Date: 26/11/2021 Serial-No.: 31274 17
OK not n.a.
OK

19 Final Work Steps

19.2 Safety Check according to IEC 62353
19.2.1 Ground Wire Measurement
SIE Maximum ground wire resistance (in milli Ohm) ✔

value:
19.2.2 Phase to ground loop impedance measurement
SI Loop impedance in ohms ✔

value:

SI Contact voltage in volts ✔

value:
19.2.2.1 Alternative measurement for loop impedance.
SI Voltage phase 1 to the protective conductor in volts. ✔

value:

SI Voltage phase 2 to the protective conductor in volts. ✔

value:

SI Voltage phase 3 to the protective conductor in volts. ✔

value:

19.3 Function Test

SI Perform the final function check. ✔

Work steps in this section were performed by:

Signature:

Date: 26/11/2021 Name: Julio Camacho

© Siemens, 2013 XPD3-380.832.20.06.02 Page 17 of 18 Luminos Fusion

08.17 HC SV CS SLM XP PDM
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Print No.: XPD3-380.832.20.06.02 | Replaces: XPD3-380.832.20.05.02

Doc. Gen. Date: 08.17 | Language: English
© Siemens Healthcare GmbH, 2013

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