GE Healthcare PM Report Schedule D Optima CT520

GE Healthcare
PM REPORT Schedule D,
Optima CT520
SITE INFORMATION
Site Name      
System ID       Room Number      
System Type (Select:) Select
FE Name       Inspection Date       RFS#      

PRELIMINARY TASKS
Last PM Inspection
Verify last PM Inspection.
Last Inspection Date       Last Schedule Completed: Select
List any Schedule C tasks that were completed earlier.      

Review Error Logs

Check the tasks you completed and list any follow-up work scheduled.
Task Completed Comments/Follow-up
Table Hydraulic Errors      
System Application Stop and Start Errors      
Linux Reboot and Shutdown Errors      
Record Gantry Rotations            

Initial Procedures
Check Temperature and Humidity.
Record the temperature and humidity. Indicate if these are within spec.
Room Temperature Humidity Pass/Fail Comments/Follow-up
Scan room             Select      
Control Room             Select      

Console
Task Completed Comments/Follow-up
Console Monitor Cleaning & Inspection      

General Gantry Inspection

Task Pass/Fail Comments/Follow-up
Listen for Unusual Noises Select      
Test Display Lights Select      
Test E-stops Select      
Test Patient Tilt Sensors Select      

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GE Healthcare PM Report Schedule D Optima CT520

General Tasks
Task Pass/Fail Comments/Follow-up
Emergency Off Switch Select      
UPS Power Off Inspection Select      

General Console Cleaning & Inspection

Task Pass/Fail Comments/Follow-up
Clean Component Filters, Fans & Grills      Select      
Clean, Inspect, Replace Desktop Select      
Components
Visual Fan Inspection      Select      
Seismic Anchor Check (if necessary) Select      

Slip Ring & Brush Block Inspection and Maintenance

Task Pass/Fail Comments/Follow-up
Remove Slip Ring Brush Debris Select      
Slip Ring Tracks Inspected Select      
Clean Brush Blocks Select      
Brush Tip Inspection Select      

Gantry Filter Cleaning

Task Pass/Fail Comments/Follow-up
Clean DAS Detector Plenum Filter      Select      
Clean Gantry Heater Filter Select      
Clean Top Cover Fans      Select      
Clean Detector Face Plate Select      
Rotating Path Components & Cables Select      
Inspection

Gantry Power On (Covers Off)

Tube Heat Exchanger & Pump
Task Select Comments/Follow-up
Inspect/Clean Tube Heat Exchanger            
Select
Inspect/Clean JEDI Inverter Fan      Select      

General Tasks
Task Pass/Fail Comments/Follow-up
UPS Powered and Operational                 
Select
Plenum Fans (5) Operational      Select      
Grease Gantry Main Bearing Select      
No. Revs since last greasing      

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GE Healthcare PM Report Schedule D Optima CT520

Verifications (if required)

NOTE: If you are required to complete these tests, record the readings in Appendix A of this
document.
Task Pass/Fail Comments/Follow-up
HV Tank Resistor Verification      Select      
Meter Verification Select      
HHS Scans Select      

Power On (Covers On)

General Tasks
Task Pass/Fail Comments/Follow-up
Scan Window Inspection/Replacement Select      
Inspect Rotational Clearances Select      

Finalization
System Scanning Test
Task QA Phantom Location Gantry Serial #
Serial #
                 
Scans Scan Failures Artifacts Artifact Types
Series 1 (Scout/Auto Voice) Select Select      
Series 2 (Axial/Tilt) Select Select      
Series 3 (Helical/Auto Voice) Select Select      

General Tasks
Task Select Comments/Follow-up
X-ray On Indicators Select      
Scan Control Pushbuttons Test Select      
Quality Assurance Test Select      
GE Phantom Serial #      
Completed
Site Log Updated      
PM Paper work completed for this site      

Comments:     
Is follow-up work required?: Select
Service Scheduled Date:      
This inspection passed and meets all GE Healthcare PM specifications.

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GE Healthcare PM Report Schedule D Optima CT520

Appendix A: HHS Data For CT Systems

Meter Verification
Shunt Register value:       ohm

mA Shunt Register Accuracy

Requested Measured Displayed Delta (%)
50 mA                  
200 mA                  
Test Specification:
The difference between mA measured and the displayed mA on console should be within
±2% of the requested mA.

mA Test Points Accuracy

Requested Measured Displayed Delta (%)
50 mA                  
200 mA                  
Test Specification:
TP measured mA and displayed mA on console must be within ±4% of the requested mA.

kV Test Points Accuracy

Requested Measured Displayed Delta (%)
80 kV                  
100 kV                  
120 kV                  
140 kV                  
Test Specification:
TP measured kV must be within ±3% of requested kV.
TP measured kV and Displayed kV on console must be within ±2% of requested kV.

HV Tank Feedback Resistor Verification

Requested kV On Screen kV Measured kV
80            
100            
120            
140            
Scan Timer Value      
Test Specification:
To pass the kV check, all three of the following conditions must be met:
*The measured kV must be within ±3% of the requested kV.
*The kV mA Tool screen reading must be within ±3% of the requested kV .
*Both measurement ( scope and screen) must be within ±3% of the requested kV.
*The internal scan timer measurement should be within ±4%.

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GE Healthcare PM Report Schedule D Optima CT520

HHS Scan Data

CT System: Select
Small Focal Spot On Screen Data   Large Focal Spot On Screen Data
kV mA kV mA 5ms mA Time   kV mA kV mA 5ms mA Time
80                                 80                              
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                 
100                                 100                              
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                 
120                                 120                              
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                 
140                                 140                              
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 

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GE Healthcare PM Report Schedule D Optima CT520

Revision History
Rev Date Reason for Change
1 Aug/7/2012 Initial Release

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