I have worked much more activities in my academic and internship time.

However I tried
to document some procedure I used to accomplish and the left are not documented.

Some of them are

Name of Model Serial No AC Fault found Cause of Action taken

equipment main(V failure
amp,Hz)
Autoclave 4210H 24019 380V, Couldn‟t pass  Tie heater
50Hz  Conditioning cable
 Heating  Set
 Sterilization calibration
And leakage  Change
gasket gasket
Ultrasound SST-8000 0612827 220V,50Hz Software Software Software
problem corrupt updated

Autoclave 4210H 23999 380V,  Thermic  Vacuum  Pipeline

50Hz relay alarm pump cleaned
 Door phase  Phase
problem shift changed
 pipeline  Rotated
blockag shaft of
e vacuum
pump
 Door water
level
adjusted
Mechanical VG70 VG70T2T007 220V,  Safety valve  Preventive
ventilator 50/60Hz and air maintenance
compressor  Safety valve
need service changed and
compressor
Ultrasound SST-8000 0612740 220V, Board problem DBHR and
Machine 50/60Hz DBTR board
changed
X-ray Fleyoriso 0162261503 380V/50Hz  Bucky tobe Corrective
machine magnetic maintenance of
lock problem Bucky and tube
 Tube stand stand
magnetic Control
lock problem movement
Autoclave 4210H 24017 380V/50Hz Heater contactor Replace heater
coil burnt contactor coil
and full service
Anesthesia Aeomed 220V, Oxygen alarm Oxygen Oxygen sensor
machine 50/60Hz sensor error changed

Mechanical MAQUET ----- 220V, Low pressure Leakage at Leakage fixed

ventilator 50/60Hz alarm Yoke

Corrective maintainance of ultrasound machine model: SONOSCAPE

There were two major problems. The first problem was the system automatically and
immediately turned off before examination. To solve the problem we measure continuity of
fuses, cables, capacitance of capacitors and the voltage across individual path of high voltage
supply board (DBHV board) but still no problem. But we have observed the mother board was
not functional. Then we changed mother board from old and unfunctional ultrasound. Then
problem was successfully fixed.

The second problem was displaying red screen upon machine turned on.

In case of this problem we directly found out the functionality of beam former board (DBF) by
cleaning and visually inspect weather burned or not as the whole board is integrated circuit.
Finally we change DBF board from old and unfunctional ultrasound. And the problem has been
fixed for hours. But after hours the monitor displays red screen. We have observed that weak
connection between hard disk and DBF board. By making strong connection between them the
problem was totally and accurately fixed.

Corrective maintainance of suction machine at St.puolos hospital

Problem: weak suction power.

Procedures: we cleaned the tubes to remove any blockage but no blockage and didn‟t alleviate
the problem. As observed that, the metal gasket inside the piston was corroded and wear out that
causes low air compression and pressure inside the compressor. Finally we replaced the metal
gasket then we could create desired suction power of suction machine.

Corrective maintainance of patient monitor at St.puolos hospital

Problem: the machine was not turned on

Procedure: we measured continuity of power cable, fuse, resistance of transformer and ac voltage
across primary terminal of transformer and at the output of the transformer.

Special types of filter capacitor which can charge and discharge up to 311.12V the voltage called
peak voltage (220*1.4=311.12). So when we measured voltage from filter capacitor, multimeter
read 310V. But when we measure resistance of coil (used as band-pass frequency filter),
multimeter read OL or infinity that we looked one end of the coil was cut. Ultimately, we solder
coil leg with lead and the problem was fixed.

Corrective maintainance of autoclave petros hospital

Problems: drainage of water, autoclave unable to perform washing phase, and the door unable to
be open and close.

Procedures:

For water drainage, we understood that pump pushes water in reverse direction, which is because
of inappropriate installation of electrical terminal of the motor. So we interchange power
terminals (positive and negative) of the motor inside pump, then the direction of water flow is
reversed. With these work the pump pushes water in preferred direction and water is flow into
the steamer.

During washing phase, ring of coil inside the chamber rotate for washing of the sample.
However the ring of coil was damaged and we could not found the accessories. In order to solve
this problem, finding secondary solution as we decided to stop washing phase from software. So
we gone to software calibration, insert password and from calibration panel, conditioning phase,
heating phase, steaming phase, sterilization phase, washing phase and drying phases are
included. Finally, we turned off and saved washing phase. Those procedures enable autoclave to
operate all procedures but jumping washing phase and go to drying phase.

Due to gasket tube wearing and aging, the door was not able to slide to be opened and closed.
And also because of pneumatic tubes disconnection from compressor, the solenoid valve
couldn‟t turn on and off to open and close the door. So as to solve this problem we replaced new
gasket tube to smoothly slide and tightly connect pneumatic tube to solenoid valves to switch on
and off the pneumatic system. And finally the problem was fixed.

Calibration of infusion pump at St.puolos hospital

Problem: infusion pump shows air bubble alarm. As infusion pump is used for provide volume of
fluid to patient, there mustn‟t be bubble of air inside the IV line or tube.

Procedure:

As we had doubt if air bubble sensor was failed. To do so we hadn‟t measurement to check so we
pull out air bubble sensor and test from other functional infusion pump. But no error alarm was
shown finally we decide for calibration.

There were three calibration parameters

 A. Flow meter calibration: first of all we pressed IV line or tube as far as possible to avoid
error and then place IV line tightly to volume controller hoe. We hold 1 from keyboard
and turn on infusion pump. Immediately the screen shows 10ml volume and pumping
fluid started. Then run calibration until 10ml volume of fluid is output by pump and then
pressed stop. Finally check flow rate calibration by running pump 180ml for 1 minute
and the output volume was 3ml as it was expected.
B. Air bubble sensor calibration: we removed IV line then hold „menu‟ and turn power on
immediately air bubble sensor calibration module was shown on the screen. After that,
we again put IV line and we waited the reading until got stop increasing. By the time
reading reach 400 we had divided by 3 and put result (133) at bottom panel it shown.
Finally we pressed „Mode‟ save and finished.
C. Occlusion calibration: it was start after air bubble mode ends. First we prepared Y-shaped
tube by connection first end to IV line, second end to pressure gauge and third end to the
syringe with full of water (used to apply pressure).
Then we applied pressure with syringe and record the number from the screen displays
when pressure gauge was read 0.3Mpa and 0.6Mpa. As we inject water the screen read
67.8 and 291 for 0.3Mpa and 0.6Mpa respectively. Finally we subtracted 67.8 from 291
and input into panel as shown bottom.

After these procedures, we again power on infusion pump and problem was successfully fixed.

Software update for ultrasound machine

Problem: as the ultrasound machine stored without usage for 9 years, monitor displays „outdate‟.

Procedure: we take software with flash and plug in to the USB port of the machine. Then we had
pressed „menu‟ and go to system update panel and then we inserted.

However when update button was clicked error massage was displayed which was „.pof file is
not available‟. Then we again found other compatible software and successfully updated.

Corrective maintainance of autoclave at St.puolos hospital

Problems: the system unable to change from sterilization phase to drying phase.

Procedure:

We firstly visually observed if any solenoid valve is damaged, we check leakage test on
pneumatic tubes by spraying jelly-soup on it.

However no problem was recorded. Secondly we focused on timer which is used for drying
phase that is dry phase timer. Then we measure resistance across pin 1 and 4 as the diagram
shown on cover of the timer. Due to the timer was damaged pin number 1 and 5 was me short
circuit. Finally we replaced with same rating of 250V ac and mA the problem was fixed.
Corrective maintainance of digital x-ray

Problem: no power supply was reach to the system.

Procedure: we had measured continuity of power cable and fuse.

But the problem was on the power supply board. We measure continuity test (can read
resistance) on capacitor without power supply but the capacitor has been short circuit. So we
replaced capacitor with the same rating which is 500V and 750µf. after we sold capacitor we
supply power to the board, unfortunately the capacitor again got burnt and as the same time we
understood something was reason to be the capacitor burn.

There are four big mosfets which is connected to heat sink to dissipate heat as high voltage is
generated.

And we started measuring diode test on each mosfet.

When we measure between base and emitter multimeter read 32Ω and between collector &
emitter the multimeter read 585Ω and for inverse terminal measurement multimeter read 0L. As
well as we had measured across collector and head of mosfet multimeter beeps sound or short
circuit and as the same time we recorded all three mosfets were functional. However the one
mosfet reads short circuit from all terminals and it was true proof for the capacitor to be burnt &
for power supply to be open.

At the end of the procedure, we replaced with new mosfet and the problem was fixed. (The
replacement was done other day after mosfet bought from market and I was called to see what
we got started before a day.)

Corrective maintainance of mechanical ventilator at Dej Azmach Balcha hospita

Problem: “flow sensor” error displayed on engestrom ventilator.

Procedure:

Decision1: we disassembled control board and clean pressure sensing and regulation board,
oxygen sensor processing board and the whole processing board.

Then, we test the ventilator by reassembling the whole board. But still the error was displayed.

Decision2:

We start the whole calibration. The materials needed to calibrate was software (Datex-Ohmeda
Inc version 2.0), laptop, port connecting plug, data transfer cable and data transferring unit (unit
of processor used when we want to control the machine by laptop via data transfer cable.
After we connect the laptop to the machine via data cable, we set the system setting of the
machine to “service setting. When the connection notification is displayed, we inserted the port
number of the machine.

After successful connection, we opened the software file from laptop. There are basic panel
displays that is VCB (ventilator control board) and VMB (ventilator monitoring board).

Ventilator control board used to control and insert different parameters like pressure and fio2. It
also used to calibrate oxygen flow valve, air flow valve and exhale valve as well as to start and
stop paw span.

Ventilator monitoring board is also used to display the machines result what we set at VCB.
After this we go to system setting  service  calibration  input password start calibration.

Items Description Result

O2 FCV Start O2 Flow Control passed
Valve
calibration and leak test.

Air FCV Start Air Flow Control passed

Valve
calibration and leak test.

Exhalation valve Patient must not be passed

connected to
circuit during calibration.
Start
Exhalation Valve
calibration

Gas calibration Start gas calibration. passed

Calibrate CO2
and O2 measurements

Flow sensor Wait seconds Fail

calibration
Leakage Wait seconds passed
Patient circuit Hold Y shaped pipe with passed
hand
During calibration oxygen cylinder pressure fluctuation
happened and low air pressure error happened so we change
pressure regulator of cylinder of oxygen and other compressor
respectively.

Although we made full calibration flow sensor error couldn‟t be

fixed. In order to test, we bring other flow sensor from other
hospital.
Finally, we assembled flow sensor and recalibrate and the error
was fixed. We report to the hospital finance to buy new flow
sensor.
Installation of Shimadzu x-ray machine

Pre-installation procedures: -

 We hand on manual and tools which are necessary for the task such as water level,
adjustable-ranges, long nose, knife, driller, flat and cross screw-drivers, Allen key
(5,6,7,8,9 and 10), tape-meter, splicer, rotary adjustable, socket range, dope-range (8,10
and 12), side-cutter, conduit, and multimeter.
 We inspect the safety of the installation site
 We ordered the labor worker to made a standard room size as it was 18m^2 by extending
to a neighboring room.
 We confirmed door, windows, and wall are shielded with lead.
 We leveled the floor tilts slope to 180⸰, to prevent miss-position orientation on the
collimator, by placing tin flat-metal as it was around 178⸰.
 Finally, we decide the position orientation of the machine towards the consol.

Installation procedure: - the implementation of the installation steps consists of mechanical and
electrical installation.

 Mechanical installation:
 First, we gently dismount each part of the machine from the package and place in the
room to be installed.
 Drill the floor for patient table holder placement and assembled with a bolt by
preserving slope of 180⸰.
 Insert grid or detector inside patient table holder.
 Connect the stand to the back bottom of the patient table holder which is used to carry,
slide up and down the x-ray tube arm.
 Continuously measure the angle of stand and tightened up to 90⸰
 Check if the stand smoothly slide over the patient table holder
 Assemble the horizontal arm to stand which is used to hold and move the x-ray tube
180⸰ to right and left.
 Carefully hold x-ray tube to the arm ring on the horizontal arm and repeatedly check
the proper position of the x-ray tube.
 Tie the x-ray tube handler to the x-ray tube with the bolt.
 Assemble the control console with the wall.
 Connect collimator to the bottom of the x-ray tube. There are springs and adjustable
bolts on the collimator that helps the radiographer to rotate or limit the collimator. To
do so we adjust the bolts to be the collimator rotate only 180⸰.
 Stand and tie firmly the chest-stand away from the patient table holder
with a distance of 90cm. however proper installation of chest stand is always
assembled after the power supply is applied to the x-ray collimator to get the fixed
center of the collimation on the chest stand.
 Insert rechargeable Flat panel detector holder inside Bucky stand
 Check and consolidate the whole procedures
 A B C D

E F G

Figure Error! No text of specified style in document..1 A) Assembling x-ray detector B)

Assembling patient table C) Assembling x-ray tube arm D) Assembling x-ray tube supporter E)
Assembling x-ray tube F) Assembling collimator G) Mechanically assembled x-ray

 Electrical installation
 First, we carefully connect high tension cable positive and negative terminal to the
cathode and anode terminal on x-ray tube respectively.
 Connect the anode and cathode terminal cable to a high voltage generator
 Connect other pairs of cables to the x-ray tube used to drive the electron from cathode to
anode with high kinetic energy and to form bombardment as it loose its kinetic energy.
 Tie their respective cable for chest stand, x-ray collimator, x-ray detector, footswitch
(used to drive the patient table), and control panel
 Assemble individual cable of chest stand, x-ray collimator, x-ray detector, footswitch,
and control panel to power supply board according to the diagram shown in the manual.
 Insert down grounding cable outside and connect to the ground terminal of power supply
board
 Connect 220V (single phase operating x-ray machine) to power supply board via breaker.
  Prepare hazard lamp outside of room‟s door and connect to the power supply board
 Revise the entire electrical connection reference with the manual

A B C D

E F G

H I J

Figure Error! No text of specified style in document..2: A) Connect anode and cathode cable to
HGV B) Electrical installation of x-ray tube C) Electrical installation of patient table driver D)
Assembling of foot switch E) Electrical installation of collimator F) Connecting x-ray
components to powers supply