Mizuhosi 6875 Instructions for use

6875 hana Table T e c h n i c a l S e r v i c e s D e p a r t m e n t
Preventative Maintenance Checklist Phone: [phone] PST Fax: [phone]
50603-06 Rev. A ECN# 10016 Effective Date 3/9/2010 Page 1 of 4
Preventive Maintenance (PM) Checklist
Model: 6875 Hana table
Work Instruction number 50603-06
Contact Information:
Date: ________________Model/Serial#: _______________________ Account #: ____________________
Hospital Name: _________________________________ City & State: ________________________________
Contact Name: _______________________ Position: ___________________ Phone: _____________________
Equipment Location: ________________________________________________________________________
Service Representative: _____________________ Service Organization: _______________________________
Service Rep. phone: ________________________ Home location: ____________________________________
Customer contact accepting service: ______________________ __________________ ____________
Name please print Signature Date
Service Representative: ________________________ _______________ ___________________
Name please print Signature Date
Using this report: Please proceed through each step and place an “x” in the “( )” as each item representing Pass
Fail ( ) ( ) criteria is inspected. If a step has failed, please indicate with an “x” and note the reasons in the
comments section. If you resolve the failure place an “x” in the “Pass” area and indicate the corrective action again
in the comments section. If you are unable to perform any Pass/Fail check, please contact Mizuhosi Technical
Services for assistance and circle the check.
Biohazards when servicing equipment: Please take appropriate precautions for servicing potentially biohazard
contaminated equipment or working in biohazard surroundings. Please wear protective surgical gloves and long
sleeved gowns at all times. If your gloves or protective clothing tears, replace immediately. Have the hospital staff
clean the equipment appropriately prior to servicing. Clean your tools that may become contaminated with
biohazards prior to placing back in your tool kit for removal from the location. If you suspect biohazards are present
do not handle until they have been cleaned.
ESD Precautions: Electro-Static Discharge can damage sensitive electronic printed circuit boards. If you are
servicing any part of the equipment inside that is near or in contact with PCB’s or other sensitive devices, please
properly ground yourself with a proper ESD strap.
(If serviced by an outside service organization, the record must be reviewed, signed, and dated by Technical
Services Dept. Refer to last page of this document).

6875 hana Table T e c h n i c a l S e r v i c e s D e p a r t m e n t
Preventative Maintenance Checklist Phone: [phone] PST Fax: [phone]
50603-06 Rev. A ECN# 10016 Effective Date 3/9/2010 Page 2 of 4
Tools Required:
Normal Handtools
Materials Required:
6875 hana Table Owner’s Manual – NW0508
Pass Fail
1. General Overall Condition.
1.1 ( ) ( ) Table is clean, without signs of hazardous contamination and is consistent with proper care.
Comments: _________________________________________________________________________
1.2 ( ) ( ) Table Labels; verify all labels are intact and legible.
Comments: _________________________________________________________________________
2. Power Input Inspection.
2.1 ( ) ( ) Table Power Cord with A/C plug (p/n NV0956) is free of wear, corrosion, insulation cracks and
“Hospital Grade” tag is attached to Power Cord.
Comments: _________________________________________________________________________
2.2 ( ) ( ) Power Cord Base-Receptacle is properly secured and all the prongs are intact.
Comments: _________________________________________________________________________
2.3 ( ) ( ) ON/OFF Power Switch/Circuit Breaker is properly secured, operational, and plastic cover is not torn or
pierced.
Comments: _________________________________________________________________________
3. Basic Setup.
3.1 ( ) ( ) Attach Hand Pendant.
Comments: _________________________________________________________________________
3.2 ( ) ( ) Power Switch ON.
a. Connect table Power Cord to AC power source.
b. Toggle Power Switch “ON” (located on table-base panel). If illuminated, table is connected to live
AC power. If no illumination, table may still operate on internal battery power (Hand Pendant control
buttons and lights will be illuminated).
c. Verify Three Circuit Breakers (located close to the main power switch) are not tripped.
e. Verify Hand Pendant control Battery Status “OK” LED illuminates green. If red “Battery Check”
light is on, charge battery for a minimum of 3 hours (leave Power Cord plugged in and main “ON/OFF”
Power Switch “ON”).
Comments: _________________________________________________________________________
3.2 ( ) ( ) Connect the Foot Pedal into the port at the foot end of the table base.
(Confirm green “FOOT SWITCH CONNECTED” light is on)
Comments: _________________________________________________________________________

6875 hana Table T e c h n i c a l S e r v i c e s D e p a r t m e n t
Preventative Maintenance Checklist Phone: [phone] PST Fax: [phone]
50603-06 Rev. A ECN# 10016 Effective Date 3/9/2010 Page 3 of 4
3.3 ( ) ( ) Attach Right & Left Femur Lift assemblies, and connect their electrical cords.
(Confirm green “LEFT LIFT CONNECTED” and “RIGHT LIFT CONNECTED” lights are on)
Comments:__________________________________________________________________________
3.4 ( ) ( ) Attach Right Leg Spar & Left Leg Spar.
a. Verify locking knob locks the spar to the table with ease.
b. Verify Traction unit slides smoothly onto the rail and locking knob locks & unlocks the Traction unit.
c. Verify Rotational Lock knob is operational and its free of any cracks and/or any other abnormality.
d. Verify the spar brake lock handle is operational and the spar does not drift down when locked.
e. Verify Fine Traction when crank has a little bit of tension (If it’s too smooth, please note or call
Technical Services).
Comments: _________________________________________________________________________
4. Control Panel check.
4.1 ( ) ( ) Power Status Lights; observe the table Power Status lights located on the Control Panel. Confirm green
“AC Power” light is on. If red “Battery Check” light is on, charge battery for a minimum of 3 hours
(leave Power Cord plugged in and main “ON/OFF” Power Switch “ON”).
a. Press and hold "HEIGHT UP" / “HEIGHT DOWN" button (run to its limit).
b. Press and hold "REV. TREN"/ "TREN" button (run to its limit).
c. Press and hold "LEFT LATERAL “/ “RIGHT LATERAL ROLL” button (run to its limit).
d. “RETURN TO LEVEL (run table to max height up, rev tren, and lateral roll right. Press and hold
Return to Level button, verify table goes back to level (-+2deg) and to the lowest position.
e. Switch the selector knob to “Left Femur Lift”, press “UP”/”DOWN” on the foot pedal. Confirm
Femur Lift goes up/down to its limit.
f. Switch the selector knob to “Right Femur Lift”, press “UP”/”DOWN” on the foot pedal. Confirm
Femur Lift goes up/down to its limit.
g. Press “Emergency Button”. Confirm all indicators for “AC POWER”, “BATTERY OK”,
“BATTERY POWER”, and “BATTERY CHARGE” will not illuminate except for indicators, “Foot
Pedal Connected, “Left” / “Right” Lift Connected, and “Left / Right” Femur lift selector.
Comments: _________________________________________________________________________
5. Hand Pendant check.
5.1 ( ) ( ) Confirm green “AC Power” light is on and green “Battery Status” light is on.
(Repeat steps 4.1, a to d)
Comments: _________________________________________________________________________
6. Battery Power Check (disconnect power cord from AC source. Main power switch indicator will dim).
6.1 ( ) ( ) Confirm the green, “Battery OK” lights is ON at the Control Panel and Hand Pendant are illuminated. If
not, refer to the Battery System section of the service manual.
(Repeat steps 4.1, a to g for this section)
Comments: _________________________________________________________________________

6875 hana Table T e c h n i c a l S e r v i c e s D e p a r t m e n t
Preventative Maintenance Checklist Phone: [phone] PST Fax: [phone]
50603-06 Rev. A ECN# 10016 Effective Date 3/9/2010 Page 4 of 4
7. Telescopic Shrouds / Sheet-metal Covers.
Using Hand Pendant, press and hold “HEIGHT UP” button, raising tabletop to maximum height and
toggle Power Switch to “OFF”.
7.1 ( ) ( ) Visually inspect all stainless steel sheet-metal covers for damage; verify that they are not bent.
Comments: _________________________________________________________________________
This section is for Technical Services use only.
Reviewed:_________________________ Signature: ________________________ Date: __________