Siemens LITHOSTAR Multiline Technical specifications

© Siemens AG
The reproduction, transmission or use
of this document or its contents is not
permitted without express written
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created by patent grant or registration
of a utility model or design, are
reserved.
Print No.:
Erlwein
LITHOSTAR Multiline
System
Maintenance Instructions
SP
1995
RXL2-120.101.01.06.02
Replaces: RXL2-120.101.01.05.02
English
Doc. Gen. Date: 08.05
LITHOSTAR Multiline
The protocol RXL2-120.105.01.06.02 is required for
these instructions
03127011

2 Revision / Disclaimer
LITHOSTAR Multiline RXL2-120.101.01.06.02 Siemens AG
08.05 CS PS 24
Page 2 of 52 Medical Solutions
1Revision / Disclaimer
Document revision level
The document corresponds to the version/revision level effective at the time of system
delivery. Revisions to hardcopy documentation are not automatically distributed.
Please contact your local Siemens office to order current revision levels.
Disclaimer
The installation and service of equipment described herein is to be performed by qualified
personnel who are employed by Siemens or one of its affiliates or who are otherwise
authorized by Siemens or one of its affiliates to provide such services.
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.

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Table of Contents 3
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Medical Solutions
0Table of Contents
1 _______ General information______________________________________________ 5
Required Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Test and Auxiliary Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Tools. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Tolerance data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2 _______ Inspection of exterior and inspection of surroundings ________________ 10
Inspection of exterior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Inspection of surroundings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Unit movements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
3 _______ Safety inspections ______________________________________________ 12
Electrical Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Mechanical Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
4 _______ Inspection for wear and replacement of parts _______________________ 19
Periodic preventive replacement of parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Inspection for wear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Unit/mechanical components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Respiratory belt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
5 _______ Maintenance ___________________________________________________ 22
Changing the water in the coupling circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Changing the water in the cooling circuit,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Cleaning the quick vent valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Lubricating and oiling the linear guides of the drives . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
6 _______ System heat dissipation _________________________________________ 27
Cooling unit in the service cabinet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Cabinet ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
MEMOSKOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
X-ray tube assembly fan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
7 _______ Operating value inspection_______________________________________ 31
Respiratory gate control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
ECG control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Dose control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Generator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

4 Table of Contents
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8 _______ Functional inspections __________________________________________ 35
PC keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Triggering shock waves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Footswitches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Unit footswitches - urology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Surveillance monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Tableside control panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Control PC mouse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
9 _______ Quality inspections _____________________________________________ 42
Component inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Television chain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Final result quality inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Log book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
10 ______ System adjustment _____________________________________________ 44
Collimator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Cassette holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Isocenter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
11 ______ Maintenance ___________________________________________________ 47
Unit and system cabinets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Log book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
12 ______ Final Work Steps _______________________________________________ 49
Covers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Unit function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
13 ______ Changes to Previous Version _____________________________________ 51

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General information 5
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1-
1 General information
1.1 Required Documents
•Isocenter Adjustment RXL2-120.071.01
•Spare Parts List RXL2-120.081..
•Start-up Instructions RXL2-120.815.01
•Planning RXL2-120.021..
•Maintenance Protocol RXL2-120.105.01.05.
•Image quality binder RXD0-000.064.01..
•Ultrasound Localizer Start-up RXL2-120.091.10...
•Shock Wave Pressure and Position Check SPL2-120.074.01...

6 General information
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1.2 Test and Auxiliary Equipment
Tool For example Material no.:
•Protective conductor meter 44 15 899 RV 090
•Digital voltmeter Fluke 187 99 94 831
•Service PC with connecting cable according to ARTD
•Storage oscilloscope Fluke Scope Meter 73 92 074
•Dose meter DIADOS 97 17 612
PTW Nomex 97 08 637 Y0388
•Copper filter - set (10 x 0.3 mm) 44 06 120 RV 090
•17-mm Cu strip (minimum contrast check) 11 67 662 G 5247
•2.1-mm precision copper filter 99 00 598 XE 999
•ESD kits, ARTD 3 - Wrist band 34 63 874
- Cable 34 64 062
•TV dynamic test case 37 90 156 X 1963
•PTU pressure tester
- PTU adapter
30 95 408
70 41 028

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General information 7
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Medical Solutions
1.3 Tools
NOTE The indicated items are listed in the STC (Service Tools Catalog)
unless otherwise stated (the STC is a component of the Spare
Parts Catalog) with the exception of items marked with "*".
•Start-up tool kit
•High-pressure grease gun 28 84 609 RE 012
•1 kg ”Longtime PD2” lubricant or
20 g ”Longtime PD2” lubricant
73 95 445 RH 999
34 91 271
•1 l turbo oil bottle HN 32 SRN 30 021
Squirt oiler 0.5 l
37 83 359 J 1042
38 02 415
•Torque wrench (20 to 100 Nm) 44 30 906 RH 090
•for POLYDOROS: Installation material "washers" 88 67 665 X 1122
•1 liter transformer oil as needed 99 00 945

8 General information
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1.4 Tolerance data
General tolerances for linear dimensions in compliance with ISO 2768
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%.
Limit value
for the nomi-
nal range
over 3
mm to 6
mm
over 6
mm to
30 mm
over 30
mm to
120 mm
over 120
mm to
400 mm
over 400
mm to
1,000
mm
over
1,000
mm to
2,000
mm
over
2,000
mm to
4,000
mm
Admissible
tolerance
± 0.5
mm
± 1 mm ± 1.5
mm
± 1.5
mm
± 4 mm ± 6 mm ± 8mm

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General information 9
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Medical Solutions
1.5 Abbreviations
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.
Abbrev. Description
SI Safety Inspection
SIE Electrical Safety
SIM Mechanical Safety
PM Preventive Maintenance
PMP Periodic Preventive Maintenance
PMA Preventive Maintenance Adjustments
PMF Preventive Operating Value Check and Functional Check
Q Quality Check
QIQ Image Quality
QSQ System Quality Check
SW Software Maintenance

10 Inspection of exterior and inspection of surroundings
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2-
2 Inspection of exterior and inspection of surround-
ings
2.1 Inspection of exterior
PMP Unit
PMP Cover
PMP Table pad
PMP Shock wave head/coupling bellows
PMP Image intensifier
PMP X-ray tube assembly cover
PMP Control PC
PMP Keyboard
PMP Mouse
•Check the entire system for mechanical damage.
•Replace or repair any defective parts.

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Inspection of exterior and inspection of surroundings 11
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Medical Solutions
2.2 Inspection of surroundings
2.2.1 Unit movements
PMP Patient monitor
PMP Monitor trolley
PMP Additional medical devices
•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.

12 Safety inspections
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3-
3 Safety inspections
SI Remove the unit covers
•Remove the side covers of the unit.

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3.1 Electrical Safety
SI Emergency-off switch function
•Operate the emergency-off switch in the room.
- The system must switch off.
- The system cannot be turned on until the emergency-off switch is released and the
voltage supply is switched back on.
SI Function of the fault current circuit breaker
•Check the mechanical functioning of the fault current circuit breaker by operating the
built-in test button.
•Check electrical functioning according to ARTD-002.731.17.
SI Safety circuit switch function
•Check the safety circuit for the O-W-X-Y motor movements in table G1 using the
J1042-7 circuit diagram.
•After connecting and logging on to the service PC, the Adjustment/Calibration service
software program can be used to move the motor drives to the safety switches without
software monitoring.
(See Operating the Service Software)
•Use the tableside control panel to move the drives into the safety circuit while monitor-
ing the appropriate limit switch.
NOTE Do not move to the mechanical end positions!
- When checking the X-drive using the "urology insert", move the O-drive to the +10°
position to avoid risk of collision with the tube assembly housing. During "litho opera-
tion", move the shock wave head to the coupling position and move the X-drive to
S78 in a limited range.
- In the case of a Y-drive check using the urology insert, move the O-drive to the 0° po-
sition. Switches S64/65 for the large range must be activated. During "litho opera-
tion", switches S76/77 for the limited range must be activated.
NOTE If the safety switches are actuated, you can move the drives out of
the safety zone by activating service button S59 on N11 or service
button S58 on D32 in the unit.
SI Lines and cables
•Check the line and cable insulation for damage or kinks to the extent possible.
•Check charging line K26 for a secure connection and a good ground connection at the
charger and the shock wave generator.
SI HV cable shielding
DIN VDE 0750 Part 21 (IEC 601-2-7) Paragraph 16
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.

14 Safety inspections
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The shielding must be connected to both the metal housing of the X-ray generator and the
X-ray tube assembly.
Conduct a check using measurements as follows:
•Switch off the system contactor.
NOTE Wait until the red LEDs on D110 are no longer lit (approx. 1 min.).
•Disconnect the high voltage cable from the socket at the HV generator and measure the
shielding mesh against protective ground. Move the cable, particularly at bends and
loops.
- High voltage cables with a shielding mesh resistance
exceeding the maximum of 1 ohm/m are to be replaced.
- Reinsert the cables
Only use transformer oil for inserting the high voltage plugs at the HV generator. Do not
use silicone washers!
Set of spare parts:
SI Time - radiation indicator
Check functioning of the radiation indicator and functioning of the different FL release but-
tons while the FL time display and/or time-out for fluoroscopy are running.
•Reset the fluoroscopy timer to zero.
•Move the filter (approx. 0.3 mm Cu) into the fluoro unit beam projection.
X•Switch fluoroscopy ON at the fluoro unit.
The timer counts up.
Observe radiation protection regulations!
•Check the radiation indicator at the control monitor.
During fluoroscopy, a symbol for radiation release appears on the left of the control
monitor in the status field.
X•Check functioning of the FL release buttons on the connection panel of the control con-
sole and the footswitch at the console and/or unit.
X•During fluoroscopy and exposure, check functioning of the radiation indicator lamp on
monitor trolley N72 (optional) or the local radiation indicators.
After a total of 4.5 minutes, a signal generator must sound.
•Switch off the signal generator. Do not reset the FL timer.
After 9.5 minutes, the signal generator in the control console must sound.
•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.
Installation material "washers" Part no. 88 67 665 X 1122
1 l transformer oil as needed Part no. 99 00 945

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Safety inspections 15
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Medical Solutions
•Reset the fluoroscopy timer to zero.
(See Start-up Instructions, paragraph 4-6)
SI Function switch of the generator
•Check functioning of the service switch on board D100 in the generator. When the ser-
vice switch is off, radiation release must be blocked (no activation of the inverter!)
•Check functioning of switch S2 on board D160. When S2 is in the OFF position, the line
contactor of the generator may not switch on. (Multiline, not operating)
NOTE When the generator is switched off, there is still line voltage
present at the T1 transformer and the D160 switch-on circuit.
(See LX circuit diagram X2169-11 or SX circuit diagram X2206-11)
After switching off the generator, approx. 600 V DC is still available
for the inverter! This is indicated by LEDs V135 and V136 on board
D110.
(See LX circuit diagram X2169-16 or SX circuit diagram X2206-16)
The voltage dissipates within approx. 1.5 minutes to 0 V; the LEDs
go off at approx. 30 V.
SI Protective conductor check
•Test the protective conductor with the protective conductor tester according to
ARTD-002.731.17.
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!)

16 Safety inspections
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3.2 Mechanical Safety
SI Toothed belt of the W-drive
SI Toothed belt of the O-drive
•Visually inspect the toothed belts of the drive for wear.
•Cracks on the back or at the tooth base; replace toothed belts if necessary.
•Ensure that the clamping pieces of the toothed belts are secure.
SI X-ray tube assembly
SI Collimator
SI Image intensifier with camera head
•Ensure that the screw connections of the X-ray tube assembly on the C-arm are secure.
•Ensure that the collimator is securely attached to the X-ray tube assembly.
•To check the mounting of the collimator, remove the large rectangular cover of the radi-
ation protection housing and then reinstall it. The collimator may not rotate at the hous-
ing flange.
•To check the image intensifier mounting, remove its rubber cover and the protective
cover of the camera.
•Check the mounting of the image intensifier.
•Check the mounting of the camera at the image intensifier.
•Reinstall covers.
SI Unit mounting
SI Safety distance of the unit
•Use a torque wrench to check the attachment of the table to the base plate. Ensure that
8 x Allen screws (at the lifting columns) M8 x 40 with 24 Nm ± 10% 4 x external hexa-
gons M10x25 are secure.
•Check the maneuverability ranges of the unit, the O-W -X-Y-Z-drive during lithotripsy
and urology operation. Maintain the safety distances in the end positions of the unit
movements.
SI Urology insert
•Insert the urology insert and ensure that it is secure.
•Ensure that S22 is properly switched.
•Adjust switch S22 if necessary.
•If needed, adjust both guide pieces of the urology insert. For this purpose, insert the
urology insert and press both guide pieces toward the outside.
•Tighten the screws.
SI Shock wave heads
•Check the maneuverability of the shock wave system support (W-drive) from the
parked position to the working position and back.
•Check the limited range by moving unit G1 in the table cutout.
SI Unit grip strip
•Ensure that the unit grip strip is secure.

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Safety inspections 17
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Medical Solutions
•Check the accessory parts for proper functioning.
SI Table extensions
•Ensure that the table extensions are securely mounted.
•Check the patient position detection (head/foot) for proper functioning and check the
patient position display on the control monitor.
SI US applicator
•Insert the US applicator in the shock wave head and secure it.
•Ensure that the US applicator is secure.
•Ensure that the US applicator module is undamaged. If there is damage, replace the
US applicator.
SI Cassette holder mounting
SI Exposure display on the control monitor
•Install the cassette holder and insert a cassette with film.
•Select 77kV, 100 mAs, 80% output on the control PC.
X•Releasing an exposure:
- The radiation symbol must be displayed on the control PC during the exposure (X-ray
radiation).
- The buzzer (whistle) must be audible in the control PC for the duration of the expo-
sure.
•Change the cassette and develop the film after every exposure.
•Ensure that the cassette holder is secure.
- When the cassette holder is lifted, the collision protection (yellow safety button
- ) must light up yellow.
SI Collision protection
•Check the collision protection of the X-ray tube assembly housing. Given blockage of
the X-ray tube assembly housing when moving the drives in the O-W-X-Y-Z direction,
the collision protection must stop the movement.
The yellow safety button on the unit lights up.
Given unit blockage (collision protection) during movement of a drive, this button can be
used to carry out the unit movement in the opposite direction. In the event of blockage, the
corresponding unit movement button blinks.
In the event of unit blockage (collision protection) during unit drive movement:
•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.

18 Safety inspections
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Page 18 of 52 Medical Solutions
•Check the collision protection of the image intensifier. Given blockage of the X-ray tube
assembly housing when moving the drives in the O-W-X-Y-Z direction, the collision pro-
tection must stop the movement.
On the connection panel of the control console and the unit the yellow safety button
lights up.
•Interrupt the light barrier, if present.
Unit movements should not be possible.
Yellow danger buttons light up.
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.
Fast beeping
¹Wrong direction - the unit is still moving into the blockage.
Slow beeping
¹Correct direction - the unit is moving away from the blockage.

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Inspection for wear and replacement of parts 19
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4-
4 Inspection for wear and replacement of parts
4.1 Periodic preventive replacement of parts
PMP Battery
•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.

20 Inspection for wear and replacement of parts
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4.2 Inspection for wear
4.2.1 Unit/mechanical components
PMP O-W-X-Y-Z drives
PMP O-drive toothed belt
PMP W-drive toothed belt
PMP X-drive toothed belt
PMP Y-drive toothed belt
PMP CL-drive toothed belt
PMP Z-drive plastic clutch
•Check the drives of the motors (in the O-W-X-Y-Z direction) for wear.
•Check the drive toothed belts (in the O-W-X-Y-CL directions) for wear and replace them
as needed. If the toothed belt of the cone lenght (CL) drive is worn, the cone drive must
be replaced.
(see the spare parts list).
•Ensure that the teeth of the toothed belt engage securely with the recesses of the drive
wheel.
•Check for wear on the plastic clutch between the motor axis and the drive axis of the
Z-drives.
PMP Actual value potentiometer
•Check the drive belts for the actual value potentiometer (O-W-X-Y drive) for wear and
replace them as needed
(see the spare parts list).
PMP Pressure tester
PMP PTU adapter-M
PMP Shock wave head
•Perform a pressure test at the shock wave head.
•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)