Beruflich Dokumente
Kultur Dokumente
HEALTHCARE
Service Plan
Imaging Services
Service Plan
TABLE OF CONTENTS
Introduction .......................................................................................... 3
Product Description............................................................................. 5
Service Strategy................................................................................. 15
Training ............................................................................................... 30
10
11
12
Abbreviations ..................................................................................... 49
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Service Plan
Introduction
The purpose of the Service Plan is to inform the Service organization about the
service strategy for a new globally released standard solution or product.
The Service Plan is a central repository for all service relevant information related to
a product or solution. This means that this document provides global information
about serviceability at a solution level that can be used by a Region / Country as part
of the Regional / Country Launch Project Plan to plan services launch activities for
globally released standard solutions or products.
1.1
1.2
Version
Changes
Date
Author
Approver
Version 1.0
Initial version
09-2009
C. Steiner
See RACI
table*
Version 1.1
12-2009
C. Steiner
See RACI
table*
Version 2.0
04-2010
C. Steiner
See RACI
table*
Version 2.1
07-2010
C. Steiner
See RACI
table*
Version 2.2
03-2011
C. Steiner
See RACI
table*
Version 2.3
01-2012
C. Steiner
See RACI
table*
References
Title
Reference
Service Plan NX
Page 3 of 51
Version 2.3
Service Plan
Edition 2 of this Serviceplan covers the DX-G / DX-M digitizers in the DICOM
version, e.g. software version NIM_2000 or higher.
Edition 1 of the Serviceplan covers DX-G digitizer in the TWAIN version, e.g.
software version is below NIM_2000
NX Workstation(s)
ID Tablet
The DX-G / DX-M digitizer will be serviced by Agfa FSEs as well as dealer FSEs. It
requires a skill level similar to the DX-S. It is strongly recommended not to let
perform service by dealer FSEs until the DICOM digitizer software concept is
deployed.
FSEs trained on DX-G can upgrade their knowledge to also service DX-M via self
education of service documentation on HealthCare Library
For FSE / CAS not trained on CR Mammography yet the attendance of the instructor
based training for CR Mammography is mandatory.
For Mammography related topics refer to the Service Plan CR Mammo Solution
based on DX-M (see 1.2 References)
Page 4 of 51
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Product Description
3.1
System Overview
Service Plan
CR HD5.0 Detectors (Plates with Cassettes) (from batch number 9V10 on)
ID Tablet (from serial number 15539 on): For identification of the cassette.
NX workstation
Digitizer
Cassettes with
Image Plates
ID Tablet
Hospital Network
DX stands for Directrix, the needle-based detector technology offering superb image quality at
lower dose.
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Service Plan
3.2
Document Name
Reference
Erasure Unit
PMT
Traverse with
snaphooks
(IP Feeder)
Connector
Vacuum Valve
Light Guide
IP Carrier
Laser Beam
Spindle
Optic Module
Swivel Unit
Gear Box
Figure 2
Mirror
Lens System
Laser Diode
Polygon Mirror
Figure 3
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Log
Signal
Log
Signal
DX-G Predecessors
DX-G
Figure 4: Simplified illustration of dynamic range of the DX-G / DX-M and its predecessors
This means, that the DX-G / DX-M digitizer in combination with the NX workstation is a
speed class free system, what makes configuration of the different examinations at the
NX workstation more simple.
A configuration of the erasure dose is not needed either, since it is set automatically
based on the image data.
New Parameter Exposure Index:
In combination with the speed class free operation, a new parameter called Exposure
Index (EI) was introduced, which supersedes the Logarithmic median value (LgM Value).
The EI is based on IEC 6294-1/CDV (year 2008), whereas the LgM value is an Agfa
proprietary measure. It is available since NX version NX 2008.
The LgM is the median value of the measured pixel values in a logarithmic scale, the EI
uses a linear scale.
Both values are a relative measure for the detector-dose, and can be used by the
customer for dose consistency measurement.
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For more information on speed class free operation and the Exposure Index refer to
following documents:
#
Document Name
Reference
Document Name
Reference
Page 8 of 51
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3.3
Service Plan
Image Plate
Type
Compatible
with
Powder IP
(PIP), GenRad
35 x 43 HR, 35 x 35 HR, 35 x
43 SR, 35 x 35 SR, 24 x 30,
18 x 24, 15 x 30, 35 x 43
FLFS
DX-G, DX-M
CR HD5.0 Detector*
Needle IP
(NIP), GenRad
DX-G, DX-M,
DX-S
CR HD5.0 AEC
DETECTOR
Needle IP (NIP
35 x 43, 24 x 30, 18 x 24
DX-G, DX-M,
DX-S
Powder IP
(PIP), Mammo
24 x 30, 18 x 24
DX-M only
CR HM5.0 Detector
Needle IP
(NIP), Mammo
24 x 30, 18 x 24
DX-M only
*From batch number 9V10 onwards, the HD5.0 Detectors are accepted in DX-S and DX-G / DX-M devices.
Figure 6: NIP
Figure 7: PIP
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Service Plan
For more information on cassettes and image plates refer to following documents:
#
Document Name
Reference
Page 10 of 51
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3.4
Service Plan
Software Concept
Edition 2 of this Serviceplan is about the DX-G / DX-M digitizers in the DICOM
version, e.g. software version NIM_2000 or higher.
For information on DX-G digitizer in the TWAIN version , e.g. software version is
below NIM_2000 please consult edition 1 of the Service Plan.
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3.5
Accessories
The following accessories are available for DX-G / DX-M:
Accessory
CR EasyLift
ABC Code
EJ8V8
Description
CR Full Body
Cassette Holder
(Accessory for CR
Easylift)
EAUGV
CR Anti-scatter grid
version 2
(Accessory for CR
Full Body Cassette
Holder)
EMUXJ
CR ID TABLET
EPKAP
Earthquake kit
5NS2V
See
corresponding
sales
information
Page 12 of 51
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Service Plan
4.1
4.2
Customers that want to renew their CR equipment (Agfa & competitors) with the
advantages in image quality, dose reduction and workflow & functionality
enhancements.
Customers in the analog to digital transition for General Radiography and
Mammography that have:
o Image quality requirements that cannot be met with the current generation of
powder phosphor plate based CR digitizers.
o Workflow requirements to allow a fluent operation of multiple X-ray rooms.
Page 14 of 51
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Service Strategy
5.1
General
Service Plan
The DX-G / DX-M digitizer is specified to be serviced by Agfa FSEs as well as dealer
FSEs.
It requires a skill level similar to the DX-S.
5.2
For more details to the Service Protection Mechanism see following references:
Title
Reference
Intranet Link
The Profile Knowledge Matrix is intended to outline a high-level overview of the types of
resources and knowledge that will be required.
It shall help to ensure that the Services resources and the knowledge required to deploy
and support the product/solution are available.
The proposed Services Training Plan (see section 6 of this document) outlines the training
that is proposed for resources responsible for the deployment and support of the
product/solution.
For Mammography related topics refer to the Service Plan CR Mammo Solution
based on DX-M (see 1.2 References)
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Role
Project
Manager
Responsibilities / Activities
Coordination and
synchronization of all AGFA
rd
and 3 party activities towards
the customer (except civil
works)
Management of customer,
rd
FSE, CAS, Sales, Service, 3
party and Country institutions
Project Management
X-Ray workflow
Page 16 of 51
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Role
Responsibilities / Activities
Regional
Service
Desk
Level 1
Support FSE
Good PC knowledge
Configuration possibilities
Troubleshooting
Replacements, Adjustments,
Calibrations
Replacements, Adjustments,
Calibrations
Troubleshooting
Configuration possibilities
Replacements, Adjustments,
Calibrations
Troubleshooting in depth
Configuration possibilities
Regional
Service
Desk
Level 1
Support CAS
Level 2
Support
Escalation of problems
application workflow
Customization of the system
along the lines of the
customers wishes and the
statement of work
Didactical skills
Acceptance testing
Customer Training
Analytical skills
Escalation of problems
Good PC knowledge
Level 3
Support
Escalation of problems
Good PC knowledge
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5.3
Reference
Location
See ALP
Project Management NX
Workstations
http://healthcare.agfa.net/irj
Table 2
For Mammography related topics refer to the Service Plan CR Mammo Solution based on
DX-M (Extranet Link / Intranet Link).
5.3.1
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5.4
Service Plan
Professional Services
DX-G / DX-M offers the potential for professional services like the other digitizers. For
details refer to:
5.5
Title
Reference
ASPAC services
Page 19 of 51
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Service Plan
5.6
Installation
NOTE:
This section considers the digitizer installation only. See the corresponding NX
service plan for further information concerning NX workstation installation.
Function
Description
Performed By
Forwarder
Duration
Unpacking
Unpacking
10 min.
Installation
Preparation
FSE
Removing transport locks,
moving digitizer at final location
5 min.
Basic Configuration
Digitizer configuration at NX
workstation; Filling in of site
specific data, maintenance
indicator configuration
FSE
25 min.
20 min.
1h
Page 20 of 51
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5.7
Service Plan
End-User Training
End-users defined by the customer (consider max. number of trainees) have to be trained
in :
Usage of the ID tablet as described in the user manual Getting started with the ID
Tablet.
The usage of image plates and cassettes as described in the user manual AGFA
CR Detectors, Plates and Cassettes (CR HD5.x, CR MD4.xR, CR MM3.xR, CR
HM5.x).
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5.8
5.8.1
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Spare Parts
Spare parts are mainly defined on mechanical module and printed circuit board
level.
NOTE:
Cables that not are defined as spare part, but needed for repair should be noted to
RSN / GSN. Please find the reference for the numbers in the circuit diagrams (see
example below).
There is no general recommendation for local stock of spare parts as DX-G / DX-M
is on the market for some years already.
Spare part usage is monitored at Spare Part Management team.
For information on current status of most frequently used spare parts contact the
Spare Parts Management team via SPM_HQ_Service@Agfa.com .
Page 23 of 51
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Returnable parts contain valuable components and are fed into the value creation
process for spare parts again. They are indicated with a red label or with a special
sticker fro parts shipped from parts center in the USA. See Figure 10.
Inspection parts are sent back to an inspector at AGFA to support quality
improvement activities. They are indicated with a yellow label. See Figure 10.
Reference
Section 11.4
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Service Plan
Preventive Maintenance
DX-G:
Frequency: Every 37.500 cycles or every 18 months, whatever happens first.
DX-M:
Frequency: Every 25.000 cycles or every 12 months, whatever happens first.
Via software switch (DX-G / DX-M Service Software Preventive Maintenance
Maintenance Indicator) it is possible to display following user message at the NX
workstation to inform the customer about a preventive maintenance visit:
"Maintenance interval will expire within a short time. Please contact service."
The table enclosed gives a high level overview of the preventive maintenance task:
Task
Maintenance
Description
Check condition; cleaning;
check image quality; final test
Performed By
FSE
Duration
Average
<2h
For details refer to the Statement of Work Preventive Maintenance, section 11.5.
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5.8.4
Escalation
Support for DX-G / DX-M is provided according to the standard support processes.
The product IDs in PowerHelp are:
5.8.4.1
DX-G:
ADC DX-G
DX-M:
ADC DX-M
Level 1
Local FSE
Level 3
Regional Support
Network Technician
GSN
Customer
Local CAS
PQRT / R&D
Regional Support
Network Clinical
Application
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Level 1
Level 3
if remote fixable
Regional Support
Network Technician
Local FSE
Customer
GSN
CCC
PQRT / R&D
Regional Support
Network Clinical
Application
Local CAS
Level 2
ASPAC
EMEA
Americas
Follow
the sun
+ 61 3 98 94 30 46
Page 27 of 51
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5.8.5
Remote Service
Remote service access to the DX-G / DX-M is possible via web interface.
5.8.5.1
Title
Reference
SRSS homepage
Intranet Link
Page 28 of 51
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5.9
Service Plan
MIGRATIONS/UPGRADES
Since second half of 2010 an upgrade is available for the DX-G installed base with
software version below NIM_2000, i.e. TWAIN concept.
After that upgrade, DX-G and DX-M will share one software version. The intended
use of the devices (DX-G for GenRad, DX-M for GenRad and Mammo) will not
change thereto.
It is not possible to change the intended use in the field.
5.10
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Training
6.1
Training Path
Following prerequisites are required to apply for the instructor based training DX-G /
DX-M (see Figure 11):
NX training
WBT
"Basics of DX-G /
DX-M Digitizer
NX Training
Basic Skills
- Good English language skills
- Knowledge on computer systems (operating system, hardware, network basics)
Figure 11: DX-G / DX-M qualification path
Page 30 of 51
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Service Plan
Reference
6.1.1
http://healthcare.agfa.net/irj
Strategy for DX-G trained Field Service Engineers (DX-G with TWAIN
concept: software version below NIM_2000)
A high number of FSEs are trained already on DX-G.
The strategy for knowledge upgrade to also service DX-M has been set up to be
most cost efficient.
6.1.1.1
Genrad
FSEs trained on DX-G can upgrade their knowledge to also service DX-M via self
education of service documentation on HealthCare Library.
6.1.1.2
Mammography
FSE / CAS trained on CR Mammography can upgrade their knowledge to also
service the CR Mammo solution based on DX-M via self education of service
documentation on HealthCare Library.
For FSE / CAS not trained on CR Mammography yet the attendance of the
instructor based training for CR Mammography is mandatory.
For Mammography related topics refer to the Service Plan CR Mammo Solution
based on DX-M (see 1.2 References).
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7.1
Documentation
Title/Description of Document
Location
Service Documents
DX-G / DX-M - Chapter 00 - About this Manual
Works in progress
Consult Service bulletins
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7.2
Datasheet DX-G
Datasheet DX-M
Location
Limit Patterns
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Service Agreements
Service Agreements are confidential contractual information. For further questions
concerning this subject please contact your local service manager.
For the Service agreements (only accessible for HealthCare Library Users with
tactical or strategic level) click here
Page 34 of 51
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Service Plan
Resolution
Mammo Resolution:
20 pixel / mm
High Resolution:
Standard Resolution:
10 pixel / mm
6,66 pixel / mm
Throughput
Interface
Ethernet RJ45
Network protocols
DICOM, HTTP
(TCP/IP services)
Image formats
DICOM
5 cassettes
Cassette formats
Operating temperature
20 C - 30 C (68 F 86 F)
Operating RH
Customer installable
No
Dimensions
Weight
Approx. 180 kg
Power requirements
Mobile compliance
DX-M: yes
Earthquake kit
Option
DX-G: no
Table 3
DOCUMENT CONTROL NOTE:
The controlled version of this document resides on MedNet. Any printed copy of this document is uncontrolled.
Page 35 of 51
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9.1
Document Name
Reference
Typical Load
Typical # of Cycles
Time frame
100
Day
2000
Month
25000
Year
Table 4
9.2
1 h / one person
12 months
25.000 cycles
0,8 h
20,76 (EUR4)
Table 5
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9.3
Table 6
10
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11
11.1
Activity
Ask the Agfa sales representative for a contact person in the hospital.
PRI
PRI
PRI
PRI
PRI
PRI
PRI
PRI
PRI
Task code
PRI
PRI
PRI
PRI
PRI
Table 7
Page 38 of 51
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Service Plan
NOTE:
This statement of work represents the status of release for delivery.
For an up-to-date list of activities refer to the Installation Planning document (Extranet
Link / Intranet Link).
NOTE for DX-M digitizer for mobile installations:
The Earthquake kit is also used as mobile kit for mobile installations of DX-M.
Wall fixation and base plate of the mobile kit have to be mounted by a technician of the
trailer / van with adequate fixation means. This step may influence the installation time
significantly.
11.2
Activity
Task code
PRI
Unpack digitizer*.
INS
INS
INS
INS
INS
INS
INS
INS
10
INS
11
INS
12
INS
13
INS
14
INS
15
Perform a backup.
INS
16
INS
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Activity
Task code
17
ASC
18
ASC
19
ASC
20
ASC
21
ATR
22
ABA
Table 8
NOTE:
This statement of work represents the status of release for delivery.
For an up-to-date list of activities refer to chapter 1 of the service manual (Extranet Link /
Intranet Link).
NOTE for DX-M digitizer for mobile installations:
DX-M will be delivered prepared for mobile installations. No modification in the field
needed.
Nevertheless additional effort has to be calculated depending on layout and accessibility
of mobile installation location.
Page 40 of 51
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11.3
Service Plan
11.3.1
11.3.2
User Manual
1
2
3
4
Customer Training
Train the customer in following activities:
11.3.2.1
Boot-up procedure
Basic workflow
Page 41 of 51
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Mobile installations:
o
See DX-G / DX-M User Manual and user manual Getting started with DX-G / DX-M for
more details and an explanation of the single items.
For NX Workstation specific training refer to the NX Workstation user documentation.
11.3.2.2
See user manual Getting started with the ID Tablet for more details and for an
explanation of the single items.
11.3.2.3
How to detect Full Leg / Full Spine Cassettes (if available on site)
Page 42 of 51
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Operating conditions
Cleaning
Service Plan
See user manual CR Detectors, Plates and Cassettes for more details and for an
explanation of the single items.
11.3.2.4
Activity
Electrical check
Acceptance Test
Reference
IEC 62353:2007 Test Documentation on the
HealthCare Library (Extranet Link / Intranet
Link)
Example for Germany: DIN6868
Page 43 of 51
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11.4
TFI
TD
TI
Average interchange time. This is set to "0" for all spare parts. TI is
already part of TD and TR.
TR
TA
TC
TST
Page 44 of 51
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Description
Stepper Motor Opener (M201)
Buffer Adapter Board (B220)
TP TFI TD TI TR TA TC TST
15 10 10 0 10 10 10 10
15 15 10 0 10 0 10 10
Antistatic Brush
Software
Buffer Rear Cover
Upper right cover
Buffer Right Cover
Right cover
Display Board with Touch Panel
Left Cover
Upper left cover
LED-Status-Indicator
Front Cover
Upper Cover
Cover Plate
Swivel Drive
IP Handling Board
Locking motor (M626)
Connector Bolt
Vacuum Valve
Vacuum Plate
Traverse on IP carrier sensor
Traverse locked on carriage sensor
Distribution Board IP-Carrier
Slow Scan Reference Sensor
Traverse with snap hooks
Snaphook Drive
Rope Tensioner Center
Rope Tensioner Right
Rope Tensioner Left
Optic Module
Calibration Board
PMT with Light Collector
Cleaning Brush Assembly
PMI52 Board
Erasure Unit
Cable IP board to SM carrier
CAN Bus cable
Cable PMI52 to calibration
SM Linear Transport (M514)
PMI52 Power Distribution Board
Dsitribution board cable
Display Control Board Cable
Cable PMT - PMI
Vacuum Pump
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
0
0
0
0
10
0
0
10
0
0
0
30
30
20
20
30
30
30
30
10
15
15
30
15
15
15
60
20
45
30
30
30
30
30
30
15
30
30
30
30
30
20
10
5
5
5
5
10
5
5
10
5
5
5
15
10
15
20
10
10
10
10
10
15
15
15
10
10
10
10
10
10
20
10
10
10
20
20
20
10
10
20
5
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
10
5
5
5
5
10
5
5
10
5
5
5
15
10
15
20
10
10
10
10
10
15
15
15
30
30
30
10
10
10
20
10
10
10
20
20
20
10
10
20
5
20
0
0
0
0
0
0
0
0
0
0
0
0
0
10
10
10
0
0
0
0
0
0
0
30
10
0
0
0
60
0
60
0
0
0
0
10
0
20
0
0
0
0
0
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
50
10
50
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Total
[min]
75
70
90
70
45
45
45
45
65
45
45
65
45
45
45
105
95
95
95
85
85
85
85
65
80
110
105
90
90
90
215
75
200
105
85
85
85
115
105
110
85
85
105
75
105
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Description
TP TFI TD TI TR TA TC TST
Cassette Transport Home Pos Cable
15 30 10 0 10 0 10 10
Cable PMI52 to PWR Distribution Board 15 30
5 0
5 0 10 10
Cable PMI to Optic Module
15 30
5 0
5 0 10 10
Fan
15 10 15 0 15 0 10 10
Z-Sensor
15 15 15 0 15 0 10 10
Cassette Grabber
15 15 15 0 15 10 10 10
Locking Unit
15 15 15 0 15 10 10 10
Stepper Motor Cassette Transport
15 20 10 0 10 10 10 10
Cassette reader cable
15 30 10 0 10 0 10 10
Cassette Handling Board
15 15 10 0 10 10 10 10
Buffer Unit
15 30 20 0 20 10 10 10
Stepper Motor Swivel Drive (M625)
15 30 15 0 15 10 10 10
Cleaning Brush
15 30 15 0 15 0 10 10
Power Supply
15 20 15 0 15 0 10 10
Cassette Transport Belt
15 10 15 0 15 0 10 10
Transport Kit
15 15 10 0 10 0 20 10
Small Parts Kit Fixing material
15 15 10 0 10 0 10 10
Small Parts Kit Functional Parts
15 15 10 0 10 0 10 10
Rear Cover
15
0
5 0
5 0 10 10
Cassette Input Cover
15
0
5 0
5 0 10 10
Lower Buffer Cover
15
0
5 0
5 0 10 10
Roller
15
0 15 0 15 0 10 10
Air Filter
15
5 10 0 10 0 10 10
Interlock Switch
15 10 10 0 10 10 10 10
Main Switch
15 10 10 0 10 0 10 10
Traverse Carriage Left / Right
15 15 10 0 10 30 10 10
IP Feeder Wire Ropes
15 10 30 0 30 0 20 10
Linear Transport Belts
15 15 20 0 20 30 10 10
Solid State Disk
15 15 10 0 10 20 10 10
Housing
15
0
5 0
5 0 10 10
Lubricating Chambers
15 30 15 0 15 0 10 10
Calibration Board Cover
15 20 10 0 10 0 10 10
Movable Vacuum Hose with Wire
15 30 20 0 20 0 10 10
Fixed Vacuum Hose
15 20 10 0 10 0 10 10
Vacuum Pump Sound Absorber Hose
15
5 10 0 10 0 10 10
Rollo cassette clamping
15 20 10 0 10 10 10 10
Cassette Edge Sensor
15 15 10 0 10 10 10 10
Chip Reader
15 15 15 0 15 0 10 10
Stepper Motor Cassette Fixation
15 15 15 0 15 10 10 10
Total
[min]
85
75
75
75
80
90
90
85
85
80
115
105
95
85
75
80
70
70
45
45
45
65
60
75
65
100
115
120
90
45
95
75
105
75
60
85
80
80
90
* means: Spare part not physically on stock due. Prolonged delivery time.
Page 46 of 51
Version 2.3
11.5
Service Plan
Activity
Task code
PMV
Error statistics
PMV
Infocounter analysis
PMV
PMV
5
6
PMV
PMV
Visual inspection
Check visually power and network cable.
Check visually the covers.
Check visually the cleaning brush.
Check visually the cables inside the digitizer.
Check visually the belts.
Check visually the flexible vacuum hose.
Check visually the spindle.
Check visually the parallelism of the Traverse.
Cleaning general
PMV
Checking of spindle
PMV
10
PMV
11
PMV
12
PMV
13
PMV
14
PMV
15
PMV
16
PMV
17
PMV
18
Customer conversation
PMV
PMV
Page 47 of 51
Version 2.3
Service Plan
NOTE:
This statement of work represents the status of release for delivery.
For an up-to-date list of activities refer to the Preventive Maintenance Instructions
(Extranet Link / Intranet Link).
NOTE for DX-M digitizer for mobile installations:
For mobile installations the DX-M is always fixed to the wall and floor. An additional effort
of approx. 30 minutes has to be considered in average.
Page 48 of 51
Version 2.3
12
Service Plan
Abbreviations
ASAP
CAS
CCC
CM
Corrective Maintenance
CR
Computed Radiography
DRA
ELMS
FSE
GSN
GTC
GUI
IBT
NIP
PIP
PM
Preventive Maintenance
PMT
Photomultiplier
PMV
PQRT
R&D
RIS
UPS
WBT
Page 49 of 51
Version 2.3