A15 Preventive Maintenance Checklist (W)

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PREVENTIVE MAINTENANCE REPORT

Hospital : _________________________________________________________
Department : ________________________________ Date : _________________
Instrument : Automated Chemistry Analyzer
Manufacturer/Model : Biosystems A15
Serial No. : ________________________________
Software version : ________________________________
Firmware version : ________________________________

_____________________________________________________________________________
Maintenance Checklist
______________________________________________________________________________
1. Cleaning

1-a. Probe Yes ( ) No ( )


1-b. Auto-centering plate Yes ( ) No ( )
1-c. Optical System Yes ( ) No ( )
1-d. Washing station Yes ( ) No ( )
1-e. Arm Motor Guides Yes ( ) No ( )
1-f. Opto-sensors Yes ( ) No ( )
1-g. Fans Yes ( ) No ( )
1-i. Dispensing System Yes ( ) No ( )
1-j. Exterior Yes ( ) No ( )

2. Adjustments
2-a. Operating Arm Adjustment
Old value New value
2-a-1. Origin ________ ________
2-a-2. Tray Reference ________ ________
2-a-3. Reaction Rotor ________ ________
2-a-4. XYZ Tray – Pediatric Rack
Rack 1 Rack 2 Rack 3 Rack
Position X Y Z X Y Z X Y Z X 4 Z
1 Y
12
2-a-5. Z Relationship Pediatric – Tube _________

2-a-6. XYZ Tray – Reagent Rack


Rack 1 Rack 2 Rack 3 Rack
Position X Y Z X Y Z X Y Z X 4 Z
1 Y
12

BIOSYSTEMS Reagents & Instruments, Inc.


74 Sct. Dr. Lazcano St., Brgy. Laging Handa, Quezon City
 +63 2 412-7689 Email: biosystems@biosystems.ph
PREVENTIVE MAINTENANCE REPORT
Biosystems A15
Page-2-
2-b. Filter wheel Adjustment ________ ________

2-c. Rotor Adjustment


2-c-1. w/ regards to dispensation ________ ________
2-c-2. w/ regards to optical ________ ________
______________________________________________________________________________
Functions and Performance Test
______________________________________________________________________________

1. Photometry Test (Baseline)


Passed ( ) Failed ( )

Filter Integration Times Counts

340 ________ ( 190 – 350 ) ________________ ( 750,000 – 970,000 )


405 ________ ( 40 – 130 ) ________________ ( 840,000 – 970,000 )
505 ________ ( 40 – 130 ) ________________ ( 840,000 – 970,000 )
535 ________ ( 40 – 130 ) ________________ ( 840,000 – 970,000 )
560 ________ ( 40 – 130 ) ________________ ( 840,000 – 970,000 )
600 ________ ( 40 – 130 ) ________________ ( 840,000 – 970,000 )
635 ________ ( 40 – 130 ) ________________ ( 840,000 – 970,000 )
670 ________ ( 50 – 130 ) ________________ ( 840,000 – 970,000 )

2. Level Detection Sensitivity

Pediatric Rack __________


Diameter 13mm Tube Rack __________
Reagent Rack __________

3. Temperatures
Actual Temp. Sensor Temp.
Rotor Temperature _________ __________
Needle Temperature _________ __________

REMARKS: _________________________________________________________________________
__________________________________________________________________________

Performed by: Noted By;

______________________________ ______________________________
Service Engineer Customer
_________________________ _______________________
Date Date

BIOSYSTEMS Reagents & Instruments, Inc.


74 Sct. Dr. Lazcano St., Brgy. Laging Handa, Quezon City
 +63 2 412-7689 Email: biosystems@biosystems.ph

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