Preventative Maintenance Checklist.

Surgical bases covered:
5803 Advance Control I-base, Retractable
Tools Required:
Digital Multi-meter with probe and hook leads.
Torque Wrench, calibrated at +/- three percent 95 foot/pounds (Sears Craftsman Digitork model 44597 or
equivalent [equiv]).
OSI Rotation Test Bar
Digital Level
Force Gauge, to 50lbs
Hex keys, (Allen), ball head, minimum handle length 4 inch (in): 5/64 in, 5/32 in, 3/16 in, 5/16 in.
Materials Required:
5803 Advance Control Base Owners Manual – NW0646 Rev A
Pass Fail
1. General Overall Condition.
1.1 ( ) ( ) Table base is clean, without signs of hazardous contamination, is consistent with proper care.
Comments: _________________________________________________________________________
1.2 ( ) ( ) All labels are intact and are legible.
Comments: _________________________________________________________________________
2. Power Input Inspection.
2.1 ( ) ( ) Inspect that Power Entry Module is not loose and all three prongs are intact.
Comments: _________________________________________________________________________
2.2 ( ) ( ) Inspect that Power Cord with AC plug is free of wear, corrosion, insulation cracks, and plug is
properly attached to power cord.
Comments: _________________________________________________________________________
2.3 ( ) ( ) Inspect that "ON/OFF" Power Switch / Circuit Breaker is properly attached, splash guard is not torn or
pierced, and is operational.
Comments: _________________________________________________________________________
2.4 ( ) ( ) Verify "ON/OFF" Power Switch / Circuit Breaker illuminates green when switched “ON” (with power
cord plugged into AC power source / wall outlet).
Comments: _________________________________________________________________________
Modular Surgical Table Base 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: 800-777-4674 PST Fax: 510-429-8324
50603-02 Rev. B ECN# 100249 Eff Date XX/XX/XX Page 3 of 5
2.5 ( ) ( ) Verify “Battery Status” light (upper green LED) illuminates green with Power Switch “ON” (table
powered by AC power source or internal batteries).
Comments: _________________________________________________________________________
2.6 ( ) ( ) Verify “Table Power” light (middle green lamp) illuminates with Power Switch “ON”.
Comments: _________________________________________________________________________
2.7 ( ) ( ) Verify “Table Fault” light (lower red LED) is not illuminated.
Comments: _________________________________________________________________________
3. All Casters Operate Properly.
3.1 ( ) ( ) Casters rotate and roll freely and smoothly full 360 degrees.
Comments: _________________________________________________________________________
3.2 ( ) ( ) Casters do not shake or have abnormal uniformity.
Comments: _________________________________________________________________________
3.3 ( ) ( ) Rubber wheels are not worn or damaged.
Comments: _________________________________________________________________________
3.4 ( ) ( ) Braking casters lock and remain engaged until unlocked.
Comments: _________________________________________________________________________
3.5 ( ) ( ) Steer caster locks and remains engaged until unlocked.
Comments: _________________________________________________________________________
4. Retractable Base Center Beam Functions Properly.
4.1 ( ) ( ) The locking knob locks the center beam from retracting or extending.
Comments: _________________________________________________________________________
4.2 ( ) ( ) The table base fully retracts and extends smoothly when locking knob is loosened, without binding or
abnormal noise and without overriding internal stops.
Comments: _________________________________________________________________________
5. Basic Control. (Confirm table is plug into an AC power source and toggle power switch to “ON”, verify
green indicator on the main power switch is lit. Verify fault light is not illuminated).
5.1 ( ) ( ) Hand control buttons are legible, coiled cord is free of visual damage and storage bracket is properly
attached.
Comments: _________________________________________________________________________
5.2 ( ) ( ) Head End Assy slides uniformly in-line to its stops, in both directions (head to toe), with 15 to 25
pounds of force applied. Use force gauge.
Comments: _________________________________________________________________________
Modular Surgical Table Base 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: 800-777-4674 PST Fax: 510-429-8324
50603-02 Rev. B ECN# 100249 Eff Date XX/XX/XX Page 4 of 5
5.3 ( ) ( ) "180deg Rotation Lock" (bluehandle) at the Head End. When tightened clockwise (lock),
indicator light comes ON. Rotational crossbar does not rotate.
Comments: _________________________________________________________________________
5.4 ( ) ( ) Unlock 180deg Rotation lock (blue handle), indicator light turns off, head end rotational crossbar
rotates 360deg freely.
Comments: _________________________________________________________________________
5.5 ( ) ( ) Turn on 180deg Rotation lock (blue handle) until indicator comes ON. Place rotational test bar
fixture into the holes of the crossbar and snap the torque wrench into the fixture. Apply
95ft/pounds of force in both the right and left direction. There should be no more than 3deg
rotational movement of the crossbar.
Comments: _________________________________________________________________________
5.6 ( ) ( ) "Rotation Safety Lock" ON/OFF Switch/Indicator Light operates properly. Note: This activates
the rotational brake at the foot end of the table. Toggle Rotational Safety Lock switch to “ON”.
Verify indicator on the switch illuminates and foot end rotational crossbar does not rotate.
Comments: _________________________________________________________________________
5.7 ( ) ( ) Toggle Rotational Safety Lock switch to “OFF”. Verify indicator on the switch turns off and foot
end rotational crossbar rotates 360deg freely.
Comments: _________________________________________________________________________
5.8 ( ) ( ) Toggle Rotational Safety Lock switch to “ON”. Place rotational test bar fixture into the holes of
the crossbar and snap the torque wrench into the fixture. Apply 95ft/pounds of force in both the
right and left direction. There should be no more than 3deg rotational movement of the crossbar.
Comments: _________________________________________________________________________
5.9 ( ) ( ) Tilt Drive Status Indicator operates properly. Turn on 180deg Rotation Lock and Rotation Safety
Lock. Using the hand controller, tilt table to full left tilt. Turn off Rotation Safety Lock switch; unlock
180deg Rotation Lock just to the point that the lights goes off. Table should return to level, ±3deg and
Tilt Drive Status Indicator comes “ON”.
Comments: _________________________________________________________________________
6. Operational Inspection. Verify the 180deg Rotation Lock indicator is ON. Verify Rotational Safety Lock
switch is ON. Note: The following procedures require either a Spinal or Imaging Table Top
properly secured at both head and foot ends of the table base.
6.1( ) ( ) Press and hold "HEIGHT UP" / “HEIGHT DOWN" button (run to its upper and lower limit). Verify
both columns move smoothly and continuously without binding or undo noise
Comments: _________________________________________________________________________
6.2 ( ) ( ) Press and hold "REVTREN"/ "TREN" button. Verify both columns move smoothly and without
binding or undo noise.
Comments: _________________________________________________________________________
6.3 ( ) ( ) Press and hold "LEFT LATERAL”/ “RIGHT LATERAL ROLL” button (run to its 25deg left & right
limit).
Comments: _________________________________________________________________________
Modular Surgical Table Base 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: 800-777-4674 PST Fax: 510-429-8324
50603-02 Rev. B ECN# 100249 Eff Date XX/XX/XX Page 5 of 5
6.4 ( ) ( ) Press and hold Arc Interlock Switch button (located behind foot end pivot assembly) while pressing
left or right tilt functions, verify the Tilt Function is disabled and table does not move.
Comments: _________________________________________________________________________
6.5 ( ) ( ) Turn ON rotational safety lock switch. Press and hold Arc Interlock Switch button (located behind
foot end pivot assembly). Toggle rotational safety lock switch to OFF. Verify the foot brake remains
locked.
Comments: _________________________________________________________________________
7. Battery System Inspection
7.1 ( ) ( ) Unplug Power Cord from wall outlet, turn on table, go through all features to ensure DC power is
functioning properly (Full Range Not Required), Green Power On LED is next to the power switch, and
is on when AC is disconnected with On/Off switch on.
Comments: _________________________________________________________________________
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