Number: Revision: Page:
31598 1C 17 of 18
CORONARY AND STRUCTURAL HEART
Title: Work Instruction, Preventive Maintenance, ACT Plus
Appendix C: Checklist
This checklist (form) is available upon request for any customer. The data is electronically
maintained in the Service database.
Upper Lower
Section Header Test Elements Data Type Unit
Limit Limit
Instrument Cleaning Device is clean and free of blood per 29472 P/F NA NA NA
Inform customer of potential data loss P/F NA NA NA
Initial Checks
Review error log for errors P/F NA NA NA
Total ON Time Record total ON time minute 999999 0
Inspect all cabling and connectors P/F NA NA NA
Ensure all ground connections P/F NA NA NA
Internal Checks
Inspect circuit boards P/F NA NA NA
Ensure moving surfaces are clean P/F NA NA NA
Inspect heat sink integrity P/F NA NA NA
Actuator Checks Remove and clean sensors P/F NA NA NA
Verify solenoid adjustment P/F NA NA NA
Heat Block Ground
Heat block ground continuity < 1 ohm ohm 1 0
Continuity
Does this unit have a BLACK ANODIZED lift bar
Liftwire Type Y/N NA NA NA
assembly
Ensure park position P/F NA NA NA
Lift bar checks – black
Verify height setting is repeatable P/F NA NA NA
anodized
Lift bar fits between cartridge flags P/F NA NA NA
CH1, Record Lift Bar height, 0.092 +/- 0.004 inch 0.096 0.088
Verify Lift bar height and
parallelism – black CH2, Record Lift Bar height, 0.092 +/- 0.004 inch 0.096 0.088
anodized
Verify Lift Bar parallelism is < or = 0.005” inch 0.005 0
Ensure park position P/F NA NA NA
Lift bar checks – stainless
steel Verify lift wire height is repeatable P/F NA NA NA
Lift wire fits between cartridge flags P/F NA NA NA
CH1, Record Lift Bar height, 0.110 +/- 0.004 inch 0.114 0.096
Verify Lift bar height and
parallelism – stainless CH2, Record Lift Bar height, 0.110 +/- 0.004 inch 0.114 0.096
steel
Verify Lift Bar parallelism is < or = 0.005” inch 0.005 0
System Menu Checks Verify correct date and time P/F NA NA NA
Medtronic Confidential
Printed copy is not controlled
Number: Revision: Page:
31598 1C 18 of 18
CORONARY AND STRUCTURAL HEART
Title: Work Instruction, Preventive Maintenance, ACT Plus
Upper Lower
Section Header Test Elements Data Type Unit
Limit Limit
Warm to 37.0 +/- 0.5C within 25 minutes P/F NA NA NA
Heat Block Temperature Heat Block Temperature is 37.0 +/- 0.3C C 37.3 36.7
Keypad test P/F NA NA NA
Loop back test P/F NA NA NA
Peripheral checks
Display test P/F NA NA NA
Bar code scanner test P/F NA NA NA
ACTtrac test Verify ACTtrac passes 98-102 test P/F NA NA NA
Customer Unit Is this a customer unit? Y/N NA NA NA
Final checks – Depot All data removed P/F NA NA NA
Only Set next PM date P/F NA NA NA
Final checks – Customer Clear statistics log P/F NA NA NA
Unit Set next PM date P/F NA NA NA
Electrical Analyzer Type Using a Fluke ESA612 analyzer Y/N NA NA NA
Power Off, Normal, Closed, Closed < 100 µA @ 110V µA 100 0
Power Off, Normal, Closed, Open < 100 µA @ 110V µA 100 0
Power Off, Normal, Open, Closed < 100 µA @ 110V µA 100 0
Enclosure Leakage Current –
DUT power OFF Power Off, Reversed, Closed, Closed < 100 µA @ 110V µA 100 0
Power Off, Reversed, Closed, Open < 100 µA @ 110V µA 100 0
Power Off, Reversed, Open, Closed < 100 µA @ 110V µA 100 0
Power On, Normal, Closed, Closed < 100 µA @ 110V µA 100 0
Power On, Normal, Closed, Open < 100 µA @ 110V µA 100 0
Power On, Normal, Open, Closed < 100 µA @ 110V µA 100 0
Enclosure Leakage Current –
DUT power ON Power On, Reversed, Closed, Closed < 100 µA @ 110V µA 100 0
Power On, Reversed, Closed, Open < 100 µA @ 110V µA 100 0
Power On, Reversed, Open, Closed < 100 µA @ 110V µA 100 0
Medtronic Confidential
Printed copy is not controlled
