Crius V6 Ventilator Machine Service Manual Northern Meditec Limited Intellectual Property Rights File Number: NR-TP-3162-003 Versions:A1.0 Shenzhen Northern Meditec Limited (“Northern Meditec”) owns the copyright of this Manual, which is intended for internal use and shall be regarded as confidential information. This Manual is provided only as a reference document for the servicing of the vent. This Manual and all of its intellectual property rights (including the copyright) are owned by Northern Meditec. No one is allowed to use, disclose or allow any other person to get access to this Manual by any means in whole or in part, nor shall anyone photograph, duplicate, copy this Manual or translate it into any other language in whole or in part without the prior written permission of Northern Meditec. Northern Meditec reserves the right to the final interpretation of this Manual. This Manual, the product technologies and the product specifications are subject to change without further notice. Statement Northern Meditec shall provide no warranty for this Manual, including but not limited to the implied warranty of merchantability and fitness for a particular purpose. Northern Meditec shall be held liable for the safety, reliability and performance of Crius V6 only if: Northern Crius V6 is installed, operated, expanded, retested, improved and repaired by a person authorized by Northern Meditec; The related electrical equipment complies with the applicable national standard; Crius V6 is used under the relevant operating instructions. Northern Meditec shall not be held liable for the safety, reliability and working condition of Crius V6 if: — Any component is disassembled, stretched or retested; — Crius V6 is not used according to its User’s Manual. Warranty 2 / 33 File Number: NR-TP-3162-003 Versions:A1.0 Servicing Free service: applicable to all of the products within the warranty of Northern Meditec. Paid service: 1) Applicable to all of the products beyond the warranty of Northern Meditec; 2) Applicable to faulted product caused by man-made damage, grid voltage beyond the specified range or force majeure (like natural disasters) in the warranty period. Northern Meditec shall not be held liable for any direct, indirect or final damage or delay caused by improper use, use of any accessory unapproved by Northern Meditec or any servicing conducted by any person unauthorized by Northern Meditec. Contact Manufacturer: Shenzhen Northern Meditec Co., Ltd. Address: Floor 4, Block C, Gold Power Industry Park, julongshan, Grand industrial Zone, Pingshan New District, Shenzhen(518102), P.R.China Website: www.northernmeditec.com E-mail Address: info@northernmeditrc.com Northern Tel: +86 755 29970566 Fax: +86 755 23010276 EC-Representative: Obelis S.A. Address: Bd. General Wahis 53, 1030 Brussels, Belgium Website: http://www.obelis.net E-mail Address: mail@obelis.net Tel: +32 2732 5954 Fax: +32 2732 6003 3 / 33 File Number: NR-TP-3162-003 Versions:A1.0 Chapter 1 Safety.............................................................................................................................5 1.1 Safety Information.............................................................................................................5 1.1.1 Dangers.......................................................................................................................6 1.1.2 Warnings.....................................................................................................................6 1.1.3 Cautions......................................................................................................................8 1.1.4 Notes........................................................................................................................10 1.2 Equipment Symbols..........................................................................................................10 Chapter 2 Structure installation..................................................................................................12 Chapter 3 Theory of Operation...................................................................................................14 3.1. System chart.....................................................................................................................14 3.2. Each board card function.................................................................................................14 3.2.1 AC Power board........................................................................................................14 3.2.2 DC Power board........................................................................................................15 3.2.3 Main control Board...................................................................................................16 3.2.4 Monitor(VCM) board................................................................................................17 3.2.5 Alarm lamp board.....................................................................................................18 3.3. Pneumatic Circuit.............................................................................................................19 Northern 3.3.1 Pneumatic Circuit Diagram.......................................................................................19 3.3.2 Parts List...................................................................................................................19 Chapter 4 Product disassembly drawing...................................................................................21 Chapter 5 System Calibrations...................................................................................................23 5.1. Equipment self-calibration...................................................................................................23 Chapter 6 Software upgrade.......................................................................................................28 Security and precautions..........................................................................................................29 4 / 33 File Number: NR-TP-3162-003 Versions:A1.0 Chapter 1 Safety 1.1 Safety Information DANGER Indicates an imminent hazard that, if not avoided, will result in death or serious injury. WARNING Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious injury. Northern CAUTION Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal injury and/or product/property damage. NOTE Provides application tips or other useful information to ensure that you get the most from 5 / 33 File Number: NR-TP-3162-003 Versions:A1.0 your product. Northern 6 / 33 File Number: NR-TP-3162-003 Versions:A1.0 1.1.1 Dangers There are no dangers that refer to the product in general. Specific “Danger” statements may be given in the respective sections of this manual. 1.1.2 Warnings WARNING The ventilator must only be operated and used by authorized medical personnel well trained in the use of this product. It must be operated strictly following the Operator’s Manual. Before putting the system into operation, the operator must verify that the equipment, connecting cables and accessories are in correct working order and operating condition. To avoid the risk of electric shock, this equipment must be connected to a properly installed power outlet with protective earth contacts only. If the installation does not provide for a protective earth conductor, disconnect it from the power line. Use external power source (AC power or DC power) before the batteries are depleted. To avoid explosion hazard, do not use the equipment in the presence of flammable anesthetic agent, vapors or liquids. When O2 is used, keep the ventilator away from any fire sources. Do not place the ventilator adjacent to any barrier, which can prevent cold air from flowing, resulting in equipment over heat. Do not open the equipment housings. All servicing and future upgrades must be carried out by the personnel trained and authorized by us only. Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm volume to a low level may result in a hazard to the patient. Remember that alarm settings should be customized according to different patient situations and always keeping the patient under close surveillance is the most reliable way for safe patient monitoring. The physiological parameters and alarm messages displayed on the screen of the equipment are for doctor’s reference only and cannot be directly used as the basis for clinical treatment. 7 / 33 File Number: NR-TP-3162-003 Versions:A1.0 To dispose of the package material, observe the applicable waste control regulations. And keep the package material out of children’s reach. All staff should be aware that disassembling or cleaning some parts of the ventilator can cause risk of infection. Maintenance menu can only be accessed when the equipment is disconnected from the patient. Positive pressure ventilation may be accompanied by some side effects such as barotrauma, hypoventilation, hyperventilation, etc. Using the ventilator in the vicinity of high frequency electrosurgery equipment, defibrillators or short-wave therapy equipment may impair correct functioning of the ventilator and endanger the patient. Do not use antistatic or conductive masks or patient tubing. They can cause burns if they are used near high frequency electrosurgery equipment. Do not use the ventilator in a hyperbaric chamber to avoid potential fire hazard due to an oxygen-enriched environment. If the equipment internal monitoring system malfunctions, an alternative plan must be available to ensure adequate level of monitoring. The operator of the ventilator must be responsible for patient’s proper ventilation and safety under all circumstances. As required by the relevant rules and regulations, oxygen concentration should be monitored when the equipment is used on the patient. If your ventilator is not configured with such monitoring function or this function is turned off, use a monitor which complies with the requirements of ISO 80601-2-55 for oxygen concentration monitoring. All analog or digital products connected to this system must be certified to the specified IEC standards (such as IEC 60950 for data processing equipment and IEC 60601-1 for medical electrical equipment). All configurations shall comply with the valid version of IEC 60601-1. The personnel who are responsible for connecting the optional equipment to the I/O signal port shall be responsible for medical system configuration and system compliance with IEC 60601-1 as well. Do not touch the patient when connecting the peripheral equipment via the I/O signal ports or replacing the oxygen cell, to prevent patient leakage current from exceeding the requirements specified by the standard. This equipment is not suitable for use in an MRI environment. When the ventilator’s gas supply input system fails or has faults, please contact us immediately for service by specified personnel. The ventilator shall not be used with helium or mixtures with Helium. 8 / 33 File Number: NR-TP-3162-003 Versions:A1.0 Do not move the ventilator before removing the support arm from it, in order to avoid the ventilator getting tilted during the movement. Do not block the air intake at the rear of the ventilator. To prevent interrupted operation of the ventilator due to electromagnetic interference, avoid using the ventilator adjacent to or stack with other device. If adjacent or stacked use is necessary, verify the ventilator’s normal operation in the configuration in which it will be used. To prevent possible personal injury and equipment damage, ensure that the ventilator is secured to the trolley or placed on the safe and smooth surface. To prevent possible equipment damage, avoid tipping over the ventilator when crossing thresholds. To prevent possible equipment damage, push the brake down when parking the ventilator. Avoid the use of polluted air. When the equipment uses air as gas source for ventilation, if the air is polluted, harmful substance may enter the patient tubing To prevent patient injury caused by equipment malfunction, when the alarm [Technical Error**] occurs, remove the equipment immediately, record failure code, and contact the Customer Service Department. To prevent possible ventilator malfunction, do not spill liquid onto the ventilator. A turbine can cause gas to be heated. To reduce the temperature of gas inside the tubing and prevent patient injury accordingly, ensure that the length of patient tubing from the humidifier to Y piece is greater than 1.2m. The internal electrical power source is to be used if the integrity of the protective earth conductor or the protective grounding system in the installation is in doubt. Nebulization or humidification can increase the resistance of breathing system filters, and that you need to monitor the filter frequently for increased resistance and blockage. The ventilation accuracy can be affected by the gas added by use of a nebulizer. The ventilator shall not be used with nitric oxide. For non-invasive ventilation, the exhaled volume of the patient can differ from the measured exhaled volume due to leaks around the mask. Check if the alarm limit settings are appropriate before taking measurement. When operating the unit with the power supply unit, always connect the unit to an easily 9 / 33 File Number: NR-TP-3162-003 Versions:A1.0 accessible outlet so that it can be unplugged quickly in the event of a malfunction. No modification of this equipment is allowed. Failure to have an alternative means of ventilation such as a self-inflating, manuallypowered resuscitator (as specified in ISO 10651-4) with mask can result in PATIENT death if the VENTILATOR fails. Stop using the ventilator and contact us immediately when the buzzer sounds. Under the ambient temperature of 40ºC, the inspiratory pressure of the ventilator exceeds 60 cmH2O, and the maximum temperature on the surface of breathing mask may exceed 41ºC but does not exceed 43ºC 1.1.3 Cautions CAUTION The ventilator must be inspected and serviced regularly by trained service personnel. To ensure patient safety, always prepare resuscitator for use. Always have a special person attend and monitor the operation of the equipment once the ventilator is connected to the patient. During the operation of the ventilator, do not disassemble the inspiration safety valve and expiration valve unless in standby status. To ensure patient safety, use only parts and accessories specified in this manual. At the end of its service life, the equipment, as well as its accessories, must be disposed of in compliance with the guidelines regulating the disposal of such products. Magnetic and electrical fields are capable of interfering with the proper performance of the equipment. For this reason, ensure that all external devices operated in the vicinity of the equipment comply with the relevant EMC requirements. Mobile phone, X-ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation. This system operates correctly at the electrical interference levels identified in this manual. Higher levels can cause nuisance alarms that may stop mechanical ventilation. Pay attention to false alarms caused by high-intensity electrical fields. 10 / 33 File Number: NR-TP-3162-003 Versions:A1.0 CAUTION Before connecting the equipment to the power line, check that the voltage and frequency ratings of the power line are the same as those indicated on the equipment’s label or specified in this manual. Always install or carry the equipment properly to avoid damage caused by dropping down, impact, strong vibration or other mechanical force. To electrically isolate the ventilator circuits from all poles of the supply mains simultaneously, disconnect the mains plug. To minimize the risk of fire, do not use low-pressure gas tubes that are worn or contaminated with combustible materials like grease or oil. It is the clinician’s responsibility to ensure that all ventilator settings are appropriate. To prevent possible patient injury, ensure the ventilator is set up for appropriate patient type with the appropriate patient tubing. Ensure the System Check is performed before each patient. Perform Flow Sensor Calibration before the first use, or when the measured values have deviations. To prevent possible patient injury, ensure the ventilation parameters are set up properly before ventilating the patient. To ensure the accuracy of oxygen monitoring, replace an exhausted oxygen cell as soon as possible or use an external monitor that complies with ISO 80601-2-55. A fan failure could result in oxygen enrichment inside the ventilator and a subsequent fire hazard. To reduce the risk of explosion, do not burn the O2 cell or force the cell open. When ventilating with a mask, avoid high airway pressures. High pressures may cause gastric distension. Peak pressures, exceeding 33 cmH2O, may increase the risk of aspiration due to gastric insufflation. When ventilating with such pressures, consider using an invasive mode. To reduce the risk of fire, use only tube systems approved for medical purposes and for use with oxygen between the oxygen source and ventilator. To reduce the risk of fire, ensure adequate ventilation at the rear of the ventilator. 11 / 33 File Number: NR-TP-3162-003 Versions:A1.0 To reduce the risk of fire, switch off the oxygen source when the ventilator is not in a ventilating mode. Avoid putting the ventilator in the storage environment of more than 50℃ for a long time. Such environment may damage or shorten the battery lives of internal battery and oxygen sensor. Use the original packing materials to ship the ventilator. To prevent fire hazard, use only specified fuses or fuses with the same type, rated voltage, and rated current as the existing fuses. When it is necessary to replace fuses, contact the Customer Service Department. The ventilator is suitable for use within the PATIENT ENVIRONMENT. Additional MULTIPLE SOCKET- OUTLET or extension cord shall not be connected to the system. Before moving the ventilator, ensure that the casters and brakes can work properly, and the main unit is locked on the trolley. 12 / 33 File Number: NR-TP-3162-003 Versions:A1.0 1.1.4 Notes NOTE Put the ventilator and its accessories in a location where you can easily see the screen and access the operating controls. Keep this manual close to the equipment so that it can be obtained conveniently when needed. The software was developed in compliance with IEC 62304. The possibility of hazards arising from software errors is minimized. This manual describes all features and options. Your equipment may not have all of them. 1.2 Equipment Symbols Symbol Meaning Notice! Check the Symbol Meaning Refer to user manual documentation Switch on/off key Up selection operation key Network connector Down to select the operation key USB connector Ventilator gas outlet Flow sensor Oxygen sensor connector RS-232 connector Expiration connector Inspiration connector AUDIO PAUSED CO2 module Enter key File Number: NR-TP-3162-003 Date of manufacture Versions:A1.0 Manufacturer Degree of protection Serial number IP21 Protective earth ground Type BF applied part. Defibrillation-proof protection against electric shock. provided by enclosure CE mark MR Unsafe - do not subject to magnetic resonance imaging (MRI) The EU Representative Office Stacking limit by number Temperature limitation Humidity limitation Atmospheric pressure limitation This way up Fragile, handle with care Keep dry Recyclable The following definition of the WEEE label applies to EU member states only. This symbol indicates that this product should not be treated as household waste. By ensuring that this product is disposed of correctly, you will help prevent bringing potential negative consequences to the environment and human health. For more detailed information with regard to returning and recycling this product, please consult the distributor from whom you purchased it. * For system products, this label may be attached to the main unit only. 14/30 File Number: NR-TP-3162-003 Versions:A1.0 Chapter 2 Structure installation Crius V6 ventilator structure installation, each component, as shown in the following table: No. Name 1 Installation for main engine Picture Illustrates ① Screen components ②The display shaft cover plate ③Display support bottom cover ④Display shaft ⑤Cylindrical pin ⑥Right armrest ⑦Rear armrest ⑧Internal and external hexagonal studs of handrail (6) ⑨Left armrest of ventilator 15/30 File Number: NR-TP-3162-003 Picture Versions:A1.0 No. Name Illustrates 2 Cart installation ①Adapter plate assembly ② Column ③Cart chassis assembly ④The upper and lower screws are fixed (the top is a countersunk hexagon socket head screw) 3 Installation of humidifier support ①Secure these 3 screws 4 The main machine is connected and installed with the cart ①Tighten this screw after installation. 16/30 File Number: NR-TP-3162-003 Versions:A1.0 Chapter 3 Theory of Operation 3.1. System chart AC power module O2 Proportional valve Air Mixed case valve lithium battery Touch screen Master control board DC Power board Turbine Monitor board Inhalation valve display screens B us in te rf ac e bo ar d keyboard plate Alarm lamp plate Network interface board Exhalation valve 3.2. Each board card function 17/30 File Number: NR-TP-3162-003 Versions:A1.0 3.2.1 AC Power board 图 1AC/DC Board Port connection function: No. 1 2 Name TB1 TB2 Function TBH1 Connect To AC Power TBH2 to J3(DC/DC Board) 3.2.2 DC Power board 18/30 File Number: NR-TP-3162-003 Versions:A1.0 图 2 DC/DC Board Port connection function: No. 1 2 3 Name J1 J2 J3 4 5 6 7 8 9 J4 J5 J6 J7 BAT1 BAT2 Function Connect to the keypad via the bus Reserve 18V output Power input, output from ac power board TB2 18V output to VCM Board J9 12v/5v output to VCM Board J20 12v Output to cooling fan 12vOutput to cooling fan BAT1 To Battery1 BAT2 To Battery2 19/30 File Number: NR-TP-3162-003 Versions:A1.0 3.2.3 Main control Board 图 3Main Board Port connection function: No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Name J1 J2 J3 J6 J7 J8 J9 J10 J13 J14 J15 J16 J17 J18 J20 J22 Function No use J2 To Plug-board J13 No use J6 To Plug-board J13 J7 To Display Line(Connect To Key) No use J9 To Plug-board J12 J10 To Plug-board J12 J13 To Plug-board J9 No use No use J16 To Plug-board J13 J17 To Speaker J18 To Plug-board J8 No use J22 To Display Line(Connect To Screen) 20/30 File Number: NR-TP-3162-003 17 18 19 20 21 22 23 J61 J62 J63 J71 J73 J76 BAT71 Versions:A1.0 No use J62 To Display Line(Connect To Touch) No use J71 To Plug-board J12 No use J76 To Plug-board J10 BST71 To Battery 3.2.4 Monitor (VCM) board 图 4 VCM Board Port connection function: No. 1 2 3 4 Name J1 J3 J4 J6 5 6 7 J7 J8 J9 Function Connect oxygen battery Connect proportional valve Connect safety valve Reserved for communication between main control board and monitoring MCU Connect inspiration valve Connect exhalation valve Connect 18V power supply from DC power 21/30 File Number: NR-TP-3162-003 8 9 10 11 12 13 J11 J12 J13 J14 J15 J18 14 15 16 J19 J20 J21 Versions:A1.0 board J4 Turbine motor wiring base Solenoid valve connector Oxygen flow sensor connector inspiration flow sensor connector Turbine temperature sensor connector The main control board communicates with the control MCU Reserved for debugging 12v,5v input from DC power board J5 Reserved for debugging 3.2.5 Alarm lamp board J1 图 5 Lighting Board Port connection function: No. 1 Name J1 Function J1 is connected to the key control board J4 22/30 File Number: NR-TP-3162-003 Versions:A1.0 3.3. Pneumatic Circuit 3.3.1 Pneumatic Circuit Diagram 3.3.2 Parts List Symbol Description Symbol Description Air Low-Pressure Inlet Air supply (low pressure) PZTV1 Zeroing three-way valve F2 Dust filter (Air) P2 Inspiratory pressure sensor F9 Inspiratory pressure sensor F3 HEPA filter (Air) P1 Vacuum sensor (Air) O2 Low-Pressure Inlet O2 supply(low pressure) CV1 Check valve O2 High-Pressure Inlet filter Humidifier Humidifier WT1 Water trap P1 Patient NCV O2 supply(high pressure) Nebulizer switch 23/30 File Number: NR-TP-3162-003 Versions:A1.0 F1 Filter (O2) R3 Nebulizer resistor REG Regulator Nebulizer Nebulizer PSOL Proportional solenoid valve WT2 Water trap Bacteria filter (connecting to F4 Filter screen F8 Q1 Flow sensor Q2 Level 1 mixed noise SD1 reduction chamber inspiratory port) Expiratory flow sensor Bacteria filter (connecting to F7 patient port) T1 Temperature sensor F6 Filter Blower Turbine blower F5 Filter PZTV2 Zeroing three-way valve PZTV3 Zeroing three-way valve Level 2 mixed noise SD2 Heat Exchanger reduction chamber Heat exchanger Expiratory differential Insp. valve Inspiration valve P4 OS O2 concentration sensor P3 Expiratory pressure sensor F11 Filter screen F12 Filter Q3 Flow sensor R1 Resistor CV3 Check valve R2 Resistor SAV Safety valve EXV Expiration valve Atmosphere Atmosphere CV2 Expiratory check valve pressure sensor 24/30 File Number: NR-TP-3162-003 Versions:A1.0 Chapter 4 Product disassembly drawing 1.A ventilator cart 2.Trolley fixed screw M5X12 3. Trolley adapter assembly 4. Breathing Component Electrical Integration Component 5. Breathing left cover assembly 6. Cover Component 7. Breathing top cover 8. Breathing machine display column 9. Display axis 10. Display assembly 11. Display front shell assembly 12. Display column sealing pad 13. Cross caisson screw 14. Breathing right cover assembly 15. Respiratory front shell assembly 16. Humidifier 25/30 File Number: NR-TP-3162-003 Versions:A1.0 1. Turbine Box Total Component 2. Silicone gasket 3. Respiratory column 1 4. Oxygen battery box assembly 5. Respiratory column 3 6. Backhand support 7. Network interface support 8. Regular monitoring network interface board 9. High and Low Pressure Oxygen Control Component 10. Turbo box holder 11. Respiratory column 4 12. Respiratory column 2 13. Breathing motherboard gold support assembly 14. Inhalation branch general assembly 15. Exhalation branch general assembly 16. Oxygen-empty connection silicone hose assembly 17. Triple valve assembly 18. Control panel support 19. Fan. 20. A homemade ventilator monitor board 21. 0039 Blood oxygen Chapter 5 System Calibrations Note: System configuration and calibration operations must be performed in standby mode. If not currently in standby mode, please switch to standby mode. 26/30 File Number: NR-TP-3162-003 Versions:A1.0 5.1. Equipment self-calibration 1) In the standby interface, press the [Menu] button and select the [Factoring] button in the Main Menu option 2) Pop up the password window, enter 6 correct passwords (112358), and click [Enter] as shown in the figure below 3) Select the [OK] button to enter the factory settings menu options interface, as shown in the figure 27/30 File Number: NR-TP-3162-003 Versions:A1.0 4) Click[calibration], select the parameters that need to be calibrated, and first do the leak test, as shown on the left below. The leak test requires closing the air path, connecting the trachea to the right of the figure below, and pressing [Start] When ready. 5) Pressure to zero calibration, zero need not make any preparations, start with [Start] 28/30 File Number: NR-TP-3162-003 Versions:A1.0 6) Calibrate the inhalation flow, you need to open the air path, pull out the suction pipe, and press [Start] When ready to start calibration. The school needs to wait patiently for a long time. 7) Calibrate the exhalation flow, need to close the air path, the operation method is the same as the leak test. 29/30 File Number: NR-TP-3162-003 Versions:A1.0 8) Oxygen sensor calibration, the need to open the air path, the operation method is the same as the calibration inhalation flow, but the time is relatively short. 9) Calibration of PEEP pressure requires closure of the air path, and the operation method is the same as the leak test. 30/30 File Number: NR-TP-3162-003 Versions:A1.0 Chapter 6 Software upgrade 31/30 File Number: NR-TP-3162-003 Versions:A1.0 Note: Before the upper computer software is upgraded, it must be turned off first. Inserts a USB drive and starts boot. The upper computer software upgrade operation steps are as follows: 1) If the current system is activated, press the system to open the key, pop the prompt box to select [OK], and enter the shutdown countdown window. After the countdown is over, the system automatically shuts down. 2) Copy the host computer software to be upgraded to the USB disk. 3) Insert the USB disk into the USB interface, press the system boot key, and start the machine. 4) Screen prompt upgrade status, and at the same time show the percentage of progress, such as the upgrade end of the system automatically into the standby interface. Explain the success of the upgrade; If unsuccessful, checking the software version and hardware is correct with the burn program. Hardware Flash has 64MB and 128MB. If the program update fails, it will stay on the LOGO screen. Security and precautions 1) Do not use this equipment if there are signs of damage to the function of 32/30 File Number: NR-TP-3162-003 Versions:A1.0 the machine or if there is an error message, and contact the biomedical engineer of the hospital or our maintenance engineer. 2) The equipment can only be maintained by qualified maintenance personnel authorized by the Company. 3) The maintenance personnel must be familiar with the power supply index, the polarity Mark and the requirements of the company's products on the ground line. 4) Maintenance personnel must be familiar with the working rules of the hospital, especially those who need to enter the ICU, CUU, operating room installation or maintenance. 5) Be able to pay attention to their own safety and avoid the risk of infection or infection in construction or maintenance. 6) Correct handling of replaced plates, machines, accessories, etc., to avoid the risk of infection and infection. 7) During site maintenance, the parts and screws that can be removed can be properly placed and kept in order. 8) Maintenance staff to ensure that the tools in their kit are complete and well-organized. 9) Are the spare parts packing in good condition? Do not use packaging defects or accessories if there are signs of damage. 10) After the repair is completed, please clean up the scene and leave. 33/30