Monthly Archives: September 2012

OEC 9600 Service Information

Does anyone have an actual schematics for OEC 9600 c-arm battery charge PCB?

Go to http://www.gmecorp-usa.com/IM/XR/CA/OEC/9600/SV/

Norman Haro,

Imaging Equipment Specialist,

Trinity Health Clinical Engineering

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Siemens Imaging Service Software

—–Original Message—–

From: Biomedtalk [mailto:Biomedtalk-L@BMETSONLINE.COM] On Behalf Of Furst, Russell
Sent: Friday, September 21, 2012 6:35 AM
To: Biomedtalk-L@BMETSONLINE.COM
Subject: [BIOMEDTALK-L] Siemens Imaging, Service access

We are considering the purchase of a couple Siemens Cath labs. We haven’t had any new Siemens equipment in our facility for about 10 years so I am not as familiar with the in-house serviceability of their equipment as I am with the other big players. My understanding from discussions with their service team is that even with a factory trained engineer, there is virtually nothing you can do without the service key and that unlike other vendors whose service key will work for a year at a time or even the length of a service contract, that you have to routinely call into Siemens to get what is essentially an activation code to access the service menu. It was further described to me that on a time and material basis, every time you want to access the service, for whatever reason, you have to call in and essentially “get permission” and get issued a temporary service key.

So, I am looking for some feedback from in-house service folks to help me better understand the how problematic the service key issue is and how much of a barrier it presents to in-house service. Feel free to contact me off-list.

Russell Furst
Manager, Biomedical Engineering
Lakeland Regional Health System

Response:

Russell,

Like most other OEM’s for some time now you have to pay what I refer to as an “extortion fee” to use the Service Software. It is apparently by design you are given little or no access to your own equipment at a software service level. Also different service levels exist and the key is available with different types of contracts from shared service (first look) on up. The key expires a year after issue and you must call and obtain the key code each year. It is generated from some algorithm using the date and some other numbers from your system. We keep a database of our service keys to help limit the chances finding it to be expired in a service emergency. I called (Siemens) a day early once and they (could only) email me the same key code I had. By phone the procedure usually takes only about 3 to 5 minutes.

John West
Sr. Diagnostic Imaging Technician, CBET, CRES
Biomedical Engineering Dept, Imaging
Methodist Dallas Medical Center
Dallas, TX 75203

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Misuse of Copyright is Hurting the Health of America

The Manufacturers of medical equipment, including x-ray, CT Scanners, MRI and much more, all copyright their service manuals.  Then they refuse to sell them to the end users.  They prevent the distribution of their manuals between users who have legitimate reasons and needs for them.  The effect of this is that many (most?) hospitals must rely on the original manufacturers to provide service and repairs.  The manufacturers charge up to $1,000 per HOUR for labor, and sell repair parts at excessively high prices.  They may also mandate the exchange of expensive sub-modules for costs of up to $30,000.00 instead of repairing the $5.00 component inside that caused the problem.  If those of us in the hospitals had the manuals, we could replace the $5.00 part and avoid the multi-thousand dollar costs.

We need a Fair-Use exemption in the copyright law to allow the free exchange of service manuals and other necessary documentation between end users.   Pat

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“Infatuated With the Sales Rep” is not a reason to purchase

Here is an excerpt from a recent Biomedtalk post:

“Look into the Dornoch system.. A much better system in my opinion and much easier company to work with.  We trialed it and I was impressed.   Unfortunately the surgical staff was to infatuated with the Stryker sales rep and we went that way.”

This happens in so many cases.  A company hires real appealing sales people, and then counts on this extra appeal to make the difference in close cases and swing the sale to their product.  One would think (and hope) that in the science-based world of healthcare and medicine, that decisions to purchase major medical devices would be made on objective factors, not how much cleavage the sales lady shows. (Sorry to be sexist, but this is the most frequent scenario.)

If you know of any other cases where companies in healthcare use sex to sell, please post a comment at www.HTMDirt.org .

 

 

 

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Hospira Plum – No Training for Hospital Staff

Initial Question:

On Sep 1, 2012, at 11:10, sanpedrodave <sanpedrodave@GMAIL.COM> wrote:

> I hope you all will permit me a venting opportunity here. We have over

> 900 of these Plums in-house. As you all know Hospira is performing a

> nationwide corrective action on the pump mechanisms, piezo alarms, and

> display issues.  We have asked Hospira on numerous occasions to train

> and allow my staff to perform these pressure load cell calibrations on

> my pump mechanisms that have drifted out of calibration. Like Mr.

> Wheeler we are seeing a steady stream of the mechanisms falling out of

> cal and giving us many distal occlusion errors and other niceties. I

> was recently informed by senior product managers from Hospira that it

> will be a cold day in Hades before we ever get the opportunity to

> perform this simple calibration. They will not release or sell the special calibration jig to their customers.

>

> Now here’s the rub. I can contact greater than 15 ISO’s and ask them

> if they can perform this calibration. Most all of them  will say yes

> and they will perform this service at the attractive price of

> $175-$225/pump. When asked how they do that without the alignment jig

> most will boast that they have reversed engineered and solved that issue.

>

>

> So how is it that Hospira can take a hardline stand with a long term

> and engaged customers and end users, but yet keep a blind eye on the

> many third party groups to openly advertise and perform this service,

> right under their noses. We have a fundamental flaw here on how this

> process works. I would prefer to perform this simple calibration

> procedure  in-house with my trusted and qualified staff, not by

> unknowns with no permission to perform this work, or  manufacturers

> with no backbone to release maintenance rights and procedures  to the end user/ owners of these devices.

> Respectfully

> David Stiles

Response:

It’s called “working for lawyers”. Let’s face it, we all do. The OEM will have an easier day in court with the fact that the only certified calibration is available from them instead of third party which will absolve them of financial penalties. When a patient is harmed, usually the family’s lawyer shotguns all involved in hopes of maximizing the financial outcome of the case. The OEM minimizes this by limiting technical information available out there. It also boosts the bottom line as well. Welcome to MBA healthcare……..

Just my $.02

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