Preventative Maintenance Inspection Form
Setup:
Obtain a probe for use in testing the RF system, an Electrical Safety Analyzer, and an Electrosurgical
Analyzer.
A Calibrated Electrical Safety Analyzer will be required to complete the electrical safety test.
Procedure:
Indicate a PASS/Fail for each item. Any failure indicates that the device will need to be sent to Arthrex
for evaluation.
Visual Inspection
Initials Action Pass/Fail
Visual Inspection: Visually inspect the Console and foot pedal to ensure that the
cables, connectors, contacts, and display are not damaged or worn. If fluid or
particles have splashed on the display, clean with a microfiber cloth by gently
wiping in a circular motion.
Preparation
Present/Not
Initials Action
Present
Make sure the SynergyRF Console screen appears when the AC main power
switch is activated
Connect RF Probe
Warnings
Present/Not
Initials Action
Present
Check that error messages are not present. [See Appendix]
Any error message need to be evaluated and corrected before moving forward with this Procedure.
Please see the Appendix at the end of this document for any error message that is displayed.
DFU-0276 Rev. 0, 4/2018 PM – 3/8
Preventative Maintenance Inspection Form
Touch Screen
Initials Action Pass/Fail
Make sure the ablate number increases when pressing the yellow ablate "Up
Button" [3]. The ablate power [1] will increase in increments of 1.
Make sure the ablate number decreases when pressing the yellow ablate
"Down Button" [3]. The ablate power [1] will decrease in increments of 1.
Make sure the coag (coagulation) number increases when pressing the blue
coag "Up Button"[4]. The coag power [2] will increase in increments of 1.
Make sure the coag number decreases when pressing the blue coag "Down
Button"[4]. The coag power [2] will decrease in increments of 1.
Make sure you are able to press the "Menu" button.[5]
Once on the menu, make sure you are able to navigate through the menu
settings without any problems.
DFU-0276 Rev. 0, 4/2018 PM – 4/8
Preventative Maintenance Inspection Form
Additional Screen Information
Present/Not
Initials Action
Present
Make sure you are able to see the intelligent device recognition symbol [6]
Make sure you are able to see the footswitch symbol if a footswitch is
connected to the RF device. [7]
Make sure you are able to see the time burst symbol if time burst is active [8].
Make sure the display shows the name of the RF probe being used [9].
Electrical Safety Test:
Record the Model number, Serial number, and Calibration date of the Electrical Safety Analyzer.
Model Number: __________________________ Serial number: _____________________
Calibration Date: __________________________
Perform the following Electrical Safety Tests
Measurement Limit /
Measured Value Pass/Fail
Test Level
Operating Voltage N/A
Operating Current N/A
Ground Impedance Test
(Measure from Ground on inlet terminal to <0.1 ohm
metal chassis)
Leakage Current <5mA
(Chassis)
Normal Condition
Leakage Current
(Chassis) <10mA
Single Fault –
Earth Leakage Current
<5mA
Normal Condition
Earth Leakage Current
<10mA
Single Fault –
DFU-0276 Rev. 0, 4/2018 PM – 5/8
