Headquarters, Department of the Army, Washington, DC 20310-2300 20 June 2006

Army Medical Department Supply Information

DEPARTMENT OF THE ARMY SUPPLY BULLETIN

 Printing of this information does not constitute endorsement of the product, manufacturer, or the use

 of any related item thereof by the U. S. Army.

SB 8-75-S6

Effective until rescinded or superseded

Table of Contents Page

Chapter 1 - Medical Maintenance Support Information ............................................................. 1-1

Chapter 2 - Medical Equipment Maintenance Information ......................................................... 2-1

Chapter 3 - TMDE Utilization Information ................................................................................ 3-1

Appendix A - External Standard Operating Procedures, Medical Maintenance, Hill AFB, UT............ A-1

Appendix B - External Standard Operating Procedures, Medical Maintenance, Tobyhanna, PA ...... B-1

Appendix C - External Standard Operating Procedures, Medical Maintenance, Tracy, CA ............... C-1

Appendix D - USAMMA Logistics Assistance Program, Medical Maintenance Support ..................... D-1

Appendix E - Sample SOP for TOE Organization (Combat Support Hospital) ................................ E-1

Appendix F - Special Purpose Test, Measurement, and Diagnostic Equipment (TMDE-SP) Tables ... F-1

Appendix G - External O2 Regulator Verification ......................................................................... G-1

Appendix H - External N20 Regulator Verification ....................................................................... H-1

Appendix I - Pump Infusion (6515-01-486-4310), Display Problems ............................................ I-1

Appendix J - Refrigerator, Blood (4110-01-506-0895) PMCS Procedures ...................................... J-1

Appendix K - Operating Table Components ............................................................................... K-1

Appendix L - Use of HEPA Filter with Impact 754M Ventilator ....................................................... L-1

Index - ......................................................................................................................... IN-1

Special Notice

This Supply Bulletin is Dedicated Entirely To The

US Army Medical Materiel Agency, Maintenance Depots Information

 REPORTING ERRORS AND RECOMMENDING IMPROVEMENTS

 You can improve this publication. If you find any mistakes, or you know a way to improve it, please

 let us know. Mail your letter or DA Form 2028 (Recommended Changes to Publications and Blank

 Forms) directly to the U. S. Army Medical Materiel Agency, ATTN: MCMR-MMO-SM, Fort Detrick, MD

 21702-5001. If you prefer using email, please address it to usammacrm@amedd.army.mil.

 DISTRIBUTION STATEMENT A: Approval for public release; disribution is unlimited.
SB 8-75-S6 

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CHAPTER 1. MEDICAL MAINTENANCE SUPPORT INFORMATION 

1-1. MAINTENANCE OPERATIONS DIVISION (MOD) CHIEF PERSONNEL 

The USAMMA MOD serves as an Army Medical Department (AMEDD) focal point for 

multiple aspects of medical materiel maintenance. The MOD is made up of the Office of the 

Chief with depot-level medical maintenance operations divisions (MMOD) at Hill AFB, UT; 

Tobyhanna, PA; and Tracy, CA. 

Chief, Maintenance Operations (DSN 343-4365, commercial 301-619-4365) 

Chief, MMOD, Hill AFB, UT (DSN 586-4947, commercial 801-586-4947) 

Chief, MMOD, Tobyhanna, PA (DSN 795-7744, commercial 570-895-7744) 

Chief, MMOD, Tracy, CA (DSN 462-4556, commercial 209-839-4556) 

1-2. MEDICAL EQUIPMENT SUPPORT 

a. The appropriate equipment and customer information is critical for the timely 

processing of your equipment and providing the best customer support. When shipping 

medical equipment for services at any one of the USAMMA Maintenance Divisions please 

include the following information: 

Owner UIC: 

Owner DODAAC: 

Unit Name: 

Branch of Service: (Regular Army, National Guard, Air Force, Navy) 

Shipping Address: 

City: 

State: 

Zip Code: 

Point of Contact: 

Commercial Telephone Number: 

DSN: 

FAX: 

E-mail Address: 

 b. See Appendices A, B, and C for copies of each medical maintenance operation’s 

External Standard Operating Procedures. These procedures provide specific guidance to assist 

you with receiving medical maintenance support. 

 c. Army Reserves, please coordinate support with your Regional Training Site - 

Medical.

 d. The three Medical Maintenance Operations Divisions provide medical equipment 

maintenance and technical support for the states indicated below: 

 HILL AFB, UT - DSN: 586-4947, Commercial: 801-586-4947 

AK ID MT WY 

UT CO ND SD 

NE KS MN IA 

WI MO IL MI 

IN KY 
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 Tobyhanna, PA - DSN: 795-7744, Commercial: 570-895-7744 

TN AL GA FL 

SC NC VA WV 

OH VT PA NY 

NH ME MA RI 

CT NJ DE MD 

 Tracy, CA - DSN: 462-4556, Commercial: 209-839-4556 

WA OR CA NV 

AZ NM TX OK 

AR LA MS HI 

 

 e. Contact the Maintenance Division that supports your area for questions regarding 

support. Information is also available at http://www.usamma.army.mil/. 

1-3. MAINTENANCE DIVISIONS’ ADDRESSES 

 a. MMOD – UT 

 (1) Mail address 

U.S. Army Medical Materiel Agency 

Medical Maintenance Operations Division 

ATTN: MCMR-MMM-DU 

6149 Wardleigh Road 

Building 1160 

Hill Air Force Base UT 84056-5848 

 (2) Freight address 

U.S. Army Medical Materiel Agency 

6149 Wardleigh Road 

Building 1160, Bay 1 

Hill Air Force Base UT 84056-5848 

 b. MMOD – PA 

(1) Mail address 

USAMMA MED MAINT OPS DIV – PA 

ATTN: MCMR-MMM-DP 

Tobyhanna Army Depot 

11 Hap Arnold Boulevard 

Tobyhanna PA 18466-5063 

 (2) Freight address 

U.S. Army Medical Materiel Agency 

Medical Maintenance Operations Division 

Warehouse 4, Bay 1 

Tobyhanna Army Depot 

Tobyhanna PA 18466-5063 
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c. MMOD – CA 

(1) Mail address 

U.S. Army Medical Materiel Agency 

Medical Maintenance Operations Division 

ATTN: MCMR-MMM-DC 

Building T-255, Tracy Site 

Defense Distribution Center 

P.O. Box 960001 

Stockton CA 95296-0970 

 (2) Freight address 

U.S. Army Medical Materiel Agency 

Medical Maintenance Operations Division 

Building T-255, Tracy Site 

25600 Chrisman Road 

Defense Distribution Center 

Tracy CA 95304-9150 

1-4. INSCRIBING EQUIPMENT

Please do not permanently inscribe local and unit information onto your medical equipment. 

When equipment is turned in to the USAMMA, every effort is made to rebuild the equipment to 

a like new condition. Inscribing unit information on the equipment significantly increases the 

cost of refurbishing these items for re-issue. To mark your equipment, please use a label. 

1-5. STORAGE AND SHIPPING CONTAINERS 

 a. Many of the re-usable containers used to store and ship medical equipment and 

test, measurement, and diagnostic equipment (TMDE) contain foam products that deteriorate 

due to age or other factors. Over time and with use, the foam begins to break down into tiny 

flakes. This condition can render the TMDE and other medical equipment useless or have an 

impact on the full mission capability of the equipment and/or calibration verification. 

 b. If you cannot replace the foam inside your re-usable containers, we highly 

recommend that you place the TMDE/medical equipment items in a plastic bag prior to placing 

it into the case. This will prevent contamination of the equipment. 

 c. The MMOD at Hill AFB, Utah, has made arrangements with ADR Packaging to 

manufacture the inserts used in different cases. They use polyethylene foam in gray at 0.9 lb 

density, in green at 1.2 lb density, and in blue at 1.7 lb density. 

 d. The USAMMA has had very good results with the green polyethylene. The cost of 

the 1.2 lb density is approximately $0.50 - $0.60 per board foot (12" x 12" x 1") plus scrap 

that results in the forming of the pieces. 

 e. ADR Packaging can be contacted at 400 North Geneva Rd #C, Lindon, UT 84042. 

Telephone number is 801-796-3700. Fax number is 801-796-3800. 

1-6. MEDICAL EQUIPMENT SERVICE LITERATURE SUPPORT 

 a. Biomedical technicians that do not have literature or manuals to support their 

authorized medical equipment can contact the medical maintenance operation that supports 
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their region and we will provide them a disk that contains the manual. Ensure you have the 

correct NSN, model, and manufacturer. 

 b. Additionally, medical equipment operator and service literature is also available 

from the USAMMA, Materiel Acquisition Directorate at 301-619-4379. 

1-7. USAMMA’S LOGISTICS ASSISTANCE PROGRAM

a. The USAMMA Force Sustainment Directorate is in the process or revising their 

Logistics Assistance Program. The program is designed to assist medical TOE organizations 

with identifying logistics management concerns and solutions. 

b. A web-based questionnaire with information-specific links is available at the 

USAMMA home page (www.usamma.army.mil). The medical maintenance portion of the 

program’s questionnaire provides a wealth of maintenance-specific information for all your 

TOE medical maintenance needs. 

c. Appendix D of this bulletin provides an excerpt of the web-based questionnaire. 

1-8. DEFENSE REUTILIZATION MANAGEMENT OFFICE (DRMO) 

DRMO facilities across the U.S. are reorganizing. The DLA has an excellent web site at 

http://www.drms.dla.mil/meo/home.htm. The site has a wealth of information regarding the 

DRMO process. It also lists the DRMO sites across the country. This site is certainly worth 

visiting. 

1-9. MEDICAL MAINTENANCE OPERATIONS IN MTOE UNITS, TB MED 750-2 

 a. The MEDCOM is in the process of reviewing the final “DRAFT” TB MED 750-2 in 

preparation for publishing. It is never too late to provide suggestions and/or comments. A 

copy was recently published in SB 8-75-11, Appendix C. 

b. Appendix E of this supply bulletin includes a copy of the “SAMPLE” Standard 

Operating Procedures (SOP) for a Combat Support Hospital (CSH) that was taken from the 

draft TB MED 750-2. This sample SOP can be modified/tailored to fit any type medical 

organization. 

1-10. TEST, MEASUREMENT, AND DIAGNOSTIC EQUIPMENT (TMDE) 

AUTHORIZATIONS 

 a. The AMEDD Combat Developer continues to work the Operational Requirements 

Documents (ORD) and Basis of Issue Plans (BOIP) to ensure all TOE medical organization with 

a medical maintenance capacity are authorized the TMDE necessary to provide unit level 

medical maintenance support. 

 b. Appendix F of the supply bulletin includes several tables that will help identify the 

appropriate levels of TMDE for your organization. 
SB 8-75-S6 

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CHAPTER 2. MEDICAL EQUIPMENT MAINTENANCE INFORMATION 

2-1. ANESTHESIA APPARATUS, 6515-01-457-1840 

 EXTERNAL O2 AND N2O REGULATORS VERIFICATION

 Draeger does not provide verification procedures for the external O2 and N2O regulators 

used on the NARKOMED M anesthesia machine. The USAMMA has developed procedures to 

verify the performance of the regulators. The test procedures verify that the regulators operate 

according to Flotec specifications. Appendix G illustrates the verification steps for the O2

regulator, part #RN510-600. Appendix H illustrates the verification steps for the N2O regulator, 

part #RNJM05-6005. 

2-2. ARTHROSCOPIC SYSTEM, 6515-01-431-9631 

 a. During preventive maintenance checks and services (PMCS) on the OlympusAmerica, Inc. Arthroscope, the fiber optic bundle should be inspected carefully, ensuring that it 

still has 80 percent light conductivity and no breaks in the center of the bundle. PMCS includes a 

visual inspection of the equipment for any damaged parts or deficiencies that will prevent the 

unit from being used or sterilized. 

 b. The Arthroscope System comes with one each of the following items: 

3093, Fiberoptic cable, 6515-01-139-8567 

7584, Single sheet with stopcock (OBTURATOR, CONICAL), 6515-01-166-3504 

7599, Trocar, Pyramid, 6515-01-166-3528 

7600, Trocar, Blunt Tip Sleeve, 6515-01-173-2452 

7595, Scope, 6515-01-171-6050 

2-3. BATTERY SUPPORT SYSTEM, 6625-01-192-9460 

Electrical safety testing of the Battery Support System for use with Physio Control's 

Defibrillators/Monitors Life Pak 5 has two items to note: 

a. Case leakage of the Battery Support System should be less than 100uA with both an 

open ground and normal ground. In order to make a good ground contact, insert a probe in the 

rear vents of the unit and make contact with the heatsink. 

b. Ground resistance for the Battery Support System cannot be verified using a safety 

analyzer. Verify resistance using a multimeter from the AC ground pin to the negative battery 

terminal in the battery (charging) compartments. The reading should be less than .66 ohms. 

2-4. COMPUTED RADIOGRAPHY, 6525-01-504-5002

a. Cassette Error and Replacement Issues 

(1) A common problem with the Orex PcCR 1417 system is that when the cassettes 

are being erased or scanned an error will sometimes pop up on the screen. The Error reads “WO 

Sensor ON State Fail.” To correct this, Source One’s guidance was to pull down on the cassette 

tabs and tap the closed end of the cassette on a table. This ensures that the plate on the inside 

of the cassette is positioned at the very bottom of the cassette. When the cassette is run again 

the error message may be gone. 
SB 8-75-S6 

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(2) In the event that this does not correct the problem, Source One recommends 

that the plate be taken out of the cassette, turned 180 degrees, and installed back into the 

cassette. Make sure to position the plate to the bottom of the cassette by again pulling down on 

the tabs and tapping the cassette on a table. If this does not correct the problem, it is time to 

order another cassette. At the time of the above referenced discussion, the price for a 14 x 17 

cassette w/plate was $1,290 each. Doing these extra steps to increase the life of your cassette 

w/plate may help save precious resources. 

 b. Computed Radiography System Software Issues 

(1) The Army started purchasing the Orex PcCR 1417 system approximately 3 years 

ago. Since then there has been about 266 scanners purchased. Of these 266 scanners we have 

4 different hardware versions (96 of the first version, 71 of the second version, 12 of the third 

version, 87 of the fourth version) and about 21 different software versions. The scanner 

interface software has changed 16 times and the application software has changed 5 times. Orex 

has released a new improved version of the parts manual. Still, it has a very limited quantity of 

part numbers. 

(2) Tobyhanna is dedicated to provide Orex support. To help simplify the software 

issue, all the different versions of the software have been tested; the number of Orex Scanner 

Interface Software versions has been reduced to three. The application software versions have 

been reduced to one single version. 

(3) About 80% of the problems with these systems in the field are software related, 

mostly as a result of using the computers for web access. Please do not use the computer for 

internet purposes. 

(4) To help reduce some of the frustration in the field, the USAMMA has made a DVD 

System Disk for this system. With this disk you may reload the complete software on the hard 

drive on any version of the scanner. Along with the software are the latest manual updates, and 

the instructions and software needed to configure the system for DICOM In, Modality Worklist, 

Remote Patient Entry, and Diagnostic Viewer. The USAMMA has made (and periodically updates) 

a list of all the scanners by serial number and lists the correct software to use. 

(5) Questions or comments should be directed to 570-895-7734 or DSN 795-7734. 

2-5. CONCENTRATOR, OXYGEN, 6515-01-434-4629 

 a. When testing the AIRSEP oxygen concentrator for purity, it is recommended that you 

use a Fluke Biomedical Gas Flow Analyzer, model VT Plus or equivalent O2 measuring device with 

a waveform producing capability. The VT Plus produces a waveform which enables you to 

identify occasional O2 output purity fluctuations. This waveform should remain fairly level and 

fluctuation of the oxygen levels should be minimal. 

b. When using alternative test equipment to verify the concentrator, it may appear as 

though the concentrator is passing the purity tests; however, visibility of intermittent fluctuations 

where the purity drops below acceptable oxygen levels may be unseen. Low purity is primarily a 

result of bad sieve beds. Additionally, a bad mixing tank can also cause fluctuations in the 

oxygen purity. Anytime you replace the sieve bed assembly, part # BE001-1R, you should also 

replace the mixing tank assembly part # TA-089-2. 

c. There are two versions of this O2 concentrator on the market. The newer version 

includes a design change that is not in the OEM service manual. In the older version, the 

pressure outlet is located on the right side as you face the front of the unit. In the newer 

version, the pressure outlet is in the rear of the unit; however, access it from the right side. 

Remove the right side cover and locate the tube with the pressure outlet attached. Connect your 

pressure gauge to this tube. All other aspects of the testing are the same. 
SB 8-75-S6 

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2-6. DEFIBRILLATOR, MONITOR RECORDER, 6516-01-515-4197

a. Non-Invasive Blood Pressure (NIBP) Leak Testing Procedure 

(1) Zoll Medical Corporation is in the process of publishing revised NIBP leak testing 

limits (PM Procedure #20.0) to reflect the variances between the two different testing 

methodologies associated with different types of NIBP Analyzers. 

(2) Zoll’s service manual calls for a BIO-TEK BP Pump NIBP Monitor Analyzer or 

equivalent in its testing procedures. The requirement to identify two different limits is based on 

the use of a test cuff when using the DNI CUFFLINK Analyzer. 

(3) Zoll has identified the following leak test limits for the two types of Analyzers: 

(a) BIO-TEK BP PUMP NIBP MONITOR ANALYZER - No change. 

A volume leak reading less than or equal to 4 mmHg, the unit passes the test. 

A volume leak reading greater than 4 mmHg; the unit fails the leak test. 

(b) DNI CUFFLINK ANALYZER 

A volume leak reading less than or equal to 10 mmHg, the unit passes the 

test. 

A volume leak reading greater than 10 mmHg; the unit fails the test. 

(4) This information provided by the Senior Technical Support Representative, Zoll 

Medical Corporation. Phone 1-800-242-9150 ext. 9195, e-mail jtoma@zoll.com. 

b. CCT Defibrillators Software Update 

In August 2004 Zoll updated the M series CCT defibrillators software from Rev. 56.00 

to Rev. 57.00. This update only affects the summary report, nothing else. The manufacture has 

advised that if a defibrillator needs the software update but has recently had a full PM inspection 

or is within its calibration date, another full PM is not necessary following the software update. All 

that needs to be checked is the summary report test, which is step 14.0 (14.0 – 14.4), in the 

manufacture’s service manual test procedures. Nothing has changed on the Summary Report 

Test procedure; perform this test just as stated in the service manual. The manufacture does 

not foresee another update in the immediate future. 

2-7. DENTAL OPERATING UNIT, FIELD, 6520-01-493-3759 (AKA “DEFTOS”) 

a. When unpacking the Bell Dental Products Field Dental Operating Units sent to our 

medical maintenance operations depots for maintenance and repair, we are finding the hoses in 

pouch number 2 to be pinched due to improper packing. This is caused when the unit is packed 

backwards (front of unit facing back of case) and when the contents of pouch number 2 are not 

properly packed. 

b. The unit should always be packed in the case with the front of the unit facing the 

front of the storage case, as stated in the operating and service manual. This will protect the 

circuit breakers as well as the connectors, which are on the back of the unit. This will also give a 

flat surface to help protect the contents of pouch number 2 from being pinched. When packing 

the pouches, the hoses and cords should be coiled so that the diameter of each coil is as wide as 

possible to ensure that the pouches are not too thick when placing them into the storage case. 

When the pouches are too thick, the hoses tend to get pinched from the force placed on them. 

The laminated instruction cards should also be placed between pouch number 2 and the 

instrument tray assembly to ensure that the tray support doesn’t pinch the hoses. 
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2-8. ELECTROSURGICAL APPARATUS, 6515-01-309-6647 

 a. There are two versions of the Valleylab, Force 2 electrosurgical unit. The PRSF board 

in the Force 2 generator changed in 1995. You can determine the year of manufacturer of your 

equipment by the serial number. The charge below is an F6E9999T breakdown example. 

F6E9999T Breakdown 

F 6 E 9999 T 

Force 2 

Last number 

of the year of 

manufacturer 

Month of 

manufacture 

Body of 4 numbers indicates it 

was manufactured 1985 thru 

1995 and was the 9999th unit 

made. A body of 5 numbers 

indicates it was manufactured 

from 1995 thru present. 

Also 

stands 

for 

Force 2 

In this example the Force 2 was manufactured in May of 1986 and it was the 9999th 

unit manufactured. 

 b. Units manufactured before 1995 have a verification procedure as well as a calibration 

procedure in the OEM service manual. Units manufactured after 1995 have only a calibration 

procedure. 

 c. It has been determined that the default auto sequence in the Fluke Biomedical 454A 

Electrosurgical Analyzer does not meet Valleylab’s standard for testing the Force 2 generators. 

An auto sequence can be manually created in the 454A that will meet the Valleylab test standard 

of a 200 ohm load when doing RF output tests. The following tests must be entered into the 

auto sequence. 

(1) Generator Output tests with a 300 ohm load at the following settings. 

30 Watts Coag 120 Watts

Pure Cut 300 Watts

Blend 1 250 Watts

Blend 2 200 Watts

Blend 3 150 Watts

Microbipolar 70 Watts

(2) RF Leakage tests with a 200 ohm load, both active and dispersive leads at the 

following settings. Use the following identified wattage setting. 

Pure Cut 35 55 75 95 115 135 155 175 195 300 

Coag 55 75 105 115 120 

Microbipolar 70 

 d. Do not use a disposable pencil to test the RF Leakage; this will give you false 

readings. Use the active accessory and activate it using the footswitch. 

2-9. GENERATOR, OXYGEN, MEDICAL, POGS, 6530-01-533-4481 

a. The POGS33C is the oxygen concentrator from ONSITE GAS SYSTEMS. It is capable 

of delivering 33 LPM while maintaining 93% - 96% oxygen. During setup it is imperative that 

the O2 analyzer be calibrated correctly. While the calibration does not effect the actual 

production of O2, the analyzer readings are used to alert operators in the event of low O2

production. 
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2-5 

(1) The generator needs to run for 45 minutes prior to calibration. 

(2) During this period, install three flow meters and set them to a combined flow of 

30 LPM. This allows the existing gases in the O2 tank to be purged by the O2 from the sieve 

beds. 

(3) After the 45 min start-up period, factory representatives advise to first calibrate 

at the High range, then the Low (20.9%) and then the High again. 

b. The VT PLUS gas flow analyzer may be used to calibrate the High range of the O2

analyzer. Build a manifold to connect three flow meters to the VT PLUS using tubing, swivel 

connectors and zip ties. 

c. The POGS33C uses a model MedAir 2000 CO (carbon monoxide) and Dew Point 

monitor from ENMET Corporation which is mounted internally. If there is an alarm coming from 

within the generator, although one should not rule out the possibility that high levels of CO are 

present, it is possible that the MedAir 2000 is out of calibration. 

(1) The following is a list of items ENMET Corporation recommends to verify the 

calibration of the MedAir 2000: 

Gas Regulator 037-00-500 $145 

CO Cylinder 03219-020 $50 

O2 Cylinder (20.9%) 03296-209 $50 

Case (Optional) 730-83-000 $20 

(2) Additional information is available in the MEDAIR 2000 manual which should 

accompany the POGS 33C literature. 

2-10. LIGHT, FIELD SURGICAL, 6530-01-343-2033 

BATTERY DISCONNECTION PROCEDURES

a. While the Gettinge Castle model 2410MB field surgical light is in storage, the two 

12VDC batteries need to be disconnected. The previous method for disconnecting the batteries 

includes removing the base cover (6 screws) and removing the battery hold down bracket (3 

nuts). The batteries are then maneuvered out of position to allow access to the terminal screws. 

Once disconnected and tucked back into position, you must then reinstall the battery hold down 

bracket and base cover. While this is not a difficult exercise, it is rather cumbersome and time 

consuming. 

b. It has been determined that there is a more practical solution which takes less time. 

After removing the base cover, simply disconnect the J1 connector from the RELAY PCB. This 

effectively removes both batteries from the circuit. There is no wrestling with bracket or 

batteries. A “BATTERIES DISCONNECTED” sticker can be used to secure the J1 connector in a 

position that will prevent damage and ensure that the next technician reconnects during set up 

procedures. 

2-11. MONITOR, VITAL SIGNS, 6515-01-423-5796, 6515-01-423-5872, 

6515-10-432-2707 AND 6515-01-432-2711 

A printer door assembly problem has been identified in the models 100 series, 200 series, and 

Encore Propaq Vital Signs Monitors (NSNs 6515-10-432-2707, 6515-01-432-2711, 

6515-01-423-5872, and 6515-01-423-5796) that allow the printer door linkage that activates 

the printer when the printer is closed to become disconnected under normal use. The symptoms 

include the printer not functioning or printer door not staying closed. 
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a. A washer and a retaining grommet are available that affixes to the tab of the door 

pin prohibiting the linkage from coming disconnected. 

b. For additional information regarding this issue contact your regional Medical 

Maintenance Operations Division. 

2-12. MONITOR, VITAL SIGNS, 6515-01-432-2707 AND 6515-01-432-2711 

a. The INSERV Feature 

When performing maintenance services, the INSERV feature of the Welch Allyn 

Propaq 206EL will not function if the accessories are connected. IAW the service manual (section 

2), ensure all accessories are disconnected from the unit before using the INSERV feature. 

b. Print Head Assembly Damage 

Upon completion of maintenance services, and anytime before placing the monitor 

in storage, ensure that the recording paper is not fed through the print head or remove the 

paper from the recorder altogether. Leaving the paper fed through the print head during periods 

of storage causes damage to the print head assembly. Additionally, it is a good idea to place the 

monitor inside a plastic bag to protect it from the elements during both short and 

long-term storage. This also helps prevent the loss of any articles that may come loose inside 

the case. 

c. Respiration Function Activation 

(1) During 2001 and 2002 several Vital Signs Monitors delivered to the USAMMA did 

not have the respiration function activated. Welch Allyn had provided training and loaned the 

equipment necessary to activate the respiration function to the medical equipment repairers at 

Hill AFB, UT. The equipment has since been returned to the manufacturer and the USAMMA will 

no longer be able to activate the respiration function. 

(2) The label on the left side of the equipment should provide a quick indication of 

whether or not your monitor has the respiration function is activated. The label displays either 

ECG/EKG RESP, or ECG/EKG. If it does not have RESP, it is not installed. Additionally, when you 

turn the unit on if you can select RESP (2nd selection from the left), it is installed. 

(3) If you are assigned to an Army TOE medical unit and have a Vital Signs Monitor 

that does not have the respiration function activated, contact Welch Allyn Protocol and provide 

them with equipment's serial number. If the serial number of your monitor is on their list of 

monitors procured on the contract, Welch Allyn will activate the function at no cost. Contact 

Welch Allyn Protocol Inc's Customer Service at 8500 S.W. Creekside Place, Beaverton, OR 

97008; or call them at 800-289-2500 (select option "1" twice). 

2-13. MONITOR, VITAL SIGNS, 6515-01-432-2711

 MAINSTREAM CO2 SENSOR, SERVICE AND REPLACEMENT

a. The appearance of a “degraded waveform error message” indicates that the 

Mainstream CO2 Sensor is bad. 

b. Welch Allyn has recommended that the sensor be exercised at least every six weeks. 

This means that if the unit is in storage or not being used, the unit will have to be turned on and 

the sensor allowed to warm up. Once it is warmed up, an airway adapter will need to be 

attached and breathed into until the unit generates a waveform. This procedure prevents the 

sensors’ motor from drying up. 
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2-7 

c. Replacement sensors are expensive. Costs identified in this publication may differ 

from your actual cost dependent on source, quantity, and/or inflation. 

(1) A brand new sensor, (PN 008-0502-00) costs about $2200. 

(2) A brand new sensor with the exchange/trade-in of a bad sensor is about $1050 

(includes a one year warranty). 

(3) A refurbished sensor with the exchange/trade-in of a bad sensor about $850 

(includes a 90 day warranty). 

(4) The part number will be generated when the user specifies what type of 

exchange they want. The only thing required at the time of purchase is the serial number of the 

bad sensor and specification of which type of exchange. 

2-14. OPTICAL MICROSCOPE, 6650-00-973-6945 

The Bausch and Lomb Optical Microscope, Model STEREOZOOM 4, although out of production is 

still being issued to field medical units. Parts can be obtained through Microscope Services, 

Reichert Inc., New York. Their phone number is 716-686-3166; their website is 

www.reichert.com. 

2-15. PUMP, INFUSION, 6515-01-452-0625 AND 6515-01-486-4310 

a. Battery Operation Testing When performing the battery operation test portion of 

the system function test for the Medsystem III 2863 and 2865 as defined on page 3-10 of the 

OEM service manual, Alaris Medical Systems has identified a technique that can save time and 

money. 

(1) A one inch square piece of red (other colors not detected) silicone rubber can be 

used instead of a mini-set cassette filled with water. In addition to decreased costs, this also 

reduces the chance of the unit alarming during this test as well. 

(2) Use a modified fluid side occlusion cassettes (reference appendix B of the OEM 

service manual, page A-8) and place a one-inch square piece of red silicone in the air in line 

detector. Then perform tests according IAW page 3-10 of the OEM service manual. 

(3) Modification of the fluid side occlusion cassette should be done as follows. 

Remove the rubber boot from the plunger stem and cut away all of the tubing from the cassette. 

Additionally the small square rubber film on top of the cassette must be removed while the large 

round rubber film needs to be left in place. 

(4) A 12” X 12” sheet of red rubber silicone (PN 8632K34) is available from McMaster 

Carr for $22.02. This can be used to make multiple one inch squares of rubber. This saves a lot 

of money by not having to purchase more mini-sets (PN 28125) that cost $150.00 for a box of 

50 EA. McMaster Carr can be contacted at 404-346-7000 and 404-629-6500. 

 b. Lithium Battery Failure Indication. When the Infusion Pump is first turned on after 

removal from extended periods of storage it is not uncommon for the pump to indicate a lithium 

battery failure. With the exception of clearly visible physical damage the ensuing procedure 

should be followed prior replacing the lithium battery. 
SB 8-75-S6 

2-8 

(1) Charge the unit for 24 hours. 

(2) After the unit has charged for 24 hours, place the unit into maintenance mode 

and connect it to a computer with FMS software supplied by the Alaris. 

(3) Re-enter the pump’s specific information using the software. 

(4) Remove the pump from the computer. 

(5) Turn the unit off and unplug the unit from A/C. 

(6) Start the unit normally. Confirm the unit’s serial number is displayed on the 

screen with no errors. If the serial number is displayed and no errors appear, the unit still 

requires a software calibration. 

(7) Place the unit back into maintenance mode and hook it up to the computer and 

follow your normal procedures for calibration and clearing the error logs. 

(8) If there are errors, replace the lithium battery. 

 c. Alaris Medical Systems Technical Information and Software Updates. Alaris Medical 

Systems has published guidance in an attempt to make technical information and software 

updates for their models: 2850, 2863, and 2865 series infusion pump more accessible and user 

friendly. 

(1) Their web address for technical support, information regarding service bulletins, 

software patches and upgrades is http://alaris.pint.com/na/technical/bio.shtml.

(2) To order a Technical Service Bulletin, please call ALARIS Medical Systems 

Customer Services at 800- 482-4822. 

(3) To register for online Technical Service Bulletin Access, please call ALARIS 

Medical Systems Technical Support at (800) 854-7128, extension 6003. 

Note: This is a list of Active Service Bulletins not already incorporated in the latest 

revision the Technical Service Manual part number 2863012 released Apr. 94. This is not a 

history of all Service Bulletins. 

(4) Alaris plans to release new software during 2006 for the calibration/ Verification 

of the MedSystem III infusion pump. Their plan is it to make it faster and more user friendly. 

 d. Drive Motor Failure. The Hill Medical Maintenance Operations Division has noticed an 

increase in the Drive Module Kit (P/N 2860745) needing to be replaced. The cost for this part is 

$551.25 through Cardinal Health formerly known as Alaris. We have found that in some 

circumstances the problem can be fixed with a Motor Kit (P/N 2860760) at a cost of $291.90. 

This is a cost savings of $259.35 each. 

2-16. PUMP, INFUSION, 6515-01-486-4310 

 ALARIS I.V. PUMP MODEL 2865B LCD DISPLAY PROBLEMS

 (a) There have been some noted problems including discoloration of the pixels, 

inconsistent dark and light color and uneven (blotchy) polarization, and shadows of the previous 

screen affecting the performance and bringing into question the reliability of the Alaris I.V. Pump 

LCD display. The USAMMA has concluded that the problems are common to the newer Solomon 

LCD. 
SB 8-75-S6 

2-9 

(b) Cardinal Health Alaris recognizes this problem and has agreed to perform the 

necessary circuit repair for any units demonstrating this problem. 

(c) The following test sequence should be considered for medical equipment repairers 

to test Alaris Infusion Pumps. This guideline does not replace any manufacturer procedures for 

testing or servicing their product. See Appendix I of this publication. 

2-17. PUMP, INTRAVENOUS INFUSION, 6515-01-498-2252 

The Infusion Dynamics Intravenous Infusion Pump has an accessory called the Crystalloid and 

Colloid Pump Cartridge and IV Set (part number 0040-0050). Please be aware that the date on 

the back of the package is the date the cartridge was manufactured. There is no expiration date 

printed on the package. The manufacturer explained that a 3-year shelf life was specified to the 

Army when the infusion pump was acquired. Although it has not been tested in extreme heat, 

the manufacturer states that the 3-year shelf life would be shortened to 1-year shelf life if the IV 

Set was exposed to such conditions. 

2-18. REFRIGERATOR, BLOOD, 4110-01-506-0895 

The USAMMA has published procedures for performing a technical inspection/service for the 

ACUTEMP model: HMC-MIL-1 Blood Refrigerator Unit. See Appendix J of this publication for 

additional information. 

2-19. STERILIZER, STEAM, 6530-01-431-6564 AND 6530-01-442-8720 

 SOFTWARE UPGRADE

a. A software update allowing the repairer to calibrate the unit from the parameters 

menu is available for Harvey MC10 Steam Sterilizers that were built prior to the year 2000. 

Although the update is not required, it significantly reduces the amount of calibration time by 

precluding the requirement for the repairer to open the case and go to the motherboard. 

b. Some units may have already been updated. Verification that your unit has the 

updated software can be done as follows: 

(1) Press and hold CONTROLS OFF, then press and hold PROGRAM SET. 

(2) Release CONTROLS OFF, wait one second and release the PROGRAM SET button. 

The unit should display the LOG in the upper left corner of the display. 

(3) Step through the selections by pressing PROGRAM SET. Use the UP ARROW or 

DOWN ARROW to change the selection. 

(4) As you are scrolling through, the last parameter should be CALIBRATE if you 

have the updated software. If there is no CALIBRATE parameter, you have an old software 

version. 

c. The software update consists of an EEPROM (P/N SC1203X1) available from 

Barnstead International/Harvey; phone: 1-800-553-0039. The cost is $35. 
SB 8-75-S6 

2-10 

2-20. TABLE, OPERATING, FIELD, 6530-01-321-5592

 a. Electrical Safety testing of the surgical light (NSN 6240-01-455-7873) has disclosed 

that an unacceptable leakage current level exists in some of the lights that are part of the field 

operating table. Additional information was provided by RTS-Medical personnel at Fort McCoy, 

WI, that relates to the JT-101 and YH75A power supply PCBs. 

 b. If your FST OR table surgical lights have an electrical leakage problem (>300 UA) 

follow these instructions. 

Step 1: Remove the plastic terminal cover at the bottom of the lamp column and 

make a small mark with a permanent marker on the red lead to the power supply PCB that is 

connected to the black lead of the incoming power cord. Continue with the disassembly of the 

lamp by removing the base joint assembly and middle knuckle of the lamp. Remove the two 

screws securing the PCB heat sink about halfway up the lamp column. Undo the wire nuts at 

both ends and slide the PCB out the bottom of the column. 

Step 2: Identify the board you are modifying and locate the hot lead. 

(a) If you have an YH75A board, its number will be found on the right edge 

of the component side of the board. The YH75A hot lead is located on the opposite side from the 

part number and heat sink ground lug viewed from the component side. Trace the lead from this 

wire and it goes to the line fuse. 

(b) A JT-101 board will be labeled on the “run” side, in the upper middle. 

The JT-101 board is laid out with the hot lead on the same side as the heat sink ground lug, 

going to a fusible link, (the very thin wire overlaying the resistor symbol silk screened on the 

component side). Don’t be concerned if the black mark you made in step one seems to be 

reversed. Many of these boards were connected backwards during assembly. The fuse should 

always be connected to the incoming, (hot) side. If your connection is reversed, correct it now 

by gently scraping off the small black mark and applying a larger one to the hot lead. You may 

also mark the other red wire (neutral) with a white marker. This precludes any need to de-solder 

and replace the existing red wires. 

Step 3: “Float” or electrically disconnect the ground pad of the PCB. Unscrew the 

lug from the heat sink. Use a small diagonal cutter and snip off the lug flush with the surface of 

the PCB. Snip off the green ground wire where it enters the PCB. (No soldering iron needed for 

this step.) 

Step 4: Connect the isolated ground lug to the neutral lead. This step diverts risk 

current to neutral. Some risk current is induced due to the proximity of the runs on this board. 

The balance probably comes through the two filter capacitors which terminate on the ground 

pad. These caps are present on both power supply modules. They are thin film ceramic caps 

with high dielectric ratings (350 V to 3.3 kV on the samples encountered). 

Step 5: Acquire a 28 AWG stranded signal wire, strip it and pull out a single strand. 

This should measure about .010 inch in diameter. For comparison, the fusible link wire found on 

the JT-101 board measures about .007-inch. Solder this wire between the ground pad and the 

neutral pad. Use of 60/40 solder with rosin flux will facilitate this operation and probably 

eliminate the need for additional solder. This thin wire will carry risk current and protect the 

board if an equipment malfunction occurs. 

Step 6: Place a ring terminal on the line cord ground lead and connect it to the 

chassis with a 6-32 screw and nut. Drill a hole between and slightly below the screw holes for 

the line cord terminal cover. Face the screw head out and the cover should fit over it during 

reassembly of the lamp. 
SB 8-75-S6 

2-11 

Step 7: Reassemble and safety test the lamp using normal and reverse polarity. 

You may also open and close the ground switch as part of the test. This should bring the 

electrical leakage within (<300 uA) acceptable limits. 

2-21. TABLE, OPERATING, HOSPITAL (FIELD), 6530-01-353-9883 

The field operating table, model 2080, manufactured by Steris Corporation, LIN T00029, is 

supplied with a number of accessory components. The list of accessories supplied with the table 

is taken from the Medical Procurement Item Description (MPID). Appendix K shows a picture for 

each part. For ease of inventory and operational readiness, you should make a copy of this list 

and include it with the manufacturer’s literature. 

2-22. VENTILATOR, 6530-01-464-0267 

 a. Total Flow Backup. It has been discovered that the 754M ventilator sometimes will 

fail to generate a "Total Flow Backup" error/alarm although the flow is obstructed. 

 (1) The black bushing (PN 340-0019-00) between the compressor air inlet assembly 

and the compressor barb eventually stretches and develops a leak allowing the compressor to 

pull air from inside the ventilator. When this occurs, the ventilator will not to generate a "Total 

Flow Backup" alarm even though partially occluding the compressor inlet fitting 

 (2) Follow the steps below for generating the "Total Flow Backup" alarm: 

(a) Ensure that the settings are correct. 

(b) Unscrew the 22mm gas outlet adapter from the manifold assembly. 

(c) Remove the 400m transducer screen from the manifold assembly. 

(d) Let the ventilator cycle 4 to 5 breaths. 

(e) The "Total Flow Backup" alarm should occur. 

(f) Press the Mute/Cancel push-button. The alarm LED and audible alarm 

should turn off and the AMC message should remain. 

 (3) If the preceding test failed to produce a "Total Flow Backup" error/alarm, verify 

that the black bushing between the compressor air inlet assembly and the compressor barb is 

functioning properly. 

 b. Incorrect Batter Charging Voltage 

During routine checks of the 754M Ventilator, if the battery charging voltage is below 

the tolerance voltage of 12 volts DC, check the output of U1 on the motor drive circuit board. 

The part number for the motor drive board is 702-0754-05. The part number for U1 is 

055-3578-00. 

c. Air intake manifold servicing/cleaning for the 754M. 

(1) While performing PMCS on the 754M Impact Ventilator, if there is a failure to 

produce sufficient air flow (6.01 lpm) on either the O2 or air regulated by the manual valve 

control test fixture, it can be traced back to the O2/air intake manifold. 

(2) To correct this problem, remove the intake manifold from the ventilator. 

Disassemble the variable orifice valves from both O2 and regulated air sections. After locating 

and removing the 400 micro filter screen and o-ring, submerge remaining aluminum blocks in 

70% alcohol solution. Use canned air to blow dry block and orifices. Swab a few drops of 

alcohol into the flow ports of the four variable orifice valves and use canned air to blow dry. 

Reassemble manifold and perform an air flow test. The 400 micron screen can also be 

ultrasonically cleaned or canned air may be used to clean as needed. 
SB 8-75-S6 

2-12 

(3) If there is a failure to produce sufficient air flow on either the O2 or Air outputs, 

and you suspect the problem is due to dirty 500 micron screen transducers you should contact 

your supporting Medical Maintenance Division for repair. 

d. HEPA Filtration and Premature Compressor Failure 

 The 754M ventilator air entrainment port does not come standard with a HEPA filter 

installed. When the ventilator is operated in a clean environment like a hospital, a HEPA filter 

covering the air-entrainment port is generally not needed. However, it is recommended that 

when the ventilator is operated in an environment exposed to higher than normal levels of 

airborne contaminants that a HEPA filter be installed. See Appendix L for additional information 

concerning HEPA Filtration. 

2-23. X-RAY APPARATUS, DENTAL, HANDHELD, 6525-01-425-5216 

a. A problem has been identified with the Dent X, model HDX. When trying to make an 

exposure with the unit yoke exposure switch, the unit does not release an exposure. When using 

the unit’s hand switch the unit makes an exposure. The problem has been identified with an 

internal connector (brown and yellow wires). It falls off easily when removing the control panel. 

b. When you service the unit and take the control panel off, ensure that you tie wrap 

the three bundles of wires that are coming out of the power supply assembly into the control 

panel. Securing the wires will prevent the connector from falling off and preventing proper 

system operation. 

2-24. X-RAY APPARATUS, RADIOGRAPHIC, MED, 6525-01-384-9296 

Textbook Diagnosis of Picker VP4 Error Code “E300” 

(1) A VP-4 was indicating a E300 error code, which indicated no filament current. The 

Trouble shooting Flow chart the technician is instructed to replace the “CU PCB”, however after 

the CU PCB was installed the fault condition was still not corrected. 

(2) Troubleshooting action indicated open filaments in the tube or a poor connection on 

the cathode cable. The filaments were checked for proper impedance and the connection was 

checked. Both tests found no fault. After the recommended checks were made, the filament 

troubleshooting flow chart suggested that the computer board P/N 1174-21 was bad. The board 

was replaced; however, this did not correct the malfunction. After a check of the schematics, it 

was noticed that there were two fuses on the “Power on off PCB” that affected the “Filament 

Drive PCB” (F2 = 2.5A 250V which Supplies 55VAC to Filament Drive Board) & (F5 = 1A 250V 

which Supplies 19 VAC to the 15-Volt Power Supplies on the Power Supply Board which supplies 

the Filament Drive Board) one of these fuses was found to be open. 

(3) The fuse was replaced and the fault was corrected. 

2-25. X-RAY APP RAD/FLUOR, C-ARM, 6525-01-452-0956 

During transportation the BV-300 C-Arm is prone to damage due to improper use of the rear 

wheel steering. The rear wheel steering increases the mobility of unit during use, but can be 

hazardous during transportation. Remember to keep the rear wheels facing forward and steer 

with the front wheel. Slight adjustments of the rear wheel control handle can cause drastic 

directional changes and loss of control resulting in damage to the machine or personal injury to 

people near the machine. Later models of the Philips C-Arm do not have rear wheel steering as 

an option. 
SB 8-75-S6 

3-1 

CHAPTER 3. TMDE UTILIZATION INFORMATION 

3-1. ANALYZER, GAS, ANESTHETIC, 6630-01-487-6987

 a. The accessory kit provided with the RIKEN meters initially may not have included the 

hose assembly that connects between the fresh gas outlet of the Narkomed-M Anesthesia 

Apparatus and the inlet port of the meter itself. To make this hose assembly, use a fresh gas 

hose (Draeger PN: 4108577). Glue the end that connects to the absorber assembly into the 

small end of the “tee” that comes with the RIKEN meter kit. Attach the white tubing that goes 

to the RIKEN inlet port to the barb on the “tee.” 

 b. The equipment manufacturer does not have a replacement part number for the 

13/16” outside diameter (od) tubing that goes from the high pressure regulator to the cylinder 

gauge inside the anesthesia unit. For repairs, this must be purchased locally and cut to fit. 

3-2. AUTO SEQUENCES, FLUKE BIOMEDICAL/DNI TEST EQUIPMENT 

 a. There have been several instances noted in which TMDE that comes with defaulted 

auto sequence options are not consistent with the medical equipment OEM’s test procedure 

and/or standard. 

 b. Repairers should print a copy of the auto sequence and verify all test procedures 

(settings are appropriate and the tolerance is correct) required to properly test the item of 

equipment IAW the OEM standards are included prior to testing an item of medical equipment. 

If you discover the auto sequence is incorrect, you may reprogram the auto sequence manually 

to comply with OEM standards. 

 c. The most notable inconsistencies are when testing the Valleylab Force 2 

Electrosurgical Unit in which case the RF leakage tests set in the TMDE auto sequence uses an 

open load and should use a 200 ohm load; and the Lifepak 10 Defibrillators in which case the 

tolerance set in the TMDE auto sequence is 15 percent and should be 7 percent.

3-3. CALIBRATOR – ANALYZER (VT-PLUS), 6515-01-491-6615 

 a. The 754M Ventilator was designed to only communicate with the RT200 Calibration 

Analyzer. The Fluke Biomedical VT-Plus, with the ability to emulate the RT-200, can also be 

used to calibrate and service the 754M ventilator. 

 b. Although previous versions of firmware allowed the ability to calibrate the 754M, 

repairers were often confused because the screen would request “RT-200 specific” input during 

the calibration procedure. 

 c. Recent software revisions for the VT-Plus and VT-Plus-HF are available to assist 

repairers with servicing the 754M ventilator with minimal perplexity. The newer revisions 

provide true “Emulation” thus the software recognizes the TMDE as a RT-200 and goes directly 

into the calibration mode. The software revision number can be found on the warm-up screen, 

when the unit is first turned on. 

(1) For the VT-Plus, Software Revision Number 1.07.03 or higher is recommended. 

(2) For the VT-Plus-HF, Software Revision Number 1.08.06 or higher is 

recommended. 

(3) Contact your local TMDE Support Center or MSD TRACY California for upgrades. 
SB 8-75-S6 

3-2 

3-4. METER X-RAY CALIBRATION, 6525-01-502-0504 

 a. There have been some concerns brought up recently that there is opportunity for 

inaccurate readings when measuring KVp on the Min-Xray HF 120 if the Unfors external detector 

is positioned incorrectly. 

 b. To ensure accuracy when using the UNFORS 710L to measure kVp on the MinXray 

HF 120 the following steps should be taken: 

 (1) The Unfors external detector should be placed approximately 45cm (18”) from 

the x-ray tubes focal spot and as close as possible to the center of the field. The built in tape 

measure on the collimator is pre-set to the tube-head’s focal spot. 

 (2) Ensure the X-ray is level and the Unfors external detector is centered and 

perpendicular to the X-Ray beam. The detector should be positioned perpendicular to the tube 

axis to minimize the heel affect. See Figure 3-1. 

Figure 3-1 
SB 8-75-S6 

3-3 (3-4 blank) 

(3) Note On Calibration and the Heel Affect: An x-ray beam’s intensity is not 

uniform throughout its entirety. X-radiation is emitted from the tubes anode, or focal spot, in a 

conical shape. Measurements show that the beams intensity in the direction of the anode is 

lower than the intensity in the direction of the cathode. It is important that the Unfors external 

detector is centered and perpendicular to the X-Ray beam. See Figure 3-2 for picture 

illustrating the Heel Affect. 

Figure 3-2 

3-5. MULTIMETER, RADIOGRAPHIC, PMX-III, 6525-01-387-0212 

a. Software Improvements Version 5.2 System provides Improved Continuous Mode 

measuring. 

(1) The new Software Version 5.2 for the PMX-III enables the repairer to select 

any parameter (kVp, MA, Time, MAS) to be displayed during an exposure using the Continuous 

Mode. 

(a) The parameter to be displayed is preselected by using the Parameter key. 

This new capability enables the repairer to see the real-time values of dose and dose rate 

during the exposure. Previous Software versions involved limitations in the Continuous Mode 

allowing only visibility of kVp until exposure completion at which time all measured values could 

then be viewed by scrolling through the display. 

(b) Manual reset for the electrometer is available also in the MULTIMETER 

mode. The function key F3 works as RESET key in the MULTIMETER mode in the following 

cases. The normal function is the SETUP table #1 is loaded when the F3 is pressed. However, 

when dose or dose rate is selected by means of the PARAMETER key this function is overridden 

and a reset of the electrometer is preformed. If no SETUP table is programmed to the F3 key, it 

works as RESET key in all situations both in the MULTIMETER and DOSIMETER mode. 
SB 8-75-S6 

APPENDIX A. EXTERNAL STANDARD OPERATING PROCEDURES MEDICAL 

MAINTENANCE OPERATIONS DIVISION HILL AFB, UT 

A-1 

U.S. Army Medical Materiel Agency 

Maintenance Engineering & Operations Directorate 

Medical Maintenance Operations Division, Hill AFB Utah 

External Standing Operating Procedures 

MCMR-MMO-SMO March 2006 

1. Purpose 

To provide guidance to units and organizations requesting services from the U.S. Army Medical 

Materiel Agency (USAMMA) Medical Maintenance Operations Division, (MMOD-UT) at Hill Air 

Force Base Utah. 

2. Scope 

These procedures are applicable to all units and activities requesting support. 

3. Mission 

The USAMMA Medical Maintenance Operations Division provides depot-level services and 

functions in support of all field TOE medical equipment (except x-ray). We have the capability 

to refurbish and rebuild field medical equipment to like-new condition, provide repair and 

return services, administer a Medical Standby Equipment Program (MEDSTEP) and provide 

on-site support. 

3.1. Hill serves as the regional manager, and your single point of contact to address all of 

your TOE medical maintenance requirements. The map below depicts Hill’s Region. 
SB 8-75-S6 

(continued) APPENDIX A. EXTERNAL STANDARD OPERATING PROCEDURES MEDICAL 

MAINTENANCE OPERATIONS DIVISION HILL AFB, UT 

A-2 

4. Hours of Operation 

Our duty hours for the Maintenance Division are 0500 to 1630 (MT), Monday through 

Friday. If you need assistance or service for field TOE medical equipment, please 

contact the following personnel: 

Chief 801-586-4947 DSN 586-4947 

Shop Supervisor 801-586-4948 DSN 586-4948 

Production Control 801-586-4949 DSN 586-4949 

Fax 801-586-5058 DSN 586-5058 

Website: http://www.usamma.army.mil/maintenance/operations_divisions.cfm

5. Services Available 

5.1. All maintenance significant medical materiel except high capacity x-rays and optical 

equipment 

5.2. On-site technical assistance (request must be made to HQ, USAMMA) 

5.3. Telephonic technical assistance 

5.4. Medical Equipment Standby Program 

5.5. Repair of TO&E medical equipment 

5.6. Parts support to AMEDD Limited Support Items (ALSI) 

6. Requesting Services 

6.1. Prior to sending any nonstandard medical equipment, call DSN 586-4949/4947 to 

ensure that the items can be supported at this division. 

6.2. When shipping equipment for repair or service, please use the following address: 

U.S. Army Medical Materiel Agency 

6149 Wardleigh Road 

Bldg. 1160, Bay 1 

Hill AFB, UT 84056-5848 

DODAAC: W81PYK 

6.3. The owning or supporting unit is responsible for ensuring that the equipment is cleaned 

and disinfected prior to shipping the item to our Division for service. 

6.3.1. Contaminated or unsanitary equipment will be returned to from wherever it came with 

no maintenance action taken. 
SB 8-75-S6 

(continued) APPENDIX A. EXTERNAL STANDARD OPERATING PROCEDURES MEDICAL 

MAINTENANCE OPERATIONS DIVISION HILL AFB, UT 

A-3 

6.4. Each equipment item must be shipped with the following: 

♦ All accessories needed to operate, test and/or calibrate the unit 

♦ manufacturer’s service literature for non-standard equipment 

♦ DA Form 2409 (for manual systems), or a work history printout (for 

automated systems) 

♦ DA Form 2407 containing the following: 

3⁄4 unit name and address 

3⁄4 DODAAC and UIC 

3⁄4 point of contact 

3⁄4 commercial/fax telephone numbers 

3⁄4 priority 

3⁄4 brief description of the problem or requested service (i.e., repair and 

return) 

Note: We request that you contact us prior to shipping non-standard equipment. 

6.5. Upon receipt of your equipment, an automated work order will be generated and faxed 

to your point of contact. Please reference our work order number regarding all inquiries. 

6.6. When services are completed, the equipment will be shipped to your return address and 

POC. A copy of our closed automated work order will be returned with the equipment for 

updating your unit’s records. 

6.7. Equipment that is not economically repairable will be condition coded in accordance with 

applicable regulations. The owning or supporting unit will be notified for disposition 

instructions. Equipment items will be returned to your unit or disposed of locally, in which 

case your unit will be provided a copy of the closed automated work order and a signed copy 

of the DD Form 1348 for your records. 

6.8. Repairs or services that will exceed the One Time Expenditures Limit (OTEL) or 

Maximum Expenditure Limit (MEL) will require a waiver approved by your organization 

commander or designee prior to the accomplishment of any repairs or services. 

6.9. All units, organizations, facilities or agencies other than active army (P84 and medical 

P1 funds) are required to reimburse USAMMA for all services. Army National Guard and Army 

Reserve units are not required to submit funding citations as their respective headquarters 

provide funds on an annual basis to cover their medical equipment. Funding documentation 

from other reimbursable customers must include the following: 

3⁄4 Document number to include owning DODAAC, UIC, and address 

3⁄4 Funding citation 

3⁄4 Authorized amount (amount authorized for service) 

3⁄4 Point of contact and telephone number 

3⁄4 Nomenclature of item 

3⁄4 National stock number, management control number, or non-standard 

number 

3⁄4 Model number and quantity sent with serial numbers 

3⁄4 Any accessories, maintenance manuals, or other materiel that may be 

required to perform service on the equipment 

3⁄4 Identification of all accessories 

6.10. On-site maintenance support for field TOE equipment is available from our Division 

and should be coordinated with us first to ensure availability of manpower and resources. All 

requests for on-site maintenance support must be through appropriate command channels to 
SB 8-75-S6 

(continued) APPENDIX A. EXTERNAL STANDARD OPERATING PROCEDURES MEDICAL 

MAINTENANCE OPERATIONS DIVISION HILL AFB, UT 

A-4 

the Commander, U.S. Army Medical Materiel Agency, ATTN: MCMR-MMO-SM, 1423 Sultan 

Drive, Fort Detrick, MD 21702-5001. Requests must include name and location of the 

requesting unit and work site, specific requirement to include estimated man-hours, 

recommendation, and priority from local command. 

6.11. On-Site Sustainment Maintenance support for National Guard TO&E medical equipment 

is available from the Utah Maintenance Division on an annual basis for the states of UT, ID, 

KS, MO, NE, IA, MN, WI, WY, CO, MT, AK, ND, SD, MI, IN, IL, and KY. Personnel from our 

Division will be contacting all USANG TO&E units with in these states annually to arrange for 

specific dates and times for providing service. For this program to be successful, it is essential 

that our records reflect the most current information for each unit’s point of contact, phone 

number, e-mail address, unit name, location and UIC. If any of this information has recently 

changed or your unit has not been contacted by our Division, please contact us at 

801-586-4948/4937 or DSN 586-4948/4947. 

7. Repair Parts for Field TOE Equipment 

7.1. Repair parts to support equipment for which the manufacturer or other sources will no 

longer supply parts may be requested from our Medical Maintenance Division, commercial 

801-586-4950/4948. All requests will require your unit name, address, DODAAC, point of 

contact, commercial/fax telephone numbers, the NSN of the end item and the part number(s) 

of the items requested. 

7.2. The USAMMA is in the process of establishing a Centralized Repair Parts Program at the 

Utah Medical Maintenance Division for all TO&E Medical Equipment. Depending on the 

availability of funding, we may be able to assist you with your repair parts requirements. 

Please call one of our Supply Technicians at Comm: 801-586-4950/5962 or DSN 

586-4950/5962 and they will explain how the process works and what information you will 

need to provide. 

8. Medical Standby Equipment Program (MEDSTEP) 

8.1. MEDSTEP assets will not be used to fill equipment shortages, replace uneconomically 

repairable items or expand operational missions. 

8.2. MEDSTEP assets will be requested through our Medical Maintenance Division at 

commercial 801-586-4949. All requests will require your unit name, address, DODAAC, point 

of contact, commercial/fax telephone numbers, and a brief description of your requirement. 

8.3. The requesting unit is responsible for the care and maintenance of the MEDSTEP item 

and to ensure the item is cleaned and properly packed prior to returning the item to our 

Division. 

9. Cannibalization Point

The MMOD-UT maintains unserviceable assets of selected medical equipment for 

cannibalization. Authorized customers may request parts from cannibalization for mission 

critical medical equipment when parts are not available from any other source. 

Chief, Medical Maintenance Operations Division 

USAMMA 
SB 8-75-S6 

APPENDIX B. EXTERNAL STANDARD OPERATING PROCEDURES 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TOBYHANNA, PA 

B-1 

U.S. Army Medical Materiel Agency 

Force Sustainment Directorate 

Medical Maintenance Operations Division, Tobyhanna, PA 

External Standing Operating Procedures 

MRMC-MMO-SMT March 2006

1. Purpose

To provide guidance to units and organizations requesting services from the U.S. Army Medical 

Materiel Agency (USAMMA) Medical Maintenance Operations Division, Tobyhanna (MMOD-PA) 

at Tobyhanna Army Depot, Tobyhanna PA. 

2. Scope

These procedures are applicable to all units and activities requesting support. 

3. Mission

The USAMMA Medical Maintenance Operations Division, Tobyhanna, PA, provides depot-level 

services and functions in support of TDA and TOE medical equipment. In addition to providing 

outstanding maintenance support for a wide variety of the Army’s medical equipment, we 

operate the USAMMA’s Center of Excellence for the AMEDD’s Diagnostic Imaging Acceptance 

Program; the physical examination equipment refurbishment and loan program; the Army’s 

Dental Handpiece Rebuild program; the audiometric equipment calibration program; Optical 

Equipment maintenance; TOE Laboratory Equipment, and PACS acceptance testing and 

centralized monitor support. 

3.1. Tobyhanna serves as the regional manager, and your single point of contact to assist 

you with all of your medical maintenance support requirements. 

3.2. The map below depicts Tobyhanna’s Region. 
SB 8-75-S6 

(continued) APPENDIX B. EXTERNAL STANDARD OPERATING PROCEDURES, 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TOBYHANNA, PA 

B-2 

4. Hours of Operation

Normal duty hours are 0630 to 1730 (ET) Monday through Friday. If you need assistance or 

service please contact the following personnel: 

Chief 570-895-7744 DSN 795-7744 

Shop Supervisor 570-895-7134 DSN 795-7134 

Production Control 570-895-6396 DSN 795-6396 

Work Order Status 570-895-7843 DSN 795-7843 

Supply 570-895-7614 DSN 795-7614 

Fax 570-895-7699 DSN 795-7699 

Website: 

http://www.usamma.army.mil/maintenance/operations_divisions.cfm

5. Services Available

The Medical Maintenance Operations Division, PA, has the capability to refurbish and rebuild 

medical equipment to like-new condition, provide repair and return services, administer a 

Medical Equipment Standby Equipment Program (MEDSTEP), and provide on-site support. 

Tobyhanna is also one of three Regional Managers for the AMEDD Maintenance Sustainment 

Program. 

5.1. TO&E Equipment - All TO&E equipment, to include high capacity x-rays and imaging. 

(All versions of Orex, Compano, and ACR 2000 CR Readers). 

5.2. TDA Equipment Items – Our TDA equipment maintenance support includes Optical 

Equipment, Audiometric Equipment, and Dental Handpieces. Tables 1, 2, and 3 list the 

respective TDA equipment items that are routinely serviced at Tobyhanna. Equipment items 

not listed in “services available” or on the USAMMA Maintenance Operations Divisions’ website 

should not be sent without prior coordination. 

TABLE 1. TDA OPTICAL EQUIPMENT 

MICROSCOPES PHOROPTERS LENSOMETERS 

Nikon – Labophot 1 & 2 , Eclipse 50i All Marco Marco 101 

Olympus – BH series & BX 40 Leica 11625 Leica 21 65 70 

All Cambridge All American Optical Nikon – EL-7S 

All Leica All Reichert Reichert – ML1 

All AO 

SLIT LAMP VISION TESTER

TOPCON – SL30, SL6E & SL-D7 AFVT 2300 

Table 2. TDA AUDIOMETRIC EQUIPMENT 

All Tracor/Tremetrics - NOTE: RA 400A supportability is limited. 

All Maico 

Beltone – 120 

Grason Stadler ( Limited Supportability) – GSI 16, 27, 27A, 28, 33, and 38 

Grason Stadler – Tympstar, GSI 61, GSI 17 
SB 8-75-S6 

(continued) APPENDIX B. EXTERNAL STANDARD OPERATING PROCEDURES, 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TOBYHANNA, PA 

B-3 

TABLE 3. DENTAL HANDPIECES 

Kavo 632, 635, 642, and 643 

Lares 557-757 

Mid West, XGT 

Mid West, Shorty 1 and 2 Speed (Slow Speed) 

Mid West, Tradition (High Speed) 

Mid West, Shorty Nose Cone (Fits on Shorty 2 Speed) 

Mid West, Prophy Angle 

Mid West, Quiet Air 

Mid West, 8000 I 

Star, 430 

Star, Titan Scaler 

5.3. Assistance Visits: On-site assistance visits will be conducted annually by Tracy Division 

for National Guard supported units within our region. This will be accomplished by division 

maintenance teams or arranged maintenance support with other maintenance activities in the 

state. The Chief/Shop Supervisor, Tracy Division, will coordinate scheduling of visits. All 

other assistance visits to include On-Site technical assistance, training and X-ray acceptance 

inspection requests will be coordinate through HQ, USAMMA. Please contact the Chief, Medical 

Maintenance Division prior to submitting any request for assistance. Any unit desiring an onsite assistance visit with the exception of National Guard units will be required to submit a 

memorandum to: 

US Army Medical Materiel Agency 

ATTN: MCMR-MMO-SM 

1423 Sultan Drive, Suite 100 

Fort Detrick MD 21702-5001 

5.3.1 Please contact the Chief, Maintenance Operations Division at 301-619-4365 for further 

assistance. 

5.4. Telephonic technical assistance - Technical experts are available to share their 

knowledge and experience. They will help diagnose and troubleshoot equipment failures. 

5.5. Military Entrance Processing Station (MEPS) Direct Exchange Program - The Medical 

Maintenance Operations Division, Tobyhanna, provides an equipment direct exchange program 

for the MEPS. When a piece of equipment fails, the MEPS call us for an exchange 

replacement. The replacement equipment is sent out immediately to the requesting unit. The 

unit then sends their broken equipment to us for repair and placement back into the exchange 

program. This process alleviates the need for any direct MEDDAC/MEDCEN involvement. A 

listing of equipment in the direct exchange program is shown in Table 4. 
SB 8-75-S6 

(continued) APPENDIX B. EXTERNAL STANDARD OPERATING PROCEDURES, 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TOBYHANNA, PA 

B-4 

TABLE 4. MEPS EQUIPMENT 

NSN NOMENCLATURE MODEL MFR 

 

6515-01-C01-0001 Audiometer HT Wizard Tremetrics 

6515-01-X18-2319 Bio-Acoustic Sim Oscar VII Quest 

6640-01-C03-0017 Centrifuge 225A Fisher 

6515-01-C05-0004 EKG LE11 Burdick 

6515-01-C05-0005 EKG Atria 3000 Burdick 

6540-01-452-8207 Color Vision Tester Optec 900 Stereo Optical 

6530-01-429-4649 Exam Light 48600 Welch Allyn 

6650-01-207-0829 Microscope Labophot Nikon 

6650-01-325-3747 Microscope Various Amer Optical 

6670-01-C19-0036 Digital Scale WB-100A Tanita 

6670-01-C19-0032 Digital Scale BWB-627A Tanita 

6640-01-375-9031 Vision Tester 2300A & 2300 Stereo Optical 

6515-01-C13-0001 Vital Signs Monitor Spot 4200B Welch Allyn 

Note: The MMOD-PA provides a Direct Exchange Program for selected equipment. To 

qualify for a DX, the equipment must be the same make and model, and must be 

repairable. No direct exchange will be complete until both parties are satisfied 

with the equipment they received. 

5.6. Medical Equipment Standby Program (MEDSTEP) - This program is available to provide 

temporary loaner equipment during long repairs or temporary mission support. MEDSTEP 

assets may only be utilized to provide temporary replacement for equipment being serviced at 

the MMOD-PA. Our MEDSTEP assets include a variety of end items, components, or 

assemblies. A list of MEDSTEP assets available at the MMOD-PA is published periodically in 

the SB 8-75 series bulletins. Contact our Supply Section to request MEDSTEP assets. 

Note: MEDSTEP equipment may not be used to fill equipment shortages or expand 

operational missions. Exceptions require command approval. When the owner’s 

original equipment is received back, the MEDSTEP item, to include all accessories, 

must be returned to the MMOD-PA. Reimbursable customers that use MEDSTEP 

must provide funds as necessary to restore the MEDSTEP item back to serviceable 

condition. 

5.7. AMEDD Sustainment Maintenance Program - The program is an OTSG/MEDCOM 

initiative with the USAMMA Force Sustainment Directorate (FSD) as the action office. The 

USAMMA has operational responsibility for the program and acts as the focal point for all MTOE 

medical equipment maintenance. This program is designed to provide technical assistance 

visits to supported activities without organic maintenance capability, or when repairs are 

beyond their capabilities, manpower limits, or technical expertise. The overall objectives of 

the AMEDD Maintenance Sustainment Program are to: 

a. Increase readiness by ensuring MTOE medical equipment is mission capable. 

b. Provide visibility of medical equipment status for the Total Army. 

c. Increase flexibility to cross-level DS/GS sustainment maintenance workload. 

d. Establish sustainment training for medical equipment repairers. 

e. Provide a maintenance structure that will accommodate any medical maintenance 

related initiative. 

f. Increase maintenance capability by ensuring efficient use of all maintenance 

resources. 

g. Tobyhanna provides Sustainment Maintenance Support to the following areas: 
SB 8-75-S6 

(continued) APPENDIX B. EXTERNAL STANDARD OPERATING PROCEDURES, 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TOBYHANNA, PA 

B-5 

Alabama Maine North Carolina Tennessee 

Connecticut Massachusetts Ohio Virginia 

Delaware Maryland Pennsylvania Virgin Islands 

District of Columbia New Hampshire Rhode Island Vermont 

Florida New Jersey Puerto Rico West Virginia 

Georgia New York South Carolina 

5.8. X-ray Acceptance Procedures - Upon completion of an x-ray system installation, the 

contractor is required to notify the Defense Support Center, Philadelphia (DSCP) that the 

system is ready for an acceptance inspection. Notification by the contractor should be made 

in writing to:

DSCP-MX 

PO Box 8419 

2800 S. 20th Street 

Philadelphia PA 19101-8419

Note: Acceptance inspections cannot be performed by this activity without the 

approval of the manufacturer and notification from DSCP. 

 a. Once notification has been received by DSCP that the unit is ready for inspection, 

DSCP will in turn notify the appropriate service (U.S. Army, U.S. Air Force or Navy) 

representative. The U.S. Army Representative at the USAMMA/ Tobyhanna Army Depot will 

then contact the facility and notify them that the Government has received an official notice 

that a Radiology System has been installed and that the facility has 30 working days to 

complete the inspection. If the facility cannot perform the required inspection they will need 

to reply back to the representative (USAMMA) that they need assistance to complete the 

testing and indicate the reasons. If the system passes the inspection then the start date of 

the warranty will be the date of the original notice sent to DSCP. If the system fails the 

inspection then the warranty start date will be the date when it passes the re-inspection. If 

the inspection is not completed within this time frame, then the Government automatically 

accepts the system under default and the warranty start date is the date of the original notice 

sent to DSCP. 

b. Upon completion of the acceptance testing, the report must be forwarded to: 

DSCP-MX, 

PO Box 8419 

2800 S. 20th Street 

Philadelphia PA 19101-8419 

 c. For the U.S. Army, a copy of the report, along with a completed copy of the form 

FDA 2579 must be sent to: 

Medical Maintenance Ops Division 

ATTN: MCMR-MMO-SMT (X-ray Acceptance Testing) 

Tobyhanna Army Depot 

11 Hap Arnold Blvd. 

Tobyhanna PA 18466-5063 

 d. Applying for a Variance - Variances to the inspection time frame cannot be 

negotiated locally. Requests for variances must be made as early as possible and directed to 

DSCP-MX prior to the expiration of the established 30 working day inspection period. 

Requests must state the reason(s) for not complying within the stipulated time frame and the 

actions, which are desired or required, e.g., time extension. 
SB 8-75-S6 

(continued) APPENDIX B. EXTERNAL STANDARD OPERATING PROCEDURES, 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TOBYHANNA, PA 

B-6 

Note: It should be noted that the local contractor's representative might not be 

aware of the contract requirements and inspection testing procedures. 

Therefore, it is to the advantage of any activity that will require an acceptance 

inspection to involve the local clinical engineering activity in new x-ray system 

installations. Unresolved local problems regarding the installation or 

inspection of an x-ray system should be directed to DSCP-MX, for resolution 

by the responsible contracting officer. 

5.9. Cannibalization Point - The MMOD-PA maintains unserviceable assets of selected medical 

equipment for cannibalization. Authorized customers may request parts from cannibalization 

for mission critical medical equipment when parts are not available from any other source. 

6. Requesting Services

All units, organizations, facilities or agencies other than active army (P84 and medical P1 

funds) are required to reimburse USAMMA for all services. Army National Guard and Army 

Reserve units are not required to submit funding citations as their respective headquarters 

provide funds on an annual basis to cover their medical equipment. Funding documentation 

from other reimbursable customers must include the following: 

a. Document number to include owning DODAAC, UIC and address 

b. Funding citation. 

c. Authorized amount (amount authorized for service). 

d. Point of contact and telephone number. 

e. Nomenclature of item. 

f. National stock number, management control number, or non-standard number. 

g. Model number and quantity sent with serial numbers. 

h. Any accessories, maintenance manuals, or other materiel that may be required 

to perform service on the equipment. 

i. Identification of all accessories. 

6.1. Preparing the Equipment - Prior to sending any nonstandard medical equipment not 

listed in the table above, call DSN 795-6396 to ensure that the items can be supported at this 

Division. 

a. Infection Control - is primarily the responsibility of the activity requesting 

equipment repair or maintenance service. Equipment must be cleaned and disinfected to the 

maximum extent possible prior to shipment to or receipt by this maintenance division. We 

retain the right to refuse equipment that has not been properly cleaned and disinfected. 

b. Hazardous Waste - Equipment, which contains hazardous waste, must be 

disposed of in accordance with federal and local laws. It is the responsibility of the activity 

requesting service to dispose of hazardous waste prior to shipment to or acceptance by this 

Division. 

c. Packing/Transport - Equipment should be packed to prevent further damage 

during shipment/transport. 

Note: Each individual item of equipment excluding dental handpieces will have its 

own DA Form 2407 (Work Order Request). 

6.2. Preparing the Paper Work - All customers may request maintenance services by 

submitting either a DA Form 2407 (or automated equivalent). Requests for high priority work 

(Priority 03) must be authenticated by the Unit Commander or a person designated by the 

Unit Commander. Work requests submitted without authentication for higher priority will be 

handled as routine. 
SB 8-75-S6 

(continued) APPENDIX B. EXTERNAL STANDARD OPERATING PROCEDURES 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TOBYHANNA, PA 

B-7 (B-8 blank) 

6.3. Sending/Delivering the Equipment/Paperwork - Items can be mailed, shipped, or 

delivered to the address listed below. When equipment is received at the maintenance 

division, the following items will be checked: 

a. Shipping document (If item is received via mail, UPS, or FedEx) 

b. Damage from shipping or handling. 

c. Cleanliness. 

d. Properly completed DA Form 2407 or equivalent. 

e. Equipment accessories. 

Note: Accessories sent along with equipment should be annotated on the work request. 

Failure to complete paper work or prepare equipment properly may cause a 

delay in service. When shipping or delivering equipment for repair, please 

ensure the manufacturer's literature (operation & service) is included. If 

literature is unavailable, every effort should be made to obtain it prior to 

shipment of the equipment. 

f. When shipping equipment for servicing please use the following address: 

US Army Medical Materiel Agency 

Medical Maintenance Operations Division – PA 

Warehouse 4, Bay 1 

Tobyhanna Army Depot 

Tobyhanna PA 18466-5063 

DODAAC: W25AT5 

6.4. Questions concerning funding or fund citations may be answered by calling the 

Production Controller at 570-895-6396 or DSN 795-6396. 

6.5. All customers may request maintenance services by submitting either a DA Form 2407 

(or automated equivalent), DD Form 1348-1 or DD Form 1149 shipping documents. 

6.6. All equipment that comes in reusable containers should be shipped in those 

containers. All other equipment should be properly packaged so that no further damage will 

occur. Place a copy of the maintenance request inside the container with the equipment. 

6.7. Accessories and maintenance manuals must be sent with the equipment to prevent 

delays in the repair or service. All accessories sent with the equipment shall be indicated in 

the remarks section of the shipping document. 

6.8. The Maintenance Expenditures Limit (MEL) shall be included in the remarks section of 

the shipping form. Failure to include the MEL will result in delays. 

6.9. When active army units submit equipment that belongs to a serviced unit, the owning 

units address and UIC will be annotated in the remarks section of the shipping document. 

6.10. Equipment items not listed in services available or on the USAMMA maintenance 

website should not be sent without prior coordination. 

6.11. The USAMMA MMOD-PA is not responsible for billing customers. For questions 

concerning billing please call USAMMA’s Maintenance Operations Division at 301-619-4368 or 

DSN 343-4368. 

Chief, Medical Maintenance Operations Division 

USAMMA 
SB 8-75-S6 

APPENDIX C. EXTERNAL STANDARD OPERATING PROCEDURES, 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TRACY, CA 

C-1 

U.S. Army Medical Material Agency Force Sustainment Directorate Medical 

Maintenance Operations Division, Tracy California 

External Standing Operating Procedures 

MCMR-MMO-SMTR March 2006 

1. Purpose 

To provide guidance to units and organizations requesting services from USAMMA’s 

Medical Maintenance Operations Division-California (MCMR-MMO-SMTR) at Defense 

Distribution Center, Tracy Location, Tracy CA 95304-9150. 

2. Scope 

These procedures are applicable to all units and activities requesting support. 

 

3. Mission 

The USAMMA Medical Maintenance Operations Division, Tracy, provides depot-level 

services and functions in support of TOE medical equipment, specializing in x-ray 

equipment and Special Purpose Test, Measurement, Diagnostic Equipment (TMDESP). 

 

3.1. Tracy serves as the regional manager for all your TOE medical maintenance 

support requirements. However, although we do not support optical and audiometer 

equipment in-house, we can assist you in coordinating assistance from Tobyhanna if 

necessary. The map below depicts Tracy’s Region. 
SB 8-75-S6 

(continued) APPENDIX C. EXTERNAL STANDARD OPERATING PROCEDURES, 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TRACY, CA 

C-2 

4. Hours of Operation 

Normal duty hours are 0450 to 1520 (PT) daily Monday through Friday, excluding 

holidays. A telephone recorder is available on 209-839-4557 or DSN 462-4557 for 

calls received after duty hours. When leaving messages please speak clearly so your 

message will be understood. Leave your name, telephone number, and the work 

order number if available and we will respond the following workday. 

POSITION COMMERCIAL DSN 

Chief 209 839-4556 462-4556 

Shop Supervisor 209 839-4560 462-4560 

Production Control 209 839-4557 462-4557 

Fax 209 839-4563 462-4563 

Website: http://www.usamma.army.mil/maintenance/operations_divisions.cfm 

5. Services Provided

5.1. Assistance Visits: On-site assistance visits will be conducted annually by Tracy 

Division for National Guard supported units within our region. This will be 

accomplished by division maintenance teams or arranged maintenance support with 

other maintenance activities in the state. The Chief/Shop Supervisor, Tracy Division, 

will coordinate scheduling of visits. All other assistance visits to include On-Site 

technical assistance, training and X-ray acceptance inspection requests will be 

coordinate through HQ, USAMMA. Please contact the Chief, Medical Maintenance 

Division prior to submitting any request for assistance. Any unit desiring an on-site 

assistance visit with the exception of National Guard units will be required to submit 

a memorandum to: 

USAMMA 

ATTN: MCMR-MMO-SM 

1423 Sultan Drive, Suite 100 

Fort Detrick MD 21702-5001 

5.2. Depot level services for all TO&E except optical and audiometer equipment. 

 

5.3. Telephonic technical assistance. 

5.4. Repair and Return services all TO&E except optical and audiometer equipment. 

 
SB 8-75-S6 

(continued) APPENDIX C. EXTERNAL STANDARD OPERATING PROCEDURES, 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TRACY, CA 

C-3 

5.5. Calibrate and repair special purpose test, measurement, and diagnostic 

equipment (TMDE-SP) as listed below. 

T.M.D.E. LISTING FOR MAINTENANCE 

 Item/ Nomenclature NSN Model

Meter, X-Ray Calibration 

Multimeter, Radiographic 

X-ray Calibration & Verification 

System

6525-01-502-0504 

6525-01-387-0212 

6625-01-312-0894 

UNFORS 710-L 

PMX-III 

Victoreen 

07/457/472/473 

Gas Flow Analyzer 

Calibrator, Gas Flow

6515-01-491-6615 

6695-01-255-2855 

VT-Plus/ VT-Plus HF

RT-200 

Anesthetic Gas Analyzer 6630-01-487-6987 Riken 1802D 

Analyzer, NIBP 6515-01-449-1423 Cufflink 

IV Pump Analyzer 6515-01-449-2331 

6515-01-479-2355 

IPT-1 

IDA-4 

Defibrillator Analyzer 

Tester, Defibrillator 

6515-01-499-1420 

6625-00-433-9063 

Impulse 4000 

DT2000A 

Densitometer, SU150/P 6525-01-161-1945 07-423 

Simulator, Medical Function 

Calibrator Generator, ECG 

6625-01-298-3830 

6625-01-286-2741 

6515-01-049-9449 

215M 

217A 

ECG 100 

Foot Candle Meter 6695-01-303-0294 9-118 

Thermometer, Dig. 6685-01-292-7873 51-II 

Oscilloscope, Digital 6525-01-448-9577 THS720P 

Wattmeter, Ultrasound Therapy 

6625-01-504-2654 

6625-01-141-7357 

6625-01-487-6986 

UW-4 

UMR3-C 

UMR 3-D 

Simulator, Pulse Oximeter 6515-01-504-8537 

6515-01-499-1422 

INDEX 2 

Cardiosat 

Tachometer, Stroboscopic 6680-01-307-6190 

6680-00-243-9977 

1893A 

1726 

Test Set, Electro-surgical 6515-01-438-2409 

6625-01-042-8213 

454A 

RF302 

Tester, Current Leakage 6625-01-142-8233 

6625-01-207-8270 

232M 

232D 

T.M.D.E. SP (Special Purpose) 

Tester, Ventilator 6515-01-449-1421 Pneuview 3600i 

5.5.1. TMDE-SP Calibrated or Verified at Tracy 

If listed as Verify/OEM, Tracy will verify and if within calibration will complete. If 

item is out of calibration and needs adjustment, the item will be sent to OEM for 

repair and calibration. If listed as Calibrate/OEM Tracy will make adjustments to 

bring item within calibration. If unable to bring within tolerance Tracy will send to 

OEM for repair and calibration. 
SB 8-75-S6 

(continued) APPENDIX C. EXTERNAL STANDARD OPERATING PROCEDURES, 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TRACY, CA 

C-4 

TMDE-SP CALIBRATED OR VERIFIED AT TRACY 

 

ITEM/ NOMENCLATURE MODEL SERVICE 

Meter X-Ray Calibration UNFORS 710-L Verify/OEM 

Multimeter Radiographic PMX-III Verify/OEM 

X-Ray Calibration & Verification System Victoreen 

07/459/472/473 Calibrate 

Gas Flow Analyzer VT-Plus Verify/OEM 

Calibrator Gas Flow RT-200 Calibrate/OEM 

Anesthetic Gas Analyzer Riken 1802D Verify/OEM 

Analyzer NIBP Cufflink Calibrate 

IV Pump Analyzer IPT-1 and IDA-4 Calibrate 

Defibrillator Analyzer TPA Impulse 4000 Calibrate 

Tester Defibrillator DT2000A Calibrate 

Densitometer, SU150/P 07-423 Calibrate 

Simulator, Medical Function 215M, 217A Calibrate 

Calibrator Generator, ECG ECG 100 Calibrate 

Computer, Laptop Various Load Software 

Foot Candle Meter 9-118 Calibrate 

Thermometer, Digital 51 II Calibrate 

Oscilloscope, Digital THS720P Send out to TSC 

Or OEM 100% 

Wattmeter, Ultrasound Therapy UW-4 Calibrate 

Wattmeter, Ultrasound Therapy UMR 3-C Calibrate 

Wattmeter, Ultrasound Therapy UMR 4-D Calibrate 

Simulator, Pulse Oximetry INDEX 2M FE Calibrate 

Simulator, Pulse Oximetry Cardiosat EF Calibrate 

Tachometer, Stroboscopic 1893A Calibrate 

Tachometer, Stroboscopic 1726 Calibrate 

Test Cassette, X-Ray 07-467 Calibrate 

Test set, Electrosurgical 454A and RF302 Calibrate 

Tester Current Leakage 232M and 232D Calibrate 

Tester, Ventilator Pneuview 36000I Calibrate 

5.5.2 Test Measurement, and Diagnostic Equipment (TMDE) 

All field medical unit special purpose TMDE-SP such as defibrillator testers, patient 

simulators, electro surgical test sets, and x-ray calibration sets are supported with 

repair and calibration services. To maintain capability when TMDE-SP is turned in for 

repair or calibration a like item may be exchanged or borrowed, if available. 

5.6. Direct Exchange of X-ray Tube Heads 

An exchange for x-ray tubes may be requested by calling customer assistance at 

209-839-4560/4556DSN 462-4560/4556 or. A questionnaire will be faxed to your 

activity to determine the appropriate information for the exchange. Tracy Division 

rebuilds or provides a direct exchange for the following types of x-ray tube heads: 
SB 8-75-S6 

(continued) APPENDIX C. EXTERNAL STANDARD OPERATING PROCEDURES, 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TRACY, CA 

C-5 

DIRECT EXCHANGE OF X-RAY TUBE HEADS 

 

National Stock Number (NSN) Tube Type 

 

6525-00-C95-9590 Picker PX1300 Series 

6525-00-C95-9600 Picker PX1400 Series 

6525-00-C95-9560 Eureka Emerald 125 Series 

6525-00-C95-9550 Eureka Sapphire 150th Series 

6525-00-C95-9570 Eureka Diamond 150th Series 

6525-00-C95-9785 Philips ROT 350-10 

6525-00-C95-9630 G.E. Maxiray 75 

6525-00-C95-9640 G.E. Maxiray 100 

6525-00-C95-9640 G.E. Maxiray 100 Flouro 

6525-01-328-3430 Dynarad/Port-A-Ray 1200 

6. Requesting Services 

 

6.1. Prior to sending any nonstandard medical equipment, call DSN 462-4557 to 

ensure that the items can be supported at this division. 

 

6.2. When shipping equipment for repair or service, please use the following 

address: 

Medical Maintenance Operations Division 

USAMMA, Building T-255 

25600 South Chrisman Road 

Tracy CA 95304-9150 

DODAAC: W62SEV 

 

6.3. All units, organizations, facilities or agencies other than Active Army (P84 and 

medical P1 funded) are required to reimburse USAMMA for all services. Army 

National Guard and U.S. Army Reserve units are not required to submit fund 

citations as their respective headquarters provide funds on an annual basis to cover 

their medical equipment. Funding documentation from other reimbursable 

customers must include the following: 

* Document number to include owning DODAAC or UIC, and address 

* Funding citation 

* Authorized funding (amount authorized for service) 

* Point of contact and telephone number 

* Nomenclature of item 

* National stock number, management control number, or non-standard number 

* Quantity of items to include serial numbers 

* Any accessories, maintenance manuals, or other materiel which may be required to 

perform services on the equipment 

* Identification of all accessories 

6.4. Questions concerning funding or fund citations may be answered by calling 

DSN 462-4557 or commercial 209-839-4557. 
SB 8-75-S6 

(continued) APPENDIX C. EXTERNAL STANDARD OPERATING PROCEDURES, 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TRACY, CA 

C-6 

6.5. All customers may request maintenance services on their medical equipment by 

submitting either a DA Form 2407 (or the automated equivalent) or DD Form 1348-1, 

Shipping Document. TMDE-SP equipment must include DA7372, POC and a return 

address. 

 

6.6. All equipment that has reusable containers will be shipped in those containers. If 

equipment does not have reusable container equipment will be packed so that no further 

damage can occur. 

6.7. Place a copy of the document being used as the maintenance request inside the 

shipping container with the equipment. The transportation personnel or the commercial 

carrier often removes documents placed on the outside of the container. 

6.8. Accessories and maintenance manuals must be sent with the equipment to prevent 

delays in the repair or service. All accessories or materials sent with the equipment shall 

be indicated in the remarks section of the DA Form 2407 and DD Form 1348-1 or by 

other documentation. 

6.9. The Maintenance Expenditure Limit (MEL) shall be included in the remarks section 

of either the DA Form 2407 or DD Form 1348-1. Failure to include the MEL will result in 

delay of repairs. 

6.10. When Active Army units submit equipment that belongs to another unit, to the 

Medical Maintenance Operations Division (MMOD) Tracy, the owning unit, address, UIC, 

and DODAAC will be given in the remarks section of either the DA Form 2407 or DD Form 

1348-1. Unless otherwise specified, after repairs are completed the equipment will be 

returned to the owning unit. 

6.11. Equipment items not listed in 5. Services, or on the USAMMA Maintenance website, 

should not be sent without prior coordination. 

6.12. The MMOD-Tracy is not responsible for billing reimbursable customers. For 

questions concerning billing call the USAMMA's Resources Management Division at DSN 

343-2111 or commercial 301-619-2111. 

6.13. Any questions regarding MMOD-Tracy services, work order status, complaints, 

technical assistance or general information may be answered by calling DSN 462-4557/ 

4556/4560 or commercial 209 839-4557/4556/4560. Please have the serial number of 

equipment item and work order number available when you call. 

7. Direct Exchange of X-ray Tube Heads 

An exchange for x-ray tubes may be requested by calling customer assistance at DSN 

462-4560/4556 or commercial 209-839-4560/4556. A questionnaire will be faxed to 

your activity to determine the appropriate information for the exchange. 

8. Medical Standby Equipment Program 

The USAMMA MMOD-Tracy provides a Medical Standby Equipment Program (MEDSTEP) 

for selected x-ray tube heads and equipment. MEDSTEP assets may only be utilized to 

provide. 
SB 8-75-S6 

(continued) APPENDIX C. EXTERNAL STANDARD OPERATING PROCEDURES, 

MEDICAL MAINTENANCE OPERATIONS DIVISION, TRACY, CA 

C-7 (C-8 blank) 

serviceable temporary replacement for equipment being serviced at the MSD-Tracy. The 

USAMMA Maintenance Operations Division must approve exceptions. Exceptions may be 

requested telephonically by calling 301-619-4365 or DSN 343-4365. Once the owner’s 

original equipment is received back, the MEDSTEP item, to include all accessories, must be 

returned to the MMOD-CA. Reimbursable customers that use MEDSTEP must provide funds as 

necessary to restore the MEDSTEP item back to serviceable condition 

9. Cannibalization Point 

The USAMMA MMOD-Tracy maintains unserviceable assets of selected medical equipment for 

cannibalization. Authorized customers may request parts from Cannibalization for mission 

critical medical equipment when parts are not available from any other source. 

Chief, Medical Maintenance Operations Division 

USAMMA 
SB 8-75-S6 

APPENDIX D. USAMMA LOGISTICS ASSISTANCE PROGRAM, 

MEDICAL MAINTENANCE SUPPORT 

D-1 

The USAMMA Force Sustainment Directorate is in the process or revising its Logistics 

Assistance Program. The program is designed to assist medical TOE organizations with 

identifying logistics management concerns and solutions. 

The follow excerpt is from the program’s questionnaire that addresses medical maintenance 

specific issues, concerns, and information. A web-based questionnaire with informationspecific links is available at the USAMMA home page (www.usamma.army.mil). The webbased questionnaire also includes links to separate pages containing information specific to all 

your TOE medical maintenance needs. 

Questionnaire

Are you confident that your unit’s medical equipment is maintained and reliable enough to 

save your life when needed? 

1. Has the Unit Commander published a directive emphasizing the importance of and 

delineating leaders' and supervisors’ responsibilities to ensure an effective unit level medical 

equipment sustainment program is established and maintained? 

1.1. Are equipment operators (users) performing routine PMCS of the unit’s medical 

equipment? 

2. Does your unit have assigned medical equipment repairers (MOS 68A) responsible for 

your unit’s medical equipment maintenance program? (If “NO” skip to question “3”) 

2.1. Does the medical maintainer have Standard Operating Procedures (SOP) (Internal and 

External) outlining the responsibility of the maintenance personnel, as well as the equipment 

operators’/supervisors’ responsibilities, to ensure maintenance significant medical equipment 

is maintained to 10/20 standard and FMC? Sample Medical Maintenance SOP can also be 

found in SB 8-75-11, APP C. (http://www.usamma.army.mil/SB/2005_SB-11.pdf) 

2.2. Do the assigned medical maintenance repairers have the appropriate Medical 

Maintenance Equipment and Repair Tool Kits? 

Repairman's (1 per 68A) W45334 YES NO 

Organizational W45197 YES NO 

2.3. Do the medical maintenance repairers have the appropriate Test, Measurement, and 

Diagnostic Equipment (TMDE) and service kits to perform their medical maintenance mission? 

2.3.1.Does the unit have the appropriate MOA from their MACOM providing authorization to 

maintain the TMDE-SP that is pending finalization of the BOIP and authorization IAW the Unit’s 

MTOE? 

2.4. Does your unit have the manufacturer’s service literature and/or technical manuals 

(http://www.usamma.army.mil/Medical_Equipment_Publications.cfm) for all medical 

equipment authorized and on-hand within the unit? 

2.5. Do your medical equipment repairers have adequate repair parts support? Are they 

familiar with the AMEDD’s Centralized Class VIII Repair Parts Program? 

2.6. Are your unit’s medical equipment repairers utilizing the Unit Level Logistics System – 

Ground (ULLS-G) provided to manage the unit’s medical equipment maintenance program? 
SB 8-75-S6 

(continued) APPENDIX D. USAMMA LOGISTICS ASSISTANCE PROGRAM, 

MEDICAL MAINTENANCE SUPPORT 

D-2 

2.6.1 Have your 68As received the ULLS-G certification training? 

 

2.6.2.Have your medical equipment repairers reviewed the ULLS-G (medical specific) user 

manual located on AKO? (Have web-site manager Link to AKO) 

2.7. Is the leadership familiar with the USAMMA medical maintenance evaluation checklist 

(Link to be provided) to assist commanders to evaluate the Unit’s medical equipment 

maintenance program and maintenance preparedness? 

3. Where does your unit receive medical maintenance support that is beyond or exceeds 

your unit’s organic capability, i.e., MEDCEN, MEDLOG, USAMMA? 

3.1 Is the medical maintenance support you receive responsive and abundant? 

3.2. Is the command aware of the AMEDD Maintenance Sustainment Program (link to be 

provided) and the regional point of contact to assist your unit with all of your medical 

maintenance needs? 

3.3. Are USAMMA’s Maintenance Operations Depots responsive to your medical maintenance 

needs? 
SB 8-75-S6 

APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-1 

HOSPITAL - MEDICAL MAINTENANCE 

INTERNAL SOP 

Section I. General 

1-1. Purpose: This SOP establishes basic principles, policies and procedures to be 

used as a standard guideline for the efficient operation of the Hospital Medical 

Maintenance Section. 

1-2. Scope: This SOP applies to all personnel assigned or attached to the Hospital 

Medical Maintenance Section. 

1-3. References: 

a. AR 40-61 

b. AR 750-1 

c. TB 38-750-2 

d. TB MED 750-2 

1-4. Responsibilities: 

 a. Chief, Medical Maintenance Section will ensure that: 

(1) Basic concepts, objectives, and policies are met for the maintenance 

of medical equipment. 

(2) The maintenance of Hospital medical equipment is effectively 

performed throughout its lifecycle. 

(3) Maintenance programs for repair, calibration/verification/certification, 

and electrical safety testing services are implemented and performed consistent with 

available resources. 

(4) Planning, guidance, and assistance are provided to other 

organizational elements which impact on the medical maintenance mission. 

(5) Guidance is provided to the S-2/3 in the development of educational 

and training programs in maintenance for equipment operators and medical 

equipment repairers. 

(6) Commander and staff are frequently updated on the status of medical 

equipment maintenance and associated programs. 

(7) A master file copy of both operator and maintenance manuals has 

been established in the maintenance section for all equipment on hand. 

(8) Assigned Medical Equipment Repairers are utilized for medical 

maintenance and not assigned additional duties which may adversely affect the 

maintenance of medical equipment. 

 b. NCOIC, Medical Maintenance Section works under the general supervision 

of the Branch OIC and will ensure that: 

(1) Programmed scheduled/unscheduled workloads are assigned to 

individual repairers commensurate with their training and in accordance with this 

SOP. 

(2) His/her counterparts and hospital staff are apprised and informed of 

any issues concerning medical equipment maintenance services. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-2 

(3) Knowledge and application of maintenance service procedures are in 

accordance with military and/or manufacturer's instructions. 

(4) Required administrative records are maintained in accordance with 

applicable regulatory guidance. 

(5) Soldiers are recognized for outstanding performance of duties. 

Conversely, disciplinary problems or additional training requirements should also be 

documented and brought to the attention of the appropriate level of command. 

(6) Property accountability and security procedures are in place IAW 

regulations and directives governing security, accountability, and control of tools, 

TMDE, and other Army property. 

(7) Safety procedures are strictly adhered to during maintenance 

operations. 

 c. Medical Equipment Repairers work under the general supervision of the 

Branch NCOIC and will ensure that: 

(1) Documentation on work orders and associated maintenance forms is 

legible and in compliance with this SOP and other applicable directives. 

(2) Safety procedures are strictly adhered to during maintenance 

operations. 

(3) Preventive maintenance is performed in accordance with applicable 

Technical Manual or Manufacturer’s Literature. 

(4) Safety inspection/testing is performed in accordance with AR 40-61, 

TB MED 750-2, and NFPA 99. 

(5) Personal responsibility is assumed for individual training and career 

development. 

(6) Unsafe equipment is brought to the attention of user/operator 

personnel and their supervisory personnel. 

(7) All maintenance related problems are communicated to their 

supervisors. 

Section II. Maintenance Policies 

2-1. Scheduled Services Program 

 a. Scheduled maintenance is all actions performed in an attempt to retain an 

item in a specified condition by providing systematic inspection, detection, and 

prevention of incipient failures. Scheduled maintenance includes Preventive 

Maintenance Checks and Services (PM), Calibration/Verification/Certification (CL), 

and Electrical Safety Testing (ST). 

 (1) PM - the care, servicing, inspection, detection, and correction of 

minor faults before these faults cause serious damage, failure, or injury. The 

procedures and the category of maintenance to perform PMCS are in the –10 and 

–20, equipment technical manuals, and lubrication orders. 

 (2) CL - the comparison of a medical system or medical device of 

unverified accuracy to a measurement system or device of known accuracy (which is 

directly traceable back to the National Institute of Standards and Technology (NIST)) 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-3 

to detect and correct if necessary, any deviations from required performance 

specifications of the medical system or medical device. 

 (3) ST - the preservation of an electrically safe environment for patients 

and staff through the evaluation and assessment of medical equipment to identify 

and correct electrical safety hazards that may exist in health care facilities. 

 b. Scheduled maintenance will be performed in accordance with AR 40-61, 

TB MED 750-2, and the equipment manufacturer’s literature with regard to frequency 

of services. 

 c. All services will be documented on a DA Form 2404 using the format 

specified in TB 38-750-2 with the following exceptions: 

(1) Column b - Responsibility for the performance of corrective action will 

be annotated as being either equipment operator (OM) or Medical Maintenance. 

(2) Column c - Nomenclature, serial number and MMCN number of each 

item serviced in that section. 

(3) Column d - When corrective action is to be accomplished by the 

equipment operator, the corrective action required will be indicated (e.g., clean, 

replace, order, etc.). 

(4) Any deficiencies listed on the operator DA Form 2404 that require 

operator level replacement components, parts, or accessories must have the NSN 

and/or the manufacturer’s part number for the items and the document number 

confirming the item was ordered, recorded in the corrective action column 

(column d). 

 d. During the performance of scheduled services, minor repairs beyond the 

capability of the operator will be performed by medical equipment repairer. Upon 

completion of these minor repairs, the medical equipment repairer performing the 

repairs will initial the corrected block on the operator DA Form 2404. 

 e. When equipment repairs are expected to exceed 10/15 minutes, the 

corrective action will be to submit a work order. (When the corrective action is to 

submit a work order, ensure the hand receipt holder or designated representative 

responsible for the equipment is aware of the status of their equipment). 

 f. Upon completion of scheduled services within each section, items that did 

not receive services will be identified along with the reason services were not 

performed. A memorandum identifying the items unavailable for services along with 

a copy of the medical maintenance DA Form 2404 will be provided to the hand 

receipt holder and the Commander. For equipment that did not receive services due 

to not being located, the memorandum will be forwarded to the Property Book 

Officer listing these items so that appropriate property accountability actions are 

taken. One copy of all medical maintenance documentation will be provided to the 

hand receipt holder. The hand receipt holder must sign the completed 

documentation acknowledging receipt and understanding of his or her 

responsibilities. 

 g. Medical Maintenance personnel performing scheduled services in each 

section will consult with equipment operators to ensure operators are familiar with 

the unit medical maintenance policies and procedures. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-4 

2-2. Calibration/Verification/Certification (CVC) Services 

 a. CVC services will be performed IAW applicable TM or manufacturers 

literature and any other applicable guidance. 

 b. Upon receipt of new equipment, the TM or manufacturers literature will be 

researched to determine if CVC services are required. When so indicated, the 

appropriate manual and automated records will be initiated and the equipment 

placed on the scheduled services program. 

 c. Upon completion of CVC services, the affixed DD Form 2163 will be 

annotated. See TB 38-750-2 for instructions. In addition to annotating the DD Form 

2163, ensure the completion of CVC services performed is documented on the 

equipment’s manual and automated maintenance history. 

 d. When performing CVC services for X-ray equipment, in addition to 

annotating the affixed DD Form 2163, a DA Form 2164 (X-ray Verification/ 

Certification Worksheet) must be completed IAW TB 38-750-2. A separate sheet of 

paper will be attached to the DD Form 2164 to indicate the manufacturer, model, 

serial number and date of calibration expiration of all items of TMDE used to 

perform the calibration. All documentation will be maintained in file 738-750i 

pending completion of the next X-ray calibration. 

 e. Defibrillators will receive CVC services semiannually, using a defibrillator 

analyzer. A DA Form 5624R (DC Defibrillator Inspection Record) will be used to 

record the results of the calibration service. In addition, a DA Label 175 

(Defibrillator Energy Output Certification Label) will be affixed to the unit. The 

DA Form 5624R will be maintained on file 6 months pending the next CVC service. 

 f. In reference to calibration of scales, TB 43-180 does not require 

calibration of scales other than those scales used at the local medical treatment 

facility (MEDDAC) that are designated as the official scales for weight determination. 

Upon request from the Hospital staff, a courtesy inspection of scales used for 

screening purposes within the unit may be performed, but a DD Form 2163 will not 

be affixed to the scales. 

2-3. Electrical Safety 

 a. A continued effort will be made to provide an electrically safe environment 

within the Hospital. Protecting the patients and staff from electrocution and 

electrical hazards is essential. 

 b. All medical equipment will receive an electrical safety test after repairs or 

modifications are performed. Completion results of all electrical safety tests will be 

documented on appropriate maintenance forms. 

 c. If equipment does not meet required limits, the following steps will be 

taken: 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-5 

(1) DA Forms 5621-R (Leakage Current Measurements, General) or 

DA Form 5622-R (Leakage Current Measurements, EKG), as appropriate, will be 

prepared for the item or system. The forms will document defects, 

recommendations and actions taken. Refer to TB 38-750-2 for completion of these 

forms. 

(2) A DD Form 1577 (Unserviceable [Condemned Material] Tag) will be 

affixed to the equipment. 

(3) A work order must be initiated to correct the defect. Upon 

completion of the repair, a copy of the completed work order will be filed and 

attached to the appropriate Current Leakage Form in medical maintenance for a 

period of one year. 

2-4. Unscheduled Services Program 

 These services include emergency and routine repair of medical equipment. 

These repairs may be performed either in shop or on site at equipment location. 

Other forms of unscheduled services are technical inspections and equipment 

installation or assembly. Unscheduled services should be submitted utilizing a work 

order from the requesting section. 

2-5. Direct Support Maintenance 

 a. The local MEDCOM Installation Medical Supply Activity (IMSA) has 

responsibility for providing Direct Support level maintenance to TOE medical units as 

stated in AR 40-61. When the availability of maintenance support from the IMSA is 

resource constrained, contact USAMMA to coordinate maintenance support. 

 b. All efforts to accomplish medical maintenance missions at unit level will 

be exhausted prior to request for support. Examples of need for support are lack of 

personnel or TMDE. 

 c. All medical equipment submitted to Direct Support will be submitted on a 

work order with the receipt copy being maintained in Medical Maintenance along with 

original work order from equipment hand receipt holder. 

Section III. Safety Program 

3-1. Shop Safety 

General shop safety rules will be practiced in the Hospital medical maintenance 

section at all times. Important points of shop safety are: 

 a. Prevent electrical shock by identifying hazards and following safe repair 

procedures; 

 b. Follow safe handling procedures for medical equipment that may be 

contaminated; 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-6 

 c. Be familiar with fire protection rules, plans and evacuation routes; 

 d. Ensure there is proper ventilation for respiratory protection while 

performing any task where toxic materials, fumes, mists, or vapors are used or 

produced. 

 e. When working on x-ray equipment, ensure proper radiation safety 

procedures are followed at all times. Safety procedures for operation of X-ray 

equipment includes wearing of X-ray film badges, posting of warning signs making 

others aware that an X-ray unit is in use, and ensuring proper shielding requirements 

from radiation source are met. 

 f. When using power equipment, proper eye and hearing protection devices 

are worn. 

 g. All staff members must be familiar with proper operation and location of 

fire extinguishers and eye wash system located within the medical maintenance 

shop. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-7 

Section IV. Material Maintenance Management 

4-1. General 

 a. Maintenance management is the process of establishing objectives to 

carry out maintenance responsibilities. Maintenance management consists of those 

continuing actions of planning, organizing, controlling and evaluating the use of 

manpower, funds, and facilities to accomplish missions and tasks. 

 b. A prime objective of the medical maintenance supervisor is to ensure 

optimal management and control of critical maintenance resources. Accomplishment 

of this objective is assisted by utilizing a management data collection system to 

monitor the performance of the medical maintenance section in relation to 

established performance standards. 

 c. The medical maintenance section will use the maintenance automation 

system (see TB MED 750-2, Appendix E) authorized to MTOE organization for 

management of medical equipment maintenance and repair parts within the Hospital. 

4-2. Work Load Management 

 a. The NCOIC of medical maintenance must analyze requirements and direct 

resources toward the accomplishment of maintenance operations. The NCOIC must 

forecast requirements for PMCS and unscheduled services using information available 

from the authorized maintenance automation system outputs (see Appendix E). 

 

 b. Workload control priorities are defined in AR 40-61, which states that 

scheduled services take precedence over all other services except emergency 

repairs. While in garrison, emergency repairs are any repairs required to restore on 

DA Form 2406 reportable medical equipment to a fully mission capable condition. 

When deployed, an emergency repair work order is any work order submitted on 

priority 01-03 equipment, which must be signed by the Chief or NCOIC of the 

medical maintenance section. 

4-3. Man-Hour Accounting 

A man-hour accounting system will be used by the medical maintenance section to 

identify the use of duty hours for each direct labor person within the Hospital Medical 

Maintenance Section. Medical Maintenance supervisors must ensure that all direct 

labor personnel are familiar with the following terms when completing individual time 

sheets: 

a. Reporting period. Each month consists of one reporting period. The 

reporting period is from the first day of the month to the last day of the month. 

b. Overtime. Overtime will be based upon a 40-hour week (8 hours per day 

for each duty day) within the report period. Man-hours expended in excess of this 

standard will be considered overtime. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-8 

c. Assigned man-hours. This is the number of hours available based on the 

number of duty days multiplied by 8 hours per day during the report period. 

d. Available man-hours. These are man-hours available for production of 

direct or indirect labor. 

e. Direct labor. This is labor expended on equipment either performing 

scheduled or unscheduled services. 

f. Indirect labor. This is labor expended performing duty within the medical 

maintenance section that is not directly related to performing services on a piece of 

equipment. 

g. Duty absence. All time expended performing military training, 

inspections, parades, guard duty, offensive maneuvers, formations and time away 

from the section due to any other military requirements. 

h. Non-duty absence. These are man-hours spent during duty time such as 

official leave, sick call, passes and excused personal time to take care of personal 

business. 

Section V. Maintenance Shop Stock/Tool Control Procedures 

5-1. Repair Parts Management 

 a. Standard and nonstandard repair parts will be managed IAW the guidance 

provided in AR 40-61, AR 710-2, TB MED 750-2, and this SOP. 

 b. Shop stock (demand supported stock), mission essential, bench stock and 

minimum order repair parts are authorized IAW AR 40-61. The authorized 

maintenance automation system (see Appendix E) will be used to manage and 

account for repair parts. 

5-2. Shop Stock 

 a. Selection of items for stockage will be based on three demands within a 

180-day period. Once a repair part has met the criteria for initial stockage, at least 

one demand within a 180-day period must occur to retain it as a stockable item. 

 b. Computation of the requisitioning objective (RO) and reorder point will be 

IAW AR 40-61 and AR 710-2. 

5-3. Mission essential 

The HCA commander may authorize a stocks of parts based solely on the premise 

that these items are deemed essential to support the mission. These repair parts 

will normally be associated with: 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-9 

(1) Lifesaving equipment. 

(2) Equipment for which the manufacturer no longer supply parts. 

(3) New equipment until demand data can be established. 

5-4. Bench Stock 

 a. Bench stock is defined in AR 710-2. Bench stock will not include repair 

parts unique to an end item of equipment. 

 b. Bench stock will be managed IAW AR 710-2, and DA Pam 710-2-2. 

 c. Bench stock replenishment tags (DA Form 1300-4) are not required. The 

authorized maintenance automation system (see TB MED 750-2, Appendix E) 

generated bench stock listing provides all of the information required on the 

replenishment tag. The bench stock listing will be reviewed semi-annually by the 

maintenance officer. 

 d. Bench stock costs are not included in the cost of repair; however 

accounting for bench stock parts is required. Work orders will include all parts used, 

to include bench stock parts (except common hardware and bulk material such as 

nuts, bolts, etc.). Bench stock parts used will be identified on the work order. 

Column 20 k of the work order will indicate "n/c" meaning there is no charge. 

5-5. Minimum Order - Shop stocks purchased as a result of minimum order 

requirements which are in excess of the stockage objective or not demand supported 

are authorized to be retained in shop stock and reduced through attrition. The 

DA Form 3318 for these items will be annotated to indicate that the item from the 

vendor is MO and the minimum dollar order (e.g., MO $100.00). Repair parts 

procurements requiring a minimum order should be ordered through the USAMMA. 

Under the auspicious of the AMEDD Centralized Repair Parts Program (ACRPP), 

USAMMA will incur all additional costs associated with minimum order requirements. 

a. The Hospital has been designated as a Force Activity Designator (FAD) 

XXXX unit. The medical maintenance section can use one of three priorities when 

requisitioning parts. These priorities are 02, 05, and 12. 

b. The maintenance officer and NCOIC are the only authorized personnel 

that can initial off on 02 and 05 repair part requisitions. 

 c. The individual certifying 02 and 05 requisitions will place their initials in 

column h of the document register (DA Form 2064) for each request submitted. 

5-5. Request for Repair Parts 

 a. The work order may be used to request repair parts that are known to be 

stocked in shop supply. All requests for repair parts will be reviewed, approved and 

initialed by the NCOIC or the maintenance officer. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-10 

 b. A DA Form 3161 will be used to order repair parts that are not stocked in 

shop supply. The DA Form 3161 will be attached to the work order and filed in the 

awaiting parts file once the repair part has been ordered. 

 c. All repair part requisitions will be ordered on a DA Form 2765-1 for 

standard repair parts or a DA Form 1348-6 for parts that are non-standard and must 

be local purchased. All class VIII-repair parts will be ordered through the Hospital 

medical supply section. All class 9-repair parts will be ordered through the motor 

pool TAMMS/PLL clerk. 

 d. Once the repair part has been ordered, it must be logged on the 

document register with the applicable document number. The demand must also be 

annotated on the DA Form 3318 with the document number and entered into 

authorized maintenance automation system (see TB MED 750-2, Appendix E) as a 

due in. 

5-6. Tools Accountability 

 a. AR 735-5 states that all tools with a unit price greater than $5 are 

classified as durable property that must be controlled and responsibility assigned 

using a DA Form 2062. 

 b. Durable items that are components of sets, kits or outfits will be 

controlled using hand receipt annexes or component lists. The senior maintenance 

person will sign for tool kits and individual tools from the property book officer and 

issue the tool or kit by sub-hand receipt to the individual repairperson. 

 c. Durable items that are not components of a set, kit, or outfit will be 

controlled using hand receipts and sub-hand receipts. These items may also be 

controlled using tool room procedures described below: 

 (1) Tools issued for one day or less will be issued using an internal log or 

temporary hand receipt. 

 (2) Tools issued for longer than one day but less than 30 days will be 

issued on a temporary hand receipt. Hand receipts (DA Form 3161) will be 

completed in duplicate. The original will be filed in the medical maintenance section 

and the copy will be given to the individual signing for the tool or tools. Once the 

item or items has been returned, both copies of the temporary hand receipt must be 

destroyed. 

5-7. Inventory of Tools 

 a. All tools will be inventoried on a quarterly basis. Lost or damaged tools 

will be annotated on a DA Form 2062 shortage annex. 

 b. Tools that are lost due to negligence on the part of the responsible 

individual must be replaced by that individual either by direct replacement or a 

statement of charges. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-11 

Section VI. Shop Operations 

6-1. Retention/Disposition of Medical Maintenance Records 

 a. The Hospital medical maintenance section uses the authorized 

maintenance automation system (see TB MED 750-2, Appendix E) to manage all 

maintenance information for medical equipment. DA Pam 738-750 is for manual 

operations and does not apply when a authorized maintenance automation system 

(see TB MED 750-2, Appendix E) generated document provides the same information 

as an Army standard manual document (example: DA Form 2409) need not be 

maintained because authorized maintenance automation system (TB MED 750-2, 

Appendix E) provides all scheduled and unscheduled service data on the automated 

maintenance history for each piece of medical equipment. However, all applicable 

manual records must be established on each piece of maintenance significant 

equipment which are to be used in the event of an extended automated system 

(authorized maintenance automation system (see TB MED 750-2, Appendix E) failure 

or downtime. 

 b. AR 25-30, Chapter 3, is specific in that the creation of a form for a 

purpose for which a higher echelon form exists is prohibited. Accordingly, the 

Hospital medical maintenance section will use existing forms (i.e., Work order, 

DA Form 3161) for managing maintenance requests and repair parts rather than a 

variety of locally devised forms. Likewise, the use of commercially procured labels, 

stickers or forms to document performance of safety tests or CVC services is 

prohibited. Only those forms listed in TB 38-750-2 will be utilized.

 c. Retention/Disposition of completed work order (Maintenance Request) will 

be filed in work order number sequence by close date and kept on file for a period of 

one year following the close date. 

 d. Retention/Disposition of automated forms will be IAW the procedures 

consistent with TB MED 750-2, Appendix E.

 (1) Automated MMCN Listing will be maintained for a period of 90 days 

with a current listing being produced and filed on a monthly basis. 

 (2) Automated Maintenance Performance Report will be maintained for a 

period of one year with a current report being reviewed and filed weekly. 

 (3) Automated Maintenance History for all medical equipment will be 

generated on a quarterly basis and maintained until the next quarter at which time it 

will be disposed of. Individual maintenance histories will be produced in duplicate for 

equipment that is turned in. One copy will be turned in with the equipment and one 

copy will be filed for a year. 

6-2. Priorities 

 a. The complexity, density and the availability of maintenance resources 

requires the establishment of priorities for the repair and/or performance of 

scheduled maintenance services. The priority system developed at the CSH Medical 

Maintenance Section must be strictly adhered to. 
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(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

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E-12 

 b. The significance of each area within the hospital to the overall delivery of 

medical care must be evaluated to determine each section's priority. The following is 

the list of hospital sections and their priority: 

 (1) Critical Care Areas: 

(a) OR 1/2/3 Priority 02 

(b) ICU 1/2/3/4 Priority 02 

(c) EMT Priority 02 

 (2) Critical Support Areas: 

(a) CMS 1/2/3 Priority 05 

(b) Labs Blood/General Priority 05 

(c) X-ray Priority 05 

 (3) Other areas: 

(a) ICW 1-8 Priority 12 

(b) MCW 1-10 Priority 12 

(c) Clinics/Dental Priority 12 

(d) Pharmacy Priority 12 

(e) Misc. Non Patient care areas Priority 24 

 c. The basic section priority will be assigned to all equipment maintenance 

requests received from that area with the exception of critical or lifesaving 

equipment. Any exception to this policy must be approved and initialed on the work 

order by the maintenance officer or NCOIC. 

 d. Selected priorities will be used for critical or lifesaving medical equipment. 

These pieces of equipment will receive a higher priority than the section priority. For 

example: A defibrillator in an ICW with a priority of 12 would be a priority 01 

because it is a lifesaving critical piece of equipment. 

 e. In garrison, the highest priority will be 02. Priority 02 is reserved for 

DA Form 2406 reportable items in a non-mission capable status. 

6-3. Scheduling and deferring maintenance 

 a. AR 40-61 states that medical equipment in field medical units will be 

completed annually. The exception to this being defibrillators, which should be 

tested semi-annually. The maintenance officer may increase other equipment items 

to a semi-annual schedule. During prolonged exercises or missions involving patient 

treatment, scheduled safety testing of electrically operated medical equipment 

designated for use in critical care areas will be performed on a semi-annual basis. 

 b. Due to the maintenance resources available and the configuration of 

DEPMEDS, a cyclic scheduled maintenance program is necessary. This means that 

100% of the medical equipment in the hospital must be accomplished over a 12-

month period. In order to accomplish this requirement, a certain number of sections 

or wards must be serviced each month. Determination as to which areas will be 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-13 

serviced during a particular month will be coordinated between the medical 

maintenance staff and Department of Nursing. 

 c. There will be times when a scheduled area will not receive services due to 

mission requirements or a shortage of maintenance personnel or resources. When 

scheduled maintenance is deferred, the action must be documented. The reason 

services were not performed will be annotated on the scheduled maintenance listing 

and initialed by the OIC or NCOIC of the Medical Maintenance Section. A copy of 

services not performed will be forwarded to the Chief Wardmaster who will 

coordinate with the medical maintenance NCOIC as to when the deferred services 

can be accomplished. 

6-4. Equipment Management 

 a. Items of equipment requiring an individual historical record will be 

assigned an MMCN number. These items will be determined by maintenance 

managers based on item cost and type. 

 b. Items of non-technical equipment or equipment that does not require a 

maintenance history will be considered a group managed item. Group managed 

items will not have an individual MMCN number but a group managed MMCN number 

will be assigned to each area of the hospital to record scheduled and unscheduled 

services on group managed items within each area. 

 c. The performance of scheduled services will be recorded using the 

authorized maintenance automation system (see TB MED 750-2, Appendix E) 

generated scheduled service listing. Base dates for areas may be changed to adjust 

the workload or to have the services scheduled when desired. Priorities, scheduled 

service requirements and performance times must be reviewed periodically. 

 d. When an individual piece of equipment is transferred from one area to 

another, the scheduled service base dates must be changed to the base date of then 

new location. This action should be initiated upon notification from the property 

book officer or unit supply, that a piece of equipment has been moved. 

 e. Scheduled services performed that are not on the authorized maintenance 

automation system (see TB MED 750-2, Appendix E) scheduled service listing must 

be recorded using the unscheduled work order transactions as appropriate (i.e., PM, 

CL, ST). 

 f. Scheduled services accomplished as a portion of a repair, action code RE, 

will not be recorded as separate actions. All actions necessary to restore defective 

equipment to a fully mission capable status are considered part of the repair, to 

include electrical safety and any required calibration/verification. Total man-hours 

expended for all actions performed will be included in the RE total. 

 g. The NCOIC will ensure that copies of the latest authorized maintenance 

automation system (see TB MED 750-2, Appendix E) outputs applicable to maintenance management are on hand and available to all maintenance personnel. The 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-14 

equipment density listing should be manually updated as changes occur (i.e., 

additions, deletions, MMCN, serial number, model number, etc.). 

 h. The automated work order register will be reconciled at least monthly. All 

work orders listed on the register must be accounted for, those work orders on hand 

and not on the register must be entered into the system. Work orders on the 

register that are not located must be researched and the appropriate action taken. 

 i. When items of medical equipment due scheduled services cannot be 

located, a reasonable effort should be made to locate the item, but excessive time 

should not be spent locating the item. If the equipment operator/user is unable to 

locate the equipment, the required scheduled service will be closed out and identified 

as not being located. 

 j. The NCOIC must ensure that the scheduled services are completed in a 

timely manner and entered into the authorized maintenance automation system (see 

TB MED 750-2, Appendix E) data base. 

6-5. Maintenance Request (Work order) 

 a. All Maintenance requests (Work order) once processed in authorized 

maintenance automation system (see TB MED 750-2, Appendix E), will be controlled 

by the NCOIC. The NCOIC will assign each work order to a technician in order of 

priority. 

 b. Maintenance requests will be filed in priority sequence by work order 

number and issued to a technician in the same order. Once a work order is assigned 

to a technician, the NCOIC will ensure the work is started in a timely manner. 

 c. Upon completion of repair the technician will return the work order to the 

NCOIC for review and close out on the work order register. The NCOIC or senior 

technician must inspect the completed work and initial in the inspected block of the 

Work order. 

 d. Once completed and processed, the work order will be placed in the 

awaiting pick up file. The equipment will be placed in the designated area for 

equipment pick up. The NCOIC will call the section NCOIC to inform them that the 

equipment is ready to be picked up. 

 e. Work orders that require parts to be ordered will be handled in the 

following manner: 

 (1) The work order with DA Form 3161 for required parts will be 

submitted to the NCOIC. 

 (2) The NCOIC will verify parts request and priority of requisition. The 

requisition will then be ordered through the appropriate class of supply and work 

order status updated on authorized maintenance automation system (see 

TB MED 750-2, Appendix E to indicate that the work order is awaiting parts. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

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E-15 

 (3) Once completely processed, the work order and attached 

DA Form 3161 will be filed in the awaiting parts file in priority and work order 

sequence. 

 (4) Upon receipt of requested parts, the work order will be placed in the 

parts received file. The NCOIC will issue the parts and work order to the technician 

who ordered the parts. 

 (5) Once the parts are installed and the work order has been completed, 

the work order will be given to the NCOIC for processing. The NCOIC will ensure 

that the work order is closed out in authorized maintenance automation system 

(see TB MED 750-2, Appendix E) and all costs posted to the maintenance history for 

the repaired item. The work order will be placed in the awaiting pick up file and the 

owner will be notified. The equipment will be placed in the designated awaiting pick 

up area. 

6-6. Modification and Alteration of Medical Equipment 

 a. Modification and alteration of medical equipment will only be performed 

when directed by USAMMA. 

 b. Suggested modifications should be forwarded directly to USAMMA and will 

not be implemented until the suggestion has been approved. 

6-7. Test, Measurement and Diagnostic Equipment (TMDE) 

 a. The NCOIC or designated representative in the medical maintenance 

section will ensure that TMDE used in the repair and calibration of medical equipment 

is calibrated at the proper interval. 

 b. Calibration requirements for TMDE are listed in TB 43-180. The unit 

TMDE coordinator will notify the section when an item is due for calibration. The 

item will be submitted on AMXTM Form 34A to the local TMDE Support Center. 

 c. Medical specialty TMDE that is not supported by the local TMDE Support 

Center must be sent to the DEPMEDS TMDE Support Lab at Tracy Depot. These 

items include patient simulators, defibrillator analyzers, electrical safety analyzers, 

electrosurgical analyzers and any other medical TMDE that cannot be calibrated 

locally. 

 d. TMDE that is submitted for calibration or repair must be clean and 

complete with all accessories and cables etc. that are required to perform calibration 

of the equipment. TMs or manufacturers literature will also be submitted with each 

item and documented on the Form 34A as being turned in with the equipment along 

with any accessories. 

 e. TMDE that does not require calibration must have a DA Label 80 attached 

with the letters CNR stamped on the label identifying them as TMDE that does not 

require calibration. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-16 

6-8. Maintenance of Support Equipment 

 a. Maintenance of support equipment is essential to the readiness of the 

Medical Maintenance Section. The primary items of equipment are the medical 

maintenance ISO shelter and the Environmental Control Unit (ECU). 

 b. Maintenance on the ISO shelter will be performed on a monthly basis. A 

monthly DA Form 2404 will be completed and PMCS performed IAW the Technical 

Manual. The DA Form 2404 will indicate all deficiencies noted with part numbers and 

document numbers listed for parts that are needed. 

 c. Operator Maintenance of the ECU will be performed on a weekly basis. A 

weekly DA Form 2404 will be completed IAW the Technical Manual and will list all 

needed repair parts and document numbers that are needed. The DA Form 2404 will 

be submitted to the motor pool upon completion of the weekly PMCS. Repair part 

status will be requested and updated on a weekly basis. Assistance will be provided 

to the utilities section when the equipment is due for scheduled services. 

 d. A copy of each DA Form 2404 will be filed in the medical maintenance 

section for all support equipment. An individual file will be maintained for each item. 

 e. For man-hour accounting purposes, time will be carried as productive 

indirect time. 

Section VIII 

Technical Inspections (TI) on Medical Equipment 

7-1 Types of Technical Inspections 

 a. TI for Issue. This is an inspection of newly procured equipment prior to 

issue. Equipment will be inspected for: 

(1) Appearance (external damage). 

(2) Completeness (accessories, manuals, etc.). 

(3) Internal condition (damage, leaks, broken parts, etc.). 

(4) Proper performance. 

 b. Part of the TI for Issue is to complete all manual and automated 

maintenance records on maintenance significant items. Non-technical or nonmaintenance significant medical equipment must also receive a technical inspection, 

but do not require maintenance records. 

 c. Information as to the recipient or hand receipt holder for the equipment 

must be provided by unit supply or the PBO. The equipment hand receipt holder and 

the location must be provided prior to the equipment leaving the shop. This is 

necessary to ensure maintenance records accurately reflect equipment location and 

proper base date to receive scheduled services. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-17 

 d. TI for turn in. This is an inspection of medical equipment, maintenance 

significant or non-maintenance significant that is excess. 

 e. The TI for turn in work order must come from the PBO. If the equipment 

is maintenance significant item with an assigned MMCN number, all maintenance 

records must be closed out as part of the TI. 

 f. All equipment that receives a TI for turn in must be tagged with a DD 

Form 1577 (Material Condition Code Tag) prior to being returned to the PBO. 

7-2. Condition Coding of Medical Equipment 

 a. Upon performing a technical inspection for turn in on a piece of medical 

equipment, a supply condition code must be determined. The following supply 

condition codes will be used when condition coding medical equipment: 

 (1) Code "A" - To serviceable medical equipment with over 6 months 

remaining life expectancy. 

 (2) Code "B" - To serviceable medical equipment which has reached or 

exceeded its life expectancy. 

 (3) Code "F" - To unserviceable, economically repairable medical 

equipment. 

 (4) Code "H" - To unserviceable, uneconomically repairable medical 

equipment which does not meet the repair criteria; i.e., exceeding the Maintenance 

Expenditure Limit (MEL). 

 b. To assist in assignment of condition codes, a Maintenance Expenditure 

Limit graph is located in TB MED 7. 

 c. Condition coding is not required by the technician for repair services. 

However, if in the process of the inspection and evaluation of the equipment, it is 

determined that repair costs will exceed the MEL, then a supply condition code "H" 

will be assigned. When this situation occurs, the following actions are required: 

 (1) The technician will annotate on a work order the following: 

(a) Estimated parts and parts cost to return the equipment to a 

serviceable condition. 

(b) Estimated man-hours to complete the repair. 

(c) A supply condition code. 

 (2) The senior maintenance manager will: 

(a) Verify and authenticate the condition code assigned by the 

technician by placing his or her signature on the Work order. 

(b) Notify the hand receipt holder by memorandum (Figure 8-2). 

(c) Attach a copy of the maintenance history and work order to the 

memorandum. 

(d) A copy of the memorandum will be filed in a suspense file 

pending decision on the waiver. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-18 

(3) The hand receipt holder is responsible to: 

(a) Consult with the maintenance NCOIC or OIC and unit 

supply/PBO. 

(b) Prepare an endorsement to the hospital commander if a waiver 

is requested and provide the necessary justification, i.e. equipment is essential to 

the unit readiness or mission. 

(c) If the hand receipt holder decides that repair of the equipment 

is not desired, the memorandum will be returned to medical maintenance indicating 

that the equipment is not to be repaired. Upon receipt of the memorandum, the 

equipment will be returned to the hand receipt holder. The hand receipt holder will 

then notify unit supply or the PBO. 

(4) The PBO is responsible to: 

(a) Prepare turn in documents when disposal action is required. 

(b) Arrange for pick-up and transportation of equipment to DRMO. 

(c) Make appropriate adjustments to the hand receipt and property 

book. 

(5) The commander is responsible to: 

(a) Endorse the memorandum back thru the hand receipt holder to 

medical maintenance indicating approval or disapproval. 

(b) An approved waiver must be signed by the hospital 

commander. 

(6) Upon receipt of an approved waiver, the medical maintenance 

section will complete the repairs necessary and attach the approved waiver to the 

Work order. 

(7) The medical maintenance OIC must sign all work orders that 

condition coded equipment for turn in. 

-signedChief, Medical Maintenance 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-19 

COMBAT SUPPORT HOSPITAL 

MEDICAL MAINTENANCE BRANCH 

CUSTOMER ASSISTANCE MANUAL (External SOP) 

“FORWARD AND READY!” 

Date of Publication 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-20 

COMBAT SUPPORT HOSPITAL 

Fort Anywhere, Florida 12345-6789 

14 June 2006 

 

CUSTOMER ASSISTANCE MANUAL 

MEDICAL MAINTENANCE 

1. PURPOSE. This SOP supplements the instructions contained in AR 40-61, 

AR 750-1 and TB MED 750-2 detailing procedures to be followed in completing 

equipment maintenance, and prescribes disposition. It further provides guidance to 

clinical staff in proper operator level preventive maintenance, Scheduled Services, 

and established general maintenance policies and responsibilities. 

2. SCOPE. The procedures outlined herein are applicable to all personnel assigned 

or attached to the Combat Support Hospital. 

3. RESPONSIBILITIES. The Medical Maintenance Branch is responsible for the 

installation, repair, and preventive maintenance and calibration procedures 

necessary to insure proper functioning of all medical and dental equipment used in 

the Combat Support Hospital. 

4. MANUAL REVIEW. All personnel will review this CUSTOMER ASSISTANCE SOP 

within 30 working days after reporting for duty and annually thereafter. Upon 

completion of this review, individuals will print their name, date and initial the cover 

sheet designated for this purpose. 

5. DETAILED INFORMATION. Instruction on the various policies, are contained in 

the enclosed example memorandums. 

6. Point of contact for the manual is the undersigned at 123-456-7890. 

Super Warrant Officer 

CW2, Medical Service 

Chief, Medical Maintenance Branch 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-21 

TABLE OF CONTENTS 

1. PURPOSE 4 

2. SCOPE 4 

3. MISSION 4 

4. REFERENCES 5 

5. LOCATION AND CONTACTING US 5 

 (a) Points of Contact 5 

 (b) Business Telephone Numbers 5 

6. HOURS OF OPERATION 6 

7. AVAILABLE EQUIPMENT SERVICES 6 

8. RESPONSIBILITIES OF UNIT COMMANDERS, SUB-HAND RECEIPT 

HOLDERS AND CLINICAL STAFF 6 

 (a) Delegation of Authority Cards (Signature Cards) 6 

 (b) User Level Maintenance 7 

 (c) Training 7 

 (d) Equipment Storage and Use 8 

 (e) Life Cycle 8 

9. ORGANIZATION MAINTENANCE PROCEDURES OVERVIEW 8 

 (a) Technical Inspections (TI) for equipment Issue 8 

 (b) Scheduled Services, (PMCS) 8 

 (c) Unscheduled Services or Repairs, (RE) 9 

 (d) Technical Inspections (XI) for equipment Turn-in 9 

 (e) Special Services 10 

 (f) Equipment Evacuation for DS/GS Support 10 

 (g) Staff Assistance Visits 10 

10. MEDICAL STANBY EQUIPMENT PROGRAM (MEDSTEP). 11 

Mister Enforcer III 

MAJ, MS 

Executive Officer 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-22 

1. Purpose. 

 To provide medical equipment management guidance to clinical staff within 

the organization and non-organizational medical elements requiring maintenance 

support or assistance from the Combat Support Hospital. 

2. Scope. 

 These procedures are applicable to all sections or activities requesting 

maintenance service from the CSH Medical Maintenance Branch. 

3. Mission. 

 To ensure all medical equipment belonging to the Combat Support Hospital is 

fully mission capable. The Medical Maintenance Branch will provide unit level 

medical equipment maintenance services for all sections within the organization. 

The following table depicts the different Medical Materiel and Medical Equipment Sets 

associated with an MRI configured Corps level Combat Support Hospital. 

PAR LIN ERC SET SET TITLE QTY PAR LIN ERC UAC NOMENCLATURE QTY

305 M23673 B 249 MES CHEM AGENT/2000 2 204 M25865 B 258 MES CHEM AGENTS PATIENT DECON 2

305 M25865 B 258 MES CHEM PATIENT/2000 1 204 M23673 B 249 MES CHEM AGENT PATIENT TRTMNT 3

305 M72084 A M523 MMS MED MNT 84 BED CO 1 204 M72152 A M725 MMS MED MAINT; 164 BED 1

306 M73050 P M308 MMS TRIEMT PREOPDEP/M 1 204 M14585 A M783 MMS MED SUP; 164 BED 1

307 M08417 P M302 MMS CENTRAL MAT SER/M 1 205 M73050 P M308 MMS TRIAGE/EMERGENCY/PRE-OP 1

307 M13428 A M542 MMS CMS SP AUG 84 BED 1 206 M72936 P M301 MMS OR 2

307 M72936 P M301 MMS OP ROOM DEPMEDS/M 1 206 M08417 P M302 MMS CMS 2

310 M09576 P M309 MMS POST-OP ICU DEP/M 2 206 M32074 A M417 MMS ORTHO SURG AUG 1

312 M08599 A M310 MMS INTMDCARE WDDEP/M 1 206 M08951 A M742 MMS CMS AUG: 164 BED 1

313 M73254 A M506 MMS PHARMACY 84 BED 1 208 M72050 A M312 MMS PT/OT 1

314 M73482 A M503 MMS LAB (GEN) 84 BED 1 208 M31824 A M316 MMS OB-GYN 1

314 M73732 A M504 MMS LAB (LIQ BLD) 84B 1 208 M72868 A M314 MMS ORTHO CAST 1

315 M73175 A M334 MMS XRAY LOWCAP DEP/M 1 208 M72355 A M713 MMS MED SVC; 164 BED 1

315 M86675 P M305 MMS XRAY DEPMED/M 1 209 D43882 A M374 DENTL MTL SET DENTAL X-RAY 1

209 D65926 A M370 DENTL MTL SET GEN DENT

209 D43836 A M476 DENTAL MTL SET DENTAL HYG 1

PAR LIN ERC SET SET TITLE QTY 211 M09576 P M309 MMS POST-OP/ICU WARD 1

317 M14517 A M583 MMS MED SUP: 84 BED 1 212 M08599 A M310 MMS INTERMED CARE WARD 2

318 M72868 A M314 MMS ORTHO CAST CLINIC 1 213 M73186 A M706 MMS PHARMACY: 164 BED 7

318 M72423 A M513 MMS MEDICAL SVC CLINIC: 84 BED 1 214 M13275 A M703 MMS LAB (GENERAL): 164 BED 1

318 M31824 A M316 MMS OB-GYN CLINIC 1 214 M08849 A M704 MMS LAB (LIQ BLD BNK): 164 BED 1

319 M08599 A M310 MMS INTERMEDIATE CARE WARD 2 215 M73175 A M334 MMS X-RAY LOW CAP PORT 1

215 M72300 P M307 MMS X-RAY 1

08547AB 40 BED AUGMENTATION

08960A 84 Bed Company

08547AA Early Entry Hosp

08945A COMBAT SUPPORT HOSPITAL CORPS (MRI)

08948AB 164 Bed Company
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-23 

4. References. 

 a. AR 40-61, Medical Logistics Policies and Procedures

 b. AR 220-1, Unit Status Reporting

 c. AR 700-138, Army Logistics Readiness and Sustainability 

 d. AR 710-2, Inventory Management Supply Policy Below the Wholesale 

Level

 e. AR 725-50, Requisitioning, Receipt, and Issue System 

 f. AR 750-1, Army Materiel Maintenance Policy and Retail Maintenance 

Operations 

 g. DA PAM 710-2-1, Using Unit Supply Systems (Manual Procedures) 

 h. TM 8-6500-001-10 PMCS, Medical Equipment PMCS Tables 

 i. TB 38-750-2, Maintenance Management Procedures for Medical 

Equipment (Forms) 

 j. TB MED 750-2, Medical Maintenance for MTOE Units 

5. Location And Contacting Us. 

 a. Medical Maintenance, located in Bldg. 1234, Productivity Lane, Fort 

Getrdone, NY. 

 b. Points of Contact 

(1) OIC: CW2 Super Warrant, warrantS@garrison.army.mil, 

123- 456-7890 

(2) NCOIC: SSG Tough Stuff, stufft@garrison.army.mil, 

123-456-6789 

(3) 68A, MER Technician: SPC Fred G. All 

(4) 68A, MER Technician: SPC Jane D. Snuffy 

(5) 68A, MER Technician: SPC Joe P. Brain 

 c. Maintenance Shop Telephone Numbers 

 Commercial 123-456-7890/6789; DSN 444; FAX Ext: 5678 

6. Hours Of Operation. 

 Normal Duty Hours for medical equipment maintenance are: 

Monday 0900-1700 

Tuesday 0900-1700 

Wednesday 0900-1700 

Thursday 1300-1700 

Friday 0900-1700 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

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E-24 

7. Available Equipment Services. 

a. Technical Inspections (TI) for issue of new equipment 

b. Scheduled Services for Medical Equipment 

c. Remedial Maintenance and Repairs for Medical Equipment 

d. Technical Inspections (TI) for turn-in of old equipment 

e. Special Services (SS) 

(1) Training on Set-up and Use of Medical Equipment 

(2) Staff Assistance Visits (SAVs) 

f. Waiver of Maintenance Expenditure Limit (MEL) 

8. Responsibilities of Unit Commanders, Sub-Hand Receipt Holders, and Clinical 

Staff. 

a. Delegation of Authority Cards (Signature Cards): 

Unit commanders must provide a copy of their Assumption of Command orders to 

the Medical Maintenance Branch. Unit Commanders must ensure that all sub-hand 

receipt holders of medical equipment provide a completed DA Form 1687, Notice of 

Delegation of Authority or (Signature Card). The Delegation of Authority card 

establishes authorized chain of custody for equipment submitted to and retrieved 

from the branch. 

b. User Level Maintenance (DA Form 2404 or 5988E or Automated Form): 

(1) Section NCO(s), clinical staff, and equipment operators are an 

integral part of the maintenance process. Operator maintenance is the keystone to 

an effective medical equipment maintenance program and is essential for keeping all 

clinical equipment in peak operating condition. Unit commanders must place 

sufficient emphasis and allocate adequate time for unit personnel to perform user 

level maintenance for medical equipment. Commanders must ensure that medical 

equipment maintenance is included in the unit’s training schedule. Section NCO(s) 

and Clinical Staff must ensure proper maintenance is performed on a regular basis. 

Use DA Form 2404 or 5988E to record medical equipment deficiencies identified 

during operator/user level maintenance. 

(2) Medical equipment operators must perform routine inspections to 

ensure that equipment is ready for use and reliable for its intended mission. 

Operator maintenance includes: 

(a) Cleaning exterior surfaces and accessories; 

(b) Accountability of operator manuals; 

(c) Confirming accessories and supplies required for equipment 

operation are available and functioning; 

(d) Inspecting, oiling or lubricating moving parts; 

(e) Replacing blown light bulbs and minor accessories; 

(f) Replacing worn rubber tubing or broken bottles; 

(g) Seeking help from the medical maintenance branch for medical 

equipment problems that exceed user level maintenance authority. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

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E-25 

Note: While directing operator maintenance, supervisors and staff need to beware 

of the clinic handyman (every clinic has one)! Only trained medical 

equipment repairers are authorized to perform repairs that involve taking 

the equipment apart. 

(3). Operator/user replaceable parts. The operator’s manual or technical 

manual normally clarifies operator's maintenance tasks. Generally, components, 

accessories, and parts that are easily accessible and don't require tools, test 

equipment or complex technical skills should be taken care of by the operator. 

 c. Training: It is the senior persons responsibility to ensure that all 

equipment operators are trained to use of all equipment in their section. Each ward 

master and/or section supervisor must always be cognizant of the following: 

(1) Availability of operator’s manuals and TM(s) for reference. If an 

operator's manual is missing, contact the equipment manufacturer to order the 

appropriate manual. If there are any questions or concerns about the proper version 

or issue of the manual, contact medical maintenance for assistance. 

(2) Are operators trained to use the equipment? Ensure all operators are 

familiar with all equipment they may be required to use during patient care. The 

section NCO, clinical staff expert, or most experienced member of the section should 

train them as soon as possible. The Medical Maintenance Branch is available to 

assist with training on the proper operation of medical equipment items; this 

however does not include the clinical or diagnostic application of the equipment. 

Please provide a written request for equipment training well in advance so that medical 

maintenance staff (68As) may program training time into the training schedule and 

prepare to provide you with quality training. 

 d. Equipment Storage and Use: Equipment must be stored in a manner that 

prolongs its life and allows for safe retrieval, use, and/or shipment of all components 

or accessories at any given time. It is essential that when medical equipment is 

needed to save a soldier’s life that all required components, accessories, and 

consumables are readily available. If your area has more than one make and model 

of the same equipment, keep the accessories separated and labeled. Using the 

wrong parts or accessories can result in equipment damage and/or patient injury. It 

is the clinic or section’s responsibility to ensure that the correct types and quantities 

of supplies are readily available. Please consult the Organization Medical Supply 

Activity or Company Supply NCO for initial supply and re-supply procedures. (This is 

covered in the unit’s Command Supply Discipline Program) 

 e. Life Cycle Management: The Medical Maintenance Branch will continue to 

support medical equipment so long as the means to repair the equipment are 

available. Periodically, medical equipment manufacturers discontinue product lines 

and eventually the availability of repair parts and accessories from the manufacturer 

cease to exist. If your medical equipment can’t be repaired by our branch and we 

are unable to coordinate maintenance support through either DS/GS maintenance or 

USAMMA’s depot level maintenance activities, it may be necessary to condition code 

(Code “H”) your equipment and recommend replacement. Should this happen, the 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-26 

unit commander and hand receipt holder will be notified by memorandum of the 

branch’s recommendations. Once a condition Code “H” is given to equipment, it is 

up to the hand receipt holder, Unit Commander and BN S-4 to arrange for replacing 

the equipment with a new one. 

 f. Remember: when medical equipment requires repair, make sure a 

maintenance request is initiated and broken equipment is taken to the Medical 

Maintenance Branch in a timely manner. We can't repair something if we don't know 

it's broken. 

9. Organization Maintenance Procedures Overview. 

 a. Technical Inspections (TI) for equipment Issue 

 New equipment requiring a technical inspection (TI) for Issue must have a 

Maintenance Request as well as a completed DA Form 3161, IAW DA PAM 710-2-1. 

The DA Form 3161 will let Maintenance Staff know which official hand receipt holder 

and to which section the equipment belongs allowing for inclusion of the item in the 

scheduled maintenance program. 

 b. Scheduled Services 

 (1) As the title depicts, scheduled services will be managed and 

performed on a scheduled basis. The purpose of routinely scheduling maintenance 

services is to preclude equipment failures that may be costly, both in resources and 

at the expense of the patient. Scheduled maintenance will be performed during the 

month it is scheduled. The Annual Scheduled Services Summary Report is published 

and reviewed with Unit Commanders for inclusion in the training schedule. 

 (2) Preventive Maintenance Checks and Services (PMCS) will be 

performed IAW equipment TM(s) or Original Equipment Manufacturer (OEM) 

literature. Scheduled Services include the following types of inspections: 

(a) Preventive Maintenance Checks and Services (PM) 

(b) Electrical Safety Test (ST) 

(c) Calibrations or Calibration Verification and Certification (CL) 

 (3) The medical maintenance branch will notify unit commanders and 

section supervisors of upcoming scheduled maintenance requirements during 

maintenance meetings one month prior to the month their services are scheduled. If 

after the 1st week, availability of the equipment is not determined or provided for 

scheduled services by the hand receipt holder or designated representative, a 

memorandum with a list of all equipment not available for service will be sent to the 

appropriate hand receipt holder(s) and the appropriate Company Commander, 

notifying the responsible parties that services are due and that the equipment is 

considered misplaced or not located if it’s not made available. 

 (4). Hand receipt holders are suspensed by the 15th of the month 

services are due to make the equipment available to the Medical Maintenance 

personnel. Every effort should be made to comply. A written explanation must be 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-27 

provided to the Chief, Medical Maintenance Branch if there are extenuating 

circumstances for which the suspense cannot be met. After the suspense period, the 

Company Commander, BN S4 and CSH Executive Officer will be informed so that 

appropriate administrative actions may be initiated IAW AR 735-5. At this point the 

hand receipt holder has had 45 days fair notification to determine the equipments 

location and make the equipment available for scheduled services. Records will be 

appropriately documented to annotate historical patterns of failure to comply and 

inconsistencies in property maintenance and accountability. The action code NL will 

be documented to the maintenance history for not located equipment. 

 (5) Scheduled services are documented using a Scheduled Services 

Planning Report When scheduled services are completed the department/section 

staff will be provided copies of documentation identifying the extent of services 

performed and the status of their equipment. A copy of all documentation will be 

retained on file in the Medical Maintenance Branch. 

 c. Unscheduled Service or Repairs (RE) 

 (1) Equipment requiring remedial repair will be reported to the medical 

maintenance branch as soon as the equipment is determined to be in the state of 

disrepair. 

 (2) The clinical staff is responsible for ensuring equipment is cleaned and 

disinfected before submitting a maintenance request for repair or service. 

Equipment not meeting cleanliness standards may not be accepted. 

 (3) Unscheduled work requests will be assigned a work order number 

and the receipt copy of the work order will be returned to the section NCO or 

delegated representative. The receipt copy of the work order is the property 

accountability document for portable equipment brought to the medical maintenance 

shop and must be surrendered when the equipment is picked up. If the receipt copy 

is lost, a memorandum from the hand receipt holder or delegated representative is 

required prior to picking up the equipment. 

 (4) When the maintenance service is completed, a copy of the work order 

will be provided documenting the extent of services performed and the status of the 

equipment. Retain this in your section’s files for 1 year. 

d. Technical Inspections (TI) for Equipment Turn In 

Medical equipment that is excess, being replaced or determined to be no 

longer required must be technically inspected by medical maintenance personnel to 

determine the proper condition code prior to being turned in through the supply 

system. In order to properly evaluate the serviceability and condition of the 

equipment, all components and accessories (i.e., kits, cables, transducers, battery 

packs, manufacturer’s literature, etc.) needed to operate the equipment are will be 

required to be included when submitted to maintenance. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-28 

e. Special Services (SS) 

(1) TIs for Re-issue or Lateral Transfer 

(2) Waiver of Maintenance Expenditure Limit (MEL) 

(3) Staff Assistance Visits SAV(s) 

 f. Equipment Evacuated for DS/GS Support 

 Unserviceable but economically reparable equipment beyond our capabilities 

may need to be evacuated to the next higher level of maintenance. The U.S. Army 

Medical Materiel and Research Command has four depot level operations that also 

function as regional medical equipment maintenance management cells. When 

support coordination is necessary, maintenance will contact the regional manager 

associated with our support region to determine the best available support. Dental 

hand pieces, microscopes, x-ray tubes and high tension cables will automatically be 

sent to the appropriate Maintenance Operation Division (MOD) for repair and return. 

Un-economically reparable equipment will be condition coded IAW AR 725-50. 

 g. Staff Assistance Visits 

 The medical maintenance branch is available to provide Staff Assistance Visits 

(SAV) upon the sections request. It is in the best interest of the organization to 

ensure leadership personnel are familiar with maintenance policies and procedures. 

Please notify the medical maintenance branch so the appropriate time and resources 

may be scheduled. 

10. Medical Standby Equipment Program (MEDSTEP). 

 

 a. To assist in preserving the availability of critical medical equipment, the 

AMEDD has established a Medical Standby Equipment Program (MEDSTEP). The 

program involves positioning end items, components, assemblies, and subassemblies with deployed DS/GS maintenance organizations (typically MEDLOGs) to 

support theater operations. 

 b. When the medical maintenance supervisor determines repair of a critical 

equipment item requires extensive time or resources, the medical maintenance 

branch, on a case-by-case bases, may coordinate to obtain MEDSTEP assets from the 

supporting DS/GS medical maintenance organization. MEDSTEP is ordinarily DX’d to 

reduce transportation requirements. 

 c. MEDSTEP will only be DX’d for repairable medical equipment. MEDSTEP 

will not be provided for uneconomically repairable equipment, nor will it be provided 

to modernize a unit. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-29 

 d. Medical Maintenance will contact DS/GS or Depot support to confirm 

availability of MEDSTEP. MEDSTEP is a “supply” item for the Support Activities and 

remains on the Stock Record Account until required by a supported Unit. Once 

MEDSTEP is DX’d, the unit must provide the DA FORM 3161 to the PBO for a serial 

number change. Your PBO will do the Administrative Adjustment Report (AAR) to 

document changes to Property Records and your Hand Receipt. Retain the DA FORM 

3161 and AAR in your HR folder. 

MEDICAL MAINTENANCE SCHEDULED SERVICES SUMMARY BY MONTH 

08960A 84-Bed Company 

08547AA EARLY ENTRY HOSP 

LIN SET SET TITLE MONTH MONTH2 POC 

M23673 249 MES CHEM AGENT/2000 JAN SSG Sarin 

M23673 249 MES CHEM AGENT/2000 JAN SSG Mustard 

M25865 258 MES CHEM PATIENT/2000 JAN SSG Compound 

M73050 M308 MMS TRIEMT PREOPDEP/M APR SSG Prepare 

M08417 M302 MMS CENTRAL MAT SER/M OCT SSG Sterile 

M13428 M542 MMS CMS SP AUG 84 BED OCT SSG Sanitary 

M72936 M301 MMS OP ROOM DEPMEDS/M FEB AUG SSG Cutter 

M09576 M309 MMS POST-OP ICU DEP/M MAR SEP SSG Healer 

M09576 M309 MMS POST-OP ICU DEP/M MAY NOV SSG Helping 

M08599 M310 MMS INTMDCARE WDDEP/M JUN SSG Hurtone 

M73254 M506 MMS PHARMACY 84 BED OCT SSG Quaalude 

M73482 M503 MMS LAB (GEN) 84 BED JUN SSG Protein 

M73732 M504 MMS LAB (LIQ BLD) 84B JUN SSG Hemophilic 

M73175 M334 MMS XRAY LOWCAP DEP/M APR OCT SSG Roentgen 

M86675 M305 MMS XRAY DEPMED/M APR OCT SSG Emission 

08547AB - 40-BED AUGMENTATION 

LIN SET SET TITLE MONTH MONTH2 POC 

M14517 M583 MMS MED SUP: 84 BED OCT SSG Procure 

M72868 M314 MMS ORTHO CAST CLINIC JUL SSG Bone 

M72423 M513 MMS MEDICAL SVC CLINIC: 84 BED JUL SSG Bender 

M31824 M316 MMS OB-GYN CLINIC JAN SSG Childs 

M08599 M310 MMS INTERMEDIATE CARE WARD JAN SSG Heart 

M08599 M310 MMS INTERMEDIATE CARE WARD JUL SSG Raitt 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-30 

 In accordance with the FORSCOM Hospital Optimization Standardization 

Program (HOSP), the 164 Bed Company, TOE 08948AB, of the Combat Support 

Hospital has been located to Sierra Army Depot for storage until required to be 

deployed. Maintenance of the 164 Bed Co will be conducted on an annual basis 

during the month of TBD. The maintenance schedule for this portion of the CSH will 

be implemented once FORSCOM determines the maintenance Month. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-31 

DEPARTMENT OF THE ARMY 

HEADQUARTERS, COMBAT SUPPORT HOSPITAL 

FORT ANYWHERE, FLORIDA 12345 

REPLY TO 

ATTENTION OF

S: 01 October 2004 

MCMR-MMM-MM (40-61i) 15 September 2004 

MEMORANDUM THRU Commander, Medical Company 

FOR NCOIC, Operating Room C (03) 

SUBJECT: Notification of Scheduled Services for October 2004 

1. Reference. TB MED 750-2, dated April 2005, para 6-3j, AR 40-61, dated 28 January 2005. 

2. Medical equipment belonging to Operating Room is scheduled for services during the 

month of October 2004. The enclosed list of equipment requires service to verify accuracy of 

operation. Coordinate with the organization’s Medical Maintenance Branch NCOIC by the 

suspense to have the equipment scheduled for services. Please plan time in your unit’s 

training calendar. 

3. Prior to medical maintenance personnel attempting to perform organization level service, 

please ensure the following user/operator level tasks are accomplished. 

 a) Accountability. Ensure the serial numbers for each item matches the number on 

the enclosed list. All accessories that are required to operate the equipment must accompany 

the equipment. Coordinate with medical maintenance personnel to ensure each item is made 

available for scheduled services. 

 b) Operator Maintenance. Perform general cleaning, function checks and operator 

maintenance for each item, documenting deficiencies in the section’s workbook of 

DA Form 2404(s). Initiate a work request for items that require repairs. Note any missing or 

broken accessories. 

4. The Medical Maintenance Branch personnel are available to assist with training of clinical 

staff on equipment set-up and capabilities if needed. Please coordinate training requirements 

in advance with the Chief, Medical Maintenance Branch so that training may be properly 

planned and executed. 

5. Maintain this memo in the section supervisor’s file. POC is the undersigned at 456-7890. 

Encl Medical Maintenance Officer/NCO 

As CW2, MS 

 Chief, Medical Maintenance Branch 

CF: 

Commander, MED CO 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-32 

DEPARTMENT OF THE ARMY 

HEADQUARTERS, COMBAT SUPPORT HOSPITAL 

FORT ANYWHERE, FLORIDA 12345 

REPLY TO 

ATTENTION OF

 S: 1 September 2004 

MCMR-MMM-MM (40-61f) 16 August 2004 

MEMORANDUM THRU Commander, Medical Company 

FOR Hand Receipt Holder for 

SUBJECT: Record of Condition Code and Disposition Instructions for Medical Equipment 

1. References. AR 725-50 dated 15 Nov 1995 and DOD 4160.21-M Defense Disposal Manual 

2. Purpose. To provide a written record of supply condition code of medical equipment and 

provide appropriate disposition instructions for Unit Commander, Hand Receipt Holder, and 

Unit Supply NCO. 

3. The Medical Maintenance Branch has determined that the following medical equipment is 

no longer repairable and must receive a Supply Condition Code “H” designation. 

LIN: M79195, NSN: 6515014235877, NOMENCLATURE: VITAL SIGNS MONITOR 

MODEL: 106EL, SERIAL NUMBER: TB07375, REPAIR COST: $6,300.00, REPLACEMENT 

COST: $8,687.65 

4. The listed equipment must be removed from the hand receipt holder’s records in ULLS-S4 

and turned-in to DRMO by the Unit Supply NCO. Turn-in to DRMO must take place within 120 

days from the date on this memo. 

 

5. The Medical Supply Activity must order a brand new item to replace the item that is 

turned-in. Once received, the new item must be place on the hand receipt by the Unit Supply 

NCO, and a technical inspection for issue must be completed prior to pick-up by the section 

NCO for replacement. 

6. Point of contact is the undersigned at 456-7890. 

 Medical Maintenance Officer 

 CW2, Medical Service 

 Chief, Medical Maintenance Branch 

CF: 

S-4, Medical Logistics Officer 

Company Commander, MED CO 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-33 

DEPARTMENT OF THE ARMY 

HEADQUARTERS, COMBAT SUPPORT HOSPITAL 

FORT ANYWHERE, FLORIDA 12345 

REPLY TO 

ATTENTION OF

 S: 1 October 2004 

MCMR-MMM-MM (40-61) 16 September 2004 

MEMORANDUM THRU Commander, Medical Company 

FOR Medical Company Platoon Sergeants 

SUBJECT: Delegation of Authority Cards (DA Form 1687) 

1. References. AR 710-2-1 dated 31 Oct 1997, AR 40-61 dated 28 January 2005. 

2. Purpose. To provide guidance for accountability and chain of custody for non-expendable 

medical equipment that is delivered to and picked up from the Medical Maintenance Branch for 

services. 

3. The Medical Maintenance Branch must have an updated delegation of authority card on file 

for each primary hand receipt holder of non-expendable medical equipment. The delegation of 

authority cards will clearly identify who is sub-hand receipted medical equipment and 

responsible for coordinating equipment services for each clinical section within the hospital. 

This responsibility is normally delegated to section supervisors and will be indicated on each 

DA Form 1687. 

4. Regulation requires that if a hand receipt holder or sub-hand receipt holder will be away 

from the unit more than 30 consecutive days, a change in hand receipt holder responsibility 

should take place. Whenever there is a change in the primary or sub-hand receipt holder, 

delegation of authority cards will be updated so that the Medical Maintenance Branch can 

coordinate services with the appropriate points of contact. 

5. Each section must provide a DA Form 1687 to the Medical Maintenance Branch by the 

above suspense date. 

 Medical Maintenance Officer 

 CW2, Medical Service 

 Chief, Medical Maintenance Branch 

CF: 

CDR 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-34 

XO

DEPARTMENT OF THE ARMY 

HEADQUARTERS, COMBAT SUPPORT HOSPITAL 

FORT ANYWHERE, FLORIDA 12345 

REPLY TO 

ATTENTION OF

MCMR-CSH-CDR 14 June 2006 

MEMORANDUM FOR ALL CSH Personnel 

SUBJECT: Medical Equipment Maintenance Program Commander’s Directive 

1. Purpose. To inform leaders and staff within my command of my expectations as it 

pertains to medical equipment readiness and the importance of ensuring that the right medical 

equipment is available for patient care at the right place at the right time. It is critical that all 

medical equipment affiliated with this medical treatment facility be maintained in a fully 

mission capable (FMC) status. 

2. Goal. To implement an effective unit level medical equipment maintenance program 

that includes all medical equipment associated with this organization’s healthcare mission. 

3. An effective unit maintenance program includes three key elements; operator 

maintenance, scheduled PMCS, and remedial maintenance. 

 a. Operator maintenance is the cornerstone to an effective unit level maintenance 

program, hence the most critical element. Section leaders/supervisors will: 

 (1) Ensure all equipment operators/users are trained and familiar with all 

medical equipment with which they may come in contact while performing patient care. 

 

 (2) Ensure all medical equipment within their charge is accounted for and 

routinely inspected for operability to include verifying cleanliness, availability of all 

components and accessories, and proper storage conditions. 

 b. All medical equipment utilized by this CSH will be included in the medical 

maintenance scheduled services program. The senior medical equipment repairer will: 

 (1) Ensure all maintenance significant medical equipment is documented in the 

Standard Army Management Information System and has a maintenance historical record. 

 (2) Maintain schedules determining when the hospital’s medical equipment is 

scheduled to be serviced by section/hand-receipt. 

 (3) Coordinate the performance of scheduled maintenance services IAW 

established maintenance schedules. Deviations from established PMCS schedules will be 

documented and reviewed at the monthly training briefing. 

 (4) Document performance of services and apprise the Executive Officer and 

the Commander of shortfalls and significant equipment accountability and maintenance issues. 
SB 8-75-S6 

(continued) APPENDIX E. SAMPLE STANDARD OPERATING PROCEDURE FOR 

TOE ORGANIZATION (COMBAT SUPPORT HOSPITAL) 

E-35 (E-36 blank) 

 c. All personnel will maintain a constant awareness of equipment status and ensure 

that any and all medical equipment utilized for patient care is appropriately serviced and 

functioning correctly. Any equipment that is not functioning correctly will immediately be 

reported to the medical maintenance branch. Medical maintenance will make every effort to 

effect repairs in a timely and efficient manner. 

4. The point of contact is the CSM, XO or the undersigned at 456-7890. 

/- Original Signed by Hospital Commander -/ 

HOSPITAL COMMANDER 

COL, MC 

Commanding 
SB 8-75-S6 

APPENDIX F. SPECIAL PURPOSE TEST, MEASUREMENT, AND DIAGNOSTIC 

EQUIPMENT (TMDE-SP) TABLES 

F-1 

The following tables may be used as a reference to determine the types and quantities of 

medically unique Special Purpose Test, Measurement, and Diagnostic Equipment (TMDE-SP) 

each type organization is authorized. 

COMBAT SUPPORT HOSPITAL, MEDICAL COMPANY 

NSN Material description LIN UI Quantity 

6625012078270 TEST SET ELECTRICAL EA 1 

6685012927873 THERMOMETER SELF-INDI EA 1 

6515014792355 ANALYZER INTRAVENOUS EA 1 

6630014876987 ANALYZER GAS ANESTHET EA 1 

6525015020504 METER X-RAY CALIBRA EA 1 

6515015048537 PULSE OXIMETER,SIMU EA 1 

6515015352790 SIMULATOR SENSOR EA 1 

8145015357927 SHIPPING AND STORAG EA 2 

8145015358067 SHIPPING AND STORAG EA 2 

8145015358237 SHIPPING AND STORAG EA 1 

6515014491420 ANALYZER DEFIB & TRAN A83433 EA 1 

6695014916615 CALIBRATOR-ANALYZR C61523 EA 1 

6695013030294 METER FOOT CANDLE M38443 EA 1 

6625015042654 ULTRASOUND WATTMTR R95994 EA 1 

6625012983830 SIMULATOR MED FUNCTIO S56720 EA 1 

6515014382409 TEST SET ELECTROSUR T90883 SE 1 

6515014491423 ANALYZER NONINVAS BLD Z07763 EA 1 

6515014491421 TESTER VENTILATOR PTB Z28075 EA 1 

6625014489577 OSCILLOSCOPE DIGITAL Z47763 EA 1 

 COMPUTER EA 1 

MEDICAL COMPANY W/68A AUTHORIZATION (FSB, MSB, BSB, ASMB) 

NSN Material description LIN UI Quantity 

6625012078270 TEST SET ELECTRICAL EA 1 

6685012927873 THERMOMETER SELF-INDI EA 1 

6625012983830 SIMULATOR MED FUNCTIO S56720 EA 1 

6515014382409 TEST SET ELECTROSUR T90883 SE 1 

6625014489577 OSCILLOSCOPE DIGITAL Z47763 EA 1 

6515014491420 ANALYZER DEFIB & TRAN A83433 EA 1 

6515014491421 TESTER VENTILATOR PTB Z28075 EA 1 

6515014491423 ANALYZER NONINVAS BLD Z07763 EA 1 

6695014916615 CALIBRATOR-ANALYZR C61523 EA 1 

6525015020504 METER X-RAY CALIBRA EA 1 

6515015048537 PULSE OXIMETER,SIMU EA 1 

6515015352790 SIMULATOR SENSOR EA 1 

8145015357927 SHIPPING AND STORAG EA 2 

8145015358067 SHIPPING AND STORAG EA 2 

8145015358237 SHIPPING AND STORAG EA 1 

 COMPUTER EA 1 
SB 8-75-S6 

(continued) APPENDIX F. SPECIAL PURPOSE TEST, MEASUREMENT, AND DIAGNOSTIC 

EQUIPMENT (TMDE-SP) TABLES 

F-2 

MEDLOG BN (Forward) 

NSN MATERIAL DESCRIPTION LIN UI QUANTITY 

6625012078270 TEST SET ELECTRICAL EA 4 

6685012927873 THERMOMETER SELF-INDI EA 4 

6625012983830 SIMULATOR MED FUNCTIO S56720 EA 4 

6695013030294 METER FOOT CANDLE M38443 EA 4 

6515014382409 TEST SET ELECTROSUR T90883 SE 4 

6625014489577 OSCILLOSCOPE DIGITAL Z47763 EA 11 

6515014491420 ANALYZER DEFIB & TRAN A83433 EA 4 

6515014491421 TESTER VENTILATOR PTB Z28075 EA 4 

6515014491423 ANALYZER NONINVAS BLD Z07763 EA 4 

6515014792355 ANALYZER INTRAVENOUS EA 2 

6630014876987 ANALYZER GAS ANESTHET EA 2 

6695014916615 CALIBRATOR-ANALYZR C61523 EA 4 

6525015020504 METER X-RAY CALIBRA EA 4 

6625015042654 ULTRASOUND WATTMTR R95994 EA 2 

6515015048537 PULSE OXIMETER,SIMU EA 4 

6515015352790 SIMULATOR SENSOR EA 4 

8145015357927 SHIPPING AND STORAG EA 8 

8145015358067 SHIPPING AND STORAG EA 8 

8145015358237 SHIPPING AND STORAG EA 4 

 COMPUTER EA 4 
SB 8-75-S6 

(continued) APPENDIX F. SPECIAL PURPOSE TEST, MEASUREMENT, AND 

DIAGNOSTIC EQUIPMENT (TMDE-SP) TABLES 

F-3 (F-4 blank) 

MEDLOG BN (Rear) 

 

NSN Material description LIN UI Quantity 

6625012078270 TEST SET ELECTRICAL EA 6 

6685012927873 THERMOMETER SELF-INDI EA 6 

6625012983830 SIMULATOR MED FUNCTIO S56720 EA 6 

6695013030294 METER FOOT CANDLE M38443 EA 6 

6515014382409 TEST SET ELECTROSUR T90883 SE 6 

6625014489577 OSCILLOSCOPE DIGITAL Z47763 EA 11 

6515014491420 ANALYZER DEFIB & TRAN A83433 EA 6 

6515014491421 TESTER VENTILATOR PTB Z28075 EA 6 

6515014491423 ANALYZER NONINVAS BLD Z07763 EA 6 

6515014792355 ANALYZER INTRAVENOUS EA 4 

6630014876987 ANALYZER GAS ANESTHET EA 4 

6695014916615 CALIBRATOR-ANALYZR C61523 EA 6 

6525015020504 METER X-RAY CALIBRA EA 6 

6625015042654 ULTRASOUND WATTMTR R95994 EA 4 

6515015048537 PULSE OXIMETER,SIMU EA 6 

6515015352790 SIMULATOR SENSOR EA 6 

8145015357927 SHIPPING AND STORAG EA 10 

8145015358067 SHIPPING AND STORAG EA 10 

8145015358237 SHIPPING AND STORAG EA 8 

 COMPUTER EA 6 

DENTAL COMPANY W/68A AUTHORIZATION

 

NSN Material description LIN UI Quantity 

6625012078270 TEST SET ELECTRICAL EA 1 

6685012927873 THERMOMETER SELF-INDI EA 1 

6625014489577 OSCILLOSCOPE DIGITAL Z47763 EA 1 

6525015020504 METER X-RAY CALIBRA EA 1 

8145015357927 SHIPPING AND STORAG EA 2 

 COMPUTER EA 1 
SB 8-75-S6 

APPENDIX G. EXTERNAL O2 REGULATOR VERIFICATION 

G-1 

Install External O2 Regulator to H or K size Oxygen cylinder. 

Make sure cylinder has 250 - 3000 psi. 

Install one end of Oxygen hose to the O2 regulator output connector. 

Setup VT Plus to read oxygen pressure. 

Power up and let it zero after 5 minutes. 

Press the pressure test mode button. 

Press the setup button. 

Highlight settings and press enter. 
SB 8-75-S6 

(continued) APPENDIX G. EXTERNAL O2 REGULATOR VERIFICATION

G-2 

Highlight gas settings and press enter. 

Highlight gas settings and press enter. 

Set the gas to read O2. 

Press back until in the pressure test mode again. 
SB 8-75-S6 

(continued) APPENDIX G. EXTERNA O2 REGULATOR VERIFICATION 

G-3 (G-4 blank) 

Install the other end of the oxygen hose to the positive pressure connection of the VT Plus. 

Open the oxygen (H or K) cylinder. 

Verify that the pressure of the regulator is between 49 - 54 psi. 

Disconnect the oxygen hose from the O2 regulator. 

Disconnect the O2 regulator from the oxygen cylinder. 
SB 8-75-S6 

APPENDIX H. EXTERNAL N2O REGULATOR VERIFICATION 

H-1 

Connect N2O cylinder adapter to H or K size cylinder of nitrous oxide. 

Connect external N2O regulator to N2O cylinder adapter. 
SB 8-75-S6 

(continued) APPENDIX H. EXTERNAL N2O REGULATOR VERIFICATION 

H-2 

Connect one end of a blue N2O hose to the regulator output connector. 

Connect the other end of the blue N2O hose to the N2O fitting from the Narkomed Kit Part # 4114807 

(fitting with male connection). 

Connect the High Pressure Test Gauge to the N2O fitting. 
SB 8-75-S6 

(continued) APPENDIX H. EXTERNAL N2O REGULATOR VERIFICATION 

H-3 

Connect the hose of the High Pressure Test Gauge to male oxygen fitting from the Narkomed Kit 

Part #4114807. 

Connect one end of the green oxygen hose to the fitting. 

Setup the VT Plus to read N2O. 

Power up and let it zero after 5 minutes. 

Press the pressure test mode button. 
SB 8-75-S6 

(continued) APPENDIX H. EXTERNAL N2O REGULATOR VERIFICATION 

H-4 

Press the setup button.

Highlight settings and press enter. 

Highlight gas settings and press enter. 

Set the gas to read N2O. 

Press back until in the pressure test mode again. 
SB 8-75-S6 

(continued) APPENDIX H. EXTERNAL N2O REGULATOR VERIFICATION 

H-5 

Connect the other end of the oxygen hose to the positive pressure connection of the VT Plus. 

Open the N2O (H or K) cylinder. 

Press and hold the push button on the High Pressure Test Gauge. 
SB 8-75-S6 

(continued) APPENDIX H. EXTERNAL N2O REGULATOR VERIFICATION 

H-6 

Verify that the pressure read on the VT Plus from the regulator is between 49 - 54 psi. 

Disconnect all fittings, hoses, and components of this test and return to proper location. 
SB 8-75-S6 

APPENDIX I. PUMP, INFUSION, 6515-01-486-4310, DISPLAY PROBLEMS 

I-1 

 A. There have been some noted problems with some of the newer Alaris Infusion 

Pump Displays. These display problems include discoloration of the pixels, inconsistent dark 

and light color and uneven (blotchy) polarization, and shadows of the previous screen 

affecting the performance and bringing into question the reliability of the LCD. It has been 

concluded that the problems are common to the newer Solomon LCD. 

 B. Cardinal Health Alaris recognizes this problem and has agreed to perform the 

necessary circuit repair for any units demonstrating this problem. The following procedure 

should be considered by medical equipment repairers to test Alaris Infusion Pumps. This 

guideline does not replace the manufacturer’s procedures for testing or servicing their 

product. 

1. Turn on the unit and wait 20 minutes for the display to warm up. 

2. Press ON/OFF button briefly to see the text “HOLD ONE SECOND FOR OFF”

displayed in clear letters highlighted by a black background of solid dark pixels. Examine the 

dark background of the display for any pixels discoloration to include any inconsistent dark 

and/or light color as well as dark and/or light blocks of pixels throughout the highlighted 

section. Also look for a shadow of the previous screen behind the HOLD ONE SECOND FOR 

OFF which reads START AFFECTS CHANNEL C. The color uniformity of the pixels in 

question will blend on the screen within approximately 30 seconds and will start to appear 

dark and inconsistent in color throughout the display (each unit may be different). 

3. Figure I-1 demonstrates multiple text “messages” display simultaneously. 

Figure I-1. SIMULTANEOUS MESSAGE DISPLAY 

 
SB 8-75-S6 

(continued) APPENDIX I. PUMP, INFUSION, 6515-01-486-4310, DISPLAY PROBLEMS 

I-2 

4. With the LCD set to lowest contrast setting, when turning unit off, the text 

string “Start effects channel C” is still visible beneath new text string “Hold one second for 

OFF”. This effect does not occur if unit is powered on and off within approximately 10 

seconds. However when allowed to sit for some time (sometimes as short as 20 seconds) and 

then turned off, residual pixilated data from previous text string is visible during power down. 

5. Figure I-2 demonstrates the uneven (blotchy) polarization. This dark contrast 

effect appears to be common on all units tested using a Solomon LCD, but is not found when 

LCD is replaced with the older Optrex LCD. 

Figure I-2. Inconsistent And Blotchy Display 
SB 8-75-S6 

APPENDIX J. REFRIGERATOR, BLOOD, 4110-01-506-0895, 

PMCS PROCEDURES

J-1 

1. The following is a list of TMDE required for the complete PMCS of the ACUTEMP model: 

HMC-MIL-1 Blood Refrigerator unit. 

TMDE ITEM REQUIRED TMDE ITEM USED 

Digital Thermometer 

Safety Analyzer 

Computer (for data log downloads) 

2. This item requires a DA Label 2163 (CVC) with a Frequency of "A" and code of "I". 

Note: When unit is in storage, every attempt should be made to ensure the batteries are 

charged IAW the manufacturer’s recommendations. 

3. PMCS Checklist 

 a. Visual checks 

 (1) Check for NSN label. The item may or may not have a label on the side. 

 (2) Check for external/internal damage 

 (3) Verify that all accessories are available. 

(a) Stainless Steel blood bag baskets: one set of 10 each. (check for sharp 

burs on the basket and shave as necessary) 

(b) 40 amp hour battery set, two 20 amp hour batteries: set of 2 each 

(c) AC power cord 

(d) DC power cord 

(e) Operation and Maintenance manuals (hard copy 1 each) 

(f) Service and Repair manual (hard copy 1 each) 

(g) Operation and Service Manual on CD (1 each) 

(h) Service and Repair manual on CD (1 each) 

(i) Hemalog software CD (1 each) 

(j) Sponge (1 each) 

(k) Screwdriver (1 each) 

(l) Replacement filters (10 each) 

 (4) Inspect unit's LCD display which should be centered in the window. 

 (5) Inspect unit's LED display, it should be clearly visible without any obstructions. 

The manufacturer and USAMMA have determined that visibility of 3⁄4 of the circle on the LED is 

the minimum acceptable. It was agreed that the items will be no less than 3⁄4 of the LED 

circular area. 

 (6) Inspect unit for missing internal blood baskets. 

 (7) Inspect unit's exterior for missing hardware such as missing vents or filters. 

 (8) Inspect unit's latches and verify they are able to close. CAUTION: Some are 

too far away from each other which will cause excessive strain on the plastic 

components of the refrigerator. 

 (9) Inspect Lithium battery cover holder for broken clips. CAUTION: These clips 

enable the cover to latch to the holder itself and are susceptible to breaking. 
SB 8-75-S6 

(continued) APPENDIX J. REFRIGERATOR, BLOOD, 4110-01-506-0895 PMCS PROCEDURES 

J-2 

 (10) Inspect unit's serial number at power up on the displayed LCD screen. 

 (11) Inspect the cooling fan is blowing on the side of the unit. 

 (12) Inspect inner tub/payload of unit for any irregular appearance of the plastic 

liner. 

 (13) Inspect the battery percentage is 100% after 24 hours of continuous charge. 

 (14) Inspect the LCD display for any error coded on the screen relating to the 

battery. (NOTE: A zero value listed on the data log in the battery charge section along with 

an error code on the LCD means the control board needs replacement.) 

 (15) Check Service Mode: With the lid closed, press and hold “MODE” for 3 to 5 sec. 

Press “DISPLAY” once. Verify that the top right or the screen displays “K:__________L”. 

When the lid is opened, the “L” will no longer be displayed, only the “K:_______”. This 

verifies that the magnets on the lid are getting read by the unit. 

b. Verify firmware version procedure 

 (1) Operational enhancements to the HemaCool 5 firmware were last made on 

19 May 2005. There were adjustments made to the control algorithms which allow the units 

to maintain COOL and FREEZE set point temperatures under more extreme conditions. Units 

with firmware dates prior to 19 May 2005, although not necessary for proper operation, should 

be considered for firmware upgrades that may potentially improve their already noteworthy 

performance. 

 (2) An additional change that was implemented in the 19 May 2005 firmware is the 

elimination of the annoying audible alarm that is emitted when the HemaCool is first 

conditioned. This means that when the HemaCool is first changed from IDLE to either COOL 

or FREEZE, the alarm will not sound until after the unit has achieved the set point. 

 (3) Not all HemaCool 5's are capable of running the updated firmware. To verify 

your unit has the latest firmware revision or is able to be upgraded, do the following: 

(a) Verify your unit has a serial number 5000 or greater. The firmware upgrade 

is only applicable to serial numbers 5000 and greater. 

(b) Plug the unit into an AC outlet and leave in IDLE mode. 

(c) Depress and hold MODE key for 3-4 seconds until the display page changes 

to a diagnostic screen, then release. 

(d) Depress and release center DISPLAY button to page to the next screen. 

(e) The date at the top left hand of the screen is your firmware release date. If 

it displays a date prior to 19 May 05, one should consider having the unit’s firmware 

upgraded. 

 (4) With the latest version (19 May 05) of the HemaLog software loaded on PC and 

connected to the unit with a standard serial cable, upgrading the firmware of the HemaCool is 

a simple 2 click process. Follow the instructions described on page 1-32 of the HemaCool 

Operating Instruction Manual. Contact AcuTemp Technical Support if you need the latest 

version of the firmware or need any assistance. 

c. Performance checks. 

Follow Manufacturer’s Recommended Checkout Procedures 
SB 8-75-S6 

(continued) APPENDIX J. REFRIGERATOR, BLOOD, 4110-01-506-0895 PMCS PROCEDURES 

J-3 

 d. Cleaning. 

 (1) CABINET. Clean the exterior with mild soap and water. Never use abrasive 

scouring powders. 

 (2) INTERIOR AND DOOR. Wash interior compartment and door gasket with soap 

and water. Mix 2 tablespoons of baking soda (if available) with one quart of warm water. Do 

not use an abrasive powder, solvent, polish cleaner or undiluted detergent. 

 (3) STAINLESS STEEL TOP. Clean all stainless steel components of the sink using 

a stainless steel cleaner. 

 e. Packaging 

(1) Pour about a pint or so of antifreeze into the pump housing and ensure there are 

no leaks from the sink. 

(2) Pack the accessories. 

(3) Wrap the sink with bubble wrap or 

(4) Band the top and bottom horizontally along the folding lips of the box. 

 f. Tips for the Medical Equipment Repairer; 

 (1) Perform visual inspection on unit to be tested for discrepancies related to 

assembly. 

 (2) Read the log on the unit to determine the cycle intervals to be within the 

specified 4 hours tolerance at normal ambient temperatures. Battery voltages should never 

fall below 12.0 VDC, if it does, replace immediately. Important to input the proper date and 

serial number as well as time on the initial power up of the unit because this will be useful on 

the units data log. 

 (3) Thermistor of the Unit’s payload, responsible for the displayed temperature 

reading, is located inside the payload chamber bottom center, secured by a zip tie. Give the 

test equipment ample time to stabilize. 

 (4) If unit does not power up with ac power verified by a non working power supply 

led, replace board. 

 (5) If unit is not within tolerance, board replacement is required or the unit needs to 

be sent to the OEM as of this time for insulation replacement repair is required and is only 

performed at the manufacturer’s level at this time. 

 (6) Upon review of the units data log, if there are missing information anomalies in 

the processors communication between the compressor and the CPU, separate the unit in 

question and tag with the appropriate tag to prevent unintended use. Example: missing 

codes stated on number 7 of this write up. 
SB 8-75-S6 

(continued) APPENDIX J. REFRIGERATOR, BLOOD, 4110-01-506-0895 PMCS PROCEDURES 

J-4 

 (7) Status codes on equipment data log: 

Y/N On/Off 

L/F Cool/Freeze 

C Compressor On 

H Heater On (Unit Goes On Cool Mode From Freeze By 

Activating Heater) 

O Lid Open 

For additional information, contact ACUTEMP, 7610 McEwen Road, Dayton, OH 45459; phone: 

937-312-0114, FAX: x-1277, www.acutemp.com or www.support@acutmep.com
SB 8-75-S6 

APPENDIX K. OPERATING TABLE COMPONENTS 

K-1 

Adhesive Tape Holder (Pair), Part #P018688-091 

Winged Ether Screen Assy, Part #P077033-091 

Lateral Braces (Pair), (AKA Kidney Bridge Post) 

Large: Part #P626397-001, Small: Part #P626397-002 
SB 8-75-S6 

(continued) APPENDIX K. OPERATING TABLE COMPONENTS 

K-2 

Wrist Holder Assy. (Pair), Part #P077036-091 

(No longer available from Steris Corp.) 

Knee and Footrest Assy. (Pair), Part #P077040-091 

Pads, (Complete packaging of 3), Part #P150830177 
SB 8-75-S6 

(continued) APPENDIX K. OPERATING TABLE COMPONENTS 

K-3 

Pad, Foot Section, Part # P093074-001 

Pad, Back Section, Part # P093075-001 

Pad, Head Section, Part # P093076-001 
SB 8-75-S6 

(continued) APPENDIX K. OPERATING TABLE COMPONENTS 

K-4 

X-ray Top Sections (Head, Back, Seat, Leg), Part 129357-096 

3” Arm Board Pad, Part #P150830-168 

Arm Board w/o Pad, Part #P056130-001 
SB 8-75-S6 

 (continued) APPENDIX K. OPERATING TABLE COMPONENTS 

K-5 (K-6 blank) 

Clark Sockets (4 ea), Part #77038-091 

Sold in Pairs $255 

(No longer available from Steris Corp.)

62” Image Intensifier Board, Part # BF16-400 

(NOT SUPPLIED WITH CURRENT ISSUED TABLES) 
SB 8-75-S6 

APPENDIX L. USE OF HEPA FILTER WITH IMPACT 754M VENTILATOR 

L-1 (L-2 blank) 

This Appendix to SB 8-75-S6 is regarding the failure of the IMPACT 754M portable 

ventilator during use of the internal compressor. Operating the ventilator in a dirty or 

contaminated environment may hinder the performance of the internal compressor 

leading to premature failure. Impact has a HEPA filter that can be used to alleviate or 

remedy this situation. Portions of information used in the following paragraphs are 

consistent with information provided by the Centers of Disease Control, www.cdc.gov. 

 1. HEPA filters are regarded as the best form of air filtration devices 

available today. HEPA stands for High-Efficiency Particulate Arrestance. 

According to U.S. Military Standard MIL-STD-282, HEPA filters are defined as 

air-cleaning devices that have a proven minimum removal efficiency of 

99.97% of particles in the air equal to 0.3 um (microns) in diameter with 

higher efficiency for both larger and smaller particle sizes. The reason 0.3 

microns is used in the definition is because it’s the particle size in which all 

mechanical filters are LEAST efficient in capturing and removing from the air. 

A micron is a measure of length: 1 micron equals 1 millionth of a meter. A 

particle size of 10 microns or less is not visible to the naked eye. 

 2. The Uni-Vent® EagleTM Model 754 comes equipped with an internal 

compressor. The compressor is a mechanical component that generates air 

pressure for ventilation. Pressure is needed to deliver a volume of gas to the 

patient. In order for the compressor to operate, it needs to entrain air from 

the atmosphere. The Eagle’sTM air entrainment port does not come with a 

HEPA filter installed. When the ventilator is operated in a clean environment 

like a hospital, a HEPA filter covering the air-entrainment port is generally not 

needed. It is highly recommended that when the ventilator is operated in 

environments where it is exposed to higher than normal levels of airborne 

contaminants that a HEPA filter be installed. The HEPA filter will help protect 

the inside of the ventilator from contamination and prolong the life of the 

internal components by preventing the build up of foreign matter like dust and 

dirt. 

 3. Use of a HEPA filter will also help protect the patient’s airway from 

exposure to this foreign particulate matter. Undesirable contaminants that the 

HEPA filter will help block include: smoke, mold, hair, dust, dirt, pet dander, 

bacteria, viruses and fungi. Please note that “HEPA-Type” filters may look like 

a certified HEPA filter; however, their performance may not match that of a 

true HEPA filter. No filter, including a true HEPA filter, can trap 100% of all 

contaminants. However, in terms of efficiency and performance, HEPA filters 

are the highest performing air filtration devices currently available. HEPA 

filters should ALWAYS be used in situations where the ventilator must be 

operated in contaminated environments. Two additional features of HEPA 

filters that add to their value is that unless the air entering the filter is 

humidified, bacteria and viruses that are trapped in the filter will dry out and 

die. The second feature is that the filter becomes more efficient over time 

because as the filter gets filled with trapped particles, it becomes more difficult 

for matter to pass through the filter. Depending on use and level of 

contaminate exposure, HEPA filters, like a regular filter need to be changed 

based on the manufacturer’s recommendation. 
SB 8-75-S6 

2006 INDEX FOR DA SB 8-75-S6

IN-1 

Paragraph Subject SB 8-75- Page

 

Analyzer, Gas, Anesthetic, 6630-01-487-6987 S6 3-1 

Anesthesia Apparatus, 6515-01-457-1840 S6 2-1 

Arthroscopic System, 6515-01-431-9631 S6 2-1 

Auto Sequences, Fluke Biomedical/DNI Test Equipment S6 3-1 

 

Battery Support System, 6625-01-192-9460 S6 2-1 

 

Calibrator – Analyzer (VT-Plus), 6515-01-491-6615 S6 3-1 

Computed Radiography, 6525-01-504-5002 S6 2-1 

Concentrator, Oxygen, 6515-01-434-4629 S6 2-2 

 

Defense Reutilization Management Office (DRMO) S6 1-4 

Defibrillator, Monitor Recorder, 6516-01-515-4197 S6 2-3 

Dental Operating Unit, Field, 6520-01-493-3759 (AKA “DEFTOS”) S6 2-3 

 

Electrosurgical Apparatus, 6515-01-309-6647 S6 2-4 

External N2O Regulator Verification S6 H-1 

External O2 Regulator Verification S6 G-1 

External Standard Operating Procedures, Medical Maintenance Operations 

Division Hill AFB, UT 

S6 A-1 

External Standard Operating Procedures, Medical Maintenance Operations 

Division Tobyhanna, PA 

S6 B-1 

External Standard Operating Procedures, Medical Maintenance Operations 

Division Tracy, CA 

S6 C-1 

 

Generator, Oxygen, Medical, POGS, 6530-01-533-4481 S6 2-4 

 

Inscribing Equipment S6 1-3 

 

Light, Field Surgical, 6530-01-343-2033 S6 2-5 

 

Maintenance Divisions’ Addresses S6 1-2 

Maintenance Operations Division (MOD) Chief Personnel S6 1-1 

Medical Equipment Service Literature Support S6 1-3 

Medical Equipment Support S6 1-1 

Medical Maintenance Operations In MTOE Units, TB Med 750-2 S6 1-4 

Meter X-Ray Calibration, 6525-01-502-0504 S6 3-2 

Monitor, Vital Signs, 6515-01-423-5796, 6515-01-423-5872, 

6515-01-432-2707, And 6515-01-432-2711 

S6 2-5 

Monitor, Vital Signs, 6515-01-432-2707 And 6515-01-432-2711 S6 2-6 

Monitor, Vital Signs, 6515-01-432-2711 S6 2-6 

Multimeter, Radiographic, PMX-III, 6525-01-387-0212 S6 3-3 

 

Operating Table Components S6 K-1 

Optical Microscope, 6650-00-973-6945 S6 2-7 

 

Pump, Infusion, 6515-01-452-0625 And 6515-01-486-4310 S6 2-7 

Pump, Infusion, 6515-01-486-4310 S6 2-8 

Pump, Intravenous Infusion, 6515-01-498-2252 S6 2-9 

Pump, Infusion, 6515-01-486-4310, Display Problems S6 I-1 

 

Refrigerator, Blood, 4110-01-506-0895 S6 2-9 

Refrigerator, Blood, 4110-01-506-0895 PMCS Procedures S6 J-1 

 
SB 8-75-S2 

IN-2 

Paragraph Subject SB 8-75- Page

 

Sample Standard Operating Procedure for TOE Organizations (Combat Support 

Hospital) 

S6 E-1 

Special Purpose Test, Measurement, and Diagnostic Equipment (TMDE-SP) 

Tables 

S6 F-1 

Sterilizer, Steam, 6530-01-431-6564 And 6530-01-442-8720 S6 2-9 

Storage And Shipping Containers S6 1-3 

 

Table, Operating, Field, 6530-01-321-5592 S6 2-10 

Table, Operating, Hospital (Field), 6530-01-353-9883 S6 2-11 

Test, Measurement, And Diagnostic Equipment (TMDE) Authorizations S6 1-4 

 

USAMMA’s Logistics Assistance Program S6 1-4 

USAMMA’s Logistics Assistance Program, Medical Maintenance Support S6 D-1 

Use of HEPA Filter With IMPACT 754 Ventilator S6 L-1 

 

Ventilator, 6530-01-464-0267 S6 2-11 

 

X-Ray Apparatus, Dental, Handheld, 6525-01-425-5216 S6 2-12 

X-Ray Apparatus, Radiographic, Med, 6525-01-384-9296 S6 2-12 

X-Ray App Rad/Fluor, C-Arm, 6525-01-452-0956 S6 2-12 
SB 8-75-S6 

By Order of the Secretary of the Army: 

PETER J. SCHOOMAKER 

General, United States Army 

Chief of Staff 

Official: 

JOYCE E. MORROW 

Administrative Assistant to the 

Secretary of the Army 

Distribution: 

 To be distributed in accordance with initial distribution number (IDN) 340016, requirements for the 

SB 8-75 Series. 
PIN: 064044-000