Planned Maintenance Checklist
10 Pages
Preview
Page 1
Aisys CS2 TRM 2069137-001
Planned Maintenance Checklist .
Customer Name:
Service Record Number:
System ID or Serial Number:
Equipment ID:
Software version:
Date:
Performed by: Circle the service month interval:
6, 12, 24, 48
Parts Replacement .
Part Number
Part Description
2096308-001-S Bacterial Filter
12-Month
24-Month
48-Month
Replaced Yes/No
Comments
X
0211-1454-100
Free-Breathing Valve
X
1503-3208-000
Free-Breathing Valve o-ring
X
1009-5800-000
Display Battery
X [Logs Erased]
1011-3557-000
System Battery
X
1
Visual Inspection Procedures .
Procedure
Expected Results
Outcome
Check display fan filter
Fan filter clean
Pass / Fail
Check filters on the upper and lower rear access panels
Access panel filters clean
Check condition and tightness of all display, cabinet, frame, drawer, arm, and shelf parts
All parts in good condition and tightened
Check the casters for proper operation and mounting
Casters roll and lock as needed. Casters are firmly mounted to machine.
Check labels
All labels are clearly legible
Check external tubing, rubber goods, hoses, and pipeline hoses
No visible deterioration and securely attached
Check external electrical cabling
All external cabling are correctly connected and are not deteriorated
Verify proper display arm adjustment
Display arm counterbalance, side to side movement, and tilt are properly adjusted
Comments
Verify Annunciators .
Procedure
Expected Results
Outcome
Verify audible “beep” after system switch is turned on
Audible “beep” after system switch is turned on
Pass / Fail
Verify a second audible “beep”
After several seconds into power-up, verify that a second audible “beep” is heard
Verify a third and fourth audible “beep”
Before power-up is completed, verify that a third and fourth audible “beep” is heard from the display unit
Comments
Pipeline and cylinder test .
Procedure
Expected results
Actual results
Outcome
Disconnect the pipeline supplies and close all cylinder valves
All gauges read zero. Low O2 supply alarm occurs.
Pass / Fail
2
Comments
2069137-PMC B 10 2016
Procedure
Expected results
Actual results
Outcome
Connect pipeline supplies one at a time Corresponding gauge indicates facility pipeline pressure
Pass / Fail
Test each cylinder for high pressure leaks
Comments
Pressure decay after one minute is less than 690 kPa (100 psig) for all cylinders Cylinder #1
Pass / Fail / Not applicable
Cylinder #2
Pass / Fail / Not applicable
Cylinder #3
Pass / Fail / Not applicable
O2 Supply Alarm Test .
Procedure
Expected Results
Outcome
Perform the O2 supply alarm test
Low O2 supply alarm occurs
Pass / Fail
Comments
N2O and O2 flows stop Air flow continues - if Air is selected as Balance Gas
AGSS Inspection and Testing .
Procedure
Expected Results
Visual-Mechanical Inspection
System in working order
Pass / Fail
Scavenger Positive Relief Functional Check
The pressure should not indicate a pressure rise of more than 10 cmH2O
Pass / Fail
2069137-PMC B 10 2016
Actual Results Outcome
Comments
3
ABS Inspection .
Procedure
Expected Results
Outcome
Flow Sensor Module
System inspected
Pass / Fail
Breathing Circuit Module and O2 Sensor
System inspected
Absorber Canister and locking mechanism
System inspected
Bellows Assembly Inspection
System inspected
Bellows Assembly test
Bellows does not fall within one minute: inverted and upright
APL Valve inspection
System inspected
Comments
Bag port items and negative relief System inspected valve inspection Bag to Vent Switch inspection
System inspected
Exhalation Valve Inspection
System inspected
EZchange and Condenser Inspection
System inspected
Pass / Fail / Not applicable
Ventilator Free Breathing Valve Inspection .
Procedure
Expected Results
Free breathing valve maintenance System inspected; parts replaced at 24 months
Outcome
Comments
Pass / Fail / Not applicable
Ventilator Tests .
Procedure
Expected Results
Outcome
View or Copy Logs
Appropriate actions taken on log entries
Pass / Fail
Flow and Pressure
“Pass” is displayed
Pass / Fail
Circuit O2 Cell 21%
“Pass” is displayed
Pass / Fail
Circuit O2 Cell 100%
“Pass” is displayed
Pass / Fail
MOPV pressure relief valve test
MOPV relief weight relieving; purring noise
Pass / Fail
Pressure Limit Circuit test [you may have to repeat the test to observe the results]
“Over Pressure Circuit” briefly reads “High” and then returns to “OK”
Pass / Fail
“Gas Inlet Valve Feedback” reads “Closed”
Pass / Fail
4
Comments
2069137-PMC B 10 2016
Procedure
Expected Results
Outcome
Manifold P Span
“Pass” is displayed
Pass / Fail
Inspiratory Flow Valve Cal
Stage 1 “Pass” is displayed
Pass / Fail
Stage 2 “Pass” is displayed
Pass / Fail
Bleed Resistor Cal
“Pass” is displayed
Pass / Fail
Paw Span
“Pass” is displayed
Pass / Fail
Zero Gas Transducers
“Pass” is displayed
Pass / Fail
Zero the Mixer
“Pass” is displayed
Pass / Fail
Comments
Display Diagnostics .
Procedure
Expected Results
Outcome
Test LEDs
LEDs flash 5 times
Pass / Fail
Test Speaker
Speaker sounds for 2 seconds
Test Battery
“Passed” is displayed for battery test
Test Hard Keys
Speaker sounds when each key is pressed
Test LCD
Display sequences through the color screens
Calibrate Touch
Touch targets calibrated
Comments
Network Connectivity Test [Software 11] .
Procedure
Expected results
Port / Device
Outcome
Perform the Network Connectivity Test
All enabled ports / devices display:
Port 1 (P1)
Pass / Fail / Not applicable
•
•
•
•
2069137-PMC B 10 2016
Pass - Green check mark in circle Indicates the port interface status P1 Device (P1 Device) is good. Port 2 (P2) Fail - Red X in circle - Indicates the port interface has configuration P2 Device 1 errors. (P2 Device 1) Fail - Orange ? in circle - Indicates P2 Device 2 (P2 Device 2) the port interface has run time P2 Device 3 errors. (P2 Device 3) Not applicable - Empty gray circle - Log Transfer (P2) Indicates the port interface is not configured.
Comments
Pass / Fail / Not applicable Pass / Fail / Not applicable Pass / Fail / Not applicable Pass / Fail / Not applicable Pass / Fail / Not applicable Pass / Fail / Not applicable
5
Vaporizer Tests .
Procedure
Expected Results
Actual Results Outcome
eVap Test - Test Cassette inserted
“Pass” / “Complete” on screen
Pass / Fail
eVap Test - Therapy Cassette Leak Test
Stable flow readings less than or equal to 10 ml/min
Pass / Fail
Comments
Mixer Tests .
Procedure
Expected Results
Actual Results Outcome
Mixer outlet check valve leak test
200 mmHg pressure shown on the test gauge should not decrease by more than 10 mmHg in 30 seconds
Pass / Fail
100% O2 at 10 l/min
9.0 to 11.0 sl/min
Pass / Fail
100% Air at 10 l/min
9.0 to 11.0 sl/min
Pass / Fail
100% N2O at 10 l/min
9.0 to 11.0 sl/min
Pass / Fail
100% N2O at 0.5 l/min
0.45 to 0.55 sl/min
Pass / Fail
100% Air at 0.5 l/min
0.45 to 0.55 sl/min
Pass / Fail
100% O2 at 0.5 l/min
0.45 to 0.55 sl/min
Pass / Fail
Comments
Mixer flow verification
Alternate O2 flowmeter tests .
Procedure
Expected results
Actual results
Outcome
Turn on Alt O2 at minimum flow
0.5 to 0.7 l/min
Pass / Fail
Rotate the flow control counterclockwise to increase flow and observe the results
The float rises immediately; it rises smoothly and steadily with continued counterclockwise rotation. When a desired flow is set, the float maintains a steady position.
Pass / Fail
Minimum (fully closed)
0.5 to 0.7 l/min
Pass / Fail
1 l/min
0.5 to 1.5 l/min
Pass / Fail
3 l/min
2.5 to 3.5 l/min
Pass / Fail
Comments
Accuracy at the following flows:
6
2069137-PMC B 10 2016
Procedure
Expected results
Actual results
Outcome
5 l/min
4.5 to 5.5 l/min
Pass / Fail
10 l/min
9.0 to 11.0 l/min
Pass / Fail
Maximum (fully open)
10.0 to 13.0 l/min
Pass / Fail
Comments
Auxiliary O2 flowmeter tests .
Procedure
Expected results
Actual results
Set flow control fully clockwise (decrease) to shut off the flow
The float rests at the bottom of the flowtube and does not move
Rotate the flow control counterclockwise to increase flow and observe the results
The float rises immediately; it rises smoothly and steadily with continued counterclockwise rotation. When a desired flow is set, the float maintains a steady position.
Outcome
Comments
Pass / Fail
Flow Accuracy Test: Set the flow to 1 l/min
0.5 to 1.5 l/min
Pass / Fail
Set the flow to 3 l/min
2.5 to 3.5 l/min
Pass / Fail
Set the flow to 5 l/min
4.5 to 5.5 l/min
Pass / Fail
Set the flow to 10 l/min
9.0 to 11.0 l/min
Pass / Fail
Set the flow to Maximum (fully open)
Greater than or equal to 12.0 l/min
Pass / Fail
Integrated Suction Regulator tests .
Procedure
Expected results
Actual results
Outcome
Comments
Test vacuum gauge accuracy at following points: Suction regulator in Off position
The gauge needle should come to rest within the zero range bracket
100 mmHg (13.3 kPa)
62 - 138 mmHg (8.3 - 18.4kPa)
300 mmHg (40 kPa)
262 - 338mmHg (35 - 45kPa)
500 mmHg (66.7 kPa)
462 - 538 mmHg (61.6 - 71.7kPa)
Flow Test - suction control fully clockwise
≥ 20 l/min
Pass / Fail / Not applicable
Regulator Test
100 mmHg ± 10 (13 ±1.3 kPa)
Pass / Fail / Not applicable
Vacuum Bleed Test
Gauge returns to zero range within 10 seconds
Pass / Fail / Not applicable
2069137-PMC B 10 2016
Pass / Fail / Not applicable
7
Procedure
Expected results
Actual results
Vacuum Leak Test
Gauge does not increase when regulator is off
Outcome
Comments
Pass / Fail / Not applicable
Flush Flow test .
Procedure
Expected results
Actual results
Perform the Flush Flow test The bellows fills in 1.8 to 2.3 seconds
Outcome
Comments
Pass / Fail
Calibrating the airway module .
Procedure
Expected results
Actual results
Outcome
Comments
Perform Airway Module calibration
Displayed gas values are calibrated to match Calibration gas values
CO2
5.0%
Pass / Fail
O2
54.5%
Pass / Fail
N2O
36.0%
Pass / Fail
AA / DES
2.0%
Pass / Fail
System checkout .
Procedure
Expected results
Outcome
Full Test
Full Test Passes / Complete
Pass / Fail
Low P Leak (machines with SCGO)
Low P Leak check Passes / Complete
Pass / Fail / Not applicable
Low P Leak (machines with ACGO)
Bulb inflation time greater than 30 seconds
Pass / Fail / Not applicable
8
Comments
2069137-PMC B 10 2016
Alarm tests .
Procedure
Expected results
Outcome
Perform Alarm tests
“FiO2 Low” alarm occurs
Pass / Fail
Comments
“FiO2 High” alarm occurs “MVexp low” alarm occurs “Ppeak high” alarm occurs “PEEP high. Blockage?” alarm occurs “Ppeak low. Leak?” alarm occurs
Power failure test .
Procedure
Expected results
Outcome
With power cord connected to mains outlet
The mains indicator comes on
Pass / Fail
Comments
With system switch on, start case: “Plug in power cable. On battery.” power unplug power cord failure alarm message is displayed Plug in power cord
Alarm cancels
Electrical Safety Checks .
Procedure
Expected results
Measure the ground resistance
Less than or equal to 0.2 ohms
Pass / Fail
Measure the leakage current
100/120 Vac: less than 300 micro amps
Pass / Fail / Not applicable
220/240 Vac: less than 500 micro amps
Pass / Fail / Not applicable
2069137-PMC B 10 2016
Actual results
Outcome
Comments
9
Final Machine Checks .
Procedure
Expected results
Verify the following:
Light bar and/or gooseneck lights, if equipped, work Pass / Fail properly
10
Outcome
Comments
All vaporizers are locked and in the OFF position
Pass / Fail / Not applicable
Flow control valves at minimum
Pass / Fail / Not applicable
APL valve open (minimum setting, fully counterclockwise)
Pass / Fail
Covers secured
Pass / Fail
Pipeline hoses connected
Pass / Fail
Cylinders turned off
Pass / Fail
All units are plugged into an appropriate power source
Pass / Fail
2069137-PMC B 10 2016