Service Card
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Result Sheet Test instructions / Service Card IPM-L SAMOS Evita V800 / V600 Part number: Location:
Serial number:
Department:
Cust. invent. no.:
Maintenance interval:
Other / Delivery date: Key
Applies to Test instructions / Service Card IPM-L SAMOS Revision 5.0
Test
/ OK
= OK
+
= Spare part used
!
= Error / Report
/
= Accessory not available
-
= Not applicable
Test
Result
Result
1 Device configuration
3.1.4
Test adapters for equipment leakage current
1.1
Device configuration
3.1.5
Device leakage current
1.1.1
Serial numbers
3.1.5.1
Reference value
μA
txt
3.1.5.2
Recurrent test
μA
txt
3.1.6
Applied parts for leakage current from applied part test
3.1.7
Applied part leakage current, mains on applied part, type BF
1.1.1.1
Control unit
1.1.1.2
Ventilation unit
1.1.1.3
Inspiratory valve
txt
1.1.1.4
Disposable expiratory valve (YES/NO)
txt
1.1.1.5
Adult expiratory valve (reusable)
txt
3.1.7.1
Reference value
μA
1.1.1.6
Second adult expiratory valve (reusable)
txt
3.1.7.2
Recurrent test
μA
1.1.1.7
(Optional) MCable Mainstream CO2 (CO2 sensor)
txt
3.2
Electrical safety according to IEC 60601-1
1.1.1.8
(Optional) neonatal expiratory valve
txt
3.2.1
1.1.1.9
(Optional) second neonatal expiratory valve
txt
1.1.1.10
(Optional) GS500
txt
1.1.1.11
(Optional) PS500
txt
1.1.1.12
(Optional) PS500, part number
txt
1.1.1.13
(Optional) trolley
txt
1.1.1.14
(Optional) nebulizer ejector (no serial number) (YES/NO)
txt
1.1.1.15
(Optional) neonatal flow measurement (no serial number) (YES/NO)
txt
3.2.2
Visual inspection
OK
Protective earth resistance
3.2.2.1
Protective earth resistance, ventilation unit
Ω
3.2.2.2
Optional protective earth resistance GS500
Ω
3.2.3
Earth leakage current medical device
3.2.3.1
Normal condition (N.C.) IEC 60601-1
μA
3.2.3.2
Single fault condition (S.F.C.) IEC 60601-1
μA
3.2.4
Patient leakage current
3.2.4.1
Normal condition (N.C.) DC IEC 60601-1
μA
3.2.4.2
Normal condition (N.C.) AC IEC 60601-1
μA
1.1.2
Software version
3.2.4.3
Single fault condition (S.F.C.) DC IEC 60601-1
μA
1.1.3
SAMOS
3.2.4.4
Single fault condition (S.F.C.) AC IEC 60601-1
μA
2 Maintenance parts
4 Function and condition test
2.1
4.1
General condition check
4.1.1
Medical device
OK
4.1.2
Accompanying documents
OK
Maintenance intervals, overview
2.1.1
Maintenance intervals and required sets and parts
2.2
Maintenance parts by specified interval
2.2.1
Ventilation unit, internal battery M7
dat
4.1.3
Medical devices book
OK
2.2.2
Ventilation unit, particle filter (O2 filter)
dat
4.1.4
OK
2.2.3
Ventilation unit, Air filter (medical compressed air filter)
dat
Rating plates, labels and notices on the medical device
4.1.5
2.2.4
(Option) GS500, room air filter (filter mat)
dat
Rating plates, labels and notices on the installed options
OK
2.2.5
(Option) GS500, air filter blower unit (microfilter)
dat
4.1.6
Control unit
OK
2.2.6
(Option) PS500, battery set PS500 (Service) 15Ah
dat
4.1.7
Ventilation unit
OK
4.2
Condition test, options
2.2.7
(Option) PS500, battery set PS500 (Service) 24Ah
dat
4.2.1
(Option) MCable Mainstream CO2 module M11.1 (CO2 sensor)
2.2.8
(Option) Medication nebulizer, pressure regulator (O2-side)
dat
4.2.2
(Option) Neonatal flow measurement
OK
4.2.3
(Option) medication nebulizer (white housing)
OK
4.2.4
(Option) Trolley
OK
4.2.5
(Option) Gas cylinder holder
OK
4.2.6
(Option) Hose holder
OK
4.2.7
(Option) GS500
OK
4.2.8
(Option) PS500
OK
4.2.9
(Option) Cable duct
OK
2.3
Maintenance parts as required
3 Electrical safety 3.1
Electrical safety according to IEC 62353
3.1.1
3.1.2
Visual inspection
OK
Protective earth resistance
3.1.2.1
Maximum measured value of the ME device
Ω
3.1.2.2
Maximum measured value of ME system.
Ω
3.1.3
Protective earth resistance measuring points
OK
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Test
Result
Test
4.3
Fuse rating and readout of software version and operating data
4.3.1
Fuse value
OK
4.3.2
Software version
txt
4.3.3
Batteries
Result
4.12.5.1
S2 - Deviation from the determined ambient pressure
mbar
4.12.5.2
S8 - variation from the measured ambient pressure
mbar
4.12.6 Expiratory flow measurement
4.3.3.1
Battery operation data
txt
4.3.3.2
Battery operating data of the medical device with M7.3 Plus
txt
4.4 Preparations for the function tests
4.5
Control unit
4.5.1
Acoustic alarm
OK
4.15 Ventilation unit, Piezo
4.5.2
Optical alarms
OK
4.5.3
Rotary encoder lighting
OK
4.16 Nurse call
4.6
Ventilation unit module M1.3 (gas delivery module)
OK
OK
4.13 Emergency backup battery of the ventilation unit, part 2
4.13.1 Battery parameters
OK
4.14 Ventilation unit, interior temperature
4.14.1 Testing 4.15.1 Function check 4.16.1 Nurse call with nurse call box (8417370)
OK OK OK
4.17 Ventilation unit, expiratory valve heating
4.6.1
Self-tests of the ventilation unit
4.6.2
Zeroing all flow sensors
4.6.3
Relative flow difference S2/S3
4.6.4
Relative flow difference S1/S3
4.18.1 Function check
OK
4.19(Option) medication nebulizer (white housing)
OK
4.6.5
Leakage LPSV V3
4.6.6
Valve calibration for workstations with gas supply unit GS500
4.6.7
Comparator shut-off pressure
OK L/min L/min OK
4.17.1 Function check
OK
4.18 (Option) Ventilation unit, nebulizer
4.20 (Option) MCable Mainstream CO2 module M11.1 (CO2 sensor)
mbar
4.21 (Option) Neonatal expiratory valve
4.20.1 Function check
4.6.8
Comparator switch-on pressure
mbar
4.6.9
Proportional valve AIR 120 L/min
A
4.6.10 Proportional valve AIR 5 L/min
A
4.22 (Option) Neonatal flow sensor
4.6.11 Proportional valve O2 120 L/min
A
4.23 (Option) GS500
4.21.1 Function check 4.22.1 Function check
OK OK OK
4.6.12 Proportional valve O2 5 L/min
A
4.6.13 System Leakage Test (M1V3)
OK
4.6.14 Leakage, AIR proportional valve
mbar
4.24 Medical device, function tests in operation mode
4.6.15 Leakage, O2 pipeline supply non-return valve
L/min
4.24.1 Self-test
4.6.16 Leakage, O2 proportional valve
mbar
4.24.2 System test
OK
4.6.17 Leakage, AIR pipeline supply non-return valve
L/min
4.24.3 Breathing circuit test
OK
4.6.18 Comparative pressure measurement, Ptank and inspiratory pressure sensor
OK
4.24.4 Function tests in ventilation mode
OK
4.24.5 Non-return valves in the gas inlet
OK
4.6.19 Comparative flow measurement M1.3
OK
4.24.6 Display of the ventilation unit
OK
4.7
Ventilation unit module M12.4 (Pato, standalone)
4.24.7 Alarm silence key
OK
4.7.1
Calibration
OK
4.25 (Option) PS500
4.7.2
Measurement accuracy
OK
4.25.1 Function check
4.8
Ventilation unit module M4.1 (pressure-/flow temperature monitoring)
4.23.1 Function check
OK OK
4.25.1.1
Mains power supply (LED)
4.25.1.2
Removing fuse F1
OK
OK
4.8.1
Calibration of pressure sensors
OK
4.25.1.3
Fuse rating of fuse F1
OK
4.8.2
Offset of the inspiratory pressure sensor
mV
4.25.1.4
Inserting fuse F1 and removing fuse F2
OK
4.8.3
Offset of the expiratory pressure sensor
mV
4.25.1.5
Fuse rating of fuse F2
OK
4.8.4
Temperature measurement of module M4.1
OK
4.25.1.6
Power supply
OK
4.8.5
Calibration of expiratory flow sensor
OK
4.26 Final procedures
4.8.6
Reference voltage of module M4.1
OK
4.26.1 Device status report
OK
4.9
Safety devices
4.26.2 Device handover with test label
OK
4.9.1
Emergency expiratory valve SV2
OK
5 Test equipment
4.9.2
Emergency respiratory valve SV3
OK
5.1
Test equipment subject to mandatory calibration
4.9.3
Non-return valve in expiratory valve
OK
5.1.1
Valid calibrated test equipment used
OK
4.9.4
Expiratory resistance of adult expiratory valve
OK
5.1.2
Test equipment subject to mandatory calibration
OK
5.2
Test equipment not subject to mandatory calibration
4.10 Ventilation unit power supply module M7.3 Plus
4.10.1 Fan
4.10.2
Supply voltage
OK
4.10.3
Internal temperature
OK
4.11Emergency backup battery of the ventilation unit, part 1
OK
OK
4.12 Ventilation unit PI self-tests 4.12.1 Self-tests of the ventilation unit
4.12.2 Flush flow M12.4
OK
4.12.3 IST Airway Pressure Measurement
OK
4.12.4 Pneumatic Release Logic Test
OK
4.12.5 Pressure sensors S2 and S8
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