
31
Verification Check Sheet
Record the results of the performance verification on this sheet.
Model
Name
Serial
No.
Software
Version
Date Tester
ITEMS RESULTS REMARKS
PERFORMANCE TEST
Power Pass / Fail
Battery charge Pass / Fail
Battery discharge Pass / Fail
Power-on self-test (POST) Pass / Fail
Date and Time setting Pass / Fail
Alarms and alarm silence Pass / Fail
QRS volume control Pass / Fail
Sensor LED test Pass / Fail
Restoring power-on default settings Pass / Fail
Printer test (option) -
- One-Shot printing Pass / Fail
- Continuous printing Pass / Fail
- Print speed Pass / Fail
- Print-On-Alarm Pass / Fail
ECG operation -
- 30 ±1bpm (High priority alarm condition) Pass / Fail Value: bpm
- 240 ±1bpm (High priority alarm condition) Pass / Fail Value: bpm
- 120 ±1bpm (Normal condition) Pass / Fail Value: bpm
- ECG lead off (LL) for 3 leads Pass / Fail
- ECG lead off (LA) for 3 leads Pass / Fail
- ECG lead off (RA) for 3 leads Pass / Fail
- Lead selection for 3 leads Pass / Fail
- Waveform size selection for 3 leads Pass / Fail
- ECG lead off (LL) for 5 leads Pass / Fail
- ECG lead off (LA) for 5 leads Pass / Fail
- ECG lead off (RA) for 5 leads Pass / Fail
- Lead selection for 5 leads Pass / Fail
- Waveform size selection for 5 leads Pass / Fail
NIBP operation -
- Over pressure test (within 330mmHg) Pass / Fail Value: mmHg
- Pressure sensor accuracy test 0 mmHg Pass / Fail Value: mmHg
- Pressure sensor accuracy test 50 mmHg Pass / Fail Value: mmHg
- Pressure sensor accuracy test 150 mmHg Pass / Fail Value: mmHg
- Pressure sensor accuracy test 250 mmHg Pass / Fail Value: mmHg
- Air leakage test 12mmHg / 3minutes Pass / Fail Value: mmHg
- Inflation time measurement Pass / Fail
- Deflation rate measurement Pass / Fail
Pulse oximetry operation -
- SpO
2
90 ± 2%
(for Nellcor module)
- SpO
2
92 ± 2%
(for Mediana module)
Pass / Fail Value: %
- Pulse rate 200 ± 3bpm (High priority alarm condition) (for Nellcor module)
- Pulse rate 240 ± 2bpm (High priority alarm condition) (for Mediana module)
Pass / Fail Value: bpm
- Pulse rate 60 ± 3bpm (for Nellcor module)
- Pulse rate 60 ± 2bpm (for Mediana module)
Pass / Fail Value: bpm
- Modulation level (for Nellcor module only) Pass / Fail
Respiration operation Pass / Fail
Temperature operation Pass / Fail
CO2 operation -
- Display accuracy 76 ± 2mmHg (for Mainstream)
- Display accuracy 76 ± 2mmHg (for Sidestream)
Pass / Fail Value: mmHg
- Flow rate Pass / Fail
- Occlusion Pass / Fail
Kommentare zu diesen Handbüchern