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10978_20200113_081557_P

File: 10978_20200113_081557_P.txt
Date: Jan 13 2020
Time: 08:15:57
vPad ID: VPR15050018
vPad SN: VPR15050018 Cal Date: 2019-10-21

Equipment Information...
Control Number: 10978
Description: Patient Monitor
Manufacturer: Criticare
Model: Poetplus 8100
Serial Number: 408242118
Location: clear choice dental
Facility:

Work Order Type: PM

Technician ID: PL
Tech Time (hrs):

Overall Result: PASS

Time Type: RT

Next Test Due: Jan 2021

Title of Checklist: Criticare PM


Checklist Run Time: 151 minutes
_________________________________________________________________

Task: Run vPad-NFPA, Test #2

Data: AutoSequence Filename: vpad_nfpa_2.asq


Title of AutoSequence: Vital Signs Monitor
AutoSequence Run Time: 3 minutes

Elec. Safety Standard: NFPA99-2012


Measuring Device: AAMI-ES1
Leakage Limits: to Standard
Reverse Polarity Tests: No
Open Neutral Tests: No
Ground Resistance Limit: Maximum 0.500 ohms
Chassis Leakage Limits: Maximum 100 µA NC; 500 µA SFC
Ground Leakage Limits: Maximum 500 µA NC;1000 µA SFC
Lead Leakage Limits: Maximum 100 µA NC; 500 µA SFC

Line Cord Resistance: 0.140 ohm - PASS


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Line Cord Resistance: 0.140 ohm - PASS
Line Voltage L1-L2: 121.1 V
Line Voltage L1-GND: 121.1 V
Line Voltage L2-GND: 0.0 V

EUT power switch "OFF"...


Chassis Leakage (POL-N;NEU-N;GND-O): 46.2 µA - PASS
Lead-GND, ALL (POL-N;NEU-N;GND-O): 6.3 µA - PASS
Ground Leakage (POL-N;NEU-N;GND-O): 46.4 µA - PASS
Chassis Leakage (POL-N;NEU-N;GND-N): 0.0 µA - PASS
Lead-GND, ALL (POL-N;NEU-N;GND-N): 0.6 µA - PASS

EUT power switch "ON"...


Chassis Leakage (POL-N;NEU-N;GND-O): 46.2 µA - PASS
Lead-GND, ALL (POL-N;NEU-N;GND-O): 6.4 µA - PASS
Ground Leakage (POL-N;NEU-N;GND-O): 46.2 µA - PASS
Chassis Leakage (POL-N;NEU-N;GND-N): 0.6 µA - PASS
Lead-GND, ALL (POL-N;NEU-N;GND-N): 1.0 µA - PASS
Load Current: 0.350 A

ECG Test: SQR 2Hz - PASS


ECG Test: PUL 4sec - PASS
ECG Test: SIN 10Hz - PASS
ECG Test: SIN 40Hz - PASS
ECG Test: SIN 60Hz - PASS
ECG Test: SIN 100Hz - PASS
ECG Test: SQR 1KHz - PASS
ECG Test: TRI 2Hz - PASS
ECG Test: 60 BPM - PASS
ECG Test: 30 BPM - PASS
ECG Test: 120 BPM - PASS
ECG Test: 240 BPM - PASS

Result: PASS
_________________________________________________________________

Task: Chassis and housing... Check general condition


Data: ----
Result: PASS
_________________________________________________________________

Task: Turn unit off, open user accessible covers and


inspect unit for damage
Data: ----
Result: PASS
_________________________________________________________________

Task: Inspect the power cord, strain relief and plug/s


for any signs of damage
Data: ----
Result: PASS
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_________________________________________________________________

Task: Cables and leads... Check condition


Data: ----
Result: PASS
_________________________________________________________________

Task: Fittings and connectors... Check condition


Data: ----
Result: PASS
_________________________________________________________________

Task: Test operation on battery power


Data: ----
Result: PASS
_________________________________________________________________

Task: Verify battery icon


Data: ----
Result: PASS
_________________________________________________________________

Task: Verify display and indicators


Data: ----
Result: PASS
_________________________________________________________________

Task: Verify controls and buttons


Data: ----
Result: PASS
_________________________________________________________________

Task: Verify audible and alarm functions -Increase, decrease


and silence-
Data: ----
Result: PASS
_________________________________________________________________

Task: Verify printer is functional


Data: ----
Result: PASS
_________________________________________________________________

Task: Calibrate CO2


Data: ----
Result: PASS
_________________________________________________________________

Task: Set simulation to Adult 120/80 80BPM, Verify reading

Data: 127/81
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Result: PASS
_________________________________________________________________

Task: Set simulation to High 190/120 80BPM, Verify reading

Data: 196/122
Result: PASS
_________________________________________________________________

Task: Set simulation to Low 80/40 80BPM, Verify reading

Data: 90/47
Result: PASS
_________________________________________________________________

Task: ECG Test: SQR 2Hz


Data: ----
Result: PASS
_________________________________________________________________

Task: ECG Test: PUL 4sec


Data: ----
Result: PASS
_________________________________________________________________

Task: ECG Test: SIN 0.5Hz


Data: ----
Result: PASS
_________________________________________________________________

Task: ECG Test: SIN 10Hz


Data: ----
Result: PASS
_________________________________________________________________

Task: ECG Test: SIN 40Hz


Data: ----
Result: PASS
_________________________________________________________________

Task: ECG Test: SIN 60Hz


Data: ----
Result: PASS
_________________________________________________________________

Task: ECG Test: SIN 100Hz


Data: ----
Result: PASS
_________________________________________________________________

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Task: ECG Test: 60 BPM
Data: 60 BPM
Result: PASS
_________________________________________________________________

Task: ECG Test: 120 BPM


Data: 120 BPM
Result: PASS
_________________________________________________________________

Task: ECG Test: 180 BPM


Data: 179 BPM
Result: PASS
_________________________________________________________________

Task: ECG Test: 240 BPM


Data: 240 BPM
Result: PASS
_________________________________________________________________

Task: ECG Test: 300 BPM


Data: 300 BPM
Result: PASS
_________________________________________________________________

Task: ECG Test: VFIB


Data: ----
Result: PASS
_________________________________________________________________

Task: ECG Test: VTACH


Data: ----
Result: PASS
_________________________________________________________________

Task: ECG Test: PVC


Data: ----
Result: PASS
_________________________________________________________________

Task: Comments on ECG test?


Data: ----
Result: PASS
_________________________________________________________________

Task: Set SPO2 simulation to 97%, HR 75BPM. Check SPO2


= 97% +/-2
Data: 97 %
Result: PASS
_________________________________________________________________

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Task: Set SPO2 simulation to 97%, HR 75BPM. Check HR
= 75 +/-1 BPM
Data: 75 BPM
Result: PASS
_________________________________________________________________

Task: Set SPO2 simulation to 80%, HR 120BPM. Check SPO2


= 80% +/-2
Data: 80 %
Result: PASS
_________________________________________________________________

Task: Set SPO2 simulation to 80%, HR 120BPM. Check HR


= 120 +/-1 BPM
Data: 120 BPM
Result: PASS
_________________________________________________________________

Task: Set SPO2 simulation to 55%, HR 180BPM. Check SPO2


= 55% +/-3
Data: 55 %
Result: PASS
_________________________________________________________________

Task: Set SPO2 simulation to 80%, HR 180BPM. Check HR


= 180 +/-1 BPM
Data: 180 BPM
Result: PASS
_________________________________________________________________

Task: Comments on SPO2 test?


Data: ----
Result: PASS
_________________________________________________________________

Task: Clean exterior of unit including all accessories,


cables, controls and displays.
Data: ----
Result: PASS
_________________________________________________________________

Task: Labeling... All placards and labels in place?


Data: ----
Result: PASS
_________________________________________________________________

Battery was replaced May 2018

Test Equipment Used:


Vpad Rugged SN: VPR15050018 Cal Date: 2019-10-21
SimCube SC-5 SN:7913 Cal Date: 2019-8-25
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OxSim OX-1 CN: 12956 Cal Date: 2019-8-25
Maxtec UltraMax O2 CN: 12955 Cal Date: 2019-12-18

END OF RECORD

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