Preventative Maintenance Inspection Form
DFU-0276-4r0_fmt_en-US PM – 1/8
12.0 Preventative Maintenance Document (Optional)
AR-9800 Arthrex Synergy
RF™
Console
Technician: _________________________________ Date: _____________________________
Facility: ______________________________________________________________________
Department: __________________________________________________________________
Serial number: _____________________ Model Number: __________________________
Software Version Level: __________________________
: __________________________ : _____________________________
Each step must be performed in the order provided on this form. Sign off each step as it
is performed, prior to the next step. ** NOTE: The Synergy
RF™
console does NOT require
annual calibration or preventative maintenance. Performing a preventative maintenance
inspection is at the discretion of the healthcare facility to verify electrosurgical unit
performance.
Front Panel Console
Power Switch IEC 60417-5010 symbol (On/Off)
Type CF Symbols (Electric Shock Protection)