Technical Safety Check TSC
7 - 2 Perfusor® compact, 2.1 gb
Sheet 2 of 2
Index 01
(Master - to be added to the documentation)
M659 01 00 06F04 01 / 3891 1128
5. Electrical Safety
acc. to EN 60601 (VDE 0750/0751)
❒ Protective conductor resist-
ance
Mains lead
< 0.1 Ohm Ohm .....
❒ Mains voltage V~ .....
❒ Patient leakage current
≤ 10 µA µA .....
Note
Measure between short-
circuited mains inlet and plus
pole in battery compartment
(top right).
6. Accessories
Enter MFC, battery etc.:
............................................
7. Optional
❒ Rate limitation ml/h .....
❒ Bolus rate
limitation ml/h .....
Infusion line used for Technical Safety Check:
Type: ___________________Manufacturer: ___________________
Inspection performed by:
Test result: Defects found which could endanger patients, users or third parties: Yes No
Measures to be taken: Repair
___________________
Unit handed over to/on:
Special features / Documentation: Date / Signature:
Next deadline:
(Part 2 of 2)
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