20 Preventive Maintenance
Manual 41394 SIGMA Spectrum Infusion System
Revision A Preventive Maintenance
Preventive Maintenance Check Sheet
When using the Annual Preventive Maintenance Check Sheet:
■ Enter the Hospital/Facility name in the space provided.
■ Enter the Biomed name and date of the test.
■ Record the findings on the Preventive Maintenance Check Sheet.
■ Retain the completed Preventive Maintenance Check Sheet for your records.
■ Return any Pump that fails any inspection, test, or performance evaluation.
Hospital/Facility: ____________________________________________________________
Biomed Name:___________________________________Date:______________________
Pump Identification
Serial Number: (Pump): (Label):
Software Version: N/A
Active Drug Library: (Pump): (Facility):
Drug Library Date: (Pump): (Facility):
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