07-19-B1-729 FLO-GARD 6301 DUAL CHANNEL VOLUMETRIC INFUSION PUMP SERVICE MANUAL B-1
Appendix B
Calibration Verification Data
Sheet
Appendix B
This section contains a blank data sheet for recording the results from the
calibration verification procedures described in “Verifying Calibration
Values” on page 9-13. Reproduce one copy of the complete data sheet for each
pump you test.
Pump Serial Number: _____________________________
Printed Name Signature Date
Tester: _____________________________ _____________________________ ____________
Reviewer (optional): _____________________________ _____________________________ ____________
Calibration Verification (Verification in Mode 1)
Upstream Occlusion Calibration Verification
3242-3314 Value Pump 1: Value Pump 2:
Downstream Occlusion Calibration Verification
2967-3039 Value Pump 1: Value Pump 2:
Main Battery Calibration Verification
688-714 Value Pump 1: Value Pump 2:
Backup Battery Calibration Verification
574-737 Value Pump 1: Value Pump 2:
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