(Master – to be added to the documentation)
4 Check after Repair
Infusomat® compact
plus
P 1.0 4 - 5
EN
For internal use, only
T7 SHK ❒❒
❒ Is closed after opening the pump door.
❒ P
SHK
(> 0.5 bar) _____ bar
(or > 7.3 psi) _____ psi
T8 Second clamp ❒❒
❒ Is closed after opening the pump door.
❒ P
2ndClamp
(> 0.5 bar) _____ bar
(or > 7.3 psi) _____ psi
T9 Delivery accuracy ❒❒
Ambient temperature 20 … 25°C,
delivery rate: 250 ml/h
❒ Divergence (± 5 %) _____ %
T10 Air sensor ❒❒
❒ Water value
(1100 … 2250 mV) _____ mV
❒ Air alarm
❒ Air value (< 100 mV) _____ mV
T11 Temperature sensor ❒❒
❒ FuP Temp - KuP Temp
(-1.0 … +1.0 °C) _____ °C
T12 Staff Call Test ❒❒
Connect the staff call cable compact
plus
.
Start infusion and open the pump door.
❒ An alarm goes off
❒ Red LED of staff call cable compact
plus
lights up
Fixing the Seal ❒❒
❒ Pump is sealed with a new seal
Mech. Aids and Measuring Equip. Used Accessories used
❒ Disposables
Type: ________________________
Part No.: _____________________
❒ Manometer
Ident. No.: ____________________
Calibrated until: _______________
❒ Scales
Ident. No.: ____________________
Calibrated until: _______________
❒ Safety tester
Ident. No.: _____________________
Calibrated until: ________________
❒ Measuring Adapter Accessory
Connector CP
❒ Graduated cylinder
❒ Stop watch
❒ ___________________________
❒ ___________________________
❒ Mains power supply cable
❒ Staff call cable compact
plus
❒ Connection lead 12V
❒ Infusion line
❒ __________________________
❒ __________________________
Test result: Defects found that could endanger patients, users, or
third parties: Yes No
Check performed by:
Measures to be taken: None
Unit handed over on:
Repair
________________________________
To:
Special features / documentation:
___________________________________________________________
Date / Signature:
(Sheet 2 of 2)