5 - 4 Infusomat® Space 6.0 EN
Index f
(Master – to be added to the documentation)
M001 32 10 05 F04 / 38916142 Sheet 1 of 1
5 - Technical Safety Check (TSC)
Power Supply SP
Checklist for Technical Safety Check – Every 24 Months User
Unit: Power Supply SP
Manufacturer: B. Braun Melsungen AG
Observe the Service Manual and the instructions for use. All measured values are to be
documented. Accessories used should be included in testing. Make exclusive use of cali-
brated measuring equipment.
Year of Procurement
Article No. Unit No. Stock No.
Visual Inspection Electrical Safety
According to IEC 60601-1 or IEC 62353
Functional Inspection
❒ Power Supply SP:
Cleanliness, completeness, damage and
faults affecting safety, damage and
readability of the label
❒ Connecting line:
Cleanliness, damage and faults affect-
ing safety
❒ Measure mains voltage
______ V~
❒ Equivalent leakage current
≤ 7 μA ______ μA
Measurement is to be carried out with service adapter
SP between primary and secondary circuit.
Note: This measurement ensures that the
admissible limit values regarding the pa-
tient and housing leakage current of the
Perfusor® Space or the Infusomat® Space
are met.
❒ Connector locking
❒ After connecting the power supply the
respective unit displays that it is oper-
ated in mains operation
Check of power supply with ord. nos.
3310 2694 and 3310 2708
❒ Check lock of primary adapter with
power supply. The adapter must engage
on both sides.
Mech. Aids and Measuring Equip. Used
❒ Perfusor® Space
Serial No. ____________________
❒ Infusomat® Space
Serial No. ____________________
❒ Safety tester
Ident. No.: ____________________
Calibrated until ________________
❒ ___________________________
Test result: Defects found which could endanger patients, users or
third parties: Yes No
Inspection performed by:
Measures to be taken: None
Unit handed over on:
Dispose of Power Supply SP
__________________________________________
To:
Special features / documentation:
___________________________________________________________________________
Date / Signature:
___________________________________________________________________________ Next deadline:
1.0
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