Appendix A, Functional check form, Datex-Ohmeda S/5 CAM, CCCM
A-3(4)
   Document no. M1144951-004
5.3.13. NIBP module, M-NIBP S/N
     
5.3.14. Nellcor Compatible Saturation module, 
E-NSATX/ E-NSAT/ M-NSAT
S/N
     
5.3.15. Datex-Ohmeda Oxygen Saturation module, 
M-OSAT
S/N
     
5.3.16. BIS Module, E-BIS/ M-BIS S/N
     
5.3.17. Entropy Module, E-ENTROPY/ M-ENTROPY S/N
     
5.3.18. Data Card and Menu Card function S/N
     
5.3.19. Recorder S/N
     
5.3.20. Network connection S/N
     
5.3.21. Wireless Network Option S/N
     
5.3.22. Interface Module, E-INT/ M-INT S/N
     
5.3.23. Interface module for PSM, E-INTPSM S/N
     
5.3.24. Device Interfacing Solution, N-DISxxx S/N
     
Notes
 
 
5.3.25. General
     
• Perform final cleaning
     
• Fill in all necessary documents
     
 Notes
 
 
Signature
Functional Inspection     OK      N.A.         Fail