PAGE 9-91097626, VER. 03
9.2 SIMPLYGO FINAL TEST DATA SHEET
SIMPLYGO FINAL TEST DATA SHEET
SERIAL NUMBER ______________MDL NUMBER_____________
PCA R
EVISION (>=6 or <= 5)______ MOTOR TYPE (MOOG OR SHINANO)___________
RA# (IF APPLICABLE)________________
Note: All information on this data sheet should be entered in the correct location after the associated test was completed. The data sheet
must be signed and dated by the technician preforming the tests. Leave unused sections blank and circle “Pass or Fail”
Operator (Print): ___________________ Signature: _________________ Date: ___________
STEP N
UMBER
/P
ROCEDURE
R
EADING
S
PECIFICA-
TION
Results
PASS OR
F
AIL
Step 3/ Fan Starts Fan Start PASS / FAIL
Step 23 / Verify Battery
Symbol
Battery Symbol is dis-
played
PASS / FAIL
Step 24/ Verify External
Power Status Symbol
External Power
status displayed
PASS / FAIL
Step 25 / Verify SimplyGo Automati-
cally triggers pulse after startup
PASS / FAIL
Step 26 / Verify Pulse Symbol
Pulse Symbol is dis- PASS / FAIL
Step 27 / Verify Pulse Mode
Flow Readings
Reading @ Setting 2.0,
____________ml
24 ml +/- 4 ml PASS / FAIL
Step 28 / Verify Pulse Mode
Flow Readings
Reading @ Setting 6.0,
____________ml
72 ml +/- 10.8 ml PASS / FAIL
Step 30 / Verify Sleep Mode
Pulse Flow Readings
Reading @ Setting 2.0, ____________ml
25 ml +/- 4
ml
PASS / FAIL
Step 31 / Verify Sleep Mode
Pulse Flow Readings
Reading @ Setting 6.0, ____________ml
75 ml +/- 11.25
ml
PASS / FAIL
Step 36 / Verify Continuous
Flow Readings
Reading @ Setting 0.5, _______LPM
0.500 +/- 0.150 LPM PASS / FAIL
Step 37 / Verify Continuous
Flow Readings
Reading @ Setting 2.0,
_______LPM
2.000 +/- 0.300 LPM PASS / FAIL
Step 40 / O2 Purity
a. Internal Setting 2.0 _________________%O2
a. External Setting 2.0 _________________%O2
b. Internal Setting 0.5 _________________%O2
b. External Setting 0.5 _________________%O2
All readings are 87%-
96%
Respective readings are
within 3% of each other
PASS / FAIL
PASS / FAIL
Step 41/ Verify the control panel func-
tions and unit beeps
All buttons function &
Audible Beep is heard
PASS / FAIL
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