Physio Control LIFEPAK 9 - Page 96

Testing 3
TCP Checklist Customer: Date:
Dept/Location:
Instrument Type: Model:
Serial Number:
Frequency: Last Insp:
Tech. Name/ID:
Test and Calibration Pass Fail Comments
Voltage Checks 口 口
Low Battery Threshold Checks
Monitoring Check 口 口
Defib Charge Check 口 口
Test Menu Access
Defibrillator Calibration 口 O
Selected Acceptable Range MEASURED | Selected Acceptable Range MEASURED
Value (4) value (4) % Tolerance VALUE 人 | Value (5) Value (4) %Tolerance VALUE (J)
1 0.8 to 1.2 +20% 20 19.0 to 21.0 15%
2 1.8 to 2.2 +10% 30 28.5 to 31.5 +5%
3 2.7 to 3.3 +10% 50 47.5 to 52.5 +5%
4 3.8 to 4.2 +5% 100 95.0 to 105.0 +5%
5 4.8 to 5.2 +5% 200 190.0 to 210.0 +5%
6 5.7 to 6.3 +5% 300 285.0 to 315.0 +5%
7 6.7 to 7.3 +5% 360 342.0 to 378.0 +5%
8 7.6 to 8.4 +5%
9 8.6 to 9.4 +5%
10 9.5 to 10.5 +5%
Test Load Calibration 口 口
Charge Time 口 口
Output Waveform O O
Display Calibration 口 О
Power Supply Calibration 口 口
Recorder Calibration 口 口
Recorder Frequency Response 口 口
CRT Frequency Response 口 口
ECG Output 口 口
170008-001 Orig
© August 1993 Physio-Control All Rights Reserved 3-39