Respironics BiPAP - Performance Verification Data Form

Chapter 7
Testing, Calibration, and Performance Verification
REF 1029568 Rev B BiPAP Focus Ventilator Service Manual © Respironics, Inc. 7-27
7.10 Performance
Verification Data
Form
A performance verification consists of all the electrical safety, alarm/LED, and
pressure tests.
Complete this form at every performance verification. Make copies of this form
for data collection.
BiPAP Focus Performance Verification Data Form
Ventilator serial no.
Service notification
(Respironics use only)
Model no. Total operating time
Hospital name and
address Technician name
Date
Preliminary cleaning and inspection Circle one
Damage to ventilator exterior? Yes No
If yes, brief description:
Cleaned ventilator exterior Yes No
Cleaned ventilator interior Yes No
Inspected inlet filters Yes No
Electrical safety test Passed value Failed value
Value after
repair
Forward leakage current:
< 100 microamperes (100-120 VAC)
< 300 microamperes (230-240 VAC)
uA uA uA
Reverse leakage current:
< 300 microamperes (100-120 VAC)
< 500 microamperes (230-240 VAC)
uA uA uA