Siemens AG SPR8-230.814.30.03.02 MOBILETT XP Digital
11.05 CS SD 24
Electrical safety/reports 67
Page 67 of 70
Medical Solutions
Patient leakage current/report 0
System: ...................................................................................................................
Material number: .....................................................................................................
Serial number: .......................................................................................................
Customer-spec. Identification number:
....................................................................................
Tab. 5
(*1) Meas. circuit: See (Fig. 32 / p. 68)
Patient leakage current
First measured value Repeat measurement values
Patient leakage current
1. Application part
...................................
Patient leakage current
2. Application part
...................................
Patient leakage current
3. Application part
...................................
Patient leakage current
4. Application part
...................................
Patient leakage current
5. Application part
...................................
(*1) Meas. circuit:
Meas. device type:
Meas. device ser. no.:
Meas. inst. calibrated
to:
Evaluation:
Date:
Name:
Signature: