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Stiegelmeyer Libra - Page 92

Stiegelmeyer Libra
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Instruction Manual for Libra Care Bed
Page 92
Inspection Report following an Inspection of Electromedical Equipment
according to DIN EN 62353 (VDE 0751-1): 2015-10 Page 1 of 3
Customer / Medical facility / Practice:
Address:
Carried out: Repeat inspection Inspection prior to initial operation (reference value)
_____________________________________________ Inspection following repair/servicing
Equipment type: Hospital bed 7 Care bed
Protection class: I 7 II
Bed type: Libra
Inventory number:
Location:
Transformer unit number:
Serial number:
Manufacturer: STIEGELMEYER GmbH & Co. KG
Applied parts: Mattress base, headboard, footboard, safety sides
Testing equipment used (type/inventory no.): 1.
Medical Device Regulation classification: Class I
2.
I. Visual inspection
What? How?
OK
Not
OK
Description
of defect
Visual inspection of the electrical components
Stickers and type plates
Present, legible
Up-to-date instruction manual for the
product in question
Present, legible
Control unit housing, external plug-in
power adapter (optional)
Correct position, damage, signs of
spilt liquids/contamination that may
affect the insulation
Motor housings and lifting tubes
Handset housing and keypad film
Motor cables, handset cable, mains
cable, connection cable
Damage, routing of cable
Plug and plug cover on control unit
Present, securely fixed
Visual inspection of the mechanical components
Stickers and type plates
Present, legible
Patient lifting pole, adapter sleeves;
grab handles
Damage, deformation
Bed frame
Damage, deformation
Bowden cable, CPR release,
backrest
Properly routed, no kinks
Castors
Damage
Mattress base
Damage, deformation
Wooden surround
Damage, splinters
Welded seams
Split welded seams
Safety sides: Bars
Damage, splinters, dimensions acc.
to Sheet 3
Locking levers of safety sides, side
panels, headboard/footboard
Secure position of locking levers
Connecting elements (screws, bolts,
nuts, safety caps)
Secure fixing, no missing parts
Wearing parts, such as joints
Damage

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