Bolder Surgical CoolSeal CSL-200-50, User Manual

Page: 38 / 40

Bolder Surgical en - CoolSeal™ Generator
Page | 37
Periodic Functional Test Summary Form Page 2/2
Generator SN: ________________
Step TEST REQUIREMENT Record
Values
Circle Pass/
Fail
Ground Continuity Testing
8 Ground Continuity Value < .200 ohms ____
ohms P / F
Earth Leakage Testing
7 Normal/Closed with Cable
< 500 µA
_____ µA P / F
8 Normal/Open with Cable _____ µA P / F
9 Reverse/Open with Cable _____ µA P / F
10 Reverse/Closed with Cable _____ µA P / F
12 Normal/Closed no Cable _____ µA P / F
13 Normal/Open no Cable _____ µA P / F
14 Reverse/Open no Cable _____ µA P / F
15 Reverse/Closed no Cable _____ µA P / F
Impedance
10 Impedance 25 Ω/Power 25 W 20 W – 30 W ______ W P / F
12 Impedance 25 Ω/Power 35 W 28 W – 42 W ______ W P / F
14 Impedance 25 Ω/Power 50 W 40 W – 60 W ______ W P / F
19 Impedance 50 Ω/Power 25 W 20 W – 30 W ______ W P / F
21 Impedance 50 Ω/Power 35 W 28 W – 42 W ______ W P / F
23 Impedance 50 Ω/Power 50 W 40 W – 60 W ______ W P / F
28 Impedance 225 Ω/Power 25 W 20 W – 30 W ______ W P / F
30 Impedance 225 Ω/Power 35 W 28 W – 42 W ______ W P / F
32 Impedance 200 Ω/Power 50 W 40 W – 60 W ______ W P / F
Tester Name Signature Date