Personal Ambulatory Oxygen System
Provider Technical Manual
53
PN 20631679 Rev D
PROVIDER SERVICE AND MAINTENANCE RECORD
Whenever maintenance or service is performed on an Eclipse 5 unit, an entry should be made in the service log for that concentrator
or recorded in accordance with your company’s standard procedure. Whenever the case of the Eclipse 5 is opened, the flow rate, purity,
and alarm status should be verified per the Test Procedures in this manual.
EDAT may be utilized to record Eclipse 5 device status and dates of service.
Eclipse 5 Serial Number ______________________
Date
Hour meter
Reading
Initials
Service Performed
System Checkout
Comments
Purity
Flow
Alarms
Table 13: Sample Eclipse 5 maintenance record
NOTE:
Use the “Save As” function under the “File” section and save the file as the SN and/or the date serviced
(example: 08D0110xxxx 08012000).
