Air
Life
®
nCPAP Driver Service Manual
2008, Cardinal Health
Page 68 of 81
14.2 Performance Test Data Sheet
Airlife nCPAP Driver Performance Test Data Sheet
Driver Serial Number:
Equipment ID:
Test Equipment:
ID# / Calibration Due Date
Tolerance
Test Equipment: ID# / Calibration Due Date
Tolerance
Manometer
O2 Analyzer
Flowmeter
Stop Watch
Date:
Last Performance Test Date:
Reason for Test:
Hour meter at last test:
Splash Screen Information:
Splash Screen Inspection:
Firmware Version
LEDs Illuminated and
correct color
PASS
FAIL
Display OS Version
Passes Pressure Test
PASS
FAIL
Display Firmware
Passes Flow Test
PASS
FAIL
Hour Meter Reading
Passes Oxygen Calibration
& Test
PASS
FAIL
Unit Inspection
Test Criteria
Results
Air Filter & Filter
Bowl
Visually Clean
Soiled
Wet
PASS
FAIL
Default Set
Values
CPAP = 5, FiO
2
= 21%, Flow Target = 8 lpm
PASS
FAIL
Battery Charging
Lightning bolt icon present in battery icon, Plug icon illuminated
Green LED at plug decal illuminated, "Charge" displayed
PASS
FAIL
Power Loss
Notification
Single Audible Beep, Battery Percentage displayed
PASS
FAIL
Bleed Flow
Inspection
Measured Flow (lpm)
Acceptance Criteria
Results
Bleed Flow Rate
0.7-3.0 LPM
PASS
FAIL
Blender Accuracy
(FiO
2
delivered thru Patient Circuit Outlet Port with set & actual CPAP = 5 cmH
2
0 with Cardinal accessories attached)
FiO
2
Set Point
21%
30%
50%
70%
100%
Results
Driver % 0
2
Reading on LCD
PASS
FAIL
Acceptance
Criteria
±
3 % 0
2
±
3 % 0
2
±
3 % 0
2
±
3 % 0
2
±
3 % 0
2
Note: allow ~ 60 sec settling
time (normal 20 sec grace
external sensor
response time)
External O
2
Analyzer % 0
2
Reading
PASS
FAIL
Acceptance
Criteria
±
(3 +
external
sensor
accuracy
rating) % 0
2
±
(3 +
external
sensor
accuracy
rating) % 0
2
±
(3 +
external
sensor
accuracy
rating) % 0
2
±
(3 +
external
sensor
accuracy
rating) % 0
2
±
(3 +
external
sensor
accuracy
rating) % 0
2
Note: The Driver's stated
tolerance is
±
3%. The
accuracy/tolerance of the
sensor being used to verify the
reading must be considered
(added) for this pass/fail criteria
