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APPENDIX A, Service Check Form, M-COP/M-COPSv
A-1(2)
Document No. 8001012-1
SERVICE CHECK FORM
Cardiac Output Modules, M-COP and M-COPSv
Customer
Service
Module type
S/N
Service engineer
Date
OK = Test OK
N.A. = Test not applicable
Fail = Test Failed
All modules
OK
N.A.
Fail
OK
N.A.
Fail
1.
Internal parts
2.
External parts
3.
Installation
4.
Recognition
5.
Module software
COP
6.
Communication and
memories
Notes
InvBP measurement
7.
Membrane keys
8.
External parts
9.
Calibration
10.
Test with patient simulator
Notes
SvO
2
measurement
11.
Membrane keys
12.
Calibration
13.
SvO
2
messages
Notes