Gradian Universal Anaesthesia Machine, Maintenance Manual

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APPENDIX IV UAM SERVICE RECORD
MACHINE SERIAL #
CONCENTRATOR TOTAL HOURS RUN
NEXT SERVICE CHECK DUE DATE
ANALYZER SCREEN SOFTWARE REVISION #
GASES USED: (check if available and write down pressure reading)
OXYGEN CYLINDER KPa
OXYGEN PIPELINE KPa
NITROUS CYLINDER Kpa
NITROUS PIPELINE Kpa
TEST # DESCRIPTION
(Correspond to
PASS (P) / PROBLEM FOUND
steps of the Full Function Test)
FAIL (F)
(and work carried out)
SYSTEM
1 No modifications & all spares
and accessories present
2 Frame, hardware, wheels
3 Mains cable and gas supply hoses
4 Charging indicator
5 Mains failure icon
6 Battery condition icon
7 Cylinder yokes
8 Cylinder pressure gauges
9 Pipeline pressure gauges
10 Maximum O
2
and N
2
O flows
11 Zero O
2
and N
2
O flows
12 Emergency O
2
inlet
OXYGEN CALIBRATION, SAFETY AND QUALITY
13 Calibration with 100% O
2
14 Calibration with Air
15 Upper and lower O
2
alarms
16 N
2
O cut-off
17 O
2
sensor disconnect alarm
18 O
2
concentrator output
BREATHING SYSTEM
19 Apnea alarm
20 Air intake valve
21 Reservoir bag
22 Bellows assembly condition
23 Bellows expiratory pressure
24 Patient water trap (if applicable)
25 Fenton balloon operation
26 Pressure relief valve
VAPORIZER
27 Vaporizer condition and indicator
28 Vaporizer performance
29 Residual flow test
30 Complete and adhere service label
Service carried out by (name of technician):
Signature: Date: