Mindray DC-6, Service Manual

Page: 190 / 191

D-16
ELECTRICAL SAFETY INSPECTION FORM
(Class I equipment)
Overall assessment:
Scheduled inspection Test item: 1, 2, 3, 4, 5, 6, 7, 8
Unopened repair type Test item: 1, 2, 3
Opened repair type, not modify the power part
including transformer or patient circuit board Test item: 1, 2, 3, 4
Opened repair type, modify the power part
including transformer Test item: 1, 2, 3, 4, 5
Opened repair type, modify patient circuit board Test item: 1, 2, 3, 4, 6, 7, 8
Location: Technician:
Equipment: Control Number:
Manufacturer: Model: SN:
Measurement equipment /SN: Date of Calibration:
INSPECTION AND TESTING Pass/Fail Limit
1 Power Cord Plug
2 Device Enclosure and Accessories
3 Device Labeling
4 Protective Earth Resistance
Ω
Max 0.2
Ω
5
Earth
Leakage
Normal
condition(NC)
____
µ A
Max:
NC: 300
µ A(refer to
UL60601-1) *
NC: 500
µ A(refer to
IEC60601-1) *
SFC: 1000
µ A
Single Fault
condition(SFC)
____
µ A
6
Patient
Leakage
Current
Normal
condition(NC)
□
BF____ µ A
Max:
BF applied part:
NC:100
µ A, SFC:
500
µ
A
Single Fault
condition(SFC)
□
BF____ µ A
7 Mains on Applied Part Leakage
□
BF____ µ A
Max:
BF applied part:
5000
µ A
8
Patient
Auxiliary
Current
Normal
condition(NC)
□
BF____ µ A
Max:
BF applied part:
NC:100
µ A, SFC:
500 µ A
Single Fault
condition(SFC)
□
BF____ µ A
9 Functional test (parameters tested):
Note:
The equipment which sell to America shall comply with the requirement of UL60601-1,
others shall comply with the requirement of IEC60601-1.
Name/ Signature: ____________________ Date: ___________________________ __