
Part I of II
32 of 33
Service Manual for the LuMon™ System
Protocol for Safety & Functionality Test – LuMon™
Sytstem
The LuMon™ System has been designed to comply with the IEC 60601-1 standard. For safety reasons it is recommended that the
LuMon™ System undergoes a technical safety check once a year (but every two years the latest) and after repair. Please fill in this
form (one form per monitor).
Record the serial number and the hard- and software specific information of the tested items. You will find this information in
ScoutView ‘system settings’ area.
The LMS safety and functionality test consists of several tests of the following equipment:
•
LuMon™ Monitor
•
SensorBeltConnector / LuMon™ Connector
T
EST SUMMARY
:
Product identification
☐
LuMon™ Monitor - Adult
SN:
☐
LuMon™ Monitor - Neo
SW version:
TIC version:
☐
SensorBeltConnector
SN:
☐
LuMon™ Connector
Version
Test tools
☐
EIT Advanced Interface
SN:
☐
Safety analyzer
☐
Other:
LuMon™ Monitor
Not passed
☐
Passed*
☐
SensorBeltConnector/LuMon™ Connector
Not passed
☐
Passed*
☐
*all test items passed
Safety & Functionality test:
Not passed
☐
Passed
☐
Date of the next safety related test:
Organization:
Location:
Qualified technician (name):
Place, date:
Signature: