Test record
as per Servicing and Repair Instructions WM 67308 (Medumat Easy CPR)
Geräte für Medizin GmbH+Co. KG, P.O. Box 54 02 68, D-22502 Hamburg, Germany, Fax +49 4054 702461,
Tel49 4054 7020
WM 28205 - 0
4/
10
Page 4 of 4
Check equipment and accessories (system components)
OK
NOK
Present
No
Yes
•
Patient circuit with patient valve
undamaged and in working order
•
Test set for function check complete
•
Pressure reducer in working order
•
O2 cylinder within test period,
valve in working order
•
Carrying platform complete and in working order
•
Medical devices book (Germany only)
•
Instructions for use
Test performed:
Date
Signature