20
Preventive Maintenance
Manual 41394
SIGMA Spectrum Infusion System
Revision A
Preventive Maintenance
Preventive Maintenance Check Sheet
When using the Annual Preventive Maintenance Check Sheet:
■
Enter the Hospital/Facility name in the space provided.
■
Enter the Biomed name and date of the test.
■
Record the findings on the Preventive Maintenance Check Sheet.
■
Retain the completed Preventive Maintenance Check Sheet for your records.
■
Return any Pump that fails any inspection, test, or performance evaluation.
Hospital/Facility: ____________________________________________________________
Biomed Name:___________________________________Date:______________________
Pump Identification
Serial Number:
(Pump):
(Label):
Software Version:
N/A
Active Drug Library:
(Pump):
(Facility):
Drug Library Date:
(Pump):
(Facility):
