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Appendix
A
Planned maintenance check form, S/5 Compact Monitors
A1(4)
Document no. M1144953-001
APPENDIX A: Planned maintenance check form,
S/5 Compact Monitors
OK = Test OK
N.A. = Test not applicable
Fail = Test failed
Customer
Service
Service engineer
Date
Monitor Installation
Frame: F-CM________
System options:
E/M-
Software:
N-
E/M-
K-
N-
E/M-
K-
N-
E/M-
Measuring equipment / test gases used:
Equipment / tool / gas:
Manufacturer:
Model/Type/Part
Number:
Serial Number /
ID:
Calibration
Date:
Visual Inspection
OK
N.A.
Fail
2.1.2. Compact Airway Module, E-CXX/ M-CXX
S/N
2.1.3. Single-width Airway Module, E-miniC/ M-miniC
S/N
2.1.4. Tonometry Module, E-TONO/ M-TONO
S/N
S/N
2.1.6. Modules with NIBP measurement
S/N
S/N
Содержание Datex-Ohmeda S/5 Series
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