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V.A.C.
ATS Operations and Maintenance Manual
29
WOUND V.A.C
®
ATS
QUALITY CONTROL CHECKLIST
PN M3100059
Serial #:
Barcode #:
Location:
Cleaned by: _______________________________ Date: _____/ _____ / ____
1
Power cord and plug are clean and undamaged
PUMP UNIT FUNCTIONS
2
The exterior of the pump unit is clean and undamaged.
3
All rubber pads are in place.
4
Hanger bracket and IV Pole Clamp are secure and operate correctly.
5
The power switch operates correctly.
6
Verify that canister latch will secure the canister.
7
Check function of leak alarm by operating therapy with open canister.
8
Set vacuum to 200mmHg and verify that pump reaches target with canister capped.
9
Hydrophobic filter changed (if required). If there is evidence that fluid has leaked past the
filter, obtain an RMA and return the unit for repair. Do not open the unit.
10
Ensure that the two suction cups at the top of the canister chamber are clean and
undamaged.
11
Check that Blockage alarm occurs when tubing is clamped
12
Release Valve Operation – Connect a manometer to the canister tube. Operate therapy
at 125mmHg, turn therapy off. Ensure reading drops to <30mmHg in 10 seconds
13
Set therapy hours to zero
14
Check that the Canister Level Sensor operates correctly in the
Engineering – Therapy screen. Do not open the unit.
OPERATOR DISPLAY
DELIVERY QUALITY CONTROL CHECKLIST
15
The Therapy On/Off function operates correctly.
16
All Options and their corresponding display
screens and indicators operate correctly.
Account
Name
17
Status Bar function operates correctly on screen.
18
. Ensure that all labels required on this product are in
their proper places and undamaged.
19
Ensure that the unit can be switched ON and OFF, on battery
mode
20
Run the unit on battery mode for approximately 15 minutes.
Technician
Signature
21
Reconnect to AC power, ensure that on-screen indicator
illuminates
22
Ensure that battery symbol displays during battery
mode
Date
_____/ ____ / ____
QUALITY CONTROL VERFICATION CERTIFIED BY:
Technician Signature
Date
_____ / ____ / ____
PN M3100059 iss A
A COPY OF THIS COMPLETED CHECKLIST MUST BE PLACED IN THE UNIT HISTORICAL DATA FILE
QA CHECKLIST
FOR THE LATEST REVISION OF THE QUALITY CONTROL CHECK LIST
PN 3100059 PLEASE REFER TO YOUR LOCAL KCI DISTRIBUTOR
All Control Functions
All Therapy functions