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 1 of 4
Device type:
MEDUMAT Easy CPR WM 28140
Type of device:
Emergency ventilator
Serial no.:
Manufacturer:
Weinmann GmbH + Co. KG
Date of
manufacture:
Owner/operator:
Record
of
tasks
performed
Repair performed
Servicing performed
Service interval:
2 years
Safety check [STK] performed (
only required in Germany
)
Safety check [STK]
interval:
2 years
Note
The safety check [STK] is no substitute for the necessary servicing nor for
the preventive replacement of wear parts.
Test result:
The device conforms to the requirements of § 6 of the Medizinprodukte-
Betreiberverordnung [German law governing medical devices and their
owners/operators].
Date Signature
