Functional Verification Checklist and Test Results Report Form
Vital Signs Monitor Series 300 35 Service Manual
Checklist and Test Results Report Form
Use a copy of this form to track your progress through the validation tests.
✔
Test Result
Pass
(or
N/A)
✔
Fail
✔
Battery Charging
Power-on Self-test
Beeper
Monitor Off Current (mA):
Init/Idle Current (mA):
Baseline Current (mA):
Battery Voltage Monitor (V): DMM (V):
NIBP Characterization Test
NIBP Verification
Pressure Leakage Before (mmHg): After (mmHg):
Pressure Accuracy 80 mmHg SYS: Manometer:
150 mmHg SYS: Manometer:
300 mmHg SYS: Manometer:
Valve/Pump Current Valve/Pump (mA)
Baseline (mA)
Difference (mA)
Inflation Elapsed time (sec):
Dump Manometer reading (mmHg):
Printer Current Peak (mA):
SpO
2
Saturation (%): Pulse (bpm):
Temperature ° Fahrenheit: ° Celsius:
Nurse Call Relay pins 1-2 Alarm (Ω) No Alarm (Ω)
pins 2-3 Alarm (Ω) No Alarm (Ω)
Battery Charge Time
Battery Discharge Time
Monitor Serial #:
Tested by:
Test date:
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