Nellcor TM-071 User manual
SYSTEM SERVICE TEST RECORD -- FORM 250
SERVICE ENG. NAME:
Red LED flashes and Alarm sounds three times
yes
no
Record software version:
Green LED on front panel and power switch are lit
yes
no
All fields blue except Air Trap
yes
no
Roller Pump Door changing from Blue to Red when opened.
yes
no
Check Prime Switch changing from Blue to Red when pressed
yes
no Air Trap Level changing from Red to Blue when filled
yes
no
System goes to Standby
yes
no
3.3
Time & Date set-up
Set time and date are to local time
Temperature Input
Check
TP400 set at 37°C. Display shows value from 36.9 – 37.1°C
°C
With T1 and T2 connected, system immediately goes into RUN
yes
no Audible alarm and message when T2 disconnected
yes
no Yellow screen appears after pressing Standby/Run button
yes
no System goes into RUN mode after selecting “Yes”.
yes
no Pump is turning counter clockwise
yes
no Coolant is circulating within Coldwell
yes
no Blower fan is turning
yes
no
Target temperature is set to 36.5 °C
yes
no The rate is set to MAX
yes
no
“Pump Door Open” message on screen
yes
no Audible alarm and system goes into STANDBY
yes
no Mute button silenced alarm
yes
no
When Air Trap is removed, message display is
“AIR TRAP FAULT – Check Saline Level”
yes
no
3.8
Target Temp Set-up
Verify the Target temperature is set to 38.0°C
yes
no
When the Rate Deg/Hr button is pushed in Standby Mode,
following modes displayed: Max Power/Controlled Rate/ Fever
Select the Controlled Rate Mode and verify that the rate
selection changes from 0.10 to 0.65 ºC/Hr.
System time when display changes from MAX Red to MED Red
-----
System time when display changes from MED Blue to Max Blue
-----
Subtract the first time from the second time. The difference
between these two times must be less than 30 minutes.
min
Peristaltic Pump
Test
Number of cycles in one minute. Should be between 35 and 43
cycles/min
3.12
Data Download
Data download test
yes
no
SYSTEM SERIAL #:
HOSPITAL:
For use with TM-071
SYSTEM MODEL:
DATE:
TEST DESCRIPTION REQUIREMENT RESULT OK
3.1 Power up/Self Test
3.2 System Set-up
3.4
3.5
3.6
3.7 Air Trap test
3.9 Rate Set-up
3.10 Verify Slew Rate
3.11
Run Mode
Verification
Pump Door and
Mute Button Test
yes no
yes no
All tests and readings are within the specified limits: Pass________ Fail ________
Service Engineer (signature): _________________________________ Date: ____________
FORM-250 REVISION 3
ZOLL PAGE 1 0F 2
Rev.
Description
DCO #
Effective Date
1
Convert to ZOLL Format
2945
7/1/2009
2
Update to the European Service Center (Wateringen, Netherlands)
3526
2/1/2011
3 Updated format. Removed DCO from footer section. Added a History
procedure TM-071
HISTORY BLOCK:
Block section. Added Check in section 3.4 to match with the test
5232
12/8/2014
FORM-250 REVISION 3
ZOLL PAGE 2 0F 2
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