Criticare Systems, Inc.
VitalCare
TM
506N3 Series
Service Manual
Page 5-25
Section 5 —Preventative Maintenance
Functional and Safety
Testing Checklist
Use the checklist on the following pages to record the successful
completion of the annual safety tests and verification.
Functional and Safety Testing Checklist (Page 1 of 3)
Copy this checklist as needed to record results.
Model __________________________________
Unit serial number___________________________
Software Rev. ____________
Tested by __________________________________
Date _____________________
Electrical Safety Tests
Hi-Pot Tests
PASS
FAIL
N/A
Hi-Pot Hot/Neutral to Ground @ 2512VDC
_____
_____
Hi-Pot Hot/Neutral to Metal Case @ 2512VDC
_____
_____
Hi-Pot Hot/Neutral to DOX SpO
2
Gnd @ 4242VDC
_____
_____
_____
(DOX SpO
2
)
Hi-Pot DOX SpO
2
to DB-9 shell @ 2121VDC
_____
_____
_____
(DOX SpO
2
)
Hi-Pot Hot/Neutral to Nellcor SpO
2
@ 4242VDC
_____
_____
_____
(Nellcor SpO
2
)
Hi-Pot Nellcor SpO
2
to DB-9 shell @ 2121VDC
_____
_____
_____
(Nellcor SpO
2
)
Hi-Pot Hot/Neutral to FasTemp cable @ 4242VDC
_____
_____
_____
(Temperature)
Hi-Pot FasTemp cable to DB-9 shell @ 2121VDC
_____
_____
_____
(Temperature)
Hi-Pot DOX SpO
2
to FasTemp cable 2121VDC
_____
_____
_____
(DOX SpO
2,
Temp)
Hi-Pot Nellcor SpO
2
to FasTemp cable @ 2121VDC
_____
_____
_____ (Nellcor SpO
2
, Temp)
Hi-Pot Hot/Neutral to TurboTemp cable @ 4242VDC
_____
_____
_____
(Temperature)
Hi-Pot TurboTemp cable to DB-9 shell @ 2121VDC
_____
_____
_____
(Temperature)
Hi-Pot DOX SpO
2
to TurboTemp cable 2121VDC
_____
_____
_____
(DOX SpO
2,
Temp)
Hi-Pot Nellcor SpO
2
to TurboTemp cable @ 2121VDC
_____
_____
_____ (Nellcor SpO
2
, Temp)
Leakage Tests
PASS
FAIL
N/A
Leakage GND CONDUCTOR Normal Polarity (<100uA)
_____uA
_____uA
Leakage GND CONDUCTOR Normal Reverse (<100uA)
_____uA
_____uA
Leakage Open GND and Open Neutral Normal Polarity (<500uA)
_____uA
_____uA
Leakage Open GND and Open Neutral Reverse Polarity (<500uA)
_____uA
_____uA
Leakage Case Normal Polarity (<100uA)
_____uA
_____uA
Leakage Case Reverse Polarity (<100uA)
_____uA
_____uA
Leakage Case Normal Polarity Open Ground (<500uA)
_____uA
_____uA
Leakage Case Reverse Polarity Open Ground (<500uA)
_____uA
_____uA
DOX SpO
2
LEAKAGE Normal Polarity (<10uA)
_____uA
_____uA
_____
DOX SpO
2
LEAKAGE Normal Polarity Open GND (<50uA)
_____uA
_____uA
_____
Nellcor SpO
2
LEAKAGE Normal Polarity (<10uA)
_____uA
_____uA
_____
Nellcor SpO
2
LEAKAGE Normal Polarity Open GND (<50uA)
_____uA
_____uA
_____
FasTemp LEAKAGE Normal Polarity (<10uA)
_____uA
_____uA
_____
FasTemp LEAKAGE Normal Polarity Open GND (<50uA)
_____uA
_____uA
_____
FasTemp LEAKAGE Normal Polarity (<10uA)
_____uA
_____uA
_____
FasTemp LEAKAGE Normal Polarity Open GND (<50uA)
_____uA
_____uA
_____
TurboTemp LEAKAGE Normal Polarity (<10uA)
_____uA
_____uA
_____
TurboTemp LEAKAGE Normal Polarity Open GND (<50uA)
_____uA
_____uA
_____
TurboTemp LEAKAGE Normal Polarity (<10uA)
_____uA
_____uA
_____
TurboTemp LEAKAGE Normal Polarity Open GND (<50uA)
_____uA
_____uA
_____
Isolation test DOX SpO
2
(<50uA)
_____uA
_____uA
_____
Isolation test Nellcor SpO
2
(<50uA)
_____uA
_____uA
_____
Isolation test FasTemp (<50uA)
_____uA
_____uA
_____
Isolation test TurboTemp (<50uA)
_____uA
_____uA
_____
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