INTENSIVE CARE UNIT EQUIPMENTS REPORTS MONTH OF JULY 2010 INFUSION PUMP

ENGINEERING CODE 17-01 17-02 SERIAL NUMBER 1310013TK 14050006TK STATUS FUNCTIONING NOT WORKING CALIBRATION DATE NOVEMBER 2008 SEPTEMBER 15, 2009 CALIBRATIO N REPORT REMARKS

FOR CALIBRATION CHECK UP/ PULLED OUT- FOR REPAIR,FOR REPLACEMENT BATTERY AND FUSE

17-03 17-12 17-13

13110066TK 14030052TK 14030074TK

FUNCTIONING FUNCTIONING DEFECTIVE

SEPTEMBER 28, 2009 JULY 27, 2009 JULY 27,2009 FOR CALIBRATION FOR CALIBRATION

CARDIAC MONITOR
ENGINEERING CODE 08-01 08-02 SERIAL NUMBER STATUS PREVENTIVE MAINTENANCE DATE MAINTENAN CE REPORT REMARKS

204118640 204202940

DEFECTIVE FUNCTIONING JULY .22 ,2010

PULLED OUT C/O BIOMED DEFECTIVE FOR FURTHER EVALUATION WITH PREVENTIVE MAINTENANCE REPORT WITH PREVENTIVE MAINTENANCE REPORT WITH PREVENTIVE MAINTENANCE REPORT WITH PREVENTIVE MAINTENANCE REPORT

08-03 08-04 08-05

204202936 304203443 204202937

FUNCTIONING FUNCTIONING FUNCTIONING

JULY.22,2010 MAY.22,2010 MAY.22,2010

AIR GAUGE
ENGINEERIN G CODE SERIAL NUMBER STATUS CALIBRATIO N DATE CALIBRATIO N REPORT REMARKS PREVENTIVE MAINTENANCE DATE

04-04 04-05 04-15 04-13 04-14 04-16 AHE20609008 0152 AHE20609008 0151

FUNCTIONIN G FUNCTIONIN G FUNCTIONIN G FUNCTIONIN G FUNCTIONIN G FOR CALIBRATION

OCTOBER 2009 OCTOBER 2009 OCTOBER 2009 OCTOBER 2009 JULY 2010 OCTOBER 2009

/ / / / / /

PULLED OUT PULLED OUT JULY.19,2010 JULY.19,2010

JULY.19,2010

04-17 04-18

AHE13008030 018 AHE12408030 018

FUNCTIONIN G FUNCTIONIN G

JULY 2010 JULY 2010

/ /

OXYGEN GAUGE
ENGINEERING CODE 02-01 02-05 02-44 02-06 02-07 NONE NONE NONE SERIAL NUMBER STATUS CALIBRATION DATE OCTOBER 2009 OCTOBER 2009 JUNE 2010 OCTOBER 2009 OCTOBER 2009 CALIBRATIO N REPORT / / / / / JULY.19,2010 PULLED OUT ACQUIRED MARCH 2009 REMARKS PREVENTIVE MAINTENANCE DATE JULY.19,2010

FUNCTIONING FUNCTIONING FUNCTIONING FOR CALIBRATION FOR CALIBRATION

02-42 02-45 02-43 02-03 02-09 02-08

NONE NONE NONE NONE NONE NONE

FUNCTIONING FUNCTIONING FUNCTIONING FUNCTIONING FUNCTIONING FUNCTIONING

JULY 2010 JUNE 2010 JULY 2010 OCTOBER 2009 OCTOBER 2009 OCTOBER 2009

/ / / / / /

ACQUIRED MARCH 2009 ACQUIRED MARCH 2009 ACQUIRED MARCH 2009 EXTRA EXTRA EXTRA

SUCTION GAUGE
ENGINEERING CODE 03-07 03-60 SERIAL NUMBER 3384 3376 STATUS CALIBRATION DATE OCTOBER 2009 OCTOBER 2009 CALIBRATIO N REPORT JULY.19,201 0 REMARKS PREVENTIVE MAINTENANCE DATE JULY.19,2010

FUNCTIONING FUNCTOINING

03-05 03-66

3177 603 C-T 800561 603 C-T 800563 603 C-T 800574 603 C-T 800575 603 C-T 800568 603 C-T 800489

FOR CALIBRATION FOR CALIBRATION FOR CALIBRATION FOR CALIBRATION FOR CALIBRATION FOR CALIBRATION FOR CALIBRATION

OCTOBE R 2009 JULY 2010

PULLED OUT ACQUIRED JANUARY 30,2009 ACQUIRED JANUARY 30,2009 ACQUIRED JANUARY 30,2009 ACQUIRED JANUARY 30,2009 ACQUIRED JANUARY 30,2009 ACQUIRED JANUARY 30,2009

03-67

JULY 2010

03-68

JULY 2010

03-69

JULY 2010

03-70

JULY 2010

03-71

JULY 2010

SPHYGMOMANOMETER DIGITAL
ENGINEERING CODE SERIAL NUMBER STATUS PREVENTIVE MAINTENANCE PREVENTIVE MAINTENANCE REMARKS

DATE 01-80 01-81 FOR PREVENTIVE MAINTENANCE FOR PREVENTIVE MAINTENANCE SEPTEMBER 2009 SEPTEMBER 2009

REPORT ACQUIRED JANUARY2009 ACQUIRED JANUARY2009

SPHYGMOMANOMETER ANEROID
ENGINEERING CODE 01-102 01-103 01-104 01-106 01-105 SERIAL NUMBER STATUS CALIBRATION DATE CALIBRATION REPORT REMARKS

FUNCTIONING FUNCTIONING FUNCTIONING FUNCTIONING FUNCTIONING

ACQUIRED APRIL.12,2010 ACQUIRED APRIL.12,2010 ACQUIRED APRIL.12,2010 ACQUIRED APRIL.12,2010 ACQUIRED APRIL.12,2010

ENTERAL FEEDING PUMP

ENGINEERING CODE PO121008 PO121021 PO121065 PO121069

SERIAL NUMBER

STATUS

CALIBRATION DATE FOR CALIBRATION FOR CALIBRATION FOR CALIBRATION FOR CALIBRATION

CALIBRATION REPORT

REMARKS

PULSE OXIMETER
ENGINEERING CODE SERIAL NUMBER STATUS FOR PREVENTIVE MAINTENANCE FOR PREVENTIVE MAINTENANCE PREVENTIVE MAINTENANCE DATE OCTOBER 2007 OCTOBER 2007 CALIBRATION REPORT REMARKS

001406070077 011407010044

ENGINEERING CODE DEFIBRILLATO R KENZ ECG CENTRAL CARDIAC MONITOR

SERIAL NUMBER

STATUS

PREVENTIVE MAINTENANCE DATE

CALIBRAT ION REPOR T

REMARKS

03461

FUNCTIONING

ACQUIRED DECEMBER 2007

02103376 204012019

FUNCTIONING FUNCTIONING FOR FURTHER EVALUATION DUE TO SYSTEM HANG UP ACQUIRED JANUARY 2010 WITH PURCHASE REQUEST

HOTPOT BLOOD COMPRESSOR BLOOD WARMER DROPLIGHT

FUNCTIONING FOR REPLACEMENT

FOR PREVENTIVE MAINTENANCE FOR PREVENTIVE MAINTENANCE

GLUCOMETE R PREPARED BY: NOTED BY: ROMMELL B. REGALADO, ICU STAFF REGINALDO MACARAEG, ICU HEADNURSE

FUNCTIONING

FEBRUARY.19,201 0