Performance Test of Pulse Oximeter: I.Alat Ukur Dan Bahan Yg Digunakan

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Performance Test of Pulse Oximeter

Merk ELITEC Customer

Type FO Address

S/N 20502210102 Phone/Fax

I.Alat Ukur dan Bahan Yg Digunakan

No. Nama Alat/Bahan Merk Type S/N


1 Avometer

II. Keselamatan Listrik

No. Parameter Terukur Toleransi

III. Kinerja Alat

A. Saturasi O2 ( SpO2 )
Sumber Hasil SpO2 Ket
- Beri sinyal SpO2 Simulator ( jika tersedia ) atau Sinyal I II Pass Fail
- Letakan ujung jari pada finger probe
Jari Tangan
- Tunggu beberapa saat dan catat hasilnya.

Sumber Hasil SpO2 Ket Sumber Hasil SpO2 Ket


Simulator I II Pass Fail Simulator I II Pass Fail

80 95

B. Pulse Rate

Setting Pulse Hasil Ket Setting Hasil Ket


Rate I II Pass Fail Pulse Rate I II Pass Fail

Customer Checked by,


Date,
Start Time
End Time ( ) ( )

PT.GMM - T/R Div


PT.GMM - T/R Div
Check List Pulse Oximeter
Merk MINDRAY No. Inventaris RSR/OXY/02/12/OXY/01/2018

Type PM 60 Ruang ISMAIL 2

S/N CR-77182814

A. Main Unit

No Descriptions Results

1. Body/Casing (Badan/Selungkup) Pass Fail NA

2. Mount/Fasteners (Baut/Pengunci) Pass Fail NA

3 Cables Pass Fail NA

4 Connectors Pass Fail NA

5 Probes Pass Fail NA

6 Controls/Switches Pass Fail NA

7 Indicators/Display Pass Fail NA

8 Battery/Charger Pass Fail NA

9 Alarms Pass Fail NA

10 Audiable Signals Pass Fail NA

11 Labeling Pass Fail NA

B. Accessories

No Descriptions Results Quantity

1. Power Cable Pass Fail NA pc

2 Finger Probe + Extention Cable Pass Fail NA pc

3 S O P /Manual Book Pass Fail NA pc

Date Customer Checked By,


Start Time
End Time

( ) ( )

PT.GMM - T/R Div


Check List/Testing Reports

A. Customer

Customer Name
Address
Telp/Fax
Contact Person

B. Equipment Data

Equipment Name Pulse Oximeter


Merk ELITEC
Type FO
S/N 20502210102

C. On Duty

Date
Place/Room
Technician

Notes

Customers Technician

( ) ( )

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