TECNICA DIVISION MEDICA

21/06/2017

Fluke Biomedical Ansur

Test and Inspection Procedure
Copyright © 2000 - 2014 Fluke Biomedical

Test Record
TEST PASSED
Test Performed Ansur Components Used
Date: 21/06/2017 Ansur Version 3.0.0
Record: Aquarius ATM.mtr Plug-In: ProSim Version 1.0.3
plantilla signos
Template: Plug-In: AVPI Version 2.4.11
vitales.mtt
Template Version: 1.0.0

Test Setup
Selections
Service Events Performed Standards Performed
User defined

Device under test

Serial Number E1102929 Type SIGNOS VITALES
Appliance Code . Model AQUARIUS
Group MONITOR SIGNOS VITALES Location AMBULANCIA ATM
Status OPERATIVO Address 1 .
Manufacturer NORTHERN MEDITEC Address 2 .

MTI Data
Test Instrument Serial Number Firmware Version
ProSim 8 1728016 1.08.00

Signatures

Test Record 1 Page 1 of 3

 TECNICA DIVISION MEDICA
Fluke Biomedical Ansur Test Report 21/06/2017

Test Result
Test Element Test Type Fail
Prueba Módulo SpO2 al 99% SpO2 Test
Configuration Value
Model ProSim 8
Brand Nellcor
Transmission Medium Finger
Respiration Off
Ambient Light Off
Heart Rate 60 BPM
Pulse Amplitude 3.0 %
SpO2 Saturation 99 %
Test Duration 15 s
Result Value
SpO2 Pass

Prueba Módulo SpO2 al 97% SpO2 Test

Configuration Value
Model ProSim 8
Brand Nellcor
Transmission Medium Finger
Respiration Off
Ambient Light Off
Heart Rate 60 BPM
Pulse Amplitude 3.0 %
SpO2 Saturation 97 %
Test Duration 15 s
Result Value
SpO2 Pass

Prueba Módulo SpO2 al 95% SpO2 Test

Configuration Value
Model ProSim 8
Brand Nellcor
Transmission Medium Finger
Respiration Off
Ambient Light Off
Heart Rate 60 BPM
Pulse Amplitude 3.0 %
SpO2 Saturation 95 %
Test Duration 15 s
Result Value
SpO2 Pass

Prueba Módulo SpO2 al 90% SpO2 Test

Configuration Value
Model ProSim 8
Brand Nellcor
Transmission Medium Finger
Respiration Off
Ambient Light Off
Heart Rate 60 BPM
Pulse Amplitude 3.0 %
SpO2 Saturation 90 %
Test Duration 15 s
Result Value
SpO2 Pass

Prueba Módulo SpO2 al 85% SpO2 Test

Configuration Value
Model ProSim 8
Brand Nellcor
Transmission Medium Finger
Respiration Off
Ambient Light Off
Heart Rate 60 BPM

Test Record 1 Page 2 of 3

 TECNICA DIVISION MEDICA
Fluke Biomedical Ansur Test Report 21/06/2017

Test Element Test Type Fail

Configuration Value
Pulse Amplitude 3.0 %
SpO2 Saturation 85 %
Test Duration 15 s
Result Value
SpO2 Pass

Presión No Invasiva 80/50 Checklist

Comment
Valor Medido 82/52
Result: Recorded Value
Pass

Presión No Invasiva 120/80 Checklist

Comment
Valor Medido 122/84
Result: Recorded Value
Pass

Presión No Invasiva 150/100 Checklist

Comment
Valor Medido 152/107
Result: Recorded Value
Pass

Presión No Invasiva 200/150 Checklist

Comment
Valor Medido 205/157
Result: Recorded Value
Pass

Checklist Checklist
Result: Recorded Value
Carcasa Frontal y
Pass
Trasera
Panel Frontal Pass
Estado Accesorios Pass
Enchufe y Base del
Pass
Enchufe
Cable de Poder
Pass
Electricos
Amarres Contra Tirones Pass
Interruptores y Fusibles Pass
Conectores Pass
Sensores Pass
Teclas y Mando de
Pass
Control
Bateria y Cargador Pass
Indicadores y Display Pass
Alarmas Pass
Señales Audibles Pass
Etiquetado Pass

Test Record 1 Page 3 of 3