Result Sheet Test Instructions / Service Card IPM

Fabius GS/OS/GS Premium

Order number:

Location: Serial no. (basic unit):

Department: Cust. invent. no.:

Maintenance interval: Other / Delivery date:

Key

 / OK = OK
Applies to Test Instructions / Service Card IPM Revision 5.0 + = Spare part used
! = Error / Report
/ = Accessory not available
- = Not applicable

Test Result Test Result

1 Device configuration  3.1.2.1 Maximum measured value of device with pow- Ω
er cable.
1.1 Basic device configuration
 3.1.2.2 Maximum measured value of optional power Ω
1.1.1 Serial number/software (if not otherwise record- cable.
ed)
 3.1.2.3 Maximum measured value of ME system. Ω
 1.1.1.1 Serial number of the device txt
 3.1.3 Protective earth resistance measuring points OK
 1.1.1.2 Serial number of the breathing system (CO- txt
SY2) 3.1.4 Equipment leakage current
 1.1.1.3 Serial number of optional bronchial suction de- txt  3.1.4.1 Reference value μA
vice  3.1.4.2 Recurrent measurement μA
 1.1.1.4 Optional external monitoring device txt 3.2 Option: Electrical safety, COSY2 heater power sup-
2 Maintenance parts ply unit, to DIN EN 62353 (IEC 62353)
2.1 Maintenance intervals, overview  3.2.1 Visual check OK
2.2 Maintenance parts by specified interval 3.2.2 Protective earth resistance
 2.2.1 Lithium battery (every 3 years) dat  3.2.2.1 Maximum measured value of device with pow- Ω
er cable.
 2.2.2 Lead-gel battery (3-yearly) dat
 3.2.2.2 Maximum measured value of ME system. Ω
2.2.3 Input pressure regulator test (every 3 years)
 3.2.3 Protective earth resistance measuring points OK
2.2.3.1 Downstream pressure of pipeline supply O2 in-
put pressure regulator 3.2.4 Equipment leakage current
 Downstream pressure of O2 input pressure regulator OK  3.2.4.1 Reference value μA
 Next test dat  3.2.4.2 Recurrent measurement μA
2.2.3.2 Downstream pressure of pipeline supply N2O 3.3 Electrical safety according to IEC 60601-1
input pressure regulator (not applicable in ni-  3.3.1 Base unit OK
trous-oxide-free mode)
 3.3.2 Protective earth resistance Ω
 Downstream pressure of N2O input pressure regulator OK
3.3.3 Earth leakage current
 Next test dat
 3.3.3.1 Normal condition (N.C.) μA
 2.2.4 Drägersorb Clic option (old, yearly) dat
 3.3.3.2 Single fault condition (S.F.C.) μA
 2.2.5 Drägersorb Clic option (new, yearly) dat
 3.3.4 Optional COSY2 heater power supply unit, pro- Ω
 2.2.6 Drägersorb Clic option (old, every 2 years) dat tective earth conductor resistance
 2.2.7 Drägersorb Clic option (new, every 2 years) dat 3.3.5 Optional COSY2 heater power supply unit, earth
 2.2.8 Drägersorb Clic option (every 4 years) dat leakage current
2.2.9 Pin index option (every 6 years)  3.3.5.1 Normal condition (N.C.) μA
 2.2.9.1 Option: Upgrade kit, N2O pressure regulator, dat  3.3.5.2 Single fault condition (S.F.C.) μA
long 4 Function and condition test
 2.2.9.2 Option: Upgrade kit, N2O pressure regulator, dat 4.1 Base unit
short
 4.1.1 Labels and instructions for use OK
 2.2.9.3 Option: Upgrade kit, O2 pressure regulator, dat
 4.1.2 Condition and function of the base unit OK
short T
 4.1.3 Tubing (PAE, PA, fabric-reinforced) OK
 2.2.9.4 Option: Upgrade kit, O2/Air pressure regulator, dat
long L  4.1.4 Condition and function of vaporizer mount and in- OK
terlock
 2.2.9.5 Option: Upgrade kit, O2/Air pressure regulator, dat
short L 4.2 Basic unit self-test, calibration and leakage test
 2.2.9.6 Option: Upgrade kit pressure regulator N2O dat 4.2.1 Self-test/system diagnostics of the base unit
complete RV short  4.2.1.1 Entering the software version. txt
3 Electrical safety  4.2.1.2 Self-test successfully completed. OK
3.1 Electrical safety, base unit, to DIN EN 62353 (IEC 4.2.2 O2 sensor calibration (not applicable in case of
62353) monitoring with external O2 measurement)
 3.1.1 Visual check OK  4.2.2.1 Calibrate O2 sensor OK
3.1.2 Protective earth resistance  4.2.2.2 O2 concentration %

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Test Result Test Result
 4.2.3 Flow sensor calibration OK  4.8.1.3 Non-return valve and manometer OK
 4.2.4 Leak tightness of breathing system OK 4.8.2 Checking the pressure regulator option of the pin
4.2.5 Fresh gas leakage test passive (with and without index cylinders
vaporizer)  4.8.2.1 O2 pressure regulator OK
 4.2.5.1 Leak test of flow control valves OK  4.8.2.2 N2O pressure regulator (not applicable in ni- OK
 4.2.5.2 Fresh gas leakage with Vapor. OK trous-oxide-free mode)
 4.2.5.3 Fresh gas leakage without Vapor. OK  4.8.2.3 Air pressure regulator OK
 4.2.6 Fresh gas dosage safety valve OK 4.9 Optional high-pressure cylinders, high-pressure
regulators
 4.2.7 Nitrous oxide-free option: Fresh gas leakage pas- OK
sive test 4.9.1 High-pressure cylinders on the gas inlet block
(non-return valves)
4.3 Service data and basic unit calibration
 4.9.1.1 O2 pipeline supply connection mL/min
4.3.1 Service data
 4.9.1.2 N2O pipeline supply connection (not applica- mL/min
 4.3.1.1 Last Service Date dat ble in nitrous-oxide-free mode)
 4.3.1.2 Next due service date dat  4.9.1.3 O2 high-pressure cylinder connection mL/min
 4.3.2 Pressure OK  4.9.1.4 N2O high-pressure cylinder connection (not mL/min
4.3.3 Pump calibration, non-return valve (if fitted) and applicable in nitrous-oxide-free mode)
vacuum test  4.9.2 O2 high-pressure leakage OK
 4.3.3.1 Ambient pressure OK  4.9.3 N2O high-pressure leakage (not applicable in ni- OK
 4.3.3.2 Vacuum test OK trous oxide-free mode)
 4.3.4 PEEP calibration OK 4.10 Final procedures
 4.3.5 Fresh-gas flow sensor calibration OK  4.10.1 Test label and device handover OK
 4.3.6 O2 offset (not applicable in case of monitoring OK 5 Test equipment
with external O2 measurement)  5.1 Test equipment subject to mandatory calibration OK
4.4 Power failure, O2 sensor, flow sensor alarms 5.2 Test equipment not subject to mandatory calibration
 4.4.1 Power failure alarm, battery circuit OK
 4.4.2 Total failure alarm option OK
 4.4.3 O2 low alarm bar
 4.4.4 Flow sensor failure alarm OK
 4.4.5 O2 sensor failure alarm (not applicable in case of OK
monitoring with external O2 measurement)
4.5 SORC test (not applicable in nitrous oxide-free
mode)
 4.5.1 N2O shut-off (not applicable in nitrous oxide-free OK
mode)
4.5.2 O2 concentration and gas type test (not applicable
in nitrous oxide-free mode)
 4.5.2.1 Air pipeline supply manometer indicates pipe- OK
line pressure
 4.5.2.2 No O2 or N2O flow OK
 4.5.2.3 O2 pipeline supply manometer indicates pipe- OK
line pressure.
 4.5.2.4 No Air or N2O flow OK
 4.5.2.5 O2 concentration OK
 4.5.2.6 No Air flow OK
4.5.3 SORC function (not applicable in nitrous oxide-
free mode)
 4.5.3.1 O2 concentration OK
 4.5.3.2 N2O flow L/min
 4.5.3.3 O2 flow L/min
4.6 Additional tests
 4.6.1 Pressure-limiting valve and auxiliary-air valve OK
 4.6.2 Pmax accuracy OK
4.7 Ventilation modes
 4.7.1 Manual ventilation OK
 4.7.2 Spontaneous breathing OK
4.7.3 Lung ventilator performance
 4.7.3.1 The lung ventilator is running softly and OK
smoothly
 4.7.3.2 Volume delivery mL
 4.7.4 PEEP pressure accuracy OK
4.8 Optional pin index cylinder connections, manome-
ters, and pressure regulators
4.8.1 Cylinder connections, non-return valves, manom-
eters
 4.8.1.1 Cylinder connections OK
 4.8.1.2 Leakage OK

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