1505-1018-000-PMC B 10 2015

Engström Carestation TRM 1505-1018-000
Planned Maintenance Checklist

.
Customer Name: Service Record

Number:
System ID or Serial Number: Equipment ID:
Software version: Date:
Performed by:
Circle the service month interval: 6, 12, 24, 48
Every 12 months
Refer to the Technical Reference Manual for detailed test and
maintenance instructions.
Inspect the system

Important: Check all components' date wheels and verify that the
date codes and part replacement schedules are compliant.
.
Procedure Expected results Outcome Comments

Pass / Fail
• Check that casters are not loose • Casters roll and lock as
or damaged. See "Replacing the needed and are firmly
cart caster" in the Technical mounted to the machine
Reference Manual for detailed base.
information. • Display unit fan filter is
• Visually inspect the display unit clean.
fan filter. • Vent engine fan filter is
• Visually inspect the vent engine clean.
fan filter. • No physical damage.
• Visually inspect the exhalation • O2 and Air filters are
valve assembly. clean.
• Visually inspect the gas inlet • Arm is in good condition
filters (O2 and Air). and tightened.
• Check movement of the display • Check movement of
unit arm joints. patient module rack arm.
• Check movement of the patient If necessary, use hex
monitoring module rack. wrench to adjust tension.
• Check that accessory • Accessory components
components are securely are securely attached.
attached (if equipped). • Air and O2 are securely
• Check that pipeline or connected to gas inlets.
compressor gas supplies are
connected (if equipped).
1
Power cords
.

Pass / Fail
• Verify AC power cord • Power cord
configuration. configuration is correct.
• Check that all AC • All power cords are

power cords are fully seated correctly.
seated.
• Power clamp screws
• Check and if necessary are tightened to 1.0
tighten the following: Nm and the retainer
power clamp screws to and outlet screws are
1.0 Nm; tighten the tightened to 0.45 Nm.
inlet power cord
retainer
(1503-3033-000) screw
to 0.45 Nm; tighten the
outlet power cord
retainer
(1505-3041-000) screw
to 0.45 Nm.
Verify annunciators
.

Pass / Fail
• Power on unit using the • Buzzer sounds for
system switch. approximately 2
• Verify main audio sounds. seconds.
• Verify the alarm LEDs blink. • Main audio alarm
sounds just before
the startup screen
displays.
• LEDs blink.
2 1505-1018-000-PMC B 10 2015
Vent engine debris clean out
.

Perform the vent engine debris No debris in vent Pass / Fail
clean out. engine.
Vent engine leak test (low pressure)

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Procedure Expected results Actual results Outcome Comments

Perform the vent engine low Pass / Fail
• P1 Leak result
pressure leak test using the
is less than or
PC Service application.
equal to 10 ml/
min.
Pass / Fail / Not

• P2 Leak result
applicable
does not
exceed 10 ml/
min.
Vent engine leak test (high O2 pressure)

.

Perform the vent engine Leak rate does not Pass / Fail
high O2 pressure leak test exceed 26 ml/min.
using the PC Service
application.
Vent engine leak test (high Air pressure)

.

Perform the vent engine Leak rate does not Pass / Fail
high Air pressure leak test exceed 50 ml/min.
using the PC Service
application.
1505-1018-000-PMC B 10 2015 3
Calibrate airway pressure transducer Zero and Span
.

Pass / Fail / Not
• Calibrate the airway • Using PC Service
applicable
pressure Application 2.02
transducers, Zero and 10.1: Verify
and Span. “Insp Span
Passed”, “Aux Span
Passed” displays in
Message Log.
Manually check the
Expiratory pressure
transducer for a
reading of 100
cmH2O +/- 0.2
cmH2O when the
proper DAC value
has been entered.
Pass / Fail / Not

• Using PC Service
applicable
Application 10.2 or
higher: Verify “Insp
Span Passed”, “Aux
Span Passed”, and
Exp Span Passed”
displays in
Message Log.
Free-breathing valve
.

Perform the free-breathing Inspiratory pressure Pass / Fail
valve test using the PC is more positive
Service application. than -3 cmH2O.
4 1505-1018-000-PMC B 10 2015
Inspiratory effort valve test
.

Perform the inspiratory effort Squeeze bulb does Pass / Fail
valve test using the PC not fully inflate in
Service application. less than 5
seconds.
Auxiliary pressure relief valve test

.

Perform the auxiliary Pressure is greater Pass / Fail
pressure relief valve test than 90 cmH2O but
using the PC Service less than 230
application. cmH2O.
VCB buzzer test

.

Perform the VCB buzzer test. VCB Buzzer sounds. Pass / Fail
Mechanical overpressure valve test

.

Perform the mechanical Pressure is greater Pass / Fail
overpressure valve test than 100 and less
than 130 cmH2O.
Touchscreen calibration
.

Perform Touchscreen calibration Touchscreen targets Pass / Fail / Not Applicable
calibrated.
1505-1018-000-PMC B 10 2015 5
Super User/Administrator tests
.

Perform O2 valve Pass is displayed. Pass / Fail
calibration.
Perform Air valve Pass is displayed. Pass / Fail
calibration.
Perform exhalation valve Pass is displayed. Pass / Fail
calibration.
Perform back light test. Back light(s) turn off Pass / Fail
and screen
brightness may
change.
Checkout procedure
.

Perform System Checkout. All checks pass. Pass / Fail
Battery performance test

.

Perform the battery test. Discharge Time is Pass / Fail
greater than 60
minutes.
Electrical safety test

.

Measure the ground The measured Pass / Fail
resistance. ground resistance is
less than 0.2 Ohms.
6 1505-1018-000-PMC B 10 2015
Measure the leakage The measured Pass / Fail
current. leakage current is
less than 300
μAmps @ 120 / 100
Vac and is less than
500 μAmps @ 220 /
240 Vac.
Every 48 months (in addition to 12 month tests and

maintenance)
Refer to the Technical Reference Manual for detailed test and
maintenance instructions.
Parts replacement
.
Part Number Part Description 12-Month 24-Month 48-Month Replaced Yes/No Comments
1009-5800-000 Lithium battery X
1009-5682-000 System batteries X
Inspect boards for dust

.

Visually inspect boards Boards are clean. Pass / Fail
located behind display unit
fan for dust.
Regulator output pressure test

.

Perform the regulator output Pressure is 25 Pass / Fail
pressure test. ± 0.50 psi
1505-1018-000-PMC B 10 2015 7
8 1505-1018-000-PMC B 10 2015
EVair03 compressor (if installed)
Refer to the EVair03 Technical Reference Manual CI-3090 for
detailed instructions.

.

Number:
Performed by:
Required parts installation

.
Part Number Description 12-months or 5000 10, 000 hours (check Comments
hrs hour meter)
5471001 Annual Filter kit X
5471002 10,000 hour kit - X
230V/50 Hz
5471003 10,000 hour kit - X
120V/60 Hz
Every 12 months
Refer to the Jun-Air EVair03 Compressor (Model OF302-1.5SDA)
Technical Reference Manual (CI-3090) for additional information.
Note The filter kit is recommended to be replaced every 5000 hours or

annually, whichever comes first on compressors that are used as the
primary source of air.
Note Compressors that are used as backup only require the 5 µm pipeline
filter replacement (4071210) annually. The filter kit replacement is
still recommended at 5000 hours.
9
Inspect the system
.

Pass / Fail
• Open the drain valve • No water present in the
on the receiver, if water receiver.
is present in the • O-rings are in good
receiver. condition.
• Check the o-rings and • Hoses are connectors
non-return valve and are in good condition.
replace if necessary. • Compressor is free of
• Check the condition of debris.
the internal hoses and
connectors.
• Clean all dust and
debris from the
compressor exterior
and interior, especially
the cooler fins and
fans.
Install annual filter kit

.

Install the annual filter kit. Filters have been installed Pass / Fail
following the instructions in
the Jun-Air EVair 03
Compressor Technical
Reference Manual.
10 1505-1018-000-PMC B 10 2015
Pump-up test
.

Pass / Fail
• Perform the • Compressor
compressor pressure
pump-up test. stabilizes at 550
• Verify the +/-50 kPa (80
compressor +/-7.3 psi) within
pump begins to 30 seconds.
run and the • Green light on
compressor power switch is
pressure gauge illuminated.
stabilizes at 550
+/-50 kPa (80
+/-7.3 psi) within
30 seconds
• Verify the green
indicator light (in
power switch) is
on.
Pressure switch setting

.

Pass / Fail
• Connect Medical • Inlet pressure on
Air pipeline to the the gauge is 280
inlet. The to 650 kPa (41 to
pipeline gauge 94 psi).
should indicate
280 to 650 kPa • Pump is in
(41 to 94 psi). standby with the
• Verify the pump power light
is in standby illuminated.
while the power
switch light
remains lit.
Pass / Fail
• Check the cut-in • Compressor
pressure switch powers on at
settings and 225-265 kPa
verify the (32.6-38.4 psi).
compressor
starts (powers
on) at 225-265
kPa (32.6-38.4
psi).
1505-1018-000-PMC B 10 2015 11
Pass / Fail
• Check the cut- • Compressor
out pressure turns off at 280
switch settings +/-10 kPa (39 -
and verify the 42.1 psi).
pump turns off at
280 +/-10 kPa
(39 - 42.1 psi).
Auto drain
.

Verify the auto drain Drain activates every Pass / Fail
activates at 2 minutes.
approximately two
minute intervals.

.

less than 0.2 Ohms.
less than 300
μAmps @ 120 / 100
500 μAmps @ 220 /
240 Vac.
Every 10,000 hours

In addition to the 12-month requirements, replace the following parts
every 10,000 hours. All parts should be replaced before performing
the checks, tests, and calibrations.
12 1505-1018-000-PMC B 10 2015
Note If the annual maintenance also occurs at this time, order and install
filter kit (5471001).
.

Install 10,000 hour kit after 10,000 hour kit is installed. Pass / Fail
10,000 hours of operation
(check hour meter).
1505-1018-000-PMC B 10 2015 13
14 1505-1018-000-PMC B 10 2015
EVair compressor (if installed)
Refer to the EVair Technical Reference Manual 2066031-001 for
detailed instructions.

.

Number:
Performed by:
Every 12 months
The internal filter replacement is recommended to be replaced every
5,000 hours or annually, whichever comes first on compressors that
are used as the primary source of air.
Compressors that are used as backup only require filter inspection
and functional checks annually. The internal filter replacement is still
recommended at 5,000 hours.
The information alert appears after 5,000 hours of operation.
Refer to the EVair Compressor Technical Reference Manual
2066031-001 for detailed test and maintenance instructions.
Inspect the System

.

Clean or replace the cabinet Cabinet filter is clean. Pass / Fail
filter.
Annual kit installation

.

Install the annual filter kit. Filters have been installed Pass / Fail
following the instructions in the
EVair Compressor Technical
Reference Manual.
15
Pressure 01 functional test
.

Perform functional leak test Difference in the Pass / Fail
in section 10.3, step 4. The two displayed
difference between the two pressure does not
displayed pressures must exceed 60 kPa (0.6
not exceed 60 kPa (0.6 bar, bar, 8.7 psi).
8.7 psi).
Perform functional pump up Compressor Pass / Fail
test in section 10.3, step 4. pressure reaches
The compressor pressure the 300 kPa (3.0
should reach 300 kPa (3.0 bar, 43.5 psi) with
bar, 43.5 psi) with in 15 15 seconds or less.
seconds or less.
Pressure 02 functional test

.

Follow steps in section 10.5. Pass / Fail
• Maximum
pressure out
does not
exceed 50 kPa
(0.5 bar, 7.3
psi) after 9
minutes.
• Maximum
Pressure In
value does not
exceed 50 kPa
(0.5 bar, 7.3
psi) after 20
seconds.
Flow functional test

.

Follow steps in section 10.5. Control valve is set Pas / Fail
at 300 +0/-20 kPa
(3 bar, 43.5 psi)
16 1505-1018-000-PMC B 10 2015
Follow steps in section 10.5. The flow value Pass / Fail
measured is >35 L/
min.

.

less than 0.2 Ohms.
less than 300
μAmps @ 120 / 100
500 μAmps @ 220 /
240 Vac.
Every 15,000 hours

In addition to the 12 month requirements, replace the following parts
every 15,000 hours. All parts should be replaced before performing
the checks, tests, and calibrations.
.

Install 15,000 Motor Kit after 15,000 hour Motor Pass / Fail
15,000 hours of operation Kit is installed.
(check hour meter).
1505-1018-000-PMC B 10 2015 17
18 1505-1018-000-PMC B 10 2015
Airway module (if installed)
Refer to the appropriate Airway Module Manual for detailed
instructions.

.

Number:
Performed by:
Required parts installation

.
Part number Part description 12 months 48 months Comments

E-series module - Planned maintenance kit X
8001760-HEL
E-series module - CO2 absorber X
895933
Every 12 months
.

Pass / Fail
• Verify the front cover and the • Front cover and the
front panel sticker are intact. front panel sticker
• Verify all connectors are intact are intact.
and are properly attached. • Connectors are
• Verify the D-fend latch is intact and properly
moving properly. attached.
• Verify the airway module box • D-fend latch is
and latch are intact. moving properly.
• Metal D-fend connectors and • Airway module box
the D-fend o-rings are clean and latch are intact.
and intact. • Metal D-fend
connectors and the
D-fend o-rings are
clean and intact.
19
Install planned maintenance kit
.

Install all parts from the planned All parts have been Pass / Fail
maintenance kit. installed from the
planned maintenance
kit.
Gas sampling system leak test

.
Procedure Expected results Actual Outcome Comments

results
E-series: Perform Pressure reading does not Pass / Fail
steps 1 through 8 in drop more than 4 mmHg
section 5.3.1. Check during one minute.
that the pressure
reading does not
drop more than 4
mmHg during one
minute.
Spirometry system leak test

.
Procedure Expected results Actual Outcome Comments

results
E-series: Perform Pressure reading does not Pass / Fail
steps 1 through 5 in drop more than 3 mmHg
section 5.3.2. Check during one minute.
that the pressure
reading does not
drop more than 3
mmHg during one
minute.
20 1505-1018-000-PMC B 10 2015
Fan check
.

Perform steps 1 and 2 in Airway module fan is running. Pass / Fail
section 5.3.3. Make sure
the airway module fan is
running.
Sample flow rate check

.

Perform steps 1 through The flow rate is within the Pass / Fail
5 in section 5.3.4. The specification limit of 200 +/-20
flow rate shall be within ml/min for E-series airway
the specification limit of modules.
200 +/-20 ml/min for E-
series airway modules.
Reference gas flow rate check

.

Perform steps 1 through 4 in section Reference flow is within Pass / Fail
5.3.5. Check that the reference flow is the following range:
within the following range:
• 31 to 45 ml/min with
• 31 to 45 ml/min with CO, COV, CO, COV, CAiO, and
CAiO, and CAiOV modules. CAiOV modules.
• 27 to 40 ml/min with COVX and • 27 to 40 ml/min with
CAiOVX airway modules. COVX and CAiOVX
modules.
Zero valve operation

.

Perform steps 1 through 7 in section The CO2, N2O, and Pass / Fail
5.3.6. Check that the CO2, N2O, and anesthesia agent values
anesthesia agent values drop back near drop back near 0% and the
0% and the O2 reading new 21% (room O2 reading near 21%
air). (room air).
1505-1018-000-PMC B 10 2015 21
Ambient pressure
.

Perform steps 1 and 2 in section 5.3.7. The ambient pressure Pass / Fail
The ambient pressure value shown value showed does not
should not differ more than +/-10 mmHg differ more than +/-10
from the value shown by the barometer. mmHg from the value
shown by the barometer.
Fall time measurement

.

Perform steps 1 through 4 in section Measured fall times are Pass / Fail
5.3.8. Check that the measured fall times within the following ranges:
are within the following ranges.
• CO2 fall time: <400
• CO2 fall time: <400 ms ms
• O2 fall time: <400 ms • O2 fall time: <400 ms
• CO2-O2 delay: <800 ms • CO2-O2 delay: <800
ms
Occlusion detection
.

Perform steps 1 and 2 in section 5.3.9. The message “Sample line Pass / Fail
Check that the message “Sample line blocked” displays within 30
occluded” displays within 30 seconds. seconds.
Air leak detection

.

Perform steps 1 through 3 in section The message “Check D- Pass / Fail
5.3.10. Check that the message: fend” displays after 30
“CheckD-fend” displays after 30 seconds.
seconds.
22 1505-1018-000-PMC B 10 2015
Spirometry check
.

Perform steps 1 through 5 in section The measured flow values Pass / Fail
5.3.11. The measured flow values are are shown in real-time in
shown in real-time in the VT insp and the VTinsp and VTexp
VTexp fields in the airway module fields in the airway module
spirometry data menu. The acceptance spirometry data menu. The
criteria is: The VTinsp and VTexp values VTinsp and VTexp values
should differ less than +/-30 ml of 500 ml. are less than +/-30 ml of
500 ml.
Airway module calibration

.

Perform steps 1 through 10 in section 5.3.12. The message “OK” displays. Pass / Fail
Open the regulator and feed gas calibration gas
until the message “OK” displays.
Every 48 months (in addition to the 12 month procedure)

.

Replace the CO2 absorber The CO2 absorber has Pass / Fail
been replaced.
1505-1018-000-PMC B 10 2015 23
24 1505-1018-000-PMC B 10 2015

1505-1018-000-PMC B 10 2015

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Engström Carestation TRM 1505-1018-000

Planned Maintenance Checklist

Customer Name: Service Record

Inspect the system

Procedure Expected results Outcome Comments

Procedure Expected results Outcome Comments

• Check that all AC • All power cords are

Procedure Expected results Outcome Comments

Procedure Expected results Outcome Comments

Vent engine leak test (low pressure)

Procedure Expected results Actual results Outcome Comments

Pass / Fail / Not

Vent engine leak test (high O2 pressure)

Procedure Expected results Actual results Outcome Comments

Vent engine leak test (high Air pressure)

Procedure Expected results Actual results Outcome Comments

Procedure Expected results Actual results Outcome Comments

Pass / Fail / Not

Procedure Expected results Actual results Outcome Comments

Procedure Expected results Actual results Outcome Comments

Auxiliary pressure relief valve test

Procedure Expected results Actual results Outcome Comments

VCB buzzer test

Procedure Expected results Outcome Comments

Mechanical overpressure valve test

Procedure Expected results Actual results Outcome Comments

Procedure Expected results Outcome Comments

Procedure Expected results Actual results Outcome Comments

Procedure Expected results Outcome Comments

Battery performance test

Procedure Expected results Actual results Outcome Comments

Electrical safety test

Procedure Expected results Actual results Outcome Comments

Every 48 months (in addition to 12 month tests and

Inspect boards for dust

Procedure Expected results Outcome Comments

Regulator output pressure test

Procedure Expected results Actual results Outcome Comments

Planned Maintenance Checklist

Customer Name: Service Record

Required parts installation

Note The filter kit is recommended to be replaced every 5000 hours or

Procedure Expected results Outcome Comments

Install annual filter kit

Procedure Expected results Outcome Comments

Procedure Expected results Actual results Outcome Comments

Pressure switch setting

Procedure Expected results Actual results Outcome Comments

Procedure Expected results Actual results Outcome Comments

Electrical safety test

Procedure Expected results Actual results Outcome Comments

Every 10,000 hours

Procedure Expected results Outcome Comments

Planned Maintenance Checklist

Customer Name: Service Record

Inspect the System

Procedure Expected results Outcome Comments

Annual kit installation

Procedure Expected results Outcome Comments

Procedure Expected results Actual results Outcome Comments

Pressure 02 functional test

Procedure Expected results Actual results Outcome Comments

Flow functional test