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    Soeg Kaipang
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    This document is an inspection report for an ultrasound scanner. It lists tests performed on the scanner including qualitative tests of components and housing, quantitative tests of electrical safety and transducer specifications, and preventative maintenance tasks. Test results are indicated as pass or fail. The report documents the scanner model and serial number, inspector details, test equipment used and results of ground resistance, leakage current, transducer specifications, and preventative maintenance performed.

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    This document is an inspection report for an ultrasound scanner. It lists tests performed on the scanner including qualitative tests of components and housing, quantitative tests of electrical safety and transducer specifications, and preventative maintenance tasks. Test results are indicated as pass or fail. The report documents the scanner model and serial number, inspector details, test equipment used and results of ground resistance, leakage current, transducer specifications, and preventative maintenance performed.

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    7 views2 pages

    Ultrasound Scanners Form

    Uploaded by

    Soeg Kaipang
    This document is an inspection report for an ultrasound scanner. It lists tests performed on the scanner including qualitative tests of components and housing, quantitative tests of electrical safety and transducer specifications, and preventative maintenance tasks. Test results are indicated as pass or fail. The report documents the scanner model and serial number, inspector details, test equipment used and results of ground resistance, leakage current, transducer specifications, and preventative maintenance performed.

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    of 2

    Ultrasound Scanners

    IPM Form 474-20140701


    Status
    WO No.: Date: Inspector: Passed
    Mfr: Model: Loc: Service Required
    CTRL No.: SN: IPM Time: . hr Removed From Use

    Test Apparatus Required


    Description Control / Serial no.
    Multipurpose tissue-mimicking phantom
    Doppler ultrasound phantom
    Blood flow simulator
    ECG simulator

    Qualitative Tasks
    P F P F
    Chassis/Housing Filters
    Mount/Fastener Controls/Switches
    Casters/Brakes (Acceptance) Fans
    AC Plug/Receptacles Indicators/Displays
    Line Cord User Calibration
    Strain Reliefs Audible Signals
    Circuit Breaker/Fuse Labeling
    Cables System Performance
    Fittings/Connectors ECG
    Transducers Accessories

    Quantitative Tasks P F
    Ground Resistance (≤0.5 Ω) Ω
    Chassis Leakage Current (≤ 500 μA) μA

    Transducer-Specific Quantitative Tasks P F


    Transducer ID Scanner Settings Dead Zone
    Type Frequency MHz Axial Resolution
    Serial No. Power dB Lateral Resolution
    Frequency (Range) MHz Gain dB Vertical Distance
    Selected Frequency MHz Dynamic Range dB Horizontal Distance
    Preprocessing Doppler Flow Velocity
    Postprocessing Doppler Discrimination
    Transmit Focal Range/Point cm Doppler Gate Positioning

    Transducer-Specific Quantitative Tasks P F


    Transducer ID Scanner Settings Dead Zone
    Type Frequency MHz Axial Resolution
    Serial No. Power dB Lateral Resolution
    Frequency (Range) MHz Gain dB Vertical Distance
    Selected Frequency MHz Dynamic Range dB Horizontal Distance
    Preprocessing Doppler Flow Velocity
    Postprocessing Doppler Discrimination
    MS14398

    Transmit Focal Range/Point cm Doppler Gate Positioning


    ©2014 ECRI Institute
    Transducer-Specific Quantitative Tasks P F
    Transducer ID Scanner Settings Dead Zone
    Type Frequency MHz Axial Resolution
    Serial No. Power dB Lateral Resolution
    Frequency (Range) MHz Gain dB Vertical Distance
    Selected Frequency MHz Dynamic Range dB Horizontal Distance
    Preprocessing Doppler Flow Velocity
    Postprocessing Doppler Discrimination
    Transmit Focal Range/Point cm Doppler Gate Positioning

    Transducer-Specific Quantitative Tasks P F


    Transducer ID Scanner Settings Dead Zone
    Type Frequency MHz Axial Resolution
    Serial No. Power dB Lateral Resolution
    Frequency (Range) MHz Gain dB Vertical Distance
    Selected Frequency MHz Dynamic Range dB Horizontal Distance
    Preprocessing Doppler Flow Velocity
    Postprocessing Doppler Discrimination
    Transmit Focal Range/Point cm Doppler Gate Positioning

    Transducer-Specific Quantitative Tasks P F


    Transducer ID Scanner Settings Dead Zone
    Type Frequency MHz Axial Resolution
    Serial No. Power dB Lateral Resolution
    Frequency (Range) MHz Gain dB Vertical Distance
    Selected Frequency MHz Dynamic Range dB Horizontal Distance
    Preprocessing Doppler Flow Velocity
    Postprocessing Doppler Discrimination
    Transmit Focal Range/Point cm Doppler Gate Positioning

    Transducer-Specific Quantitative Tasks P F


    Transducer ID Scanner Settings Dead Zone
    Type Frequency MHz Axial Resolution
    Serial No. Power dB Lateral Resolution
    Frequency (Range) MHz Gain dB Vertical Distance
    Selected Frequency MHz Dynamic Range dB Horizontal Distance
    Preprocessing Doppler Flow Velocity
    Postprocessing Doppler Discrimination
    Transmit Focal Range/Point cm Doppler Gate Positioning

    Preventive Maintenance Tasks


    Description and Comments Done
    Clean exterior (and interior, if needed)
    Clean/replace air filter
    Lubricate moving parts
    Notes

    ©2014 ECRI Institute Ultrasound Scanners IPM Form 474-20140701

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