EDAN INSTRUMENTS INC.

Troubleshooting Checklist

Doc. No.：
Received Service
Date Engineer
Company
Contact Tel.
Name
Statu
Closed Date On-site check required
s
1.Case Description
Device ISN
Software Version Main board/Analog board： /
Calibrant Lot No.
Test Cartridge □BG10 □BG9 □BG8 □BG4 □BG3 □BC4
Test Cartridge Lot No.
Sample Type □Arterial □Venous □Capillary □Mixed □CPB □Aqueous
□ABG Syringe(Brand： )□Syringe(Anti-coagulation： )
Sample Volume:
Syringe/Sample Volume
□Adult: 1.2ml~1.5ml (2ml standard) □Infant: 0.5ml~0.8ml (1ml standard)
□Others:
□Mix/Expel bubbles/Air-proofed
Operation
Test period：□Immediate □10min □30min □1h
Hospital Department
Clinical Manifestation
Customer Complain：

2. Solution
Case Analysis:
Data collection:
Set up-Diagnosis： Database-Diagnosis：
□Export data □Control □Diagnosis □Events Log □Patient Sample
 EDAN INSTRUMENTS INC.

Date Failed # Calibration failed # Clot detection # Others # Failed Rate