CARESCAPE R860 TRM 2065496-001
Planned Maintenance Checklist
Customer Name:
System ID or Serial Number:
Software version:
Performed by:
Circle the service month interval: 6, 12, 24, 48
Every 12 months
Inspect the system
Procedure
• Check that casters are not loose
or damaged. See "Replacing the
cart caster" in the Technical
Reference Manual for detailed
information.
• Visually inspect the display unit
fan filter.
• Visually inspect the vent engine
fan filter.
• Visually inspect the exhalation
valve assembly.
• Visually inspect the gas inlet
filters (O2 and Air).
• Check movement of the display
unit arm joints.
• Check movement of the patient
monitoring module rack.
• Check that accessory
components are securely
attached (if equipped).
• Check that pipeline or
compressor gas supplies are
connected (if equipped).
.
Service Record
Number:
Equipment ID:
Date:
Refer to the CARESCAPE R860 Technical Reference Manual
2065496-001 for detailed test and maintenance instructions.
Important: Check all components' date wheels and verify that the
date codes and part replacement schedules are compliant.
.
Expected results Outcome Comments
Pass / Fail
• Casters roll and lock as
needed and are firmly
mounted to the machine
base.
• Display unit fan filter is
clean.
• Vent engine fan filter is
clean.
• No physical damage.
• O2 and Air filters are
clean.
• Arm is in good condition
and tightened.
• Check movement of
patient module rack arm.
If necessary, use hex
wrench to adjust tension.
• Accessory components
are securely attached.
• Air and O2 are securely
connected to gas inlets.
1
Power cords
.

Procedure Expected results Outcome Comments

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
.

Procedure Expected results Outcome Comments

Pass /Fail
• Power up system and listen • Buzzer sounds for
for the buzzer sounds. 2 seconds when
• Verify main audio tones. switch is turned On.
• Verify the display unit green • Main audio alarm
LED illuminates. sounds briefly just
• Verify the display alarm LED before the system
bar is active. startup screen
displays.
• Verified the green
LED illuminates.
• LEDs blink: red,
yellow, blue.

2 2065496-PMC A 10 2015
Vent engine debris clean out
.

Procedure Expected results Outcome Comments

Perform the vent engine debris No debris in vent Pass / Fail
clean out. engine.

Vent engine leak test (low pressure)

.

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)

.

Procedure Expected results Actual results Outcome Comments

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)

.

Procedure Expected results Actual results Outcome Comments

Perform the vent engine Leak rate does not Pass / Fail
high Air pressure leak test exceed 50 ml/min.
using the PC Service
application.

2065496-PMC A 10 2015 3
Calibrate airway pressure transducer Zero and Span
.

Procedure Expected results Actual results Outcome Comments

Pass / Fail / Not
• Calibrate the airway • Using PC Service
applicable
pressure Application 10.1:
transducers, Zero Verify “Insp Span
and 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
.

Procedure Expected results Actual results Outcome Comments

Perform the free-breathing Inspiratory pressure Pass / Fail
valve test using the PC is more positive
Service application. than -3 cmH2O.

4 2065496-PMC A 10 2015
Inspiratory effort valve test
.

Procedure Expected results Actual results Outcome Comments

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

.

Procedure Expected results Actual results Outcome Comments

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

.

Procedure Expected results Outcome Comments

Perform the VCB buzzer test. VCB Buzzer sounds. Pass / Fail

Mechanical overpressure valve test

.

Procedure Expected results Actual results Outcome Comments

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

Touchscreen calibration
.

Procedure Expected results Outcome Comments

Perform Touchscreen calibration Touchscreen targets Pass / Fail / Not Applicable
calibrated.

2065496-PMC A 10 2015 5
Super User/Administrator tests
.

Procedure Expected results Outcome Comments

Perform O2 valve calibration. Pass is displayed. Pass / Fail
Perform Air valve calibration. Pass is displayed. Pass / Fail
Perform exhalation valve Pass is displayed. Pass / Fail
calibration.

Checkout procedure
.

Procedure Expected results Outcome Comments

Perform System Checkout. All checks pass. Pass / Fail

Battery performance test

.

Procedure Expected results Actual results Outcome Comments

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

Electrical safety test

.

Procedure Expected results Actual results Outcome Comments

Measure the ground The measured Pass / Fail
resistance. ground resistance is
less than 0.2 Ohms.
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.

6 2065496-PMC A 10 2015
Every 48 months (in addition to 12 month tests and
maintenance)
Refer to the CARESCAPE R860 Technical Reference Manual
2065496-001 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

.

Procedure Expected results Outcome Comments

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

Regulator output pressure test

.

Procedure Expected results Actual results Outcome Comments

Perform the regulator output Pressure is 25 ± Pass / Fail
pressure test. 0.50 psi

2065496-PMC A 10 2015 7
8 2065496-PMC A 10 2015
CARESCAPE R860 TRM 2065496-001
EVair compressor (if installed)
Refer to the EVair Technical Reference Manual 2066031-001 for
detailed instructions.

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
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

.

Procedure Expected results Outcome Comments

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

Annual kit installation

.

Procedure Expected results Outcome Comments

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

9
Pressure 01 functional test
.

Procedure Expected results Actual results Outcome Comments

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

Pressure 02 functional test

.

Procedure Expected results Actual results Outcome Comments

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

.

Procedure Expected results Actual results Outcome Comments

Follow steps in section 10.5. Control valve is set Pas / Fail
at 300 +0/-20 kPa
(3 bar, 43.5 psi)

10 2065496-PMC A 10 2015
Procedure Expected results Actual results Outcome Comments
Follow steps in section 10.5. The flow value Pass / Fail
measured is >35 L/
min.

Electrical safety test

.

Procedure Expected results Actual results Outcome Comments

Measure the ground The measured Pass / Fail
resistance. ground resistance is
less than 0.2 Ohms.
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 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.
.

Procedure Expected results Actual results Outcome Comments

Install 15,000 Motor Kit after 15,000 hour Motor Pass / Fail
15,000 hours of operation Kit is installed.
(check hour meter).

2065496-PMC A 10 2015 11
12 2065496-PMC A 10 2015
CARESCAPE R860 TRM 2065496-001
Airway module (if installed)
Refer to the appropriate Airway Module Manual for detailed
instructions.

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

Required parts installation

.

Part number Part description 12 months 48 months Comments

Carescape respiratory Planned maintenance kit X
module - M1206554
Carescape respiratory CO2 absorber X
module - M1206555
E-series module - Planned maintenance kit X
8001760-HEL
E-series module - CO2 absorber X
895933

13
Every 12 months
.

Procedure Expected results Outcome Comments

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

Install planned maintenance kit

.

Procedure Expected results Outcome Comments

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.

14 2065496-PMC A 10 2015
Gas sampling system leak test (Carescape-series)
.

Procedure Expected results Actual Outcome Comments

results
Perform steps 1 Pressure reading does not Pass / Fail
through 10 in section drop more than 2 mmHg
5.3.1. Check that the during one minute.
pressure reading
does not drop more
than 2 mmHg during
one minute.

Spirometry system leak test

.

Procedure Expected results Actual Outcome Comments

results
Perform steps in Pressure reading does not Pass / Fail
section 5.3.2. Check drop more than 3 mmHg
that the pressure during one minute.
reading does not
drop more than 3
mmHg during one
minute.

Fan check
.

Procedure Expected results Outcome Comments

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.

2065496-PMC A 10 2015 15
Sample flow rate check
.

Procedure Expected results Outcome Comments

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.

Sample flow rate check (Carescape-series)

.

Procedure Expected results Outcome Comments

Perform steps 1 through The flow rate is within the Pass / Fail
5 in section 5.3.4. The specification limit of 120 +/-20
flow rate shall be within ml/min for Carescape-series
the specification limit of airway modules.
120 +/-20 ml/min for
Carescape-series airway
modules.

Reference gas flow rate check

.

Procedure Expected results Actual results Outcome Comments

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
• 10 to 50 ml/min with E-sCO, E- modules.
sCOV, E-sCAiO, and E-sCAiOV • 10 to 50 ml/min with
E-sCO, E-sCOV, E-
sCAiO, and E-
sCAiOV.

16 2065496-PMC A 10 2015
Zero valve operation
.

Procedure Expected results Actual results Outcome Comments

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).

Ambient pressure
.

Procedure Expected results Actual results Outcome Comments

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 (E-series)

.

Procedure Expected results Actual results Outcome Comments

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

2065496-PMC A 10 2015 17
Occlusion detection
.

Procedure Expected results Actual results Outcome Comments

Perform steps 1 and 2 in section 5.3.9. The “Airway module gas Pass / Fail
Check that the alarm “Airway module gas sampling error” displays,
sampling error” displays, then press the then after pressing the
help icon and check that the message: Help icon, the message:
“Sample line occluded” displays within 30 “Sample line occluded”
seconds. displays within 30
seconds.

Air leak detection

.

Procedure Expected results Actual results Outcome Comments

Perform steps 1 through 3 in section
5.3.10. Check that the alarm “Airway
module gas sampling error” displays,
then press the help icon and check that
the message: “Check D-fend” displays
after 30 seconds.
The “Airway module gas Pass / Fail
sampling error” displays,
then after pressing the
Help icon, the message:
“Check D-fend” displays
after 30 seconds.

Spirometry check
.

Procedure Expected results Actual results Outcome Comments

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

Airway module calibration

.

Procedure Expected results Outcome Comments

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.

18 2065496-PMC A 10 2015
Every 48 months (in addition to the 12 month procedure)
.

Procedure Expected results Actual results Outcome Comments

Replace the CO2 absorber The CO2 absorber has Pass / Fail
been replaced.

2065496-PMC A 10 2015 19
20 2065496-PMC A 10 2015