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    Infusion Pump Te-172 Inspection Record: N o Check Item Result Yes No

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    IboedIstina
    This document records the inspection of an infusion pump. It checks for 12 items including damage, battery operation, normal functions, alarm activation, and flow rate accuracy. For each item, the result is recorded as yes, no, or a value. The inspection found the pump to function properly in all checks, with upstream and downstream occlusion alarms activating within the proper pressure ranges and flow rate accuracy within 9-11 mL at a setting of 300 mL/h.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Infusion Pump Te-172 Inspection Record: N o Check Item Result Yes No

    Uploaded by

    IboedIstina
    24 views2 pages
    This document records the inspection of an infusion pump. It checks for 12 items including damage, battery operation, normal functions, alarm activation, and flow rate accuracy. For each item, the result is recorded as yes, no, or a value. The inspection found the pump to function properly in all checks, with upstream and downstream occlusion alarms activating within the proper pressure ranges and flow rate accuracy within 9-11 mL at a setting of 300 mL/h.

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    Original Title

    TE172 NEO

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    This document records the inspection of an infusion pump. It checks for 12 items including damage, battery operation, normal functions, alarm activation, and flow rate accuracy. For each item, the result is recorded as yes, no, or a value. The inspection found the pump to function properly in all checks, with upstream and downstream occlusion alarms activating within the proper pressure ranges and flow rate accuracy within 9-11 mL at a setting of 300 mL/h.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    24 views2 pages

    Infusion Pump Te-172 Inspection Record: N o Check Item Result Yes No

    Uploaded by

    IboedIstina
    This document records the inspection of an infusion pump. It checks for 12 items including damage, battery operation, normal functions, alarm activation, and flow rate accuracy. For each item, the result is recorded as yes, no, or a value. The inspection found the pump to function properly in all checks, with upstream and downstream occlusion alarms activating within the proper pressure ranges and flow rate accuracy within 9-11 mL at a setting of 300 mL/h.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    INFUSION PUMP TE-172

    INSPECTION RECORD

    N
    o
    1
    2
    3

    Check item

    Is there any damage, etc in the main unit or pole clamp


    Can it be operated with battery power
    Is normal self-check is provided when the power switch
    is ON
    4
    If the AC power cable is connected, does the BATTERY
    indicator go ON
    5
    Was the [AC/DC] indicator lit when AC power was turned
    on ?
    6
    With the door open, did the MIDPRESS finger section
    move momentarily
    7
    If the door is closed and then opened. Is the tube clamp
    closed
    8
    Does the START/STOP/SILENCE button function
    normally?
    9
    Is the tube firmly clamped
    10 Does the air-in-line sensor work normally
    11 Was the Occlusion alarm activated in the following range
    ?
    Upstream : - 30 ~ - 80 kPa ( - 0.3 ~ - 0.8 kgf/cm2 )
    Downstream : 30 ~ 90 kPa ( 0.3 ~ 0.9 kgf/cm2 )
    Setting on Pump:
    Flow rate : 120 mL/h
    Delivery Limit : 100 mL
    Distance from pump to pressure gauge :
    o 50 cm for Upstream Occlusion Sensor
    o 100 cm for Downstream Occlusion Sensor
    12 Was the [ FLOW RATE ] accuracy within the following
    range ?
    9-11 mL

    Result
    Yes
    No

    Value:
    Upstream:
    .........................
    Downstream:
    ........................

    Value:

    Setting on Pump :
    ........................
    Flow Rate : 300 mL/h
    Delivery Limit : 5 mL
    Test Time : 1 minutes
    Remarks:
    .......................................................................................

    Serial
    Number:

    Date:

    Checked by:

    Signature:

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