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PB980 PVT Form PDF

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P/N: 10119210 Rev.

F
Field Service Division EC115898
PVR – 980 Ventilator

980 Ventilator
Customer Name: Operational Time (hours)
Asset ID Number: Ventilator:
Humidifier ID: Compressor:
Service Request Number: Device Configuration (check one)
Universal Neonatal only Adult / Pediactric only

BDU Serial Number: Matches Electronic Serial Number: Yes No


GUI Serial Number:
Compressor Serial Number: Matches Electronic Serial Number: Yes No N/A

SOFTWARE / FIRMWARE Pre revision Post revision


Ventilator Software
BD FPGA
BD CPLD
GUI FPGA
GUI CPLD
Inspiratory/Exhalation FPGA
Compressor FPGA
Mix FPGA
(BD) Power Control FPGA
Options Host 1 FPGA
User Interface FPGA
Audio Flash
GUI Touch Firmware
Status Display

Ventilator warm-up cycle (15 minutes) completed

ELECTRICAL SAFETY TESTS


Ground integrity Test limit Actual
Ground resistance < 0.20  
Earth current leakage (AC + DC)
Normal polarity, closed neutral < 300 uA uA
Normal polarity, open neutral < 1000 uA uA
Reverse polarity, closed neutral < 300 uA uA
Reverse polarity, open neutral < 1000 uA uA
GROUND ISOLATION TEST
Resistance measurement > 975  

User Responsible For Ensuring Proper Revision


10110922 Rev. A Page 1 of 4
Field Service Division P/N: 10119210 Rev. F
PVR – 980 Ventilator

BDU Serial Number: _________________________

SERVICE MODE TESTS / CALIBRATIONS


Parameter Result
Atmospheric Pressure calibration PASS N/A ✔
FAIL
Touch Screen calibration PASS N/A FAIL
Flow Sensor calibration PASS N/A FAIL
Exhalation Valve calibration PASS N/A FAIL
Extended Self Test (EST) PASS N/A FAIL
External Ports test PASS N/A FAIL
Vent Inop test PASS N/A FAIL
Adult Short Self Test (SST) PASS N/A FAIL
Pediatric Short Self Test (SST) PASS N/A FAIL
Neonatal Short Self Test (SST) PASS N/A FAIL
Oxygen Sensor calibration PASS N/A LIMITED USE

ATMOSPHERIC PRESSURE TEST


Parameter Actual Calculated limits Status
PTS 2000 Barometric Lower = PTS 2000 Upper = PTS 2000
Pass / Fail
Measurement (mmHg) Actual x 0.98 – 20.2 Actual x 1.02 + 20.2
Ventilator Barometric
mmHg mmHg
Pressure Reading

CIRCUIT PRESSURE TESTS


Pressure setting Lower limit Upper limit Actual Pass / Fail
10 cmH2O 6.64 13.37

50 cmH2O 45.34 54.67

100 cmH2O 93.71 106.29

FLOW TESTS
Actual (SLPM)
Pass / Fail
Flow setting Lower limit Upper limit Air Oxygen
1 LPM 0.26 1.79

5 LPM 3.77 6.32

20 LPM 16.9 23.3

60 LPM 52.0 68.6

*150 LPM 131 170

*150 LPM air flow test not applicable when using on-board compressor without access to external
compressed air supply, however 150 LPM oxygen flow test shall be performed.

User Responsible For Ensuring Proper Revision


10110922 Rev. A Page 2 of 4
Field Service Division P/N: 10119210 Rev. F
PVR – 980 Ventilator

BDU Serial Number: _________________________

Breath Delivery Tests (adult/pediatric)

Adult SST with PTS 2000 passed:

VOLUME TESTS
Parameter (VT) Lower limit Upper limit Actual Pass / Fail
25 mL 11.0 39.0

30 mL 14.4 45.6

50 mL 34.0 66.0

200 mL 166 234

300 mL 254 346

500 mL 430 570

600 mL 518 682

2500 mL 2190 2810

SPIROMETRY TESTS
Lower limit: Actual Upper limit: Actual VTE (from
Parameter (VT) Pass / Fail
x 0.90 – 4 mL x 1.10 + 4 mL ventilator)
25 mL

30 mL

50 mL

200 mL

300 mL

500 mL

600 mL

2500 mL

User Responsible For Ensuring Proper Revision


10110922 Rev. A Page 3 of 4
Field Service Division P/N: 10119210 Rev. F
PVR – 980 Ventilator
BDU Serial Number: _________________________

PRESSURE CONTROL TESTS


Parameter (PI) Lower limit Upper limit Actual Pass / Fail
5 cmH2O 1.80 13.08

10 cmH2O 6.64 18.12

25 cmH2O 21.15 33.23

90 cmH2O 84.04 99.72

PEEP TESTS
Parameter (PEEP) Lower limit Upper limit Actual Pass / Fail
5 cmH2O 2.72 7.28

25 cmH2O 21.77 28.23

45 cmH2O 40.82 49.18

FiO2 TESTS
Parameter (FiO2) Lower limit Upper limit Actual Pass / Fail
90% O2 84.8 95.3

30% O2 26.3 33.8

Breath Delivery Tests (neonatal)

Neonatal SST with PTS 2000 passed:

PRESSURE CONTROL TESTS


Parameter (Pi) Lower limit Upper limit Actual Pass / Fail
5 cmH2O 1.80 8.20

10 cmH2O 6.64 13.37

20 cmH2O 16.31 23.69

PEEP TESTS
Parameter (PEEP) Lower limit Upper limit Actual Pass / Fail
5.0 cmH2O 2.72 7.28

10.0 cmH2O 7.49 12.52

Field Service Engineer: Date:

User Responsible For Ensuring Proper Revision


10110922 Rev. A Page 4 of 4

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