PB980 PVT Form PDF
PB980 PVT Form PDF
PB980 PVT Form PDF
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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
FLOW TESTS
Actual (SLPM)
Pass / Fail
Flow setting Lower limit Upper limit Air Oxygen
1 LPM 0.26 1.79
*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.
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
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
PEEP TESTS
Parameter (PEEP) Lower limit Upper limit Actual Pass / Fail
5 cmH2O 2.72 7.28
FiO2 TESTS
Parameter (FiO2) Lower limit Upper limit Actual Pass / Fail
90% O2 84.8 95.3
PEEP TESTS
Parameter (PEEP) Lower limit Upper limit Actual Pass / Fail
5.0 cmH2O 2.72 7.28