Informational - Successful DSF Submission - 1-11726698023 - Cbrz07352

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CARESCAPE R860 Install PM CR Service Checklist

Customer Information
Customer Name

PEOPLE'S DENTAL COLLEGE AND HOSPITAL PVT LTD

Service Record #: System ID or Serial Number

1-11726698023 CBRZ07352

Customer Equipment ID: Software Version:

CBRZ07352 10 SP 06

Start date Country Modality

2024-10-02 NEPAL-NP ARC


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Schedule: Installation Checklist Install EVair compressor (if installed) PM Checklist (Every 12 Months)

PM Checklist (Every 24 Months) PM Checklist (Every 48 Months) PM EVair compressor (if installed)

PM Airway Module (If Installed Every 12 months) PM Airway Module (Every 48 months) CR

Refer to the CARESCAPE R860 Technical Reference Manual 2065496-001 for detailed test and
maintenance instructions.

Inspect the system


Important: Check all components' date wheels and verify that the date codes and part
replacement schedules are compliant.

Task Expected Results Results Comments

/
Check that casters are Casters roll and lock Pass

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not loose or damaged. as needed and are
See "Replacing the firmly mounted to the
cart caster" in the machine base.
Technical Reference Display unit fan filter is
Manual for detailed clean.
information.
Vent engine fan filter is
Visually inspect the clean.
display unit fan filter.
No physical damage.
Visually inspect the
O2 and Air filters are
vent engine fan filter.
clean.
Visually inspect the
Arm is in good
exhalation valve
condition and
assembly.
tightened.
Visually inspect the
Check movement of
gas inlet filters (O2
patient module rack
and Air).
arm. If necessary, use
Check movement of hex wrench to adjust
the display unit arm tension.
joints.
Accessory
Check movement of components are
the patient monitoring securely attached.
module rack.
Air and O2 are
Check that accessory securely connected to
components are gas inlets.
securely attached (if
equipped).
Check that pipeline or
compressor gas
supplies are
connected (if
equipped).

Power Cords

Task Expected Results Results Comments

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Verify AC power cord Power cord Pass

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configuration. configuration is
Check that all AC correct.
power cords are fully All power cords are
seated. seated correctly.
Check and if Power clamp screws
necessary tighten the are tightened to 1.0
following: power clamp Nm and the retainer
screws to 1.0 Nm; and outlet screws are
tighten the inlet power tightened to 0.45 Nm.
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

Task Expected Results Results Comments

Power up system and Buzzer sounds for 2 Pass


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listen for the buzzer seconds when switch


sounds. is turned On.
Verify main audio Main audio alarm
tones. sounds briefly just
Verify the display unit before the system
green LED illuminates. startup screen
displays.
Verify the display
alarm LED bar is Verified the green LED
active illuminates.
LEDs blink: red,
yellow, blue.

Vent engine debris clean out

Task Expected Results Results Comments

/
Perform the vent No debris in vent Pass

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engine debris clean engine.
out.

Vent engine leak test (low pressure)

Expected
Task Results Actual Readings Results Comments

Perform the vent P1 Leak result is 5.7 Pass


engine low less than or equal
pressure leak test to 10 ml/ min.
using the PC
Service
application.

Vent engine leak test (high O2 pressure)

Expected
Task Results Actual Readings Results Comments

Perform the vent Leak rate does 18.2 Pass


engine high O2 not exceed 26
pressure leak test ml/min.
using the PC
Service
application.

Vent engine leak test (high Air pressure)

Expected
Task Results Actual Readings Results Comments

Perform the vent Leak rate does 27.5 Pass


engine high Air not exceed 50
pressure leak test ml/min.
using the PC
Service
application.

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Calibrate airway pressure transducer Zero and Span

Expected
Task Results Actual Readings Results Comments

Calibrate the Using PC Service 100.1 Pass


airway 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
cm H2O +/- 0.2
cm H2O when
the proper DAC
value has been
entered.

Using PC Service - Pass


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Application 10.2
or higher: Verify
“Insp Span
Passed”, “Aux
Span Passed”,
and "Exp Span
Passed" displays
in Message Log.

Free-breathing valve

Expected
Task Results Actual Readings Results Comments

Perform the free- Inspiratory -2 Pass


breathing valve pressure is more
test using the PC positive than -3
Service cm H2O.
application.

/
Inspiratory effort valve test

Expected
Task Results Actual Readings Results Comments

Perform the Squeeze bulb 6 Pass


inspiratory effort does not fully
valve test using inflate in less
the PC Service than 5 seconds.
application.

VCB buzzer test

Task Expected Results Results Comments

Perform the VCB VCB Buzzer sounds. Pass

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buzzer test.

Mechanical overpressure valve test

Expected
Task Results Actual Readings Results Comments

Perform the Pressure is 121 Pass


mechanical over greater than 100
pressure valve and less than 130
test cm H2O.

Touchscreen calibration

Task Expected Results Results Comments

Perform Touchscreen Touchscreen targets Pass


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calibration calibrated.

Super User/Administrator tests


/
Task Expected Results Results Comments

Perform O2 valve Pass is displayed. Pass

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calibration.

Perform Air valve Pass is displayed. Pass

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calibration.

Perform exhalation Pass is displayed. Pass

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valve calibration.

Checkout procedure

Task Expected Results Results Comments

Perform System All checks pass. Pass


Checkout. >

Battery performance test

Expected
Task Results Actual Readings Results Comments

Perform the Discharge Time 64 Pass


battery test. is greater than 60
minutes.

Electrical safety test

Actual
Procedure Spec Readings Results Comments

/
Measure the ground < 0.2 Ω 0.1 Pass
resistance

Measure the leakage current 100/120 Vac 220/240 Vac

Actual
Procedure Spec Readings Results Comments

(220/240 Vac) < 500 μAmps 55.5 Pass

FE Info

GE Representative

Number of Signers

1
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Name: SSO #: SR #

Raghu Bir Maharjan 503203328 1-11726698023

Date complete

2024-10-02

Customer Signature

Yes Not Required

Comments, tools, and attachments

Comments Character(s) 2000

Tools used /
Description Serial Number Bar Code Cal Due Date

ESA 3745053 3745053 2024-12-04

Description Serial Number Bar Code Cal Due Date

Manometer 9144412 9144412 2025-03-19

Description Serial Number Bar Code Cal Due Date

DMM (Fluke) 17050806 17050806 2025-03-19

Attachments
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Attached Documents :

Document Number: BBCJV0488 Revision: 4

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