LIFEPAK
LIFEPAK 20e Performance Inspection Procedure Checklist
Performance Inspection Procedure Checklist
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LIFEPAK®20e Performance Inspection Procedure (PIP) Checklist
Model #
Department/Location
Serial #
Performed By Post-Repair
Type of PIP: A
Annual
Date
Inspection Physical Inspection & Paddle Cleaning
Pass
Fail
NA
Comments
B Testing 1
Power On a. Confirm the Service indicator is off. b. Confirm the device completes the Power On sequence.
2
Date and Time Check/set date and time
5
SpO2 Oximeter (if SpO2 option is installed) Confirm SpO2 reading is between 50% and 100%. Keypads Test
6
Confirm all control text boxes are highlighted.
a. 3-Lead ECG Leads Off Detection Test
b. 3-Lead ECG Gain Test at Lead I
Measured Value (mm)
c. 3-Lead ECG Gain Test at Lead II
Measured Value (mm)
d. 5-Lead ECG Leads Off Detection Test
e. 5-Lead ECG Gain Test at Lead I
Measured Value (mm)
f.
5-Lead ECG Gain Test at Lead II
Measured Value (mm)
g. 5-Lead ECG Gain Test at C Lead
Measured Value (mm)
h. Analog ECG Output Test (Optional Test)
Measured Value (Vpp)
7
Pixel Test Confirm pixel test.
8
Audio Test Confirm voice messages and tones are clear and not distorted.
9
Printer Test Confirm printed test strip and CHECK PRINTER message.
10 ECG
11 Delivered Energy a. Quik-Combo/StdPaddles- Synchoronous Cardioversion Test
Measured Value (ms)
b. Quik-Combo/Std Paddles-Delivered Energy at 2J
Measured Value (J)
c. Quik-Combo/Std Paddles-Delivered Energy @70J
Measured Value (J)
d. Quik-Combo/Std Paddles -Delivered Energy Test @ 360J
Measured Value (J)
e. Quik-Combo/Std Paddles Charge time @ 360J (Battery Powered)
Measured Value (s)
f.
Measured Value (mm)
Quik-Combo/Std Paddles ECG Gain Test
g. Quik-Combo/Std Paddles-R-Wave Polarity Test
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©2020 Stryker
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LIFEPAK®20 Performance Inspection Procedure (PIP) Checklist
Testing (cont) h. Quik-Combo/Std Paddles Remote Sync Test. i.
Standard Paddles User Test
j.
Pacer Leads Off Detection Test
k. Pacer Current Test at 10mA Test l.
Pacer Current Test at 100mA Test
Pass
Fail
NA
Comments
Measured Value (mA) Measured Value (mA)
m. Pacer Current Test at 200mA Test
Measured Value (mA)
n. Pacer Pulse Width at 200mA Test
Measured Value (mS)
o. Patient Impedance Test
12 Electrical Safety Tests a. Protective Earth Resistance Test a.
Resistance of detachable AC power cord
Measured
b.
Resistance of detachable AC power cord & device
Measured
c.
Resistance of device only (subtract (a) from (b))
Measured
Value () Value () Value ()
b. Direct Equipment Leakage Test at Single Fault Condition (SFC)/ Normal Polarity c. Direct Equipment Leakage Test at Single Fault Condition (SFC)/ Reverse Polarity
Measured
d. Direct Applied Part Leakage Test –ECG/ Normal Polarity
Measured
e. Direct Applied Part Leakage Test –ECG/ Reverse Polarity
Measured
f.
Direct Applied Part Leakage Test -Therapy/ Normal Polarity
Value( ) Measured Value () Value () Value () Measured Value ()
g. Direct Applied Part Leakage Test -Therapy/ Reverse Polarity
Measured
h. Direct Applied Part Leakage Test -SPO2/ Normal Polarity
Measured Value ()
i.
Direct Applied Part Leakage Test -SPO2/ / Reverse Polarity
Measured Value ()
j.
Earth Leakage Test at Normal Condition (NC)/Normal Polarity
Measured Value ()
k. Earth Leakage Test at Normal Condition (NC)/Reverse Polarity
Measured Value ()
l.
Measured Value ()
Earth Leakage Test at Single Fault Condition (SFC)/ Normal Polarity m. Earth Leakage Test at Single Fault Condition (SFC)/ Reverse Polarity
3201896-002_C
©2020 Stryker
Value ()
Measured Value ()
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