Provider Service And Maintenance Record - CAIRE Eclipse 5 Provider Technical Maunal

Personal ambulatory oxygen system
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PROVIDER SERVICE AND MAINTENANCE RECORD

Whenever maintenance or service is performed on an Eclipse 5 unit, an entry should be made in the service log for that concentrator
or recorded in accordance with your company's standard procedure. Whenever the case of the Eclipse 5 is opened, the flow rate, purity,
and alarm status should be verified per the Test Procedures in this manual.
EDAT may be utilized to record Eclipse 5 device status and dates of service.
Use the "Save As" function under the "File" section and save the file as the SN and/or the date serviced
NOTE:
(example: 08D0110xxxx 08012000).
Hour meter
Date
Reading
Personal Ambulatory Oxygen System Provider Technical Manual
Eclipse 5 Serial Number ______________________
Initials
Service Performed
Table 13: Sample Eclipse 5 maintenance record
System Checkout
Purity
Flow
Alarms
Comments
53
PN 20631679 Rev D

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