B. Braun Perfusor Space Service Manual page 5

Mechanical Aids and Measuring
Equipment Used
❒ Syringe gauge, serial No.__________
Calibrated until_________________
❒ Service connector SP
❒ __________________________
❒ __________________________
Test result:
Defects found which could endanger patients, users or
third parties:
Measures to be taken:
Special features / documentation:
M688 70 01 05 F04 / 3891 7319 (GB)
EN Perfusor® Space, 3.0
Technical Safety Check (TSC)
1 -
Accessories Used
❒ Power Supply SP
❒ Battery module
❒ Staff call lead
❒ Space PCA Kit (PCA button)
❒ Syringe Anti Removal Cap PSP
❒ ___________________________
Yes No
Repair
Replacement of battery recommended
_________________________
(Master – to be added to the documentation)
Inspection performed by:
Unit handed over on:
To:
Date / Signature:
Next deadline for TSC:
Index g
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