GE LOGIQ 200 Quality Assurance Manual page 65

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GE MEDICAL SYSTEMS
REV 1
QA TESTING PROCEDURE DATA
2-1
Customer Data
Fill in the following at the top/left of page 1:
Customer Name
Street Address (for mailing or billing)
City
State
Postal Zip Code (5 or 9 digits)
2-2
Date and System Data
Fill in the following at the top/right of page 1:
Date (date the QA tests are performed)
System Type (i.e. RT3200 Advantage- II, LOGIQ 700 PRO, LOGIQ 500 MR3, etc...)
System Serial Number (found on the rating plate of the system)
System ID Number (Cares ID number usually a sticker on the right side of the monitor)
Year of Manufacture (found on the rating plate of the system)
System Status (Warranty, Service Contract or Billable customer)
Purchase Order Number (if a billable customer)
Dispatch Number (if applicable)
2-3
System Configuration
Use the check boxes to note all options, peripherals or accessories attached to the ultrasound system.
2-4
Test Equipment
Fill in the following for the test equipment used during the QA tests:
Leakage Current Tester
Multimeter
Gray Scale Phantom (indicate the db range of the phantom if available)
If any test equipment is not used indicate with N/A on the procedure.
Fill in the Field Engineer Name and Employee Number
2-5
Transducers Tested
List the two transducers used most frequently by the facility.
performance evealuations on any additional transducers.
2-6
Initial Safety Checks
Measure the electrical outlet used by the system in the ultrasound scan room:
Enter the AC line voltage at the wall outlet with the system turned OFF.
Enter the AC line voltage at the wall outlet with the system turned ON.
(OPTIONAL) Measure the line current drawn by the system:
Enter the line current from the wall outlet with the system turned OFF.
Enter the line current from the wall outlet with the system turned ON.
ULTRASOUND QUALITY ASSURANCE REFERENCE MANUAL
CHAPTER 2
2-1
2262684-100
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