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Appendix
List of preliminary tests - MORPHEUS LT ANAESTHESIA UNIT
Make a copy of this checklist and fill-it in while following the preliminary test described in chapter 5.
The unit may be used only if all the tests have been passed with positive answers.
Hospital................................................................................
Department..................................................................................
Serial number of unit ............................
OPERATING CHECK - To be performed everyday when the machine is turned-on
1 - is the medical gas air pressure correct?
2 - Does the flowmeter for the NITROUS OXIDE open correctly?
3 - Does the MIX-LIFE device work properly?
4 - Does the CUT-OFF device work properly?
5 - Does the OXYGEN flowmeter open correctly?
6 - Does the AIR flowmeter open correctly?
7 - Does the BY-PASS flow reach the reservoir balloon?
8 - Is there soda lime and is it not turned?
9 - Does the BY-PASS flow reach the TO AND FRO balloon?
10 - Does the airway pressure rise during the inspiratory cycle?
11 - Does the airway pressure limit work?
OXYMETER CALIBRATION
To be performed weekly or when the probe is replaced
Was it possible to regulate the oxygen concentration to 21%?
12 - Does the opening of the OXYGEN flowmeter increase the concentration on the oxymeter?
13 - Does the low airway pressure alarm work?
14 - Does the low oxygen concentration alarm work?
15 - Do the TIDAL VOLUME and RATE on the breathing monitor work correctly? Monitor not present YES
LEAK TEST
To be performed everyday when the machine is turned-on
The leak test has been overcome?
SCHEDULED MAINTENANCE
To be performed by the operator.
Has the periodic maintenance (that should be performed by the operator) performed?
SCHEDULED MAINTENANCE
To be performed by SIARE's Service Department
Has the scheduled maintenance been performed?
Date.........................
11-20
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
Signature................................................
MORPHEUS MRI
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
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