Test Report - Weinmann OXYMAT 3 Servicing And Repair Instructions

13. Test report

Medical retailer:
• Patient
Name:
Address:
• Appliance
Appliance: Oxygen concentrator Oxymat 3
Device No.:
• Findings
Visual inspection/mechanical inspection according to service instructions
Accessories included:
General condition of housing checked
Coarse dust filter checked for dirt
Power cord checked for damage
Fuse set checked regarding correct or missing fuses
Functional check in accordance with service instructions
Main switch/LED displays checked
Dosage monitor checked for leaks
Flow meter checked for leaks
Operating hours counter checked
O concentration checked (95 + 1/-3 vol.% at 4 l/min)
2
Warning for power failure checked
Status indicator (up to appliance No. 8000) and negative pressure alarm checked
Self-test (from appliance No. 8000) checked
Test report in accordance with service and
repair instructions for OXYMAT 3
First name:
Manufacturer: Weinmann
Year of construction:
Power cord
Dosage monitor
Humidifier
20 m Tube
10 m Tube
3 m Tube
Nose piece
Flow meter
IK-No.:
Health insurance No.:
Operating hours:
Measured value: vol.%
not
OK OK
79
Test report