Performance Test Data Sheet - Cardinal Health AirLife nCPAP Hardware Service Manual

14.2 Performance Test Data Sheet

Driver Serial Number:
Test Equipment:
ID# / Calibration Due Date
Manometer
Flowmeter
Date:
Reason for Test:
Splash Screen Information:
Firmware Version
Display OS Version
Display Firmware
Hour Meter Reading
Unit Inspection
Air Filter & Filter
Visually Clean
Bowl
Default Set
Values
Lightning bolt icon present in battery icon,
Battery Charging
Green LED at plug decal illuminated,
Power Loss
Notification
Bleed Flow
Measured Flow (lpm)
Inspection
Bleed Flow Rate
Blender Accuracy
(FiO delivered thru Patient Circuit Outlet Port with set & actual CPAP = 5 cmH
2
FiO Set Point 21%
2
Driver % 0
2
Reading on LCD
Acceptance
± 3 % 0
Criteria
External O
2
Analyzer % 0
2
Reading
± (3 +
external
Acceptance
sensor
Criteria
accuracy
rating) % 0
© © © © 2008, Cardinal Health
Airlife nCPAP Driver Performance Test Data Sheet
Tolerance
Test Criteria
Soiled
CPAP = 5, FiO = 21%,
2
Single Audible Beep,
30%
± 3 % 0 ± 3 % 0
2 2
± (3 +
external external
sensor
accuracy accuracy
rating) % 0 rating) % 0
2 2
Equipment ID:
Test Equipment:
O2 Analyzer
Stop Watch
Last Performance Test Date:
Hour meter at last test:
LEDs Illuminated and
correct color
Passes Pressure Test
Passes Flow Test
Passes Oxygen Calibration
& Test
Wet
Flow Target = 8 lpm
Plug icon illuminated
"Charge" displayed
Battery Percentage displayed
Acceptance Criteria
0.7-3.0 LPM
50% 70%
± 3 % 0
2 2
± (3 + ± (3 +
external
sensor sensor
accuracy
rating) % 0
2 2
Page 68 of 81
®
AirLife nCPAP Driver Service Manual
ID# / Calibration Due Date
Splash Screen Inspection:
PASS
PASS
PASS
PASS
Results
PASS
PASS
PASS
PASS
Results
PASS
0 with Cardinal accessories attached)
2
100% Results
PASS
Note: allow ~ 60 sec settling
time (normal 20 sec grace
± 3 % 0
2
period + external sensor
response time)
PASS
Note: The Driver's stated
± (3 +
tolerance is ± 3%. The
external
accuracy/tolerance of the
sensor
sensor being used to verify the
accuracy
reading must be considered
rating) % 0
2
(added) for this pass/fail criteria
Tolerance
FAIL
FAIL
FAIL
FAIL
FAIL
FAIL
FAIL
FAIL
FAIL
FAIL
FAIL