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19/01/2018
Test Record
TEST PASSED
Test Performed Ansur Components Used
Date: 19/01/2018 Ansur Version 3.0.0
Record: QA_ES_ep_1.0.1.mtr Plug-In: AVPI Version 2.4.11
Template: QA_ES_ep_1.0.1.mtt Plug-In: QA-ES Version 1.4.8
Template Version: 1.0.1
Test Setup
Selections
Service Events Performed Standards Performed
User defined
Signatures
Test Result
Test Element Test Type Fail
Visual Inspection Checklist Checklist
Procedure:
Perform a visual inspection of the ESU and all available accessory cables, electrodes, etc.
Result: Recorded Value
Exterior of ESU is free
Pass
from damage and clean
Footswitch and
connecting cable are free Pass
from damage
Patient connection
cables to ground return
pad, cut/coag electrode,
Pass
and special accessory
electrodes are free from
damage and clean
Power cord, including
mains power
Pass
plug/connector and strain
relief are free from damage
Interior of ESU is free
Pass
from dust and other debrie
600,0
500,0
Power [Watts]
400,0
300,0
200,0
100,0
0,0