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Customer / med. Facility / practice:
Address:
Carried out:
Repeat inspection
_____________________________________________
Equipment type:
Hospital bed
Bed type: INOVIA / INOVIA 100
Location:
Manufacturer: Burmeier GmbH & Co. KG
Testing equipment used (Type / Inventory Number):
MPG Classification: Class I
I. Visual Inspection
Visual inspection of the electriacl components
Stickers and type plates
Transformer unit housing
Motor housing and lifting rods of motors
Hand switch
Motor-, hand switch- and connecting cables
Visual inspection of the mechanical components
Stickers and type plates
Trapeze pole / socket
Bed frame
Castors
Reclining surface
Wooden boards
Welded seams
Side rail
Knurled screws
Wearing parts such as joints
II. Electrical measurement of the external transformer unit according to DIN EN 62353
(leakage current of equipment: direct or differential)
Proceed as follow:
1.
Plug in transformer unit in test socket of testing device
2.
Insert the plug of the connecting cable into the special adapter
(extra accessory; request from BURMEIER)
3.
Connect the special adapter with the test probe of the test unit.
4.
Start procedures with the measuring instrument
Limit Value
Result: Bed SK II (Type B)
40
Nursing bed
Presence, legible
Damage
Correct position, Damage
Damage, Foil intact
Damage, Routing
Presence, legible
Damage, Deformation
Damage, Deformation
Damage
Damage, Deformation
Damage, Splinters
Split welded seams
Damage, Splinters
Tight fit
Damage
Value of first
Current actual
measurement
value
0,1 mA
mA
G
P
EBRAUCHSANWEISUNG
FLEGEBETT
Inspection prior initial operation
Inspection following repairs / servicing
Protection classification:
Inventory Number:
Serial Number:
User-specific: none
1.
2.
Not
OK
Defect Description
OK
Not
OK
Defect Description
OK
mA
INOVIA / INOVIA 100 · I
NSTRUCTION
Test protocol of
an inspection of
electro-medical
I
II
M
N
B
INOVIA / INOVIA 100
ANUAL FOR
URSING
ED
equipment
according to
DIN EN 62353
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