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Procedure No.

490-20081015-01 ( Major ) Ambulatory Infusion Pumps

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Procedure No. 490-20081015-01 ( Major ) Ambulatory Infusion Pumps

STATUS: Passed Service Required Preventable problem Adverse event likely

Ambulatory Infusion Pumps

Procedure No. 490-20081015-01 ( Major )

Facility: Dept:
WO No.: Date: Inspector:
Mfr: Model: SN:
CTRL No: Loc: IPM Time:

SPECIAL PRECAUTIONS

TEST APPARATUS
Control/Serial No.
Electrical safety analyzer
Pressure meter (50 psi)
Infusion pump tester - optional
50 mL graduated cylinder (1 mL graduations)
Electronic balance (200 g range, 0.1 mg resolution)
5 mL pipette (0.1 mL graduations)
Stopwatch or watch that displays seconds

QUALITATIVE TASKS
Pass Fail
Chassis/Housing
Mount
AC Plug
Line Cord
Strain Reliefs

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Procedure No. 490-20081015-01 ( Major ) Ambulatory Infusion Pumps

Fittings/Connectors
Controls/Switches
Battery
Indicators/Displays
Self-Test
Time/Date Settings
Network/Wireless Interfaces
Alarms
Audible Signals
Open Door/Misloaded Infusion Set
Free-flow Prevention Mechanism(s)
Occlusion
Labeling

QUANTITATIVE TASKS
Criteria Set/Indicated Measured Pass Fail
Grounding Resistance 0.5
Flow Accuracy 5%
Maximum Pressure 1 psi of
acceptance test
pressure
Air-in-Line Detection 50 to 100 L

PREVENTIVE MAINTENANCE
Done
Replace

NOTES

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