Periodic Manufacturer Maintenance Certificate

Product Vista 120 Inv Etco2 Model C

RUBY HALL CLINIC
Serial No V3SFA0032
40, Sasson Road
Software Version: 2.2
Pune, Maharashtra 411001
Dispatch No SER-DIS-2021-01695
Purchase Order:
Contact: Mr Pramod Upadhye [Biomedi Dep]
Requested Service 02.10
Service performed: 4/11/2023
PICU V.No.6

OK Para Name Result OK Para Name Result

0 Vista 120 - IPM-L - 4.0 ok 4. 3 Function tests ok
1 Product configuration ok 4. 3. 1 ECG performance test ok
1. 1 Serial number of the monitor, provided they are not documented somewhere else V3SFA0032 4. 3. 2 SpO2 performance test ok
1. 2 Software version 2.2 4. 3. 3 NIBP performance test ok
3 Electrical safety ok 4. 3. 3. 1 Pneumatic leakage test ok
3. 1 Electrical safety according to IEC 62353 ok 4. 3. 3. 2 NIBP measurement ok
3. 1. 1 Visual inspections ok 4. 3. 4 TEMP performance test ok
3. 1. 2 Protective earth resistance .22 Ohm 4. 3. 5 CO2 performance test ok
3. 1. 3 Protective earth resistance measuring points ok 4. 3. 6 IBP performance test ok
3. 1. 4 Test adapters for equipment leakage current ok 4. 5 Final procedures ok
3. 1. 5 Equipment leakage current ok 4. 5. 1 Test label and device handover ok
3. 1. 5. 1 Reference value 75 µA 5 Test equipment ok
3. 1. 5. 2 Recurrent test 78 µA 5. 1 Test equipment subject to mandatory calibration ok
4 Function and condition test ok 5. 2 Test equipment not subject to mandatory calibration ok
4. 1 Basic device condition test ok 5. 3 Required accessories for testing Vista 120 (from customer, if available) ok
4. 1. 1 Labels and instructions for use ok 6 Appendix ok
4. 1. 2 Basic device externally ok 6. 1 Passwords ok
4. 2 Power Circuits and Start-Up ok 6. 1. 1 User Maintain ok
4. 2. 1 Power-on test ok 6. 1. 2 Demo Mode ok

Work Performed Work Performed

Performed preventive maintenance. Cleaned machine externally. Done functional Performed preventive maintenance. Cleaned machine externally. Done functional
test and passed. machine is working fine and hand over to customer. test and passed. machine is working fine and hand over to customer.

Test Tools Used

Serial No. Tools Description Next Cal Date Serial No. Tools Description Next Cal Date
70566877 1 Bar DPI 705 8/14/2024 734729911058 Seculife PS300 12/29/2023
AN214 Antistatic Strap 3/29/2023 TC4554750010 SECUTEST S III 8/14/2024

Next Due Date Name of Service Engineer

Digitally signed by Sneh Mishra
Signature of Service DN: serialNumber=5262883A-818D-11EB-

Engineer
Sneh Mishra B755-A2B723F8CD78, c=DE,
o=Drägerwerk AG & Co. KGaA, cn=Sneh
Mishra
Date: 2023.05.04 16:48:41 +05'30'

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