GE Healthcare Carestation 600 Series

Planned Maintenance Report

Customer Name:

Service Record Number: Serial Number: ABCDXXXXXXXXX

Equipment ID: Software Version: XXXXX

Performed by: Date: 2020/4/11 1111

12-mon check 24-mon check 48-mon check

Parts Replacement

Replaced
Part Number Part Description 12-Month 24-Month 48-Month Comments
Yes/No
Vaporizer port O-rings
1102-3016-000 X No
kit

Breathing system check

2071067-001-S X No
valve kit

Free breathing flapper

0211-1454-100 X No
valve

Free breathing valve

1503-3208-000 X No
O-ring
1009-5800-000 Display battery X No
M1801706-S System batteries X No

Visual Inspection Procedures

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Check filter in lower rear
Filter is clean
enclosure

Check condition and tightness of

all displays, frame, drawers, arm, All parts are in good
and top shelf parts; Check screws condition and tightened
with marks

Casters roll and lock as

Check the casters for proper
needed. Casters are firmly
operation and mounting
mounted to machine

All labels are in place and

Check labels
clearly legible

Check external tubing, silicone No visible deterioration and

tubes, hoses, and pipeline hoses securely attached

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 GE Healthcare Carestation 600 Series

All are correctly connected

Check external electrical cabling
and not deteriorated

Display arm
Verify proper display arm counterbalance,side to side
adjustment movement,and tilt are
adjusted

Verify annunciators

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Verify audible " beep " after An audible " beep " is heard
system is turned on after system is turned on.

A second audible " beep " is

Verify a second audible " beep "
heard.

Verify a third and fourth audible " A third and fourth audible "
beep " beep " are heard.

Pipeline and cylinder tests

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Disconnect the pipeline supplies All pressure values read
and close all cylinder valves zero

Corresponding reading
Connect pipeline supplies one at
indicates facility pipeline
a time
pressure

Initial reading
Test O2 cylinder for high After 1 minute
pressure leaks Pressure decay < 690 kPa
(100 psi)
Initial reading
Test N2O cylinder for high After 1 minute
pressure leaks Pressure decay < 690 kPa
(100 psi)
Initial reading
Test Air cylinder for high pressure After 1 minute
leaks Pressure decay < 690 kPa
(100 psi)

Low O2 supply alarm

Perform the "O2 supply alarm occurs
test" N2O and O2 flows stop
Air flow continues

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 GE Healthcare Carestation 600 Series

AGSS Inspection and Testing

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Visual-Mechanical Inspection System in working order

The pressure should not

Scavenger Positive Relief
indicate a pressure rise of
Functional Check
more than 10 cmH2O

Breathing system inspection

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Flow sensors and Sensor
System inspected
Interface Board inspection
O2 sensor inspection System inspected
Absorber canister inspection System inspected
Bellows does not fall within
Bellows assembly inspection
one minute
APL valve inspection System inspected
Bag to vent switch inspection System inspected

Ventilator inspection

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Free breathing valve System inspected; parts
maintenance at 24 months replaced

Valve inspected; parts

Exhalation valve inspection
replaced as necessary

Ventilator Tests

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
View or Copy Logs work
View or Copy Logs
normally
Flow and Pressure calibration "Pass" is displayed
Weekly O2 Cell calibration "Pass" is displayed
Monthly O2 Cell calibration "Pass" is displayed
Airway Gas calibration "Pass" is displayed

Planned Maintenance Procedure Page 3/9

 GE Healthcare Carestation 600 Series

Manifold P Span calibration "Pass" is displayed

Inspiratory flow valve calibration "Pass" is displayed
Bleed Resistor calibration "Pass" is displayed
Paw Span calibration "Pass" is displayed
Paw and ACGO Span calibration "Pass" is displayed
Zero Gas Transducers "Pass" is displayed
Mixer Flow Sensor Zero "Pass" is displayed
Zero ACGO / Zero AGSS / Zero
"Pass" is displayed
ACGO and AGSS

Gas flow stops as airway

Pressure limit circuit test pressure reaches
approximately 109 cmH2O

Pressure relief weight

MOPV pressure relief valve test
relieving and popping off

Display Diagnostics

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Test LEDs LEDs flash 5 times
Speaker sounds for 2
Test speaker
seconds

"Pass" is displayed for

Test battery
battery test

Speaker sounds when each

Test hard keys
key is pressed

Display sequences through

Test LCD
the color screens
Calibrate touch Touch targets calibrated

Flow control tests

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Check the Link proportioning system concentration
Set the N2O flow (l/min) Measured O2
0.2 21% minimum
1.6 21% to 34%
5.0 21% to 34%
9.0 21% to 34%
Check the proportioning system concentration
Set the O2 flow (l/min) Measured O2
2.5 21% to 34%
1.0 21% to 34%
0.4 21% to 34%

Planned Maintenance Procedure Page 4/9

 GE Healthcare Carestation 600 Series

Check the linearity of the Air flow control

Setting Measured O2
O2 set to 4.0 l/min, Air set to 3.0
61% to 71%
l/min

O2 set to 3.5 l/min, Air set to 6.0

45% to 55%
l/min

O2 set to 1.5 l/min, Air set to 8.0

28% to 38%
l/min

Flow sensing test

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Perform the flow sensing test
Set Flow on the flow test device Flow Sensor Reading

Flow sensor reading reads

100% O2 at 1.5 l/min between 1.3 l/min and 1.7
l/min

Flow sensor reading reads

100% O2 at 12 l/min between 10.8 l/min and
13.2 l/min

Flow sensor reading reads

100% Air at 1.5 l/min between 1.3 l/min and 1.7
l/min

Flow sensor reading reads

100% Air at 12 l/min between 10.8 l/min and
13.2 l/min

Flow sensor reading reads

100% N2O at 1.2 l/min between 1.1 l/min and 1.3
l/min

Flow sensor reading reads

100% N2O at 10 l/min between 9.0 l/min and 11.0
l/min

ACGO pressure relief valve test

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Pressure relief weight
ACGO pressure relief valve test
relieving and popping off

Planned Maintenance Procedure Page 5/9

 GE Healthcare Carestation 600 Series

Auxiliary O2 flowmeter tests

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Shut off the flow Ball rests at bottom
Ball rises and maintains
Increase flow
steady as flow increases

Flow tester reads 0.5 to 1.5

Flowmeter set to 1 l/min
l/min

Flow tester reads 2.5 to 3.5

Flowmeter set to 3 l/min
l/min

Flow tester reads 4.5 to 5.5

Flowmeter set to 5 l/min
l/min

Flow tester reads 9.0 to

Flowmeter set to 10 l/min
11.0 l/min

Flowmeter set to Maximum (fully Flow tester reads >=12.0

open) l/min

Integrated suction regulator tests

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Test vacuum gauge accuracy at following points:

The suction vacuum gauge

needle should come to rest
Suction regulator in Off position
within the zero range
bracket

Suction vacuum set to 100 mmHg Test gauge reads 62 - 138

(13.3 kPa) mmHg (8.3 - 18.4 kPa)

Suction vacuum set to 300 mmHg Test gauge reads 262 - 338
(40 kPa) mmHg (35 - 45 kPa)

Suction vacuum set to 500 mmHg Test gauge reads 462 - 538
(66.7 kPa) mmHg (61.6 - 71.7 kPa)

Flow test - suction control knob Test flowmeter reads at

fully clockwise least 20 l/min

Vacuum gauge returns to

100 mmHg/13kPa within a
Regulation test
tolerance of ± 10 mmHg/1.3
kPa

Gauge needle returns to

Vacuum bleed test zero range within 10
seconds

Gauge reading does not

Vacuum leak test increase when regulator is
off

Planned Maintenance Procedure Page 6/9

 GE Healthcare Carestation 600 Series

Flush flow test

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
The bellows fills in 1.3 to 3
Flush flow test
seconds

Vaporizer back pressure and interlock test

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA

O2 flow does not decrease

Vaporizer back pressure test more than 1 L/min through
the full range

Can not turn on more than

Vaporizer interlock test one vaporizer at the same
time

Calibrating the airway module

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Displayed CO2 value is
calibrated to 5.0%

Displayed O2 value is
Perform Airway Module calibrated to 54.5%
calibration Displayed N2O value is
calibrated to 36.0%

Displayed AA/DES value is

calibrated to 2.0%

System checkout

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Full Test Full Test passes
Bulb inflation time greater
Low pressure leak test
than 30 seconds

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 GE Healthcare Carestation 600 Series

Alarm tests

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
"FiO2 low" alarm occures
"FiO2 high" alarm occures
"MVexp low" alarm occures
"Ppeak high" alarm occures
Perform Alarm tests
"PEEP high. Blockage?"
alarm occures

"Ppeak low. Leak?" alarm

occures

Power failure test

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
With power cord connected to The mains indicator comes
mains outlet on

With system turned on, start The power failure alarm

case: unplug power cord comes on
Plug in power cord Alarm cancels

Electrical safety checks

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA
Measure the ground resistance Less than or qual to 0.20 Ω
100/120 Vac: <300 μAmps
Measure the leakage current
220/240 Vac: <500 μAmps

Final machine checks

Outcome/Fail-P
Procedure Expected Results Actual Results Comments
ass-NA

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 GE Healthcare Carestation 600 Series

Pipeline hoses connected

Work lights operate
correctly
All vaporizers are off
Verify the following:
Panels and tray tops are
attached
Cylinders off
AC mains connected

Planned Maintenance Procedure Page 9/9