Provider service and maintenance record – AirSep Eclipse 5 20631679 User Manual

Page 53

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Personal Ambulatory Oxygen System Provider Technical Manual

53

PN 20631679 Rev C

PROVIDER SERVICE AND MAINTENANCE RECORD

Whenever maintenance or service is performed on an Eclipse 5 unit, an entry should be made in the service log for that concentrator
or recorded in accordance with your company’s standard procedure. Whenever the case of the Eclipse 5 is opened, the flow rate, purity,
and alarm status should be verified per the Test Procedures in this manual.

EDAT may be utilized to record Eclipse 5 device status and dates of service.

Eclipse 5 Serial Number ______________________

Date

Hour meter

Reading

Initials

Service Performed

System Checkout

Comments

Purity

Flow

Alarms

Table 13: Sample Eclipse 5 maintenance record

NOTE:

Use the “Save As” function under the “File” section and save the file as the SN and/or the date serviced
(example: 08D0110xxxx 08012000).

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