The medical equipment department should ensure processes are in place for acceptance testing. These processes will check that equipment meets safety standards, meets clinical requirements, and the procurement requirements of the Hospital from the day it arrives. (This advice may be used in conjunction with this acceptance form.)
1. Records The first task is to ensure records are taken that can be entered into the equipment database once the testing is completed.These details should include:
The generic equipment type, for example ‘defibrillator’
The Equipment number from (or to be entered into) the equipment database
The model of the device (as shown on the manufacturers label)
The job number allocated from the database to this acceptance test
Any accessories that were delivered with the device must be listed and checked
The order number for cross reference with the supplier
The serial number
The cost of the device with accessories
The name of the manufacturer, and supplier (if different)
The telephone contact details for the supplier
The date of acceptance into the hospital
The date of warranty expiry
The signature of the technician who carried out the acceptance testing
Location of the technical documents
Location of the equipment (Ward or Dept)
Person within the ward or department responsible for that device (Departmental equipment controller)
2. Acceptance Checks
When carrying out acceptance testing, not all tests are valid for all devices but the form must be an assessment tool for all. With every device the individual checks should be recorded as a ‘Pass’, ‘Fail’, or not applicable ‘N/A’. If a device has any minor failures that can be easily rectified, any remarks and faults corrected must be recorded on the acceptance form and database.
2.1 General considerations when carrying out an acceptance check include inspection of the packaging, whether the equipment arrived intact (as specified in the order) with the correct accessories and documentation.
2.2 Technical inspections should firstly ensure that the equipment is complete and undamaged. All the control knobs and fuses etc are intact. If the device contains chemicals or liquids, these should be inspected to ensure that they are correct. If the device has Wheels, or castors ensure they roll freely and the brakes work.All labelling should be inspected to ensure it is in the correct language, and meets expectations. All medical devices should carry a CE mark with a four digit code to indicate compliance with MDD93/42. (Medical Devices Directive for Europe)
2.3 Electrical Safety Markings should be indicated on the device labels. I.e. Class I or II, Type B, BF, CF or Type AP, APG. Record Class and type on the acceptance form and on the database. You should be aware of the current electrical safety regulations regarding the device being tested.
2.4 It is important to check the mains connection, paying attention to the condition and type of cable, whether the plug is intact, the plug terminal connections are terminated properly with correct cable colour code, cord grip is attached, fuses are correct and in accordance with the rating stated on the device, or in the technical documentation. The equipment Protection is in accordance with current requirement, for example, some laser equipment will be terminated with a special interlocking electrical supply socket. Voltages are set to the correct value for the mains supply. Earth terminal symbol is correct (if applicable to the device).
2.5 Once the equipment classification and type have been determined, you then need to ensure the device meets the safety requirements by carrying out the electrical measurements that will determine a pass or fail for earthing of the equipment, earthing of accessories, insulation resistance, earth leakage current, enclosure leakage current, and patient leakage current where applicable to the device. (This will usually be carried out using an automated safety analyser.)
2.6 Installation and Operational tests must ensure the equipment functions correctly. This should be done through the user carrying out tests, or the supplier carrying out tests. The clinician should decide whether or not the device is operating correctly in the clinical environment and inform the technician once they are happy that everything operates as expected.
2.7 Any connections, whether plug / socket or permanently installed should be inspected. Other services such as gas, water, vacuum etc should also be inspected to ensure compatibility. Some devices will need a controlled environment to operate correctly (This will be indicated in the user manual). The actual device controls, indicators, alarms, and emergency stop will all have to be verified before formal acceptance. (Where applicable)
3. Formal Acceptance
Once all the criteria for acceptance have been satisfied, the device can be labelled with an asset number, and tested label then formally handed over to the user. After the equipment has been accepted the supplier should be informed, the internal supplies dept should be informed, and the equipment given to the user.
4. Further Action
Where modifications are necessary to ensure the device will pass acceptance, the supplier (as agreed by the hospital) should make these modifications. The modification should then be checked for compliance.
If any serious shortcomings remain, the device should be rejected and quarantined. If the defect is thought to be of a manufacturing nature, it may be necessary to inform the Medicines and Healthcare products Regulatory Agency (MHRA).
Author: John Sandham IEng MIIE MIHEEM