LUISA Return and Repair Form

Basic Troubleshooting

Powers on with AC adapter(Required)
Powers on using internal battery(Required)
Touchscreen functioning properly(Required)
Any alarms displayed(Required)
Breathing circuit connected properly(Required)
Evidence of physical damage(Required)
Evidence of liquid ingress(Required)
Device data exported to support team(Required)

For compliance reasons, please do not include patient names within this document.

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