Design Completion Checklist for Electromechanical Devices Product Name: Model: Project Leader: Date: ITEM COMMENTS* (Inside the Device) 1) Primary Grounding Connection - 2) Dead Metal Grounding - 3) Overcurrent Protection - 4) Fuseholder Polarity - 5) 2-Wire On/Off Switch - 6) Abrasion, Strain Protect - 7) Circuit Spacing - 8) Wiring Dress - 9) Assembly, General - 10) Hardware Tight - 11) Cleanliness - 12) Control Labels - 13) Caution Labels - 14) Interlocks; Labels - 15) Barriers, Insulation - 16) Moving Part Clearance - 17) Fire Protection - HARDWARE 1) Device Specifications - 2) Connectors & Cables - 3) Connector Propriety - 4) Power Plug & Cord - 5) Cord Strain Relief - 6) General Construction - 7) Physical Stability - 8) Sharp, Hot, Moving, Pinching Parts - 9) Liquid & Dirt Protection - 10) Corrosion Resistance - 11) Maintainability - 12) Grounding Resistance Test - 13) Grounding Leakage Current - 14) Patient Circuit Leakage Current - 15) Power Dielectric Test 16) Patient Circuit Dielectric Test - * The following abbreviations may be used in the comment column to save time. U = Unsatisfactory NA = Not Applicable NI = Needs ImprovementS = Satisfactory Attach Additional sheets for comment explanation if necessary. COMMENTS 17) Transients Produced - 18) Transient Immunity - Line, Signal, Static 19) Battery Charge & Life Test - 20) Line Voltage Tolerance - 21) Temperature Tolerance Test - 22) Humidity Tolerance Test - 23) Shock Tolerance Test - 24) Vibration, Ship. Test - 25) Failure Modes & Effects Analysis - 26) Performance Factors (add list for item being evaluated) - - - - 27) Normal Inputs - 28) Abnormal Inputs - 29) Sensor Failures - 30) Output Device Failures - 31) Power Loss & Restart - LABELING 1) Fuse & Circuit Breaker Labels - 2) Control Labels - 3) Warning Labels - 4) Instruction Manual - 5) Maintenance Manual - SOFTWARE 1) Specifications - 2) Annotated Code - 3) Flow Diagrams - 4) Displays - 5) Printouts - 6) Code Review - 7) Changeable - 8) Error Handling - 9) Operator Prompts - 10) Operator Error Prevention - 11) Performance Tests (add list for item being evaluated) - - - - 12) Normal Inputs - 13) Abnormal Inputs - 14) Sensor Failures - 15) Output Device Failures - 16) Power Loss & Restart - COMMENTS HUMAN FACTORS 1) Hardware (add list for item being evaluated) - - - - 2) Software (add list for item being evaluated) - - - - REGULATORY 1) FDA 510(k) or IDE/PMA Submission - - -