Section 1 — Device & Test Setup
Device Serial Number *
Test Date *
Operator Name *
SW-60 (Main Board) Version *
SW-60 Notes
SW-61 (Nova Main Board F767) Version *
SW-61 Notes
SW-62 (RF LED Board) Version *
SW-62 Notes
Section 2 — Golden Reference Applicator Serial Numbers
Golden 4D Body Applicator SN *
Golden Diamond Polar Applicator SN *
Golden Octi-Polar Applicator SN *
Golden EMS Applicator 1 SN *
Golden EMS Applicator 2 SN *
Golden EMS Applicator 3 SN *
Golden EMS Applicator 4 SN *
Section 3 — Visual Inspection
Physical Damage *
Handle & Mechanical Integrity *
Labels & Markings *
Mains Power Cable & Connector *
Applicator Ports *
Section 4 — App ID & Commissioning
Assign Serial Number *
RF Applicator App ID *
RF Applicator LEDs *
EMS Applicator App ID *
EMS Applicator LEDs *
Pump Operation *
Solenoid Operation *
Section 5 — PSS (Power Supply Self-Test)
PSS Result *
Section 6 — RF Amplitude (−4 dB)
RF −4 dB CH1 * 106–130 W
RF −4 dB CH2 * 106–130 W
RF −4 dB CH3 * 106–130 W
RF −4 dB CH4 * 106–130 W
RF −4 dB CH5 * 106–130 W
RF −4 dB CH6 * 106–130 W
Section 7 — RF Diamond Polar
RF Diamond Polar CH1 * 1–999 W
RF Diamond Polar CH2 * 1–999 W
Section 8 — RF Octi-Polar
RF Octi-Polar CH1 * 1–999 W
RF Octi-Polar CH2 * 1–999 W
RF Octi-Polar CH3 * 1–999 W
RF Octi-Polar CH4 * 1–999 W
Section 9 — Temperature Response
4D Body — Display Temperature *
4D Body — Temperature Response *
Diamond Polar — Display Temperature *
Diamond Polar — Temperature Response *
Octi-Polar — Display Temperature *
Octi-Polar — Temperature Response *
Section 10 — PEMF Output
PEMF 4D Body * 1–999 %
PEMF Diamond Polar * 1–999 %
PEMF Octi-Polar * 1–999 %
Section 11 — EMS Output
EMS Ch1 — Peak Voltage * 1–999 V
EMS Ch1 — PW Thighs * 1–999 µs
EMS Ch1 — PW Buttocks * 1–999 µs
EMS Ch1 — PW Obliques * 1–999 µs
EMS Ch1 — PW Calves * 1–999 µs
EMS Ch2 — Peak Voltage * 1–999 V
EMS Ch2 — PW Thighs * 1–999 µs
EMS Ch2 — PW Buttocks * 1–999 µs
EMS Ch2 — PW Obliques * 1–999 µs
EMS Ch2 — PW Calves * 1–999 µs
EMS Ch3 — Peak Voltage * 1–999 V
EMS Ch3 — PW Thighs * 1–999 µs
EMS Ch3 — PW Buttocks * 1–999 µs
EMS Ch3 — PW Obliques * 1–999 µs
EMS Ch3 — PW Calves * 1–999 µs
EMS Ch4 — Peak Voltage * 1–999 V
EMS Ch4 — PW Thighs * 1–999 µs
EMS Ch4 — PW Buttocks * 1–999 µs
EMS Ch4 — PW Obliques * 1–999 µs
EMS Ch4 — PW Calves * 1–999 µs
Section 12 — Vacuum
Vacuum Level 1 * 1–999 mbar
Vacuum Level 2 * 1–999 mbar
Vacuum Level 3 * 1–999 mbar
Vacuum Level 4 * 1–999 mbar
Vacuum Clean / Leak Check *
Section 13 — Cloud Connectivity
Wi-Fi Connection *
Cloud Uplink *
Cloud Downlink *
Section 14 — Final Disposition & Authorization
Final Verdict *
MRB Number (if FAIL)
Disposition Notes
Tested By — Name *
Tested By — Title *
Tested By — Date *
Approved By — Name
Approved By — Title
Approved By — Date
Cancel

Generating record and saving to OneDrive…