UL TEST REPORT AND PROCEDURE
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1 Issue Date: Page 1 of 16 Report Reference # E A27-UL UL TEST REPORT AND PROCEDURE Standard: Certification Type: CCN: UL , 1st Edition, (Medical Electrical Equipment, Part 1: General Requirements for Safety) CAN/CSA-C22.2 No M90, 2005 (Medical Electrical Equipment - Part 1: General Requirements for Safety) Component Recognition QQHM2, QQHM8 (Power Supplies, Medical and Dental) Product: Rating: Switching Power Supply MDS-200APB24 XX (X=0-9, A-Z or Blank for marking purpose and no related to safety) Input rating: Vac, 50-60Hz, 2.5A Output rating: 24Vdc, 8.33A max., 200W max. Applicant Name and Address: This is to certify that representative samples of the products covered by this Test Report have been investigated in accordance with the above referenced Standards. The products have been found to comply with the requirements covering the category and the products are judged to be eligible for Follow-Up Service under the indicated Test Procedure. The manufacturer is authorized to use the UL Mark on such products which comply with this Test Report and any other applicable requirements of UL LLC ('UL') in accordance with the Follow- Up Service Agreement. Only those products which properly bear the UL Mark are considered as being covered by UL's Follow-Up Service under the indicated Test Procedure. The applicant is authorized to reproduce the referenced Test Report provided it is reproduced in its entirety. UL authorizes the applicant to reproduce the latest pages of the referenced Test Report consisting of the first page of the Specific Technical Criteria through to the end of the Conditions of Acceptability. Any information and documentation involving UL Mark services are provided on behalf of UL LLC (UL) or any authorized licensee of UL. Prepared by: Conga Chen Reviewed by: Chenchen Lee Copyright 2015 Created by UL Document Assembler :40:48-05:00
2 Issue Date: Page 2 of 16 Report Reference # E A27-UL Supporting Documentation The following documents located at the beginning of this Procedure supplement the requirements of this Test Report: A. Authorization - The Authorization page may include additional Factory Identification Code markings. B. Generic Inspection Instructions - i. Part AC details important information which may be applicable to products covered by this Procedure. Products described in this Test Report must comply with any applicable items listed unless otherwise stated in the body of this Test Report. ii. Part AE details any requirements which may be applicable to all products covered by this Procedure. Products described in this Test Report must comply with any applicable items listed unless otherwise stated in the body of each Test Report. iii. Part AF details the requirements for the UL Certification Mark which is not controlled by the technical standard used to investigate these products. Products are permitted to bear only the Certification Mark(s) corresponding to the countries for which it is certified, as indicated in each Test Report. Created by UL Document Assembler :40:48-05:00
3 Underwriters Laboratories (UL LLC) Safety Certification Report Device Description: Applicant: MDS-200APB24 XX (X=0-9, A-Z or Blank) Switching power supply Manufacturer: Same as Applicant Manufacturing Facility(ies): DELTA ELECTRONICS (JIANGSU) LTD. NO. 1688, JIANGXING EAST ROAD, WUJIANG ECONOMIC DEVELOPMENT ZONE, WUJIANG CITY, JIANGSU PROVINCE, CHINA Report No.: E D UL Report (Re)Issue Date: Base Standard(s): ANSI/AAMI ES ( C1:09 + A2:10)/(R)2012 Revision Date 2012/01/17; CAN/CSA-C22.2 No (2008) Edition 2 - Revision Date 2011/06/01 Report Types: This report consists of the following report types: [ Yes ] US Certification (UL Recognition) [ Yes ] CAN Certification (cul Recognition) This report covers the Safety evaluation of the referenced model(s) according to the standard(s) specified above.
4 Underwriters Laboratories (UL LLC) Safety Certification Report Device Description: Applicant: MDS-200APB24 XX (X=0-9, A-Z or Blank) Switching power supply Manufacturer: Same as Applicant Manufacturing Facility(ies): DELTA ELECTRONICS (JIANGSU) LTD. NO. 1688, JIANGXING EAST ROAD, WUJIANG ECONOMIC DEVELOPMENT ZONE, WUJIANG CITY, JIANGSU PROVINCE, CHINA Report No.: E D UL Report (Re)Issue Date: Base Standard(s): ANSI/AAMI ES (2005/(R) A1:2012, C1:2009/(R) A2:2010/(R)2012) - Revision Date 2012/08/21; CAN/CSA-C22.2 No :14 Edition 3 - Revision Date 2014/03 Report Types: This report consists of the following report types: [ Yes ] US Certification (UL Recognition) [ Yes ] CAN Certification (cul Recognition) This report covers the Safety evaluation of the referenced model(s) according to the standard(s) specified above.
5 C E R T I F I C A T E O F C O M P L I A N C E Certificate Number E Report Reference Issue Date E A1909-UL 2015-AUGUST-24 Issued to: This is to certify that representative samples of COMPONENT - POWER SUPPLIES, INFORMATION TECHNOLOGY EQUIPMENT INCLUDING ELECTRICAL BUSINESS EQUIPMENT SWITCHING POWER SUPPLY, MDS-200APB24 XX (X=0-9, A-Z or blank) Have been investigated by UL in accordance with the Standard(s) indicated on this Certificate. Standard(s) for Safety: Information Technology Equipment - Safety - Part 1: General Requirements, UL and CAN/CSA C22.2 No Additional Information: See the UL Online Certifications Directory at for additional information Only those products bearing the UL Certification Mark should be considered as being covered by UL's Certification and Follow-Up Service. Recognized components are incomplete in certain constructional features or restricted in performance capabilities and are intended for use as components of complete equipment submitted for investigation rather than for direct separate installation in the field. The final acceptance of the component is dependent upon its installation and use in complete equipment submitted to UL LLC. Look for the UL Certification Mark on the product. Bruce Mahrenholz, Assistant Chief Engineer, Global Inspection and Field Services UL LLC Any information and documentation involving UL Mark services are provided on behalf of UL LLC (UL) or any authorized licensee of UL. For questions, please contact a local UL Customer Service Representative at Page 1 of 1
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