Interacoustics Aqua Stim Instructions For Use Manual page 31

Opr. dato:
2014-03-07
Company:
Address:
Phone:
Fax or e-mail:
Contact person:
Following item is reported to be:
returned to INTERACOUSTICS for:
defective as described below with request of assistance
repaired locally as described below
showing general problems as described below
Item: Type:
Serial No.:
Included parts:
Description of problem or the performed local repair:
Returned according to agreement with:
Date :
Please provide e-mail address or fax No. to whom Interacoustics may
confirm reception of the returned goods:
The above mentioned item is reported to be dangerous to patient or user
In order to ensure instant and effective treatment of returned goods, it is important that this form is filled in
and placed together with the item.
Please note that the goods must be carefully packed, preferably in original packing, in order to avoid damage
during transport. (Packing material may be ordered from Interacoustics)
1
EC Medical Device Directive rules require immediate report to be sent, if the device by malfunction
deterioration of performance or characteristics and/or by inadequacy in labelling or instructions for use, has
caused or could have caused death or serious deterioration of health to patient or user.
Return Report
af: Rev. dato:
EC
Important! - Accessories used together with the item must be included if
returned (e.g. external power supply, headsets, transducers and couplers).
Interacoustics,
– Form 001
af:
MSt
Date :
repair, exchange,
Quantity:
Supplied by:
Other :
Person :
Rev. nr.:
4
Address
7625 Golden Triangle Drive Eden
Prairie
MN 55344
USA
Phone
(+1) 800 947 6334
Fax
(+1) 952 903 4200
E-mail
rmd@interacoustics-us.com
other:
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