GE H
EALTHCARE
D
2286865, R
IRECTION
EVISION
PM INSPECTION CERTIFICATE
Customer Name:
System Type
Probe 1:
Frequency:
Probe 2:
Frequency:
Probe 3:
Frequency:
Probe 4:
Frequency:
Probe 5:
Frequency:
Probe 6:
Frequency:
Probe 7:
Frequency:
Probe 8:
Frequency:
Probe 9:
Frequency:
* Scan Format: Phased Array, Linear Array, Curved Array, Mechanical Array or Other
FUNCTIONAL CHECKS
Functional Check (if applicable)
B-Mode Function
Doppler Modes Function
CF-Mode Function
M-Mode Function
Applicable Software Options
Applicable Hardware Options
Control Panel
Monitor
Touch Panel
Measurement Accuracy
GE Approved Peripherals
COMMENTS:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
10-32
14
System ID:
Model Number:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
Scan Format*:
PHYSICAL INSPECTION AND CLEANING
OK? or
N/A
Console
Monitor
Touch Panel
Air Filter
Probe Holders
External I/O
Wheels, Brakes & Swivel Locks
Cables and Connectors
GE Approved Peripherals (VCR, CD-R, MOD, Printers)
Section 10-7 - Electrical Safety Tests
Dispatch Number / Date Performed:
Serial Number:
Model Number:
Model Number:
Model Number:
Model Number:
Model Number:
Model Number:
Model Number:
Model Number:
Model Number:
Physical Inspection and Cleaning
(if applicable)
LOGIQ™ 7 S
M
ERVICE
ANUAL
Warranty/Contract/HBS
Manufacture Date:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Serial Number:
Inspect
Clean
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