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GE H
- K
EALTHCARE
RETZTECHNIK
D
105899, R
IRECTION
EVISION
ULTRASOUND 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
M-Mode Function
Doppler Modes Functions
Color Modes Functions
3D-Mode Function
Applicable Software Options
Applicable Hardware Options
Control Panel
Monitor
Touch Panel
Measurement Accuracy
COMMENTS:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
3
DRAFT (A
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
Approved Peripherals (VCR, CD-RW, MOD, Printers)
Chapter 10 - Care & Maintenance
29, 2008)
PRIL
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)
V
® 730E
OLUSON
XPERT
S
M
ERVICE
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
(BT03)
ANUAL
10-25
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