Mobilett Xp Digital - Siemens MOBILETT XP Digital Installation And Startup

DHHS report
11-

MOBILETT XP Digital

10DHHS report
The original document remains with the unit, and a copy is filed at the local branch office.
Type / Material No. / Serial No.: ...................................................................................
Customer: ............................................. Customer No.:
........................................................
kV accuracy
Check Control point
❐
❐
❐
mAs accuracy
❐
❐
❐
Reproducibility
❐
Name: _________________ Date:______________ Signature:________________
Siemens AG
Medical Solutions
52 kV / 50 mAs
81 kV / 20 mAs
133 kV/12.5 mAs
40 kV / 5 mAs
81 kV / 2 mAs
133 kV/10 mAs
Dose measurement
SPR8-230.814.30.03.02
11.05
Check value
____________ kV
____________ kV
____________ kV
____________ mAs
____________ mAs
____________ mAs
Coefficient of variation
C:
___________________ Serial no.: ______________
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CS SD 24
Additional information
Measuring instrument:
_____________
Serial no.: ______________
Date of calibration:
_______________________
Measuring instrument:
_____________
Serial no.: ______________
Date of calibration:
_______________________
Measuring instrument:
_____________
Date of calibration:
_______________________
MOBILETT XP Digital
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