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Dear Customer,
Any product that is to be returned to Leica Microsystems or serviced on site must be cleaned and de-
contaminated in the appropriate manner. Since it is not possible to decontaminate for prion diseases,
such as CJD, BSE, CWD etc., equipment exposed to specimens containing prion diseases cannot be
returned to Leica Microsystems for repair. Prion-contaminated instruments will only be repaired after
the service technician has been made aware of the potential risks, informed about the applicable direc-
tives and procedures for the respective institution, and provided with personal protective equipment.
Please complete this certificate carefully and place a copy with the instrument, attach it to the outside
of the transport case or hand it directly to the service engineer. If packages are returned, they will not
be opened or have maintenance measures begun until the Company or service technician has received
confirmation of decontamination. Should returned goods be considered a hazard by the Company, they
will be returned immediately to the customer at his/her expense. Note: Microtome knives must be packed
in the corresponding box.
Description
Name/Model
KAT No.
A
Yes
This equipment has not been in contact with unfixed biological samples.
Internal or external areas of the instrument have been exposed to the following
1
B
hazardous substances:
Yes No
Blood, body fluids, pathological samples
Other biohazards
Chemicals/substances hazardous to health. Substances
Radioactivity
Other hazards
2
This equipment has been cleaned and decontaminated:
Yes No
If yes, give details of the method:
If no*, please indicate why not:
* Such equipment must not be returned without the written agreement of Leica Biosystems.
Leica CM1520 – Cryostat
Check box A if applicable. Otherwise please complete all parts of B, provid-
ing further information as requested or appropriate.
12.
Decontamination Certificate
Fabr. No.
Quantity
Additional information
Additional information
(master)
91
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