Technical assistance: Interventional Radiology Equipment In order to give you our best support, please provide us with some indications by filling out the following form. Mandatory fields are marked with (*). We will reply to your request as soon as possible Applicant’s information * Name: * Surname: * E-Mail: * Telephone Number: * City: * Nation:—Seleziona un'opzione—AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African Republic (CAR)ChadChileChinaColombiaComorosDemocratic Republic of the CongoRepublic of the CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedonia (FYROM)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab Emirates (UAE)United Kingdom (UK)United States of America (USA)UruguayUzbekistanVanuatuVatican City (Holy See)VenezuelaVietnamYemenZambiaZimbabwe * Company/Private:—Seleziona un'opzione—CompanyPrivate * Company Name: * VAT Number: * Company Address: Product’s Information * Product:—Seleziona un'opzione—Mobile C-armsX-ray Surgical TableMobile Radiography * Serial Number: (xxxx-xxxx-xx) Preliminary investigation form * 1) Did you check the power supply and correct functioning? —Seleziona un'opzione—1) Yes1) No * 2) Is the light (green or white) of “power present” switched on?—Seleziona un'opzione—2) Yes2) No * 3) The system is powered on but the monitors are black. —Seleziona un'opzione—3) Yes3) No * 4) Can you see any type of error signal on the monitor and the consolle?—Seleziona un'opzione—4) Yes4) No * 5) Switching on the device a long-lasting whistle is heard for more than 30 secs.—Seleziona un'opzione—5) Yes5) No * 6) The monitor shows a black circle and the console displays 120 kv 0 ma.—Seleziona un'opzione—6) Yes6) No * 7) The monitor shows a black circle and the console displays 120 kv 3 ma.—Seleziona un'opzione—7) Yes7) No * 8) Did you check all fuses (c-arm, work-station and boards)?—Seleziona un'opzione—8) Yes8) No * 9) The system has not been used for long time.—Seleziona un'opzione—9) Yes9) No * Installation Date: * Year: (xxxx) * Serial Number: (xxxxx) Preliminary investigation form * 1) Did you check the power supply and correct functioning?—Seleziona un'opzione—1) Yes1) No * 2) Is the light of “power present” switched on?—Seleziona un'opzione—2) Yes2) No * 3) The system is powered on but the display is off.—Seleziona un'opzione—3) Yes3) No * 4) Both the system and the display are on: can you read any error message? If your answer is “yes” pls. Enclose some picture or write some notes in the field “additional details”.—Seleziona un'opzione—4) Yes4) No * 5) Are the table movements regular when using the remote control?—Seleziona un'opzione—5) Yes5) No * 6) Disconnecting the remote control are you able to use all functionings of the bed from the main panel?—Seleziona un'opzione—6) Yes6) No * 7) Did you check if batteries are charged and fuses are ok?—Seleziona un'opzione—7) Yes7) No * 8) Can you see any type of burnings or short circuits ore red led where electronic parts are placed?—Seleziona un'opzione—8) Yes8) No * 9) The system has not been used for long time.—Seleziona un'opzione—9) Yes9) No * 10) Did you charge the batteries in the last month ?—Seleziona un'opzione—10) Yes10) No * Installation Date: * Purchase Date: * Name of the End user: * City: * Country:—Seleziona un'opzione—AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African Republic (CAR)ChadChileChinaColombiaComorosDemocratic Republic of the CongoRepublic of the CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedonia (FYROM)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab Emirates (UAE)United Kingdom (UK)United States of America (USA)UruguayUzbekistanVanuatuVatican City (Holy See)VenezuelaVietnamYemenZambiaZimbabwe *Subject of the request/defect found Additional Details: Advice: Eventual photos can help us to solve the problem faster. 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