EZ EM PROTOCO2L 6400 - TROUBLESHOOTING GUIDE

PROTOCO
2
L
TM
Colon Insufflator User Manual
Page
25
Section 13.0
CERTIFICATE OF NON
-
CONTAMINATION
Customer Name:
Address:
City:
State:
Zip Code:
Contact Name:
Authorized Signature:
Telephone # and E
-
mail
:
Product Model No.:
Description:
SERIAL No.:
RA. No.:
The above person hereby certifies that the above described product being returned to E
-
Z
-
EM, Inc., has
been inspected and contains no foreign material or fluids and is not contaminated with
any bio
-
hazardous
matter or any other material that may cause or contribute to any illness or personal injury of any kind.
Prior to disinfecting the
PROTOCO
2
L™ Colon Insufflator
, ensure the power is turned off and the
electrical cord is unplugged. To disinfect the
PROTOCO
2
L™ Colon Insufflator
wipe down with an
intermediate
-
level disinfectant (corrosive disinfectants, such as bleach, are not recommended since
they
may damage the equipment) in accordance with the manufacturer’s directions. Do not use abrasive or
sharp
-
edged devices when disinfecting the
PROTOCO
2
L™ Colon Insufflator
. Do not allow fluids to
enter the unit. Dry all components thoroughly. Do not st
erilize or autoclave this unit.
Prior to returning any product to E
-
Z
-
EM, Inc. complete this Certificate of Non
-
Contamination Form, and
send/fax to E
-
Z
-
EM, Inc. Quality department at 1
-
631
-
847
-
3904