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Siemens AG SPR2-310.662.01 Page 1 of 2 ARCADIS Varic
Medical Solutions Rev. 02 05.06 CS PS SP
Visual checks 3
1 Radiation protection 3
Make sure that there is no mechanical damage on the SIREPHOS tube housing assembly
and image intensifier which could impair the radiation protection.
2 Checking the DHHS and Identification Labels 3
Confirm that the certification labels as well as serial number and model number labels are
legible. Use the illustrations which are shown in the Operating Instructions of the product.
If labels are required, contact the SIEMENS Medical Solutions Local Service Organization
or the SIEMENS Medical Solutions Regulatory Affairs department.
Damage present (brief description):
Component certified Model No. Serial No. Date
ARCADIS Varic
X-ray control
Beam Limiting device
BLD
SIREPHOS
Tube housing assembly
Image Intensifier
Warning label present and legible YES
SIREPHOS and image intensifier
have been checked for mechanical
damage
YES
NO