Esaote MyLab XPro75, Getting Started

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I N T R O D U C T I O N
MyLab
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GETTI
NG STARTED
POST-MARKET SURVEILLANCE FORM
ACCIDENT REPORT FORM
To: ESAOTE S.p.A.
Quality Assurance Department
Via Enrico Melen, 77
16152, Genova, Italy
[or associate company]
[or authorized distributor]
[and competent authorities]
ESAOTE system/device name:..............................................................................
Code (REF):...............................................................................................................
Serial Number (SN):...................................................................................................
Description of the potential/real hazard: Description of accident or potential
accident:......................................................................................................................
......................................................................................................................................
Comments or suggestions:.......................................................................................
......................................................................................................................................
Contact Person/Department:
.....................................................................................................................................
Address:
.....................................................................................................................................
Phone:.................................................... Fax:.........................................................
Date:........................................ Signature:..........................................................