SMI-1414-EN Rev. 005 - Installation and Service Manual
Page 51 of 51
12 Appendix
Vanguard Tabletop for GE MR750 and MR750w Installation Verification
Checklist
Install Date:
__ __ __ __ __
20
__ __
Location:
____________________________ , __ __
Customer Name:
______________________________________________________________________
Vanguard Serial #:
__ __ __ __
Configuration:
16
Channel
Scanner:
3.0T GE Discovery
Software Rev:
2
__
.
__ __ __ __ __ __ __
Installation
All components unpackaged, inspected and free of blemishes or damage.
Patient support fits flatly on scanner bed and remains stationary.
Patient support is centered and does not contact bore or any other surface.
System is clean and free of fingerprints or debris.
All coils snap in and hold firmly in the compression frames.
Compression sliders slide smoothly and locks (2) work without excessive force.
All padding is present, free of rips or damage and installed as per reference card.
SNR/QA Verification
16ch BL MCQA Result: Pass / Fail (Circle Result)
10ch BL MCQA Result: Pass / Fail (Circle Result)
SNR protocol is saved on scanner console.
SNR results for all configurations are recorded in the user manual.
Pre-Departure
All parts and accessories are present and shortages reported immediately.
Accessories are neatly grouped for storage and/or as directed by customer.
GEHC
ONLY
After completing this checklist, please store a signed copy on site.
All items checked confirms Vanguard installation successfully completed.
Name: _______________________
Position: __________________
Company:___________________
Signed: ______________________
Date: __ __ __ __ __ 20 __ __
Notes: _________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
SMI
ONLY
Any results not in specification reported immediately to SMI Service – 1-866-735-3744.
For any failing results, DICOM data saved to USB/DVD storage.
SMI
ONLY
Fill out calling card and leave it in a visible location.
Any items not checked must be reported immediately by phone to SMI Service Department.
After completing this checklist, please provide a signed copy to the SMI Service Department.
D D M M M Y Y
C I T Y, S T A T E / P R O V I N C E
D D M M M Y Y