METRON PS-416M, User & Service Manual

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APPENDIX B: ERROR REPORT FORM, PS-416M
PS-416M PATIENT SIMULATOR ERROR REPORT FORM
USA FRANCE NORWAY
1345 Monroe NW, Suite 255A 30, rue Paul Claudel Travbaneveien 1
Grand Rapids, MI 49505 91000 Evry, France N-7044 Trondheim, Norway
Phone: (+1) 888 863-8766 Phone: (+33) 1 6078 8899 Phone: (+47) 7382 8500
Fax: (+1) 616 454-3350 Fax: (+33) 1 6078 6839 Fax: (+47) 7391 7009
E-mail:
metronus@aol.com
E-mail:
metronfrance@infonie.fr
E-mail:
support@metron.no
From: (name) Phone:
Address: Fax:
Date:
PS-416M Error Report Product:
Version:
Type
Wrong results Error messages, without reason
Program stops, no reaction Wrong responses on commands.
Other
Description of the situation prior to the error:
Description of the error:
(METRON use internally)
Received date:
Comments:
Critical
Correction date:
Minor
Ref No.
Normal