METRON QA-IDS, User & Service Manual

Page: 60 / 62

APPENDIX C: Suggestion Form, QA-IDS
QA-IDS INFUSION PUMP TESTER SUGGESTION 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:
QA-IDS Improvement Suggestion Product:
Version:
Type
ﾁ
One window
ﾁ
Presentation
ﾁ
Several windows
ﾁ
Options, configuration possibilities
ﾁ
Documentation
ﾁ
Other
Description of the suggested improvement:
(METRON use internally)
Received date: Comments:
Correction date:
Ref No.
60