GE H
EALTHCARE
D
IRECTION
5194296-100, R
EVISION
A
LOGIQ B
OOK
XP S
ERIES
B
ASIC
S
ERVICE
M
ANUAL
Chapter 10 Care & Maintenance
10-19
ULTRASOUND INSPECTION CERTIFICATE
* Scan Format: Phased Array, Linear Array, Curved Array, Mechanical Array or Other
FUNCTIONAL CHECKS
PHYSICAL INSPECTION AND CLEANING
COMMENTS:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Customer Name:
System ID:
Dispatch Number / Date Performed:
Warranty/Contract/HBS
System Type
Model Number:
Serial Number:
Manufacture Date:
Probe 1:
Frequency:
Scan Format*:
Model Number:
Serial Number:
Probe 2:
Frequency:
Scan Format*:
Model Number:
Serial Number:
Probe 3:
Frequency:
Scan Format*:
Model Number:
Serial Number:
Probe 4:
Frequency:
Scan Format*:
Model Number:
Serial Number:
Probe 5:
Frequency:
Scan Format*:
Model Number:
Serial Number:
Functional Check (if applicable)
OK? or
N/A
Physical Inspection and Cleaning
(if applicable)
Inspect
Clean
B-Mode Function
Console
Doppler Modes Function
LCD
CF-Mode Function
External I/O
M-Mode Function
Cables and Connectors
Applicable Software Options
GE Approved Peripherals (CD-RW, Printer)
Applicable Hardware Options
Labeling (see User Manual for Labeling)
Control Panel
LCD
Measurement Accuracy
GE Approved Peripherals
