Delivery Devices and Accessories 109
Novus Spectra
0642-543-01, Rev A, 12/02
Decontamination Certificate
Under the provisions of Postal Law, Title 18, United States Code, Section 1716, and Department
of Transportation regulations contained in CFR 49, Part 173.386 and 173.387, “etiologic agents,
diagnostic specimens and biological products…are nonmailable…”
The undersigned therefore certifies that the Lumenis equipment being returned herein by
Individual/Institution
City, State, Country
has undergone decontamination with a commercially available germicide cleared for use as a
“Hospital Disinfectant” and is clean and free from biohazards, including—but not limited to—
human or animal blood, tissue or tissue fluids or components thereof.
The undersigned also agrees to reimburse Lumenis for any costs incurred in cleaning the enclosed
equipment, in the event said item(s) is/are received by Lumenis in a contaminated condition.
Model
Model
Serial Number (if applicable)
Serial Number (if applicable)
Lumenis RMR Number
Lumenis RMR Number
Typed/Printed Name
Position/Title
Signature
Date
Содержание Novus Spectra
Страница 1: ...Novus Spectra Solid State 532 nm Green Laser Operator Manual...
Страница 6: ...6 Contents Novus Spectra 0642 543 01 Rev A 12 02...
Страница 8: ...Novus Spectra 0642 543 01 Rev A 12 02 8 General Operation...
Страница 40: ...Novus Spectra 0642 543 01 Rev A 12 02 40 General Operation...
Страница 42: ...Novus Spectra 0642 543 01 Rev A 12 02 42 Maintenance...
Страница 56: ...Novus Spectra 0642 543 01 Rev A 12 02 56 Safety and Regulatory...
Страница 72: ...Novus Spectra 0642 543 01 Rev A 12 02 72 Indications for Use...
Страница 110: ...Novus Spectra 0642 543 01 Rev A 12 02 110 Indications for Use...
