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<Give this Notice to the customer, and then complete and return this report to your local Elekta Office or Representative for
the Configuration Database.>
Important Field Safety Notice
Classification:
FCO
Column Rotation Modification – audible indication
description:
Elekta Precise Tables™ range 124001 to 126924, 133801 to 133999, 213000 to 213398,
227001 to 227144.
Scope:
All treatment tables from Serial No. 227145 and Serial No. 213399 (HexaPOD™ variant)
will have this modification installed in the factory before delivery.
:
Hospital
Device Serial No:
(e.g. linac - if applicable)
Action on this unit/device was:
Completed as per instructions on:
Not completed because:
Not completed because the unit/device is in storage
Refused by customer because:
Acknowledgement by customer:
This notification to be signed by the customer.
The REASON and PURPOSE of this notice has been explained.
Name:
Signature:
FCO 200 01 204 010 VID : 1.0
Copyright © 2011 Elekta AB.
Tous droits réservés
FCO ACTION NOTIFICATION REPORT
(select one)
<date day/month/year]>
(give reasons)
(give reasons)
Elekta Limited, Linac House, Fleming Way, Crawley,
West Sussex RH10 9RR, Royaume-Uni
Tél. : +44 (0) 1293 544422 Fax : +44 (0) 1293 654321
200 01 204 010
FCO Ref:
Location or
Site No:
Note: If you use a work-order in the CLM configuration
database, then you do not have to complete this
section. The work-order will be used to add the
information to the system.
(if applicable).
Title:
Date:
www.elekta.com
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DID : gPOL0007_1 VID : 01
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