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CARDIO LINE 4000 S/S MED/MED/SP/S SP
CARDIO LINE 4100 S/S MED/MED
Technische en optische wijzigingen, alsmede drukfouten voorbehouden - © 2018 by ERGO-FIT GmbH & Co. KG
133
Inlegblad voor het “Medizinproduktebuch“
Exploitant: __________________________________________
__________________________________________
__________________________________________
1. Benaming van het medisch product:
_________________________________________________________________
2. Functiecontrole en instructie:
Functiecontrole uitgevoerd
op: ________________ door: _________________________________________
Instructie uitgevoerd
op: ________________ door: _________________________________________
Geïnstrueerde personen: ____________________________________________
____________________________________________
____________________________________________
3. Meettechnische controles: uiterlijk om de 2 jaar
Volgende controle: ______________________________________________
Bevoegde persoon: ______________________________________________
4. Veiligheidstechnische controles
(volgens MPBetreibV): uiterlijk om de 12 maanden
Volgende controle: ______________________________________________
Bevoegde persoon: ______________________________________________
5. Datum, soort en gevolgen van functiestoringen en herhaalde gelijksoortige
bedieningsfouten:_ _________________________________________________
_________________________________________________________________
_________________________________________________________________
6. Meldingen van voorvallen aan instanties en producent:
________________________________________________________________________
________________________________________________________________________
139


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