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CARDIO LINE 4000 S/S MED/MED/SP/S SP
CARDIO LINE 4100 S/S MED/MED
Modifications techniques ou optiques et erreurs d‘impression réservées - © 2018 by ERGO-FIT GmbH & Co. KG
131
Carte à insérer dans le registre des produits médicaux
Exploitant: __________________________________________
__________________________________________
__________________________________________
1. Désignation du produit médical:
_________________________________________________________________
2. Contrôle de fonction et instruction:
Contrôle de fonction effectué
le: ________________ par: _________________________________________
Instruction effectuée
le: ________________ par: _________________________________________
Personnes instruites: ____________________________________________
____________________________________________
____________________________________________
3. Mesures de contrôle technique : au maximum tous les 2 ans
Prochain contrôle: ______________________________________________
Contrôleur: ___________________________________________________
4. Contrôle technique de sécurité
(suivant MPBetreibV): au maximum tous les 2 ans
Prochain contrôle: ______________________________________________
Contrôleur: __________________________________________________
5. Date, type et conséquences de dysfonctionnements et de fausses manoeuvres
similaires à répétition: _______________________________________________
_________________________________________________________________
_________________________________________________________________
6. Signalement d‘irrégularités aux autorités et au fabricant:
________________________________________________________________________
________________________________________________________________________
137


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