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Compass Medical Equipment, Inc.
T: 631-585-7878
F: 631-677-3400
info@compassmedicalequipment.com
Cath & Angio Lab Spec Sheet
Company Name:
* Required
Contact Name:
* Required
Country:
* Required
State:
* Required
Email:
* Required
Phone:
* Required
Manufacturer:
* Required
Select your choice
Continental
GE
Marconi
Philips
Shimadzu
Siemens
Toshiba
Trex
Other
Year: (i.e. 2010)
* Required
Model:
* Required
Functional?:
* Required
Yes
No
Installed?:
* Required
Installed
De-Installed
Address Where Installed:
System Serial Number:
Mobile?:
Yes
No
Single Plane or Bi Plane?:
Select your choice
Single Plane
Bi Plane
Injector?:
Select your choice
Medrad IV
Medrad V
Film Changer or Puck?:
Select your choice
Film Changer
Puck
Digital Device:
Imager Camera:
Spot Film Device:
Image Intensifier:
Mode:
Select your choice
Single Mode
Dual Mode
Tri Mode
Camera:
Select your choice
TE21
TE40
CCD
Collimator:
Select your choice
Auto Sentry III
Manual
X-Ray
Maxi Ray
When was R/F replaced?:
Generator(s):
Table:
Stepping?:
Yes
No
C-Arm:
Monitor(s) and Size(s):
Fluoro Tube:
When was Fluoro Tube Replaced?:
Tube Crane or Stand?:
XT Overhead Tube Crane
Floor/Ceiling Tube Stand
Receive Magazines:
Has the System been Upgraded? When? :
Reason for Sale:
Availability Date:
Asking Price:
Who services the equipment?:
Site ID:
Location Type:
Select your choice
Clinic
Hospital
Imaging Center
Wharehouse
Other
Loading Dock at Facility?:
Yes
No
Picture Attachment(s):
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