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CT Tubes Housing

Tubes must be prepaid with a completed Tube Service Report describing the reason for return, operating conditions, Installed and removal dates in order to recieve Warranty consideration.

* Required Fields
Salutation	Select Dr. Mr. Mrs. Ms. Miss.
* First Name
* Last Name
* Phone:
* Email:
* Date:
	* Dealer       * OEM
* Dealer/OEM Name:
Address:
City:
State/Province:
Postal Code:
Country:
Email:
Fax:
* Institution: (Where Tube Installed)
Address:
* City:
* State:
Postal Code:
* Country:
Fax:

Return Tube Information * Insert Model: * Serial Number: Heat Exchanger Model: Serial Number: Scanner Model: Serial Number:   X-ray Tube Operation or Heat Exchanger (if returned separately): Anode Rotation Speed * Date Removed: * Scan/Seconds Count: * Date Installed: * Scan/Seconds Count:     * Total Scans/Seconds: Estimated Scans @ 60Hz   Estimated Scans @ 180Hz     Techniques at Time of Difficulty * kV * mA * Time Techniques Most Frequently Used * kV * mA * Time * Describe in detail the circumstances and reasons for the removal and return: (if the cause of failure was arcing: Describe the arcing pattern and also record the frequency of arcing) Replacement Tube * Insert Model: * Serial Number: Additional Comments:

    

Email by clicking Submit or Print and Fax to 801.973.5050

 

 

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