Tubes must be shipped prepaid, along with a completed Tube Service Report form describing the reason for return, operating conditions, installation and removal dates in order to receive warranty consideration.

* Required Fields
Salutation
* First Name
* Last Name
* Phone:
* Email:
* Date: Ex. MM/DD/YYYY
 
  * 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:
Ex. MM/DD/YYYY
* Scan/Seconds Count:
* Date Installed:
Ex. MM/DD/YYYY
* 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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Production of any of the material contained herein in any format or media without the express written permission of Varian Medical Systems is prohibited.

North America