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Xray Tubes Warranty

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 recieve warranty consideration.

* Required Fields
Salutation
* First Name
* Last Name
* Phone:
* Email:
* Date: Ex. MM/DD/YYYY
  * Dealer       * OEM
* Dealer/OEM:
Address:
* City:
* State/Province:
Postal Code:
* Country:
* Institution:
(Where Tube Installed)
Address:
* City:
* State:
Postal Code:
* Country:
Fax:
Return Tube Information
* Insert Model: * Serial Number:
Heat Exchanger Model: Serial Number:
Generator Model: Serial Number:
 
* Principal Usage
Cine Fluoro-Spot Film Special Procedure
Remote Table General Radiography Tomographic
Pulsed Fluoro        
 
X-ray Tube Operation or Heat Exchanger (if returned separately): Anode Rotation Speed
* Date Removed: Ex. MM/DD/YYYY Exposure Count:
* Date Installed: Ex. MM/DD/YYYY Exposure Count:
    Total Exposures:
Estimated Exposures @ 60Hz  
Estimated Exposures @ 180Hz  
 
Techniques at Time of Difficulty
* kV * mA * Time
Techniques Most Frequently Used
* kV * mA * Time
Radiographic Technique
Max kV used: Max mA used:
 
* Describe in detail the circumstances and reasons for the removal and return:
Replacement Tube
* Insert Model: * Serial Number:

Additional Comments:

 

    

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