C-Arm Valuation or Trade-in Form
Facility / OEM / Owner:
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Address:
Contact:
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Phone:
Email address:
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Manufacturer:
GE
OEC
Picker/Marconi
Siemens
Philips
Toshiba
Flouroscan
Xonics
Acoma
Ziehm
Precise Optics
Fisher
Ausonics
Date of manufacture:
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1987
1986
1985
1984
1983
1982
1981
1980
Monitors:
Single
Dual
Monitor size(s):
Image intensifier:
Single
Dual
Tri-mode
Image intensifier size(s):
List the system options: i.e. Digital subtraction, Road mapping, Flouro boost.
Storage device model and capacity:
DICOM
No
Yes
Hard copy camera model:
Does the system have any operating problems? If so please describe:
Operational condition:
Excellent
very good
Good
Poor
Parts unit
Cosmetic condition:
Excellent
Good
Fair
Poor
Who services the system?
When is the system available for removal?
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Currently Looking to Purchase:
GE CT Scanners
Multi-Slice CT
CR Units
Open MRIs
HF Rad Rooms
Now Available:
GE Light Speed 16
GE QX/i 4
GE NX/i Dual
Philips Brilliance 64
GE 1.5 Shortbore Mobile
Siemens Symphony
Clinical Imaging Systems, Inc.
522 Highway 9 North
Suite 321
Manalapan, NJ 07726
Toll Free:
1-866-585-7164
Phone:
1-732-591-9510
F
ax:
1-732-226-3168
email:
info@clinicalimagingsystems.com
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