Clinical Imaging Systems - R/F Spec Sheet

R/F Room Valuation or Trade-in Form

Please use this form if you are selling your used equipment and would like CIS to contact your with an offer. If you are an OEM looking for a trade-in value please submit the completed form and someone from CIS will contact you shortly.

Facility / OEM / Owner:
*
Address:
Contact:
*
Phone:
Email Address:
*
Manufacturer:

Model:
Date of manufacture:

Generator model:
Mas:
Kvp
Phase:

High frequency:

Table model:
Table tilt:

Table movement 1:

Table movement 2:

Overhead model:
Age of the X-ray tube:
Size of the image intensifier:
Last time the ii was replaced:
Image chain model:
Number of monitors:

Spot film model & size:
Does the system have AEC?

Does the system have a tomography attachment?

Digital: (List the make and software level)
Is the system remote controlled?

Camera model:
List all accessories or other components such as wall bucky or cassette holders:
Does the system hae any operating problems? If so please describe:
Operational condition:

Cosmetic condition:

Who services the system?
When is the system available for removal?
Do not enter anything in this field:

* indicates a required field

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