Herunterladen Informationen zu diesem Produkt anfordern

Informationen zu diesem Produkt anfordern

Name*
Email*
Phone*
Hospital/Dialysis Unit*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
HD03 Monitor Serial Number*

This can be found on the metallic data plate on the base of the machine and starts with 'HD03'
H4FX Flow Sensors Serial Number*

This can be found engraved on the black monitor connector and starts with 'H4FX'
Data Transfer Module (DTM) Serial Number*

This can be found on the data plate and starts with 'N'
Nature of Work Required*
Nature of Fault*
Nature of Fault
Nature of Fault
DISCLAIMER: Any Data Transfer Modules (DTMs) received by Kimal will be restored to factory settings, deleting all patient data. This is to comply with our obligations under General Data Protection Regulations
Return of your Data Service Module (DTM)
- I confirm that I won't be returning my DTM
- I confirm that I will be returning my DTM and that all patient data has been deleted
Additional Information
Would you like a copy of the form to be emailed to you?
- Yes

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