System information

Regulatory Notices
Vicon MX Hardware System Reference E-5
Section D. Device Information
Section E. Initial Reporter Information
Parameter Function
Brand Name
Model Number
Serial Number
System Installation Date
Operator of the device health professional, patient,
lay user,
other (specify) .......................
(delete not applicable)
Date equipment returned to
Vicon Motion Systems Limited or
its agents (if applicable)
Parameter Function
Name
Address
Telephone Number
Initial reporter is a Health
Professional
Yes/No (delete not applicable)
Occupation
Report Sent to FDS Yes/No (delete not applicable)
MXhardware_Reference.book Page 5 Thursday, September 7, 2006 11:36 AM