Linear  Accelerator Evaluation Form

Contact Information

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Linear Accelerator Information
Brand
 Model
Year
 Serial #
Software Version

Photon Energy:
Low Energy Photon
   MV
High Energy Photon
   MV 		Electrons:
    MeV
 
Power Supply:  
Removable Energy Switch:


Please Enter Age Of Components
Magnetron
 /  /  		 Thyratron
/ / 		Klystron
/ /
Waveguide
/ / 		Electron Gun
/ / 		RF Driver
/ /

Couch Type
 Dynamic Wedges
 Wedge Sizes
Elec. Applicator Sizes
 Beam Hours
 Filament Hours

Independent Jaws:
 Accessory Type:

List any other major components that may have been replaced
 
Has this unit ever been refurbished? If yes, when and by whom?
 

Does the system include:
     Lasers
  Manuals
Spare Parts Kit
Base Frame


Unit Availability
Is unit still in service:
If yes, date unit be available for removal?  /  /  
If no, how long has the unit been out of service:
Is waveguide under vacuum:  
Last date serviced:  /  /  
If this unit is being replaced by a new system, when is the installation scheduled to begin:
 
 /  /  


Terms of Sale
Accepting offers until  /  /  
Asking price $  
Contact Person  
Comments:
 

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Rismed Oncology Systems
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