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  • WO-05018461 - CombiDiagnost R90-SN18000029 - SignedANR - 07-Aug-2022 - 21 38 51

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    Muhammed Rauf
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    An engineer installed a missing warning label on a monitor for Mediclinic Parkview Hospital. The field change order took 1.73 hours to complete onsite. A single warning label part was installed on the CombiDiagnost R90 medical device located in the diagnostic imaging department. The device is now corrected and can be returned to service without restrictions.

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    WO-05018461_CombiDiagnost R90-SN18000029_SignedANR_07-Aug-2022_21 38 51

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    An engineer installed a missing warning label on a monitor for Mediclinic Parkview Hospital. The field change order took 1.73 hours to complete onsite. A single warning label part was installed on the CombiDiagnost R90 medical device located in the diagnostic imaging department. The device is now corrected and can be returned to service without restrictions.

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    © All Rights Reserved
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    34 views2 pages

    WO-05018461 - CombiDiagnost R90-SN18000029 - SignedANR - 07-Aug-2022 - 21 38 51

    Uploaded by

    Muhammed Rauf
    An engineer installed a missing warning label on a monitor for Mediclinic Parkview Hospital. The field change order took 1.73 hours to complete onsite. A single warning label part was installed on the CombiDiagnost R90 medical device located in the diagnostic imaging department. The device is now corrected and can be returned to service without restrictions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    FCO Action
    Notification Report
    Work Order: WO-05018461

    Document Number: WO-05018461_1


    Date of Issue: 07/08/2022

    Case Number: 0118928570

    Sold To: Ship To: Contact Details:


    Mediclinic Parkview Hospital LLC Mediclinic Parkview Hospital LLC Customer Care Center
    3 Umm Suqeim St - Al Barsha 3 Umm Suqeim St - Al Barsha Email: met.ccc@philips.com
    Dubai Dubai Phone: UAE 8000 444 7017
    AE AE Oman 800 74304
    Qatar +97444367119
    Bahrain 8000 6989
    Yemen +96714344556

    CUSTOMER DETAILS
    Contact: Not Applicable Phone: Not Applicable
    Email: Not Applicable Mobile: Not Applicable
    FCO DETAILS
    FCO Number: FCO70900056 FCO Delivery Method: Onsite
    FCO Classification: Mandatory
    FCO Description: Missing Warning Label on the Monitor
    FCO Additional Information: Not Applicable
    WORK DETAILS
    Engineer Name: Salah Al Aity Event Type: Field Change Order
    Created Date: 20/12/2021 Priority: 5-Scheduled Activity
    EQUIPMENT DETAILS
    Product: CombiDiagnost R90 709030 Serial Number: SN18000029
    Product: 75240352 Tech ID: Not Applicable
    Room/Dept: Diagnostic Imaging UDI: (01)00884838076747(21)SN18000029
    Reported Problem: Missing Warning Label on the Monitor
    Device Status: Device Corrected.Returned to service; No restrictions to usage.
    LABOR DETAILS
    Labor Activity Type Service Activity Start Date And Time End Date And Time Duration (In Hours)
    Travel Onsite Service 03/08/2022 10:15 AM 03/08/2022 11:00 AM 0.75
    Work Onsite Service 03/08/2022 11:00 AM 03/08/2022 11:30 AM 0.50
    Work Onsite Service 03/08/2022 11:30 AM 03/08/2022 11:59 AM 0.48
    Total Duration: 1.73

    MATERIAL INSTALLED/DISMANTLED
    Part Number Part Description UDI Serial/Batch/Lot Reported Part Status
    Number Qty
    FCO70900056 2MP
    300008526291 Monitor Label Not Applicable Not Applicable 1 Installed
    CombiDiag.
    2/2
    Philips Representative Signature: Customer/Client Signature:
    _____________________ _____________________
    WO-05018461 Sunday, August 7, 2022 9:38 PM WO-05018 WO-05018461 Sunday, August 7, 2022 9:38 PM WO-05
    461 Sunday, August 7, 2022 9:38 PM WO-05018461 Sunda 018461 Sunday, August 7, 2022 9:38 PM WO-05018461
    y, August 7, 2022 9:38 PM WO-05018461 Sunday, August 7 Sunday, August 7, 2022 9:38 PM WO-05018461 Sunda
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    nday, August 7, 2022 9:38 PM WO-05018461 Sunday, Augu PM WO-05018461 Sunday, August 7, 2022 9:38 PM W
    st 7, 2022 9:38 PM WO-05018461 Sunday, August 7, 2022 O-05018461 Sunday, August 7, 2022 9:38 PM WO-0501
    9:38 PM WO-05018461 Sunday, August 7, 2022 9:38 PM W 8461 Sunday, August 7, 2022 9:38 PM WO-05018461 S
    O-05018461 Sunday, August 7, 2022 9:38 PM WO-0501846 unday, August 7, 2022 9:38 PM WO-05018461 Sunday,
    1 Sunday, August 7, 2022 9:38 PM WO-05018461 Sunday, August 7, 2022 9:38 PM WO-05018461 Sunday, August
    August 7, 2022 9:38 PM WO-05018461 Sunday, August 7, 7, 2022 9:38 PM WO-05018461 Sunday, August 7, 2022
    2022 9:38 PM WO-05018461 Sunday, August 7, 2022 9:38 9:38 PM WO-05018461 Sunday, August 7, 2022 9:38 P
    Engineer Name: Salah Al Aity Customer Name: Ms. Donnet
    Date: 07/08/2022 9:38 PM Date: 07/08/2022 9:38 PM
    Signature Captured Signature Captured

    Work Order: WO-05018461


    Philips Middle East & Turkey Health Systems
    Dubai Knowledge Village
    AI Sufouh2 P.O.BOX 7785
    Dubai, United Arab Emirates

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