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Anaesthesia Delivery
Managing Hypothermia
Patient Monitoring
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Research Animal Anaesthesia Solutions
Service requests
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Contact Us
Home
Solutions
Anaesthesia Delivery
Managing Hypothermia
Patient Monitoring
Waste Gas Management
Research Animal Anaesthesia Solutions
Service requests
Manuals
About us
Contact Us
Service Request Forms
Hidden
Vaporiser Service Request
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Serial number
*
Status
*
Functioning normally
Leaking
Malfunctioning
Other
Model
*
Tec 3
Tec 4
Tec 5
DVM
Blease
Penlon
Other
Anaesthetic agent
*
Isoflurane
Sevoflurane
Sevoflurane
Desflurane
Mount type
*
Selectatec mount
Cage mount
Fill type
*
Key/Pin fill
Pour/Funnel fill
Quick Fill
Date of last service
*
Service selection
*
Service + Return with loan unit
Service + Return (no loan unit)
Service Exchange
Company name
*
Phone number
*
Email
*
Submit
Anaesthetic Equipment Service Request
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Equipment
*
Anaesthetic Machine – Small Animal
Anaesthetic Machine – Large Animal
Ventilator
Other
If “other”, what type of equipment is it?
Manufacturer
*
Serial number
*
Model
*
Describe issue
*
Company name
*
Phone number
*
Email
*
Submit
Electronic Equipment Service Request
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Please enable JavaScript in your browser to complete this form.
Equipment
*
Patient Monitor
IV Fluid Pump
Patient Warmer (blankets)
Heated Breathing Circuit Controller
Other
If "other", please specify
Model
*
Manufacturer
*
Serial number
*
Company name
*
Phone number
*
Email
*
Submit
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