Please Return to Radiometer America by Fax to the Number Below

RADIOMETER AMERICA INC. 810 Sharon Drive www.radiometeramerica.com Westlake, OH 44145 www.bloodgas.org TEL 1-800-736-0600 440-871-8900 [email protected] FAX 1-800-736-0601

Please return to Radiometer America by fax to the number below

Fax number: 1-800-736-0601

Concerning: ABL800FLEX Recall letter regarding the Parameter Bar

The analyzer below has been checked as described in the recall letter and the Cal # is stated below.

Serial number: 902-______R______N______

Calibration Counter Number: ______

Date: ______

Hospital: ______

Address: ______

Name and position: ______

For Internal Use only:

Calibration Counter (weeks) Action Outside critical range Low Inside critical range but Medium analyzer operates correctly Inside critical range and High analyzer operates incorrectly