Philips M3015A

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PHILIPS

0366 DECLARATION OF CONFORMITY Philips Medizin Systeme


Boblingen GmbH
Hewlett-Packard Str.2
71034 Boblingen
Germany
Declares under our sole responsibility that the product:
Product Name: lntelliVue MP2, MP5 , MP5 T, MP5 SC, MP20, MP30, MP40, MP50,
MP60, MP70, MP80, MP90, MX800
and lntelliVue Multi-Measurement Module X2
Product Model Number or Designator: M8102A, M8105 A, M8105 AT, M8105 AS, M8001A, M8002A,
M8003A, M8004A, M8005 A, M8007A, M8008A, M8010A, 865240,
and M3002A
Including the components: M8023A, M8048A, M8025 A, M8026A, M8027A, M8045 A, M8016A,
865297
And measurement modules: M3001A, M3012A, M3014A, M3015A, M3015B, M3016A
Plug-In modules: M10068, M1011A, M1012A, M1014A, M1019A, M10208, M1021A,
M1027A, M1029A, M1032A, M1034A, M1116B, 865115
Starting Revision: SW Revision: H.1
Device Classification: lib, Rule 10
Global Medical Device Nomenclature Code (GMDN): 36872 (M8102A, M8105A, M8105AT, M8105AS,
M8001A, M8002A, M8003A, M8004A, M3002A); 33586 (M8005A, M8007A, M8008A, M8010A, M8016A,
865240); 42528 (M8048A); 36553 (M3001A, M3002A, M3012A, M3014A, M3015A, M3016A); 36554
(M1020B); 41221 (M8025A); 36861 (M8026A); 35508 (M8045A), 36550 (M1006B), 15200 (M1011A,
M1021A), 36561 (M1012A), 15965 (M1014A), 36898 (M1019A), 37323 (M1027A), 36562 (M1029A), 36862
(M1032A, M1034A, 865115), 36534 (865297)
Product Options/Accessories: All, except patient connected accessories
To which this Declaration relates is in conformity with the provisions of Council
Directive: 93/42/EEC (Medical Devices Directive).
The Manufacturer is certified by the Notified Body listed below to EN ISO 13485 and Annex I I-Section 3.2 of
the Medical Device Directive (Certificate Number 0366/MDD/659100-11).
Name/Address of Notified Body: VDE Testing & Certification Institute,
Merianstr. 28, D-63069 Offenbach/Main, Germany

Supplementary Information:
The products above have been tested in typical configuration s of Philips M edizin S ysteme, Agilent Technologies and Hewlett-Packard
patient monitor_s, telemetry systems and defibrillators as described in the manufacturers accompanying documents.
The products listed a bove are fully compliant with standards listed below. Addition ally the pr oducts listed above have been designed,
manufactured, tested, and foun d to be compatibl e with devices and accessories described b y the manufacturer in the devices
accompanying documentation:

EN 60601-1:1990 + A1:1993 + A 2:1995 Medical ele ctrical equipment - Part 1: General requirements
for basic safety and essential performance
EN 60601-1-2: 2001 + A1:2006 Medical ele ctrical equipment - Part 1-2: General requirements

f_ � '
for safety and essential performance - Collateral standard:
Electromagnetic compatibility, requirements and tests

Signature Date: 5-May-2011

Printed Name: Hauke Schik Place of Issue: Boblingen


Title: Director Quality & Regulatory Affairs

(Form No. A-Q2920-00316-F4 Rev. D)


Document Identification No.: A-M8005-97007 Revision No.: R.05.00 Page 1 of 1

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