c. Section 3, General Information. See figure 4-3 for this portion of Form
2579.
Figure 4-3. Section 3.
(1)
Complete item 3a, "This report is for assembly of
certified components which are:" by checking the appropriate box.
(a) Check "New Assembly - fully certified system" if the system is an
original installation of a fully certified system.
(b) Check "Reassembly - fully certified system" if the system is not the
original installation of a fully certified system.
(c) Check "Reassembly - mixed system" if the system installed has
both certified and uncertified components.
(d) Check "Replacement components in an existing system" if
components have been replaced in an existing system.
(e) Check "An addition to an existing system" if the assembly is an
addition to an existing system whether the addition is certified or not.
(2)
Complete item 3b, "Intended use(s)," by checking the appropriate box.
(a) Check "General purpose radiography" if the system or addition to
the system is to be used for general purpose radiography.
(b) Check "General purpose fluoroscopy" if the system or the addition
to the system is intended for general purpose fluoroscopy.
(c)
Check "Tomography" if the system or the addition is intended for
tomography.
(d)
Check "Angiography" if the system or the addition is to be used for
angiography.
MD0351
4-5