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5 Signs Your MRI Coil Needs Repair (and How to Spot Them)
Customer Portal
Home
About us
Services
Service Information
Repair Forms
Contact Us
Blog
5 Signs Your MRI Coil Needs Repair (and How to Spot Them)
Customer Portal
Coil Service Questionnaire
Questionnaire for customers sending in a coil for repair
Business Name
(Required)
Name
(Required)
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
MRI System and MRI Coil Information
MRI System Brand
(Required)
Choose MRI System Brand from Dropdown
GE
Philips
Siemens
Hitachi/Fuji
Toshiba/Canon
Picker
MRI Model:
Magnetic Filed (Tesla):
(Required)
Coil Description
(Required)
Coil Part #
Coil Serial #
Issues related to this MRI Coil (Check all that apply)
Will Not Scan
TR Driver Fault
Local of Signal
Coil ID Problem
Other
Select All
Artifact
Localized
Bright Area
Dark Hole
Shading
Select All
Homogeneity
Poor Uniformity
Fat Saturation
Select All
Mechanical
Housing
Output Cable
Connector
Other
Select All
Describe Mechanical Issue
Signal Noise Ration (SNR)
Low Signal
Grainy Image
Poor Contrast
Other
Select All
If Low Signal is checked-input info below. click + to add a line
Channel #
SNR Value
SNR Spec
Comment
Add
Remove
Is the failure intermittent or perminent?
Intermittent
Perminent
How many times per day?
Is the MRI software showing an error message?
No
Yes
What is the error message?
Was the coil previously repaired?
No
Yes
If you answered "Yes" on "Was the coil previously repaired", was it repaired for the same problem?
No
Yes
Is the coil new?
No
Yes
How long has the current problem been present?
Days
Weeks
Months
How long has the coil been in use?
Days
Months
Years
Description
Image/File upload
Drop files here or
Select files
Max. file size: 128 MB.
How Can We Reach You?
If we need to chat with you. What is the best way to get in touch?
Preferred Method of Contact
Email
Phone
Your Email Address
(Required)
Email Address
Confirm Email Address
Your Phone
(Required)
Best Time to Call You
Select A Time
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12:00 pm
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