- Speed Your Medical Equipment to Market - Quote and Information Request To generate a Project Proposal (quote), we need information about your device and what you need (deliverables). To do this, please copy the table below, and paste into an email to the email specified below. Complete the contact and equipment information sections, then check the box(es) for the required deliverable(s) Please include photos, drawings, or a draft user manual, so we can be as accurate with the Project Proposal as possible. The more clear you are when describing your device, and indicating what you need, the faster we can process your request. NOTE - With the June, 2012 deadline for meeting the 3rd Edition in Europe almost here, we are seeing a very high volume of quote requests. We are making every efforet to turn quote requests around quickly, but they are taking longer than we would like. Thank you for your understanding, and if you want to follow-up on a quote request that has been submitted, please contact Alex Preston at 262-752-4017 x102 Copy/Paste table below into email, complete, and send to info@60601-1.com for Project Proposal to be Generated CONTACT/COMPANY INFORMATION Contact Name: Contact Email Address: Contact Phone No.: Company Name: Company Address: Company City/State/Zip: EQUIPMENT INFORMATION Model Name/Number or project name/reference: Equipment Type, Intended Use (ECG Monitor, Hospital bed, Infusion pump, etc.): Is Equipment Intended for Home Use? Electrical Ratings: (voltage, frequency, current or power (A, W, VA), battery (type and rating): Communication Ports on Equipment, accessible without a tool (USB, Ethernet, etc.): Power Supply Type (internal, external, switch-mode, transformer, none): Enclosure Material (plastic, steel, aluminum, magnesium, other): Equipment Use/Installation (hand-held, portable, mobile/cart, stationary/fixed): Collateral and/or Particular standards, if known: [  ] SECOND EDITION  (IEC 60601-1, Ed. 2, UL 60601-1, Ed. 1, CSA C22.2 No. 601.1, EN 60601-1, Ed. 2) (for countries accepting 2nd Edition (US - Until June, 2013, Canada - Until June, 2012, Europe - Until June, 2012, Rest of world) [  ] THIRD EDITION  (IEC 60601-1, Ed. 3, AAMI ES 60601-1, Ed. 1, CSA C22.2 No. 60601-1:2008, EN 60601-1, Ed. 3) For countries accepting 3rd Edition (US, Canada, Europe) [  ] SECOND + THIRD EDITION [  ] Preliminary Design Review       (at Client's facility or at MECA) [  ] Evaluation, Testing, MECA-Issued Compliance Report       (for FDA, Health Canada, CE Marking, All Countries accepting IEC 60601-1) [  ] Add Underwriters Laboratories Classification to Evaluation, Testing, Compliance Report      (for UL Safety Mark) [  ] Add TUV Rheinland Certification to Evaluation, Testing, Compliance Report      (for TUV Safety Mark) [  ] Add CB Report/Certificate (additional requirements apply, issued by UL)       (for obtaining additional international safety marks, not required for CE Mark) OTHER REQUESTS [  ] Compliance Services (Specify Time Needed, 4 hrs minimum): [  ] Custom Testing (Please specify clearly): [  ] Seminar (Number of people, Skill level, Special topics to cover): [  ] Other Request (Please specify clearly):