(855) 463-3727
Sales@directmedparts.com
Home
MRI & CT Services
Parts Search
MRI Helium Fills
MRI & CT Services
Part Repairs
MRI Services
MRI Coil Repair
MRI Parts Search
Buy MRI Scanner
CT Services
CT Parts Search
Buy CT Scanner
Systems
Buy A System
Sell A System
About
Our Story
Feedback
Articles & How To
Contact
Select Page
Filters
Manufacturer
Modality
Can't find what your looking for?
Contact us
for assistance.
Get a Fast Part Quote.
Name
*
First
Last
Phone #
*
Email
*
Company
*
Have you ever purchased a part from us before?
*
Yes
No
Purchase Option
Outright
Exchange
Repair (if available)
Message
*
Email
This field is for validation purposes and should be left unchanged.
CLOSE
How can we help you?
Name
*
First
Last
Phone #
*
Email
*
Company
*
Have you ever purchased a part from us before?
*
Yes
No
Purchase Option
Outright
Exchange
Repair (if available)
Message
*
Comments
This field is for validation purposes and should be left unchanged.
CLOSE
Request a quote!
Hidden
Name
*
Name
*
First
Last
Phone #
*
Email
*
Company
*
Time Frame
*
Immediate
1-3 Months
3-6 Months
6-12 Months
Don't Know Yet
Have you ever worked with us before?
*
Yes
No
Message
*
Comments
This field is for validation purposes and should be left unchanged.
CLOSE
What can we help you with today?
Name
*
First
Last
Email
*
Phone
*
Which of these best describes you?
*
Consultant
Education
Equipment Dealer
Financial Institution
Hospital
Mobile Provider
OEM
Parts Supplier
Service Company
Modality
*
C-Arm
C-Arm Table
Cath/Angio
CR
DEXA
DR Panel
Imager
Linac
Litho
Mammo
MRI
Nuclear
PACS Solution
PET
PET/CT
SPECT/CT
Portable X-Ray
Rad Room
R/F
Ultrasound
Manufacturer
GE
Siemens
Philips
Toshiba
What type of service do you need?
*
Model / Series
*
Project Timing
*
Immediate
1-3 months
3-6 months
6-12 months
12-24 months
Don't know yet
Additional Comments
CLOSE
We offer a free valuation!
Hidden
Name
*
Name
*
First
Last
Phone #
*
Email
*
Company
*
Time Frame
*
Immediate
1-3 Months
3-6 Months
6-12 Months
Don't Know Yet
Have you ever worked with us before?
*
Yes
No
Message
*
Phone
This field is for validation purposes and should be left unchanged.
CLOSE
MRI Coil Repair Form
Contact Name:
*
Organization:
*
Company/Hospital/Imaging Center
Contact Phone
*
Contact Email:
*
Facility Name
*
Coil Information
Model Number:
*
Serial Number:
*
Coil Description:
*
MRI Frequency:
*
MHz
Field Strength:
*
T
Problem Description
Brief description of problem:
*
Is the problem:
Intermittent
Always Present
Happened once or Don't know
Additional information
Will not scan
High Noise or Grainy Images
Artifact
Homogeneity (Non-uniform or shaded images)
Mechanical Problem(Please specify below)
For Artifacts:
Localized
Global Bright Area
Dark Hole
Shading
Ripple Patterns
If Homogeneity:
Poor uniformity
Fat Saturation problem
If Coil Won't Scan
TR Driver Fault
Coil not identified
No Signal or Frequency not found
Are any system error messages shown?
Other symptoms or problems:
Which section, modes, or channels?
Please specify which sections, channels, modes have the problem? (i.e., C-section on CTL coil)
Shipping & Payment Information
Shipping Account Number (Optional)
If left blank, we will use our account.
Please ship via:
*
FedEx
UPS
Other
Shipping
*
Next Day 8 AM
Next Day 10 AM
Next Day PM
2nd Day
Express Saver
Ground
Repair Fees to be paid by:
*
Credit Card (Please call with credit card information. Numbers not kept on file)
Net 30 terms (For credit approved customers only)
Wire Transfer
Check To Be Mailed
Shipping Insurance Value $
*
PO#
*
Accounts Payable:
Name
First
Last
Phone
Email
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.
CLOSE
Name
*
First
Last
Job Title
*
Company
*
Phone
*
Email
*
Best Contact Method
*
Phone Call
Text
Email
Priority
*
Low
Medium
High
Brief Description
*
Name
This field is for validation purposes and should be left unchanged.
CLOSE
Sell Your Used Scanner
Name
First
Last
Email
Phone
Which of These Best Describes You?
*
Clinic
Consultant
Education
Engineer
Equipment Dealer
Financial Institution
Hospital
Mobile Provider
OEM
Parts Supplier
Service Company
Manufacture
*
GE
Siemens
Philips
Toshiba
Date of Manufacture*
*
Model / Series*
*
Describe Your Imaging Project and Reason for Sale
*
Project Timing
*
Immediate
1-3 Months
3-6 Months
6-12 Months
12-24 Months
Don't know yet
Asking Price
*
Functional?
*
Yes
No
Installed
De-Installed
Site ID
*
System Serial Number and Magnet Serial Number
*
Magnet Type
*
Permanent/Open
Super Conducting/Short Bore
Super Conducting/Long Bore
Super Conducting/Open
Resistive
Coils (Please specify any multi-channel coils and number of channels)
*
Slew Rate
*
Software Revision Level(Options enabled on system, rev level, other features, and hardware)
*
Current Service Provider
*
Independent Service
In-house Service
OEM Service
Other
None
System Location: Facility Type
*
Warehouse
Hospital
CIF
Clinic
Loading Dock at Facility
*
Yes
No
CLOSE
Diagnostic Imaging Equipment Quote Request
Hidden
Name
*
Name
*
First
Last
Phone #
*
Email
*
Company
*
Machine
*
Machine Description
Message
*
Phone
This field is for validation purposes and should be left unchanged.
CLOSE
