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DECLARATION OF CONFORMITY (WDD) OLYMPUS
1, Manufacturer Olympus Optical Co. Ltd.
2, Address 43-2, _Hatagaya 2 Chome, Shibuya-ku, Tokyo, Japan
Model CV-145
4, Name of product “EVIS EXERA VIDEO SYSTEM CENTER,
5. Serial or Lot No. from 7000016 to.
6. Classification Class 1
7, Authorized representatives in EU
© Name Olympus [Link].(Europa) GmbH
Address ‘Wendenstr.14~16 20097 Hamburg, Germany
Name Olympus Winter& Ibe GmbH
Address Kuehnstr.61 22045 Hamburg, Germany
Gl Name KeyMed (Medical & Industrial Equipment) Ltd.
Address KeyMed House, Stock Road Essex S82 SQH, UK
We herewith declare that the above mentioned product complies with the
requirements of EC Directive 93 / 42 / EEC (MDD).
‘This declaration is based on : MDD, Annex VII
Place 2981 Ishikawa~cho, Hachioji~shi, Tokyo, Japan
Signature Z ee ~
Name Tatsuya Yamaguchi
Title Management Representative, Endoscope Division
Date 26. 04. 2000,
IN-OIS D28001 Appendix 2)DECLARATION OF CONFORMITY (MDD) OLYMPUS
ANNEX (RELATED ITEM LIST) Page 1of3
‘The conformity in accordance with the EC directive 93/42/EEC (MDD) annex I
is declared herewith also for the following related item/s that is/are provided together, as a part of the
declaration of conformity of ;
(model and name of the medical device) _CV-145__ EVIS EXERA VIDEO SYSTEM CENTER.
‘Model and Name of the related item Class Serial or Lot No.
NB-677(BNC Cable) I fron (a) to
ND-445(SCV Cable) I from (ta) to
MH-154(White Cap Set) I fron (#a)__to
MHI-978(Videoscope Cable 100) 1 fron (a) to
WH-994(Wonitor Remote Cable) 1 fron__(#a)
NH-995 (Remote Cable) I from__(ta)
WAJ-227(Wonitor Rezote Cable) L from (t)__to
WD-685(Moni tor Cable) 1 from (fa) to
MH-884(Rater Container) Ha from (#a)__to
WH-984(RGB Cable) 1 froo_(#a)__to
wH-970(¥ater Container) Da from (4a) to
WH-966(Light Control Cable) 1 fron (4a)
fron
from to
Note (ta): The items manufactured on or after 1. Oct. 1998.
Signature
Name Tatsuya Yamaguchi
Title Management Representative, Endoscope Division
Date 14, 03. 2001
IN-OIS D28001 Appendix 6]
Revision 2 : Mar. 14.2001DECLARATION OF CONFORMITY (MDD) OLYMPUS
ANNEX (RELATED ITEM LIST) Page 2of3
‘The conformity in accordance with the EC directive 93/42/EEC (MDD) annex I
is declared herewith also for the following related item/s that is/are provided together, as a part of the
declaration of conformity of ;
(model and name of the medical device) _CV-145_ EVIS EXERA VIDEO SYSTEM CENTER
‘Model and Name of the related item Class Serial or Lot No.
WAJ-843(Videoscope Cable Exera) I fron (#b)
MAJ-844(Keyboard) 1 fron__(#b) to
MAJ-846(Woni tor Cable) 1 fron (#b) to
WAJ-848(Woni tor Adapter) L fron (4b)
WAJ-849(Printer Adapter) I fron (#b)
MAJ-854(Renote Cable) I fron _(#b) to
WAJ-884(Printer Cable Set~A) 1 fron (4b) to
WAJ-885(Printer Cable Set-B) L fron (#b) to
WAJ-887(Keyboard Cover) I from (#b) to
WAJ-901(Water Container) Ma from (#b)_ to
WAJ-902(fater Container) Da from _(#b)__to
WAJ-905 (Container Protector) I fron (#0) to
WAJ-921 (Moni tor Cable) I fron__(#b) to
WAJ-920(Pump Renote Cable) I fron (tc) to
WAJ-970(Moni tor Cable) I fron Gc) tw
MAJ-971(Monitor Cable) I fron (4c)
Note (#b): The items manufactured on or after 26. Apr. 2000.
Note (#c): The items manufactured on or after 26. Sep. 2000.
Signature CE LZ
Name Tatsuya Yamaguchi
Title Management Representative, Endoscope Division
Date 14,03 2001
IN-OIS D28001 Appendix 6]
Revision 2: Mar. 14. 2001
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