Esco » Cleanroom Equipment » Resources: IVF Workstation Application Questionnaire

IVF Workstation Application Questionnaire

The key to a successful Esco New Equipment purchase is to have our engineers initiate the project in the right direction. This happens with the Custom Request Form or Project Questionnaire.
The questions that are asked on the form are critical aspects for all applications. You can help Esco by being prepared to answer the questions on the form. With all the information your proposal, purchase, delivery and installation of your new Esco equipment will be more timely and accurate because of the care taken to start on the right foot.

* Denotes required fields for this form.
Section I: About Your Company
Your Name and Title *
Company Name *
Company Mailing Address *
Telephone and Fax Number *
Email Address
Section II: Workstation
Workstation Width Required	Esco Standard 1.2m/4' (Internal Width) ), IVF-4AX \| Quantity: Esco Standard 1.8m/6' (Internal Width) ), IVF-6AX \| Quantity:
Section III: Microscope and Microscope Accessories
Oocyte pick-up, embryo handling and micromanipulation require various types of microscopes. Most common models of stereo zoom microscopes, transmitted light sources and inverted microscopes can be integrated into Esco IVF Workstations. These are different types of microscopes used for various IVF applications: a. Upright microscope - sperm vitality tests and ova collections. b. Inverted microscope - use with micro-manipulator for processes such as IXCI, IMSI. c. Stereo microscope - ova selection, pre-treatment of ova by means of IVF techniques and for manipulation.
Is a Built-In Microscope Desired?
If you answered YES, you need to answer this portion. Otherwise proceed to Section V directly.	a. How many units of microscope(s)? b. Microscope Supply Mode Customer Supplies Existing Microscope Manufacturer (Microscope Brand): Model/Item Code or Part No. Microscope Stand Model/Item Code or Part No: Please Attach Microscope Datasheet, Mechanical Drawing(s) : Current Microscope we have used before: Nikon: SMZ645, SMZ800, SMZ1000 and SMZ1500 ONLY with C-BD230 or C-DSD Diascopic stand. Carl Zeiss: Stemi 2000 Olympus: SZX10 Purchased and Built-In by Esco c. Desired Microscope Mounting Position d. Specific Mounting Position Factory standard User Specified Distance from nearest side (mm): Which side? Distance from front (mm):
Is Built-In LCD Screen Desired?:
If you answered YES, you need to answer this portion. Otherwise proceed to Section V directly.	a. Supply Mode Customer Manufacturer (LCD Brand): Model/Item Code or Part No Esco b. Specific Mounting Position
Section IV: Heated Light Stage
Ensures more accurate and reliable thermal control of specimens during observation under the microscope. Esco is using a standard model from Tokai MATS-USMZR regardless of microscope model.
Is a Heated Light Stage Desired?
If you answered YES, you need to answer this portion. Otherwise proceed to Section V directly.	a. Tokai Plate Supply Mode:
Section V: Options and Accessories
Is Hydraulic Height Adjustable Support Stand Desired, SPM-XAX?
Is Integrated Personal CO2 Incubator Desired?
If Yes, Furnish Following Details	State desired mounting location: Brand Name: Model: External Dimensions: Please Attach Incubator Datasheet, Mechanical Drawing(s):
Is IQ/OQ needed?
Captcha *

Note: Upon receipt of purchase order, a submittal drawing will be sent to end-user and must be signed for acceptance prior to production of the unit. THANK YOU FOR YOUR ANSWERS. PLEASE EMAIL TO: ivf@escoglobal.com Esco Micro Pte Ltd 21 Changi South Street 1 Singapore 486777 TEL: +65 65420833 FAX: +65 65426920

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