© 2011 VAN OS MEDICAL B.V., Koperslagerij 9, 4651 SK, Steenbergen, The Netherlands
Tel. +31-(0)167-573020, Fax +31-(0)167-573381, E-mail: info@vanosmedical.nl, www.vanosmedical.com
Product identification
Product : Physically propelled wheelchair
Brand : Excel
Model/type : G5
Version : Modulair ‘Hemi’ uitvoering
Manufacturer: Name Van Os Medical B.V.
Address Koperslagerij 9
Country The Netherlands
EU Representative: Name W. van Os
Address Koperslagerij 9
Country The Netherlands
Function Director
Technical constructed file
Prepared by: Name J.M.J. Brouwer BBA
Function: Research and Development
Issue date: 01 - 04 - 2011
TCF date: 01 – 04 – 2011
Recertification date: -
Certificate/report no.: 10-113
Crash test report no. according to ISO 7176/19:
Means of conformity
The product is in conformity with Directive 93/42/EEG based on the use of a
Technical construction file in accordance with Article 9 (Class I products) of the
Directive
Signature of EU representative:
Place : Steenbergen
Date : 05 – 04 - 2011
Number : VOS.TCF.G5.0220