© 2009 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 : G4
Version : ‘Modulaire 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 - 11 - 2004
TCF date: 01 – 01 – 2005
Recertification date: 15 – 11 - 2005
Certificate/report no.:
Crash test report no. according to ISO 7176/19: S8918
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 : 15 - 11 - 2005
Number : VOS.TCF.G4.0214