深圳市医疗器械检测中心

深圳市医疗器械检测中心ShenzhenTestingCenterofMedicalDevices检检检检测测测测合合合合同同同同TestingContract合同编号ContractNo.：检品编号SerialNo.：样品名称TestItem批号/序列号LotNo./SerialNo.规格/型号Model/Type生产日期DateofManufacture数量No.ofItems商标Trademark委托单位Applicant电话Tel.传真Fax地址Address邮编PostCode联系人Contact生产单位Manufacturer储存条件StorageCondition□无特殊要求General□特殊要求Others：样品状态ItemCondition包装及外观包装及外观包装及外观包装及外观Package&Appearance:□正常Normal□异常Abnormal配件配件配件配件Accessories：：：：□齐全Completed□不齐全Incomplete检测依据TestMethod检测项目TestRequirement检测类别TestType□委托检测CommissionTest□注册检验RegistrationTest□认证检验CertificationTest□其他Others：委托方填写委托方填写委托方填写委托方填写ForApplicantOnly报告领取方式ReportDelivery□邮寄ByMail□快递（费用自付）ByExpress(PaybyApplicant)□其他Others:检测时限TestSchedule□30个工作日30Workdays□55个工作日55Workdays收费标准TestPriceCytotoxicity(MTTcytotoxicityTest):￥2000Sensitization(Maximizationtestfordelayedhypersensitivity):￥5500Irritation(IntracutaneousReactivityTest):￥1000SystemicToxicity(AcuteSystemicInjectionTest):￥1000SystemicToxicity(RabbitPyrogenTest):￥1000检检检检测测测测方填写方填写方填写方填写ForLaboratoryonly检测方地址Address广东省深圳市南山区科技园高新中二道28号。邮编邮编邮编邮编：518057电话电话电话电话：[phone]传真传真传真传真：[phone]E-mail:[e-mail].28GaoxinCentral2ndAvenue,Hi-TechZone,NanshanDistrict,Shenzhen,Guangdong,P.R.C.PostCode:518057Tel.:[phone]Fax:[phone]备注备注备注备注Remark委托方代表ApplicantRepresentative：检测方代表LaboratoryRepresentative：日期Date:日期Date:深圳市医疗器械检测中心ShenzhenTestingCenterofMedicalDevices合合合合同同同同说说说说明明明明Declaration1、本合同适用于客户委托深圳市医疗器械检测中心进行的样品检测。ThiscontractappliestothetestingofitemsthatapplicantentrustedtoShenzhenTestingCentreofMedicalDevices.2、合同生效时间从到样、到款之日起计算，若检测中断，费用按实际完成的项目结算。Thiscontractbecomeseffectivesincereceiptofitemsandthepayment.Ifthetestisinterrupted,theactualcostwillbecalculatedaccordingtothetestthathasbeenfinished,andthenthecontractisterminated.3、客户应保证送样具有检测所要求的适宜性。Thetestitemmustconfirmtolaboratory’srequirement.4、托运产品在开箱时将通知客户到场共同开箱，以查验产品是否完好，如客户接到通知后未到场，开箱后发现样品损坏，由客户负责。Theapplicantshallbeonsiteonthedayofopen-packageinspection.Iftheapplicantisn’tpresent,theywillberesponsibleforanydamage.5、本所承诺的检验时限系指正常情况下完成的期限，不包含由于客户样品质量等原因拖延的检验时间，及分包检验的时间。Thetestscheduleisthetestperiodundergeneralconditions.Itdoesnotincludethedelaybytheapplicantandsubcontractor.6、如客户需取回余样，应事先在合同中注明，并在收到检测报告后，两周内派人取回，过期不取视为放弃余样处理权。Theapplicantshouldmakeanoteiftheitemsneedtoberetrieved,andtheretrieveditemsshallbetakenbackwithintwoweeksafterreceiptofthetestreport,otherwise,thatwillbedisposedbythelaboratory.7、委托检测合同填写要求：一律使用蓝黑墨水或碳素墨水书写，字迹清晰、端正，内容齐全。Thecontractshallbelegible,completeandwrittenwithindelibleink.8、在合同执行过程中，若出现有对合同的偏离，检测方应及时通知客户。Intheperformanceofthiscontract,anydeviationshallbeinformedtotheapplicant.9、合同生效后，若需要修改合同，双方应共同协商，取得一致后，重新修改合同，并经双方签字确认。Thiscontractmaybereviseduponagreementofboththelaboratoryandtheapplicant.Anyamendmentshallcomeintoforceonlyafterawrittenformhasbeensignedbybothparties.10、在合同执行过程中，如发生纠纷或政策、法规有新的规定、要求，合同双方应协商解决，若双方不能达成一致时，交深圳市食品药品监督管理局仲裁处。Anydisputearisingfromtheexecutionofthiscontractshallbesettledthroughfriendlyconsultations.Incasenosettlementcanbereached,thecaseunderdisputeshallbesubmittedtoShenzhenDrugAdministrationforarbitration.11、检测报告仅对委托检测的样品负责。Testresultsandconclusionsapplyonlytotheitemstested.12、合同说明是本委托检测合同不可分割的一部分。Thedeclarationisanintegralpartofthiscontract.13、本合同一式三份，客户执一份，检测方执两份，均具同等法律效力。Thiscontractisinthreecopies,theapplicantholdsonecopyandthelaboratoryholdstheothertwo.Allcopiesshallbeequallyauthentic.14、账户信息账户信息账户信息账户信息：：：：AccountInformation:开户单位：深圳市药品检验所开户银行：深圳中行科技园支行银行编码：BKCHCNBJ45A地址：中国深圳市南山区科技工业园深南花园首层账号：814305920608091001Beneficiary:深圳市药品检验所BankName:BankofChinaShenzhenKEJIYUANSUN-BranchSwiftCode:BKCHCNBJ45ABankAddress:1/FShennanGarden,High-techindustrialPark,Shenzhen,ChinaAccountNo.:814305920608091001