How to create a Medical Device Incident Report? Download this Medical Device Incident Investigation Report sample that will perfectly suit your needs.
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(kg) Patient-Focused Resolution of Events and Outcomes Corrective action taken relevant to the care of the patient: Patient history (co-morbidities medication): Patient outcome: List of other devices involved in the event: if other implants involved list brand, model ARTG VII- Other Reporting Information Mandatory Mfr/Sponsor aware of other similar events ( number or rate) Countries where these similar adverse events occurred: Additional Comments Submitting this report: By mail: Reply Paid IRIS : Medical Device Incident Report Investigation Submission of this report does not constitute an admission that medical personnel, healthcare facility, sponsor, distributor, manufacturer or product caused or contributed to the event..
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