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Companies reference No. HPVCMD1 Device Defect or Adverse Event Reporting Form Type of report Trend Initial Trend Follow up No. Trend Final 1. Company Particulars Manufacturer Importer Licensee Others
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How to fill out device defect or adverse

How to fill out device defect or adverse
01
To fill out a device defect or adverse event report, follow these steps:
02
Collect all relevant information about the device defect or adverse event.
03
Identify the affected device and its unique identification numbers, such as serial numbers or lot numbers.
04
Determine the type of defect or adverse event, such as malfunction, failure, injury, or death.
05
Document the date and time of occurrence.
06
Provide a detailed description of the defect or adverse event, including any symptoms, injuries, or damages caused.
07
Gather any available supporting evidence, such as photographs, medical records, or witness statements.
08
Fill out the device defect or adverse event report form accurately and completely.
09
Submit the report to the appropriate regulatory authority or manufacturer as per the established procedures.
10
Keep a copy of the report for your records.
11
Follow up with the regulatory authority or manufacturer if required for further information or actions.
Who needs device defect or adverse?
01
Anyone who encounters a device defect or adverse event needs to report it.
02
This includes healthcare professionals, patients, consumers, and manufacturers.
03
Reporting device defects or adverse events is crucial to ensure the safety and efficacy of medical devices.
04
It helps regulatory authorities and manufacturers to identify and address any potential risks or quality issues.
05
By reporting, individuals contribute to improving the overall safety and performance of medical devices, protecting both patients and users.
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