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Form Approved: OMB No. 09100025 Expiration Date: August 31, 2023FORM FDA 3628 (09/20) Guide for Preparing Annual Reports on Radiation Safety Testing of Electronic Products (General)Public reporting
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Form FDA-3628 guide is used for reporting information on adverse events, product problems, and errors related to medical devices.
Manufacturers, distributors, importers, and user facilities that are regulated by the FDA are required to file form FDA-3628 guide.
Form FDA-3628 guide can be filled out electronically through the FDA's online reporting system or by submitting a paper form via mail.
The purpose of form FDA-3628 guide is to provide a standardized way for reporting adverse events, product problems, and errors related to medical devices to the FDA.
Information such as details of the adverse event, product information, patient information, and information about the reporter must be reported on form FDA-3628 guide.
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