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Date: XX.XX.XXXX Olympus reference: QIL FY24EMEA28FY24OMSC34MAJ2315URGENT FIELD SAFETY NOTICE RE: Single Use Distal Cover MAJ2315 Used with: EVIS EXERA III Duodenovideoscope TJFQ190V, EVIS LUCERA
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How to fill out maude adverse event report

01
Go to the MAUDE website
02
Select 'File a MedWatch Voluntary Report' tab
03
Create an account or sign in if you already have one
04
Fill out the required fields such as patient demographics, adverse event details, and device information
05
Submit the report

Who needs maude adverse event report?

01
Healthcare professionals
02
Manufacturers of medical devices
03
Patients or caregivers who have experienced adverse events
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The MAUDE (Manufacturer and User Facility Device Experience) Adverse Event Report is a system that allows healthcare professionals, manufacturers, and patients to report adverse events related to medical devices.
Manufacturers, importers, and user facilities are required to file MAUDE adverse event reports.
To fill out a MAUDE adverse event report, you need to provide details about the device, the adverse event, patient information, and any other relevant clinical information using the specific reporting form provided by the FDA.
The purpose of the MAUDE adverse event report is to gather information on the safety and effectiveness of medical devices, monitor adverse events, and ensure that necessary actions are taken to protect public health.
Information that must be reported includes the device name, model, manufacturer, a description of the adverse event, patient demographics, and any medical or hospitalizations resulting from the event.
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