Field Version Corrective Action


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Business Negocio medical médico report informe Number Número Field Campo Employee Correction Forms Formularios de corrección para empleados Field Version Corrective Action Sample Versión de campo Ejemplo de acción correctiva Field Version Corrective Action Versión de campo de acción correctiva Field Version Corrective Action Example Versión de campo Ejemplo de acción correctiva

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Medical Device Information Class AIMD Active Implants MDD Class III IVD Annex II List A MDD Class IIb IVD Annex II List B MDD Class IIa IVD Devices for Self-Testing MDD Class I IVD General Nomenclature System (preferable GMDN) GMDN Nomenclature Code 35127 Nomenclature Text Intravenous fluid container, single use Commercial Name/ Brand Name / Make CADD™ Medication Cassette Reservoir Model Number N/A Catalogue Number 21-7001-24, 21-7301-24 Serial Number(s) N/A Lot/ Batch Number(s) 21-7001-24, Lot Numbers 14X-297 and 14X-323.. 30 October 2015 Date Signature Ellen Riebe Name St. Paul, MN City Page 4 of 5 Field Safety Corrective Action Report Form Medical Devices Vigilance System (MEDDEV 2.12/1 rev 8) v.01.13 Submission of this report does not, in itself, represent a conclusion by the manufacturer and / or authorized representative or the National Competent Authority that the content of this report is complete or accurate, that the medical device(s) listed failed in any manner and/or that the medical device(s) caused or contributed to the alleged death or deterioration in the state of the health of any person..


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