Medical Device Incident Report sample
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The Australian and New Zealand Medical Device Incident Report Investigation Scheme What is it The Scheme is a joint venture between the Australian Therapeutic Goods Administration and Medsafe, the New Zealand Medicines and Medical Devices Safety Authority, intended to help maintain the standard of devices used in health care through voluntary co-operation between users, government and industry.. Do you want your identity to remain confidential Telephone Yes Facsimile E-mail Office Use Signature Date Submitting the Form In Australia: In New Zealand: Reply Paid 32 The Manager Medical Device Incident Report Investigations Therapeutic Goods Administration PO Box 100 Woden ACT 2606 AUSTRALIA Compliance Team Medsafe Ministry of Health PO Box 5013 Wellington NEW ZEALAND Fax Number: (02) 6232 8555, E-mail : iris health.gov.au Urgent problems may be reported by telephone to our HOTLINE : 1800 809 361..
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