16
INCIDENT
APPLICATION FORM
In the event of an incident that results in damage to the equipment or injury to the patient, manufacturer
must be immediately reported. After filling the "Incident application form," given below, it should be provided
to the manufacturer by e-mail
or posted.
Name of institution:
Adress:
Institution contact details:
Contact details of the patient involved in the incident:
Contact person name, surname, e-mail and phone number:
Date of the incident:
Date of the notification:
Description of the incident:
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Содержание PICTOR
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Страница 2: ...2 PICTOR USER GUIDE V 1 0 R7...
Страница 17: ...17 Incident effects Additional informations...