eResearchTechnology GmbH AM3G01 User Manual
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Peak Flow Meter AM3 - Instructions for Use for Trial xxx
Version 00.03 • Date 04NOV2013
Certificate of Hygiene
This certificate must be attached to ANY product complaint, ANY return of medical
products and accessories, ANY repair order and ANY return of studies.
products and accessories, ANY repair order and ANY return of studies.
Name of product:
REF (ERT item no.):
LOT (batch no.):
It is herewith confirmed by signature that (please mark appropriate box):
LOT (batch no.):
It is herewith confirmed by signature that (please mark appropriate box):
the enclosed medical product had no contact with blood or other body fluids so that it is
hygienically safe.
the enclosed medical product had contact with blood or other body fluids during its use.
The product has been cleaned and decontaminated as follows:
Disinfection by wiping all accessible surfaces with
Disinfectant:
Concentration:
Concentration:
Reaction time:
Other procedure (please indicate):
Steam sterilization (3 minutes at 134 °C or 15 minutes at 121 °C)
the enclosed medical product could not be decontaminated.
Reason:
Send returns to the following address:
eResearchTechnology GmbH
Abteilung Wareneingang
Sieboldstrasse 3
97230 Estenfeld
Germany
eResearchTechnology GmbH
Abteilung Wareneingang
Sieboldstrasse 3
97230 Estenfeld
Germany
Sender‘s signature and address: