Post Marketing Surveillance Report Name of the Product *Telephone Number *Name of the Customer *Contact Person *Quality of Products supplied Feasibility of product during usage Any safety issues related to the product Feedback from the healthcare workers related to the device Any feedback on indications for use, instructions for use of the device Any training was required for users Whether information on IFU is sufficient? Is it user friendly? Any changes required in the design of the product Any complaint related to the product Any adverse events reported Any other requirements: Suggestions for improvement: Complaints (if any): Prepared by: *Date: *NameSubmit
