Promedon VICTO+ Instructions D'utilisation page 14

DEVICE IDENTIFICATION
CARD
INSTRUCTIONS FOR
COMPLETION
1. Implanted VICTO AUS configuration type.
To be marked with an X in the VICTO+ field by
the healthcare institution. (Figure 14)
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2. Name of the patient or patient ID. To be
filled out by the healthcare institution.
3. Date of implantation. To be filled out by the
healthcare institution.
4. Name and address of the healthcare
institution. To be filled out by the healthcare
institution.
5. Product information. Affix the product's
label, which is attached to these Instructions
for Use (Figure 15).
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This implant card must be provided to the
patient after it is filled out.
Figure 14
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Figure 15
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SYMBOL REFERENCES
PATIENT NAME
DATE OF IMPLANTATION
HEALTHCARE INSTITUTION
INFORMATION WEBSITE FOR
PATIENTS
MANUFACTURER
SERIAL NUMBER
UNIQUE DEVICE IDENTIFIER
BATCH CODE/LOT NUMBER
MEDICAL DEVICE NAME
CATALOGUE NUMBER
MR CONDITIONAL