Get Teruflex Imuflex Blood Bag Systems System Performance Report

Filling out the TERUFLEX IMUFLEX BLOOD BAG SYSTEMS System Performance Report is an essential step in ensuring quality and safety in blood management. This guide will walk you through the process, providing clear steps and helpful tips to ensure accurate completion online.

Follow the steps to properly complete the System Performance Report.

1. Click ‘Get Form’ button to obtain the report and open it in your preferred online document editor.
2. Begin by entering the incident number. This unique identifier helps track the specific issue being reported.
3. Fill in the date when the TBC became aware of the incident. This information is crucial for understanding the timeline.
4. Indicate whether an Answer Card is required and whether a Medical Device Report or Adverse Report is needed by selecting 'Yes' or 'No' in the respective fields.
5. Complete the shaded section designated for Terumo BCT Quality use. Make sure to accurately input the blood center name, address, city, state, and zip code.
6. Document the name and title of the person who reported the incident, along with their contact information, including telephone and fax numbers.
7. Fill in the name of the individual completing the form and indicate if they are a customer or a Terumo BCT sales consultant.
8. Identify the location of the issue on the blood bag system, including any relevant components such as needles or tubing by circling them in the diagram and describing the type of issue.
9. Provide details about the bag or other components affected, including the product code and lot number. Specify any issues observed like leaks or tears.
10. Indicate if the incident was reported to a regulatory body and, if applicable, detail any medical intervention that was required.
11. Describe the incident in detail, ensuring to include any pertinent information about injuries.
12. After ensuring all sections are filled out accurately, review your information for any errors or omissions.
13. Once confirmed, you can save your changes, download, print, or share the form as needed before clicking the 'Submit Form' button to send the report.

Complete the TERUFLEX IMUFLEX BLOOD BAG SYSTEMS System Performance Report online today for efficient documentation and resolution.