Follow the steps to fill out the report accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Complete the Reporter Information section, providing details such as the person submitting the report, date of report submission, and complaint number. Identify the role of the reporter (e.g., clinician, lab, distributor) and include contact details for the account of the reporting individual.
3. In the Product Information section, fill out the specific item number, lot or serial number, quantity, and whether the product is being returned. Include the reason for non-return if applicable, and confirm if the product has been decontaminated.
4. Provide detailed information regarding the event in the Event Information section. Include placement and event dates, a description of the event, and if any injuries occurred. Check all relevant issues encountered during the event as outlined in the form.
5. In the Patient Information section, include the patient identifier, gender, age, weight, dental notation systems, and the patient's condition at the time of the event.
6. If applicable, complete the Patient Specific Product section, detailing the design and details regarding the abutment or coping. Answer specific questions regarding imaging and restoration.
7. Review all entries for accuracy and completeness before signing and dating the certification statement at the end of the report.
8. Once the form is complete, save changes, and choose the option to download, print, or share the form as needed.

Start completing the Zimmer Biomet Product Experience Report online today to ensure accurate documentation.