Get Pehnz

Filling out the Pehnz product information form is an essential process for health care providers. This guide provides clear, step-by-step instructions to help users accurately complete the form and submit it electronically.

Follow the steps to successfully complete and submit the Pehnz form.

1. Click ‘Get Form’ button to obtain the Pehnz form and open it for editing.
2. Enter the date and the specific product line details in the appropriate fields. If there are multiple lines, list each one separately.
3. Provide the product code, list price, and a brief description of the product, including the manufacturer or brand name and country of manufacture.
4. Fill out the supplier details section, including the names of the agent, distributor, and manufacturer, as well as their company address and representative name.
5. If requested, include your signature in the designated field. Fill in the relevant contact details, including email and phone numbers.
6. Indicate whether the product is new to New Zealand and if the product or packaging contains latex or DEHP by choosing the appropriate options.
7. Specify if the item is reusable or single-use, and check if the product is clinically clean or sterile.
8. State the expected shelf life of the product in years and months, and indicate if any components are derived from human or animal tissue.
9. Attach copies of all relevant compliance and regulatory certifications electronically, such as CE, FDA, and ISO certifications.
10. Answer questions regarding the product's use in other hospitals, contract affiliations, hazardous substances, sharp content, and any safety precautions.
11. Provide supporting product-related information, including any evidence-based literature and details about training related to the product.
12. Indicate whether biomedical equipment can be serviced on-site, if there is a dedicated service agent in New Zealand, and whether training will be provided.
13. Confirm if the product has been tested for essential safety and performance parameters and whether service manuals are available.
14. Once all fields are completed, review the form for accuracy, then save your changes. You can download, print, or share the completed Pehnz form as needed.

Take action now and complete your Pehnz product information form online.