REG.8.2-01-03 Post-Market - Surveillance - Report

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REV: 1

Post-Market Surveillance Report Code:


Version: X REG.8.2-01-03 Revision Date:
Last modification: DD.MM.YYYY October 2019

Product name: MOWOOT II

Legal manufacturer name: usMIMA S.L.

Legal manufacturer address: Avinguda Cornellà 142, 3-4,


08950 Esplugues de Llobregat, Barcelona

Medical Device Classification: Class IIa

Applicable Regulation: MDR 2017/745

Date of CE Mark:

Date device was commercialised:

Critical Suppliers: Proline Barcelona


Mego Afek AC LtD

Report Date Reviewed by Date of Review

PMS Report 2019

PMS Report 2020

PMS Report 2021

PMS Report 2022

POST MARKET SURVEILLANCE REPORT

Date the product went on the market

Number of units sold

Number of complaints

Complaint rate (Complaints/units sold)

Have there been any trends identified in relation to


complaints

Number of adverse events

Were there any unforeseen risks

REG.8.2-01-03 Pág. 1/4


REV: 1
Post-Market Surveillance Report Code:
Version: X REG.8.2-01-03 Revision Date:
Last modification: DD.MM.YYYY October 2019

Number of Vigilance reports to Competent Authority

Vigilance report rate

Number of reportable incidents

Number of product recalls EU

In case of CAPA’s or recalls, please give details below:

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REV: 1
Post-Market Surveillance Report Code:
Version: X REG.8.2-01-03 Revision Date:
Last modification: DD.MM.YYYY October 2019

SECTION 1: DETAILED DESCRIPTION OF COMPLAINTS

Classification description of complaints:

Please Indicate in each event if the complaints were due to:

Desktop Device Mal Function Device Change MI to MII


Exoperistaltic Belt Mal Function Delivery issues
Power Supply Mal Function Customer Support
Size Change

Are there any new emerging risks? Yes No

Discuss new risks (if Applicable):

Discuss Product Recalls (if Applicable):

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REV: 1
Post-Market Surveillance Report Code:
Version: X REG.8.2-01-03 Revision Date:
Last modification: DD.MM.YYYY October 2019

SECTION 2: VIGILANCE REPORTING

Has a vigilance report been sent to a Competent Authority? Yes No

Has a vigilance report sent to Notified Body? Yes No

Please list all vigilance report with identifier number:

If yes, discuss each report in detail and provide copies of the reports, if not already submitted to N.B.:

SECTION 3: RISK MANAGEMENT

Has the risk management file been updated to reflect these Yes No
events?

Has the CER been updated to reflect these events? Yes No

Does the benefit of the product still outweigh the risk taking Yes No
account “State of the Art”?

SECTION 4: PERFORMANCE

Is the device performing as intended, in line with the design Yes No


of the device?:

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