Project identification Project name/description Investigator Trial site Sponsor's representative Identification in continuous record of project activities MEDICINAL DEVICES RECEIVED AT TRIAL SITE Name / code Batch / lot Numbers of Description designation number medical devices ACCOUNT FOR MEDICINAL DEVICES USED FOR TRIAL SUBJECTS Name / ID Date Numbers of Numbers of Description Handed over / Code Trial medical medicinal received by subject devices devices used for returned trial subject
Project identification Project name/description Investigator Trial site Sponsor's representative Identification in continuous record of project activities MEDICINAL DEVICES RECEIVED AT TRIAL SITE Name / code designation Batch / lot number Numbers of medical devices Description ACCOUNT FOR MEDICINAL DEVICES USED FOR TRIAL SUBJECTS Name / Code ID Trial subject Date Numbers of medical devices used for trial subject Numbers of medicinal devices returned Description Handed over / received by
4.10.-investigational-medicinal-devices-accountability-form.docx