Medical Device Correction Notice: BIOFIRE FILMARRAY TORCH System – Increased Risk of Power Short

This electronic form is to confirm acknowledgement of the Medical Device Correction Notice that was mailed to BIOFIRE FILMARRAY TORCH customers titled:

“ADVISORY NOTICE URGENT: MEDICAL DEVICE CORRECTION (bioMérieux FSCA 5761) Increased Risk of Power Short with the BIOFIRE^® FILMARRAY^® TORCH System“

*All Fields are Required

Name of Institution*
Job Title*
First Name*
Last Name*
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I have read and acknowledged the receipt of the ADVISORY NOTICE URGENT: MEDICAL DEVICE CORRECTION (bioMérieux FSCA 5761) Increased Risk of Power Short with the BIOFIRE FILMARRAY TORCH System.*
- Yes
- No
I have implemented the actions as indicated in the attached Notices.*
- Yes
- No
Electronic Signature*
Date*