Adverse Event Reporting for FilmArray NGDS BT-E Assay

Use this form to report any adverse events associated with the FilmArray^® NGDS BT-E Assay.

BioFire will contact you for further information once this report has been submitted. If you have any questions or concerns regarding this report or the NGDS BT-E Assay, please contact us online or at 1-801-262-3592.

First Name*
Last Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
Upload Data Files
Please export the relevant anonymized data files from the FilmArray instrument and upload these files here. The FilmArray instrument manual contains instructions for exporting files.
File
Explanation of Adverse Events
Please describe the adverse event below. Please include details of:
• Suspected false positive or negative results
• Suspected safety or performance issues
• Sample type
• Number of tests involved
• Patient outcomes if known
Adverse Events*

Adverse Event Reporting for FilmArray NGDS BT-E Assay

Use this form to report any adverse events associated with the FilmArray® NGDS BT-E Assay.

Upload Data Files

Explanation of Adverse Events

Use this form to report any adverse events associated with the FilmArray^® NGDS BT-E Assay.