Severity |
Select a severity. You can select Low, Medium, High, or Urgent. |
Location | Type the name of the required location, or click and select a location from the Search Results page. |
Device Deficiency Confirmed | Select Yes if problem with the device is confirmed. Otherwise, select No. |
Method | Click and select a method code from the Structure View page. |
Results | Click and select a result code from the Structure View page. |
Conclusion Code | Click and select a conclusion code from the Structure View page. |
Remedial Action Taken | Describe the remedial actions taken to evaluate the event. |
Further Investigation Required | Select Yes if further investigation is required. Otherwise, select No. |
Rationale | Type the reason for completing the evaluation. |
Responsible Investigator | Type the name of the investigator, or click and select an investigator from the Search Results page. |
Completion Date | Click and select the evaluation completion date. You can select today's date or a past date. |
Risk Analysis Required | Select Yes if risk analysis is required. Otherwise, select No. |
Comments | Type the reason for selecting the risk analysis requirement. |
Malfunction | Select Yes if the problem occurred due to reported item malfunction. Otherwise, select No. |
Packaging/Labeling | Select Yes if the problem occurred due to a packaging or labeling issue. Otherwise, select No. |
Use Error | Select Yes if the problem occurred due to wrong usage. Otherwise, select No. |
Recommended Actions | Explain the actions recommended. |
Summary Details | Type the summary of the evaluation. |
Evaluator | Type the name of the external evaluator, if any. |
CAPA Number | Type the CAPA number. |
Corrective Action Target Date | Click and select the target date to implement the identified actions. |
Initial Corrective Actions | Type corrective actions as recommended by the manufacturer |
Preliminary Analysis | Type comments from preliminary analysis performed by the manufacturer |
Device Analysis Results | Type results of device analysis performed by the manufacturer |
Additional Information | Type additional information from the evaluation |