Medical Device Training Record

Progressive Medical, Inc. | Medical Device Training Record

Phone

This field is for validation purposes and should be left unchanged.

Product: (the "Product")(Required)

Name of PMI Representative providing training :(Required)

Our facility was provided the following:

Comprehensive in-person training with product demonstration.
Hands-on clinician practice opportunities.
Provision of IFU and associated educational and training resources.

Instructions for Use and Associated Training Resources:

Download the Vial2Bag Advanced® 13mm Admixture Device IFU
Download the Vial2Bag Advanced® 20mm Admixture Device IFU
Watch the Vial2Bag Advanced® 20mm Admixture Assembly & Use Video
Download the Vial2Bag Advanced® Wall Chart

Date Signed:(Required)

Facility Designee eSignature:(Required)

By entering my name above, I confirm that our facility staff was provided and completed satisfactory training and education. I further confirm that our facility has made the IFU, and any additional training and educational materials provided by Progressive Medical, Inc. available to staff at our facility.

Designee Title:(Required)

Designee Email:(Required)

PMI Account Number:(Required)

Facility Name:(Required)

Facility Address:(Required)

Street Address City State ZIP Code

pmi_mdta_rev022724