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Konformitätserklärung Declaration of Conformity

Wir We

B. Braun Melsungen AG Carl-Braun-Straße 1

34212 Melsungen Deutschland/Germany erklären in eigener Verantwortung,

dass das/die Produkt/e

hereby declare in our own responsibility that the product/s

Aspirationskanüle Aspirationskanüle

Aspirationskanüle Aspiration Needle

Original Perfusor® Syringe 20 ml, Original Perfusor® Syringe 50 ml, Original-Perfusor®- Syringe 50 ml

Original Perfusor® Syringe 20 ml, Original Perfusor® Syringe 50 ml, Original-Perfusor®- Syringe 50 ml Original Perfusor® Spritze Original Perfusor® Syringe

Set Equipo Perfusor® Set Equipo Perfusor®

Original Perfusor® Spritze 50 ml mit Aspirationskanüle und 150 cm PE

Perfusorleitung

Original Perfusor® Syringe 50 ml with aspiration needle and 150 cm PE Perfusor

tubing

(Artikelnummern siehe Anlage I) (article numbers see attachment I)

mit den Anforderungen der folgenden Richtlinie übereinstimmt/übereinstimmen

is/are in compliance with the following directive

Richtlinie 93/42/EWG des Rates vom 14. Juni 1993

über Medizinprodukte

geändert durch Richtlinie 2007/47/EG

Council Directive 93/42/EEC of 14th June 1993 concerning Medical Devices

amended by Directive 2007/47/EC Konformitätsbewertungsverfahren

nach Anhang II (ausgenommen Abschnitt 4) nach Anhang VII und V

der oben genannten Richtlinie

Conformity Assessment Procedure according to annex II (excluding section 4)

according to annex VII and V of the Council Directive named above Klassifizierung

gemäß Anhang IX der oben genannten Richtlinie

Classification according to annex IX of the Council Directive named above Klasse IIa

Klasse I steril

Class IIa Class I sterile

Benannte Stelle Notified Body

TÜV SÜD Product Service GmbH Ridlerstraße 65

80339 München

TÜV SÜD Product Service GmbH Ridlerstraße 65

80339 München

Document No.: 39.05.019 - Version: 16.0 - Document ID: RA-IVS 634 Print Date - Gedruckt am: 2021-05-26 22:09 (CET)

This document contains information that is the confidential and proprietary property of B. Braun. Any dissemination, distribution or copying of this document is strictly prohibited without the prior written consent of B. Braun. Anyone receiving this document in error should immediately notify B. Braun’s Legal Department and return this document to B. Braun Melsungen AG. Viewed by:IF-PIM-Admin

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Deutschland Kennnummer 0123

Germany

Identification number 0123 Datum der ersten CE-Kennzeichnung Date of first CE-marking

1995-06 1995-06

Gültig bis Valid until

2024-05-26 2024-05-26

- Conformity Declaration - Declaration of Conformity - 39.05.019 - Original Perfusor

Syringe

B. Braun Melsungen AG IV Systems - Regulatory Affairs Document No.: 39.05.019 Version: 16.0 Effective Date: 2020-03-30 Page: 2 of 5

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Anlage I / Attachment I

Art.-Nr. / Art. No. Produktname / Product name Klasse / Class

16417F Set Equipo Perfusor® IIa

8258813 Aspirationskanüle I steril / I sterile

8258821 Aspirationskanüle I steril / I sterile

8728615 Original Perfusor® Syringe 20 ml IIa 8728615C Original Perfusor® Syringe 20 ml IIa 8728623 Original Perfusor® Syringe 20 ml IIa 8728623C Original Perfusor® Syringe 20 ml IIa 8728800F Original Perfusor® Syringe 50 ml IIa 8728801F Original Perfusor® Syringe 50 ml IIa 8728810F Original Perfusor® Syringe 50 ml IIa 8728828F Original Perfusor® Syringe 50 ml IIa 8728836F Original-Perfusor®- Syringe 50 ml IIa 8728844F Original Perfusor® Syringe 50 ml IIa 8728852F Original Perfusor® Syringe 50 ml IIa 8728861F-04 Original Perfusor® Syringe 50 ml IIa 8728861F-06 Original Perfusor® Syringe 50 ml IIa 8728861F-20 Original Perfusor® Syringe 50 ml IIa 8728801F-20 Original Perfusor® Syringe 50 ml IIa 8728810F-20 Original Perfusor® Syringe 50 ml IIa 8728844F-20 Original Perfusor® Syringe 50 ml IIa 8728852F-20 Original Perfusor® Syringe 50 ml IIa 8728801F-04 Original Perfusor® Syringe 50 ml IIa 8728810F-04 Original Perfusor® Syringe 50 ml IIa 8728844F-04 Original Perfusor® Syringe 50 ml IIa 8728852F-04 Original Perfusor® Syringe 50 ml IIa 8728801F-06 Original Perfusor® Syringe 50 ml IIa 8728810F-06 Original Perfusor® Syringe 50 ml IIa 8728844F-06 Original Perfusor® Syringe 50 ml IIa 8728852F-06 Original Perfusor® Syringe 50 ml IIa

Document No.: 39.05.019 - Version: 16.0 - Document ID: RA-IVS 634 Print Date - Gedruckt am: 2021-05-26 22:09 (CET)

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Amendment Information

Version Description of the changes 14 Add art. no. 8728615C, 8728623C

15 Add art. no. 8728801F-20, 8728810F-20, 8728844F-20, 8728852F-20, 8728801F- 04, 8728810F-04, 8728844F-04, 8728852F-04, 8728801F-06, 8728810F-06, 8728844F-06, 8728852F-06

16 Update validity

- Conformity Declaration - Declaration of Conformity - 39.05.019 - Original Perfusor

Syringe

B. Braun Melsungen AG IV Systems - Regulatory Affairs Document No.: 39.05.019 Version: 16.0 Effective Date: 2020-03-30 Page: 4 of 5

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This document is signed electronically in compliance with the B. Braun electronic signature policies and procedures by following persons:

UserName: Herbst, Caroline (fuehcade) Title: Administrator Regulatory Affairs

Date: Monday, 30 March 2020, 11:53 W. Europe Daylight Time Meaning: Document signed as Author

================================================

UserName: Seidel, Stefan (seidstde)

Title: HC-RA-DE08E - Head of Regulatory Affairs CoE IV Systems Date: Monday, 30 March 2020, 14:22 W. Europe Daylight Time Meaning: Approve Document

================================================

UserName: Brand, Thomas (brantode)

Title: HC-QM-DE08 Vice President QM for non-active Medical Devices Date: Monday, 30 March 2020, 18:58 W. Europe Daylight Time Meaning: Approve Document

================================================

Title: Declaration of Conformity - 39.05.019 - Original Perfusor Syringe Initiator: Caroline ? Herbst

Document No.: 39.05.019 - Version: 16.0 - Document ID: RA-IVS 634 Print Date - Gedruckt am: 2021-05-26 22:09 (CET)

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Referencer

RELATEREDE DOKUMENTER

Intrafix® SafeSet, Primeline, SafeSet 赛菲特 ® Infusionsgeräte mit Belüftung

TÜV SÜD Product Service GmbH Ridlerstraße 65. 80339 München Deutschland

nach Anhang II (ausgenommen Abschnitt 4) der oben genannten Richtlinie. Conformity Assessment Procedure according to annex II (excluding

Document No.: 39.05.016 - Version: 16.0 - Document ID: RA-IVS 630 Print Date - Gedruckt am: 2021-05-26 22:08 (CET). This document contains information that is

(Artikelnummern siehe Anlage I) (article numbers see attachment I) mit den Anforderungen der folgenden

Document No.: 39.05.015 - Version: 16.0 - Document ID: RA-IVS 629 Print Date - Gedruckt am: 2021-05-26 22:08 (CET). This document contains information that is

Infusionsleitung PE, Infusions-Leitung PE, Original Perfusor®-Leitung, Original-Perfusor® Leitung PCA, Original Perfusor®-Leitung Typ: MR, Original Perfusor®-Leitung Typ:

nach Anhang II (ausgenommen Abschnitt 4) der oben genannten Richtlinie. Conformity Assessment Procedure according to annex II (excluding