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REQUEST FOR PROPOSAL - MDR TECHNICAL DOCUMENTATION

Organization should appoint a MDR (Medical Device Regulation) Expert to interact with consultant for developing and collecting necessary information from various departments. Please fill the below form and submit online.

1. MANUFACTURER INFORMATION

Manufacturer / Legal Manufacturer Name *:
Website Address :

2. ADMINISTRATIVE INFORMATION

Notified Body Interested?

Scope of Manufacturer :
Scope of I3CGLOBAL :
Documentation experience and Device Knowledge of the person coordinate with Consultants :

3. MEDICAL DEVICE DESCRIPTION

Type of Device:
Name of the Medical Device :

Intended use of the device [ ? ]:


Brand Name / Trade Name :
Number of Models [ ? ]:
Class of Device as per MDR :
Device Body Contact :
Device Invasive action by :
Medical Device functions by :
Is the device used in :
Medical Device packed :

Medical Device Tested as per :


4. SUBMITTER INFORMATION

Contact Person * :

Job Title * :

Contact Number *:

Contact Email *:

Date :

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LIBERTY MANAGEMENT GROUP LTD.

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75 Executive Drive, Suite 114
Aurora, IL - 60504
Phone : (630) 270-2921
Fax : (815) 986-2632
E-mail : info@libertymanagement.us

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