BfArM - Federal Institute for Drugs and Medical Devices

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German SAE Report Form

Report form for reporting of serious adverse events (SAE) in clinical trials or performance evaluation studies for use by sponsors according to § 3 (5) of the Ordinance on Medical Devices Vigilance

PDF-Form (use of Adobe Acrobat 9.X recommended)

German SAE Report Form PDF, 983KB, File does not meet accessibility standards