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Administrative Information

FSN Information

Type of FSN

FSN Date

Additional Information

FSCA(s) & device(s)

Further Advice

Information on Affected Device(s)

Affected Countries

Device Identifier

UDI-DI Code: 00380749999996

Issuing Agency: GS1

Corrective Action(s)

Manufacturer Action Required

User Action Required

Estimated Date for Completion

Submitter Information

Submitter of the Dossier

Submitter Information Type