About the reporter & the device

There are a small number of fields marked with an asterisk *. These fields must be completed before submitting the form.
You must select the Type of Device before moving to the second part of the form.

Type of device * Covid-19 Restricted Devices
Covid-19 In vitro devices
General Report Form / All other devices
Artificial Limbs / External limb prostheses
Cochlear implants
Implantable pacemakers/defibrillators
In Vitro Diagnostic Medical Devices
Wheeled Mobility and Associated Equipment
Breast implants
Please select ‘COVID - 19 Restricted Devices’ for any devices marked with yellow RESTRICTED DEVICE sticker.

Please select ‘General Report Form / All other devices’ for all PPE Devices.

Please Select 'Covid-19 In vitro devices' for all Covid-19 related test devices(e.g. Serology, self-test...)