Download Enquiry Form for Biocompatibility Studies 記入方法のご案内 ※ご記入
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Enquiry Form for Biocompatibility Studies 1 Company’s Name 2 Company’s Address 3 Contact Person 4 Purpose of the testing 5 Test Item Name GLP 6 Type of test item 7 Property of Test Item (where appropriate) 8 Suitability for autoclave (please fill if the sample is non-sterile when sending to our lab) 20 20 9 Homogeneity of Test Item 10 Test Item Pictures 121 121 /unknown /not applicable ISO10993-12 of 7. Please see attachment 11 Intended use of Test Item Version 01:01 June 2011 Enquiry Form for Biocompatibility Studies 12 Body Contact of Test Item 13 Contact Duration 14 User Manual (if any) Please see attachment 15 Application of Test Extraction( ) Direct contact ( ) Item (Extraction contact) 16 OR Direct Extraction Condition (choose one) *Only applicable to extraction application method 17 For Polymeric Test Item Only (please choose if use Common extraction method OR Organic solvent extraction method) ISO 10993-10:2010 / Version 01:01 June 2011 Enquiry Form for Biocompatibility Studies 18 Stability: / /unknown /not applicable 19 Special instructions regarding the preparation of the device 20 Other special requirements by sponsor Version 01:01 June 2011