IMPLANT CARD

This page provides an implant card template and related instructions. The implant card is intended to support traceability of the implanted device (e.g., UDI, batch/lot) and to help the patient and healthcare providers identify the implant.

Instruction for completion

  1. Patient name or patient ID. To be completed by the healthcare institution/provider according to local procedures.
  2. Date of implantation. To be completed by the healthcare institution/provider.
  3. Name and address of the implanting healthcare institution/provider. To be completed by the healthcare institution/provider.
Note: The implant card should be provided to the patient. The device label (UDI) should be attached in the dedicated area, when applicable.

Device label area

Place to attach the
Implant Card / Device Label (UDI)
Attach the device label containing at least UDI (UDI-DI/UDI-PI), batch/lot number and other traceability identifiers if provided.
Aditus Medical
International Implant Card
👤
 
📅
 
🏥
 
www.aditus-medical.de
 
 
Explanation / translation of symbols
👤
Patient name or patient IDIdentification of the patient (as per local procedure).
💻
Information website for patientsOnline access to patient information and documents (if applicable).
🏥
Healthcare institution/providerName and address of the implanting institution/provider.
🏭
ManufacturerIndicates the legal manufacturer.
📅
Date of implantationDate on which the device was implanted.
LOT
Production batch / lot numberTraceability identifier (UDI-PI may include lot).
MD
Device nameName/designation of the implanted device.
UDI
Unique device identifierUDI information for traceability (DI/PI as applicable).
If you need country/language specific versions of the implant card, we can localize this template while keeping the same layout.