Accu-Chek Spirit 3.15 ml cartridge system Manufacturer’s reference: SB_RDC_2024_05 SRN number: DE-MF-000006276 In December, Roche Diabetes Care reached out regarding a Field Safety Notice because our records indicate that your hospital has received the Accu-Chek Combo insulin pump. In addition to the necessary actions from this notification, we kindly request that you inform us whether any of your patients are currently using the Accu-Chek Combo insulin pump, and provide us with the contact details for the person responsible for safety communications. If known, please add your Accu-Chek Customer ID below (starts with ACC). Customer Id Number of patients using the Accu-Chek Combo insulin pump Number of Accu-Chek Combo users within your care Form completed by First name Last name Position/Job Title Professional email address Professional contact number Hospital Eircode Address Safety contact details (if different) First name Last name Position/Job Title Professional email address Professional contact number Hospital Eircode I confirm to have received, read and understood the information in this Field Safety Notice. Roche Diagnostics Limited will process your data to record your acknowledgement against your unique customer ID. You can find out more about how we use your personal data by reading our Accu-Chek privacy notice. Exclude from search results No
