Field Safety Notice
Acknowledgement

Accu-Chek Solo cannula assembly & pump holder
Manufacturer’s reference: SB_RDC_2022_09
SRN number: DE-MF-000006276

In December 2022, Roche Diabetes Care sent out a field safety notice related to Accu-Chek Solo cannula assembly and pump holder.

If you have received a letter from us, please confirm that you have received and understood this communication by completing the form below. Once confirmed, you will be able to use our online tool to check the supplies you have that is within the expiry date to receive instructions on how to send back affected materials and obtain replacements free of charge.

Customer ID *

Your Customer ID can be found in your letter or email communication (for example ACC-0000000000).

First name *

Last name *

Postcode *

Email address

Please provide us with your email address if you would prefer future correspondance from us by email.

I confirm that I have read and understood this communication and will return affected stock for replacement.

Acknowledgement *

I am an active Accu-Chek Solo patient and need to check the stock I have

I am still on a Roche pump but no longer on Accu-Chek Solo

I am no longer a Roche pump user

Roche Diabetes Care Limited is committed to using your personal information in accordance with our Privacy Notice. In order for us to reconcile acknowledgements we need to process your personal information.

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Field Safety Notice Acknowledgement

Field Safety Notice
Acknowledgement