• BY COMPLETING THIS FORM AND SUBMITTING IT, YOU ACKNOWLEDGE THE FOLLOWING:

        I have read and understand the instructions in the Medical Device Correction notice dated January 29, 2024.

        I have examined our inventory, and have quarantined all CAR-535 to prevent further use.

        I have ensured that all users of the CAR-535 in my facility are aware of this notice.

  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.