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CARDIOVASCULAR IMPLANT REGISTRATION

for patients(valve, pacemaker, stent, lung and more)

You will follow 3 chapters: 1. identification, 2. implant data, 3. implantation data.
Only fields marked with * are required, but the more you provide, the more we can find out about the implants.

1. IDENTIFICATION

*
*
*
*
*
*
 / 
 / 
2. IMPLANT DATA

*
*
3. IMPLANTATION DATA

*
 / 
 / 
*

The registrant assures to be the named person to whom the implant was inserted and that all information is correct.

Implantwiki/Implant-Register® assures that the data will not be passed on. They can be evaluated for anonymous, scientific, statistical purposes, where no connection to a person is possible. The data is stored securely.

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