For this complaint code, please obtain the following:
- RGA (Return Goods Authorization)
Problem
A component of the system is physically damaged.
Questions to be asked
N/A
Questions to be documented
212. 1 Which component is physically damaged?
212. 2 Please describe the damage.
212.3 Where there contributing factors to the damage?
212.4 If receiver, ask the following:
212.4.1 Is there any discoloration on the receiver screen?
212.5 If sensor/transmitter/wearable, ask the following:
212.5.1 Has the transmitter/wearable housing been torn away from the adhesive patch?
212.5.2 G6 / D1 only: Has one or both black contact points missing or become loose?
212.5.3 G6 / D1 only: Has the latch that secures the transmitter onto the transmitter holder broken before or during deployment such that the transmitter cannot be properly installed?
212.5.4 G6 / D1 only: Is a portion of the transmitter holder seated at approximately a 45-degree angle?
212.5.4.1 Can the patient collapse it down onto the transmitter holder?
212.5.4.2 G6 / D1 only: Is there a metal tube sticking out of it?
212.5.1 If 212.5.2/ 212.5.3 / 212.5.4 is “Yes”, can you provide a picture?
Actions
1. Record Answer
2. Record Answer.
3. Record Answer.
4. If receiver, record answer.
5. If sensor, record the following question answers. If yes, request a picture from patient.
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