KNEE SUPPORT BOTA PLUS SKIN CUSTOM MADE

Supporting bandages, with or without reinforcements, provide the surface to be treated with the support necessary for the treatment of the trauma.

Custom-made device declaration cf. annex XIII Medical Devices Regulation 2017/745 EEC
Manufacturer: Laboratoria Bota nv, established in Belgium, 9800 Deinze, Stadionlaan 12
declares that the above mentioned medical device with article number and lot number is exclusively intended for use by a specific patient with patient identification:

and has been prescribed by a qualified practitioner as listed below:
Specific features of the medical device as indicated in the prescription: custom made.

Manufacturer declares that the medical device identified above is in conformity with the general safety and performance requirements in Annex I of the Medical Device Regulations 2017/745 EEC.

Made to measure, no returns possible.


Deinze, date of invoice.

Philippe Moerkens.

CEO
Laboratoires Bota NV