DVDEFIC

Table Description: Device Deficiency Log

1.0 Data Dictionary

ITM_NAME

DSCR_1.0

ADDLACT

Additional action taken

AEDTDEF

Deficiency resulted in AE

AESEQ

AE#

COMM

Comments

DEVDEF

Device Deficiency

DEVICESN

Serial Number of Device

DEVTYPA

Device Name

RMANUM

RMA Number

RPTDT

Date of report

RTSPONS

Device returned to sponsor

SEQNO

Sequence Number

STARTDT

Start Date

STARTEST

Start Date Estimation

STOPDT

Stop Date

STOPEST

Stop Date Estimation

1.0 Code Book

ITM_NAME

CODE

DECODE_1.0

ADDLACT

0

No

ADDLACT

1

Yes

AEDTDEF

0

No

AEDTDEF

1

Yes

DEVDEF

1

inadequacy of identity

DEVDEF

2

inadequacy of quality

DEVDEF

3

inadequacy of durability

DEVDEF

4

inadequacy of reliability

DEVDEF

5

inadequacy of safety

DEVDEF

6

inadequacy of performance

DEVDEF

7

other

DEVTYPA

1

Study Watch

DEVTYPA

2

Study Hub

RTSPONS

0

No

RTSPONS

1

Yes

STARTEST

ACT

Actual date

STARTEST

DAY

Day estimated

STARTEST

MD

Month and Day estimated

STOPEST

ACT

Actual date

STOPEST

DAY

Day estimated

STOPEST

MD

Month and Day estimated