Declaration of Interest - Clinical Evaluation
Declaration of Interest - Clinical Evaluation
Declaration of Interest - Clinical Evaluation
and
for the clinical evaluation report of Insert name of medical device / medical device group
The signatory declares by his signature that he has no financial interest in a positive outcome
of the clinical evaluation performed or reviewed by him and by the applicable documents,
referenced in it. The signatory states the following with respect to his financial interest (aside
from the work as clinical evaluator or reviewer, respectively) and relation to the manufacturer
as well as to the evaluated devices:
Author