Tissue Record Traceability &
Utilization Submission

Maintain complete product traceability through BioMed ENT’s secure online reporting system.

Healthcare facilities may use this page to report implanted, used, discarded, or expired BioMed ENT products as part of routine tissue and device traceability practices.

Committed to Product Traceability from Distribution Through Utilization

Supporting Quality Systems Through Reliable Tracking

BioMed ENT is committed to maintaining complete product traceability throughout the product lifecycle.

Timely submission of utilization records supports quality system requirements, facilitates communication in the event of a product notice or recall, and helps maintain complete distribution records. Please do not include patient names or other protected health information (PHI).

Why Submit a Traceability Record?

Submission of utilization records helps BioMed ENT:

Maintain complete distribution and utilization records
Support post-market quality activities
Facilitate communication if product information becomes available
Maintain product traceability throughout the distribution chain

Tissue Utilization Record Form:

Complete the form below to support product traceability and recordkeeping:

Product Code:

Product Description:

Tissue ID Number:

Expiration Date:

Scanned Product QR Code:

Facility Name:

Phone:

Address:

City, State, Zip Code:

Physician Name:

Department:

Patient ID Number (Do NOT Include Patient Name):

Gender:

Procedure:

Surgical Site:

Date of Surgery:

Action Performed:

Upload Completed Form:

Privacy Notice

Patient Privacy Matters!
Please do not include patient names, Social Security numbers, dates of birth, or other protected health information. Use only your facility’s patient identifier.

Return Options

Need assistance?
Email: traceability@biomed-ent.com
Phone: (414) 616-1172
Fax: (210) 855-3872

Tissue Record Traceability &Utilization Submission