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This declaration of conformity is issued under the sole responsibility of 

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.

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SRN: 

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nameManufacturer Official NameDevice class_DE
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herewith declares that the

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consisting in
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and
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Basic UDI-DI: 
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EMDN Code:
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 to which this certificate refers

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According to

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 of annex VIII of Council Regulation 2017/745 (2017) the
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is a
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 medical device.
The conformity assessment procedure has been performed according to Annex IX.

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Notified Body involved in the conformity assessment procedure:

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, Notified Body number: 
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CE Notified body number
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Identification of the certificate or certificates issued:

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Validity: This declaration of conformity ceases to be valid with the issue of a new declaration of conformity or withdrawal, as well as with the expiry of the certificates issued by the notified body.

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