Pofam-Poznan EC Declaration of Conformity Pofam Poznan Co. Ltd. Lindego 6 60-573 Poznan hereby declares that MAXIMA breast prosthesis is class 1/other medical device; Rule I according to provisions of the Directive 93/42/EEC. The product is CE marked according to this declaration. Conformity assesment procedure was carried out accoding to Annex VII of the above mentioned Directive. Poznan, 06.08.2009 Pofam-Poznan Ltd. 60-573 Poznan, 6 Lindego str., tel. 48 61 845 69 10 (Export Dept.), fax. 48 61 845 69 01 e-mail: office@pofam.poznan.pl; www.pofam.poznan.pl Czeslaw Formankiewicz Managing Director Annex to the Declaration of Conformity dated 06.08.2009 The above mentioned declaration of conformity made out by Pofam-Poznan Co. Ltd. covers the following MAXIMA breast prothesis: Reference 4001 / 6/80 4001 / 7/85 4001 / 8/90 4001 / 9/95 4001 / 10/100 4001 / 11/105 4001 / 12/110 4001 / 13/115 4001 / 14/120 9006 / 6/80 9006 / 7/85 9006 / 8/90 9006 / 9/95 9006 / 10/100 9006 / 11/105 9006 / 12/110 9006 / 13/115 9006 / 14/120 Item Number 8291230804007 8291230854002 8291230904004 8291230954009 8291231004000 8291231054005 8291231104007 8291231154002 8291231204004 8291220809005 8291220859000 8291220909002 8291220959007 8291221009008 8291221059003 8291221109005 8291221159000 8291221209002 Description Breast Prosthesis, Standart Breast Prosthesis, Standart Breast Prosthesis, Standart Breast Prosthesis, Standart Breast Prosthesis, Standart Breast Prosthesis, Standart Breast Prosthesis, Standart Breast Prosthesis, Standart Breast Prosthesis, Standart Breast Prosthesis, Heart Breast Prosthesis, Heart Breast Prosthesis, Heart Breast Prosthesis, Heart Breast Prosthesis, Heart Breast Prosthesis, Heart Breast Prosthesis, Heart Breast Prosthesis, Heart Breast Prosthesis, Heart Poznan, 06.08.2009 Pofam-Poznan Ltd. 60-573 Poznan, 6 Lindego str., tel. 48 61 845 69 10 (Export Dept.), fax. 48 61 845 69 01 e-mail: office@pofam.poznan.pl; www.pofam.poznan.pl Czeslaw Formankiewicz Managing Director Pofam-Poznan EC Uygunluk Beyanı Pofam Poznan Co. Ltd. Lindego 6 60-573 Poznan İşbu belge ile beyan eder ki; MAXIMA meme protezleri 93/42/EEC Direktifi koşullarına göre Sınıf I/Diğer medikal cihazdır; Kural I. Ürün bu beyana göre CE işaretlidir. Uygunluk değerlendirme prosedürü yukarıda belirtilen direktif Ek VII’ye göre gerçekleştirilmiştir. Poznan, 06.08.2009 Pofam-Poznan Ltd. 60-573 Poznan, 6 Lindego str., tel. 48 61 845 69 10 (Export Dept.), fax. 48 61 845 69 01 e-mail: office@pofam.poznan.pl; www.pofam.poznan.pl Czeslaw Formankiewicz İdari Müdür (imza var) 06.08.2009 Tarihli Uygunluk Beyanı’nın Eki Yukarıda belirtilen uygunluk beyanı Pofam-Poznan Ltd. tarafından hazırlanmıştır ve aşağıdaki MAXIMA meme protezlerini kapsar: Referans 4001 / 6/80 4001 / 7/85 4001 / 8/90 4001 / 9/95 4001 / 10/100 4001 / 11/105 4001 / 12/110 4001 / 13/115 4001 / 14/120 9006 / 6/80 9006 / 7/85 9006 / 8/90 9006 / 9/95 9006 / 10/100 9006 / 11/105 9006 / 12/110 9006 / 13/115 9006 / 14/120 Ürün Numarası 8291230804007 8291230854002 8291230904004 8291230954009 8291231004000 8291231054005 8291231104007 8291231154002 8291231204004 8291220809005 8291220859000 8291220909002 8291220959007 8291221009008 8291221059003 8291221109005 8291221159000 8291221209002 Açıklama Meme Protezi, Standart Meme Protezi, Standart Meme Protezi, Standart Meme Protezi, Standart Meme Protezi, Standart Meme Protezi, Standart Meme Protezi, Standart Meme Protezi, Standart Meme Protezi, Standart Meme Protezi, Kalp Meme Protezi, Kalp Meme Protezi, Kalp Meme Protezi, Kalp Meme Protezi, Kalp Meme Protezi, Kalp Meme Protezi, Kalp Meme Protezi, Kalp Meme Protezi, Kalp Poznan, 06.08.2009 Pofam-Poznan Ltd. 60-573 Poznan, 6 Lindego str., tel. 48 61 845 69 10 (Export Dept.), fax. 48 61 845 69 01 e-mail: office@pofam.poznan.pl; www.pofam.poznan.pl Czeslaw Formankiewicz İdari Müdür (imza var)