Investigational Device Inventory/Receipt and returns Log

Protocol #:	________________________________	Storage location	____________________________
Site ID:	________________________________
Principal Investigator:	________________________________
Investigational Device Inventory/Receipt	Investigational Device Returns
Investigational Device	Lot/Batch number	Quantity received	Date	Time	Received by Name/Sign	Lot/Batch Number	Quantity Returned to Sponsor/CRO	Date and time	Returned by Name/Sign

Comments: