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Free Medical Devices Template

Free Post-Market Surveillance Report Template

Download a free post-market surveillance report template in Word, PDF, or Markdown. Or bring your notes, PDFs, or a recording and let Docsie AI fill in every section for you.

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Report Scope Data Sources Sales and Exposure Complaints and Events Trend Analysis Risk File Impact Conclusions

Post-Market Surveillance Report

Use this template to pMS report summarizing field performance for [device_name].

Template Metadata

Field Details
Category Medical Devices
Owner [Team or owner]
Version [Version number]
Effective Date [Date]
Review Cycle [Monthly / Quarterly / Annual / Event-based]
Status [Draft / In Review / Approved]

Report Scope

Identify device family, models, markets, reporting period, and regulatory context.

Item Details Owner Status
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]

Notes

[Add context, assumptions, exceptions, evidence links, screenshots, calculations, or reviewer comments.]

Data Sources

List complaints, service data, vigilance reports, literature, registries, surveys, and production feedback reviewed.

Item Details Owner Status
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]

Notes

[Add context, assumptions, exceptions, evidence links, screenshots, calculations, or reviewer comments.]

Sales and Exposure

Summarize units distributed, active installed base, patient exposure, or procedure volume.

Item Details Owner Status
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]

Notes

[Add context, assumptions, exceptions, evidence links, screenshots, calculations, or reviewer comments.]

Complaints and Events

Present complaint rates, serious incidents, malfunctions, and nonconformance signals.

Item Details Owner Status
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]

Notes

[Add context, assumptions, exceptions, evidence links, screenshots, calculations, or reviewer comments.]

Trend Analysis

Compare current rates to thresholds, prior periods, and known risks.

Item Details Owner Status
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]

Notes

[Add context, assumptions, exceptions, evidence links, screenshots, calculations, or reviewer comments.]

Risk File Impact

State whether PMS data changes risk estimates, controls, labeling, or benefit-risk conclusions.

Item Details Owner Status
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]

Notes

[Add context, assumptions, exceptions, evidence links, screenshots, calculations, or reviewer comments.]

Conclusions

Summarize safety and performance conclusions, actions, and next reporting period. Use objective surveillance language and include rates where possible.

Item Details Owner Status
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]

Notes

[Add context, assumptions, exceptions, evidence links, screenshots, calculations, or reviewer comments.]

Review and Signoff

Document review conclusions, approvals, unresolved items, and next review date.

Role Name Date Notes
Preparer [Name] [Date] [Notes]
Reviewer [Name] [Date] [Notes]
Approver [Name] [Date] [Notes]

Template Structure

What the Post-Market Surveillance Report Template Includes

Use this medical devices template as a starting point, then customize each section to match your internal workflow, evidence, and signoff needs.

1

Report Scope

Identify device family, models, markets, reporting period, and regulatory context.

2

Data Sources

List complaints, service data, vigilance reports, literature, registries, surveys, and production feedback reviewed.

3

Sales and Exposure

Summarize units distributed, active installed base, patient exposure, or procedure volume.

4

Complaints and Events

Present complaint rates, serious incidents, malfunctions, and nonconformance signals.

5

Trend Analysis

Compare current rates to thresholds, prior periods, and known risks.

6

Risk File Impact

State whether PMS data changes risk estimates, controls, labeling, or benefit-risk conclusions.

7

Conclusions

Summarize safety and performance conclusions, actions, and next reporting period. Use objective surveillance language and include rates where possible.

Recommended Structure

Write a Medical Device Post-Market Surveillance Report. Structure with these Markdown sections:

Report Scope

Identify device family, models, markets, reporting period, and regulatory context.

Data Sources

List complaints, service data, vigilance reports, literature, registries, surveys, and production feedback reviewed.

Sales and Exposure

Summarize units distributed, active installed base, patient exposure, or procedure volume.

Complaints and Events

Present complaint rates, serious incidents, malfunctions, and nonconformance signals.

Trend Analysis

Compare current rates to thresholds, prior periods, and known risks.

Risk File Impact

State whether PMS data changes risk estimates, controls, labeling, or benefit-risk conclusions.

Conclusions

Summarize safety and performance conclusions, actions, and next reporting period.

Use objective surveillance language and include rates where possible.

Example Filled Template

Post-Market Surveillance Report - CP-2 ECG Patch

Report Scope

Covers CardioPatch CP-2 devices distributed in the US and EU from Q1 to Q2 2026.

Data Sources

Sources included complaints, service tickets, vigilance database searches, and literature review.

Sales and Exposure

42,800 devices were distributed with an estimated 39,600 patient uses.

Complaints and Events

Skin irritation complaints occurred at 0.18%, below the 0.40% alert threshold.

Trend Analysis

No statistically significant increase was observed for adhesion failure.

Risk File Impact

No risk file update is required for this period.

Conclusions

The device continues to meet expected safety and performance criteria.

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Template FAQ

Post-Market Surveillance Report Template FAQ

Common questions about downloading and generating a post-market surveillance report template.

Using This Template

Q: What is a post-market surveillance report template?

A: A post-market surveillance report template is a structured document for pms report summarizing field performance for [device_name].

Q: Is the post-market surveillance report template really free?

A: Yes. The post-market surveillance report template is completely free to download in Word (DOCX), PDF, and Markdown formats. No signup or credit card required to download.

Q: How do I turn a video into a post-Market Surveillance Report?

A: Upload a process walkthrough, training recording, or screen capture to Docsie. The AI analyzes the video and generates a complete post-Market Surveillance Report using this template's structure — every required field auto-filled from the footage.

Q: Can I edit the post-market surveillance report template after downloading?

A: Yes. The DOCX format opens in Microsoft Word or Google Docs. The Markdown format imports into Notion, Confluence, Docsie, or any markdown editor. Customize fields, add your branding, and adapt to your internal workflow.