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URGENT MEDICAL DEVICE CORRECTION 
MiniMed™ Flex Insulin Pump

Missing Manufacturing Test Data

By completing this form, I confirm that I have read and acknowledged the Urgent Medical Device Correction letter from MiniMed regarding MiniMed Flex Pumps Missing Manufacturing Test Data and have taken all the appropriate actions listed in the notification.

* required
Example: NG 1 2 3 4 5 6 7 H

If you have further questions or need assistance, please call the MiniMed 24-Hour Technical Support line at 1-800-646-4633.

The MiniMed Team



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