<p>Catalogue of Equipment Used in Clinical Trials and Performance Verification Log </p><p>Instructions</p><p>Below are two templates: 1. Equipment Catalogue for creating a catalogue of equipment that is used during the conduct of a clinical trial, and 2. Performance Verification Log to track performance verification requirements and scheduling. </p><p>Add rows to each section as necessary. Include every piece of equipment that may come into contact with a research participant in the stated trial. For example, this includes each blood pressure cuff in each clinic room that may be used.</p><p>The equipment catalogue templates below are divided based on whether the equipment is managed either by the hospital, clinical trials group/unit and/or pharmacy. Clearly identify the party responsible for the maintenance of the equipment and corresponding documentation. </p><p>For equipment that is managed by the hospital, the Principal Investigator (PI)/Qualified Investigator (QI) should confirm the preventative maintenance and calibration schedule with Biomedical Engineering to ensure it is consistent with the Manufacturer’s recommendation as detailed in the Service Manual.</p><p>For equipment managed by the Clinical Trials Group/Unit/ Principal Investigator, complete and maintain a ‘Performance Verification Log’ for each piece of equipment listed in the catalogue.</p><p>REB PIN:</p><p>Principal Investigator (PI):</p><p>Clinical Trial Title:</p><p>EQUIPMENT CATALOGUE – HOSPITAL Equipment Description Lo Manufacturer/ Model # Serial # Date Sunnybrook ca Brand Assigned Asset tio (yyyy-mmm-dd) Number n</p><p>Version 1 Electrocardiograph M Philips Page Writer US91005150 2010-Oct- 22723 G- TC 70 18 20 2</p><p>EQUIPMENT CATALOGUE – PHARMACY Equipment Location Manufacturer/ Model # Serial # Manual Date Assigned Description Brand Location (yyyy-mmm-dd) Sunnybrook Asset Number</p><p>Thermometer CG-82 Oakton LoggerPlus N/A Office of 2005-Jan-25 Pharmacy Manager 21469</p><p>EQUIPMENT CATALOGUE – CLINICAL TRIALS GROUP/UNIT/PRINCIPAL INVESTIGATOR Equipment Location Manufacturer/ Model # Serial # Manual Date Assigned Description Brand Location (yyyy-mmm-dd) Sunnybrook Asset Number</p><p>Centrifuge B7-02 Eppendorf 5702R 0006423 Office of 2007-Mar-05 Clinical Trials Manager 22229</p><p>Version 1 Version 1 CLINICAL TRIAL EQUIPMENT – SINGLE DEVICE</p><p>PERFORMANCE VERIFICATION LOG</p><p>Equipment Location Manufacturer/ Model # Serial # Manual Location Date Performance Description Brand Assig Verification ned Requirements (yyyy- (ie. Annual Calibration) mmm- dd) Sunny brook Asset Numb er Centrifuge B7-02 Eppendorf 5702R 0006423 Office of Clinical Trials 2007- Manager Mar- 05</p><p>22229</p><p>Date Due Date Completed Service Performed (yyyy-mmm-dd) (yyyy-mmm-dd) (retain evidence of service completed) 2012-Aug-20 2012-Aug-7 Calibration 2013-Aug-7</p><p>Version 1</p>