DEFINITIONS Unanticipated problems involving risks to subjects or others: Unanticipated problems involving risks to subjects or others are defined as any incident, experience, or outcome that meets all of the following criteria: (a) unexpected (in terms of nature, severity, or frequency) given (a) the research procedures that are described in the protocol-related documents, such as the IRB-approved research protocol and informed consent document; and (b) the characteristics of the subject population being studied; (b) related or possibly related to participation in the research (possibly related means there is a reasonable possibility that the incident, experience, or outcome may have been caused by the procedures involved in the research); and (c) suggests that the research places subjects or others at a greater risk of harm (including physical, psychological, health, economic, or social harm) than was previously known or recognized. Adverse event (AE): Any undesirable and unintended (although not necessarily unexpected) event experienced by a subject occurring as a result of interventions, interactions, or collection of identifiable private information in research. An adverse event can be internal or external as it relates to the location of the site. Serious adverse event (SAE): Adverse events classified as serious include those resulting in death, lifethreatening injury, hospitalization or prolongation of hospitalization, persistent or significant disability, or a congenital anomaly or birth defect. Events not meeting the above criteria but requiring intervention to prevent one of these outcomes are also considered serious adverse events. Unanticipated adverse event (UAE): An adverse event that is not consistent in nature, frequency, or severity with the current IRB protocol, investigator's brochure, device manual/instructions for use, consent form, or other available information. Protocol deviation: Any deviations, whether intentional or unintentional, from the IRB-approved protocol that are implemented without prior to IRB approval. Examples include, but are not limited to accidental over-recruitment for a minimal risk study; a change implemented without prior Marquette IRB approval to eliminate apparent immediate hazards to research subjects; and posting of a recruitment flyer without prior Marquette IRB approval. Follow-up to a previously submitted report: Previously submitted Reportable Event which the IRB required a follow-up report, or additional or new information related to a previous report. New information regarding risks or unanticipated problems: New information (e.g., investigator finding, an interim analysis, safety monitoring report, or publication) indicates an increase in the frequency or degree of previously known risk, or identification of new risk. Complaint from participant: If a participant complaint is received by the investigator or study team, the investigator must ensure that the complaint is addressed and resolved in a method that protects the rights and welfare of the participant and is consistent with the IRB-approved study. The complaint must also be submitted to the IRB for determination of possible non-compliance or misconduct. FLOW CHART Event occurs or is discovered by the PI PI or Sponsor assess the event and determines whether the event requires reporting per HR 98104. Any immediate risks or harm should be minimized. If the event meets the criteria under HR Policy 98.104, PI submits the Reportable Event Form to the ORC within 10 working days. ORC will issue an acknowledgement letter to the PI if the event does not meet the criteria for HR Policy 98.104. ORC staff will review the form and may request additional information. If the event meets the criteria under HR Policy 98.104, ORC staff will present the report to the IRB Chair and/or Vice Chair for review. ORC will convey any required actions needed by the PI or inform the PI if Reportable Event will need to be reviewed by the convened IRB.