; and (C) include optional data elements as the Secretary determines to be appropriate. (b) Notifications (1) Notifications to the Secretary (A) In general Beginning 180 days after the Secretary establishes the form and manner for recall notifications under subsection (a), a manufacturer or importer of a device shall submit notifications required under section 519(g) to the Secretary through the electronic notification format established under subsection (a). (B) Review requirement (i) Initial review Not later than 2 business days after receipt of a notification described in subparagraph (A), the Secretary shall conduct an initial review of such notification. (ii) Response of the Secretary Not later than 3 business days after the completion of such review, the Secretary shall inform the manufacturer or importer of the information the Secretary determines, through the initial review under clause (i), should be shared with device user facilities and health professionals. (2) Notifications to device user facilities and health professionals (A) Initial notifications A manufacturer or importer shall submit notifications to device user facilities and health professionals through the electronic notification format established under subsection (a) after an initial review by the Secretary is completed under paragraph (1)(B)(i). (B) Subsequent notifications A manufacturer or importer shall provide notifications in addition to those described in subparagraph (A), as necessary, to device user facilities or health professionals through the electronic notification format established under subsection (a). (c) Electronic database The Secretary shall maintain an electronic database that is publicly accessible, downloadable, and populated with information regarding device notifications made under this section. (d) Definitions In this section and in section 518C— (1) the term device user facility has the meaning given such term in section 519(b)(6)