Enter your contact details

Step 1 of 3

Name *

Email *

Email address

Phone *

Enter your phone number with country code

Country *

Customer type *

Please indicate your customer type

Health care professional (Doctor)

Distributor

Privacy: This is a placeholder for the privacy notice wording. Please supply the client's approved wording.

Enter the details of the issue

Step 2 of 3

Incident Date *

When did the incident occur?

Medical Device *

Select at least one medical device

Lot number

LOT Number is essential for proper follow-up. If you do not have it available at the moment, you may provide it later when our Quality team contacts you.

Technical Issue *

What technical issue are you experiencing? Please describe the problem in detail, so we can assist you effectively.

Other Devices

Indicate any other devices used (e.g. drugs, devices, cannulas

Attachment

Attach relevant documents

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Max 5 files, 50 MB each

Thank you for bringing this to our attention

We truly appreciate your feedback.

Our Quality team is committed to continuously improving our products and processes, and you will be contacted shortly by our Quality department for follow-up.

Your complaint reference number:

This reference number has also been sent to your email address for your records.