Teledyne Analytical Instruments | Medical RMA Request

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Request an RMA - Medical Device

RMA for repair or replacement of a medical device or sensor

To help us identify the cause of failure and the associated risk, please complete the following information for the Medical Oxygen Sensor(s) and Instrument(s) [collectively called Medical Devices] being returned for evaluation and replacement.

It is assumed that the compatibility of our Device(s) with your application was addressed during your Medical Device acquisition process. Using the Device(s) in applications beyond the specification limits will render the warranty to be voided.

Should the returned Sensor(s) be deemed misapplied during our evaluation, such sensor(s) will be considered out-of-warranty sensor(s) and will not be replaced. In the interest of minimizing transportation of sensor(s) with chemicals, the failed and out-of-warranty sensors will not be returned unless requested otherwise by you. Any replacement sensor(s) will be sent pursuant to our completion of the failure evaluation.

CONTACT INFORMATION
Name
Company
E-mail
Phone
Fax

RETURN REPAIRED/NEW SENSOR TO (if different from above)
Name
Company
Address
City
State
Postal code
Country
Return preference	Courier and account indicated below Teledyne's choice
Carrier of preference (UPS, Fedex, DHL)
Carrier account number
Method: (Next day, two day, least expensive)

BILL TO (if different from above)
Name
Company
Address
City
State
Postal code
Country
We will contact you for credit card information OR a purchase order number. An account must be established with TAI to pay via purchase order. Payment must be received before we begin repair work, but we provide a cost estimate in advance.

DEVICE INFORMATION
Cell class
Cell serial number
Instrument model number
Instrument serial number
Description of Failure
Describe the failure symptoms that led you to conclude the Medical Device is bad.
Point of failure:	During calibration While in use
Was a patient involved?	Yes No
If our sensor was used with a Medical Device manufactured by another manufacturer:
Make and model number of the device our sensor was used with:
Comments:

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