PRODUCT REPORT

We believe that quality comes first in all that we do. Please report any product issues so that we can continue to monitor our products and services to ensure that they meet our high-quality standards. To report a product complaint, adverse event, or cyber security concern, fill out the online form below.

Name

First Name

Last Name

Company / Facility

Email for contact

Phone for contact

(###)

###

####

Device Model

Device Serial Number (SN)

Description of Product Issue

Was someone injured using the device?

Yes

No

If yes, please add details in the text box below.

Please provide as much information as possible.

Is the issue related to the device cyber security?

Yes

No

If yes, please add details in the text box below.

Please provide as much information as possible.

The Kent Imaging RA/QA team will contact you with further instructions.

By submitting this questionnaire to Kent Imaging, we guarantee that all the data provided will be anonymized and will not contain my personal data, personal data of the patient(s) or personal data of the medical worker(s).

PRODUCT REPORT

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