Medical Device Product Complaint Form
Thank you for submitting your feedback on the Starviewer Medical Device Products.
Customer feedback and safety is very important to us.
Preferred contact method
Date of event / occurrence
Product serial number (if applicable)
Does the alleged complaint / order data provided involve any of the following:
Was the patient or user affected?
Death of a person
Injury to a person
A malfunction which, if it happened again,
might cause or contribute to a death or injury?