Customer Support – Horten Medical

Your Preferred Name (Required)

Your Email (Required)

Hospital Name (Required)

Brief Description of Issue (Required)

Longer Description (If Desired)

Purchase Order Number (If Known)

Product Affected (Required)

Batch ID (Required)

Number of devices affected (Required)

What was the impact of the event? In particular, were any patients or other persons' safety affected by the issue? (Required)

Action Requested from Horten (e.g. replacement product, investigation, or others) (Required)

Please Provide Attachments. Under our returns policy, we do not accept most product returns, so we kindly request videos or photos in order to investigate and close the issue out.