Request a Repair

Hospital/Clinic* Date*
Contact/Dept*
Phone* Fax*
Email*
Model* Serial Number*
Please tick where applicable*
(A) R/L & U/D Knobs
Tight
Loose
Leaking
(B) Insertion Tube
Buckled
Worn Out
Leaking
(B) Operation Channel
Leaking
Stuck
(C) Deflection
Angulation Insufficient
Bending Rubber leaking
(C) Distal End
Lens scratched/cracked
A/W insufflation insufficient
(C) Light Guide Fiber Bundle
Light output insufficient
(D) Light Guide Cable
Buckled
Leaking
(E) LG cable connector
Housing leaking
Electrical pins corroded/damaged
Video Image
Intermittent image
No image
Blurred
Broken
Please enter detailed remarks regarding the issue
Upload Picture of issue
  • Maximum 3 pictures allowed in .JPG / .JPEG / .PNG / .BMP file format
  • For more picture submissions, zip & send them in .RAR / .ZIP format
  • Files size is restricted to maximum of 5 MB
When can the endoscope be collected
Unit has been disinfected?*
Not able to send mail due to technical reason, please try later.
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