This form takes about 15 minutes to complete and cannot be saved partially done.   Make sure you have the model number and serial number of the product you are reporting.  Have photos and error logs ready to upload. Fields indicated with an "*" are required.

PRODUCT: RF CONSOLE

Select RF Console... VIVGE01 VIVGE01S VIVGE02 Unknown

Enter Serial Number

UDI:

PRODUCT: HANDPIECE

Select Handpiece... VIVHP01 VIVHP01S VIVHP03 Unknown

Enter Serial Number:

UDI:

PRODUCT: TREATMENT TIP

Select Treatment Tip... VIVTT01 VIVTT01S VIVTT05 VIVTT06 VIVTT07 VIVTT08 VIVTT09 VIVTT10 VIVTT11 Unknown

Enter Lot Number:

UDI:

PRODUCT: ICM PRODUCT

Select ICM product... Intensity ApexM InTone InToneMV Unknown

Enter Serial Number: