NOTE: This form is only for customers within the United States. Please check our international site for all other country inquiries.

I HAVE reservoirs on hand with the affected lot number(s) related to this recall.

STEP 1:
Tell us know how many affected reservoirs you have on hand:
Full Reservoir boxes (10 Per Box)
Individual Reservoir(s) (in addition to the full boxes indicated above)
STEP 2:
Type of reservoir you use:
MMT-332A (3.0mL)
MMT-326A (1.8mL)
STEP 3:
Tell us how many unaffected reservoirs you have on hand:
Full Reservoir boxes (10 Per Box)
STEP 4:
Please dispose of your affected reservoirs
Check this box to confirm disposal. NOTE: Dispose reservoirs according to your local government regulations for sharps
STEP 5:
Tell us who you are, so we may update our records:
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