Product Information

Please provide the details of the medical disposable product related to your complaint.

Product Category *
Select Product CategoryUrologyAnaesthesia & Critical CareTransfusionGeneral Surgery & OncologyGynaecology & PaediatricsGastroenterologyTapes & DressingsOther Solutions (Kits)

Product Name *
Select Product NameSterimed High Flow Foley Balloon CatheterSterimed Regular Flow Foley Balloon CatheterSterimed Silicone Foley Balloon Catheter (BH)Silicone Foley Balloon Catheter — BH LubrishieldSterimed Silicone Hematuria CatheterSTERIMED TRU TEMP — Foley Catheter with Core Body Temperature SensorSterimed Nelaton / Urethral CatheterURIGATE — Catheter ValveSTERIMED TUR Set (Trans Urethral Resection Set)Cathsafe — Foley Balloon Catheterisation KitSterimed Male External Catheter (Penile Sheath)Sterimed Urine Collecting BagSterimed Urine Collecting Bag with Measured Volume MeterSterimed Leg BagSteritrach Endotracheal Tube (HVLP)Steritrach AT — Endotracheal Tube with Atraumatic TipTrachseal Ultra — Ultra-Thin Cuff Endotracheal TubeBlue Tip — Endotracheal Tube with Cushion Soft TipVAPSAFE / VAPSAFE ULTRA — Endotracheal Tube with Subglottic Suction LineSterimed Preformed Endotracheal Tube (South Oral / North Nasal)Sterimed Microlaryngeal TubeEazyGlide — Silicone Elastomer Coated Endotracheal TubeFLEXOMET — Reinforced Endotracheal TubeSterimed Tracheostomy Tube — Cuffed & UncuffedSterimed Tracheostomy Tube — Subglottic Suction ConfigurationsSterimed Tracheostomy Tube — Inner Cannula ConfigurationsFREEVENT — Nasopharyngeal AirwaysSterimed Guedel Airways / Oropharyngeal AirwaysSterimed Laryngeal Mask AirwaySterimed Intubating StyletGuideX — Introducer Bougie, VentedBV Guard — HME FilterSterimed Catheter MountSterimed Oxygen MaskSterimed Non-Rebreather MaskSterimed Nasal Oxygen Cannula (Twin Bore Oxygen Delivery Set)Sterimed Nebulizer Mask (Child/Adult)Sterimed Suction CathetersVACPRO — Suction Catheter Closed System (24hrs/72hrs) with Bronchoscopy PortStericiser — Breathing ExerciserSterimed IV Infusion Set — Non-VentedSterimed IV Infusion Set — VentedSterimed Pressure Monitoring LineSterimed 3-Way StopcockSterimed 3-Way Stopcock with Extension LineCLEARFIX — Transparent Film Base (IV Cannula Fixator)STERIDERM NS — Elastic Adhesive Bandage Base (IV Fixation)Sterimed Thoracic / Chest Drainage CatheterSterimed Thoracic Trocar CatheterSteri-Drain — Chest Bag / Water-Sealed Drainage SystemSterimed Chest Drainage System / Under Water Sealed Drainage SystemSterimed Yankaur Suction SetSteri-Vac Set — Closed Wound Suction UnitSterimed Surgical GlovesSteri-Lene — Nasogastric Tube / Ryle's TubeSterimed Salem Sump Tube / Irrigation Tube (Gastro Duodenal Dual Flow Tube)Sterimed Levin's Tube / Stomach TubeSterimed Kehr's 'T' TubeSterimed Rectal CatheterSteri-Feed — Infant Feeding TubeSterimed Infant Mucus ExtractorSterimed Umbilical Cord ClampSterimed Umbilical CatheterSterimed Manual Vacuum Aspiration Kit (MVA Kit) — Double ValveSterimed Karman CannulaSterimed Delivery Kits — Normal and Caesarian (All About Safe Child Birth)Haemolock — Postpartum Balloon Catheter (with Rapid Instillation Components)Cervi-Cath — Cervical Ripening Balloon CatheterSafepore — Microporous Tape (Anti-Microbial, Acrylic)Steripore / Steripore+ — Microporous Tape (Standard & Acrylic Premium)Clearpore — Transparent Perforated Plastic Film TapePorous Plast Surgical Tapes / Sports Tapes / Zinc Oxide PlasterSteriplast — Elastic Adhesive BandageTrachoPac (a.k.a. ProTec PDK) — Percutaneous Dilation Tracheostomy Kit with Tracheostomy Tube & Subglottic Suction

Product Code *
Select Product CodeSMD 520SMD 521SMD 500SMD 501SMD 527SMD 528SMD 517 BHSMD 519SMD 517SMD 519 RSS 568SMD 502SMD 502 FSMD 529SMD 506SS 518SMD 503SMD 504SMD 511SMD 504-HTPSMD 510SMD 510-250BTSMD 510-500BSSMD 510-500BTSMD 516-BTSMD 516-BSSMD 701 CSMD 701 PSMD 701 CTSMD 701 CASMD 701 MSMD 772 BTSMD 722SMD 722 UTSMD 717SMD 718SMD 754SMD 765SMD 701 SCSMD 701 SPSMD 701 CT SSMD 722 SSMD 701 M SSMD 719 CSMD 719 PSMD 719 SCSMD 719 SPSMD 702 CSMD 702 PSMD 702 SSMD 702 ICSSMD 702 FSSMD 702 ICSMD 702 FSMD 720SMD 705SS 721PSS 753SS 755SS 752SMD 727SMD 704SMD 704 NSMD 703 ASMD 710SMD 700 PSMD 700 ATCSMD 700 BFTSMD 700 TSMD 700 CSSS 1031SMD-1104SMD-1105SMD 706SMD 708SMD 707 ASS 116SS 116 NSSMD 1002SMD 1002 ASMD 1001SMD 1012SMD 1043SMD 712SMD 709SMD 1003SMD 1010SMD 1000SMD 1033SMD 601SMD 601 ESMD 601 LSMD 600SMD 602SMD 606SMD 605SMD 603SMD 603 GSMD 603 ESMD 803SMD 801SMD 1103SMD 805SMD 800SMD 1016SMD 812SMD 811SS 106 S5MSS 106 S9MSS 106SS 106 CSS 100SS 155SS 781CSMD 702C-PDK

Invoice Date *

Batch / Lot No. *

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Complaint Details

Please provide details about the product issue. You may also upload photographs or a video to help our quality team investigate the complaint.

Complaint Type *
Select Complaint TypeProduct QualityProduct DamagePackaging IssueLeakagePerformance IssueFunctional IssueMissing ComponentIncorrect ProductForeign Material / ContaminationLabelling / Identification IssueOther

Detailed Complaint *

Upload Product Image(s)

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Accepted formats: MP4, MOV, AVI, WEBM. Maximum 50 MB per file.

Supporting Document(s)

Optional: Invoice, batch document, photographs or other relevant documents.

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Customer Information

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Customer / Hospital Name *

Contact Person Name *

Customer Type *
Select Customer TypeHospitalNursing HomeClinicDistributorDealerDoctorPatient / IndividualOther

Primary Mobile Number *

Alternate Mobile Number

Email Address

Address *

City *

State *

PIN Code *

Country *

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