Submit a service request

If you would like to request the repair, maintenance or support of your Medtronic equipment, simply fill out the details in the form below. Our Medtronic Service & Repair team will respond to you within business hours.

Note: Please submit a separate service request for each unit.

Required

Contact information

Customer contact name

Email Please enter your email address.

Phone

Customer/Hospital Where is the equipment located?

Hospital/Distributor name Name of your organisation (hospital or business)

Product information

Customer reference number Your internal reference number

Subject Short description of your request

Product model Model code of your equipment

Serial number One (1) serial number per request

Reason for service/return

Description Describe in detail the fault with your equipment or reason for requesting service

Situation details

Was a patient present when the issue occurred?

Yes

Did the event result in injury or death to a patient/user?

Environment of reported occurrence

Circumstance of issue occurrence

Was there a delay to the procedure/surgery?

Occurrence date dd/mm/yyyy

Name & title of device user Who was using the device at the time of the event? Please indicate name and title/function (if known)

Reported to competent authority or regulator?

Previously reported to Medtronic employee

MPXR logged? (Medtronic employees only)

Address information

Organisation address

Address of your Organisation (Hospital or Business)

Country

Street Please include department, level, building information etc

City

State/Territory/Province

Postal Code

Use the same address for return shipping?

Yes

Return shipping address

Address for shipping equipment to you

Country

Street Please include department, level, building information etc

City

State/Territory/Province

Postal Code

Your information is being collected by Medtronic Australasia Pty Ltd and/or Medtronic New Zealand Limited and dealt with in accordance with our Privacy Policy which can be found at www.medtronic.com.au. We may share your information with our employees, third-party suppliers and agents working on our behalf, including overseas companies within the Medtronic Group most likely Singapore, Netherlands, Philippines and the United States. We take all reasonable steps to ensure that any recipient is bound by similar privacy protections to those in ANZ. While Medtronic cannot guarantee against any loss, misuse or alteration to data, we take reasonable steps to prevent such occurrences. You may request access to, and correction of, your personal information by sending and email to rs.datasubjectrightrequest@medtronic.com, or complain about a breach of your privacy by sending an e-mail to privacy@medtronic.com.