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 and Repair team will respond to you within business hours.

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

Contact information

Contact name

Phone

Customer/Hospital

Hospital / distributor name

Product information

Customer reference number

Subject

Product model

Serial number

Reason for service/return

Detailed fault/issue description or other comments

Situation details

Patient was involved (Was a patient present when the issue occurred?)

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

Name & title of device user

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)

Street

City

State/Region/Province

Postal Code

Country

Return shipping address

Same as organisation address

Address for shipping equipment to you

Street

City

State/Region/Province

Postal Code

Country

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.

Submit a Service Request

Contact information

Product information

Situation details

Loaner information

Address information