Thank you for using SciCan’s Automated RA System

Please fill out all required (*) fields below, press the submit button, and an RA number will be emailed to you.

Please send all returns to:
SciCan Inc.
701 Technology Drive
Canonsburg, PA 15317

Please note, the RA number must be on the outside of the box.
Any parts or machines returned to SciCan without an RA number will be returned.

Dealer: *
Branch: *
Contact name: *
Phone number: *
Email: *
Doctor's name: *
PO number: *
Model number: *
Serial number: *
Please list error codes and any parts or service work completed in the field below.
Reason for repair: *

Medical Device Reporting requires the manufacturer to be notified of any injury or potential injury caused by a product malfunction. Any RA# request with a potential MDR must be reported by phone. By submitting this on-line RA request, you are confirming no injury or potential injury occurred with this product return. 

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