HS1 Replacement

Please complete the following form if your device serial number begins with A05I. A replacement device will be sent to you along with a return-addressed prepaid
FEDEX shipping label. This replacement is yours to keep. Please send back your original recalled defibrillator only (do not return the carry case or any accessories). To prevent product damage in transit, package your returning defibrillator in both of the boxes in which your received your replacement defibrillator.

Only units whose serial number begins with A05I are included in this replacement process.

If you have questions regarding this action, please contact Philips Healthcare at 1.800.263.3342, option 5, or by email at HS1Action@philips.com. Outside North America, please contact your local Philips representative.

* Indicates required field.

PERSONAL INFORMATION

Salutation	Professor Doctor Mr. Mrs. Ms
* First Name
*Last Name
Company/Institution
*Address
Address 2
*City
*State
*Post/Zip
*Telephone
*Email
*Email Again

QUESTIONS

* 1. Enter the serial number(s) of the affected device(s):

* 2. Have you experienced any problems with your device(s)?

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