• BY COMPLETING THIS FORM AND SUBMITTING IT, YOU ACKNOWLEDGE THE FOLLOWING:

          I have read and understand the recall instructions in the Product Recall letter dated 09/29/2020.

          I will make sure that all users of NxStage NxView 2.0 System at our facility are informed of this Product Recall.

          I have conducted a full inventory check of all product at my location and identified the devices manufactured in March and April of 2020.

  • Record # of device(s) at your site that have a date of manufacture of March and April of 2020:
  • In order to replace the affected devices, please list a contact person that will be able to coordinate with the NxStage Representative.