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Electrophysiology iLAB™ Ultrasound Imaging System and ULTRA ICE™ PLUS LABSYSTEM™ PRO EP Recording System MAESTRO 4000™ Cardiac Ablation System METRIQ™ Pump OPAL HDx™ Mapping System STIMCOR™ Cardiac Stimulator STIMLAB™ Cardiac Stimulator

Neurological Surgery Cosman G4™ Cosman RFG-1A Cosman RFG-1B

Pulmonology Alair™ Bronchial Thermoplasty System

Urology GreenLight XPS™ Laser Therapy System LithoVue™ Elite Single-Use Digital Flexible Ureteroscope System Lumenis Pulse™ 120H Holmium Laser System Rezūm™ Water Vapor Therapy Swiss LithoClast® Trilogy Max Lithotripter VersaVue™ Single-Use Flexible Cystoscope and Tablet

Interventional Cardiology POLARIS Multi-modality Guidance Systems Rotablator™ Rotational Atherectomy System

Interventional Radiology AngioJet™ Peripheral Thrombectomy Systems Jetstream™ Atherectomy System RF3000™ Radiofrequency Ablation Rotablator™ Rotational Atherectomy System

Desired Service Level EverCare TotalCare EssentialCare PMCare

Desired Service Length 1 year 2 year 3 year 4 year

Acknowledgement I acknowledge that this is not an urgent service request.

If urgent, please call (800) 949-6708.

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