Report Adverse Event
  • Email address to confirm receipt of adverse event report, as well as to contact with any questions regarding adverse event.
  • Phone number to contact with questions regarding the adverse event
  • Name of company, organization, or distributor that purchased the diagnostic device relating to the adverse event.
  • MM slash DD slash YYYY
    Date diagnostic device was purchased (if known)
  • MM slash DD slash YYYY
  • Catalog Number of item as relates to adverse event
  • Lot Number of diagnostic device (from box label)
  • Please provide as much detail as possible about the adverse event

Telephone
610.644.8845
Fax
610.644.8616

LifeSensors
271 Great Valley Parkway
Suite 100
Malvern, PA 19355