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INTUITIVE 490107 catheter guide improve procedural precision and efficiency

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The INTUITIVE 490107 catheter guide sits at the heart of modern endoluminal and minimally invasive procedures, where precision, stability, and efficiency directly determine diagnostic yield and therapeutic outcomes. As practitioners push further into peripheral, pulmonary, and complex luminal anatomy, choosing the right catheter guide can mean the difference between a marginal and an exceptional result.

What is the INTUITIVE 490107 catheter guide?

The INTUITIVE 490107 catheter guide is an endoluminal guide accessory designed for use with the Ion endoluminal system and compatible tools to support navigation, positioning, and stability during advanced bronchoscopic and minimally invasive procedures. It provides a controlled pathway for flexible instruments, biopsy tools, vision probes, and ancillary devices within small and tortuous anatomy where conventional catheters may struggle.

Engineered as part of a robotic-assisted ecosystem, this catheter guide is optimized for precise control of tip position, repeatable movements, and fine adjustments under imaging guidance. Its design supports complex trajectories inside the lung or other luminal structures, enabling targeted access to peripheral regions that previously required more invasive approaches or were unreachable.

How catheter guides improve procedural precision

Stable access and accurate tip control

A high-quality catheter guide improves procedural precision by stabilizing the path from the access point to the target lesion or anatomical region. In the case of the INTUITIVE 490107 catheter guide used with the Ion system, stability is enhanced by an actively controlled catheter position, with internal sensing and robotic actuation designed to minimize unwanted tip deflection during navigation and tool deployment.

Modern catheter guides feature braided reinforcement and tuned shaft stiffness to provide torque response, meaning that rotation at the proximal end translates predictably to the distal tip. This predictable torque control allows physicians to steer through branch points and sharp turns more accurately, aligning tools with small targets under fluoroscopy, CT, cone-beam CT, or navigation bronchoscopy guidance. The result is improved targeting accuracy and reduced need for repeated repositioning.

Precision in challenging anatomy

Peripheral lung nodules, tight airway branches, and tortuous endoluminal paths require a catheter guide that can reach deep segments while maintaining lumen patency for tools and imaging. The Ion system, for example, uses a fully articulating catheter around 3.5 mm in outer diameter with a 2.0 mm working channel; a dedicated catheter guide accessory like the INTUITIVE 490107 supports this architecture by enabling devices to track along a stable, articulated path, even when angles and curvature are extreme.

By holding its position even when tools are advanced or withdrawn, the catheter guide helps maintain alignment with the target despite respiratory motion, scope movement, or minor patient repositioning. This consistency improves sampling accuracy for biopsy and facilitates device delivery in narrow windows of opportunity during breath holds or synchronized imaging.

Reduced reliance on repeated fluoroscopic checks

When a catheter guide offers stable positioning and fine control, clinicians can reduce the number of repositioning attempts and fluoroscopic checks needed to confirm alignment. In many interventional settings, advanced guiding catheters with strong support and clear radiopacity enable faster confirmation of tip position and reduce the number of contrast injections required to visualize anatomy.

With navigation platforms that combine catheter guidance and software-based mapping, the guide becomes an integral part of a closed-loop system: the digital plan defines the path, the catheter navigates along it, and the guide maintains precise alignment while tools perform their tasks. This reduces variability between operators and supports more reproducible outcomes across teams and facilities.

How catheter guides improve procedural efficiency

Streamlined device delivery and fewer exchanges

A key way catheter guides improve efficiency is by acting as a centralized rail and conduit for multiple tools. In advanced steerable and robotic-assisted systems, one catheter can handle imaging probes, biopsy needles, brushes, and other accessories through a single working channel. By keeping the INTUITIVE 490107 catheter guide and its associated catheter stable at the target, clinicians can exchange tools without losing position, avoiding repeated navigation steps.

This reduction in device exchanges, re-navigation, and reorientation reduces procedure time and limits cumulative anesthesia or sedation exposure for patients. Fewer exchanges also lower the risk of contamination and reduce mechanical wear on access points such as the airway, vessel, or enteral lumen.

Enhanced pushability and trackability

Pushability and trackability are critical for procedural efficiency, especially in long, tortuous paths. Pushability refers to how effectively force applied at the proximal end drives the catheter forward, while trackability describes how well the catheter follows a guidewire or previously established path. Advanced guides use multi-layered constructions, blending rigid proximal segments with more flexible distal portions to balance support and atraumatic navigation.

For devices like the INTUITIVE 490107 catheter guide used with a fully articulating catheter, the system is engineered so that the catheter can advance smoothly around tight turns without buckling, while the guide maintains alignment. This reduces time lost to withdrawal and re-advancement after encountering resistance, helping procedures progress in a more linear, predictable fashion.

Fewer complications and repeat procedures

Improved precision and stable access often translate into fewer complications, such as unintended trauma, vessel or airway injury, or inadequate sampling that necessitates repeat interventions. When the catheter guide supports accurate targeting and stable biopsy or device deployment, the first procedure is more likely to achieve its diagnostic or therapeutic goals.

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Minimizing complications reduces length of stay and can decrease intensive monitoring requirements after the procedure. Hospitals and ambulatory centers benefit from better throughput and more predictable scheduling, while patients benefit from a smoother recovery and fewer follow-up interventions.

Market trends in catheter guides and robotic endoluminal systems

The market for catheter guides, guiding catheters, and robotic endoluminal systems is expanding as demand grows for minimally invasive diagnostics and interventions in cardiology, neurovascular, and pulmonology. According to major industry analyses in the medical device sector, interventional cardiology and structural heart markets are seeing steady growth driven by aging populations, complex comorbidities, and a shift away from open surgery toward catheter-based therapies.

In pulmonary medicine, robotic-assisted bronchoscopy and advanced navigation platforms are emerging as high-growth segments, with catheter-guided systems enabling access to small peripheral lesions detected on screening CT scans. This is particularly relevant in lung cancer screening programs, where early-stage nodules require precise localization and biopsy in order to guide treatment.

Technology trends focus on integrated systems where catheters, guides, imaging, and software work together. Features such as fiber-optic sensing, active tip control, and multi-sensor navigation are becoming more common, with catheter guides playing a foundational role as the stable channel through which these technologies operate.

At one key point in this evolving market, companies like ALLWILL are redefining how practitioners source and manage capital equipment and accessories. ALLWILL is redefining B2B medical aesthetics by focusing on innovation, trust, and efficiency, using an integrated Smart Center and vendor management systems to simplify procurement, service, and upgrades. By offering brand-agnostic consultations, refurbished and new devices, and data-driven lifecycle support, ALLWILL helps clinicians maintain advanced technology, including guide-dependent systems, without being locked into rigid service models.

Core technology behind the INTUITIVE 490107 catheter guide and similar devices

Construction, materials, and sensing

Advanced catheter guides combine multiple layers and structures to balance flexibility, support, torque response, and safety. Common features include:

  • Flat-wire braided reinforcement to transmit torque and resist kinking while allowing thinner walls and larger lumens.

  • Soft distal segments and atraumatic tips to minimize trauma at the point of contact with vessels or airway walls.

  • Radiopaque markers and jacket materials that enhance visibility under fluoroscopy and CT, supporting precise positioning.

  • Lubricious inner liners that facilitate smooth passage of biopsy tools, vision probes, or other accessories.

In the Ion endoluminal system, fiber-optic sensing within the catheter enables continuous monitoring of curvature and position, allowing the robotic controller to maintain active control of the catheter path and correct unintended deflections. A compatible catheter guide like the INTUITIVE 490107 supports this active control by providing a predictable mechanical interface and stable structure for the catheter to work within.

Articulation and working channel design

Articulation is crucial when navigating complex luminal anatomy. A fully articulating catheter capable of 180-degree deflection in multiple planes can reach around sharp bends to access lesions in distal bronchial branches or other peripheral locations. The catheter guide must maintain sufficient interior diameter to allow this articulation while still supporting the catheter and ensuring long-term stability at the target.

The working channel, often around 2.0 mm in systems like Ion, must be large enough to accommodate biopsy needles, aspiration tools, brushes, and imaging probes, yet small enough to fit within narrow anatomy. The catheter guide’s geometry, stiffness, and internal finish all contribute to how easily tools can be advanced and withdrawn without catching or causing unintended catheter movement.

Interface with robotic and navigation platforms

The INTUITIVE 490107 catheter guide is designed as part of a system that includes a robotic controller, endoluminal catheter, console interface, and software-based navigation. The physical guide serves as the mechanical backbone, while the robotic system translates physician inputs into smooth, scaled movements at the tip.

Navigation data from preoperative CT or other imaging is registered to the patient’s anatomy, creating a map of possible paths. The robotic controller then moves the catheter along these paths, with the guide maintaining central alignment. This synergy between hardware and software enables precise targeting of lesions that are otherwise difficult to access with manual techniques.

Top catheter guide and guiding catheter solutions by use case

Below is an illustrative table summarizing common categories of catheter guides and guiding catheters, including the robotic endoluminal context relevant to devices like the INTUITIVE 490107.

Product/Category Key advantages Typical ratings (clinical/user feedback) Primary use cases
Robotic endoluminal catheter guide Active stability, integration with navigation and robotics, precise target access High for precision and reach Peripheral lung biopsy, complex airway lesions, targeted sampling
Neurovascular radial access guide Kink resistance, optimized for tortuous cerebral vessels High for support and safety Stroke interventions, aneurysm treatment, neurovascular access
Coronary launcher-type guide catheter Balance of flexibility and backup support, radiopacity High in interventional cardiology PCI, complex coronary lesions, chronic total occlusions
Steerable multi-lumen catheter guide Multiple internal channels, torque response, multi-function High for versatility Structural heart procedures, EP mapping and ablation
Standard diagnostic guiding catheter Cost-effective, broad compatibility with devices Moderate to high Routine coronary or peripheral diagnostic procedures
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Competitor comparison matrix: where the INTUITIVE 490107 stands out

In the context of advanced endoluminal and bronchoscopic procedures, the INTUITIVE 490107 catheter guide competes not just with simple guiding catheters but with entire access and navigation solutions.

Feature / Attribute INTUITIVE 490107 catheter guide (Ion ecosystem) Conventional bronchoscopic catheter guide Standard vascular guiding catheter
Integration with robotic system Designed for robotic control and navigation Typically manual only Manual, may not integrate with robotics
Stability at peripheral targets High, with active position maintenance Moderate, dependent on operator technique High in vessels, limited in airways
Precision in small/tortuous paths Optimized for distal airway and luminal anatomy Variable Optimized for vascular paths
Working channel compatibility Designed for 2.0 mm tools and vision probes Varies, often smaller or less stable Varies based on French size
Ease of tool exchange High, stable position during exchanges Moderate, risk of losing position High within vascular procedures
Typical procedural domain Robotic-assisted pulmonary and endoluminal Conventional bronchoscopy Cardiology, peripheral vascular, neurovascular

This comparison highlights that while vascular guiding catheters excel in cardiac and peripheral interventions, a system-specific catheter guide like the INTUITIVE 490107 is purpose-built for robotic, navigation-driven pulmonary and endoluminal applications.

Real user scenarios and return on investment

Scenario 1: Peripheral lung nodule biopsy

Consider a hospital implementing a robotic endoluminal platform using a fully articulating catheter and a compatible catheter guide. In early experience, interventional pulmonologists use the system to biopsy peripheral lung nodules in high-risk patients who are poor surgical candidates. With stable guidance provided by the catheter system and guide, the team can consistently reach lesions in small airway branches.

Compared to traditional bronchoscopy, they achieve higher diagnostic yield for smaller nodules while reducing the need for CT-guided percutaneous biopsies. This reduces pneumothorax risk and avoids additional hospital admissions. Over time, improved first-pass diagnostic accuracy leads to fewer repeat procedures per patient, lowering overall costs and improving patient satisfaction.

Scenario 2: Workflow efficiency in a high-volume center

A high-volume pulmonary center schedules multiple robotic-assisted procedures in a single day. By using a stable catheter guide that allows quick tool exchanges and reliable repositioning, procedure times become more predictable. An average reduction of even 10 to 15 minutes per case, multiplied across a full schedule, enables the center to add additional cases per week.

From a return-on-investment standpoint, the combination of higher utilization, fewer aborted or repeated procedures, and better patient outcomes supports the cost of acquiring advanced guide-compatible systems. Staff experience also improves, as procedures feel more controlled and less chaotic, reducing operator fatigue and improving learning curves for trainees.

Scenario 3: Reduced complications and post-procedure costs

Institutions that adopt robust guiding catheter and catheter guide technologies often report reduced incidence of complications associated with access and navigation. A stable guide allows for gentle manipulation and more controlled advancement of tools, decreasing the likelihood of airway trauma or vessel injury.

Fewer complications reduce unplanned admissions and emergency interventions, which are costly and strain resources. Over time, these savings and quality improvements become a substantial part of the value proposition for advanced catheter guides like the INTUITIVE 490107.

Practical considerations when selecting a catheter guide

When deciding on a catheter guide for a particular program, clinicians and administrators should consider several factors. First, the core clinical indications and pathways matter. An institution focusing on coronary interventions will prioritize guiding catheters optimized for coronary anatomy, whereas a center building a robotic-assisted bronchoscopy program will value an endoluminal catheter guide integrated with its navigation system.

Second, compatibility with existing tools and workflows is essential. The working channel size, shaft length, and connection interfaces must align with the facility’s preferred biopsy needles, imaging probes, and accessories. For the INTUITIVE 490107 catheter guide, matching the working channel tools and Ion-compatible instruments ensures smooth operation and minimizes inventory complexity.

Third, training and learning curve considerations should not be overlooked. Teams must understand how the guide behaves during manipulation, how to interpret feedback from imaging and navigation systems, and how to troubleshoot issues like resistance or unexpected movement. A system with intuitive controls and consistent mechanical behavior helps teams achieve competence more quickly.

Finally, life-cycle costs and service support play a critical role. Institutions need predictable maintenance and replacement strategies, clear warranties, and access to technical support. Solutions that integrate with broader asset management and service ecosystems help maintain uptime and reduce total cost of ownership.

Future trends: catheter guides and precision intervention

The future of catheter guides, including devices like the INTUITIVE 490107, will likely focus on deeper integration with imaging, sensing, and automation. Emerging trends include:

  • Real-time 3D mapping combined with endoluminal robotics that adapts catheter paths during the procedure as lung or organ geometry changes.

  • Advanced materials and braided structures that offer even better torque control with thinner walls, increasing working channel size and compatibility without enlarging outer diameter.

  • Embedded sensors for force feedback and contact detection, allowing catheters and guides to sense when they are pressing against tissue and adjust automatically.

  • AI-assisted navigation and planning tools that suggest optimal catheter paths and device combinations based on prior cases and patient-specific anatomy.

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As minimally invasive interventions expand into new disease states and anatomical regions, catheter guides will remain central to achieving precise, efficient, and safe access. For practitioners working with the INTUITIVE 490107 catheter guide in robotic endoluminal systems, staying abreast of these trends ensures that their programs can continue to evolve and deliver high-quality care.

FAQ

What is the INTUITIVE 490107 catheter guide used for?
The INTUITIVE 490107 catheter guide is an accessory for the Ion Endoluminal System that helps securely position and advance the fully articulating catheter inside the bronchoscope for precise navigation in deep lung airways during bronchoscopic procedures. It improves alignment and stability, supporting consistent procedural precision and efficiency.

How does the INTUITIVE 49010 pervision catheter guide enhance procedural precision?
The INTUITIVE 490107 catheter guide maintains proper catheter alignment within the bronchoscope tool channel, reducing buckling and unintended tip movement. This controlled advancement supports stable access to peripheral lung nodules, enabling more accurate targeting for bronchoscopic biopsies and interventions, ultimately improving procedural precision and diagnostic outcomes.

Why choose the INTUITIVE 490107 catheter guide for bronchoscopic navigation?
The INTUITIVE 490107 catheter guide is designed to integrate seamlessly with the Ion Endoluminal System, ensuring smooth insertion and retraction of the fully articulating catheter. Its optimized geometry and real‑time shape‑sensing‑compatible design support reliable navigation in tortuous airways, making it an efficient choice for lung‑peripheral procedures and deep‑lung access.

How does the INTUITIVE 490107 catheter guide improve workflow efficiency?
By minimizing catheter friction and misalignment, the INTUITIVE 490107 catheter guide reduces the need for repeated catheter re‑positioning or adjustments. This smoother introduction and tracking through the bronchoscope lower setup time, streamline scope handling, and support faster transitions between navigation and biopsy steps, significantly boosting overall procedural efficiency.

Can the INTUITIVE 490107 catheter guide reduce complications during bronchoscopic procedures?
Yes. The INTUITIVE 490107 catheter guide helps maintain steady catheter positioning and minimizes tip deflection, which lowers the risk of airway trauma and catheter slippage. This added stability supports more predictable navigation and tissue sampling, reducing the likelihood of procedural complications and improving procedural precision and safety.

Is the INTUITIVE 490107 catheter guide compatible with other Ion Endoluminal System components?
The INTUITIVE 490107 catheter guide is specifically engineered to work with the Ion fully articulating catheter and the Ion Endoluminal System’s bronchoscope channel. It supports passage of compatible accessories such as the peripheral vision probe and Flexision biopsy needles, enabling an integrated workflow that maintains procedural precision and efficiency across the platform.

When should the INTUITIVE 490107 catheter guide be replaced or inspected?
Inspect the INTUITIVE 490107 catheter guide before each procedure for signs of wear, kinking, or deformation; replace it immediately if damage is detected. Following Intuitive’s recommended cleaning and reprocessing protocols helps maintain its dimensional integrity and function, ensuring continued procedural precision and reliable performance during bronchoscopic navigation.

How can a practice optimize the INTUITIVE 490107 catheter guide for long‑term procedural efficiency?
To maximize efficiency, train the team on correct insertion and removal techniques, use recommended cleaning methods, and standardize setup steps across cases. ALLWILL can support workflow optimization by providing guidance on integrating the INTUITIVE 490107 catheter guide into existing bronchoscopy protocols, helping clinics improve both procedural precision and long‑term operational efficiency.

Three-level conversion pathway: from consideration to adoption

For clinicians and decision-makers evaluating the role of advanced catheter guides in their practice, the journey typically begins with awareness that conventional tools may limit reach, precision, or efficiency. As screening programs and complex procedures increase, these limitations become more visible in daily workflows.

The next level involves active evaluation: reviewing clinical data, observing live or recorded cases, and assessing how a catheter guide-centered solution could integrate with existing imaging and staff expertise. Hands-on trials, proctoring, and structured training sessions help teams understand the practical impact on targeting accuracy, procedure times, and complication rates.

Finally, adoption occurs when clinical, operational, and financial stakeholders align around the benefits of the new approach. A catheter guide such as the INTUITIVE 490107, integrated into a robotic endoluminal platform, becomes part of routine practice, with standardized protocols and continuous improvement initiatives designed to capture further gains in diagnostic yield, efficiency, and patient experience.

By understanding how catheter guides improve procedural precision and efficiency, and by aligning technology choices with clinical goals, healthcare teams can build advanced minimally invasive programs that are both sustainable and capable of meeting growing patient needs.

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(d) Exclusions. MRP reserves the right, without liability, to void all warranties and remedies, including any obligation to service, repair, replace or otherwise remedy defects, errors or failures of the Equipment due to the occurrence of any of these events, and MRP shall be in no way responsible for: (i) handling, maintenance or use in a manner that is inconsistent with and/or contrary to the original manufacturer’s or MRP’s recommended procedures and/or instructions, including, without limitation, use of or with an unauthorized third-party good or part; (ii) any failure or damage resulting from negligence, alteration, modification or relocation of the Equipment by Buyer, its employees, agents or representatives; (iii) attempted or actual unauthorized dismantling, disassembling, service, repair, addition or change of the Equipment, including, without limitation, changing the serial number or shot count; (iv) abnormal wear and tear, including, without limitation, use under abnormal conditions (e.g., unclean, dusty, or exposure to extreme electromagnetic radiation, temperature or humidity); or (v) damage or failure of the Equipment due to a Force Majeure Event or a problem in the premises of the Equipment. In any of the above situations, or for any Equipment that has no warranty, MRP has sole discretion to service the Equipment, at Buyer’s expense, at MRP’s then-in-effect rates for service, labor, travel, shipping and materials.

(e) Notice and Inspection. The limited warranties contained in this Section 8 are made on condition that immediate written notice of any noncompliance with the Equipment’s and/or the Service’s warranty be given to MRP, and provided that MRP’s inspection reveals that Buyer’s claim is valid under the terms of such warranty.

        9.  DISCLAIMERS; NO OTHER WARRANTY. EXCEPT TO THE EXTENT AS PROVIDED IN SECTION 8(c)(i)(D), BUYER ACKNOWLEDGES THAT MRP IS NOT BOUND BY ANY WARRANTY THAT MAY BE SET FORTH IN A MANUFACTURER’S WRITTEN MATERIALS THAT WOULD HAVE APPLIED HAD BUYER PURCHASED THE EQUIPMENT DIRECTLY FROM THE MANUFACTURER IN ITS UNUSED STATE. BUYER ACKNOWLEDGES THAT BUYER HAS NOT RELIED UPON ANY WARRANTY OTHER THAN AS SET FORTH IN THIS AGREEMENT. IN ADDITION, BUYER ALSO HEREBY ACKNOWLEDGES AND AGREES THAT ANY ORAL OR WRITTEN STATEMENTS CONCERNING USE AND REGULATION OF MEDICAL DEVICES SOLD BY MRP ARE AND SHALL BE CONSTRUED AS FOR INFORMATIONAL PURPOSES ONLY AND WITHOUT WARRANTY OR ASSURANCE BY MRP AS TO THEIR ACCURACY OR VALIDITY. MRP ALSO HEREBY DISCLAIMS ANY AND ALL WARRANTIES REGARDING OTHER MEDICAL CARE OR HELP, INCLUDING THE SELECTION OF AESTHETIC AND MEDICAL PROCEDURES AND PRODUCTS FOR, OR CARE OF, PATIENTS. THE LIMITED WARRANTIES OF THIS AGREEMENT, IF APPLICABLE TO ANY EQUIPMENT OR SERVICE FURNISHED UNDER THIS AGREEMENT, CONSTITUTE THE ONLY WARRANTIES MADE WITH RESPECT TO THE EQUIPMENT AND/OR SERVICE AND ANY DEFECT, DEFICIENCY OR NONCONFORMITY. TO THE EXTENT PERMITTED BY LAW, SUCH WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED BY LAW, COURSE OF DEALING, COURSE OF PERFORMANCE, USAGE OF TRADE OR OTHERWISE, INCLUDING, BUT NOT LIMITED TO, ANY EXPRESS OR IMPLIED WARRANTY OF MERCHANTABILITY, TITLE, NONINFRINGEMENT OR FITNESS FOR A PARTICULAR PURPOSE.

        10.  LIMITATION OF LIABILITY. NOTWITHSTANDING ANYTHING TO THE CONTRARY IN THIS AGREEMENT, UNDER NO CIRCUMSTANCES SHALL MRP BE LIABLE FOR ANY INDIRECT, PUNITIVE, INCIDENTAL, CONSEQUENTIAL, EXEMPLARY OR SPECIAL DAMAGES, ARISING FROM, RELATED TO OR CAUSED, DIRECTLY OR INDIRECTLY, WHETHER FORESEEABLE OR NOT, BY THE EQUIPMENT AND/OR THE SERVICES, THE USE OR INABILITY TO USE THE EQUIPMENT, THE RESULTS GENERATED FROM THE EQUIPMENT AND/OR THE SERVICES, THIS AGREEMENT, ANY OTHER ACT OR OMISSION OF MRP, OR BASED UPON ANY OTHER LEGAL THEORY. IN NO EVENT SHALL MRP BE LIABLE FOR ANY LOSSES OF REVENUE, USE, BUSINESS OPPORTUNITY, PROFIT, SAVINGS OR ANY OTHER DAMAGES DUE TO ANY CAUSE WHATSOEVER, EVEN IF MRP OR ITS AGENTS HAS BEEN ADVISED OF THE POSSIBILITY THEREOF. THE FOREGOING IS A SEPARATE, ESSENTIAL TERM OF THIS AGREEMENT, AND SHALL BE EFFECTIVE UPON THE FAILURE OF ANY REMEDY, EXCLUSIVE OR NOT. IN NO EVENT WILL MRP’S TOTAL LIABILITY UNDER THIS AGREEMENT EXCEED THE PURCHASE PRICE ACTUALLY PAID TO MRP BY BUYER FOR THE EQUIPMENT AND/OR THE SERVICES GIVING RISE TO THE CLAIM FOR WHICH DAMAGES ARE BEING SOUGHT. NO SUIT OR ACTION MAY BE BROUGHT BY BUYER, ITS SHAREHOLDERS, DIRECTORS, MANAGERS, EMPLOYEES OR AGENTS FOR ANY BREACH OF THIS AGREEMENT MORE THAN ONE (1) YEAR AFTER THE ACCRUAL OF SUCH CAUSE OF ACTION. IT IS AGREED THAT MRP’S LIABILITY IS SO LIMITED. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, BUYER ASSUMES ALL RISK AND LIABILITY FOR THE RESULTS OBTAINED BY THE USE OF ANY EQUIPMENT IN THE PRACTICE OF ANY PROCESS, WHETHER IN TERMS OF OPERATING COSTS, GENERAL EFFECTIVENESS, SUCCESS OR FAILURE, AND REGARDLESS OF ANY ORAL OR WRITTEN STATEMENTS MADE BY MRP, BY WAY OF TECHNICAL ADVICE OR OTHERWISE, RELATED TO THE USE OF THE EQUIPMENT.

        11.  BUYER’S REPRESENTATIONS AND WARRANTIES. Buyer represents and warrants to MRP that: (a) Buyer is duly organized, validly existing, and in good standing in the jurisdiction of Buyer’s formation; (b) Buyer is duly qualified to do business and is in good standing in every jurisdiction in which such qualification is required; (c) Buyer has the full right, power, and authority to enter into this Agreement and to perform Buyer’s obligations under this Agreement; (d) the execution of this Agreement by the person whose signature is set forth at the end hereof has been duly authorized by all necessary corporate action of Buyer; (e) when executed and delivered by each of MRP and Buyer, this Agreement will constitute the legal, valid and binding obligation of Buyer, enforceable against Buyer in accordance with its terms; (f) Buyer is in compliance with all applicable laws relating to this Agreement, the Equipment and the operation of Buyer’s business; (g) Buyer is not insolvent and is paying all of its debts as they become due; and (h) all financial information that Buyer has provided to MRP is true and accurate and fairly represents Buyer’s financial condition.

        12. PROPRIETARY RIGHTS.

(a) Ownership. No sale shall be construed as granting to Buyer any license or other right in, or to, any of MRP’s (i) patents; (ii) trademarks; (iii) internet domain names, whether or not trademarks, registered by any authorized private registrar or governmental authority, web addresses, web pages, websites and URLs; (iv) works of authorship, expressions, designs and design registrations, whether or not copyrightable, including copyrights and copyrightable works, software and firmware, technical data, data files, and databases and other specifications and documentation; (v) trade secrets; (vi) environmental or other testing applicable to the Equipment and/or the Services; and (vii) industrial and other intellectual property rights, and all rights, interests, and protections that are associated with, equivalent or similar to, or required for the exercise of, any of the foregoing, however arising, in each case whether registered or unregistered and including all registrations and applications for, and renewals or extensions of, such rights or forms of protection pursuant to the laws of any jurisdiction throughout in any part of the world (collectively, the “Intellectual Property Rights”).

(b) Prohibited Acts. Buyer shall not (i) take any action that might interfere with any of MRP’s rights in or to Intellectual Property Rights, including MRP’s ownership or exercise thereof; (ii) challenge any right, title, or interest of MRP in or to the Intellectual Property Rights; (iii) make any claim or take any action adverse to MRP’s ownership of the Intellectual Property Rights; (iv) register or apply for registrations, anywhere in the world, for MRP’s trademarks or any other trademark that is similar to MRP’s trademarks or that incorporates MRP’s trademarks in whole or in confusingly similar part; (v) use any mark, anywhere that is confusingly

similar to MRP’s trademarks in whole or in confusingly similar part; (vi) engage in any action that tends to disparage, dilute the value of or reflect negatively on the Equipment and/or the Services or any of MRP’s trademarks; (vii) misappropriate any of MRP’s trademarks for use as a domain name without prior written consent from MRP; or (viii) alter, obscure or remove any of MRP’s trademarks, or trademark or copyright notices or any other proprietary rights notices placed on the

Equipment, marketing materials or other materials that MRP may provide.

        13.  CONFIDENTIAL INFORMATION. Without the prior written consent of MRP,Buyer, directly or indirectly, shall not disclose (and will direct its directors, shareholders, employees and agents not to disclose) any Confidential Information. The term “Confidential Information” means any information of or relating to MRP or the Equipment and/or the Services not generally known to the public (other than as a result of disclosure in violation of this Agreement) in spoken, printed, electronic or any other form or medium, including, but not limited to, business processes, practices, methods, policies, plans, publications, documents, research, operations, services, strategies, techniques, agreements, contracts, transactions, potential transactions, know-how, trade secrets, databases, manuals, records, supplier information, financial information, accounting information, legal information, marketing information, pricing information, payroll information, personnel information, and supplier lists.

        14.  NON-SOLICITATION. Buyer agrees not to solicit or hire any personnel of MRP involved with the delivery of the Services during the provision of such Services and for twelve (12) months after the completion of such Services; provided, however, that Buyer may hire individuals employed by MRP who, without other solicitation, respond to advertisements or solicitations aimed at the general public.

        15.  EQUITABLE REMEDIES. Buyer acknowledges and agrees that (a) a breach or threatened breach by Buyer of any of its obligations under Sections 13 or 14 would give rise to irreparable harm to MRP for which monetary damages would not be an adequate remedy and (b) in the event of a breach or a threatened breach by Buyer of any such obligations, MRP shall, in addition to any and all other rights and remedies that may be available to MRP at law, at equity, or otherwise in respect of such breach, be entitled to equitable relief, including a temporary restraining order, an injunction, specific performance, and any other relief that may be available from a court of competent jurisdiction, without any requirement to post a bond or other security, and without any requirement to prove actual damages or that monetary damages will not afford an adequate remedy. Buyer agrees that Buyer will not oppose or otherwise challenge the appropriateness of equitable relief or the entry by a court of competent jurisdiction of an order granting equitable relief, in either case, consistent with the terms of this Section 15.

        16.  INDEMNIFICATION. Buyer agrees to indemnify, defend and hold harmless MRP and its directors, shareholders, employees and agents (collectively, “MRP Indemnitees”) against any liability, damage, loss or expense incurred by or imposed in connection with any claims, suits, actions, demands or judgments arising out of (a) any breach or non-fulfillment of any representation, warranty or covenant set forth in this Agreement by Buyer or its directors, managers, employees or agents (collectively, “Buyer’s Agents”); (b) any negligent act or omission or willful misconduct of Buyer or Buyer’s Agents in connection with this Agreement; (c) any bodily injury, death of any person or damage to real or tangible personal property caused by Buyer or Buyer’s Agents, including the use of unauthorized parts in or service of the Equipment; (d) any failure by Buyer or Buyer’s Agents to comply with any applicable laws; (e) any fraud or other intentional acts by Buyer or Buyer’s Agents; and (f) the use or operation of the Equipment, including, without limitation, any medical and/or surgical procedures performed by Buyer, and any of Buyer’s Agents, using the Equipment unless said damages are determined by a court of competence jurisdiction to be solely by the gross negligence of MRP or solely as result of a breach by MRP of the limited warranties contained herein.

        17.  DEFAULTS; REMEDIES. Notwithstanding anything herein to the contrary, should Buyer fail to pay for the order or any other amount, in whole or in part, when due or perform its other obligations under this Agreement or as otherwise mutually agreed in writing between Buyer and MRP (each, a “Default”), then MRP may take any and all actions available under law or equity to collect said amounts with a ten (10) day prior written notice, including, but not limited to, enforcing its security interest, accelerating the payment of and declaring immediately due and payable any unpaid balance of the order, referral to outside collection agencies and/or commencement of legal action. MRP’s rights shall be cumulative, and it shall not be required to have attempted to realize upon to the Equipment before taking any other collection actions. MRP may require that Buyer assemble and return any or all of the Equipment to MRP and, in the event Buyer fails to return such Equipment peaceably, enter upon the premises where such Equipment is located, with or without legal process, and repossess such Equipment. Upon a Default, Buyer agrees to pay upon MRP’s demand: (i) all costs and expenses incurred by MRP or its assignee in connection with the enforcement of any remedies, including all expenses incurred in connection with the return, sale, release or other disposition of the Equipment, including attorneys’ fees and other costs incurred by MRP or its assignee in enforcing or defending its rights and remedies under this Agreement and any other written agreement between Buyer and MRP.

        18.  COMPLIANCE WITH LAWS. Buyer shall (a) carry out the transactions contemplated by this sale and deal with the Equipment in conformity with all applicable laws, rules and regulations of all government authorities, including, without limitation, export laws, (b) obtain all permits and licenses required in connection with the purchase, shipment, installation or use of the Equipment, and (c) be solely responsible to fully understand and comply with laws, rules and regulations. Any information provided is as a convenience only.

        19.  FURTHER ASSURANCES. Upon MRP’s reasonable request, Buyer shall, at its sole cost and expense, execute and deliver all such further documents and instruments, and take all such further acts, necessary to give full effect to this Agreement.

        20.  ASSIGNMENT; SUCCESSORS AND ASSIGNS. Buyer cannot delegate any duties nor assign any rights or claims under this Agreement without MRP’s prior written consent, and any such attempt or assignment shall be void. In the event that Buyer finances its acquisition of any Equipment with a third party, Buyer may direct MRP to transfer title of such Equipment to such third-party financing company, with all remaining terms and conditions of this Agreement remaining in full force and effect. This Agreement is binding on and inures to the benefit of the parties to this Agreement and their respective permitted successors and permitted assigns.

        21.  NO THIRD-PARTY BENEFICIARIES. Subject to Section 16, this Agreement benefits solely the parties to this Agreement and their respective permitted successors and assigns, and nothing in this Agreement, express or implied, confers on any other person any legal or equitable right, benefit, or remedy of any nature whatsoever under or by reason of this Agreement.

        22.  GOVERNING LAW; VENUE. The application of the UN Convention on Contracts for the International Sale of Goods is expressly excluded. The parties agree that any and all claims, demands, disagreements, controversies or disputes arising out of or relating to this Agreement and any agreement or document delivered in connection herewith (collectively, “Claims”) shall be governed by and construed in accordance with the laws of the State of Utah and adjudicated exclusively in the state and federal courts located in or nearest to Summit County, Utah, which courts shall have the sole and exclusive jurisdiction and venue for adjudication of all Claims. The parties hereby agree upon, consent and stipulate to the jurisdiction and venue of the aforementioned courts for the adjudication of all Claims, to the exclusion of all other courts, forums and venues whatsoever.

        23.  NON-DISPARAGEMENT. Buyer shall not disparage MRP or MRP’s trademarks, websites, products or services, or display any such items in a derogatory or negative manner on any website or in any public forum or press release.

        24.  NOTICES. Any notice, demand, or communication required, permitted or desired to be given hereunder shall be deemed effectively given when personally delivered, when sent by electronic means, when received by overnight courier, or when mailed by prepaid, certified or registered mail, return receipt requested, addressed to the other party at its address set forth on the Quote or to such other address that the receiving party may designate from time to time in accordance with this Section 25.

        25.  PUBLIC ANNOUNCEMENTS. Unless otherwise stated herein, neither party shall issue a press release or otherwise advertise, make a public statement or disclose to any third-party information pertaining to the relationship arising under this Agreement, the existence or terms of this Agreement, the underlying transactions between MRP and Buyer or agent for Buyer or refer to the other party in relation to this Agreement without the other party’s prior written approval.

        26.  ENTIRE AGREEMENT; ADDITIONAL OR INCONSISTENT TERMS. Subject to Section 32, this Agreement constitutes the sole and entire agreement between the parties hereto relating to the subject matter hereof, and any unincorporated representation, affirmation of fact, course of prior dealings, promise or condition in connection therewith, or usage of the trade, shall not be binding on either party. Terms and conditions set forth which differ from, conflict with or are not included in this Agreement shall not be part of any agreement between MRP and Buyer unless both parties specifically accept such terms and conditions in writing.

        27.  WAIVER. No waiver under this Agreement is effective unless it is in writing and signed by the party waiving its right. Any waiver authorized on one occasion is effective only in that instance and only for the purpose stated and does not operate as a waiver on any future occasion. None of the following constitutes a waiver or estoppel of any right, remedy, power, privilege or condition arising from this Agreement: any failure or delay in exercising any right, remedy, power or privilege or in enforcing any condition under this Agreement; or any act, omission or course of dealing between the parties.

        28.  SURVIVAL. Subject to the limitations and other provisions of this Agreement, the representations and warranties of Buyer contained herein shall survive the expiration or earlier termination of this Agreement for a period of twelve (12) months after such expiration o termination and (b) this Section 29 and Sections 10, 12, 13, 14, 15, 16, 17, 21, 22, 23, 24, 26, and 32 of this Agreement, as well as any other provision that, in order to give proper effect to its intent, should survive such expiration or termination, shall survive the expiration or earlier termination of this Agreement. All other provisions of this Agreement shall not survive the expiration or earlier termination of this Agreement.

        29.  RELATIONSHIP OF PARTIES. Nothing in this Agreement creates any agency, joint venture, partnership or other form of joint enterprise, employment or fiduciary relationship between the parties. Neither party has any express or implied right or authority to assume or create any obligations on behalf of or in the name of the other party or to bind the other party to any contract, agreement or undertaking with any third party.

        30.  HEADINGS. The headings in this Agreement are for reference only and do not affect the interpretation of this Agreement.

        31.  ORDER OF PRECEDENCE. In the event of conflict between the Quote, a written agreement by MRP, and these Terms, the order of priority shall be: (1) the written

agreement by MRP, if only if executed by an MRP Officer, (2) the Quote and (3) these Terms, and only to the extent of the direct conflict. Notwithstanding the foregoing, MRP shall not be bound by, and specifically objects to, any terms, conditions or other provisions, both written and oral, which are different from, in addition to or inconsistent with the provisions of this Agreement which are set forth in any purchase order, receipt, acceptance, confirmation, correspondence or otherwise of, or by, Buyer. Fulfillment of Buyer’s order shall not constitute acceptance of any of Buyer’s terms and conditions and does not serve to modify or amend the terms and conditions contained herein.

        32.  SEVERABILITY. If any part of this Agreement is held to be void, illegal or unenforceable, then it shall be deemed to be severed from this Agreement and the remaining provisions shall continue in full force and effect; provided, however, that if any fundamental term or provision of this Agreement is held to be void, illegal or unenforceable, the remainder of this Agreement shall be unenforceable. Upon a determination that any term or provision is void, illegal or unenforceable, the parties shall negotiate in good faith to modify this Agreement to effect the original intent of the parties as closely as possible in order that the transactions contemplated hereby be consummated as originally contemplated to the greatest extent possible.