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13Degassed Water Architecture: What Keeps Genuine Ulthera Transducers Acoustically Pure

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Ulthera transducers rely on precisely engineered, bubble‑free acoustic chambers filled with highly degassed, deionized water to keep imaging sharp and energy delivery consistent, line after line of treatment. When this internal cooling water is properly prepared, sealed, and monitored, clinics see fewer cartridge failures, more predictable ultrasound focus, and lower lifetime ownership costs across both new and certified pre‑owned (CPO) systems. For buyers evaluating genuine Ulthera cartridges or HIFU handpieces, understanding how degassed‑water architecture is built and protected is a critical part of any B2B sourcing or refurbishment decision.

What It Does & Ideal Clinic Profile

The Ulthera System integrates high‑frequency ultrasound imaging (DeepSEE) with focused ultrasound therapy, using interchangeable transducers to visualize up to 8 mm below the skin and deliver discrete thermal coagulation points at depths typically between 1.5 mm and 4.5 mm. These image/treat cartridges contain an internal water‑filled acoustic chamber that couples the piezoelectric elements to the membrane, ensuring that the beam remains tightly focused while the transducer stays thermally stable during repeated lines of treatment. Clinics offering non‑invasive lifting of the brow, submental tissue and neck, and improvement of lines on the décolleté are the primary users, often running Ulthera as a premium flagship procedure for patients not ready for surgery.

The ideal buyer for genuine Ulthera transducers is a clinic that already understands ultrasound‑guided energy devices and needs strong uptime, predictable image quality, and manufacturer‑aligned safety performance. This includes dermatology practices, medspas, and aesthetic clinics with mid‑to‑high patient volumes, where each cartridge’s shot count and acoustic purity have direct impact on ROI and patient scheduling. For these operators, degassed‑water architecture is not an abstract engineering detail; it is a hidden determinant of whether refurbished or replacement cartridges will behave like the OEM units they trust.

Technical Core: Degassed Water & Bubble‑Free Chambers

Inside a genuine Ulthera transducer, the “water bubble” the market often refers to is actually a sealed, deionized water chamber that couples acoustic energy from the piezoelectric stack to the front membrane. Merz documentation identifies deionized water as the primary substance, selected for its low conductivity and stability, but clinical performance depends on that water being thoroughly degassed before sealing to prevent cavitation and microbubbles under high‑frequency ultrasound load.

When ultrasound passes through water containing dissolved gas, negative pressure phases can nucleate bubbles, causing scattering, unpredictable attenuation, and local changes in acoustic focus. In a therapeutic transducer designed to produce sharply defined thermal coagulation points (TCPs), gas bubbles can disrupt beam geometry, reduce treatment precision, and accelerate membrane wear, especially at higher treatment frequencies like 7 MHz and 10 MHz used in Ulthera probes. OEM‑grade degassing uses vacuum or sparging systems to pull dissolved gases out of water before filling, followed by tight control of temperature, fill volume, and sealing pressure so no air is entrained along the membrane surface or in the piezo stack cavity.

To maintain acoustic purity over the transducer’s life, the internal chamber must stay hermetically sealed and structurally stable under repeated thermal cycling. When membranes, housings, or seals are damaged, leakage or partial depressurization can allow air ingress, creating visible bubbles and acoustic discontinuities that can be seen on imaging and felt as “hot spots” or inconsistent energy delivery. This is why genuine Ulthera transducers are treated as non‑user‑serviceable parts; once the water chamber is compromised, only factory‑grade refurbishment with proper degassing and re‑validation can restore original beam behavior.

Revenue / Operational Impact & Payback Math

For most clinics, degassed‑water architecture shows up economically as the difference between predictable, high‑quality shots and a cascade of downtime and rework caused by unstable cartridges. A typical Ulthera transducer is specified to deliver thousands of lines of treatment at precise depths and energies, with the system’s therapy module controlling energy (<3 J per TCP at 4–7 MHz, <1.5 J at 10 MHz) and shot spacing. When internal water integrity is maintained, these cartridges can complete their expected shot life without artifacts, keeping per‑treatment consumable cost within the clinic’s planned margins.

Illustratively, a clinic performing 20–40 Ulthera procedures per month may budget cartridge usage so that each transducer supports a defined number of full‑face or neck protocols before replacement or refurbishment. If acoustic purity is compromised and imaging becomes noisy or energy distribution inconsistent, practitioners may discard cartridges prematurely or repeat treatment lines, effectively doubling consumable cost for the same revenue. In CPO scenarios, improper water refilling or non‑degassed substitutes often lead to higher failure rates, added maintenance calls, and scheduling disruption — costs that quickly exceed the apparent savings of low‑grade refurbishment.

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From an ROI perspective, clinics should see genuine or properly refurbished Ulthera transducers as precision assets rather than generic ultrasound “heads.” A 5–10% reduction in unplanned cartridge failures over a year can translate into dozens of preserved patient slots and thousands of dollars in avoided re‑treatment time, even before counting technician call‑out and shipment costs. Request a quote from ALLWILL for current pricing and availability on genuine and certified pre‑owned Ulthera transducers with documented water‑chamber integrity and shot‑count certification to map this clearly to your own procedure volumes.

Differentiated Advantage & Higher‑Ticket Rationale

The Ulthera System’s differentiation lies in its combination of real‑time, high‑frequency imaging with controlled thermal therapy, all in a compact handpiece/transducer architecture that is tightly defined at the physics level. The imaging mode uses B‑mode scanning with a fixed transmit focal depth and defined frequency range (12–25 MHz), allowing practitioners to visualize dermal and subdermal targets and confirm coupling before each line of treatment. When the internal water chamber is acoustically pure, this image remains crisp, and the transition from “SEE” to “TREAT” maintains alignment between what the clinician sees and where energy is actually delivered.

In a market that also includes HIFU cartridges and alternative systems such as other focused ultrasound platforms, Ulthera’s engineered tolerances for acoustic output parameters (mechanical index, thermal index, and ISPTA) are carefully measured and kept within conservative limits. This engineering discipline, tied tightly to water‑chamber design, is why OEM and properly certified CPO cartridges carry a higher price than generic or “refilled” heads with unknown internal architecture. For clinics positioning Ulthera as a premium, brand‑trust procedure, paying for acoustically pure cartridges supports both clinical confidence and long‑term asset value.

For buyers using platforms like ALLWILL to source new and CPO equipment, the key advantage is access to vendors and refurbishers who respect this underlying physics rather than treating cartridges as simple plastics to be refilled. ALLWILL’s role as a solutions partner means transducers can be matched not only on compatibility and price, but on documented internal water integrity, test reports, and expected service life aligned with your projected case volume.

Practical BME Technical Maintenance Checklist (Degassed‑Water Transducers)

Because the working title focuses on technical architecture and acoustic purity, the most useful decision aid is a technical maintenance checklist that biomedical engineers and clinic owners can apply when evaluating Ulthera and HIFU cartridges.

BME Maintenance Checklist for Degassed‑Water Ultrasound Transducers

Checkpoint What to Verify Why It Matters
Visual water bubble integrity Inspect the transducer window and housing for visible bubbles, cloudiness, or stratification in the internal water zone. Visible bubbles suggest air ingress or incomplete degassing, which can scatter the beam and degrade imaging and energy focus.
Membrane and housing condition Confirm no cracks, discoloration, warping, or punctures on the membrane and surrounding housing. Structural defects change acoustic impedance and may allow leaks or pressure loss in the water chamber.
OEM markings & traceability Check labels for transducer type (e.g., DS 7–3.0, DS 4–4.5), lot numbers, and expiration dates; verify serials against manufacturer or trusted distributor records. Authentic OEM markings help ensure original internal architecture and allow tracking of performance or safety notices.
Temperature behavior during use Monitor transducer temperature and system messages; confirm that any “over‑temperature” cutoffs behave as specified. Stable internal water and correct cooling limit membrane surface temperature and prevent image drift or shutdowns.
Shot count / usage tracking Review shot logs or line counters; reconcile with your clinic’s protocol volume and vendor documentation. Matching expected shot life to actual usage highlights early failures that may correlate with water‑chamber issues or refurbishment quality.
Acoustic output & image quality Perform test scans on a phantom to verify image clarity and target focusing before clinical use. Phantom imaging reveals scattering or beam distortion caused by bubbles or membrane changes, before they affect patients.
Refurbishment documentation (CPO) For CPO units, request written detail on steps taken: degassing method, water type, seal replacement, and post‑refurbishment acoustic testing. Transparent refurbishment protocols signal whether the supplier treated the water chamber as a precision acoustic component rather than simple fluid refill.
Regulatory and safety alignment Confirm that refurbished transducers remain within system’s specified acoustic outputs and comply with applicable standards (e.g., AIUM/NEMA measurement practices). Staying within tested output ranges supports safety and avoids unverified modifications to the original design intent.
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Using a checklist like this before purchase or re‑deployment helps clinics standardize their internal QA and make more informed decisions on new vs CPO cartridges. Request a quote from ALLWILL to pair this checklist with an inspection summary or condition report on specific Ulthera transducers you are considering.

Compliance & Asset‑Protection Guardrails

The Ulthera System is cleared as a non‑invasive dermatological aesthetic treatment for lifting the brow, submental tissue and neck, and improving lines and wrinkles on the décolleté. However, that clearance and the underlying safety testing are tied to specific hardware configurations, including transducer types, acoustic outputs, and safety controls such as output limits, emergency stop, and thermal cutoffs. Any refurbishment that alters the internal water chamber, membrane, or acoustic stack must respect these parameters, and clinics should confirm in writing that CPO transducers have not been modified outside manufacturer‑aligned tolerances.

Regulatory authorities and guidance documents — including FDA diagnostic ultrasound standards and AIUM/NEMA acoustic output measurement practices — emphasize conservative limits on mechanical and thermal indices and accurate measurement of real‑world field distributions. Clinics should treat this as a reminder that every change to a transducer’s internal architecture, especially the water chamber, can influence exposure and must be validated with real acoustic testing rather than assumed safe. When sourcing through ALLWILL or other platforms, insist on documentation of regulatory status for your region, alignment with OEM measurement standards, and clear disclosures when devices or transducers are certified pre‑owned rather than new.

As an asset‑protection practice, keep Ulthera System manuals readily accessible and train staff on device warnings, especially regarding transducer damage, cable care, and coupling gel management. Many transducer failures begin with membrane or connector contamination, which can indirectly compromise the water chamber and shorten usable life. ALLWILL can help by matching you with technical support and Smart Center services that align your maintenance protocols with manufacturer guidance, reducing the risk that mishandling rather than manufacturing quality drives cartridge downtime.

Procurement Risks to Avoid + ALLWILL Expert View

One of the highest‑impact procurement risks in the Ulthera and HIFU space is buying “refilled” cartridges where the internal water chamber has been opened and refilled without proper degassing, sealing, and acoustic re‑validation. These transducers may look cosmetically clean but can harbor microbubbles or mixed fluids that alter beam behavior and undermine the very imaging precision clinics rely on. Another risk is sourcing from vendors who cannot provide traceability for transducer type, lot number, and prior usage, leaving clinics exposed to unknown shot counts and undisclosed damage.

Clinics should avoid any supplier who treats transducers as disposable plastics and cannot explain their refurbishment protocol in technical terms. Asking specific questions about water preparation (degassing method, water quality), sealing processes, and testing against phantom tissue helps distinguish serious refurbishers from opportunistic resellers. When working with ALLWILL, you can route these questions through a centralized procurement contact who collects documentation and aligns it with your clinic’s safety, regulatory, and ROI requirements.

ALLWILL Expert View
Clinics often underestimate how much physics lives inside a single ultrasound transducer. Degassed water architecture, membrane integrity, and acoustic calibration are invisible to the naked eye but directly shape how the Ulthera System behaves at the bedside — whether the focus is crisp, whether energy lands where imaging says it will, and whether cartridges reach their expected shot life without surprises. In our experience, the most sustainable ROI comes from treating transducers as precision assets rather than consumables: define a clear policy for new versus certified pre‑owned units, insist on refurbishment transparency, and tie every purchase to documented acoustic testing and water‑chamber integrity. ALLWILL’s role is to broker that level of detail — matching clinics with vetted OEM or CPO inventory, aligning purchase decisions with maintenance and compliance support, and making sure that every high‑ticket transducer you acquire is not just compatible, but acoustically trustworthy over the life you expect it to serve. If you are weighing multiple options, request a quote from ALLWILL that includes both pricing and an inspection summary so you can compare not only cost, but the underlying engineering confidence you are buying.

Request a quote from ALLWILL to review specific Ulthera transducer options (new and CPO), including documented refurbishment steps, water‑chamber integrity reports, and projected service life matched to your treatment volume.

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Frequently Asked Questions

What is the typical price range for genuine Ulthera transducers?

Pricing for genuine Ulthera transducers varies by type (e.g., DS 4–4.5 vs DS 10–1.5), region, and whether the unit is new or certified pre‑owned; buyers generally encounter a broad range rather than a single fixed price. CPO cartridges with documented refurbishment and water‑chamber integrity usually sit below new OEM pricing but above generic refills. Request a quote from ALLWILL for current transducer pricing aligned with your configuration and market.

How do new and certified pre‑owned Ulthera transducers differ?

New transducers come directly from the manufacturer with full factory validation, while certified pre‑owned units have undergone inspection, possible component replacement, and acoustic testing to return them to a defined performance level. Key differences include warranty length, documented prior usage, and the scope of refurbishment, especially around the internal water chamber and membrane. Buyers should always verify condition grading and test reports in writing.

What should I confirm about warranty and support when buying transducers?

Clinics should confirm warranty duration, coverage (including transducer failure and internal water‑chamber defects), and available technical support for troubleshooting or replacement. For CPO units, ask whether refurbishment is backed by a repair or replacement commitment and whether acoustic performance is guaranteed within defined limits. Request a quote from ALLWILL that includes warranty terms and support options alongside pricing.

Are there special import or compliance considerations for Ulthera transducers?

Ulthera Systems and transducers are subject to medical device regulations, and clinics must ensure that both the base system and any replacement cartridges comply with local requirements and are correctly registered where applicable. When sourcing cross‑border, confirm device classification, documentation, and customs clearance responsibilities with your supplier or platform. ALLWILL can assist by coordinating compliance documents and aligning shipments with your regulatory environment.

How can I estimate ROI and payback on transducer purchases?

ROI depends on your treatment pricing, patient volume, and how efficiently you use each transducer’s available shot count without premature failures or re‑treatments. A simple approach is to estimate total revenue generated per cartridge over its validated life and compare this to acquisition cost plus any refurbishment or maintenance spend. For tailored payback scenarios, request a quote from ALLWILL with condition reports and projected shot life to plug into your own financial model.

References

  1. Ulthera® System – Instructions for Use
  2. Ulthera® System Safety Data Sheet (SDS)
  3. An Open Access Chamber Designed for the Acoustic Characterisation of Transducers
  4. Preparation system for degassed water from a low-intensity focused ultrasound device (Chinese patent abstract)
  5. Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment (AIUM/NEMA summary)
  6. Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers (FDA guidance)
  7. MERZ NORTH AMERICA, INC. – THE ULTHERA SYSTEM (MAUDE database entry)
  8. Collapse pressure measurement of single hollow glass microsphere using ultrasound acoustic pressure
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(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.