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Best Disposable Electrosurgical Accessories for Clinics and Ambulatory Surgery Centers

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Choosing the best disposable electrosurgical accessories for clinics is essential for safer procedures, faster turnover, and consistent clinical outcomes. This guide explains how to evaluate disposable electrosurgical pencils, electrodes, grounding pads, smoke evacuation options, and other single-use accessories so you can standardize your setup and reduce risk in outpatient and day-surgery environments.

Understanding Disposable Electrosurgical Accessories in Modern Clinics

Disposable electrosurgical accessories include single-use pencils, monopolar and bipolar electrodes, return electrodes, suction coagulators, extension cords, and sterile adaptors used with electrosurgical generators in clinics, ASC operating rooms, procedure rooms, and office-based surgery suites. These accessories deliver cutting and coagulation current, protect patients against burns, and support hemostasis during minor and complex procedures. For high-throughput outpatient centers, the right combination of disposable electrosurgical tools reduces setup time, improves infection control, and minimizes variability between cases.

In dermatology, gynecology, ENT, plastic surgery, general surgery, and office-based cosmetic procedures, electrosurgery is frequently preferred over cold-steel techniques because it improves hemostasis, maintains a dry field, and shortens procedure time. From lesion removal and skin tag excision to LEEP, vasectomy, and small laparoscopic interventions, having standardized disposable electrosurgical kits helps ensure that every procedure follows a predictable workflow. Standardization also makes it easier to train new staff and enforce safety protocols across multiple locations.

Market Trends in Disposable Electrosurgical Accessories

The global electrosurgical devices market is projected to grow steadily over the next decade, driven by the rise in minimally invasive surgeries, outpatient procedures, and cosmetic interventions. Recent market reports estimate the electrosurgical devices segment to be worth around 7 to 8 billion dollars in the mid-2020s with a projected value exceeding 10 billion dollars by the mid-2030s, reflecting a compound annual growth rate in the 3 to 4 percent range as health systems shift towards day surgery and office-based interventions. Clinicians in ambulatory surgery centers and specialty clinics are increasingly adopting single-use electrosurgical accessories to align with stricter infection control protocols and regulatory expectations.

In addition to volume growth, demand is shifting toward accessories that integrate safety features such as insulated shafts, ergonomic hand controls, smoke evacuation ports, and universal connectors compatible with multiple generators. Rising awareness of occupational exposure to surgical smoke is pushing facilities to adopt pencils with integrated smoke evacuation channels and compatible filters. As reimbursement models reward efficiency and reduced complication rates, clinics are prioritizing disposable electrosurgical accessories that improve workflow, reduce reprocessing tasks, and lower the risk of adverse events such as burns and unplanned returns to the operating room.

Core Types of Disposable Electrosurgical Accessories

Disposable electrosurgical accessories can be grouped into several core categories that every clinic should understand before standardizing suppliers.

First, disposable electrosurgical pencils, sometimes called cautery pencils, are handheld instruments that deliver monopolar energy for cutting and coagulation. They typically include push-button or rocker switches for cut and coag modes, an insulated shaft, and a detachable or fixed tip blade, needle, or ball electrode. Single-use pencils arrive sterile and are discarded after each case to eliminate cross-contamination risk.

Second, disposable electrodes include a wide range of tip geometries such as blade electrodes, needle electrodes, ball electrodes, loop electrodes, and knife electrodes that attach to standard electrosurgical pencils. These electrodes use a standard shaft diameter, often around 2.3 millimeters, to fit most pencil bodies and are designed with safety insulators to protect staff and patients. Choosing the right electrode shape and size for each procedure is critical for precise energy delivery, optimal cutting, and controlled coagulation.

Third, disposable patient return electrodes or grounding pads provide a safe pathway for monopolar current to exit the patient. These accessories rely on uniform skin contact, strong adhesive, and proper size for adult and pediatric patients to prevent concentrated current density and burns. Many modern return electrodes include contact quality monitoring, allowing the generator to alarm or shut off if the pad is not properly applied. Finally, other single-use accessories such as sterile suction coagulators, disposable bipolar forceps, and Teflon-coated disposable electrodes support specialized clinical workflows and help facilities comply with infection prevention standards.

Core Technology and Safety Features in Disposable Electrosurgical Pencils

Disposable electrosurgical pencils are central to most monopolar procedures in clinics and ambulatory surgery centers. Modern pencils use insulated medical-grade plastic bodies, stainless-steel electrodes, and ergonomic designs to improve surgeon control and reduce fatigue during long procedures. Many designs incorporate finger switch activation for cut and coag modes, allowing surgeons to change functions without foot pedals or additional staff intervention. Premium models also integrate a smoke evacuation port at the distal end of the pencil, enabling simultaneous cutting and smoke removal.

Safety features in disposable electrosurgical pencils are vital in busy outpatient settings. Shaft insulation reduces the risk of lateral thermal damage and unintended burns from stray contact or capacitive coupling. Some pencils are designed to bend at defined angles, such as 90 degrees, without compromising electrical integrity, increasing visibility and access in restricted fields. Manufacturers also focus on tactile feedback and color-coded buttons so surgeons can confidently switch modes even when wearing thicker gloves or working under time pressure. Because the device is single use, performance consistency is high, and there is no concern about degradation from repeated sterilization or residual bioburden.

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Technology in Disposable Electrodes and Return Electrodes

Disposable electrosurgical electrodes must balance conductivity, durability, and insulation to deliver precise electrosurgical energy. Blade electrodes provide a sharp edge for linear incisions and are often used for skin incisions or precise dissection in plastic surgery and general surgery. Needle electrodes concentrate energy at a small surface area, making them ideal for pinpoint coagulation and delicate work in ENT or ophthalmic cases. Ball electrodes offer a rounded tip that spreads energy over a larger surface and are commonly used for broad coagulation and fulguration of bleeding surfaces.

Manufacturers produce these electrodes with safety grip insulators that make insertion and removal from the pencil easy while limiting the exposed conductive area. Standardized shaft dimensions allow compatibility with multiple pencil brands, simplifying inventory management across the clinic. Disposable patient return electrodes use conductive gel and flexible polymer substrates to maximize skin contact area and reduce impedance. Correct pad sizing and placement are crucial for patient safety, so many suppliers provide adult, pediatric, and neonatal sizes along with clear anatomical placement diagrams on the packaging. Quality disposable return electrodes reduce the risk of site burns and are essential when transitioning away from reusable grounding pads in high-throughput environments.

Best Disposable Electrosurgical Accessories for Core Clinical Use

The best disposable electrosurgical accessories are those that combine safety, compatibility, and procedure-specific performance. Clinics typically focus on a core set of devices that cover most procedures, including a primary disposable monopolar pencil, an assortment of disposable electrodes, reliable return electrodes, and optional smoke evacuation solutions. When selecting a primary pencil, medical directors often prioritize push-button or rocker switch control based on surgeon preference, comfortable grip geometry, and robust insulation. Sterile, single-use packaging and compatibility with standard disposable electrodes are baseline requirements.

Accessories like disposable ball and needle electrodes, loop electrodes for LEEP procedures, and bipolar instruments for delicate coagulation help expand the clinical portfolio without significantly increasing training complexity. To maintain consistency, clinics often standardize on one dominant electrode brand that offers blade, ball, and needle options while retaining a universal shaft size that fits most pencils. For return electrodes, selecting pads with strong adhesive, clear orientation markings, and compatibility with generator contact quality monitoring ensures safer monopolar procedures in every room. When these components are integrated into procedure packs or kits, setup time falls and staff can focus more on patient positioning and time-out checks rather than assembling a case from multiple bins.

Top Disposable Electrosurgical Accessories and Use Cases

Below is an illustrative overview of typical disposable electrosurgical accessories that clinics and ambulatory centers often rate highly for daily use.

Accessory Type Key Advantages Typical Ratings and Feedback Primary Use Cases
Disposable monopolar electrosurgical pencil with push-button control Ergonomic grip, single-use sterility, precise cut and coag control, optional smoke evacuation port Frequently rated highly by surgeons for tactile feedback and reliability in short procedures General surgery, dermatology excisions, gynecology outpatient procedures, plastic surgery, ENT
Disposable blade, ball, and needle electrodes Standard shaft fits most pencils, safety grip insulators, multiple geometries for cutting and coagulation Strong staff preference due to ease of use and minimal training requirements Skin incision, pinpoint coagulation, fulguration of bleeding surfaces, lesion removal
Disposable patient return electrode (adult and pediatric) Single-use design, high-quality adhesive, large contact area for safer current dispersion Highly valued by risk management teams for burn prevention and monitoring compatibility All monopolar electrosurgical procedures in clinics and ambulatory surgery centers
Disposable loop and knife electrodes Optimized loops and sharp tips for excisional procedures, single-use sterility Widely preferred in gynecology and colposcopy settings for consistent loop performance LEEP, cervical lesion excision, polyp removal, office-based gynecologic procedures
Disposable suction coagulator or pencil with smoke evacuation Integrated suction or smoke channel, maintains clear field, reduces staff exposure to surgical smoke Increasingly recommended by safety committees and occupational health teams ENT cases, tonsillectomy, dermatologic surgery, high-smoke procedures in small rooms

These accessory categories show how clinics can combine a limited number of SKUs to cover a broad range of procedures while maintaining standardization. By focusing on high-quality, widely compatible accessories, facilities can simplify training for nurses and technicians and reduce the risk of incompatible components being used on the same generator.

Competitor Comparison Matrix for Disposable Electrosurgical Solutions

To make an informed purchasing decision, clinic leaders should compare disposable electrosurgical accessories across multiple dimensions such as ergonomics, safety, compatibility, and cost per procedure. The matrix below outlines typical differentiators that matter most in outpatient and ambulatory environments.

Evaluation Criterion Brand A Disposable Line Brand B Disposable Line Brand C Disposable Line
Pencil ergonomics and grip Contoured body with textured grip, optimized for glove use in longer procedures Slim profile with minimal contouring, designed for small hands and shorter cases Standard cylindrical design, lower cost but less tailored ergonomics
Activation method and feedback Dual push-button cut and coag with strong tactile feedback and clear color coding Rocker switch design with moderate feedback, preferred by surgeons used to foot pedals Single push-button operation, minimal differentiation between modes
Electrode compatibility and selection Broad portfolio of blade, ball, needle, loop, and knife electrodes with universal shaft size Moderate selection focused on blade and needle tips only Limited styles, primarily blade electrodes for basic general surgery
Return electrode safety features High-adhesion gel, adult and pediatric sizes, clear placement graphics and monitoring compatibility Standard adhesive with single adult size, no specialized pediatric option Basic pad design with minimal instructions, lower acquisition cost
Smoke management integration Pencils available with integrated smoke evacuation port, compatible with central suction or mobile smoke evacuators Separate suction coagulators required, pencils do not include smoke channels No integrated smoke solutions, requires standalone smoke evacuation systems
Sterility, packaging, and traceability Individually sterile-packed with clear labeling and lot traceability for each accessory Bulk-packed options with outer sterile barrier, inner components individually wrapped Mixed packaging, some components individually wrapped and others in grouped packs
Typical cost profile per case Mid-to-premium pricing justified by safety and ergonomic features, often selected for high-risk procedures Midrange price positioned for general clinics seeking balance of cost and features Lower upfront cost but potential trade-offs in versatility and accessory availability
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This type of competitor comparison helps decision-makers understand what they gain or sacrifice when optimizing for cost versus functionality. While lower-cost options may be attractive for very basic clinics, facilities with higher surgical volumes or mixed specialties often select accessories that offer better ergonomics, more electrode options, and enhanced smoke management.

Real Clinical Use Cases and ROI for Disposable Electrosurgical Accessories

In a dermatology clinic performing high volumes of lesion removals, skin cancer excisions, and cosmetic procedures, switching from reusable cautery pencils to disposable monopolar electrosurgical pencils can substantially reduce reprocessing time. Staff no longer have to disassemble pencils, send them for sterilization, and track multiple components, which often leads to lost or damaged parts. Instead, a single sterile pack is opened for each patient, and the entire pencil is discarded afterwards, cutting setup and turnover time between cases.

A gynecology practice offering LEEP and other office-based procedures can benefit from disposable loop electrodes and single-use return pads that are specifically sized and shaped for cervical excision work. Standardizing on single-use loops with known dimensions and consistent thermal performance helps clinicians achieve predictable margins and depth of excision. Over time, this consistency can reduce repeat procedures, improve patient satisfaction, and indirectly increase referrals. Even if the per-case cost of disposable accessories is higher than reprocessed equivalents, the savings in staff labor, reduced repair and replacement costs, and fewer adverse events often produce a favorable return on investment.

ENT outpatient centers performing frequent tonsillectomies, nasal cautery, and minor laryngeal procedures often prioritize disposable suction coagulators or pencils with integrated smoke evacuation. These accessories not only maintain a clearer surgical field but also reduce the concentration of airborne particulates in small procedure rooms. When occupational health teams quantify reductions in smoke exposure and respiratory complaints among staff, the incremental cost of integrated smoke evacuation pencils is frequently offset by improved staff retention and fewer sick days. The result is a more sustainable operating model that protects both patients and staff while supporting high case throughput.

At one strategic point in the equipment lifecycle, providers increasingly look for partners who understand both device acquisition and long-term performance. ALLWILL is redefining B2B medical aesthetics by focusing on innovation, trust, and efficiency, using a Smart Center model for inspection, repair, and refurbishment so that clinics can count on consistent device performance. With solutions like the MET vendor management system and the Lasermatch inventory platform, ALLWILL helps practitioners align disposable accessory strategies with generator choices, training, and budget, delivering a brand-agnostic path to better outcomes and lower total cost of ownership.

Buying Guide: How Clinics Should Evaluate Disposable Electrosurgical Accessories

When building or revising a disposable electrosurgical accessories portfolio, clinic administrators and medical directors should start by mapping procedures to accessory requirements. For each common procedure type, define whether monopolar or bipolar energy is used, which pencil style surgeons prefer, and what electrode geometries are required. Dermatology and plastic surgery may need a broader selection of fine needle and ball tips, while gynecology focuses on loop electrodes and general outpatient surgery emphasizes blade electrodes and standard pencils. This mapping exercise clarifies which accessories are essential and which are optional.

Next, evaluate accessory compatibility with existing electrosurgical generators. Confirm that pencil connectors, shaft sizes, and monitoring features match generator ports and settings. Where possible, standardize on accessories that are compatible with multiple generator models to simplify inventory and allow cross-coverage between rooms. It is also important to review packaging, sterility indicators, and traceability, ensuring that each accessory carries clear lot numbers and expiry dates for compliance. Training requirements should be minimal, with clear labeling, color-coded buttons, and intuitive orientation markings on return electrodes.

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Finally, incorporate safety and workflow considerations into the purchasing decision. Look for insulated shafts, secure grip surfaces, and return electrodes with strong adhesive and clear placement instructions. Assess whether smoke evacuation integration is needed now or in the near future, especially for small rooms or high-smoke procedures. Evaluate the total cost per case by considering not only acquisition cost but also labor savings from eliminated reprocessing, fewer repairs, and reduced risk of burns or infections. Facilities that pilot new disposable electrosurgical setups for a defined period can compare pre-and post-implementation data on turnover time, staff satisfaction, and complication rates to validate return on investment.

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Frequently Asked Questions on Disposable Electrosurgical Accessories

What are the best disposable electrosurgical accessories for clinics and ambulatory surgery centers?
Top choices include disposable electrosurgical pencils, loop electrodes, and needle electrodes for precise cutting and coagulation. These sterile tools from trusted suppliers ensure safety and efficiency in high-volume procedures, minimizing cross-contamination risks.

Why choose disposable electrosurgical accessories over reusable ones?
Disposable electrosurgical accessories reduce infection risks and eliminate sterilization costs, ideal for busy clinics and ambulatory surgery centers. They deliver consistent performance without maintenance downtime, boosting procedural efficiency.

What types of disposable electrosurgical electrodes are most popular?
Popular types are ball electrodes for coagulation, needle electrodes for cutting, and loop electrodes for excision. These fit standard pencils and provide reliable precision in medical aesthetics and minor surgeries.

How do you select the best disposable electrosurgical pencils for ASCs?
Choose pencils with ergonomic grips, 10-foot cords, and compatibility with major ESUs. Prioritize sterile, single-use models with safety insulators to enhance control and reduce hand fatigue during extended ambulatory surgery sessions.

What safety features matter in disposable electrosurgical accessories?
Key features include insulated shafts, sterile packaging, and compatibility with smoke evacuation systems. These prevent electrical hazards and plume exposure, ensuring compliance in clinics focused on patient and staff safety.

Where to source reliable disposable electrosurgical accessories?
ALLWILL offers vetted disposable electrosurgical accessories through its Lasermatch platform, providing new and refurbished options. Benefit from brand-agnostic consultations and trade-up programs tailored for clinics and ambulatory surgery centers.​

How much do top disposable electrosurgical accessories cost?
Quality sets start at $5–$15 per pencil or electrode, with bulk packs reducing costs for high-volume use. Factor in savings from no reprocessing, making them cost-effective for ambulatory surgery centers.​

Can ALLWILL supply disposable electrosurgical accessories for medical aesthetics?
Yes, ALLWILL provides disposable electrosurgical accessories via its Smart Center for inspection and refurbishment. Streamline sourcing with MET for vetted support, optimizing efficiency in medical aesthetics practices.​

Future Trends in Disposable Electrosurgical Accessories

In the coming years, disposable electrosurgical accessories will continue to evolve toward smarter, safer, and more environmentally conscious designs. Expect to see pencils and electrodes with enhanced insulation and more precise energy control, supported by generators that automatically recognize accessory types and adjust parameters. Integrated smoke evacuation will become more common, with lighter, quieter tubing and better filters to capture ultrafine particles. Occupational safety standards will likely push more clinics to adopt routine smoke management for all electrosurgical procedures.

Sustainability will also influence product development. Manufacturers are exploring recyclable materials, more compact packaging, and programs for responsible disposal or material recovery without compromising sterility or safety. Data integration will grow as well, with accessories and generators that capture usage patterns and performance metrics, helping clinics optimize accessory selection and inventory. Clinics that proactively align their disposable electrosurgical strategies with these trends will be better positioned to improve patient safety, protect staff, control costs, and maintain a competitive edge in an increasingly outcomes-focused healthcare environment.

To move forward, clinics and ambulatory centers should regularly review their disposable electrosurgical accessory portfolio, involve surgeons and nurses in product evaluations, and partner with vendors who can support training, compatibility assessments, and long-term planning. By treating disposable electrosurgical accessories as a strategic component of procedural care rather than a commodity, facilities can unlock meaningful improvements in efficiency, safety, and patient satisfaction.

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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.