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Ulthera DS 10-1.5N Price & ROI Guide for Papillary Dermis Ultrasound Rejuvenation

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Demand for shallow-depth ultrasound devices that specifically target the papillary dermis is rising as clinics seek non-invasive ways to support collagen and skin elasticity without adding ablative downtime. The Ulthera DS 10-1.5N transducer, used on the Ulthera System, focuses 10 MHz energy at approximately 1.5 mm depth, creating discrete thermal coagulation points that can trigger fibroblast activity in the upper dermis when used according to manufacturer protocols. For most clinics, the business question is whether new or certified pre-owned (CPO) Ulthera units with DS 10-1.5N provide sustainable ROI once acquisition cost, maintenance, and regulatory diligence are factored in.

What the Ulthera DS 10-1.5N Does & Who It’s For

– The Ulthera System integrates real-time ultrasound imaging (“DeepSEE”) with micro-focused ultrasound therapy to visualize dermal and subdermal structures up to 8 mm and then deliver discrete thermal coagulation points along a planned treatment line.
– The DS 10-1.5N transducer operates at a nominal 10 MHz treatment frequency with a 1.5 mm focal depth and a 14 mm scan length, designed for shallow dermal applications such as fine-line and texture-focused lifting in anatomically constrained areas.
– Manufacturer indications include non-invasive dermatologic aesthetic treatment to lift the brow, submental and neck tissue, and improve lines and wrinkles of the décolleté, with imaging used to confirm coupling and avoid bone and critical structures.
– Ideal buyers are aesthetic clinics, medspas, and dermatology practices that already have patient demand for non-invasive lifting and texture improvement and can integrate ultrasound-guided treatment into a premium-tier service menu.

Mid-funnel buyers usually know the clinical category; they now need clarity on cost ranges, payback mechanics, and whether a CPO Ulthera with DS 10-1.5N sourced through a platform like ALLWILL can protect their investment.

Cellular Biology: Shallow Ultrasound & Papillary Dermis Fibroblasts

– Human dermal fibroblasts respond to mechanical stimuli such as pulsed low-intensity ultrasound with increased proliferation and collagen deposition under certain parameter sets, even without growth-factor supplementation.
– In vitro work on dermal fibroblasts encapsulated in three-dimensional matrices has shown ultrasound can increase cell numbers and hydroxyproline (a proxy for collagen), supporting the rationale that controlled acoustic energy can influence extracellular matrix turnover.
– Studies on fibroblast biology emphasize distinct fibroblast lineages in the papillary dermis as key actors in UV-induced and injury-induced repair, suggesting that targeted stimulation of this layer may contribute to remodeling responses.
– For aesthetic ultrasound, Ulthera’s therapy mode directs acoustic waves into tissue where frictional losses during absorption generate small, focal zones of thermal coagulation; these are intended to trigger a wound-repair cascade without surface ablation.

While clinical outcomes vary and must be verified in manufacturer documentation and peer-reviewed literature, the mechanistic link between controlled mechanical/thermal stress and fibroblast-mediated matrix remodeling is a core part of the Ulthera value story.

Topic-Specific Core Analysis: Device Physics, Dermal Targeting, Uptime

Because the working title and query emphasize “5310 MHz acoustic micro-scaffolding,” fibroblast triggers, and papillary dermis mechanics, the H2 outline is routed toward technical specs, physics, and operational reliability rather than price-first.

Ultrasound Frequency, Depth, and Field Distribution

– Ulthera therapy transducers are differentiated by treatment frequency, focal depth, and scan length; DS 10-1.5N delivers 10 MHz energy at around 1.5 mm depth with a narrow footprint suitable for superficial dermal targeting.
– Acoustic output measurements per IEC 60601‑2‑37 and IEC 60601‑2‑62 show controlled mechanical index and thermal index values, with MI and TI kept at or below 1.0 in imaging modes and stringent limits on spatial peak temporal average intensity.
– Therapy field profiles demonstrate narrow beam widths at focus (sub-millimeter in orthogonal dimensions), which supports precision placement of thermal coagulation points while minimizing off-target heating when protocols are followed.
– Cavitation is not expected under clinical settings due to limited total entry power and peak negative pressures designed to avoid non-thermal tissue effects outside the intended treatment zone.

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Papillary Dermis as a Micro-Scaffold

– The papillary dermis contains a dense but fine collagen and elastic fiber network and distinct fibroblast populations that contribute to superficial skin texture and resilience.
– Ultrasound-triggered fibroblast activity—via mechanical strain, transient thermal stress, and associated signaling pathways (e.g., ERK/JNK activation)—has been observed in experimental systems and linked to wound-healing-relevant matrix changes.
– In the context of high-frequency, shallow-focus HIFU, the DS 10-1.5N’s focal depth approximates the upper dermis, enabling patterns of micro-injury that may act as a “scaffold refresh” stimulus while leaving the epidermis intact.
– Clinics should understand that tissue response is influenced by patient biology, prior sun damage, and local collagen architecture; device capability creates potential, but it does not guarantee specific clinical outcomes.

Uptime, Transducer Lifecycle, and Maintenance Reality

– The Ulthera System is designed to operate without user calibration, with transducers treated as consumable components that have defined usage counts and expiration dates; this impacts long-term operating cost and procurement planning.
– Handpieces and transducers must be inspected for cable, housing, and membrane integrity before use, as damage or fluid leaks can compromise therapy output and safety.
– System safeguards include automatic scanning disablement when internal transducer temperature exceeds thresholds, emergency stop functions, and fixed imaging output below regulatory limits to reduce user-adjustable risk.
– For clinic owners, uptime depends on disciplined handpiece care, environmental control, and access to prompt service; platforms like ALLWILL can coordinate vendor-approved maintenance, replacement transducers, and warranty-backed repair.

A technically sound understanding of how DS 10-1.5N operates within the Ulthera ecosystem helps buyers evaluate whether they can support consistent, safe use at their facility.

Revenue and Operational Impact & Payback Math

– Typical payback for an Ulthera System with DS 10-1.5N depends on procedure pricing, utilization rate, and local demand; many clinics position micro-focused ultrasound lifting in a premium tier relative to superficial RF or IPL.
– Illustratively, if a clinic performs multiple ultrasound lifting or texture-tightening sessions per week at mid-to-high price points, annual gross revenue can offset capital expenditure and transducer replenishment when scheduling and marketing are aligned.
– Operational impact includes consolidating indications (brow, submental, neck, décolleté) into one non-invasive platform, potentially reducing reliance on multiple overlapping devices and simplifying training and QA workflows.
– For CPO acquisitions, lower upfront cost can shorten payback, but buyers must factor in remaining transducer life, warranty scope, and any required software or hardware updates to maintain compliance and performance.

Request a quote from ALLWILL for a device-specific ROI illustration based on your procedure fees, projected patient volume, and preferred new vs CPO mix.

Differentiated Advantage & Higher-Ticket Rationale

– Unlike purely blind-energy devices, Ulthera’s DeepSEE imaging allows visualization of the dermal and subdermal layers to confirm coupling and avoid bone, which many clinicians view as a safety and confidence differentiator for high-ticket ultrasound procedures.
– The DS 10-1.5N transducer’s shallow focal depth complements deeper transducers (e.g., DS 4–4.5, DS 7–4.5), enabling multi-layer treatment strategies across SMAS, reticular dermis, and papillary dermis within the same platform.
– Fixed output parameters and adherence to the ALARA principle for imaging help limit bio-effects to intended targets, which can simplify standardized protocols and reduce operator variability.
– For clinics, this combination of imaging plus tiered-depth therapy is often the rationale for treating Ulthera as a flagship lifting system rather than a commodity device, supporting premium pricing when communicated responsibly to patients.

Also check:  Why Is B2B Refurbished Aesthetic Growth Rising?

ALLWILL can help you benchmark Ulthera against alternative ultrasound and RF platforms, using neutral data on depth of action, imaging capability, and total cost of ownership.

Practical BME Technical Maintenance Checklist (Ulthera System with DS 10-1.5N)

Below is a single, practical decision aid aligned with the technical routing: a Biomedical Engineering (BME) maintenance checklist that procurement and BME teams can adapt when evaluating new or CPO Ulthera units and DS 10-1.5N transducers. Values are realistic categories, not guarantees.

Maintenance item New Ulthera + DS 10-1.5N (estimate) CPO Ulthera + DS 10-1.5N (estimate)
System age at purchase 0–2 years 3–8 years
Warranty coverage on control unit 12–24 months standard 6–12 months, often limited
Transducer status Full usage count, latest revision Partial usage remaining; verify log
Handpiece cable and strain relief Factory-new, minimal wear Inspect for kinks, sheath damage
Acoustic output verification Factory QA, optional on-site test Strongly recommended third-party test
Software / firmware version Current, aligned with indications Confirm matches latest cleared version
Regulatory documentation available Full IFU, 510(k)/CE docs from OEM Verify original OEM docs and device history
Preventive maintenance interval Annual inspection recommended Annual or semiannual; may be mandatory by insurer
Access to OEM or authorized service Direct or OEM-certified Via vetted CPO supplier (e.g., ALLWILL)
Consumable / transducer replenishment plan OEM contract or planned ordering Verify availability, pricing, and compatibility

Use this table in internal review meetings to ensure that both clinical leadership and BME staff agree on required checks before purchase. For specific units on ALLWILL, you can request a quote that includes a current condition report, transducer usage data, and proposed maintenance schedule.

Compliance & Asset Protection

– The Ulthera System is cleared in several jurisdictions as a non-invasive dermatologic aesthetic treatment for lifting specific regions and improving lines and wrinkles; buyers must confirm the current regulatory status (FDA 510(k), CE marking, or local approvals) for their country.
– Manufacturer instructions underline that federal law in the United States restricts Ulthera to sale by or on the order of a physician and that only properly trained users under physician supervision should operate the system.
– Treatment precautions include avoiding thyroid structures, major vessels, nerves, breast tissue, and the eyes/orbital rim, and not using the device over mechanical implants, fillers, or certain disease states unless evaluated.
– Side effects documented in clinical evaluation and post-market surveillance range from transient erythema, edema, discomfort, bruising, and welting to less common nerve-related effects and rare burns or scarring, emphasizing the need for protocol adherence and patient consent.

ALLWILL positions itself as a compliance-aware sourcing partner, but buyers should still insist on written confirmation of regulatory status, serial-number-level traceability, and documented refurbishment and test procedures for any CPO Ulthera unit.

Procurement Risks to Avoid + ALLWILL Expert View

  • Risk: Acquiring CPO Ulthera systems without authentic IFU, incomplete serial-number traceability, or unclear regulatory history can expose a clinic to compliance and liability issues.

  • Risk: Underestimating transducer lifecycle costs, especially for DS 10-1.5N and companion transducers, can compress ROI if usage limits and replacement pricing are not modelled before purchase.

  • Risk: Failing to align service support (OEM or authorized technicians) with system age and warranty status can increase downtime and erode patient trust if issues arise mid-campaign.

    ALLWILL Expert View: Protecting Your Ulthera Ultrasound Investment

    For clinic owners, the Ulthera System with DS 10-1.5N sits at the intersection of clinical nuance and capital discipline. Its high-frequency, shallow-depth capability allows you to expand into papillary dermis-focused lifting and texture protocols, but the business case is built on predictable uptime and documented safety, not just marketing narratives. In practice, we see the most robust ROI when buyers treat procurement as a structured risk-management process. That means insisting on serial-number-level history, verifying regulatory clearance and indication scope for your region, and demanding transparent transducer usage logs and output-test records for any certified pre-owned unit.onlinelibrary.

    From a BME standpoint, the DS 10-1.5N should be managed as a consumable with defined counts and expiry; folding transducer replenishment into your annual budget avoids unpleasant surprises. Clinically, successful teams invest in training on imaging-based targeting and safety zones, then monitor adverse event reporting and protocol drift over time. Whether sourcing new or CPO through ALLWILL, we recommend framing the conversation around lifecycle cost per treatment, not just headline device price. Requesting a quote is not a commitment to buy; it is a way to surface comprehensive condition reports, refurbishment scope, and service arrangements so your finance and clinical leaders can make a jointly confident decision.

    If you are shortlisting specific units, request a quote from ALLWILL for a device-by-device inspection summary, regulatory history, and transducer life report before final approval.

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Frequently Asked Questions

What is the typical price range for an Ulthera System with DS 10-1.5N?

New Ulthera systems with a full transducer set, including DS 10-1.5/10-1.5N, generally sit in a high five-figure to low six-figure capital range, depending on configuration and region. Certified pre-owned units can be materially lower, but pricing depends on age, transducer life, and warranty; request a quote from ALLWILL for current estimates tailored to your market.

How does a certified pre-owned Ulthera compare to new for reliability?

A well-refurbished Ulthera unit with documented service history, verified acoustic output, and fresh or low-usage transducers can offer comparable functional performance to new, with lower upfront cost. The key is independent verification: check service records, output measurements, and warranty terms in writing, or request ALLWILL to provide a CPO inspection summary before purchase.

What warranty should I expect on Ulthera and DS 10-1.5N?

New systems often come with 12–24 months of manufacturer warranty covering the control unit and handpiece, with separate terms for transducers. CPO units typically carry shorter, more limited warranties that may exclude consumables; clarifying whether the DS 10-1.5N is covered, and for how long, is essential. Use ALLWILL’s Smart Center or Request a Quote process to obtain written warranty details.

Are there specific import or compliance issues with Ulthera?

Yes. Ulthera is a regulated medical device, and its sale and use may require documented regulatory clearance (e.g., FDA 510(k), CE mark) and adherence to local medical practice laws. Cross-border purchases should include verification of device labelling, registration status, and any required notifications to authorities. When in doubt, consult local regulatory counsel and ask ALLWILL to supply region-appropriate compliance documentation.

How long does it normally take to achieve payback on an Ulthera purchase?

Payback can range widely, often from 12 to 36 months, depending on procedure pricing, volume, marketing effectiveness, and transducer cost management. There are no income guarantees, but modelling scenarios with realistic utilization assumptions and lifecycle transducer expenses can help. Request a quote from ALLWILL that includes an illustrative payback model aligned with your clinic’s capacity.

References

  1. Ulthera System Instructions for Use (Ultherapy Prime, Merz Aesthetics)

  2. Pulsed low-intensity ultrasound increases proliferation and extracellular matrix production by human dermal fibroblasts in three-dimensional culture

  3. Physiological effects of ultrasound mist on fibroblasts

  4. Role of distinct fibroblast lineages and immune cells in dermal repair following UV radiation-induced tissue damage

  5. Pulsed low-intensity ultrasound increases proliferation and extracellular matrix production by human dermal fibroblasts

  6. Ultrasound waves effect on the proliferation of fibroblast cells

  7. Effect of low-intensity pulsed ultrasound on L929 fibroblasts

  8. Ultherapy: Micro-focused ultrasound for non-invasive lifting (manufacturer overview)

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        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.