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Ultherapy Acoustic Lens Engineering: Why Original Assemblies Matter for Safe, Stable Focus

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For clinic owners evaluating Ultherapy and other microfocused ultrasound systems, the “degassed aqueous core” and acoustic lens assembly are not marketing jargon; they are what keep energy delivery predictable, reproducible, and safe across thousands of treatment lines. Original-manufacturer lens design, degassed coupling media, and tight assembly tolerances work together to maintain a stable focal zone and avoid localized heat spikes that could damage tissue or consumables. Understanding these physics and maintenance realities is essential when sourcing new or certified pre-owned systems through partners like ALLWILL.

What Ultherapy’s Acoustic System Does & Who It Is For

  • Ultherapy systems deliver microfocused ultrasound energy at controlled depths in soft tissue, using a piezoelectric transducer coupled to an acoustic lens and an aqueous coupling medium inside the handpiece cartridge and at the skin surface.
  • The lens and fluid path shape the beam into a tight focal volume where thermal effects are concentrated, while intervening tissue sees mostly sub-ablative, lower-intensity propagation.
  • Degassed aqueous media are used to minimize cavitation and scattering, improving focus quality and reducing unpredictable hot spots along the beam path.
  • This platform is typically chosen by aesthetic clinics, dermatology practices, and medspas that need a noninvasive lifting/tightening option to complement injectables and RF-based skin treatments, without committing to ablative surgery.
  • For multi-room clinics or chains, original or properly calibrated CPO Ultherapy units help standardize protocols and treatment “feel” across locations, which supports brand consistency and staff training.

Mid to late-funnel buyers should evaluate not only headline energy specs, but also how lens design, cartridge quality, and calibration protocols translate into uptime, predictable patient experience, and long-term serviceability. A sourcing partner like ALLWILL can bridge that engineering detail into practical device selection, including new vs certified pre-owned options.

Technical Core: Degassed Aqueous Cores, Acoustic Lenses, and Heat Control

Because the working title and brief focus on “degassed aqueous core” and “acoustic lens calibration,” this section emphasizes hardware physics, assembly tolerances, and maintenance rather than pricing.

Microfocused Ultrasound Lens Design in Original Systems

  • Microfocused ultrasound relies on an acoustic lens (solid or liquid-based) to convert relatively broad transducer output into a narrow, well-defined focal zone at a set depth below the skin surface.
  • Lens geometry (curvature, aperture, and thickness) and material acoustic impedance are engineered to minimize aberrations and side lobes, which could otherwise generate secondary foci and unwanted heating.
  • In systems like Ultherapy, lens and aperture design are matched to specific operating frequencies and target depths (for example, “4.5 mm,” “3.0 mm” cartridges), allowing consistent geometrical focus in soft tissue with varying patient anatomy.
  • Original manufacturers validate these configurations using numerical models and bench testing, ensuring that the delivered thermal dose stays within the intended focal region for standard coupling conditions and transducer aging profiles.

The Role of a Degassed Aqueous Core

  • The “degassed aqueous core” refers to the use of carefully degassed water-based fluids inside the cartridge or lens assembly, as well as in the external coupling gel, to avoid microbubbles that would scatter or absorb ultrasound energy.
  • Dissolved gas in liquids can form microbubbles under ultrasound, particularly at higher intensities, which leads to cavitation, local pressure spikes, and unpredictable thermal hotspots; degassing significantly reduces this phenomenon.
  • Degassed media also stabilize acoustic transmission efficiency between the transducer, lens, and patient, which improves shot-to-shot energy consistency and helps maintain the manufacturer’s validated energy delivery envelope over the life of the cartridge.
  • In practical terms, clinics benefit from smoother line-to-line performance, less risk of unexpected patient discomfort, and reduced wear on internal components exposed to cyclic mechanical and thermal stresses.

Why Original Tolerances Matter for Avoiding Localized Heat Spikes

  • Original Ultherapy assemblies are manufactured with tight tolerances on lens shape, alignment, transducer-to-lens coupling, and internal fluid path; small deviations can shift focal depth, broaden the focal spot, or introduce secondary lobes.
  • Misalignment of the acoustic lens relative to the transducer face can cause regions of constructive interference closer to the skin, manifesting as localized, unintended heating or inconsistent thermal lesion patterns.
  • Consistency in material properties (acoustic velocity, attenuation, impedance) across batches is critical; lower-grade substitutes or non-OEM repairs may change these parameters enough to create subtle but clinically meaningful drift in focus behavior.
  • Original calibration procedures link electrical drive, imaging guidance, and mechanical alignment checks, so the system’s assumed focus location matches the physical focus that has been validated in pre-clinical testing.
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For clinic owners, the key takeaway is that “it powers on and fires” is not enough; the invisible stack of optical, mechanical, and acoustic tolerances is what keeps treatments consistent and predictable. When sourcing CPO devices or replacement parts through ALLWILL, asking specifically about lens and cartridge provenance and calibration is part of risk management, not over-caution.

Revenue, Uptime, and Operational Impact

Even though the technical focus dominates, the business case still revolves around revenue stability, uptime, and service planning.

  • Treatment-based revenue from Ultherapy-type systems depends on consistent, reproducible patient experience; variation from lens or cartridge issues can lead to retrains, refunds, or reputational risk that erodes ROI.
  • Stable acoustic focus and reliable cartridges reduce the incidence of incomplete or aborted treatments due to error messages, overheating, or inconsistent energy delivery.
  • Original hardware and properly certified pre-owned units with documented service history tend to require fewer unplanned interventions; scheduled maintenance and cartridge replacements can be forecast more accurately, which smooths cash flow.
  • Microfocused ultrasound devices are often used as anchor treatments in annual or bundled packages; protecting focus integrity and uptime ensures those packages remain deliverable without frequent substitution or schedule disruption.

From a procurement standpoint, a clinic might accept slightly higher upfront cost if it reduces the probability of unscheduled downtime or inconsistent results across hundreds of high-ticket procedures. ALLWILL can help model those trade-offs by combining device technical vetting with practical usage assumptions (rooms, monthly patient volume, planned indications).

Mid-article step: If you are evaluating a new or certified pre-owned Ultherapy system and want to understand likely maintenance rhythm and uptime under your specific patient volume, request a quote from ALLWILL for a configuration and service-plan summary tailored to your clinic.

Differentiated Advantages and Higher-Ticket Rationale

Why do original systems with well-controlled aqueous cores and lens assemblies often justify a premium compared with less rigorously engineered alternatives?

  • Original Ultherapy systems pair therapeutic ultrasound with real-time imaging, which helps operators visualize tissue layers and align treatment lines closer to the intended SMAS or dermal targets, assuming proper calibration.
  • The combination of imaging, validated focus geometry, and controlled acoustic output parameters (mechanical index, thermal index) makes it easier to maintain treatment consistency across staff and locations, which supports higher-ticket positioning.
  • Compared to some HIFU platforms whose focus tuning is less tightly integrated, Ultherapy’s manufacturing and calibration standards offer a more predictable energy path for a given cartridge type and nominal depth.
  • Clinics that integrate Ultherapy alongside RF microneedling or fractional laser platforms may find that its mechanic (deep, focused ultrasound) complements rather than overlaps other energy layers, allowing more flexible treatment planning and package design.

Alternative microfocused ultrasound or HIFU devices can still be viable options, especially where budgets or specific regional approvals shape the decision. A sourcing partner like ALLWILL can cross-compare platforms from a maintenance and uptime standpoint, not just list price, ensuring that the chosen system matches the clinic’s operational sophistication and risk tolerance.

Biomedical Engineer Technical Maintenance Checklist

Because the routing is technical/engineering-focused, the key practical aid is a BME-oriented maintenance checklist that clinic owners can hand directly to in-house or third-party engineers. This is not a substitute for manufacturer IFUs or service manuals, but a structure to guide routine oversight and procurement conversations.

BME Technical Maintenance Checklist for Microfocused Ultrasound Systems (Including Ultherapy)

Maintenance Area What to Check Recommended Interval Notes for New Units Notes for CPO Units
Transducer output consistency Verify output using manufacturer-approved test tools or service mode; confirm that delivered energy matches expected values within specification tolerances. At installation, annually, and after any major service Confirm factory acceptance test records and initial calibration certificates. Request pre-shipment test report and calibration data; repeat on receipt to establish new baseline.
Acoustic lens integrity Inspect lens surfaces (where accessible) for cracks, cloudiness, delamination, or discoloration; review internal QC logs where provided. At each preventive maintenance visit; visually before high-volume treatment days Expect minimal cosmetic wear; any non-trivial damage should trigger warranty assessment. Pay special attention to any signs of prior repairs or non-OEM materials; document with photos.
Degassed aqueous media handling Confirm that internal fluids and external coupling gels meet manufacturer specs; ensure proper storage and replacement intervals to maintain low gas content. Monthly inventory review; with each new fluid/gel batch Confirm supply chain for OEM-recommended gels/fluids and adherence to IFU. Verify compatibility of third-party gels/fluids with system; confirm no foaming or bubble formation under test firing.
Cartridge and handpiece alignment Check that each cartridge locks securely, with no play; run test lines in phantom or manufacturer test mode to verify focus pattern and imaging alignment. On new cartridge batches; after drops or suspected impact Ensure staff are trained on correct cartridge insertion/removal procedures to reduce mechanical wear. Inspect connectors and housings for wear; consider shorter replacement intervals for heavily used handpieces.
Imaging-to-therapy registration Validate that on-screen depth markers correspond to actual focus depths in phantom testing, within manufacturer tolerance. At installation, annually, and after software or hardware updates Review installation QA report; keep it accessible for auditors or insurers. Make this a mandatory step after any major repair or board replacement.
Cooling and thermal management Inspect cooling pathways, filters, and fans; monitor internal temperature logs if available; confirm that thermal alarms have not been disabled or bypassed. Every 6–12 months, depending on usage and environment Maintain room environmental conditions within manufacturer’s specifications (temperature, humidity, dust). Confirm that any replaced fans or filters meet or exceed OEM specs; avoid ad-hoc substitutions.
Firmware and software version control Record and verify current software/firmware; check against manufacturer advisories for safety-related updates. At each service visit and before integrating into new workflows Coordinate with authorized service providers to schedule updates without disrupting clinical operations. Ensure that any prior modifications are documented; avoid running unsupported or unofficial firmware.
Safety interlocks and emergency stops Test all interlocks, emergency stop functions, and key switches to verify that they interrupt energy delivery as designed. At installation and every 6–12 months Include checks in routine safety drills and staff refreshers. Make interlock testing part of acceptance testing upon device arrival.
Documentation and traceability Maintain logs of service, parts replacement, calibration, and incident reports; ensure serial numbers on transducers and cartridges match documentation. Ongoing; audit annually Use a centralized asset management system for warranty tracking and inspection readiness. Require full history from seller; log gaps or unknown periods as higher-risk factors in internal assessments.
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Clinic owners can use this checklist during technical discussions with ALLWILL or other vendors, as it quickly surfaces whether a unit has been maintained with an engineering mindset or only to basic operational standards.

Compliance and Asset Protection

With microfocused ultrasound and HIFU devices, regulatory, safety, and asset-protection issues are tightly coupled to the integrity of the acoustic path.

  • In markets such as the United States and the European Union, devices like Ultherapy may be cleared or certified for specific indications and operating parameters; using non-OEM components or unofficial repairs can jeopardize that status.
  • Regulatory clearance often assumes that key assemblies (including transducer, lens, and internal coupling fluids) match the configuration tested by the manufacturer and regulators; substantial deviations may require revalidation or could fall outside labeling.
  • From an asset-protection perspective, insurers and risk managers increasingly ask whether devices are maintained according to manufacturer specifications, with traceable documentation of calibration and part sourcing.
  • Certified pre-owned units should come with clear documentation: original model and serials, prior ownership when available, refurbishment scope, component-level replacements, and proof that key acoustic assemblies meet or approximate original specifications.

ALLWILL’s role is to help clinics navigate these issues by matching them with properly documented units, arranging independent inspections where needed, and ensuring that calibration and maintenance expectations are realistic for the buyer’s geography and regulatory environment. Buyers should still confirm final compliance and insurer expectations in writing.

Procurement Risks to Avoid and ALLWILL Expert View

Procurement Risks to Avoid

  • Assuming that any “compatible” cartridge or third-party fluid will behave equivalently to OEM components; even small acoustic property differences can alter focus and thermal behavior in ways that are not immediately obvious.
  • Purchasing microfocused ultrasound systems without a verifiable service and calibration history, particularly regarding transducer output checks and imaging-to-therapy alignment tests.
  • Over-relying on cosmetic condition in photos as a proxy for internal assembly quality; a device can look clean externally yet have drifted calibration or non-original internal components.
  • Underestimating the importance of environmental factors (power quality, cooling, dust) for long-term acoustic stability, which can lead to premature component wear and more frequent repairs.
  • Engaging non-specialist repair services that substitute generic parts or bypass safety interlocks to keep a machine running, at the cost of predictable ultrasound behavior and regulatory conformity.

ALLWILL Expert View: Protecting Your Acoustic Pathway Investment

In practice, the most expensive failures with Ultherapy and similar microfocused ultrasound systems rarely come from a catastrophic breakdown; they come from slow, invisible drift in the acoustic pathway that erodes consistency long before the device “fails.” Over time, minor deviations in transducer output, lens alignment, or internal fluid quality can add up to a noticeable gap between what the system interface suggests and what the tissue actually receives. The clinic might only see this as “some patients feel it more” or “results seem softer this year” rather than a clear-cut fault. That is why ALLWILL treats acoustic-path integrity as a first-class asset. When evaluating new and certified pre-owned units, we look for documented calibration, OEM-consistent components, and realistic maintenance plans that fit the clinic’s environment and utilization. The goal is not just to install a device that passes a power-on test, but to support a decade of predictable performance under real clinical workloads. Clinic owners who factor this into procurement tend to experience fewer patient complaints, more stable package pricing, and a smoother path when auditors or insurers review their equipment portfolios.

When you narrow your shortlist to one or two systems, request a quote from ALLWILL that includes not only pricing but also a summarized calibration and maintenance pathway so you can compare total risk exposure, not just upfront cost.

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Frequently Asked Questions

What is the typical price range for an Ultherapy system, and what drives that range?

Ultherapy system pricing depends on model generation, software options, and whether the unit is new or certified pre-owned, as well as regional market conditions and bundled service agreements. New units often command a premium for full factory warranty and the latest software, while CPO pricing varies with hours of use and refurbishment scope. Request a quote from ALLWILL for current indicative ranges and what is realistically available in your region.

How should I evaluate new vs certified pre-owned for microfocused ultrasound?

New systems offer the strongest alignment with current manufacturer specifications and a full factory warranty, which simplifies compliance and financing conversations. Certified pre-owned units can reduce capital expenditure but require deeper scrutiny of acoustic-path integrity, calibration history, and remaining service life of transducers and cartridges. Working with ALLWILL can ensure that these factors are transparently documented before purchase.

What kind of warranty or service coverage should I expect?

Warranty terms vary by manufacturer and region but often include a base period covering parts and labor for core components, with options for extended coverage or service contracts. For CPO units, warranties are typically shorter and may be limited to specific components or a capped repair value. Always request written warranty details and ask ALLWILL or your vendor to map service coverage to your expected utilization.

How do regulatory and import requirements affect sourcing an Ultherapy system?

Importing or relocating microfocused ultrasound devices must align with local regulations, including device registration, radiation and electrical safety standards, and sometimes language-specific documentation requirements. Regulatory clearance for one region does not guarantee automatic acceptance in another. Before committing to a cross-border purchase, ask ALLWILL or a local regulatory consultant to confirm eligibility, documentation, and any additional testing you may need.

What payback period is realistic for an Ultherapy investment?

Payback depends on treatment pricing, patient volume, marketing effectiveness, and how well the device is integrated into broader treatment plans. Many clinics model scenarios assuming several treatments per week at region-appropriate pricing, but actual performance can be higher or lower. It is prudent to build conservative projections and then work with ALLWILL to align device configuration and maintenance planning with your utilization targets.

References

  1. 1004125IFU Rev J: Ulthera System Instructions for Use
  2. Device and method for high intensity focused ultrasound ablation with acoustic lens (US20080194965A1)
  3. Design of acoustic lenses for ultrasound focusing applications – Doctoral Thesis, Universitat Politècnica de València
  4. Optimised polymer trapped-air lenses for ultrasound focusing in water exploiting Fabry–Pérot resonance – Ultrasonics
  5. Electrowetting-driven liquid lens for ultrasound: Enabling controllable focal length and flexible beam steering – Ultrasonics
  6. Imaging in a Liquid through a Solid-State Acoustic Lens with Aberration Correction – Bulletin of the Brazilian Society of Mechanical Sciences and Engineering
  7. Acoustic lens for capacitive micromachined ultrasonic transducers – Journal of Micromechanics and Microengineering (PDF)
  8. Isogeometric shape optimization for nonlinear acoustics – arXiv preprint 1712.05228

 

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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.