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What can we help you with today?*
» Click here for CoA/CoC/IFU requests.
All certificates of analysis, instructions for use, certificates of compliance, safety data sheets, technical bulletins, and white paper & usage recommendations are located on the client dashboard. To access the dashboard, please log into your OriGen account or register for an account below. Typically, accounts are approved within a few business days. You will receive an email notifying you that your account has been approved. Please note: a company-provided email addresses are required for approval.

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If you are located in the United States, Canada, or United Kingdom use this form to request a quote. If you are outside the US, Canada, or the UK please select 'Find a Distributor' from the dropdown.
If you are not located in the United States, Canada, or United Kingdom please select 'Find a Distributor' in the dropdown.
OriGen Biomedical has many global distributors. If you are not located in the United States, Canada, or United Kingdom use this form to find a distributor in your area. If you are located in the US, Canada, or the UK please select 'Request a Quote' in the dropdown.
Company Name*
Company Website*
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Name / Contact Person*
Contact Email*
Contact Phone*
Purchase Order (PO) Number*
Purchase Order Upload (Preferred)
Max. file size: 64 MB.
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Company State*
Need By Date
MM slash DD slash YYYY
Shipping Time
Orders for Next Day or Next Day Morning must be submitted by 2PM CT
Shipping Notes
Company Country*
Company Country*
Product Line*
- Cryo- preservation
- Cell Culture
- Solid Tissue Cryo- preservation
- CryoPur DMSO Solutions
- Accessories
- Liquivent
Items Needed on Quote/For Order*
Which territory or territories are interested in distributing in?*
Product Code / Order Quantity*
Shipping Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Email
How did you hear about us?
Please explain how you heard about us:*
Comments
Products You'd Like A Quote On*
Please include product names and quantities if possible.
Products You'd Like Samples Of*
Please include product names and quantities if possible.
How can we help you?*
New Customer?*
- Yes
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Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reporting Source*
- Customer
- Distributor
- Regulatory Data Base
Product Code*
Lot Number*
Quantity*
The product was used for:*
- Treatment
- Diagnostic
Will the product be returned for investigation?*
- Yes
- No
- TBD
Please provide a reason for non-return of the item.*
In what country did the event occur?*
Event Occurrence Date*
MM slash DD slash YYYY
Was there a death and/or patient adverse event?*
- Yes
- No
Please explain what type of harm came to the patient?*
Was medical intervention of any kind needed for the patient? (Such as drugs or antibiotics given to the patient, etc).*
- Yes
- No
Is there an allegation of product defect or are you simply informing us of an incident where our product is a concomitant device?*
What regulatory body was notified?*
At what point was the complaint noticed?
- Prior to Use
- During Use - Filling
- During Use - Freezing
- During Use - Thawing
- Prior to Shipping / Transport to Facility / Transplant Unit
- Receipt at Facility / Transplant Unit after Shipping / Transport
Response requested?*
- Yes
- No
In Your Own Words, Please Describe the Complaint*
Fill out with as much detail as possible. (What step of the process did this occur? What was the time interval of when the defect was noticed? Explain your process. ect.)
Photo Upload
Drop files here or

Accepted file types: jpg, pngjpeg, Max. file size: 100 MB.
If possible, please provide photographs of the failure mode reported.
Are you requesting samples?
- Yes
- No
How did you first hear about OriGen?*
We'd love to know more about how you heard about us below.
What specific issue or challenge are you looking to solve?*
Please be as thorough as possible to best assess your custom product development request.
What volume of product are you interested in, or what order quantity do you require?*
Please only click submit once and wait for your entry to go through.
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OriGen Hours

Monday-Friday: 8:00 AM- 4:30 PM CST

Email: General Email

Phone: +1-512-474-7278

Toll Free: +1-800-233-9014

Technical Support

Cell Biology and Cryopreservation Products

Email: Technical Support

Telephone: +1-512-474-7278

Location

Headquarters & Manufacturing Site

Address:
7000 Burleson Rd, Bldg D
Austin, Texas, USA 78744-3202

Need Help with an Order?

Contact sales with questions regarding a quote for any OriGen Biomedical® product. If you have additional product questions, customer service can help.

Find a Distributor

OriGen Biomedical has many global distributors. Provide your contact information and your questions through the website and a distributor will reach out to you promptly.

Find a Distributor

Customer Service

Headquarters
7000 Burleson Rd, Bldg D
Austin, Texas, USA 78744-3202
Email: Sales / General
Tel: +1-512-474-7278
Toll Free: +1-800-233-9014

Have a question? Visit our contact page for further assistance.

 

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European Sales Contact
Tel: +49-7475-915591
Fax: +49-7475-914718

European Sales Questions:
Sales Europe
European Orders:
Orders Europe

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