SI-BONE Warranty

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SI-BONE Warranty

SI-BONE, Inc. hereby agrees to provide to Purchaser a one-time replacement of any iFuse implant (an “Eligible Product”) at no additional cost if a revision of a Lateral Minimally Invasive Sacroiliac Joint Fusion procedure requiring additional implants (to either supplement or replace previously implanted Eligible Products) is required within the one-year period following the index procedure using the Eligible Product (the “Warranty Period”) for any reason, except where resulting from the failure of the patient to follow post-operative instructions provided by the surgeon and subject to the additional conditions set forth below. In qualifying revision cases where more than one additional or replacement implants are required to fixate the initially treated joint, all additional or replacement implants will be provided at no charge.

SI-BONE further agrees, subject to the conditions below, to provide Purchaser with a one-time credit equal to the original purchase price paid for one (1) Eligible Product for use on future purchases for any revision procedure within the Warranty Period during which a replacement or implant addition is not required. The credit will be awarded to the Purchaser within thirty (30) days written notice by the Purchaser confirming the completion of the revision procedure.

Claim Procedure (excluding Australia). In order to receive the benefits of the Warranty under this Agreement, Purchaser must, within thirty (30) days after the revision procedure wherein either (i) the Eligible Product was replaced or supplemented with additional implants, or (ii) a revision procedure was performed without additional implants, have submitted a request for warranty replacement or credit to SI-BONE. The request shall be accompanied by: (i) the receipt or invoice for the Eligible Product for which the credit or replacement product is sought; and (ii) a certification signed by the revising surgeon describing the failure and certifying that the index procedure was, to the best of such revising surgeon’s knowledge, performed in accordance with the iFuse Instructions for Use using a minimum of three (3) iFuse implants per side (“per side”), that the revision did not become necessary as a result of the patient’s failure to follow post-operative instructions, and that that utilization of products for which the warranty claim is being made was medically necessary. SI-BONE reserves the right to reject any warranty claim that fails to satisfy the requirements of these claim procedures.

Conditions. In the case where a product other than a SI-BONE product is used in the revision procedure, either as an additional or replacement implant, no replacement product or credit will be provided. This warranty is available only if the revision procedure is performed in the same facility or an associated system facility as the index procedure and within the Warranty Period. No replacement product or credit will be given if fewer than three (3) iFuse implants per side were used in the index procedure. The foregoing Warranty is available only for revision procedures completed under a new admission episode to the hospital. Revision procedures occurring at the same time as the index procedure or under the same admission to the facility as the index procedure will not be covered under this Warranty.

US Specific Information

Safe Harbor Compliance. Any replacement products or credits provided by SI-BONE under this warranty represent a price reduction that Purchaser must fully and accurately report in applicable cost reports or claims for payment filed with federal or state health care programs in accordance with the warranty safe harbor provisions of the federal anti-kickback statute set forth at 42 C.F.R. § 1001.952(g). Purchaser must provide information upon request to Medicare, Medicaid and other federal health care programs on price reductions (including free items and purchase credits) obtained as part of this warranty.

Australian Specific Information

In Australia, this warranty is administered by Device Technologies Australia Pty Ltd of 1 Garigal Road, Belrose NSW 2085, SI-BONE, Inc.’s Australian distributor (“Device Technologies”). You can contact Device Technologies by calling 1300 DEVICE (338-423) or emailing customers@device.com.au.
Nothing in this warranty affects Purchaser’s rights under the Australian Consumer Law. SI-BONE’s products may have the benefit of guarantees that cannot be excluded under the Australian Consumer Law. In circumstances where they apply, and then to the extent Purchaser’s rights can be limited in accordance with the Australian Consumer Law, Purchaser is entitled to a replacement or refund for a major failure and for compensation for any other reasonably foreseeable loss or damage. Purchaser is also entitled to have the goods repaired or replaced if the products fail to be of acceptable quality and the failure does not amount to a major failure.

Claims Procedure (Australia)

In order to receive the benefits of the Warranty under this Agreement, Purchaser must, within thirty (30) days after the revision procedure wherein either (i) the Eligible Product was replaced or supplemented with additional implants, or (ii) a revision procedure was performed without additional implants, have submitted a request for warranty replacement or credit to Device Technologies. The request shall be accompanied by: (i) the receipt or invoice for the Eligible Product for which the credit or replacement product is sought; and (ii) a certification signed by the revising surgeon describing the failure and certifying that the index procedure was, to the best of such revising surgeon’s knowledge, performed in accordance with the iFuse Instructions for Use using a minimum of three (3) iFuse implants per side, that the revision did not become necessary as a result of the patient’s failure to follow post-operative instructions, and that that utilization of products for which the warranty claim is being made was medically necessary. SI-BONE reserves the right to reject any warranty claim that fails to satisfy the requirements of these claim procedures.

Updated 7/10/2023


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