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Surgeon Activity Log
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1.
Your Name
(Required.)
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2.
Which activity did you complete?
(Required.)
Train surgeon’s or clinicians on Innovasis products
Product development meeting with Innovasis
Train visiting residents and fellows on Innovasis products
Train sales reps, engineers, or other industry professionals on Innovasis products
Product evaluation in cadaveric environment
Product evaluation operating room settings
Hosted Grand Rounds event
Participated in Alpha phase of system commercialization
Drafting and publishing papers, posters, or other written material for Innovasis
Evaluation of Innovasis Marketing materials
A comprehensive review of Surgical Technique Guide (STGs)
Complete publication/literature reviews at the direction of Innovasis
Conduct final review of all podium presentations drafted for delivery at society meetings
Industry meeting preparations
Publishing committee for HA data registry
3.
Did you fill out a Product Feedback Survey?
Yes
No
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4.
How many hours did it take?
(Required.)
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5.
Did you travel on behalf of Innovasis?
(Required.)
Yes
No
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6.
If so what were the dates?
(Required.)
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7.
Which Innovasis Employee was attendance (Check all that apply)?
(Required.)
Andy Curtis (Product Development)
Joey Davis (Product Manager)
Sean Whetton (Product Manager)
David Oka (Business Development)
Mark Whittington (Engineer)
Brandon Walker (Engineer)
Jeremy Heiser (Engineer)
Ron Groberg (Director of Engineering)
Mike Mindala (Engineer)
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8.
Summary
(Required.)
9.
Upload any documents, if applicable. (Size Limit is 15MB)
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No file chosen
Upon submission, your request will go through a small approval process. Please be patient as we process your request. Thank you again for your collaboration.