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* 1. Country

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* 2. Facility

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* 3. Product(s) Used

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* 4. Item Number(s) Used

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* 5. Procedure(s) Performed

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* 6. Anatomy Targeted

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* 7. Rate satisfaction on a scale of 1 to 5 (1 being the lowest level of satisfaction & 5 being the highest level of satisfaction)

  1-Low Satisfaction 2 3 4 5-High Satisfaction
Based on product design, rate the ease of VirtuTRAX set-up in the clinical setting.
Based on product design, rate the ease of use of VirtuTRAX during the procedure.
How satisfied are you with the quality of this product?
Rate your satisfaction with VirtuTRAX device tracking during the procedure.

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* 8. Based on your clinical expertise, do you believe there is added patient risk associated with the use of this virtual tip tracking device?

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* 9. Which ultrasound cover was used on the transducer during the procedure?

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* 10. How well did the ultrasound cover serve as a sterile barrier? (Rank satisfaction with 1 being the lowest and 5 being the highest)

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* 11. Please provide your email address in order for CIVCO to respond to any concerns.

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