Thank you in advance for your confidential feedback.

Question Title

* 1. How many Sorin heater-cooler devices have you purchased? 

Question Title

* 2. Please list the model name and purchase date (or approximate date) and indicate if purchased new or used. (If purchased more than one unit, please list each with same information.)

Question Title

* 3. Did you receive the Sorin Group Field Safety Notice (Date June 15, 2015)?

Question Title

* 4. Are you currently using the disinfection/cleaning protocol recommended by Sorin?  Attachment 1 of the Field Safety Notice.  If yes, when did this start?

Question Title

* 5. What are you using to fill the instruments?

Question Title

* 6. Has unsterile water ever been used to fill the instruments?

Question Title

* 7. What disinfection/cleaning protocol were you using prior to Sorin's Field Safety Notice?  Please describe.

T