Thank you in advance for your confidential feedback.

How many Sorin heater-cooler devices have you purchased? 

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

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.)

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* 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.)

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

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

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

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* 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?

What are you using to fill the instruments?

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

Has unsterile water ever been used to fill the instruments?

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

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

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

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