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Redirect Handle Limited Launch
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1.
Representative Name
(Required.)
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2.
Surgeon Name
(Required.)
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3.
Date of surgery:
(Required.)
Date
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
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4.
Reason for Redirect System utilization, include bone quality of the patient.
(Required.)
*
5.
Location the Redirect System was used:
(Required.)
S1 corridor
S2 corridor
Other (please specify)
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6.
Shaft type used?
(Required.)
Standard
Flexible
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7.
Rate shaft loading experience.
(Required.)
Easy
Moderate difficulty
Hard
If moderately difficult or hard, please explain.
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8.
Which wire was used with the Redirect System?
(Required.)
Steerable Guidewire
Drill Wire
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9.
Rate your experience introducing the shaft over the guidewire.
(Required.)
Easy
Moderate difficulty
Hard
If moderately difficult or hard, please explain.
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10.
What size Flexible Drill did you use?
(Required.)
6.0
6.5
Other
If other, please explain.
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11.
Did the Redirect System help you position and maintain the wire in the desired position?
(Required.)
Yes
No
If no, please explain.
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12.
Was the Steerable Guide Sleeve Used?
(Required.)
Yes
No
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13.
Did you use any of the following instruments to maintain wire position when removing the Redirect System? (Choose all that apply)
(Required.)
Obturator
Mallet
If other, please list.
*
14.
Did the redirect system enabled you to complete a case that would otherwise have been difficult or impossible to complete without its availability?
(Required.)
Yes (please explain below)
No (please explain below)
Maybe (please explain)
Please explain
15.
Please provide any feedback or suggestions for improvement not captured above.