As part of Osteotec’s continuing post market surveillance, we would appreciate it if you could complete and return the following questionnaire, relating to products purchased during the last 12 months.

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* 1. Which Osteotec product was used?

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* 2. Name of the hospital.

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* 3. Name of the surgeon.

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* 4. What was the age of the patient?

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* 5. What was the gender of the patient?

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* 6. Are you satisfied with the surgical technique?

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* 7. Did you experience any problems or difficulties when using the device?

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* 8. Does the device meet the intended use?

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* 9. Are you satisfied with the instructions and labelling?

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* 10. If you undertook any clinical monitoring (X-rays, or other follow-up) that could be used to assist with our Post-Market Surveillance, would you be willing to collaborate in the next 12 months?

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