eTRAX End User Survey

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* 3. Product(s) Used

Tracking bracket

General purpose sensor

Tracking bracket with guidance

Endocavity tracking bracket

12GA eTRAX™

14GA eTRAX™

16GA eTRAX™

18GA eTRAX™

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* 4. Item Number(s) Used

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* 5. Procedure(s) Performed

Core biopsy

Fine needle aspiration (FNA)

Drainage or aspiration

Drain placement

Ablation

Other (please specify)

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* 6. Anatomy Targeted

Abdomen

Pelvis

Liver

Kidney

Prostate

Thyroid

Other (please specify)

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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 use of the needle tip tracking system during the procedure.	Based on product design, rate the ease of use of the needle tip tracking system during the procedure. 1-Low Satisfaction	Based on product design, rate the ease of use of the needle tip tracking system during the procedure. 2	Based on product design, rate the ease of use of the needle tip tracking system during the procedure. 3	Based on product design, rate the ease of use of the needle tip tracking system during the procedure. 4	Based on product design, rate the ease of use of the needle tip tracking system during the procedure. 5-High Satisfaction
Comment
Based on product design, rate the ease of eTRAX set-up in the clinical setting.	Based on product design, rate the ease of eTRAX set-up in the clinical setting. 1-Low Satisfaction	Based on product design, rate the ease of eTRAX set-up in the clinical setting. 2	Based on product design, rate the ease of eTRAX set-up in the clinical setting. 3	Based on product design, rate the ease of eTRAX set-up in the clinical setting. 4	Based on product design, rate the ease of eTRAX set-up in the clinical setting. 5-High Satisfaction
Comment
How satisfied are you with the quality of this product?	How satisfied are you with the quality of this product? 1-Low Satisfaction	How satisfied are you with the quality of this product? 2	How satisfied are you with the quality of this product? 3	How satisfied are you with the quality of this product? 4	How satisfied are you with the quality of this product? 5-High Satisfaction
Comment
Rate your satisfaction with how well the eTRAX sensor tracked the needle tip during the procedure.	Rate your satisfaction with how well the eTRAX sensor tracked the needle tip during the procedure. 1-Low Satisfaction	Rate your satisfaction with how well the eTRAX sensor tracked the needle tip during the procedure. 2	Rate your satisfaction with how well the eTRAX sensor tracked the needle tip during the procedure. 3	Rate your satisfaction with how well the eTRAX sensor tracked the needle tip during the procedure. 4	Rate your satisfaction with how well the eTRAX sensor tracked the needle tip during the procedure. 5-High Satisfaction
Comment

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

Yes (if yes, please explain in Comment box below)

Comment

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

CIV-Flex™

PEELSafe Advantage™

Envision™

Polyethylene

Surgi-Tip™

Latex

System drape

Other (please specify)

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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)

1-Low Satisfaction

5-High Satisfaction

N/A

1-Low Satisfaction

5-High Satisfaction

N/A

Comment

eTRAX End User

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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)

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

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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.