Surgeon Feedback Form

Surgeon Name:(*)

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Date(*)

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Hospital(*)

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Procedure(*)

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Current Monopolar Product Use:

What monopolar electrode and generator do you currently use for this procedure? (*)

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What do you like about current product? (*)

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What do you dislike about current product? (*)

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Which JINGYI Monopolar Plasma Scalpel was used?(*)

PS06-01D: Plasma Surgical Scalpel, Arrow-shaped head. Ceramic coated.PS-02: Plasma Surgical Scalpel, Knife-shaped head. Ceramic coated. Please enter a value

Comments (please rate & add comments as required):

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1. Packaging:(*)

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Comments about Packaging:

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2. How did you find the ergonomics of the Scalpel? (*)

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Comments about ergonomics of the scalpel:

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3. Cutting Performance: (*)

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Comments about cutting performance:

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4. Coagulation Performance:(*)

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Comments about coagulation performance

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5. General comments or suggestions (including extent of thermal damage and smoke generation compared with existing monopolar electrode): (*)

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Name of Severn Healthcare representative:

Thank you for trying the JINGYI Monopolar Plasma Scalpel.

Will you continue to use this product? (*)

YesNo Please enter a value

We distribute ENT, Otology and Neurosurgical medical products to the UK and Ireland

Name(*)

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Location(*)

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Telephone(*)

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Email(*)

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Please prove you are human by clicking the box below and by typing "HUMAN"(*)

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We would love to keep you informed about events, marketing and services from Severn Healthcare by email and post. Please let us know if you would like us to contact you by selecting one of the options below:

Yes. I would like to be kept informed.Yes but only about the service that I have inquired about.No, I don’t want to receive this information. Invalid Input

How can we help?

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Surgeon Feedback Form

Surgeon Feedback Form

ENT

NeuroSpine

Plastic and Reconstructive Microsurgery

Otology