FibDex Feedback - biomedicals-form.upm.com

FibDex® Feedback Form

Before using FibDex®, please check instructions for use! I have read IFU

First name

Last name

Email

Which of these describes your role the best? Doctor Nurse Other

If 'other', please specify:

Hospital

Dressing FibDex 10x10cm
FibDex 15X20cm
FibDex 20x30cm

Lot number (if available)

1. Operation

2. How the dressing was used (e.g. moistened, attached, secondary dressing etc)?

3. Fibdex is suitable for this procedure Well Partially Poorly

Please explain why?

4. Compared to the current solution FibDex is Better Equal Not as good

Present solution in use

5. Based on this experience, are you willing to continue using the product? Yes Maybe No

6. Overall feedback of FibDex

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Yes, please send me updates and news about events, webinars, publications and products.

Would you like to be introduced to your local distributor for technical and product support? Yes