Ethicon survey

Hospital Name

Surgeon Name

Surgeon Address

Surgeon Phone Number

Surgeon Speciality Orthopedics Plastics General Surgery Ophthalmic

Procedure Type?

Number of Procedures per week?

Wound closure preference Ethicon BBraun Covidien

If none of the above brands please specify

Does the surgeon use Topical Skin Adhesives Dermabond Advanced Dermabond Prineo

If none of the above brands please specify

Does the surgeon use Knotless Tissue Control Devices (Barbed Suture) Stratafix V-Loc

If none of the above brands please specify

Are you familiar with the Antibacterial suture Options and the benefits for improving Surgical Site infections? Yes No

Does the Surgeon practice at other private or Public facilities? Public Private

Which facilities?

Would your facility like education or further support of any kind? Suture consolidation review In-servicing/training Product Education Training

EBOS Group Australia Pty Ltd (EBOS Healthcare) collects your personal information (PI) for the purposes of responding to your query, including to provide you with information about EBOS Healthcare’s products and services. For these purposes, EBOS Healthcare may disclose your PI to our related bodies corporate and third parties contracted to us. If you do not provide this information, we may not be able to respond to your query. Our Privacy Policy contains further information on how we collect, hold and use your PI.

I consent to my information being collected and have read and understood the Privacy Policy Yes

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