Survey – Beluga Resuscitator

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SURVEY – BELUGA RESUSCITATOR

Dear Colleague, this is a short survey to assess your opinion about the use of the Beluga Resuscitator in your neonatal intensive care unit (NICU). The participation in the survey takes about 10 minutes of your time.

Your opinion is very important for us.

A. GENERAL INFORMATION

1. Hospital Name *

2. How many years have you been working in NICU? *

3. How many patients per year (approximately) do you treat with resuscitator at your NICU? *

4. How many years have you been using Beluga Resuscitator at your unit? *

B. DEVICE PERFORMANCE

Rate your experience by selecting number of stars: (1 = strongly disagree; 5 = strongly agree).

5. Consistency of delivered Peak Inspiratory Pressure (PIP) *

6. Consistency of delivered Positive End-Expiratory Pressure (PEEP) *

7. Overall clinical performance meets expectations *

C. USABILITY AND ALARMS

Rate your experience by choosing number of stars: (1 = strongly disagree; 5 = strongly agree).

8. Ease of setup and operation *

9. Clarity and usefulness of alarms *

10. Clarity of Instructions for Use (IFU) *

11. Ease cleaning and maintenance *

D. SAFETY

12. Have you observed any unexpected side effects during use? *YesNo

If Yes, please describe:

13. Have you encountered any device malfunctions? *YesNo

If Yes, please describe:

E. MISUSE / OFF-LABEL USE

14. Have you observed any misuse? *YesNo

If Yes, please describe:

15. Have you observed off-label use? *YesNo

If Yes, please describe:

F. CLINICAL BENEFITS

NOTE: Following questions should base on your general clinical observations of therapy. Patient data or measured outcomes are not requested.

16. In your clinical observation, does Beluga provide more consistent pressure delivery (PIP/PEEP) compared to manual self-inflating bags? *Yes, significantly more consistentYes, slightly more consistentNo, comparable to bag-and-maskNo, less consistentNot sure

17. Does the device effectively facilitate chest rise and stabilization of the infant during the first 10 minutes of resuscitation? *Yes, consistentlyYes, mostlyNot sure

Have you experienced any issues with the device you’d like to share: