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 5 minutes of your time.

A. General Information

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

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

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

7. Overall clinical performance is as intended use(required)

C. Usability & Alarms

8. Device is easy to setup and operate(required)

10. Instructions for Use (IFU) are clear(required)

D. Safety

12. Have you observed any unexpected side effects during use?(required)

Yes No

Comment

13. Have you encountered any device malfunctions?(required)

Yes No

Comment

E. Misuse / Off-Label Use

14. Have you observed any misuse?(required)

Yes No

Comment

15. Have you observed off-label use?(required)

Yes No

Comment

F. Clinical Benefit

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 the Beluga provide more consistent pressure delivery (PIP/PEEP) compared to manual self-inflating bags?(required)

17. Does the device effectively facilitate chest rise and stabilization of the infant during the first 10 minutes of resuscitation?(required)

Yes, consistently Yes, mostly No Not sure

18. Share with us any issues that you experienced with the device:

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