Survey – Impala Ventilator

Dear Colleague, this is a short survey to assess your opinion about the use of the Impala Ventilator in your neonatal intensive care unit (NICU). The participation in the survey takes about 5 minutes of your time.

A. General Information

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

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

4. How many years have you been using Impala Ventilator at your unit?

B. Device Performance

5. The devices consistently deliver the set Pressures (PIP and PEEP)(required)

6. The delivered Tidal Volume (Vt) match what you set on the screen(required)

7. Oxygen concentration (FiO₂) stable during treatment(required)

C. Usability & Alarms

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

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

11. Cleaning and maintenance is easy(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. Does the Impala effectively maintain adequate ventilation for patients requiring continuous support?(required)

Yes, consistently Yes, mostly No, often requires switching to another ventilator Not sure

17. In your observation, does the device synchronize well with the patient’s spontaneous breathing (e.g., not “fighting” the ventilator)?(required)

Yes, good synchrony Yes, acceptable synchrony No, frequent asynchrony/fighting Not sure

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

Your message has been sent