Survey – Otter Warmer – LifeKit by MTTS

SURVEY – OTTER WARMER

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

Your feedback is very important for us.

A. GENERAL INFORMATION

1. Hospital Name

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

3. How many patients per year (approximately) received treatment with conductive warmers in your unit? *

4. How many years have your unit been using Otter Warmer? (below 1 year, input 0) *

B. DEVICE PERFORMANCE

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

5. Delivered surface temperature is consistent *

6. Overall clinical performance meets expectations (keep patients normothermic) *

C. USABILITY AND ALARMS

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

7. Ease of setup and operation *

8. Clarity and usefulness of alarms *

9. Clarity of the Instructions for Use (IFU) *

10. Ease of cleaning and maintenance *

D. SAFETY

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

If Yes, provide details:

12. Have you encountered any device malfunctions? *YesNo

If Yes, provide details:

E. MISUSE / OFF-LABEL USE

13. Have you observed any misuse? *YesNo

If Yes, provide details:

14. Have you observed any use outside of its intended purpose? *YesNo

If Yes, provide details:

F. CLINICAL BENEFITS

NOTE: The following questions should be based on general clinical observations from therapy.

15. Do neonates typically maintain normothermia (36.5oC-37.5oC) during Otter Warmer therapy? *Yes, consistentlyYes, sometimesNoNot sure

16. In your clinical observation, does the patient generally stabilize from hypothermia within the first 12 hours of therapy? *Yes, clear stabilizationYes, moderate stabilizationMinimal stabilizationNo improvementNot sure

G. If available, please record some unidentified sample cases below:

Patient 1

Set Temperature

T0 (Initial)

T1 (after 5 minutes)

T2 (after 10 minutes)

Patient 2

Set Temperature

T0 (Initial)

T1 (after 5 minutes)

T2 (after 10 minutes)

Patient 3

Set Temperature

T0 (Initial)

T1 (after 5 minutes)

T2 (after 10 minutes)

Please share any comments or issues about the device: