Survey | Qualtrics Survey Software

SURVEY NUMBER: (administrator office purposes only)

DATE OF SURVEY: (mm/dd/yyyy)

Thank you for your interest in completing this survey and sharing your preferences related to diagnostic and therapeutic imaging and injector use. Your participation will enable us to better meet your needs and those of your peers in the future.

All information you share with us will be treated confidentially and your input will be compiled anonymously.

This survey is divided into three sections:

Section A provides us with background information and will help us categorize your responses.

Section B asks questions with regard to how important certain factors are to you. In addition, you are asked to rank order only the factors that you indicate are "extremely important”.

Section C asks a series of two-part questions based on how you would feel if a certain capability existed, or if a certain capability was not present.

SECTION A

2. What category best fits your institution?

University (Teaching)

Government

Community (US) or Private (Europe)

Outpatient Only Clinic

Other Please Specify

3. What is the number of beds in your institution?

Not applicable (non-hospital)

Less than 200 beds

200 to 399 beds

Greater than 400 beds

4. What types of procedures do you perform? (Select all that apply)

Diagnostic

Intervention (Device-based)

Intervention (Pharmacologic-based)

5. What best describes your position?

Physician

Technologist

Nurse

Other (please specify)

6. What is the brand of the injector you use? (Select all that apply)

Acist

LF Illumena

Medrad Avanta

Medrad ProVis

Imaxeon Avidia (Outside of U.S.)

Nemoto (Japan only)

SheenMan (Japan only)

Ulrich (Germany only)

Manual injections

Other Please Specify

Do not know

8. What is the highest Flow Rate (in mL/sec) that you have used recently during a procedure?

less than 20 mL/sec

a highest flow rate of 20 to 29 mL/sec

30 to 39 mL/sec

a highest flow rate of 40 mL/sec and above

9. What is the highest pressure (in psi) that you have used during a procedure?

less than 600 psi

600 to 1000 psi

Higher than 1000 psi

Please provide this information:

Your Name:

Your preferred email address:

SECTION B

Instructions: For each of the following questions, you will be asked "How important is it if…” followed by a statement. Please complete the statement using the rating scale:

            Not at all important        (1)

Somewhat important      (2)

            Important                      (3)

            Very Important              (4)

            Extremely important       (5)

Finally, please rank the top 2 requirements that you indicate are "extremely important” in order of their relative importance to you. In other words, of those entries rated with a "5", please designate the most important as “1” and the next most important as “2”. You do not need to rank beyond a "2".

AS AN EXAMPLE:

Example 1 - "How important is it if you could store more numbers in your cell phone?"

You would then answer with your input (e.g., 1 for "not at all important", 2 for "somewhat important", etc.).

If you think “It is not an issue” or “It is not important”, please classify that  the same as “Not at all important” or a "1". If you think it is not applicable, then please leave your response blank.

Example 2 - You choose both factor 1 and factor 3 as "Extremely important" -- these would be rated with the number "5." You then rank requirement 3 as the most important = 1, and requirement 1 as the next most important = 2. We only need the top two ranked factors if more than two factors have been rated “5.”

How important is it if:

                                               Use the following Rating Scale

                                                                                                 1 = Not at all important
                                                                                                 2 = Somewhat important
                                                                                                 3 = Important
                                                                                                 4 = Very important
                                                                                                 5 = Extremely important

How important is it if:

                                               Use the following Rating Scale

                                                                                                 1 = Not at all important
                                                                                                 2 = Somewhat important
                                                                                                 3 = Important
                                                                                                 4 = Very important
                                                                                                 5 = Extremely important
Rating Ranking
1. you could have less physical interference between your cables and either people or other equipment in the room?
2. your injector interfered less with the imaging equipment in the procedure room, for example physically and/or visually?
3. you could have more flexibility in mounting your injector?
4. you could move your injector with less effort (force, time, and steps) within the procedure room (within the injector configuration)?
5. you could fully operate your injector with less training?
6. you could set up your injector for a procedure with less effort (time and steps)?
7. you could complete the procedure with less interaction with your injector?
8. you could refill your syringe with less impact on the procedure (i.e., safety, steps, time)?
9. you could use injector settings, in terms of view & control, from more than one location with less effort?
10. you could confirm the status of the injector with less effort?
11. you could obtain injection information with less effort?
12. you could remove your syringe with less fluid spillage (e.g. contrast, contrast contaminated with blood, etc.)?
13. you had fewer incidences of delivering fluid external to your patient during a procedure, e.g. sprayed all over the place or drips?
14. you could minimize the potential of air injected into your patient?
15. you could deliver fluid to a patient with greater safety to both the patient and yourself?
16. you could refill the contrast media within the sterile field with less contamination of the sterile field ?
17. you could deliver multiple fluids (such as saline, contrast, and other drugs) during the same procedure with less effort (time and steps)?
18. you could repeatably obtain better image quality when using your injector?
19. you could adjust the flow rate with less effort during an injection?
20. you had greater up-time of the injector?
21. you could cause less patient stress related to the injector (e.g. equipment size, etc.)?

PLEASE DO NOT FORGET TO REVIEW THE ABOVE CHART TO RANK ORDER YOUR TOP TWO CHOICES FOR THOSE FACTORS YOU MARKED AS “EXTREMELY IMPORTANT” (5).

Review the answers that are a "5",

and identify the most important (designate as a “1”)

and the second most important (designate as a “2”).

SECTION C

Instructions: In this section we want to assess the criticality of certain product capabilities by asking you about pairs of multiple-choice questions. The first question in each pair asks how you would feel if the product included a particular capability to an extent greater than you have that capability today; the second question in each pair asks how you would feel if you had less of that capability than you have today. It is critical to our survey results that you answer both the (a) and (b) parts for each question.

Instructions:

PLEASE READ THE SCALE IN THE HEADING OF THE TABLE BELOW  - WHEN THE RATINGS ARE CLEAR TO YOU ANSWER THE QUESTIONS BELOW - Place an X in the column that corresponds with your answer to each question. If it is not applicable leave it blank.

If you feel “I am neutral” "3", make sure you distinguish between if you are truly neutral OR is this is not applicable (leaving it blank). Responses such as “It is not an issue” or “I have completely solved this” are the same as “I am neutral” "3".

How would you feel if:

How would you feel if:
I would be delighted to find it that way (1)    I expect it to be that way (2)   I am neutral (3)   I would not like it that way but I can live with it that way (4)   It must not be that way (5)
1a. you could have less physical interference between your cables and either people or other equipment in the room than you have today?
1b. you had more physical interference between your cables and people and other equipment in the room than you have today
2a. your injector interfered less with the imaging equipment in the procedure room than it does today (physical and/or visual)?
2b. you had more interference than you have today?
3a. you could have more flexibility in mounting your injector than you have today?
3b. you had less flexibility than you have today?
4a. you could move your injector with less effort (force, time, and steps) within the procedure room (within the injector configuration) than you can today?
4b. it took more effort than it does today?
5a. you could fully operate your injector with less training than you need today?
5b. you needed more training to fully operate your injector than today?
6a. you could set up your injector for a procedure with less effort (time and steps) than you can today?
6b. it took more effort than today?
7a. you could complete the procedure with less interaction with your injector than you can today?
7b. it took you more interaction with your injector than it does today?
8a. you could refill your syringe with less impact on the procedure (i.e., safety, effort, time) than you can today?
8b. refilling your syringe had more impact on the procedure than it does today?
9a. you could use injector settings (view & control) from more than one location with less effort than you can today?
9b. it took more effort than it does today?
10a. you could confirm the status of the injector with less effort than you can today?
10b. it took more effort to confirm the status of the injector than today?
11a. you could obtain injection information with less effort than you can today?
11b. it took more effort to obtain injection information than it does today?
12a. you could remove your syringe with less fluid spillage (e.g. contrast, contrast contaminated with blood) than you have today?
12b. you had more fluid spillage when you remove your syringe than you have today?
13a. you had fewer incidences of delivering fluid external to your patient (sprayed all over the place or drips) during a procedure than you have today?
13b. you had more incidences of spraying or dripping fluid than you have today?
14a. you could further minimize the potential of air injected into your patient than you can today?
14b. you had less ability to minimize the potential of air injected into your patient than you have today?
15a. you could deliver fluid to a patient with greater safety to either the patient or yourself than you have today?
15b. you delivered fluid to a patient with less safety to either the patient or yourself than you have today?
16a. you could refill the contrast media within the sterile field with less contamination (of the sterile field) than you can today?
16b. you had more contamination than you have today?
17a. you could deliver multiple fluids (such as saline, contrast, and other drugs) during the same procedure with less effort (time and steps) than you can today?
17b. it took more effort to deliver multiple fluids during the same procedure than it does today?
18a. you could repeatably obtain better image quality when using your injector than you can today?
18b. you achieved less image quality on a repeatable basis than you can today?
19a. you could adjust the flow rate with less effort during an injection than you can today?
19b. it took more effort than today?
20a. you had greater up-time than you have today?
20b. you had less up-time than you have today?
21a. you could cause less patient stress related to the injector (e.g. equipment size, etc.) than you can today?
21b. you had less ability to reduce the patient stress related to the injector than you have today?

Thank you for participating in our survey.

We appreciate you investing the time to help us better understand your needs. All information you shared with us will be treated confidentially and your input will be compiled anonymously.

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YOUR SURVEY.

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Enjoy the remainder of your day.

			Rating	Ranking
1. you could have less physical interference between your cables and either people or other equipment in the room?
2. your injector interfered less with the imaging equipment in the procedure room, for example physically and/or visually?
3. you could have more flexibility in mounting your injector?
4. you could move your injector with less effort (force, time, and steps) within the procedure room (within the injector configuration)?
5. you could fully operate your injector with less training?
6. you could set up your injector for a procedure with less effort (time and steps)?
7. you could complete the procedure with less interaction with your injector?
8. you could refill your syringe with less impact on the procedure (i.e., safety, steps, time)?
9. you could use injector settings, in terms of view & control, from more than one location with less effort?
10. you could confirm the status of the injector with less effort?
11. you could obtain injection information with less effort?
12. you could remove your syringe with less fluid spillage (e.g. contrast, contrast contaminated with blood, etc.)?
13. you had fewer incidences of delivering fluid external to your patient during a procedure, e.g. sprayed all over the place or drips?
14. you could minimize the potential of air injected into your patient?
15. you could deliver fluid to a patient with greater safety to both the patient and yourself?
16. you could refill the contrast media within the sterile field with less contamination of the sterile field ?
17. you could deliver multiple fluids (such as saline, contrast, and other drugs) during the same procedure with less effort (time and steps)?
18. you could repeatably obtain better image quality when using your injector?
19. you could adjust the flow rate with less effort during an injection?
20. you had greater up-time of the injector?
21. you could cause less patient stress related to the injector (e.g. equipment size, etc.)?

			I would be delighted to find it that way (1)	I expect it to be that way (2)	I am neutral (3)	I would not like it that way but I can live with it that way (4)	It must not be that way (5)
1a. you could have less physical interference between your cables and either people or other equipment in the room than you have today?
1b. you had more physical interference between your cables and people and other equipment in the room than you have today
2a. your injector interfered less with the imaging equipment in the procedure room than it does today (physical and/or visual)?
2b. you had more interference than you have today?
3a. you could have more flexibility in mounting your injector than you have today?
3b. you had less flexibility than you have today?
4a. you could move your injector with less effort (force, time, and steps) within the procedure room (within the injector configuration) than you can today?
4b. it took more effort than it does today?
5a. you could fully operate your injector with less training than you need today?
5b. you needed more training to fully operate your injector than today?
6a. you could set up your injector for a procedure with less effort (time and steps) than you can today?
6b. it took more effort than today?
7a. you could complete the procedure with less interaction with your injector than you can today?
7b. it took you more interaction with your injector than it does today?
8a. you could refill your syringe with less impact on the procedure (i.e., safety, effort, time) than you can today?
8b. refilling your syringe had more impact on the procedure than it does today?
9a. you could use injector settings (view & control) from more than one location with less effort than you can today?
9b. it took more effort than it does today?
10a. you could confirm the status of the injector with less effort than you can today?
10b. it took more effort to confirm the status of the injector than today?
11a. you could obtain injection information with less effort than you can today?
11b. it took more effort to obtain injection information than it does today?
12a. you could remove your syringe with less fluid spillage (e.g. contrast, contrast contaminated with blood) than you have today?
12b. you had more fluid spillage when you remove your syringe than you have today?
13a. you had fewer incidences of delivering fluid external to your patient (sprayed all over the place or drips) during a procedure than you have today?
13b. you had more incidences of spraying or dripping fluid than you have today?
14a. you could further minimize the potential of air injected into your patient than you can today?
14b. you had less ability to minimize the potential of air injected into your patient than you have today?
15a. you could deliver fluid to a patient with greater safety to either the patient or yourself than you have today?
15b. you delivered fluid to a patient with less safety to either the patient or yourself than you have today?
16a. you could refill the contrast media within the sterile field with less contamination (of the sterile field) than you can today?
16b. you had more contamination than you have today?
17a. you could deliver multiple fluids (such as saline, contrast, and other drugs) during the same procedure with less effort (time and steps) than you can today?
17b. it took more effort to deliver multiple fluids during the same procedure than it does today?
18a. you could repeatably obtain better image quality when using your injector than you can today?
18b. you achieved less image quality on a repeatable basis than you can today?
19a. you could adjust the flow rate with less effort during an injection than you can today?
19b. it took more effort than today?
20a. you had greater up-time than you have today?
20b. you had less up-time than you have today?
21a. you could cause less patient stress related to the injector (e.g. equipment size, etc.) than you can today?
21b. you had less ability to reduce the patient stress related to the injector than you have today?