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Questionnaire NeoNavia Biopsy System

Please fill in one questionnaire per indication / biopsy procedure.

Please send the downloaded pdf file to: info@neodynamics.com

General Information
Hospital
Procedure Date (Day/Month/Year)		Physician initials
Indication of this procedure Breast Axillary lymph nodes Other
Needle / Probe used CorePulse FlexiPulse VacuPulse

Tissue Sampling Performance Please check one alternative per sampling attempt
	#1	#2	#3	#4	#5	#6
Very good tissue sample
Good tissue sample
Acceptable tissue sample
Very small sample (>2 mm length)
Empty sampling needle / No tissue sampled
The total tissue material was of sufficient quality and quantity according to the judgement of the physician performing the biopsy	Yes	No

NOTE: If the product does not perform as expected:

Contact the manufacturer at customerservice@neodynamics.com
Keep the device for further analysis by the manufacturer

Pulse Technology Characteristics
Did you use the pulses when penetrating tissue towards the lesion	Yes	No
Which of the following statements do you agree with? (multiple answers possible) Offers controlled needle insertion Offers accurate lesion targeting Minimized the need for manual force during needle insertion Because of the pulses the system could be my preferred choice in USG biopsy It is easy to operate The technology makes me feel more confident with technically challenging biopsies
Was it possible to place the needle at the desired sampling location?	Yes	No

Device related Criteria and Expectations
How long did it take to obtain all tissue samples with NeoNavia for this patient	< 5min	5-15min	> 15min
NeoNavia is suitable for single-handed use (no assistance required)		Yes	No
Ultrasound visibility of NeoNavia needle compared to what I usually use	Better	Equal	Worse
NeoNavia needle can be disposed with the hazardous waste container we currently use		Yes	No

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