PMS Bond Apatite® PMS Bond Apatite® Dear customer, Augma Biomaterials is committed to ensure the highest level of quality for all its products and services. In order to reevaluate our products and our striving for improvement, we kindly ask your feedback. This questionnaire aims to enable us an evaluation of safety, effectiveness, convenience, quality and clinical success of our products. Augma Biomaterials appreciate your time and your cooperation.User detailsName* Title:* Dentist Assistant Company/Clinic name Phone numberAddress Email* Professional backgroundOverall dental experience: More than 20 years 10-20 years Less than 10 years Special degree: Yes No Please elaborate Experience with dental bone grafts: More than 20 years 10-20 years Less than 10 years Frequency of augmentation procedure: <1 per month 2-10 per month 11-20 per month >20 per month Clinical Questionnaire – Bond Apatite®Instruction for useDid you manage to access Augma’s website via the barcode scanning/or URL address inserting? Yes No Specify reason Did you access the e-IFU from a computer or mobile phone Computer Mobile Phone Did you manage to view/ download the desired IFU? Yes No Specify reason Was the e-IFU well displayed? Yes No Specify reason Did you request a printed paper (physical copy) of the IFU? Yes No If you requested a physical copy, did you receive it within 7 calendar days? Yes No Please rank your user experience with the e-IFU platform 5 high score 4 3 2 1 low score Have you read the instruction for use before using? Yes No Instruction are easy to understand 5 high score 4 3 2 1 low score Material handling was as described 5 high score 4 3 2 1 low score GuidanceHave you passed training prior to use? Yes No Have you used a DEMO prior to use? Yes No How did you learn to use the material? hands-on guidance Instruction for use colleagues conferences website Other Please Explain Is there more information you would like Augma to provide? Yes No Please elaborate Strength and weaknessesQuality and safety 5 high score 4 3 2 1 low score Handling end ease of use 5 high score 4 3 2 1 low score Clinical performance 5 high score 4 3 2 1 low score Innovation 5 high score 4 3 2 1 low score Price 5 high score 4 3 2 1 low score Clinical performanceBond Apatite® was easy to use during the procedure 5 high score 4 3 2 1 low score Using Bond Apatite® reduced procedure time 5 high score 4 3 2 1 low score Bond Apatite® remains pliable after mixing, which allowing handling time to complete the bone reconstruction procedure 5 high score 4 3 2 1 low score Setting time Too long Appropriate Too short Clinical casesHave you used Bond Apatite® in the following clinical cases?Sinus augmentation Yes No Periodontal defect Yes No Dehiscence, fenestrations Yes No Alveolar ridge augmentation Yes No Horizontal defect (and crest widening) Yes No Filling bony defects pre implant placement Yes No Filling of cyst cavities Yes No Augmentation around implant with immediate implant placement Yes No Other: Overall clinical success 5 high score 4 3 2 1 low score Follow upWas follow up performed post augmentation procedure? Yes No After ______ months post augmentation Are you satisfied from bone quality at the implantation site during follow up? Yes No How long post bone augmentation procedure had you placed the implant? Less than 3 months 3 months 6 months The overall augmentation procedure was successful Yes No SummaryWill you consider using Bond Apatite® in the future? Yes No Will you recommend Bond Apatite® to others? Yes No Open questions:Have you encountered risks or safety issues relating to device usage?Have you encountered any major usability issues?Have there been any un-anticipated adverse events during your use of the product (related to patients, handling, safety or other)?Comments: Δ
