PMS 3D Bond™ PMS 3D Bond™ 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 – 3D Bond™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 and 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 performance3D Bond™ was easy to use during the procedure 5 high score 4 3 2 1 low score Using 3D Bond™ reduced procedure time 5 high score 4 3 2 1 low score 3D Bond™ 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 Would you rather use 3D Bond as: Composite graft mixed with other grains Standalone Both 3D Bond™ by itself (not as a composite graft)Have you used 3D Bond™ in the following clinical cases?As a barrier or a membrane Yes No Socket preservation Yes No Other: Overall clinical success 5 high score 4 3 2 1 low score 3D Bond™ as a composite graft (used with others granules)Did you use an Autograft granules? Yes No What product? Did you use an Allograft granules? Yes No What product? Did you use an Xenograft granules? Yes No What product? Did you use an some other granules? Yes No What product? What is the volume ratio between 3D bond™ powder and the granules you used? 4:1 (3D Bond™ : Granules) 2:1 1:1 other Other – Specify Have you used 3D Bond™ as a composite in the following clinical cases?Vertical augmentation No Yes Horizontal augmentation No Yes Lateral augmentation No Yes Sinus augmentation No Yes Defects higher than 10 mm with less than 3 bony walls No Yes Augmentation around implant with immediate implant placement No Yes Other – Specify 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 3D Bond™ in the future? Yes No Will you recommend 3D Bond™ 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
