Required Legal and Compliance Disclaimers
Use and Purpose of this Questionnaire
This questionaire is designed solely to gather non-clinical workflow insights, identify unmet needs in MIS / laparoscopic surgery and assess opportunities for product development. It is not a sales, promotional, or marketing activity.
No Patient Data / No PHI Collection ( HIPAA Compliant )
No patient-identifying data should be provided in your response. Please do not reference specific patient cases or include PHI of any kind.
Voluntary and Unpaid Participation
Participation in this questionaire is voluntary and unpaid. You may skip any question or stop participation at any time.
Completion of this questionaire does not create an obligation or guarantee of future paid consulting engagements.
Future Expert Panels / Paid Insight Sessions
if you are selected to participate in a 30 minute structured interview or 30 minute round-robin:
- Compensation will be offered at Fair Market Value ( FMV )
- Compensation will be for bonafide advisory or expert insight
- Compensation is not tied to product use, purchase behavior, or clinical preference
- Participation will require a separate consulting agreement
- Activities will comply with AKS, Stark, Sunshine Act, and relevant global regulations
Independence and Conflict of Interest Statement
Your response should reflect your independent clinical judgement and experience. No response should reflect or imply product endorsement.
Device Status Disclaimer
Any concepts discussed may relate to products still in development, not yet FDA / CE cleared, and not approved for clinical use. There is no expectation to adopt, test, or evaluate any device clinically.
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