HomeAccount Profile Log Account Profile Log Facility: Date of Case MM slash DD slash YYYY General Facility InformationVideo used: Stryker Smith & Nephew Linvatec Arthrex Olympus Other Select oneModel of Video Device: Shaver used: Stryker Smith & Nephew Linvatec Arthrex Other Select oneModel of Shaver: Pump used: Stryker Smith & Nephew Linvatec Arthrex Other Select oneModel of Pump: Radio Frequency used: Stryker Smith & Nephew Linvatec Arthrex Other Select oneModel of Radio Frequency: Primary Shoulder Instrumentation used: Stryker Smith & Nephew Linvatec Arthrex Other Select oneModel Primary F&A Instrumentation used: Stryker Smith & Nephew Linvatec Arthrex Other Select oneModel Primary Hip Instrumentation used: Stryker Smith & Nephew Linvatec Arthrex Other Select oneModel Positioning Equipment Leg Holder Beach Chair Spider T Max Trimano Other not listed Select all that applyOther not listed: Central Sterile Personnel & PositionNamePosition Add RemoveKey Scrub Techs & What Surgeons They Work WithScrub TechSurgeon Add RemoveAdministration & PositionNamePosition Add RemoveWeekly Block Surgery ScheduleMondayTuesdayWednesdayThursdayFridaySaturday Add RemoveNotes:Please provide your contact information below:Name First Last Email: Δ
