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 oneModelPrimary F&A Instrumentation used: Stryker Smith & Nephew Linvatec Arthrex Other Select oneModelPrimary Hip Instrumentation used: Stryker Smith & Nephew Linvatec Arthrex Other Select oneModelPositioning 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
