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Post-Market Follow-Up Questions
Date of C Scope procedure:
Name of doctor who performed the procedure:
What procedure was C Scope used for?
Were relevant structures clearly visualized?
*
Yes
No
How difficult was it to conduct the procedure on a scale from 1 to 5?
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How confident are you in your post-procedural diagnosis on a scale from 1 to 5?
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Were there any problems with the system used during the procedure? If so, provide details:
Were there any complications during or after the procedure? If so, provide details:
How well did the patient tolerate the procedure?
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