CooperSurgical has acquired ZyMōt Fertility, a subsidiary of DxNow, Inc. Read the full announcement here.

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Wallace OPU Needle Evaluation

Wallace OPU Needle Evaluation

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Date of this evaluation submission

DD slash MM slash YYYY

Clinic Name

Country

Account Number

Clinical Representative Name

First Last

Embryology Representative Name

Please add more names if applicable

Email of Contact Person

Product Details

Clinical Product Evaluation

Please provide your Vacuum Pump Brand Details?

What was the negative pump Pressure setting used in mmHg for each needle?

How easy was it to set up Wallace needle to your vacuum pump ?

Extremely easy	As easy as current brand	OK, but not as easy as current brand	Not easy	Unable to connect

Any additional comments regarding this question

How easy was it to insert and remove the test tube bung into and out of the test tubes during the procedure?

Extremely easy	As easy as current brand	OK, but not as easy as current brand	Not easy	Unable to connect

Any additional comments regarding this question

How easy was it to pretest the system and run a flow test prior to starting the procedure

Extremely easy	As easy as current brand	OK, but not as easy as current brand	Not easy	Unable to connect

Any additional comments regarding this question

How visible did you find the echotip marking of the needle under ultrasound?

Extremely visible better than other brands	Visible – same as other brand	Visible but preferred other brand	Poor visibility	Not visible at all

Any additional comments regarding this question

How easy (compared to current brand you use) was the needle to handle e.g. easy to hold, rotate within the ovary/follicle

Extremely easy	As easy as current brand	OK, but not as easy as current brand	Not easy, poor performance	Lowest satisfactory level

Any additional comments regarding this question

How easy did it feel to insert the needle into the ovary?

Extremely easy	As easy as current brand	OK, but not as easy as current brand	Not easy, poor performance	Lowest satisfactory level

Any additional comments regarding this question

How easy was it to access the follicles when entering the ovary?

Extremely easy	As easy as current brand	OK, but not as easy as current brand	Not easy, poor performance	Lowest satisfactory level

Any additional comments regarding this question

How easy was the flushing procedure (Only relevant if it was a Dual Lumen or Single Lumen LL code)

Extremely easy	As easy as current brand	OK, but not as easy as current brand	Not easy, poor performance	Lowest satisfactory level

Any additional comments regarding this question

How suitable was the aspiration tubing length and flexibility?

Perfect – just the right length and malleability	As good as current brand	OK, but preferred current brand	Not adequate performance	Lowest satisfactory level

Any additional comments regarding this question

How noticeable was bleeding during the procedure?

Minimal bleeding, good patient outcome	No more than I would usually experience	Slightly more than I would usually experience	Lots more than I would normally experience	Too much, patient needed surgery afterwards

Any additional comments regarding this question

On the overall performance of the needle, how satisfied were you with the Wallace needle for this patient

Extremely satisfied, better than current brand	Good performance as good as current brand	OK but prefer current brand feel	Not as easy to use, harder to control	Not satisfied, wouldn’t switch

Any additional comments regarding this question

Based on this evaluation, would you consider purchasing Wallace needles?

Yes

No

Any additional comments regarding this question

Please can you tell us how we can improve our needles or service to make them suitable for your clinical needs

Needle One

The following questions relate to the evaluation of Needle One

Lot Number

Needle One – Patient Category

<25

26-35

36-45

45-50

Needle One – Patient ID (clinic ref)

Total number of mature folilicles

Number of eggs collected

Number of mature follicles (14mm or greater)

Number of degenerate egg at dedundation (ICSI)

Number of 2 PN embryos

Number of 3PN embryos

Number of embryos that achieved Blastocyst formation

Number of embryos utilized

Was a Clinical PR achieved?

Was a LBR achieved?

Did embryo miscarry?

Needle Two

The following questions relate to the evaluation of Needle Two

Lot Number

Needle Two – Patient Category

<25

26-35

36-45

45-50

Needle Two – Patient ID (clinic ref)

Total number of mature folilicles

Number of eggs collected

Number of mature follicles (14mm or greater)

Number of degenerate egg at dedundation (ICSI)

Number of 2 PN embryos

Number of 3PN embryos

Number of embryos that achieved Blastocyst formation

Number of embryos utilized

Was a Clinical PR achieved?

Was a LBR achieved?

Did embryo miscarry?

Needle Three

The following questions relate to the evaluation of Needle Three

Lot Number

Needle Three – Patient Category

<25

26-35

36-45

45-50

Needle Three – Patient ID (clinic ref)

Total number of mature follicles

Number of eggs collected

Number of mature follicles (14mm or greater)

Number of degenerate egg at dedundation (ICSI)

Number of 2 PN embryos

Number of 3PN embryos

Number of embryos that achieved Blastocyst formation

Number of embryos utilized

Was a Clinical PR achieved?

Was a LBR achieved?

Did embryo miscarry?

Needle Four

The following questions relate to the evaluation of Needle Four

Lot Number

Needle Four – Patient Category

<25

26-35

36-45

45-50

Needle Four – Patient ID (clinic ref)

Total number of mature follicles

Number of eggs collected

Number of mature follicles (14mm or greater)

Number of degenerate egg at dedundation (ICSI)

Number of 2 PN embryos

Number of 3PN embryos

Number of embryos that achieved Blastocyst formation

Number of embryos utilized

Was a Clinical PR achieved?

Was a LBR achieved?

Did embryo miscarry?

Needle Five

The following questions relate to the evaluation of Needle Five

Lot Number

Needle Five – Patient Category

<25

26-35

36-45

45-50

Needle Five – Patient ID (clinic ref)

Total number of mature follicles

Number of eggs collected

Number of mature follicles (14mm or greater)

Number of degenerate egg at dedundation (ICSI)

Number of 2 PN embryos

Number of 3PN embryos

Number of embryos that achieved Blastocyst formation

Number of embryos utilized

Was a Clinical PR achieved?

Was a LBR achieved?

Did embryo miscarry?

Needle Six

The following questions relate to the evaluation of Needle Six

Lot Number

Needle Six – Patient Category

<25

26-35

36-45

45-50

Needle Six – Patient ID (clinic ref)

Total number of mature follicles

Number of eggs collected

Number of mature follicles (14mm or greater)

Number of degenerate egg at dedundation (ICSI)

Number of 2 PN embryos

Number of 3PN embryos

Number of embryos that achieved Blastocyst formation

Number of embryos utilized

Was a Clinical PR achieved?

Was a LBR achieved?

Did embryo miscarry?

Needle Seven

The following questions relate to the evaluation of Needle Seven

Lot Number

Needle Seven – Patient Category

<25

26-35

36-45

45-50

Needle Seven – Patient ID (clinic ref)

Total number of mature follicles

Number of eggs collected

Number of mature follicles (14mm or greater)

Number of degenerate egg at dedundation (ICSI)

Number of 2 PN embryos

Number of 3PN embryos

Number of embryos that achieved Blastocyst formation

Number of embryos utilized

Was a Clinical PR achieved?

Was a LBR achieved?

Did embryo miscarry?

Needle Eight

The following questions relate to the evaluation of Needle Eight

Lot Number

Needle Eight – Patient Category

<25

26-35

36-45

45-50

Needle Eight – Patient ID (clinic ref)

Total number of mature follicles

Number of eggs collected

Number of mature follicles (14mm or greater)

Number of degenerate egg at dedundation (ICSI)

Number of 2 PN embryos

Number of 3PN embryos

Number of embryos that achieved Blastocyst formation

Number of embryos utilized

Was a Clinical PR achieved?

Was a LBR achieved?

Did embryo miscarry?

Needle Nine

The following questions relate to the evaluation of Needle Nine

Lot Number

Needle Nine – Patient Category

<25

26-35

36-45

45-50

Needle Nine – Patient ID (clinic ref)

Total number of mature follicles

Number of eggs collected

Number of mature follicles (14mm or greater)

Number of degenerate egg at dedundation (ICSI)

Number of 2 PN embryos

Number of 3PN embryos

Number of embryos that achieved Blastocyst formation

Number of embryos utilized

Was a Clinical PR achieved?

Was a LBR achieved?

Did embryo miscarry?

Needle Ten

The following questions relate to the evaluation of Needle Ten

Lot Number

Needle Ten – Patient Category

<25

26-35

36-45

45-50

Needle Ten – Patient ID (clinic ref)

Total number of mature follicles

Number of eggs collected

Number of mature follicles (14mm or greater)

Number of degenerate egg at dedundation (ICSI)

Number of 2 PN embryos

Number of 3PN embryos

Number of embryos that achieved Blastocyst formation

Number of embryos utilized

Was a Clinical PR achieved?

Was a LBR achieved?

Did embryo miscarry?

By submitting your information and clicking on the “Submit” button, you are consenting for this data to be used for evaluation purposes only by CooperSurgical. In addition, you also agree to our Privacy Policy.

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