15F Tearaway Introducer with Valve QUALITY RECORD: DESIGN VALIDATION SURVEYAs part of our desire to serve you better and to address Health Canada regulatory requirements, we would appreciate your feedback on this product. After performing the product evaluation on the samples provided, please complete the survey below.Evaluation Description: To confirm that the product meets user requirements when it is used for its intended purpose.Product code: CM-TSD15V r1.4Product Evaluation Quantity: 15Product Evaluation Lot Number: 034529Hospital/Clinic Centre: Lakeridge Health OshawaReviewer's Name:Questions1. Does the product perform as intended? Yes No 2. Does the product provide an adequate means to perform the treatment functionally and safely? Yes No 3. Does the Instructions for Use provide clear and concise directions for use for the product? Yes No 4. Is the packaging and labeling suitable for this product? Yes No Please add any additional comments:The responses to this survey will be used for research and regulatory purposes only. DOCUMENT NO.: RD-001R27, REV. 03