SmartTap Paracentesis Drainage Tray w/9cm Catheter DOCUMENT NO.: RD-001R27W, REV. 01 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-0020TProduct Description: SmartTap Paracentesis Drainage Tray w/9cm CatheterProduct Quantity: ______________________ (to be filled out by Nipro Canada Quality Assurance)Product Lot Number: ______________________ (to be filled out by Nipro Canada Quality Assurance)Please enter your hospital/clinic centre:Please enter your name:Questions1. Does the product perform as intended? Yes No 2. Does this product contain all the materials required to complete the procedure functionally and safely? Yes No 3. Does the document titled 'Instructions for Use' provide clear and concise directions? Yes No 4. Is the packaging and labeling suitable for this product? Yes No 5. Is the volume of the drainage bag adequate for the procedure? Yes No 6. Does the tubing and stopcock provide suitable drainage flow for timely treatment? Yes No Please add any additional comments:The responses to this survey will be used for research and regulatory purposes only.
