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Circuit Survey

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Circuit Survey

Breas Ventilator Circuit Survey

This survey is being conducted by Breas Medical, Inc., at 16 Esquire Road, North Billerica, Massachusetts 01862 (“Breas”).
The survey is designed to provide Breas with an understanding of ventilator patient circuit procurement and use in the USA. This is not an advertisement, i.e., this survey is not promoting, making available, or soliciting, and will not promote, make available, or solicit any products or services, including ventilator patient circuit, for purchase or sales.
The survey will take approximately 5 minutes to complete, and no compensation (including money, goods, services, or other form of value) will be made to you in exchange for taking the survey.
No personal information is required as part of the survey and your responses are anonymous. Your response to the questions in this survey will be kept internally by Breas, will be confidential, and will not be shared with any parties outside of Breas. You will have the opportunity to edit your responses before completing the survey and your responses will be transmitted only after you click the “Submit” button.
All information collected by this survey from all participants will be co-mingled and analysed by Breas for informational and educational purposes.
The above information is provided for you to make an informed decision. Before starting the survey, you will be asked to confirm your consent to participating in this survey. During the survey, you will also have the opportunity to continue by completing this survey or withdraw your consent by simply closing the browser at any time prior to submitting your responses. Please note that your initial consent and your completion of this survey indicates that you have read, understood, and freely given your consent to participating in this survey.
Please reach out to Mark Kolnsberg, mark.Kolnsberg@breas.com, if you have any questions regarding this survey.
Thank you for your time!
Do you understand and agree to the above terms?*
By clicking Yes, you consent to participating in this survey and answering each question in this survey.
Yes
What healthcare environment do you currently work in the most?*
Please answer all of the below questions as they specifically concern that care environment only. For example, if you select Home Care, answer each question as it applies to Home Care only.
Select one.
- Hospital Critical Care
- Hospital Non-Critical Care
- Post Acute / Alternative Care Facility
- Home Care
What type of patients do you treat?*
- Adult
- Pediatric
- Both
What percentage is invasive vs noninvasive ventilation?*
- 10% invasive vs 90% noninvasive
- 20% invasive vs 80% noninvasive
- 30% invasive vs 70% noninvasive
- 40% invasive vs 60% noninvasive
- 50% invasive vs 50% noninvasive
- 60% invasive vs 40% noninvasive
- 70% invasive vs 30% noninvasive
- 80% invasive vs 20% noninvasive
- 90% invasive vs 10% noninvasive
What type(s) of circuits do you currently use with your patients?*
Check all that apply.
- Unheated- Single limb with leak port
- Unheated- Single limb with active exhalation valve
- Unheated- dual limb
- Heated- Single limb with leak port
- Heated- Single limb with active exhalation valve
- Heated- dual limb
- Mouthpiece ventilation
Who manufactures the circuits you use?
Select all that apply.
Unheated Single limb- leak port
- Select All
- Breas
- Draeger
- Flexicare
- Intersurgical
- Medline
- Philips
- Smith-Medical Portex
- Teleflex
- Tri-Anim
- Vyaire
- Don't know
- Other
Other Manufacturer(s)
Unheated Single limb- active exhalation valve
- Select All
- Breas
- Flexicare
- Intersurgical
- Medline
- Philips
- Smith-Medical Portex
- Teleflex
- Tri-Anim
- Vyaire
- Don't know
- Other
Other Manufacturer(s)
Unheated- Dual limb
- Select All
- Draeger
- Flexicare
- Intersurgical
- Medline
- Philips
- Smith-Medical Portex
- Teleflex
- Tri-Anim
- Vyaire
- Don't know
- Other
Other Manufacturer(s)
Heated- Single limb with leak port
- Select All
- Draeger
- F&P
- Flexicare
- Intersurgical
- Medline
- Philips
- Smith-Medical Portex
- Teleflex
- Tri-Anim
- Vyaire
- Don't know
- Other
Other Manufacturer(s)
Heated- Single limb with active exhalation valve
- Select All
- Draeger
- Flexicare
- F&P
- Intersurgical
- Medline
- Philips
- Smith-Medical Portex
- Teleflex
- Tri-Anim
- Vyaire
- Don't know
- Other
Other Manufacturer(s)
Heated- Dual limb
- Select All
- Draeger
- Flexicare
- F&P
- Intersurgical
- Medline
- Philips
- Smith-Medical Portex
- Teleflex
- Tri-Anim
- Vyaire
- Don't know
- Other
Other Manufacturer(s)
Mouthpiece Ventilation
- Select All
- Breas
- Draeger
- Flexicare
- Intersurgical
- Medline
- Philips
- Smith-Medical Portex
- Teleflex
- Tri-Anim
- Vyaire
- Don't know
- Other
Other Manufacturer(s)
What type of MPV interface do your patients prefer?
- Angled mouthpiece
- Straw
How many circuits do you annually use?
How many unheated, single limb with leak port circuits do you use annually?
How many unheated, single limb with active exhalation valve circuits do you use annually?
How many unheated, dual limb circuits do you use annually?
How many heated, single limb with leak port circuits do you use annually?
How many heated, single limb, active exhalation valve circuits do you use annually?
How many heated, dual limb circuits do you use annually?
How many mouthpiece ventilation circuits do you use annually?
How frequently do you typically change circuits?
Unheated single limb with leak port
- every day
- every 7 days
- every 30 days
Unheated single limb with active exhalation valve
- every day
- every 7 days
- every 30 days
Unheated dual limb
- every day
- every 7 days
- every 30 days
Heated single limb with leak port
- every day
- every 7 days
- every 30 days
Heated single limb with active exhalation valve
- every day
- every 7 days
- every 30 days
Heated dual limb
- every day
- every 7 days
- every 30 days
Mouthpiece ventilation circuits
- every day
- every 7 days
- every 30 days
Would you be willing to share your pricing for a comparison?
- Yes
- No
What is the price of an unheated single limb with leak port?
What is the price of an unheated single limb with active exhalation valve?
What is the price of an unheated dual limb?
What is the price of a heated single limb with leak port?
What is the price of a heated single limb with active exhalation valve?
What is the price of a heated- dual limb?
What is the price of a mouthpiece ventilation circuit?
Would you agree to answering some follow up questions? If so, please let us know your name and email address.
- Yes
- No
Email
Name
First Last
We greatly appreciate you taking the time to complete this survey!

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16 Esquire Road

N. Billerica, MA 01862

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