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Surgical Training at Customer Site

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Rodent Training Offsite

Personal Information

First and Last Name

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Job Title

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Company/Organization

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Address Line 1

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City

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US State/Canadian Province

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Zip (Postal Code)

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Work Phone

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Cell Phone

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Fax

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Customer Number

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Training Information

Desired date for training?

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Please note, the requested date may not be available. DSI Surgical Staff will contact you to discuss further.

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The training at your facility includes:

A live demonstration of the desired surgical procedure to be learned
Hands-on practice of the desired surgical procedure
Handling and storage procedures for the transmitters
Cleaning and re-sterilization procedures for the transmitters
Catheter re-gelling techniques (if applicable)
Lead coupling techniques (if applicable)

We recommend all trainings be non-survival. During the demonstration process, sterility can be difficult to maintain and surgical procedure times may be extended therefore putting the animal at an increased risk for infections, hypothermia, mobility and respiratory issues. Any exceptions to this must be approved by DSI Surgical Services. Implantation of animals for chronic monitoring is provided as a separate service. Please contact your Account Manager or DSI Surgical Services with questions.

Study Information

What species of animal will be used?

Instructional text goes here

If Other, please list

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What sex, size and strain of animal will be used?

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What telemetry device will be used?

Desired Catheter Placement (mouse excluded):

Desired Biopotential Placement:

What type of surgical microscope is available and does it have video capabilities?

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Does the surgical microscope have illumination?

Yes
No

What is the working distance of the surgical microscope?

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The necessity for a computer system is dependent on the surgical procedure. Please discuss this with the DSI surgeon who will be attending. If necessary, will there be a functioning telemetry system in the surgery room? Please ensure your computer system and all relevant hardware is in the surgery room prior to the first day of surgery.

Yes
No
Need discussion with surgeon

To maximize your time with the DSI surgeon(s), please ensure your data collection computer and associated hardware is on and running successfully. It is helpful if the devices are configured and pressure offsets are taken prior to surgery (only if using a device with a catheter). If you need help with any of this, please contact Technical Services by email at support@datasci.com.

Can you provide DSI Surgical Services with a peri-operative protocol (including pre-operative medications, anesthetic protocol, surgical protocol, post-operative monitoring and medication)?

Yes
No

If yea, please upload the protocol here.

Protocols may also be emailed to surgeryteam@datasci.com, if preferred. Please ensure the body of the email includes the surgical service being performed, your customer number, and the sales order number, if known.

Personnel Questions

What paperwork is required of DSI’s surgeons (e.g. CV, IACUC training documentation, occupational health information, N95 fit testing results, TB status, etc.) Please request this at least 2 weeks in advance of the visit. After that, completion of any requested materials cannot be guaranteed.

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Does your organization require site-specific training/certification prior to DSI surgeons performing the outlined service? If yes, can this be done in advance? If this cannot be done in advance, how much time will this require for DSI surgeons arriving on-site?

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Can you provide personal protective equipment? (e.g. scrubs, N95 masks, eye protection, etc.)

Yes
No

What personal protective equipment will you provide?

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What hours do your personnel keep, and during what hours will DSI surgeons be able to train surgery? Please note that a later start time may result in less training time.

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Can you allow DSI surgeons access to the surgical facility the day/evening prior to the training, so we can set up the necessary equipment (if needed)? If setup is needed, DSI surgeons will coordinate this with you.

Yes
No

Do the trainees have any other commitments that may interrupt/conflict with this training?

Yes
No

Do you expect any post-approval monitoring to take place during the training?

Yes
No

Do you expect an IACUC inspection to take place during the training?

Yes
No

How many people will be trained during the visit?

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Surgery Questions

What surgical supplies will you provide (e.g. instruments, drapes, surgeons’ gowns, gloves, masks, gauze, suture, etc.)? You are responsible for all surgical supplies unless specifically agreed upon with DSI surgeons.

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Please take a moment to review the recommended small animal supply lists in the DSI Support Center based on the surgeries you will be performing/training. The supplies listed will be beneficial to have on-hand prior to DSI surgeon arrival and are needed for the surgeries.

May we bring and/or ship supplies to use during surgery (e.g. instruments, disposable supplies like suture, gauze, etc.)?

Yes
No

If so, please provide your complete shipping address.

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Please ensure that packaging materials, including boxes, are not thrown away. If you do unpack any boxes that may arrive, please be aware that UPS return labels may be present and should not be discarded or moved.

What training materials do you currently have?

Surgical Manuals
Surgical Videos
Training Modules
None

What surgical materials do you currently have?

Regel Syringe
Lead Coupler Kit
Crimp Tool
None

Please note that all surgical manuals and videos can be found and requested from our DSI Support Center. Please review these prior to arrival.

Note that survival surgery during surgical training is only performed as an exception and must be pre-approved by DSI Surgical Services. The purpose of surgical training is to train the staff at the facility how to perform the surgery successfully. Additional surgical services time must be purchased if the goal is to have study animals implanted in the days before or after the training.

Do you have means to mechanically ventilate animals, if needed? Certain small animal procedures may require one. This is a necessity for any intra-thoracic procedure.

Yes
No

Do you have a means to keep the animal warm during surgery?

Yes
No

Do you have experience in using a surgical microscope?

Yes
No

What is your level of surgical experience?

I have never performed survival surgery before
I have performed survival surgery before but not with the species being used during this training
I have moderate experience performing survival surgeries with the species being used during this training
I have extensive experience preforming survival surgeries with the species being used during this training

What is your level of competency with any of the following procedures? (1 = no experience, 5 = high competency)

Vessel Cannulation

1
2
3
4
5

Subcutaneous device placement (ports, minipumps, cannula)

1
2
3
4
5

Laparotomy

1
2
3
4
5

Thoracotomy

1
2
3
4
5

Craniotomy

1
2
3
4
5

Wound Closure

1
2
3
4
5

Any telemetry implantation

1
2
3
4
5

If you have had little to no animal handling or surgical experience, we strongly recommend extending our visit by one day. The surgical procedures you will learn may require the use of a microscope, proficient hand-eye coordination, and a basic knowledge of anatomy. Without at least some prior experience with surgical procedures, this training session may be inefficient. We value your time with us and want to maximize our visit with you. We will contact you if we feel an extra day will be beneficial.

Location Questions

What airport is closest to your location?

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Can you recommend a hotel? If so, please list the name and a link to the website if possible.

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What is the address of where you are located?

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Are there any major road closures or certain routes to avoid when traveling to your site?

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Is there a reception desk or guard station that we need to register with? If yes, please elaborate.

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Please provide any helpful descriptions of the building or location. This may include the specific building name, color, unique features visible from the outside or surrounding landscape.

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