BAR Monitor Evaluation

Thank you for using the BAR Monitor.

Cortical Dynamics Ltd would greatly appreciate your feedback on its use, to help in fine-tuning the unit to optimise its effectiveness.

This simple form is provided to facilitate your feedback, however please provide more expansive comments if required.

__ Anaesthetist: *

_________ Email:

Operation Type: *

______ Hospital: *

. Operation Date: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year20162017201820192020

Operation Start: *

hour123456789101112

:

minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859

am

pm

This is required to match the operations data set if required.

Patient ID:

For doctor/hospital use only if required

Sensors

Ease of applying sensors:

1 Simple

2

3

4

5 Neutral

6

7

8

9

10 Difficult

Sensor/electrode contact reliability:

1 No Problem

2

3

4

5 Neutral

6

7

8

9

10 Troublesome

Lead / connector reliability:

1 No Problem

2

3

4

5 Neutral

6

7

8

9

10 Troublesome

Further comments:

Display

Correlation with clinical judgement:

1 Very Good

2

3

4

5 Neutral

6

7

8

9

10 Not Consistent

Visibility of Information:

1 Very Good

2

3

4

5 Neutral

6

7

8

9

10 Unclear

Ease of data entry (where required):

1 Very Good

2

3

4

5 Neutral

6

7

8

9

10 Difficult

Further Comments on Display:

General Comments

What did you like about using the BAR Monitor?:

What did you not like about using the BAR Monitor?:

Comments on its ergonomics and compatibility with normal anaesthetic practice?:

Further General Comments ……:

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