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* Please select the state you live in.
 
 
 
* How many years have you been in clinical practice post-residency?
   years
 
 
 
* What is your specialty?
 
Colorectal
 
General surgery
 
Gynecology (including Gynecologic Oncology)
 
Surgical oncology
 
Thoracic
 
Other
 
 
 
 
* Are you currently on or have you previously served on a Value Analysis/Assessment Committee (VAC)? 
 
Currently serving on the VAC
 
Served on the VAC in the past
 
Never served on the VAC
 
 
 
* Which of the following best describes the type of hospital where you perform the majority of your surgical procedures
 
Academic hospital
 
Community hospital
 
 
 
* Approximately what percent of your time is spent in surgery and related patient care
 
0%
 
10-19%
 
20-29%
 
30-39%
 
40-49%
 
50-59%
 
60-69%
 
70-79%
 
80-89%
 
90-99%
 
100%
 
 
 
* Please estimate the total number of surgical procedures that you personally perform annually. 
It may be helpful to think in terms of surgeries per week and the number of weeks per year that you perform surgeries (excluding holidays, vacation, conferences, etc.)
   
 
 
 
* What percent of your surgical procedures do you perform minimally invasively (laparoscopically or robotically)?
   %
 
 
 
* What percent of your total surgical procedures are for cancer?
   %
 
 
Please indicate the percent of your surgical procedures for cancer are performed minimally invasively versus open.

Percent of your Cancer-related Surgical Procedures
* Laparoscopic
* Robotic
* Open
 
 
 
* In what percent of your cancer surgical procedures do you use intraoperative pathology?
   %
 
 
 
* How long does it typically take for pathology to return a result intraoperatively?
   minutes
 
 
 
* What activities, if any, do you perform while waiting for intraoperative pathology results (Select all that apply)?
 
Continue with another part of the surgery
 
Administrative/non-surgical tasks (e.g., note dictation)
 
Nothing/wait
 
Other
 

 
 
Unfortunately, you do not meet the criteria for this particular study. However, if you are interested in being considered for future studies, please enter your contact information below.
First Name : 
Last Name : 
Email Address : 
 
 
Unfortunately, we have reached our quota for this particular study. However, if you are interested in being considered for future studies, please enter your contact information below.
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* How many brands of laparoscopes do you currently use?
 
One
 
Two or more
 
 
 
* What brand of laparoscopes do use?
 
Olympus
 
Stryker
 
Karl Storz
 
Intuitive
 
Wolf
 
B. Braun
 
ConMed
 
Fuji
 
Pentax
 
Smith & Nephew
 
Arthrex
 
Other
 
 
 
 
* What brand of laparoscopes do use?  [Check all that apply]
 
Olympus
 
Stryker
 
Karl Storz
 
Intuitive
 
Wolf
 
B. Braun
 
ConMed
 
Fuji
 
Pentax
 
Smith & Nephew
 
Arthrex
 
Other
 

 
 
 
Which brand of laparoscope to you prefer?  Please rank order the laparoscope brands that you use.
Drag your choices here to rank them
     
     
     
    * For laparoscopic procedures (non-robotic), are you currently using 3D laparoscopes?
     
    Yes
     
    No
     
     
    What is the mix of laparoscopic procedures that you perform using a 2D versus a 3D laparoscope?

    Percent of laparoscopic procedures
    * 2D laparoscope
    * 3D laparoscope
     
     
     
    * How likely are you to begin using 3D in the next three years?
     
    Definitely will not upgrade to 3D
     
    Probably will not upgrade to 3D
     
    Neutral
     
    Probably will upgrade to 3D
     
    Definitely will upgrade to 3D
     
     
     
    * Are you currently using a laparoscope with 4K resolution for any procedures?
    4K resolution refers to ultra high-definition endoscopy (3840x2160 pixels or more)
     
    Yes
     
    No
     
     
     
    * How likely are you to begin using 4K in the next three years?
     
    Definitely will not begin using 4K
     
    Probably will not begin using 4K
     
    Neutral
     
    Probably will begin using 4K
     
    Definitely will begin using 4K
     
     
     
    *
    Proposed Single-Use Laparoscope
    This survey seeks to get your reaction to a proposed single-use laparoscope as described below:
     
     
    * Below is a list of concerns related to laparoscopes.  Please indicate whether or not you agree with the concern and if you believe a single-use laparoscope will address these concerns.
     
     
    Rating of Concerns Regarding LaparoscopesIs Concern addressed by Single-Use Laparoscope?
    1=Not at all a Concern5=Significant Concern
    1=Definietly Not5=Definitely Yes
    1234512345
    * Inefficiency due to malfunctioning, handling, component replacement, maintenance, etc.
    * Degradation of image quality due to sterilization
    * Concerns of cross-contamination or infections
    * Inability to access new technology between buying cycles
    * High capital costs to obtain technology
    * High ongoing service and/or maintenance costs
     
     
    * Do you have any other concerns regarding laparoscopes that are not mentioned above?
     
    Yes
     
    No
     
     
     
    * What is your concern?
       
     
     
     
    Rating of Concern Regarding LaparoscopesIs Concern addressed by Single-Use Laparoscope
    1=Not at all a Concern5=Significant Concern
    1=Definiitely No5=Definitely Yes
    1234512345
    *
     
     
    Product profile

    What is your likelihood of adopting single-use, white light laparoscopes under the following pricing scenarios?

    Assume the product is comparable in quality and function to existing reusable products

    For reusable laparoscopes, total per procedure cost reflects any sterilization, service, capital / acquisition cost, etc.
    Not at all LikelyVery Likely
    1 2 3 4 5 6 7 8 9 10
    * Same Cost: The total per procedure cost for the single use laparoscopic system is the same as reusable products
    * 10% Cost Savings: The total per procedure cost for the single use laparoscopic system is 10% less than reusable products
    * 25% Cost Savings: The total per procedure cost for the single use laparoscopic system is 25% less than reusable products
    * 50% Cost Savings: The total per procedure cost for the single use laparoscopic system is 50% less than reusable products
     
     
     
    * Product profile
    In the future, do you envision adopting single-use laparoscopes?  If so, on what percent of laparoscopic procedures would you use it?  (excluding robotic procedures)
     
    0%
     
    10-19%
     
    20-29%
     
    30-39%
     
    40-49%
     
    50-59%
     
    60-69%
     
    70-79%
     
    80-89%
     
    90-99%
     
    100%
     
     
    Product profile

    If the single-use, white light laparoscope had 3D, would that change your likelihood of adoption?

    Earlier, you indicated your likelihood of adopting the single-use laparoscope was out of 10 when there is no cost difference relative to reusable scopes
    Not at all LikelyVery Likely
    1 2 3 4 5 6 7 8 9 10
    *  
     
     
    Product profile

    If the single-use, white light laparoscope did not have 3D, would that change your likelihood of adoption?

    Earlier, you indicated your likelihood of adopting the single-use laparoscope was out of 10 when there is no cost difference relative to reusable scopes
    Not at all LikelyVery Likely
    1 2 3 4 5 6 7 8 9 10
    *  
     
     
    Product profile

    If the single-use, white light laparoscope had 4K, would that change your likelihood of adoption?

    Earlier, you indicated your likelihood of adopting the single-use laparoscope was out of 10 when there is no cost difference relative to reusable scopes
    Not at all LikelyVery Likely
    1 2 3 4 5 6 7 8 9 10
    *  
     
     
    Product profile

    If the single-use, white light laparoscope did not have 4K, would that change your likelihood of adoption?

    Earlier, you indicated your likelihood of adopting the single-use laparoscope was out of 10 when there is no cost difference relative to reusable scopes
    Not at all LikelyVery Likely
    1 2 3 4 5 6 7 8 9 10
    *  
     
     




    Please indicate your level of unmet need in intraoperative visualization in the following areas.
    Very Low Unmet NeedVery High Unmet Need
    1 2 3 4 5 6 7 8 9 10
    * Perfusion
    * Critical structures
    * Lymph nodes
    * Cancer detection / identification
     
     
    * Do you have any other areas of unmet needs that were not mentioned earlier?
     
    Yes
     
    No
     
     
     
    * Please specify area with unmet need below:
       
     
     
    Please indicate your level of unmet need in intraoperative visualization 
    Very Low Unmet NeedVery High Unmet Need
    1 2 3 4 5 6 7 8 9 10
    *
     
     
     
    * Does your primary hospital have NIR fluorescence visualization systems?  [Check all that apply]
     
    Novadaq SPY Elite (open surgery)
     
    Novadaq PINPOINT (laparoscopic / endoscopic)
     
    Novadaq FireFly (robotic surgery)
     
    Stryker (laparoscopic / endoscopic)
     
    Storz (laparoscopic / endoscopic)
     
    Visionsense (laparoscopic & open)
     
    Does not have a NIR visualization system
     
    Don't know
     
    Other
     

     
     
     
    * Do you personally use or have you trialed NIR fluorescence visualization systems
     
    Currently use
     
    Used in the past, not currently using
     
    Trialed only
     
    Never used
     
     
     
    * For which cancer surgeries do you use or did you used NIR fluorescence visualization systems? (Check all that apply)
     
    Ovarian
     
    Uterine / Endometrial
     
    Cervical
     
    Lung
     
    Esophageal
     
    Thymus
     
    Thyroid
     
    Breast
     
    Pancreas
     
    Liver
     
    Kidney
     
    Gastric
     
    Small Bowel
     
    Colon
     
    Rectal
     
    Other
     

     
     
    For what percent of your procedures do you use NIR?
     
     
     
    * NIR fluorescence technology has been available for a number of years, but adoption is somewhat limited.  Why do you think adoption has been slow? [Check all that apply]
     
    Insufficient clinical evidence
     
    Added procedure cost
     
    Added procedure time / logistics (e.g., need to inject patient ahead of procedure, etc.)
     
    Quality of image / differentiation achieved
     
    Other
     

     
     
    Please refer to profile below for the next question





    If the single-use laparoscope also had NIR capability, would that change your likelihood of adoption?

    Earlier, you indicated your likelihood of adopting the single-use laparoscope was out of 10 when there is no cost difference relative to reusable scopes
    Not at all LikelyVery Likely
    1 2 3 4 5 6 7 8 9 10
    *  
     
     
     
    *
    Targeted Fluorescent Dye for use with Advanced, Intraoperative Visualization
    The remainder of this survey seeks to get your reaction to a proposed molecule that delivers a fluorescent die for use with near infrared (NIR) laparoscopes.
     






    Based on the product profile, what is your overall impression of the technology?

    Not at all InterestingVery Interesting
    1 2 3 4 5 6 7 8 9 10
    *  
     
     
    Molecule X Profile

    What do you think would be the key benefits of this technology?  Please rate each of the following benefits.
    Not at all CompellingVery Compelling
    1 2 3 4 5 6 7 8 9 10
    * Reduce or eliminate wait time for pathology to perform fresh frozen or other in vivo assessment of tissue
    * Improve accuracy of pathology by providing pathologist better guidance on where to analyze specimen
    * Improve accuracy of staging and triage for adjuvant therapy, leading to improved medical management
    * Improve identification of metastases during initial survey or throughout procedure
    * Enable tissue-sparing procedures by confirming margins
    * Reduce recurrence/limit additional surgery by increasing amount of cancer resected at initial procedure
    * Improve intraoperative visualization beyond the naked eye
     
     
    * Molecule X Profile
    Would this “Molecule X” visualization technology enable you to perform more of your cancer surgeries minimally invasively?
     
    Yes
     
    No
     
     
     
    * Molecule X Profile
    What percent increase in your minimally invasive procedures for cancer would you expect after adopting "Molecule X"

    Percent increase in laparoscopic cancer procedures:
       %
    * Percent increase in robotic cancer procedures:
       %
     
     
     
    * Molecule X Profile
    Would you be interested in using “Molecule X” for open procedures
     
    Yes
     
    No
     
     
     
    * Molecule X Profile
    Which procedures that you perform / cancers that you treat have the greatest need for this type of targeted visualization (i.e., which would benefit most from the technology)?
    Assuming similar sensitivity and positive predictive value as demonstrated for ovarian and lung cancer.
     
    Ovarian
     
    Uterine / Endometrial
     
    Cervical
     
    Lung
     
    Esophageal
     
    Thymus
     
    Thyroid
     
    Breast
     
    Pancreas
     
    Liver
     
    Kidney
     
    Gastric
     
    Small Bowel
     
    Colon
     
    Rectal
     
    Other
     

     
     
    Molecule X Profile

    Based on what you know, how likely are you to adopt this new targeted visualization technology?
    Not at all LikelyVery Likely
    1 2 3 4 5 6 7 8 9 10
    *  
     
     
    Molecule X Profile

    Ignoring price, for those cancer surgeries that would benefit from this new targeted visualization technology, in what percent of procedures would you use it?
     
     
    Molecule X Profile

    How would your use of “Molecule X” change at $2,000 per dose?
     
     
    Molecule X Profile

    How would your use of “Molecule X” change at $1,250 per dose?
     
     
    Molecule X Profile

    How would your use of “Molecule X” change at $500 per dose
     
     
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