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Medical Device Technology Forecast: Appendix A

Survey Forms

  1. Survey Form 1
  2. Survey Form 2
  3. Survey Form 3

Scoring Factors Definitions

(1) Future Generation Examples
Please list the most significant examples of devices you anticipate. If you do not have specific examples in a particular device technology area but still feel you have an informed opinion in that area, please answer the questions below for the overall technology area.

(2) Probability
What's the likelihood that your examples in each device-technology area will be successfully introduced into regular (i.e., noninvestigational) clinical use during the indicated time periods (i.e., < 5 years, 5-10 years, > 10 years)?

highly unlikely
to be successfully
introduced into use
1___2___ 3___4___5
moderately likely
almost certain
to be successfully
introduced into use

(3) Affected Patient Population
For each device-technology area, what's the ultimate size of the annual patient population likely to be affected by your examples during the next decade?

very small fraction
of total patient
population
1___2___ 3___4___5very large fraction
of total patient
population

(4) Benefit
For each device-technology area, if your examples do appear, what is the expected benefit in additional lives saved or serious disabilities avoided/alleviated?

almost no reduction
in present rates of death
or serious disability
1___2___ 3___4___5
moderately reduction
potentially large reduction
in present rates of death
or serious disability

(5) Risk
For each device-technology area, if your examples do appear, what is the magnitude of the potential risk associated with substantial new developments?

almost no potential
risk for patients
1___2___ 3___4___5
moderately risk
potentially high risk
for patients (possibly
offset by other benefits)

(6) overall Importance
Considering all factors, what's the likely importance of each of your examples for future health care?

highly unlikely to portend
significant change from present
health care practice
1___2___ 3___4___5
moderately likely
almost certain to portend
significant change from
present health care practice

(7) Commetns
Please use this space to provide explanations, ideas, and comments regarding each device-technology area. If you need additional space, please use the back of the scoring sheet. Please feel free to express ideas that transcend individual device-technology categories.