{"id":15028,"date":"2022-03-18T13:57:07","date_gmt":"2022-03-18T13:57:07","guid":{"rendered":"https:\/\/trans.pakumed.de\/sfn-port-cannulae-patient-questionnaire\/"},"modified":"2022-08-25T18:28:21","modified_gmt":"2022-08-25T18:28:21","slug":"sfn-port-cannulae-patient-questionnaire","status":"publish","type":"page","link":"https:\/\/pakumed.de\/en\/sfn-port-cannulae-patient-questionnaire\/","title":{"rendered":"SFN Port Cannulae Patient Questionnaire"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"15028\" class=\"elementor elementor-15028 elementor-7261\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-26b97d38 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"26b97d38\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2cb1b9a1\" data-id=\"2cb1b9a1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1e540f32 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1e540f32\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_background&quot;:&quot;classic&quot;,&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3ee99710\" data-id=\"3ee99710\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6dd226af elementor-widget elementor-widget-image\" data-id=\"6dd226af\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"350\" height=\"125\" src=\"https:\/\/pakumed.de\/wp-content\/uploads\/2021\/10\/PM-Logo-Kolor-350x125-1.png\" class=\"attachment-large size-large wp-image-14617\" alt=\"\" srcset=\"https:\/\/pakumed.de\/wp-content\/uploads\/2021\/10\/PM-Logo-Kolor-350x125-1.png 350w, https:\/\/pakumed.de\/wp-content\/uploads\/2021\/10\/PM-Logo-Kolor-350x125-1-300x107.png 300w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1977efc elementor-widget elementor-widget-heading\" data-id=\"1977efc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Questionnaire for market observation SFN\u00ae (punch-free) port cannulas<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f0881ef elementor-button-align-center elementor-widget elementor-widget-form\" data-id=\"6f0881ef\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Further&quot;,&quot;step_previous_label&quot;:&quot;Back&quot;,&quot;step_type&quot;:&quot;text&quot;,&quot;button_width&quot;:&quot;100&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"eng-AnokryoKombiset\" aria-label=\"eng-AnokryoKombiset\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"15028\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"6f0881ef\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"SFN Port Cannulae Patient Questionnaire\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"15028\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_3e4c7b2 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Information\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_dc43dd5 elementor-col-100\">\n\t\t\t\t\t\nDear Sir or Madam,\n<br>  \n\nAgainst the background above, we are dependent on your support within the framework of the practical implementation of the EU Regulation 2017\/745 enacted by the European Parliament and the Council.\n<br>\n<br> Dear Sir or Madam, Against the background above, we are dependent on your support within the framework of the practical implementation of the EU Regulation 2017\/745 enacted by European Parliament and the Council.\n\nThe evaluation of your answers is anonymous and no conclusions about individual patients are included in the corresponding evaluation.\n<br>\n<br>The questionnaire is divided into the following topics:\n<br>\n<br>Patient information\n<br>Information about the product <br>Anokryo\u00ae Combi set\n<br>General\n<br>\n<br>Please take 5-10 minutes to answer the questionnaire.\n<br>\nYour answers will help us to improve medical products in the future, to make them even safer and to make them available in the usual form.\n<br>\n<br>Thank you very much for your support!\n\n<br>The team of PakuMed gmbh\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_e5dfdfd elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Profile\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-geschlecht elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-geschlecht\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGender\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[geschlecht]\" id=\"form-field-geschlecht\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"male\">male<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"female\">female<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"diverse\">diverse<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Not specified\">Not specified<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-alter elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-alter\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAge\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[alter]\" id=\"form-field-alter\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"30\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-groesse elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-groesse\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSize (cm)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[groesse]\" id=\"form-field-groesse\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"167\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-gewicht elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-gewicht\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWeight (kg)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[gewicht]\" id=\"form-field-gewicht\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"70\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_6d03c86 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Product details\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-erkrankung elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-erkrankung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tProduct\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[erkrankung]\" id=\"form-field-erkrankung\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"SFN\u00ae (punchless needle) port cannula\">SFN\u00ae (punchless needle) port cannula<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-erkrankungandere elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-erkrankungandere\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tArticle no.:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[erkrankungandere]\" id=\"form-field-erkrankungandere\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Article no.:\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4949d20 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4949d20\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLot.:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4949d20]\" id=\"form-field-field_4949d20\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Lot.:\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_5407d6b elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Treatment information\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-nutzungsdauer elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nutzungsdauer\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you being actively treated at the time?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[nutzungsdauer]\" id=\"form-field-nutzungsdauer\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"yes\">yes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"no\">no<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-anwendung elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anwendung\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIn which country are you\/were you treated?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[anwendung]\" id=\"form-field-anwendung\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-anwendungstyp elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-anwendungstyp\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre\/were you treated as an inpatient or outpatient?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[anwendungstyp]\" id=\"form-field-anwendungstyp\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Stationary\">Stationary<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Outpatient\">Outpatient<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_8d7388c elementor-col-40 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8d7388c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow long does a therapy session usually last?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_8d7388c]\" id=\"form-field-field_8d7388c\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"&lt;1 Std. zwischen 1 - 2 Std.&gt; 2 hrs.\">&lt;1 Std. zwischen 1 - 2 Std.&gt; 2 hrs.<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"&gt; 3 hrs.\">&gt; 3 hrs.<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-behandlungsanzahl elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-behandlungsanzahl\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tContact person \/ attending physician (optional):\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[behandlungsanzahl]\" id=\"form-field-behandlungsanzahl\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-gleitmittelart elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-gleitmittelart\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDepartment \/ Speciality \/ Focus: \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[gleitmittelart]\" id=\"form-field-gleitmittelart\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_ee4e290 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Information on SFN\u00ae port cannulas \" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_e52d581 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e52d581\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIs a PakuMed cannula usually used during therapy ?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_e52d581]\" id=\"form-field-field_e52d581\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"yes\">yes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"no\">no<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Other\">Other<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-empfehlungdurchandere elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-empfehlungdurchandere\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOnly to be filled in when selecting others.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[empfehlungdurchandere]\" id=\"form-field-empfehlungdurchandere\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Optional\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_276e792 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_276e792\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow long does a cannula usually stay in place when using the port system?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_276e792]\" id=\"form-field-field_276e792\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"For the therapy session only\">For the therapy session only<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"1 day\">1 day<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2 day \">2 day <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2-3 days\">2-3 days<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4-5 days\">4-5 days<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Other period\">Other period<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_089f023 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_089f023\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOnly to be filled in if 'other period' is selected.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_089f023]\" id=\"form-field-field_089f023\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Optional\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_41ea71c elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_41ea71c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you familiar with the safety mechanism of the cannula?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_41ea71c]\" id=\"form-field-field_41ea71c\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"yes \">yes <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"no\">no<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"No application of its own\">No application of its own<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_c83326a elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c83326a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tIs a medical hygiene standard maintained for the puncture?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_c83326a]\" id=\"form-field-field_c83326a\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"yes\">yes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"no\">no<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_0a388ec elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Finished\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-star\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_eee0b2d elementor-col-100\">\n\t\t\t\t\tSatisfaction (0= dissatisfied, 4=very satisfied)\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-ergonomie elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-ergonomie\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow do you feel about the application\/puncture?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"0\" id=\"form-field-ergonomie-0\" name=\"form_fields[ergonomie]\" required=\"required\"> <label for=\"form-field-ergonomie-0\">0<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"1\" id=\"form-field-ergonomie-1\" name=\"form_fields[ergonomie]\" required=\"required\"> <label for=\"form-field-ergonomie-1\">1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"2\" id=\"form-field-ergonomie-2\" name=\"form_fields[ergonomie]\" required=\"required\"> <label for=\"form-field-ergonomie-2\">2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"3\" id=\"form-field-ergonomie-3\" name=\"form_fields[ergonomie]\" required=\"required\"> <label for=\"form-field-ergonomie-3\">3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"4\" id=\"form-field-ergonomie-4\" name=\"form_fields[ergonomie]\" required=\"required\"> <label for=\"form-field-ergonomie-4\">4<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-beilage elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-beilage\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow would you rate the user-friendliness from your point of view?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"0\" id=\"form-field-beilage-0\" name=\"form_fields[beilage]\" required=\"required\"> <label for=\"form-field-beilage-0\">0<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"1\" id=\"form-field-beilage-1\" name=\"form_fields[beilage]\" required=\"required\"> <label for=\"form-field-beilage-1\">1<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"2\" id=\"form-field-beilage-2\" name=\"form_fields[beilage]\" required=\"required\"> <label for=\"form-field-beilage-2\">2<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"3\" id=\"form-field-beilage-3\" name=\"form_fields[beilage]\" required=\"required\"> <label for=\"form-field-beilage-3\">3<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"4\" id=\"form-field-beilage-4\" name=\"form_fields[beilage]\" required=\"required\"> <label for=\"form-field-beilage-4\">4<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_a061b39 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a061b39\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tComment\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_a061b39]\" id=\"form-field-field_a061b39\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Questionnaire for market observation SFN\u00ae (punch-free) port cannulas<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-15028","page","type-page","status-publish","hentry"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-08-05 17:16:28","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"translation_priority","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/pages\/15028","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/comments?post=15028"}],"version-history":[{"count":6,"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/pages\/15028\/revisions"}],"predecessor-version":[{"id":15415,"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/pages\/15028\/revisions\/15415"}],"wp:attachment":[{"href":"https:\/\/pakumed.de\/en\/wp-json\/wp\/v2\/media?parent=15028"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}