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Acu-Sinch® Knotless (ASK) Mini Case Report
Please fill out after EACH CASE
LMR ASK Mini Case

Surgeon / Facility Information

Surgeon Name
Surgeon Name
First Name
Last Name
Any unexpected circumstances?
Did the guidewire provide placement assurance and visualization of drill trajectory?
How adequately did the drill prepare the body for the implant construct?
0 - Not at all
10 - Extremely well
How adequately did the system maintain hole alignment during insertion?
0 - Not at all
10 - Extremely well
Was the inserter capable of deploying the implant for the indication?
How satisfied are you with the ease of use of the ASK Mini system?
0 - Very dissatisfied
10 - Very satisfied
How satisfied are you with the system’s ability to provide adequate FIXATION?
0 - Very dissatisfied
10 - Very satisfied
How satisfied are you with the system’s ability to provide adequate TENSION?
0 - Very dissatisfied
10 - Very satisfied
How satisfied are you with the system’s ability to meet this case’s surgical needs?
0 - Very dissatisfied
10 - Very satisfied