Gain Calculator For MRI

Healthcare facility

Department

Date

Contact person

Phone Number

Website/URL

Email

Are you familiar with CS Interpharm General Trading LLC?

Yes

No

Do you use cross sectional diagnostics?

MRI

CT

Both

Which injector are you using for MRI or CT?

What is the exact model of injectors you are using?

Do you administrate contrast medium with MRI or CT?

Yes

No

What is the ratio between the application of the contrast medium, mainly by hand or with an injector in MRI? (Ex. 50/50 or 70/30 etc.)

How many patients you have daily undergoing contrast medium for CT and MRI? (average)

What are the most commonly used types, length, diameter and brands of tubes and syringes?

What consumables do you use?

Multiple system 8 hours usage

Multiple system 12 hours usage

Multiple system 24 hours usage

One way

How is the workflow for contrast medium in CT / MRT? Are you changing for every patient or once a shift?

Patients Per Day *

Working Days Per Week *

Patients Per Year

Working Days Per Year

If you are human, leave this field blank.