Open Heart cases per year:

Amount of Cell Savers & Open Heart:

Is Cell Saver done with each Open Heart?:

Cell Savers/year - Outside Open Heart:

Number of Full-Time Perfusionists & Salary:

Number of Full-Time Perfustionist Assistants & Salary:

Number of Operating Rooms:

Cost per Case - average Disposables used in Open Heart:

Cost of other disposables:

Inventory turns per year:

Brand used for Oxygenator:

Brand used for Centrifugal Pump:

Brand used for Tubing Pack:

Brand used for Cardioplegia:

Brand used for Cardiotomy:

Name:

Title:

Hospital:

Address:

City/St/Zip:

Country:

Telephone:

Fax:

E-mail: