Sandel
Ansell Sandel Medical Solutions, LLC.
SUBMIT IDEAS
LEADERS IN HEALTHCARE SAFETY
Safety is our concern. We value and rely on the expertise of PeriOperative nurses and healthcare professionals to help guide our efforts. When you submit ideas or issues, we listen.

We at Ansell Sandel Medical Solutions will help you to help others with unsolved issues in the areas of:

Patient Safety
Staff Safety
Workplace Safety
Our privacy policy is simple: Sandel will NEVER share any of the information you enter here with any third party without your written consent.

Tell us about yourself

Salutation
First Name *
Middle Initial
Last Name *
Your Title/Designation *
Home Phone
Work Phone *
Other Phone
E-mail *
Home Address
Home Address 2
City
State
Zip
Please list all hospitals with whom you are associated *
Hospital Address
Hospital Address 2
Hospital City
Hospital State
Hospital Zip


Your Issue


Ansell Sandel Medical Solutions wants to provide nurses with a system by which they may express their opinions on the issues, needs, concerns, problems, challenges, and opportunities that they encounter daily.

Please use the fields provided to communicate your issue(s) to us.

We value your knowledge and experience, and we are here for you.

Describe your issue *(an issue can be something you would like to see changed or improved upon in your work environment. For example, an issue may be:  I have a difficult time finding suture needles if they fall on the floor during surgery)
Are there any products currently available that address your issue, and why are they not working? *
What procedures does your issue address? *(i.e., Ortho, eyes).
 
Please provide us with a brief description of your solution? *

Please be as specific as possible. For example: How about a magnetic sweeper, kind of like an old-fashioned push sweeper but with magnets on rollers instead of brooms?


Confidentiality/Non-Disclosure Agreement


To the best of my knowledge, the submission described above is my own idea.

I have not yet sold, offered for sale, or licensed my submission, and have not revealed my idea to anyone except for:

I acknowledge that Ansell Sandel Medical Solutions LLC (ASMS) has extensive, ongoing research and development activities that may currently be working on a solution to my stated issue or may have previously conceived of my idea. I expect that ASMS shall report to me within 90 days whether my idea/issue is already the subject of ASMS research activities.

I do not give any rights in my submission to ASMS; however, if ASMS accepts my submission for further research, I am willing to assign all rights and title to my submission to ASMS in a future agreement between ASMS and myself.

I agree not to reveal my submission (verbally or in writing) to anyone other than ASMS for one year from the date of this agreement, or until I receive a written release from ASMS.

I acknowledge that ASMS will only receive submissions from persons 18 years of age or older. By agreeing to these terms and conditions, I represent that I am 18 years or older.

I acknowledge that I am not an employee or contractor of ASMS or of any other Ansell entity, nor am I a family member of an ASMS or Ansell employee or contractor.

ASMS agrees not to use, sell, or disclose to others any submitter's information provided herein. ASMS accepts this submission only for evaluation purposes. ASMS and submitter shall have no further obligations to each other, unless a separate agreement is entered in to between ASMS and myself.

I agree these terms and conditions, and any submissions made pursuant to the website through which I submitted this submission or downloaded the submission form, are governed by the substantive law of, and is subject to the exclusive jurisdiction of, the State of New Jersey, USA, without regard to any principle of conflict or choice of law that would cause the application of the laws of another jurisdiction.

I Agree       

   *
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