Sandel Medical Industries
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Submit Ideas

Safety is our concern. We value and rely on the expertise of PeriOperative nurses and hospital
personnel to help guide our efforts. When you submit ideas or issues, we listen.

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

Patient Safety
Staff Safety
Workplace Safety

Our privacy policy is simple: SMI 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
Birthday  /    (just the month and day)
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

Sandel Medical Industries 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)
What problem does your issue address?
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:

I do not give any rights in my submission to Sandel Medical Industries L.L.C. (SMI).  Any rights in my submission may be given to SMI only in a future agreement between SMI and me.

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

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

I Agree        I Disagree

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Sandel Medical Industries, LLC • 19736 Dearborn St. Chatsworth, CA 91311 • 866-764-3327