Post-market Clinical Follow-up Survey for LUOFUCON® Gelling Fiber Dressing

Dear health care professional,

Thank you for agreeing to participate in this survey. The purpose of this survey is to ensure the ongoing performance and safety of the product. Patients should be selected for this evaluation that must have used our products based upon clinical need. Please complete all sections on the survey, tick the boxes or fill in the blank.

Type of your institution

HospitalPharmacyWound Care CenterOthers，please specify ‘others’:

Country:

Your profession:

PhysicianNursepharmacistOthers, Please specify ‘Others’:

How many years of professional experience do you have in the field of wound?

＜ 1 year1-3 years4-10 years> 10 years

1. Approximately how many patients do you treat with LUOFUCON^?Gelling Fiber Dressing?

up to 10 patients/year10 to 30 patients/year30 to 50 patients/year50 to 100 patients/yearother,please specify:_________patients/year

2.Which type of wound do you commonly use LUOFUCON^? Gelling Fiber Dressing? (multiple choices possible)

Regularly
Occasionally
No cases

Pressure ulcers

Venous leg ulcers

Arterial leg ulcers

Ulcers caused by mixed vascular etiologies

Diabetic foot ulcers

Traumatic wounds

Surgical wounds

Cavity wound

Burns

Scalds

Others

Please specify ‘Others’:

3.Which of the following age groups of patients are LUOFUCON^?Gelling Fiber Dressing used for?

Regularly
Occasionally
No cases

< 3 years

3 – 17 years

18 – 64 years

65 – 79 years

> 80 years

4.Are the instructions for use of LUOFUCON^? Gelling Fiber Dressing clearly understandable to you？

YesNo, please give details:

5. Is the product label on cardboard and individual packaging clear?

YesNo, please give details:

6.From your experience ,do you see any contraindications for using LUOFUCON^? Gelling Fiber Dressing?

NoYes,please give details:

7.Have you achieved the therapeutic benefit you expect with LUOFUCON? Gelling Fiber Dressing?

YesNo, please explain:

8.Have you experienced any adverse events may be related to the use of LUOFUCON^? Gelling Fiber Dressing?

NoYes

If yes, please describe the event(s):

15. Please give approximate occurrence rate of experienced adverse event：_________%

Please give possible causes of described adverse events：

9.Did your patients find the use of LUOFUCON^? Gelling Fiber Dressing unpleasant?

NoYes, please give details:

10.Is the product effective in maintaining a moist environment to promote wound healing?

YesNo

11.Is the product effective in reducing leakage and maceration？

YesNo

12. Are you satisfied with the ability of absorbing exudate of the dressing ?