umdns-Suggestion UMDNS Suggestion Form Are you a member? Login here. Not a member? Register as a guest here. Member Login Not a member? Register as a guest here. Click here to return to form. E-Mail Address Please enter a valid email address. Password Login Guest Registration Are you a member? Login here. Click here to return to form. Please fill out the entire form. * Email Address Please enter a valid email address. * Password * First Name * Last Name * Organization * Department * Address * City * Country * Other Country * State or Province * Other State or Province * Postal Code * Phone Number Register Verify Guest Registration Email Please enter a valid email address. Password Verify Account ECRI Institute UMDNS staff will process suggestions only after this form is received. An asterisk (*) denotes a required field. 1. Contact Information * Name Phone * E-mail Date 2. Term(s) modification/addition/retire needed Add New Term New Term Related Software Please describe any software (as defined by UMDNS) associated with requested new terms: Modify Current Term Current Term Modification Suggested Retire Current Term Current Term UMDNS Term to be Used Now None (Obsolete/No Substitue) 3. Short description of modified/added terms: 4. Rationale New devices in the market New devices in research/clinical trial Substantial device modification/application Current devices not included in UMDNS Wrong UMDNS term Obsolete technology Other - Explain in textbox provided below Rationale Explanation 5. Attached (provide document link in textbox below) Manufacturer's information/website (required for all new term requests) Journal articles ECRI Institute publication/drafts FDA information (device clearance and other) Clinical/technical information Other - Explain in textbox provided below Attached Explanation Please fill in all required fields. Submit