Hugo™ Robotic Assisted Surgery
Personal Details
First Name
*
Last Name
*
Email Address
*
Mobile (optional)
Hospital
*
Postcode
Residence
Please Select
TAS
VIC
NSW
QLD
SA
WA
NT
NZ
International
Position
Please Select
Consultant
Fellow
Registrar
Nurse
Practice Manager
Other
Nurse Position
Please Select
Nurse
Nurse Educator
Nurse Admin
Admin
Specialty
Please Select
Colorectal
Bariatric
HPB
Urologist
Gynaecologist
General
Other
I am requesting the following related to the Hugo™ Robotic Assisted Surgery platform *you may select multiple boxes if required
Product Information
Being contacted by local Medtronic representative
Other
Comments
Medtronic Communication: I agree to receive updates about Medtronic events and therapies
Please Select
Yes
No
By submitting this form, you acknowledge that Medtronic will collect your information for the purpose of adding you to our healthcare professional database. Your information will be used and or disclosed in accordance with our Privacy Policy.
Privacy Policy, which can be found at
www.medtronic.com.au.
We may share your information with our employees, third-party suppliers and agents working on our behalf, including overseas companies within the Medtronic Group most likely Singapore, Netherlands, Philippines and the United States. We take all reasonable steps to ensure that any recipient is bound by similar privacy protections to those in ANZ. While Medtronic cannot guarantee against any loss, misuse or alteration to data, we take reasonable steps to prevent such occurrences. You may request access to, and correction of, your personal information by sending and email to
rs.datasubjectrightrequest@medtronic.com
, or complain about a breach of your privacy by sending an e-mail to
privacy@medtronic.com
.
THIS PRODUCT IS NOT AVAILABLE FOR PURCHASE BY THE GENERAL PUBLIC. ALWAYS FOLLOW THE DIRECTIONS FOR USE.
In Australia, Hugo™ Robotic Assisted Surgery System is currently indicated for certain gynaecological and urological surgical procedures (please refer to the IFU for the full list of specified procedures).