SIR 2020 ASM Hands-On Workshop Application

HANDS-ON WORKSHOP APPLICATION

Dear SIR Industry Partner:

Welcome to the hands-on program of the SIR 2020 Annual Scientific Meeting!

This is a complimentary opportunity for companies exhibiting in this course. Please complete the following application to request a place for your company's participation.

All corporate entries are subject to approval by the SIR Annual Meeting Committee and by the official coordinator of each workshop.

Available sessions

- Cosmetic IR (venous injections, laser ablation, CoolSculpting, CryoSculpt, Cellulaze, Cellfina, Airsculpt)
- MSK and Pain (vertebral compression fractures, pain injections, OA & GAE embolization)
- CLOSED: Residents, Fellows, and Medical Students
- CLOSED: Digital and Imaging Tools
- CLOSED: Non-Vascular Interventions
- CLOSED: From Access to Closure
- CLOSED: IVC Filters, Positioning, Complex Retrieval Techniques
- CLOSED: Peripheral Vascular Disease
- Embolization: Hemostatic (coils, plugs, embolics, catheters, microcatheters, microwires)
- Embolization: Oncological (Y-90, Lipiodol, beads, other embolics)

Format

All workshops are held in a dedicated space in the Expo. While this is within the general exhibition area, the SIR workshop lab is considered a non-commercial space exclusively dedicated to the sharing of device knowledge and clinical skills.

Each company that registers is provided with a 6' x 24" table and electricity to produce a hands-on demonstration led by your representatives. You may choose to seek but are not expected to have a physician proctor. Several workshops also feature physician-led hands-on stations. Be prepared to accept up to 150 attendees, who will circulate among the various industry stations and clinical experts at their own free will.

The experience should emphasize real clinical skills and medical device knowledge. Complementary flow models, phantoms, visualization tools, and/or medical simulators are highly encouraged.

Requirements

Companies must be registered exhibitors to participate.

There is no fee to participate in these workshops.

Workshops must be kept clear of any branded, trade, or promotional materials. Only clinical, scientific, or instructional publications are allowed.

Session applied to in this submission (please return to this form to apply for an additional session):

Contact

Company Name

Company Division/Business Unit (indicate N/A if not applicable)

Planning Contact Name

Planning Contact Email

Planning Contact Phone Number

Setup

Please provide Product Name, Type and Number of Pieces for the primary clinical product(s) you are demonstrating. Please use a new line for each item:

This information will not be released to the public in any way whatsoever, unless and only as permission is granted by your company.

Our setup will feature (optional):

Vascular models (such as silicone or 3D-printed)Synthetic tissue phantomsDigital visualization tools, such as use electric displays or 3D goggles, etc. (The table will be supplied with a standard power strip. Please provide for your own laptop, screen, or other electronic devices. The AV ordering contact can be found on the exhibitor webpage .)Animal tissue phantoms (turkey breast, beef liver, etc. The catering order contact can be found on the exhibitor webpage .)Medical simulators (The table will be supplied with a standard power strip. Please provide for your own laptop, screen, or other electronic devices. The AV ordering contact can be found on the exhibitor webpage.)

Demonstration models and simulators

The default table setup will be at a higher, "cocktail" height. Please notify SIR staff if your demo requires lower, "counter" height.

The following companies offer anatomical models, simulators and services in support of experiential learning. Please feel free to consider their offerings when planning your company’s participation

in the hands-on workshops.

United Biologics, Inc.

Contact: Michael Ghebrial

Email: info@unitedbiologics.com

Office: 949-345-7490

https://unitedbiologics.com/

Authorization

Certification Statement (check one or both selections as appropriate to your company)

I have read and agree to the terms and definitions required by SIR, and I am authorized by my company to make such commitments on its behalf.My company requires an alternative LOA or grant process. I will send instructions and forms promptly to clopez@sirweb.org.

Authorized Signature

Title

Date

Questions

Christian Lopez
Corporate Relations Associate
clopez@sirweb.org
(703) 460-5575