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New Product and Equipment Requests

All product requests for trial or purchase in surgery must be approved by Duke Regional Hospital’s Product and Equipment Review Team (PERT) prior to bringing the product into the hospital.

Please follow these easy steps:

  1. Discuss your product or equipment request with the OR Nurse Manager and/or Clinical Team Lead.
  2. Fill out the Surgery Product Request Form below.
  3. Submit the form by e-mail or hand deliver to the Administrative Director of Perioperative Services or the Clinical Team Lead of the representative service.
  4. Once the completed product request has been received, you will receive notices as your request progresses through the PERT process.

Download the Form

New Product and Equipment Request Form (PDF, 63 KB)