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EMEA In-Person Event Template

1 December 2026 – 4 December 2026

18:00-22:00

Personal Information

Fill out the information below, then click Next to continue.

* I am a(n)

* SalutationThis question is required.

* TitleThis question is required.

* First name

* Last name

* Email address

Mobile

* Hospital Name

Hospital Address

* Address 1

* Country/Region

Germany

* City

State/Province

* ZIP/Postal code

* Attendee DepartmentThis question is required.

* SpecialtyThis question is required.

* RoleThis question is required.

*

Do you have prior experience with MCS devices?

This question is required.

Yes
No

*

Select all that apply.

This question is required.

Impella Devices
IABP (Intra-Aortic Balloon Pump)
ECMO (Extracorporeal Membrane Oxygenation)
VADs (Ventricular Assist Devices)
TAH (Total Artificial Heart)

*

Impella Cases Experience

This question is required.

0
1-5
6-15
16-50
50+

*

Please briefly describe what you aim to learn during this meeting.

*

Please provide the first and last name of your J&J MedTech (Abiomed) contact person.

I confirm I have read and accepted the “Abiomed Privacy Policy” and “Cvent Privacy Policy”.

I agree