Fields marked with an * are required.

First Name *

Last Name *

Phone number *

Date of Birth MM/DD/YYYY *

Zip Code or Postal Code *

What is your gender?

Have you been diagnosed by a doctor with obstructive sleep apnea? *

Have you used CPAP therapy for your sleep apnea? *

The OSPREY Study is a multi-center study researching the effectiveness of a new medical device (aura6000® System) for moderate to severe obstructive sleep apnea in patients who have failed or are unwilling to use CPAP. If you currently use CPAP, would you be willing to give it up for the duration of the 13-month study?
Please note this is a requirement of the study. *

Please, select your height from the dropdown below. *

How much do you weigh in Lbs (pounds)? *

Do any of the following statements apply to you? *

I have Restless Legs Syndrome (RLS), insomnia, or narcolepsy.
I have Chronic Obstructive Pulmonary Disease (COPD).
I use supplemental oxygen therapy.
I have transient ischemic attacks (TIA, mini-stroke), Parkinson’s disease, multiple sclerosis (MS), or epilepsy.
I have a condition that requires frequent MRIs.

Would you consider a surgical procedure / implanted device as an alternate treatment for your obstructive sleep apnea? *

Are you currently participating in a clinical trial for an investigational drug or device? *

Would you like to be contacted about taking part in a Research Study? *

Yes

This study involves up to 17 visits over a 16-month period. You will be compensated for time and travel. Are you willing to visit a study site in your area once per month? *

Preferred time to be contacted

Preferred way to be contacted

By completing this Online Screener, you understand and agree that the information you are providing here will only be used (i) to match you or a loved one to a clinical research study in the potential participant’s area, and, (ii) to contact you to see if you or a loved one would like to participate.

Please note the information you provide will be kept confidential, and only accessible to AutoCruitment LLC and its Clinical Research Partners, and to LivaNova USA, Inc., who is the Sponsor of the OSPREY Study, and its affiliates and third-party service providers, except that this information may be disclosed when required under law or court order or by a governing regulatory agency.

If you have any questions regarding the handling of the information you have provided, or if you would like to make any changes (including withdrawing your information or revoking your authorization), please contact us at info@autocruitment.com.