Table 4.

Exemplar Quotations: Suggestions for Improvement

Theme	Exemplar Quotations
Variety of Instrument Sizes	Q51: “Different sizes of instruments would help.” Q52: “I don’t think there should just be one size of instruments. I think that’s very strange… I don’t think it should just be there is one size Alfred. There should be the Alfred if you’re an eight and a half versus the Alfred if you’re a size six.”
Adjustable Instruments	Q53: “It would be great if there were some adjustability to instruments… some telescoping nature to some of the tools.” Q54: “With the microdebrider if that had an adjustable length or a shorter length, that that could be helpful.” Q55: “It certainly behooves everyone to take into consideration different heights, different sizes, different hand sizes in their instrument design… they can certainly target the most common sizes and the most common heights, but in order to make them universally usable, they will definitely have to make sure that the design is able to accommodate different surgeons physiques.”
More Equipment Sizes	Q56: “I think there maybe could be a middle ground between, like the massive neurosurgical [microscopes] and the kind of dinky older, non-powered, non-auto balance ones.”
Encouraging Discourse	Q57: “In the time out there is a spot for patient positioning… I think we should expand upon that and just make sure that everyone is happy with positioning and that it’s going to accommodate for all the surgeons in the room.”