--- title: CONFORM TRIAL PORTAL --- [![CONFORM pivotal trial negative_blue RGB](https://info.conformalmedical.com/hs-fs/hubfs/CONFORM%20pivotal%20trial%20negative_blue%20RGB.png?width=200&height=78&name=CONFORM%20pivotal%20trial%20negative_blue%20RGB.png "CONFORM pivotal trial negative_blue RGB")](https://info.conformalmedical.com/conform-trial-portal?hsLang=en) Open menu Close menu # Source Worksheets CONFORM IDE Trial NCT05147792 ## Get The Entire Source Worksheet File Looking for one file with each PDF.  15MAY2026 [ DOWNLOAD ](https://info.conformalmedical.com/hubfs/Source%20Binder_Complete_Without%20Tabs_15May2026_updated.pdf?hsLang=en) ![AdobeStock_539493179](https://info.conformalmedical.com/hs-fs/hubfs/AdobeStock_539493179.jpeg?width=2000&name=AdobeStock_539493179.jpeg) DIGITAL DOWNLOAD ## CONFORM Source Worksheet Documents CONFORM L1 - Concomitant Medication Version 3.0, Date: 06DEC2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20L1%20-%20Concomitant%20Medication%20V3.0_06DEC2024.pdf?hsLang=en) CONFORM L2 - Protocol Deviations Version 3.0, Date: 06DEC2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20L2%20-Protocol%20Deviations%20V%203.0%2006DEC2024.pdf?hsLang=en) CONFORM P01 - Procedure Source Worksheet Version 5.0, Date: 06DEC2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20P01%20-%20%20Procedure%20Source%20Worksheet%20V5.0.pdf?hsLang=en) CONFORM P02 - CLASS Implant Version 2.0, Date: 06DEC2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20P02%20-%20CLAAS%20Implant%20V2.0%2006DEC2024.pdf?hsLang=en) CONFORM P03 - CLASS Delivery System V3.0 16Apr2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20P03%20-%20CLASS%20Delivery%20System%20V3.0_16Apr2026.pdf?hsLang=en) CONFORM P04 - CLAAS Device Deficiency Worksheet V3.0 15Apr2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20P04%20-%20CONFORM%20Device%20Def%20Worksheet%20V3.0_15Apr2026.pdf?hsLang=en) CONFORM P05 - Control Implant V4.0 16Apr2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20P05%20-%20Control%20Implant%20V4.0_16Apr2026.pdf?hsLang=en) CONFORM P06 - Echo Exclusion Criteria V4.0 14May2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20P06%20Echo%20Exclusion%20Criteria%20V4.0_14May2026.pdf?hsLang=en) CONFORM P07 - Additional Procedure Source Worksheet Version 1.0, Date: 06DEC2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20P07%20-%20%20Additional%20Procedure%20Source%20Worksheet%20V1.0%2006DEC2024.pdf?hsLang=en) CONFORM P08 - Patient Population V 2.0 16APR2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20P08%20-%20Patient%20Population%20V%202.0%2016APR2026.pdf?hsLang=en) CONFORM P09 - Procedure Lab Assessments V1.0 06Dec2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20P09%20-%20Procedure%20Lab%20Assessments%20%20V1.0%2006Dec2024.pdf?hsLang=en) CONFORM Pivotal Trial TEE TTE Sonographer Worksheet V5.0 08Jun2023 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20Pivotal%20Trial_TEE%20TTE_Sonographer%20Worksheet_Version%205.0_08Jun2023.pdf?hsLang=en) CONFORM SW - Visit Information V4.0 06Dec2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW%20-%20Visit%20Information%20V4.0%2006Dec2024.pdf?hsLang=en) CONFORM SW01 - Screening Worksheet V6.0 16Apr2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20SW01%20-%20Screening%20Worksheet%20V6.0_16Apr2026.pdf?hsLang=en) CONFORM SW01a - Shared Decision Making Source V1.0 06DEC2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW01a%20-%20Shared%20Decision%20Making%20Source%20V1.0%2006DEC2024.pdf?hsLang=en) CONFORM SW02 - Inclusion-Exclusion Criteria V3.0 06Dec2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW02%20-%20Inclusion-Exclusion%20Criteria%20V3.0%2006Dec2024.pdf?hsLang=en) CONFORM SW03 - Medical History V7.0 16Apr2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20SW03%20-%20Medical%20History%20V7.0_16Apr2026.pdf?hsLang=en) CONFORM SW04 - Vital Signs V3.0 06Dec2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW04%20-%20Vital%20Signs%20V3.0%2006Dec2024.pdf?hsLang=en) CONFORM SW05 - Physical Examination - Review of Systems V4.1 15May2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20SW05%20-%20Physical%20Examination%20-%20Review%20of%20Systems%20V4.1_15May2026.pdf?hsLang=en) CONFORM SW07 - CHADS2VASc V4.0 06Dec2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW07%20-%20CHADS2VASc%20V4.0%2006Dec2024.pdf?hsLang=en) CONFORM SW08 - HAS-BLED V4.0 06Dec2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW08%20-%20HAS-BLED%20V4.0%2006Dec2024.pdf?hsLang=en) CONFORM SW09 - ECG V2.0 06Dec2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW09%20-%20ECG%20V2.0%2006Dec2024.pdf?hsLang=en) CONFORM SW10A - Echocardiography-CT Screening V5.1 15May2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20SW10A%20-%20Echocardiogram-CT%20Screening%20V5.1_15May2026.pdf?hsLang=en) CONFORM SW10B - Echocardiography-CT Procedure V4.1 15May2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20SW10B%20-%20Echocardiogram-CT%20Procedure%20V4.1_15May2026.pdf?hsLang=en) CONFORM SW10C - LAA Measurements V3.0 06DEC2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW10C%20-%20LAA%20Measurements%20V3.0%2006DEC2024.pdf?hsLang=en) CONFORM SW11A - Echo-CT Pre Discharge V5.0 14May2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20SW11A%20-%20Echo-CT%20Pre%20Discharge%20V5.0_14May2026.pdf?hsLang=en) CONFORM SW11B - Echo-CT Follow-Up V4.1 15May2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20SW11B%20-%20Echo-CT%20Follow%20Up%20V4.1_15May2026.pdf?hsLang=en) CONFORM SW12 - Screening Lab Assessments V2.0 06Dec2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW12%20-%20Screening%20Lab%20Assessments%20%20V2.0%2006Dec2024.pdf?hsLang=en) CONFORM SW13 - NIHSS V2.0 06Dec2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW13%20-%20NIHSS%20V2.0%2006Dec2024.pdf?hsLang=en) CONFORM SW14 - QVSFS V2.0 06Dec2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW14%20-%20QVSFS%20V2.0%2006Dec2024.pdf?hsLang=en) CONFORM SW15 - mRS V2.0 06Dec2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW15%20-%20mRS%20V2.0%2006Dec2024.pdf?hsLang=en) CONFORM SW16 - Adverse Event Source Worksheet V4.0 16Apr2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20SW16%20-%20Adverse%20Event%20Source%20Worksheet%20V4.0_16Apr2026.pdf?hsLang=en) CONFORM SW16A Adverse Event Source 4.0 30Apr2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20SW16A%20Adverse%20Event%20Source%20V2.0%2016Apr2026.pdf?hsLang=en) CONFORM SW18 - Neurological Event V3.0 06DEC2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW18%20-%20Neurological%20Event%20V3.0%2006DEC2024.pdf?hsLang=en) CONFORM SW19 - Systemic Embolization V3.0 06DEC2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW19%20-%20Systemic%20Embolization%20V3.0%2006DEC2024.pdf?hsLang=en) CONFORM SW20 - Death V4.0 16Apr2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20SW20%20-%20Death%20V4.0_16Apr2026.pdf?hsLang=en) CONFORM SW21 - Chemistry - Cardiac Enzymes V2.0 06Dec2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW21%20-%20Chemistry%20-%20Cardiac%20Enzymes%20V2.0%2006Dec2024.pdf?hsLang=en) CONFORM SW22 - Study Exit V3.0 16Apr2026 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20SW22%20-%20Study%20Exit%20V3.0_16Apr2026.pdf?hsLang=en) CONFORM SW23 - Pericardial Effusion Source Worksheet V3.0 06DEC2024 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/CONFORM%20Source%20Worksheets%202025/CONFORM%20SW23%20-%20Pericardial%20Effusion%20Source%20Worksheet%20V3.0%2006DEC2024.pdf?hsLang=en) F-041 Rev H Delegation of Authority Log Template V2.0 29OCT2025 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/F-041%20Rev%20H%20Delegation%20of%20Authority%20Log%20Template.docx?hsLang=en) TEE Echo Follow-Up Checklist V1.0 30JUN2025 [DOWNLOAD HERE](https://info.conformalmedical.com/hubfs/TEE%20Echo%20Follow-Up%20Checklist%20_V1.0_30JUN2025.pdf?hsLang=en) CAUTION: Investigational Device Limited by federal (or United States) law to investigational use. Outside the United States, the device is intended exclusively for clinical investigation. Not approved for commercial use.