| Apr 27, 2018 | 
          
          $3,185
           | 
           
                  ENTEREG
             | 
          
            Promotional Speaking/Other
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Apr 27, 2018 | 
          
          $3,185
           | 
           
                  ENTEREG
             | 
          
            Promotional Speaking/Other
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Oct 22, 2018 | 
          
          $3,185
           | 
           
                  ENTEREG
             | 
          
            Promotional Speaking/Other
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Feb 12, 2018 | 
          
          $3,185
           | 
           
                  ENTEREG
             | 
          
            Promotional Speaking/Other
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Dec 14, 2018 | 
          
          $3,185
           | 
           
                  ENTEREG
             | 
          
            Promotional Speaking/Other
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | May 14, 2018 | 
          
          $3,185
           | 
           
                  ENTEREG
             | 
          
            Promotional Speaking/Other
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Nov 16, 2018 | 
          
          $3,000
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Education
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Nov  9, 2018 | 
          
          $3,000
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Education
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Jan  2, 2018 | 
          
          $3,000
           | 
           
                  GELPORT
             | 
          
            Honoraria
           | 
          APPLIED MEDICAL RESOURCES CORPORATION  | 
          
           | 
        
        
          | Oct 29, 2018 | 
          
          $3,000
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Education
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Oct  9, 2018 | 
          
          $2,500
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Education
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | May  7, 2018 | 
          
          $2,000
           | 
           
                  GELPOINT
                  GELPORT
             | 
          
            Honoraria
           | 
          APPLIED MEDICAL RESOURCES CORPORATION  | 
          
           | 
        
        
          | Jul  3, 2018 | 
          
          $1,400
           | 
           
                  MONOCRYL
                  PDS II (POLYDIOXANONE) SUTURE
                  STRATAFIX
                  VICRYL
             | 
          
            Consulting
           | 
          ETHICON US, LLC  | 
          
           | 
        
        
          | Dec 17, 2018 | 
          
          $1,200
           | 
           
                  GELPOINT PATH
             | 
          
            Honoraria
           | 
          APPLIED MEDICAL RESOURCES CORPORATION  | 
          
           | 
        
        
          | May 23, 2018 | 
          
          $1,200
           | 
           
                  DILUMEN
             | 
          
            Consulting
           | 
          LUMENDI LLC  | 
          
           | 
        
        
          | Oct  9, 2018 | 
          
          $912
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Mar 22, 2018 | 
          
          $800
           | 
           
                  GELPORT
             | 
          
            Honoraria
           | 
          APPLIED MEDICAL RESOURCES CORPORATION  | 
          
           | 
        
        
          | Mar 22, 2018 | 
          
          $800
           | 
           
                  GELPORT
             | 
          
            Honoraria
           | 
          APPLIED MEDICAL RESOURCES CORPORATION  | 
          
           | 
        
        
          | Aug  1, 2018 | 
          
          $563
           | 
           
                  DILUMEN
             | 
          
            Travel and Lodging
           | 
          LUMENDI LLC  | 
          
           | 
        
        
          | May  9, 2018 | 
          
          $523
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Oct  1, 2018 | 
          
          $501
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Dec 12, 2018 | 
          
          $468
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Feb  8, 2018 | 
          
          $400
           | 
           
                  GELPORT
             | 
          
            Honoraria
           | 
          APPLIED MEDICAL RESOURCES CORPORATION  | 
          
           | 
        
        
          | Jan 11, 2018 | 
          
          $400
           | 
           
                  GELPORT
             | 
          
            Honoraria
           | 
          APPLIED MEDICAL RESOURCES CORPORATION  | 
          
           | 
        
        
          | Apr 12, 2018 | 
          
          $400
           | 
           
                  GELPORT
             | 
          
            Honoraria
           | 
          APPLIED MEDICAL RESOURCES CORPORATION  | 
          
           | 
        
        
          | Feb  8, 2018 | 
          
          $400
           | 
           
                  GELPORT
             | 
          
            Honoraria
           | 
          APPLIED MEDICAL RESOURCES CORPORATION  | 
          
           | 
        
        
          | May  9, 2018 | 
          
          $367
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Jun  3, 2018 | 
          
          $351
           | 
           
                 No Listed Product
             | 
          
            Travel and Lodging
           | 
          MEDROBOTICS INC.  | 
          
           | 
        
        
          | Apr 25, 2018 | 
          
          $350
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Apr 25, 2018 | 
          
          $332
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Dec 12, 2018 | 
          
          $305
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Dec 12, 2018 | 
          
          $283
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Jul 16, 2018 | 
          
          $277
           | 
           
                  ECHELON ENDOPATH STAPLER
                  ENSEAL PRODUCT FAMILY
             | 
          
            Travel and Lodging
           | 
          MEDICAL DEVICE BUSINESS SERVICES, INC.  | 
          
           | 
        
        
          | Apr 25, 2018 | 
          
          $264
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Apr 24, 2018 | 
          
          $253
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Apr 24, 2018 | 
          
          $252
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Oct 10, 2018 | 
          
          $190
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | May  9, 2018 | 
          
          $177
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Dec 12, 2018 | 
          
          $172
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Jun 14, 2018 | 
          
          $152
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Dec 14, 2018 | 
          
          $150
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Apr 27, 2018 | 
          
          $150
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | May 14, 2018 | 
          
          $150
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Jul 16, 2018 | 
          
          $149
           | 
           
                  ECHELON ENDOPATH STAPLER
                  ENSEAL PRODUCT FAMILY
             | 
          
            Travel and Lodging
           | 
          MEDICAL DEVICE BUSINESS SERVICES, INC.  | 
          
           | 
        
        
          | May  3, 2018 | 
          
          $148
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Food and Beverage
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | May 31, 2018 | 
          
          $141
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | May  8, 2018 | 
          
          $135
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Oct 13, 2018 | 
          
          $135
           | 
           
                  STRATTICE
             | 
          
            Food and Beverage
           | 
          ALLERGAN INC.  | 
          
           | 
        
        
          | Apr 24, 2018 | 
          
          $131
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Nov 14, 2018 | 
          
          $129
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Food and Beverage
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Oct 18, 2018 | 
          
          $121
           | 
           
                  ENTEREG
             | 
          
            Food and Beverage
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Dec  6, 2018 | 
          
          $120
           | 
           
                  OFIRMEV
             | 
          
            Food and Beverage
           | 
          MALLINCKRODT LLC  | 
          
           | 
        
        
          | Nov  5, 2018 | 
          
          $118
           | 
           
                  EXPAREL
             | 
          
            Food and Beverage
           | 
          PACIRA PHARMACEUTICALS INCORPORATED  | 
          
           | 
        
        
          | Mar 21, 2018 | 
          
          $117
           | 
           
                  BRIDION
             | 
          
            Food and Beverage
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Dec 12, 2018 | 
          
          $110
           | 
           
                  ENTEREG
             | 
          
            Food and Beverage
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | May  9, 2018 | 
          
          $110
           | 
           
                  ENTEREG
             | 
          
            Food and Beverage
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Feb 15, 2018 | 
          
          $109
           | 
           
                  STRATAFIX
             | 
          
            Food and Beverage
           | 
          MEDICAL DEVICE BUSINESS SERVICES, INC.  | 
          
           | 
        
        
          | Nov 14, 2018 | 
          
          $108
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Food and Beverage
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Aug  9, 2018 | 
          
          $106
           | 
           
                  4-K
             | 
          
            Food and Beverage
           | 
          OLYMPUS AMERICA INC.  | 
          
           | 
        
        
          | Jan 15, 2018 | 
          
          $102
           | 
           
                  GELPORT
             | 
          
            Travel and Lodging
           | 
          APPLIED MEDICAL RESOURCES CORPORATION  | 
          
           | 
        
        
          | Jul 15, 2018 | 
          
          $94
           | 
           
                  ECHELON FLEX STAPLER
             | 
          
            Food and Beverage
           | 
          ETHICON US, LLC  | 
          
           | 
        
        
          | Oct 29, 2018 | 
          
          $91
           | 
           
                  AIRSEAL
             | 
          
            Food and Beverage
           | 
          CONMED CORPORATION  | 
          
           | 
        
        
          | Sep 17, 2018 | 
          
          $91
           | 
           
                  AIRSEAL
             | 
          
            Food and Beverage
           | 
          CONMED CORPORATION  | 
          
           | 
        
        
          | Apr 24, 2018 | 
          
          $85
           | 
           
                  ENTEREG
             | 
          
            Food and Beverage
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Sep  7, 2018 | 
          
          $81
           | 
           
                  ENSEAL PRODUCT FAMILY
                  PROXIMATE FAMILY OF OPEN MECHANICAL STAPLERS
             | 
          
            Food and Beverage
           | 
          ETHICON US, LLC  | 
          
           | 
        
        
          | Feb 12, 2018 | 
          
          $75
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Oct 22, 2018 | 
          
          $75
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Apr 20, 2018 | 
          
          $74
           | 
           
                  STRATTICE
             | 
          
            Food and Beverage
           | 
          ALLERGAN INC.  | 
          
           | 
        
        
          | Apr 26, 2018 | 
          
          $71
           | 
           
                  AIRSEAL
             | 
          
            Food and Beverage
           | 
          CONMED CORPORATION  | 
          
           | 
        
        
          | Jun  6, 2018 | 
          
          $64
           | 
           
                  STRATAFIX
                  HARMONIC PRODUCT FAMILY
                  ENSEAL PRODUCT FAMILY
                  ECHELON FLEX STAPLER
             | 
          
            Food and Beverage
           | 
          ETHICON US, LLC  | 
          
           | 
        
        
          | Jun  4, 2018 | 
          
          $60
           | 
           
                 No Listed Product
             | 
          
            Food and Beverage
           | 
          MEDROBOTICS INC.  | 
          
           | 
        
        
          | Feb  5, 2018 | 
          
          $50
           | 
           
                  ENTEREG
             | 
          
            Food and Beverage
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | Jul 16, 2018 | 
          
          $41
           | 
           
                  ECHELON ENDOPATH STAPLER
                  ENSEAL PRODUCT FAMILY
             | 
          
            Travel and Lodging
           | 
          MEDICAL DEVICE BUSINESS SERVICES, INC.  | 
          
           | 
        
        
          | Jun 14, 2018 | 
          
          $29
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Food and Beverage
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Jul 16, 2018 | 
          
          $28
           | 
           
                  ECHELON ENDOPATH STAPLER
                  ENSEAL PRODUCT FAMILY
             | 
          
            Food and Beverage
           | 
          MEDICAL DEVICE BUSINESS SERVICES, INC.  | 
          
           | 
        
        
          | Apr 27, 2018 | 
          
          $25
           | 
           
                  ENTEREG
             | 
          
            Travel and Lodging
           | 
          MERCK SHARP & DOHME CORPORATION  | 
          
           | 
        
        
          | May 29, 2018 | 
          
          $23
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Apr 25, 2018 | 
          
          $23
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Jun  1, 2018 | 
          
          $23
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Jun 12, 2018 | 
          
          $23
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Apr 25, 2018 | 
          
          $23
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Mar 16, 2018 | 
          
          $22
           | 
           
                 No Listed Product
             | 
          
            Food and Beverage
           | 
          APPLIED MEDICAL RESOURCES CORPORATION  | 
          
           | 
        
        
          | Jun  4, 2018 | 
          
          $21
           | 
           
                 No Listed Product
             | 
          
            Food and Beverage
           | 
          MEDROBOTICS INC.  | 
          
           | 
        
        
          | Jun  4, 2018 | 
          
          $20
           | 
           
                 No Listed Product
             | 
          
            Food and Beverage
           | 
          MEDROBOTICS INC.  | 
          
           | 
        
        
          | Oct 10, 2018 | 
          
          $19
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Oct  1, 2018 | 
          
          $19
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Travel and Lodging
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Jun  4, 2018 | 
          
          $16
           | 
           
                 No Listed Product
             | 
          
            Food and Beverage
           | 
          MEDROBOTICS INC.  | 
          
           | 
        
        
          | Jun  5, 2018 | 
          
          $16
           | 
           
                 No Listed Product
             | 
          
            Food and Beverage
           | 
          MEDROBOTICS INC.  | 
          
           | 
        
        
          | Jun  5, 2018 | 
          
          $15
           | 
           
                 No Listed Product
             | 
          
            Food and Beverage
           | 
          MEDROBOTICS INC.  | 
          
           | 
        
        
          | Oct 30, 2018 | 
          
          $15
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Food and Beverage
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Sep  8, 2018 | 
          
          $15
           | 
           
                  ECHELON FLEX STAPLER
                  ENSEAL PRODUCT FAMILY
             | 
          
            Food and Beverage
           | 
          MEDICAL DEVICE BUSINESS SERVICES, INC.  | 
          
           | 
        
        
          | Sep  8, 2018 | 
          
          $15
           | 
           
                  ECHELON FLEX STAPLER
                  ENSEAL PRODUCT FAMILY
             | 
          
            Food and Beverage
           | 
          MEDICAL DEVICE BUSINESS SERVICES, INC.  | 
          
           | 
        
        
          | Oct 30, 2018 | 
          
          $14
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Food and Beverage
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Jul 16, 2018 | 
          
          $13
           | 
           
                  ECHELON ENDOPATH STAPLER
                  ENSEAL PRODUCT FAMILY
             | 
          
            Food and Beverage
           | 
          MEDICAL DEVICE BUSINESS SERVICES, INC.  | 
          
           | 
        
        
          | Oct  9, 2018 | 
          
          $13
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Food and Beverage
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Oct 30, 2018 | 
          
          $12
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Food and Beverage
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Jun 14, 2018 | 
          
          $11
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Food and Beverage
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           | 
        
        
          | Nov 14, 2018 | 
          
          $10
           | 
           
                  ECHELON FLEX STAPLER
             | 
          
            Food and Beverage
           | 
          ETHICON US, LLC  | 
          
           | 
        
        
          | Nov 14, 2018 | 
          
          $7
           | 
           
                  ECHELON FLEX STAPLER
             | 
          
            Food and Beverage
           | 
          ETHICON US, LLC  | 
          
           | 
        
        
          | Jul 16, 2018 | 
          
          $7
           | 
           
                  ECHELON ENDOPATH STAPLER
                  ENSEAL PRODUCT FAMILY
             | 
          
            Food and Beverage
           | 
          MEDICAL DEVICE BUSINESS SERVICES, INC.  | 
          
           | 
        
        
          | Jun 14, 2018 | 
          
          $4
           | 
           
                  DA VINCI SURGICAL SYSTEM
             | 
          
            Food and Beverage
           | 
          INTUITIVE SURGICAL, INC.  | 
          
           |