JPP PG July 2016 (Vol:05 Issue:03) by Open Box Media & Communications

Journal of Perioperative Practice

PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 01423 881300 www.afpp.org.uk

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Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Contents

Welcome to your July 2016 Guide 04 Stock management in theatres

08-19 Product News: 08 SEMPERMEDÂŽ Supreme Green - the optimised underglove

09 VacSax,

Erbe Medical UK

10 BD safety 11 Bolton Surgical, Teleflex

12 PROACT Creative PC-900B, Angloplas

13 Detergent choice from schĂźlke

14 HAIKA Gloves 15 Ecolab 16 Peskett Solutions 17 Anetic Aid - Compact and light weight QA3 Patient Trolley

18 LaproSurge 19 Single Use Surgical, Intersurgical

Journal of Perioperative Practice Procurement Guide information In print within the AfPP Journal of Perioperative Practice covering national AfPP members, but also with a dedicated print and e-distribution to supplies and purchasing managers. Key Sectors: NHS Supply Chain, Independent Hospitals, Higher Education. Medical Device Companies. Published 6 times a year we will focus on procurement issues in every edition as well as specialist subjects which for the following year include:

September 2016 Anaesthesia/Airway Management/Difficult Airways November 2016 Safety/Sharps Safety/ Patient Safety January 2017 Patient Warming/ Patient Monitoring March 2017 Medical Instruments/Devices/ Equipment

Contact Information: Advertising, Sponsorship & Partner Packages. Frances Murphy Account Manager Open Box M&C T: 0121 200 7820 E: frances.murphy@ob-mc.co.uk Editorial Chris Wiles Head of Publishing/Editorial AfPP T: 01423 882950 E: chris.wiles@afpp.org.uk

PR & press material. All press releases welcome and we will feature as many as we can in each issue, all press releases need to be submitted to: Frances Murphy Account Manager Open Box M&C T: 0121 200 7820 E: frances.murphy@ob-mc.co.uk

Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Consumables

Stock management in theatres The supplies department at Nuffield Health York Hospital procures, delivers and manages all the medical consumables used throughout the building. We basically buy in everything except food and drugs!

We are a team of three and our working schedules are designed (and flexed) to reflect the activity of each clinical department. My main goal in my working life is to make things easier and simpler for everybody, by working efficiently and streamlining processes. The theatre department comprises three theatres and a recovery area, and performs a range of surgeries including orthopaedic, general, ophthalmic, spinal and urology. There is one sterile store room for the stock that is topped up, plus a prosthesis store room and trolleys for each speciality. We follow the Nuffield Group Procurement processes for all our stock management, using Lawson as our software system. There are standardised products (swabs, surgeon gowns etc.) that Group Procurement have negotiated on national contracts, that we are expected to default to, and ranges of nonstandardised products. These can be ordered as required based on clinical need and surgeons’ preferences. Successful stock management in theatres is wholly reliant on clear and trusted communications between supplies and theatre staff. The trust has to be there for the theatre staff, so that they know what they want will be where they want it, when they want it.

Successful stock management in theatres is wholly reliant on clear and trusted communications between supplies and theatre staff. The trust has to be there for the theatre staff, so that they know what they want will be where they want it, when they want it.

For supplies staff, it’s that the theatre staff will remember to tell us what they’ve used, when they’ve used it and on whom it’s been used! I am also reliant on them checking their requirements the day before a procedure, so if anything has been missed, it can then be ordered. The supplies department at York is on the same floor as theatres and I wear scrubs so that I can go into each theatre as required to check stock levels, do a stock take, and answer queries and so on while theatre staff are scrubbed. It also means I am visible to theatre staff, adding to their reassurance that supplies are an integral part of their team. The Nuffield processes for managing stock are straightforward and based on the principle of an upcoming demand allocating stock on the system. If this allocation results in the stock reorder point being triggered, an order is created and the stock allocation fulfilled once the stock is received. The upcoming demand is created by the theatre clerk extracting information from the Patient Management System, which lists all inpatient procedures per theatre, per surgeon, and per date. This information is used to create the pick sheet on Lawson. This is the list of stock required by the surgeon to complete the procedure and can range from a single procedure

pack, through to three pages of individual items. We receive notification that these have been put on Lawson at least a week in advance of the procedure date, allowing us to both pick the stock and replenish items that are currently unavailable in time for the list. We pick the required sterile consumables (swabs, drapes, syringes, hernia mesh etc.) and bag up into individual clear plastic sacks about a week before the procedure date. These are stored in our main stores, and taken through to theatre the day before the list. Theatre staff then collate them with the instrument trays, prostheses, sutures, bone cement, saw blades etc. that they will need for each patient. Stock physically held in theatre falls into various different categories, depending on the item’s value, type (e.g. prosthesis) or frequency of use. Their stock requirements are reviewed and agreed between the supplies manager and theatre manager /speciality team leaders. Supplies agrees to supply the patient and procedure specific stock the day before, to replenish used consignment stock within 48 hours, to keep agreed levels of “inventory” stock (£25+ in value or an owned prosthesis), replenished also within 48 hours, and to top up their clean utility store on a daily basis. >>

2% CHG / 70% IPA DIDN’T CUT SSIs BY 41%*

CHLORAPREP DID

*compared with povidone iodine Prescribing Information ChloraPrep® (PL31760/0004) & ChloraPrep with Tint (PL31760-0001) 2% chlorhexidine gluconate w/v / 70% isopropyl alcohol v/v cutaneous solution. Indication: Disinfection of skin prior to invasive medical procedures Dosage & administration: ChloraPrep – 0.67ml, 1.5ml, 3ml, 10.5ml, 26ml ; ChloraPrep with Tint – 3ml, 10.5ml, 26ml. Volume dependent on invasive procedure being undertaken. Applicator squeezed to break ampoule and release antiseptic solution onto sponge. Solution applied by gently pressing sponge against skin and moving back and forth for 30 seconds. The area covered should be allowed to air dry. Side effects, precautions & contra-indications: Very rarely allergic or skin reactions reported with chlorhexidine, isopropyl alcohol and Sunset Yellow. Contra-indicated for patients with known hypersensitivity to these constituents. For external use only on intact skin. Avoid contact with eyes, mucous membranes, middle ear and neural tissue. Should not be used in children under 2 months of age. Solution is flammable. Do not use with ignition sources until dry, do not allow to pool, and remove soaked materials before use. Over-vigorous use on fragile or sensitive skin or repeated use may lead to local skin reactions. At the first sign of local

skin reaction, application should be stopped. Per applicator costs (ex VAT) ChloraPrep: 0.67ml (SEPP) 30p; 1.5ml (FREPP) - 55p; 1.5ml – 78p; 3ml – 85p; 10.5ml - £2.92; 26ml - £6.50 ChloraPrep with Tint: 3ml – 89p; 10.5ml £3.07; 26ml - £6.83 Legal category: GSL Marketing Authorisation Holder: CareFusion UK 244 Ltd, The Crescent, Jays Close, Basingstoke, Hampshire, RG22 4BS Date of preparation: May 2014 Adverse events should be reported. Reporting forms and information can be found at www. yellowcard.mhra.gov.uk. Adverse events should also be reported to CareFusion Freephone number: 0800 0437 546 or email: CareFusionGB@professionalinformation.co.uk References 1. Darouiche R et al. N Engl J Med 2010; 362: 18–26.

For more information, please visit: www.chloraprep.co.uk or contact our sales team on telephone number: 0800 917 8776 or email: uk-customer-service@carefusion.com

© 2015 CareFusion Corporation or one of its affiliates. CareFusion, the CareFusion logo and ChloraPrep are trademarks or registered trademark of CareFusion Corporation or one of its affiliates. All rights reserved. Date of preparation: December 2015. 0000CF01915 Issue 3

SETTING IN OPERATING OPERATINGPROCEDURES PROCEDURES SETTING A A NEW NEW STANDARD STANDARD IN

Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Consumables medical

>> The store room contains a wide range of items from ophthalmic forceps, to intubating laryngeal mask, to surgeons’ gloves. The stock levels are based on average daily usage, with a bit of leeway to allow for particularly busy lists or anaesthetists’ specific requirements. When calculating stock levels, I’ll also take into consideration pack size versus the fiddle factor of counting out a specific number of units from a box of 50. Often it’s more efficient to put the full box into the store, especially with low value items such as syringes, examination gloves and needles. Our prostheses fall into two categories; owned and consigned. The owned

prosthesis includes things like low value forefoot screws and plates, and grommets. The consigned stock includes orthopaedic, breast and ophthalmic implants. This stock is counted on a monthly basis to ensure compliance with consignment agreement, and to capture any missed charges that should have been costed to a patient’s charge account. All consignment and inventory stock is marked up with a removable yellow sticker, comprising a bar code, product description and identifying code as to it being consignment or inventory. This information is used for both stock decrementation and stocktaking.

The inventory stock captures all the higher value items used, such as bone cement, laparoscopic scissors, saw blades, orthopaedic anchors etc. This is managed in a similar way to consignment stock. Post procedure, theatre staff return the pick sheets to supplies, having attached any yellow bar code sticker from products they have used. This stock is decremented to trigger a re-order, and the cost linked to the patient account. All costs for each patient can therefore be totalled and reviewed; including the costs for the pick bags, additional consignment or inventory stock, any pharmacy

charges, surgeon and anaesthetist fees and so on. We try and ensure the smoothest and most efficient of supply processes for the theatre staff and the operating teams; what we all do in healthcare is hugely important, but in having efficient and simple processes to follow, it needn’t be overly stressful! Kate Pyle Supplies and Operational Governance Manager Nuffield Health York Hospital

Power your performance

Erbe Medical UK Ltd Leeds Phone 0113 253 0333 sales@erbe-uk.com erbe-uk.com

Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Product News

SEMPERMED® Supreme Green - the optimised underglove Sempermed® Supreme Green is the optimised underglove, ideal for users who prefer good tactile properties and minimum hand fatigue combined with maximum safety. In combination with Sempermed® Supreme or Sempermed® Supreme Plus, the Sempermed® Supreme Green constitutes the optimum glove solution with regard to high safety and comfort. Its green colour enables any liquid seeping in between the gloves to be detected at an early stage, and the „perforation“ will appear

visually. The green color of the inner glove reinforces the staining caused by the liquid. The outer glove can be changed quickly thanks to the smooth surface structure. The reduced wall thickness of the Sempermed® Supreme Green guarantees more sensitive tactile properties combined with maximum safety. This means a

maximum of fine motor skills combined with the highest degree of safety. The design of Sempermeds fully anatomically shaped surgical gloves is based on a relaxed hand with naturally curved finger to guarantee tireless work even during longer surgeries.

For your free sample contact Russell McNab at russell.mcnab@semperitgroup.com

Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Product News

VacSax VacSax, UK leaders in the design and manufacture of disposable suction system for use in all Departments within the hospital, has taken the unprecedented step to manufacture all Suction Liner Products with Antimicrobial Protection.

Founded in 1996, the company currently exports to more than 25 countries around the world. The VacSax BactiClear® Antimicrobial system is seen by over 60% of hospital beds across the UK and has been proven to reduce harmful bacteria such as MRSA and E-Coli by up to 99 per cent as independently tested to the ISO 22196:2011 standard. VacSax BactiClear® Antimicrobial Suction Liner system is the only system where all external surfaces are totally antimicrobial, designed to minimise the risk of cross-infection.

VacSax Bacticlear® Antimicrobial liners are available in 1 litre, 2 litre and 3 litre versions and are PVC-free, producing only carbon dioxide and water upon 100% combustion. The unique patented designed liner is folded for ease of storage and begins to inflate as soon as the vacuum is attached. VacSax Bacticlear® Antimicrobial canisters fit any bracket within the hospital and are suitable for all clinical areas. www.vacsax.com

Erbe Medical UK Erbe Medical UK is a subsidiary of Erbe Elektromedizin GmbH has been established in the UK since 1996. Erbe Elektromedizin based in Tubingen, Germany remains a family managed company which has been involved in medical technology manufacturing since 1851.

The current Erbe VIO range of electrosurgical generators and accessories will be augmented later this year as the company has completed a worldwide corporate rebranding.

The company is currently active in the fields of electrosurgey , vessel sealing (thermofusion), argon plasma coagulation (APC), waterjet surgery (hydrosurgery) and cryosurgery.

Please feel free to contacts us: Erbe Medical UK 1A The Antler Complex Bruntcliffe Way, Morley Leeds LS27 OJG

The company’s products have applications in general, gynaecological and urological theatres, in addition to use in endoscopic applications such as gastroenterology and pneumonology.

Telephone: 0113 253 0333

UK manufacturer and repairer of surgical instruments

Bespoke surgical instruments designed and manufactured to your specifications. New DUO surface finish combines bead blasting for anti-glare and bright polish for cleaning efficacy. TiN & DLC coatings provide anti-fouling properties and are available in various colours for identification. Bespoke design including specialist instrument ranges in Orthopaedics.

Email: sales@erbe-uk.com Website: www.erbe-uk.com View Erbe products at: www.medical-video.com

Tel: 01702 602050 Email: info@surgicalholdings.co.uk www.surgicalholdings.co.uk

Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Product News

Protect yourself Every day healthcare workers are at risk of serious infections as a result of needle stick injuries. As carers we often forget to protect and care for ourselves, in the same way we wish to protect and care for our patients. We need to always think of the risks that we take and remember, if we are not well ourselves we cannot care for others. Even when an infection is not transmitted, the emotional impact of needle stick injuries

can be severe for a healthcare worker and their family. When we protect ourselves with safety engineered devices we are also protecting our families, if we are exposed to risk of serious infection they are possibly as well. Whether it be living with a fatal infection or the stress of not knowing, you can imagine or have maybe experienced the toll it can take on your family.

The Health and Safety (Sharp Instruments in Healthcare) Regulations 2013 came into force on 11th May 2013 and are a means for your employer to provide a safe work environment combined with safety devices which minimise the risk of needle sticks. Remember your own safety and help your employer provide a safer work place for you and your colleagues.

For information on BD safety devices go to www.bd.com/uk For a copy of our safety catalogue call 01865 781 666

JPP_138x188_sharps_BMS_July_Aug 09/05/2016 16:13 Page 1

safety

in mind first time, everytime In response to the EU Sharps Directive 2010/32/EU Swann-Morton have launched the KLEEN Blade Management system consisting of their standard blade enclosed within a protective cartridge thus supporting safe handling when fitting and removing the blade from your existing surgical handles. Complimented by Retractable Safety Scalpels, single use Blade Removers and “Cygnetic” they can now offer a complete range of compliant safety solutions. Swann-Morton can offer in house sharps safety training in line with the new Directive so contact us on sharpssafety@ swann-morton.com for more information. For more information on the complete range of surgical blades, handles, scalpels, disposable, fine and retractable scalpels please go to our website.

EMS 633531

All medical devices are CE marked in accordance with the Medical Device Directive (93/42/EEC)

FM 73368

Owlerton Green, Sheffield S6 2BJ Telephone: 0114 2344231, Sales: 0114 2344223, Fax: 0114 2314966 uksales@swann-morton.com, exportsales@swann-morton.com www.swann-morton.com ‘Swann-Morton’ and the ‘Ring Pattern Logo’ are the registered trade marks of Swann-Morton Limited and related companies.

www.swann-morton.com

Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Product News

QA3 Patient Trolley System Designed following comprehensive research into patient trolley function and ergonomics

YEARSS YEARS

LIFETIME WARRANTY SUBJECT TO ANNUAL SERVICING

• Suprremely y man noeuv vra able • Exceptional low height • Vir tually zero tra ansfer gap • Eassilly guided by one person • Designed for patient comfor t • Gas assistted backliftt • K8 Pressurre care e mattress • Fixed transfusion pole – quick release • Infection control – smoo oth h moulded d sur faces • Lifetime wa w rranty t – wh hole life cost tra ansp parency Innovative Te T chnology – Practically Applied

01943 878647 sales@aneticaid.com Queensway, y Guiseley, y We W st Yo Y rks k hire, LS20 9JE UK.

www.aneticaid.com

MADE IN THE UK

QUALITY ASSURED GLOBAL DISTRIBUTION

Suture Ease from How can a 2.9mm device deliver 5mm Bolton Surgical Suture Ease has developed an award winning technology that enhances the ease, safety, and reliability of cannula port closure. The CrossBow Guide is an innovative, disposable device that combines elegant design with optimal functionality. The suture placement guide enables reproducible suture placement coupled with a novel snare loop technology for easy suture retrieval. The SecurusEP Passer is a premium, disposable suture passing needle featuring easy suture loading, secure suture holding, and a positive release

mechanism. The two devices combine for the ultimate in instrumentation for closure of cannula port defects. Bolton Surgical are the exclusive UK distributors for Suture Ease, who are a US based company focused on technologies for the closure of inner abdominal wall defects following laparoscopic surgery. Please contact us for a demonstration, pricing and product samples on 0114 240 4400. Further information including clinical evaluation reports and comparisons, and a hints and tips video are available from our website at www.boltons.co.uk.

performance? Percutaneous insertion!

With just a 2.9 mm shaft, Percuvance Percutaneous Surgical System from Teleflex has been engineered to reduce trauma for your patients, maintaining the performance of a 5 mm laparoscopic device. Percuvance introduces a breakthrough form of minimally invasive surgery: percutaneous laparoscopy. Using this approach, laparoscopic devices can enter through a small skin incision without trocars. Your patients benefit from reduced trauma. You get the

versatility and strength of a traditional laparoscopic device. With the Percuvance System, minimally invasive surgery has now been reimagined– making it even less invasive. Mob: +44 (0)7739 628969 Tel: +44 (0)1494 532761 Email: ian.mellors@teleflex.com Web: www.teleflex.com Teleflex, Grosvenor House, Horseshoe Crescent, Old Town Beaconsfield, Buckinghamshire HP9 1LJ

Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Product News

PROACT

PROACT Medical Present the Creative PC-900B.

The Creative PC-900B is a compact handheld Capnograph and Pulse Oximeter offering extremely easy to use technology, with bright clear displays and full user adjustable alarms. • Creatives Variable Flow (50-250ml/min) Sidestream Technology allows it to be used for intubated and non-intubated patients and low flow sample lines • Monitors EtCO2/FiCO2, RR, SpO2 and PR • The adjustable pump flow rate allows it to be optimised for both Adult and Infant patients.

• The device can store and display up to 24 hours of graphic and tabular trend even after it has been powered off and downloads to free PC reporting software Please contact us for further information. PROACT MEDICAL Tel: 01536 461981 Email: sales@proactmedical.co.uk

Angloplas products helping the fight against cross infection Our advert displays only a small sample of our ever growing catalogue. In order to view the full range please use the QR code, or type the web address directly into your browser, to download the latest (June 2016) catalogue which also includes prices. Angloplas works with over 200 NHS and private hospitals, care homes, GP and dental surgeries, laboratories, pharmaceutical companies and is happy to manufacture bespoke products usually at no extra charge. For more information please visit our website and/or view/download the catalogue. www.angloplas.co.uk

Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Product News

Detergent choice from schülke gigasan® ND from schülke is the latest addition to the extensive range of disinfectants and detergents from schülke, which is designed to offer choice, convenience and cost savings. gigasan ND is a non-enzymatic neutral detergent for the manual cleaning of medical and surgical instruments, including endoscopes and endoscopy equipment. Because of the ultra- concentrated formulation a 5 litre container of gigasan ND can be diluted into 12,500 litres of in-use solution. This makes gigasan ND a highly cost effective neutral detergent and also saves on storage space.

If an enzymatic detergent is preferred, gigazyme® contains enzymes and surfactants for optimum cleaning performance. gigazyme is available in both 2 litre and 5 litre pack sizes. Whether gigasan ND or gigazyme is used, gigazyme® ready-to-use spray foam can be used for the immediate pre-cleaning and disinfection of surgical instruments, including flexible endoscopes.

gigazyme spray foam includes three different enzymes for cleaning and disinfection and is designed to keep soiled instruments moist for a prolonged period of time. Tel: 0114 254 3500 Email: mail.uk@schuelke.com Web: www.schuelke.com schülke UK Ltd, Cygnet House, 1 Jenkin Road, Meadowhall, Sheffield S9 1AT

Trocar Site Closure Device

Complete system for quick, safe and reliable closure of laparoscopic incision sites

Cone-shaped guide

Rigid introducer

for closure of 10mm/12mm incisions

for passing sutures through all tissue layers •

Ergonomic handle with finger grips

•

Double action grasping jaws to capture suture in any orientation

Assists introducer in capturing all tissue layers

•

Prevents loss of pneumoperitoneum

Simple Reliable Cost-effective 73% cheaper than leading competitor* Introducer available with or without guide

Quote “AfPP July” for free samples

T: 020 8950 8662

Less than 15 seconds per incision * Pricing from NHS Supply Chain October 2015 catalogue: TSC002 vs 173022

E: uk@laprosurge.com

W: www.laprosurge.com

Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Product News

HAIKA Gloves – make savings without compromise For healthcare professionals, their hands are their livelihood and it is vital that they have the correct tools with which to protect them. By offering a comprehensive portfolio HAIKA from Globus is able to support all hand protection needs across the healthcare environment; from specialist sterile surgical gloves to examination gloves and everything in between. Mark Websper, the Healthcare Divisional Manager for Globus explains: “Where we excel is in understanding hand protection needs and then developing solutions which support those needs. Across the healthcare environment hands are doing the most amazing things

every day and amazing hands deserve protection. We don’t just sell gloves. We sell hand protection. That is something very different. We have spent a great deal of time developing the specialist HAIKA offering and are confident it is well differentiated and has the ability to make a genuine difference to surgical professionals.” HAIKA™ gloves are listed in the NHS Supply Chain product portfolio. www.haikagloves.com

3M™ SpotOn™ System

Zero Heat Flux Technology. Applied to making sure your patients’ temperature is spot on. • Accurate Comparing the SpotOn system to pulmonary artery catheter, the SpotOn system bias was 0.23°C.1 • Non-invasive The SpotOn system can be used on the awake patient pre-induction, in recovery and during regional anaesthesia. • Easy The SpotOn system is not technique dependent, simply attach the sensor to the patient’s forehead and connect to the monitor via the sensor cable. • Continuous The SpotOn system displays a continuous measurement of the patient’s core temperature. • Consistent The sensor remains on the patient throughout the perioperative process.

Reference 1 Eshraghi Y, Sessler DI et al An Evaluation of a Zero-Heat-Flux Cutaneous Thermometer in Cardiac Surgical Patients. 2014 Anesthesia Analgesia,119(3):543–9

Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Product News

Is inadvertent hypothermia putting your patients at risk? Even mild hypothermia - when the patient’s core temperature drops below 36°C - can increase post-anaesthesia recovery time, morbidity and length of stay1. Maintaining normothermia is a key element of the surgical pathway, and theatre staff are familiar with measures like warmed IV fluids and forced air warming. But irrigation fluid is often overlooked. NICE guidelines state that fluids should be warmed to 37°C and that all irrigation fluids used intraoperatively should be warmed in a thermostatically controlled cabinet to a temperature of 38– 40°C2. However, fluid temperature drops by 1°C per minute after removal from a warming cabinet.

References

How many operating teams can be sure of the exact temperature of the fluid being used to irrigate their patient?

1. Association of Perioperative Registered Nurses (AORN) Recommended Practices Committee. Recommended practices for the prevention of unplanned perioperative hypothermia. AORN J. 2007 May;85(5):972-988

Not knowing the exact temperature of the irrigation fluid at point of use can jeopardise patient safety. As well as the danger of hypothermia from cold fluid, irrigation with hot solutions has resulted in patient injuries3. The new Intratemp Fluid Warming System from Ecolab prevents this risk. It’s already being used in theatres across the UK to take the guesswork out of irrigation fluid temperatures – could yours be next?

2. National Institute for Health and Care Excellence (NICE). Inadvertent Perioperative Hypothermia. NICE Clinical Guideline 65. NICE 2008 April, p12.

To find out more contact Ecolab’s Surgical team on 0113 232 2480.

3. Association of Perioperative Registered Nurses (AORN) Recommended Practices Committee. Recommended practices for the prevention of unplanned perioperative hypothermia. AORN J. 2012

PRODUCTIVE, RELIABLE, SECURE PRODUCTIVE, RELIABLE, SECURE Full decontamination cycle completed in under twenty minutes* Full decontamination cycle completed in under twenty minutes* Small footprint provides flexibility to suit all departments Small footprint provides flexibility to suit all departments External scope loading for efficient throughput External scope loading for efficient throughput Fully compliant with EN-15883 Fully compliant with EN-15883 Complete traceability through latest RFID technology Complete traceability through latest RFID technology Independent Monitoring System (IMS) Independent Monitoring System (IMS)

Wolseley House, Staffordshire Technology Park, Beaconside, Stafford, ST18 0GA Wolseley House, Staffordshire Technology Park, T: +44 (0)1785 782420 | F: +44 (0)1785 782421 Beaconside, Stafford, ST18 0GA E: info@cantelmedical.co.uk | www.cantelmedical.co.uk T: +44 (0)1785 782420 | F: +44 (0)1785 782421 * fullinfo@cantelmedical.co.uk decontamination cycles are completed in less than 20 minutes when E: | www.cantelmedical.co.uk the incoming water meets the RapidAER installation specifications

* full decontamination cycles are completed in less than 20 minutes when the incoming water meets the RapidAER installation specifications

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Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Product News

Peskett Solutions Is a lubricant a contaminant or a crucial necessity for maintaining the proper operation of a surgical instrument? Most instrument manufacturers recommend the use of lubrication to ensure the correct functioning of their surgical instruments and to minimise wear and tear, thus extending the life of the instrument. Unfortunately, there is a trend

away from the use of lubricants on surgical instruments due to the fact that a lubricant is considered a contaminant. This definition does not apply to a water-soluble lubricant; a residue would be a more precise definition.

You can use a water-soluble lubricant before sterilization; however the use of oil-based lubricant is discouraged. The ideal location for using the lubricant is the packing room before sterilization. However, if the lubricant dislodges dried contaminates, the instrument will require returning to the decontamination area for reprocessing, which may include soaking in a lubricant bath until all traces of the soil lodged in the joint are removed.

QUICK AND SIMPLE TO USE. 1

Twist off the protective cap, and then pull it straight out.

ADVANTAGES: • All needles are gamma-sterilised and protected with a sterility cap.

Prolance blood lancets are available via NHS Supply Chain

Place Prolance® on the desired puncture site and press the button to activate the device. Gently apply intermittent pressure near the puncture site to obtain the required blood volume.

• Fully enclosed needle housing ensures that needle is hidden before and after use to prevent sharps injuries. • Self-destructing mechanism prevents reuse of the device. • Silicone-coated, ultra-sharp needles, ideally positioned during skin penetration. • Various, color-coded product versions to meet specific blood sample applications and address the variety of patient skin types. • Wide range of designs provides simple, comfortable and secure puncture. • Easy to handle, intuitive activation in only two steps with no pre-loading, for both push button and contact activations. •

Wide and long safety cap for easy removal – simply twist and pull to remove the needle cover

•

Precise design for convenient finger positioning and ideal blood sample collection.

For more information on this product, please contact your Sales Representative or visit us at www.medline.com/uk

By introducing the following safeguards into your lubricating routine, you will be able to reduce surgical instrument failures and extend their life span. By ensuring that only the minimum amount of lubricant required is used, the level of lubricant residue will be totally harmless. By not using a lubricant we are running a greater risk of the instruments failing in use, than the risk from lubricant residue on the instrument causing contamination of the operation site. • Only use a watersoluble lubricant. • Ensure the product has been tested to be totally steam sterilizable and steam penetrable.

• Check the lubricant’s COSHH(SDS) sheet, section 3 -Hazard Identification Signs/ Symptoms of Exposure, to ensure that the product will not react with tissue. • Restrict the use of the lubricant to the area of the instrument requiring lubrication. • Test the action of the lubricated joint to ensure penetration. • If the lubricant dislodges dried contaminants from the joint, return to the decontamination /wash area for reprocessing. • When introducing a lubricant into the department, ensure that the manufacturer of the lubricant supplies a method of residue testing following steam sterilisation. • Most importantly ensure the manufacturer backs up any claims with independent test results. Peskett Solutions Ltd Matthew Peskett Tel: 01323 511038 Fax: 01323 503247 E-mail: info@ruhof.co.uk Website: www.ruhof.co.uk

Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Product News

Anetic Aid at AfPP 2016 - Compact and light weight QA3 Patient Trolley We all know how awkward it is to manoeuvre a large vehicle on our congested roads, so our concept behind the design of the QA3 v3.0 was to create as compact, light weight and manoeuvrable a product as possible without compromising the size of the patient lying surface. British designed and manufactured. Combining supreme manoeuvrability for staff with maximum comfort for patients, this latest model features:

• Gas assisted backlift • K8 Pressure Care Mattress • Damper-assisted Trendelenburg tilt • Lifetime warranty – whole life cost transparency

• Increased maximum patient weight limit • Exceptional low height • Virtually zero transfer gap

The QA3 v3.0 is easily guided by one person, and, with the backrest raised, it is little more than 1.8m long: it also descends lower

and is narrower and shorter than nearly all other patient trolleys on the market. The mattress covers the full width of the trolley for maximum patient comfort and the cotsides retract completely underneath it, which is why there is a virtually zero transfer gap. Combine these features with our unique 5th wheel steering mechanism, and you have a trolley

that is supremely easy to handle in the tight congested spaces of your average busy hospital. Exhibiting at this years AfPP event in York, Anetic Aid will be showcasing their full range of AT4 Tourniquet Systems, Single Use and Six-use Day Tourniquet Cuffs, Stainless Steel Furniture and Pressure Care Pads and Mattresses. New on show for 2016 will be the innovative Oasis+ range of pressure care patient positioners and LED independent surgical headlights. www.aneticaid.com

Sometimes it’s the little things that count Aspen Medical, a Hill-Rom Company, is a leading worldwide manufacturer of disposable surgical supplies with an emphasis on safety

Our products include: Bard-Parker® Blades and Scalpels Over 100 years of trusted results

Call us to request a sample

For further information about these products please contact us on Freephone: +44(0)800 0323399 or visit our website:

www.aspenmedicaleurope.com Aspen Medical Europe Ltd. Clinitron House, Ashby Park, Ashby de la Zouch, Leicestershire, LE65 1JG, UK. Tel: +44 (0)1530 411000 ©2016 Aspen Medical Europe Ltd. ALL RIGHTS RESERVED. Aspen 687(L)3 05.16 MAY-2016 ENG – UK

Operating Room Accessories High quality, great value O. R. Accessories Patient and Staff Safety Products Essential, surgical disposables that hospitals count on every day Instrument Care Products Cleaning, identification, and protection of delicate surgical instruments Wound Care Products A comprehensive selection of dressings designed to promote comfortable, costeffective healing

Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Product News The TRUE difference between 5mm and 3mm in laparoscopic surgery – and it’s not just 2mm! We are all aware of many clinical and cosmetic advantages of reducing incision size, but do we really know the true difference between 5mm and 3mm?

reduce the incidence of wound infection and port-site herniation at 3mm port sites, as well as reduced skin scarring and pain scores. Choose 3mm laparoscopy.

By choosing a LaproSurge 3mm trocar instead of a 5mm trocar: • the port-site incision can be made at least 6mm smaller, reducing the incision length by a huge 48% • the surface area of each incision is reduced from 58mm2 to 16mm2 – so tissue displacement at each port site is reduced by a massive 73%

Email: uk@laprosurge.com Tel: 020 8950 8662 www.laprosurge.com/ products/3mm-laparoscopy

3mm trocars create significantly less tissue displacement than 5mm trocars, greatly reducing the level of local tissue damage. In turn, this may considerably

A GLOBUS BRAND New Sterile Surgical Glove Range Developed by Globus... World Leaders in Protecting Hands Skilled people in all industries rely on Globus products every day to protect them, make them more efficient and perform with excellence. Find out how you and your environment would benefit from HAIKA™ and a Globus-led hand protection project. Discover high performance surgical hand protection. Discover the value of HAIKA.

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Journal of Perioperative Practice PROCUREMENT GUIDE July 2016 Volume 05 Issue 03 www.afpp.org.uk

Product News

supreme green SUPREME GREEN THE OPTIMISED INNER GLOVE SMOOTH SURFACE STRUCTURE – improved donning THINNER WALLTHICKNESS – more tactile sense HIGH SECURITY – quick detection of perfortions

Sempermed® Supreme Green is the optimised under glove, ideal for users who prefer good tactile properties, high comfort and minimum hand fatigue combined with maximum safety.

What is your suction hiding from you? Among the foreign matter found on the instruments was blood, bone, brush fibres and human hair.

Reusing surgical instruments poses an increasing risk of patient to patient cross-infection, as instruments with fine lumens remain too difficult to clean and minimally invasive procedures become more common. In 2015, a multi-centre Lumen Inspection Survey inspected instruments from 71 hospitals in the US and revealed that 70% of instruments were classified as ‘dirty’, with suction tubes being one of the highest percentage instrument categories to fail inspection1.

Single Use Surgical were established in 2001 as a direct response to UK hospitals concerns over the cleaning practises involving fine lumen instruments, and how it posed a high risk of patient to patient cross contamination. Today the company provide a range of single use solutions worldwide. For more information visit www.susl.co.uk Reference 1. Stephenson, K., ‘The Value of Lumen Inspection’, Vendor Vantage, 2015, P. 76-78

Intersurgical is a leading designer and manufacturer of respiratory care products. We offer a comprehensive range of cost effective patient solutions offering quality, innovation and choice. Our product range is split into four key product groups; airway management, anaesthesia, critical care and oxygen & aerosol therapy. Airway Management A range of airway management devices including a comprehensive choice of supraglottic airways, from the innovative i-gel® to laryngeal mask options. Anaesthesia A range of anaesthesia breathing systems and accessories for use in the operating room, recovery and emergency care.

Critical Care A range of breathing systems, non-invasive ventilation products, oral care and accessories for use in the critical care environment. Oxygen & Aerosol Therapy A range of products for fixed and variable concentration oxygen therapy, aerosol (humidification) therapy and nebulisation therapy. Our goal is to provide the most comprehensive range of respiratory products offering quality, innovation and choice. Contact information: Intersurgical, Crane House, Molly Millars Lane, Wokingham, Berkshire RG41 2RZ England Tel: (0)118 9656 300 Fax: (0)118 9656 356 Email: info@intersurgical.co.uk Web: www.intersurgical.co.uk

The widest range of single use suctions.

t. 01226 732 333 e. info@susl.co.uk w. www.susl.co.uk