JPP PG July 2017 (Vol:06 Issue:03) by Open Box Media & Communications

Journal of Perioperative Practice

PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 01423 881300 www.afpp.org.uk

01423 881300 www.afpp.org.uk

Your route to respiratory care

VISIT US Stand 20 AfPP Residential University of York

10th – 13th August

Bus stop Car Park

Maternity

Pulmonary Function

Wards

Car Park

Tissue Viability

Procurement

A&E

SCBU/NICU ITU

Theatres

Recovery MRI

Ambulance

Induction

Car Park Bus stop

Providing quality, innovation and choice throughout your hospital www.intersurgical.co.uk/info/yourroute A&E and Ambulance • Airway Management • Resuscitation and Emergency Care • Oxygen Therapy • Nebuliser Therapy

Maternity • Breathing Filters, HMEs and HMEFs • Anaesthetic Face Masks • Entonox Breathing Systems • Oxygen Therapy

ITU • Breathing Filters, HMEs and HMEFs • Breathing Systems • Closed Suction • Humidification • Patient Interfaces • Oral Care

SCBU/NICU • Breathing Filters, HMEs and HMEFs • Resuscitation and Emergency Care • Breathing Systems • Infant CPAP system

Induction • Anaesthetic Face Masks • Anaesthetic Breathing Systems • CO2 Absorbents • Resuscitation

Theatres • Airway Management • Breathing Filters, HMEs and HMEFs • Anaesthetic Face Masks • Anaesthetic Breathing Systems • CO2 Absorbents • Resuscitation and Emergency Care • Oxygen and Aerosol Therapy

Recovery • Oxygen Therapy • Aerosol Therapy

Wards • Resuscitation and Emergency Care • Patient Interfaces • Oxygen Therapy • Aerosol Therapy • Nebuliser Therapy

Tissue Viability • Oxygen Therapy • Aerosol Therapy

MRI • Airway Management • Anaesthetic Breathing Systems

Pulmonary Function • Breathing Filters, HMEs and HMEFs

Procurement • All

Interact with us

Quality, innovation and choice

www.intersurgical.co.uk

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

Contents

Welcome to your July 2017 Guide 04 The importance

15 desderman® pure hand

of effectively managing swabs

16 Vacsax BactiClear®

08 Rising to the challenges

16 Bailey Instruments Ltd

10 Patient trolleys

18 Swann Morton

of manufacturing for day surgery

12-24 Product News: 12 Unisurge International procedure pack

14 VIO3 from Erbe

- “plug and operate”

rub from schülke

Elastic Stay Retraction Kit

18 Halyard face masks Qlicksmart SnapIT

19 Single Use Surgical

22 Howorth Air Technology

20 Angloplas products

23 Stryker Corp.

20 ClearView Endoscopy 20 Intersurgical 21 Anetic Aid

and S-CAPE - UK partners

24 S2 Procedure

Performance from Syncera

24 SP.eye™

25-26 News: 25 Bender UK secures deal

to offer world-beating LED surgical lights to hospitals

26 IntraTemp™ at

Princess Alexandra Hospital NHS Trust

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 2017 Airway Management/Difficult Airways/Anaesthesia November 2017 Sharps Safety/Patient Safety/ Swabs Safety/Patient Handling Equipment January 2018 Patient Warming/ Patient Monitoring March 2018 Medical Instruments.

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 2017 Volume 06 Issue 03 www.afpp.org.uk

Consumables

The importance of effectively managing swabs Every day thousands of operations are carried out using thousands upon thousands of swabs. Each one of these operations and the swabs used pose a potential threat not only to the patient but also to the staff handling them. A patient is at risk of a swab being left inside the surgical cavity, which can result in the surgical wound becoming infected. This has potentially serious consequences and could even result in death.

The staff acting as circulators in theatre are potentially at risk from cross infection due to unnecessary handling of dirty swabs. This could put them in danger of HIV, Hepatitis A, B and C, MRSA, Streptococcus

and Staphylococcus, along with other bacterial infections. Retained swabs are one of the ‘never event’ threats to patient safety. The National Patient Safety Agency found 92 incidents occurred in 2008 that related to retained swabs. Add to the patient safety threat the financial impact. A review of the NHS Litigation Authority (NHSLA) claims database identified 186 maternity claims for retained swabs, with an incident date between 1 April 2000 and 31 March 2010. These claims, which occurred following both operative and vaginal deliveries, resulted in an estimated total value of £3 million (Ten Years of Maternity Claims: An Analysis of NHSLA Data - October 2012). Although UK statute law does not dictate what system or method of accountable items, swab, instrument and needle counts should be performed within a perioperative environment, the law is quite clear that healthcare practitioners have a ‘duty of care’ to the patient. Unintended retained objects are considered a preventable occurrence and careful counting and documentation can significantly reduce, if not eliminate, these incidents (Rowlands & Steeves 2010, AfPP 2016). A count must be undertaken for all procedures where countable objects, for

example swabs, instruments and sharps, are used. The Association for Perioperative Practice 2016 Standards and Recommendations for Safe Perioperative Practice recommends there should be standardisation of how countable items are named and referred to across one organisation and referenced into the local policy, to minimise the risk of confusion among staff. To ensure swabs are not retained and are treated safely, an effective swab management system, backed up with a detailed protocol, is required. Without a swab management system in place, items can be lost or retained in a body cavity, causing the need for expensive, distressing and unnecessary restorative surgery. It also increases the risk of items being misplaced in clinical waste or linen, causing hazards to other healthcare professionals. The AfPP’s recommendations in Accountable items, swab, instrument and needle count (2012) state that swabs should be in full view of the operating surgeon and anaesthetist, where applicable, throughout a clinically invasive procedure. Used swabs and packs should be counted off the sterile field. Although no specific technique is stated,

p=0.02

Incidence of SSIs (% of patients)

p=0.02 7.3

8 6

7.3

6 4

4 2

4.0

2 0

Alcoholic povidone iodine (n=575) ChloraPrep (n=572)

2% CHG / 70% IPA didn’t 2% CHG / 70% IPA didn’t deliver a 45% reduction deliver 45% reduction TM did in SSIs: aChloraPrep TM

did in SSIs: ChloraPrep Preparing patients for caesarean delivery

with ChloraPrep cut for SSIscaesarean by almostdelivery half, Preparing patients 1 compared with alcoholic iodine with ChloraPrep cut SSIspovidone by almost half, compared with alcoholic povidone iodine1

Alcoholic povidone iodine (n=575) ChloraPrep (n=572) Prescribing Information ChloraPrep® & ChloraPrep with Tint 2% chlorhexidine gluconate w/v / 70% isopropyl alcohol v/v cutaneous solution. Refer to the Summary of Product Characteristics before prescribing. Presentation: ChloraPrep – each applicator contains 0.67ml, 1.5ml, 3ml, 10.5ml or 26ml of 20 mg/ ml chlorhexidine & 0.70 ml/ml isopropyl alcohol; ChloraPrep with Tint – each applicator contains Prescribing Information ® 3ml, 10.5ml or 26ml with of 20Tint mg/ml 0.70 ml/ml alcohol. alcohol Indication: & ChloraPrep 2% chlorhexidine chlorhexidine &gluconate w/visopropyl / 70% isopropyl v/v ChloraPrep Disinfection of skin priortoto invasive medical of procedures. & administration: Applicator cutaneous solution. Refer the Summary Product Dosage Characteristics before prescribing. volume dependent on –invasive procedurecontains being undertaken. May 3ml, be used for all age groups and Presentation: ChloraPrep each applicator 0.67ml, 1.5ml, 10.5ml or 26ml of 20 mg/ patient populations. Use with care inalcohol; newborn babies and those prematurely. ml chlorhexidine & 0.70 ml/ml isopropyl ChloraPrep with Tint born – each applicatorApplicator contains squeezedorto26ml break of ampoule and release antiseptic&solution onto sponge. Solution applied by gently 3ml, 10.5ml 20 mg/ml chlorhexidine 0.70 ml/ml isopropyl alcohol. Indication: pressingofsponge against and moving and forth for 30 seconds. The area coveredApplicator should be Disinfection skin prior to skin invasive medicalback procedures. Dosage & administration: allowed to air dry. Contra-indications: Patients with known hypersensitivity to ChloraPrep or volume dependent on invasive procedure being undertaken. May be used for all age groups and ChloraPrep with Tint or any of its components, especially those with a history of possible patient populations. Use with care in newborn babies and those born prematurely. Applicator Chlorhexidine-related allergic reactions. Warnings and precautions: Solution is flammable. Do not squeezed to break ampoule release onto sponge.allow Solution applied by gently use with ignition sourcesand until dry. Doantiseptic not use insolution excessive quantities, to pool in patient skin pressing sponge against skin andinmoving forth for seconds.any Thesoaked area covered should be folds or drip on materials contactback withand patient skin.30Remove materials before allowed to air dry. Contra-indications: Patients with known hypersensitivity to ChloraPrep proceeding with the intervention. Ensure no excess product is present prior to application or of ChloraPrep with Tint or of its history of orpossible occlusive dressing. Forany external usecomponents, only on intact especially skin, do notthose use onwith openaskin wounds broken Chlorhexidine-related allergic reactions. Warnings and precautions: Solution is flammable. Do not or damaged skin. Over-vigorous use on fragile or sensitive skin or repeated use may lead to local skin use with ignition sources until dry. not use in excessive quantities, allow membranes, to pool in patient reactions. Avoid prolonged skinDo contact. Avoid contact with eyes, mucous middleskin ear folds and or drip materials in contact skin. Remove anygeneralised soaked materials before neuralontissue. Chlorhexidine may with inducepatient hypersensitivity, including allergic reactions proceeding with the shock. intervention. Ensure no excess present prior application of and anaphylactic May cause chemical burns inproduct neonates,iswith a higher risktoin preterm infants occlusive external useofonly intact skin,&dolactation: not use on open skin or broken and dressing. within theForfirst 2 weeks life.onPregnancy Although no wounds studies have been Very conducted, effects are anticipated as systemic exposure or damaged skin.no Over-vigorous use on fragile or sensitive skinisornegligible. repeated Undesirable use may leadeffects: to local skin allergicprolonged or irritationskin skincontact. reactions to chlorhexidine, alcoholmembranes, or sunset yellow (E110, rare; Avoid reactions. Avoid contact withisopropyl eyes, mucous middle ear present in ChloraPrep with Tint including erythema,including rash, pruritus and blisters or application and neural tissue. Chlorhexidine mayonly), induce hypersensitivity, generalised allergic reactions site vesicles,shock. other local have burns included skin burning sensation, and inflammation. and anaphylactic May symptoms cause chemical in neonates, with a higherpain risk in preterm infants

and within the first 2 weeks of life. Pregnancy & lactation: Although no studies have been

Frequency not known; hypersensitivity including anaphylactic shock, dermatitis, eczema, urticaria, chemical burns in neonates. Discontinue use at the first sign of local skin reaction. 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: Marketing Authorisation Numbers: ChloraPrep, PL31760/0004 ChloraPrep Frequency GSL. not known; hypersensitivity including anaphylactic shock, dermatitis,&eczema, urticaria, with Tint, PL31760-0001. Marketing Authorisation CareFusion UK 244 Ltd, ThePer Crescent, chemical burns in neonates. Discontinue use at theHolder: first sign of local skin reaction. applicator Jays Basingstoke, Hampshire, RG22 4BS.–Date Preparation: 2016.– 78p; 3ml – 85p; costsClose, (ex VAT) ChloraPrep: 0.67ml (SEPP) 30p;of1.5ml (FREPP) February – 55p; 1.5ml 10.5ml – £2.92; 26ml – £6.50. ChloraPrep with Tint: 3ml – 89p; 10.5ml – £3.07; 26ml – £6.83. Legal ReportingGSL. suspected adverse reactions is important monitor thePL31760/0004 benefit/risk balance category: Marketing Authorisation Numbers:toChloraPrep, & ChloraPrep of the product. ReportingAuthorisation forms and information can be found www.mhra. with Tint,medicinal PL31760-0001. Marketing Holder: CareFusion UK at 244 Ltd, The Crescent, gov.uk/yellowcard. Adverse events should also be reported to CareFusion Freephone Jays Close, Basingstoke, Hampshire, RG22 4BS. Date of Preparation: February 2016. number: 0800 0437 546 or email: CareFusionGB@professionalinformation.co.uk

adverse reactions is important toand monitor the benefit/risk balance © Reporting 2016 BD. BDsuspected and BD Logo are property of Becton, Dickinson Company. ChloraPrep logo is of the medicinal Reporting forms and information can be found at www.mhra. registered trademarkproduct. of CareFusion Corporation. gov.uk/yellowcard. Adverse events should also be reported to CareFusion Freephone

number: 0800 546 email: CareFusionGB@professionalinformation.co.uk al.or N Engl J Med 2016; 374(7): 647-55. Reference: 1. Tuuli0437 MG et

© 2016 BD. BD andgluconate BD Logo are property of Becton, Dickinson and Company. ChloraPrep logo is CHG: chlorhexidine registered trademark IPA: isopropyl alcohol of CareFusion Corporation. SSI: surgical site infection Reference: 1. Tuuli MG et al. N Engl J Med 2016; 374(7): 647-55. CHG: chlorhexidine gluconate

0000CF02997 1 IPA: isopropylIssue alcohol Date of preparation: November 2016 SSI: surgical site infection

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

the chosen technique should be safe and incorporate infection control measures in conjunction with standard precautions. All items should be fully opened by the circulating practitioner and placed into an appropriate contained disposal system. As part of an effective risk management strategy, it is recommended that a suitable contained disposal system is in place. If appropriate, the system used should be sealed and the number of contents recorded on the outside of the disposal system. If there is a discrepancy in the closure counts, all bags or containers should be opened and their contents recounted. A swab rack was traditionally used for the swab count. History shows that swab

Consumables To ensure swabs are not retained and are treated safely, an effective swab management system, backed up with a detailed protocol, is required. Without a swab management system in place, items can be lost or retained in a body cavity, causing the need for expensive, distressing and unnecessary restorative surgery.

racks were first used in the early 1950’s and have been a major feature of the operating theatre since then. The swab rack is now viewed as an old fashioned concept, which causes more potential problems due to exposure of blood than is proven to be safe in today’s theatre environment (Mumford M. 1991). The Swabsafe™ swab management system meets with the AfPP’s current guidelines for swab counting (AfPP 2016). Developed by specialist medical equipment supplier - Central Medical Supplies - Swabsafe™ is a modern alternative to the swab rack, which complies with Health and Safety requirements. Available in three sizes, each Swabsafe™ container is divided into five sections. Each dirty swab is discarded into an individual section by the scrub practitioner. Once all five sections are used, the swab-tie is added to the container and the lid can then be secured. When the lid is applied securely to a full container it traps air borne bacteria and eliminates evaporation from the swabs. Safe and hygienic, the system has been designed to be easy to use and environmentally friendly, as it is made from recyclable materials. As part of its commitment to effective swab management, Central Medical Supplies developed the Swabsafe™ system to assist in accurate swab counting, make swab weighing easier, eliminate the risk posed to operating theatre personnel by the unnecessary handling of contaminated swabs and ultimately protect the patient. Joan Ingram, Head of Nursing, Theatres and Anaesthesia at Leeds Teaching Hospitals NHS Trust, has used the Swabsafe™ system and comments: “The NHS talks a lot about never events and Swabsafe is a system for reducing never events in terms of accurately

being able to see and count all of the swabs being used in a surgical procedure. In my opinion, the benefits of Swabsafe far outweigh any previous products – it’s not a change of practice, just a progression.” As the number of swabs used in operating theatres continues to rise, with the increased demand on services, the need to effectively address the issue of retained items becomes ever more pertinent. With NHS budgets under increasing pressure, healthcare providers can’t afford to not have a watertight policy in place. A duty of care to patients and healthcare colleagues is vital at every level and for every operation. Tracey Pavier-Grant Medical Sales Director Central Medical Supplies

References Association for Perioperative Practice 2012 Accountable items, swab, instrument and needle count (poster) Harrogate, AfPP Association for Perioperative Practice 2016 Standards and Recommendations for Safe Perioperative Practice Harrogate, AfPP Mumford M 1991 Swab racks are an old fashioned idea British Journal of Theatre Nursing 1 (9) 20-1 National Health Service Litigation Authority 2012 Ten Years of Maternity Claims: An Analysis of NHSLA Data Available from: http://www. nhsla.com/Safety/Documents/ Ten Years of Maternity Claims - An Analysis of the NHS LA Data - October 2012.pdf [Accessed May 2017] Rowlands A, Steeves R 2010 Incorrect Surgical Counts: A Qualitative Analysis AORN Journal 92 (4) 410-419

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

Patient trolleys

Rising to the challenges of manufacturing for day surgery In the UK, day surgery has been one of the key strategies used to modernise the NHS, addressing the need to reduce waiting times, improve cost efficiency, and most importantly make health services more patient-centred. ‘True’ day surgery is seen as the admission of a patient to hospital for a planned surgical procedure requiring full operating theatre facilities and/ or a general anaesthetic, who returns home on the same day. In other words they are cases which would not be considered as traditional outpatient activity. As a specialism day case has changed and developed with the times, but as it has become the norm for more and more routine surgery the benefits have been increasingly recognised: • Patients receive the appropriate treatment and are able to recover in their own homes. Cancellation of surgery due to emergency pressures in a dedicated day surgery unit is unlikely and the risk of hospital acquired infection is reduced. • Clinicians are able to provide high quality care for appropriate patients, releasing inpatient beds for more major cases. • Hospitals improve their throughput of patients and reduce waiting lists. British designer and manufacturer Anetic Aid Ltd was very much a pioneer of the first trolleys that combined the capabilities of a patient transport trolley and an operating table.

British designer and manufacturer Anetic Aid Ltd was very much a pioneer of the first trolleys that combined the capabilities of a patient transport trolley and an operating table.

Sales Director Andrew Curtin said, ‘It all started with a fantastic collaboration with the iconic King’s College Hospital in London, and the inspiration that began there has evolved over time to become the sophisticated QA4 Day Surgery Treatment System we offer today. ‘In 2017, we are celebrating our company’s 40th anniversary, and we are very proud of the contribution we have been able to make in this area.’ Looking back at the original project, he explained, ‘The challenge for us as a manufacturer was to combine the manoeuvrability of a trolley with the key attributes of an operating table. ‘One of the most important of these was access, both for the surgeon and for X-ray/ imaging. In designing our most recent powered model of the QA4 Day Surgery System, we have a traversing top giving 100% C-arm access. The equipment offers complete stability for a patient weighing up to 250 kilos, even when the top is fully extended.’ This enhanced weight capacity is also a significant factor for lifting and handling considerations. In a

traditional operating scenario, a patient would be admitted to a ward where they would get into a bed, before being transferred to a trolley to be wheeled into the operating theatre and transferred to the operating table. After the operation, the whole process would be reversed, meaning the patient would need to be transferred between equipment four times. A true day surgery trolley removes the need for any such physical transfer of the patient. A choice of head and foot sections are available with the system which can also be used with most operating table accessories so, in addition to general surgery, it is now widely used in gynaecology, urology, endoscopy, orthopaedics, dental and ENT. Over time, other specialist accessories have also been added, such as for shoulder arthroscopy and ophthalmics. But the story doesn’t end there; Anetic Aid’s designers are continuously working to develop and improve all products in its range to help medical teams provide the best possible outcomes for their patients, now and into the future. Tel: +44(0)1943 878647 Email: sales@aneticaid.com Web: aneticaid.com

WORKING WITH YOU Cupboard Trolleys available with UN 3291 approval for transportation of clinical waste.

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

Patient trolleys

Patient trolleys For any patient having to undergo a stay in hospital they will probably have to climb up onto a trolley at some point during their experience and here we will concentrate on theatre trolleys. There are various requirements for a theatre trolley: • Manoeuvrability to help reduce moving and handling risks • Durability, weight • Electronics to assist with ensuring that the patient surface is rigid and stable • Comfort

Some trolley systems are both a patient trolley and an operating table, which can provide a solution for day care providers. Most patients when undergoing a surgical intervention will walk to theatres. They will then be helped onto a trolley for their anaesthetic intervention; once asleep they will be wheeled into theatres to undergo their operative care.

As patients spend an increasing amount of time on trolleys, manufactures are developing trolleys that make the patient experience as comfortable as possible. If the patient is to be on the trolley for any length of time then providing them with access to any controls that help them to reposition the trolley can help maintain their independence without requiring involvement from a practitioner. Some trolleys have been developed to assist with and simplify clinical procedures, particularly in a clinical emergency i.e. drop down sides to allow easy access to the patient. Many trolleys will have bumpers to cushion any knocks during travel. Infection prevention is theatres is essential and trolleys are part of the point of care risk for a patient, therefore most surgical trolleys now have plastic elements that include an antibacterial additive to help fight bacteria. The majority of the trolley structure is steel with an epoxy resin that allows for easy cleaning.

(Patients) will be helped onto a trolley for their anaesthetic intervention; once asleep they will be wheeled into theatres to undergo their operative care.

Standard precautions are the basic infection prevention and control measures necessary to reduce the risk of transmission of microorganisms from recognised and unrecognised sources of infection. AfPP Standards and Recommendations for Safe Perioperative Practice (2016) states that the operating table or trolley should be decontaminated between cases. Cleaning with detergent and water and drying thoroughly is usually adequate unless there is extensive contamination. Operating table/trolley mattresses that are torn or damaged in any way should be repaired immediately and not taped in order to prevent contamination with blood or other body fluids and potential pathogens. Obviously, if this is not possible the mattress should be decommissioned and removed from circulation. When speaking to colleagues the main things they look for in a trolley are: • Opportunity to buy necessary attachments such as IV drip poles, safety rails etc. • Adjustable positions • Easy clean • Good brakes • UK Kite Mark

Reference Association for Perioperative Practice 2016 Standards and Recommendations for Safe Perioperative Practice 4th Edition Harrogate, AfPP

Making your facility BackSmart

Products designed to help reduce caregiver back injury

Prime Series Stretcher • Option of Big Wheel or Zoom Motorized Drive allows for easier transport • Electric comfort controls and Lift Assist Backrest are designed to help with patient positioning* • Electric lift is desgined to help reduce exertion when lifting the stretcher*

For more information, please contact your account manager, or visit patienthandling-eu.stryker.com You can also visit us at the AfPP Residential Conference 2017 Stand number 17

Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Big Wheel, Prime Series, Stryker, Zoom. All other trademarks are trademarks of their respective owners or holder. Copyright © 2017 Stryker SMACC 2017-14418

*Optional features.

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

Product news

Unisurge International is the fastest growing procedure pack provider in the UK Our Newmarket headquarters and distribution facility incorporates intergrated production capability including state-of-the-art cleanroom and ETO sterilisation system. Unisurge has achieved exceptional growth and, to facilitate future business opportunities, are pleased to announce investment of £5m in expansion of their Newmarket headquarters. The development provides additional warehouse

and production capacity which facilitate integration with state-ofthe-art IT systems to streamline and optimise product flows. This project confirms Unisurge’s commitment to provide service excellence for the benefit of our customers and partners.

Investing for future growth, we now have additional distribution capacity within our new 100,000 sq ft facility in Castleford, together with cutting-edge sterilisation technology and a £1 million automated injection moulding production unit. Production of our new Unicubed range offers a uniqley patented product which is designed to improve both quality and performance. Our comprehensive range incorporates procedure packs, ward dressing packs, drapes and gowns, as well

Pressure area care for the operating theatre Minimising the risk of pressure sores and infection • Conforms to body shape • Latex free and skin compatible • Can be heated or cooled • X-ray translucent • Highly durable, comprehensive range

Innovative technology – practically applied

T +44 (0)1943 878647 sales@aneticaid.com Sapper Jordan Rossi Business Park, Otley Road, Baildon BD17 7AX, UK

aneticaid.com

as an extensive range of sterile supplementaries. Our range of Signature singleuse theatre quality surgical instruments and laparoscopic instruments are designed to compliment our core products. We also have an extensive range of surgical accessories specifically aimed at sharps safety to suit your hospials requirements. Unisurge International Limited Tel: 08455 21 31 11 Fax: 08455 21 32 10 Email: info@unisurge.com Web: www.unisurge.com

NEW Merivaara Q-Flow™ Superior Lights for Superior Surgery f Intuitive Sterile Surgeon Control (Intueri™) enables surgeons to adjust the brightness and diameter without looking up f Unique Dynamic obstacle compensation (DOC™) provides light in all circumstances f Optimised for an OR’s air flow (Q-Optiflow™) f Reduces eye stress due to the green ambilight f Lightweight and easy to manoeuver f Excellent colour rendering f Disposable handle system available f Always HD camera ready Supplied, installed and serviced by Bender UK

www.bender-uk.com

BENDER UK The Old Tannery, Low Mill Business Park, Ulverston, Cumbria, LA12 9EE Tel: 44(0) 1229 480123 Fax: 44(0) 1229 480345 Tel ROI: +353 1 5060611

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

Product news

JPP_138x188_Blade_remover_July 12/06/2017 11:44 Page 1

safety

encapsulated The Swann-Morton Blade Remover allows for safe and easy removal of all sizes of scalpel blade from both standard No. 3 and No. 4 handles. It assists in the reduction of accidental sharps injuries amongst staff and the risks associated with cross infection and exposure to blood borne pathogens. Supplied sterile the Blade Remover can be included on the instrument tray within the theatre and used at the site of the invasive procedure. The transparent nature of the material allows for 100% accountability of blades used with each one safely encapsulated within an individual remover which is disposed of in an appropriate sharps bin or container. For more information on the complete range of surgical blades, handles, scalpels, disposable, fine and retractable scalpels please go to our website.

EMS 633531

Sterile - Safe - Secure The Swann-Morton Surgical Blade Remover is designed for single use. ‘Swann-Morton’ and the ‘Ring Pattern Logo’ are the registered trade marks of Swann-Morton Limited and related companies.

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

www.swann-morton.com

VIO3 from Erbe - “plug and operate” Erbe have shaped electrosurgery, developing it into today’s leading-edge operating theatre technology, making Erbe an essential and reliable partner for many users worldwide.

VIO® 3 plug and operate

VIO3 is yet another of our milestones in electro-surgical technology, following the ICC series and alongside VIO200/300. With its logical and intuitive interface the VIO3 is designed to ensure optimally userfriendly operation. The size of the touchscreen display alone speaks for itself; from the operating field the team always have a clear view of all control elements.

Electrosurgery with maximum convenience Handling of the VIO 3 with stepGUIDE, the new modes,

Then there are the other advantages:

VIO3 provides via “stepGUIDE”, guidance by suggesting experienced starting settings used in various clinical applications. This results in less setting adjustment or modification.

For further information please visit: vio.erbe-med.com

“Plug and Operate”. It couldn’t be easier.

Tel: 0113 253 0333 Email: sales@erbe-uk.com

VIO3 has the right mode for your surgical application, supporting monopolar and bipolar techniques and our proprietary hybrid technology.

Erbe Medical UK, The Antler Complex, 1A Bruntcliffe Way, Morley, Leeds LS27 0JG.

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

Product news

desderman® pure – for gentle but effective hand disinfection desderman® pure is an advanced rapid acting alcohol based hand rub for hygienic hand disinfection in 30 seconds. It is effective against bacteria, Norovirus, E. coli, MRSA and a wide range of enveloped viruses including HIV, HBV and HCV. desderman pure contains emollients and is both colour and perfume free, so even frequent use is gentle on the skin.

A study of hand rubs concluded that desderman was significantly more effective than non-medical hand rubs in terms of reducing bacteria on the hands. Available in both liquid and gel variants.

schülke UK Ltd, Cygnet House, 1 Jenkin Road, Meadowhall, Sheffield S9 1AT Tel: 0114 254 3500 Email: mail.uk@schuelke.com

Introducing Viroblock a revolutionary mask that traps & kills viruses on contact Benefits • Easybreathe: More breathable and comfortable • Hypoallergenic: Skin friendly respirator • Self-sanitising: Facilitates safe donning and removal

Features • Anti-viral: Traps and kills more than 99.9995% of influenza H1N1 viral units on passage through air • Anti-bacterial: Traps and kills both gram + and gram – bacteria • Dual action: Protects the wearer and the environment • FFP3 respirator with the breathability of a FFP1 respirator

For more information, please contact your Halyard Customer Care Team:

www.halyardhealth.co.uk

From UK & IE: tel: 0800 917 65 85 – fax: 0800 169 02 35 customerservice.uk.ie@hyh.com Viroblock is a tradename or trademark owned by Viroblock SA, and is used here with their express permission

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

Product news

Single use solutions 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

Bailey Instruments Ltd have launched their new Elastic Stay Retraction Kit for ENT and Micro Suction Range

The presentation of the Elastic Stay Kit is designed to support new techniques being adopted to use such systems for the more challenging locations for operative sites in ENT. The technique is increasingly being used for procedures such as skin incision/closure, tracheostomy, lymph node biopsy, excision of thyroglossal duct cyst, parodictectomy and lateral neck access. The stays are designed to be used with anchor plates or rings or now more commonly adapted for use with artery forceps. This is an exciting new development for this wellestablished UK instrument manufacturer under its innovatory susol® brand. They are working on a product pipeline of elastic stay retraction systems actively involving surgeons, particularly in ENT, max fax and plastic surgery,

in design and clinical evaluation to arrive at more effective solutions. The 4 stay pack is available via the NHS Catalogue in England and directly from the Company and designed for use with retractor rings, anchor plates and artery forceps. They are also available in the NHS Catalogue, Bunzl Healthcare or direct from our Manchester Distribution centre for UK and Global Customers. Another brand new ENT device is the new susol® single use left and right cutting Microlaryngeal Scissors. A commonly occurring issue with this type of instruments is the loss of cutting edge compromising technique and a clean cutting action when cutting away a lesion from the laryngeal epithelium.

As with many lumen devices comprehensive decontamination can be a challenge, and monitoring function requires strict processing control. Using advanced instrument manufacturing assembly to deliver precision repeatability Bailey Instruments are launching their single use Microlaryngeal Scissor in July.

Contact susol@baileyinstruments.co.uk to arrange supply and evaluation. Contact sales@baileyinstruments.co.uk to place an order or call 0161 872 8707.

Manufacturers of Bespoke Endoscopy & Sterile Services Products Height Adjustable Sinks

Established in 1962, Goldsworth Medical are the leading UK specialist manufacturers for both Sterile Services and Endoscopy Departments within hospitals. Our product range includes: Height Adjustable Sinks - HTM64 Compliant Height Adjustable & Static Packing Tables Autoclave and Washer Loading Trolleys Transfer Trollys (Incl. UN3291) Transfer Hatches Loading Equipment Easyload Loading Systems We also service equipment from all over the UK. Our experienced engineers can cover service, maintenance and breakdown to suit your bespoke or desired applications.

ENT Scope Storage Cabinet

Transfer Hatches

Electrical Lift Trolleys

CERTIFIED TO BS EN 16442:2015

Servicing

For more information call 01273 516661 Goldsworth Medical (Felcon Ltd) Unit 11, Euro Business Park, New Road, Newhaven, East Sussex BN9 0DQ. Tel: 01273 516 661 Fax: 01273 512695 Social Media: FelconLtd Email: sales@goldsworth.co.uk Web: www.goldsworth.co.uk

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

Product news

Halyard face masks The right mask for the right task: The perfect balance between protection and comfort Face masks are one of the most personal products a healthcare professional wears, and finding the right mask requires a careful balance of personal comfort and protection. To find the right mask, keep in mind the ‘3 Ps’:

Protection: the most important element in

selecting a face mask is finding a solution that ensures both the patient and the healthcare worker are adequately protected.

Procedure: selecting an appropriate face

Halyard’s broad range of styles, features and levels of protection means there’s a HALYARD* Face Mask to fit every need. Halyard’s entire portfolio of masks are designed to ensure adequate protection for both yourself and your patients – regardless of the tasks at hand. All HALYARD* face masks meet industry standards and regulations and are natural rubber latex free and DEHP free.

mask requires careful examination of the types of procedures that will be routinely conducted and where they will be performed.

To find the right mask for your task, visit us at www.halyardhealth.co.uk

Personal Comfort: as a face mask is one

of the most personal products a healthcare professional wears, comfort is a matter of finding a mask that puts the wearer at ease.

Swann Morton Qlicksmart SnapIT Qlicksmart SnapIT which is a “simply safer” way to open glass ampoules and avoid painful and dangerous sharps injuries is a further extension to the range of safety solutions offered by Swann-Morton alongside their training in best practice when handling sharps.

This easy-to-use multi-use ampoule opener helps to avoid unacceptable sharps injury rates seen when ampoules are opened by hand. Opening ampoules is a particularly high-risk event with 26% of needle stick and sharps injuries (NSIs) being caused by opening an ampoule or by broken ampoules. You simply insert the ampoule lid into the multiuse SnapIT making sure you have the correct size. If there is a dot on the ampoule then align this with the dot on the SnapIT. Snap “away” from your body to open the ampoule. You

can then eject the glass ampoule lid directly into a sharps container. There are both personal and trolley versions available in the range so contact Swann-Morton at info@swann-morton.com to find out product order codes along with details of your local supplier.

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

Product news

The ‘cost’ of missing medical instruments At a time of falling budgets and increasing scrutiny, can healthcare providers afford to waste time looking for missing medical instruments? According to a BMJ Quality Improvement Report, “Poorly organised clinical equipment can waste significant amounts of time otherwise available for direct patient care”. With the NHS and other healthcare providers operating on tighter

budgets, it is evident that new efficiencies and processes are needed. Disposable, single-use medical instruments offer many benefits if effectively stored and distributed. Such instruments have not

been used before and are designed not to be used again, so medical instrument management is streamlined. Concerns about whether a reusable instrument has been properly sterilised are rendered redundant, as is ensuring instruments have been returned after reprocessing. Single-use instruments also offer an ironclad insurance against cross-contamination between patients. Single Use Surgical were established in 2001 as

a direct response to UK hospitals concerns over the cleaning practises involving reusable instruments, and how it posed a high risk of patient to patient cross contamination. As specialists in a variety of single-use medical instruments for gynaecology, laparoscopy, general surgery and more, every device is made to the highest quality providing a cost-effective alternative to reusable without the compromise. Contact us to see how we could help you reduce the “cost” of your missing medical instruments today. Single Use Surgical Tel: + 44 (0) 2920 767 800 Email: info@susl.co.uk Web: www.susl.co.uk

Stay safe with single-use Surgitrac® Instruments offers a complete range of sterile, single-use instruments, sets, and custom-made packs for use in Ophthalmology. Single-Use

Single-Use

Instrument Sets & Packs

Supplied by SD Healthcare 0161 776 7620 www.sdhealthcare.com

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

Product news

Angloplas

During 2017 we’ve introduced many new products including Suture Dispensers (an even newer version is on its way), Surgical Count Boards (to your specification), Dosimeter Badge Boards, Helmet Racks and Hood Dispensers, Clinical Waste Sack/Bag Dispensers to name just a few. You can find these in our latest catalogue by downloading a copy using the QR code in the ad or type www.angloplas.co.uk/catalogue.html into your browser. Can’t Find What You’re Looking For? If our current dispensers don’t suit your products we’ll consider manufacturing you an entirely new item(s), usually at NO EXTRA CHARGE and without delay. Please contact us for more information. Email: sales@angloplas.co.uk Tel: +44 (0)1621 868400

ClearView

ClearView Endoscopy is focused on the service and repair of medical endoscopes, both flexible and rigid.

Intersurgical is Europe’s leading designer, manufacturer and supplier of a wide range of medical devices for respiratory support.

The company has drawn on excellent resources and team members with many years of expertise to bring customers the best of both.

We provide flexible patient solutions for airway management, anaesthesia, critical care, and oxygen & aerosol therapy primarily for use within the hospital environment.

ClearView’s founder, David Cameron, has held senior roles in both OEM and third party settings for over 23 years and has a wealth of experience and understanding of customer needs within the UK market. Our goal is ‘Clear’, to harness this experience and expertise to bring better choice to the endoscopy world,

offering the best service and value to both NHS and private sector customers. ClearView Endoscopy Ltd 4 Walls Yard Riverside Industrial Estate South Street Rochford SS4 1GR Tel: 01702 597707 Fax: 01702 597791 Email: info@cviewwndo.co.uk Web: www.cviewendo.co.uk

With over 30 years’ experience in this area, we understand the changing and challenging clinical environments and needs of our customers and their patients. We believe the best way to maintain the highest standards in design, manufacture, quality and customer care is to have complete control of these aspects of our business. This integrated in-house philosophy means we are able to respond quickly and effectively to our customers and consistently meet their requirements.

Innovation is an important aspect of our business in all areas, helping us to deliver high quality products and services whilst allowing us to provide cost effective solutions to meet today’s needs. Our goal is to provide best practice respiratory product solutions for patients and clinicians, offering quality, innovation and choice. Visit Intersurgical on Stand 20 at this years’ AfPP Residential and view our full range of respiratory care products. Tel: (0)118 9656 300 Fax: (0)118 9656 356 Email: info@intersurgical.co.uk Web: www.intersurgical.co.uk

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

A IN VAI CA TH LA TA E BL LO NH E GU S E

Product news

susol@baileyinstruments.co.uk

NEW PRODUCT LAUNCH SINGLE USE ELASTIC STAY RETRACTORS FOR ENT SPECIFICALLY DESIGNED AND PACKAGED FOR HEAD AND NECK PROCEDURES

MICRO SUCTION TUBES / CANNULAE NEW ADDITION TO THE SUSOL® ENT RANGE

Unit 19, Guinness Road Trading Estate, Guinness Rd, Trafford Park, Manchester M17 1SB, United Kingdom Tel: 0161 872 8707 | Email: susol@baileyinstruments.co.uk www.susol.co.uk @SUSOL

SINGLE USE MICROLARYNGOSCOPY SCISSORS FOR ENT PRECISION CUTTING FOR EVERY PROCEDURE WITH PRECISION ENGINEERED SCISSORS

Looking for distribution outside of UK and Ireland

Transport, treatment and recovery Anetic Aid is a world-leading UK based designer and manufacturer of medical devices used extensively for patient transport, treatment and recovery.

Renowned for innovation and high quality, we work closely with clinicians to continuously develop and improve our product range to help medical teams provide the best possible outcomes for their patients. The QA3 and QA4 Trolleys reflect this with supreme manoeuvrability and functionality that meets the high demands expected in the modern clinical environment. Today’s health practitioners are keenly aware of the importance of ‘Lifting and handling’ – moving equipment and patients easily and safely. In creating our Patient Transport and Surgery Trolley Systems the members of our design team make ease of use,

practicality and patient comfort our guiding principles. Patient comfort is also demonstrated in their wide range of Oasis pressure care devices an extensive range of reusable 100% silicone gel pads designed to minimise pressure sores and associated infections risks. Anetic Aid will be demonstrating a wide range of their products at this year’s AFPP event in York including AT4 Tourniquets, Radiation protective aprons and the innovative Electrostatic Decontamination System. Tel: +44 (0)1943 878647 Email: sales@aneticaid.com Web: aneticaid.com

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

Product news

Howorth Air Technology and S-CAPE - UK partners Medical AV equipment is continually evolving, Today’s must have camera, is tomorrow’s “has been” in the space of 2-3 years. Surgeons are performing more complex procedures with the continual use of new medical technologies. Therefore the evolving requirement is for interactive, intuitive Vendor Neutral integration of all types of medical devices.

S-Cape is known worldwide in over 50 countries, and has over 6,000 multi-consoles operating theatres. Our CareSyntax vendor neutral software application is designed as a solution. CX-Prime family consists of various modules for in wall display, video/image documentation. Web based solutions enables the surgeon to upload images to be retrieved anywhere in the hospital, including editing at any time either in the theatre or consulting rooms. Other modules link 3rd party applications, such as PACS linking to the patient work list saving time with a single button click, including modules for tele-medicine, via HL7 & DICOM infra-structure brings all patient data for importing and exporting together.

Ease of use for the operating theatre nursing staff, using App like structures to route and save images. PACS can be linked requiring a single click to the patient, and all images and videos are time stamped. Other features are connecting to mobile devices for recording of those images, such as Mobile X-Ray and operating microscopes using a single cable and auto-recognition technology. This produces real time reports with meaningful data analysis using our CX-IQ. S-Cape has proudly partnered with Howorth Air Technology in the United Kingdom and has installations such as St Georges University Hospital London, and One Healthcare at Hatfield, a new concept in Private Healthcare which is now in construction and opening later this year. www.howorthgroup.com

AfPP’s Theatre access course Who’s it for? This course has been tailored specifically for medical device representatives but may also be suitable for students wanting to get a ‘taste’ of theatres.

Where is it held? Either at AfPP HQ in Harrogate or onsite at your offices (a minimum of 10 delegates are required for onsite courses).

What do you get out of it? - An understanding of theatre etiquette, correct protocol and the roles and responsibilities of those within theatres.

What does it cost? - £250+VAT for medical device representatives - £150+VAT for students

- A certificate and theatre access course ID pass card.

The course can also be ‘tailor made’ to your specifications.

How long does it last? The course is valid for two years, after which you will be required to complete a refresher module.

To book your place or for further information, please call Kelly Squires on 01423 882969 or visit www.afpp.org.uk/events/theatreaccess

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

Product news

Stryker Corp. Stryker Corp. is one of the world’s leading medical technology companies and, together with our customers, we are driven to make healthcare better.

The Company offers a diverse array of innovative products and services in orthopaedics, spine, neurology, medical and surgical that help improve patient and hospital outcomes. Stryker is active in over 100 countries around the world. Stryker’s Medical Acute Care portfolio focuses on quality and prevention with a proven, performance based approach that impacts both clinical and financial outcomes for healthcare facilities. The comprehensive portfolio of support surfaces for on the Stryker beds and stretchers do not only provide superior comfort but offer proactive wound care therapies.

Stryker’s support surfaces feature pressure management design, customized controls, scientifically advanced covers, and powered options that reduce skin shear and prevent skin breakdown. The full portfolio of support surfaces for beds and stretchers afford you the flexibility to customize care yet maximize return on investment through rental reduction. For more info about the Stryker products please visit: patienthandling-eu.stryker.com You can also visit us at the AfPP Residential Conference 2017 Stand 17.

Taking care of your Theatre requirements • Procedure Packs • Sharps safety devices & safety scalpels • Surgical Instruments • XRD Swabs • Laparoscopic Instruments • Needles & Syringes • Gowns • Drapes WA R

Proud Sponsors

UNISURGE International Limited. T: +44 (0) 8455 213111 www.unisurge.com

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

Product news

S2 Procedure Performance from Syncera In an average NHS hospital, as many as 60% of surgical instruments are regularly unused, wasting over £1.6M per year in unnecessary reprocessing costs.

S2 Procedure Performance Technology is a digital solution for perioperative quality and cost improvement, delivered with a savings promise. Fully managed by Syncera, a health technology division of Smith & Nephew, S2 Procedure Performance: • Reduces instrument wastage by up to 61% • Saves up to 60% of reprocessing costs and minimises the costs of instrument-related theatre delays • Leverages best-practice learning design to increases confidence of theatre staff and potentially accelerate training times.

Supported by implementation experts with extensive perioperative service delivery experience, S2 creates a theatre workflow using procedure mapping personalised to each surgeon. This approach reduces unwarranted variation, optimises theatre efficiency and ensures surgeons are supported. The web-based platform provides interactive digitised preference cards, perioperative guidance and training modules, available 24/7 on any device. All with no upfront costs. Find out more at S2Performs.co.uk. Email: akhil.tripathi@syncera.com Tel: 07720070828

SP.eye™ the world’s only SHARPS SAFE intravitreal injection device SP.eye™ is the only intravitreal injection device designed to be safer for the patient, and the injector, whilst guaranteeing a repeatable injection technique with sharps safety. Intravitreal therapies, including anti-VEGF can be delivered by suitably trained professionals with complete safety and guidance.

SP.eye™:

SP.eye™ complies with:

• Locks safe for disposal after use.

• British / European law on the use of sharps safe devices • RCN guidance on the use of sharps by nurses.

• Requires no assembly • Facilitates the move towards nurse –led, IVT clinics

Visit www.sdhealthcare.com or contact info@sdhealthcare.com for a demonstration.

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

News

Bender UK

Bender UK secures exclusive deal to offer world-beating LED surgical lights to hospitals. Ulverston-based Bender UK has become the exclusive supplier of the advanced range of Q Flow™ LED surgical lights, developed by Merivaara of Finland. The new range was formally launched at the Operating Theatre Conference 2017: The Future of Surgery, in Manchester on May 23rd 2017, and Bender

UK has already secured orders for 30 lighting sets. Merivaara lights now form part of Bender UK’s comprehensive range of healthcare products and services which includes critical care IPS/UPs power solutions, surgical equipment, turnkey theatre packages, service and technical support.

Merivaara is an established supplier of medical equipment for operating theatres but the Q-Flow™ surgical lighting range is the first to be manufactured by the company. The new lights provide advanced performance in a number of key areas, including bestin-class colour rendering which is vital for surgeons and theatre staff to monitor the health and well-being of patients. The Q-Flow™ system also offers the innovative Dynamic Obstacle Compensation™ system developed by Merivaara to minimise shadows in the light field which reduces fatigue for the surgical team, and minimises risk for patients. Another advantage of the Q-Flow™ range is its sleek, streamlined construction designed to deliver an uninterrupted vertical flow of sterile air to the operating table minimising the turbulence which can introduce bacteria at the operation site.

Energy efficient LED technology also reduces heat generation and power consumption, and offers an operational lifetime of up to 50,000 hours for each light. Bender UK Managing Director Gareth Brunton said that the company was delighted to be partnering with Merivaara which already has an impressive reputation in the medical sector. “The Merivaara name is well known to clinicians for the quality of its medical equipment and the new lighting range is certain to further enhance that reputation for performance. It perfectly complements our own offering to hospitals, clinics and health trusts across the UK and Ireland.” Bender UK Ltd The Old Tannery - Low Mill Business Park, Ulverston, Cumbria LA12 9EE Tel: +44 (0) 1229 480123 Fax: +44 (0) 1229 480345 E-Mail: info@bender-uk.com Web: www.bender-uk.com

Journal of Perioperative Practice PROCUREMENT GUIDE July 2017 Volume 06 Issue 03 www.afpp.org.uk

News

IntraTemp at Princess Alexandra Hospital NHS Trust ™

Princess Alexandra NHS Trust provides acute services to a population of around 350,000 in Harlow and the surrounding areas. Its main facility is the 500-bed Princess Alexandra Hospital. Susan Lord is the Team Leader for General, Vascular and Laparoscopic Surgery at Princess Alexandra Hospital. She is also the Educational Lead for the Association for Perioperative Practice (AfPP) Anglia regional team. Sue approached Ecolab at the AfPP residential exhibition in 2016 to discuss irrigation fluid warming using IntraTemp™.

temperatures, forcing staff to manually verify the temperature of the fluid.

Irrigation fluid is a frequently overlooked factor in prevention of inadvertent perioperative hypothermia. Failure to maintain perioperative normothermia has well-documented negative clinical effects (Frank et al 1997, Sessler 2001, Rajagopalan et al 2008). NICE guidance states that “…all irrigation fluids should be warmed in a designated cabinet, thermo-controlled to 38-40°C (NICE 2008).

Ecolab’s local Key Account Manager visited Sue at Princess Alexandra to consult on their current fluid warming practice. They created a trial and implementation plan to address the issues they’d identified using the IntraTemp™ fluid warming system. The plan identified which theatres and procedures most required accurate irrigation fluid warming. These included laparotomies, bowel resections, breast augmentation and various gynaecological procedures.

Practice at the trust reflected current NICE guidance. Irrigation fluid was warmed in cabinets, then brought to theatre and decanted into an unheated standing basin to cool. However, the warming cabinets were located a few minutes’ walk from the main theatres, which meant retrieving fluid was timeconsuming and disruptive. In addition, some of the warming cabinets had been found to report inaccurate

Sue recognised the issues with this process and wanted to optimise it to improve theatre efficiency and patient safety. There was a clear need for a system to deliver and maintain irrigation fluid at a known temperature at the point of use.

I have been very pleased with [IntraTemp™], staff are getting used to them and also seeking them out to use for cases.’ Sue Lord, Theatre Team Leader Princess Alexandra Hospital

With this plan in place, two IntraTemp™ units were supplied for a 3-week evaluation period. The Key Account Manager was available throughout the evaluation process to collect feedback, monitor implementation and answer questions. He delivered training to the entire team at various times as required, certifying them in safe and effective use of IntraTemp™. IntraTemp™ was so popular that the trust requested an additional unit immediately after the trial. Staff praised its ease of use, ability to quickly and accurately verify fluid temperature and the convenience of having irrigation fluid readily available. The IntraTemp™ systems are now being used by the trust for around 300 cases per year.

Ecolab continues to work with Sue and the trust, supporting the IntraTemp™ system and the team with continuous improvement initiatives. To find out more about IntraTemp™ or Ecolab’s range of surgical solutions call 0113 232 2492 or visit ecolab.com.

References Frank SM, Fleisher LA, Breslow MJ et al 1997 Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events. A randomized clinical trial JAMA 277 (14) 1127-34 National Institute for Health and Care Excellence 2008 Hypothermia: prevention and management in adults having surgery Clinical Guideline 65 Online: https://www.nice.org. uk/guidance/cg65 [Accessed June 2017] Rajagopalan S, Mascha E, Na J, Sessler DI 2008 The effects on mild hypothermia on blood loss and transfusion requirement. Anesthisiology 108 (1) 71-7 Sessler DI 2001 Complications and treatment of mild hypothermia Anesthesiology 95 (2) 531-43

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Authorised partners:

Courtesy of St George’s Hospital

www.howorthgroup.com

The widest range of single use suctions.

t. 02920 767 800 e. info@susl.co.uk