JPP PG March 2017 (Vol:06 Issue:01) by Open Box Media & Communications

Journal of Perioperative Practice

PROCUREMENT GUIDE March 2017 Volume 06 Issue 01 01423 881300 www.afpp.org.uk

01423 881300 www.afpp.org.uk

Your route to respiratory care

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 March 2017 Volume 06 Issue 01 www.afpp.org.uk

Contents

Welcome to your March 2017 Guide 06 Use and handling of

surgical instruments

14 ClearView Endoscopy

11 Top 10 Health Technology Hazards for 2017

16 Single Use Surgical -

12 Endoscope management

16 VIO3 from Erbe -

and decontamination

14-19 Product News: 14 desderman® pure hand rub from schülke

14 Intersurgical The ‘Cost’ of Missing Medical Instruments

“plug and operate”

18 Richard Wolf UK -

EndoCam Logic 4K

19 Wardray Premise

appointed as a distributor of the IV-eye® vein imager

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:

May 2017 Infection Prevention/Infection Control/Decontamination/Clinical Waste/Wound Management July 2017 Consumables/Patient Trolleys September 2017 Airway Management/Difficult Airways/Anaesthesia November 2017 Sharps Safety/Patient Safety/ Swabs Safety/Patient Handling 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

medical

Journal of Perioperative Practice PROCUREMENT GUIDE March 2017 Volume 06 Issue 01 www.afpp.org.uk

Instruments

Use and handling of surgical instruments

Operating departments usually use pre-packed instruments from either on site or off site sterile services units. All perioperative staff should be trained in the use and handling of surgical instruments. They must be familiar with the use of instruments in different specialties (Radford et al 2004). New surgical instruments will go through local procurement policy and should not be introduced into the operating department unless compliant with this. Instruments should not be used until staff are familiar in their use. This is particularly relevant to loan surgical instruments. Training must be undertaken in controlled settings and not at the time when the instruments are first in use during a procedure. In the case of loan instruments, training should take place prior to the instruments being processed for the specific case for which they have been acquired. Training needs must be addressed to ensure that all staff are able to comply with the requirements of relevant professional bodies. These include, but are not limited to, the Health Professions Council Standards of conduct, performance and ethics (HCPC 2016) and the Nursing and Midwifery Council The code: Professional standards of practice and behaviour (NMC 2015). Care should be taken to ensure that staff who may not be resident in the operating department are included in training sessions.

General safeguards Surgical instruments and powered equipment should be used and handled in accordance with the manufacturer’s instructions. In order to prevent damage, instruments must be used only

for the purpose for which they are designed. Appropriate selection requires an understanding of surgical procedures and knowledge of anatomy for the procedure that they are to be used for. Appropriate use of instruments prevents damage and facilitates surgery which promotes patient safety and may prolong the life of the instruments. Prior to use, all instruments should be visually inspected for contamination and or damage. Hinges and ratchets should be tested. Instruments with removable parts should be checked for completeness before use. These should be documented as part of the swab and instrument count in line with local protocol. To prevent damage, delicate instruments should be handled with care and separated from other instruments during use, cleaning and storage. Protection mats and tips can be used to protect particularly fine instruments. Equipment such as telescopes (rigid and flexible) should be tested in line with manufacturer’s instructions prior to each use. Specialised instruments should be regularly checked by appropriately trained personnel. Specialist test equipment should be made available to check the integrity of instruments such as diathermy equipment and fibreoptic cables.

Accurate records of the number of uses of each individual item should be maintained in order to comply with the manufacturer’s recommendations, where required. In order to maintain asepsis, instruments found to be contaminated with dried blood or body tissue prior to surgery must be discarded. If any such items are found on a tray of instruments, the whole tray must be discarded, the scrub practitioner should

change gloves and the incident be reported to the appropriate person. This constitutes a patient safety incident and should therefore be reported using the organisation’s reporting system. Each tray of instruments should contain an instrument checklist. The instruments on each set should be checked against this list, in accordance with count guidance (below) and in line with local protocol.

Instruments • Instruments and items with screws and/or removable parts should be included in the count at the commencement and end of the procedure. • Equipment trays should contain a pre-printed detailed and comprehensive list of the instruments to provide an accurate record of instruments. The list should be used to check the instruments and any detachable parts (including number of detachable pieces eg: retractors) prior to the start of the procedure and at the completion of the procedure. There should be a local traceability system of accounting for instruments that are used during the procedure. • Instrument trays and equipment should be periodically risk assessed, rationalised and where possible standardised to contain the minimum amount of required equipment. • Pre packed instrument sets containing swabs should be periodically reviewed to ensure that only appropriate swabs are included on the set (eg: no small swabs on maternity delivery sets). • Staff involved in the counting procedure must be able to recognise and identify the instruments and medical devices in use. • If the instrument tray is deemed incorrect at the preparation stage this should be noted on the tray list and reported according to local reporting systems. The set should only be used if considered safe to do so. (AfPP 2016, pp328) >>

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Journal of Perioperative Practice PROCUREMENT GUIDE March 2017 Volume 06 Issue 01 www.afpp.org.uk

Instrument trays should be standardised with the minimum variety and number of instruments needed for the procedure (AORN 2014). Instruments that are no longer routinely used during procedures should be removed from the instrument trays and made available as separate items. This reduces the risk of a retained item and may also lengthen the life of the instrument due to a reduction in processing. Any discrepancies noted in the instrument count should be recorded on the instrument checklist in addition to any other documentation in which discrepancies with the count will be recorded, for example patient record, incident reporting system. Instruments must be accounted for at all times during a surgical procedure. The scrub practitioner should ensure that instruments are handled in such a manner as to avoid injury to the patient, other members of the surgical team and personal injury. Special care should be taken with sharp instruments (eg: scalpels and loaded needle holders). It is strongly recommended that all sharp instruments are transferred between staff in a receiver (kidney dish). Instruments must not be allowed to rest directly on the patient as this could cause injury to the patient or damage to the drapes with a resultant breach of asepsis. Consideration should be given to the use of appropriate additional sterile surfaces (eg: Mayo tables, magnetic pads). It is recommended that all instruments should be processed in a sterile services unit in accordance with decontamination guidance.

Instruments There are no recommended guidelines for how long a sterile instrument tray can be left open before the contamination risk becomes unacceptable. However, a study by Dalstrom et al (2008) reported that culture positivity was correlated directly with the duration of exposure. Sterile trays should therefore not be opened until they are specifically needed during a procedure (Dalstrom et al 2008). If a tray is opened but is not immediately used (eg: a delayed start to a procedure or multiple procedures performed in the same setting) coverage of open trays with a sterile towel is recommended to minimise exposure to environmental contaminants (Dalstrom et al 2008). There is no current evidence to suggest how long an opened sterile tray can remain covered; however the potential for contamination increases with time (AST 2011). Light traffic in the operating theatre has little impact on the contamination risk of opened instrument trays, but traffic should be kept to a minimum (Dalstrom et al 2008).

Storage of instruments The storage area should be clean, dry and free of dust. All storage surfaces should be smooth, non-porous and capable of being easily cleaned (NHS Estates 2004). Sterile items should be protected from direct sunlight. The temperature of the storage area should range between 16oC and 21oC with a relative humidity of 30-60% (NHS Estates 2004). Perioperative personnel should have the required knowledge and skills related to the handling of sterile items.

Sterile items should be transferred to and from storage areas on clean, specifically designated trolleys (NHS Estates 2004). Items should be transferred carefully from the trolleys onto the storage shelves with care taken to minimise the potential for any damage to occur to the wrappings. Care should also be taken to ensure that items are not packed tightly onto shelves or other forms of storage as damage to wrappings may occur, thus reducing the integrity of the sterile items (NHS Estates 2004). Consideration should be given to appropriate manual hand ling of sets. A process to identify trays or equipment requiring extra controls (eg: heavy) should be included in local policy. Stock should be rotated whenever additional sterile items are placed in storage, thus ensuring that all stock is used in the correct date order (NHS Estates 2004). Sterile items should be managed in line with local policy. This may be date related or event related. The date of sterilisation and the machine used should be marked on the item. The length of time an item is considered sterile is referred to as the shelf life. The eventrelated outdating theory is based on the assumption that, if items are properly cleaned, wrapped, sterilised, stored and handled, they can remain sterile indefinitely unless the integrity of the packaging is compromised. Therefore, the shelf life of an item is dependent on storage, handling and type of packaging material. Adequate handling, storage and robust stock rotation have the potential to reduce the costs of reprocessing instruments by minimising the risk of damage to the integrity of sterile stock. Staff should liaise with the sterile services unit to determine shelf life.

Any package that is wet, torn, dropped on the floor, or damaged should be cleaned, rewrapped and sterilised prior to use (CDC 2013)

Education and training All new staff should receive training on the use, handling and storage of surgical instruments as part of their induction. Medical device training should be achieved before new instrumentation is introduced to the operating department (MHRA 2006). Product training by a representative of the company/ manufacturer or a key worker from the organisation who has undergone specific training, should be undertaken when the instrumentation arrives in the department. Staff should be competent with using and handling the instrumentation in accordance with the procedure prior to undertaking the role of scrub practitioner. Failure to com ply with this recommendation has the potential to breach professional accountability for registered practitioners. This accountability is defined by the Health Professions Council Standards of conduct, performance and ethics (HCPC 2016) and the Nursing and Midwifery Council The code: Professional standards of practice and behaviour (NMC 2015). Both documents refer to the requirement for a practitioner to be competent to undertake all elements of practice, and to acknowledge their limitations and scope of practice when working with surgical instruments. Loan instrumentation that is not familiar to staff should not be used until full product training has been provided to all members of the perioperative team involved in its use.

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Journal of Perioperative Practice PROCUREMENT GUIDE March 2017 Volume 06 Issue 01 www.afpp.org.uk

References and further reading Association for Perioperative practice 2016 Standards and Recommendations for Safe Perioperative Practice (4th ed) Harrogate, AfPP Association of periOperative Registered Nurses 2014 Recommended practices for sponge,sharp and instrument counts In: Perioperative standards and recommended practices Denver, AORN Inc

Instruments Centers for Disease Control and Prevention 2013 Available from: http://www.cdc.gov/oralhealth/ infectioncontrol/faq/sterilization. htm [Accessed January 2016] Dalstrom DJ, Venkatarayappa I, Manternach AL et al 2008 Time-dependent contamination of opened sterile operating room trays Journal of Bone and Joint Surgery 90 1022-25 Health and Care Professions Council 2016 Standards of conduct, performance and ethics London, HCPC Available from: http://www.hpc-uk.org/ aboutregistration/standards/ standardsofconductperformance andethics/ [Accessed January 2016]

Association of Surgical Technologists 2011 Standards of practice for creating the sterile field Available from: http:// www.ast.org/uploadedFiles/ Main_Site/Content/About_Us/ Standard_Creating_Sterile_Field. McAuley T 2009 Specifications pdf [Accessed January 2016] for temperature and humidity in JPP_138x188_Blade_remover_March 09/02/2017 11:44 Page 1

sterile storage environments - Where’s the evidence? Healthcare Infection 14 (5075) 131-137 Medicines and Healthcare products Regulatory Agency 2006 Managing medical devices: Guidance for healthcare and social services organisations DB 2006(05) Available from: www.mhra.gov.uk/ Publications/Safetyguidance/ DeviceBulletins/CON2025142 [Accessed January 2016] Nursing and Midwifery Council 2015 The code: Professional standards of practice and behaviour for nurses and midwives AvaiIable from: http: http://www.nmc.org.uk/ globalassets/sitedocuments/ nmc-publications/revised-

safety

new-nmc-code.pdf [Accessed January 2016] N HS Estates 2016 HBN 13: Sterile services department Available from: https://www. gov.uk/government/uploads/ system/uploads/attachment_ data/file/148489/HBN_13.pdf [Accessed January 2016] Radford M, County B, Oakley M 2004 Advancing perioperative practice Cheltenham, Nelson Thornes This article is an extract from Standards and Recommendations for Safe Perioperative Practice 2016 (4th Edition), published by the Association for Perioperative Practice, Harrogate.

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.

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Journal of Perioperative Practice PROCUREMENT GUIDE March 2017 Volume 06 Issue 01 www.afpp.org.uk

Safety

Top 10 Health Technology Hazards for 2017 The ECRI Institute has provided an abridged version of its 2017 Top 10 list of health technology hazards as a free public service to inform healthcare facilities about important safety issues involving the use of medical devices and systems. The full report, including detailed problem descriptions and ECRI Institute’s step-by-step recommendations for addressing the hazards, is available to members of certain ECRI Institute programs through their membership web pages (https://www.ecri.org). The list for 2017 1. Infusion Errors Can Be Deadly If Simple Safety Steps Are Overlooked 2. Inadequate Cleaning of Complex Reusable Instruments Can Lead to Infections 3. Missed Ventilator Alarms Can Lead to Patient Harm 4. Undetected Opioid-Induced Respiratory Depression 5. Infection Risks with HeaterCooler Devices Used in Cardiothoracic Surgery 6. Software Management Gaps Put Patients, and Patient Data, at Risk 7. Occupational Radiation Hazards in Hybrid ORs 8. Automated Dispensing Cabinet Setup and Use Errors May Cause Medication Mishaps 9. Surgical Stapler Misuse and Malfunctions 10. Device Failures Caused by Cleaning Products and Practices

The purpose of the list The safe use of health technology, from basic infusion pumps to large, complex imaging systems, requires identifying possible sources of danger or difficulty with those technologies and taking steps to minimize the

The safe use of health technology requires that healthcare facilities recognize the possibility of danger or difficulty with those technologies and that they take steps to minimize the likelihood of adverse events.

likelihood that adverse events will occur. This list will help healthcare facilities do that. Produced each year by ECRI Institute’s Health Devices Group, the Top 10 Health Technology Hazards list identifies the potential sources of danger that they believe warrant the greatest attention for the coming year. The list does not enumerate the most frequently reported problems or the ones associated with the most severe consequences, although such information is considered in the analysis. Rather, the list reflects judgment about which risks should receive priority now.

All the items on the list represent problems that can be avoided or risks that can be minimized through the careful management of technologies. Additional content provided with the full article, which is available separately, provides guidance to help manage the risks. In this way, the list serves as a tool that healthcare facilities can use to prioritize their patient safety efforts. A copy of the abridged version can be found at: https://www.ecri. org/Resources/Whitepapers_ and_reports/Haz17.pdf ECRI website: https://www.ecri.org

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Journal of Perioperative Practice PROCUREMENT GUIDE March 2017 Volume 06 Issue 01 www.afpp.org.uk

Endoscopy

Endoscope management and decontamination An endoscopy is a test that looks inside the body. The endoscope is a long flexible tube which has a tiny camera and light on the end of it. There are many types of endoscopes and they are used to look inside different parts of the body. Health Technical Memorandum (HTM) 01-06 offers guidance on the management and decontamination of flexible endoscopes. The purpose of HTM is to help health organisations to develop policies regarding the management, use and decontamination of reusable medical devices at controlled costs using risk control. This HTM is designed to reflect the need to continuously improve outcomes in terms of patient

safety, clinical effectiveness; and patient experience.

The Health Act Code of Practice recommends that healthcare organisations comply with guidance establishing Essential Quality Requirements and demonstrate that a plan is in place for progression to Best Practice. Essential Quality Requirements (EQR), for the purposes of this best practice guidance, is a term that encompasses all existing statutory and regulatory requirements. EQRs incorporate requirements of the current Medical Devices Directive and Approved Codes of Practice as well as relevant applicable Standards. They will help to demonstrate that an acute provider operates safely with respect to its decontamination services.

Local policy should define how a provider achieves risk control and what plan is in place to work towards Best Practice.

Endoscope management and decontamination HTM 01-06 top ten tips 1. Compatibility. Ensure compatibility with the existing decontamination processes, including the endoscope washer-disinfector (EWD), when purchasing any new endoscopes.

Essential Quality Requirements. A continuous process of evaluation and improvement should be in place to progress towards locally determined Best Practice. 8. Planned preventative maintenance. Have planned preventative maintenance and associated record-keeping in place to ensure all parts of the endoscope decontamination and management systems are optimally effective.

2. Instructions. Ensure that all equipment is operated and controlled in accordance with the manufacturer’s instructions, local endoscope decontamination policy and associated risk assessments.

9. Staff training. Ensure all staff, including new appointees, involved in the decontamination process are specifically trained in their role and in the broad context of endoscope management, decontamination and recontamination prevention, and that this training is kept upto-date.

3. Track and trace. Autoidentification and associated data capture should be used to track and trace all endoscopes, reusable accessories and EWDs to ensure appropriate maintenance, correct decontamination and traceability to associated patients.

10. Incident reporting. Report any potential failure in the management and decontamination of endoscopes, including equipment problems relating to endoscopes, EWDs or process chemicals, to a line manager.

4. Lumen connection. Check that all lumens in each endoscope can be connected to the EWD using the correct connectors/ connection sets provided.

These Top Ten Tips take into account the broad approach taken in MHRA’s Device Bulletin MDA DB2002(05) – ‘Decontamination of endoscopes’.

5. Manual cleaning. Ensure endoscopes and reusable accessories are manually cleaned immediately after use, including the flushing of all lumens – even if they have not been used during the procedure.

References

6. Chemical compatibility. Only use chemicals that are compatible with the endoscope and its reusable accessories, and observe the correct process parameters that have been validated and demonstrated to be effective. 7. Essential Quality Requirements and Best Practice (as described in HTM 01-06). Endoscopes should always be decontaminated and maintained to a level specified in

Department of Health 2016 Health Technical Memorandum 01-06: Decontamination of flexible endoscopes Part A: Policy and management Available from: https://www.gov. uk/government/uploads/system/ uploads/attachment_data/ file/530418/HTM0106_PartA.pdf [Accessed January 2017] Medical Device Agency 2002 Decontamination of Endoscopes MDA DB2002 (05) Available from: http:// webarchive.nationalarchives. gov.uk/20141205150130/ http://www.mhra.gov.uk/home/ groups/dts-bi/documents/ publication/con007330.pdf [Accessed January 2017]

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Journal of Perioperative Practice PROCUREMENT GUIDE March 2017 Volume 06 Issue 01 www.afpp.org.uk

Product News

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ClearView

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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 Mob: 07432 154533 Email: dave.cameron@ cviewendo.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

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SURGICAL

DO YOU KNOW THE EXACT TEMPERATURE OF YOUR IRRIGATION FLUID? Even mild hypothermia (36ºC) can increase post-anaesthesia recovery time, blood loss and morbid cardiac outcomes, and lengthen hospital stays.2

Are you putting your patients at risk? The new IntraTemp™ Fluid Warming System from Ecolab prevents this risk by taking the guesswork out of irrigation fluid temperatures. 1. National Institute of Clinical Excellence (NICE) clinical guideline 65, Inadvertent perioperative hypothermia, April 2008 2. Association of Perioperative Registered Nurses (AORN) Recommended practices for the prevention of unplanned perioperative hypothermia. AORN J. 2007 May; 85(5): 972-988

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Journal of Perioperative Practice PROCUREMENT GUIDE March 2017 Volume 06 Issue 01 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.

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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. 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.

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

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Speak to our dedicated laparoscopic specialists: www.molnlycke.co.uk/laparoscopy-trocars-and-instruments/ Telephone: 0800 917 4918

Leading the way in Theatre Efficiency From the manufacturer of:

Reference: 1: Greiling, M. A multinational case study to evaluate and quantify time-saving by using custom procedure trays for operating room efficiency. Data presented at the 23rd Congress of the European Association of Hospital Managers, Zurich, Switzerland, September 2010 (poster). Mölnlycke Health Care Ltd, Unity House, Medlock Street,Oldam, OL1 3HS UK. Tel. 0800 731 1876 The Mölnlycke Health Care and ProcedurePak®, Biogel® and HiBi® trademarks, names and logo types are registered globally to one or more of the Mölnlycke Health Care Group of Companies. © [2016] Mölnlycke Health Care AB. All rights reserved. UKSU0049

Mölnlycke Health Care complete laparoscopic solutions for increased efficiency

Journal of Perioperative Practice PROCUREMENT GUIDE March 2017 Volume 06 Issue 01 www.afpp.org.uk

Product News

A LEADING UK SUPPLIER OF OPERATORS’ STOOLS FOR NHS CLINICIANS Winners of Clinical Seating OJEU contract for Barts & The London NHS Criteria: Ergonomics, Infection Control and Build Quality and MRC Laboratory of Molecular Biology Operating Theatres • Anaesthetics Eye Clinics • Recovery • ICU • HDU Pain Management • Ultrasound Maternity Units • Delivery Suites Clinical Areas Unit C1, Ford Airfield Industrial Estate, Arundel, West Dussex BN18 0HY Telephone: +44 (0)1243 811881 Email: colin@murrayequipment.co.uk

www.murrayequipment.co.uk

EndoCam Logic 4K Richard Wolf UK Ltd is proud to announce the arrival of its next generation in imaging technology, the EndoCam Logic 4K.

This addition to our portfolio complements our HD systems, 3D HD system and EndoCam Flex ranges. Our aim is to provide imaging solutions based on individual needs, be it the latest cutting-edge technology or cost effective solutions for clinic or outpatient settings. The core nova ™ Integrated Theatre System presents ergonomics coupled with function in line with modern “smart” technologies. Alongside these imaging ranges at Richard Wolf, we continue to pride ourselves on providing endoscopes and instruments of the highest quality.

Our goal is to provide exceptional service in line with the company vision; The Spirit of Excellence. Richard Wolf UK Ltd, Waterside Way, Wimbledon, London SW17 0HB Tel: +44 208 944 7447 Fax: +44 208 944 1311 Mobile: +44 7984 449535 Web: www.richard-wolf.uk

Journal of Perioperative Practice PROCUREMENT GUIDE March 2017 Volume 06 Issue 01 www.afpp.org.uk

Product News

Wardray Premise Wardray Premise Ltd are delighted to be appointed as a distributor of the new IV-eye® vein imager. This innovative product helps healthcare professionals find a suitable vein for peripheral venepuncture or cannulation. It provides a real-time clear image of a patient’s vascular structure, using near infrared light. It’s easy to operate,

requires no calibration and minimal training. The IV-eye® vein imager helps reduce unsuccessful needle stick attempts, and assists in the best choice of vein, supporting better clinical outcomes and increased patient satisfaction. It’s a portable, lightweight, handheld device, similar in size to a smartphone.

This product’s appeal is not limited to one hospital department; it’s competitively priced; and represents an affordable piece of equipment. Contact Wardray for more information. Tel: 020 8398 9911 Email: sales@wardraypremise.com

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