Journal of Perioperative Practice
PROCUREMENT GUIDE November 2017 01423 881300
Volume 06 Issue 05 www.afpp.org.uk
01423 881300 www.afpp.org.uk
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Journal of Perioperative Practice PROCUREMENT GUIDE November 2017 Volume 06 Issue 05 www.afpp.org.uk
Contents
Welcome to your November 2017 Guide 04
12 EndoCam Logic 4K
Accountable items, swab, instrument and needle count
13 Wardray Premise
09-19
15 Single use solutions
Product News:
09 Medi plus innovative medical devices
10 PROACT Professional
Combi™ Laryngoscopes
10 NICE MIB
14 SP. eye™ 15 Bender UK 16 PROACT ET Tube Holder 17 Single Use Surgical 18 Swann-Morton
safety solutions
11 QA3 Drive Patient Trolley 19 schülke
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.
January 2018 Patient Warming/ Patient Monitoring
Key Sectors: NHS Supply Chain, Independent Hospitals, Higher Education. Medical Device Companies.
May 2018 Infection Control/Prevention/ Decontamination
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:
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
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Journal of Perioperative Practice PROCUREMENT GUIDE November 2017 Volume 06 Issue 05 www.afpp.org.uk
Patient Safety
Accountable items, swab, instrument and needle count Unintended retained objects are considered a preventable occurrence, and many factors, including communication, situational awareness and consistent compliance with standardised processes has been shown to reduce the risk of an item being retained unintentionally (AORN 2014,). A count must be undertaken for all procedures where countable objects (e.g. swabs, instruments, sharps) are used (AfPP 2016). Although it is the responsibility of the user to return all items, the scrub practitioner implements and manages the checking procedure in order to be able to state categorically to the operating surgeon that all items are accounted for at appropriate points. The count must be audible to those present and must be conducted by two members of staff, one of whom must be an appropriately qualified member of the perioperative team (i.e. a Registered Nurse or Operating Department Practitioner). The other staff member may be a non-registered practitioner who has attained a validated count assessment through national or locally validated training. There should be standardisation of how countable items are named/referred to across one organisation and referenced into the local policy – this minimises the risk of confusion. The list below includes common names of items and can be used as a benchmark.
Countable items Countable items may include, but are not limited to: Blades
• Bulldogs • Cotton wool balls • Diathermy tip cleaners • Instruments (including screws or detachable parts) • Lahey swabs (peanuts, pledgets) • Liga-reels • Local infiltration needles • Laparoscopic retrieval bag • Other isolation bags • Needles • Ophthalmic micro sponges • Patties • Red ties from swab packs (also acts as an additional check with the count board for swab number accuracy) • Slings/ sloops • Shods • Sponges • Tapes • X-ray detectable gauze swabs, mops or packs - names vary according to local requirements. Plus anything additional procured during surgery that has the potential to be retained within a body cavity (e.g. tips of surgical instruments, drill bits etc.).
Education/training Where an organisation supports students in the perioperative environment, preregistered nursing students, student ODPs or those training to assist with the scrub should have supernumerary status until they have been deemed competent to assist with the count by an appropriately qualified member of the perioperative team. It is recommended that this should
be the designated registered student mentor/assessor. The count must additionally be signed and validated by an appropriately registered practitioner/RN or ODP as previously stated. An introduction to the local count policy must be included in the new staff orientation programme. Documentary evidence of the assessment should be available and updated as defined by local policy and CPD requirements.
Packaging All swabs, including lahey swabs (peanuts, pledgets), neuro patties and packs that are used during invasive procedures must have an X-ray detectable marker fixed securely across the width of the swab. All swabs and packs must be packed in bundles of five and be of a uniform size and weight. Any package containing fewer or more than five should be removed from the procedure area immediately. Checks should be made based on multiples of five and recorded on the dry wipe board/smart screen in multiples of five. This includes the use of cotton wool balls utilised in ear, nose and throat surgery.
Responsibility for counts The same two perioperative personnel should perform all the counts that are done during a surgical procedure. The team brief should discuss the staff allocation to scrub and count which should remain consistent throughout the procedure. Where it is known that the operative procedure may take longer than six hours to complete, a risk assessment should be undertaken to ensure that the scrub and circulating practitioner are able to practice for the duration of the case and to plan for the case continuance if circumstances require. Should it be necessary to replace the scrub practitioner during the procedure, a complete count should be performed, including a full instrument check, recorded and signed by the incoming and outgoing practitioners. The name of the replacement practitioner/s must be recorded in the intraoperative record. Should it be necessary to replace either person temporarily, the relieving practitioner should follow the standard procedure and note and sign any additions in the intraoperative record.
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SURGICAL
Even mild hypothermia (36ºC) can increase post-anaesthesia recovery time, blood loss and morbid cardiac outcomes, and lengthen hospital stays.2
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FLUID TEMPERATURE DROPS BY 1ºC PER MINUTE AFTER REMOVAL FROM WARMING CABINET
NOT KNOWING THE EXACT FLUID TEMPERATURE AT TIME OF USE JEOPARDISES PATIENT SAFETY
2. Association of Perioperative Registered Nurses (AORN) Recommended practices for the prevention of unplanned perioperative hypothermia. AORN J. 2007 May; 85(5): 972-988
FOR FURTHER DETAILS ABOUT THE INTRATEMP SYSTEM CALL 0113 232 2480
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1. National Institute of Clinical Excellence (NICE) clinical guideline 65, Inadvertent perioperative hypothermia, April 2008
© 2017 Ecolab USA Inc. All rights reserved. 12OCT17/EU
9219
DO YOU KNOW THE EXACT TEMPERATURE OF YOUR IRRIGATION FLUID?
IntraTemp™
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The name of the replacement or relieving practitioner must be recorded in the intraoperative record. If a scrub practitioner is not required during procedures such as dilatation and curettage the circulating practitioner should be competent to undertake the count with the operating surgeon as per local policy.
Patient Safety The same two perioperative personnel should perform all the counts that are done during a surgical procedure. The team brief should discuss the staff allocation to scrub and count which should remain consistent throughout the procedure.
Items which are to remain in the patient by intention (e.g. packing gauze, drain tubes, catheters) must be recorded in the intraoperative record and documentation that will be accessed by staff in the area that will be responsible for the removal of the item. The removal must also be recorded, including the time, date, name and designation of the practitioner removing the item. JPP_138x188_Blade_remover_July 12/06/2017 11:44 Page 1
All items must remain in the operating theatre until the procedure has been completed and all counts have been performed, including laundry and clinical waste containers/ bags. Clinical waste bags should be labelled with the patient’s number, date of operation and theatre identity. Swabs that are used as surface dressing must not be X-ray detectable. The packaging for these swabs should only be opened at skin closure. It is recommended that surface dressings are a different colour from white raytec gauze (e.g. blue) so that they are easily distinguishable. X-ray detectable gauze should not have the raytec removed by a member of the operating team in order to use as a surface dressing as this will affect product liability.
safety
Instruments The staff involved in the counting procedure must be able to recognise and identify the instruments and medical devices in use. Tray lists should be available providing an accurate record of instruments. Instruments should be counted audibly, singularly and viewed by the scrub practitioner and allocated circulator. Instrument trays should be standardised to assist with the count.
Documentation A copy of the count record should be retained in the patient’s notes indicating the names of the scrub and circulating staff responsible for the final count. Where electronic records are utilised the record should indicate
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)
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
FM 73368
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Journal of Perioperative Practice PROCUREMENT GUIDE November 2017 Volume 06 Issue 05 www.afpp.org.uk
the names of the scrub and circulating staff responsible for the final count.
Count discrepancy If any discrepancy in the count is identified, the operating surgeon must be informed immediately and a thorough search implemented at once. If a thorough search does not locate the item, an X-ray will need to be taken. A plain X-ray is recommended (MHRA 2005). Fluoroscopy/image intensifier should not be used in such circumstances as they may fail to locate radio opaque swabs. Missing micro items (e.g. needles which cannot be detected on X-ray) should be recorded on the intraoperative record and theatre register or electronic record. X-rays should be performed at the discretion of the surgeon. It may be necessary to utilise a microscope to locate the needle within the operative field. Any investigations that need to be done for an unaccounted item must be undertaken before the end of surgical intervention (i.e. before the patient leaves the operating theatre). All missing items must be documented in the patient’s notes. Any formal investigation that may follow must be in accordance with local policy. Intentionally retained items must be documented where subsequent care teams will be responsible for recording the ongoing care and removal of the item.
Checking procedure Provision should be made in the theatre to visually record the count either on a dry wipe board or smart screen which states all relevant items used. This board should be permanently fixed to the theatre wall and be at a height and in a position that facilitates access and visibility during the procedure. Pharyngeal packs should contain a radio opaque marker. The anaesthetist is responsible
Patient Safety for pharyngeal (throat) packs placed in the patient prior to or during an operation (AfPP 2016).The insertion and removal of the pharyngeal (throat) pack should be documented in the anaesthetic record and the theatre dry wipe count board/smart screen. The National Patient Safety Agency recommends one visual and one documented method to identify placement and removal of the pack (NPSA 2009a). The initial full swab, instrument and sharps count must be performed immediately prior to the commencement of surgery. A second count should occur before closure of a cavity within a cavity, including implant replacement (i.e. femoral component into femur) before wound closure begins, and finally at skin closure or at the end of the procedure giving a total of a minimum of three counts. X-ray detectable swabs used for catheterisation procedures should remain in theatre and be part of the count. When additional items are added to the field, they should be counted at the time and recorded in the count documentation. In the event of a NCEPOD 1 immediate life-threatening emergency (NCEPOD 2004) it is recognised that it is not always feasible to perform an initial swab and instrument count and delay intervention. In these circumstances all packaging must be retained to facilitate a count being undertaken at the earliest and most appropriate opportunity and documented in the patient’s records. If a pack is used, any recognition method (e.g. artery clip on abdominal pack tie) must be risk assessed as appropriate according to the surgical site and safest method. If a blade, needle or instrument breaks during use, the scrub practitioner should ensure that all pieces have been returned to them and are accounted
for. Any instrument found to be damaged, and therefore a potential risk, must be taken out of use and labelled for repair. It may be necessary to inform the sterile supplies department, the manufacturers and/or the Medical and Healthcare products Regulatory Agency (MHRA).
These should not be added to those already counted until the number in the packet has been verified. The additions should be in multiples of five. In the event of an incorrect number of swabs or packs (i.e. not five) the entire packet must be removed from the procedure area and appropriately reported.
When checking swabs the scrub practitioner should ensure that the item is fully opened to check its integrity. Instruments and items with screws and/or removable parts should also be included in the count.
Hypodermic and suture needles should be recorded as a total amount at the commencement of the procedure and additional items should be added individually on the dry wipe board according to the number marked on the outer package. Suture packs may be retained and used for a check-back procedure if required.
On completion of the final count a verbal statement to the operating surgeon, or delegated member of the surgical team, (e.g. surgical care practitioner) should be made by the scrub practitioner to the effect that all swabs, instruments and sharps are accounted for. The scrub practitioner should verify with the circulating practitioner that the operating surgeon acknowledged the verbal statement. The circulating and scrub persons must record in the relevant documentation that satisfactory checks have been completed.
Checking techniques Both practitioners must count aloud and in unison. Items should be completely separated during the checking procedure. The counting sequence should be in a logical progression, for example, from small to large. The recommended sequence of surgical counts is: swabs, sharps, instruments, and should be performed uninterrupted. If an interruption occurs, the count should be resumed at the end of the last recorded item. The integrity of the X-ray detectable markers in swabs, packs, peanuts etc., as well as the integrity of tapes on abdominal swabs/packs, must be checked during the count. At the initial count, and when added during the procedure, swabs and packs should be counted into groups of five.
Opening all packages during the initial needle count is not recommended. Used needles on the sterile field should be retained in a disposable, puncture-resistant needle container. Swabs should be in full view of the operating surgeon and anaesthetist, where applicable, throughout the procedure. Used swabs and packs should be counted off the sterile field. The technique used should be safe and should 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 risk assessed and determined locally. If a counted item is inadvertently dropped off the sterile field, the circulating staff member should retrieve it, show it to the scrub practitioner and place it in the appropriate contained disposal system to be included in the final count. Items should not be cut or altered unless specifically intended for the purpose. If alteration of any item is requested by the person performing the procedure this must be documented in the patient’s records, highlighted on the dry wipe board/smart screen and included in the count. >>
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References and further reading Association for Perioperative Practice 2016 Standards and Recommendations for Safe Perioperative Practice (section 8.1) 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 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Duty of candour Part 3 Section 2.20 Available from: http:// www.legislation.gov.uk/ ukdsi/2014/9780111117613/ contents [Accessed September 2017]
Patient Safety Medicines and Healthcare products Regulatory Agency 2005 One Liners Issue 35 (July) Available from: http:// webarchive.nationalarchives. gov.uk/20121006234531/http:// www.mhra.gov.uk/Publications/ Safetyguidance/OneLiners/ CON1004209 [Accessed September 2017] National Confidential Enquiry into Patient Outcome and Death 2004 The NCEPOD classification of interventions Available from: http://www.ncepod.org.uk/ classification.html [Accessed September 2017] National Patient Safety Agency 2009a Reducing the risk of retained throat packs after surgery SPN001 Available from: http://www.nrls.npsa.nhs.uk/ resources/?entryid45=59853 [Accessed September 2017]
National Patient Safety Agency 2009b WHO surgical safety checklist (adapted for England and Wales) Available from: http://www.nrls.npsa.nhs.uk/ resources/clinical-specialty/ surgery/?entryid45=59860 [Accessed September 2017] NHS England 2015 National Safety Standards for Invasive Procedures (NatSSIPs) Available from: https://improvement. nhs.uk/uploads/documents/ natssips-safety-standards.pdf [Accessed September 2017] Operating Room Nurses Association of Canada 2005 Module 3 Safety/risk prevention and management - 5 surgical counts In: Recommended standards, guidelines and position statements for perioperative registered nursing practice Ontario, ORNAC
Patient Trolley System Designed following comprehensive research into patient trolley function and ergonomics • Supremely manoeuvrable • Exceptional low height • Virtually zero transfer gap • Easily guided by one person • Designed for patient comfort • Gas assisted backlift • K8 Pressure care mattress • Fixed transfusion pole – quick release • Infection control – smooth moulded surfaces • Lifetime warranty – whole life cost transparency 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
Perioperative Care Collaborative 2012 Position statement: Surgical first assistant Available from: http://www.afpp.org.uk/ careers/Standards-Guidance [Accessed September 2017] World Health Organisation 2009 WHO guidelines for safe surgery: Safe surgery saves lives Available from: http:// www.who.int/patientsafety/ safesurgery/tools_ resources/9789241598552/en/ [Accessed September 2017] The above information is an extract from Standards and Recommendations for Safe Perioperative Practice 2016 (4th Edition), published by the Association for Perioperative Practice, Harrogate.
Journal of Perioperative Practice PROCUREMENT GUIDE November 2017 Volume 06 Issue 05 www.afpp.org.uk
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Product News
The widest range of single use suctions. www.susl.co.uk
t. 02920 767 800 e. info@susl.co.uk
Innovative medical devices Mediplus was established in the United Kingdom 1986. It is a manufacturer of innovative medical devices, providing solutions that meet the needs of patients and clinicians within anaesthetics, urology, gynaecology, and general surgery.
The Company’s philosophy is to provide high quality products at fair prices supported by excellence in customer service. With extensive experience in anaesthetics, Mediplus offers several high quality products dedicated for peripheral IV delivery, particularly for obstetrics, orthopaedics, intensive care and total intravenous anaesthesia. The company’s range of TIVA (total intravenous anaesthesia) sets and multi-lumen peripheral connectors are considered the Gold Standard by clinicians throughout Europe.
These sets and connectors were developed with the help of clinicians and TIVA enthusiasts, and therefore include all necessary features for safe, convenient and cost effective TIVA delivery. The connectors, namely the Chalfont and Coventry were designed specifically by obstetric anaesthetists and allow for safe and effective drug delivery during labour thanks to anti-siphon and HIGH-FLOW anti-reflux valves. The detachable bridge aids ease of use and maximises patient comfort. Website: www.mediplus.co.uk Tel: +44 (0) 1494 551200 Fax: +44 (0) 1494 536333
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Journal of Perioperative Practice PROCUREMENT GUIDE November 2017 Volume 06 Issue 05 www.afpp.org.uk
Product News
PROACT Professional Combi™ Laryngoscopes PROACT have been providing innovative Laryngoscope solutions for over 20 years.
Miller MAC
Cardiff Pro
Hydra Autoclavable Reusable Non-Contact Handle
The disposable Combi™ Levertip Laryngoscope concept invented by PROACT in 2010, provides an all-inone Laryngoscope set with all the same features as the Metal Max™ 90 meLED Laryngoscope, but with a pre-fitted permanently attached blade and preloaded 6V Battery Pack. The Combi™
Set can be tested within its colour coded bag and eliminates any possibility of blades not fitting the handle or, misplacement of blade or handle. PROACT Combi™ Sets offer reliability and performance and are ready to use in seconds. Now also available in our extended range is the MAC0, MAC1, Miller3, Miller4, Lever Tip and the unique Cardiff Pro. We believe that the Combi™ system is up
to 10x more reliable than many other comparable competitive products! The simplest, fastest and most dependable solution. NEW PROACT Hydra NonContact Autoclavable Reusable Handle – With a simple design, the blade stops at an angle of approximately 45° to the handle. This prevents direct transfer of material from the used disposable blade to the reusable handle, thereby assisting infection control. For Further information on our products please contact us. Tel: 01536 461981 Email: sales@proactmedical.co.uk Website: www.proactmedical.co.uk
NICE Medtech Innovation Briefing (MIB): Arctic Sun® 5000 Temperature Management System NICE has developed a medtech innovation briefing (MIB) on the ARCTIC SUN® 5000 Temperature management System. The ARCTIC SUN® 5000 Temperature management system is a non-invasive system for controlling and monitoring body temperature within the range of 32°C to 38.5°C. It is intended for use in adults who are comatose after sudden cardiac arrest in or out of hospital, with the aim of inducing mild hypothermia to reduce brain injury and improve neurological outcomes. The innovative aspects are that it is less invasive than
endovascular systems and is designed to cool more efficiently than conventional external methods because of the adhesive, repositionable gel pads it uses. It works by adjusting the water temperature in the gel pads every 2 minutes in response to the patient’s body temperature, which is constantly monitored using a probe. The MIB provides a description of ARCTIC SUN® 5000 Temperature management
system, including its likely place in therapy, the costs of using the technology and a critical review of the relevant published evidence, and it provides objective information on ARCTIC SUN® 5000 Temperature management system to aid local decision-making by clinicians, managers and procurement professionals. MIBs are commissioned by NHS England and produced in support of the NHS 5 Year Forward View, specifically as one of a number of steps which will accelerate
innovation in new treatments and diagnostics. The MIB has been published online at https://www.nice.org. uk/advice/mib112 For further information please contact Rajesh Ramachandran, Market Access Manager, Bard Limited on rajesh. ramachandran@crbard.com
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Journal of Perioperative Practice PROCUREMENT GUIDE November 2017 Volume 06 Issue 05 www.afpp.org.uk
Product News Peripheral IV Connectors
.............................. Increasing efficiency with the coventry connector When routine becomes emergency, and a second infusion of phenylephrine is required, time is paramount to the safety of both the mother and baby. Maximum and EFFICIENT delivery of fluid plays an essential part of effective treatment. The use of multi component devices can have a detrimental affect on rates of infusion. Flow Rate Comparisons of Peripheral IV Connector Devices* 300 250
The Mediplus Coventry connector offers clinicians a dedicated, fully integrated 3-way peripheral connector.
200 150
It is 152% more efficient than competitor products due to the HIGH-FLOW IV fluid valve.
100 50 0
Mediplus Coventry
Competitor A Competitor B Competitor C Competitor D
* The Effect of Peripheral Access Devices on Intravenous Infusion Rate Philip Jackson (NHS Grampian), Aberdeen Maternity Hospital
Mediplus Ltd Unit 7 The Gateway Centre, Coronation Road, Cressex Business Park, High Wycombe, Bucks, HP12 3SU Tel: +44 (0)1494 551200 | Fax: +44 (0)1494 536333 | Email: help@mediplus.co.uk | Web: www.mediplus.co.uk
QA3 Drive Patient Trolley – more powerful, by design The latest models of Anetic Aid’s flagship QA3 Patient Trolley feature inbuilt motorised drive, offering controlled, effortless travel up to gradients of 10°.
Some models have electrically powered positioning too – raising and lowering the trolley itself, and the backrest. There is also a CPR button which when depressed will swiftly and automatically return the trolley to a horizontal, optimal height position for CPR treatment.
• Exceptionally low height range • K8 Pressure care mattress • Quick release fixed transfusion pole • Smooth moulded surfaces to aid infection control
And of course these new QA3 models still have the features which have made it the trolley of choice for so many practitioners:
Explained Sales Director Andrew Curtin: ‘Our QA3 Patient Trolley can be found in more than 90% of NHS Hospitals in the UK. It is unrivalled in its compact, light weight and highly manoeuvrable design.’
• Side Rails fold away under the footprint of the mattress, leaving virtually zero transfer gap
Tel: +44 (0) 1943 878647 Email: sales@aneticaid.com Web: www.aneticaid.com
Journal of Perioperative Practice PROCUREMENT GUIDE November 2017 Volume 06 Issue 05 www.afpp.org.uk
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Product News PREMIXSLIP
®
Water-soluble Lubricant Bob was reassured that it was as safe as milk. Although he thought it might not taste as good. A premixed instrument lubricant and rust inhibitor clinically tested to be thoroughly steam penetrable and steam sterilizable. Biocompatibility has been tested according to EN ISO 10993. Tests for cytotoxicity, irritation or intracutaneous reactivity, and sensitivity showed no biocompatibility risk associated with Premixslip.
Available in following sizes and bottle types
250ml Bottle with Dropper Can be used in the Packing Room
500ml Bottle with Sprayer
4 Litre Bottle for Soaking
For a free sample for evaluation please contact our office. Tel: 01323 511038 • Fax: 01323 503247 E-mail: info@ruhof.co.uk Website: www.ruhof.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
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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
NEW Merivaara Q-Flow™ Superior Lights for Superior Surgery f f f f f f f f
Intuitive Sterile Surgeon Control (Intueri™) enables surgeons to adjust the brightness and diameter without looking up Unique Dynamic obstacle compensation (DOC™) provides light in all circumstances Optimised for an OR’s air flow (Q-Optiflow™) Reduces eye stress due to the green ambilight Lightweight and easy to manoeuver Excellent colour rendering Disposable handle system available Always HD camera ready
Supplied, installed and serviced by Bender UK
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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 06/10/2017 11:50
Journal of Perioperative Practice PROCUREMENT GUIDE November 2017 Volume 06 Issue 05 www.afpp.org.uk
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Product News
Radiation & RF Shielding, MR & X-ray Imaging Accessories • MRI Products & solutions • X-ray Products & solutions • Servicing & support Installation & maintenance of hospital equipment • Bespoke engineering Monitor stands, Drug trolleys, Scoliosis chair, Step platforms • Export Agents in over 40 countries
T F E W
• +44(0) 20 8398 9911 • +44(0) 20 8398 8032 • sales@wardray-premise.com • www.wardray-premise.com
Quality without Compromise from the UK’s leading radiation shielding company
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.
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Product News
Single use solutions 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.
Managing Director, Simon Charlesworth said ‘the Company is responding to surgeons who are frustrated with current device designs and materials looking to improve or facilitate techniques and patient safety’. Nurses and clinicians working in busy ENT units, outpatients or in operating theatres who are using micro suction daily have a new option to source a susol® Micro Suction device. Available in Magill, Zoellner and Frazier patterns. The products have easily held and manipulated ergonomic
handles and micro clean steel tubes with atraumatic tips. Each one is packed with a stillette. They are also available in the NHS Catalogue, Bunzl Healthcare or direct from our Manchester Distribution centre.
Contact susol@baileyinstruments.co.uk to arrange supply and evaluation. Contact sales@baileyinstruments.co.uk to place an order or call 0161 872 8707.
Bender UK system detail available in BIM 3D modelling Medical IT isolated power systems and surgeon’s control panels manufactured by Bender are now available in BIM (Building Information Modelling) format. BIM is a 3D modelling process that enable architects, designers and engineers to specify and design-in specific products from the outset. It uses manufacturer-specific content to help create accurate designs of new buildings and rooms, which is made available to stakeholders in more accurate interactive 3D format. It enables better engagement and feedback with the end-user and others throughout the entire building design process. BIM designs brings together detailed information about every
component of a building. This not only reduces time and cost of the design process, but it is more accurate, reducing the risks of costly design errors and speeds up the procurement and build process. BIM data can be used to illustrate the entire building life-cycle, from inception, design and build to facilities management. When BIM is used to develop new healthcare facilities it enables long-term operational efficiency and more cost-effective maintenance regimes to be
included from the outset. Hospital estates teams are better equipped with more accurate information about the whole building. BIM modelled data is available directly from Bender UK, and is due to be hosted online in download format. For more information on Bender BIM format information please contact Bender UK. The UK Government’s Construction 2025: Industrial Strategy for Construction says lower costs, faster delivery, lower
emissions and improvements in exports and government-led BIM is set to play a vital role in the digital future of design and long term facility management, implementing change across all industries. Contact: Lisa Hudson, Bender UK, Low Mill Business Park, Ulverston Web: www.bender-uk.com Tel: 01229 480123
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Journal of Perioperative Practice PROCUREMENT GUIDE November 2017 Volume 06 Issue 05 www.afpp.org.uk
Product News
New PROACT ET Tube Holder Designed with a screw bite block to secure and stabilise the position of various sizes of adult and paediatric Endotracheal tubes. The wide padded strap is comfortable but holds firm even when wet. Eliminating the use of tape and to allow healthcare providers to minimise complications and maximise patient comfort. The opening on the ET tube holder allows easy access for suctioning and gives a view of the patients mouth and lip colour. A significant feature of an endotracheal tube holder is stabilization, and this component can help secure the tube in place after insertion. Once the ET Tube is placed in the patient’s airway it is important to have a reliable
ET Tube securing device at hand to assure that the tube remains secure and prevents accidental extubation. The unique developments made in endotracheal tube holders allow medical professionals to minimize complications and harm as well as improve patient results. For Further information on our products please contact us. Tel: 01536 461981 Email: sales@proactmedical.co.uk www.proactmedical.co.uk
New ET Tube Holder
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
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A IN VAI CA TH LA TA E BL LO NH E GU S E
Journal of Perioperative Practice PROCUREMENT GUIDE November 2017 Volume 06 Issue 05 www.afpp.org.uk
Product News We are enthusiastic participants in the NHS Labour Standards Assurance System manufacturing ethically for over 30 years for the NHS. Think before you buy Cheap!
NEW PRODUCT LAUNCH SINGLE USE ELASTIC STAY RETRACTORS FOR ENT & PLASTICS 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
Compliant with GS1,PEPPOL, Scan for Safety, ISO 13485, ISO9001, FDA. MDD
Single Use Surgical
Single Use Surgical was established in 2001 as a direct response to UK hospitals’ concerns over the cleaning practices involving fine lumen instruments, and how it posed a high risk of cross contamination between patients. Since then, they have developed the widest range of high quality and specialist single-use suctions capturing the same look, feel and functionality as the reusable equivalent. Single Use Surgical provides high quality single-use instruments at competitive prices. Meeting
customer needs is at the heart of the company, and customer demand has driven the development of the extensive Professional range of suction tubes and other devices for many areas of surgery. Tel: +44 (0) 2920 767 800 Email: info@susl.co.uk www.susl.co.uk
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Journal of Perioperative Practice PROCUREMENT GUIDE November 2017 Volume 06 Issue 05 www.afpp.org.uk
Product News
Swann-Morton blade and scalpel safety solutions A full range of blade and scalpel safety solutions are now available through Swann-Morton along with their indemand training programme on best practice when handling surgical blades assisting healthcare institutions in achieving compliance with current UK legislation on Sharps Safety. The single use blade remover, retractable safety scalpels, including the popular stitch cutter and the KLEEN blade management system are now joined by a Qlicksmart range which features Blade FLASK, Blade SINGLE, Blade CASSETTE and the BladeNeedleSYSTEM
offering simpler safer ways of removing and disposing of contaminated blades after use. SnapIT an easy-to-use multi-use ampoule opener helping avoidance of the unacceptable sharps injury rates seen when ampoules
are opened by hand, avoiding painful and dangerous sharps injuries, also comes in house. “Swann-Morton – protecting your future.” www.swann-morton.com uksales@swann-morton.com exportsales@swann-morton.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
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Journal of Perioperative Practice PROCUREMENT GUIDE November 2017 Volume 06 Issue 05 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
Bespoke TCP installed at Whittington Hospital in a rapid time A tight schedule for installing new touchscreen control panels (TCP), PACS viewers and LED surgical lighting in four operating theatres at Whittington Hospital in London proved to be no problem for Bender UK, who successfully met the tight project deadlines. The challenging 9-day programme for installation and commissioning included the creation of a bespoke mounting and access arrangements for the control panels. The project was managed through FES FM Ltd which provides facilities management to Whittington Hospital, and was responsible for upgrading elements of the infrastructure to deliver energy savings and improved performance. Bender UK upgraded the lighting and control facilities in
operating theatres 1 and 2 first, followed by the completion of all 4 theatres by the summer of 2016. STS Electrical Ltd worked with Bender UK to complete the installation of the panels and additional cabling. The team scheduled their work around the requirements of the surgical facilities which meant working outside normal working hours to achieve the tight deadlines. The four theatres are equipped with Steris LED lighting controlled by Bender’s hygienic TCP. The upgrade also included replacing X-ray viewers with 42 inch PACS screens linked to the hospital’s IT network. Bender created a bespoke installation of the TCP to integrate with existing stainless steel surfaces within the
operating theatres. The project used existing back boxes to provide rear service access, and minimise the disruption caused by the installation. It means future service requirements can be met without compromising hygiene in the theatres. Nigel Calverley, Contract Manager at FES FM Ltd in London commented: ‘The installation of the new equipment in the theatres was achieved within the required deadline and the installation team demonstrated outstanding commitment to work around the day-to-day running of the hospital while carrying out their own tasks.’ David Williamson, National Medical Sales Manager for Bender UK’s added: ‘Our company has extensive experience of working
alongside facilities managers and clinical staff to ensure upgrades and refurbishment projects are completed with minimum interruption of their normal working arrangements. The team also developed a bespoke solution for Whittington Hospital to integrate the panels within the operating theatre, which again reduced the disruption for clinical services.’ All Bender touchscreen control panels are designed and manufacture in house to bespoke customer requirements: www.bender-uk.com/products/c/ hospital_technology__7/theatre_ control_panels__112.html
The new definition of sharp
The new camera system ENDOCAM Logic 4K. The new sharp. Brillant 4K UHD resolution with 3840 x 2160 pixel. The new authentic. Direct processing of generated image data without upscaling. The new efficient. Ideally matched energy-efficient system.
www.richard-wolf.com
Pin sharp endoscopic images for a better differentiation of even superfine structures