JPP PG September 2016 (Vol:05 Issue:04) by Open Box Media & Communications

Journal of Perioperative Practice

PROCUREMENT GUIDE September 2016 01423 881300

Volume 05 Issue 04 www.afpp.org.uk

01423 881300 www.afpp.org.uk

Evidence-based airway management

www.i-gel.com

lnteract with us

Quality, innovation and choice

www.intersurgical.co.uk

Journal of Perioperative Practice PROCUREMENT GUIDE September 2016 Volume 05 Issue 04 www.afpp.org.uk

Contents

Welcome to your September 2016 Guide 06 Difficult airway management

10 Safety in the emergency

situation: the airway – a theatre team approach

12-18 Product News: the new 12 Introducing ™

Alaris Plus PK MK4 Syringe Pump

12 How can a 2.9mm device

deliver 5mm performance?

PROACT Medical

14 Angloplas 15 Schülke 16 Getinge Acute Care Therapies

16 Erbe Medical UK 16 i-gel® supraglottic airway 17 Medline 18 Single Use Surgical 18 Intersurgical

19 News:

Swann-Morton unveiled as the new UK distributor of the Qlicksmart safety products

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:

November 2016 Safety/Sharps Safety/ Patient Safety January 2017 Patient Warming/ Patient Monitoring March 2017 Medical Instruments/Devices/ Equipment/Laparoscopic & Endoscopic Instruments May 2017 Infection Prevention/Infection Control/Decontamination/Clinical Waste/Wound Management

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

Front cover image ©Intersurgical

medical

Journal of Perioperative Practice PROCUREMENT GUIDE September 2016 Volume 05 Issue 04 www.afpp.org.uk

Difficult Airways

Difficult airway management A recognised system should be in place to manage the patient at risk or presenting with a pre-assessed or unanticipated difficult airway. Multidisciplinary teams will receive training on the actions required and the use of equipment in the emergency airway situation.

In the United Kingdom guidelines are produced and freely available from the Difficult Airway Society (DAS) (www. das.uk.com) and should form the basis of all local policies according to their current recommendations. NAP4 (RCoA 2011) was a national audit undertaken on the management of the difficult airway and recommended the availability of high quality guidelines from specialist organisations to be are available together with the designated equipment to enhance safe management of these situations.

Staff must be aware of the location and contents of the difficult airway equipment resources which will include an equipment trolley, flexible fibreoptic laryngoscopes and video laryngoscopes.

Recommendations for local policy:

Management There must be an allocated lead individual within the department to co-ordinate equipment and education and training for the management of difficult airway in liaison with the multidisciplinary teams involved. Airway assessment and planning, and access to pre-assessment services, must be available to all areas undertaking anaesthetic

procedures (eg: cardiac interventions suites, obstetric departments) and in liaison with anaesthetic management. Staff must be aware of the location and contents of the difficult airway equipment resources which will include an equipment trolley, flexible fibreoptic laryngoscopes and video laryngoscopes. These may be placed in joint access areas dependent on local risk assessment of need. Clear signage (ISO standard) of the location and or directions to the location of difficult airway management equipment should be clearly displayed within the organsation and can be accessed from the DAS website (https://www.das.uk.com/content/ anaesthetic-emergency-signage). Guidelines for the management of difficult airway should be developed using specialist society guidance and accompany all the equipment provided for this situation. Guidelines should include policies for the management of airway situations to include but not limited to: • Fibreoptic guided tracheal intubation supraglottic devices and intubation catheters (eg: Aintree intubation catheter) • Paediatric difficult airway • Extubation guidelines (to include extubations in the PACU) >>

2% CHG / 70% IPA didn't cut SSIs by 41%

ChloraPrep did ®

* compared with povidone iodine

ChloraPrep

Patient Preoperative Skin Preparation 2% chlorhexidine gluconate (CHG) & 70% isopropyl alcohol (IPA) For customer services and all other enquiries please telephone 0800 917 8776, email uk-customer-service@carefusion.com or visit chloraprep.co.uk. 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 3ml, 10.5ml or 26ml of 20 mg/ml chlorhexidine & 0.70 ml/ml isopropyl alcohol. Indication: Disinfection of skin prior to invasive medical procedures. Dosage & administration: Applicator volume dependent on invasive procedure being undertaken. May be used for all age groups and patient populations. Use with care in newborn babies and those born prematurely. Applicator squeezed to break ampoule and release antiseptic solution onto sponge. Solution applied by gently pressing sponge against skin and moving back and forth for 30 seconds. The area covered should be allowed to air dry. Contra-indications: Patients with known hypersensitivity to ChloraPrep or ChloraPrep with Tint or any of its components, especially those with a history of possible Chlorhexidine-related allergic reactions. Warnings and precautions: Solution is flammable. Do not use with ignition sources until dry. Do not use in excessive quantities, allow to pool in patient skin folds or drip on materials in contact with patient skin. Remove any soaked materials before proceeding with the intervention. Ensure no excess product is present prior to application of occlusive dressing. For external use only on intact skin, do not use on open skin wounds or broken or damaged skin. Over-vigorous use on fragile or sensitive skin or repeated use may lead to local skin reactions. Avoid prolonged skin contact. Avoid contact with eyes, mucous membranes, middle ear and neural tissue. Chlorhexidine may induce hypersensitivity, including generalised allergic reactions and anaphylactic shock. May cause chemical burns in neonates, with a higher risk in preterm infants and within the first 2 weeks of life. Pregnancy & lactation: Although no studies have been conducted, no effects are anticipated ®

Reference: 1. Darouiche R et al. N Engl J Med 2010; 362: 18–26. ©2016 BD. BD, the BD Logo and all other trademarks are property of Becton, Dickinson and Company. Date of preparation: May 2016. 0000CF02841 Issue 1

as systemic exposure is negligible. Undesirable effects: Very rare; allergic or irritation skin reactions to chlorhexidine, isopropyl alcohol or sunset yellow (E110, present in ChloraPrep with Tint only), including erythema, rash, pruritus and blisters or application site vesicles, other local symptoms have included skin burning sensation, pain and inflammation. 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: GSL Marketing Authorisation Numbers: ChloraPrep, PL31760/0004 & ChloraPrep with Tint, PL31760-0001 Marketing Authorisation Holder: CareFusion UK 244 Ltd, The Crescent, Jays Close, Basingstoke, Hampshire, RG22 4BS. Date of Preparation: February 2016 Reporting suspected adverse reactions is important to monitor the benefit/risk balance of the medicinal product. Reporting forms and information can be found at www.mhra.gov.uk/ yellowcard. Adverse events should also be reported to CareFusion Freephone number: 0800 0437 546 or email: CareFusionGB@professionalinformation.co.uk

Journal of Perioperative Practice PROCUREMENT GUIDE September 2016 Volume 05 Issue 04 www.afpp.org.uk

Difficult Airways 3M™ SpotOn™ System

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

>> • Intubation guidelines - follow up/airway alert • Cannot Intubate Cannot Ventilate (CICV) • Default strategy for intubation • Rapid sequence induction (For additional information see DAS guidelines: http://www.das.uk.com) Any patient identified through pre-assessment, emergency or physical presentation with anticipated difficulties should be discussed at the preoperative safety briefings and a plan of action and allocated roles discussed and agreed. The five steps to safer surgery (briefing, sign in, timeout, sign out and debriefing)

provides opportunity for team members to identify any areas of difficult airway management that present during the episode of care. Effective handover and documentation should be provided for future reference.

Education Orientation to the location of all airway management equipment must take place for all new members of staff and include agency or locum and any staff in training allocated to the department. Staff must receive regular multidisciplinary team based training to develop the skills in managing a difficult airway

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

using human factors as well as a technical skill approach. Research has shown that teamwork training may reduce technical errors by 30-50% (RCoA 2011). Where possible, trusts should provide an opportunity for multidisciplinary teams to train together within simulated scenarios to practice technical and non-technical skills (RCoA 2011).

Equipment Review of equipment available for difficult airway management must be undertaken by a nominated individual to ensure that availability matches the current

guidelines and educational requirements for use. DAS provide a list for suggested equipment, which must form the basis for the local equipment list; this should then be standardised around the organisation. The equipment should be set out and available in an organised and logical manner so that it is readily available in an emergency. All the equipment available should be listed for easy reference and undergo daily checks and restock after use by an individual with the necessary skills and knowledge to do so. These checks must be recorded for the purpose of audit and future reference.

Journal of Perioperative Practice PROCUREMENT GUIDE September 2016 Volume 05 Issue 04 www.afpp.org.uk

Difficult Airways

NICE Guidance Supports the case to adopt Inditherm Alpha patient warming systems in the NHS

Every patient warmed with significant cost savings Unrivalled performance with unrestricted clinical access The new standard in patient warming Heated by IndithermTM

inspiration-healthcare.com IndithermTM is a trademark of Inspiration Healthcare Group plc

References and further reading

departments British Journal of Anaesthesia 106 (5) 632-642

Cook TM, Woodall N, Frerk C 2011 Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: Anaesthesia British Journal of Anaesthesia 106 (5) 617-631

Frerk C, Mitchell VS, McNarry AF, Mendonca C, Bhagrath R, Patel A, O’Sullivan EP, Woodall NM, Ahmad I (Difficult Airway Society intubation guidelines working group) 2015 Guidelines for management of unanticipated difficult intubation in adults British Journal of Anaesthesia 115 (6) 827-848 [online] http://bja.oxfordjournals.org/ content/115/6/827 [Accessed July 2016]

Cook TM, Woodall N, Harper J, Benger J 2011 Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency

Popat M, Mitchell V, Dravid R, Patel A, Swampillai C, Higgs A 2012 Difﬁcult Airway Society Guidelines for the management of tracheal extubation Anaesthesia 67 (3) 318–340

The Difficult Airway Society Anaesthetic emergency sinage [online] https://www.das.uk.com/ content/anaesthetic-emergencysignage [Accessed July 2016] The Difficult Airway Society Setting up a Difficult Airway Trolley (DAT) [online] https:// www.das.uk.com/content/ difficult_airway_trolley [Accessed July 2016] The Difficult Airway Society 2005 Recommended Equipment for Management of Unanticipated Difficult Intubation [online] http://www.das.uk.com/ content/equipmentlistjuly2005.htm [Accessed July 2016] The Difficult Airway Society 2015 Guidelines for management of unanticipated

difficult intubation in adults [online] https://www.das.uk.com/ guidelines/das_intubation_ guidelines [Accessed July 2016] The Royal College of Anaesthetists and the The Difficult Airway Society 2011 4th National Audit Project (NAP4) Major complications of airway management in the UK [online] http://www.rcoa.ac.uk/nap4 [Accessed July 2016] This guidance is from additional information provided with Standards and Recommendations for Safe Perioperative Practice 2016, published by The Association for Perioperative Practice

Journal of Perioperative Practice PROCUREMENT GUIDE September 2016 Volume 05 Issue 04 www.afpp.org.uk

Difficult Airways

Safety in the emergency situation: the airway – a theatre team approach An alarm goes off; there is a rush of bodies exiting theatres all heading for the recovery room or another anaesthetic room, why? A patient or those looking after the patient are in trouble. The patient’s airway, equipment or staffing issue has required the pressing of an alarm button to GET HELP NOW! The clock has started, it is running and appropriate airway interventions and respiratory support may be the only thing that will save this patient from an early

grave and you from writing up a never event report statement.

by E Mellanby, BM Podmore and AF McNarry

So read this article again and reflect upon its content. The next time that alarm goes it may be you running to offer help - are you prepared to do just that?

Managing an expected or unanticipated difficult airway can result in morbidity and even mortality (Cook et al 2011). These scenarios place considerable demands on the anaesthetic team and require the wider support of theatre staff. It is crucial that the perioperative team is

Safety in the emergency situation: the airway – a theatre team approach

adequately prepared for these time-critical emergencies in order to prevent avoidable patient harm. This article introduces the topic and discusses the core knowledge and skills required of the perioperative team. Journal of Perioperative Practice 24 (5) 112-117 Adrian Jones Vice President, AfPP

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The most simple solution for video Intubation. Reusable Optics, Smartphone Adaptor, Disposable Blade. Low cost, zero capital investment.

Fannin Integral Silicone Laryngeal Mask are made of high quality, 100% medical-grade silicone, making them very easy to insert/remove, extremely soft to touch and able to create very reliable seals.

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2-way, 3-way and 4-way TIVA sets as complete kits – there is no need to attach additional one-way valves or multi lumen/Y-connectors. This ensures all appropriate and necessary equipment is set up, ready to use.

SafeSet® Blood Sampling System reduces blood waste and increases the efficiency of the blood sampling process. Transpac IT is a fully integrated pressure transducer that combines the stopcock and flushing mechanism, all in one easy-to-use device.

Personal protective eyewear in convenient compact packs, readily available at point-ofuse for quick response.

For technical support/services contact:

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Journal of Perioperative Practice PROCUREMENT GUIDE September 2016 Volume 05 Issue 04 www.afpp.org.uk

Product News

Introducing the new Alaris™ Plus PK MK4 Syringe Pump To accompany the new Alaris Plus PK release, the PK Editor and drug models (Adult and Paediatric) are now compatible with Windows 7 and Windows 8 operating systems.

CareFusion is now part of BD The new Alaris Plus PK MK4 brings the latest enhanced technology, with faster processing and user response. The new platform has been developed in readiness for future advanced functionality and to comply with IEC60601‑2‑24:2012.

To find our more please contact your local BD representative, customer service on 0800 917 8776 or visit bd.com/uk

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

Tel: +44 (0)1494 532761 Email: ian.mellors@ teleflex.com

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

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BD will be supporting the TIVA workshop with our new Alaris PK Plus MK4 Syringe Pumps on Thursday 23rd November 2016, at The Royal Marsden 4th Global Conference on Perioperative Care of the Cancer Patient.

Prolance blood lancets are available via NHS Supply Chain

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

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

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Maquet Ltd. • 14-15 Burford Way, Boldon Business Park, Sunderland, Tyne & Wear, NE35 9PZ Phone: +44 191 519 6200 • sales.uk@maquet.com

FLOW-i Anaesthesia Delivery System Performance Redefined. From neonates to the morbidly obese – patients can benefit with FLOW-i, from excellent quality ventilation during anesthetic care, enabling the highest performance when they need it most. • Ventilation excellence • Patient safety • Low flow anaesthesia

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Journal of Perioperative Practice PROCUREMENT GUIDE September 2016 Volume 05 Issue 04 www.afpp.org.uk

Product News

PROACT

Innovative New Capnography from PROACT Medical

The new LifeSense® II WIDESCREEN Capnograph offers proven PureSAT® SpO2 and Nonin Medical’s Sidestream EtCO2 technology for a wide range of clinical settings for both intubated and non-intubated patients. New colour touch screen, easy to use, accurate and cost effective, the LifeSense® II is perfect for monitoring inside and outside of hospital. The Creative 900B Handheld Capnograph provides high and low flow sidestream capnography, with EtCO2/FiCO2, RR, SpO2

and PR readouts along with user adjustable audio and visual alarms. Supplied with PC Software, zip case, silicone boot and USB Charger.

Please contact us for further information. PROACT MEDICAL Tel: 01536 461981 Email: sales@proactmedical.co.uk

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

Journal of Perioperative Practice PROCUREMENT GUIDE September 2016 Volume 05 Issue 04 www.afpp.org.uk

Product News

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

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

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

Unique Sensing Technology New from Nihon Kohden, cap-ONE etCO2 mask. Achieve higher FiO2 and no rebreathing with the unique design of cap-ONE mask. A simple solution for quickly and easily monitoring post-surgical patients. No warm up time or calibration required. Nihon Kohden cap-ONE etCO2 is suitable for use with both intubated and non-intubated patients. Please contact us for further information and to arrange a trial.

NIHON KOHDEN UNITED KINGDOM Ltd. Trident Court – Unit 118 1 Oakcroft Road, Chessington, Surrey KT9 1BD Phone: +44 20 83 91 68 00, Fax: +44 20 83 91 68 09 Internet: www.nihonkohden.com, E-mail: mail@nihonkohden.co.uk

Journal of Perioperative Practice PROCUREMENT GUIDE September 2016 Volume 05 Issue 04 www.afpp.org.uk

Product News

Getinge Acute Care Therapies, a rich history of innovation in healthcare The Maquet name has been synonymous with innovation, quality and trust since its founding in 1838. Getinge Group is a worldleading provider of medical systems that meet the highest requirements for medically challenging interventions, exceeding the expectations of acute-care hospital teams. Maquet designs and develops innovative treatment solutions and infrastructure functions

for clinically demanding departments, including operating rooms, hybrid operating rooms, catheter laboratories and ICU as well as intra- and inter-hospital patient transportation. The Maquet FLOW-i Anaesthesia Workstation is fast gaining a reputation that matches the previous 176

years of medical excellence. An intuitive platform with ventilator performance that meets the needs of all patient categories from the tiniest Neonate to the challenges of Bariatric and ICU patients, the ventilator delivers each breath with precision, control and proven efficiency. The Maquet FLOW-i includes Automatic Gas Control™ that automatically regulates Fresh Gas Flow, FiO2 & EtAA alongside user defined parameters. www.maquet.com

® i-gel supraglottic Erbe Medical UK airway from Erbe Medical UK is a subsidiary of Erbe Elektromedizin GmbH has been Intersurgical established in the UK since 1996. Erbe Elektromedizin based in Tubingen, Germany remains a family managed company which has been involved in medical technology manufacturing since 1851.

The current Erbe VIO range of Electrosurgical generators and accessories will be augmented later this year with the VIO 3 following a successful a worldwide Corporate rebranding.

The company is currently active in the fields of Electrosurgey, Vessel Sealing (Thermofusion), Argon Plasma Coagulation (APC) ,Waterjet Surgery (Hydrosurgery) and Cryosurgery.

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

The companies products have applications in General, Gynaecological, Urological theatres, in addition to use in endoscopic applications such as Gastroenterology and Pneumonology.

Telephone: 0113 253 0333 Email: sales@erbe-uk.com Website: www.erbe-uk.com View Erbe products at: www.medical-video.com

i-gel® is a truly unique, single use, second generation supraglottic airway with a soft, gel-like non-inflatable cuff. Quick, easy and reliable to insert, i-gel® accurately positions itself over the laryngeal framework to provide a reliable perilaryngeal seal without the need for an inflatable cuff. It also incorporates a gastric channel for improved safety, an integral bite block to reduce the

possibility of airway occlusion and a buccal cavity stabiliser to aid rapid insertion and eliminate the potential for rotation. i-gel® is ideal for use in anaesthesia, and in adults for resuscitation and as a conduit for intubation with fibreoptic guidance. i-gel® is currently available in seven sizes and is supplied sterile in an innovative, colour-coded protective cradle or cage pack. For more information visit www.i-gel.com Contact information: Intersurgical, Crane House, Molly Millars Lane, Wokingham, Berkshire RG41 2RZ England Tel: (0)118 9656 300 Fax: (0)118 9656 356 Email: info@intersurgical.co.uk Web: www.intersurgical.co.uk

Journal of Perioperative Practice PROCUREMENT GUIDE September 2016 Volume 05 Issue 04 www.afpp.org.uk

H4 Medical Ltd can provide your hospital department with consumable and equipment solutions.

Product News

Paediatric Neo-Natal Drape has been custom made for Neo-Natal Theatres.

Stainless Steel Transport Trolleys have been made with a unique internal runner system designed to fit plastic endoscopy trays so they can be transported externally.

Our Stainless Steel Instrument Baskets are available in any size and can be customised with silicone or stainless steel fittings.

The single location racking system UbeFlex ensures no procedure trays are stacked and also aims to reduce the physical handling of wrapped trays. If used correctly the system can reduce the number of torn drapes and improve on manual handling from a health and safety aspect.

Tel: +44 (0)161 743 9772 E-mail: sales@h4medical.co.uk Web: www.h4medical.co.uk

Medline

Medline manufactures and distributes a vast range of medical and surgical products to healthcare institutions and retail markets around the globe. Today Medline Industries, Inc. is the largest privately held manufacturer and distributor of healthcare products in the U.S. and is leveraging that success in international markets. Founded in 1910, Medline has grown from a small manufacturer of aprons, surgical gowns and uniforms to a thriving $8 billion global enterprise because of our dedicated people, entrepreneurial spirit and honest values. To learn more about our products and company, please visit our website at www.medline.com

Journal of Perioperative Practice PROCUREMENT GUIDE September 2016 Volume 05 Issue 04 www.afpp.org.uk

Product News

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

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

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

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

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

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 September 2016 Volume 05 Issue 04 www.afpp.org.uk

News

Swann-Morton unveiled as the new UK distributor of the Qlicksmart safety products Swann-Morton have been unveiled as the new UK distributor of the Qlicksmart safety products which will form a natural extension to their existing range of sharps safety solutions targeted at improving patient and staff safety in both acute and non-acute healthcare settings.

The agreement also covers the distribution rights through Swann-Morton’s subsidiaries in France and Poland. The full range of safety devices now available through Swann-Morton along with their in-demand training programme on best practice when handling surgical blades will further assist healthcare institutions in achieving compliance with current UK legislation on Sharps Safety now being audited by the HSE. 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 multiuse 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.

Chris Taylor, Sales and Marketing Director of SwannMorton said “We have been aware of this excellent range of products for a number of years and we feel we can make them more accessible to healthcare staff here in the UK whilst at the same time providing alternatives and additions to our own range of sharps safety solutions. It is

important that the clinicians are made aware of the sharps solutions that are available to them and that we provide adequate training to enable them to fulfil a complete and detailed risk analysis which will assist them in making an informed decision as to whether or not they will improve protection against potential accidental sharps

injuries within their own specific work environment whilst not compromising their patient outcomes” Swann-Morton and Qlicksmart working together for your safer future. www.swann-morton.com

Our stainless steel equipment and furniture is designed for clinical environments where hygiene is paramount www.parry.co.uk

T: 01332 872 321 E: enquiries@parry.co.uk

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