Page 1

October 2010

Issue No. 241

ISSN 1747-728X

Arthroscopic Positioning Devices from Melyd Medical

Allen Intraoperative Arm Positioner™ Shoulder arthroscopy in the beach chair position

Allen Shoulder Suspension System™

Allen Wrist Tower System™ Wrist arthroscopy positioning utilizing finger traps

Allen Leg Holder™ Knee arthroscopy positioning

Shoulder arthroscopy in the lateral position

For more information call: 01244 660 954 www.melydmedical.com D-770572-A1 September 27, 2010 © 2010 Allen Medical Systems, Inc. All Rights Reserved


www.operaĆ&#x;ngtheatrejobs.com A one-stop resource for ALL your theatre related Career opportuniĆ&#x;es For he adver ser we o er

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Ref: y stand-alone fs contact the Staff Rec yabll hamvee ery ic, For an Prescott and ng alo work a expe ent ab very stic /O R an rew rs - hetics u s bus recovery diatric pat ma nim ruit reco ODP. n E ati And . tres u rg le The ne Our trau men w ng ta the and t s, ea on for NT pae bsid s um of u atre io st side in and t Special d ha ve Th se or is p pox-f rien ill b Stirling atre and theatre lt and tive , D ical s sy O n the either nur actit adu Mercy yo u. ists near Cathie Anae 24 mo ise NewfullZe op Neuro ayarturenitey ce ra e o yo ur ke elec betwee both rs, Lon e e erta te p contact one As you tre Pr rub & 08 pa inc hig d don F ala nth rv n a und e sig se rota ctiti : co . ’ll ea b n rs - 0845 130 tals ice rati nd nd’s le gra ng We t are succes plea s cu rre urth hts on Sc one tic pra hly , you Th 0,5 ion, ODP off ical Nu nt RO tran topon tuit es contr 5150 practiti naesthe discuss - £3 , M s s ng er Ne w Midland se or a valuable . b/a l rs of the sful cand ering an y Surg £23,619 3-KR r, either Nurpro d scru rma u D fr s vide patients a Ze s a s DP e info 3. in c a o c 084 e p xillo h ala nd g 5, -18 to idates ta an ex m t 57 23 24 way. orta tisfa of p 5 022 to our contact one For 872 ctiti , theSe exilspeorie nc Band 0-SJAA NW & Yor se ent teamlity care , and cellent rel -Fa as G artm 25 Fo plea tic pra our curr tion cto 25% £15 terms 20 on 020 qua n rvMe t n e wi uk ks - 0845 Gene To bo e posts, high cia Ref: b/anaesthe icercy As on of suppor above ine at nhs.8. of ry co of ,964 for va He ocation pa He r an 1306209 l, P enera nt s o thcoet a thi n A scru hen and the provisi about the ly onl ges. pers m app alth are cke ag alth Ap cont ok your ngt 2. n to n T isbothe las l, bas to £ one stre ussion 5 149 utio p geor ts: 3 July 200 Please e x p ac (so le st l disc 020 872 in sed v t o lic A ti e -y he contrib pos rma terv nal tion ic 2 c, l: 0 e p re to 208 meuthco ati on . info freep t Julia adverti e www.firs www.date for all 21 July 2008. For an Prescott on re the received 0-3 ost orind supp1) effe of sala 0,202 ar a tpointhea John iew very hone rew w/c rs s are e befo ns P tyitio ort And (F Closing lthca ne 5 n Reco em a clos lication date: tal c ry c ap t w , so io yo 0 d re.co re p inc 08 a spi a will ts a ontr en ply ail y -72 app m n e Ho x:ur0 moSve ck ) to 00 to Intervie actit 0,508 pa able vacanc suit forthatdworks Inpati Plymouth Hospitals NHS Trust iskan aspiring Foundation in close partnership with the University nd act. earn r an salary 266 obta or re juliaj@ge 404 75 on BedTrust co all uspin the 0-3 t Bev e this icient e NHS Trust tre Pr - £3 R s.u n patient ip in the e acc se not e if suff gi 50-2 rnery ext inab d .nhbetween ardstenta Plea Thea £23,619JJD-185-Ksupport to leadershexp ecte Situated in the South West, Dartmoor National Park and a spectacular coastline, Plymouth is a vibrant www ster on nevahe 91 ing dat om Pass d du um*. loyer. orges , 5, 231 le fr clos s is t and and care 00-4 ’s Hp ct the alth es emp lin .gen mo age ring care w.stge Band ref: 200-S suppor to all area DU/ITU ns beautiful and aniti wonderful quality of life. om 3. .com wwsurroundings ical atio n ortu ential ry/H evah e at dati s a 386 ospit GH al opp Post provide esswell as clin f. Rotatioin Recove ric qualific the ealth staf on re 4) o al, A’s an equ NHS Trust Cardiothoracic Centre is a source of pride for the Trust and region with its growin nce , as Plymouthare Hospitals Paediat Reid You’ll area e senior experie De .co. We e are very ilable. r (e Gib Re Derek mor reco ly hav be ava irable. puty nz facilities, created by the recent completion of a truly innovative new build. e of erab ra will c contact r absenc ’ll pref ly des se you trainingare high fopromotions plea inwe are seeking high calibre nursing staff at Band 5 and Band 6 to join Clo .mail: ltar o ruitme Dir and h full Due toa internal our team. You ff s nce M oug ussion, e k erie st ed alth n disc sin cto n a exp l st standards ic Intern rma excellent po of surgical health to the people of the South West, and contribute to the further developmen and/or ro info *P g D iane.a (Tel: t Sec 9. an 5 350 f ational eed hoIncreturn, you will enjoy being part of a flexible and friendly team, a first class workingH For environment, an 872 tio 0 ld ate Pa lease ealth on 020 y n ourdunit. y sc no is part : 31 st orino 0-350 n, Gib care, on ale te th entl and aa committment to helping you achieve your ambitions. @g -20 of Pinn sa e of the urg 0 ralt Ma h of sp re cuat th acle rch a.gi) -7226 ar We g term larges rre ese a 6 Band Band 6 Scrubec P ialist 200 ntly re W 5 Scrub Practitioners lon u n d 200 8 to the N nurses and th t suppliers & N216-MER-2284-CARDIAC5 Team Leader Ref: er 6 fig r y ea e ne g HS and e tre staf otia ures, Surr nchest s2EQUIREDTOPROVIDETHEHIGHESTSTANDARDSOFHOLISTICEVIDENCE Ref: 216-MER-2285 privat f tio a

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Biggest ever hip fracture audit shows improvements in care, but signiÀcant geographical variations A report from the world’s largest and fastest-growing national hip fracture audit, published today (Thursday 2nd September) reveals that NHS hip fracture patients - often some of the most elderly and vulnerable patients in the NHS - are now getting far greater access to specialist care by geriatricians, as well as osteoporosis screening, assessment for the likelihood of future falls and bone protection drugs – which alone can reduce fracture incidence by up to 50%, potentially saving £millions to the NHS. However, the report also Áags up signiÀcant variations in care quality provision between hospitals, with some patients not being assessed by appropriate doctors, having unacceptable delays before surgery, and missing out on osteoporosis care and falls prevention. The National Hip Fracture Database National Report 2010 covers more than 36,000 hip fracture patients treated in hospitals in England, Wales, Northern Ireland and the Channel Islands. The Àndings include: • 68% of patients assessed for, and 57% discharged on bone protection medicine. A further 7% awaiting a bone scan or bone clinic appointment: total 75% (up 15% from 2009). In 2007 the total Àgure was less than 15%. • 60 per cent of patients now receive an assessment to determine the likelihood of future falls, with 3% awaiting appointment: total 63% (up 19% from 2009). • 31% assessed pre-operatively by a geriatrician with 32% having other forms of medical assessment: total 63% (up 22% from 2009). • 80 per cent of patients receive surgery within 48 hours – (up 5% from 2009.) • 57% of patients are admitted to an orthopaedic ward within 4 hours. However, not all hospitals are meeting best practice as set out by orthopaedic experts, and delays - which cause pain and distress, and slow up recovery - are common and must be addressed. As recently as 2007, surgeons expressed concern that this group of mostly elderly patients were not considered priority cases. However, since the introduction of the database and guidelines, 80% of hip fracture patients are now receiving surgery within the recommendation of 48 hours and more than half of patients (57%) are admitted to orthopaedic wards within the 4 hour timeframe set out by experts. Although this is a start, clinicians and managers want every single patient to receive the best possible treatment. Prompt surgery followed by good medical care and rehabilitation promotes early recovery and reduces hospital stay, all of which drive down NHS costs.

responsibility of clinicians and managers to work together to come up with solutions to improve patient care in their hospital. We are seeing lots of evidence from around the UK that big improvements in the quality of hip fracture care can be achieved in a short space of time. It is vital that those few units that are still under-performing use this guidance and the examples of best practice to improve services in line with the rest of the UK.” Colin Currie, NHFD’s Lead Clinician in Geriatric Medicine and a Consultant Geriatrician in Edinburgh, said: “The improvements detailed in this report are good news for patients and the NHS, but only a start. The human cost of hip fracture is enormous, and poor quality care can result in patients enduring avoidable pain, disability and even – worst of all – the loss of home and independence. Cost and quality of care are not in conÁict because looking after hip fracture patients well is far cheaper than looking after them badly. So there is now absolutely no excuse for the sub-standard care that we are still seeing in some hospitals.” Mike Bell, President of the British Orthopaedic Association, said: “The NFHD 2010 Report is a fantastic outcome for patients, an exemplar of clinical team working, and stems directly from joint BOA and BGS best practice guidance that has a global reputation.” Graham Mulley, President of the British Geriatrics Society said: “We are delighted that our collaboration has produced such positive results in the form of the latest report. We will continue working together to improve the lot of hip fracture patients across England, Wales and Northern Ireland.” Hip fracture is the most common serious injury of older people. Around 76,000 hip fractures occur in the UK each year, and cost the NHS £1.4 Bn. Numbers may double by 2050. For many patients, a hip fracture brings loss of mobility or of independence at home, and mortality is high. To further promote quality of care, the Department of Health has brought in a new Best Practice Tariff for hip fracture care. This offers Ànancial incentives to hospitals meeting deÀned quality standards – including early surgery, ortho-geriatrician involvement in medical care and rehabilitation, and secondary prevention – and makes use of NHFD data to measure how these standards are being met.

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The National Hip Fracture Database is a collaboration between the British Orthopaedic Association and the British Geriatrics Society, and is funded by HQIP. Its 2010 Report identiÀes the hospitals participating, and also provides case studies on how clinicians and managers in individual hospitals have worked together and used the NHFD to improve the care they provide:

Next Issue Copy Deadline Monday 25th October 2010

• The Royal Surrey Hospital introduced joint orthogeriatrician and surgical care, with the implementation of additional trauma lists, daily orthogeriatrician ward rounds, an integrated care pathway and a patient care handbook. Length of stay was reduced by 6 days, and mortality by 3%. £220,000 implementation costs were offset by £450,000 savings in bed days.

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• In South Tees, a multidisciplinary project reduced delay in A&E, raised the percentage of patients having surgery within 48 hrs from 62 per cent to 81 per cent, and lowered average length of acute hospital stay from 18 days to 12.6 • In Mayday University Hospital, in Croydon, a trauma group sought to improve the hip fracture care pathway, and reduced average time to surgery from 58.8 hours to 28.9, with 87 per cent of patients waiting less than 48 hours, and average acute stay falling from 32.6 days to 22. • In Basildon, improved medical care following the introduction of daily orthogeriatrician ward rounds resulted in a sustained fall in mortality, which had been high. The percentage of patients dying within 30 days of fracture is now only 4.9% compared with the national average of 7.7%

Tel: 020 7100 2867 Email: admin@lawrand.com Website: www.lawrand.com The Operating Theatre Journal is published twelve times per year. Available in electronic format from the pages of www.otjonline.com and in hard copy to hospitals throughout the United Kingdom. Personal copies are available by nominal subscription. Neither the Editor or Directors of Lawrand Ltd are in any way responsible for the statements made or views expressed by the contributors. All communications in respect of advertising quotations, obtaining a rate card and supplying all editorial communications and pictures to the Editor at the PO Box address. No part of this journal may be reproduced without prior permission from Lawrand Ltd. © 2010

Rob Wakeman, NHFD’s Lead Clinician in Orthopaedic Surgery and a Consultant Orthopaedic Surgeon in Basildon, said: “Hip fractures are threatening to overwhelm trauma and orthopaedic units, and it is the Ànd out more 020 7100 2867 • e-mail admin@lawrand.com

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OCTOBER 2010

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B. Braun launches unique wound closure device in the UK Patients across the UK are set to beneÀt from a major breakthrough in wound closure technology which will cut theatre time and reduce the risk of infection. B. Braun Medical Ltd has secured sole distribution rights to the UK market for Quill SRS, a unique barbed, knotless wound closure device. Quill SRS has made major inroads in the North American market and has just scooped the Medical Design Excellence Award 2010. The Quill is a barbed suture which does not require knotting. This means all the stress is spread evenly across the suture rather than at the knot, creating an air tight wound, reducing the chance that the wound will re-open during or following surgery. Mark Culf, National Sales Manager – Closure Technology at B. Braun Medical Ltd, said: “We as a company are at the forefront of innovation and so are highly delighted to have secured sole distribution rights for Quill SRS.

“We are very much looking forward to including the Quill SRS knotless wound closure system in our comprehensive Closure Technology portfolio. We believe it will provide major beneÀts for surgeons and their patients, particularly in the Àelds of gynaecological, orthopaedic, cosmetic and general surgery. “Because the surgeon doesn’t need to knot, this greatly reduces suturing time – in some cases up to 40 per cent – and, in turn, reduces the length of time the patient is under anaesthetic.” B. Braun Medical Ltd, which is based at Thorncliffe Park, ShefÀeld, is the UK arm of the global healthcare company B. Braun. It has secured sole distribution rights for Quill SRS for Àve years in the UK, Ireland and France. “We are very excited and proud to have one of the leading companies in wound closure partner with Angiotech to facilitate the continued acceptance of Quill

PIP breast implants – UK test results The Medicines and Healthcare products Regulatory Agency (MHRA) has received encouraging results of UK testing on the silicone gel breast implants manufactured by the French company Poly Implant Prosthese (PIP). The tests found no evidence of genotoxicity (potential for cancer) or chemical toxicity of the Àller material in the implants. The tests are not as extensive as those being carried out in France, but they have provided initial information as to whether there is a safety issue with the Àller material. MHRA Director of Devices Clinical, Dr Susanne Ludgate said, “It’s reassuring that our test results have shown no evidence of any associated risks with the Àller material. “We are however waiting for the results of the French tests which are more extensive and include mechanical testing of the implant shell because there maybe a suggestion of an increased rupture rate compared with other breast implants. We will update clinicians and women once these test results are available and provide further advice on patient management as necessary. “If women have any concerns, they should speak to their implanting surgeon. “Implanting surgeons should report any clinical and radiological problems associated with these implants to the MHRA Adverse Incident Centre. “Further advice and information can be obtained from the Association of Breast Surgery and the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS).” For further general information about breast implants, see link to MHRA website: http://www.mhra.gov.uk/Safetyinformation/ Generalsafetyinformationandadvice/ProductspeciÀcinformationandadvice/Breastimplants/index.htm

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SRS in these critical European countries,” said Dr. William Hunter, President and CEO of Angiotech. “Having a leading company such as B. Braun Medical Ltd, with its long history of innovation and technology leadership, join us as one of our European partners further validates Quill

SRS’s market potential as a transformational technology in the surgical market.” For further information or to place an order please contact the B. Braun Customer Care Team on Tel: 0114 225 9020 or Email: customercare.bbmuk@bbraun.com When responding to articles please quote ‘OTJ’

New expert partnership to save costs and improve quality in NHS A new business partnership that offers streamlined innovation services to improve quality of care and reduce costs in healthcare has been created; fast tracking successful innovations across the NHS and international markets. The new partnership - The Healthcare Innovation Alliance (HIA) – was launched at the NHS Confederation conference and has been formed by six leading innovation organisations who have agreed to share their expertise and resources. This combined expertise will speed up the development of ideas to improve patient care and ensure efÀcient and costeffective healthcare delivery. As a joint force, the Alliance team of experienced staff will be able to leverage their capabilities and networks to deliver national innovation projects and provide unrivalled expertise to organisations on healthcare innovation. Individual Alliance members have an impressive track record and so far have examined thousands of good ideas emerging from NHS staff, they have set up over 300 deals to licence NHS innovations and helped create 10 new healthcare businesses. Examples include several new technologies for diagnosing and treating cancers, improved diagnosis by GP’s of conditions leading to stroke and a new social enterprise partnership set to transform lives by ensuring high quality products for disability. Working closely with universities, healthcare professionals and companies, the HIA will offer high quality advice to NHS

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staff to explore healthcare innovations with rapid evaluation of ideas, reducing the level of time and investment wasted on duplicate projects or those which will not meet the required objectives. Dick Clark, Chair of the HIA said: “The importance of innovation in the NHS has never been higher on the agenda than it is now. With the drive to make cost savings and at the same time preserve and improve the quality of care, innovation has a leading role to play. The formation of the HIA is both a timely and positive move; with the wealth of shared expertise and resources we will be able not only to promote the importance of innovation but also facilitate rapid implementation of successful ideas”. The six Companies are: NHS Innovations East NHS Innovations London NHS Innovations North NHS Innovations South East NHS Innovations South West NHS Innovations Yorkshire & Humber http://www.healthinnovationsalliance. org.uk NHS Innovation organisations provide professional commercial support to NHS bodies to protect and commercialise NHS expertise and inventions so that their ideas beneÀt patients and society as a whole. An ongoing dialogue with industry has resulted in much needed investment in to NHS in areas of unmet clinical need, such collaborations will help speed up the wider scale adoption of better ways of delivering healthcare. http://www.innovations.nhs.ukq

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www.inditherm.com/medical Issue 241

OCTOBER 2010

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ConvaTec new Aquacel® Surgical Dressing helps expedite patient discharge ConvaTec is a global company committed to serving healthcare professionals, hospitals and patients worldwide. In the ConvaTec Continence and Critical Care division they specialise in the development, manufacturing and distribution of single-use devices to hospitals and healthcare sectors around the world. The company is now launching a notable advance in wound care management. Its combination Aquacel® Surgical cover dressing is ideally suited to address the post-operative challenges of patient bleeding, especially in the orthopaedic arena, although it can be used advantageously across all surgical procedures. The combination of HydroÀber® Technology and hydrocolloid formulation in the Aquacel® Surgical dressing is designed to handle post-operative challenges: • Skin-friendly hydrocolloid technology Áexes with the skin during body movement • Patented HydroÀber® Technology absorbs and locks in Áuid, including harmful bacteria*1,2 • Unique construction enhances extensibility and Áexibility • Polyurethane Àlm provides waterproof viral and bacterial barrier (when intact and with no leakage). Compared to a non-woven post-operative surgical cover dressing regimen, Aquacel® Surgical cover dressings reduce superÀcial surgical site infection (SSI), reduce skin blistering, reduce incidence of delayed discharge and require fewer dressing changes. 3a,4b Conclusions from a Scottish evaluation of the same component dressing state5, “The method is a highly effective, cost-saving dressing following elective primary total hip and total knee arthroplasty and should be considered as a preferable alternative to traditional dressings.”

*as demonstrated in vitro 1 Warring MJ, Parsons D. Physico-chemical characterisation of carboxymethylated spun cellulose Àbres. Biomaterials. 2001; 22:903-912. 2 Walker M, Hobot JA, Newman GR, Bowler PG. Scanning electron microscopic examination of bacterial immobilisation in a carboxymethlcellulose (Aquacel) and alginate dressings. Biomaterials. 2003; 24(5):883-890. 3 Clarke JV, Deakin AH, Dillon JM, Emmerson S, Kinninmonth AWG. A prospective clinical audit of a new dressing design for lower limb arthroplasty wounds. J Wound Care. 2009; 18(1):5-11. 4 Laboratory Test Comparison of AQUACEL® Surgical Dressing ‘New Design’ and the Jubilee \method of Dressing Surgical Wounds. WHRI3264 TA180 October 7, 2009. Data on Àle, ConvaTec.. 5 Dillon JM. et al, Dept of Orthpaedics, Golden Jubilee National Hospital, Clydebank Glasgow. American Academy of Orthopaedic Surgeons, 2007 Annual Meeting, San Diego, California. a A post-operative dressing regimen using Mepore™ dressing covering AQUACEL® dressing was compared to a new dressing regimen of DuoDERM™ Extra Thin dressing covering AQUACEL® dressing after application of a liquid Àlm-forming acrylate. A subsequent study demonstrated no Enhancement of the new dressing regimen by the acrylate. b Equivalent performance of AQUACEL® SURGICAL cover dressing to DuoDERM™ Extra Thin dressing demonstrated in in vitro testing.

For more information on the new Aquacel® Surgical Dressing, or for ConvaTec: Realise the possibilities™ further clinical evidence, please telephone ConvaTec on 01527 583600 ™/® Indicates a trademark of ConvaTec Inc. ConvaTec Ltd is an authorised user. © ConvaTec Inc 2010 When responding to articles please quote ‘OTJ’ or visit www.convatec.com.

MHRA Alert – Intravenous extension sets The MHRA has issued an alert on Intravenous (IV) extension sets with multiple ports as they continue to receive reports of adverse incidents. These incidents have led to serious consequences, e.g. patients receiving an inadvertent bolus of anaesthetic agent due to back-tracking, resulting in respiratory arrest. See MDA/2010/073 for further details.

Shea Ear Specula DTR Medical – the leading manufacturer of sterile single-use surgical instruments – is launching the Shea Ear Specula after surgeons’ feedback called for a new oval design. This product is the fourth pattern to join DTR Medical’s specula range, complementing the Tumarkin, Rosen, and Oval models.

The Mediplus range of TIVA sets have been speciÀcally designed to prevent the issues identiÀed by the MHRA. As a result their use has been recommended as best practice by the Royal College of Anaesthetists as highlighted in the SALAG document “Guaranteeing Drug Delivery in Total Intravenous Anaesthesia”. Mediplus TIVA Sets ensure: • Minimal risk of disconnection (and therefore drugs not reaching the patient) • Less risk of boluses (as no disconnections)

For more information contact Mediplus on 01494 551200, help@mediplus.co.uk or visit www.mediplus.co.uk

Mediplus Ltd Unit 7 The Gateway Centre Coronation Road, High Wycombe Buckinghamshire HP12 3SU Tel: +44 (0)1494 551200 Fax: +44 (0)1494 536333 Email: help@mediplus.co.uk www.mediplus.co.uk

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Manufactured to surgeons’ speciÀcations and patients’ needs, the new specula’s bevelled oval shape allows it to sit comfortably inside the ear shaft, making it suitable for many procedures, including stapedectomy. It is available in Àve sizes to meet a range of clinical requirements; its matt black Ànish makes it highly visible under microscope; and it is available both sterile for theatres, and nonsterile for clinics. The Shea Ear Specula, like all of DTR Medical’s products, has the beneÀt of being a cost effective single-use disposable. Single-use instruments require no difÀcult, time consuming, or costly reprocessing or repairs that hinder patient throughput. In addition, single-use products signiÀcantly reduce the risk of cross-contamination, which minimises surgical site infections and extended hospital stays, subsequently lowering clinical costs and potential litigation.

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For further information please contact Andrew Davidson, DTR Medical Ltd, tel: 01792 797 910 When responding to articles please quote ‘OTJ’ adavidson@dtrmedical.com www.otjonline.com


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Ultrasound in motion

CAVI helps to detect changes in vascular functions at an early stage Fukuda Denshi is one of the worlds’ leaders in cardiology instruments, patient monitoring and ultrasound technologies. It’s compact, lightweight and adaptable Vasera™ VS-1500N vascular screening device has been used to detect early blood vessel changes due to a number of causes. Dr’s Kenji Suzuki et al from the Ebisu Medical Examination Centre, Japanese Labour Association has written a clinical paper on how important measurements have made the cardio-ankle vascular index (CAVI) a key factor in the establishment of disease characteristics. The clinical studies undertaken by Dr Suzuki’s team involved 1728 patients aged 20-74 years, who had 3 CAVI measurements over a 2 year period. Their Àndings were as follows: • The rate of increase of CAVI values was not dependent on the age. • CAVI values increased in the patient group with arteriosclerotic Àndings at a rate 2-5 times steeper than in the healthy group. • CAVI distinguishes between physiological ageing and disease related pathological ageing. • CAVI is not dependent on the blood pressure and is an easily determined quantitative measure of the arterial wall stiffness. • CAVI reveals the rate of progression or regression of arteriosclerotic disease based on annual examinations. • Arteriosclerosis can be measured in its early stages, thereby helping motivate people to attempt lifestyle improvements. In addition, investigators found that CAVI values were elevated in association with borderline hyperglycaemia in young subjects (age 20-39 years) in particular. These Àndings suggest that the increase in glucose levels affect vascular functions even from an early stage, and that CAVI can be used as a measure of the resultant functional changes in blood vessels at an early stage. For a copy of the Suzuki et al clinical paper on CAVI as a diagnostic tool, or for a brochure on the Fukuda Denshi Vasera VS-1500N vascular screening device, please telephone the company on 01483 728 065 or visit www.fukuda.co.uk Fukuda Denshi: A professional approach from a team of ultra dedicated individuals.

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The portability of SonoSites MicroMaxx® point-of-care ultrasound system is crucial for Dr Nick Webborn, founder of the SPORTSWISE clinic for sport and exercise medicine, providing valuable additional information during assessment and treatment of patients. Dr Webborn explained: SPORTSWISE is a multidisciplinary practice specialising in the treatment of sports injuries from grass roots to elite level. As such, my practice takes me to a wide variety of sporting events, from professional tennis tournaments to amateur swimming championships, as well as running up to Àve half-day clinics a week at our University of Brighton Campus centre in Eastbourne. Ultrasound imaging is a really valuable tool, supplementing physical examination and patient history to provide a more complete diagnosis. I also use ultrasound needle guidance during treatments, improving the accuracy of injection for better patient outcomes. I have been using SonoSite instruments for over eight years, and the MicroMaxx system is perfect for my needs. It offers a combination of good image quality and ease-of-use, and is robust and portable enough to be taken to the patient; something professional sportsmen really appreciate. I specialise in tendon problems, and the colour power Doppler is particularly useful for observing neovascularisation to indicate the severity of tendon injury. The ability to store and download images is also very useful, allowing copies of each scan to be kept with the patients electronic record for future reference. For more information about SonoSite products, please contact: Alexander House, 40A Wilbury Way, Hitchin SG4 0AP T +44 (0)1462 444 800, F +44 (0)1462 444 801 Please quote ‘OTJ’ ukresponse@sonosite.com www.sonosite.com

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Issue 241

OCTOBER 2010

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Dycems strong commitment to protecting the environment is recognised by the award of EN ISO 14001 Dycem, world leaders in providing high performance contamination control zones for critical environments, has been recognised for their commitment to operating a top level environmental policy. The company has been awarded EN ISO 14001 certiÀcation. Dycem, in line with organisations of all kinds, is increasingly concerned with achieving and demonstrating sound environmental performance by controlling the impacts of their activities, products and services on the environment. Dycem show this with their published environmental policy and response in the context of increasingly stringent legislation, the development of economic policies and other measures that foster environmental protection. This also recognises an increase in concerns voiced by the community at large about environmental matters and sustainable development.

The University of Warwick has joined forces with NHS West Midlands to create the new Institute of Digital Healthcare, a collaboration aimed at improving peoples health and wellbeing through the use of innovative technologies. The Institute of Digital Healthcare is a Àve-year programme based in the new International Digital Laboratory, and includes as founding partners Warwick Manufacturing Group, Warwick Medical School and NHS West Midlands. By working with both private and public sector organisations, the Institute will deliver real and lasting beneÀts to patients and the public through the application of innovative digital solutions to a wide range of healthcare scenarios. The Institute is led by two co-directors, Professor of eHealth Innovation Jeremy Wyatt recruited from Dundee and Professor of Healthcare Technology Christopher James from Southampton. Both professors have a track record of working between informatics, biomedical engineering, computational intelligence, technology assessment and the health and life sciences sectors.

Dycems environmental policy fully accepts their responsibility to minimize the effect that their operations have upon the environment. As Dycem managing director, Mark Dalziel, says it is one of the most important challenges we face today. This includes minimizing the consumption of energy and materials in the production and ultimate disposal of the products they manufacture for cleanroom contamination control. In a study published in the European Journal of Parenteral Sciences*, a survey comparing an alternative solution with that of Dycems CleanZone product showed Dycem saved 18 tonnes less in raw materials, three million MJ of energy during manufacture and use as well as reducing greenhouse gases by over 120 tonnes. The alternative peel-off mat produces 29 times the waste compared to Dycem creating an environmental disposal problem of its own while 85% of Dycem materials are recyclable. Dycems organisation is committed to the protection of the environment. Training is provided to help all employees understand and recognize their environmental responsibilities while showing the beneÀts available to everyone achieved through the implementation of sound environmental practices. As Dalziel says, this is more then just a matter of compliance. It is every individuals duty to society to respect the world in which we all live. To learn more about Dycem, their products and solutions for cleanroom users, visit the Dycem website (www.dycem.com) and learn more of users successes with Dycem products. * Reference: G Prout, The nature and the environmental impact of Áoor level contamination, European Journal of Parenteral Sciences 2009, Volume 14 Number 1, pp 1318. For further information contact: Dycem Limited Ashley Trading Estate Bristol BS2 9BB T +44 (0) 117 955 9921 F +44 (0) 117 954 1194 Email: eva.paraskevaides@dycem.com

University of Warwick joins forces with NHS to create new Institute of Digital Healthcare

The Institute is tackling a number of healthcare issues, including the use of monitoring and communication devices to support people in their own homes, and improving the communication within and between health and social care teams. Professor Jeremy Wyatt said: After many pilot studies, we are now in a position to design and carry out large scale rigorous trials to answer key generic questions about how health systems should use these technologies to improve the quality, efÀciency and safety of their services for people with long term conditions. I look forward to working with the local NHS, small businesses and others to generate the evidence that is badly needed to help policy makers, clinicians and patients decide how to invest in and make best use of these new digital healthcare technologies. Professor Christopher James said: The formation of the IDH provides a great opportunity to bring to bear biomedical engineering expertise applied to real-world clinical problems. This unique partnership provides us with insight to design, develop, deploy and evaluate a wide range of healthcare technologies to address a range of healthcare scenarios Ian Cumming, Chief Executive, NHS West Midlands said: This innovative collaboration with the University of Warwick will strengthen the regions capacity to translate scientiÀc advances into improved public health and patient care. The public are accustomed to using technology in their everyday lives, and are increasingly expecting to use technology in healthcare. Furthermore, innovative ways to deliver medical training will improve the quality and safety of local health services. As part of the Institutes launch, there are a series of international conferences planned over the next few years. The Àrst conference, Advances in Digital Healthcare: Telehealth and Mobile Health, will take place on 7 October. The aims of the Àrst conference are to review research activities and achievement in telehealth and mobile health in the West Midlands and beyond. The conference will include invited speakers presenting on key aspects of digital healthcare as well as a variety of oral presentations and posters. The event will aim to capture the perspectives of the academic or clinical researcher, technology provider, and user/practitioner, as well as the policy makers.

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To Ànd out more about the Institute and the forthcoming series of international conferences, visit www.idh.warwick.ac.uk

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Anaxsys Secures £1 Million Funding to Commercialise Patented Sensor Technology in Respiratory Devices Announces Its Respiratory Rate Monitor Has Received CE Mark Approval Anaxsys Ltd, the medical device company developing innovative respiratory devices, announced recently that it has secured £1 million additional investment to accelerate the commercialisation of novel respiratory devices based on its patented sensor technology. Anaxsys further announced it has received CE Mark approval for respiR8 - the world’s Àrst continuous electrochemical respiratory rate counter. Deryk Williams, CEO, Anaxsys said, “This additional investment will allow Anaxsys to accelerate the commercialization of respiR8, our Àrst product to market, and further the development of a range of innovative respiratory devices based on our core sensor technology. Anaxsys’ respiratory devices are developed with clinicians and healthcare professionals in mind from the onset and have the potential to revolutionise clinical practice. Our patented sensor technology enables innovative respiratory devices that provide accurate, reliable, simple to use and cost effective means to signiÀcantly improve patient outcomes.”

Jason Gould, Fund Principal of, South East Growth Fund said, “The achievement of the CE Mark for respiR8 continuous respiratory rate counter is a very signiÀcant milestone for the Company. It will allow Anaxsys to implement their plans for full commercialisation of respiR8 to the UK and European healthcare markets. Having consulted and collaborated with clinicians and other healthcare professionals, Anaxsys identiÀed that there is a great unmet clinical need for respiratory rate monitoring, particularly in perioperative environments, which respiR8 is ideally suited in addressing. And clinical trials and studies of the device have conÀrmed its effectiveness and commercial potential with healthcare professionals.” The investors who participated in the funding include South East Growth Fund, Early Advantage Partnership and a number of business angels. Anaxsys has received £5.7M of funding to date which includes £700,000 in Grant Ànance.

About Anaxsys Anaxsys is a medical device company that develops and markets innovative respiratory devices that meet clinical needs. Anaxsys’ unique approach to identifying and meeting clinical needs has resulted in a range of novel products, based on Anaxsys’ patented sensor technology, to improve patient outcomes. These product ranges are targeted at patient monitoring, screening and diagnostics in the areas of vital signs, asthma, sleep apnoea and lung cancer. Anaxsys’ Àrst product to market is respiR8, a continuous respiratory rate counter that provides an early indication of patient deterioration. For more information, visit www.anaxsys.com.

Ànd out more 020 7100 2867 • e-mail admin@lawrand.com

Issue 241

For further information contact: Barbara Lead, Commercial and Development Director, Anaxsys Ltd tel: 01483 211011 Email: Barbara.Lead@anaxsys.co.uk When responding please quote ‘OTJ’

New ! - Flip the Journal online at:

www.otjonline.com

OCTOBER 2010

9


New survey reveals almost 50% of those questioned will refuse to go to hospital for treatment because they’re worried about contracting infection As the NHS gears itself up for a possible outbreak of the new superbug NDM-1, Infection Control experts warn that the best estimate of treating healthcareacquired infections (HAIs) is at least £1billion. Patients with a healthcare-acquired infection, compared to uninfected patients, on average: • Stayed in hospital 11 days longer • Incurred 2.9 greater hospital costs • Incurred 3.2 greater postdischarge costs And a specially commissioned, independent study shows that fear of catching such a superbug means fewer people are prepared to take the risk of hospital treatment. Nearly 70% of the 1,000 questioned say they are worried about themselves or a relative going into hospital and contracting a superbug infection. Almost 50% said this fear would prevent them from going to hospital and 47% said either they, or someone they knew, had contracted a superbug infection after receiving care at a hospital. A Department of Health spokeswoman, referring to the outbreak of NDM-1, said: “Hospitals need to ensure they provide

good infection control to prevent any spread.” This is particularly pertinent advice when it comes to NDM-1, as it is an enzyme produced by certain bacteria, which allows them to neutralise the harmful effects of carbapenems, one of the most powerful types of antibiotics available to doctors. resourceTM, the UK and Ireland’s leading supplier of support and business critical services which commissioned the research, has developed a strategy for the control of an infection outbreak that it says is crucial to preventing the type of situation that arose in 2006 in Stoke Mandeville hospital where 33 patients died, and where Infection Prevention and Control and cleaning were signiÀcant factors in the outbreak. There are a number of key protocols necessary to help prevent the spread of an infection, according to Brian Lee, HealthcareAcquired Infection Specialist with resourceTM. “These include dividing the hospital into zones, allocating cleaning operatives into speciÀc areas and creating dedicated discharge teams to provide rapid response deep cleaning and decontamination for patient bays, where environmental cleanliness is key.

AfPP new product preview At this year’s AfPP, Eschmann will be showcasing their range of world class operating theatre equipment, including the very latest advances in electrosurgery equipment and surgical suction, with brand new, previously unseen equipment. Eschmann will also be demonstrating their highly acclaimed Shoulder Positioner. Designed with the assistance of leading clinicians within this clinical specialty, the Shoulder Positioner integrates seamlessly with Eschmann T20 and T30 operating tables. Fully adjustable, with removable sections for unrivalled surgical access the Shoulder Positioner enables efÀcient and effective surgery to the shoulder area. Leaders in the design and manufacture of superior medical products, the Eschmann range operating theatre product range includes powered operating tables, table accessories and specialist operating tables. Eschmann are proud to continue to support AfPP and invite visitors to join them on stand M18 for live demonstratons of their operating tables and brand new theatre equipment. More information on the full range of products can be found at www.eschmann.co.uk or by calling Eschmann today on tel 01903 753322 When responding to articles please quote ‘OTJ’

The UK ODP Message Group Joining is easy, just send an e-mail,stating your name, e-mail address,position and Hospital to: theatrepractitioners-subscribe@yahoogroups.com

“The latest research provides strong evidence that healthcareacquired infections such as MRSA – and, very likely, NDM-1 - are transmitted indirectly through contact with environmental surfaces. For example, Room BioDecontaminisation provides a unique solution in the eradication of unwanted micro-organisms such as bacteria, bacteria spores, viruses and fungi. In essence, hydrogen peroxide is sprayed into closed-off environments, killing any micro-organisms present. This is the type of technology hospitals need to keep HAIs at the lowest possible level. “We also use infection resistant materials and equipment to combat the spread of these infections, as well as important protocols such as isolation room cleaning, risk level area cleaning, discharge team procedures and operating theatre cleaning procedures.” resourceTM has already proved the success of its system in the Beaumont Hospital, Dublin in the Republic of Ireland, one of the country’s busiest hospitals with 620 beds and an average of 60 patients per day. In 2006 the hospital had 70 reported cases of MRSA in 2006, which was reduced to 25 in 2009 partly

due to adhering to key hygiene protocols. “The implementation of discharge teams has proven to be instrumental in enhancing our level of patient care,” added Fiona Edwards, facilities and hygiene services manager at the hospital. These procedures also reduce costs. A report by Cambridge University Hospitals reported that “C.difÀcile diarrhoea can delay a patient’s discharge from hospital by up to three weeks” but, said Brian Lee, “by pairing the basics of infection prevention such as hand washing with specialist environmental cleaning, it is possible to contain such outbreaks.” He added: “There’s still a lot to do. In April 2009, 11 hospital trusts failed to meet all the regulations for healthcare-acquired infection.”*** *Improving Patient Care by Reducing the Risk of Hospital Acquired Infection, Progress Report National Audit OfÀce **resourceTM survey carried out by The Leadership Factor interviewed 1,000 people. Full survey available on request. *** Reducing Healthcare Associated Infections in hospitals in England, National Audit OfÀce 2009

For further information please contact: resource@lucre.co.uk

Eschmann continues to build on award winning working practices Eschmann Equipment has achieved success over strong competition to win a major award for Innovative Working Practices at the Àrst – ever national EEF Future Manufacturing awards, beating Àerce competition from the cream of the U.K’s manufacturing industry. Eschmann are continuing to enhance working practices throughout the organisation to further advance the company’s ability to deliver innovative, quality medical products to the market. Eschmann, who design and manufacture equipment for operating theatres, dental clinics and GP practices, received the accolade as a result of adopting a new and highly radical approach to many of its business processes to fulÀl a multi-million pound export order for 300 operating tables as part of the rebuilding of Iraq’s healthcare system. Philip Kennedy, Managing Director of Eschmann said “By innovating across our entire business we have been able to expand the scope of our operations to deliver one of the largest contracts in the Àrm’s history and set a new platform for future growth. This has been an enormous team effort and we are delighted to have received recognition for our work” The EEF Awards were created to showcase the best of British innovation and recognise and reward world – class performance in four categories; innovation, enterprise, environmental responsibility and skills d development. A According to the Chair of the judging panel, Prof Stephen Evans, Eschmann won the coveted award because they “not only delivered the o order but re-engineered the company along the way. The deal has left a an impressive legacy for future growth” You can Ànd out more about the full range of Eschmann products by Y vvisiting www.eschmann.co.uk or by calling Eschmann today o on tel 01903 753322 o When responding to articles please quote ‘OTJ’

10

THE OPERATING THEATRE JOURNAL

www.otjonline.com


395 Claremont Avenue Montclair, NJ 07042

INTRODUCING

The Sensible, Safe and Comfortable Surgical Gown Solution OPERATING from Origami TABLES

Velcro tabs on both shoulders provide safe and immediate patient access if necessary.

“It’s amazing how such a small change to a garment can make a world of difference for our patients,our doctors and our staff!”

7KH(VFKPDQQ 6KRXOGHU3RVLWLRQHU —JUDITH BOEHM,RN, ADMINISTRATOR PARAMUS SURGERY CENTER,PARAMUS,NJ

6KRXOGHUVXUJHU\ PDGHVLPSOH

395 Claremont Avenue Montclair, NJ 07042

IT’S AN OPEN AND SHUT CASE: The Smartest Surgical Gown n in the Industry for Patients, Doctors and Staff is an Origami. Developed by an anesthesiologist, Origami Surgical Gowns enhance patient modesty while giving surgeons and medical staff easy patient access when in the operating room. Velcro tabs open for better patient access during surgery. Easy to tie side closures simplify the patient’s dressing experience. Made in the USA and available in two sizes in both a solid or print, Origami products are a durable quality blend of cotton and polyester, are easy to wear and remove, and have reinforced ends on all ties for easy to find tie cords. Patients will love the simplicity. Doctors and nurses will wonder what took us so long to develop them!

Who should stock these gowns:

Top Tie

Ambulatory Surgery Centers • Plastic Surgery Centers • Breast and Mammography Centers • Endoscopy Centers •

Velcro Front Closure

What used to be in the center back is now at the base of the neck, and this sensible location makes the tie as easy to knot as tying a shoe!

Here's where the staff will appreciate the immedi imm ed acyy of edi o access ac acces cesss to ces to the thee pat ppatient's ien e tt'ss front front o t siside s de immediacy with ithoutt rotation rota t tition i or other oth ther h movements movementts that thh t can without interrupt and/or endanger the patient when fast chest access is crucial.

The Side Tie

Your patients will love the simplicity of this dressing gown, and staff will appreciate it too. It's stressful enough for patients prepping for care.This simple tie makes comfort that much smoother, immediately.

395 Claremont Avenue Montclair, NJ 07042 973-619-2395 www.origamisurgicalgowns.com To order or for more information call Frank Sauchelli at 973-639-2395, or email info@origamisurgicalgowns.com. Downloadable order forms are available at www.origamisurgicalgowns.com Your purchase supports cancer research. A portion of Origami profits supports the Susan G. Komen Foundation. See www.orgiamisurgicalgowns.com for details


New survey reveals almost 50% of those questioned will refuse to go to hospital for treatment because they’re worried about contracting infection As the NHS gears itself up for a possible outbreak of the new superbug NDM-1, Infection Control experts warn that the best estimate of treating healthcareacquired infections (HAIs) is at least £1billion. Patients with a healthcare-acquired infection, compared to uninfected patients, on average: • Stayed in hospital 11 days longer • Incurred 2.9 greater hospital costs • Incurred 3.2 greater postdischarge costs

good infection control to prevent any spread.� This is particularly pertinent advice when it comes to NDM-1, as it is an enzyme produced by certain bacteria, which allows them to neutralise the harmful effects of carbapenems, one of the most powerful types of antibiotics available to doctors. resourceTM, the UK and Ireland’s leading supplier of support and business critical services which commissioned the research, has developed a strategy for the control of an infection outbreak that it says is crucial to preventing the type of situation that arose in 2006 in Stoke Mandeville hospital where 33 patients died, and where Infection Prevention and Control and cleaning were signiÀcant factors in the outbreak.

OPERATING TABLES

“The latest research provides strong evidence that healthcareacquired infections such as MRSA – and, very likely, NDM-1 - are transmitted indirectly through with environmental contact surfaces. For example, Room Bioprovides a Decontaminisation unique solution in the eradication micro-organisms of unwanted such as bacteria, bacteria spores, viruses and fungi. In essence, hydrogen peroxide is sprayed into closed-off environments, killing any micro-organisms present. This is the type of technology hospitals need to keep HAIs at the lowest possible level.

And a specially commissioned, independent study shows that “We also use infection resistant fear of catching such a superbug materials and equipment to combat means fewer people are prepared the spread of these infections, as to take the risk of hospital well as important protocols such as treatment. Nearly 70% of the 1,000 isolation room cleaning, risk level questioned say they are worried area cleaning, discharge team There are a number of key about themselves or a relative procedures and operating theatre protocols necessary to help and contracting going into hospital5IF5BOE5TIPVMEFSQPTJUJPOFSBSFFBTJMZBUUBDIFEUP cleaning procedures.â€? prevent the spread of an infection, a superbug infection. Almost 50% according to Brian Lee, HealthcareUIFSFTQFDUJWFPQFSBUJOHUBCMFTBOEBSFTVJUBCMFGPSBMMQBUJFOU prevent them said this fear would resourceTM has already proved Acquired Infection Specialist from going to hospital and 47% TJ[FT5IFQPTJUJPOFSTBSFEFTJHOFEUPGBDJMJUBUFBMMQSPDFEVSFT the success of its system in the resourceTM. “These include with said either they, or someone they Beaumont Hospital, Dublin in the hospital into zones, dividing JOWPMWJOHUIFTIPVMEFSHJSEMFBOEVQQFSBSN knew, had contracted a superbug the Republic of Ireland, one of allocating cleaning operatives infection after receiving care at a the country’s busiest hospitals areas and creating into speciĂ€ c hospital. with 620 beds and an average dedicated discharge teams to 5IF5BOE5TIPVMEFSQPTJUJPOFSTVUJMJTFUIFQPXFSFE of 60 patients per day. In 2006 of Health A Department provide rapid response deep GVODUJPOTPGUIFPQFSBUJOHUBCMFUPTBGFMZQPTJUJPOUIFQBUJFOU  the hospital had 70 reported to the spokeswoman, referring cleaning and decontamination for cases of MRSA in 2006, which outbreak of NDM-1,NJOJNJTJOHNBOVBMIBOEMJOH*OEJWJEVBMSFNPWBCMFCBDLTFDUJPOT said: “Hospitals patient bays, where environmental was reduced to 25 in 2009 partly need to ensure they provide cleanliness is key.

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AfPP new product preview

At this year’s AfPP, Eschmann will be showcasing their range of world class operating theatre equipment, including the very latest advances in electrosurgery equipment and surgical suction, with brand new, previously unseen equipment.

due to adhering to key hygiene protocols. “The implementation of discharge teams has proven to be instrumental in enhancing our level of patient care,â€? added Fiona Edwards, facilities and hygiene services manager at the hospital. These procedures also reduce costs. A report by Cambridge University Hospitals reported that “C.difĂ€cile diarrhoea can delay a patient’s discharge from hospital by up to three weeksâ€? but, said Brian Lee, “by pairing the basics of infection prevention such as hand washing with specialist environmental cleaning, it is possible to contain such outbreaks.â€? He added: “There’s still a lot to do. In April 2009, 11 hospital trusts failed to meet all the regulations for %TKKXĂ˜CDS@BG@AKDĂ˜ infection.â€?*** healthcare-acquired

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*Improving Patient Care by Reducing the Risk of Hospital Acquired Infection, Progress Report National Audit OfÀce **resourceTM survey carried out by The Leadership Factor interviewed 1,000 people. Full survey available on request. *** Reducing Healthcare Associated Infections in hospitals in England, National Audit OfÀce 2009

For further information please contact: resource@lucre.co.uk

Eschmann continues to build on award winning working practices

Eschmann Equipment has achieved success over strong competition to win a major award for Innovative Working Practices at the Ă€rst – ever national EEF Future Manufacturing awards, beating Ă€erce competition from the cream of the U.K’s manufacturing industry. Eschmann are Eschmann will also be demonstrating their highly acclaimed Shoulder continuing to enhance working practices throughout the organisation Positioner. Designed with the assistance of leading clinicians within to further advance the company’s ability to deliver innovative, quality 5IF&TDINBOOTIPVMEFSJTNPSFUIBOBQSFDJTJPOTIPVMEFS this clinical specialty, the Shoulder Positioner integrates seamlessly medical products to the market. and T30 operating tables. Fully adjustable, with Eschmann T20 QPTJUJPOFSEFWJDF JUDBOBMTPCFVTFEGPSBWBSJFUZPGPUIFS with removable sections for unrivalled surgical access the Shoulder Eschmann, who design and manufacture equipment for operating efĂ€cient and effective surgery to the shoulder Positioner enablesQSPDFEVSFTTVDIBT theatres, dental clinics and GP practices, received the accolade as a area. result of adopting a new and highly radical approach to many of its business processes to fulĂ€l a multi-million pound export order for 300 p &MCPXBSUISPTDPQZ Leaders in the design and manufacture of superior medical products, operating tables as part of the rebuilding of Iraq’s healthcare system. the Eschmann range operating theatre product range includes p tables, 4IPVMEFSBSUISPQMBTUZ table accessories and specialist operating powered operating Philip Kennedy, Managing Director of Eschmann said “By innovating tables. across our entire business we have been able to expand the scope of our p )BOEBOEBSNTVSHFSZ operations to deliver one of the largest contracts in the Ă€rm’s history Eschmann are proud to continue to support AfPP and invite visitors and set a new platform for future growth. This has been an enormous to join them on stand M18 for live demonstratons of their operating team effort and we are delighted to have received recognition for our tables and brand p new(FOFSBMVQQFSFYUSFNJUZTVSHFSZ theatre equipment. More information on the full workâ€? range of products can be found at www.eschmann.co.uk or by calling Eschmann today The EEF Awards were created to showcase the best of British innovation on tel 01903 753322 and recognise and reward world – class performance in four categories; innovation, enterprise, environmental responsibility and skills When responding to articles please quote ‘OTJ’ development. d

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The T he U UK KO ODP DP M Message essage Group Group Joining is easy, just send an e-mail,stating your name, e-mail address,position and Hospital to: theatrepractitioners-subscribe@yahoogroups.com

A According to the Chair of the judging panel, Prof Stephen Evans, Eschmann won the coveted award because they “not only delivered the o order but re-engineered the company along the way. The deal has left a an impressive legacy for future growthâ€? You can Ă€nd out more about the full range of Eschmann products by Y vvisiting www.eschmann.co.uk or by calling Eschmann today o on tel 01903 753322 o When responding to articles please quote ‘OTJ’

10

THE OPERATING THEATRE JOURNAL

www.otjonline.com

XĂ˜@CI KXĂ˜@CI %T @CĂ˜RTO GD


395 Claremont Avenue Montclair, NJ 07042

INTRODUCING

The Sensible, Safe and Comfortable Surgical Gown Solution from Origami

Velcro tabs on both shoulders provide safe and immediate patient access if necessary.

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“It’s amazing how such a small change to!@KK INHMSĂ˜BK@LOĂ˜ENQĂ˜ a garment can make a worldOQDBHRDĂ˜ONRHSHNMHMF of difference for our patients,our doctors and our staff!â€? —JUDITH BOEHM,RN, ADMINISTRATOR PARAMUS SURGERY CENTER,PARAMUS,NJ

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395 Claremont Avenue Montclair, NJ 07042 %TKKXĂ˜CDS@BG@AKDĂ˜ RGNTKCDQĂ˜QDRSR

IT’S AN OPEN AND SHUT CASE: The Smartest Surgical Gown n in the Industry for Patients, Doctors and Staff is an Origami. Developed by an anesthesiologist, Origami Surgical Gowns enhance patient modesty while giving surgeons and medical staff easy patient access when in the operating room. Velcro tabs open for better patient access during surgery. Easy to Made inHVSBUJPO the USA and tie side closures simplify the patient’s dressing experience. 4UBOEBSEDPOÙ are a durable available in two sizes in both a solid or print, Origami products BEKVTUBCMFGPSBWBSJFUZ quality blend of cotton and polyester, are easy to wearPGQBUJFOUTJ[FT and remove, and have reinforced ends on all ties for easy to find tie cords. Patients will love the simplicity. Doctors and nurses will wonder what took us so long to develop them!

Who should stock these gowns: Ambulatory Surgery Centers • Plastic Surgery Centers • Breast and Mammography Centers • Endoscopy Centers •

Top Tie

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Velcro Front Closure Here's where the staff will appreciate the immedi imm ed acyy of edi o access ac acces cesss to ces to the thee pat ppatient's ien e tt'ss front front o t siside s de immediacy with ithoutt rotation rota t tition i or other oth ther h movements movementts that thh t can without interrupt and/or endanger the patient when fast chest access is crucial.

The Side Tie

Your patients will love the simplicity of this dressing gown, and staff will appreciate it too. It's stressful enough for patients prepping for care.This simple tie makes comfort that much smoother, immediately.

395 Claremont Avenue Montclair, NJ 07042 973-619-2395 www.origamisurgicalgowns.com To order or for more information call Frank Sauchelli at 973-639-2395, or email info@origamisurgicalgowns.com. Downloadable order forms are available at www.origamisurgicalgowns.com Your purchase supports cancer research. A portion of Origami profits supports the Susan G. Komen Foundation. See www.orgiamisurgicalgowns.com for details


New survey reveals almost 50% of those questioned will refuse to go to hospital for treatment because they’re worried about contracting infection As the NHS gears itself up for a possible outbreak of the new superbug NDM-1, Infection Control experts warn that the best estimate of treating healthcareacquired infections (HAIs) is at least £1billion. Patients with a healthcare-acquired infection, compared to uninfected patients, on average:

good infection control to prevent any spread.� This is particularly pertinent advice when it comes to NDM-1, as it is an enzyme produced by certain bacteria, which allows them to neutralise the harmful effects of carbapenems, one of the most powerful types of antibiotics available to doctors.

“The latest research provides strong evidence that healthcareacquired infections such as MRSA – and, very likely, NDM-1 - are transmitted indirectly through with environmental contact surfaces. For example, Room Bioprovides a Decontaminisation unique solution in the eradication micro-organisms of unwanted such as bacteria, bacteria spores, viruses and fungi. In essence, hydrogen peroxide is sprayed into closed-off environments, killing any micro-organisms present. This is the type of technology hospitals need to keep HAIs at the lowest possible level.

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At this"DIPJDFPGPSUIPQBFEJDPSHFOFSBMTVSHFSZUSVOLTFDUJPOTUIBUDBO year’s AfPP, Eschmann will be showcasing their range of world class operating theatre equipment, including the very latest advances CFFBTJMZBOERVJDLMZJOUFSDIBOHFENFBOUIF5TZTUFNQSPWJEFT in electrosurgery equipment and surgical suction, with brand new, USVFÚunseen FYJCJMJUZBOEDIPJDF previously equipment. p 4JNQMFUPDPOÙ HVSFGPSHFOFSBMPSPSUIPQBFEJDUSBVNBTVSHFSZ will also be demonstrating their highly acclaimed Shoulder Eschmann Positioner. Designed with the assistance of leading clinicians within p 8JEFSBOHFPGPSUIPQBFEJDBUUBDINFOUTBWBJMBCMF this clinical specialty, the Shoulder Positioner integrates seamlessly p LHNBYJNVNQBUJFOUXFJHIUBOEFYUFOEBCMFNN with Eschmann T20 and T30 operating tables. Fully adjustable, XJEFUPQUPTVJUBMMCPEZUZQFT sections for unrivalled surgical access the Shoulder with removable p 4PGUTUBSUTUPQUFDIOPMPHZGPSQBUJFOUDPNGPSUBOETBGFUZ Positioner enables efÀcient and effective surgery to the shoulder area. p 4IPVMEFSTVSHFSZNBEFFBTZXJUIUIFQPXFSBTTJTUFE

Leaders in5TIPVMEFSQPTJUJPOFS the design and manufacture of superior medical products, the Eschmann range operating theatre product range includes powered operating tables, table accessories and specialist operating tables. Eschmann are proud to continue to support AfPP and invite visitors to join them on stand M18 for live demonstratons of their operating tables and brand new theatre equipment. More information on the full 7HO   &TDINBOO)PMEJOHT-UE 1FUFS3PBE  range of products can be found at www.eschmann.co.uk )D[   -BODJOH 8FTU4VTTFY #/5+ or by calling Eschmann today ZZZHVFKPDQQFRXN on tel 01903 753322 'HWDLOVJLYHQLQWKLVSXEOLFDWLRQDUHFRUUHFWDWWLPHRIJRLQJWRSUHVV(TXLSPHQWPD\EHVXEMHFWWRDYDLODELOLW\(VFKPDQQUHVHUYHV When responding to articles please quote ‘OTJ’ WKHULJKWWRLPSURYHWKHHTXLSPHQWVKRZQDWDQ\WLPH7KHo(VFKPDQQpQDPHDQGORJRDUHWUDGHPDUNVRI(VFKPDQQ+ROGLQJV/WG o(VFKPDQQ(TXLSPHQWpLVDWUDGLQJQDPHRI(VFKPDQQ+ROGLQJV/WG

The T he U UK KO ODP DP M Message essage Group Group Joining is easy, just send an e-mail,stating your name, e-mail address,position and Hospital to: theatrepractitioners-subscribe@yahoogroups.com

He added: “There’s still a lot to do. In April 2009, 11 hospital trusts failed to meet all the regulations for healthcare-acquired infection.â€?*** *Improving Patient Care by Reducing the Risk of Hospital Acquired Infection, Progress Report National Audit OfĂ€ce **resourceTM survey carried out by The Leadership Factor interviewed 1,000 people. Full survey available on request. *** Reducing Healthcare Associated Infections in hospitals in England, National Audit OfĂ€ce 2009

For further information please contact: resource@lucre.co.uk

Eschmann continues to build on award winning working practices Eschmann Equipment has achieved success over strong competition to win a major award for Innovative Working Practices at the Ă€rst – ever national EEF Future Manufacturing awards, beating Ă€erce competition from the cream of the U.K’s manufacturing industry. Eschmann are continuing to enhance working practices throughout the organisation to further advance the company’s ability to deliver innovative, quality medical products to the market. Eschmann, who design and manufacture equipment for operating theatres, dental clinics and GP practices, received the accolade as a result of adopting a new and highly radical approach to many of its business processes to fulĂ€l a multi-million pound export order for 300 operating tables as part of the rebuilding of Iraq’s healthcare system. Philip Kennedy, Managing Director of Eschmann said “By innovating across our entire business we have been able to expand the scope of our operations to deliver one of the largest contracts in the Ă€rm’s history and set a new platform for future growth. This has been an enormous team effort and we are delighted to have received recognition for our workâ€? The EEF Awards were created to showcase the best of British innovation and recognise and reward world – class performance in four categories; innovation, enterprise, environmental responsibility and skills development. d 36

OPERATING TABLES

A According to the Chair of the judging panel, Prof Stephen Evans, Eschmann won the coveted award because they “not only delivered the o order but re-engineered the company along the way. The deal has left a an impressive legacy for future growthâ€? You can Ă€nd out more about the full range of Eschmann products by Y vvisiting www.eschmann.co.uk or by calling Eschmann today o on tel 01903 753322 o When responding to articles please quote ‘OTJ’

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IT’S AN OPEN AND SHUT CASE: The Smartest Surgical Gown in the Industry for Patients, Doctors and Staff is an Origami. Developed by an anesthesiologist, Origami Surgical Gowns enhance patient modesty while giving surgeons and medical staff easy patient access when in the operating room. Velcro tabs open for better patient access during surgery. Easy to tie side closures simplify the patient’s dressing experience. Made in the USA and available in two sizes in both a solid or print, Origami products are a durable quality blend of cotton and polyester, are easy to wear and remove, and have reinforced ends on all ties for easy to find tie cords. Patients will love the simplicity. Doctors and nurses will wonder what took us so long to develop them!

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395 Claremont Avenue Montclair, NJ 07042 973-619-2395 www.origamisurgicalgowns.com To order or for more information call Frank Sauchelli at 973-639-2395, or email info@origamisurgicalgowns.com. Downloadable order forms are available at www.origamisurgicalgowns.com Your purchase supports cancer research. A portion of Origami profits supports the Susan G. Komen Foundation. See www.orgiamisurgicalgowns.com for details


A new study has discovered that replacing knee-high socks with thigh-high surgical stockings while treating patients in hospital can reduce life-threatening clots. Scientists at the University of Edinburgh concluded that kneehigh stockings are less efÀcient to protect stroke patients against deep vein thrombosis (DVT), a life-threatening form of blood clot that can travel up to the heart and lungs. The Clots (Clots in Legs Or Stockings after Stroke) research found that the clot rate in stroke patients was higher among those Àtted with the shorter rather than longer stockings. The study involved more than 3,000 patients recovering from strokes from 112 hospitals in nine countries and found that stroke patients Àtted with belowthe-knee stockings were 30 per cent prone to develop DVT in comparison with patients Àtted with thigh-length stockings. “Although we have shown in previous work that thigh-length stockings are not very effective in reducing the risk of DVT after a stroke, we believe that the results of this trial may have important implications for the millions of patients undergoing surgery each year,” the Scotsman quoted Martin Dennis, professor of stroke medicine at the university, as saying. “Millions of patients worldwide are Àtted with stockings. Unless reliable evidence emerges that short stockings do actually reduce the risk of DVT, long stockings should always be used in preference,” he added. The university team is now working on a three-year project testing another type of device which actively massages the legs to keep the blood moving which they hope will prevent clots in stroke patients. (ANI)

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Source: Sify news

The Emerging Importance of Biologic Grafts in Soft Tissue Repair Audun Sigurdsson, Consultant in General Surgery at the Princess Royal Hospital, Telford, looks at the beneÀts of biologic grafts in soft tissue repair and how they can be applied to a contaminated Àeld without causing further infection or rejection by the body. Breaches in the abdominal muscle can occur, causing the organs to protrude out of the abdominal cavity. To repair a hernia, the surgeon must replace the protruding organ and then strengthen the tissue breach in the wall by inserting a material to close the gap and form a protective barrier. The choice of material used to form this barrier is crucial, as inappropriate materials can cause further complications for the patient, including infection or recurrence. Traditionally, surgeons have repaired hernias and other large breaches of soft tissue and muscle using synthetic mesh, such as stainless steel, ePTFE, polypropylene and other plastics. These inert materials work well as a strengthening barrier but complications can arise due to infection, rejection or recurrence of the hernia, resulting in further repairs needing to be made, at a higher risk to the patient. However, surgeons are now recognising the increasing beneÀts resulting from pioneering advancements in the use of biologic grafts. These new biologic grafts revolutionise the way in which surgeons use them for the body to restore itself. As an alternative to traditional synthetic mesh, biologic grafts offer a solution without the use of a permanent material. These kinds of grafts are able to offer the added advantages of both tissue remodelling and resistance to infection, making them an attractive choice for soft tissue repair procedures. Counting the Cost Synthetic mesh are lower in cost and more widely available than biologic grafts but they do have limitations that can create additional repair costs down the line.

By remaining as a foreign body within the patient, they can potentially result in scarring, encapsulation and rejection – this is costly for the surgical teams and detrimental for the patient’s quality of life, with trips to and from the operating theatre. To illustrate this principle, let’s use the example of a child with a large thoracic cage defect, treated with a traditional synthetic mesh. As the child develops, he or she will subsequently outgrow the mesh, necessitating further surgery and replacements. Biologic grafts are able to offer a more Áexible and long-term solution. As they work by communicating with the body and signalling for surrounding tissue to regenerate itself on the graft, they are ideal as a scaffold as they provide a permanent repair without leaving any material inside the body. Proactive Healing Rather than simply providing a barrier and support to the repair site, some biologic grafts communicate with the host, directing every stage of the healing process. Strength Concerns Traditional biologic grafts, such as dermis based grafts contain signiÀcant amounts of elastin, which can stretch over time and cause a higher reoccurrence rate. Cross-linked grafts act as a synthetic when placed in the body, so can have the same reactions as synthetic mesh. However, new advances in biologic grafts have resulted in products (Biodesign) that retain their strength during this process, by continuing to promote new tissue formation whilst the material naturally remodels into fully vascularised tissue inside the body. It is not prone to stretching over time and actually becomes stronger over time, providing a permanent repair without a permanent material. These materials harbour growth factors and other molecules with an afÀnity for tissue regeneration and do not provoke an immune response.

An immune response can often lead to a common complication – rejection of the graft, requiring the patient to undergo further surgery. Infection – What’s the Risk? Clinical studies have previously demonstrated the increased rate of infection risk with synthetic mesh. Tough bioÀlms containing bacteria can form on synthetic mesh, as these Àlms shrug off antibiotics. This also means that prosthetic materials cannot be implanted in an infected site. BioÀlm, however, does not develop on biologic grafts, reducing the risk from infection. This means they can be applied to an infected area. Best of Both Worlds So, when considering the suitability of either synthetic mesh or biologic graft, it’s worth exploring the more advanced offerings on the market. Each case is different and there are arguments for choosing the right product for the individual patient and their circumstances. However, it is clear to see that biologic grafts are demonstrating advantages over traditional synthetic mesh. For example, Biodesign has been implanted in 190 people and the use of it has been documented in over 750 articles, supporting product efÀcacy. Additionally, a recent 5-year study led by Morris E. Franklin, Jr., MD, et. al, of the Texas Endosurgery Institute, San Antonio, Texas, showed long-term strength and a lasting repair . With new technological advancements being made in biologic graft development, the capabilities of these grafts are moving past the simple strengthening properties. The advantages of resistance to infection, long-term strength and remodelling capabilities mean that biologic grafts provide a sound way forward in advancement of patient care and reduction of risk. New Study ReconÀrms Long-Term Strength of Biodesign™ Hernia Graft: http://www.cookbiotech. com/3_23_09.php

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Thigh-high surgical stockings ‘best in Àght against DVT’


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Med-tech Àrm to launch bone substitute following £835k investment Cwmbran-based spine and orthopaedic medical device company, Orthos Limited, has received a £835,000 boost to bring its mouldable Gel synthetic bone substitute to market. The bone substitute, which can be moulded by hand, has been speciÀcally formulated for treating spinal bone defects and minimises the infection risks associated with bone implant surgery. Founded by Alan Rorke in 1998, the company relocated to Wales from Bristol recently and has secured a £500,000 equity investment from Finance Wales as well as £60,000 angel follow-on investment and £275,000 Welsh Assembly Government funding. Orthos has a range of proprietary orthobiologic products focused on skeletal defect repair and spinal fusion on sale or in development. It will use this investment to support sales of its current products and to develop new orthobiologic products. Orthos has also further strengthened its management team with the appointment of industry experts, Robert Welsh as Chief Executive and Professor Christina Doyle as a Non-Executive Director. Welsh was formerly MD of Corin Limited and Doyle, formerly of Stryker, is Chief Executive of Xeno Medical Ltd and an international authority on artiÀcial bone, vertebroplasty and orthobiologics. Commenting on the investment, Orthos Chairman and Corin Group Founder, Peter Gibson said: Synthetic bone substitutes are increasingly being used surgically. Surgeons are keenly adopting new implant and surgical techniques, particularly in spinal surgery. Orthos product range already includes a number of products with regulatory approval and global revenues, such as our OsteoBoost bone marrow aspiration kit. Finance Wales investment comes at an exciting stage in Orthos development and will enable us to expand our range of products by accelerating the commercialisation of additional products. Weve also strengthened our management team to underpin our companys future development. Dr Richard Thompson, Early Stage Investment Manager at Finance Wales, said: Orthos has a strong management team and has established relationships with a number of universities to develop its intellectual property. It also has a track record of identifying and developing innovative orthobiologic products, a number of which are already on sale. Finance Wales investment will enable the company to commercialise further innovative products and bring them to market as well as to target new markets. Ànd out more 020 7100 2867 • e-mail admin@lawrand.com

Spinal innovation: medical devices provider, Orthos Ltd, has received a £835,000 boost to bring its mouldable Gel synthetic bone substitute to market. Pictured here are (l-r) Dr Richard Thompson, Finance Wales, Professor Christina Doyle and Robert Welsh, Orthos.

Ieuan Wyn Jones, Deputy First Minister and Minister for the Economy and Transport said: Im pleased that the Welsh Assembly Government has been able to support Orthos. Wales has become home to an increasing number of technologically advanced Medtech companies like Orthos in recent years. These companies have the potential to make a real impact not only in the global medical market, but also on the economy of Wales. The Welsh Assembly Government under its economic renewal programme will continue to provide and encourage the right type of environment for these types of businesses to grow and prosper and I am delighted with the funding from the Assembly Government and Finance Wales. Orthos now plans to enter the rapidly growing vertebral compression fracture market with an estimated 700,000 fractures per year in the US and 850,000 per year in Europe. Vertebral compression fractures are commonly the result of osteoporosis and are increasingly prevalent and debilitating in an ageing population. Legal advisors on the deal were Morgan Cole acting for Orthos and Hugh James acting for Finance Wales. Due diligence was carried out by The Quinn Partnership (management diligence), Xeno Medical (technical and commercial diligence) and IP Pragmatics (IP diligence). Issue 241

OCTOBER 2010

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Safer Surgery receives commendation at the BMA 2010 Book Awards Safer Surgery: Analysing Behaviour in the Operating Theatre was highly commended in the Surgery Category at the British Medical Association’s 2010 Annual Book Awards, on the 14th September 2010 in London From the review judges: This excellent and original book is clearly targeted at its intended audience The book is one of the Àrst to assemble and deliver recent studies on the factors inÁuencing safe and efÀcient surgical, anaesthetic and nursing practice. Editors Professor Rhona Flin and Lucy Mitchell both of Aberdeen University, brought together contributions from leading psychologists, surgeons and anaesthetists. The result is an authoritative reference for practitioners and researchers interested in understanding how the behaviour of operating team members can have a major impact on the patients.

RCS TO EXAMINE COSMETIC SURGERY STANDARDS IN WAKE OF DAMNING NCEPOD REPORT The Royal College of Surgeons is to establish a group to bring together all those involved in setting standards cosmetic surgery following a new report by the National ConÀdential Enquiry into Patient Outcome and Death [NCEPOD]. The sobering study, entitled On the face of it, reviewed the organisational structures of cosmetic surgery providers and found that many were failing patients. Of particular concern to the College was evidence of occasional surgery with operations being spread over too many units with some surgeons not doing enough to maintain skills. The Àndings that some units lacked equipment and were not undertaking full psychological assessment of patients are also of grave concern. The RCS believes that nobody should be practising surgery without contributing to audit in order to prove safety, so the failure of so many units to participate in this study is alarming particularly as one reason seems to be the very high turnover of small start-up organisations in this Àeld. The College already expects all surgeons to meet high individual standards of care through Good Surgical Practice and revalidation standards that apply in the NHS and independent sector. However, the problems highlighted by NCEPOD also indicate that the unique working environment in cosmetic surgery means that further work may be required in setting speciÀc service standards for use by the regulator. This will improve safety and be in the best interests of patients. John Black, President of the Royal College of Surgeons, said: This incisive report from NCEPOD shows that patients are not being properly protected. The Royal College of Surgeons is not a regulator, but sets the standards for surgery that the regulators use this study makes it clear speciÀc action is necessary. NCEPOD make a series of recommendations for the Care Quality Commission and General Medical Council and we shall aim to provide clear standards to those bodies to help them fulÀl that. RCS council member Steve Cannon will chair a multi-disciplinary group to bring together the standards for surgery, drawing in evidence from the plastic surgery specialty societies, and other groups across the medical profession. The groups Àndings will be published in summer 2011.

News,

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RSS Feed,

Blogg,

In recent years it has become clear that the difference between successful outcomes and adverse events in the operating theatre can be signiÀcantly affected by the non-technical skills of the operating team members. These skills, such as decision making and teamwork, are regularly trained in aviation and nuclear industries. In the current economic climate, when there is pressure to deliver a more costeffective health service, without reducing safety, such skills are all the more important. • Imprint: Ashgate • Published: September 2009 • Format: 234 x 156 mm • Extent: 482 pages • Binding: Hardback • ISBN: 978-0-7546-7536-5 • Price : £75.00 » Website price: £67.50 • BL Reference: 617.9-dc22 • LoC Control No: 2009004030

Technology from Team Consulting helps client to win award Technology developed by Team Consulting has helped its client, OrganOx, to win an important award for the Best early stage in Medtech. The award, which was presented by the Oxford Business Network, recognises OrganOxs achievement in getting so far along the development process, from laboratory to production in such a short time. OrganOx Limited is working with Team to develop a medical device that will increase the availability of livers suitable for transplantation from non-heart-beating donors and so reduce the number of discarded livers. The device operates by maintaining the organ in a fully functioning state during transport and storage, by providing blood Áow, oxygen, nutrients and temperature within the parameters experienced normally within the body. This not only enables the liver to be stored safely for a longer period (up to 24 hours) but also provides the surgeon with real-time and cumulative data with which to assess the viability of the liver and so make a decision as to its suitability for transplant. This is a major advance over the current method of assessment, which is largely subjective. Team is guiding the device along a development process that includes all stages from initial speciÀcation to Ànal manufacture. The award has been made on the basis of the work done with a prototype device that Team designed, built and delivered to OrganOx within 10 months of starting the project. Were delighted for OrganOx. Its always a proud moment for us when a client is acknowledged as a World-beater and recognized with an award for work in which we have been intimately involved, said Stuart Kay, leader of Teams Electro-Mechanical Development Group. OrganOx was selected for the award from a shortlist of three Ànalists. In Europe and the US, around 12,000 liver transplants are undertaken each year. However, there is a combined waiting list of around 30,000 patients and up to 20 per cent of these patients die while awaiting transplantation. Over 2,000 livers are discarded annually because they are either damaged by oxygen deprivation or by intracellular fat. Further information from: Andrew Watts Team Consulting +44 (0) 1799 532 700 +44 (0) 1223 522 011 Email: andrew.watts@team-consulting.com Website: www.team-consulting.com

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Pirate wedding couple tie the knot

Pirate groom Mik AshÀeld and his bride Vikki Ludlow looked suitably hale and hearty as they tied the knot in full pirate regalia at a swashbuckling ceremony. Mik AshÀeld and Vikki Ludlow donned extravagant costumes for their wedding in the historic smuggling village of Clovelly in Devon. Mr AshÀeld dressed as Jack Sparrow and his new wife as Elizabeth Swann from Pirates Of The Caribbean. Staff nurse Vikki, 35, from Kidlington, Oxfordshire, described herself as ‘barking mad’ on her Facebook page – but sweetly added she was ‘completely in love’ with Mr AshÀeld.

NHS to track wider range of infections Mandatory reports to give patients more information and drive down infections NHS patients are set to get more access to a wider range of information about healthcare associated infections in a drive to improve quality of care, Health Secretary Andrew Lansley announced today. From next year, hospitals will be required to monitor reported infections of Meticillin Sensitive Staphylococcus Aureus (MSSA) and E. coli, which have been rising in recent years. Extending mandatory surveillance will identify the true scale of the problem and lead to improved standards in hospitals as patients start to use this information to make informed decisions about their healthcare. Health Secretary Andrew Lansley said: “Patients deserve the highest standards of care and expect to be kept safe from harm in hospital. We are now publishing weekly MRSA and C.difÀcile statistics, enabling patients to make an informed decision about where to go for treatment, based on the issues which matter to them. “We will extend our system of mandatory reporting in the New Year to include MSSA from January 2011, with others like E.coli to follow in line with expert advice. “Armed with the right information, patients themselves will drive up standards in the NHS as they decide where they want to go based on the best available data. This is a vital thrust of our reforms to build a patient-centred NHS that achieves outcomes for patients that are among the best in the world.” Mandatory surveillance can help to reduce the number of infections by: identifying the risk factors for infection on a national basis; allowing the comparison of organisations performance locally; collating infection rates, and risk factors, on a national basis; and allow the development of interventions and some assessment of the effectiveness of these. Voluntary surveillance Àgures show that since 2005 there has been a 37 per cent increase in E. coli bacteraemia reports and although the number of MRSA bacteraemias has declined since 2004/5, there was been an increase in MSSA infections from 2000 until 2009. Many of these cases may not be healthcare associated infections (HCAIs), as people can get both MSSA and E. coli infections away from hospitals. Mandatory surveillance will help to identify origins of infections, and intervene to drive down infections that are occurring in healthcare settings. Andrew Lansley added: “This is part of our transparency drive across Government. Making more information on the NHS available to patients and the public is the key to improving patient choice and accountability as well as better outcomes for patients. “We have seen the impact that mandatory surveillance can have, with lower MRSA and C.difÀcile rates by extending that surveillance and making it available to patients in a timely and transparent manner, we aim to successfully drive down other infections.” MRSA and C.difÀcile Àgures are already published on a weekly basis on www.data.gov.uk.

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Colleagues from the NufÀeld Orthopaedic Centre in Oxford, where Mr AshÀeld, 46, works as a senior operating department practitioner, also got into the spirit by wearing a selection of pirate outÀts. They started dressing up as pirates together with fellow medics four years ago to raise money for Cancer Research. Their pirate-themed wedding even culminated in the bride and groom exchanging piratestyle vows at their ceremony. Source: Metro

Ardentia Updates Theatre Performance Module to Help NHS Trusts Improve EfÀciency and Cut Costs Solution gives Trusts access to speciÀc evidence of patient and session detail, helping to identify areas for savings and improved efÀciency in operating theatres. Healthcare intelligence specialist Ardentia has introduced an updated version of its Theatre Performance Module, which is designed to help NHS managers and clinicians better manage operating theatre utilisation, and identify areas for improving efÀciency and patient care. Operating theatres are a major cost element in the delivery of acute care, with average theatre running costs estimated at £4,000 per session. A 2010 study by the NHS Confederation showed that typically only 47% of active theatre hours constituted actual procedure time, with late starts, early Ànishes and turnaround time accounting for over a third (34%) of the total used time in operating theatres. Ardentia’s Theatre Performance Module gives managers and clinicians a powerful and Áexible means of monitoring and reporting on operating theatre sessions, enabling them to identify speciÀc areas where efÀciency can be improved and theatre resources maximised. According to the NHS Confederation study, operating theatres are often under-utilised with an average of just 34 hours scheduled per theatre per week. Ardentia’s enhanced solution enables close investigation of speciÀc issues, helping to optimise theatre management and patient care.

“The latest Theatre Performance Module enables clinicians and NHS managers to drill down into theatre sessions and identify any issues that arose, such as late starts, early Ànishes and cancellations. It also helps with investigating the reasons behind these issues and the impact on costs. By investigating the utilisation of operating theatres and accessing detailed patient and session information, Trusts can maximise theatre resources and reduce areas of inefÀciency, ensuring waste, not care, is being cut.” The Theatre Performance Module is built on Ardentia’s proven HealthWare performance management solution, meaning staff have access to powerful data validation and transformation capabilities, giving access to the high quality data needed to support robust Ànancial planning and management. The module is easy to implement and conÀgure using template concepts, and saves resource time through its enhanced, userdeÀnable reporting. This ensures clinicians and managers get quick access to targeted and relevant information to support informed management decisions. www.ardentia.co.uk Quote ‘OTJ’

Steve Taylor, sales & marketing manager at Ardentia said:

THE OPERATING THEATRE JOURNAL

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New Med-eBase software offers enhanced medical device test recording test data and incorporates additional comments to provide a comprehensive test database and asset management register for all medical equipment. In this way, the software can be used to plan advance electrical maintenance schedules and re-test information can also be uploaded from the PC-based programme into the tester for fast preparation for re-test sequences. Rigel Medical has launched a new version of its Med-eBase PC software for use with its comprehensive range of medical device testers and advanced simulators. After market feedback, the redesigned Med-eBase V2 includes upgraded features to provide enhanced electronic recording and management of medical device safety testing programmes using vital signs simulators like the SIM range (BP/SP/Uni) among other instruments. Med-eBase was originally developed for medical equipment companies and service Àrms to verify the status of electrical medical equipment in line with IEC 60601-1 and the new IEC62353 inservice safety testing standard.

The latest version enables the user to quickly create bespoke test protocols on a PC before uploading them to the Rigel tester or simulator. It is fully compatible with the Vista and 7 Microsoft Windows operating platforms and features an enhanced interface to allow the user to easily manage the transfer of data using Bluetooth connectivity. Test results can be stored on a local or remote database depending on the needs of individual biomedical service departments, enabling quick and easy access for service technicians and engineers via PCs. As well as all conventional equipment and test data, MedeBase also has the facility to store functional and performance

Importantly, the new multi lingual program uses SQL compatible databases (SQLite, MySQL, MicroSoft SQL Server) and is therefore suitable for use by test engineers and medical facilities managers that utilise advanced database structures to hold medical equipment records. Med-eBase V2.0 can be networked and facilitates a customisable test certiÀcate generator to conÀrm that the medical device under test is safe for use. It is part of a range of added value accessories available from Rigel Medical designed to improve the process of testing electrical medical devices. For more information, including pricing, email: info@rigelmedical.com or call +44 191 5878730. More at www.rigelmedical.com

Ànd out more 020 7100 2867 • e-mail admin@lawrand.com

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Issue 241

Blaze at hospital in Halsall after machine breaks out in Áames A FIRE broke out at an operating theatres of Renacres Hospital. It started after a sterilising machine burst into Áames in the ground Áoor room at the hospital on Renacres Lane in Halsall at around 2pm on Wednesday, September 1. The section of the ground Áoor and nearby rooms were evacuated. A Lancashire Fire spokesman said: “The machine sterilises instruments in the operating theatre, It overheated and started to smoke and then burst into Áames.” The machine was destroyed by Àre and there were scorch marks to other equipment as well as smoke damage to the operating room and ground Áoor rooms. Around 10 Àre Àghters in two Àre engines attended the scene from Ormskirk Fire Station. The spokesman said:“The crews were there for a couple of hours and quickly put the Àre out.” The private hospital which opened in 1987 has 28 single rooms and one double room as well as two theatres. Source: Ormskirk Advertiser

OCTOBER 2010

17


Key workers hail ‘brilliant’ website that helps them to beat the credit crunch A unique website designed to help NHS staff, teachers, police, ÀreÀghters, prison/probation ofÀcers, social workers and other key workers across the UK make their salaries go further has been launched. People working in the public sector can register for free at www. KeyworkersDirect.co.uk to take advantage of a huge range of special offers and promotions designed by local businesses, just for them. www.KeyworkersDirect.co.uk is the only business of its kind in the UK, with over thirty thousand key workers already signed up - a Àgure that is growing daily. Rahul - a nurse working for an NHS Trust in London – says, “I think this is a brilliant idea. We can help and support the local businesses as they support us. It is of great beneÀt for us (key workers).” A Staff Nurse with the Peterborough and Stamford NHS Trust says “I Àrst contacted Keyworkers Direct when my marriage of 26 years failed. Left with debt, a mortgage to pay and no knowledge at all about the legalities of divorce, I did not know which way to turn Àrst. I Googled and found Keyworkers Direct - where I was able to get free Ànancial and legal advice. I have also realised that it can help with many other things like sourcing trust worthy businesses such as builders, electricians, plumbers, gardeners that give discounts to Keyworkers. I registered with the site and am Ànding new things every time I access it.” The website is also designed to give smaller High Street shops and Àrms a boost, by marketing them to it’s rapidly increasing database of users, and in turn encouraging them to choose companies who are involved in the preferred supplier list, rather than those who are not. Businesses beneÀt from being part of a proactive and direct marketing platform. Keyworkers Direct is the initiative of entrepreneurial Essex brothers Bradlee and Daniel Nelson – it is currently being rolled out throughout Essex before going national. Bradlee says “This whole project is community driven – wherever in the UK that community might be - and something that is vitally needed in these tough economic times. It’s about supporting our key workers - many of whom are facing-up to a pay freeze right now – by giving them opportunities to save money. But it is also just as much about promoting local businesses and helping them to grow and develop. It’s a win-win scenario, and I believe that is why we are receiving the backing we are getting for Key Workers Direct.”

EU Authorities Place Cap on Late Payments from Public Hospitals to Device Companies

As www.KeyworkersDirect.co.uk offers businesses a low cost, effective, proactive and direct marketing platform, it has won the backing of many inÁuential individuals and organisations. Steve Clark of Eureka Sales is one of the UK’s leading sales experts. Steve has been handpicked to form an elite team of business mentors which James Caan from BBC’s Dragons’ Den has put together for the Entrepreneurial Business Academy. He afÀrms “This is an incredible opportunity to reach a niche key worker market and you might do well to build this into your marketing program, it could be a great help to you.” Essex Chambers of Commerce Chief Executive Denise Rossiter says “Keyworkers Direct is a dynamic website. It will give businesses a real boost, especially in these challenging economic times. It will not only help them to promote their services and products countywide, but will also provide a unique service to the locality in which they live. Essex Chambers of Commerce is very pleased to endorse Keyworkers Direct.” Find out more at: When responding to articles please quote ‘OTJ www.keyworkersdirect.co.uk

Royal Army Medical Corps (OTT) (ODA) (ODP)

The check is in the mail. Really! Device manufacturers that currently wait as long as 800 days in some EU countries to receive payment from public hospitals are applauding a compromise text for the revision of directive 2000/18/EC on combating late payment in commercial transactions. A key element of the agreement is a new payment cap of 60 days for public authorities. The European Parliament (EP) and the Council came to an agreement on 14 September 2010 that general payment terms for public authorities will become 30 day.

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All PROACT Green System Laryngoscope Handles now feature LED technology for a brighter light output than ever before. The benefits of using LED sources are clear; the spectrum of light emitted can be tailored to give the optimum light output with very little heat and maximum efficiency. They are also robust, withstanding the forces which would damage a bulb to give maximum reliability and the dependability you deserve. All PROACT GS LED handles are fully ISO 7376 compliant. PROACT GS Handles are available in disposable Metal MAX速, standard reusable or autoclavable Hydra速 versions. Our top of the range Hydra速 is fully waterproof and autoclavable up to 300 cycles at up to 138C (3.5 minutes) plus there is no need to remove the LED light source before autoclaving. All our reusable handles are protected by a lifetime product warranty (materials and manufacturing) and a three year warranty on the LED light source. Team these with your choice of PROACT Green System blade from our extensive range for high performance and superb value. Please call us to arrange a demonstration to see for yourself.

www.proactmedical.co.uk 9-13 Oakley Hay Lodge, Great Folds Road, Oakley Hay Business Park, Corby, Northants, NN18 9AS Tel: 0845 051 4244 Fax: 0845 051 4255 e-mail: sales@proactmedical.co.uk


Simple + secure + safe = Sentri The Intersurgical Sentri ETCO2 mask has been designed specifically for End Tidal Capnography for the sedated patient requiring oxygen. The integral port makes it simple and safe to use.

www.intersurgical.co.uk/info/sentri

Quality, innovation and choice

The Operating Theatre Journal  

October 2010 Edition 241

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