Operating Room Product Portfolio Tony Phelps CONFIDENTIAL AND PROPRIETARY - FOR INTERNAL USE ONLY. NOT FOR PUBLIC DISPLAY OR COPYING UnoVac, HandyVac,

Operating RoomProduct Portfolio

Tony Phelps

CONFIDENTIAL AND PROPRIETARY - FOR INTERNAL USE ONLY. NOT FOR PUBLIC DISPLAY OR COPYING

UnoVac, HandyVac, MiniVac and OP-Flex are trade marks of Unomedical a/s. Realize the possibilities is a trade mark of ConvaTec Inc. All other trade marks are the property of their respective owners. © 2012 ConvaTec Inc. AP-013148-MM EM

Operating Room Product Overview

Operating Room

Wound Drainage Systems

UnoVac™ System

HandyVac™ System

Passive Drainage High Vacuum

Suction Systems

Standard OP-Flex™ Range

OP-Flex ™ Flexible

Yankauer System

CONFIDENTIAL & PROPRIETARY

High Vacuum System

UnoVac™ System

Passive Drainage System

HandyVac™ System

HandyVac ™ ATS System

Wound Drainage Systems

Wound Drainage

Drainage systems may be used to drain fluid, mostly blood, from surgical wounds after an operation.

Low Vacuum

Passive Drainage

High Vacuum (except close to intestine and glands)

A key element in infection control and in facilitating the healing and mobilization process.

Why do we need wound drainage?

The process of facilitating and collecting post-operative bloodshed in order to avoid haematomas.

Without drainage the fluid;• Is a medium for infection• Prolongs the healing process• Causes pain to the patient

The ideal wound drainage system

Removes blood effectively

Reduces the risk of wound infection

Gentle to the tissue

What Are Wound Drainage Systems?

A sterile, single-use medical device consisting of:-

•Catheter – different types, sizes, materials (PVC or Silicone)• Trocar (usage optional)• Connecting Tube• Receptacle – Bottle / Bag• Bellows

Where are they used?

Predominantly where surgical procedures are performed;• Theatres – All specialities• Day Surgery Units• Recovery

Wards will need to have stock of spare receptacles for replacement

Types of Drainage Systems

Low vacuum• HandyVac™ System• UnoVac™ System• MiniVac™ System

Initial vacuum pressure • 50 – 120mmHg

HandyVac™ System: Low vacuum system

Trocar

Bellows

Hanger

ClampConnector

HandyVac™ System

700 ml

125 ml

With/withoutbottom outlet

Non-Return Valves – infection prevention

Non-ReturnValve

No reflux of fluids

Suction Efficiency

Excellent suction curve (in-vitro) - 25/65 mmHg• Minimises risk of hole closure• Minimises risk of tissue damage• Used for head, back and

abdominal surgery

Data on file. Test report: Suction pressure as a function of suction amount. 26 th September 2007.

Suction Pressure as a Function of Suction AmountHandyVac System with 700 ml bag. Ref nr. 400977182

HandyVac™ System

Low vacuum drainInitial vacuum pressure

• 65mm HgBellows capacity

• 125ml Bag

• 700mlDrain Sizes

• Ch 8,10,14,18Bags with or without tapsTwo non-return valves (NRV)

• Bag NRV prevents reflux • Drip chamber NRV

– eliminates need for clampsRedon spiral drain

HandyVac™ System Competitors

Bellovac™ System

Exudrain™ Mini System

Abdovac™ System

HandyVac™ System Competitors

Redax™ SystemRedax™ Silicone System

LowVac™ Plus System

The UnoVac™ System

Bellows

Trocar

Ulmer drain

Protective cap

Filter

600 ml

300 ml

UnoVac™ System

How to establish the vacuum

Press with two thumbs No clamps needed

Simple and time saving

Non-Return Valves – Infection prevention

2 Non-Return Valves

What are the advantages of the UnoVac™ System?

Low or passive drainage Supplied as a closed hygienic system With profuse secretion it is possible to change the bag Constant suction level Easy visual control of remaining vacuum High capacity of 900 ml ( bellows 300 ml / bag 600 ml)

Almostfull

Passive drainage

Suction Efficiency

Excellent suction curve (in-vitro) - 110/95 mmHg to 50/60mmHg• Minimises risk of hole

closure• Minimises risk of tissue

damage• Suction Peak- almost full

Data on file. Test report: Suction Curves at 15 ºC and 25 ºC . 6 th February 2001.

Suction Pressure as a Function of Suction AmountUnoVac™ System

Low Vacuum – MiniVac™ System

Small 30ml bellows Initial suction vacuum

• 80 mmHgSizes

• Ch 6 Redon spiral PVC drain• Ch 8 Ulmer PVC drain

Used primarily in • Faciomaxillary (MaxFax)• Head & Neck surgery • Hand surgery

MiniVac™ System Competitors

Mini-Exuvac™ System (Minimed/procar3e/GB-UK)

Exudrain™ Mini System (Astratech)

Red-0-pak™ System (Vygon)

Mini Redovac™ System (B.Braun)

LOW VAX™ System (Athrodax)

High Vacuum

High Vacuum System

Initial vacuum pressure • Above 400mmHg

600ml bottle • Drain sizes Ch 10,12,14,16,18

400ml bottle • Drain sizes Ch 10,12,14,16

Non Return Valve • 600ml bottles only

Redon spiral drain

High Vacuum - Competitors

Redovac™ System (B.Braun)PREVAX™ / Econovax™ Systems (Athrodax)Drenofast™ (Nikomed)Safe-t-Vac™ System (Pro-Care/Minster/Meddis/GB-UK)Medinorm™ System (Summit)

Passive drainage

PassiveNo negative pressure

• gravity only (25mmHg) Ulmer drain Soft 90cm tube 700ml drainage bag Sizes Ch 20,24,28

Passive Drain - Competitors

Robinson System (Portex)Drentech System (Summit)

Drains

Unomedical Range of Drains

Single use solid trocarPVC or Silicone drainsDifferent perforationsDetectable X-ray lineBlack indicator marks

Spiral drain

Redondrain

Corrugated drain

Slit drain

Ulmer drain Silicone drain

Wound Drain Perforations

Silicone vs. PVC

Silicone is inert (does not react with tissue),soft and pliable. Enviromental issues with PVC – clorinated by-products of incineration. Silicone: the most researched and tested material for implantable applications.

Multiple narrow ducts provide fluid entry at any point

Radiopaque

Flat Drain

Features of Round Drains

Four continuous channels providegreater tissue contact area than regular perforated drains

Constructed of silicone with solidcenter designed for strength andflexibility

Offers multiple drainage routes to resist clogging

Smaller, more flexible tube

Due to channel design, removal may beless traumatic to surrounding tissues incomparison to designs with holes

Various

Flexible Yankauer

Standard

Filter Flow System

OP-Flex™ Range of Suction Systems

Suction in Surgery

Why is suctioning neeeded in surgery? During operations it is necessary to remove blood and fluid in order to maintain an unobstructed view of the operating are and organs.

The surgeon uses suction handles (linked to vacuum) of different kinds to keep the area free of blood and fluids to have a clear view of the surgical field.

The production of a vacuum or partial vacuum in a cavity or over a surface - so that the external atmospheric pressure forces the surrounding fluid or blood, into the suction handle – through the tubing to the canister on the floor.

The handle is THE tool for the surgeon

An operation suction set consists of a suction handle and a connecting tube.

The connecting tube is connected to a canister which can be either reusable or disposable.

The canister is connected to a vacuum source having a vacuum of 2-400 mmHg mm/Hg

How does a vacuum source work?

Historic Overview - Yankauer

Developed approximately 1907 by Dr. Charles Yankauer, the Yankauer Suction Instrument has become the most common suction instrument in the world. It's primary use is to aspirate fluid and debris from either a surgical site or orifice, e.g. the mouth.

Yankauer Tips

Conventional yankauer – all surgeries Tapered yankauer – narrow cavities Flattened yankauer – between nerves and muscle fibres Sump yankauer – delicate tissue Super Flow – AAA or trauma Poole – delicate tissue

OP-Flex™ Suction Handles

Tapered

Conventional

Flattened

OP-Flex™ Range

ErgonomicSuction handle

With/withoutVacuum control

Detachable – easy to change Different tips

available

OP-Flex suction handles are supplied both with and without vacuum control

When the hole is uncovered there is no suctioning.

When the hole is covered suctioning takes place.

Detachable Handles

Relieving eyes

Designed to minimise the risk of tissue damage

Relieving Eyes

OP-Flex Connecting Tube

Anti-kink connectors • Unrestricted flow through the system• Full maneuverability in all positions.• Cut -to-fit connector at the distal end

to enable a fit to all canisters

Anti-kink Connector

Unrestricted flow through the system with no risk of stopping the suctioning due to kinking.Full maneuverability in all positions which is very important as the surgeon will often have very limited space

To enable a fit to all canisters

Cut-to-fit Connector - Universal

Flexible bendable tipPrecise handling & maximizes protection of internal organs.

Integrated basketIncreases the safety of loosing the tip.

Transparent materialEasy observation of blood.

Ergonomic handleNon-slip safe-grip groove.

Integrated universal connectorSecures firm connection to suction tube.

OP-Flex™ Flexible Yankauer Handle

Dahlhausen

Pennine

Competitors

The OP-Flex™ FilterFlow Suction Set

What is included in the Op-Flex™ FilterFlow Set?

FilterFlow handle containing a filter.One extra filter included.3 tips packed in set

•1 short bent •1 long bent•1 long straight

Indication Intra femoral suctioning.OP-Flex connecting tube.

Single packed filters are available in boxes of 20

Patented filter system prevents inconvenient and time-consuming blockages.

The patented cross-flow filter allows fluids to pass through with minimal damage, yet traps debris that could clog conventional suction sets.

FilterFlow Filter

MalleableTip with stylette

X-Ray line

2 different lengths

Graduatedconnector

The OP-Flex™ Frazier Suction Handle With/without

Vacuum control

Where are Frazier Handles used?

Neurological surgery Plastic surgery Cardiac surgery Ear-Nose-Throat Other operation field where a small suction handle is used to access

Close up features

Flexible due to the stylette

Vacuum control Easy to connect to tubing

Disarp™ - Disposable Abdominal Retracting Pad

Unique UnoMedical product X-ray detectable 45 cm and 25 cm lengths

The Disarp™ Device was developed to protect and retract soft tissue during surgery in order to keep the operating field visible, clean and free of blood and fluids.

Benefits of the Disarp™ Device

Can be bent into desired position. Can be placed in small areas in the operation field. Excellent absorption of blood and fluids. X-ray detectable.Absorption capacity of short Disarp 100ml. Absorption capacity of long Disarp 200ml.

Retractorpads™ – Competitor

Inserting the Disarp™ Device

Decision Makers in the Hospital – OR products

Economic Gatekeeper

Clinical Gatekeeper

Economic Influencer

Clinical Influencer

Economic Decision

Clinical Decision

Surgeon Surgeon Nurse Nurse Purchaser Purchaser Tender Tender

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Operating Room Product Portfolio Tony Phelps CONFIDENTIAL AND PROPRIETARY - FOR INTERNAL USE ONLY. NOT FOR PUBLIC DISPLAY OR COPYING UnoVac, HandyVac,

handyvac system low

handyvac system competi

ideal wound drainage

em slide

function of suction

risk of wound infection

return valves nrv bag

drain sizes ch

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