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Operating RoomProduct Portfolio
Tony Phelps
CONFIDENTIAL AND PROPRIETARY - FOR INTERNAL USE ONLY. NOT FOR PUBLIC DISPLAY OR COPYING
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)
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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
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The ideal wound drainage system
Removes blood effectively
Reduces the risk of wound infection
Gentle to the tissue
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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
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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
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Types of Drainage Systems
Low vacuum• HandyVac™ System• UnoVac™ System• MiniVac™ System
Initial vacuum pressure • 50 – 120mmHg
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HandyVac™ System: Low vacuum system
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Bag
Drain
Trocar
Bellows
Hanger
ClampConnector
HandyVac™ System
700 ml
125 ml
With/withoutbottom outlet
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Non-Return Valves – infection prevention
Non-ReturnValve
No reflux of fluids
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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.
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Suction Pressure as a Function of Suction AmountHandyVac System with 700 ml bag. Ref nr. 400977182
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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
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HandyVac™ System Competitors
Bellovac™ System
Exudrain™ Mini System
Abdovac™ System
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Author
Are these competitors up to date?What are the full names of the products?
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HandyVac™ System Competitors
Redax™ SystemRedax™ Silicone System
LowVac™ Plus System
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The UnoVac™ System
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Bag
Bellows
Trocar
Ulmer drain
Protective cap
Filter
600 ml
300 ml
UnoVac™ System
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How to establish the vacuum
Press with two thumbs No clamps needed
Simple and time saving
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Non-Return Valves – Infection prevention
2 Non-Return Valves
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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)
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Start
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.
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Suction Pressure as a Function of Suction AmountUnoVac™ System
Used primarily in • Faciomaxillary (MaxFax)• Head & Neck surgery • Hand surgery
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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)
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High Vacuum
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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
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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)
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Author
Again, are brands/manufacturers up to date?
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Passive drainage
PassiveNo negative pressure
• gravity only (25mmHg) Ulmer drain Soft 90cm tube 700ml drainage bag Sizes Ch 20,24,28
Single use solid trocarPVC or Silicone drainsDifferent perforationsDetectable X-ray lineBlack indicator marks
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Spiral drain
Redondrain
Corrugated drain
Slit drain
Ulmer drain Silicone drain
Wound Drain Perforations
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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.
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Multiple narrow ducts provide fluid entry at any point
Radiopaque
Flat Drain
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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
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Various
Flexible Yankauer
Standard
Filter Flow System
OP-Flex™ Range of Suction Systems
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Suction in Surgery
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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.
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The handle is THE tool for the surgeon
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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?
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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.
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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
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OP-Flex™ Suction Handles
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Tapered
Conventional
Flattened
Sump
Poole
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OP-Flex™ Range
ErgonomicSuction handle
With/withoutVacuum control
Detachable – easy to change Different tips
available
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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.
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Detachable Handles
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Relieving eyes
Designed to minimise the risk of tissue damage
Relieving Eyes
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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
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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
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To enable a fit to all canisters
Cut-to-fit Connector - Universal
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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
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Tyco
Dahlhausen
Pennine
Astra
Competitors
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The OP-Flex™ FilterFlow Suction Set
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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
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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
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MalleableTip with stylette
X-Ray line
2 different lengths
Graduatedconnector
The OP-Flex™ Frazier Suction Handle With/without
Vacuum control
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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
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Close up features
Flexible due to the stylette
Vacuum control Easy to connect to tubing
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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.
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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.