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Page 1: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

Toul Meditech

preventing post-operative and surgical site infections

Page 2: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

2 / Toul Title or job number / 7/10/2007

Every infection creates unnecessary suffering for the patient and significant cost for the hospital

Every infection cost around 20.700,00 $ Pennsylvania hospital (USA Cecil Connolly Washington Post, July 13, 2005)

One MRSA Infection cost $27,082, one MSSA Infection $9,661(Dr. Murray Abramson, 9/28/1997 TORONTO, Ont. - Duke University Medical Center)

Every Infection cost approx. $22,000 South Australia(Dr Collignon, an infectious diseases specialist and microbiologist at Canberra Hospital April 9, 2005)

An Infection during a Hip-replacement can lead to permanent invalidity and even lead to amputation of the limb. The costs for the hospital/company ranges from €75.000,-- €150.000.

Page 3: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

3 / Toul Title or job number / 7/10/2007

Numbers of Methicillin-resistentStaphylococcus aureus 2002 in Europe

Page 4: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

4 / Toul Title or job number / 7/10/2007

Toul Meditech technology is a cost efficient solution with quick return on investment• “Money-saver” for hospitals, insurance companies and for the society.

Saving patients from unnecessary suffering caused by infections,re-operation, loss of income etc. Shorter hospital stay, no re-operations, less use of antibiotics etc.

• Money earner for Private hospitals, Insurance companies. Increased number of operations due to a faster flow of patients.

• Toul Meditech technology has no installation cost for additional air and low running costs, is instantly ready to use and easy to handle.

• All together the payback time is very short – avoid one infection and it is paid for.

Page 5: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

5 / Toul Title or job number / 7/10/2007

Toul Meditech technology

• Toul Meditech AB provides Ultraclean Laminar Air Flow.• A HEPA filter separates the bacteria carrying particles from the OR air to

99,97 %. The air is then passed through a sterilized LAF screen(dosposable) that provides a piston of air.

• The TOUL unit can be placed extremely close to the surgical area (the wound). The Ultraclean Laminar Air Flow transports the contaminated particles away from the wound area.

• Toul Meditech technology is proven to be very efficient.studies show results of less than 1 CFU/m air.

Solving the problem – improved surgical environments and better routines

Page 6: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

6 / Toul Title or job number / 7/10/2007

Toul Meditech portfolio

TOUL 200 –Ceiling Mounted Unit

TOUL 400 –Mobile Unit TOUL 300 –

Instrument Table

Page 7: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

And it works…

Results

Page 8: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

8 / Toul Title or job number / 7/10/2007

Samariterhemmet, Uppsala University Hospital, Sweden

Page 9: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

9 / Toul Title or job number / 7/10/2007

Statistics from Samariterhemmet, part of Uppsala University Hospital during 8 years of cruciateligament construction operations

Page 10: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

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Samariterhemmet, Uppsala University Hospital, Sweden

”We have successfully used the TOUL units and our infection rate after cruciate ligament operation has dropped to less than 1%”

Göran Angergård, Chairman, Dept of Day Surgery, Uppsala University Hospital, Sweden

Page 11: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

11 / Toul Title or job number / 7/10/2007

Colony Forming Units (CFU/m3 air)

1 CFU in wound area –low infection risk

0 CFU in wound area –No infection risk

9 CFU in wound area –High infection risk

30 CFU in wound area – Unacceptable

Page 12: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

12 / Toul Title or job number / 7/10/2007

Contamination level in the operating room

CFU’s on the instrument table

Page 13: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

13 / Toul Title or job number / 7/10/2007

Västerås Hospital Orthopedic Dept.Full Back Surgery

Page 14: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

14 / Toul Title or job number / 7/10/2007

Västerås Hospital Orthopedic Dept.Full Back SurgeryCFU test Back Operation

Dag 1: test 3 och 4 without TOUL 400

Dag 2: test 4 without TOUL 400

Page 15: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

15 / Toul Title or job number / 7/10/2007

Södersjukhuset, Sweden

Page 16: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

16 / Toul Title or job number / 7/10/2007

CFU/measurements at Södersjukhuset hospital

Page 17: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

17 / Toul Title or job number / 7/10/2007

Test results

Page 18: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

18 / Toul Title or job number / 7/10/2007

Test results

Page 19: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

19 / Toul Title or job number / 7/10/2007

Karolinska sjukhuset, Sweden

Page 20: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

20 / Toul Title or job number / 7/10/2007

Measurements from Karolinska universitetssjukhuset, Sweden

Page 21: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

21 / Toul Title or job number / 7/10/2007

Hip tumour

Page 22: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

22 / Toul Title or job number / 7/10/2007

Measurements from Karolinska universitetssjukhuset, Sweden

Page 23: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

23 / Toul Title or job number / 7/10/2007

Measurements from Karolinska universitetssjukhuset, Sweden

Page 24: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

24 / Toul Title or job number / 7/10/2007

Motala Hospital, Sweden

Page 25: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

25 / Toul Title or job number / 7/10/2007

Motala Hospital, Sweden

• Primary partial hip prosthesis with cement

• Primary total hip without cement• Primary total hip with hybrid technology• Primary total hip without cement• Primary partial knee with cement• Primary total knee with cement• Total: 295 operations with

Toul Meditech systems• So far, No reported infections

Page 26: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

26 / Toul Title or job number / 7/10/2007

Telge Ortopedi, Södertälje Sweden

Page 27: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

27 / Toul Title or job number / 7/10/2007

920 knee operations with Toul MeditechNo reported infections, so far

Page 28: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

28 / Toul Title or job number / 7/10/2007

Toul Meditech - applications

• Day-Hospital • General surgery• Day surgery increase of O.R for minor surgery Emergency departments• Burn injured patients• Implantation surgery• Patients who are undergoing

chemotherapy• High risk patients• Field hospitals• Keeping sterile conditions

for instruments during surgery

Solving the problem – improved surgical environments and better routines

Page 29: Toul Meditech Presentation 2007.pdf · Toul Meditech technology is a cost efficient solution with quick return on investment ... Solving the problem – improved surgical environments

29 / Toul Title or job number / 7/10/2007

Toul Meditech technology in summarySolving the problem – improved surgical environments and better routines

• Reduction of the contamination in surgical site• Quick and easy solution for producing ultra clean air• Increase of day surgery due to the use of minor rooms

for interventions• Ultra clean air in wound area • Easy to move• Lower investment cost• Easy to use• Easy to clean


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