Cot SURGICAL SUCTION Sep-T-Vac Collection

Cot SURGICAL SUCTION • • • Sep-T-Vac Collection systems Yankauers Connecting tubes Suction Catheters Devon

Surgical Suction Objectives • Operating Room: To remove biological fluids and clean the operating field during and after surgical procedures and after • Generic Wards: To continue to drain and monitor liquids after surgical procedure and generally to collect biological fluids

Surgical Suction What you need • Vacuum source • Connecting tubes (from wall collection systems and from collection systems to the cannula • Collection systems (Sep-T-Vac) • Suction Cannulas (Yankauers)

Surgical suction Operating room Sterile Area Non Sterile Area Suction source Yankauer Pre-cutted tube Operating table Bubble tube Collection Chamber

Sep-T-Vac Tyco Product Range • Product range – 100% Disposable 0, 8 l/1, 2 l/2. 0 l/3, 0 l – Liners 1, 2 l/2, 0 l/ 3, 0 l

Sep-T-Vac Main Features • Collection chamber • Airtight cap: Connections for yankauers and suction source • Filter

Sep-T-Vac Collection chamber

Sep-T-Vac Cap

Sep-T-Vac Filter • Sep-T-Vac filter: – Gore Tex Hydrophobic shut-off filter. Gore Tex is moisture sensitive and it automatically stops aspiration when collected liquid is at the top of the chamber. – It is not a mechanical system an it prevents also micro-particles and aerosol leakages

Sep-T-Vac Overall Features and Benefits

Sep-T-Vac 100% Disposable Features and Benefits

Sep-T-Vac Liners Features and Benefits

Sep-T-Vac Accessories

Yankauers Tyco Product Range • • • Semirigid Yankauers Rigid Yankauers Poole Yankauers Select Trol Yankauer set

Surgical suction Yankauers: Product range Yankauer Select Trol Flexible yankauer Rigid yankauers Poole set

Yankauers Main Features • Tip: different shapes and distal hole section to better fit customers needs – Fine: Accurate aspirations with low quantity of fluids (mini-invasive surgical procedures. ie: neurosurgery and oftalmic) – Regular: General surgery – Large: High suction volume (to use after washing procedures and with high volume to drain)

Yankauers Main Features – Extra Large: to suction high volume of fluids, blood clots, bony fragments in short time – Sump tip: to avoid the bony fragments and organic residuals suction (preferred in orthopaedic surgery) – Bulbe tip: it is used as dissector and retractor instrument – Flat tip: indicated for suctioning in difficult manoeuvrability situations and to suction in short places

Semirigid Yankauers Features and Benefits

Rigid Yankauers Features and Benefits

Yankauer Poole Features and Benefits

Select Trol Yankauers Features and Benefits

COMPETITOR ANALYSIS

Connecting tubes Tyco Product Range Argyle conn. tube Sure Grip

Connecting tubes with Sure grip Features and Benefits

Universal bubble tubing Features and Benefits

COMPETITOR ANALYSIS

Bronchial Suctioning Anathomy

Bronchial Suctioning Objectives • To suction mucus from the bronchi and trachea (to guarantee the correct lung ventilation and “blood oxygenation” vs nosocomial infections and atelectasia)

Bronchial Suctioning What you need • Vacuum source • Connecting tubes • Suction catheters • Mucus trap

Suctioning Type of…. . • Naso-Tracheal suctioning • Endo-Tracheal suctioning • Tracheostomy suctioning

Suctioning Risks • Damage of nasal, oral, tracheal, pharinx and bronchial tissue • Bleeding • Infections

Suction catheters Main features • Tip: It is related to the efficiency in aspiration (speed and suctioning capacity of viscous mucus) and tissue damage • Connector to vaccum • With Touch Trol or Funnel or Sure Grip

Suction catheters • Type of suction catheter systems: – Opened systems • Through nose/mouth • Through endotracheal tube • Through tracheostomy – Closed systems • Prevention of pulmonary infections

Suction catheters Opened systems Suctioning through a tracheostomy

Suction catheters Tyco Product Range • Commodities products: Touch Trol Scotsman Sure Grip • High quality and exclusive products: Aero-Flo Gentle Flo

Suction catheters Overall Features and Benefits

Moulded Funnel Features and Benefits

Aero Flo Features and Benefits

Aero Jet Features and Benefits e E v lusi xc

Suction Catheters Closed systems

Prevent Nosocomial Infection

Prevent Nosocomial Infections sources of infection endogene germs patien-own germs exogene germs direct contact (hands of staff) indirect contact (equipment, med. products, air) because of these reasons there are no hospitals without nosocomial infections !

Prevent Nosocomial Infections most important reasons for nosocomial infections – spreading of resistent pathogenes – increasing disposition of the patients – increasing exposition to bacteria with burst of the body defense – ignoring of the hygiene measures – non correct use of the products – rising average of our patients

Prevent Nosocomial Infections Main NI • Airway infections (30%) • Urinary tract infections (30%) • Surgical wound infections (15%) • Blood infections (5%) Gastrointestinal infections (5%) Others (15%) *chart of Italian Society on prevention of Infections

Prevent Nosocomial Infections prevention of nosocomial respiratory infections stationary treated patients / p. a. : nosocomial infections / p. a. : ca. 16. 000 ca. 1. 000 number of deadly nosocomial infections: ca. 30. 000 40. 000 number of road casualties: ca. 12. 500 annually more people die of nosocomial infections than. Zastrow (BGA Berlin) *chart of Prof. Klaus Dieter on our

Prevent Nosocomial Infections • Infections to the respiratory tree are the first for patient mortality with 47% • To prevent respiratory infections it is really important to correctly manage medical devises

Prevent Nosocomial Infections Costs of NI • • UTI: from 200 to 1, 000 US $ Wound infection: from 2, 000 to 4, 000 US $ Airway infection: from 1, 200 to 8, 000 US $ Blood infections: from 2, 500 to 27, 000 US $ Italian Society studies on Nosocomial Infection (European panel)

Mucus traps Objectives • Objective: to collect mucus for clinical analysis Specimen Trap De lee/Lukens for broncoscopy use neonatal use

Mucus trap Overall Features and Benefits

Mucus Trap Overall Features and Benefits

Surgical Suction Targets Intensive Care Dept. Surgical Depts Pneumology Customer Nurse