The Operating Theatre Journal July 2022

THE THE

THE

SEPTEMBER JULY 2020 2022 2020 ISSUE NO. 360 382 360 ISSN 0000-000X 1747-728X

SEPTEMBER 2020 ISSUE NO. 360 ISSN 0000-000X

The The Operating Theatre Theatre Journal

Journal

OTJONLINE.COM

OTJONLINE.COM

The The Leading Leading Independent Print Print & Digital & Digital Journal Journal For For ALL ALL Operating Theatre Theatre Staff

Staff

The Leading Independent Print & Digital Journal For ALL Operating Theatre Staff

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References:

1. McDonnell G and Russell, AD. “Antiseptics and Disinfectants: Activity, Action and Resistance.” Clinical Microbiology Reviews 12.1 (1999): 147-79. Print.

2. Genuit, Thomas, Grant Bochicchio, Lena M. Napolitano, Robert J. McCarter and Mary-Claire Roghman. “Prophylactic Chlorhexidine Oral Rinse Decreases Ventilator-Associated Pneumonia in Surgical ICU

Patients.” Surgical Infections March 2001, 2(1): 5-18. doi: 10.1089/109629601750185316.

3. http://www.teleflex.com/en/usa/productAreas/vascularAccess/documents/faqs/ CVC_ARROWg+ard% 20Clinical%20Bibliography%202011-0381.pdf.

4. Mangram AJ, Horan TC, Pearson ML, Silver LC and Jarvis WR. GUIDELINE FOR PREVENTION OF SURGICAL SITE INFECTION, 1999. The Center for Disease Control. Accessed August 13, 2012.

5. CT Contrast Media Power Injectors Can Rupture Conventional IV Sets, Pennsylvania Patient Safety Advisory, Vol 5, No 4 – December 2008.

6. Fleischmann, D. “Contrast Medium Injection Protocols for CT Angiography.” Controversies and Consensus in Imaging and Intervention, 2006, Vol. 4, Issue 2, p. 24.

7. Central Venous Catheters | LA | Teleflex.

8. ECRI Institute. A high-pressure situation: conventional IV sets can burst when used with CT contrast media injectors [hazard report]. Health Devices 2004 Mar;33(3):100-2.

Teleflex, the Teleflex logo, Arrow and Arrowg+ard Blue are trademarks or registered trademarks of Teleflex Incorporated or its affiliates, in the U.S. and/or other

countries. Information in this material is not a substitute for the product Instructions for Use. Not all products may be available in all countries. Please contact your

local representative. Revised: 09/2021. © 2021 Teleflex Incorporated. All rights reserved. MCI-100431 · REV 0 · 11 21

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THE THE

THE

SEPTEMBER JULY 2020 2022 2020 ISSUE NO. 360 382 360 ISSN 0000-000X 1747-728X


The The Operating Theatre Theatre Journal

Journal

OTJONLINE.COM

OTJONLINE.COM

The The Leading Leading Independent Print Print & Digital & Digital Journal Journal For For ALL ALL Operating Theatre Theatre Staff

Staff


Plan for digital health and social care will help

alleviate staffing pressures across the NHS

The Association of Professional Staffing Companies (APSCo) has welcomed the plan for digital health and

social care announced today by the Department for Health and Social Care. The plan outlines how the

Government will accelerate the use of digital technology across the NHS and social care to improve efficiency

and free up frontline workers’ time.

In addition to the investment in technology, the plan recognises the need to bolster skills across the

healthcare arena, outlining plans to:

*Develop a National Digital Workforce Strategy to bridge the skills gap and ensure the NHS remains an

attractive place to work

*Grow the specialist data and technology workforce needed to support digital health and social through

creating an additional 10,500 positions for graduates, apprentices and experienced hires

*Embed digital skills development into university curriculums to support future and incoming workforces

*Provide a digital learning offer for adult social care staff, such as offering accessible training and online

resources.

Tania Bowers, Global Public Policy Director at APSCo commented: “The healthcare sector is still trying to

catch up on the backlog that was created during the pandemic, so any move to alleviate some of the time

pressures on already over-stretched workers is welcome. With the Government’s Health and Social Care

Committee currently running inquiries around digitising the NHS and bolstering skills, the plan for digital

health and social care sets solid foundations for change.

“The announced National Digital Workforce Strategy will be key to not only supporting the healthcare sector

in general, but will also maximise the potential of the integrated care systems (ICS). This latest news should

help improve access to skilled workers and ensure they are deployed in the right care settings at the right

time to unblock patient delivery issues caused by a lack of available resources.

“Simplification across hiring frameworks in healthcare is still needed, though. In fact, APSCo launched its

dedicated Compliance+ accreditation for the clinical and healthcare sector this week in a bid to create a

consistent recruitment standard that is recognised and utilised across all frameworks, in synergy with NHS

Employers.”

Health Education England Chief Nurse honoured

with alumni award

Mark Radford, Chief Nurse and Deputy CEO at Health Education England, is set to be honoured with an award

for services to the NHS by Birmingham City University.

Mark will be presented with the Alumni of the Year Award as part of the Birmingham City University health,

education and life sciences graduation ceremony on 11 July.

Mark is currently the Chief Nurse at Health Education England as well as the Deputy Chief Nursing Officer for

England at NHS England.

He has helped lead the national nursing response to COVID-19, supported delivery of the national vaccine

programme and other nursing workforce policy in education and practice. He was awarded a CBE in the New

Year Honours List in 2022.

Mark qualified from Birmingham City University (BCU) as a registered nurse on the BSc programme in 1994

and has worked in anaesthetics, pre-operative assessment, perioperative care, critical care and A&E. He

returned to BCU to undertake post graduate study in advanced nursing practice and subsequently his PhD.

He was a Consultant Nurse in Perioperative Emergency Care and expertise developed in a range of areas

including perioperative hypothermia, emergency surgery management advanced nursing practice and nurse

prescribing.

He is also a Professor of Nursing at Birmingham City University, and Coventry University, with research

covering emergency care models, advanced practice, staffing, risk modelling, clinical decision-making,

expertise and sociological issues in healthcare. Mark is currently working with Staffordshire University on

research on nurse and paramedic retention.

Mark said: “I am a bit shocked but absolutely delighted to be recognised by my university. As one of its

alumni, the University and the city has given me so much in my career and personal perspective. From

those early days in Perry Barr campus, I have seen the University continue from strength to strength with the

phenomenal opportunity to change lives through education, as it did with me.”

£2.00

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Inside this issue

Human Factors –

Safer Surgery

Checklist (part 3)

Find out more 02921 680068 • e-mail admin@lawrand.com Issue 382 July 2022 3

P10-12

First Dedicated ‘Block’

Anaesthetic Room

Reduces Hospital Stay

And Improves Recovery

For 1,000 Patients

P13

New report reveals

underestimated risks for

theatre staff and patients

exposed to surgical plume

UK Plastic Surgeons’

expertise supports

Ukrainian colleagues

P15

P16

Wrexham Maelor Hospital

is turning the tide on

plastic

P17

Flemish hospitals to

reduce care services

due to staff shortages

P17

Plea for people to register

their organ donation

decision

P18

Success stories written

by MEDICA

P20

Calling all those involved

in Cataract Surgery

P21

Award winning product

design specialists showcases

latest in Medical Device

innovations

P22

£1.4m fundraising campaign

off to a flying start

P25

Solely Digital Online Journal

Moves Closer!

P28

What are the benefits of

doing an Apprenticeship

P30

Bringing surgical lighting out of the dark ages

Current methods of surgical lighting rely on suboptimal, unergonomic

and outdated technologies that can put unnecessary strain on

surgeons. An innovative in vivo LED lighting device has been developed

to overcome these shortcomings, illuminating cavities from the inside

to avoid shadows and provide wide-angle illumination. Professor N

Gopalakrishna Iyer, Head of the Department of Head and Neck Surgery

at the National Cancer Centre Singapore and Singapore General

Hospital, discusses the collaboration between surgeons and engineers

that led to this innovation.

Surgeons need sufficient illumination to perform operations reliably,

but inadequate lighting is one of the largest shortcomings in operating

theatres. Lighting is more than just brightness, with glare and shadows

also interrupting vision, and contributing to fatigue or eye strain if not

well balanced. Vivo Surgical embarked on a mission with SingHealth

and Panasonic Lighting (Europe) to develop the KLARO in vivo lighting

system, a flexible LED light strip designed to give the best view of the

surgical cavity by illuminating it from within.

Dr Gopal, a key contributor to the project, outlined its origins:

“Current surgical lighting options are extremely limited and outdated,

yet surgeons are simply forced to work around these shortcomings. A

multidisciplinary engineering team visited our hospital, and followed

the activities of surgical teams to identify where novel solutions could

be used to overcome routine challenges. 111 areas were identified,

with surgical lighting being the most important area to improve on.”

Dr Gopal

Shining a light on the limitations of surgical lighting

“Most of my work involves cancer surgery in the oral cavity, which is

like trying to operate in a small, dark cave,” Dr Gopal commented.

“The traditional boom-mounted surgical lights hanging from the

ceiling do very little to illuminate this cavity, and often cast shadows.

Furthermore, surgeons are usually surrounded by fellow consultants,

registrars or medical students, who can block the major source of light.

Even when light is plentiful, the abundance of polished metal and other

reflective surfaces can cause constant glare, increasing eye strain and

fatigue.”

“Wearable headlights were introduced to overcome this, as they allow

the surgeon to focus the light on the site of interest, but these are often

just as problematic,” Dr Gopal added. “Usually, the primary surgeon is

the only person that wears a headlight, which means that as soon as

the surgeon changes focus, the main light source is taken away from

the rest of the team. The headlight also sits just above the eyes, which

is uncomfortable, and becomes a particular hindrance in situations

requiring surgical loupes, as having multiple pieces of equipment on

your head for long procedures can be exhausting.”

Breaking the status quo

“Optimal surgical lighting should offer sufficient – yet comfortable –

illumination, which was the idea behind the KLARO in vivo lighting

system,” Dr Gopal continued. “This device is a sterile, single-use LED

strip, offering four hours of constant illumination from inside the

surgical cavity. The concept is simple – it makes far more sense to

illuminate a cave from the inside, rather than trying to get light in

from the outside – but the design was far more complex. The engineers

identified the available technologies, and we provided first-hand

information about the limitations of surgical lighting, ensuring the

system would be tailored to address these pain points. Early on in the

design process we moved away from spotlighting toward floodlighting.

Flooding a surgical cavity with light provides wide-angle illumination

and minimises shadowing, and a flexible LED strip was the best and

most efficient hands-free approach to achieve this.”

Safety first

“Finding the optimal level of brightness to provide the best clarity

is crucial for safety and staff comfort,” Dr Gopal explained. “For

example, it can be challenging to distinguish the margins between

normal and tumour tissue when they are brightly lit, but dialling the

light down slightly can show the interface much more clearly. Similarly,

a warm, white colour light was determined to be the best choice for

distinguishing between anatomical features, as this shows the surgical

site in the most natural colour. KLARO therefore offers varying light

intensities, which allows the surgeon to choose the optimal setting for

their procedure, and the advanced LED technology maintains a safe

operating temperature of below 38 °C, making the system perfect for

in vivo use.”

Creating surgical lighting equality

“Another key feature of KLARO is its flexibility, not only in meeting the

needs of different operating procedures, but also its compatibility with

different operating theatres. The flexible strip can be used in various

surgeries – from head and neck to pelvic surgery – and, as the system is

self-contained, it can be used regardless of the resources available, and

the surgeon is able to move around freely. This device promises to equip

surgeons in any operating suite with sufficient and safe illumination,

bringing equality to surgical lighting everywhere,” Dr Gopal concluded.

The next issue copy deadline, Friday 26th July 2022

All enquiries: To the editorial team, The OTJ Lawrand Ltd, PO Box 51, Pontyclun, CF72 9YY

Tel: 02921 680068 Email: admin@lawrand.com Website: www.lawrand.com

The Operating Theatre Journal is published twelve times per year. Available in electronic format from the website, 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 above. No part of this journal may be reproduced without prior permission from Lawrand Ltd. © 2022

Operating Theatre Journal is printed on paper sourced from Forest Stewardship Council (FSC) approved paper mills and is printed with vegetable based inks. All paper and ink waste is recycled.

Journal Printers: The Warwick Printing Co Ltd, Caswell Road, Leamington Spa, Warwickshire. CV31 1QD

4 THE OPERATING THEATRE JOURNAL www.otjonline.com

Operating Department Practitioner – New Zealand

Salary from 40,000 pounds per year

Free flights

Assistance with accommodation

Pick up at airport and assistance and resettlement on arrival

Do you want to work at the largest tertiary centre in the South Island?

You will get work-life balance and with adventure never far away from your doorstep, if you are considering a move, this could well be your best

one yet! The Canterbury region provides pristine beaches, gorgeous mountain backdrops and many opportunities for exciting activities, shopping,

and attractions. Want to go snow skiing, fishing, tramping, bungy jumping or for a day out shopping and eating? You can achieve all your dreams

in Canterbury!

This is your chance to join a health system that truly cares. Our client is a world leader in the delivery of integrated healthcare, and right now they

have the opportunity for you!

As a highly skilled Anaesthetic Technician, you will be eager to play a key role in continuing their drive of constant improvement, provide exceptional

care and delivery of service, and enjoy a varied and fast paced environment.

As the largest tertiary centre in the South Island their service also encompasses several other sites across Christchurch and houses state of the

art equipment while offering a varied case mix.

The Role: Where you fit in

In this role, you will be responsible for:

• Providing professional, technical, and clinical assistance to Anaesthetists.

• Preparing equipment within operating theatres or areas where anesthesia is provided.

• Anticipate problems and exceptional patient care.

• Mentoring trainee Anaesthetic Technicians.

You must:

• Have a recognised qualification within New Zealand or international equivalent.

• Have registration with the Medical Sciences Council (or eligibility to obtain) and an Annual Practising Certificate

• Having a minimum of 2 years’ experience is preferable but not essential.

• Have strong interpersonal skills.

• Be motivated to embrace challenges and change as well as being able to work in challenging environments.

We can provide the successful applicants with:

• Assistance with registration, immigration, and relocation processes

• Reimbursement of registration fees with MSCNZ and APC

• Contribution towards relocation costs

• Payment for accommodation and flights

For interviews or for any questions you may have regarding this fantastic opportunity please contact info@accent.net.nz

Free call from the UK 0808 23 444 68

Or WhatsApp 006421 403143


Bender install state-of-the-art theatres

at Merlin Park Hospital in Galway

Bender’s unique glass CP9 touchscreen theatre control panels provide

control and monitoring of the operating room equipment through

a central location. Each 24-inch CP9 provides the alarm status of

ventilation, surgical and room lighting and monitors medical IT power

provision for the facilities. This includes a schematic display for the

two operating theatres that can pinpoint the location of any electrical

faults and power issues, and remote monitoring of the medical IT power

(IPS) and uninterruptible power (UPS) installations within the building.

Utilising the CP915 (15” touchscreen) located outside the theatre door,

Bender have developed a clinical information portal that allows staff

to view the status of the theatre before entry, whilst displaying the

in-use status of the room and warning about x-ray and laser activity

in-theatre.

Two new elective orthopaedic theatres at Merlin Park University

Hospital in Galway have been equipped with Bender state-of-the-art

operating theatre equipment, advanced medical IT power systems, and

residual current monitoring devices for ultimate resilience and safety.

Construction of the new €10.57 theatre building in the grounds of Merlin

Park hospital began in March 2021 and was handed over in April 2022.

Varming Consulting engineers acted as M&E Designers and M&E Ancillary

design certifiers under BCAR.

Following a successful tender process, the electrical installation package

was awarded and completed by Limerick-based, H&F Electrical. For the

critical power and theatre clinical package, H&F Electrical secured the

services of Bender Ireland. H&F Project Manager Chris McBrearty said:

“We have used Bender several times on medical projects and their

knowledge, expertise and professionalism made awarding this project

to Bender an easy choice to allow H&F to deliver an extremely high

standard of work for our client.”

The development by HSE West Saolta University Health Care Group

comprises the 620m² theatre building, recovery suite, ancillary

accommodation and plant facilities to support the two theatre suites.

Both theatres are equipped with Merivaara Q-Flow LED surgical lights

and monitor arms, offering best in class illumination, colour rendering

and anti-shadow technology. Q-Flow operating lights incorporate

space between the inner and outer part of the light to allow air to pass

through the light, reducing air turbulence and optimising clean airflow.

This is vital for orthopaedic surgery to reduce the risk of infection.

The lights incorporate 4K cameras linked to 55-inch monitors mounted

on hydraulic arms, and each theatre has dual 42inch vertical customised

Bender PACS displays for viewing patient scans, x-rays and other

medical data.

Within the recovery area, an additional CP915 alarm panel operates

at the nurse station to display a complete architectural layout of the

five bed-bays in the recovery suite. It continually monitors non-critical

power systems, lighting and other infrastructure using Bender residual

current monitoring technology (RCM) and displays alarms that clinical

and technical staff can easily understand and respond to.

RCM identifies potential issues with all TN (grounded) electrical

systems at a pre-critical stage and enables predictive and preventive

maintenance, avoiding power outages. Power quality measuring devices

(PQM) provide data to effectively manage power usage, cut energy

costs and reduce the carbon footprint of medical facilities.

Bender medical IT systems deliver no-fail power supplies to the

operating theatres and incorporate ATICS auto-changeover technology

with a second source of power supply to the operating rooms. ATICS is

purpose-designed for medical applications with patient safety at the

core of its development. The system assures total resilience for the

medical IT systems and 2 x 60KVA UPS with full HTM compliant battery

backup systems.

RCM and PQM devices deliver extensive data on the TN network, and

along with all of the medical IPS and UPS equipment are connected

to Bender’s POWERSCOUT® reporting software. That provides realtime

remote monitoring and gives hospital engineers an accurate

representation of the electrical infrastructure. POWERSCOUT® enables

facilities managers to track and manage energy use more effectively

and analyse power system performance from different areas of the

facility. Importantly, the automated report on residual current and

power quality forms the basis for verifying the integrity of the system

without switch-off, which negates the burden of periodic inspection

and testing.

Chris Simmons, Country Manager for Bender Ireland, explains: “The

installation at Merlin Park is instrumental in continuously developing

capability for assisting healthcare projects in Ireland. Bender Ireland

is now one of the few companies with the knowledge and expertise to

supply and deliver a full turnkey theatre package, and this project has

been fully delivered by our local experts in Ireland.

“Merlin Park represents the next step for operating theatre technology

and the highest level resilient power in medical facilities. Clinical staff

can access the latest technology and record and stream operations in

real-time.


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Supported by:

Advanced touch screen panels provide intuitive fingertip theatre

control, and access to patient scans and data will ensure optimum

efficiency and patient safety in the new facilities.”

Gareth Brunton, Managing Director of Bender UK adds: “This project

represents the total capability that Bender offers to hospitals. Not

only does it include power and operating room technology, but we

also worked closely with consultants, our internal engineers and

Bender GmbH to develop a full power and energy monitoring system,

customised theatre control panels and resilient power systems. It

perfectly demonstrates what the future of operating rooms could look

like.

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“The incorporation of RCM underpins the resilience of the power

supplies within the new facility and will assist predictive maintenance

for maximum availability of the theatres to improve patient outcomes.

It allows Bender to offer support through remote monitoring of the

systems and enhances immeasurably the services we can offer to Merlin

Park.”

The two new theatres are set to make a key contribution to restoring

full elective orthopaedic procedures at Merlin Park and support the

much-needed reduction of waiting list times by enabling the hospital to

carry out up to 4,000 procedures each year.

www.bender-uk.com

When responding to articles please quote ‘OTJ’

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Join our Group

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Purpose-built pacing theatre powered by Alphenix Sky goes

live at Countess of Chester Hospital

Enhanced image quality, lower dose and quicker procedures to meet the increasing needs of ageing patient population in the area

Cardiac rhythm management and bradycardia pacemaker implantation

services have been enhanced for patients at the Countess of Chester

Hospitals NHS Foundation Trust following the installation of a new

Alphenix Sky ceiling-mounted C-arm.

The bespoke pacing theatre, a turnkey project with Canon Medical

Systems UK, included the replacement of a 15-year-old incumbent

system with the latest interventional imaging technology to improve

image quality, reduce dose and speed up procedures. The remodelling

of the room also included lighting modifications to the right and left to

enable greater versatility of pacing on both sides of the patient.

adding further potential to keep evolving in tune with the future of

healthcare,” adds Gareth Buckingham.

“The Canon Medical turnkey team was excellent to work with. The

project was planned well in advance and collaboration with the wider

hospital teams, such as IT networking, was superb. We had a good

plan and kept on schedule, which was essential as we had to share any

downtime with endoscopy or theatre,” concludes Gareth Buckingham.

“We have had a long relationship with the Countess of Chester Hospital

and the enthusiasm of this Alphenix project has been fantastic as the

hospital team embraced the new features, functionality, and versatility

to tailor services for their patient cohort. We look forward to supporting

them drive the dedicated pacing theatre forward and expanding the

depth of work undertaken,” states Colin Murray, Account Manager at

Canon Medical Systems UK.

Polly Taylor, Senior Radiographer operates the Canon Medical UK

Alphenix ceiling-mounted C-arm at Countess of Chester Hospitals

NHS Foundation Trust.

“Chester has a growing ageing population and our pacemaker workload

is increasing year-on-year by about 7%. We do approximately 400 cases

every year which makes us one of the bigger centres in the area. We’re

also seeing an increased need of subpectoral pacemaker implantation,

burying them a bit deeper, which previously meant patients were sent

elsewhere for the procedure. Now, we have the set-up to do it here

at the Countess of Chester Hospital in the Cath Lab with the Alphenix

Sky. This is better for the patient as it potentially means a closer-tohome

appointment. This is just one example of how by having the latest

imaging equipment, we’re ready to seize new service opportunities

that will improve patient experiences and outcomes into the future,”

states Gareth Buckingham, Cath Lab Manager at the Countess of Chester

Hospital.

“Having a new and productive pacing theatre adjoined to our cardiology

day unit also really assists with our patient flow. We try and pace within

24 hours of referral as this is a ‘get it right first time’ objective for our

region. A good, robust fixed C-arm has enhanced the image quality and

quickened clinical interpretation. Improving quality was our aim, and

this is what the Alphenix system has helped us deliver,

Countess of Chester Hospitals NHS Foundation Trust has installed

a new Alphenix Sky ceiling-mounted C-arm from Canon Medical

Systems UK.

Pictured (L to R): Polly Taylor, Senior Radiographer; Amber Clarke,

Staff Nurse; Sian Jones, Staff Nurse; Helen Myers, Healthcare

Assistant; Gareth Buckingham, Cath Lab Manager; Jeanette Lovatt,

Staff Nurse; Dennis Caulfield, Consultant Cardiologist; Marc Ivison,

Service Team Leader, Midlands & North at Canon medical Systems

UK; Raquel Domingues, Clinical Cardiac Physiologist.

For more information visit:

Canon Medical United Kingdom: https://uk.medical.canon

For further information, please contact: Alisha Pyzer

Canon Medical Systems UK

T: +44 (0)1293 653700

E: Alisha.Pyzer@eu.medical.canon



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Human Factors – Safer Surgery Checklist

Continuing from the June 2022 issue of The Operating theatre

Journal, is part two of this article on Human Factors in the operating

theatre, regarding the use of the safer surgery checklist. The article is

written by Mr Nigel Roberts, who is the Theatre Lead at the University

Hospitals of Derby and Burton. Nigel is currently undertaking a PhD

at the University of Derby and is researching the safer surgery

checklist. The article will be published over three issues and consist

of the following, May 2022- Introduction and Background, June 2022 -

Literature Review and July 2022 - NHS England Audit findings.

Author:

Nigel Roberts, MSc, BA (Hons), PGR Student, ODP

University Hospitals of Derby and Burton

Keywords:

Human Factors, World Health Organisation (WHO) Surgical Safety

Checklist, Culture, Leadership, Situational Awareness, Teamwork,

Staff attitude, communication.

Audit methodology:

In my thinking for the review of the ‘never event’ data and the

human factors literature more generally, this acted as the catalayst

for further enquiry. Put simply the intention for the audit was to

try to establish which Human Factors categories were still affecting

complaince with the World Health Organisations Safer Surgeery

Checklist. The intention for the audit was to try to establish any

key themes and patterns form the emergent data. Of the 223 NHS

Trusts in England (Kingsfund, 2021) only 157 NHS trusts have operating

theatres (Supporting Facilities Data, 2019/20). Across seven separate

regions there are a total of 3,282 operating theatres (See table one.)

Table One – NHS England trusts by by region. region.

Region

Number of Trusts

London 23

Southwest 21

Southeast 22

Midlands 25

East 18

Northwest 26

Northeast & Yorkshire 22

Total 157

Table two provides greater details of the number of Trusts and the

number of operating theatres by region. For the purposes of the

audit, Table two I chose provides to greater purposefully details of reduce the number the of number Trusts and of the Trusts and

operating number of theatres. operating theatres The total by region. number For of the Trusts purposes included of the in audit, the I audit chose

was

to purposefully

reduced by

reduce

twenty-one.

the number

This

of

gave

Trusts

a new

and operating

total of 136

theatres.

Trusts

The

with

total

2,918 operating theatres.

Table number Two of Trusts – NHS included England in Trusts the audit by region was reduced and the by number twenty-one. of operating This gave

Table theatres. Two – NHS England Trusts by region and the number of

a new total of 136 Trusts with 2,918 operating theatres.

Operating Theatres.

Area

Number of

Trusts

Number of Operating

Theatres

London 22 512

Southwest 15 275

Southeast 20 438

Midlands 21 524

East 15 272

Northwest 22 366

ensitivity: Internal Northeast & Yorkshire 21 531

Total 136 2918

2

The rational for excluding a number of Trusts from the audit by

twenty-one was due to the following reasons:

a) Nine trusts were not yet in existence between April 2015 – March

2020.

b) Six trusts were excluded due to only having one operating theatre.

The rationale for not including these trusts was due to not being

able to extract meaningful data

c) Two of the Trusts are non-NHS

d) possible conflict of interest

e) Three trusts did not provide any contact details

In total, 136 NHS England Trusts that were asked to participate. This

was undertaken by email and phone calls to each Trust. Each Trust

responded positively to participation. This equates to 87% of NHS

England Trusts that have operating theatres.

Theatre Managers/Matrons were contacted by email and asked which

of the following is the largest contributor to non-compliance of

the safer surgery checklist: staff attitude; communication; culture;

leadership; situational awareness or teamwork?. A further set of four

reminder emails were sent at regularly weekly intervals for a period

of a month. The audit ran from the 18th March 2022 – 22nd April 2022.

Results:

Sensitivity: Internal


136 NHS Trusts were invited to participate in the audit. 57 trusts

responded, which was a response rate of 42%. Five emails were

sent in total asking for a response to the audit question. This is a

good response rate given the pressure to deliver both elective and

emergency activity. There was no specific academic tool used for

data collection. Each response was recorded as per reply. Table Three

details the responses. Each NHS trust was contacted by telephone to

obtain the email address of either the theatre manager or theatre

matron. The trust contact details were obtained from the NHS UK site

(NHS Table Three Services – Human Directory, factors. 2021). NHS England Responses

Human Factor

Table Three Three – Human – Human factors. factors. NHS England NHS Responses England Responses

Staff Attitude 24%

Human

Communication

Factor

Overall

13%

Percentage across NHS England

Staff Attitude

Culture

24%

26%

Communication

Leadership

13%

21%

Culture

Situational Awareness

26%

9%

Leadership

Teamwork

21%

5%

Situational Awareness 9%

Other

Teamwork

1%

5%

No Concerns

Other

1%

1%

No Concerns 1%

Overall Percentage across NHS England

The top three responses from across NHS England were culture, staff attitude

The The and top leadership. top three three responses In responses terms from of the across from top three NHS across England by region, NHS were England these culture, are were staff detailed attitude culture, in table staff

attitude and leadership. In terms of the top three by region, these are

and four. leadership. In terms of the top three by region, these are detailed in table

detailed in table four.

four.

Table Table Four Four – Top – Top 3 Human 3 Human Factors Factors by NHS by England NHS Region England Region

Table Four – Top 3 Human Factors by NHS England Region

Region 1 st Human Factor 2 nd Human factor 3 rd Human Factor

Region London 1 st Staff Human Attitude Factor 2 nd Leadership

Human factor 3 rd Human Factor

London Southwest Staff Staff Attitude Attitude Leadership Leadership Communication

Southwest

Southeast

Staff

Staff

Attitude

Attitude

Leadership

Culture

Communication

Communication

Southeast

Midlands

Staff Attitude

Leadership

Culture

Staff Attitude

Communication

Culture

Midlands

East

Leadership

Staff Attitude

Staff Attitude

Culture

Culture

East

Northwest

Staff Attitude

Culture

Culture

Situational

Leadership

Northwest Culture Situational

Awareness

Leadership

Awareness

Northeast & Yorkshire

Northeast & Yorkshire

Culture

Culture

Staff Attitude

Staff Attitude

Leadership

Leadership

In order that both Trusts and individual respondent’s comments

remain In

In

order

order

confidential that

that

both

both

Trusts

Trusts

responses and

and

individual

individual

have respondent’s

respondent’s

been anonymised comments

comments

remain

remain

and responses

presented confidential responses

by region have have

only. been been

Table anonymised anonymised

five (below) and and responses responses

provides presented presented

further by by

details

of region the only. number Table five five and (below) scale provides provides of responses further further details details to the of the of audit the number number by and the and scale number scale of

Trusts of responses responding to to the the audit by by the region, the number as of well Trusts of Trusts as responding details by of region, by the region, as timings well as well of the

responses as details of of during the timings the of of the audit the responses period. during during the the audit audit period. period.

Data collection was both qualitative and quantitive. There was no

specific academic tool used for data collection. Each response was

recorded as per reply.

Continued on next two pages

5

5

The rational

10

for excluding a number of Trusts from the audit by twenty-one

THE OPERATING THEATRE JOURNAL www.otjonline.com

Table Five Five – NHS England – NHS responses England to Human responses Factors question. to Human Factors question.

Region

Discussion

The literature to support a greater understanding of how human

factors affect the use of the safer surgery checklist is still emerging.

The review to date is not intended to be exhaustive but allowed

the researcher to think of and to begin framing further questions,

identify some of the contextual issues and plan for further doctoral

level investigations. The use of a simple audit was borne out of our

curiosity to see to what extent human factors is influencing the use of

the safer surgery checklist, especially in these unprecedented times

of a large elective surgical backlog.


Number

of

Trusts

Contextually we can anticipate that never events in the NHS and

indeed in healthcare globally will continue to remain a constant

yet stubborn patient safety concern, in part as a result of workload

stress, staff shortages, and the fast pace required to deliver health

care partly caused by the COVID-19 pandemic and possibly the war

in Ukraine. Surgery takes place within optimum conditions, and part

of those conditions is having a theatre team equipped and ready to

question one another, openly and honestly without fear of reprisal.

Whilst it was not an intention to undertake comparison, there was

very little literature on what ‘culture’ in the operating theatre means,

and how we best tackle it to further improve team working, thus

operating in as safer environment as possible. In reality, this is more

complex, and requires further research. Interestingly to note that four

out of the seven regions stated staff attitude as the biggest human

factor when it comes to compliance of the safer surgery checklist.

This was the second category by only a mere 2% when compared to

NHS England.

If NHS England is split into three, The North, South and Midlands

there are clear differing human factors affecting the completion of

the safer surgery checklist.

The North – Culture, The South - Staff Attitude and the Midlands –

Leadership.

Conclusion

Responses

by region

Percentage

of

responses

by region

Number of

responses

by 25 th

March

2022

Number of

responses

by 1 st April

2022

Number of

responses

by 8 th April

2022

Number of

responses

by 15 th

April 2022

Number of

responses

by 22 nd

April 2022

London 22 41% 4 1 2 2 0

Southwest 15 53% 2 5 0 1 0

Southeast 20 55% 3 3 2 2 1

Midlands 21 38% 6 0 1 1 0

East 15 27% 1 2 0 1 0

Northwest 22 41% 4 1 2 1 1

Northeast & 21 39% 3 2 0 2 1

Yorkshire

Total 136 23(17%) 14(10%) 7(5%) 10(7%) 3(2%)

In summary, today’s NHS and infact global health systems are under

extreme pressure to deliver elective activity, due to the huge

increases in waiting list times caused by the COVID-19 pandemic

and possibly the war in Ukraine. It is certain and unavoidable that

theatre teams will be under pressure to finish the operating lists and

avoid cancellations. This can’t happen at the expense of increasing

risk along the patients pathway. We must ensure that the system is

not ‘set up to fail’ by hospital management and all/any problems are

recognised and tackled at source. Healthcare is complex and relies

on ‘people’ not to fail, to work as part of both a multi-disciplinary

and inter-disciplinary team and to effectively communicate. Kalantari

et al. (2021) study concluded by saying the current tools contain

assessments of all operating room team members mostly in the

domains of situational awareness, leadership, communication and

teamwork.

Even though it is not part of this literature review or thesis, we must

consider as part of the review/research, institutional/organisational

factors that may contribute to never events, not just in the operating

theatres, but wards, clinics and other treatment areas. Greenberg et

al. (2007) and Griffen et al. (2007, both cited in Nugent et al., 2013)

studies have shown that the majority of surgical errors occur outside

of the operating room, before or after surgery. The operating theatre

environment is an area of conflicting aims and goals between the

multi-disciplinary and inter-disciplinary teams and the organisation.

Conflict may arise from when the organisations quality improvement,

finance and transformation teams want to maximise efficiency and

productivity without fully considering the potential impact on the

wider teams. Moss et al. (2013, cited in Koleva, 2020) raised another

important issue for consideration, reduction of ‘turn-around’ times

and cost cutting, which may impact on safety. The findings from Moss

et al. (2013) study have never been so pertinent in the NHS, given the

huge backlog of elective procedures requiring surgery and the impact

this has on the economy, patients life expectancy and quality of life.

Parker et al. (2011) and Waeschle et al. (2015, both cited in Koleva,

2020) suggest that the origins of surgical error were found in unsafe

culture, outdated structural environments and equipment, nonexistence

of clinical standards and leadership, poor practice and

low personnel density. A study by Moppett and Moppett (2016, cited

in Koleva, 2020) examined 742 surgical ‘never events’ within 158

Trusts between April 2011 and March 2013. There were 12.1 million

operations performed in 3200 operating rooms. 504 ‘never events’

were reported. The findings reported was 28% cases of wrong site

surgery, wrong implant/prosthesis was 14% cases and retained

surgical objects accounted for 58% of the never events reported.

The study yielded the positive correlation between caseload and

‘never events’. This is an interesting point, as the findings previously

mentioned by NHS Resolution (2021) reported between the 1st April

2015 to 31st March 2020 totalled 389 claims, that were paid out for

retained foreign objects post-surgery, a combination of 90% were

either surgical instruments or swabs.

7

NHS England (2012, cited in Koleva, 2020) suggested that it is the

governing and political opinion that repeated ‘never events’ illustrate

a failure of the organisational leadership, predominantly clinical

leadership to consider patient safety seriously. This statement is still

true a decade later, the audit from across NHS England has highlighted

that the main human factors as to why the safer surgery checklist is

still not fully adhered to are leadership, culture and staff attitude.

The literature review yielded very little in terms of culture. Additional

research needs to be undertaken into this topic surrounding operating

theatres. No further clarification or explanation was given by the

respondents in terms of how or why they perceive culture as being

the biggest contributor, as to why the safer surgery checklist does not

get completed.

The safer surgery checklist on its own does not offer quality and

safety. This is the teams role. The checklist is one piece of the jigsaw,

the other pieces need to fit to complete the picture. These are

communication, resources, human factors and time.

Figure one one – The – The pieces pieces needed needed for safe for surgery. safe surgery.

Human factors

Leadership

TEAMWORK

Resources

Communication

The next diagram is an overview from the findings of the literature

reviews from the safer surgery checklist, LocSSIPs and Human Factors.

Champions

Staff

Compliance

The diagram feedback on page thirty is an overview from the findings Audit of & Review the literature

LocSSIPs

2015

reviews from the safer surgery checklist, LocSSIPs and Human Factors.

Empowerment

of teams

Implementation

Teamwork

Leadership

Situation

Awareness


Local

champions

Communication

Leadership

Education and

Learning

Human

Factors / Nontechnical

skills

Continual

Education

NatSSIPs and

WHO

Checklist

2009

Training

Monitoring of

Sharing of

incidents/lessons

learnt

S S Checklist

per speciality

Culture

Barriers

Open & Honest

Customised

Continued on next page

11

12

Time

Attitudes t

Blame-free

Find out more 02921 680068 • e-mail admin@lawrand.com Sensitivity: Internal Issue 382 July 2022 11

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regional anaesthesia are now regularly discharged in as little as two

hours following surgery, avoiding an overnight stay and freeing up bed

capacity at the hospital.

A dedicated space for anaesthesia to take place also means around two

hours of additional surgical capacity is created per day in theatres,

allowing surgeons to see more patients.

Regional anaesthesia can be used across a vast range of surgical

procedures and has also proven highly effective in providing pain

relief to major trauma patients. This form of pain relief helps in

many injuries, but particularly chest trauma, where such patients may

otherwise require intubation (induced coma), which can carry greater

risk to the patient and result in a longer recovery time.

Iain Thomson, consultant anaesthetist, and lead for the QEUH block

room, said:

“Block rooms have been used in the USA for a number of years, so

it’s fantastic to have been able to bring this model to Scotland and

see how much it has benefitted QEUH patients. They don’t need to be

put under, they take less time to recover and they don’t experience

nausea or vomiting, and other potentially nasty side-effects of general

anaesthesia. As we recover from the pandemic, the more efficiently

we can treat patients, the more patients we can treat. The block room

is a key asset here as it helps free up bed space, and also means our

surgical teams can fit in more procedures as we take up less theatre

time for anaesthesia.”

Wesley Stuart, Chief of Medicine at the QEUH, added: “We’re delighted

to see the 1,000th patient benefit from the block room. As well as

improving patient experience and increasing surgical capacity, it has

also proven to be a valuable teaching resource. We’re able to provide

expert regional anaesthesia training to our staff, which is laying solid

foundations for the future of our block room at the QEUH as well as

providing the opportunity to share techniques with other centres and

Health Boards across the country.”


BPR Medical and Medclair seal mobile nitrous oxide

conversion system agreement

Gas control specialists BPR Medical and Medclair, a leading Swedenbased

specialist in safe nitrous oxide use, have signed an agreement

that gives BPR exclusive rights to supply Medclair’s mobile nitrous oxide

conversion technology in the UK and Ireland.

Under the agreement, BPR will distribute and provide support for

Medclair’s MDU device, which when combined with BPR’s Ultraflow

demand valve and a gas scavenging system, captures nitrous oxide and

converts 99% of the gas to harmless nitrogen and oxygen.

Head of Sales & Marketing at BPR Medical, Safoura Sardari added,

“Early adopters are already embracing this technology, including Trusts

in Scotland, the Northeast, London, Wales and the Southwest. We are

now expanding our business development team to meet the increasing

demand from the NHS and private healthcare settings across the UK.”

The Delivering a ‘Net Zero’ National Health Service report, published

in 2020, sets out a goal of reducing greenhouse gas emissions by 80 per

cent with the next six to ten years and achieving ‘net zero’ by 2040.

Sources: Delivering a ‘Net Zero’ National Health Service, 2020

Nitrous oxide is used by 80 per cent of women in labour in the UK.

It is also used widely in other hospital departments, from endoscopy

to dentistry. The gas is one of the most environmentally harmful

anaesthetic gases, with a global warming potential 298 times that of

carbon dioxide (CO2).

For further information please contact:

Colin Hallmark, BPR Medical, Tel: +44 207 736 1888,

email: colin@3nine.co.uk www.bprmedical.com

Jeta Smids, Communications Manager, Medclair AB,

Tel: +46 79 101 14 64, e-mail jeta.smids@medclair.com

www.medclair.com


Jonas Lundh, CEO of Medclair, said: “Capturing and converting nitrous

oxide emissions could reduce NHS anaesthetic gas emissions by a third

if the technology was implemented across all Hospital Trusts in the UK.

The agreement with BPR, which has a strong presence and reputation in

the market with its inhaled analgesia products, is a major step forward

in our goal of supporting the NHS with its environmental targets.”

Richard Radford, Managing Director of BPR Medical, said: “The NHS has

one of the most developed nitrous oxide programmes in the world. It

delivers safe, efficient pain relief to hundreds of patients every day. But

the gas has a significant impact on the environment and can also affect

working conditions for staff.

“There is now a solution though, which has been successfully deployed

in Scandinavia for almost two decades and is already being used in

hospitals across the UK. Our agreement with Medclair means we can

continue to help more Trusts play their part in achieving ‘net zero’

goals and meet audit standards.

“As innovators of safer medical gas therapy, we are bringing together

our Ultraflow analgesia system and Medclair’s MDU technology to extend

our commitment to improving patient care and the work environment

for healthcare professionals.”

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Healthcare Safety Investigations Conference 2022

21 September 2022

10am-4pm

We would like to invite you to our Healthcare Safety Investigations

Conference this September.

This is a virtual event that will take place online.

Our exciting agenda includes:

• a focus on our maternity, national and investigation education

programmes

• sharing our learning so you can help make patient care safer in your

organisation

• updates and expertise on conducting professional healthcare safety

investigations in your setting

• the future of our national and maternity programmes, as they form into

either the Health Services Safety Investigations Body (HSSIB) or the

new maternity Special Health Authority.

More information will be sent to you shortly, but please register and reserve

your place now.

By registering, you'll receive updates about the conference in the run-up to

the event, including opportunities to sign-up for breakout sessions which will

be made available to you by mid-July.

Register for your free place at: https://bit.ly/HSIBOTJ622


New report reveals underestimated risks for theatre staff and

patients exposed to surgical plume

Perioperative practitioners in the UK are universally concerned about

the risk surgical smoke plume poses to their health. Yet less than a

fifth are aware of any policy being in place to manage this risk within

their organisation. The majority of hospitals have plume evacuation

equipment in place, but it is only used in the minority of surgical

procedures. Almost three-quarters of theatre staff have experienced

symptoms associated with exposure to surgical smoke plume. But

these symptoms are rarely reported and, when they are, no action is

generally taken.

These are the findings of a new report ‘The Occupational Hazards

of Surgical Smoke Plume in the Operating Theatre’ published by the

Surgical Plume Alliance (SPA), a joint advocacy initiative between the

Association for Perioperative Practice (AfPP) and the International

Council on Surgical Plume (ICSP). They aimed to gain a greater

understanding of the awareness levels, training, management and

policy surrounding surgical smoke plume in the UK.

The report analyses responses from 955 perioperative practitioners

– including Registered Nurses, Operating Department Practitioners

(ODPs) and surgeons – surveyed in late 2021.

Some key findings from the report include:

• Demand for a recognised, national training programme. 52% of

perioperative practitioners have not received any education on the

hazards of exposure to surgical smoke plume. However, 96% would

attend training if it were made available.

• National guidance is needed to mandate the use of evacuation

equipment during surgical procedures where surgical smoke plume is

generated. 77% of perioperative practitioners do not have evacuation

devices available in all operating theatres and procedure rooms

at their workplaces. Only 14% said plume evacuation equipment

is always used during laparoscopy / endoscopy procedures, where

surgical smoke plume is readily generated and can be a hazard to

patients as well as staff.

• Consistent, accurate reporting mechanisms are required to allow

staff to report negative health symptoms. 72% of perioperative

practitioners have experienced symptoms associated with exposure

to surgical smoke plume. Only 12% reported these symptoms and, in

77% of cases, no follow-up action was taken.

Commenting on the findings, Lindsay Keeley, Report Co-author and

Patient Safety & Quality Lead at AfPP, said: “This report provides

evidence of what we’ve spoken out about for years. Exposure to

surgical smoke plume is one of the most overlooked hazards in the

operating theatre.

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Lindsay Keeley and Penny Smalley, from the Surgical Plume Alliance,

launching the survey at the 2021 Future Surgery Show in London

“We knew anecdotally that theatre staff continue to be concerned

about this issue, that there was a lack of formalised training and

policy, and that plume evacuation equipment was often available but

in insufficient quantities and used infrequently. These findings provide

the first-hand data to support that.

“We can now use that data to drive action and change. Along

with the report, SPA published a position statement on the

perioperative management of surgical smoke plume. This outlines

our recommendations to minimise the risks, ensure a safe treatment

environment for patients, and provide a safe and healthy workplace for

the perioperative team.”

The full report and position statement are available to read here:

https://bit.ly/OTJAFPPSP722

For anyone who is interested in learning more about the risks of

surgical smoke plume, and how to manage them, Penny Smalley, Report

Co-author and Director of Education and Regulatory affairs at the

International Council on Surgical Plume (ICSP), is delivering a session on

the topic at the AfPP Annual Conference 2022. The hybrid Conference

takes place virtually and at the University of York on 8 – 11 September

2022. Tickets are available from afppconf2022.co.uk.


View the agenda today

View the agenda today


UK PLASTIC SURGEONS’ EXPERTISE SUPPORTS UKRAINIAN COLLEAGUES

British Surgical Associations Unite to Help Treat War Wounded in Ukraine

The Russian invasion of Ukraine has been devastating to its people,

whether caught up in the fighting, or fleeing for their lives; whilst the

ongoing humanitarian crisis has incited action from individuals and

organisations around the world.

Today, the British Association of Plastic, Reconstructive and Aesthetic

Surgeons (www.bapras.org.uk) and the British Orthopaedic Association

(www.boa.ac.uk), among other organisations, announce their joint

effort to deliver a series of conflict-specific, educational webinars to

support Ukrainian colleagues in negotiating the surgical aspect on the

front lines of the crisis, and beyond.

Whilst Ukraine’s medical system has held up admirably under the

pressures and unpredictability of war, it is naturally overburdened by

the conflict, and lacking many resources in terms of surgical care - the

training to manage complex trauma injuries, a lack of equipment,

consumables and human resources in hospitals, to name a few.

Despite the majority of Plastic Surgeons in Britain working in the NHS

to tackle the surgical backlog of reconstructive surgery cases, public

misconceptions - chiefly, that the surgical specialty focuses strictly

on aesthetics - still abound, however, modern-day Plastic Surgery

was born on the battlefield and pioneered during the first and second

world wars. As such, British Plastic Surgeons have extensive training

and expertise in the reconstruction of facial and limb trauma and the

surgical treatment of burns and blast injuries.

Among the topics being shared with Ukrainian colleagues and the

international surgical teams supporting them are:

• Resuscitation and the immediate management of paediatric battle

casualties;

• Simple flaps and external fixator principles for battlefield casualties;

• Compartment syndrome and fasciotomy in a military context; and

• The immediate management of lower limb injuries

Although many Ukrainian surgeons have substantial experience in the

treatment of complex trauma cases, the nature of conflict medicine

significantly raises the stakes, and is further impacted by a lack of

resources, different levels of surgical training, and language barriers

between international aid workers and surgical teams.

With a focus on blast and battlefield wounds in a military context,

these webinars have enabled surgeons on the front lines of the crisis

to more efficiently and effectively treat patients.

As the horror of the humanitarian disaster unfolding has surpassed

100 days, the International Organization for Migration (IOM) has

assessed that 7.1 million Ukrainians have been ‘internally displaced,’

meaning forced to flee their homes for elsewhere in Ukraine as a

result of war, with the conflict causing 4.5 million refugees to flee the

country entirely*. For those who remain, either fighting, displaced,

or providing vital services and humanitarian aid, the expansion and

application of critical surgical knowledge will make a significant

difference to the treatment of the wounded, and improving surgical

outcomes during the conflict.

According to Professor of Orthopaedic Surgery and President of the

British Orthopaedic Association John Skinner;

“BAPRAS and BOA have collaborated to produce a series of webinars

to support colleagues providing medical care in the Ukrainian

conflict. These are delivered by recognised experts with deployment

experience and provide high quality clinical information. We are in

frequent communication with our Ukranian counterparts, who have

consistently reported that the positive effect on the morale of the

local surgical community is another important consideration, which

should not be underestimated. We aim to continue with this initiative

as long as the need remains and expand it to include web based,

multi-disciplinary clinical conferences to support decision making and

ongoing management of specific injuries.”

*https://ukraine.iom.int/data-and-resources

About the British Association of Plastic, Reconstructive and

Aesthetic Surgeons (BAPRAS)

The British Association of Plastic, Reconstructive and Aesthetic

Surgeons is the voice of plastic surgery in the UK, advancing

education in all aspects of the specialty and promoting understanding

of contemporary practice. BAPRAS speaks for the majority of

reconstructive and aesthetic plastic surgeons providing services to

patients in the UK today.

For more information visit www.bapras.org.uk or @BAPRASvoice on

Twitter and Instagram.

According to Consultant Plastic and Reconstructive Surgeon and

BAPRAS member Shehan Hettiaratchy;

“The initiative came about as a result of direct requests from our

Ukranian surgical colleagues – since Plastic and Reconstructive Surgery

hasn’t really been developed as a surgical specialty in Ukraine to

deal with complex limb injuries. Plastic and Reconstructive surgery

was born out of war and war injuries remain some of it’s greatest

challenges. When surgeons are managing casualties who require

complex reconstruction after war-related injuries, that’s where we

can use our expertise to offer essential knowledge and training.

“Over the last 20-30 years, surgical techniques and technologies

relating to conflict medicine have evolved significantly, and UK Plastic

and Reconstructive Surgeons have therefore gained a lot of experience

in optimising the management of complex war injuries. This means

that casualties can achieve better functional outcomes to lead better

and more fulfilling lives. Our aim is to share this with our Ukrainian

colleagues so they can achieve the best results for their wounded.”

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Thank you for reading, the extended digital OTJ


Discovering the many more pages available online @ www.otjonline.com

Wrexham Maelor Hospital is turning the tide on plastic

Wrexham Maelor Hospital has stopped using plastic water bottles saving 80 tonnes of CO2e, and

£75,000 per year.

There has been an increase in

plastic pollution during the Covid-19

pandemic, and in attempts to

reduce the hospital’s environmental

burden, the Wrexham Maelor Green

Group has launched a safe drinking

water scheme from designated

kitchen taps in all clinical areas.

Ellie McCance, Sustainability

Scholar (Centre for Sustainable

Healthcare), and Speciality

Registrar in Ophthalmology,

launched the project as part of

the hospital’s Green Group. Ellie

was concerned by the increasing

amount of plastic waste being

generated, and questioned the

rationale, and sustainability of

plastic water bottle use by hospital

staff and patients.

Ellie explains: “Covid-19 resulted in a wave of 500ml plastic bottles onto our site. Our use has amounted to

half a million water bottles per year, needlessly being added to the waste-stream.

“Estates management, and our site water safety group have confirmed that all areas have access to potable,

safe drinking water, and patient drinking receptacles are thermo-disinfected centrally for safe reuse.

“Wrexham Green Group have been working closely with stakeholders and management, and we’re delighted

that we will no longer have these plastic bottles in circulation, in favour of tap water. Our tap water is tested

regularly, and as before, remains safe to drink. As part of the safe water scheme, labels will clearly indicate

the potable water sources in each area for staff, and patients to see.

“We can now celebrate turning the tide on the plastic bottle tsunami.”

As a result, this will save 80 tonnes of CO2e, the same amount of carbon generated from 21 return flights

between London and Hong Kong, and it will save the hospital £75,000 per year.

If global healthcare were a country, it would be the 5th biggest emitter. NHS Wales has set an ambitious

target of net zero by 2030 and Wrexham Maelor Green Group was formed as part of the Green Health Wales

network to help reach this goal.

The Green Group’s other project areas include clinical, transport, waste, biodiversity and energy. The group

is also currently working on its first courtyard area outside the canteen, to give staff somewhere to sit

outside during their breaks whilst improving biodiversity around the hospital site.

Flemish hospitals to

reduce care services

due to staff shortages

More than 8 out of 10 Flemish

hospitals have already reduced

their care services or plan to

do so in the future because of

continuous staffing shortages. A

new study by Zorgnet-Icuro found

that most often this results in

hospitals having to close beds.

Departments that will experience

bed closures will be primarily

geriatrics, rehabilitation,

intensive care, surgery and the

services for diagnosis of a medical

condition and medical treatment.

To account for the shortages of

nurses and care providers, more

than half of hospitals have to rely

on expensive interim staff.

Medical technology services,

usually involving medical imaging,

are also being downsized in

1 in 5 hospitals, while 28% of

hospitals surveyed reported the

need to reduce operating theatre

capacity.

“Every sector in Flanders is

crying out for more hands.

Only working on the image and

attractiveness of the profession

will be insufficient,” Margot Cloet,

Managing Director of Zorgnet-

Icuro, said. “We must therefore

take broader and structural

measures, together with many

partners, to meet this greatest

challenge of the future and to

ensure that the problem does not

get even bigger.”

Source: The Brussels Times - By Marta Mieze


NHS issues heartfelt plea for people to register their organ

donation decision as thousands still wait for transplant

Family consent rates dipped by 3% last year

People are being urged to register or share

their organ donation decision and make their

loved ones know what they want to happen to

them when they die so that no opportunity to

save a life is lost.

The latest annual figures published today

(13 July) by NHS Blood and Transplant show

that last year (2021/22), despite transplants

increasing by 30% compared to the number

completed during the first year of the

pandemic (1), there are still thousands more

waiting for a transplant.

The annual Organ and Tissue Donation and

Transplantation Activity Report shows that

there are currently 6,393 people on the active

transplant waiting list, with a further 3,990

temporarily suspended. (2) This is despite

4,324 patients successfully having the organ

transplant they so desperately needed.

Last year 429 patients died waiting for their

transplant compared with 525 in the previous

year, a decrease of 18%. A further 644 were

removed from the transplant list and many

of these patients would have died shortly

afterwards.

Myles Tolley aged 32 from Walsall in the West

Midlands considers himself one of the lucky

ones. Myles, who suffered complications a

result of a blood clot when he was just 22,

has incredibly received three liver transplants

since 2019. Sadly, after a successful first

transplant in November 2019, Myles went on

to contract covid followed by sepsis which

put him back in intensive care, and eventually

urgently needing a second transplant in

June 2021, only for another bout of sepsis to

lead him to require a third transplant that

November.

He said: “The last ten years have been really

hard, and I lost my 20’s due to complications

that arose from the blood clot although no

cause for the blood clot was ever identified.

I have had amazing support from my surgeon,

hospital staff, family, friends and partner

but it has been a tough journey. I have never

met or heard of anyone becoming ill like this

and never did I expect to have needed three

transplants. A lot of my family and friends now

understand how important organ donation is

and they have all joined the register.

“Now my health is improving, and I am feeling

the best I have felt in a long time, my blood

tests are all coming back really well, and l am

getting stronger every day.

“I feel like I am living life, not just for me

but for my donors also – they all gave me the

greatest gift and I want to honour them and

live the best life I can. They give me motivation

on the tough days and help me through. I have

written letters to their families and will send

on when I feel the time is right.”

The number of families agreeing to donation

at the point they were approached has

dipped for the first time in almost five

years. 66% of families supported donation

in 2021/22 compared to 69% in 2020/21. It is

not immediately clear why the consent rates

have dropped, but it’s important to note that

the challenges of the pandemic continue to

impact both hospitals and families, with many

relatives over the past year still not able to be

in hospital with their loved ones.

100 families said they declined to support

donation due to the length of the process,

which may in part reflect the challenges of

Covid.

In total, 605 families declined to support

organ donation, for reasons other than

knowing that their relative didn’t wish to be

a donor. Reasons given included, not knowing

what their loved one wanted, the family not

believing in donation or being divided over

what their loved one would have wanted.

With each donor donating an average of

three organs, it is estimated that this could

equate up to 1,815 missed opportunities for

transplant.

Families were far more likely to support

donation when they already knew it was

what their relative wanted. More than 92% of

families honoured their family member when

the donor had either proactively registered

their decision to donate on the NHS Organ

Donor Register or spoken with their family. In

92 out of the 605 family refusals, the patient

had registered or expressed their decision to

be a donor, which the family then overruled.

(3)

Anthony Clarkson, Director of Organ

Donation and Transplantation at NHS Blood

and Transplant, said:

“Organ donation and transplantation is a

fundamental part of the NHS work to save

lives. This is shown by the increase in the

number of patients last year receiving

transplants and the number of those who

are continually registering their decision to

be an organ donor. Sadly though, hundreds

of people are still dying unnecessarily every

year waiting for transplants. We know that

if everyone who supported donation talked

about it and agreed to donate, most of those

lives would be saved.

“We need families to support their loved

one’s decision and agree to donation when

approached if they know that’s what they

wanted. Last year, 3% fewer families agreed to

do that when they were asked than the year

before, which may be due to a range of factors

including the challenges of the pandemic.

“Whatever the reason, we need to encourage

more people to register their decision and

discuss it with their families as organ donation

really does save lives.”

There are currently more than 30 million

people in the UK who have registered their

organ donation decision on the NHS Organ

Donor Register with more than 27 million of

them explicitly agreeing to be an organ donor

when they die, but this still only represents

around 44% of the UK population.

Even though the law around organ donation

has now changed to an ‘opt out’ system across

England, Scotland and Wales, family members

will still always be consulted before organ

donation goes ahead. This means it is still just

as important as ever to register your decision

on the NHS Organ Donor Register and ensure

your friends and family know what you want.

To find out more, and register your organ

donation decision, visit:

www.organdonation.nhs.uk,

call 0300 123 23 23 or use the NHS app.


The Association for Perioperative Practice

8 » 11 September University of York

University of York

Anything is

possible at

#AfPPConf2022

Join over 500 perioperative practitioners for a packed programme of networking,

workshops and education. Guaranteed to inform, challenge and inspire you!

ENHANCE YOUR CAREER WITH

4 Learning Streams

30+ Expert Speakers

40+ Industry Exhibitors

Up to 11 CPD Hours

KEY TOPICS INCLUDE

Bullying and Resilience

Whistle Blowing

Teamwork and Human Factors

Robotics and much more...

VIRTUAL

TICKETS

ALSO

AVAILABLE

The AfPP Annual Conference is the

highlight of my professional year!

Marita, ODP and AfPP Member

Discounted rates apply for AfPP Members

Prices start from £40 for virtual packages, £60 for day packages

and £90 for residential packages.

Book now at » www.afppconf2022.co.uk

#AfPPConf2022

See website for full package and programme details.

@SaferSurgeryUK

Platinum Sponsor Gold Sponsor Gold Sponsor

Success stories written by MEDICA – how a small developer team with

a prototype in their pocket became one of the biggest exhibitors

Again, many programme highlights feature start-ups

As one of the world’s leading medical trade fairs, MEDICA in Düsseldorf is

one of the most important platforms for start-up teams seeking to enter

the healthcare industry and who are looking for investors, opportunities for

cooperation and also first-time users of their product ideas. From November

14 to 17, 2022, for the duration of MEDICA, numerous programme highlights

will again offer young entrepreneurs the perfect opportunity to present

themselves to international experts from the healthcare sector: the 11th

MEDICA Start-up COMPETITION, 14th Healthcare Innovation World Cup, the

MEDICA START-UP PARK and a total of over 100 start-up exhibitions at the

MEDICA CONNECTED HEALTHCARE FORUM are just an example.

In addition, several hundred start-ups or scale-ups (which have entered the

next phase of development) will participate as exhibitors at MEDICA 2022,

either with joint stands or with a stand of their own. The current trend in

registrations for exhibitors points towards a participation rate that exceeds

that of the previous year (MEDICA 2021: 3033 participants) with a notable

expansion in the booked floor capacity.

Young companies like Rapid Response Revival are responsible for this

increase in booked floor capacity. In 2018, they participated for the first

time, at the central meeting point for start-ups, MEDICA START-UP PARK.

Since then, their business has grown exponentially. Thus, Rapid Response

Revival is travelling from Australia to MEDICA this year, too, and will occupy

one of the largest stands.

The team of developers has committed themselves and their product to

meet a global challenge; sudden cardiac arrest. Every year, six million

people worldwide die of this condition. This often happens at home, where

no life-saving defibrillator is present in time.

Therefore, Rapid Response Revival developed “CellAED”, an inexpensive

defibrillator for use by lay persons, and started marketing it. In 2019,

the first prototype was exhibited at MEDICA: “We met many people who

recognised our potential and wanted to be part of our endeavour in

different parts of the world”, Luke Starr, Chief Communications Officer at

Rapid Response Revival, remembers the promising start-up phase. Much has

happened since then. “We will be presenting a matured product at MEDICA

2022”, says Starr, looking forward to the trade fair which will take place in

mid-November.

As compact as a bar of chocolate, with huge potential

The new version of the defibrillator is no bigger than a bar of chocolate,

connects to a network and shows that it is ready for action. “CellAED”

helps first responders save lives until professional aid arrives. The device is

intended for integration into various emergency alert systems, and according

to Starr, could dramatically change first aid response globally. More than 70

countries have already issued a certification. The device has been approved

for the market in the EEA, the UK, Australia and New Zealand.

The device should remain affordable wherever it is sold: “The device costs

around 240 Euro. A subscription of approximately ten Euros each month

is also required for ongoing support, which for example includes access

to diagnostic data”, says Starr. CellAED is one-tenth the price, size and

weight of many of the other current systems on the market, which makes

the defibrillator perfect for home use. “This device will change society’s

reaction to sudden cardiac arrest in a fundamental way”, says Starr.

To this end, the upcoming participation in the trade fair is vital: “At MEDICA

2022 we will present both our development and the opportunities that it

proffers to a professional audience”, says Starr, adding: “We want to sell

millions of devices. We’re therefore cooperating with several manufacturers

and are aiming to produce 200,000 devices each month by the end of 2023”.

Starr thinks this is realistic: “We have the capacity to meet this challenge,

we meet the legal requirements and we have a team that can solve potential

problems”. One important reason for their success up to now is attributed

to the fact that, unlike larger competitors, this company concentrates on a

single application. This experience is probably very similar to that of other

start-ups which haven’t yet progressed as much as Rapid Response Revival

has, and which nevertheless have chosen MEDICA as a suitable platform – for

example, because of its competitions.

The 11th MEDICA Start-up COMPETITION has kicked off

The 11th MEDICA Start-up COMPETITION is seeking outstanding healthcare

solutions from start-ups in the health app, laboratory diagnostics and

artificial intelligence (AI) sectors in health care and robotics. The previous

year, the winning team was ‘Phonolyser’ from Finland, with their eponymous

product solution that offers intelligent analysis of cardiac sounds. The

cardiac sound analyser combines artificial intelligence (processing and

analysing signals), Doppler technology (ultrasound) and sound analysis to

comprehensively assess and examine for the presence of congenital heart

defects in children. The system aids in exact diagnosis. Bahman Doaeian,

co-founder and Chief Business Officer of Phonolyser, says: “Particularly in

the first weeks following our victory in Düsseldorf, we received a lot of

attention from the media and from investors in Europe”.

For Doaeian, MEDICA is one of the best platforms on which to introduce

medical technology in the world. “Here, we meet exactly the target group

we want to reach”, he says. Since last November, the “Phonolyser” has

been developed further; specifically, sensitivity has been improved (goal:

over 98 %) and the software has been optimised to make it easier for less

experienced doctors to operate the device. Clinical studies have seen a

lot of progress – for example, for testing a new algorithm. In this context,

Doaeian sees the extensive legal requirements for in the European Union

as a challenge that means that more support is needed for start-ups in

particular.

Applications for the 11th MEDICA Start-up COMPETITION can be submitted up

until September 21, 2022. The finals for the winning pitch will be held on the

November 15 on the event stage at the MEDICA CONNECTED HEALTHCARE

FORUM. Information on the competition and registration is available online

at: https://www.medica-tradefair.com/mac2.

The 14th Healthcare Innovation World Cup for “Internet of Medical

Things” solutions

Start-ups, scale-ups and small and medium businesses are also free to

submit their solutions for the “Internet of Medical Things (IoMT)” to the 14th

Healthcare Innovation World Cup. The best 12 selected finalists will be invited

to present their products – which can range from wearable technologies to

digital biomarkers, intelligent plasters and smart implants – at MEDICA 2022.

In 2021, the “eyemate” system by the Implandata Ophthalmic Products

company won the finals in Düsseldorf. This is an intelligent, implantable and

biocompatible micro sensor that provides telemedical care for glaucoma

patients. Glaucoma patients experience elevated intraocular pressure can

cause irreversible damage to the optic nerve and lead to blindness. Current

methods only allow this to be measured at an ophthalmologist’s office.

However, “eyemate” enables patients to continuously monitor themselves

at home. Ophthalmologists can use telemedicine to monitor the data

and, if necessary, intervene early on. The device gives patients a feeling

of security, as they will be informed in time and can act before elevated

intraocular pressure can damage their optical nerve. For Max Ostermeier,

CEO & Founder of Implandata Ophthalmic Products, this is a form of patient

empowerment, which also contributes to adherence to therapy: “This

will completely transform glaucoma therapy”. Ostermeier also states that

winning at the competition at MEDICA was a huge award and was important

for motivation. He says the media response led to being invited to more

presentations, which made it easier to win over investors.

Step by step towards international success

Nevertheless, the following still remains true for this start-up: “The

dominant factor is still the cost”, says Ostermeier. The implant is currently

being piggyback implanted in the eye during operations for glaucoma

or cataracts, where it remains indefinitely. “We meet the exacting CE

demands for permanent implants”, says Ostermeier. In the future, the

implant should be able to be implanted via minimally invasive injection,

without surgery, so that intraocular pressure can be monitored continually

during the early stages of the disease. Ostermeier went on to state that the

start-up works closely with ophthalmologists. In one or two years at the

earliest, the company will strive for further internationalisation – outside

German-speaking countries. The current focus: approval by the US Food and

Drug Administration (FDA).

The application phase for participation in this year’s Healthcare Innovation

World Cup ends on September 21, 2022. The pitches of the 12 finalists will

also take place on the event stage at the MEDICA CONNECTED HEALTHCARE

FORUM (on November 14).

The MEDICA START-UP PARK (Hall 12, E53), which has established itself as a

central venue for the creative founder scene, also prioritises networking. At

least 40 start-ups have already announced that they will participate, most

of them focusing on innovative digital healthcare solutions.

All information on MEDICA 2022 and the parts of the programme mentioned

above is available online at: https://www.medica-tradefair.com.

Author: Dr Lutz Retzlaff, freelance medical journalist (Neuss)


THE


THE

THE

OTJONLINE.COM


The Operating SEPTEMBER 2020 ISSUE NO. Theatre 360 ISSN 0000-000X

Journal

The TheOperating OperatingTheatre WWW.OTJONLINE.COM

TheatreJournal

Get Your Personal copy from


ODPs, Theatre, Anaesthetic & Recovery Nurses

Your Favourite Journal is available ONLINE

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Jobs, News, Study Days, Books,

Clinical Articles £2.00

Register Today at:

www.otjonline.com

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Jobsite:

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View the journal online @ www.otjonline.com

OTJ Back issues are also available to view

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Professor Helen Stokes-Lampard, Chair of the Royal College GPs, said:

“Sepsis ACTION is a huge REQUIRED worry for GPs - Calling as initial all symptoms those can involved be similar

to in other Cataract common illnesses, Surgery and the - 1 College tree is will putting be a planted lot of effort

into helping family doctors recognise potential sepsis and ensure that

patients rapidly for every receive appropriate 100 completed assessment and surveys treatment.

UK Attitudes towards waste in Cataract Surgery

“We have produced a toolkit, in partnership with NHS England, which

brings together existing guidance, training materials and patient

information Cataracts remain to encourage the leading us all to cause ‘think of sepsis, blindness talk sepsis worldwide, and treat and

sepsis’. cataract surgery is the most commonly performed surgical procedure

in the UK, and worldwide.

“We are pleased to be working with NHS England to raise awareness

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equivalent

emissions as driving a car 310 miles. Conversely, the Arvind Eye Care

Anna System Crossley, in India generates Professional the Lead equivalent for Acute, CO2 emissions Emergency of driving & Critical just

Care 16 miles, at the with RCN, comparable, said: “Sepsis if not is a better life-threatening clinical outcomes. condition and early

identication is the key to survival, but it can be difcult to diagnose

Why is our carbon footprint per case higher than other nations? What

and often symptoms can be mistaken for a u-like illness. This is why

are the perceived barriers to reducing our carbon footprint?

raising awareness among carers, health care professionals and the

public We need is so to vital. know Even your though views there to help has been quantify good and progress thus to tackle improve the

diagnosis, problem, so a cohesive please spare national just plan 10 minutes is needed of your to ensure time to that complete healthcare the

professionals survey; https://www.cvent.com/d/fjq161/3B

are supported and equipped to identify and treat sepsis

early.

For every 100 completed surveys, 1 tree will be planted, by NHS forests

“If https://nhsforest.org/sponsor-tree

sepsis is not recognised quickly, it can lead to shock, multiple organ

failure This project and death, is dependent which is on why your early support. detection The is survey critical itself to start was

treatment developed within in collaboration the hour. with Nurses Professor and health Chang care and support Thiel in workers, the US

who see have their published patients their on survey a regular results basis, and and subsequent are often work. the rst The

healthcare survey asks worker for emails to see and them, names are but well it is placed completely to recognise anonymous. the signs The

of names sepsis and early emails and are raise kept the to alarm. prevent If duplicate a person has responses, signs or and symptoms for you

that to come indicate back possible to the survey infection, should think you get ‘could pulled this away. be sepsis?’ and act

fast to raise the alarm, wherever you are.

Thank you in advance for your engagement in the mission to achieve

https://www.england.nhs.uk/wp-content/uploads/2015/08/Sepsis-

carbon neutrality in the NHS by 2030!

Action-Plan-23.12.15-v1.pdf

Ellie McCance, W.I.S.E Sustainability Scholar in Ophthalmology

twitter.com/OTJOnline

Registration is Free !

www.otjonline.com

Central Medical Supplies Appointed

UK Distributor For TrueCool Premium

Central Medical Supplies (CMS) has been appointed as the exclusive

UK distributor for TrueCool Premium. Manufactured by EM-MED,

TrueCool Premium is a device used to carry out targeted temperature

management.

TrueCool is used to reduce the

core body temperature in patients

who do not regain consciousness

after the return of spontaneous

circulation following a cardiac

arrest. The device then maintains

the temperature for 24 hours

before slowly rewarming.

TrueCool Premium comes with a

high accuracy temperature sensor

(0.05°C), along with the ability to

adjust the temperature in steps of

0.05°C. The device has a user

friendly 10 inch touch screen

and a database for off-line

analysis and data export.

A wide range of patient

covers is available with the

system. There is also a UV

disinfection option, to minimise

cleaning time.

Tracey Pavier-Grant, Sales & Marketing Director at Central Medical

Supplies, says: “TrueCool Premium is a great addition to our temperature

management portfolio. We’re looking forward to demonstrating the

benefits of TrueCool to healthcare professionals and discussing the

important role of fast patient cooling in certain cardiac treatments.”

For more information on TrueCool Premium, contact Tracey Pavier-

Grant, Sales & Marketing Director at Central Medical Supplies, on 01538

392 596 or email tracey@centralmedical.co.uk. Further details are also

available by visiting the CMS website at:

www.centralmedical.co.uk


wrand.com Issue 316 January 2017 7


ELLAB PRIDE OVER ROYAL WARRANT TO HM THE QUEEN

Ellab Monitoring Solutions Ltd, a division of the Ellab Group - global leader in validation, calibration and monitoring solutions - has been granted

the Royal Warrant to Her Majesty The Queen, initially for up to five years.

The Royal Warrant is granted to a company that has supplied goods or services to the households of HM The Queen or HRH The Prince Of Wales for

a minimum of five years. It empowers the holder to display the designated Royal Arms in connection with the business, and is recognised across

the world.

Ian Robinson, Managing Director of Ellab Monitoring Solutions and the ‘grantee’ of the warrant, is thrilled to receive the royal mark of recognition

on behalf of the company. The multi-award winning monitoring solutions division designs and manufactures wireless environmental monitoring

equipment in the UK for the heritage, pharmaceutical, healthcare and food and beverage sectors.

He says: “It’s a great honour for Ellab to be a recipient of recognition from Her Majesty, especially in the year of The Queen’s Platinum Jubilee.

It’s also a tribute to everyone in the company and across the Group for their ongoing commitment to working at the very highest standards, to the

ultimate benefit of all our clients. Without a doubt, it’s one of the proudest and most significant milestones in our company’s history.”

Ellab supplies the most effective and robust wireless transmitter-based monitoring solutions available. Its class-leading instrumentation plays

a major part in protecting famous heritage and historic landmarks – including the Mary Rose, New Zealand’s famous Museum of Transport and

Technology and Rubens’ ceiling paintings in London’s historic Banqueting House - as well as real-time monitoring of environmental conditions in

the pharmaceutical and food sectors. Wireless solutions are flexible so sensors can be easily moved or expanded in number to ensure they are

always in the optimum positions, and provide continuous output for consistent and accurate readings, wherever you are.

As well as its world-renowned validation, monitoring and calibration solutions and services, Ellab also provides class-leading GMP consulting and

ancillary products to life science and food manufacturing companies globally.

Further information from: Louise Jeffrey, Group Marketing Manager, Ellab. E: sales.hanwell@ellab.com T: +44 (0)1462 688070 www.ellab.com

AWARD WINNING PRODUCT DESIGN SPECIALIST SHOWCASES

LATEST IN MEDICAL DEVICE INNOVATIONS AT MED-TECH 2022

Wideblue, a multi-award winning product design, development and

manufacturing consultancy, showcased the latest in medical device

innovations at Med-Tech 2022.

Wideblue has been working at the cutting edge of medical device

design and development since 2006, and is now seen as one of the UK’s

leading experts in this field. Wideblue has seen a large increase in its

turnover over the last twelve months, with its headcount increasing to

24. Wideblue’s parent company, Pivot International, also acquired A2E

to form Scotland’s largest independent product design group.

Wideblue managing director, Barry Warden, commented: “We have

been working on various cutting edge medical device projects which

we were delighted to showcase at Med-Tech 2022. Most of the projects

we work on are one of a kind often using ground-breaking technologies.

We are pleased to be working in partnership with some of the world’s

leading medical device companies on designing and developing products

which will make a real difference to patient health. Wideblue is proud

to be carrying on Scotland’s rich history of innovation and enterprise in

the medical sector.”

At the exhibition, Wideblue showcased a number of innovative

products, including:

Calcivis - is a new Dental Luminescence Imaging Camera which is

currently in production. The Calcivis imaging device is designed to

provide a detailed image of the tooth after delivering an application

of Calcivis photoprotein. The hand-held medical device is initiated

via a “one touch” computer controlled process and a specialised

sensor integrated into the device immediately detects the resulting

luminescence (light flash). In less than 1 second bespoke software

presents a chair side demineralization “hot-spot” image map to

clinicians, enabling more informed and efficient dialog with patients.

We are pleased to accept

clinical articles for publication

within the pages of


Please send for the attention of the

Editor at:

admin@lawrand.com

After designing and manufacturing a number of advanced prototypes

of the device for clinical trials, Wideblue has worked with Calcivis to

develop a full commercial product which is currently in production in

the UK.

Cranofacio Drill Drivers - This battery powered device is used within

the surgical suite and is used for neurosurgical procedures involving

drilling and driving titanium and bioresorbable screws. It is currently in

production at Pivot International (in Philippines).

Peek Retina - Peek were keen to produce a low cost ophthalmoscope

and make it available to a wide range of clinicians throughout the

world. Peek asked Wideblue to improve a prototype mobile phone

based ophthalmoscope and get the product ready for sale. Wideblue

initially carried out optical design of the product using Zemax software

to optimise the product’s optical performance. Early stage hand built

models were made to validate the results. Wideblue carried out

design for manufacture, injection mold tooling and supported start up

manufacturing in the UK.

Softcell Medical - in partnership with Softcell Medical Wideblue has

designed a new product which measures and displays a patients pH

levels during surgery highlighting potential restriction of blood flow to

vital organs. As of now the first 15 prototypes have been manufactured

and the device is about to start clinical trials. The pH system is

intended for the assessment of patients who have sustained injuries

or have developed disease processes that make them susceptible to

ischaemia or localised tissue death that in it’s severe form can result

in the development of compartment syndrome or generalised tissue

death.

Heated transfer device - Wideblue has developed a new device to

aid emergency services in safe transfer of patients. There are salient

unresolved issues with the current practice of transferring patients

from the scene of an accident through their pre- and in-hospital

journey. Another problem with standard manual handling devices such

as spine boards and scoop stretchers used in an accident situation is

that they are often cold and hard surfaces leading to additional risks of

the patient losing body heat. Unfortunately, hypothermia is common in

trauma victims and can reduce chances of survival.

Wideblue, in collaboration with SME Science to Business, and East

Anglian Air Ambulance (EAAA), and funded by the National Institute

for Health and Care Research, have developed a heated transfer

device product which is padded, light weight and foldable to fit into an

ambulance, air ambulance or first-responder’s vehicle. A clean singleuse

plastic cover is used for each patient which facilitates transfer using

the device and prevents any cross infection between patients. Potential

users include A&E hospitals, air and road ambulances, first response

military staff, ski patrol and mountain rescue medical teams as well as

emergency and disaster relief services.

Theatre staff vacancies

Practice Plus Group Hospital, S

Competitive salary up to £39,250 dependent on exper

For further information please visit www.wide-blue.com


www.OperatinggTheatreJobs.com

A one-stop resource for ALL your theatre related Career opportunities

View the latest vacancies online !

Operating Room

Nursing jobs

Auckland DHB

Nau mai, haere mai ki Te Toka Tumai (Auckland DHB)

At Te Toka Tumai | Auckland DHB we are committed to upholding

Te Tiriti o Waitangi and providing culturally safe care. We value

role modelling manaakitanga as demonstrated by Ngāti Whātua

in the gifting of their whenua on which our hospitals stand. We

aspire to having a workforce reflective of the communities we serve

and achieving equitable outcomes for all.

We are looking for experienced OR nurses to join our dynamic

team of Perioperative service. We invite you to bring your expertise,

knowledge, clinical and cultural skills and join us in making a

difference to the way we approach our mahi to better deliver

optimal and equitable health care to Te Toka Tumai’s diverse

communities. You will already have at least 1 year of recent OR

experience within a large tertiary hospital and are ready to further

develop your practice within the Perioperative environment.

For more information on what we offer, please visit our careers

Theatre Practitioners website Recovery to see staff Nurses benefits. Anaesthetic Nurses ODPs

Scrub Practitioners Nurse

Please submit

Practitioners

your application

Medical

online, outlining

Representatives

your experience

and motivation to apply to this role.

and Clinical Advisers

If you have any queries about this opportunity or accessibility

or technical issues with the online process, please contact

Aqeela Razvi, Recruitment Consultant on aqeelar@adhb.govt.nz

to discuss how we can best support your application.

careers.adhb.govt.nz

83 AUDIT REPORT Waitematā District Health Board Annual Report 2018/19

outhampton

ience


Work begins to make Alex

Operating Theatre ‘robot ready’

PLANS to bring state-of-the-art robot-assisted surgery to Redditch has

taken a step forward with work starting to make an Alexandra Hospital

operating theatre robot-ready.

Contractors are on-site, upgrading and refurbishing a theatre so robotassisted

surgery can be used in there when the service goes live later

this year.

Canon Medical Systems UK inspires

over 1,500 young people ahead of the

Birmingham 2022 Commonwealth Games

Canon Medical Systems UK, in association with the professional

basketball teams Sheffield Sharks and City of Birmingham Rockets, will

host the final of their inter-school basketball tournament, designed

to inspire hard-to-reach young people within local communities

surrounding Birmingham.

The work will take around six weeks to complete and will see the

theatre floor reinforced so it can take the robot’s weight.

The ventilation system will be upgraded and general refurbishment and

redecoration will take place.

Worcestershire Acute Hospitals NHS Trust is investing over £3.5million

in the service which senior clinicians at the Alex aim to begin using for

surgery later this year.

A fund-raising appeal in aid of the robotic surgery had already raised

around £500,000 before development plans were disrupted by the

pandemic.

The new service’s first procedure to be offered will allow men with

prostate cancer to have robot-assisted surgery.

Robot-assisted Radical Prostatectomy (RARP) can offer the same or

better outcomes, less pain, shorter hospital stays and quicker recovery

for prostate cancer patients who can have the surgery.

Currently, around 80 prostate cancer patients a year from Worcestershire

have to travel out of the county for this type of surgery.

The Trust’s clinical service lead for Urology, Surgeon Terng Chen

said: “After working for many years to bring robot-assisted surgery to

Worcestershire, to see work starting on the operating theatre where it

will be carried out is another very positive step forward which is great

news for our patients and our service.”

Worcestershire Acute Hospitals NHS Trust chief executive Matthew

Hopkins added: “This development is a vital part of our plans for the

future of our services and our hospitals and a further demonstration of

our commitment to providing the best experience of care and outcomes

for our patients.”

Source: Redditch Standard Ryan Smith

Action needed to make

Insulin administration in hospitals safer

(Patient Safety Learning blog)

Further reading here:

https://bit.ly/OTJpsl722

The tournaments will be played in the fast-paced 3x3 format on the

6th and 7th July to imitate the basketball 3x3 game at the Birmingham

2022 Commonwealth Games. This will be the first-ever appearance of

this basketball variation at the Commonwealth Games.

The competition includes 20 schools (10 primary and 10 secondary)

across Birmingham, with students receiving healthy lifestyle workshops

and basketball coaching delivered by the Sheffield Sharks and City of

Birmingham Rockets in the lead-up to the tournament. The winning

primary and secondary school will each receive a £1,000 voucher to

purchase sports equipment, encouraging continued participation in

sporting activities.

The workshops focus on themes around healthy and active lifestyles,

reflecting on the government’s national strategy ‘Towards an Active

Nation’. They will incorporate key values of the RESPECT programme,

including issues such as cyber-bullying and bullying, and will aim to

break negative cycles of behaviour, using role models to inspire this

change.

The tournament extends the Sheffield Sharks RESPECT Programme,

supported by Canon Medical, to Birmingham. This programme already

helps to improve chances for young people to break away from the cycle

of disadvantage around the Sheffield area. Basketball is the chosen

activity as a national team sport and statistics show it is increasingly

popular amongst young people, often from Black, Asian, and Minority

Ethnic (BAME) backgrounds which often correlate with the economically

disadvantaged areas of the UK.

Marko Backovic, Head of Community at the BBraun Sheffield Sharks

Basketball Club said: “As sport plays such a vital role in positive

development throughout childhood, it is great to be able to broaden the

RESPECT programme and offer the scheme to more young people across

the UK. With the help of Canon Medical, we have been able to see firsthand

the positive impact that these workshops and tournaments have,

which we hope will motivate young people around the country.”

Mark Hitchman, Managing Director of Canon Medical Systems UK said:

“We can already see the positive impacts that the RESPECT scheme

is having on local children, families, and the wider community in

Sheffield. We are, therefore, extremely proud to be able to bring this

level of support to more communities around the country.”

The scheme was delivered by the Sheffield Sharks in collaboration with

the City of Birmingham Rockets, with the aim to educate schools about

other local activities and sports clubs.



Becoming an NHS Forest tree sponsor

By becoming a tree sponsor you are helping to…

• Transform NHS green spaces

• Increase benefits to health, wellbeing and biodiversity

• Encourage engagement with nature.

We plant the right tree,

in the right place, and

for the right reason.

5

The healthcare sites plant the trees, often with

help from volunteers. Tree planting takes place

from November-March – keep an eye out for our

tree planting roundup each April to get a flavour of

the sites where our trees have taken root, from quiet

memorial gardens to blossoming rooftop oases.

1

We receive your request to sponsor a

tree, which we will donate to a

healthcare site in the UK, free of charge.

These sites plant trees on or near to their

own NHS land. While we can never

guarantee exactly where a sponsored

tree will be placed, we do guarantee it

will be planted as part of the NHS Forest.

2

Each year we invite NHS sites

across the country to register

their interest in receiving free

saplings. Our team works with

these sites to develop bespoke

planting plans, choose the right

tree species and make sure every

NHS Forest tree is given the best

possible start in life.

3

We consider the site and best planting

options. Planting ranges from a couple

of trees to large-scale projects featuring

thousands of saplings. Some sites are

hospitals with their own vast woodlands,

others are tiny, urban GP surgeries. They

might plant avenues, single feature trees,

orchards, hedgerows or more.

4

We select the best species for the location

and vision. Native species are chosen as

they are better suited to our environment

and climate. We aim to always source trees

grown in the UK and Ireland to prevent

importation of pests and diseases. Species

selection is based on unique environmental

conditions (soil type, shade, climate…) and is

adapted to fit each site’s planting vision.

£1.4m fundraising campaign off to a flying start

for state-of-the-art Operating Theatre

A £1.4 million fundraising campaign to support the build of a stateof-the-art

RAPTOR operating theatre in the Greater Manchester Major

Trauma Hospital at Salford Royal Hospital has been launched.

The first of its kind in the UK, the purpose-built theatre has been

designed to treat patients with multiple life-threatening complex

trauma injuries in one place. By removing time consuming transfers

between departments, thousands of lives will be saved across the

whole of the North West region.

RAPTOR stands for Resuscitation, Angiography, Percutaneous

Techniques and Operative Repair.

Stephen Owen, Head of Fundraising at NorthCare, said: “The RAPTOR

theatre is a ‘one-stop shop’ for the treatment of critically injured

patients. Whether they are brought in by ambulance or helicopter, they

will be treated immediately in a theatre that is equipped to handle

everything from the initial diagnostic scans to actual surgery.

“We are urging people to get behind our campaign to bring this vision

to life. There are 2.8 million people in Greater Manchester. If each of

the 2.8 million people in Greater Manchester could donate just 50p, we

would hit our target.

“Nobody likes to think they might need these facilities, but it is

reassuring to know that if they ever did, the RAPTOR Theatre could be

the difference between life and death.”

With completion scheduled for June 2023, the charity has just 12

months to raise the necessary funds.

The RAPTOR Appeal has already attracted support from Creamline

Dairies, a Manchester-based milk and grocery business which has

pledged an initial £500 donation, with further fundraising plans in

progress.

HCC Solicitors is also supporting the campaign and kicked off the first of

its fundraising activities by entering a team into the Great Manchester

Run.

Dylan Kiss, who lost his mother Michelle in the Manchester Arena

bombing in 2017, has also pledged his support alongside his friend, Sam

Geddes.

Sam said: “Dylan and I started our fundraising events back in 2018 after

Dylan lost his mum, Michelle. We’ve hosted charity golf days for the

past three years, as I supported Dylan to use golf as an outlet whilst

he was grieving, getting him through the tough times and giving him

something to focus on.

“We chose to fundraise for NorthCare because Salford Royal Hospital

dealt with the aftermath of the bombing, and the RAPTOR Theatre will

help patients in similar life-threatening situations, giving them the best

possible chance of survival.

“We could not be happier to be involved in fundraising for the RAPTOR

Theatre – it’s a chance to be part of history, with a cause very close to

our hearts.”

The charity is now appealing to local schools, businesses and the wider

community to get behind the campaign and help it reach its fundraising

target.

For further information, to donate or watch the RAPTOR Theatre

featured on ITV Granada News (23 June 2022) go to the following link:

https://www.northcarecharity.org/raptor

Source: Rochdale Online

Pictured: Artists impression of

Greater Manchester‘s

Trauma Hospital


Fairtility Granted CE Mark Under New European Medical Device Regulation

(MDR) for AI Decision Support Tool, CHLOE EQ

CHLOE EQ is the first AI-powered decision support tool for embryo classification and selection to achieve CE MDR approval

Fairtility, the transparent AI innovator

powering in vitro fertilization (IVF) for

improved outcomes, today announced its AI

decision support tool CHLOE EQ earned the

CE Mark under the European Medical Devices

Regulation (MDR) regulatory requirements.

CHLOE EQ is now commercially available to

IVF fertility clinics across Europe.

CHLOE EQ is an AI decision support tool that

was developed to provide Embryo Viability

Assessment which supports the prediction of

blastulation, the prediction of implantation

and ploidy and, ranks embryos in order of

priority. It also provides automatic annotations

for morphokinetic and PN count which support

fertilization assessment.

According to Dr. Cristina Hickman, Fairtility

VP of Clinical Affairs and leading embryology

expert, “Traditionally, embryo evaluation and

selection has been a manual process, limiting

patient access to treatment while also opening

the door for human error. One of the key

advantages that CHLOE EQ, the transparent

AI-driven embryo quality assessment tool, was

designed to offer is accuracy and consistency

in assessment. CHLOE’s proprietary AIbased

algorithms become more accurate the

more data it gathers, leading to uniform and

accurate embryo assessment.”

The information provided by CHLOE EQ can

then assist embryologists and IVF professionals

in the decision of prioritizing the most viable

embryo for treatment, especially when there

are multiple embryos deemed suitable.

CHLOE EQ is designed to add efficiency to

embryologists’ workflow, automating manual

steps, including annotation of each embryo

and written daily observations into each

patient’s electronic medical record (EMR).

Embryologists verify the system’s automatic

annotations that are then immediately

integrated from the Time Lapse Incubator

(TLI) directly into the EMR.

“Having gained regulatory acknowledgement

in Europe, under the more stringent directive

that the CE MDR provides, we are now

commercially launching CHLOE EQ in clinics

across the EU while continuing to uphold the

highest standard of this classification,” said

Eran Eshed, CEO and Co-Founder of Fairtility.

“With the EU IVF market size estimated

to reach over $2 billion by 2027, we see

tremendous opportunities to demonstrate

the clinical efficacy and impact of CHLOE EQ

ahead of US market entry.”

The European MDR came into effect in May

2021 and serves as the new European legal

framework for medical devices. MDR has more

stringent requirements for demonstrated

compliance, vis a vis the obsolete Medical

Device Directive (MDD), the previous industry

standard.

Fairtility showcased CHLOE EQ at the 38th

Annual Meeting of the European Society

of Human Reproduction and Embryology

(ESHRE), which took place in Milan Italy from

July 3-6, 2022 with five oral presentations and

seven posters supporting the clinical impact of

the product.

Further information https://fairtility.com/

LIVEMETRIC RECEIVES FDA CLEARANCE FOR ITS WATCH-LIKE WEARABLE BLOOD PRESSURE MONITORING

TECHNOLOGY, A LONG-AWAITED REVOLUTION IN CUFF-FREE HYPERTENSION MONITORING

LiveMetric is launching LiveOne, an FDA-cleared wearable technology

for health systems, health insurers, and self-insured employers to

improve the care and treatment of people with hypertension and

cardiovascular disease.

LiveMetric, a leader in medical wearable technology, recently

announced the launch of LiveOne, the world’s first 510(k) U.S. Food

and Drug Administration (FDA) cleared nano-sensor technology for

monitoring blood pressure every 10 seconds. LiveOne is a wrist-worn,

cuff-free solution that provides real time measurements to improve the

care and treatment of people with hypertension and cardiovascular

diseases. The non-invasive device requires no external calibration

and continuously extracts the pressure waveform out of the radial

artery. The LiveOne monitoring service will be available through health

systems, health insurers, and self-insured employers for people with

high blood pressure and cardiovascular disease.

“LiveMetric’s wrist-worn, wearable blood pressure monitor is an

amazing solution to the inconvenience of the current BP cuff and

Holter monitor,” said George Bakris, MD, Professor of Medicine at the

University of Chicago, and Director of AHA Comprehensive Hypertension

Center. “Its innovative design provides an affordable, daily monitor

which empowers users to know their blood pressure from anywhere

and at any time.

The band makes it possible to evaluate not only a static 24-hr ABPM,

but also to monitor BP over an entire week. It could also aid in our

continuous research to improve diagnosis of secondary causes of

hypertension that have variable BP increases.”

“The LiveOne device is intended to combat the worldwide epidemic

of hypertension by offering patients and providers meaningful, deeply

personalized health information so action can be taken in real-time,”

said Kelly Benning, VP, LiveMetric. “With the same ease as wearing

a watch, the LiveOne device will change how hypertension and

cardiovascular disease are managed and treated by offering people a

thorough understanding of how their lifestyle, behavior, and medication

impact their blood pressure. We are focused on bringing this to millions

of users across the channels of our customer-base.”

A radical change to more than a century of monitoring blood pressure

using cuffs, LiveMetric provides an urgently needed monitoring system

to better evaluate and monitor people from anywhere and at any time.

The LiveOne band, which can be used both day and night, provides an

extensive volume of data points which enables clinicians and caregivers

to easily evaluate trends and the likelihood of major events.

For further reading please visit:

www. livemetric.com for more information.



Discovering the many more pages available online @ www.otjonline.com

HORIBA Medical to showcase new hemostasis analyzers and reagents at ISTH 2022

New generation Yumizen G800 and G1550 automated analyzers plus new range of ready-to-use reagents for hemostasis

highlighted on Booth #1225

The new generation of HORIBA Medical Yumizen G800 and G1550

automated analyzers are designed for managing the coagulation,

thrombophilia diagnostics and monitoring requirements of clinical

laboratories with mid- to high-workloads. Supporting coagulant

nephelometry, immuno-turbidimetric and chromogenic testing, these

analyzers offer independent and integrated measurement channels.

HORIBA’s Yumizen G range of hemostasis analyzers and reagents.

HORIBA Medical announces that itshowcased the very latest additions

to its Yumizen G range of hemostasis analyzers and reagents at ISTH

2022 Congress - the premier event in the field of thrombosis and

hemostasis - at London’s Excel from 9-13 July 2022.

On Booth #1225 HORIBA Medical introduced its new generation Yumizen

G800 and G1550 hemostasis analyzers, as well as new ready-to-use

reagents for frequently undertaken blood coagulation tests. With

these introductions, HORIBA Medical now offers a complete portfolio

of hemostasis systems and an innovative reagent range suitable for all

laboratory sizes and requirements.

Alongside its specialist Yumizen G hemostasis range, HORIBA

Medical demonstrated its HELO* laboratory automation platforms

for hematology. Based on the combination of innovative and proven

technologies, the HELO solution is capable of enhancing productivity

and efficiency of any type of laboratory.

HORIBA Medical’s comprehensive Yumizen G hemostasis product range

fully supports high quality and cost-effective screening and assessment

of bleeding disorders. At ISTH 2022, HORIBA Medical presented a variety

of new specialty reagent additions to this range, including dRVVT,

protein S, protein C and Antithrombin screening and confirmation.

The new hemostasis line also includes: liquid reagents for more than

80% of laboratory activity; pre-calibrated tests; continuous sample

access and loading; as well as innovative management of reflex and

additional tests. For urgent samples, it also offers eight STAT sample

positions available at any time. Yumizen G systems use only one cuvette

per test to avoid waste and overconsumption. The Yumizen G range has

been designed to optimize costs, reduce expenses and reduce impact

on environment.

At ISTH 2022, HORIBA l also hosted a symposium with key opinion leaders

in hemostasis from the UK and France presenting on the latest reagent

evaluations and advancements in thrombophilia diagnosis. These

academic experts included: Dr. Annette Bowyer, Sheffield Haemophilia

and Thrombosis Centre, discussing APTT reagents; Dr. Laurie Talon,

University Hospital of Clermont-Ferrand, evaluating a new D-Dimer

assay; and Dr. Pierre Suchon, Aix-Marseille University, considering the

diagnosis of protein S deficiencies. Details of their presentations are

available at: www.horiba.com/int/medical/isth-2022-horiba-medical

“We looked forward to meeting biologists and clinical and laboratory

staff in person and presenting the new products in our growing Yumizen

G hemostasis line at the 2022 ISTH Congress,” said Bruno Pougault,

Global Hemostasis Product Manager, HORIBA Medical. “Leveraging

our many years of expertise in hematology, we have meticulously

designed all our Yumizen G systems to ensure that they are easy-touse,

efficient, robust and safe, along with a continuously expanding

repertoire of tests.”

For further information on HORIBA Medical’s comprehensive range of

hemostasis reagents and systems, please visit:

https://www.horiba.com/int/medical/products/hemostasis/

* HORIBA Evolutive Laboratory Organisation Please quote ‘OTJ’


Solely Digital Online Journal Moves Closer!

At no cost to you, our loyal reader, our popular pages will soon be moving Online only.

No more waiting for the postie or hoping to grab a copy in the theatre coffee room before someone

else does!

As you can currently, you’ll be able to view the latest issue solely on your smartphone, tablet, laptop

or PC. Despite physical printing becoming greener, there is still an environmental factor and it is

this environmental footprint that we are aiming to cut.

So please prepare yourself and advise your colleagues that our popular pages will soon be found at

www.otjonline.com only.

Simple Free registration allows you access to current and back issues totally free and you’ll even

receive a notification each month to advise you that your copy is ready to collect by logging in to

our website.

So please spread the word and start switching so you continue to read our popular pages every

month.

Register now (top right-hand corner of the page) at www.otjonline.com


Unisurge keeps sight of surgical supply

deliveries with PODFather

Unisurge, the manufacturer and supplier of medical disposables,

operating theatre products and custom procedure packs for healthcare

professionals, has introduced PODFather’s route planning and

electronic proof of delivery (ePOD) solution to help plan and track

its delivery fleet. Distributing 4,000 boxes a day to over 500 delivery

locations around the UK, Unisurge has introduced PODFather as part of

a company-wide system review.

Integrated with Microsoft Dynamics 365 Business Central, supplied by

PODFather’s technology partner, Tecman, Unisurge is in the process of

consolidating a number of disparate paper-based processes into one

streamlined solution with the aim of improving operational visibility,

efficiency and traceability across its operation.

Established in 1988, Unisurge is a trusted manufacturer and supplier

of customer procedure packs, dressing packs, medical disposable, and

theatre products for healthcare professionals in the UK. Technology

innovation drives business practices across all divisions, including

its distribution network. Having progressively implemented several

technology solutions, Unisurge made the decision to switch to one

supplier that could handle all its route planning, vehicle check, delivery

tracking, customer notification and ePOD needs. Having seen what the

market had to offer, Unisurge selected PODFather based on its proven

ability to help companies improve operational visibility and traceability

with advanced route planning and electronic proof of delivery.

“Before we introduced PODFather we relied on a number of different

systems, and associated processes, to assign our deliveries to routes and

track our vehicle fleet,” comments Amir Farboud, Chief of Operations

at Unisurge International. “Switching to PODFather will enable us to

consolidate our distribution service, which is better for us as a business

and for our customers who will have better visibility of when orders will

be arriving and where they have been delivered.”

Unisurge is integrating PODFather into its existing IT infrastructure

with the system’s advanced API making for a smooth integration with

Microsoft Dynamics 365 Business Central, provided to by PODFather’s

technology partner, Tecman. The plan is for PODFather to be used

daily to plan vehicle routes, capture vehicle checks, issue customer ETA

notifications, track drivers and capture electronic proof of delivery. As

a result, transport teams will have full time visibility of both planned

and actual activities, customers will be kept up to date with delivery

tracking links and electronic proof of delivery is captured and shared

with both Unisurge and the end customer in real time.

“When you are delivering healthcare supplies into operating theatres

it is imperative that you have a solution in place that ensures products

get to the right place, at the right time, every time,” comments Colin

McCreadie, Managing Director at PODFather. “With Unisurge we are

able to consolidate what was a segmented paper-based process and

deliver a streamlined solution that will integrate seamlessly with other

internal systems and provide the team with delivery reliability across

its operation.”


World’s first electronic respirator sterilising (corona)-viruses of all

variants completely by UV-LED-radiation-effected RNA destruction

The “Securer” guarantees maximum safety and comfort

After two years of intensive research about real coronaviruses, the

company SecureAir GmbH pre-sents a ground-breaking new development

for healthy air: The “Securer” is the world’s first, especially lightweight,

electronic respirator not only filtering viruses, but eliminates them by

sterilisation through UV-LED-radiation effected RNA destruction, during

necessary time.

A highly-qualified team of engineers, technicians, virologists, and

business people have cooperated at facilities of the Otto-von-Guericke

University in Magdeburg, Germany, to realize their “vision” of a 100%

like security about coronaviruses. Today, SecureAir GmbH is probably

the only company in the world that knows exactly how long and at what

distance living coronaviruses have to be exposed to which frequency

high-power LEDs in order to render them harmless.

The company cooperated with internationally leading manufacturers

in order to apply the powerful UV-C-LED-technology to the “killing”

of coronaviruses. In addition, a scientifically-based research pro-ject

was carried out with one of Germany’s leading virologists, Professor

Dr rer. nat. Brigitte König (Managing Director of MMD GmbH & Co KG ,

Director of Institute, expert for” medical microbiology and infectionimmunology”,

deputy director of Institute for medical microbiology

and infection-epidemiology of clinics at university Leipzig, External

professor of chair for medical school at university Otto-von-Guerickein

Magdeburg.

Six months of testing with living coronaviruses confirmed the innovative

potential of the “Securer”: It filters and eliminates viruses completely

before and during inhalation and exhalation and

thus protects both-, the user and their environment; achieved by two

exposure-chambers , enabling air to be inhaled and exhaled. Both

contain high-power UV-LEDs and special micro-fans.

Despite, the “Securer” only weights around 200 grams and it can be

individually adjusted to the shape of the user’s head. The operating

time is up to 6-8 hours, extendable by battery pack/power bank.

The “Securer” should be available autumn 2022. SecureAir GmbH is

currently looking for technology-partners who would like to produce

under license and/or distribute the product, or who prefers to acquire

complete technology.

https://youtu.be/yX4tahB6Pq4

When responding please quote ‘OTJ’


HASO Printables – What are the

benefits of doing an apprenticeship?

Wondering what the benefits are of doing an apprenticeship? Do you have an employee who

is thinking about applying for one? Download the printable below for a list of some of the

great benefits apprenticeships can offer.

If you would like to know what kind of apprenticeships are available in a wide variety of

areas including Nursing, Estates & Facilities, Public Health and more, check out our Job

Families section or our Apprenticeship Standards Factsheets.

“HASO Printables – What are the benefits of doing an apprenticeship?”

www.Operating peratingTheatre heatreJobs.com

A one-stop resource for ALL your theatre related Career opportunities

View the latest vacancies online !


Clinical Update Advantages and Upgrade of the CS Your Prone Allen/Jackson

Head Support System

& Face Cushion: Improving Outcomes

Table Accessories

Complete with an innovative open-chin design,

the advantages of the CS Prone Head Support

System and Face Cushion can be noted with

improved results from the first observation

through to post-op results. The CS Prone

Head Support System’s unique design provides

unmatched patient safety and comfort, with

the CS Prone Face Cushion combined with the

adjustable mirror and helmet system allowing

for neutral positioning of the neckline, even

pressure distribution and clear monitoring of

the patient’s face.

The open-chin design allows repositioning

of the patient without disconnecting the

tubing, therefore maintaining PEEP pressure

and crucially, reducing the contamination

risks associated with removing and restoring

patients’ intubation. Additionally, the openchin

design supports improved outcomes

attributed to superior patient monitoring,

positioning, consistent intubation and

protection of skin integrity, particularly in

the chin area where patients can be prone to

pressure injury. Removing risk of similar skin

integrity issues is a vital consideration for any

successful patient outcome.

The system is specifically designed to protects

patients’ over prolonged periods of time from

pressure- related injury, eye injury and nerve

damage in both theatre and ICU.

+ All attachments compatible with

Allen/Jackson Tables

+ Multiple head support options

including open-chin design

Update and Upgrade Your Allen/Jackson

Table Update Accessories

and Upgrade Your Allen/Jackson

Table Accessories

+ All attachments compatible with

+ Allen/Jackson Tables

All

attachments

attachments

compatible compatible

with

with

+ Multiple Allen/Jackson Allen/Jackson head support Tables

Tables options

+

including open-chin design

Multiple

Multiple

head

head

support

support

options

options

including including

open-chin open-chin

design

design

CS Universal Arm Support

CS Prone PatientSupports

CS Prone PlusHead SupportSystem

CSM-2565

CSM-2646

CSM-2716

Visit www.care-surgical.com to view our comprehensive

range of patient positioning products

01704 336671 | info@care-surgical.com | www.care-surgical.com

Care Surgical Ltd, Unit 6 Ringtail Road, Burscough, Lancashire L40 8JY UK







CSM-2565

Universal Arm Support

CSM-2646

CSM-2716



CSM-2565

CSM-2565

CSM-2646

CSM-2716

CSM-2646

CSM-2716

Visit www.care-surgical.com to view our comprehensive

Visit www.care-surgical.com range of patient positioning to view our products comprehensive

01704 336671 range | of info@care-surgical.com patient positioning | www.care-surgical.com

products

01704 Care Surgical Ltd, Unit 6 Ringtail Road, Burscough, Lancashire L40 8JY UK

01704

336671

336671

| info@care-surgical.com

info@care-surgical.com

| www.care-surgical.com

www.care-surgical.com

Care Surgical Ltd, Unit 6 Ringtail Road, Burscough, Lancashire L40 8JY UK

Critical Care

Airway Management

Anaesthesia

Oxygen and

Aerosol Therapy

Your first choice in respiratory care

Patient solutions for pre-hospital,

emergency care, hospital and homecare:

• Airway Management

• Anaesthesia

• Critical Care

• Oxygen and Aerosol Therapy

Environmental Management System certified

to the international standard ISO 14001.

The complete solution

from the respiratory

care specialists

View our full product range:

www.intersurgical.co.uk/products

To view our catalogue please

scan the QR code or visit

www.intersurgical.co.uk

/catalogue

lnteract with us

Quality, innovation and choice

www.intersurgical.co.uk

The Operating Theatre Journal July 2022

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