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Operating Room Product Overview

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Presentation on theme: "Operating Room Product Overview"— Presentation transcript:

0 Operating Room Product Portfolio
Tony Phelps CONFIDENTIAL AND PROPRIETARY - FOR INTERNAL USE ONLY. NOT FOR PUBLIC DISPLAY OR COPYING UnoVac, HandyVac, MiniVac and OP-Flex are trade marks of Unomedical a/s. Realize the possibilities is a trade mark of ConvaTec Inc. All other trade marks are the property of their respective owners. © 2012 ConvaTec Inc. AP MM EM

1 Operating Room Product Overview
Wound Drainage Systems UnoVac™ System HandyVac™ System Passive Drainage High Vacuum Suction Systems Standard OP-Flex™ Range OP-Flex ™ Flexible Yankauer System CONFIDENTIAL & PROPRIETARY

2 Passive Drainage System
High Vacuum System UnoVac™ System Passive Drainage System HandyVac™ System HandyVac ™ ATS System Wound Drainage Systems CONFIDENTIAL & PROPRIETARY

3 Wound Drainage Drainage systems may be used to drain fluid, mostly blood, from surgical wounds after an operation. Low Vacuum Passive Drainage High Vacuum (except close to intestine and glands) CONFIDENTIAL & PROPRIETARY

4 Why do we need wound drainage?
The process of facilitating and collecting post-operative bloodshed in order to avoid haematomas. Without drainage the fluid; Is a medium for infection Prolongs the healing process Causes pain to the patient Haematoma: a bleeding under the skin that forms a lump A key element in infection control and in facilitating the healing and mobilization process. CONFIDENTIAL & PROPRIETARY

5 The ideal wound drainage system
Removes blood effectively Reduces the risk of wound infection Gentle to the tissue CONFIDENTIAL & PROPRIETARY

6 What Are Wound Drainage Systems?
A sterile, single-use medical device consisting of:- Catheter – different types, sizes, materials (PVC or Silicone) Trocar (usage optional) Connecting Tube Receptacle – Bottle / Bag Bellows CONFIDENTIAL & PROPRIETARY

7 Where are they used? Predominantly where surgical procedures are performed; Theatres – All specialities Day Surgery Units Recovery Wards will need to have stock of spare receptacles for replacement CONFIDENTIAL & PROPRIETARY

8 Types of Drainage Systems
Low vacuum HandyVac™ System UnoVac™ System MiniVac™ System Initial vacuum pressure 50 – 120mmHg CONFIDENTIAL & PROPRIETARY

9 HandyVac™ System: Low vacuum system

10 HandyVac™ System 125 ml 700 ml Hanger Bellows Connector Clamp Bag
Trocar 700 ml With/without bottom outlet Drain CONFIDENTIAL & PROPRIETARY

11 Non-Return Valves – infection prevention

12 Suction Pressure as a Function of Suction Amount
Suction Efficiency Excellent suction curve (in-vitro) - 25/65 mmHg Minimises risk of hole closure Minimises risk of tissue damage Used for head, back and abdominal surgery Suction Pressure as a Function of Suction Amount HandyVac System with 700 ml bag. Ref nr Data on file. Test report: Suction pressure as a function of suction amount. 26th September 2007. CONFIDENTIAL & PROPRIETARY

13 HandyVac™ System Low vacuum drain Initial vacuum pressure 65mm Hg
Bellows capacity 125ml Bag 700ml Drain Sizes Ch 8,10,14,18 Bags with or without taps Two non-return valves (NRV) Bag NRV prevents reflux Drip chamber NRV eliminates need for clamps Redon spiral drain CONFIDENTIAL & PROPRIETARY

14 HandyVac™ System Competitors
Bellovac™ System Abdovac™ System Exudrain™ Mini System CONFIDENTIAL & PROPRIETARY

15 HandyVac™ System Competitors
Redax™ System Redax™ Silicone System LowVac™ Plus System CONFIDENTIAL & PROPRIETARY


17 UnoVac™ System Bellows Bag Protective cap 300 ml 600 ml Filter Trocar

18 How to establish the vacuum
Press with two thumbs No clamps needed Simple and time saving CONFIDENTIAL & PROPRIETARY

19 Non-Return Valves – Infection prevention

20 What are the advantages of the UnoVac™ System?
Low or passive drainage Supplied as a closed hygienic system With profuse secretion it is possible to change the bag Constant suction level Easy visual control of remaining vacuum High capacity of 900 ml ( bellows 300 ml / bag 600 ml) CONFIDENTIAL & PROPRIETARY

21 Suction Pressure as a Function of Suction Amount
Suction Efficiency Suction Pressure as a Function of Suction Amount UnoVac™ System Excellent suction curve (in-vitro) - 110/95 mmHg to 50/60mmHg Minimises risk of hole closure Minimises risk of tissue damage Suction Peak- almost full Almost full Start Passive drainage in vitro test UnoVac has excellent suction. The initial vacuum is 100 mgHg and is kept reasonably constant for almost all of the time whilst active. The advantages of a uniform suction curve are: Less tissue damage because the risk of closure of the drain holes is minimised. In conventional low vacuum systems the vacuum often drops to such an extent that, when the suction unit is ½ - ¾ full, there is often no vacuum left. This results in many more evacuations being required. In any evacuation commencing at a high vacuum there is a risk of invagination of tissue in the drain holes. This results in tissue damage and poor healing of the wound. Continuous emptying of the wound cavity so that infection is minimised and healing encouraged. Immediately before the suction unit is full, it will show a slightly higher vacuum. this minimises the risk of blocking the drain in the period until the system is re-evacuated. Data on file. Test report: Suction Curves at 15 ºC and 25 ºC . 6th February 2001. CONFIDENTIAL & PROPRIETARY

22 Low Vacuum – MiniVac™ System
Small 30ml bellows Initial suction vacuum 80 mmHg Sizes Ch 6 Redon spiral PVC drain Ch 8 Ulmer PVC drain Used primarily in Faciomaxillary (MaxFax) Head & Neck surgery Hand surgery CONFIDENTIAL & PROPRIETARY

23 MiniVac™ System Competitors
Mini-Exuvac™ System (Minimed/procar3e/GB-UK) Exudrain™ Mini System (Astratech) Red-0-pak™ System (Vygon) Mini Redovac™ System (B.Braun) LOW VAX™ System (Athrodax) CONFIDENTIAL & PROPRIETARY


25 High Vacuum System Initial vacuum pressure 600ml bottle 400ml bottle
Above 400mmHg 600ml bottle Drain sizes Ch 10,12,14,16,18 400ml bottle Drain sizes Ch 10,12,14,16 Non Return Valve 600ml bottles only Redon spiral drain CONFIDENTIAL & PROPRIETARY

26 High Vacuum - Competitors
Redovac™ System (B.Braun) PREVAX™ / Econovax™ Systems (Athrodax) Drenofast™ (Nikomed) Safe-t-Vac™ System (Pro-Care/Minster/Meddis/GB-UK) Medinorm™ System (Summit) CONFIDENTIAL & PROPRIETARY

27 Passive drainage Passive No negative pressure gravity only (25mmHg)
Ulmer drain Soft 90cm tube 700ml drainage bag Sizes Ch 20,24,28 CONFIDENTIAL & PROPRIETARY

28 Passive Drain - Competitors
Robinson System (Portex) Drentech System (Summit) CONFIDENTIAL & PROPRIETARY

29 Drains

30 Unomedical Range of Drains
Single use solid trocar PVC or Silicone drains Different perforations Detectable X-ray line Black indicator marks CONFIDENTIAL & PROPRIETARY

31 Wound Drain Perforations
Corrugated drain Spiral drain Redon drain Slit drain Silicone drain Ulmer drain CONFIDENTIAL & PROPRIETARY

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

33 Flat Drain Radiopaque Multiple narrow ducts provide
fluid entry at any point CONFIDENTIAL & PROPRIETARY

34 Features of Round Drains
Offers multiple drainage routes to resist clogging Four continuous channels provide greater tissue contact area than regular perforated drains Smaller, more flexible tube Due to channel design, removal may be less traumatic to surrounding tissues in comparison to designs with holes Constructed of silicone with solid center designed for strength and flexibility CONFIDENTIAL & PROPRIETARY

35 OP-Flex™ Range of Suction Systems
Various Flexible Yankauer Standard Filter Flow System OP-Flex™ Range of Suction Systems CONFIDENTIAL & PROPRIETARY


37 Why is suctioning neeeded in surgery?
During operations it is necessary to remove blood and fluid in order to maintain an unobstructed view of the operating are and organs. The surgeon uses suction handles (linked to vacuum) of different kinds to keep the area free of blood and fluids to have a clear view of the surgical field. The production of a vacuum or partial vacuum in a cavity or over a surface - so that the external atmospheric pressure forces the surrounding fluid or blood, into the suction handle – through the tubing to the canister on the floor. CONFIDENTIAL & PROPRIETARY

38 The handle is THE tool for the surgeon

39 How does a vacuum source work?
An operation suction set consists of a suction handle and a connecting tube. The connecting tube is connected to a canister which can be either reusable or disposable. The canister is connected to a vacuum source having a vacuum of mmHg mm/Hg CONFIDENTIAL & PROPRIETARY

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

41 Yankauer Tips Conventional yankauer – all surgeries
Tapered yankauer – narrow cavities Flattened yankauer – between nerves and muscle fibres Sump yankauer – delicate tissue Super Flow – AAA or trauma Poole – delicate tissue CONFIDENTIAL & PROPRIETARY

42 OP-Flex™ Suction Handles
Tapered Flattened Conventional Sump Poole CONFIDENTIAL & PROPRIETARY

43 Detachable – easy to change
OP-Flex™ Range With/without Vacuum control Ergonomic Suction handle Detachable – easy to change Different tips available CONFIDENTIAL & PROPRIETARY

44 OP-Flex suction handles are supplied both with and without vacuum control
When the hole is uncovered there is no suctioning. When the hole is covered suctioning takes place. It is particularly important to be able to control the vacuum during operations in delicate tissues, such as cerebral tissue or between intestines (tarme). Trauma to the intestines means spreading of bacteria's, which is a very dangerous situation to the patient. CONFIDENTIAL & PROPRIETARY


46 Relieving Eyes Designed to minimise the risk of tissue damage
Four relieving eyes. the total area of the lateral eyes is smaller than that of the distal eye. If the distal eye is blocked, the lateral eyes will provide relief. Suction handle available in two sizes: ID 4.6 mm ID 5.0 mm CONFIDENTIAL & PROPRIETARY

47 OP-Flex Connecting Tube
Anti-kink connectors Unrestricted flow through the system Full maneuverability in all positions. Cut -to-fit connector at the distal end to enable a fit to all canisters CONFIDENTIAL & PROPRIETARY

48 Anti-kink Connector Unrestricted flow through the system with no risk of stopping the suctioning due to kinking. Full maneuverability in all positions which is very important as the surgeon will often have very limited space CONFIDENTIAL & PROPRIETARY

49 Cut-to-fit Connector - Universal
To enable a fit to all canisters CONFIDENTIAL & PROPRIETARY

50 OP-Flex™ Flexible Yankauer Handle
Ergonomic handle Non-slip safe-grip groove. Flexible bendable tip Precise handling & maximizes protection of internal organs. Transparent material Easy observation of blood. Integrated basket Increases the safety of loosing the tip. Integrated universal connector Secures firm connection to suction tube. CONFIDENTIAL & PROPRIETARY

51 Yankauer Tip A suction tip with a large opening surrounded by a bulbous head. Designed to allow effective suction without aspiration of surrounding tissue. CONFIDENTIAL & PROPRIETARY

52 Easy to use – Flexible tip

53 Where to use the Flexible Yankauer Handle
Abdominal surgery ( Sump ) Orthopaedic surgery Thoracic surgery Breast surgery Vascular surgery ( Sump ) ENT (ear-nose-throat) Gynaecology The Flexible Yankauer handle can be used in most kinds of surgery CONFIDENTIAL & PROPRIETARY

54 Competitors Baxter/Alligiance/Kendall (Medi-Vac) Cardinal Health
Sherwood /Tyco (Argyle) Pennine Conmed CONFIDENTIAL & PROPRIETARY

55 Competitors Tyco Pennine Astra Dahlhausen

56 UM strong points compared to competitor
Selling Against Tool SUPPLIER FEATURES BENEFITS UM strong points compared to competitor Unomedical Lower priced “Me Too“ product High quality Moulded one piece Integrated tip Allows greater uptake on a premium product No assembly needed No risk of “disconnection” Less expensive Good support Good range of compatible suction handles Tyco Sherwood Argyle Image in market Market Leader Market share 60 % First mover Large Quality range Loyalty Innovation + experience Increased possibilities for easy sales to existing customers Greater ability to position suction handles in some surgical procedures “Me Too” product not at premium price UM have large suction handle range Able to gain market share due to high quality and low price Pennine Low price Acceptable quality products Market Follower Market shares 20 % Cheaper than Tyco Loyalty & Relationships Brand effect, Market awareness & enquires Fog of war, long term tie Ups ? Appeals to price sensitive Unknown, possibly ease of removal UM also have loyal customers Unomedical have higher quality to same price Unomedical can try to be low priced in NHS Supply Chain UM hope to offer better values, complaint handling etc UM product is same as Market Leader CONFIDENTIAL & PROPRIETARY

57 The OP-Flex™ FilterFlow Suction Set

58 What is included in the Op-Flex™ FilterFlow Set?
FilterFlow handle containing a filter. One extra filter included. 3 tips packed in set 1 short bent 1 long bent 1 long straight Indication Intra femoral suctioning. OP-Flex connecting tube. Single packed filters are available in boxes of 20 CONFIDENTIAL & PROPRIETARY

59 FilterFlow Filter Patented filter system prevents inconvenient and time-consuming blockages. The patented cross-flow filter allows fluids to pass through with minimal damage, yet traps debris that could clog conventional suction sets. CONFIDENTIAL & PROPRIETARY

60 The OP-Flex™ Frazier Suction Handle
With/without Vacuum control 2 different lengths Graduated connector Malleable Tip with stylette X-Ray line CONFIDENTIAL & PROPRIETARY

61 Where are Frazier Handles used?
Neurological surgery Plastic surgery Cardiac surgery Ear-Nose-Throat Other operation field where a small suction handle is used to access CONFIDENTIAL & PROPRIETARY

62 Close up features Flexible due to the stylette Vacuum control
Easy to connect to tubing CONFIDENTIAL & PROPRIETARY

63 Disarp™ - Disposable Abdominal Retracting Pad
Unique UnoMedical product X-ray detectable 45 cm and 25 cm lengths The Disarp™ Device was developed to protect and retract soft tissue during surgery in order to keep the operating field visible, clean and free of blood and fluids. CONFIDENTIAL & PROPRIETARY

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

65 Retractorpads™ – Competitor

66 Inserting the Disarp™ Device

67 Decision Makers in the Hospital – OR products
Economic Gatekeeper Clinical Gatekeeper Economic Influencer Clinical Influencer Economic Decision Maker Clinical Decision Maker Surgeon Nurse Purchaser Tender X CONFIDENTIAL & PROPRIETARY

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