Jan-Feb 2009

Ethylene Oxide sterilisation breaks four-hour barrier

Ethylene Oxide (EtO) has been used as a sterilant for nearly 80 years now. It has stood the test of time as a very effective sterilant, being good both at killing a wide range of pathogens and at sterilising the most complex shapes. It continues to be a major technology for the sterilisation of medical devices world wide. Indeed, if you look at the back of packages containing devices for use in surgery some 70% contain the statement “Sterile EO”.

Most medical devices sterilised by EtO are designed for single use. The insight of Dr Andersen in the 1960’s was to deliver the EtO directly to the heart of the load, in a glass ampoule. This allowed sterilisation to be achieved without any of the compressed gas cylinders, steam lines or compressed air required by traditional, large EtO chambers. It also allowed sterilisation to be achieved with a small fraction of the EtO used by other technologies. In short EtO sterilisation became accessible to hospitals and clinics. They could do their own EtO gas sterilisation in their own facility, opening a whole new world for re-sterilisation of medical devices.

The challenge for EtO as a technology remained the time required for a sterilisation cycle. Even in the Andersen chambers a cycle would typically be run overnight. There was also the requirement for aeration before devices could be used on a patient. It is a feature of EtO that it is absorbed by many materials, particularly soft plastic, and this may need to elute before a device can be re-used.

The latest EtO steriliser from Andersen Products is the Series 4. This delivers the benchmark 10-6 sterility assurance level in 3.5 hours. Furthermore, as this cabinet runs at 50ºC the items can be left in the cabinet for a further hour to drive off residual EtO. The result is that EtO sterilisation now delivers all items sterilised and ready for use in 4.5 hours. This highly efficient steriliser gives users the ability to use the most effective sterilant and reuse their delicate and expensive equipment again the same day.

■ For more information visit: www.anpro.com  

Intelligent volumetric infusion pump

Volumat MC Agilia is the advanced volumetric infusion pump in the Agilia range, the new family of intuitive infusion devices developed by Fresenius Kabi.

Volumat MC Agilia offers a wide range of flow rates (from 0,1 to 1500 ml/h) as well as programming modes that suit all infusion protocols, from the simplest to the most advanced. The pump can be programmed in dose rate with direct translation into flow rate in ml/h.

Volumat MC Agilia can be used as a stand alone device or be stacked together with other Agilia devices.

Associated with Vigilant, the IV Medication Safety Solution, Volumat MC Agilia is a smart pump with integrated doseerror reduction software (DERS).

A full range of administration sets matches all clinical practices. All Volumat lines are DEHP and latex free. The SafeClip on the Volumat lines automatically clamps the line to avoid any risk of free-flow when the door is opened.

■ For More information visit: www.fresenius-kabi.com  

LEDs improve lighting performance

From first diagnosis to the most complicated surgery, sight has always been assisted by light. LEDs offer a major improvement in quality of care with excellent lighting performance, long life, low electrical consumption and variable colour temperature. OLED screens – particularly useful for monitor – provide a clear, multi-angle view and have low electrical consumption.

French company TLV Healthcare has for years been integrating cutting-edge technologies to improve healthcare. Recently it has integrated LEDs in its U-CARE ICU beam reading light and OLED screen in its new SECURIDYS medical gases alarm unit.

French designer Maxime Despature has designed the SECURIDYS look, adding the traditional French touch of elegance to TLV Healthcare’s OLED technology.

Since 1947, TLV Healthcare has provided its worldwide customers with products which are aesthetic and comfortable, ergonomic and safe, easy to maintain and competitively priced. ■ For more information visit: www.tlv.fr  

Intersurgical extends its ECO range of products

Intersurgical announces the launch of more products in its Eco range of low environmental impact products. These now include:

• Eco Oxygen mask
• Eco Aerosol mask
• Eco High Concentration Oxygen Mask
• Cirrus2 Adult Eco Mask Kit
• Eco Venturi mask kits
• FiltaMask

Lowering the environmental impact

Geoff Wond, Product Manager, explains: “As part of a continual improvement process, Intersurgical aims to reduce the environmental impact of its products and processes. This has resulted in a long search for alternative materials to PVC to address these concerns.

We are delighted to now add more products to the range providing our customers with an extended choice of low environmental impact products.” The new Intersurgical Eco Oxygen Mask, has a 73% lower impact on the environment over its complete life cycle compared to PVC alternatives. ■ For more information visit: www.intersurgical.com & www.ecomask.co.uk  

Homocysteine reagent for automated chemistry analyzers

When elevated amounts of homocysteine accumulates in the blood stream, arterial vessels may be damaged. The resulting inflammation may eventually cause blockage of blood to the heart.

Recent studies are yielding evidence that elevated blood levels of homocysteine have a predictive value for risk of coronary artery disease similar to that of elevated cholesterol levels. Recent evidence has also related elevated blood levels of homocysteine to the risk of miscarriages and birth defects.

Pointe Scientific announces the introduction of a two part liquid stable Homocysteine assay for measurement of homocysteine on clinical chemistry analysers. It has excellent correlation with immunoassay and HPLC, rapid results, and is standardised to NIST SRM 1955 “Homocysteine Standards Reference Material.” Instrument applications are available upon request.

■ For more information visit:

3M to launch new matrix wounds dressing

3M will launch Tegaderm Matrix in the first quarter of 2009. Tegaderm Matrix, part of the company’s Tegaderm range of products, is a wound dressing impregnated with a polyhydrated ionogens (PHI) ointment to balance the wound environment in a chronic wound in order to accelerate healing.

In chronic wounds, an imbalance between MMP (Matrix Metalloproteinases) and TIMP (Tissue Inhibitor Metalloproteinases) production slows down or stalls the healing process. Prolonged MMP expression destroys growth factors impairing the wound’s ability to heal.

Tegaderm Matrix inhibits the production of MMPs and thus creates a balance between the TIMP’s and the MMPs.

Tegaderm Matrix regulates those levels in order to accelerate wound healing and obtain wound closure. Tegaderm Matrix consists of an acetate carrier, PEG (poly ethylene glycol), 20% water, citric acid and a blend of metal ions (rubidium, calcium, zinc and potassium) already present in the body fluids. Tegaderm Matrix supports faster healing in chronic wounds which:

• Regulates MMPs (matrix metalloproteinases)
• Facilitates re-epithelialisation
• Normalises the micro-environment

■ For more information visit: www.mmm.com  

Drive Medical offers distribution opportunities at Arab Health 2009

Drive Medical, the UKs fastest growing manufacturer and distributor of mobility and healthcare products, will be attending Arab Health 2009 to meet up with potential distributors and explore new relationships within Saudi Arabia.

As the largest and most prestigious healthcare event in the Middle East, the event offers the perfect platform for the UKbased company to showcase their extensive range of innovative products, including Wheelchairs, Mobility Scooters, Powerchairs, Daily Living Aids and Bathlifts and Rise & Recline Armchairs.

The company already has a strong distribution network established across Europe and it is one of the world leaders in assistive technologies. Their impressive portfolio of products is helping millions of people live more independently.

“What sets us apart from other companies is our continuous research into consumer requirements and our clear focus on quality,” said Marketing Manager Alan Sullivan.

“The Middle East is an extremely important market for us and we are looking forward to showcasing our broad range of products there. It is a great opportunity to meet up with potential distributors, which will hopefully forge strong working relationships for the future.”

■ For more information visit www.drivemedical.co.uk  

Antimicrobial cable management system launched

Hospital managers and specifiers working on healthcare projects are closely involved in the fight against infection and know only too well the difficulties encountered in halting the spread of potentially deadly bugs such as MRSA.

Enforcing rigorous cleaning regimes, coupled with high levels of personal hygiene for patients, staff and visitors, is imperative. However, there is growing awareness that building products specified for use within healthcare environments can play their part in preventing the spread of infection.

And that’s where market-leader Marshall- Tufflex’s new Bio Trunking for cable containment systems comes in.

Bio Trunking solutions use a proven silver ion-based technology to neutralise bugs that come into contact with them. The system has been tested to ISO 22196:2007 and is proven to exhibit reductions in bacterial viable counts by more than 99.9%. Tests show that bacteria such as MRSA, E-Coli, Klebsiella pneumoniae and salmonella are reduced by at least 99.9% after only 24 hours.

Importantly, because the antimicrobial ingredient is mixed into the PVC-U rather than applied as a surface coating, it continues to work even if the plastic is scratched or damaged, and will remain 100% effective throughout the life of the trunking as it does not leach out or suffer any reduction in performance over time.

Bio Trunking is available for use with all Marshall-Tufflex PVC-U cable containment systems.

■ For more information visit: www.marshall-tufflex.com  

UriSed – a fully automated urine sediment analyser for the full picture

The fully automated Urine Sediment Analyzer – UriSed-2 – is able to detect urine particles with high accuracy in urine sediment. This instrument performs sample preparation, takes several pictures of each sample through its builtin microscope and evaluates them by a high quality image processing software.

UriSed is a stand-alone instrument, which can be connected to LabUMat-2 Urine Chemistry Analyzer. Together, the two instruments make up a complete urine laboratory sytem.


– Whole viewfield microscopic images about sediment

– Automatic particle recognition

– User friendly, flexible software

– Fully automated sample preparation

– Low sample volume

– Optimised centrifuge to prevent particle destruction

– Cost effective operation without any special liquid reagents

This instrument is supplied by Budapest-based 77 Elektronika, which was established 22 years ago to manufacture blood glucose meters and urine analysers. Products of the company are supplied to nearly 100 countries under the 77 Elektronika brand. OEM is also available.

■ For more infornation visit: www.e77.hu
■ Visit 77 Elektronika at Arab Health stand: H8 MB11

Infusion pump has new softline design

With a new softline design, Samtronic’s infusion pump has sophisticated control and monitoring and comprehensive alarm systems all in a very compact size. It has the added feature of stacking many units on the same support. With a highly visible graphic monochrome display, full infusion parameters programming, an event log and an optional free flow locking device, this pump will certainly change the concept of future high risk infusions.

■ For more information visit: www.samtronic.com.br  

Invivo introduces Luminescence Breast Coil System

Invivo Corporation, an industry leader in MR coils and Advanced Clinical Visualization Systems introduces Luminescence, the FDA – cleared advanced breast MRI coil system. For sites utilising 8, 16 and 32 channel MRI Systems, Luminescence is the latest evolution in MRI breast coil technology. The system is an ergonomic modular design with comfortable patient positioning accessories. The system is available with both interventional coil and an optional 16-channel diagnostic coil.

As the demand for breast MRI increases for screening of high-risk populations and surgical planning, high quality images, fast, easy to use coils and a comfortable patient experience are essential. Invivo’s 16 – channel Luminescence Breast System addresses these needs by delivering high signal to noise ratio, isotropic sub-millimeter voxel images, excellent image uniformity and parallel imaging performance, all with a fast acquisition time. The Luminescence 16-channel technology also optimises the acquisition of advanced imaging techniques such as spectroscopy and diffusion.

The Luminescence Breast System by Invivo is specially designed to provide access for interventional procedures with cranial access as well as improved lateral and medial access for minimally invasive breast interventions. This design minimises distance to the biopsy site of commonly found upper-outer quadrant lesions. Further aiding the clinician as they perform their MRI guided procedures, is a system powered fiber optic LED with 12 light points built into the coil design for optimal illumination of the interventional site.

Innovative modular design is combined with large aperture volumes for ease of use and patient comfort. The Luminescence breast coil can be combined with the ESys Patient Entertainment System by Invivo, which allows the patient to watch movies, listen to music and receive instructions from the technologist providing a more enjoyable experience for the patient.

■ For more information, visit

Pneumatic patient positioners

Ethox International, (Buffalo, New York) has released its P3 line of pneumatic patient positioners. The new P3 surgical patient positioners bring a new patented technology to the patient positioning marketplace. The pneumatic devices, the ‘Shoulder-Float’, ‘Pelvic-Tilt’ and ‘Delgado Inflatable Post’ allow for easy insertion and safe positioning of even the most difficult patients. The Shoulder- Float provides even weight distribution while helping to prevent ischemia and nerve damage in or near the shoulders while in a lateral decubitus position. The Pelvic-Tilt promotes blood flow to the foetus, in delivery procedures by reducing potential compression of the vena cava or aorta and is also used for hip and knee replacements. The Delgado Inflatable Post is a fully adjustable cushion that slides over the positioning post during surgical procedures. The optimum positioning provided by the P3 devices promote proper circulation and respiration while reducing or eliminating ischemia or nerve damage due to compression. The devices are small and compact when deflated and take up much less space then traditional gel or foam positioning devices.

■ For more information visit

Vernacare launches new generation cleaning and disinfecting wipe

Vernacare has launched a powerful new cleaning and disinfecting wipe that is kind to the hands, yet eradicates the major five major groups of pathogens, including C.diff, MRSA and E. coli.

Tuffie 5 has passed EU cosmetic legislation as safe to use on skin without gloves, yet is clinically proven to destroy spores such as C. diff; bacteria, including E. coli and MRSA; mycobacteria like Mycobacterium terrae; yeasts and fungi including Candida, and viruses such as Hepatitus C and HIV/AIDS.

The new wipes provide a highly effective pre-impregnated wet wipe, capable of disinfecting all hard surfaces and equipment.

Tuffie 5 eradicates pathogens on initial impact, but industry tests show that its disinfecting properties continue to work after cleaning has taken place.

The wipes are fragrance, chlorine and alcohol free, and are available initially in easy access tub dispensers containing 225 wipes. Small soft packs and wall mounted dispensers will also be introduced.

■ For more information visit:

marSeal – the reusable, bipolar sealing system

Dissect – seal – cut. This is exactly where the new, reusable sealing system “marSeal” from KLS Martin has its advantages, supported by the maxium HF generator and the SealSafe current as ideal partners. Thanks to its reusability, the marSeal system is a real alternative to disposable instruments.

The novel marSeal instrument from KLS Martin has been developed for the effective sealing of vessels and tissue bundles without any previous exposure or dissection of individual structures. Unlike conventional bipolar HF techniques, a relatively high output power coupled with a low voltage is used for this purpose. In addition, the maxium HF generator offers continuous impedance monitoring for optimal control over the degree of tissue sealing. In this process, individual energy packages are sequentially delivered into the tissue in the form of highfrequency pulses until the desired sealing degree has been achieved and the process completed.

During the sealing process, endogenous structural proteins such as collagen and elastin are converted to create a permanently sealed zone. This is mainly accomplished by the effective combination of electric current (I) and high pressure (p), the latter maintained and kept constant throughout the application by means of a ratchet provided on the instrument.

A mechanism integrated into the instrument enables the surgeon to cut the sealed tissue conveniently in the middle once the sealing process has been completed – no instrument exchange required at all. And since the instrument can be fully disassembled and autoclaved – except for the blade, which constitutes a minimal disposable portion – marSeal offers a substantial cost reduction compared to 100% disposable instruments.

■ For more information, contact:

New hi-tech insulin pens in UAE

Sanofi-aventis pharmaceuticals has launched in the UAE two new hi-tech, disposable insulin pens for type I and type II diabetes.

SoloSTAR is a new, easy-touse disposable pen for use with the 24-hour insulin Lantus and the rapid-acting insulin Apidra.

The pens can hold up to 80 units – more than any other insulin pen on the market, according to Sanofi-aventus. Professor Julio Rosenstock, Director of the Dallas Diabetes and Endocrine Center and Clinical Professor of Medicine, pointed out that these pens use new technology.

“The pens have such a fine needle that you can hardly feel the injection,” he said. The new pens also require considerably less injection force compared to other broadly available insulin pens. The SoloSTAR has a simple dial to choose the dosage before injection.

“This is important as it empowers the patient and allows them to play a role in their own treatment,” said Prof Rosenstock.

The launch of these pens in the UAE – Kuwait is expected to be next and they are already available in Lebanon – is timely following new recommendations issued by the American Diabetes Association (ADA) for treating type II diabetes. One of the new key features endorsed by the ADA guidelines is the early addition of insulin therapy in patients who do not meet target glucose levels.

Prof Rosenstock noted that there is a lot of data supporting the early use of insulin combined with oral treatments for the control of type II diabetes. This is particularly pertinent considering the estimated 20% diabetes prevalence rate among UAE nationals.

Dr Hisham Mahmoud, Sanofiaventis Medical Director, UAE, said: “Initiating insulin immediately if patients are not achieving target A1c levels, will allow better control of the disease.”

Olympus’ new effective plasma vaporisation electrode
minimises side effects

Endoscope specialist Olympus’ new TURis plasma vaporisation is set to raise the standards for minimally invasive therapy of benign prostate hyperplasia (BPH). For the first time, the innovative electrode combines the advantages of vaporisation and bipolar resection, thus enabling almost bloodless tissue ablation without sacrificing any effectiveness. Based on modern plasma technology, the prostate tissue is quickly and efficiently vaporised and at the same time the surface is gently coagulated.

If drug-based therapy fails in patients with clinical symptoms of a benign prostrate hyperplasia, transurethral ablation of hyperplastic prostrate tissue is the most effective therapeutic option. Recently science has witnessed the development of several new technical therapeutic alternatives.

Olympus’ innovation is the electrode itself: The new plasma vaporisation electrode complements the established bipolar TURis system from Olympus. The hemispherical electrode slides on a plasma cushion over the tissue, vaporising and coagulating it without making direct contact. This way tissue is quickly removed while haemorrhaging is avoided. As in other bipolar technologies, the use of physiological saline solution as the irrigation fluid and a locally restricted current flow does not harm surrounding tissue and nerves, minimises tissue denaturisation and avoids TUR syndrome.

Ultimately, this practically bloodless method of treatment is also able to reduce the duration catheterisation time and the low impact of the procedure can shorten the patient’s stay in hospital.

■ For more information visit:

Shoulder arthroscopy – access is everything

While shoulder arthroscopy is a tried and tested procedure, it does present the surgeon with some challenges in terms of access and positioning of the patient.

Following extensive research, Anetic Aid has just launched a special shoulder arthroscopy attachment for both the manual and powered versions of its QA4 Surgery Trolley System.

It has removable panels in a specially adapted backrest – and these offer unprecedented surgical access. Another feature is a back support and headpiece which secures the patient’s position on the table thus protecting their airway.

The shoulder arthroscopy attachment is the latest development for the QA4 and follows the production of a specialist head section for ophthalmics – an innovative design which offers movement in three different planes.

The combination of removable lightweight head and leg sections, together with optional powered leg supports, also makes the QA4 an excellent system for gynaecology.

■ For more information visit:

Hill-Rom announces developments in TotalCare Bed System

Hill-Rom has been supplying the TotalCare system for over a decade and has been systematically improving the design based on customer feedback.

This latest development, TotalCare Connect, brings a significant improvement through the introduction of a unique touch screen control unit designed to improve the ease of use for the caregiver team. In fact in one recent study 90% of caregivers could use the system without training. Importantly the new touch screen control unit can now be located on either or both side rails.

In addition to the new touch screen control, TotalCare Connect also brings improvements to the unique and patented Head of Bed Alarm by offering a choice of settings of 300 or 450 and by improving the monitoring of therapy usage through Therapy Statistics both of which are designed to support protocol compliance.

■ For more information visit either: www.clearlungs.tv or

RTI improves its X-ray QA solution

The two multimeter lines, Piranha and Barracuda, from RTI Electronics both offer a complete range of capabilities to measure the important QA parameters on all types of X-ray systems. They are both based on solid-state technology but the Barracuda can also use ionization chambers. The multimeters can be used wireless with a PDA that provides a high contrast graphical display that directly shows all relevant data and waveforms. The multimeters can also interface with a PC and the oRTIgo software offers a fast and easy way to collect QA data and create reports.

Several new improvements have been recently added to the Piranha and Barracuda. The target/filter combination W/Ag becoming more commonly used for mammography units, is included and HVL capability has been improved. The Piranha and Barracuda measures both kV and dose with all supported mammography beam qualities as standard. The standard kV range has been extended to 18-49 kV. The detector has been modified to better suit the measuring geometry of mammography units. Both the Piranha and Barracuda have received approval from PTB (Physikalisch Technische Bundesamt) in Germany, which is a requirement for dosimeters sold in Germany.

A scatter and leakage application has been introduced, using the Piranha and Barracuda standard dose detector. The application range for the Piranha has been further expanded; all models for R/F are now also loaded with dedicated applications for dental and CT kVp/time. All existing Piranha and Barracuda units can be upgraded with the new capabilities.

■ For more information visit:

Draeger’s new monitor enables seamless patient transport

Dräger has launched Pick and Go technology, part of its Infinity Delta monitor series, which offers continuous monitoring of vital signs when transporting patients within the hospital. The devices are being successfully used in Zürich University Hospital, Switzerland.

The patented Pick and Go technology enables the patient to be moved without changing the monitor. At the bedside, the monitor is placed on the Infinity Docking Station for connection to power and networking. During transport, the monitor is removed from its station and moves with the patient, seamlessly switching from hard-wired to wireless and retaining all of the bedside settings.

At the new ward, the monitor is placed back onto a docking station. Each ward in Zürich University Hospital has preset monitoring settings in the docking station, so the monitor automatically reconfigures itself when docked. Clinicians can also adjust these settings individually for each hospital bed.

This seamless transition ensures there is no risk of loss of data as is the case when a standard patient monitor is disconnected and changed during patient transport.

The patient can be moved more quickly and is monitored continuously, both locally and at the central monitoring station. All data collected by the monitor during transport is automatically backfilled into the network when the monitor is docked.

The Pick and Go technology also reduces administrative costs. Instead of dedicating monitors to individual wards, Zurich University Hospital has decided to group all Infinity Delta monitors into a pool that supplies the whole clinic. With a central department administering and maintaining the monitors, the devices can be prepared faster and more effectively for their next use. By bundling quantities, the monitors are also more affordable to buy. In addition, the total number of monitors in the hospital can be reduced because spare monitors are no longer stored in each ward.  

 Date of upload: 25th January 2009

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