Healthcare an technical textiles from an international Point of view – the German

focusAndreas Schumacher

Deutscher Textilreinigungsverband (DTV),Germany

Rome, May 8th 2015 – EORNA Congress

Hospital data from Germany

Data about the German hospital market (2013 / 2012)

• Number of hospitals 1.997 / 2.017• Number of hospital beds 500.671 / 501.475• Number of cases 18.787.168 / 18.620.442• Number of surgeries 15,8 Million• Duration of stay 7.5 days / 7.6 days

Rome, May 8th 2015 – EORNA Congress

The hospitals in Germany

Hospital structure in Germany

Rome, May 8th 2015 – EORNA Congress

596

706

694Public hospitals

Charitable hospitals

Private hospitals

Main trends:• 50 % of hospitals in the reds – significant investment backlog• result: decisions in procurment purely based on prices• private hopsitals are increasing as well as bying syndicates

The market for surgical textiles in Germany

• Turnover - market for surgical drapes and gowns (reusable and disposable) estimated: € 280 - 300 Million

• highly under pressure and competitive• reusable textiles lost market shares in the last 10 years from

appr. 40% to currently appr. 15%• main reason: price pressure and marketing• other decisive factors such as process costs, qualty, hygiene

oder handling are not considered

Rome, May 8th 2015 – EORNA Congress

Locations of processors of surgical textiles

Rome, May 8th 2015 – EORNA Congress

• companies specialised on supplying textiles for health care

• some hospitals still processing own surgical textiles

• estimated 1.500 employees in Germany work with surgical textiles (including consulting and distribution)

The workforce

• reusable surgical textiles differe in their value added chain from disposables – most of the work is done close to the hospitals

Rome, May 8th 2015 – EORNA Congress

The regulation in Germany

• MPG – Medizinproduktegesetz – takes over the regulations of the EU medical device diretive

• several regulations, e.g. MeidizinproduktebetreiberVO which regulates the operation, application and reprocessing of medical devices

• Annex V – part 3 of the EU-Directive 93/42 EWG– Medical device directive for the saftey of medical devices including

regular audits • Recommendations of the RKI (Robert-Koch-Institut) regarding

textiles in healthcare in general and surgical textiles specifically – regarding the level of cleanliness

Rome, May 8th 2015 – EORNA Congress

The technical standards

• DIN ISO 13485 – Quality management for medical devices

• DIN EN 13795– specifies the requirements of the medical

device directives for surgical drapes and gowns

Rome, May 8th 2015 – EORNA Congress

Life cycle of reusable surgical textiles

Rome, May 8th 2015 – EORNA Congress

productiondelivery

supplier

processing control

sterilisation

stor

age

commission

delivery hospital

Usage in

hospital

colle

ctio

nfr

om

hosp

ital

disposal

outside Germany

appr. 80 cycles within Germany

The peak of the iceberg

Rome, May 8th 2015 – EORNA Congress

Basic Functionality Price

Additional consumptiondisposal of waste

FunctionalityComfortRisk MinimisationBarrier PropertiesMechanical Durability

cost-return-analysis necessary!communication task

The future

Advantages of reusables• focus on costs of processes in the hospital instead of the price

– process optimisation and reducing costs still a relevant topic• textile service partners supporting hospitals with disposition

and planning supported by relevant data of the use• hospitals and their textile service partners together can

develop calculation together – transparency will be key• procedure packs adapted to the OR processes and diverse

surgical procedures• optimal logistics integrated in the hospital and surgery

processes

Rome, May 8th 2015 – EORNA Congress

Thank you for your attention!

Deutscher Textilreinigungs-Verband (DTV)

Andreas Schumacher, MD

Email: schumacher@dtv-bonn.de

Fon: +49 (0) 228 917 31 26

Rome, May 8th 2015 – EORNA Congress