Perfec - Medline Industries · the mattress, allowing for optimal heat delivery efficiency and...
Transcript of Perfec - Medline Industries · the mattress, allowing for optimal heat delivery efficiency and...
PerfecTemp™
Patient Warming System
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Underbody Warming for All Patients
Medline’s new PerfecTemp OR table pad helps meet
SCIP-Inf-10 by combatting hypothermia and reduces
the risk of pressure ulcers. It is the only warming system
available that monitors the temperature at the point of
contact between the pad and the patient’s skin —
ensuring the patient’s temperature is constantly monitored
and maintained for normothermia.
PerfecTemp’s unique and reusable surgical table pads
offer silent warming from underneath, allowing effective
patient warming — even during C-sections and heart
and spinal procedures.
PerfecTemp Complies with SCIP Measure 10
The Surgical Care Improvement Project (SCIP) is a national quality partnership of
organizations focused on significantly reducing surgical complications. PerfecTemp
helps you comply with SCIP Measure 10, which recommends the use of active warming
intraoperatively to achieve the target temperature of 36°C (96.8 degrees F) within
30 minutes before or 15 minutes after anesthesia end time. The measure applies
to patients of all ages undergoing surgical procedures under general or neuraxial
anesthesia for 60 minutes or more.2
PerfecTemp Warms Quickly to Normothermia with Patient Contact
Warming can begin as soon as the patient is positioned on the OR table.
The device senses temperature through two sensors near the patient’s skin
to continuously monitor and control the heat generation.
• Complies with SCIP Measure 10
• Advanced Technology for Uniform Patient Warming
• Save Time and Money
• Easy to Use
• Avoidance of Pressure Ulcers
PerfecTemp At a Glance
Achieve normothermia, even during these traditionally difficult to warm procedures:
• Open Heart
• C-Section
• Neuro/Spine
• Orthopedic
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The Importance of Patient Warming
The risk of unintentional hypothermia
is greater with anesthetized patients.
After inducing general anesthesia,
a patient’s core body temperature
rapidly drops.4
Preventing unintentional
hypothermia helps you avoid
many postoperative complications
and the associated costs:
• SurgiCal-SiTe iNfeCTioNS –
in one study, the incidence of
culture-positive wound infections
was three times higher in
hypothermic patients compared
to normothermic patients5
• CardiaC EVENTS – studies show that hypothermic patients were up to three times
more likely to have ECG events, myocardial ischemia and ventricular tachycardia6
• HiGHEr MorTaliTy raTES – patients with hypothermia were shown to have
significantly higher incidences of organ dysfunction and death7
• BlEEdiNG – at the end of surgery, as well as 3, 12, and 24 hours after surgery8
• EffECTS of druGS uSEd duriNG aNESTHESia – the average duration
of neuromuscular blocking agents and the onset of reversal agents is more
than doubled9
• loNGEr rECoVEry TiME – patients with a temperature of 35°C need up
to 90 minutes longer in the PACU10 than normothermic patients
after inducing anesthesia, a patient’s core body temperature rapidly drops.4
Precipitous drop in
patient temperature
within the first hour of
anesthesia induction
Typical Pattern of Hypothermia during General Anesthesia
UNINTENDED HYPOTHERMIA
ELAPSED TIME
0
-1
-2
-3
0 2 4 6
1 hr
Δ D
RO
P IN
CO
RE
TE
MP
(°C
)
TypiCal paTTErN of HypoTHErMia duriNG GENEral aNESTHESia
Advanced Technology for Uniform Patient Warming PerfecTemp monitors the temperature at the point where the patient’s skin meets
the mattress, allowing for optimal heat delivery efficiency and unparalleled safety.
The leading forced-air system only monitors the temperature at the exit of the blower.
And because the PerfecTemp temperature sensors utilize fiber-optic technology, the
warming pad is X-ray translucent.
PerfecTemp’s fiber optic sensors allow for more precise warming of the patient’s core.
fiBEr-opTiC SENSorS
flExiBlE HEaTiNG ElEMENT MaiNTaiNS NorMoTHErMia
PerfecTemp uses a high-tech heating element to
effectively maintain normothermia in anesthetized
patients to 36°C (96.8°F). Studies show that
PerfecTemp’s conduction heating is just as effective
as forced-air warming systems for maintaining
normothermia.1
By continuously monitoring the temperature at the
interface between the pad and the skin, PerfecTemp
offers more precise control of the patient’s core body
temperature.
SafETy alarM
PerfecTemp also features an alarm system to alert the
OR staff if the temperature becomes too hot. This feature
helps protect against skin burns.
Precipitous drop in patient temperature within the first hour of anesthesia induction
PerfecTemp At a Glance
• More precise control of the patient’s core body temperature
• X-ray translucent
• Efficient underbody
warming as effective as
forced-air systems for
preventing unintentional
hypothermia.1
• Silent
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Save Time and Money CoST-EffECTiVENESS
PerfecTemp’s pressure redistribution surface aids in the avoidance of
perioperative pressure ulcers. As many as 66 percent of hospital-acquired
pressure ulcers occur in the operating room.11 The Centers for Medicare and
Medicaid Services (CMS) has estimated that a Stage III or IV pressure ulcer
costs an additional $43,180 per hospital stay, and as of October 1, 2008,
CMS no longer reimburses for hospital-acquired pressure ulcers.12
PerfecTemp is the only warming system that helps you reduce
unwanted pressure* and associated costs.3
iNCrEaSEd EffiCiENCy
Improving efficiencies and reducing sku’s can help save time and money:
• No disposables – with forced air systems, a disposable blanket
(costing $8 - $10) is thrown away after every procedure
• Improve OR turnaround time – simply disinfect the PerfecTemp
surface, and you’re ready for the next case
• Reusable pads – no need to maintain additional inventory
• Low energy use – save on your electric bill and reduce your
carbon footprint (see energy consumption on back cover).
*Pressure reducing properties are effective for patients up to 500 lbs.
pErfECTEMp warMS
larger SurfaCe area
Thermal images demonstrate that PerfecTemp
uniformly warms a larger surface area than
forced-air warming systems.
PerfecTemp Warming System
Thermal imaging shows uniform warming over a large surface area.
forced-air Warming System
Thermal imaging shows inconsistent warming.
flexible and durable heating element for uniform heating.
PerfecTemp At a Glance
• No disposables
• Improved OR
turnaround time
• Avoid pressure ulcers
PerfecTemp At a Glance
• Warms larger surface area than forced-air systems
• Provides more uniform heating
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Avoidance of Pressure Ulcers Several studies indicate that procedures longer than two and
one-half to three hours significantly increase the patient’s risk
for pressure ulcer formation.13 To combat this, positioning
devices should maintain normal capillary interface pressure of
32 mmHg or less.14
THE oNly warMiNG SySTEM To offEr prESSurE rEdiSTriBuTioN
PerfecTemp has two layers of advanced foam for superb
pressure redistribution3:
• Visco-elastic “memory foam” (1") – better than
ordinary foam at reducing pressure
• High-resilience foam (2.5") – below the memory foam
and the heating element, for maximum support even with
bariatric patients (up to 500 lbs.)
leSS friCTioN
The high-tech synthetic pad cover reduces friction – a factor
known to contribute to skin breakdown.
• Stretches in all directions – so it yields instead of rubs
against a patient’s skin
• Strong yet conformable – not rigid
dartexTM Cover Material
• 2/4 way stretch for pressure dispersal
• Breathable
• Balanced for reduced shear and greater patient comfort
Visco-elastic (memory) foam
• For maximal pressure relief
High resilience foam
• For maximal support
Pressure mapping demonstrates that with a 200-lb. person, PerfecTemp table pads maintain normal capillary interface pressure of 32 mmHg or less.
Contact area 511 inch
Highest Value 60 mmHg
# inch > 32 mmHg 36 inch
# inch > 50 mmHg 4 inch
Capillary iNTErfaCE prESSurE wiTH pErfECTEMp
Easy to Use
SilENT, CoNduCTiVE warMiNG for all paTiENTS
PerfecTemp’s conductive warming is silent. And with no blowing hot air,
PerfecTemp creates a more comfortable environment for surgeons because it
doesn’t cause the room to heat up.
Instead of covering a patient with a cumbersome, disposable blanket,
PerfecTemp’s underbody warming offers full patient access. So every patient can
be warmed, regardless of the procedure, from pediatrics through adults up to 500
lbs. It’s also X-Ray translucent and compatible with reusable grounding pads.
rEduCE STaff TiME wiTH SiMplE SETup aNd auToMaTiC TiMEr
Because the pads and the control unit remain in the OR, there’s very little setup.
With the built-in timer, PerfecTemp can even be set to turn on automatically
before the first procedure of the day, eliminating setup time altogether.
The easy-to-use system consists of three components:
• OR table pads – replacing your existing OR table pads
• Control unit – small and light weight; mounts
to IV poles or flat surfaces
• Two cords – connection (12') and power (10')
PerfecTemp At a Glance
• Visco and high-resilience
foam for pressure
redistribution
and comfort
• High-tech cover helps
prevent skin shear
PerfecTemp At a Glance
• Full patient access
• Automatic timer
• Silent operation
• Reduced setup time
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REFERENCES1. Egan C, Bernstein E, Reddy D, et al. A Randomized Comparison of Intraoperative Warming With the LMA PerfecTemp and
Forced Air During Open Abdominal Surgery. Available at: http://clinicaltrials.gov/ct2/show/NCT01094119. Accessed February 1, 2011.
2. Surgical Care Improvement Project. SCIP-Inf-10: Surgery Patients with Perioperative Temperature Management. Specifications Manual for National Hospital Inpatient Quality Measures.
3. Data on file.
4. Sessler D, Todd M. Perioperative Heat Balance. J Amer Soc Anesth. 2000; 92(2): 578. Available at: http://journals.lww.com/anesthesiology/Fulltext/2000/02000/Perioperative_Heat_Balance.42.aspx#. Accessed February 4, 2011.
5. Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical wound infection and shorten hospitalization. N Eng J Med 1996; 334(19): 1209-1215. Available at http://www.ncbi.nlm.nih.gov/pubmed/8606715. Accessed January 19, 2011.
6. Frank SM, Fleisher LA, Breslow MJ, et al. Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events. JAMA 1997; 277: 1127-1134. Available at http://www.ncbi.nlm.nih.gov/pubmed.
7. Bush HR Jr., Hydo J, Fischer E, et al. Hypothermia during elective abdominal aortic aneurysm: The high price of avoidable morbidity. J Vasc Surg 1995; 21(3):392-402. Available at: http://www.ncbi.nlm.nih.gov/pubmed/7877221. Accessed January 19, 2011.
8. Schmied H, Kurz A et al. Mild hypothermia increases blood loss and transfusion requirements during total hip arthroplasty. The Lancet1996; 347 (8997); 289-292. Available at http://www.ncbi.nlm.nih.gov/pubmed.
9. Heier T, Caldwell JE, Sessler DI, et al. Mild interoperative hypothermia increases duration of action and spontaneous recovery of vecuronium blockade during nitrous oxide-isoflurane anesthesia in humans. Anesth. 1991; 74(5):815-819. Available at http://www.ncbi.nlm.nih.gov/pubmed.
10. Lenhardt R, Marker E, Goll V, et al. Mild intraoperative hypothermia prolongs postanesthetic recovery. Anesth. 1997; 87(6):1318-1323. Available at http://www.ncbi.nlm.nih.gov/pubmed. Accessed January 19, 2011.
11. Aronovitch SA. Intraoperatively acquired pressure ulcers: are there common risk factors? Ostomy Wound Management. 2007; 53(2):57-69.
12. Centers for Medicare and Medicaid Services. Proposed Changes to the Hospital IPPS and FY2009 rates. Available at: http://edocket.access.gpo.gov/2008/pdf/08-1135.pdf. Accessed March 31, 2011.
13. Recommended practices for positioning the patient in the perioperative practice setting. Journal of the Association of Operating Room Nurses. Jan., 2005: 427-432. Available at http://findarticles.com/p/articles/mi_m0FSL/is_1_73/ai_70361341/?tag=content;col1. Accessed January 19, 2011.
14. Recommended Practices for Positioning the Patient in the Perioperative Practice Setting. J WOCN. 2001;73(1):231-5, 237-8. Available at: http://findarticles.com/p/articles/mi_m0FSL/is_1_73/ai_70361341/. Accessed February 1, 2011.
SpecificationsCoNTrol uNiT
Dimension of Control Unit 7.5" (19 cm) W x 8" (20.3 cm) D x 11.5" (29.2 cm) H
Weight of Control Unit 8.8 lbs. (4 kg)
Control Unit Mounting Clamp to an IV pole or place on a hard flat surface
SafETy SySTEMAlarm System Over temperature – display flashes “Over-Temperature,”
alarm sounds, heating element shuts offFault – display flashes “Fault,” alarm sounds
Over Current Protection Fused Lines
Variety of Sizes and CombinationsPerfecTemp pads are available in a wide variety of dimensions, and our selection
of bundles includes many different combinations of pads. Ask your Medline
representative for more information.
40" Torso Pad(PTPAD40TP)
18.5" Foot Pad(PTPAD185FP)
Standard Armboard Cover(PTPADAB)
10" Head Pad(PTPAD10HP)
Control Unit(PTPADCU)
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Medline United States1-800-MEDLINE (633-5463)www.medline.com [email protected]
Medline Canada1-800-396-6996www.medline.ca [email protected]
Medline México01-800-831-0898www.medlinemexico.com [email protected]
Some products may not be available for sale in Mexico or Canada. We reserve the right to correct any errors that may occur within this brochure. ©2011 Medline Industries, Inc. Medline is a registered trademark of Medline Industries, Inc. PerfecTemp is a trademark of Medline Industries Inc.MKT211092 / LIT491R / 10M / XXX
Medline Industries, Inc.One Medline PlaceMundelein, IL 60060
Compared item PerfecTemp forced-air Systems
Patient Access 100% LimitedNoise* 0 dBA 55 dBAEase of Use 1 step 7 stepsBlowing Air No YesDisposables Required No YesUnderbody Warming Yes NoFull Patient Access: Open Heart Surgery Yes No C-Sections Yes No Neuro/Spine Surgery Yes No
Senses Temperature at Patient Interface Yes No
Pressure Reduction Yes NoHelps Prevent Shear Yes NoAutomatic Timer Yes NoEnergy Consumption* 96 W 1550 WPatient Interface Safety Alarm Yes NoReduces Carbon Footprint Yes No
*As reported in the service manual.
PerfecTemp vs Forced-air systems
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