Round Table 2013-07-13

Round Table Discussion Bali
13.07.2013 Round Table Bali, Indonesia 1
Hypothermia
plasmatherm DTM warming center II DTM autocontrol 3XPT S-line Barkey
Hypothermia
body core-Temperature below 36C well known problem in OT and ICU about 60% of all anaesthesia cases
Hypothermia
Side effects
vasoconstriction disturbances of thrombocyte function, plasmatic coagulation shivering influence to medications mortality
Hypothermia
Hypothermia
Hypothermia
Hypothermia
Root causes
Cold infusion
Convection Evaporation Radiation
Conduction
Hypothermia
Major cost factors

Increased length of stay Increased consumption of blood products Increased incidence of morbid cardiac events
Hypothermia
Major cost factors

Delayed wound healing Increased incidence of infection Greatly extended time in OT
Hypothermia
Costs
Complication
Delay in awakening, altered drug metabolism
Impact/ Interventions
Warming, drugs to control shivering, extended time in PACU
Major Costs
$5-$8 per minute in PACU; Drugs $40
Oozing, Delayed closure Extended time in OR rewarming & treating coagulopathy Extended time to extubation Delayed wound healing Extended PACU time Extended Stay, antibiotics, cultures
$30-$60 per minute
$5 per minute $1500/day ICU; $800/day semiprivate $475/day vancomycin Plus blood, Tissue cultures
Hypothermia
Costs
Complication
Increased Infection
Impact/ Interventions
Extended stay, antibiotics, cultures
Major Costs
$1500/day ICU; $800/day semi-private Plus antibiotics, blood and tissue cultures $185/unit RBCs, $120/unit platelets. Lab work: $40/ unit ECG: $150 each $1500/Day ICU Lab work: $200/day Platelets/RBCs $120/$185 per unit
Increased requirement for blood products Morbid cardiac events including Arrhythmia, Myocardial Infarction Clotting disorders
RBCs, Platelets, lab work ECG, Drugs, Lab work
Lab work/ blood products
Hypothermia
Conclusion
Hypothermia causes additional risks for the patient additional costs reduced reputation of doctors and the hospital
Hypothermia
Barkey plasmatherm DTM
Safety, handling, performance, design!
Hypothermia
Plasmatherm Intended use

thawing and heating of frozen plasma heating of blood and blood products thawing and heating of stem cells heating of infusion solutions and other materials
Hypothermia
Plasmatherm technology

fast safe easy handling easy to clean no impact to environment no additional costs
Hypothermia
Plasmatherm Cover
The cover is most durable and prevents damage

Operating is very simple by the locking knob
Hypothermia
Placing bags in plasmatherm

open the cover place the bags between the warming cushions close the cover
start the program

Hypothermia
Plasmatherm operating panel

large display 6 push buttons 2 lamps
Safe and easy use by clear text messages

Hypothermia
Plasmatherm Main screen

BLOOD PLASMA
Shortcut buttons for most used programs Button to call up the menu
Menu
Press the shortcut button to start a program

Hypothermia
Plasmatherm program display

PLASMA
program selected current water temperature remaining time

+
41,2
Remaining time 10:31 Stop
stop the program

adjust the time
Hypothermia
Plasmatherm User menu

User menu Back Program Heating duration Function buttons Fill level OK
Clear menu structure with four menu items Easy use by three buttons below the display
Hypothermia
Plasmatherm User menu items

Program PLASMA: BLOOD: HPC: for thawing ffp`s for warming blood for thawing stem cells
USER:
to start the user program
CONTINOUS: to start continuous operation

Hypothermia
Plasmatherm User menu items

Heating duration Change the preset heating times of the programs plasma, blood, HPC or user
Function buttons Change the pre-setting of the shortcuts Fill level Check the filling level of the tank
Hypothermia
Barkey plasmatherm options

accessories
For documentation purpose barcode-reader and protocol printer are available. Alternatively a TCP interface for computer network can be implemented (TCP version).
Hypothermia
Barkey warming center II DTM
Hypothermia
warming center II intended use

warming fluids in bottles or bags warming blankets set temperature + 39C stand cabinet for a Barkey plasmatherm
Hypothermia
warming center II technology
Heater
Microswitch
Microswitch
Hypothermia
warming center II front
Displa y
Top drawer
Bottom drawer
Lockabl e castors
Hypothermia
warming center II Display

Operating display Fault display
Heating activity display Temperature display
29
Hypothermia
Barkey warming center III
Hypothermia
warming center III intended use

warming fluids in bottles or bags
warming blankets
set temperature + 42C movable and space-saving design Pane door allowing visual check of
stored goods
Hypothermia
warming center III display
same display design like warming center II
Hypothermia
warming center III shelves
adjustable shelves out of stainless steel to fulfil your individual requirements
Hypothermia
plasmatherm DTM warming center II DTM autocontrol 3XPT
Barkey autocontrol 3XPT

control unit for two warming devices of
S-line Barkey
the Barkey XPT series

warming devices can be connected to the controller in any combination.
Hypothermia
autocontrol 3XPT operating panel

large display 4 push buttons 4 lamps
S-line Barkey
Safe and easy use by clear text messages

Hypothermia
autocontrol 3XPT main screen

Channel 1: autoline SetP. 37,0 Channel 2: autoline SetP. 37,0 warming device type set point current temperature calling up the menu
S-line Barkey
24.3C 36.9C
Menu
easy operation by connecting heating devices

Hypothermia
autocontrol 3XPT menu

Temp. measurement SetPoint Channel 1 SetPoint Channel 2 Night operation next -> select OK end Language selection System information Channel 1 inform. Channel 2 inform. <- back select OK end
S-line Barkey
Menu screen 1
Menu screen 2
Hypothermia
Barkey warming devices XPT

All information of a warming device, such as serial number, type, calibration parameters are stored in an electronic inside the plug. Warming devices are interchangeable at any time
S-line Barkey
Hypothermia
Barkey autoline 4R XPT

Active warming sheath for standard IV-sets
S-line Barkey
2 versions for 5mm and

7mm IV-sets 3 lengths of 1.2, 1.5 and 1.7 m
Hypothermia
Barkey autoline 4R XPT

warming sheath
S-line Barkey
Connector with electronic
Hypothermia
autoline 4R XPT inserting IV-set

open the end of the sheath place the IV-set end at the end of the sheath Put the IV-set inside. Push the IV-set in up to the head of the sheath
S-line Barkey
Hypothermia
Barkey autotherm XPT

Active warming jacket for IV-bottles many versions for different bottles
S-line Barkey
versions for blood

and plasma bags
Hypothermia
Barkey autotherm XPT
S-line Barkey
Hypothermia
plasmatherm DTM warming center II DTM autocontrol 3XPT S-line
Barkey S-line
Barkey
brings warmth to everybody
Hypothermia
Barkey S-line Intended use

S-line warms a standard IV-set The Barkey S-line can be used in all cases where hypothermia of the patient due to cold transfusions and infusion solutions shall be prevented.
Barkey
Hypothermia
Barkey S-line Components

fastening clamp sheath holder
Barkey
Control unit
warming sheath
Power cable
Hypothermia
Barkey S-line Installation

fix the S-line to the IV-pole by tightening the fixing screw plug the power cord to mains place the head and the end of
Barkey
the warming sheath into the

holder
Hypothermia
Barkey S-line Safety features

simple - safe - smart - cost effective Easy to use, only one on/off button fixed set point of 39C Easy-to-read display and control elements. Integrated overtemperature protection
Barkey
heater and sensor fracture monitoring

Optical and acoustic alarms
Homogeneous temperature distribution
Hypothermia
Barkey S-line Safety features

simple - safe - smart - cost effective Temperature-dependent ventilator Suitable for permanent operation. Low voltage at the warming section Defibrillation protection
Barkey
usable for all IV-sets 1.5m

wide range power supply
60W for effective heat transfer
Hypothermia
Barkey overview
German technology company specialized in medical devices for human warmth since more than 30 years close cooperation with scientists, experts and users certified quality management system, ISO 13485, FDA / CSA Japanese requirements
worldwide distribution via trained partners in 55 countries
Hypothermia
Barkey overview
OEM-partner of Gambro
worldwide trainings for partners and Gambro branches

more than 34.000 installed medical devices family owned business 45 high motivated employees R&D in-house with 8 engineers
Speed
Quality
Openness
Thank you for your kind attention!


Round Table 2013-07-13

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Round Table Discussion Bali

13.07.2013 Round Table Bali, Indonesia 1

13.07.2013 Round Table Bali, Indonesia 2

13.07.2013 Round Table Bali, Indonesia 3

13.07.2013 Round Table Bali, Indonesia 4

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Major cost factors

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Major cost factors

13.07.2013 Round Table Bali, Indonesia 9

$30-$60 per minute

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RBCs, Platelets, lab work ECG, Drugs, Lab work

Lab work/ blood products

13.07.2013 Round Table Bali, Indonesia 12

Barkey plasmatherm DTM

13.07.2013 Round Table Bali, Indonesia 13

Safety, handling, performance, design!

Plasmatherm Intended use

13.07.2013 Round Table Bali, Indonesia 14

The cover is most durable and prevents damage

Operating is very simple by the locking knob

Placing bags in plasmatherm

start the program

Plasmatherm operating panel

Safe and easy use by clear text messages

Plasmatherm Main screen

Press the shortcut button to start a program

Plasmatherm program display

program selected current water temperature remaining time

stop the program

13.07.2013 Round Table Bali, Indonesia 20

Plasmatherm User menu

Plasmatherm User menu items

to start the user program

CONTINOUS: to start continuous operation

Plasmatherm User menu items

13.07.2013 Round Table Bali, Indonesia 23

Barkey plasmatherm options

13.07.2013 Round Table Bali, Indonesia 24

Barkey warming center II DTM

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warming center II intended use

13.07.2013 Round Table Bali, Indonesia 26

warming center II technology

13.07.2013 Round Table Bali, Indonesia 27

warming center II front

13.07.2013 Round Table Bali, Indonesia 28

warming center II Display

Heating activity display Temperature display

13.07.2013 Round Table Bali, Indonesia 29

Barkey warming center III

13.07.2013 Round Table Bali, Indonesia 30

warming center III intended use

warming center III display

13.07.2013 Round Table Bali, Indonesia 32

same display design like warming center II

warming center III shelves

adjustable shelves out of stainless steel to fulfil your individual requirements

13.07.2013 Round Table Bali, Indonesia 33

Barkey autocontrol 3XPT