PerfecTemp™ Pediatric

PerfecTemp
™
Patient Warming System
Underbody Warming
for All Patients
PerfecTemp Complies
with SCIP Measure 10
Medline’s new PerfecTemp OR table pad helps meet
The Surgical Care Improvement Project (SCIP) is a national quality partnership of
SCIP-Inf-10 by combatting hypothermia and reduces
organizations focused on significantly reducing surgical complications. PerfecTemp
the risk of pressure ulcers. It is the only warming system
helps you comply with SCIP Measure 10, which recommends the use of active warming
available that monitors the temperature at the point of
intraoperatively to achieve the target temperature of 36°C (96.8 degrees F) within
contact between the pad and the patient’s skin —
30 minutes before or 15 minutes after anesthesia end time. The measure applies
ensuring the patient’s temperature is constantly monitored
to patients of all ages undergoing surgical procedures under general or neuraxial
and maintained for normothermia.
anesthesia for 60 minutes or more.2
PerfecTemp’s unique and reusable surgical table pads
PerfecTemp Warms Quickly to Normothermia with Patient Contact
offer silent warming from underneath, a
­ llowing effective
Warming can begin as soon as the patient is positioned on the OR table.
patient warming — even during C-sections and heart
The device senses temperature through two sensors near the patient’s skin
and spinal procedures.
to continuously monitor and control the heat generation.
PerfecTemp
At a Glance
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• Complies with
SCIP Measure 10
• Advanced Technology for
Uniform Patient Warming
Achieve normothermia,
even during these
traditionally difficult
to warm procedures:
• Open Heart
• Save Time and Money
• C-Section
• Easy to Use
• Neuro/Spine
• Avoidance of
Pressure Ulcers
• Orthopedic
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Advanced Technology
for Uniform Patient Warming
The Importance of Patient Warming
The risk of unintentional hypothermia
UNINTENDED HYPOTHERMIA
Typical Pattern of Hypothermia
during
General
Anesthesia
Typical
Pattern of
Hypothermia during
General Anesthesia
is greater with anesthetized patients.
After inducing general anesthesia,
Preventing unintentional
hypothermia helps you avoid
many postoperative complications
and the associated costs:
Δ DROP IN CORE TEMP (°C)
rapidly drops.
4
the mattress, allowing for optimal heat delivery efficiency and unparalleled safety.
0
a patient’s core body temperature
Precipitous
drop in
Precipitous drop in
patient temperature
patient temperature
within the first hour of
within the first hour of
anesthesia induction
-1
-2
PerfecTemp monitors the temperature at the point where the patient’s skin meets
anesthesia induction
1 hr
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.
-3
FIBER-OPTIC SENSORS
• Surgical-site infections –
in one study, the incidence of
0
hypothermic patients compared
4
PerfecTemp’s fiber optic
sensors allow for more
precise warming of the
patient’s core.
6
ELAPSED TIME
culture-positive wound infections
was three times higher in
2
After inducing anesthesia, a patient’s core
body temperature rapidly drops.4
Flexible heating element
maintains normothermia
to normothermic patients5
• Cardiac EVENTS – studies show that hypothermic patients were up to three times
PerfecTemp uses a high-tech heating element to
more likely to have ECG events, myocardial ischemia and ventricular tachycardia6
effectively maintain normothermia in anesthetized
patients to 36°C (96.8°F). Studies show that
• 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 surgery
• Effects of drugs used during anesthesia – the average duration
8
PerfecTemp’s conduction heating is just as effective
PerfecTemp At a Glance
as forced-air warming systems for maintaining
normothermia.1
• More precise control
of the patient’s core
body temperature
By continuously monitoring the temperature at the
• X-ray translucent
of neuromuscular blocking agents and the onset of reversal agents is more
interface between the pad and the skin, PerfecTemp
than doubled9
offers more precise control of the patient’s core body
• Longer Recovery time – patients with a temperature of 35°C need up
to 90 minutes longer in the PACU10 than normothermic patients
Safety alarm
• Efficient underbody
warming as effective as
forced-air systems for
preventing unintentional
hypothermia.1
PerfecTemp also features an alarm system to alert the
• Silent
temperature.
OR staff if the temperature becomes too hot. This feature
helps protect against skin burns.
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PerfecTemp warms
larger surface area
Save Time and Money
Thermal images demonstrate that PerfecTemp
COST-EFFECTIVENESS
uniformly warms a larger surface area than
PerfecTemp’s pressure redistribution surface aids in the avoidance of
forced-air warming systems.
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
PerfecTemp Warming System
Flexible and durable heating
element for uniform heating.
INCREASED EFFICIENCY
Improving efficiencies and reducing sku’s can help save time and money:
Thermal imaging shows uniform warming over a
large surface area.
• 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).
Forced-Air Warming System
Thermal imaging shows inconsistent warming.
PerfecTemp At a Glance
PerfecTemp At a Glance
• Warms larger
surface area than
forced-air systems
• No disposables
• Improved OR
turnaround time
• Provides more
uniform heating
• Avoid pressure ulcers
*Pressure reducing properties are effective for patients up to 500 lbs.
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Avoidance of
Pressure Ulcers
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.
Several studies indicate that procedures longer than two and
one-half to three hours significantly increase the patient’s risk
for pressure ulcer formation. To combat this, positioning
13
Capillary Interface
pressure WITH PERFECTEMP
devices should maintain normal capillary interface pressure of
Instead of covering a patient with a cumbersome, disposable blanket,
PerfecTemp’s underbody warming offers full patient access. So every patient can
32 mmHg or less.14
be warmed, regardless of the procedure, from pediatrics through adults up to 500
the only warming system to offer
pressure redistribution
lbs. It’s also X-Ray translucent and compatible with reusable grounding pads.
PerfecTemp has two layers of advanced foam for superb
pressure redistribution3:
• Visco-elastic “memory foam” (1") – better than
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.
ordinary foam at reducing pressure
• High-resilience foam (2.5") – below the memory foam
With the built-in timer, PerfecTemp can even be set to turn on automatically
and the heating element, for maximum support even with
before the first procedure of the day, eliminating setup time altogether.
bariatric patients (up to 500 lbs.)
The easy-to-use system consists of three components:
LESS friction
• OR table pads – replacing your existing OR table pads
The high-tech synthetic pad cover reduces friction – a factor
• Control unit – small and light weight; mounts
known to contribute to skin breakdown.
Contact Area
511 inch
Highest Value
60 mmHg
# inch > 32 mmHg
36 inch
# inch > 50 mmHg
4 inch
Pressure mapping demonstrates
that with a 200-lb. person,
PerfecTemp table pads maintain
normal capillary interface
pressure of 32 mmHg or less.
• Stretches in all directions – so it yields instead of rubs
to IV poles or flat surfaces
against a patient’s skin
• Two cords – connection (12') and power (10')
• Strong yet conformable – not rigid
PerfecTemp At a Glance
DartexTM Cover Material
PerfecTemp At a Glance
• Visco and high-resilience
• Full patient access
• 2/4 way stretch for pressure dispersal
foam for pressure
• Automatic timer
• Breathable
redistribution
• Silent operation
• Balanced for reduced shear and
greater patient comfort
• Reduced setup time
Visco-elastic (memory) Foam
• For maximal pressure relief
and comfort
• High-tech cover helps
prevent skin shear
High Resilience Foam
• For maximal support
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Variety of Sizes and Combinations
REFERENCES
PerfecTemp pads are available in a wide variety of dimensions, and our selection
1. 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.
of bundles includes many different combinations of pads. Ask your Medline
2. Surgical Care Improvement Project. SCIP-Inf-10: Surgery Patients with Perioperative Temperature Management. Specifications
Manual for National Hospital Inpatient Quality Measures.
representative for more information.
3. Data on file.
10" Head Pad
(PTPAD10HP)
Standard
Armboard
Cover
(PTPADAB)
40" Torso Pad
(PTPAD40TP)
18.5" Foot Pad
(PTPAD185FP)
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.
Control Unit
(PTPADCU)
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.
Specifications
Control 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 System
Alarm System
Over temperature – display flashes “Over-Temperature,”
alarm sounds, heating element shuts off
Fault – display flashes “Fault,” alarm sounds
Over Current Protection
Fused Lines
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PerfecTemp vs Forced-air systems
Compared item
PerfecTemp
Forced-Air Systems
Patient Access
100%
Limited
Noise*
0 dBA
55 dBA
Ease of Use
1 step
7 steps
Blowing Air
No
Yes
Disposables Required
No
Yes
Underbody Warming
Yes
No
Open Heart Surgery
Yes
No
C-Sections
Yes
No
Neuro/Spine Surgery
Yes
No
Senses Temperature
at Patient Interface
Yes
No
Pressure Reduction
Yes
No
Helps Prevent Shear
Yes
No
Automatic Timer
Yes
No
Energy Consumption*
96 W
1550 W
Patient Interface Safety Alarm
Yes
No
Reduces Carbon Footprint
Yes
No
Full Patient Access:
*As reported in the service manual.
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Medline Industries, Inc.
One Medline Place
Mundelein, IL 60060
Medline United States
1-800-MEDLINE (633-5463)
www.medline.com
[email protected]
Medline Canada
1-800-396-6996
www.medline.ca
[email protected]
Medline México
01-800-831-0898
www.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
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