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Toul Meditech preventing post-operative and surgical site infections

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Toul Meditech

preventing post-operative and surgical site infections

2 / Toul Title or job number / 7/10/2007

Every infection creates unnecessary suffering for the patient and significant cost for the hospital

Every infection cost around 20.700,00 $ Pennsylvania hospital (USA Cecil Connolly Washington Post, July 13, 2005)

One MRSA Infection cost $27,082, one MSSA Infection $9,661(Dr. Murray Abramson, 9/28/1997 TORONTO, Ont. - Duke University Medical Center)

Every Infection cost approx. $22,000 South Australia(Dr Collignon, an infectious diseases specialist and microbiologist at Canberra Hospital April 9, 2005)

An Infection during a Hip-replacement can lead to permanent invalidity and even lead to amputation of the limb. The costs for the hospital/company ranges from €75.000,-- €150.000.

3 / Toul Title or job number / 7/10/2007

Numbers of Methicillin-resistentStaphylococcus aureus 2002 in Europe

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Toul Meditech technology is a cost efficient solution with quick return on investment• “Money-saver” for hospitals, insurance companies and for the society.

Saving patients from unnecessary suffering caused by infections,re-operation, loss of income etc. Shorter hospital stay, no re-operations, less use of antibiotics etc.

• Money earner for Private hospitals, Insurance companies. Increased number of operations due to a faster flow of patients.

• Toul Meditech technology has no installation cost for additional air and low running costs, is instantly ready to use and easy to handle.

• All together the payback time is very short – avoid one infection and it is paid for.

5 / Toul Title or job number / 7/10/2007

Toul Meditech technology

• Toul Meditech AB provides Ultraclean Laminar Air Flow.• A HEPA filter separates the bacteria carrying particles from the OR air to

99,97 %. The air is then passed through a sterilized LAF screen(dosposable) that provides a piston of air.

• The TOUL unit can be placed extremely close to the surgical area (the wound). The Ultraclean Laminar Air Flow transports the contaminated particles away from the wound area.

• Toul Meditech technology is proven to be very efficient.studies show results of less than 1 CFU/m air.

Solving the problem – improved surgical environments and better routines

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Toul Meditech portfolio

TOUL 200 –Ceiling Mounted Unit

TOUL 400 –Mobile Unit TOUL 300 –

Instrument Table

And it works…

Results

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Samariterhemmet, Uppsala University Hospital, Sweden

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Statistics from Samariterhemmet, part of Uppsala University Hospital during 8 years of cruciateligament construction operations

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Samariterhemmet, Uppsala University Hospital, Sweden

”We have successfully used the TOUL units and our infection rate after cruciate ligament operation has dropped to less than 1%”

Göran Angergård, Chairman, Dept of Day Surgery, Uppsala University Hospital, Sweden

11 / Toul Title or job number / 7/10/2007

Colony Forming Units (CFU/m3 air)

1 CFU in wound area –low infection risk

0 CFU in wound area –No infection risk

9 CFU in wound area –High infection risk

30 CFU in wound area – Unacceptable

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Contamination level in the operating room

CFU’s on the instrument table

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Västerås Hospital Orthopedic Dept.Full Back Surgery

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Västerås Hospital Orthopedic Dept.Full Back SurgeryCFU test Back Operation

Dag 1: test 3 och 4 without TOUL 400

Dag 2: test 4 without TOUL 400

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Södersjukhuset, Sweden

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CFU/measurements at Södersjukhuset hospital

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Test results

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Test results

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Karolinska sjukhuset, Sweden

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Measurements from Karolinska universitetssjukhuset, Sweden

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Hip tumour

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Measurements from Karolinska universitetssjukhuset, Sweden

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Measurements from Karolinska universitetssjukhuset, Sweden

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Motala Hospital, Sweden

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Motala Hospital, Sweden

• Primary partial hip prosthesis with cement

• Primary total hip without cement• Primary total hip with hybrid technology• Primary total hip without cement• Primary partial knee with cement• Primary total knee with cement• Total: 295 operations with

Toul Meditech systems• So far, No reported infections

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Telge Ortopedi, Södertälje Sweden

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920 knee operations with Toul MeditechNo reported infections, so far

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Toul Meditech - applications

• Day-Hospital • General surgery• Day surgery increase of O.R for minor surgery Emergency departments• Burn injured patients• Implantation surgery• Patients who are undergoing

chemotherapy• High risk patients• Field hospitals• Keeping sterile conditions

for instruments during surgery

Solving the problem – improved surgical environments and better routines

29 / Toul Title or job number / 7/10/2007

Toul Meditech technology in summarySolving the problem – improved surgical environments and better routines

• Reduction of the contamination in surgical site• Quick and easy solution for producing ultra clean air• Increase of day surgery due to the use of minor rooms

for interventions• Ultra clean air in wound area • Easy to move• Lower investment cost• Easy to use• Easy to clean