Operating Room
Product Portfolio
 Tony Phelps
CONFIDENTIAL AND PROPRIETARY - FOR INTERNAL USE ONLY. NOT FOR PUBLIC
DISPLAY OR COPYING
UnoVac, HandyVac, MiniVac and OP-Flex are trade marks of Unomedical a/s. Realize the
possibilities is a trade mark of ConvaTec Inc. All other trade marks are the property of their
respective owners. © 2012 ConvaTec Inc. AP-013148-MM EM
Operating Room Product Overview
Operating
Room
Wound
Drainage
Systems
UnoVac™
System
HandyVac™
System
CONFIDENTIAL & PROPRIETARY
Suction
Systems
Passive
Drainage
High Vacuum
Standard
OP-Flex™
Range
OP-Flex ™
Flexible
Yankauer
System
1
High
Vacuum
System
HandyVac ™
ATS System
Wound
Drainage
Systems
HandyVac™
System
CONFIDENTIAL & PROPRIETARY
UnoVac™
System
Passive
Drainage
System
2
Wound Drainage
 Drainage systems may be used to
drain fluid, mostly blood, from
surgical wounds after an
operation.
 Low Vacuum
 Passive Drainage
 High Vacuum (except close to
intestine and glands)
CONFIDENTIAL & PROPRIETARY
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Why do we need wound drainage?
 The process of facilitating and
collecting post-operative bloodshed
in order to avoid haematomas.
 Without drainage the fluid;
• Is a medium for infection
• Prolongs the healing process
• Causes pain to the patient
A key element in infection control and in facilitating the healing and
mobilization process.
CONFIDENTIAL & PROPRIETARY
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The ideal wound drainage system
 Removes blood effectively
 Reduces the risk of wound
infection
 Gentle to the tissue
CONFIDENTIAL & PROPRIETARY
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What Are Wound Drainage Systems?
A sterile, single-use medical
device consisting of:•Catheter – different types, sizes,
materials (PVC or Silicone)
• Trocar (usage optional)
• Connecting Tube
• Receptacle – Bottle / Bag
• Bellows
CONFIDENTIAL & PROPRIETARY
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Where are they used?
Predominantly where surgical procedures are performed;
• Theatres – All specialities
• Day Surgery Units
• Recovery
 Wards will need to have stock of spare receptacles for
replacement
CONFIDENTIAL & PROPRIETARY
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Types of Drainage Systems
Low vacuum
• HandyVac™ System
• UnoVac™ System
• MiniVac™ System
Initial vacuum pressure
• 50 – 120mmHg
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HandyVac™ System: Low vacuum system
CONFIDENTIAL & PROPRIETARY
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HandyVac™ System
Hanger
Bellows
Connector
125 ml
Clamp
Bag
Trocar
700 ml
With/without
bottom outlet
CONFIDENTIAL & PROPRIETARY
Drain
10
Non-Return Valves – infection prevention
Non-Return
Valve
No reflux of fluids
CONFIDENTIAL & PROPRIETARY
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Suction Efficiency
 Excellent suction curve (invitro) - 25/65 mmHg
Suction Pressure as a Function of Suction Amount
HandyVac System with 700 ml bag. Ref nr. 400977182
• Minimises risk of hole closure
• Minimises risk of tissue damage
• Used for head, back and
abdominal surgery
Data on file. Test report: Suction pressure as a function of suction amount. 26 th September 2007.
CONFIDENTIAL & PROPRIETARY
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HandyVac™ System
Low vacuum drain
Initial vacuum pressure
• 65mm Hg
Bellows capacity
• 125ml
 Bag
• 700ml
Drain Sizes
• Ch 8,10,14,18
Bags with or without taps
Two non-return valves (NRV)
• Bag NRV prevents reflux
• Drip chamber NRV
– eliminates need for clamps
Redon spiral drain
CONFIDENTIAL & PROPRIETARY
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HandyVac™ System Competitors
Bellovac™ System
Abdovac™ System
Exudrain™ Mini System
CONFIDENTIAL & PROPRIETARY
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HandyVac™ System Competitors
Redax™ Silicone System
Redax™ System
LowVac™ Plus System
CONFIDENTIAL & PROPRIETARY
15
The UnoVac™ System
CONFIDENTIAL & PROPRIETARY
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UnoVac™ System
Bag
Bellows
Protective
cap
300 ml
600 ml
Filter
Trocar
Ulmer
drain
CONFIDENTIAL & PROPRIETARY
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How to establish the vacuum
 Press with two thumbs
 No clamps needed
Simple and time saving
CONFIDENTIAL & PROPRIETARY
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Non-Return Valves – Infection prevention
2 Non-Return Valves
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What are the advantages of the UnoVac™ System?
Low or passive drainage
 Supplied as a closed hygienic
system
 With profuse secretion it is possible
to change the bag
 Constant suction level
 Easy visual control of remaining
vacuum
 High capacity of 900 ml ( bellows 300
ml / bag 600 ml)
CONFIDENTIAL & PROPRIETARY
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Suction Efficiency
Suction Pressure as a Function of Suction Amount
UnoVac™ System
 Excellent suction curve (invitro) - 110/95 mmHg to
50/60mmHg
• Minimises risk of hole
closure
• Minimises risk of tissue
damage
Almost
full
Start
• Suction Peak- almost full
Passive drainage
Data on file. Test report: Suction Curves at 15 ºC and 25 ºC . 6 th February 2001.
CONFIDENTIAL & PROPRIETARY
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Low Vacuum – MiniVac™ System
Small 30ml bellows
Initial suction vacuum
• 80 mmHg
Sizes
• Ch 6 Redon spiral PVC drain
• Ch 8 Ulmer PVC drain
Used primarily in
• Faciomaxillary (MaxFax)
• Head & Neck surgery
• Hand surgery
CONFIDENTIAL & PROPRIETARY
22
MiniVac™ System Competitors
 Mini-Exuvac™ System (Minimed/procar3e/GB-UK)
Exudrain™ Mini System (Astratech)
Red-0-pak™ System (Vygon)
Mini Redovac™ System (B.Braun)
LOW VAX™ System (Athrodax)
CONFIDENTIAL & PROPRIETARY
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High Vacuum
CONFIDENTIAL & PROPRIETARY
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High Vacuum System
Initial vacuum pressure
• Above 400mmHg
600ml bottle
• Drain sizes Ch 10,12,14,16,18
400ml bottle
• Drain sizes Ch 10,12,14,16
Non Return Valve
• 600ml bottles only
Redon spiral drain
CONFIDENTIAL & PROPRIETARY
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High Vacuum - Competitors
Redovac™ System (B.Braun)
PREVAX™ / Econovax™ Systems (Athrodax)
Drenofast™ (Nikomed)
Safe-t-Vac™ System (Pro-Care/Minster/Meddis/GBUK)
Medinorm™ System (Summit)
CONFIDENTIAL & PROPRIETARY
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Passive drainage
Passive
No negative pressure
• gravity only (25mmHg)
 Ulmer drain
 Soft 90cm tube
 700ml drainage bag
 Sizes Ch 20,24,28
CONFIDENTIAL & PROPRIETARY
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Passive Drain - Competitors
Robinson System (Portex)
Drentech System (Summit)
CONFIDENTIAL & PROPRIETARY
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Drains
29
Unomedical Range of Drains
 Single use solid trocar
 PVC or Silicone drains
 Different perforations
 Detectable X-ray line
 Black indicator marks
CONFIDENTIAL & PROPRIETARY
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Wound Drain Perforations
Corrugated
drain
Spiral
drain
Redon
drain
Slit drain
Ulmer drain
CONFIDENTIAL & PROPRIETARY
Silicone drain
31
Silicone vs. PVC
 Silicone is inert (does not react with
tissue),soft and pliable.
 Enviromental issues with PVC –
clorinated by-products of incineration.
Silicone: the most researched and
tested material for implantable
applications.
CONFIDENTIAL & PROPRIETARY
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Flat Drain
Radiopaque
Multiple narrow ducts provide
fluid entry at any point
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Features of Round Drains
Offers multiple drainage routes
to resist clogging
Four continuous channels provide
greater tissue contact area than regular
perforated drains
Smaller, more
flexible tube
Constructed of silicone with solid
center designed for strength and
flexibility
CONFIDENTIAL & PROPRIETARY
Due to channel design, removal may be
less traumatic to surrounding tissues in
comparison to designs with holes
34
Filter
Flow
System
Various
OP-Flex™
Range of
Suction
Systems
Flexible
Yankauer
Standard
CONFIDENTIAL & PROPRIETARY
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Suction in Surgery
CONFIDENTIAL & PROPRIETARY
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Why is suctioning neeeded in surgery?
 During operations it is necessary to
remove blood and fluid in order to
maintain an unobstructed view of the
operating are and organs.
 The surgeon uses suction handles
(linked to vacuum) of different kinds to
keep the area free of blood and fluids to
have a clear view of the surgical field.
 The production of a vacuum or partial
vacuum in a cavity or over a surface - so
that the external atmospheric pressure
forces the surrounding fluid or blood, into
the suction handle – through the tubing to
the canister on the floor.
CONFIDENTIAL & PROPRIETARY
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The handle is THE tool for the surgeon
CONFIDENTIAL & PROPRIETARY
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How does a vacuum source work?
An operation suction set consists of a suction
handle and a connecting tube.
The connecting tube is connected to a
canister which can be either reusable or
disposable.
The canister is connected to
a vacuum source having a
vacuum of 2-400 mmHg
mm/Hg
CONFIDENTIAL & PROPRIETARY
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Historic Overview - Yankauer
Developed approximately 1907 by Dr.
Charles Yankauer, the Yankauer
Suction Instrument has become the
most common suction instrument in the
world. It's primary use is to aspirate
fluid and debris from either a surgical
site or orifice, e.g. the mouth.
CONFIDENTIAL & PROPRIETARY
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Yankauer Tips
 Conventional yankauer – all
surgeries
 Tapered yankauer – narrow
cavities
 Flattened yankauer – between
nerves and muscle fibres
 Sump yankauer – delicate tissue
 Super Flow – AAA or trauma
 Poole – delicate tissue
CONFIDENTIAL & PROPRIETARY
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OP-Flex™ Suction Handles
Tapered
Flattened
Conventional
Sump
Poole
CONFIDENTIAL & PROPRIETARY
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OP-Flex™ Range
Ergonomic
Suction
handle
Different tips
available
CONFIDENTIAL & PROPRIETARY
With/without
Vacuum
control
Detachable –
easy to change
43
OP-Flex suction handles are supplied both with
and without vacuum control
When the hole is uncovered there
is no suctioning.
CONFIDENTIAL & PROPRIETARY
When the hole is covered
suctioning takes place.
44
Detachable Handles
CONFIDENTIAL & PROPRIETARY
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Relieving Eyes
Relieving eyes
Designed to minimise the risk of tissue damage
CONFIDENTIAL & PROPRIETARY
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OP-Flex Connecting Tube
 Anti-kink connectors
• Unrestricted flow through the system
• Full maneuverability in all positions.
• Cut -to-fit connector at the distal end
to enable a fit to all canisters
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Anti-kink Connector
Unrestricted flow through the system with no risk of stopping the suctioning
due to kinking.
Full maneuverability in all positions which is very important as the surgeon will
often have very limited space
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Cut-to-fit Connector - Universal
To enable a fit to all canisters
CONFIDENTIAL & PROPRIETARY
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OP-Flex™ Flexible Yankauer Handle
Ergonomic handle
Non-slip safe-grip groove.
Flexible bendable tip
Precise handling & maximizes
protection of internal organs.
Transparent material
Easy observation of blood.
Integrated basket
Increases the safety of loosing the tip.
CONFIDENTIAL & PROPRIETARY
Integrated universal connector
Secures firm connection to suction tube.
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Competitors
Tyco
Dahlhausen
Pennine
Astra
55
The OP-Flex™ FilterFlow Suction Set
CONFIDENTIAL & PROPRIETARY
57
What is included in the Op-Flex™ FilterFlow Set?
FilterFlow handle containing a filter.
One extra filter included.
3 tips packed in set
•1 short bent
•1 long bent
•1 long straight
Indication Intra femoral suctioning.
OP-Flex connecting tube.
 Single packed filters are available in
boxes of 20
CONFIDENTIAL & PROPRIETARY
58
FilterFlow Filter
Patented filter system prevents inconvenient and time-consuming
blockages.
The patented cross-flow filter allows fluids to pass through with
minimal damage, yet traps debris that could clog conventional suction
sets.
CONFIDENTIAL & PROPRIETARY
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he OP-Flex™ Frazier Suction Handle
With/without
Vacuum control
2 different
lengths
Graduated
connector
Malleable
Tip with
stylette
X-Ray line
CONFIDENTIAL & PROPRIETARY
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Where are Frazier Handles used?
 Neurological surgery
 Plastic surgery
 Cardiac surgery
 Ear-Nose-Throat
 Other operation field where a small
suction handle is used to access
CONFIDENTIAL & PROPRIETARY
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Close up features
Flexible due to the stylette
Vacuum control
CONFIDENTIAL & PROPRIETARY
Easy to connect to tubing
62
Disarp™ - Disposable Abdominal Retracting Pad
 Unique UnoMedical product
 X-ray detectable
 45 cm and 25 cm lengths
The Disarp™ Device was
developed to protect and retract
soft tissue during surgery in order
to keep the operating field visible,
clean and free of blood and fluids.
CONFIDENTIAL & PROPRIETARY
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Benefits of the Disarp™ Device
 Can be bent into desired position.
 Can be placed in small areas in the operation field.
 Excellent absorption of blood and fluids.
 X-ray detectable.
Absorption capacity of short Disarp 100ml.
 Absorption capacity of long Disarp 200ml.
CONFIDENTIAL & PROPRIETARY
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Retractorpads™ – Competitor
CONFIDENTIAL & PROPRIETARY
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Inserting the Disarp™ Device
CONFIDENTIAL & PROPRIETARY
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Decision Makers in the Hospital – OR products
Surgeon
Nurse
Economic
Decision Maker
X
Clinical
Decision Maker
X
X
Economic
Influencer
X
X
Clinical
Influencer
X
X
Economic
Gatekeeper
Clinical
Gatekeeper
CONFIDENTIAL & PROPRIETARY
X
Purchaser
Tender
X
X
X
X
X
X
X
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