Disposables & Reusables

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April 2019
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Disruptive innovation in supply chain: Impact of Amazon Business and technology, Part 2

Supply chain is ripe for innovation, as Amazon Business and technology manufacturers have discovered. In part 1 of this two-part series, we focused on the company’s role in the supply chain (OR Manager, February 2019, 1, 9-12). In part 2, we look at technology-related trends and innovations that can improve…

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By: Cynthia Saver, MS, RN
February 20, 2019
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Disruptive innovation in supply chain: Impact of Amazon Business and technology, Part 1

Supply chain is the lifeblood of the OR, so any disruption in the flow of that lifeblood can lead to outcomes ranging from dissatisfaction with backorders to chaos if a new implant doesn’t arrive on time. But disruption also can be a positive force, especially if it supports flow. When…

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By: Cynthia Saver, MS, RN
January 14, 2019
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Environmental considerations for reusable vs disposable isolation gowns

Editor's Note Selecting reusable isolation gowns may result in significant environmental benefits compared with disposable gowns, this study finds. This analysis of 1,000 isolation gowns in a healthcare setting (24 reusable gowns from 8 suppliers, 16 disposable gowns from 5 suppliers) found that the reusable gowns resulted in a: 28%…

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By: Judy Mathias
August 8, 2018
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Greater vigilance needed to combat ureteroscope contamination

A new study by Ofstead & Associates (St Paul, Minnesota) is the latest to raise concerns about infections associated with endoscopic procedures. The study, which focused on ureteroscopes, found that the techniques used to clean and sterilize or high-level disinfect flexible ureteroscopes are not sufficient and leave behind contamination including…

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By: Judith M. Mathias, MA, RN
November 15, 2017
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New instrument shows promise as low-cost alternative to robot

Researchers at the University of Michigan (U-M), Ann Arbor, have invented a new surgical instrument with the goal of addressing a vast, unmet need in minimally invasive surgery. For less than a thousand dollars, this platform technology—currently being commercialized by the start-up FlexDex Surgical—offers capabilities similar to those of the…

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By: Judith M. Mathias, MA, RN
June 20, 2017
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Cost data persuade surgeons to be more frugal

Surgeons usually don’t have a high awareness of costs, partly because they haven’t had an easy way to know them. An unfortunate byproduct of this lack of knowledge can be higher OR costs. “Imagine what it’s like if, when you go to the grocery store, there are no price tags,…

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By: OR Manager
June 20, 2017
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FDA releases list of reusable devices requiring new validated IFU, validation data

Editor's Note The Food and Drug Administration (FDA) on June 9 released a list of reusable devices that will require new validated instructions for use (IFU) and validation data in premarket notifications regarding cleaning, disinfection, and sterilization. These actions are effective August 8, 2017. The list includes: Bronchoscopes (flexible or…

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By: Judy Mathias
June 12, 2017
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ECRI Institute announces release of CrossCHEQ

Editor's Note ECRI Institute on June 6 announced the release of CrossCHEQ, its new service that offers unbiased guidance on equivalent alternatives for medical-surgical supplies and implants. By comparing key performance indicators, buyers can assess opportunities for standardization and better respond when products are out of stock or recalled. The…

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By: Judy Mathias
June 7, 2017
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Preference card cleanup projected to cut costs across departments

Fine-tuning physician preference cards to reduce instrument use and sterilization is a well-known way to cut costs, but one that is often hard to implement. At Bassett Healthcare (Cooperstown, New York), we had success with a simple intervention involving collaboration with nearly 50 surgeons across multiple departments. We reviewed more…

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By: OR Manager
May 17, 2017
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ASC reaps rewards of recycling and reprocessing

What began as an employee request to reduce waste and create a “greener” workplace has resulted in an international award for TRIA Orthopedic Center, Bloomington, Minnesota. By conserving materials and energy, the ambulatory surgery center (ASC) not only reduced its environmental impact, but also saved money. The initiative started with…

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By: Paula DeJohn
April 21, 2017
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