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Page 1: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Innovators in Dental Product Design,

Development and Manufacture

[email protected]

Page 2: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Introducing a Local Anaesthetic Syringe

designed for Maximum Safety

Page 3: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

The InSafe Local Anaesthetic Syringe

Page 4: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

The User FriendlyLocal Anaesthetic Syringe

Page 5: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

When not in Use the Needle is shielded by a Protective Sheath

Page 6: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

After Use the Needle is removed in a Specially Designed Sharps

Container

Page 7: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Insert the Syringe into the Sharps Container

Page 8: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Push inwards to the Stop Position

Page 9: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Turn the Syringe 30° Anti-clockwise

Page 10: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Push the Syringe Fully Home

Page 11: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Grip syringe T handle

and pull back to remove Needle

Page 12: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

The Incidence and Effects of Needle Sick Injury

Estimated Number of Needle Stick Injuries per Year in the National Health Service in the UK.

100,000(Royal College of Nurses , www.needlestickforum.net)

Studies Report that up to 56% of Dentistssuffer at least one Needle-stick Injury per Year.

(Felix DH et al. 1994, www.ncbi.nlm.nih.gov, Br Dent J. 1994 Mar 5;176(5):180-4.)

Page 13: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

One Third of all reported Sharps Injuries in Dental Practice

are due to the Use of Non-disposable Syringes, Most Injuries occur during the Removal and

Disposal of Needles.

(Zakrzewska JM et al. 2001, Br Dent J. 2001 Jan 27;190: 88-92.)

The Vast Majority of Injuries occur after the Injection has been administered(Safer Needles Network 2006, www.needlestickforum.net)

The Incidence and Effects of Needle Sick Injury

Page 14: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Transmission Rates after a Needle-Stick Injury from an Infected Patient

AIDS/HIV

The Incidence and Effects of Needle Sick Injury

Page 15: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Transmission Rates after a Needle-Stick Injury from an Infected Patient

AIDS/HIV 1 in 300

The Incidence and Effects of Needle Sick Injury

Page 16: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Transmission Rates after a Needle-Stick Injury from an Infected Patient

AIDS/HIV 1 in 300

Hepatitis B

The Incidence and Effects of Needle Sick Injury

Page 17: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Transmission Rates after a Needle-Stick Injury from an Infected Patient

AIDS/HIV 1 in 300

Hepatitis B 1 in 30

The Incidence and Effects of Needle Sick Injury

Page 18: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Transmission Rates after a Needle-Stick Injury from an Infected Patient

AIDS/HIV 1 in 300

Hepatitis B 1 in 30

Hepatitis C

The Incidence and Effects of Needle Sick Injury

Page 19: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Transmission Rates after a Needle-Stick Injury from an Infected Patient

AIDS/HIV 1 in 300

Hepatitis B 1 in 30

Hepatitis C 1 in 3

The Incidence and Effects of Needle Sick Injury

Page 20: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Transmission Rates after a Needle-Stick Injury from an Infected Patient

AIDS/HIV 1 in 300

Hepatitis B 1 in 30

Hepatitis C 1 in 3

(Safer Needles Network 2006, www.needlestickforum.net)

The Incidence and Effects of Needle Sick Injury

Page 21: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

USA:

8 million Healthcare Workers in the US

.

((www.healthandsafety.co.uk/NIOSHNeedlestick.html)

The Incidence and Effects of Needle Sick Injury

Page 22: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

USA:

8 million Healthcare Workers in the US 600,000-800,000 Injuries per Year

.

((www.healthandsafety.co.uk/NIOSHNeedlestick.html)

The Incidence and Effects of Needle Sick Injury

Page 23: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

USA:

8 million Healthcare Workers in the US 600,000-800,000 Injuries per Year1000 Healthcare Workers diagnosed

with HIV, Hep B or C as a Result.

((www.healthandsafety.co.uk/NIOSHNeedlestick.html)

The Incidence and Effects of Needle Sick Injury

Page 24: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Cost of Diagnosis: £6526 (assumes no infection)(www.jr2.ox.ac.uk/bandolier/booth/needlestick/dentlond.html)

Mental Anxiety waiting for the Diagnosis

The Incidence and Effects of Needle Sick Injury

Page 25: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Risks Factors

Dentists often reuse the Syringe on the Same Patient to administer Additional Doses of Anaesthetic.

The Syringe is passed between Dentist and Nurse (often repeatedly).

The Syringe Body is not disposable and requires dismantling at the End of the Visit.

Page 26: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Risk of Legal Action by a Dental Assistantif Best Practice not followed

Dental Assistants suffer Higher Rate of Injury

Increasing Regulatory Pressures.

There is currently no System on the Market that feels like the Traditional Syringe that Dentists are accustomed to which offers Complete and Full Protection from start to finish of the Whole Process.

Risks Factors

Page 27: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

1. To Use existing Screw-on Needles

2. To Use existing Anaesthetic Cartridges (1.8 & 2.2 ml)

2. To have Aspirating or Non-aspirating Facility

3. To enable the Cartridge End of Needle to be seen

if Blood is Aspirated

Design Objectives

Page 28: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

The Syringe End of Needle

Page 29: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

5 Change Cartridge during Procedure

Design Objectives

Page 30: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Design Objectives

6 Cover Needle between Uses

Page 31: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

7 Needle Cover Device to be Positively Locked

Design Objectives

Page 32: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Sleeve in Unlocked Position

The InSafe Syringe

Page 33: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Sleeve in Locked Position

The InSafe Syringe

Page 34: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

8. To enable Safe Needle Disposal after Use

Design Objectives

9. Needle to be covered at All Times from Last Use

to Removal of the Needle

Page 35: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

10 Syringe to be Ergonomically Designed

Design Objectives

11 Syringe Weight to be Similar to Existing Syringes

12 Not Fully Disposable

Page 36: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Syringe Body Style and Weight similar to Current Syringes

The InSafe Syringe

Page 37: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Repeat Autoclaveable Materials

Easily Replaceable Outer Sleeve

The InSafe Syringe

Page 38: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Slide Sleeve being moved Forward

The InSafe Syringe

Page 39: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Lock Sleeve

in Forward Position

The InSafe Syringe

Page 40: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Lock Sleeve in Forward Position

Page 41: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

The Plastic Adapter required

Page 42: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Align the Hole in the Adapter

Page 43: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

with the Groove in the End of the Syringe

Page 44: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Align Hole with the Groove

Page 45: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Push Fully Home

Page 46: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

The InSafe Syringe

Syringe ready for Needle Loading

Page 47: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Needle screwed on

with Needle Cover in Place

Page 48: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Then Remove Needle Cover

Page 49: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Sleeve locked Forward

covering the Needle

Page 50: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Pull back Plunger before loading Cartridge

Page 51: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Cartridge loaded and Syringe

ready for Use

Page 52: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Sleeve unlocked and being moved

to Back Position

Page 53: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Sleeve in Back Locked Position

ready for Use

Page 54: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Expel a Small Amount of Local Anaesthetic before administering the

Local Anaesthetic

Page 55: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Syringe ready for Use

Page 56: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Lock the Sleeve in the Forward Position after Each Use

Page 57: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

The Sharps Container and Mount

Page 58: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Sharps container can be easily removed when Full

Page 59: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Sharps Box Mount

Page 60: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Worktop Unit Mounting

Page 61: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Unit End Mounting

Page 62: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Wall mounting

Page 63: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Securely Fixed Base

Page 64: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Lock the Sleeve in the Forward Position

after Final Use before Needle Disposal

Page 65: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Insert the Syringe into the Sharps Container

Page 66: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Push inwards to the Stop Position

Page 67: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Turn the Syringe 30° Anti-clockwise

Page 68: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Push the Syringe Fully Home

Page 69: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Syringe and Needle Adapter Fully

inserted into Sharps Container

Page 70: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Grip syringe T handle

and pull back to remove Needle

Page 71: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Aspiration Options

Standard Plunger with T-handle

Page 72: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Aspiration Options

‘O-Ring’ Seal Plunger with Thumb Ring

Page 73: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Aspiration Options

The ‘O-Ring’ Seal Plunger is

Possibly the Best Choice

Page 74: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Aspiration Options

Self Aspirating Plunger with Thumb Ring

Page 75: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Aspiration Options

‘Harpoon’ Type Plunger with Thumb Ring

Page 76: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Replacing the Outer Sleeve

Insert suitable tool into hole on collar and separate collar from sleeve

Remove small locking piece and slide sleeve off syringe body

Replace sleeve with new part, insert locking piece and slide collar into place

Unlock sleeve and move to position shown

Page 77: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Remove small locking piece and slide sleeve off syringe body

Replace sleeve with new part, insert locking piece and slide collar into place

Insert Suitable Tool into Hole on the Collar and Separate Collar from the Sleeve

Replacing Outer Sleeve

Page 78: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Replace sleeve with new part, insert locking piece and slide collar into place

Remove the Small Locking Pieceand the Slide Sleeve off the Syringe Body

Replacing Outer Sleeve

Page 79: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Replace sleeve with the New Part, insert the Locking Piece and slide the Collar into place

Replacing Outer Sleeve

Page 80: Innovators in Dental Product Design, Development and ...stuartortonjonesinstitute.co.uk/PDFs/Implantology/13_Asepsis/Astek... · One Third of all reported Sharps Injuries in Dental

Astek Dental Syringesavailable from

Schottlander0800 97 000 79