staysafe
TRANSCRIPT
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PD Foundations India May 2011
stay•safe®
….safe and convenient for all
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PD Foundations India May 2011
Current Challenges - PD Programs
• Patient compliance
• Technical failure
• Peritonitis
• Adequacy
Increasingly, CAPD is the therapy selection not only used for the young & technically skilled persons, but also for the elderly and those
who may have multiple pathology and cognitive dysfunction.
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PD Foundations India May 2011
Risk Steps in A PD Exchange
• Connection of delivery system to catheter
– touch contamination
– detachment, leakage
• Control of direction of flow of PD fluid
– inadequate flushing
• Closure of the catheter
– Leakage
– touch contamination
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PD Foundations India May 2011
Points to Consider when Developing a New PD System
• Prevention of peritonitis
– Flush before fill
– Reduced risk of touch contamination
• Ease of Training
• Compliance & maintenance of the correct daily routine
• Ecological factors
• Biocompatible factors
• Cost
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PD Foundations India May 2011
WHY?
A New Connection System
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PD Foundations India May 2011
1. Connection
2. Clamp inflow line
3. Break breaking-cone of drainage
bag
4. Break-cone of pt connector
5. Open clamp Drainage
6. Close clamp
7. Open inflow line Flush
8. Clamp drainage line
9. Open clamp Inflow
10. Clamp Y-line Closure
11. Disconnection
1 7 8
1 0
2 6
5 1 1
9
4
3
Solution bag
Peritoneal
cavity
Catheter Abdominal
wall
Drainage bag
Status Double Bag System
• Disconnect System with Flush before fill
– Complex handling steps
– Difficult to learn
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PD Foundations India May 2011
© Fresenius Medical Care 2011
Clinical Meeting 2011
CAPD – System development
Andy.Disc • non disconnect system
• w/ flush before fill
• PVC bag material
stay•safe®
• safe disconnection - PIN
• guided handling - DISC
• Biofine® material
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PD Foundations India May 2011
DISC 1. Connection
2. Open clamp Drain
3. Turn knob Flush
4. Turn knob Inflow
5. Turn knob Closure
6. Disconnection
The stay.safe CAPD System
• Disconnect system with a mandatory flush before fill
• Reduced number of steps-Improved handling
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PD Foundations India May 2011
Connect to disc
The stay.safe Procedure
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PD Foundations India May 2011
Improved Patient Handling
• Less steps
• Central control disc
• Regulation of solution flow
• No clamps
• No breaking of frangible pins
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PD Foundations India May 2011
Reduced Risk Of Contamination
PIN
• Easy to learn automatic inline closing of the patients catheter extension before disconnection providing extra safety and less handling for the patients
Disinfection/Betadine Cap
• Integrated disinfection ensures PIN is disinfected
Organizer
• Reduces touch contamination
• Makes exchange possible with 1 hand
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PD Foundations India May 2011
Closed Disconnection
• The stay•safe® PIN technology eliminates 1,460 risk steps per patient year compared with conventional PD systems
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PD Foundations India May 2011
PIN
CAPD risk step analysis with PIN
Less 50 % Risk
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PD Foundations India May 2011
Delivering PD therapy in a safe & convenient way
The stay•safe® system has been specifically designed to help patients with their daily self-care CAPD treatment in a safe and convenient way. Operating errors are essentially excluded.
• This innovation has resulted in improved safety levels, patient compliance and excellent clinical results
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PD Foundations India May 2011
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PD Foundations India May 2011
© Fresenius Medical Care 2011
What is Biofine®?
• Biofine® is a polymer constructed exclusively from hydrogen and carbon atoms
• It is PVC-free and plasticizer-free
DEHP
Biofine ® PVC
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PD Foundations India May 2011
Biofine®
25.000 t 1.000Trucks
25 m
PVC (Polyvinyl Chloride)
• Contains plasticizers and chlorine Exposure to patients Incineration w/ toxins,
such as HCL, dioxins, etc.
• High material demand Double waste load due
to need for higher material use
Biofine® • Free from plasticizers an
chlorine No exposure to patients
Clean incineration to H2O + CO2
• Less material demand Less waste load
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PD Foundations India May 2011
Biofine™
• A high tech material
– 60 % thinner saving raw material
– Biodegradable
– Multilayer foil contains no glue
PVC Biofine™
Less material =
Lower environmental burden
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PD Foundations India May 2011
Biofine™
• More ecological life cycle (production usage and disposal) – Incinerated Biofine® generates only carbon dioxide and
water
• Sterilization process – entire system undergoes sterilization at 121ºC
• Superior barrier to water evaporation – inner bag not wet – Good water vapour barrier– perfect material for bags
preserving better the PD solution
• Contains no PVC – No absorption or adsorption of plasticizers
• Environment friendly – from production to usage and disposal
• Requires less material (60% thinner than PVC) = less waste
• Easy to recycle • Excellent clarity allows patients to inspect the bags
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PD Foundations India May 2011
PD SOLUTION: Electrolytes
mmol/L
• Sodium 134
• Magnesium 0.5
• Chloride 103.5
• Calcium 1.25 or 1.75
• Lactate 35
• pH 5.5
• Glucose 1.5%, 2.3%. 4.25%
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PD Foundations India May 2011
Colour Coding
• Color coding of DISC
– 1.5% - yellow (CAPD 2)
– 2.3% - green (CAPD 3)
– 4.25%- red (CAPD 4)
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PD Foundations India May 2011
Bag Sizes
– 2L
Calcium concentration
– 1.25mmol(17, 18, 19)
– 1.75mmol(2, 3, 4)
Glucose concentration
• staysafe 17, 2
– 1.5% glucose
• staysafe 18, 3
– 4.25% glucose
• staysafe 19,4
– 2.3% glucose
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PD Foundations India May 2011
Heating
• Recommended Thermosafe heater
– Microwaving not recommended
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PD Foundations India May 2011
Summary
• Since 1996 stay•safe® has become established as a proven and reliable system.
• stay.safe offers a state of the art double bag CAPD system that incorporates a flush before fill
– Disc and PIN technology improves patient handling
– Reduction in the risk of touch contamination
• The stay•safe® system is made from a non-PVC material called Biofine® which is free from plasticizers and is environmentally friendly.
• Available globally - patients can enjoy the benefits of stay•safe® around the globe enabling convenient travelling.
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PD Foundations India May 2011
Thank you for
listening!!!