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CleanCision™
For hospital leaders who want to gain control over the sources of surgical site infection
Nearly 50% of abdominal incisions are contaminated during surgery 11
Incomplete skin antisepsis introduces bacteria into the incision12
Prophylactic antibiotic concentrations can fall below effective levels 14
Passive wound protection can’t clear invading bacteria
Disruptive manual irrigation can spread contamination 13
Current technology does not adequately support infection control efforts to eliminate contamination, creating critical gaps that leave patients vulnerable to infection.
No bacterial contamination
Bacterial contamination
No bacterial contamination Bacterial
contamination
0% Risk of SSI11
20%+ Risk of SSI11
Wound contamination is the primary cause of SSI. Controlling it is a constant challenge.
Easily deployed to retract the incision, CleanCision's microfluidic membrane is connected to a surgeon-selected fluid source and suction that delivers an active clearance therapy which consistently and continuously cleanses and removes contamination from the incision. By removing the contamination, CleanCision helps eliminate the root cause of infection.15
Reverse
Active Cleansing TechnologyContinuous, consistent clearance therapy delivered during surgery
66% 61%Reduction in Contamination 16 Reduction in SSI 10
% C
onta
min
atio
n
p<0.001
ControlCleanCision
50%
25%
0
35%
12%
Expected CleanCision
p = 0.04
Fight Defend
*Zero deep SSI
3.7%*
9.5%
More complete skin antisepsis, reverses pre-existing skin contamination 16
Active removal of contamination 15
Reduced CFU count / inoculum of infectious contamination at the incision 16
Combines wound irrigation and wound protection, two independently proven practices for reducing SSI 17,18
Optimizes wound healing environment, suppressing bacterial proliferation after closure19
Suction ringremoves
contaminants
Retracts & protects widest range of incisionsSterile irrigant
solution inlet
Suction Outlet Fluid irrigates
incision
Intuitive ApproachDesigned by surgeons and infection control expertsCleanCision integrates proven best practices into existing surgical workflows.
Powerful Results
% S
SI
PATIENTS
HOSPITAL
$10B spent annually treating SSI 7
Average cost per SSI $19,000 5,8
~$500k annual CMS penalty per hospital 9
Negative hospital publicity
Lower SSI rates will reduce cost of care. Project the potential savings:
Current SSI rate 1,2,3 15%300
$19, o00
$521, 550
.61
Number of Procedures*
SSI Cost / Episode 5,8
SSI Reduction 10
TOTAL SAVINGS
xxx
=*estimate the number of high-risk abdominal surgeries in your facility
3 out of 20 patients undergoing high-risk abdominal surgery will develop an infection1,2,3
15 days
8 days
MEDIAN LENGTH OF STAY4
PATIENT SATISFACTION
2X RISK OF DEATH6
ICU ADMISSION6READMISSION5
REOPERATION
27.8%
6.8%
29%
18%
With SSI Without SSI
Surgical site infection, especially in high risk abdominal and colorectal surgery, is a constant threat to patients and hospitals.
CleanCision™
More Control for Better Outcomes
Ordering InformationPrescient Surgical products can be ordered from Prescient Surgical (orders@prescientsurgical.com) and specialty distributors. For the latest product information, visit www.prescientsurgical.com or email us at info@prescientsurgical.com.
PN
CC-S
CC-M
PRODUCT
CleanCision Wound Retraction and Protection System SMALL (3-9 cm incision range)
CleanCision Wound Retraction and Protection System MEDIUM (7-17 cm incision range)
QUANTITY
4 / box
4 / box
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2. WickEC,Vogel JD,Church JM,Remzi F, FazioVW.Surgical site infections in a "highoutlier"institution:arecolorectalsurgeonstoblame?DisColonRectum.2009;52(3):374-379.
3. SuttonE,MiyagakiH,BelliniG,etal.Riskfactorsforsuperficialsurgicalsite infectionafterelectiverectalcancerresection:amultivariateanalysisof8880patientsfromtheAmericanCollege of Surgeons National Surgical Quality Improvement Program database. J Surg Res.2017;207:205-214.
4. deLissovoyG,FraemanK,HutchinsV,MurphyD,SongD,VaughnBB.Surgicalsite infection:incidence and impact on hospital utilization and treatment costs. Am J Infect Control.2009;37(5):387-397.
5. WickEC,HiroseK,ShoreAD,etal.Surgicalsiteinfectionsandcostinobesepatientsundergo-ingcolorectalsurgery.ArchSurg.2011;146(9):1068-1072.
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7. ScottRD.TheDirectMedicalCostsofHealthcare-AssociatedInfectioninUSHospitalsandtheBenefitsofPrevention.CentersforDiseaseControlandPrevention;March2009.
8. TannerJ,KhanD,AplinC,BallJ,ThomasM,BankartJ.Post-dischargesurveillancetoidentifycolorectalsurgicalsiteinfectionratesandrelatedcosts.JHospInfect.2009;72(3):243-250.
9. RauJ.LatestHospitalInjuryPenaltiesIncludeCrackdownOnAntibiotic-ResistantGerms.2016;https://khn.org/news/latest-hospital-injury-penalties-include-crackdown-on-antibiotic-re-sistant-germs/.AccessedJanuary29,2018.
10.Papaconstantinou HT, Birnbaum EH, Ricciardi R, et al. Impact of a Novel Surgical WoundProtectionDeviceonObservedversusExpectedSurgicalSiteInfectionRatesafterColectomyUsing the National Surgical Quality Improvement Program Risk Calculator. Surg Infect(Larchmt).2018.
11. Fa-Si-OenPR,KroezeF,VerhoefLH,VerwaestC,RoumenRM.Bacteriologyofabdominalwounds inelectiveopencolonsurgery:aprospectivestudyof 100surgicalwounds.ClinMicrobiolInfect.2005;11(2):155-157.
12.PriviteraGP,CostaAL,BrusaferroS,etal.Skinantisepsiswithchlorhexidineversusiodineforthepreventionofsurgicalsiteinfection:Asystematicreviewandmeta-analysis.AmJInfectControl.2017;45(2):180-189.
13.Anglen JO. Wound irrigation in musculoskeletal injury. The Journal of the AmericanAcademyofOrthopaedicSurgeons.2001;9(4):219-226.
14.Markantonis SL, Kostopanagiotou G, Panidis D, Smirniotis V, Voros D. Effects of bloodlossandfluidvolumereplacementonserumandtissuegentamicinconcentrationsduringcolorectalsurgery.ClinTher.2004;26(2):271-281.
15.PreclinicaldataonfileatPrescientSurgical.
16.PapaconstantinouHT,RicciardiR,MargolinDA,etal.ANovelWoundRetractorCombiningContinuous Irrigation and Barrier Protection Reduces Incisional Contamination inColorectalSurgery.WorldJSurg.2018;42(9):3000-3007.
17.MuellerTC,LoosM,HallerB,etal.Intra-operativewoundirrigationtoreducesurgicalsiteinfections after abdominal surgery: a systematic review and meta-analysis. LangenbecksArchSurg.2015;400(2):167-181.
18.SajidMS,RathoreMA,SainsP, SinghKK.A systematic reviewofclinicaleffectivenessofwoundedgeprotectordevices inreducingsurgicalsite infections inpatientsundergoingabdominalsurgery.UpdatesSurg.2017;69(1):21-28.
19.Suh I, Long SA, Coe J, Koehler J, Fry D, Welton ML. The Efficacy of a Novel SurgicalDevice inPreventing IntraoperativeWoundContamination inan InVivoPorcineModel. JLaparoendoscAdvSurgTechA.2018;28(4):445-451.
References:
www.prescientsurgical.com
© 2018 All rights reserved Prescient Surgical. The Prescient Surgical logo and CleanCision are trademarks of Prescient Surgical. Product is subject to change without notice. MKT 1410.C
For patents, visit www.prescientsurgical.com/patents
1585 Industrial Road • San Carlos, CA 94070 • 650-999-0263 • www.prescientsurgical.com
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