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2 THE OPERATING THEATRE JOURNAL www.otjonline.com

NEW SURVEY REPORTS LOW RATE OF PATIENT AWARENESS DURING ANAESTHESIA

The Royal College of Anaesthetists (RCoA) and the Association of Anaesthetists of Great Britain and Ireland (AAGBI) on12 March published initial ndings from a major study which looked at how many patients experienced accidental awareness during general anaesthesia.

The survey asked all senior anaesthetists in NHS hospitals in the UK (more than 80% of whom replied) to report how many cases of accidental awareness during general anaesthesia they encountered in 2011. There are three million general anaesthetics administered each year. Study ndings are published in Anaesthesia, and The British Journal of Anaesthesia, the peer-reviewed journals of the AAGBI, and RCoA respectively.

Previous reports have suggested a surprisingly high incidence of awareness of about one in 500 general anaesthetics. The current report found it to be much less common in the UK with one episode known to anaesthetists in every 15,000 general anaesthetics. The report also reports very low use of brain monitoring technology: with only 2% of anaesthetists routinely using it.

The survey is part of a major study called the Fifth National Audit Project (NAP5) taking place over three years. NAP5 is thought to be the largest study of its kind ever conducted and is funded entirely by the profession.

Professor Jaideep Pandit, Consultant Anaesthetist in Oxford and lead author, said: “Anaesthesia is a medical speciality very much focused on safety and patient experience.

We identi ed accidental awareness during anaesthesia as something which concerns patients and the profession. The profession is therefore undertaking this major study so that we can better understand the problem and work to reduce the likelihood of it happening to patients.

“We are particularly interested in patient experiences of awareness. Although we know that some patients do suffer distress after these episodes, our survey has found that the vast majority of episodes are brief and do not cause pain or distress.

“Our study will continue to explore the reasons for the differences between our gures and previous reports. Anaesthesia in the UK is administered only by trained doctors and is a consultant-led service. Whether this ? or other factors such as differences in patient sensitivity to anaesthetic drugs or different detection rates in uence the reported numbers ? is something we will be studying in the rest of the project.”

Professor Tim Cook, co-author and a Consultant Anaesthetist in Bath said: “Risks to patients undergoing general anaesthesia are very small and have decreased considerably in the last decades. Anaesthesia doctors in the UK undergo the same level of training as surgeons and physicians. Of the three million general anaesthetics administered in the NHS each year, only a very small number of patients experience awareness during anaesthesia, with the majority of these occurring before surgery starts or after it nishes.

“While our ndings are generally reassuring for patients and doctors alike, we recognise that there is still more work to be done. We are spending the next year studying as many of the cases as possible to learn more from patients’ experiences. It is hoped that the ndings included in the nal report, due out early 2014, will increase our understanding of accidental awareness during general anaesthesia so that the anaesthetic profession can further increase safety for patients.

“Anaesthetists have always put patients rst and will continue to do so. This study, which comes just after the publication of the Francis report, shows that anaesthetists are clearly listening to patients and have acted positively to address a major patient concern.”

Cook Medical Adds to Airway Management Portfolio with Of cial European Launch of Staged Extubation Set

Introduction of a dedicated reintubation catheter offers physicians the only CE marked device indicated for tracheal reintubation

Cook Medical recently announced the European launch of its Staged Extubation Set at the International Symposium on Intensive Care and Emergency Medicine (ISICEM).

The Staged Extubation Set is the rst product speci cally indicated for tracheal extubation and reintubation, adding to Cook Medicals comprehensive airway management product offering.

The set includes a Staged Extubation Wire, which is used to maintain continuous airway access, and a Staged Reintubation Catheter, used to facilitate a successful reintubation if required. This product will ll a gap in the market and help intensive care and emergency medicine personnel to deal with dif cult airways during a planned extubation.

Managing patient airways in an emergency situation can be very dif cult and problems may occur following a tracheal extubation if the patient isnt able to breathe independently.

Good preparation is key to a successful extubation strategy, characterised by the expectation that reintubation could be managed without dif culty, said Dr Peter Young, Clinical Director, Critical Care at the Queen Elizabeth Hospital.

Airway failure during extubation is a signi cant risk for all patients and even more so amongst certain high risk patient groups such as those with obesity, obstructive sleep apnoea and the elderly. These patient cohorts, with dif cult airways, require a clear extubation strategy to allow for potential complications during the procedure.

Staged extubation brings several bene ts including avoidance of complications associated with failed or dif cult reintubation[1] and the ability to trial the extubation process earlier while maintaining secure airway access[2]. A study with an airway catheter also showed a vefold higher success rate of rst-attempt reintubation[2].

Cook Medical is a recognised leader in airway management and now offers a full range of dif cult airway devices; intubation, exchange, extubation and reintubation. We are delighted to see that the Staged Extubation Set is now available in Europe, the only approved extubation set on the market, said Lynn Luebberst, Global Market Manager for Cook Medical’s Critical Care clinical division.

The Staged Extubation Set is currently not available in the United States.

[1] Mort T. Emergency tracheal intubation: complications associated with repeated laryngoscopic attempts. Anesth Analg. 2004; 99 (2):607-613[2] Mort T. Continuous airway access for the dif cult extubation: the ef cacy of the airway exchange catheter. Anesth Analg. 2007; 105 (5):1357-1362.

For more information, visit www.cookmedical.com

When responding to articles please quote ‘OTJ’

3-D Printed Implant Replaces 75% of Patient’s SkullA US patient recently had 75% of the skull replaced by a 3-D printed PEEK implant from Oxford Performance Materials. The procedure took place after US FDA cleared the implant in February, a milestone that marked the rst time the agency cleared a polymer implant made with additive manufacturing. OsteoFab, the PEEK implant, is already available in Europe, but the clearance could pave the way for similar implants in the United States.

Oxford Performance Materials uses data from a patient’s CT scan to create a printable CAD le. After a surgeon approves the design, the implant is printed using an SLS 3-D printer and shipped to the hospital.

The company has not released the name of the patient who received the implant or the reason for it, but a similar procedure took place last year in Texas, where surgeons replaced part of a patient’s skull with a custom-made PEEK implant from MedCAD. Since US FDA had not yet approved 3-D printing with PEEK at that point, the implant was manufactured with a CNC machine. 3-D printing enables faster and cheaper manufacturing, making custom-made implants (while still relatively expensive) more feasible. Implants tailored to a patient’s anatomy can reduce complications during and after surgery, shorten both surgery and recovery time and cut hospital costs.

Source: medtechinsider Camilla AnderssonA 3-D printed implant from OsteoFab

Find out more 02921 680068 • e-mail admin@lawrand.com Issue 271 April 2013 3

The Next issue copy deadline, Thursday 25th April 2013All enquiries: To the editorial team, The OTJ Lawrand Ltd, PO Box 51, Pontyclun, CF72 9YY Tel: 02921 680068 Email: admin@lawrand.com Website: www.lawrand.comThe Operating Theatre Journal is published twelve times per year. Available in electronic format from the website, www.otjonline.comand in hard copy to hospitals throughout the United Kingdom. Personal copies are available by nominal subscription.

Neither the Editor or Directors of Lawrand Ltd are in any way responsible for the statements made or views expressed by the contributors. All communications in respect of advertising quotations, obtaining a rate card and supplying all editorial communications and pictures to the Editor at the PO Box address. No part of this journal may be reproduced without prior permission from Lawrand Ltd. © 2013The Operating Theatre Journal is printed on FSC approved papers using biodegradable ink. Any waste from the production of the magazine is recycled.

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Putting Patients First - Government publishes response to Francis Report The quality of patient care will be put at the heart of the NHS in an overhaul of the health and care system in response to the Francis Inquiry. Health Secretary Jeremy Hunt announced on the 26th of March how a culture of compassion will be a key marker of success, spelling an end to the distorting impact of targets and box ticking which led to the failings at Stafford Hospital.

Hospitals and care homes will be encouraged to strive to be the best, the basic values of dignity and respect will be central to care training and, if things go wrong, patients and their families will be told about it.

Radical new measures will be introduced to achieve this including Ofsted-style ratings for hospitals and care homes, a statutory duty of candour for organisations which provide care and are registered with the Care Quality Commission, and a pilot programme which will see nurses working for up to a year as a healthcare assistant as a prerequisite for receiving funding for their degree.

The response is accompanied by a statement of common purpose signed by the chairs of key organisations across the health and care system. It renews and reaf rms the commitment to the values of the NHS, as set out in its Constitution, and includes pledges to work together for patients, always treat patients and their families with compassion, dignity and respect, to listen to patients and to act on feedback.

Jeremy Hunt said: The events at Stafford Hospital were a betrayal of the worst kind. A betrayal of the patients, of the families, and of the vast majority of NHS staff who do everything in their power to give their patients the high quality, compassionate care they deserve.

The health and care system must change. We cannot merely tinker around the edges we need a radical overhaul with high quality care and compassion at its heart. Today I am setting out an initial response to Robert Francis recommendations. But this is just the start of a fundamental change to the system.

I can pledge that every patient will be treated in a hospital judged on the quality of its care and the experience of its patients. They will be cared for in a place with a culture of zero harm, by highly trained staff with the right values and skills. And if something should go wrong, then those mistakes will be admitted, the patient told about them and steps taken to rectify them with proper accountability.

I and the chairs of key organisations involved in care have pledged to do this and make our health and care system the best and safest in the world.

The Governments response to the Francis report includes plans to:

Put in place a culture of zero-harm and compassionate care.• There will be a new regulatory

model under a strong, independent Chief Inspector of Hospitals.

• The Chief Inspector will introduce single aggregated ratings. The Nuf eld Trust rightly said that in organisations as large and complex as hospitals a single rating on its own could be misleading. The Chief Inspector will also develop ratings of hospital performance at department level. This will mean that cancer patients will be told of the quality of cancer services, and prospective mothers the quality of maternity services.

• The Chief Inspector of Hospitals will assess hospital complaints procedures.

• The CQC will move to a new specialist model based on rigorous and challenging peer-review. Assessments will include judgements about hospitals overall performance including whether patients are listened to and treated with dignity and respect, the safety of services, responsiveness, clinical standards and governance.

• A new Chief Inspector of Social Care will ensure the same rigour is applied across the health and care system. The merits of having a Chief Inspector of Primary Care are also being explored.

• The NHS Confederation will review how we can reduce the bureaucratic burden on frontline staff and NHS providers by a third.

Detect problems quickly.

• A new statutory duty of candour will ensure honesty and transparency are the norm in every organisation overseen by the CQC.

• The new Chief Inspector of Hospitals will be the nations whistleblower- in-chief.

• Publishing survival results improves standards, as has been shown in heart surgery. Survival rates for a further 10 disciplines, including cardiology, vascular and orthopaedic surgery will now be published.

Deal with problems quickly.

• A new set of fundamental standards will be introduced to make explicit the basic rights that anyone should expect of the NHS. They will be produced by the Chief Inspector of Hospitals, working with NICE, patients and the public.

• Where these standards are breached, a new failure regime will ensure that rm action is taken swiftly. If it is not, the failure regime could lead to special administration with the automatic suspension of the Board.

Accountability for wrongdoers.

• Health and social care professionals will be held more accountable.

• We will consider the introduction of legal sanctions at a corporate level for providers who knowingly generate misleading information or withhold information from patients or relatives.

• The General Medical Council, the Nursing and Midwifery Council and the other professional regulators have been asked to tighten and speed up their procedures for breaches of professional standards.

• The Chief Inspector of Hospitals will also ensure that hospitals are meeting their existing legal obligations to ensure that unsuitable healthcare assistants are barred.

Leadership and motivation of NHS and social care staff.

• NHS-funded student nurses will spend up to a year working on the frontline as healthcare assistants, as a prerequisite for receiving funding for their degree. This will ensure the people who become nurses have the right values and understand their role.

• Nurses skills will then be revalidated, as doctors are now, to ensure their skills remain up to date and t for purpose.

• Healthcare support workers and adult social care workers will now have a code of conduct and minimum training standards, both of which are published at: www.skillsforhealth.org.uk/deofconductandtrainingstandards

• The Chief Inspector will ensure that hospitals are properly recruiting, training and supporting healthcare assistants, drawing on the recommendations being produced by Camilla Cavendish.

• The Department of Health will become the rst department where every civil servant will gain real and extensive experience of the frontline.

The Government is also today publishing a revised NHS Constitution following a recent public consultation. It incorporates many of the changes that were consulted on and, where possible, further changes resulting from additional suggestions heard through consultation. A copy can be found at www.gov.uk/dh

It is likely there will be a further consultation later in the year on further changes to the NHS Constitution, with the aim of incorporating further recommendations made by Robert Francis QC

4 THE OPERATING THEATRE JOURNAL www.otjonline.com

RELATIONSHIP BETWEEN KARL STORZ AND NUFFIELD HEALTH CONTINUES TO GO FROM STRENGTH TO STRENGTH

The KARL STORZ HD Surgical Camera System and Sarah Yumul, Team Leader - Theatre/Endoscopy, Nuf eld Health Leicester Hospital

In December last year, the prestigious Nuf eld Health Group awarded KARL STORZ the contract to supply surgical cameras to its hospitals until 2017. The contract was awarded following KARL STORZ’s installation of four OR1™ NEO integrated theatres in Nuf eld Health’s hospitals in Plymouth, Brighton and Wessex, each of which was extremely well received by theatre staff.

The rst 12 camera systems have already been delivered, and feedback for both the product and the service provided by KARL STORZ has been very positive; Donna King, Theatre Manager at Nuf eld Health Derby Hospital, says: “Both our company representative and the KARL STORZ regional manager have given us excellent support over the past weeks. The equipment itself was well received by the consultants, and the quality was fantastic.”

In addition, Nuf eld Health is also investing in KARL STORZ’s AIDA Advanced Reporter (AAR) for surgery and endoscopy throughout its entire group of 31 hospitals. AAR is a recently introduced software-based reporting system that works with DICOM to generate electronic reports, data tables and statistics. In conjunction with KARL STORZ,

Nuf eld Health will be using AAR as part of its commitment to acquiring accreditation from the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) within its endoscopy departments. JAG is a national body that promotes the quality and safety of patient care by de ning and maintaining the standards by which endoscopy is practised in the UK.

David Wylde, Regional Director Hospitals, Nuf eld Health, says: “The national contract with KARL STORZ provides the keystone to our recent investment in high de nition technology for our diagnostic and therapeutic endoscopy by linking in minimally invasive surgery and training capabilities through the interconnected image capture and reporting systems.

This will ensure that we continue to deliver the highest level of healthcare to our patients by using the most advanced, cutting-edge technology available. It also enables us, in partnership with our Consultant partners, to develop the surgical techniques and capability required to meet the increasing complexity of surgery. The digital information and image capture also allow Nuf eld Health to provide training for the surgeons of the future and develop our academy of excellence within the Group.”

“Nuf eld Health has made a commitment to meet the high standards identi ed by JAG. This requires considerable investment and not all providers have committed to meeting this standard, however, KARL STORZ has worked closely with us at all stages to ensure the best possible outcome.”

KARL STORZ Endoscopy Ltd Tel: +44 (0) 1753 503500 www.karlstorz.com

Further information: Amanda Parkin Tel: +44 (0) 7810 636467 aparkin@karlstorz-uk.com

When responding to articles please quote ‘OTJ’

Commenting on the Governments proposals for the NHS, David Welbourn, Visiting

Professor in the Practice of Health Systems Management at Cass Business School says:

There is no doubt that the NHSs emphasis on compassion is very high pro le, but there is a question mark in my mind about whether focusing on trainee nurses is a smoke screen it will be 4 years before this policy will have any effect.

The more pressing question is what are we doing about those already in post? Leaders need to be more aware of what is happening on a day-to-day basis - spending more time both setting the tone and culture of what is expected, spending time with staff nurses, increasing time coaching and observing. They need to recognise that the job of caring is emotionally and physically draining.

Leaders need to support and equip staff to deal with these pressures, and the current environment of fear and blame hinders rather than helps. A statutory duty of candour and a threat of criminal action does nothing other than add to the fear and mistrust, when what is required is to build greater trust and genuine openness.

Hearing what Jeremy Hunt has just said, we should welcome his comment that what went wrong at Mid Staffs was not typical of the NHS, and that in responding to it, the system must not crush the decency of most people in the NHS.

GWH surgeon’s charity work in Nepal set for awardA CONSULTANT surgeon at the Great Western Hospital is among surgeons and nurses across the UK whose voluntary work has been shortlisted for a national health award.Angus Waddell volunteers for the charity BRINOS, Britain Nepal Otology Service, a charity dedicated to the prevention and treatment of deafness in Nepal.The charity’s work has been shortlisted for a British Medical Journal Group Award, the Karen Woo Surgical Team Of The Year Award.BRINOS was founded in 1988 by Neil Weir, Consultant Ear, Nose and Throat Surgeon to the Royal Surrey County Hospital, Guildford.As a survey of disability conducted in 1981 found deafness to be the largest single disability in Nepal.Angus, and three UK surgeons, two UK nurses, anaesthetists and trainees have worked alongside a Nepali surgeon and two Nepali nurses running special ear camps in Nepalgunj, in the south west of Nepal.The ear camps have been run in Nepal, twice-yearly since 1989 and three times a year since 2008.Angus said: “One of the trainees who attended the latest Ear Camp nominated BRINOS for the BMJ Group Awards and we are delighted our group has been shortlisted for Surgical Team Of The Year Award.“It is nice to have recognition for the work of BRINOS and for those involved in the ear camps, we all volunteer, and cover our own expenses for the trips. “It is a different experience to working in a UK hospital.

“And it is great to be able to reach out to those suffering from ear disease and assist Nepalese ENT surgeons in providing expert treatment to them.“Hearing loss is common in Nepal. It is a poor country with a lot of respiratory infections, chest infections, holes in ear drums and ear discharge. “November 2012 was the charity’s 49th ear camp.“The camps involve intensive surgery and we can perform up to 17 ear operations in a day out there, 120 operations per week; at GWH we can do 120 ear operations in a year.”Since the charity started there have been more than 4,500 major ear operations carried out in Nepal.“The ear camps last nine days and are long days, working from 8am to 8pm,” said Angus.“We do have one day off where we all go for a picnic together with the Nepali people, which is very enjoyable.”While most BRINOS operations are carried out under local anaesthetic,GWH anaesthetists Julian Stone and Mike Entwistle, have also attended the ear camps to give some general anaesthetics. T The equipment used for ear operations is either equipment that has been funded by the charity or is old NHS equipment.Angus will attend the award ceremony in London on May 9.To nd out more about BRINOS, the work they do and how you can support them visit: www.brinos.org.uk.

Source:SwindonAdvertiser

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First autonomous liver preservation system enters clinical trials

New liver perfusion system set to increase quantity and quality of livers for transplant surgeryA breakthrough system that keeps a liver alive outside the human body prior to transplantation has been used successfully to treat two patients as part of a controlled clinical investigation. The self-regulating normothermic liver perfusion system, devised by OrganOx and designed and developed by Team Consulting, has the potential to increase the supply and quality of livers available for transplant.In Europe and the US, around 13,000 liver transplants are undertaken each year, said OrganOx Limited CEO Dr Les Russell. However, there is a combined waiting list of around 30,000 patients and up to 25 per cent of these patients die whilst awaiting transplantation. Meanwhile, over 2,000 livers are discarded annually because they are either damaged by oxygen deprivation or do not survive cold preservation due to elevated intracellular fat.Team Consulting has worked with OrganOx since 2009 to bring OrganOxs large, manual, clinician-dependent process out of the lab into a fully autonomous, transportable and commercially viable form. OrganOx’s patented auto-regulation technology has been extensively peer-reviewed and validated in over 30 publications.The new system, called the OrganOx metra, operates by maintaining the organ in a fully functioning state during transport and storage, by providing blood ow, oxygen, carbon dioxide, nutrients and temperature control within physiological parameters. This body-mimicking system, that also monitors factors such as bile production, not only enables the liver to be stored safely for a longer period (up to 24 hours) but also provides the surgeon with real-time and cumulative data with which to assess function and viability.This is a major advance since there is currently no means of objective viability assessment. In current clinical practice organs are retrieved, ushed with a cold preservation solution, packed on ice and rushed between donor hospital and transplant centre. Today, many livers are discarded due to logistic constraints and an inability to assess liver quality.Team was appointed by OrganOx to assist with the design and development of their new transportable, performance-critical device and take it from proof of concept to commercial manufacture.Teams primary focus was turning OrganOxs manual, clinician-dependent process into an autonomous system with a safety-critical architecture and embedded software program. The safety critical architecture means that if a system component or peripheral feature fails for any reason, then the core system will continue to function to avoid causing damage to the liver.The other key challenge in the design brief was the need to make the system suitable for road and air transport.Within the rst nine months Team had developed an automated proof of principle machine that showed how the manual lab-based system could be developed for commercial use. The subsequent two years were spent taking the system from proof of principle to clinical investigation grade devices.This system design and development work combined electro-mechanical systems engineering, sterile uid circuit design, embedded PCB design, rmware coding, industrial design, touch-screen interface design, and speci cation and risk management.Much of Teams design work was focused on the ease of use of the OrganOx metra system:• Conducted formative usability studies with the full range of stakeholders to

understand how the nal system would be used - to ensure the nal system is suitable for commercial use

• Set up can be completed in minutes. Team designed the OrganOx metra system so that the disposable set of 400 connectors and tubes that the blood runs through are all mounted on a simple cartridge

• Designed the system with its own on-board batteries to give up to two hours of full power as well as incorporating a mains connection and other power connections for cars, ambulances, aeroplanes and helicopters currently used by organ retrieval teams

We have designed the safety critical system to be robust, reliable and simple to use. Using the combination of all of our key skills we have delivered a nal product that meets some very demanding requirements, commented Stuart Kay, Head of Electro-Mechanical Engineering at Team Consulting. At the start of the project we had no reference point as this has never been attempted before. That we have been able to successfully deliver a system that is already saving lives is a testament to our design and engineering capabilities, and the dedication of the whole project team.Dr Les Russell, CEO of OrganOx Limited added: After 17 years of research and development we have reached a critical juncture with our ground breaking technology. We are con dent that the system will play a major role in saving many lives around the world. Teams empathy, expertise and insight have been invaluable to us throughout this journey.

6 THE OPERATING THEATRE JOURNAL www.otjonline.com

First Digital Radiography Room at Inverclyde

See the latest range of products from Fukuda Denshi at Euroanaesthesia 2013

Fukuda Denshi is a leading supplier of advanced patient monitoring and user-con gurable clinical information management systems, as well as cardiac monitoring and imaging technology. The company will be attending Euroanaesthesia (ESA), being held in Barcelona from 1-4 June 2013.

The congress is set to provide an interesting and inspiring programme for presentations of state-of-the art educational and scienti c content, and will include 40 refresher courses, 70 symposia, 37 workshops, 4 pre-congress courses, 2 postgraduate courses, 6 general lectures as well as several guest sessions and specialist society meetings.

Fukuda Denshi will be attending the event with their DS-8500 high end anaesthesia/critical care monitor incorporating Fukuda Denshi’s most intelligent user interface. It allows users to tailor the monitor to meet their speci c requirements by offering a full suite of modules as well as a full 5 agent gas bench.

The DS-8500 is highly versatile and can be mounted as a standalone system or alternatively attached to any anaesthesia machine. In addition, all patient data can be collected and viewed at the bedside or central station with its seamless patient record transfer from monitor to monitor via an HS 8000 super module.

Also on show will be Fukuda Denshi’s MetaVision Clinical Information System, the MVOR, which is speci cally designed for operating theatre use.

Visitors will receive a warm welcome from the Fukuda Denshi team, who will be on hand to demonstrate their state-of-the-art products as well as provide full product information and answer any questions.

Fukuda Denshi: Healthcare bound by technology.For more information visit www.fukuda.co.uk. Please quote ‘OTJ’

Inverclyde Royal Hospital, part of the NHS Greater Glasgow and Clyde health board, has recently purchased a BuckyStar Intuition direct digital radiography (DR) system from leading independent medical equipment supplier Xograph Healthcare.

After viewing Xograph’s recent DR installations at Aberdeen Royal In rmary’s new Emergency Care Centre, Inverclyde Royal Hospital selected an Intuition as the optimum cost-effective solution to ful l the imaging requirement for a wide range of general radiographic examinations.

BuckyStar Intuition can be con gured to your requirements with up to four direct digital detectors in any combination of xed, portable and wireless portable with the latter capable of being shared between rooms and mobiles. In the case of Inverclyde Royal Hospital, the choice was for a xed 11.3 megapixel CXDI-401C detector with an imaging area of 43x42cm in the wall stand and a 35x43cm wireless portable CXDI-70C in the table and for ‘out-of-bucky’ use. Both detectors are super-fast with a high sensitivity caesium iodide scintillator which provides 1,000-speed equivalence to ensure minimum dose burden for the patient. A 125 m pixel pitch combined with CXDI-NE imaging software from the stables of Canon’s legendary imaging software division assures the highest spacial and contrast resolution to enhance diagnostic information for improved outcomes.

The new Intuition direct digital radiography system in Inverclyde will be located in a key position within the Imaging department - close to the entrance and therefore convenient for quick patient access, ease of transport for beds and most importantly, for treating of patients out-of-hours where the room is more easily accessible but where the rest of the department can be locked to prevent unauthorised access.

Staff in Inverclyde Royal Hospital are now looking forward to having the room installed and in clinical use as soon as possible.

In order to assist with the transition, Xograph Healthcare will be providing a complimentary loan MobileDaRt Evolution Wireless direct digital mobile X-ray unit.

This will allow radiographic staff to be pre-trained and experienced in the use of the DR system and detectors which are common to the MobileDaRt and whilst the building works and installation are taking place.

In this way users will be well familiarised with much of the operation of the new Intuition system and ready to start using the new room almost immediately.

www.xograph.com

The BuckyStar Intuition DR system from Xograph Healthcare

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Sudden Arrhythmic Death Syndrome

affects those in their thirties the most, new gures show

• Leading clinician calls for greater participation in clinical audit

People aged 30 to 39 years are the age group most at risk of sudden death caused by irregular heart rhythms, also known as Sudden Arrhythmic Death Syndrome (SADS). The new report from the National Audit of Sudden Arrhythmic Death Syndrome shows that the average age at death where recorded was 32, with almost a quarter of deaths in the 30 to 39 age group. This is the third annual report from the audit and is based on an analysis of the 364 cases recorded since the audit began in July 2008. Details of 47 new cases have been added over the 12 months up to and including January 2013.The audit is managed by the UK Cardiac Pathology Network (UK CPN) in collaboration with the Health and Social Care Information Centre (HSCIC), and is commissioned by the Healthcare Quality Improvement Partnership (HQIP). Other ndings in the report show that of the 364 cases received:• More males than females were

affected (58 per cent, or 203 males out of 352 cases where sex was recorded).

• Data on the circumstances of death (of the 347 cases where this was known) show almost a third (31.2 per cent) of people died at rest, approximately a quarter (24.5. per cent) died while in bed or asleep and approximately a sixth (15.3 per cent) during some form of exertion.

• 93 per cent of adult cases (aged 16 years or over) had no recorded history of illegal drug use (of 282 cases).

Dr Martin Goddard, Chairman of the UK CPN said: Todays report aims to raise awareness of SADS, not only for the bene t of cardiac specialists but for the public also. It is crucial that details of SADS cases are submitted to this audit in order to help develop services for families affected by this condition.Non-specialist clinicians concerned with SADS cases can gain support from the UK CPN. Participation in the audit is open to any trust or heath board which has recorded incidences of SADS and they are encouraged to take part by contacting the Health and Social Care Information Centres audit team (0845 2576990 or enquiries@ic.nhs.uk.)The report can be accessed at http://www.ic.nhs.uk/pubs/sads2012

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One Together: The Power of Small ActionsFor more than a decade, the global healthcare community has been trying to solve the problem of preventable healthcare-associated infections (HAIs). Progress has been made, but HAIs continue to pose a risk to patient safety.

Patients’ lives are at stake, and the problem of HAIs needs to be approached in a new way.

OneTogether: The Power of Small Actions, is a multi-year programme with the goal of driving individual small actions to collectively generate a signi cant impact on the incidence of HAIs.

Announced at the Association of periOperative Registered Nurses (AORN) conference in San Diego on March 3,

OneTogether is designed to amplify individual actions, support collaborative opportunities and engage a network of professionals working toward the same goal – the elimination of HAIs.

The programme is expanding globally, with launch in the United Kingdom planned at the beginning of June.

“A new approach to HAIs is long overdue,” said Linda Groah, CEO/executive director of AORN. “OneTogether offers all of us a chance to unite, share what’s working and reinforce how every little action we take can have a major impact on patient safety.”

OneTogether aims to engage a broad spectrum of associations and individuals who care passionately about this issue and have a willingness to approach the problem in a new way. The movement is designed to create an open dialogue that elevates the infection prevention and control conversation across all areas of a hospital, without the barriers imposed by specialties or disciplines.

OneTogether is built from the E3 framework for change proposed in the Educate‚ Empower‚ Engage: A Collaborative Interdisciplinary Call to Action for Reducing Surgical Site Infection whitepaper*, published in 2012 and based on work done at the fourth annual Infection Prevention Leadership Summit.

The whitepaper represented the consensus opinion of 80 leaders and experts that there are three barriers to elimination of SSIs – education, empowerment and engagement. It highlighted the understanding that science and technology are not enough, and that more attention to behavioural science is needed. It issued a call to action to leaders from the executives to staff to leverage the power of unity to overcome these barriers. OneTogether is a response to that call to action.

The OneTogether movement has been ignited by 3M Infection Prevention Division and its founding partners, the Association of periOperative Registered Nurses (AORN), the International Association of Healthcare Central Service Materiel Management (IAHCSMM), the Surgical Infection Society (SIS), Practice Greenhealth, and the Association for the Healthcare Environment (AHE).

In addition to association partnership and collaboration, an independent advisory panel of 35 passionate healthcare professionals with a diverse spectrum of medical expertise has been established to guide and shape the OneTogether movement.

“We hope to stimulate dialogue and challenge individuals to turn passion into action. We also hope to extend the principals of OneTogether in the UK to invite organisations and individuals in the healthcare arena to join us on this journey,”

said Andrew Stonehouse, UK General Sales and Marketing Manager of 3M’s Infection Prevention Division. “By working together, we can create a safer environment for patients.”

OneTogether focuses on small actions that all nurses and practitioners can apply immediately, recognising and reinforcing the positive steps that have been taken and the positive actions that employees across the hospitals implement every day. Staff are invited to take a few moments to identify good care practices and recognise colleagues for their dedication to providing safe patient care. Printable thank you cards are available at joinonetogether.org.

In addition, nurses and practitioners are invited to join the OneTogether LinkedIn online community, where they can join in a multidisciplinary conversation, share best practices and pool resources to get the support they need to look at the problem of HAIs differently.

A community of concerned professionals who want to make a difference and have a willingness to consider new ideas and approaches is building. Individuals and associations have an unprecedented opportunity to collaborate and leverage the expertise and commitment of association partners to make a difference.

Healthcare practitioners can get more information about OneTogether by visiting www.joinonetogether.org and are encouraged to join the OneTogether LinkedIn group at www.linkedin.com.

The E3 Framework whitepaper is available online at:

http://solutions.3m.com/wps/portal/3M/en_US/Leadership-Conference/WhitePaper/

8 THE OPERATING THEATRE JOURNAL www.otjonline.com

Made from a carbon bre reinforced composite material, Carbon FloatLine can simultaneously move up to 125mm sideways, 800mm lengthways at a speed of up to 185mm per second. Naturally, its motor unit has a stainless housing that is both easy to clean and able to withstand disinfection.

An ergonomically designed control unit enables theatre staff to move the table top in the desired direction both easily and intuitively; IR, cable or wireless control devices may be speci ed.

Speed is continuously adjusted by sensors that respond to the applied force. This quick and unrestricted movement gives the user the impression that the surgical table is free oating. Sensors also eliminate any danger of the table colliding with the oor.

All the accessories and positioning aids needed for optimal surgery are attached to Carbon Floatline using adaptable side rails. Special carbon coupling points are also provided to accommodate ancillary x-ray equipment such as head positioning accessories.

Carbon Floatline joins an already substantial range of carbon bre surgical systems and components from TRUMPF that are available for its entire range of operating tables. They have all been developed to allow unobstructed imaging where the surgeon needs it most.

For further information contact: TRUMPF Medical Systems Ltd Tel: 01582 399201e-mail: medical@uk.trumpf.comWeb: www.uk.trumpf-med.com

To enhance the exibility of its modular and mobile operating tables TRUMPF Medical Systems has introduced several new patient positioning accessories to meet the needs of different disciplines. These include a new addition to its carbon attachment range, an exchangeable operating table top which perfectly complements its high-end TruSystem 7500 that is ideally suited to use in hybrid theatres.

The new TRUMPF Carbon FloatLine is a one-piece table top that is entirely radiolucent. When combined with the premium TruSystem 7500 surgical table, it provides an open interface for integration with 3D C-arms and other imaging systems.

Every possible combination of transverse and longitudinal motion can be initiated directly with a single movement and the system also offers in nite adjustment of Trendelenburg slope and lateral tilt. The table top on a stationary column provides a 360o scanable area of 1,800mm for highly effective intra-operative radiology and angiography.

In extreme inclination angles, the patient weight capacity of Carbon Floatline is 180kg and in the neutral position, 225kg.

M d f b b f d l C b Fl L

‘FLOATING’ RADIOLUCENT OPERATING TABLE TOP IS INFINITELY ADJUSTABLE

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Musgrove Leads The Way In Glaucoma Treatment

Musgrove Park Hospital has become only the second hospital in the country to carry out new state-of-the-art micro surgery treatment for glaucoma.

The surgery, known as Trabectome, is carried out under local anaesthetic and takes between 10 -15 minutes to perform. Through a small incision in the eye a tiny amount of affected tissue is removed very precisely by an electrical pulse. This allows restoration of the eyes natural drainage pathways without any external scarring. The surgery is only mildly invasive compared with traditional glaucoma surgery and can reduce the need for frequent use of eye drops from which some patients develop side effects.

The rst few patients were treated this month by Jonathan Rossiter, making Musgrove Park Hospital only the second hospital in the UK to offer this treatment; even before Moor elds Eye Hospital in London. The procedure has been widely used in the United States and internationally and now Musgrove Park Hospital has invested in the technology.

Glaucoma is one of the most common causes of blindness in the UK and it becomes more common with age. The disease, often referred to as “the silent thief” because of the manner in which blindness creeps up on those with the condition, is traditionally treated by eye drops and when uncontrolled, the surgical procedure Trabeculectomy.

But by being able to offer patients this new surgery Musgrove will be able to improve the quality of care, reduce the need for NHS care and treatment and, in the long term, save money for the NHS, which is important given the current nancial constraints in the NHS.

Mr Rossiter, Consultant Ophthalmologist and lead consultant for the glaucoma service, explains why this is a step forward in treating glaucoma in the UK.

“The Trabectome procedure can avoid the need for more major surgery, although this will still be necessary for some patients. Any glaucoma patients prescribed eye drops would potentially be eligible for this treatment, although we will initially concentrate on those patients with uncontrolled glaucoma. The procedure often works well when combined with cataract surgery allowing the treatment of the two conditions at the same time.”

“This has a number of bene ts for the NHS and patients, including a reduction in drug use, increased ef ciency with less surgery time, fewer hospital visits for check-ups and fewer of the more major and expensive operations such as Trabeculectomy. These bene ts will improve the quality of the care patients receive while at the same time reducing the cost of treatment.”

NHS Blood and Transplant pilot at Royal Bournemouth Hospital is now running 24/7

A pilot scheme to transform the way blood stocks are maintained and delivered in hospitals is now fully functioning at the Royal Bournemouth Hospital.

The pilot, being trialled by NHS Blood and Transplant, is now running 24 hours a day, seven days a week, using full electronic blood tracking systems already in place at the hospital to automatically replenish any stock taken from the fridge for patient use.

NHS Blood and Transplant Chief Executive, Lynda Hamlyn, met with the CEO of the Royal Bournemouth Hospital, Tony Spotswood today to see rst hand how the pilot is working.

The scheme will enable NHS Blood and Transplant to monitor hospital stock levels on a ‘live’ basis and provide automatic optimum top up deliveries of blood and blood products. This will be done by sending automatic delivery notes with all details of the blood stocks being supplied to the Royal Bournemouth Hospital, lowering costs, improving stock control and providing a more streamline process from donor to patient.

Lynda Hamlyn, Chief Executive at NHS Blood and Transplant (NHSBT), said:

“It is wonderful to see rst hand how the pilot scheme is working. A lot of time and effort has been put in by both NHSBT staff and those at the Royal Bournemouth Hospital to get this up and running and fully functioning. This pilot is demonstrates how two very different NHS organisations, both with the same determination to provide the very best patient care, can work together to improve quality and treatment, whilst still reducing costs to the NHS.”

The pilot is the rst step of a key part of NHSBT’s ve-year strategy to further improve and modernise the blood service by providing an even better service for donors, patients and the NHS.

Tony Spotswood, Chief Executive of the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, said;

“It was great to meet Lynda and show her how well the scheme is working. This project is a natural extension of our existing successful system which uses bar-coded patient wristbands, hand held devices and the labelling of patient blood samples. The scheme is cost ef cient but most importantly will improve patient care, which is a key priority for us. We fully support the work of NHS Blood and Transplant and look forward to working with them in the future.”

Since 2009 NHSBT has made major reductions in its costs - saving the NHS £34m a year - money that can instead be spent on care and treatment for patients.

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10 THE OPERATING THEATRE JOURNAL www.otjonline.com

UK launch of mobile surgical C-arm at UKRC

The Cios Alpha C-arm system from Siemens Healthcare is to make its British debut at the UK Radiological Congress (UKRC) 2013, 10-12 June on stand 15. The Cios Alpha is the rst mobile C-arm system to use Full View at detector (FD) technology for highly detailed images during surgical procedures. It will be on show at the event under Siemens Healthcares Innovate to advance human health theme.

The Cios Alpha offers a completely new imaging chain with the latest FD technology, providing improved sensitivity, lower dose values, higher spatial resolution and distortion free images. Two detector sizes are available for greater exibility of use during surgery, with extended free space for excellent patient access, direct table-side control and a consistent, intuitive user interface. The square FD image provides 25% more coverage than conventional image intensi ers even during image rotation.

Its versatility in the operating theatre allows the system to be used and seamlessly integrated during broad surgical procedures, from vascular and cardiac to spine and trauma, urology and gastroenterology. To give complete exibility and control, Cios Alpha can be operated from a touch screen user interface on the monitor cart, table-side remote or the C-arm. The optional motorisation package, single-touch positioning and electromagnetic brakes enable precise, effortless positioning, while active cooling ensures the system does not overheat, even during extended use.

The advanced connectivity of the Cios Alpha provides wired or wireless integration with hospital networks, while its onboard storage allows for a capacity of 100,000 images, documentation and CD, USB and DVD recording. The system also includes optional advanced applications for optimal vascular work ow, such as an injection trigger, stenosis quanti cation and abdominal aortic aneurysm live graphical overlay.

The Cios Alpha is an advanced system for operating theatres, providing outstanding image quality and powerful performance. The at detector offers incredibly detailed and importantly distortion-free images to give surgeons the complete picture during procedures, states Lynn Blackburn, Business Manager for Mammography, Surgery and Urology at Siemens Healthcare. UKRC provides us with a strong platform to launch the Cios Alpha into the UK, where it is supported by a portfolio of existing mobile C-arms designed with image quality, operability, versatility and ef ciency in mind.

Also on show at this summers convention is the Mobilett Mira wireless mobile X-ray system from Siemens, demonstrating exibility and convenience of use. The system is compact and lightweight in design for ease of use between the con ned cubicles of A&E or patients beds and motor powered to support imaging outside of the radiology department in wards or ITU where patients cannot be moved.

For further information please visit: http://www.siemens.co.uk/healthcare.Follow us on Twitter at: www.twitter.com/siemensuknews

The Cios Alpha C-arm system from Siemens Healthcare is to make its British debut at the UK Radiological Congress (UKRC) 2013, 10-12 June on stand 15. The Cios Alpha is the rst mobile C-arm system to use Full View at detector (FD) technology for highly detailed images during surgical procedures

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MAJOR UPSWING IN DEMAND FOR SENIOR TECHNOLOGY TALENT IN NHS

70% of Trusts say IT is their top priority

Unprecedented levels of change within the NHS are leading to a massive upswing in demand for senior technology talent. This is being driven by large IT related change and transformation projects such as the computerisation of patient records – as well as the imminent replacement of Primary Care Trusts and Strategic Heath Authorities with Clinical Commissioning Groups and Commissioning Support Units.

According to a recent survey undertaken by the UK Healthcare Practice of Twenty Recruitment, all of the 50 Trusts polled said that that they expected IT investment to play a signi cant part in their 2013 budgets. In fact 70% said that they were making IT their top priority (compared to 40% last year). When asked about the resourcing of planned projects, almost two thirds (65%) said that they would take a project approach and use contract and interim staff while just over a third (35%) said that they would invest in training for their existing permanent staff.

Jessica Lorimer, Senior Appointments Specialist for Twenty Health says that there are numerous requirements for Interim Technology Specialists with experience of major change and transformation projects who can impart commercial best practice for better value than an outsourced Management Consultancy, into what has become a hugely fragmented NHS.

“Whilst there is an obvious need for Project Managers and Business Analysts to implement these projects; there is also a shortage of top executive talent – some of the new Clinical Commissioning Groups which come into being on March 31st are missing critical pieces of their Board so Interim C Level candidates with the right sort of experience are in high demand. Whilst many of the headlines in recent months have been around job cuts and downsizing in the public sector it seems the war for talent – particularly from a technology perspective – is rmly back on the agenda.”

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Olympus is a leading manufacturer of advanced optical and digital equipment for the healthcare and consumer electronics sectors, leading the way in designing endoscopy and microscopy products among others.

Martin Wallace, head of eld service at the Southend-on-Sea based company, said: “Rigel supplies us with a range of high performance, high quality instruments, which provide the engineers with convenient, easy-to-use and accurate testing solutions.

“The engineers appreciate the fact that they are compact enough to carry around with them and offer full automation of test procedures, leading to more ef cient testing schedules and improved standards of customer service and care.

“The Uni-Therm incorporates an excellent range of features for a tester of its size, while the added value bene ts, like improved connectivity and ease-of-use, are particularly impressive.

“The ability to import and export data is also a particularly bene cial feature,

enabling us to store test information which can then be easily retrieved and used for quality control purposes at a later date.”

He also said that Rigel after sales support is very good, which is another reason why he chooses to use its products - in particular, product training’s very good while the company’s responsive to his needs.

More at www.rigelmedical.com

Bev Ward, Managing Director of Fashion at Work, said: This has been an incredibly exciting and challenging project to work on for us.

We have been able to bring our many years of experience in the healthcare sector to this design and are extremely proud to be making a real difference to the experience that children and young people have in hospital.

We made it our top priority to work with doctors, nurses and patients to make sure that we create a product

that satis es the many diverse clinical needs of the hospital,

while challenging the utilitarian NHS style to give children and young people something fashionable and fun that they actually want to wear.

It is an exciting time to be involved in this

patient dignity project and we hope that drawing from our experience and collaboration with BCH

we can revolutionise the way patients and practitioners look at clinical-wear and provide truly innovative garments to the NHS and wider care community.

Fifteen year old former patient, Ben MacSkimming from Balsall Common near Solihull, was in hospital for ve weeks and is a keen supporter of the new design.

It comes in eight sizes to t babies up to teenagers and adults, is joined with fasteners at 28 points and the top is reversible so the out t can be used in every possible scenario in theatre and post-operative care settings, for example complex heart surgery, the insertion of a neck line or hernia repair, or accessing a plaster cast on a broken arm.

Michelle McLoughlin, Chief Nurse at Birmingham Childrens Hospital, said: The privacy and dignity of our children and young people is so important to us and we want them to feel protected, safe and secure while theyre with us. We always encourage our young patients to be active as soon as they can as it helps them get better quicker, but they dont want to run around the ward if theyve got their bottoms on show.

The Dignity Giving Suit is the rst of its type in the NHS which is based entirely on the needs of our young patients and their clinical requirements and it is truly t-for-purpose, comfortable, much warmer and something we know they want.

The feedback from our children and young people has been overwhelmingly positive. Quite a few havent wanted to take them off and have asked if they can take them home which is fantastic!

Committed to giving children and young people more dignity and improving their experience in hospital, Birmingham Childrens Hospital has launched a revolutionary new alternative to the traditional backless hospital gown - the Dignity Giving Suit.

Visiting the operating theatre can be nerve wracking for young patients and families having to wear an ill- tting, uncomfortable and ddly hospital gown does little to ease their apprehension.

Acting on feedback from young people and families, the hospitals project team enlisted the expertise of uniform design company Fashion at Work (UK) to develop an innovative solution which upholds a patients dignity at every stage of care, while allowing quick, easy and digni ed access for their procedure and follow-up care.

Young people said they wanted a two-piece out t which led to the development of a Karate-suit style design with a short sleeved top and cut-off trousers. The fabric is comfortable, warm and hardwearing, lasting much longer than the current lightweight NHS gowns and ensuring value for money.

New cutting-edge out t gives children and young people more dignity at Birmingham Childrens Hospital

Ben said: I remember thinking how horrible the theatre gown I had to wear was. It was tight and uncomfortable at the top but baggy and draughty at the bottom at the same time, leaving you quite exposed. I think the new design is brilliant and I wish I could have worn one when I was here!

The design is fully registered with patent pending and is currently being adapted for the adult market which will be showcased to hospitals across the country later this year.

The hospitals current stock of 2,000 gowns will be replaced with the Dignity Giving Suits from April 2013 and suits in different colours and patterns will also be on sale for children and young people who want to use them at home too.

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Optical company sees the bene ts of Uni-ThermField engineers at Olympus KeyMed Ltd have turned to Rigel Medical’s Uni-Therm analyser for improved medical device compliance and safety testing.

Olympus, which has been at the forefront of designing endoscopy and microscopy products, medical and industrial equipment for over 90 years, uses the advanced Uni-Therm for in-service performance testing of its electrosurgical devices.

These items of equipment use electricity to produce enough heat to enable surgeons to cut body tissue or seal bleeding vessels during operations.

Twenty Uni-Therm units have been speci ed to allow automation of the performance testing of Olympus’s electrosurgical equipment, resulting in greater ef ciencies. Already, the new testers have enabled engineers working at sites across the UK to accurately measure the performance of each device and complete high frequency leakage, high current, power distribution and patient return plate alarm testing.

Compliant with IEC 60601, the high performance Uni-Therm is capable of verifying and calibrating the electrosurgical equipment while guiding the engineer through all test procedures automatically and most of all safe.

The Uni-Therm from Rigel Medical provides improved medical device compliance testing at Olympus KeyMed

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12 THE OPERATING THEATRE JOURNAL www.otjonline.com

Fuji lm awarded RIS, PACS and VNA contract for North Bristol NHS Trust

Fuji lm is a pioneer in diagnostic imaging and information systems for healthcare facilities, with a range of constantly evolving clinically proven products and technologies designed to help medical professionals perform more ef ciently and effectively. The company is pleased to announce that they have been awarded the contract to provide a radiology information system (RIS), picture archiving and communication system (PACS) and vendor neutral archive (VNA) for North Bristol NHS Trust. As prime contractors Fuji lm will provide a managed service together with strategic partners Healthcare Software Systems (HSS) and Acuo Technologies, part of Perceptive Software from Lexmark.

North Bristol NHS Trust provides hospital and community healthcare to the residents of Bristol, South Gloucestershire and North Somerset and is also a specialist regional centre for major trauma, neurosciences, plastics and burns, orthopaedics and renal services. It currently provides acute care from two hospitals - Frenchay and Southmead. From spring 2014, acute services will be centralised at a brand new state of the art £430 million hospital at the Southmead site.

The Trust is preparing to deploy the new systems by 30th June 2013. The RIS and PACS services will enable two key imaging systems to be replaced and upgraded, while the Acuo VNA will provide business continuity and support the Trust’s long term strategy.

Marie-Noelle Orzel, Chief Executive at North Bristol NHS Trust, said: “This new IT system is another step enabling us to consistently provide a great service for our patients and their GPs, support Trust staff to cut out waste, and prepare us for our move into the new hospital at Southmead in spring 2014.”

The new Fuji lm systems will provide key bene ts for users and ensure the Trust can meet changes in demand. For example, the RIS system features voice recognition, which will enable GP reports to be processed more quickly and clinical processes will be sped up. New PACS functionality will provide a single viewing system and new tools for all users in the Trust.

Radiology and clinical staff from across the Trust chose the new system. Consultant vascular and renal transplant surgeon, Andy Weale, said: “As a non-radiologist I’m delighted to have been part of the team selecting this new PACS. The new system we have selected is intuitive to use and it will give clinicians on the ground the tools to get the maximum bene t from diagnostic imaging for their patients.”

Consultant radiologist Eric Loveday, who led the procurement, said: “We selected the new system after extensive consultation with users across the Trust. It will equip us with the most up-to-date, exible and ef cient system of any acute trust in the country.”

General Manager of Fuji lm UK, Mark van Rossum, also commented: “This is a signi cant opportunity for Fuji lm to work closely with North Bristol NHS Trust and provide the tailored services they need. We’re excited to have been chosen to install our leading edge systems and look forward to a long and close partnership with the Trust.”

Fuji lm – pioneers in diagnostic imaging and information systems.

For further information, visit www.fujimed.co.uk...When responding to articles please quote ‘OTJ’

Anatolia Fine Art Studiobilgin.anatolia@gmail.com

Queens scientist named Innovator of the Year

A Queens University scientist has won two national awards for his research on microneedles which deliver drugs without causing pain or bleeding.

Dr Ryan Donnelly, Reader in Pharmaceutics at Queen’s School of Pharmacy, has been named BBSRC Innovator of the Year 2013. He also won the Most Promising Innovator of the Year title. From Castleblayney in Co Monaghan, he will receive £15,000 to support his research and Queens School of Pharmacy will also receive £15,000.

Dr Donnelly won the awards for his work on microneedles which take the sting out of medicine delivery and monitoring. The tiny needles pierce the skin without pain or bleeding and are applied using a skin patch. They then swell, allowing controlled administration of even large medicines like insulin, as well as vaccines. They can also be used in minimally-invasive patient monitoring applications

Earlier this year, Dr Donnelly was also named GlaxoSmithKline Emerging Scientist for 2012. Speaking about his latest award Dr Donnelly said: I am absolutely delighted to win both of these prestigious awards, especially considering the extremely high level of competition. My groups microneedles research has attracted interest and substantial funding from some of the world’s biggest companies over a very wide range of applications. That we have come so far in only ve years in this eld is testament to the hard work and innovation of the members of my group.

Our next step in moving towards commercialisation of this exciting research is to scale up production to industrial levels. We will do this over the next two years thanks to a £710,000 award from BBSRC that came through last month. The rst patients will bene t from our microneedle technology in three to ve years from now.

The School of Pharmacy at Queens has a long and successful track record of innovation, taking our research from the laboratory to the patient. This history and experience has helped me to develop the impact of my research programme, making it relevant to the market and, ultimately, to patients.

Minister for Universities and Science David Willetts said: “The UK is at the forefront of bioscience, thanks to the pioneering work of BBSRC and continued investment in our world-class research base. These awards recognise how we are fostering innovation and working closely with industry. This will ensure our cutting edge research brings bene ts to the economy and society.

The two competitions form part of BBSRCs Fostering Innovation initiative. They encourage research in biosciences to cross the gap from academia to tangible economic and social bene ts.

Further information on Dr Donnellys work is available online at: http://go.qub.ac.uk/60bbc

Find out more 02921 680068 • e-mail admin@lawrand.com Issue 271 April 2013 13

University Campus SuffolkSchool of Science, Technology and Health

Lecturer in Operating Department Practice

Salary within range £32,267 - £37,382 per annum

We are looking for an experienced lecturer with Operating Department Practitioner (ODP) HCPC registration. You will be able to develop and expand the DipHE OPD programme and have an interest in identifying future innovations and needs in the operating department environment.

This is an exciting time to join the Division of Health which is exploring new approaches to the delivery of Higher Education Professional programmes underpinned by research, enterprise and scholarly activity.

Ideally, the successful candidate will hold a relevant degree or equivalent in a health related discipline and be able to evidence research/scholarly activity in relation to the post. Experience of working in a higher education environment is also an important requirement along with a willingness to undertake a teaching quali cation.

This post will be subject to a Disclosure and Barring (DBS) record check.

Closing date: 15 May 2013

Application details may be obtained from our website http://www.ucs.ac.uk/jobs

New Marketing Manager appointed at Fuji lm

Fuji lm is a pioneer in diagnostic imaging and information systems for healthcare facilities, with a range of constantly evolving clinically proven products and technologies designed to assist medical professionals perform more ef ciently and effectively. The company is pleased to announce the appointment of Ben Cole as Marketing Manager.

Ben graduated from the University of Hertfordshire in 1998, with a BA (Hons) in Business Management, and has also undertaken a range of professional training, including gaining his Diploma in Marketing from the Chartered Institute of Marketing in 2006.

Ben brings a wealth of experience to Fuji lm, acquired from his time spent with three blue chip healthcare companies. His career started as Global Assistant Product Manager for Smiths Medical International,

where he was promoted to Global Product Manager. Ben then moved to Hill-Rom as their International Strategic Product Marketing Manager, followed by becoming Product Marketing Manager of Covidien for the past ve years.

Commenting on his recent appointment, Ben said: “I was looking for a new direction in my career and was keen to pursue this opportunity with Fuji lm, as the company are technologically advanced and at a stage of huge growth in the UK. I believe my skill set complements the role I have been appointed to at Fuji lm, and look forward to working closely with our customers and the team.”

Mark van Rossum, General Manager of Fuji lm Medical Systems also commented: “Ben is a focused and exible individual with an analytical approach and a keen eye for detail. He has great people skills that enhance his business capabilities and will make a fantastic addition to the Fuji lm team. We’re pleased to welcome Ben to our Fuji lm family.”

Ben is married, and enjoys football, swimming, and foreign travel & culture. He has won several awards for his football participation, and has played to 1st XI district level.

Fuji lm – pioneers in diagnostic imaging and information systems.

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Blood Results in Clinical Practice ISBN: 9781905539734 April 2013 • M&K Publishing • 92pp • £16.00 Dr Graham Basten Associate Head: School of Allied Health Sciences, Faculty of Health & Life Sciences, De Montfort University, UK This book was written after feedback suggested that stories and analogies were very helpful to students wanting to remember blood tests and their implications. For this reason each section, where appropriate, contains an analogy, in addition to an overview of the relevant anatomy, physiology and biochemistry. The book links tests and conditions, and gives strategies for clinical practice using simple language. It will be useful as a supplementary text for those studying nursing, healthcare and medicine. It will also provide a quick-reference handbook for working healthcare professionals. Finally, it will provide a resource for patients and their relatives who may be keen to know more about the meaning and function of a particular blood test. Contents include: • Understanding blood tests • Case study: Interpreting abnormal results • The full blood count, anaemia and infection • Coagulation and deep vein thrombosis • Inflammatory markers • Autoimmune conditions • Transfusion testing • Management of long-term conditions, chronic disease markers: Diabetes • Management of long-term conditions, chronic disease markers: Cholesterol • Management of long-term conditions, chronic disease markers: Chronic obstructive pulmonary disease and acid base • Thyroid function • Bone profile • Renal function: Urea and electrolytes, and gout • Liver function tests M&K PUBLISHING an imprint of M&K Update Ltd • Keswick • CA12 5AS www.mkupdate.co.uk Tel: 01768 773030 • Fax: 01768 781099 publishing@mkupdate.co.uk

London Trauma Conference

10th - 14th December 2013www.londontraumaconference.com

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Olympic success for Weymouth’s new DR System

Liam Neill, Territory Manager at Xograph Healthcare with Alison Coxhead, Senior Radiographer and Melanie Troughton, Radiographer at Weymouth Community Hospital.

Last year’s sensational Olympic games are fast becoming a distant memory, but staff and patients at Weymouth Community Hospital are still bene tting from their legacy of ‘London 2012’ – a BuckyStar Intuition direct digital radiography system, from Xograph Healthcare.

BuckyStar Intuition is a motor-assisted X-ray system with a lightweight ceiling-mounted X-ray tube support that features auto-tracking. This helpful feature reduces user workload by automatically following the vertical movements of the wall stand detector and table detector when required. The automatic collimator format and spectral lter settings can be stored with the anatomical program, and remote controls can be speci ed at the tableside and wall stand for added convenience.

The high speci cation CXDI-NE imaging software includes an image stitching function as standard. Image stitching allows multiple spine as well as full length leg images to be digitally aligned and joined, or ‘stitched’ together to allow accurate measurements to be determined to aid treatment planning. A patient stitching stand is supplied to help the patient to maintain the correct patient position during the multi-exposure procedure.

Alison Coxhead, Senior Radiographer at Weymouth Community Hospital said: “This system is ideal in our busy community hospital; we can use it for both minor injury and for day surgery patients requiring weight-bearing imaging and orthopaedic examinations. The detectors are very versatile and lightweight and we especially appreciate the image stitching feature.”

Paul Andrews, Commercial Manager at Xograph Healthcare said: “This unit has been manufactured using new technology in every detail which will provide many bene ts to patients and staff at Weymouth Community Hospital for many years after the closing ceremony of the London games.”

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“The South and West Wales ODP Professional Network”

Advanced Notice of Forthcoming Meetings:

23rd May 2013, 30th September 2013 and 16th December 2013

Meetings commence at 9.30 am Prince Charles Hospital

MDTU classroom 4, 1st oor.

If anyone would like further information about any of the meetings or wish to discuss anything as part of the agenda, please contact:

Lee Fyfe - Lee.Fyfe@wales.nhs.uk

Deborah Ryan - Deborah.Ryan@wales.nhs.uk

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