Unique Device Identification Of Surgical Instruments

Unique Device Identification ofSurgical Instruments

SummaryPresentation of Robert Ballanger HospitalThe evolution of the traceability of sterile medicaldevicesThe project of Unique Device IdentificationOur next GS1 projects2

Robert Ballanger HospitalIntercity hospital serving a population of 400,000persons650 beds450 beds in acute care (medical, chirurgical andmaternity)200 psychiatry bedsOutpatient clinic and pharmacy inside Villepintedetention centerCDG airport hospital3

Traceability of Medical Devices inRobert Ballanger Hospital

Sterilization unit120 000 sterilized devices per year20 000 surgery boxes per year5

Repartition of the sterilisationunit Y6%MATERNITY9%STOMATOLOGY13%6

TraceabilityPharmacySterilization unitOperating roomTraceabilityImplantableMedical DeviceReceptionImplantableMedical lizationDistributionPackagingDistribution7

Traceability of Medical Deviceswith GS1 StandardsOperating roomPharmacyReceptionImplantableMedical DeviceGS1GS1DistributionGS1Sterilization unitDistribution of asterile medicaldeviceSurgeryinterventionProcessGS1IT PrescriptionPatienttraceabilityPatient record8

Unique Device IdentificationThe CHIRB choiceDATAMATRIXLaser Industrial tagingEasy readingIndustrial treatmentof instrumentInfodotGS1 Easy and fast tagingCost--Time to tag DevicesDeterioration fasterthan the others9

Traceability in year 2009The Robert Ballanger Hospital choiceDATAMATRIX2009% Traceabilityof instrumentsINFODOTClinical services4 00035%LASEROperating theater1 00010%% Traceability ofsterilisations / year20%10

DATA MATRIX LASER

Non conformity of surgical boxes8.7% of No ConformityProblem of packaging5%Can be resolved by UDIQuality of Instruments3.7%Can Not be resolved by UDI12

Number of instruments to tag39 instruments / tray6 Trays / referenceTray 1Tray 21 referenceCaesareanTrayTray 3Tray 4Tray 5Tray 6N QuantityBOITE INOX 42X18X9 CMB1201MANCHE DE BISTOURI N 4M3301CISEAUX MAYO DROIT 16 CMC1111CISEAUX MAYO COURBE 18 CMC1121PINCE DISSECTION A/G 14 CMP1241PINCE DISSECTION S/G 14 CMP1251PINCES KOCHER A/G 14 CMP1266PINCES KELLY DROITES S/G 14 CMP1276PINCES KELLY COURBES S/G 14 CMP1286PINCES A CHAMPS BACKHAUSS 12P1294PINCE A PANSEMENT DROITE 24 CMP1301PORTE-AIGUILLES MAYO-HEGAR 18A4401PORTE-AIGUILLES DE DOYEN 14 CMA4411ECARTEUR DE FARABEUF 12 CME5501ECARTEUR FARABEUF 15 CME5511VALVES DE KELLY 23 CMV6602VALVES VAGINALES DE DOYEN 90 MMV6612PINCE DISSECTION S/G 20 CMD7701PINCE DISSECTION A/G 25 CMD7711Article name234 instrumentsfor the reference“Caesarean Tray”13

Number of instruments to tagSurgical oUrologyInfantilOphtalmoSumNumber ofreferences13830153453321415331Number of trays22278517298542533633Trays which cannot be tagged(implants)6020618801953 2701 8991 1079451 67371267238210 660Number ofinstruments to tag14

Tag resistance to sterilisationTest on 8 different instruments :95% inox – 5% titaniumlaser datamatrix, stamping, infodot, RFIDResult : 100% lisibility on Inox laser marked instrumentsafter 200 sterilisation tionDrying

Resistance of the laser tag -Years-Resistance of the laser mber of references16

Number of instruments to tagLife time of the tags : 200 cyclesTag life time (LT) in years (based onN referencesnumber of sterilisation cycles / year)LT 2 yearsN TraysN instrumentsN tagging /10 yearsN tagging /20 years13301613232 years LT 5 years16972 5455 89311 7875 years LT 10 years661483 4385 05310 10610 years LT 20 years611142 4065 6563 5891912722 2413 8992 24133563410 66020 years LTTotalNumber of markings if life cycle ofinstruments is 10 yearsNumber of markings if life cycle ofinstruments is 20 years20 66328 04517

Type of Tagged InstrumentsNumber%605040302010VariousRetr r450400350300250200150100500N 719 Instruments Tagged18

Logistic data360 instruments can be tagged a weekDepending on supplier (500 a week for our Frenchsupplier)Depending on the numbers of instruments that can be sentper weekPercentage of code readable : 97%100 % technically readable when tested after their lasermarkingOur choice : keeping speed of work by not reading verysmall instruments19

Conclusion – Laser Data MatrixFirst results show the easiness of the logisticof taggingLaser 2D barcodes are practically all readableand it is possible to tag small instruments20

Our next GS1 projectsApril 2010End 2009End 20102010 - 20122010 - 2012Ongoing

Link between prescription and material flow (GS1) : a focus on drug processPharmacyWard / Nursing unitdoctor1. PrescribeDepending onmanufacturerProposedprescription *3. Analysisopinions exchangesNurseDispensationpharmacistPrescription opinions2.AnalysisPrescriptionOngoingCollaborative workPrescription - OpinionElectronicPatientRecord(*) : following teprotocolsestablishedbetweenpharmacists andmedicalpractitionersPharmacy Computerized Stock tionDeliveryInformationsNursing UnitmedecinecabinetData matrixCentralpharmacystocksSupplierSupply chain managementGS1End distribution robotAdministration

What are we all aiming for?Improving patient safety And GS1 standards are helping us .Contact : frederique.fremont@ch-aulnay.fr

of instruments 10 20% Clinical services Operating theater INFODOT LASER 4 000 1 000 35% 10%. DATA MATRIX LASER. Non conformity of surgical boxes 8.7% of No Conformity 12 Quality of Instruments 3.7% Problem of packaging 5 % Can be resolved by UDI Can Not be resolved by UDI. Number of instruments to tag . Fremont_