[HSF] Re: Re-Sterilized Equipment

Tue Jan 23 11:32:44 EST 2007

Widespread use with little or no control system over  the process of 
re-sterlization. Actually forbidden by law.
erdinc Naseri

>From: "Michael Firstenberg" <msfirst at gmail.com>
>Reply-To: OpenHeart-L at lists.hsforum.com
>To: OpenHeart-L at lists.hsforum.com
>Subject: Re: [HSF] Re: Re-Sterilized Equipment
>Date: Mon, 22 Jan 2007 09:00:03 -0500
>
>What about re-sterilizing for use in other countries - or at least places
>which do not have the medical/legal issues that we are so priveledged to
>have here in the U.S.
>Prasanna - wanna buy some "gently" used OPCAB stabilizers?
>
>
>-michael
>
>
>On 1/22/07, Timothy Sloan <tjsloan at inreach.com> wrote:
>>
>>Forum Members:
>>
>>RE: re-sterilization of equipment.
>>
>>Here is what I know of in the US.  One of the first companies that began
>>the FDA clearance process was a company called Vanguard out of Florida.  
>>Our
>>hospital has been sending single use equipment - CTS / Guidant stabilizers
>>and the like to them since probably 2001.  The purpose was to allow them 
>>to
>>begin to get approval to reuse this device in the US.
>>
>>As you all know this process is very prolonged.  In 2006 another company
>>that "specialized" in re-use single use devices called Allegiance out of
>>Arizona merged with Vanguard and formed one company with the name of :
>>Ascent Healthcare Solutions ( http://www.ascenths.com ).
>>
>>This company has not been FDA approved yet to re-sterilize the retractors.
>>
>>When the process becomes approved, then the "DEAL" is that we send them
>>retractors / stabilizers and they will send it back - re-sterilized and
>>repackaged.  They also have a warrantee with regard to sterilization.
>>
>>The company has many re-sterilized products and has a good track record,
>>but nothing for Cardiac Surgery yet.   Some friends in Los Angeles have 
>>been
>>using the CTS re-sterilized retractor - 5 times without any special
>>handling.  This obviously is a great savings to the hospital BUT AT
>>INCREASED LIABILITY.
>>
>>If you are interested in the re-sterilization process - your hospital can
>>contact the Ascent company and start the process of sending them your
>>equipment.  The company absorbs the cost of shipping at this time.
>>
>>Tim Sloan
>>
>>----- Original Message -----
>>From: "prof.dr.axel laczkovics" <axel.m.laczkovics at ruhr-uni-bochum.de>
>>To: <OpenHeart-L at lists.hsforum.com>
>>Sent: Sunday, January 21, 2007 11:59 PM
>>Subject: Re: [HSF] LAD ENDARTERECTOMY
>>
>>
>> > don,
>> >
>> > who is distributing your device in europe?
>> >
>> > axel
>> >
>> >
>> >> Ed,
>> >> It is illegal to re-sterilize anything marked "single use only" in USA
>> >> or Australia and most of Europe. This is very convenient for industry
>> >> but not for health care dollars or environmental sustainability.
>> >> It is for this reason alone that I designed a steel and titanium
>> >> stabiliser which is reusable like any other surgical instrument.
>> >> My Indian fellows who have had used the Octopus all prefer my
>> >> instrument because of its low profile and rigidity.
>> >> Perhaps opcab would be more popular if  surgeons didn't have to put up
>> >> with plastic rubbish for stabilisers.
>> >> Who uses plastic  instruments other than  post- 9/11 airlines?
>> >> If you want to see it in use in USA, pay a visit to Mark Levinson in
>> >> Kansas.
>> >> Don
>> >>
>> >> On 22/01/2007, at 4:27 AM, Edward Bender wrote:
>> >>
>> >>> It sounds like Bosnia hasn't suffered enough.  Perhaps we in the USA
>> >>> can export to you some of our medical-liability attorneys, hospital
>> >>> administrators/quality control staff, and litigious patients and
>> >>> families.  But seriously, are there any programs in the US that are
>> >>> re-sterilizing disposables for OPCABs?  If so, I would re-look at off
>> >>> pump surgery.
>> >>>
>> >>> Ed Bender, MD
>> >>>
>> >>>
>> >>> On Jan 21, 2007, at 10:31 AM, NielsB at aol.com wrote:
>> >>>
>> >>>> Agree with Don. In Bosnia where we are running a very costefficient
>> >>>> program,
>> >>>> we are resterilizing almost everything, OR cost for OPCAB is like
>> >>>> any other
>> >>>> general surgical procedure. But the big saving is in the fewer ICU,
>> >>>> hospital
>> >>>> days and less complications. And the most cost efficient procedure
>> >>>> is LAST/MIDCAB
>> >>>> operation wich we are still able to do a fair amount after
>> >>>> convincing the
>> >>>> cardiologists. With the saved money we are able to do a lot of other
>> >>>> more complex
>> >>>> stuff.
>> >>>>
>> >>>> Jacob Bergsland
>> >>>> Tuzla/Oslo
>> >>>> _______________________________________________
>> >>>> OpenHeart-L mailing list
>> >>>>
>> >>>> Send postings to:
>> >>>>  OpenHeart-L at lists.hsforum.com
>> >>>>
>> >>>> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
>> >>>> http://mmp.cjp.com/mailman/listinfo/openheart-l
>> >>>>
>> >>>> All messages transmitted by the OpenHeart-L are subject to the
>> >>>> policies and
>> >>>> disclaimers posted at:
>> >>>> http://www.hsforum.com/listdisclaim
>> >>>> -----------------------------------------
>> >>>
>> >>> _______________________________________________
>> >>> OpenHeart-L mailing list
>> >>>
>> >>> Send postings to:
>> >>> OpenHeart-L at lists.hsforum.com
>> >>>
>> >>> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
>> >>> http://mmp.cjp.com/mailman/listinfo/openheart-l
>> >>>
>> >>> All messages transmitted by the OpenHeart-L are subject to the
>> >>> policies anddisclaimers posted at:
>> >>> http://www.hsforum.com/listdisclaim
>> >>> -----------------------------------------
>> >> _______________________________________________
>> >> OpenHeart-L mailing list
>> >>
>> >> Send postings to:
>> >> OpenHeart-L at lists.hsforum.com
>> >>
>> >> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
>> >> http://mmp.cjp.com/mailman/listinfo/openheart-l
>> >>
>> >> All messages transmitted by the OpenHeart-L are subject to the
>> >> policies anddisclaimers posted at:
>> >> http://www.hsforum.com/listdisclaim
>> >> -----------------------------------------
>> >>
>> >
>> > _______________________________________________
>> > OpenHeart-L mailing list
>> >
>> > Send postings to:
>> > OpenHeart-L at lists.hsforum.com
>> >
>> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:
>> > http://mmp.cjp.com/mailman/listinfo/openheart-l
>> >
>> > All messages transmitted by the OpenHeart-L are subject to the policies
>>and
>> > disclaimers posted at:
>> > http://www.hsforum.com/listdisclaim
>> > -----------------------------------------
>> >
>> >
>>_______________________________________________
>>OpenHeart-L mailing list
>>
>>Send postings to:
>>OpenHeart-L at lists.hsforum.com
>>
>>To UNSUBSCRIBE, to CHANGE email address, or to view archives:
>>http://mmp.cjp.com/mailman/listinfo/openheart-l
>>
>>All messages transmitted by the OpenHeart-L are subject to the policies
>>and
>>disclaimers posted at:
>>http://www.hsforum.com/listdisclaim
>>-----------------------------------------
>>
>_______________________________________________
>OpenHeart-L mailing list
>
>Send postings to:
>OpenHeart-L at lists.hsforum.com
>
>To UNSUBSCRIBE, to CHANGE email address, or to view archives:
>http://mmp.cjp.com/mailman/listinfo/openheart-l
>
>All messages transmitted by the OpenHeart-L are subject to the policies and 
>disclaimers posted at:
>http://www.hsforum.com/listdisclaim
>-----------------------------------------