Here is a cost analysis I did based on the number of total joints we do per year. I added the total costs accrued with allogeneic blood, autologous blood and cell saver fees then subtracted the cost of the OrthoPAT from that number to get potential cost savings

Attached Files

	OrthoPAT Cost Analysis at One Site.doc (57.0 KB, 105 views)

Our hospitals do not use the OrthoPat system. When I looked at the picture of the system, I could not ascertain if it was a closed-system or not. Could someone clarify this for me.
Thank you,
Shirley

Our hospitals do not use the OrthoPAT system. When I looked at the picture of the system, I could not ascertain if it was a closed-system or not. Could someone clarify this for me.
Thank you,
Shirley

Engelwood has a policy on how to use it as a closed system from what I understand

The cell-trans system is nothing like the Orthopat, 1st of all the Orthopat is used both intraoperatively AND postoperatively. Secondly, the Orthopat system uses centrification to 1st "spin" out ALL blood components except the RBC's. Then goes through another "spin" cycle and washes RBC's with .9 % NACL. The Orthopat performs better than systems such as the Haemonetics CS5 etc. with higher HCT's.

Devices such as the Haemonetics and Cobe products are superior because they offer different bowl sizes and allow the operator to manually perform cell saving, unlike the OrthoPAT which runs at a fixed rate.


OrthoPAT was developed for low bleeders and can not keep up with high volume blood loss. Although the manufacturer guarantees a high HCT, its nitch is knee surgery and is not a stop gap solution for cell saving.


Two other disadvantages with OrthoPAT:

1. Price of disposables which are about 4x more than others.
2. Inability to manufacture Autologus Platelet Gel with the OrthoPAT.

__________________
Mr. Jan B. Wade
Blood Management Consultant
Enhance Outcomes - Control Cost
For Information Call - 360 296-1807
Email

Desert Regional was one of the first in California to implement the use of the OrthoPAT in orthopedic surgery. It has worked well for us for the past 5 years. I have a protocol for anyone if requested. Cost for disposible kit runs us $460. Most new facilities will pay appreciably more, like $600 per kit. However, other options are now available that we are seriously looking at. I would recommend a similar device to the OrthoPAT that collects shed blood but does not spin it, thus giving back only red cells. For those that were in Miami, perhaps you visited the CellTrans booth. They collect shed blood and with the use of a 40 micron filter, filter out fats, bone debris, glue fragments etc. They give back all necessary components of blood for hemostatis. Their website is:
www.summit-medical.co.uk email is: info@summit-medical.co.uk They were approved for use in America by the FDA in June of this year. Cost runs about $225-275 per case. The other device is TissueLink. They use bovie energy with 0.9% saline to blanch the open tissue, thus locking the blood where it belongs, in the body. Our experience with TissueLink has been very good. They have greatly increased the power of the energy generated, thus making its use fast and effective for controling blood in the OR. Drains as a rule are not necessary. Cost is $425 per disposible.You can find them on the web at: www.tissuelink.com

Don't forget that a closed loop is no longer mandatory for the Jehovah's Witness patient.....

__________________
Jo Valenti, RN
CBMS
Kennedy Health System

This is my first time hearing this about the closed loop not being necessary. Please explain.
Beverly Thomas
Coord. Phoebe Putney Memorial Hospital
Albany, GA

Dear friends, as a friendly reminder, please be careful to avoid discussion on the religious reasons for or against forms of treatment pertaining to Jehovah's Witness patients. Perhaps this can be discussed privately.

Thank you for helping to make this a helpful and informative healthcare resource.

__________________
Larry Eitel
Webmaster

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